( 5 )
There was also a satisfactory increase in income as shown above. Lymph was
supplied free to the military department, to District Superintendents of Vaccina-
tion for district use and charitable institutions and jails to the amount of about
Rs. 3,385. The expenditure on the depôt rose from Rs. 6,717 in 1907-8 to
Rs. 12,578 in 1908-9. The increase is chiefly due to the large quantity of stores
(chemicals and apparatus) purchased from England and in India and to the enter-
tainment of another clerk in the office attached to the depôt. The contingent
charges have also increased with the extension of the operations of the depôt.
Endeavour is being made to replace arm-to-arm vaccination by calf lymph through-
out these provinces and four districts (Naini Tal, Dehra Dun, Lucknow and Rae
Bareli) received regular supplies of lymph, free of cost, from the depôt but in some
remote parts of the Naini Tal district arm-to-arm vaccination was done. More
districts will be taken in hand this year as it is proposed to extend the system
gradually. Ninety-eight municipalities and notified areas were regularly supplied
on payment with lymph each week against 64 in the preceding year. Native states
purchased lymph to the value of Rs. 1,161 and the Chief Medical Officer, East
Indian Railway, Allahabad, took Rs. 452 worth.
Returns of results have been received for 200,039 primary and 44,529 second-
ary operations (excluding unknown cases) performed with lymph supplied from the
depôt in 1908-9 and show a percentage of success of 91.8 and 65.0 respectively,
during the period from October 1908 to March 1909, and 74.0 and 46.2 respectively,
during the period from April to September 1908—against 91.7, 69.7, 62.3 and 61.1
respectively in the preceding year. The returns show different degrees of success
obtained with the same lymph by different operators and the reasons of this were
explained in the last report.
In order to fortify the strain of lymph, the lymph in stock was frequently
changed by passage through the rabbit and lymph was also obtained from Belgaum.
The depot was inspected at frequent intervals by the Sanitary Commissioner
and the Deputy Sanitary Commissioner, Second Circle, who is in charge of the ins-
titution. I am trying packing the tubes in Thermos flasks during the hot weather
when despatching to the plains and I hope to report on the results next year.
The first supply of lymph to start seasonal vaccination in these provinces
was issued on 13th September 1908, and renewed bi-weekly until the vesicle was
established, which was done in almost all districts on the due date.
The number of primary operations performed in these provinces with glycer-
inated lymph in 1908-9 was 157,852 and that of re-vaccinations 19,535 against
100,912 and 17,520 respectively, in 1907-8, the percentages of success being 90.53
and 61.11 against 91.49 and 66.05 respectively. Five thousand seven hundred and
seventy-seven primary operations and 8,488 re-vaccinations were performed with
lanoline lymph (only in the Naini Tal district) against 245 primary vaccinations in
1907-8—the percentages of success being 91.35 and 65.45 against 100.00 respec-
tively.
Conduct of vaccination staff.
19, The conduct of the officials has on the whole
been satisfactory. Those found fabricating returns
and registers were punished.
Conclusion.
20. The year has been a trying one for the vaccination staff and considering
the exceptional circumstances of the year the work on
the whole has not been unsatisfactory.
NAINI TAL :
The 29th June 1909.
J. CHAYTOR WHITE, M.D., D.P.H. (CAMB.),
MAJOR, I.M. S.,
Sany. Commr. & Supdt. Genl. of Vaccination,
United Provinces.