25
NORTHERN CIRCLE.
Superintendent. — MANCHA'RJI' BERA'MJI COLA', M.D.
Establishment.—4 Assistant Superintendents, 1 Clerk, 1 Vaccinator under Government,
27 Vaccinators under Local Funds, 14 under Native Chiefs, 8 under Municipalities, and 25
Dispensaries.
Population, 30,37,253. Total cost, Rupees 23,599-10-6. Average cost of each successful
vaccination, 5 annas and 2 pies.
Establishment.
Government .......
Municipalities ...
Local Funds
Native Chiefs ...
Dispensaries ......
Years.
1870-71.
1871-72.
1870-71.
1871-72.
1870-71.
1871-72.
1870-71.
1871-72.
1870-71.
1871-72.
Total
Vaccinated.
63,190
18,629
9,111
10,411
......
32,196
21,453
18,782
4,453
3,428
Compared with the
preceding year.
Increase.
......
......
1,300
32,196
......
......
......
Decrease.
......
44,561
......
......
2,671
......
1,025
Successfully
Vaccinated.
56,022
16,741
8,316
9,426
......
29,143
19,471
17,279
3,683
3,001
Percentage of
success, ex-
cluding those
Unknown.
95.0
94.3
96.0
94.6
......
95.1
94.7
96.1
9.00
92.5
General Progress.
The year under report is marked by a considerable decrease in the number of operations
both primary and re-vaccinations. The decrease is not
confined to one establishment but is general, and taking
all the establishments together amounts to 14,362. Even the best vaccinators—those known
for their industry and zeal—have done less work this year. A glance at Statement No. II.
would show that less work was done in July, August, and September, months in which
vaccine lymph does not produce the best results—when it is known to be less active—and
that more work was performed in the cooler months when vaccine lymph is good and when
there was active supervision. Taking the work as a whole, 83,845 operations were performed,
from which it may be safely inferred that the progress of vaccination in this Circle during
the year has been satisfactory.
Causes of Decrease.
2. There is no reason for dissatisfaction or apprehension on account of the large
decrease; on the contrary, the causes which have led to
it would in the end tend to raise the character of our
work. In my last report I stated at some length the measures I adopted of ensuring good
work and correct returns. One of these was enjoining the vaccinators to do good work
only and encouraging them to stop work whenever their lymph was bad. Indiscriminate
vaccination of all children, whether healthy or otherwise, was the general rule in former
years; and during the year under report strict measures were taken to put a stop to this loose
practice. In the English Medical Journals for August last, appeared a circular headed
" Instructions to Vaccinators under Contract," issued by the Medical Officer of the Privy
Council, and intended for the safe carrying on of vaccination, so as to prevent the transmission
of hereditary diseases. This circular was with a few modifications translated, lithographed,
and issued to all vaccinators in October last. A similar lithographed circular received
from the Superintendent General of Vaccination was also issued in January. Almost all
vaccinators now pay some attention to the selection of healthy and the rejection of sickly
children, and owing to this their field of operation is necessarily restricted. The general
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