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" (c) Legislative help to Vaccination.—Measures by which vaccination could be
performed more efficiently and perfectly than at present would be auxiliary to the
above. Vaccination in this Circle has been practised since 1830, and the people are
now aware of it as an established institution. Nevertheless, it must be confessed that
there is yet a vast amount of extreme indifference shown by the people generally to-
wards vaccination. Unless found out by our Vaccinators, assisted by village officials,
and vaccination almost forced on them at their very doors, people seldom come out
willingly. Whatever vaccination is now performed is permitted by the people, under
the belief that it is the desire of Government, and that they cannot avoid it. In some
quarters where it is known that vaccination cannot be performed, unless permitted by
the willing consent of the parents, there is direct opposition, and the efforts of our
Vaccinators are set at defiance. In isolated villages of 50 or 100, or 200 houses, it is
possible, by proper precautions, to completely vaccinate the population, though to do
this requires no little effort on the part of our Vaccinators and the village officials. But
it is impossible to do so in Kusba towns, or in large villages, having a population of
1,000 or 2,000 souls. In such places vaccination, as at present managed, is at best but
imperfectly availed of. The best part of the morning is spent in going from one
street to another in looking out for children on the day of vaccination, and similarly
on the week day, to ascertain its results. The keeping up of lymph also from
one week to another is one of great difficulty and anxiety. This statement will be
borne out by the fact that in epidemic seasons, whereas solitary deaths occur in villages,
the prevalence of small-pox and the mortality resulting therefrom is always most in
Kusba towns and large villages. Government has for the past forty years carried on
vaccination among the people, and sufficient has been done to make them appreciate its
advantages. To further the progress of vaccination, and to assist the Department in
extending it in all parts uniformly, it is necessary to make vaccination obligatory on
parents by legislative enactment. Much of the time of Vaccinators now spent in
coaxing the people would be beneficially employed in vaccinating.
(d) Re-vaccination.—Vaccination has now been for so long a time performed in
these parts that it is very desirable to introduce re-vaccination. Children under one
year of age who have been vaccinated, are likely to get attacks of small-pox when more
than seven years old, more or less mild in form during epidemic seasons. Re-vacci-
nation has been found in other parts of the world to be necessary to check the appear-
ance of small-pox in such subjects, and it should be introduced in these parts also."
23. On writing the above, I missed the consideration of two important points,
and I embrace this opportunity of mentioning them. Nothing can be more clear than
this, that for the effectual performance of any work, the workers themselves must be
efficient. To an ordinary observer the work of a Vaccinator is simple, and the mecha-
nical part is really simple enough ; but to ensure successful results, great discrimination
is necessary in the selection of the lymph, and this requires considerable intelligence.
Besides mere mechanical skill, other qualities are needed in a Vaccinator. He must,
to a certain extent, be an educated man, possessed of a moral consciousness that he