NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
(12)
Diagram illustrating death-rate from Small-
pox, and degree of population protected.
12. The following diagram illustrates the death-rate from Small pox in each district side by side with the proportion of population protected against the
disease by vaccination during the seven years 1887—94. This combined diagram is inserted for the first time in accordance
with Government of India orders No. 42, dated the 8th February 1894, in place of the two diagrams previously exhibited
in this report:—
NOTE.—Thin lines indicate the death-rates from Small-pox.
Thick lines indicate the proportion of the population protected by vaccination.
(13)
GENERAL REMARKS.
13. As this report contains short notes only on vaccination, and is not an
exhaustive review of the working of the department, which, under the recent
orders, is now submitted triennially, I do not propose to enter into the matters
which require modification or reconsideration in the new vaccination scheme,
especially as this will form the subject of a separate and special communication
when I am in a position, which I am not at present, to lay definite proposals
before the Government. For the present, therefore, I shall confine my remarks
to brief notes on the more important matters which came under consideration
during the year under report. These were—
(1) The experiments in connection with vaccination from kids made at
the suggestion of Dr. Dyson, who officiated as Sanitary Com-
missioner during my absence on furlough.
(2) The experiment of vaccination direct from village calves, also made
at the suggestion of Dr. Dyson.
(3) District Board vaccination.
(4) Supply of lanoline vaccine paste from the Animal Vaccine Depôts
at Darjeeling and Calcutta.
(5) Attitude of the people towards vaccination and difficulty in realising
vaccination fees.
I propose to deal with each in the order in which they are mentioned
above.
Kid vaccination.
14. The idea of kid vaccination occurred to Dr. Dyson in connection
with the cow-killing disturbances in Bihar as a
possible solution of the vaccination problem in
Bengal, and at his suggestion, Dr. Moir, who was at the time Deputy Sanitary
Commissioner of the Metropolitan Circle, undertook a short experimental
inquiry at the Animal Vaccine Depôt, Calcutta, to ascertain—
(1) whether the kid is susceptible to the action of vaccine virus, and
(2) whether lymph raised from the kid is a suitable substitute for
lymph obtained from either the calf or the child.
His report, which was submitted to Government with this office letter
No. 6449, dated the 30th November 1893, showed—
(1) that kids can be successfully vaccinated with lanoline vaccine
paste;
(2) that kids can be successfully vaccinated with lymph taken from
children;
(3) that the children can be successfully inoculated with lymph taken
from kids from either the primary inoculation or the secondary
eruption;
(4) that calves can be successfully inoculated with lymph which has
been passed through both kids and children;
(5) that lymph which has passed through kids, children, and calves can
be preserved with lanoline, and that children can be success-
fully vaccinated with this lanoline vaccine paste.
But this series of experiments failed to establish successful inoculation
from kid to kid. This failure, however, must not be regarded as an insuperable
difficulty or as a final result. The number of kids employed in the experiment
was small, and some of them were unsuitable. Dr. Dobson, the late Civil
Surgeon of Dhubri, while in charge of the Animal Vaccination Department at
Shillong, after seeing Dr. Moir's report, succeeded in inoculating one kid from
another successfully in several instances, but he failed in obtaining successful
( 22 )
(3) Particulars of municipal vaccination.
(4) Successful primary operations in each of the last ten years.
(5a) Statement of small-pox deaths by months in each thana.
(5b)
Ditto
ditto
for districts.
(5c) Statement showing side by side the small-pox death-rates in each
district during the last ten years, and the number of successful
vaccinations during the same period.
I have the honour to be,
SIR,
Your most obedient servant,
W. H. GREGG, Dip. Pub. Health (Camb.),
Sanitary Commissioner for Bengal.
C. A. P.—Reg. No. 1298J—670—7-8-94.
iv
STATEMENT No. I—Showing particulars of Vaccination in
Number.
1
40
41
42
43
44
45
46
47
48
49
50
DISTRICTS.
Orissa Division.
Cuttack ... ... ... ... ...
Paid ...
Licensed
Balasore ... ... ... ... ...
Angul and Khondmals ...
Puri
...
...
...
...
Tributary States of Pal Lehara,
Moharbhanj, Buramba, Ran-
pur, Dhenkanal, Athmalik,
Narsinghpur, Talcher, and
Boad.
