NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
cvii
Table O.—(Referred to in paragraph 348, page 137).
PROVINCIAL REPORT.
Statement showing Receipts and Expenditure of Veterinary Dispensarie during 1894-95,
Dispensaries.
North-Western Provinces and
Oudh.
North
Punjab.
Rawalpindi ... ...
Gujrat ... ... ...
Gujranwala
... ...
Sialkot ... ... ...
Shahpur ... ... ...
Total ...
South
Punjab.
Jalalabad (Ferozepore district)
Umballa
...
...
Amritsar*
...
...
Hoshiarpur
... ...
Rohtak ... ... ...
Delhi ... ... ...
Multan ... ... ...
Gurdaspur
...
...
Gurgaoa ... ...
TOTAL ...
RECEIPTS.
Last year's
Balance.
Rs. A. P.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
By Local
Fund Grant.
Rs. A. P.
By Govern-
ment Grant.
Rs. A. P.
By Municipal
contribution.
Rs. A. P.
By other
sources.
Rs. A. P.
Total.
Rs. A. P.
EXPENDITURE.
Pay.
Rs. A. P.
Travelling
Allowance.
Rs. A. P.
No dispensary has been established by this Department in North-Western Provinces and Oudh.
928
192
1,203
2,246
1,445
6,020
5
0
6
9
7
11
0
0
1
9
0
10
...
...
1,003
1,614
732
772
1,546
1,024
1,986
585
9,263
2
1
0
5
2
0
11
2
9
0
9
0
11
9
0
2
0
7
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
988 0 6
...
...
...
...
...
...
988 0 6
...
...
7
3
1
6
3
6
...
10 7 9
...
341 7 0
...
96
16
15
0
0
0
...
...
...
...
...
454 6 0
928
192
1,215
2,250
1,445
6,031
5
0
7
0
7
3
0
0
4
3
0
7
...
341
1,003
2,699
748
772
1,546
1,024
1,986
585
10,706
7
2
1
0
5
2
0
11
2
0
0
0
3
0
11
9
0
2
0
1
322
180
705
1,310
835
3,352
0
0
10
0
0
10
0
0
1
0
0
1
...
30
505
1,152
427
358
1,068
555
1,516
445
6,059
0
0
10
0
15
0
0
10
12
0
0
0
6
0
5
0
0
1
0
0
606 5 0
...
440
288
240
1,574
4
0
4
13
0
0
0
0
...
5
204
3
0
7
15
0
3
0
...
105
90
263
26
121
821
10
11
0
14
8
1
0
6
0
0
0
9
Medicines,
Instruments,
&c., &c.
Rs. A. P.
...
12 0 0
...
428
218
658
2
0
2
9
0
9
...
210
122
1,235
421
53
336
5
404
17
2,807
7
5
14
6
13
3
0
2
14
2
0
9
9
3
0
3
0
9
0
9
Furniture,
land, &c., &c.
Rs. A. P.
...
...
50
36
0
8
0
0
...
86 8 0
...
...
...
12 0 0
...
82
11
7
5
9
0
...
27 8 4
...
133 5 1
Contingencies,
stabling,
house-rent,
&c.
Rs. A. P.
...
...
19
183
15
218
9
15
3
11
3
0
0
3
...
96
171
294
0
5
9
0
0
0
...
171
39
201
11
7
15
0
8
9
0
0
0
...
985 12 9
Transfer to
Indian Veteri-
nary Dispen¬
sary Fund.
Rs. A. P.
...
...
...
137
137
0
0
0
0
...
...
...
...
...
...
...
...
...
...
TOTAL.
Rs. A. P.
928
192
1,215
2,246
1,445
6,027
5
0
7
9
7
13
2
0
4
9
0
1
...
341
1,003
2,699
848
772
1,546
1,024
1,986
585
10,806
7
2
1
6
5
2
0
11
2
6
0
0
3
3
11
9
0
2
0
4
Balance.
Rs. A. P.
...
...
3 6 6
...
3 6
6
...
...
...
...
...
...
...
...
...
...
...
