xxxix
Tahsil Detailed Village Weekly Plague and Inocula-
tion Return—(Form No. XVII).
(7) The District Plague Medical Officer shall cause to be prepared from the Tahsil Daily Plague
Register in Form No. XI a Tahsil Detailed Village
Weekly Plague and Inoculation Return in the appended
.
Form No. XVII. This return shall be sent to the
Chief Plague Medical Officer, with a weekly diary according to the instruction in paragraph 47 below.
(8) Any corrections that may be found necessary in the figures reported in the District Plague
Medical Officer's Telegraphic Weekly Plague Return or in any other return should be promptly communicated
by the District Plague Medical Officer to the officers who have been supplied with copies of the returns
requiring correction. The corrections need not be communicated by telegram.
Register of Cash received from Inoculating Officers
— (Form No. XVIII).
(9) The District Plague Medical Officer shall maintain a register in Form No. XVIII appended for
the record of the receipt and payment into the Treasury
of sums paid to Inoculating Officers for private
inoculations and remitted by them to the District
Plague Medical Officer. Payments into the Treasury shall be made without delay.
Plague Medical Officers' Despatch, Invoice and Re-
ceipt Form and Register.
Plague Medical Officers' Despatch, Invoice and
Receipt Form—(Form No XX)
Register of Returns III sent for verification and of
Indent, Despatch and Receipt of Apparatus, &c.
— (Form No XXI).
45. Inoculating Officers shall attach to their daily returns No. VII a return, in Form No. XX, of
Plague Reports sent them for verification and of prophy-
lactic, apparatus, &c., required, received, or despatched.
The same form shall be used by the District Plague
Medical Officer in sending reports, prophylactic or ap-
paratus, to Inoculating Officers or acknowledging the
receipt of the same. Both the Inoculating O fficers and the
District Plague Medical Officers shall keep up in
Form No. XXI a register of Returns III sent for verifi-
cation and of Indent, Despatch, and Receipt of
apparatus, &c.
Action to be taken on and method of disposing of
Daily Village of Town Plague Returns
46. (1) As soon as possible after the receipt of the Daily Village or Town Plague Returns the
District Plague Medical Officer will select a number
of cases or villages, if there be any, in respect of which
enquiry seems to be desirable and shall issue orders for
an enquiry into the selected cases or villages directly to the Inoculating Officer, Hospital Assistant, or
other Medical Officer by whom the enquiry can most conveniently be made. The officer receiving such
orders shall enquire and report to the District Plague Medical Officer without delay, and on receiving
this report the District Plague Medical Officer shall, if necessary, cause the entries made in the Tahsil Daily
Register of Plague Occurrences to be altered in red ink, noting in the column for remarks the reason for
the alteration. Similar alterations shall be made if, without enquiry being ordered, errors are discovered
and reported to the District Plague Medical Officer by any Medical or Civil Officer after inspection of
the Daily Village or Town Register of Plague Occurrences.
(2) After the necessary details from Return No. III has been noted in the District Plague Medical
Officer's Register No. XI, and directions for any enquiries deemed necessary have issued, the District
Plague Medical Officer shall send the Return No. III to the officer, or if there is more than one, then in
succession, if necessary, to the officers by whom inoculations have been performed on persons belonging
to the village to which the Return relates. The names of the patients entered in the Return shall be
checked with the nominal roll of inoculated persons, and any omission or mistake in recording the
inoculation of any patient shall be brought to the notice of the District Plague Medical Officer, who will
correct the figures in his Register No. XI accordingly.
(3) The following is an example of what will be required. The District Plague Medical Officer
receives the Daily Plague Report from village A in which there is an entry that B has been attacked with
plague. The number of B's inoculation certificate is stated to be x/y, y being the Inoculating Medical Officer's
number. The District Plague Medical Officer accordingly sends the Return to Y, who, on its receipt,
looks up in his inoculation register the number of the certificate, X. If B is found to be recorded as inocu-
lated, the Inoculating Officer makes the necessary entry in the register, and after endorsing as " verified,"
with his initials, the entry concerning B on the Daily Plague Return, he then sends back the Return to
the District Plague Medical Officer. It will very frequently happen, however, that in the Daily
Plague Return a person will be shown as having been inoculated, but the number of his inoculation certi-
ficate will not be quoted. Under these circumstances the District Plague Medical Officer will look up in
his Tahsil Alphabetical Register village A, and he will see that inoculator Y has inoculated most persons
there. He will therefore send the report to Y, who on receipt of it will look up village A in his Tahsil
Alphabetical Register and find that the Serial No. of inoculated persons in village A are, for example, 27,
190—250, 5,834- 6,761. He will look through these entries and, if he. finds B's name, will make the
necessary entries against it, and will then enter and initial on the Plague Return against B's name the
number and date of his inoculation certificate. In case he fails to find B's name in his inoculation register,
he will note against it on the Daily Plague Return "unverified" and sign his initials. In both cases he
will send the Daily Plague Return back to the District Plague Medical Officer as soon as possible.
Medical Officer's Diary - (Form No XIX).
47. A weekly diary shall be submitted by all Medical Officers together with their weekly returns.
The diaries of all Medical Officers working under the
orders of the District Plague Medical Officer will be
submitted to this officer, who, after endorsing on them
any remarks he may have to make, will forward them with his own to the Chief Plague Medical Officer,
Punjab, at the time of despatching his weekly returns. The diary should be written on the form supplied,
which is merely a half sheet of foolscap, with a heading and margin for notes and binding. This form
is printed on thin paper to permit of a copy being made with carbon paper, the original being written in
pencil and retained, and the copy forwarded. Only one side of the paper is to be written on. The diary
should be written in a narrative form, an entry being made for each day, recording briefly the writer's
work and the places visited by him, as well as any unusual occurrences. Either here or in a weekly sum-
mary, as may be found most convenient, attention should be drawn to any noticeable features in connection
with individual towns or villages and to any matters of special interest. All entries should be as concise
as possible, compatably with the object of the diary, which is the maintenance of a clear and precise con-
temporaneous record of circumstances and events connected with plague for the prompt and regular
information of those engaged in directing measures for dealing with the disease. In order to give scope