Narsinghpur, Baramba, Ran-
pur, Dhenkanal, Nilgiri
...
Total of Orissa Division
...
Chota Nagpur Division
Paid ...
Licensed
Paid by
District
Board.
Licensed
Paid ...
Licensed
Paid by
District
Board.
Paid by
Govern-
ment.
Licensed
Total ...
Hazaribagh
...
...
...
...
...
Lohardaga
...
...
...
...
...
Palamau
...
...
...
...
...
Manbhum
...
...
...
...
...
Singhbhum
...
...
...
...
...
Political States of Seraikela, Khursawan,
Korea, Sirguja, Jaspur and Gangpur ...
Total of Chota Nagpur Divison ...
TOTAL FOR THE PROVINCE
Paid by
District
Board.
Paid by
Govern-
meut.&c.
Licensed
Total ...
POPULATION.
3
1,860,846
973,860
170,058
916,204
1,126,741
5,047,699
1,136,866
1,101,469
591,577
1,170,094
538,638
791,057
5,329,701
70,492,880
Average population per square
mile.
4
514
473
101
370
120
263
162
154
120
283
143
63
135
408
Average number of vaccinators em-
ployed throughout the year.
5
3
39
42
8
2
33
27
24
6
35
35
116
186
56
74
40
31
14
38
253
37
173
2,814
3,024
TOTAL NUMBER OF PERSONS
VACCINATED.
Male.
Female.
Total.
6
987
7,665
11,832
1,075
520
6,516
2,167
4,463
998
6,516
6,525
23,182
36,223
16,230
21,194
7,012
17,651
7,877
8,013
77,977
6,752
70,516
828,478
905,746
883
7,086
11,143
831
392
6,123
2,022
4,074
1,003
6,123
5,788
21,646
33,557
15,933
20,073
6,805
16,530
7,362
7,423
74,126
6,334
65,379
772,233
843,946
1,870
14,751
23,975
1,906
912
12,639
4,189
8,537
2,001
12,639
12,313
44,828
69,780
32,163
41,267
13,817
34,181
15,239
15,436
152,103
13,086
135,895
1,600,711
1,749,692
Average number of persons vac-
cinated by each vaccinator.
7
623
378
547
238
456
361
155
356
333
361
352
386
375
574
558
345
1,103
1,088
406
601
354
786
689
579
PRIMARY VACCINATION.
Total.
Male.
Female.
Total.
8
950
7,665
11,832
1,075
520
6,516
2,167
4,443
996
6,516
6,468
23,180
36,164
16,190
20,907
7,009
16,513
7,853
8,013
76,485
6,752
68,767
825,645
901,164
838
7,086
11,143
831
392
6,123
2,022
4,054
1,000
6,123
5,723
21,643
33,489
15,909
19,931
6,797
15,634
7,351
7,423
73,045
6,834
64,410
770,239
840,983
1,788
14,751
22,975
1,906
912
12,639
4,189
8,497
1,996
12,639
12,191
44,823
69,653
32,099
40,838
13,806
32,147
15,204
15,436
149,530
13,086
133,177
1,595,884
1,742,147
Suc
Under one year.
9
64
1,537
3,325
...
...
446
133
1,494
20
446
1,558
5,015
7,019
9,271
26,698
8,583
8,259
4,381
8,542
65,734
466
17,730
324,365
342,561
One year and under
six
years.
10
1, 4
10,4
13,0
1,3
0
9, 0
3,1
4,2
1,0
9,0
7,6
29,0
46,3
22,0
12,0
4, 0
23,0
9,0
6, 0
78,0
9,0
940
1,100,5
1,204,1
OFFICE OF THE SANITARY COMMR. FOR BENGAL,
The 11th July 1894.
v
District of Bengal during the year 1893-94—concluded.
Above six years.
11
75
1,670
1,280
270
173
2,922
613
1,565
379
2,922
1,910
8,115
12,947
690
869
281
782
892
642
4,156
3,158
17,526
158,929
179,613
TOTAL
AT ALL
AGES.
12
1,634
13,628
22,538
1,668
814
12,420
3,981
7,774
1,852
12,420
11,076
42,813
66,309
32,017
40,452
13,727
32,049
15,059
15,280
148,584
12,846
129,885
1,583,578
1,726,309
RE-VACCINATION.