Remarks.
* Amount
ex-
pended
for
Itinerant
dis-
pensary
in-
cluded.
Rs. 100-6-3 ex¬
cess expended
in Hoshiarpur
district.
cviii
Statement Showing Reciepts and Expenditure of Veterinary Dispensaries during 1894-95—contd.
Dispensaries.
Derajat.
Dera Ghazi Khan ... ...
Dera Ismail Khan ... ...
TOTAL ...
Bombay.
Nasik
...
...
„
Itinerant
...
Dhulia ... ... ...
Jalgaon.
...
...
Bhadgaon
...
...
Belgaon ... ...
„
Itinerant...
Ahmedabad
...
...
Nadiad ... ...
Kaira Itinerant ... ...
Surat ... ...
Karachi
...
...
Hyderabad
...
Shikarpur ... ...
TOTAL
...
Burma.
RECEIPTS.
Last year's
Balance.
Rs. A. P.
...
...
...
7,166
1,650
32
56
71
1,781
558
577
7
1
7
14
10
4
4
13
2
4
5
2
11
7
11
8
...
497
806
161
13,361
13
13
11
4
2
3
0
7
By Local
Fund Grant.
Rs.
100
921
1,02l
A.
0
10
10
P.
0
0
9
896
750
750
750
1,033
300
500
500
250
4,250
1,750
2,900
15,089
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
By Govern-
ment Grant.
Rs. A. P.
...
...
...
1,615
400
400
400
952
908
760
360
400
900
775
1,458
9,328
0
0
0
0
8
0
0
0
0
0
0
0
8
0
0
0
0
0
0
0
0
0
0
0
0
0
By Municipal
contribution.
Rs. A. P.
...
...
...
354
150
8
0
0
0
...
...
77
250
300
0
0
0
0
0
0
...
300
4,250
0
0
0
0
...
...
5,671 8 0
By other
sources.
Rs. A. P.
...
...
...
5,428
4
29
50
10
8
10
3
6
0
3
0
...
191
154
10
2,735
4,141
0
1
8
5
15
0
8
0
7
0
...
3
12,749
15
13
9
9
Total.
Rs.
100
921
1,021
A.
0
10
10
P.
0
9
9
15,460
2,954
1,212
1,257
2,134
3,430
2,272
1,448
3,685
14,039
3,331
4,580
56,207
9
9
1
1
3
4
6
5
5
11
13
10
2
8
4
8
2
11
7
7
8
7
2
3
9
4
EXPENDITURE.
Pay.
Rs. A. P.
...
645
645
12
12
9
9
1,381
996
815
705
1,513
918
913
979
335
1,975
1,703
2,646
14,884
9
12
12
12
2
7
8
15
0
0
3
4
8
7
1
11
11
8
8
0
1
0
0
0
10
9
D.C.F.
9,597
I
5,313
14,190
0
0
0
0
0
0
Travelling
Allowance.
Rs. A. P.
206
206
8
8
6
6
03
0
5
38
14
8
12
2
0
0
0
0
18
2
10
10
0
0
...
...
300
64
268
762
0
12
15
3
0
0
3
3
D.C.F.
4,103
I
2,019
6,452
0
0
0
0
0
0
Medicines,
Instruments,
&c., &c.
Rs.
100
10
110
A,
0
0
0
P.
0
0
0
536
154
8
11
8
0
...
...
319
259
528
4
9
5
7
0
0
...
600
833
311
455
3,998
1
14
3
4
14
7
6
7
6
3
P.
1,012
P
2,457
4,070
11
(a)
4
0
11
1
0
Furniture,
laud, &c., &c.
Rs. A. P.
....
61
61
8
8
0
0
8 3 0
173 11 8
...
...
...
...
145 7 3
...
12
39
378
0
7
12 1
0
0
1
...
...
...
ontingencies,
stabling,
house-rent,
&c.
Rs. A. P.
...
7
7
13
13
6
6
433
154
77
278
180
403
219
134
167
8,616
339
415
11,420
8
7
0
8
0
11
15
0
3
13
8
3
10
3
7
9
7
0
3
0
0
4
3
7
6
1
D.C.F.
