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case of any disagreement between a Plague Medical Officer and an Executive Plague Officer the Plague
Medical Officer may apply direct to the District Magistrate for orders. " The District Plague Medical
Officer must keep in constant touch with the District Magistrate and with all Inoculating Officers in his
district, with whose immediate control and supervision he will be entrusted. Unless he has received general
orders from the District Magistrate on the subject or has no doubt as to the concurrence of the District Magis-
trate in any step which he proposes to take, he shall invariably consult him before taking any important action
such as the transfer of an Inoculating Officer from one village to another, the commencement of inoculation
operations in any part of the district or in individual villages, and the like. The District Plague Medical
Officer will himself perform inoculations and will go on tour principally for that purpose, but he will in
addition be responsible for the maintenance of the District registers prescribed below and the preparation and
punctual despatch of returns, and he shall also be responsible for such action as may be necessary to ensure the
punctual submission to him of their returns by Inoculating Officers, and shall, as frequently as possible, visit
these officers and inspect their registers and consult with them about their work.
In addition to his inoculation clerks, every District Plague Medical Officer will be provided with one
Office Clerk, who will, under his orders, maintain all the registers, prepare all returns, as well as all salary
travelling allowance, contingent, and other, bills, conduct correspondence, and carry out instructions generally.
A permanent advance of Rs. 200 will be made to each District Plague Medical Officer to enable him to
meet urgent and contingent expenditure. A contingent register shall be maintained in accordance with the
instructions in paragraph 79 of the Civil Account Code, Volume I, the entries on account of the inoculation
operations being recorded separately, and all expenditure from the advance shall be accounted for in contin-
gent bills. Expenditure incurred solely in connexion with inoculation, whether salary, travelling allowance,
contingent, or miscellaneous, shall be accounted for in separate bills, which shall be conspicuously marked
with the words " Inoculation Operations. "
The District Plague Medical Officer will arrange for the supply and distribution of all articles .required
in connexion with the operations under his direction in his district.
A regular daily supply of prophylactic will be sent from the Plague Research Laboratory to each
district in which inoculation operations are being carried on. The Plague Medical Officer will arrange for
the distribution of this to all Inoculating Officers, and for the immediate collection and return of all empty
bottles.
In every district in which inoculation operations are being carried on a reserve supply of prophylactic
certificates, registets, &c, will be maintained by the Civil Surgeon, on whom the Plague Medical Officer will
indent in case of emergency. A further reserve will be kept at the Central Disinfection Depot, which should
be indented upon only if the Civil Surgeon is unable to meet the demands made upon him.
A reserve of syringes, needles, and other necessaries, will be kept at the Central Disinfection Depot
to meet emergent requirements.
A stock of Inoculation Registers and certificates and of all other registers and returns required by
Plague Medical Officers will be maintained by the Superintendent, Central Disinfection Depot, to whom
indents for the same should be addressed.
All empty bottles should be returned to the source of supply, i.e.. those received direct from the
Plague Research Laboratory should be returned there direct, and those received from the Civil Surgeons
or the Superintendent, Central Disinfection Depot, should be returned to those officers.
Care should be taken to maintain an ample supply of everything required for inoculation. By timely
indents, on the Civil Surgeon or on the Superintendent, Central Disinfection Depot, it should be possible to
avoid ever running out of anything.
The arrangements for the distribution of prophylactic and other supplies to officers working in the
rural tracts will vary in different districts. The Plague Medical Officer will therefore ask the advice and
assistance of the Civil authorities in this matter.
Special duties of Inoculating Officers.
39. All Inoculating Officers will be under the general direction and supervision of the District Hague
Medical Officer, from whom they will obtain their staff
and equipment and to whom they will submit with
punctuality and accuracy the returns prescribed below,
They will also be responsible for maintaining correctly and up to date the registers prescribed for Inoculating
Officers. In all their dealings with the people of the country Inoculating Officers will be guided by the
advice of the local Civil Officers or of the Civil Officers on special duty with them, and they shall keep the
District Plague Medical Officer fully informed of their movements and of the temper of the people among-
whom they work. They shall not proceed to any place for inoculation work without the previous sanction
of the District Plague Medical Officer and shall conform to any general or special orders which he may
communicate to them as to the villages or tracts in which they shall work. They shall strictly comply with
any orders on the subject which they may receive from the District Magistrate direct. '1 hey must be
particularly careful to see that no compulsion whatever is used to force inoculation on the people and shall
inoculate only those who offer themselves voluntarily for the operation. They shall charge no fees for
inoculation except such as are authorised by the instructions in paragraph 31 above, and they shall keep a
correct account of such fees as are paid, to them, and shall every Monday, or whenever the sum in hand
amounts to Rs. 50, remit to the District Plague Medical Officer by money order or messenger, in such a
manner as to ensure its safety, the amount which has been paid to them in fees.
General duties of all Medical Officers.
40. In addition to performing the operation of inoculation, maintaining the prescribed registers,
submitting the prescribed returns, and doing the other
duties which may be assigned to him in accordance
with the above instructions, it is the duty of every
Medical Officer to do all in his power to induce the people to accept inoculation voluntarily. He should
when asked to do so, or whenever an opportunity for doing so occurs, explain the nature of the prophylactic,