Total.
Male.
Female.
Total.
13
37
...
...
...
...
...
...
20
2
...
57
2
59
40
287
3
1,138
24
...
1,492
...
1,749
2,833
4,582
45
...
...
...
...
...
...
20
3
...
65
3
68
24
142
8
896
11
...
1,081
...
969
1,994
2,963
82
...
...
...
...
...
...
40
5
...
122
5
127
64
429
11
2,034
35
...
2,573
...
2,718
4,827
7,545
Successful.
Under one year.
14
...
...
...
...
...
...
...
...
...
...
...
...
...
3
...
5
...
...
...
8
...
...
13
13
One year and
under six years.
15
...
...
...
...
...
...
...
30
3
...
39
3
42
16
1
6
181
2
...
206
...
40
342
382
Above six years.
16
37
...
...
...
...
...
...
1
1
...
38
1
39
44
421
...
1,084
15
...
1,564
...
503
2,884
3,387
TOTAL AT ALL
AGES.
17
37
...
...
...
...
...
...
40
4
...
77
4
81
63
422
11
1,265
17
...
1,778
...
543
3,239
3,782
PERCENTAGE
OF SUCCESSFUL
CASES EX-
CLUDING
THE UNKNOWN
CASES FROM
THE TOTAL.
Primary.
18
94.12
93.24
98.26
88.25
89.25
98.30
95.05
92.53
93.39
98.30
92.09
95.92
95.69
99.84
99.58
99.42
99.80
99.33
99.06
99.59
98.21
97.99
99.39
99.33
Secondary.
19
48.05
...
...
...
...
...
...
100.
80.
...
65.81
80.
66.39
98.12
100.
100.
62.65
48.57
...
69.69
...
22.42
67.71
52.49
RELIGION OF THE NUMBER
VACCINATED.
Total number vaccinated of—
Hindus.
20
1,838
14,518
22,510
1,906
912
12,492
4,061
8,522
1,999
12,492
12,266
44,000
68,758
29,245
11,009
12,463
32,408
8,564
13,741
107,490
12,506
110,799
947,567
1,070,872
Muhammadans.
21
32
221
432
...
...
133
80
15
...
133
47
733
913
2,855
903
891
1,679
144
19
6,491
566
20,083
583,775
604,374
Christians.
22
...
12
33
...
...
14
48
...
...
14
...
93
107
19
3,015
463
34
50
18
3,599
14
885
5,360
6,259
Other races.
23
...
...
...
...
...
...
...
...
2
...
...
2
2
44
26,340
...
...
6,481
1,658
34,523
...
4,178
64,009
68,187
Persons successfully vaccinated
per 1,000 of population.
24
.89
7.32
23.14
9.80
4.78
13.55
4.34
6.93
1.64
2.46
2.20
8.48
13.15
28.21
37.10
23.22
28.47
27.98
19.31
28.21
.18
1.85
22.51
24.54
AVERAGE NUM-
--- OF PERSONS
SUCCESSFULLY VAC-
CINATED DURING
THE PREVIOUS
FIVE YEARS.
Number.
25
27,453
38,765
4,732
15,220
10,295
96,465
26,185
39,871
4,796
35,322
16,631
21,554
144,359
1,679,563
Ratio per 1,000 of
population.
26
14.75
39.80
27.82
16.61
9.13
19.11
23.03
36.19
8.10
30.18
30.87
28.51
27.08
23.82
AVERAGE NUM-
BER OF DEATHS
FROM SMALL-POX
DURING THE
PREVIOUS FIVE
YEARS.
Number.
27
1,790
138
Ratio per 1,000 of
population.
28
.96
.14
Data not availa-
ble.
1,197
1.30
Data not avail-
able.
3,125
189
869
141
86
.83
.16
.51
.12
.15
Data not avail-
able.
1,285
12,905
.28
.19
W. H. GREGG, M.B., Surgn. Lieut.-Col., Dip. Publ. Health, Camb.,
Sanitary Commissioner for Bengal.
ix
to Municipalities, Dispensaries, &c., in the Province of Bengal during the year 1893-94.
RE-VACCINATION.
Total.
Male.
16
412
...