3,6 7
I
1,503
5,170
0
0
0
0
0
0
Transferred to
Indian Veteri-
nary Dispen-
sary
Fund.
Rs. A. P.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
TOTAL
Rs.
100
921
1,021
A.
0
10
10
P.
0
9
9
2,423
1,315
1,072
1,022
2,012
1,600
1,664
1,113
1,247
11,725
2,420
3,825
31,445
11
6
5
7
7
5
6
15
12
11
11
13
1
4
8
4
6
3
11
0
1
2
9
2
1
3
19,219
11,332
30,602
11
4
0
11
1
0
Balance.
Rs. A. P.
...
...
...
13,036
1,639
139
234
121
1,799
608
334
2,437
2,313
911
754
24,332
14
2
12
9
11
14
0
6
9
15
2
13
1
4
8
4
8
8
8
7
7
5
5
1
8
1
...
...
...
Remarks.
(a) English
medicines and
instruments
" Transfer Ad-
justment."
I.—Imperial
...
...
...
...
P.—Provincial
...
...
.,.
...
...
D.C.F.—District
Cess
Fund
...
...
...
Total cost Rs.
„
..
TOTAL
8,925
4,070
17,607
30,602
cix
TABLE P.—(Referred to in paragraph 354, page 143).
PROVINCIAL REPORT.
Statement showing fours of Superintendents, Civil Veterinary Department, during the year 1894-95.
Rank, name and designation of officer.
Veterinary Major G. J. R. Rayment, Superin-
tendent, Civil Veterinary Department, North¬
Western Provinces and Oudh.
Veterinary Lieutenant J. P. Loughlin, Super-
intendent, Civil Veterinary
Department.
North-Western Provinces and Oudh.
Veterinary Lieutenant F. B. Drage, Superintend-
ent, Civil Veterinary Department, North
Punjab.
Veterinary Lieutenant H. P. Turnbull, Super-
intendent, Civil Veterinary
Department,
North Punjab.
Districts visited.
Meerut, Saharanpur, Aligarh, Dehra Dun,
and Muttra.
Meerut, Saharanpur. Dehra Dun, Muttra,
Agra, Muza arnagrar, Etawah, Aligarh,
Etah,
Moradabad,
Bijnour,
Budaon,
Bareilly, Shajehanpur, and Bulandshahr.
Rawalpindi
...
...
...
Rawalpindi,
Jhelum,
Shahpur,
Jhang,
Gujranwala,
Sialkot,
Gujrat, Lahore,
Hazara, Peshawar, and Kohat.
Fairs and shows attended.
Nanchandi Show and Hardwar Fair in April
1894.
Garhmuktesar, Batesar, Etawah, Aligarh,
Bulandshahr, Muzafarnagar, and Meerut
(Nauchandi).
Jehazgarh Cattle Fair, Beri Donkey Fair
and Jullunder Cattle Fair.
Jhang, Gujrat, Shahpur, Sialkot, Lahore,
and Rawalpindi.
NUMBER
OF
MILES
TRAVELLED.
By road.
680
2,243
199
1,289
By rail.
1,394
4,928
3,475
3,025
By boat
or
steamer.
...
...
...
...
TOTAL.
2,074
7,171
4,274
4,314
REMARKS.
Inspected
Saharanpur-Rajpur
Dâk line and attended
the
Board of Examination, Lahore
Veterinary College.
Visited Bombay to purchase stal-
lions for Provincial Government,
andattended the Board of Examin-
ation of the Ajmere Veterinary
School.
In August inspected
Saharanpur-Rajpur
Dâk
line,
and in September accompanied
Dr. Lingard, who was deputed
to enquire into the cause of the
outbreak of Surra on Saharanpur¬
Rajpur Dâk line.
cx
Statement showing tours of Superintendents, Civil Veterinary Department, during 1894-95—contd.
Bank, name and designation of officer.
Veterinary Lieutenant R. L. Cranford, Superin-
tendent, Civil Veterinary Department, South
Punjab.
