( 7 )
CHAPTER V.
CONCLUSION.
Previous order cancelled, and why.
25. In last year's report I showed that as
the Hospital Assistant in charge of Dispensaries
complained of not being able to get children to vaccinate owing to the Vacci¬
nators working in their towns, I directed that they should not vaccinate in any
place where there was a Dispensary, so that the Hospital Assistants might
have full scope to carry on their operations; but as in the year under report,
they only operated on 622 children more than in the previous year, I purpose
cancelling the order, as I feel justified that the Vaccinators' work has been
curtailed to a greater extent than this.
The difficulty of showing the be-
nefits of vaccination at present.
26. It has been so frequently put to me that
I should show the benefits of vaccination by com-
paring the number vaccinated with the deaths
from small-pox in each circle for the year, that I have thrown together the
figures showing the number of persons vaccinated in each circle in the pro-
vince, and the deaths reported from small-pox in each for four years, and, as I
fully anticipated, found as much positive as negative evidence of the benefits of
vaccination.
The causes of this are numerous ; and it would take up too much space to
enter into them here. I will therefore only report what I have often said be-
fore, that is, that, at present, it is only by taking the statistics of " units" of
registration that we can show the benefits of vaccination by its keeping down
small-pox, and that if we wish to show it from figures referring to large areas,
it is only by comparing the deaths which took place during the whole of an
epidemic of small-pox—not those which occur in one year—with those which
take place in the one succeeding it, and the time for doing this has not yet
come in Berar. If we attempted to show that vaccination kept down small-
pox by contrasting the deaths from the disease over a given large area—a
district say—in one year with the one succeeding it, we would fall into error
most probably. As, for instance, in the first year, if small-pox were epidemic
in the area chosen, it would leave so many persons protected, by their having
had small-pox, that in the second year few would die of it: in this case if more
children were vaccinated in the area taken in the second, than in the first year,
we might put down the decrease of deaths from this cause to vaccination, where-
as, most probably, it would be due to a greater extent to the people being pro-
tected by their having had small-pox in the previous year.
The figures quoted in the 9th para. of the Commissioner's review on last
year's report support this view.
Vaccinators recommended for pre-
sents.
27. As it is not in my power to promote
some of the Vaccinators who have done remark-
ably well owing to their already belonging to the
first class, I beg that their services may be recognized by presenting them with
something to the value indicated opposite to each man's name : —
Lal Sing... ... ... ...
Mahomed Talib... ... ...
Ajaj Hoosain ... ... ...
Tillara Circle ... ...
Iotmal
do. ... ...
Balapur do. ... ...
30 Rupees
25„
20
„
CAMP CHICKULDA,
Dated 28th May 1875.
R. T. ABBOTT, M. D.,
Supt. of Vaccination.
Haidarabad Assigned Districts.