168
480
40
37
185
44
39
521
101
...
11
119
8
90
...
35
282
29
...
147
10
98
232
785
3
19
9
...
5
3
64
547
71
...
11
233
...
...
219
81
1
827
101
6,067
Female.
17
42
...
108
277
26
10
32
3
58
...
...
...
1
4
7
109
...
l2
74
15
...
l8
10
...
12
50
5
3
...
...
...
...
35
88
3
...
9
19
2
...
l7
32
...
148
47
1,276
Total.
18
454
...
276
757
66
47
217
47
97
521
101
...
12
123
15
199
...
47
356
44
...
165
20
98
244
835
8
22
9
...
5
3
99
635
74
...
20
252
2
...
236
113
1
975
148
7,343
Successful.
Under one year.
19
...
...
...
...
...
...
...
...
...
3
...
...
...
...
...
...
...
...
1
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
4
One year and under
six years.
20
5
...
...
15
2
1
...
...
1
1
...
...
1
1
1
16
...
...
8
2
...
...
4
...
11
10
3
6
...
...
...
... 12
6
...
...
1
8
...
...
...
7
...
8
5
135
Above six years.
21
246
...
114
533
38
3
27
6
44
404
53
...
3
91
13
157
...
10
59
16
...
46
10
18
63
185
1
14
5
...
...
8
45
474
31
...
7
33
2
...
124
73
...
385
47
3,338
Total of all ages.
22
251
...
114
548
40
4
27
6
45
408
53
...
4
92
14
173
...
10
68
18
...
46
14
18
74
195
4
20
5
...
...
3
57
480
31
...
8
41
2
...
124
80
...
393
52
3,522
NUMBER VACCINATED
AMONG—
Hindus.
23
1,993
123
2,317
2,756
1,978
2,246
5,949
1,462
1,988
504
328
298
215
166
1,419
464
241
493
1,356
538
304
868
477
97
175
5,983
2,813
4,786
2,462
949
1,874
2,703
3,842
1,841
480
228
797
4,733
676
1,289
1,225
414
223
1,346
288
67,707
Muhammadans.
24
515
82
60
422
321
1,080
2,927
788
1,098
618
292
515
135
134
43
282
247
783
1,297
1,240
285
1,087
442
285
432
1,764
736
1,931
678
368
483
745
672
537
356
177
154
303
103
2
303
165
62
69
36
25,084
Christians.
25
4
5
18
4
9
23
24
29
7
3
14
2
1
... 39
14
...
5
10
4
1
30
... 1
10
37
3
7
1
69
13
1
96
15
9
...
12
76
98
4
1
196
1
11
74
981
Other races.
26
16
...
...
...
...
...
...
...
...
...
...
...
...
...
363
...
...
5
...
...
...
...
...
...
96
...
...
...
...
...
...
...
...
...
...
...
53
...
...
...
1
228
...
...
78
840
PERCENTAGE OF
SUCCESSFUL CASES.
Primary.
27
96.94
94.73
98.39
97.40
97.76
96.23
98.84
98.60
96.78
97.77
100.
97.01
96.54
93.52
99.22
95.49
99.18
99.35
97.99
95.77
100.
95.74
98.32
56.72
94.24
96.42
98.55
96.37
97.49
81.60
96.10
92.31
98.93
98.20
99.09
98.
95.04
97.42
97.37
76.73
99.13
97.34
99.29
93.48
95.58
96.61
Re-vaccination.
28
63.38
...
43.84
72.39
60.6
8.69
12.73
12.76
69.23
80.31
52.47
... 80.
85.98
93.33
87.37
...
23.25
19.26
41.86
...
28.93
70.
20.22
33.18
24.31
50.
95.23
100.
...
...
100. 59.37
75.59
46.26
...
40.
16.55
100.
...
53.44
83.33
... 41.85
35.13
50.
REMARKS.
29
W. H. GREGG, Surgn. Lieut.-Col., Dip. Publ. Health, Camb.,
Sanitary Commissioner for Bengal.
b
x
COMPARATIVE STATEMENT NO. IV—Showing the number of persons primarily vaccinated, and the number of those persons who were successfully vaccinated in each of the
undermentioned official years.
ESTABLISHMENT
1
Government ...
Municipal ...
