9
The above statement shows that 76,107 vaccinations were inspected by Civil
Surgeons and their assistants, and 378,889 by native supervisors. Civil Surgeons
and their assistants found that 74,341, or 97.68 per cent. of the cases inspected by
them, were successful, and the percentage of successful operations inspected by
native supervisors was reported by them to be 97.99, they having found
371,278 successful cases. It is satisfactory to find that, on an average, the
percentage of cases found to be successful by supervisors approximates so
closely to the percentage of successful cases given by Civil Surgeons,
as it shows that the figures given by native supervisors are probably ap-
proximately correct. It is gratifying to learn that Civil Surgeons found so
many of the operations inspected by them to be successful, thus proving that,
as a rule, vaccinators have done their work in a satisfactory manner.
Last year Civil Surgeons and their assistants inspected 62,201 cases, of
which 97.62 per cent. were found to be successful. Native supervisors
inspected 348,329 cases, and found 98.64 per cent. successful.
During the
year under review the largest number of inspections by Civil Surgeons
and their assistants was made in the Lahore district, where as many as
12,253 operations were scrutinized. Gujránwála comes next with 7,552 inspec-
tions, and the amount of inspection work done by the Civil Surgeons of Ludhiána,
Ferozepore, Delhi, Rohtak, Amritsar, Hoshiárpur and Jhang was also very
satisfactory. The Civil Surgeons of the Frontier districts were able to inspect
comparatively few cases, they having their Military duties to attend to. The
number of operations inspected by the Civil Surgeon of Gujrát is not
satisfactory.
He states that he was not able to inspect many cases on
account of his inability to leave the Sadr Station for any length of time.
It was unfortunate that he was not able to do more inspection work as
14,144 Muhammadans were vaccinated with calf lymph in his district,
and it would have been well if this new method of vaccination had been
more directly under his own supervision. Civil Surgeons should strive
to do as much vaccination inspection duty as they possibly can. If
vaccination work is not properly done, it not only does no good, but it tends to do
much harm, because, when the next epidemic of small-pox comes round, some
of the badly vaccinated cases are almost certain to fall victims to the disease,
and thus the confidence of the people in the operation is apt to be shaken.
Our vaccinators are not a highly paid class, and, unless Civil Surgeons visit
different parts of their districts, and personally inspect the work done, it cannot
be possibly known for certain whether the men do their work satisfactorily
or not.
The number of cases inspected by the Civil Surgeon of Muzaffargarh is
not entered in the statement. He informs me that he unfortunately mislaid his
note book, and that therefore he could not give the exact figures. He states
that he inspected about 1,500 cases, the greater number of which he found
to be satisfactorily done.
The difference in the per-
centages of the cases in-
spected by the Civil Sur-
geon and the native super-
visor of the Ferozepore
district noticed
18. As above noted the percentages of successful cases given by native
supervisors approximate very closely to those given by
Civil Surgeons. The results observed in the district of
Ferozepore are however exceptional, the Civil Surgeon
having found 89.98 per cent. of the cases inspected by him
to be successful, and the native supervisor states that 99.28
per cent. of his inspections were successful. The Civil Surgeon inspected 4,392
cases out of 26,948 done in the district; about one-sixth of the total number
vaccinated, and, as his cases are not stated to have been picked, he has been asked
to find out why the percentage obtained by the supervisor was so different
from the percentage observed by himself.
The Civil Surgeon of
Gurgáon's explanation as
to the reason why the num-
ber of cases inspected by
the native supervisor ex-
ceeds the total number
vaccinated.
19. The number of cases said to have been inspected by the native
supervisor of the Gurgáon district exceeds the total
number vaccinated by the district staff by 216, and the
number found by him to be successful, exceeds the number
of successful cases done, by 386. The Civil Surgeon, on
being asked to find out the cause of this excess, states
that there were 595 vaccinations done in April 1886, the