( 4 )
The income of the dépôt during 1909-10 amounted to Rs. 8,527 as shown above
but lymph to the value of Rs. 7,721 was supplied free of cost to the Military Depart-
ment, to District Superintendents of Vaccination for district use, to charitable
institutions and to jails. It has now been decided by Government that the supply
of lymph free of cost to the Military Department as well as for district use should
be discontinued and that it should be charged for as in the case of municipalities.
The expenditure on the dépôt was Rs. 10,524 only during 1909-10 against
Rs. 12,573 in the preceding year. In eight districts (Naini Tal, Dehra Dun,
Agra, Meerut, Lucknow, Rae Bareli, Pilibhit and Shahjahanpur) arm-to-arm
vaccination has now been done away with and vaccination is carried on with calf
lymph supplied from the dépôt.
The total number of primary operations performed in these provinces in
1909-10 with calf lymph was 252,213 and of re-vaccinations 27,125 against 157,852
and 19,535 respectively in 1908-9. By gradually increasing each year the
number of districts to which a full supply of calf lymph is given it is hoped to
gradually abolish arm-to-arm vaccination altogether. All the 87 municipalities
and 32 notified areas received their supplies of lymph on payment from the depôt
during 1909-10 against 79 and 19 respectively in the preceding year. A number
of Native States and the Chief Medical Officer, East Indian Railway, purchased
lymph to the value of Rs. 1,648 from the dépôt.
Returns of results have been received for 197,842 primary operations and
14,569 re-vaccinations (excluding unknown cases) performed with lymph supplied
from the depôt and these show a percentage success of 84.3 and 46.7 respectively
during the period from April to September 1909 and 95.6 and 70.2 during the period
from October 1909 to March 1910 against 74.0, 46.2, 91.8 and 65.0 respectively in
the preceding year.
The strain of lymph, as the above figures show, was very satisfactory but in
order to keep up its potency the lymph in stock was frequently fortified by passage
through the rabbit. Lymph was obtained from Berlin and a new strain started
but as the vesicles were poor it was not continued further.
There has always been a difficulty in getting the lymph to carry well to
stations in the plains during the hot weather. Ordinary Thermos flasks were
tried but these are not of a suitable shape and their use had to be discarded owing
to their liability to breakages.
To start seasonal work in these provinces glycerinated calf lymph was
supplied free of cost to all District Superintendents of Vaccination as usual and
the first supply was issued on 13th September 1909 and repeated bi-weekly until
the vesicle was well established which was accomplished in almost all districts on
the due date.
In February 1910 three calves died from foot-and-mouth disease—two un-
vaccinated and one while under operation. No further cases occurred. A hut
roofed with corrugated iron for quarantine purposes at Kalona and two huts at the
dépôt were erected during the year.
The dépôt was inspected frequently by the Sanitary Commissioner and the
Deputy Sanitary Commissioner, Second Circle, who is in charge of the institution.
Metal boxes for vaccination
instruments.
17. During the year under report metal boxes, in which to keep their
vaccination instruments, were supplied to all vaccina-
tors in these provinces. These are a very great
improvement on the old wooden ones.
Conduct of vaccination staff.
18. The conduct of the officials was on the
whole satisfactory.
LUCKNOW :
The 25th July 1910.
J. C. ROBERTSON, M.A., M.B., B.Sc., D.P.H. (CAMB.),
MAJOR, I.M.S.,
Offg. Sany. Commr. & Supdt. Genl. of Vaccination,
United Provinces.