Local Funds
...
Native States ...
Dispensaries ...
Work done by ex-
inoculators.
Total ...
PERSONS PRIMARILY VACCINATED
Total number.
Number
successfully
vaccinated.
1884-85.
2
383,104
101,318
...
31,637
4,020
955,423
1,475,502
3
376,941
95,389
...
30,676
3,521
950,578
1,457,105
Total number.
Number
successfully
vaccinated.
1885-86.
4
251,138
96,845
...
25,082
3,436
985,280
1,361,781
5
245,656
90,257
...
24,514
2,986
981,844
1,345,257
Total number.
Number
successfully
vaccinated.
1886-87.
6
384,671
96,611
...
27,263
3,962
1,090,020
1,602,527
7
379,007
90,160
...
26,427
3,483
1,086,090
1,585,167
Total number.
Number
successfully
vaccinated.
1887-88.
8
395,085
73,482
...
45,679
3,927
1,194,124
1,712,297
9
389,670
68,913
...
43,278
3,369
1,187,724
1,692,954
Total number.
Number successfully
vaccinated.
1888-89.
10
420,543
79,597
...
32,837
3,658
1,301,580
1,838,215
11
415,070
75,611
...
30,766
3,029
1,295,895
1,820,371
Total number.
Number successfully
vaccinated.
1889-90.
12
137,308
105,106
...
50,597
3,570
l,480,639
1,777,220
13
133,537
99,012
...
48,112
2,949
1,474,815
1,758,425
Total number.
Number
successfully
vaccinated.
1890-91.
14
168,313
93,674
...
15,132
1,204
1,537,915
1,816,238
15
165,871
87,471
...
14,094
915
1,529,929
1,798,280
Total number.
Number
successfully
vaccinated.
1891-92.
16
110,248
98,436
606
2,986
1,303
1,413,276
1,626,855
17
108,624
91,983
554
2,684
1,099
1,404,182
1,609,126
Total number.
Number
successfully
vaccinated.
1892-93.
18
105,496
98,235
737
691
3,020
1,612,620
1,820,799
19
104,722
94,122
687
617
2,831
1,601,820
1,804,799
Total number.
Number
successfully
vaccinated.
1893-94.
20
120,308
94,969
14,396
386
3,473
1,595,384
1,829,416
21
118,076
90,643
14,115
321
2,985
1,583,578
1,809,718
OFFICE OF THE SANY. COMMR. FOR BENGAL,
The 11th July 1894.
W. H. GREGG, Surgn. Lieut.-Col., Dip. Publ. Health, Camb.,
Sanitary Commissioner for Bengal.
MUNICIPAL
DEPARTMENT.
SANITATION.
CALCUTTA, THE 4TH SEPTEMBER 1894.
RESOLUTION—No. 3647S.
READ—
The Statistical Returns of Vaccination in Bengal for 1893-94, with brief notes by the
Sanitary Commissioner.
These returns were due on the 15th June, but reached Government on the
8th August. The delay, although less than it was last year, is still very un-
satisfactory. It is attributed to the late submission of the returns from certain
districts, and the receipt of incomplete and incorrect figures from others. The
Provincial returns, it is stated, could not be closed until the figures were com-
plete. It is, however, a mistake to conceive that a report cannot be begun till
the last return comes in. If they are received and tabulated month by month,
errors and discrepancies would be detected in good time, and the Lieutenant-
Governor fears that it is to a want of proper management in the office that the
unpunctuality of the report is due. The work of the department is said to have
been greatly interfered with during the year by constant changes among the
Deputy Sanitary Commissioners and Superintendents of Vaccination. These
changes were unfortunate, but they were presumably unavoidable. It is hoped
that the Inspector-General of Civil Hospitals will co-operate with the Sanitary
Commissioner in future in trying to minimise such changes.
2. Strength of local working and supervising staff.—The following table shows
the strength of the local working and supervising establishment during 1893-94
as compared with the previous year:—
YEAR.
1
1893-94
...
...
1892-93
...
...
INSPECTING STAFF.
Superintendents.
2
50
50
Deputy
Superin-
tendents.
3
1
2
Inspectors.
4
63
61
Sub-Inspectors.
5
137
135
Head vaccinators.
6
14
11
Total of inspecting
staff.