Veterinary Captain H. M. Maxwell, Superintend-
ent, Civil Veterinary Department, Derajat
and Baluchistan.
Veterinary Captain J. W. A. Morgan, Superin-
tendent,
Civil
Veterinary
Department,
Bombay Presidency.
Veterinary Captain G. H. Evans, Superintend-
ent, Civil Veterinary Department, Burma.
Veterinary Captain W. D. Gunn, Superintend-
ent, Civil Veterinary Department, Bengal
Presidency.
Districts visited.
Hissar, Amritsar, Gurdaspur, Jullunder,
Hoshiarpur, Ludhiana, Ferozepur, Mont-
gomery, Multan, Delhi, Gurgaon, Kurnal,
Umballa, and Rohtak.
Bannu, Dera Ghazi Khan, Dera Ismail
Khan, Muzafargarh, Quetta, Peshin, Bar¬
shore, Killa Khusdil Khan, Chaman, Sibi,
Loralai, Barkhan, Jhall, Shoran, Nari,
Dera Bugti, Kahan, Lehri, and Phuliji.
Ahmednagar, Kaira, Ahmedabad, Poona,
Palanpar, Sholapur, Belgaon, Nasik,
Khandesh, Jacohabad, Shikarpur, Hydera¬
bad, Karachi, Kutch State, and Kathia¬
war.
Hanthawaddy, Tharrawadddy, Pegu, Prome,
Henzada, Bassein, Thayetmyo, Toungoo,
Shwegryin, Kyauksi, Meiktila, Yamethin,
Mandalay, Katha, Bhamo, Pakkoku,
Minbu, Magwe, Thongwa, Shwebo, Saga¬
ing.
The 24-Parganas, Shahabad, Bhagalpur,
Patna, Darbhanga, Darjeeling, Jessore,
Midnapore, Jalpaiguri, Purneah, Dinaj¬
pur, Saran and Berhampur.
Fairs and shows attended.
Amritsar (Bysaki),
Hansi,
Amritsar
(Diwali), Jalalabad, Kurnal, Sirsa, Um¬
bala, Multan, Delhi, Hissar, Ludhiana,
and Dinanagar.
Baunu, Dehra Ghazi Khan, Dehra Ismail
Khan, Quetta, and Sibi.
Malegaon, Jacobabad, Talhore, Moro, and
Bhuj.
Tharrawaddy and Henzada ... ...
Sonepur, Raghunathpur, Berhampore, and
Kalimpong.
NUMBER OF MILES TRAVELLED.
By road.
1,509
1,236
719
263
596
By rail.
8,588
6,335
8,391
4,054
10,981
By boat
or
steamer.
72
...
1,381
2,980
154
TOTAL.
10,169
7,571
10,491
7,297
11,721
REMARKS.
Inspected mares of Jhind Native
State, Pathankote and Donera,
Kalka and Simla, Delhi and
Rohtak, Ludhiana and Feroze-
pore, Hoshiarpur and Jullunder
Dak lines under Glanders and
Farcy Act.
Investigated outbreak of Foot-and-
Mouth disease on Kalka and
Simla road. Member of Examin-
ation Board, Lahore Veteri-
nary College, in April 1894. Act-
ing as Professor in Lahore
Veterinary College from 3rd
June to 2nd July 1894.
cxi
TABLE Q,.—(Referred to in paragraph 355, page 147).
PROVINCIAL REPORT.
Statement showing provincial cost of the Civil Veterinary Department during the year 1894-95.
Major heads.
I.—Prizes at Horse Fairs and
Shows.
II.—Establishment, officers ...
Ditto
subordinates
III.—Travelling
allowance, offi-
cers.
Travelling
allowance, su-
bordinates.
Allowance to salutris ...
IV.—Contingencies ... ...
V.—Purchase of stallions ...
VI.—Stable feed and keep ...
VII.—Road expenses
... ...
Allowance to Veterinary Sur-
geon for conducting cxamin¬
ation.
Allowauces to pupils and
prizes.
