xxxi
of, the left thumb of each candidate has been taken, upon his .certificate in the space pro-
vided for the purpose. The clerk will also draw a diagonal line across every certificate
given to a female : this will facilitate counting separately the numbers of males and females
inoculated. The entries in the certificates may be either in English or in Urdu with the
exception of the serial number, dose, number of brew, and date, which must be in English.
When the number of candidates is very large the clerk should obtain the assistance of
villagers or others to help them in taking thumb impressions and in writing out certificates.
Any intelligent person can take thumb impressions after a little instruction, and in most
large villages several will be found who can write Urdu. Entries which remain to be made
on the certificates when the candidates are admitted to the ' queue' will be made by, or
under the immediate supervision of, the Inoculating Medical Officer.
Marshalling of candidates for inoculation in
" queues."
(4) All persons who have obtained certificates should be marshalled info the ' queue ' by the
Lambardárs, and other men of in-
fluence, told off for the purpose. It
is very desirable that these Lambar-
dárs and men of influence should
themselves be inoculated first in the presence of all assembled in order to set an example.
In this connexion it is to be noted that the arrangement of the people into groups according
to their villages and sex is of importance in facilitating the compilation of and references to
the Inoculation Registers. Moreover, other things being equal, the people of the most dis-
tant villages should be inoculated first in order to keep them away from their homes for as
short a time as possible, and for this reason, as well as in order to be free from the distres-
sing cries of the children as soon as possible, it will be found advantageous to inoculate
women and children first. When, therefore, as may often happen, people from several
villages collect at one place for inoculation, it will be found convenient to arrange them in
groups according to the village from which they come and to have them admitted to the
' queue ' in this order, the women and children first. AU the persons in the ' queue' should
be required to sit down and to bare their left arms, removing any ornaments or other
things they may be wearing above the elbow.
Assistants required.
(5) Before commencing operations the inoculator should select certan intelligent persons to help
him. One man will be required to
take the certificates from candidates
for inoculation, a second to write the
dose and number of brew of the prophylactic, a third to disinfect the arms of persons before
and after inoculation, a fourth to assist the compounder by opening and holding bottles of
prophylactic, a fifth to enter the serial numbers on ¡the inoculation certificates, and a sixth
to tear off and file the tissue papers from the certificates and hand over the certificates to
the inoculated persons.
General description of arrangements for the
orderly peiformance of inoculation en masse.
(6) The inoculator will find it convenient to seat himself on a low stool facing the narrow end of the
' queue ' with a small table at his
right hand. On the other side of
the table, and slightly to the inccula-
tor's front, the compounder and his
assistant should be stationed. The arrangements which will be found generally most
convenient, and which should be adopted as far as possible, will be clear from a reference
to the illustration prefixed to this volume* and from the following description of it. The
illustration is a rough sketch taken from a photograph of a typical inoculation scene. In the
upper right hand corner the people are represented obtaining their certificates from the
clerk (1). After they have done this they have their thumb impressions affixed to the
certificates (2). They then proceed with the certificates to the ' queue ' of bedsteads and
sit down, moving gradually forwards. As each person approaches the operator, he gives
up his certificate to an assistant (3), who, besides taking the certificates, keeps order
generally and tells the candidates to bare their left arms and remove any ornaments or
any other things they may be wearing above the elbow. This assistant hands the certifi-
cates to another assistant (4), who enters on them the dose of prophylactic and the number
of the brew, of which the operator and compounder respectively keep him informed.
Another assistant (5) sitting at the operator's feet disinfects the candidate's arm with
carbolic lotion, and instructs him, in case the operator is unable to do so, to place his left
elbow on the operator's right knee, upon which the operator duly inoculates him, and,
though this is not shown in the picture, stamps his inoculation certificate with the India
rubber stamp provided for the purpose. The inoculated person then rises and moves on
and waits for his certificate, which, as soon as the serial number has been entered on it by
assistant (6), is handed to him by assistant (7) after he has removed the duplicate attached
to its back. The number entered on each certificate should consist of its serial number
as a numerator and the Inoculating Officer's number as a denominator. The duplicates
assistant (7) ties into bundles or places on .files, taking .care to file them, face downwards,
according to their serial numbers. A clerk (8), who should be seated near (7), enters in
the Inoculation Register the particulars recorded on the certificates. All entries in the
Inoculation Register must be made in English, and to facilitate the preparation of the
prescribed daily inoculation returns a number of wire files will be provided, and when the
inoculation registers are being entered up the clerk will file the duplicate certificates
according to the places,to which the inoculated persons belong, the certificates of males and
females being placed on separate files.
In the illustration the compounder (9) and his assistant (10) are represented as standing;
they should, however, be permitted to sit down to diminish fatigue. Here also the bottles
of prophylactic are shown as laid out upon a bed and the empty bottles are shown as
thrown on the ground. These details will be differently arranged for in future, as boxes
are being provided with a number of compartments, in which the bottles are arranged
according to the serial number of the brew of prophylactic they contain.
Each bottle
can thus be taken from its compartment as required, and should be returned to it immedi-
ately it is. emptied-
* Not reproduced.