52
Lymph.
11. The lymph throughout the year has generally been good. Since last annual
report I have forwarded 378 tubes, charged with
fresh lpmph, to the Local Superintendent of Vacci-
nation, Bombay, 6 to the Superintendent of the Kattiawar Circle, and 14 to the Super-
intendent of the Central Circle. In November I received lymph in 3 tubes from the
Superintendent of the Central Circle, which was used with success ; and in December I
received 3 tubes and 5 points, charged with English lymph, from the Superintendent
General of Vaccination : the points failed, but the tube lymph proved successful, and on
second transmission large and characteristic vesicles were obtained. I also received
4 tubes charged with animal vaccine lymph from the Local Superintendent of Vacci-
nation, Bombay, in February last, which, on trial, proved quite inert.
Small-pox.
12. During the month of April 8 persons were attacked with small-pox in
Oomerpara, Jhalode, and 1 died; and in the village
of Wassunya, Halole, of 19 persons attacked with
the same disease in September, 3 died.. The Vaccinators lost no time in vaccinat-
ing the unprotected in these villages, and the disease did not spread. These are the
only cases that occurred in the Punch Mahals throughout the year. In the Native
States small-pox was rather more prevalent; cases occurred in Soonth, Veerpoor, and
Barrea, in March 1869, and in Sunkeira Mewas and Rajpeepla during the months of
May, June, and July. I have been unable to obtain particulars as to these outbreaks,
but believe that the attacks were neither numerous nor fatal. In April, May, and
June, cholera was more or less epidemic in all parts of the Circle.
13. Inoculation is not practised in this Circle.
Tour.
14. Since January 1869 I have inspected the work of all the Vaccinators (many
of them oftener than once) with the exception of two
of the three men appointed in November last. The
method of inspection was the same as that carried out by me during the past four
years ; viz., at each village visited, on the children being collected, to call the name of
each vaccinated child from the Vaccinators' monthly returns, and, on the child being
brought before me, to test the accuracy of the return as regards sex, age, and result.
As the children were examined, they were passed over to a Peon, who kept them
separate from the others until all the names had been called, the arms of those
present inspected, and the absence of others accounted for by the Patel, who was
invariably present. In this way 315 villages were visited, and 5,630 children inspected.
In addition, I also inspected the arms of 400 children whose names were not called
from the returns. As a general rule, I first visited the head-quarters of the Vaccinator
whose work I was about to test, and after examining his work there, made a second
camp in his district, where I remained for some days visiting the villages in the
neighbourhood, and thus got a very fair idea as to the quality of his work and the
accuracy of his returns. The Vaccinator was usually present at all inspections, as I
accompanied him his lymph days, and he came with me on the days he had none.
On 1st January 1869, I was in the Native State of Barrea with Assistant Vaccinator