( 5 )
6 punctures except for special reasons. The native supervisor, Imám Dín, deserves credit
for having introduced arm-to-arm vaccination so successfully into the district.
"I visited the lower portion of the Muzaffargarh district. Vaccination had not
at that time been begun in the upper part. Vaccination is difficult in the lower part,
whereas it is easy in the upper half.
19 had 7 vesicles or scars.
497
126
60
71
39
29
21
862
„
6
„
„
„
5
„
„
„
4
„
„
„
3
„
„
„ 2
„
„
„
1
„
„
„ 0 (2 of these having faint marks).
"In the small municipal towns of Jatoi, Alípur, Sitpur and Khairpur the work
is difficult. In Jatoi half, or rather more than half, of the children were left unvaccinated.
In Alípur also a great number was at first left unvaccinated, though afterwards a fair
proportion of the remaining children were done in my
presence. In Sitpur the work was more easily done,
while in Khairpur the members appear to take but
little interest in the matter. In Shahr Sultán the work
was well done, and the zaildár gave good assistance.
In Khangarh also the work was well done, and the
assistance given by the Honorary Magistrate, Alladád
Khán, was of the utmost value. Amongst the children
of 70 villages I noted the results as per margin.
4 had 7 vesicles
130
9
3
2
3
1
152
„ 6
„
„ 5
„
„ 4
„
„ 3
„
„ 2 „
„ faint marks
Vaccinated by Wáris
Ali and Ramzán
Khán.
"The vesicles were as a rule good, but the work was uneven in regard to the number
of vesicles or scars, and to the proportion of failures. Thus in the village of Lang, out of 21
cases inspected, I found 4 failures, and of the remaining 17, 6 only had 6 cicatrices.
Again, in Pír Jahán out of 14 cases inspected, I found 3 total failures. 2 of the
remaining 10 had each only one scar on each child,
and out of the whole 14, 1 child only had 6 cicatrices.
On the other hand, amongst the children of Shahr
Sultán and Khangarh municipal towns, and of five
villages which are included in the same page of my
note-book, I find the results as per margin, which I
consider satisfactory, the vesicles or scabs being of
large size. The people of the lower portion of the
district have an unusually strong objection to allowing lymph to be taken from their
children, and this at times renders good work difficult.
"When I reached Mooltan the work was nearly completed. I visited the part that
was being vaccinated by the staff under Basant Rám, native supervisor, and I saw the work
being carried out in several villages.
8 had 7 vesicles or scabs
784
49
23
15
4
1
5
889
„
6
„
„
„
5
„
„
„
4
„
„
„
3
„
„
„ 2
„
„
„
1
„
„
„
0
„
„
Vaccinations
of present
year.
I noted results of vaccination amongst children
of 45 villages as per margin.
2 had 8 cicatrices.
9
728
118
58
79
26
14
18
1,052
„ 7 „
„ 6
„
„ 5
„
„
4
„
„
3
„
„ 2
„
„ 1„
„ 1 „
„ 1 „
Old vaccinations.
"The work was very good and evenly done. I saw also the cases as given
in the margin of old vaccination, and I give the result
as nearly as I could note it. Owing to the arms being
dirty, and in some cases naturally rough, it is difficult
very often to determine the value of an old vaccine
scar. Most of the scars, however, were well marked
and of good size, and I think the great majority were
well protected. I had 1.61 of these re-vaccinated; I
saw also 25 re-vaccinations. In most of these cases
pimples or papules of sorts were the result. When I
returned to Mooltan the remainder of the staff, working
under Jai Chand, native supervisor, had just completed their work, so that the whole
district has been covered this year. The advantage of having two native supervisors
is very great, as each man can not only inspect, but assist the vaccinators in many
ways. In many districts a great deal of the work of inspection has to be left to the
vaccinators themselves. The population is a good deal scattered, so that the work might easily
become slow and unsatisfactory, but owing to the excellent arrangements made, and the
great assistance given by the Civil authorities, the work was done with much comfort to all
concerned, and with comparative economy. Owing, in a great measure, to the good arrange-
ments, Dr. Bennett was able to cover the whole district without employing the full number
which was sanctioned last year as an addition to the staff.
"On leaving Mooltan I proceeded to Montgomery when the staff had just entered the
Gugera tahsíl. I was told that the work was difficult in the Montgomery and Gugera tahsíls,
while in the Dipálpur and Pákpattan tahsíls it is easier. In the few villages that I saw
near Gugera it was certainly difficult, though some of the influential men whom I saw had
their children vaccinated. The Committee have lately agreed to the appointment of the
native supervisor for the whole year, instead of for six months, as they at first proposed,
and one additional vaccinator has been entertained. His appointment has been sanctioned
by the Local Government.