Medicines and instruments ...
TOTAL ...
Super i
nt endent , North-West-
er n Pr ovi nces and Oudh.
Rs. A. P.
......
10,631
4,176
2,586
425
188
3,479
8,036
8,860
409
10
1
6
13
1
13
0
0
7
3
7
6
0
C
7
0
8
7
.....
.....
.....
33,796 6
8
Super i
nt endent , Nor t
h Punj ab.
Rs.
1,250
A.
0
P.
0
.....
338
2,429
264
0
10
15
0
0
6
.....
317 8 8
.....
.....
.....
.....
.....
.....
4,600 2 2
Super i
nt endent , Sout h Punj ab.
Rs. A. P.
.....
.....
2,621
2,608
2,618
8
8
8
0
0
9
.....
1,944 9 5
......
......
......
140 0 0
.....
9,933 0 2
Superintendent, Der aj at and
Baluchistan.
Rs. A. P.
.....
.....
.....
.....
.....
.....
.....
.....
.....
.....
.....
.....
.....
Superintendent, Bengal .
Rs. A. P.
.....
4,931
3,183
7
518
4
8
8
13
4
5
0
2
.....
3,200 6 0
.....
1,129 9 6
.....
.....
850 0 0
.....
13,824 1 5
Superintendent, Madr as .
Rs A. P.
.....
.....
.....
.....
.....
.....
.....
.....
.....
.....
.....
.....
.....
Principal, Ajmere Vet er i
nar y
School.
Rs. A. P.
......
.....
.....
.....
.....
.....
.....
.....
SUPERINTENDENT, CENTRAL
PROVINCES AND
BERAR.
Central
Provinces.
Rs. A. P.
.....
.....
.....
.....
.....
.....
.....
.....
.....
.....
.....
.....
.....
Berar.
Rs.
A. P.
.....
5,220
1,347
370
355
8
7
1
1
1
6
6
6
.....
400 14 1
.....
513 10 6
.....
.....
.....
8,207 11 2
SUPERINTENDENT, BOMBAY.
Local Fund
Charges.
Rs. A. P.
......
......
......
.....
.....
.....
.....
11,572 13 2
.....
.....
66,856
.....
Provincial
Charges.
Rs.
5,600
13,931
5,006
2,058
1,502
A.
0
14
14
7
9
P.
0
9
6
7
0
1,145
7,250
18,788
12
3
3
8
6
9
......
.....
.....
13 11
......
SUPERINTENDENT, BURMA.
Local District
Cess Fund.
Rs. A. P.
.....
.....
9,597 0
0
.....
4,403 0 0
.....
3,607 0 0
.....
.....
......
......
......
......
17,607 0 0
Provincial
Charges.
Rs. A. P.
.....
.....
6,920
2,499
0
0
0
0
.....
.....
2,352 0 0
.....
840 0 0
.....
.....
3,738
4,070
20,419
0
0
0
0
0
0
REPORT
ON
THE NATURE OF KALA-AZAR
BY
MAJOR RONALD ROSS,
INDIAN MEDICAL SERVICE.
CALCUTTA:
OFFICE OF THE SUPERINTENDENT OF GOVERNMENT PRINTING, INDIA.
1899.
REPORT
ON
THE NATURE OF KALA-AZAR
BY
MAJOR RONALD BOSS,
INDIAN MEDICAL SEEVICE.
CALCUTTA :
OFFICE OF THE SUPERINTENDENT OF GOVERNMENT PRINTING, INDIA.
1899.
CALCUTTA :
GOVEBNMBNT OF IKDIA CBNTBAL PBIHTING OFFICE,
8, HASTINGS STBEET.
