37
The total number for 1871-72 was 1,606 ; for 1872-73 it is only 818, showing a falling
off of 788.
Percentage of Success.
7. The percentage of successful cases reported by the Chiefs' vaccinators is a decimal
lower than last year, when it was 96.4. This percentage
is much too high, as far as I can judge from what I saw
during my inspection tour. The reason of Government
Vaccinator Motílál's percentage of success being so small, is on account of the large pro-
portion of re-vaccination cases in his return. His percentage of success in primary cases is
89.1, and I consider this to be about the true average for the whole Circle. Motílál's per-
centage of successful cases for re-vaccination is only 64.4. This is to be expected, as a
great many of these were sepoys, prisoners in the jail, and others who showed good marks
of previous protection.
Lymph.
8. Lymph was reported " bad " five times and once " indifferent" by the Assistant
Superintendents. All these reports were made in the hot
months ; the rest of the year it was reported on favourably.
During my tour I found the lymph on the whole good, but the vesicles generally small.
English Lymph.
9. The English lymph the Superintendent General sent me, turned out extremely
well: the children I vaccinated from it myself exhibited
the largest and clearest vesicles I have seen, without an
areola of inflammation, and caused no distress, and very little itching, to the children. I my-
self carried children, vaccinated with this new lymph, into three tálukás, and gave orders to
the surrounding vaccinators to obtain a supply from the same source. The lymph is gene-
rally propagated from arm to arm, but sometimes, where a child is not available, from tubes
filled with lymph from the nearest good supply.
10. I noticed a curious result in the effect of the lymph preserved in tubes, i.e., that
the lymph when drawn from the tube did not seem to be all equally efficacious : the lymph
that came out first and last was generally inert, the centre part produced good vesicles.
Whether this is owing to deterioration produced by the process of securing the ends of the
tubes, or whether the true vesicle germ has a tendency to centralise, I cannot say ; but it
may explain why lymph is often unsuccessful, and also opens a field for the microscopist.
Inoculation.
11. Numerous cases of inoculation came to my notice on tour, but they were none
under three years. These cases all occurred on the borders
of the Gáíkawád's dominions, and although I tried my best
to find out the man, I could not trace him. At Károngá they told me he lived at Gorgat ;
I went to Gorgat, there they told me he lived at Gangá ; at Gangá they said he lived at
Khambáliá. I have been encamped for four days at Khambáliá and cannot trace him.
My own impression is, that he was some itinerant holy man, earning a few pence by this
means, for I found that he had generally been paid. In one gaum they told me a woman
had inoculated the children. The cicatrices were all on the styloid process of the
radius.
Small-pox.
12. Small-pox has been very prevalent throughout the whole of Káthiáwád, and in
the Mangarnl Táluká assumed an epidemic form. In the
remarks made under the heading " tour " you will see some
particulars about this epidemic, and the arrangements made to arrest its progress, in
which I was ably assisted by Ranchoddás Mangaldás.