2
With regard to the decrease in the Umballa District, Captain James,
I. M. S., says " that the number of operations performed this year (1900-1901)
is less than half of that for the previous year but the decrease is due to the
causes over which we had no control. The vaccinations performed in the pre-
vious two years (1898-1899 and 1899-1900) were abnormally large compared
with the former years and were represented by figures much larger than the
registered births in the district for those years and therefore probably repre¬
sented, in a large measure, work left undone in former years. I mean by this that;
many vaccinations must have been performed on children over one year, who
ought therefore to have been vaccinated in the previous years. It was therefore
not to be expected that such high figures as 51,617 and 42,547 vaccinations in
those years could be expected to continue. I think therefore those figures must
represent arrears of work, especially as the births registered for those years were
only 36,952 and 29,821." The reports of the majority of the Civil Surgeons
who have remarked on the cause of decrease of vaccination work in their
respective districts may be summed briefly as due to (1) the excessive scarcity
at the beginning of last year rendering children unfit for vaccination and (2)
the excessive rainfall and the consequent increase in malarial fever towards the
end of the year, (3) the low birth-rate. This latter cause in itself would tend to
materially diminish the number of children available for vaccination. The
mortality during the year under review was much greater than any year since
1892, the season was so unhealthy that the vaccinators were often obliged to
refrain from vaccinating children brought to them, as they were found to be
suffering from fever, enlarged spleen, malarial cachexia, which rendered the
operation of vaccination inadvisable.
Work of the Special
Staff.
8. Special Staff.—The Special Staff performed in the aggregate 80,825
operations, 67,424 primary and 13,401 re-vaccinations, of
which 57,801 of the primary were successful and 6,524 of
the re-vaccinations. They worked in the Native States of the Simla District,
and also in parts of the Umballa, Jullundur, Siálkot, Hazára, Gurgáon, Rohtak,
Ráwalpindi, Hoshiárpur, Gujrát, Ludhiána, Muzaffargarh, Jhang, Kohát, Mooltau
and Karnál districts. The decrease was due to the causes stated in paragraph
7 and also to the vaccinators being employed on cholera duty.
Work of the Cantonment
Staff.
9. Cantonment Staff.—The Cantonment Staff consists of 7 Vaccinators;
and, in a total population of 1,96,058 they vaccinated 8,554
persons. 5,081 operations were primary and 3,473 second-
ary, and the percentage of success was 94.75 and 78.61 respectively.
Work of the Dispensary
Staff.
10. Dispensary Staff.—This staff operated on 451. persons, being 218
primary and 233 secondary. This number is below that
of the previous year by 300.
Vaccination in Native
States.
11. In the Native States from which returns have
been received 78,784 vaccination operations were per-
formed, 48,407 being primary and 30,377 secondary.
Extent of supervision
exercised by the officers of
the Department.
12. The number of primary vaccinations inspected' by the Sanitary
Commissioner was 3,334, by Deputy Sanitary Commissioner
521, and by the Civil Surgeons 44,873. The Divisional
Inspectors inspected 129,067 and found 126,180 successful.
The District Native Supervisors inspected 384,099, of which number 376,514
were found successful.. The number of operations both primary and secondary,
found successful by the Sanitary Commissioner, Deputy Sanitary Commissioner,
and Civil Surgeons was 51,177 and by Divisional Inspectors and District
Native Supervisors 565,419. The work of inspection has on the whole been
satisfactory.
Experiments on glyceri¬
nated lymph.
13. Captain E. Wilkinson, I.M.S., Deputy Sanitary Commissioner, Punjab,
reports as follows regarding his experiments on glyceri¬
nated lymph. " In accordance with the orders of Punjab
Government glycerine lymph was prepared and issued during the cold
weather to the Civil Surgeons of Umballa and Ráwalpindi for trial. Vaseline
vaccine paste was also issued to the Civil Surgeon, Umballa, for trial
in comparison with glycerine lymph ; the Civil Surgeon of Ráwalpindi prepared
his own vaseline paste. The results of their experiments are shown in