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1•—Preliminary•
Limits of the present enquiry
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Analysis of existing literature
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The main questions at issue •
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ll•—The Symptomatology of Kala-azar•
The identity of the disease in the Nowgong District
The clinical piotnre of kala-azar in the Nowgong District
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The symptomatology of kala-azar in the Nowgong District
Diagnosis • • • • •
The identity of kala-azar generally
Kala-dukh and kala-jwar
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Nomenclature
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lll•—Pathological Enquiry
Prima facie evidence regarding the nature of kala-azar
Survey of the question
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Literature bearing on the malarial nature of kala-azar
The special pathological problem presented
Mode of investigation adopted •
Remarks as to the cases examined •
Cases of fever examined at Nowgong
Summary of cases at Nowgong
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Summary of observations at Naxalbari •
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Summary of my observations of paludism in various parts in India
The parasites found at Nowgong •
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IV•—The Pathological Difficulties Discussed.
Position of the argument
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Deductions from the observations at Nowgong
Objections against the malarial theory considered
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The special pathological problem of kala-azar defined
Literature bearing on this problem
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Kelsch, Kiener and Daniels on this problem
Points still requiring explanation
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Gradual extinction of the parasitic invasion
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Conditions favourable to the early extinction of the parasites
Influence of difference of species of the parasites
Secondary effects of the invasion •
Summary of the discussion • •
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V•—The Epidemiological Difficulty Discussed.
Definitions •
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Evidence regarding the epidemioity and communicability of kala-azar recalled
Epidemicity of malarial fever
Is malarial fever communicable P •
The special virulence of kala-azar •
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VII.—Conclusions.
The nature of kala-azar • •
Pathology and epidemiology of kala-a
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VIII.—Recommendations.
Professional recommendations
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Conclusion
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References
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Appendix A Statements • •
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B Gibbon's case • •
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C Charts.
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Appendix C. Charts.
Chart 1.
Case 34. Kala-azar, Secondary Fever, Temperatures
taken at about 7 a. m., 11 a. m., 3 p. m., 7 p. m.
Chart 2.
Case 35. Fever. Secondary Fever. Temperatures
taken at about 7 a. m. and 4 p. m.
Chart 3.
Case 55. Kala-azar. Secondary Fever
Temperatures taken as in Chart 1.
Chart 4.
Case 56. Kala-azar. Temperatures taken as in Chart. 1.
Chart 5.
Case 57. Kala-azar. Secondary Fever. Temperatures taken as in Chart 1.
Chart 6.
Case 58. Kala-azar. Secondary Fever. Temperatures taken as Chart 1.
Chart 7.
Reg. No. 38, Major Ross. – Feb. 99.–250. Case 59. Kala-azar. Secondary Fever. Temperatures taken as Chart 1. Litho., S. I. O., Calcutta.
Chart 8.
Case 60, Kala-azar. Secondary Fever. Temperatures taken as in Chart 1.
Chart 9.
Case 61. Kala-azar. Secondary Fever. Temperatures taken as in Chart 1.
Chart 10.
Case 62. Kala-azar. Secondary Fever. Temperatures taken as in Chart 1.
Chart 11.
Case 63. Kala-azar. Secondary Fever. Temperatures taken as in Chart 1.
Chart 12.
Case 75. Kala-azar. Secondary Fever chiefly, but a very few parasites found on 26th.
Organs contained traces of recent pigment only. Temperatures morning and evening.
Chart 13.
Kelsh and Kiener's Symptomatic Fever [36, p. 566]. Old case of paludism with pain
in splenic and hepatic regions.
Chart 14.
Kelsh and Kiener's Symptomatic Fever. Old case
of paludism with enlargement of spleen.
Chart 15.
Kelsh and Kiener's Symptomatic Fever. Old case of paludism with great enlargement of
spleen and liver.
Reg. No. 38, Major Ross. -Feb.
99.-250.
Litho., S. I. O., Calcutta.
REPORT
ON
VACCINATION THROUGHOUT THE BOMBAY
PRESIDENCY AND SIND,
FOR THE YEAR 1869-70.
Bombay:
PRINTED FOR GOVERNMENT AT THE
EDUCATION SOCIETY'S PRESS, BYCULLA.
1870.
REPORT
ON
VACCINATION THROUGHOUT THE BOMBAY
PRESIDENCY AND SIND.
FOR THE YEAR 1869-70.
Bombay:
PRINTED FOR GOVERNMENT AT THE
EDUCATION SOCIETY'S PRESS, BYCULLA.
1870.
No. 2071 OF 1870.
FROM THE INSPECTOR GENERAL,
Indian Medical Department.
To THE SECRETARY TO GOVERNMENT,
General Department.
Bombay, 27 th July 1870.
SIR,—I have the honour to forward the Annual Report on Vaccination
throughout the Bombay Presidency and Sind for the year 1869-70, by the
Superintendent General of Vaccination.
2. It will be observed that the work of the Department is steadily pro-
gressing, there being a small increase over the last year of 32,483, the total
number vaccinated being nearly half a million (464,667).
3. There was no change in the strength of the Government Itinerant
Establishment, and I observe in paragraph 4 some exception is taken to the
decision upon the case of the Nassick Vaccinator and Peon. On the general
question as to whether Station Vaccinators should be paid by Government
or by Local Funds, it seemed to me highly expedient to carry out the views
of Government on this point; and I thought, moreover, the principle should be
carried out wherever practicable, and that Government" ought to be relieved
of the expenditure on account of vaccination in all towns capable of main-
taining their own Vaccinators," as noticed in paragraph 5. This has been
sanctioned by Government in Resolution No. 1481, dated 24th June 1870.
4. It will be well, however, to consider the peculiar circumstances of
many of the poorer Municipal towns, which alone may not be able to bear
the additional burden of a Vaccinator and Peon. I would suggest whether
it might not frequently be possible to bracket two such towns together, the
Vaccinator working 3 or 6 months in each, when the towns are at a reasonable
distance from each other.
5. It is difficult to state too earnestly the hope that, in any contem-
plated changes in a re-organization of this important Establishment, its general
efficiency will be maintained. In spite of much scepticism on the subject
(scepticism for which the French Capital has for some time past been pay-
ing in valuable lives), the Vaccination Establishment is doing a great work in
v
2
protecting juvenile life in the most direct way; and yet such is the want of
information and intelligence on the part of the mass of the people on this
subject, that were it not for the influence of Government Officers, some of
whom, I observe with pleasure, are reported to take much interest in vacci-
nation, it is doubtful whether vaccination would not be dwarfed into incon-
siderable dimensions, or even die out altogether.
6. It is a hopeful sign that the number of Vaccinators in Native States
is increasing (paragraph 7); and, in reference to the suggestion in paragraph
8, I think that the whole Government Estalishment might be withdrawn
from Kattiawar, vaccination being kept up entirely from Local Funds, with
the exception of the expense of supervision, which should always be an
Imperial charge.
7. In reference to paragraph 9, vaccination is only one of the duties
of the Sub-Assistant Surgeon or Medical Subordinate in charge of a Dis-
pensary, and I regret to have to state that in most cases it is discharged
with little interest. When the Dispensaries are placed under closer
supervision, it is believed that all medical duties will be performed with
much greater efficiency than at present.
8. Paragraph 10, at its close, states that Superintendents " control and
direct, but they cannot exercise a close supervision." This is true, and very
much to be lamented. But I conceive that something more may yet be
done in the increased activity of Superintendents, and still more by the
appointment of Native Assistant Superintendents, as advocated in paragraph
11. But I think, speaking generally, that the whole Department would
lose something of the confidence at present extended to it, if the element of
European supervision were to be withdrawn. I would beg to state that
past experience proved that the withdrawal, or rather diminution, of Euro-
pean superintendence led to very unsatisfactory results, so much so as to
necessitate a re-organization of the Department so as to replace the Euro-
pean Officers as far as possible. The plan of employing graduates of the
Grant Medical College as Deputy Superintendents was also tried, but
proved useless, and had consequently to be abandoned.
9. On this point, it is important to draw the attention of Government
to the anomalous character of the two appointments pointed out in paragraph
11 by the Superintendent General of Vaccination.
1.
2. .
Civil Surgeon, Rajkote.
Superintendent of Vaccination, Kattiawar.
Charge of Bheel Corps.
Superintendent of Vaccination, Rewa Kanta.