7
265
259
OPERATORS.
Vaccinators.
Government or
paid.
8
458
405
Licensed.
9
1,830
1,756
Apprentices.
Government or
paid.
10
13
14
Licensed.
11
985
864
Total of operators.
12
3,286
3,039
REMARKS.
13
The decrease of one Deputy Superintendent is only apparent, being due to
the change of designation of the officer in charge of the Calcutta Animal Vaccin-
ation Depôt from Deputy Superintendent to Inspector. The increase of head
vaccinators was found to be necessary to provide for extra supervision in the
Orissa Tributary States. The inclusion of the staff of paid vaccinators
employed in those States, which was omitted from the last year's returns for want
of information, the employment for the first time of special establishments paid
by the District Boards of Puri and Noakhali and by zamindars in Tippera, and
also the appointment of a small extra Government staff in certain districts
where small-pox broke out, account for the increase in the number of paid
vaccinators. It appears from the report to be the practice to include in the
number of paid operators Civil and Assistant Surgeons who perform any oper-
ations with their own hands. The regular operators only should be shown in
future. The Commissioner of Orissa has reported in his General Administra-
tion Report of the Division that a decrease took place in the number of
ANNUAL STATISTICAL RETURNS
AND
SHORT NOTES ON VACCINATION IN BENGAL
FOR THE YEAR 1894-95.
BY
BRIGADE-SURGEON LIEUT.-COLONEL W. H. GREGG, M.B., M.R.C.P., London, Dip. Publ. Health, Camb.,
Sanitary Commissioner for Bengal.
Calcutta:
PRINTED AT THE BENGAL SECRETARIAT PRESS.
1895.
Not printed for sale.
ANNUAL STATISTICAL RETURNS
AND
SHORT NOTES ON VACCINATION IN BENGAL
FOR THE YEAR
1894-95.
BY
BRIGADE-SURGEON-LIEUT.-COLONEL W. H. GREGG, M.B., M.R.C.P., London, Dip. Publ. Health, Camb.,
Sanitary Commissioner for Bengal.
Calcutta:
PRINTED AT THE BENGAL SECRETARIAT PRESS.
1895.
No.
FROM BRIGADE-SURGN.-LIEUT.-COL. W. H. GREGG, M.B., M.R.C.P.
DIP. PUB. HEALTH, CAMB.,
Sanitary Commissioner for Bengal,
To THE SECRETARY TO THE GOVERNMENT OF BENGAL,
MUNICIPAL DEPARTMENT.
Dated Darjeeling, the 21st June 1895.
SIR,
I HAVE the honour to submit, for the information of Government,
the following short notes on Vaccination in Bengal during the year 1894-95.
Controlling officers.
2. I was in charge of the department throughout the year, and was ably
and willingly assisted in the control of vaccination
by Civil Surgeons (each of whom was directly
responsible for his own district) and the following Deputy Sanitary Com-
missioners who also greatly assisted in inspecting the work of vaccination
wherever they travelled, and brought to notice any irregularities detected.
In the Metropolitan and Eastern Bengal Circle Surgeon-Captain Moir was in
charge from the 1st April to the 4th June 1894, Surgeon-Captain Harold-Brown
from the 5th to the 27th June 1894, Surgeon-Captain Oldham from the 28th
June 1894 to the 20th February 1895, and Surgeon-Captain Sinha from the 21st
February 1895 to the end of the official year under report, viz., the 31st March
1895.
In the Northern Bengal Circle Surgeon-Captain Deare was in charge from
1st April 1894 to 24th March 1895, and Surgeon-Major Waddell from 25th to
31st March 1895.
In the Western Bengal Circle Surgeon-Captain Clarkson was in charge
from the 1st April 1894 to the 5th July 1894, and Surgeon-Captain Vaughan
from the 6th July 1894 to the end of the year.
Progress of vaccination.
3. I can confidently say that I have never known the Vaccination Depart-
ment in Bengal to be in such an efficient state as it
is at present. The reorganisation of the Depart-
ment in 1892, by which district vaccination was placed under the direct control
of Civil Surgeons assisted by District Magistrates, has resulted in increased
efficiency. The stricter supervision of vaccine operations, the result of this change,
has brought to light many small irregularities which have been corrected, and
has resulted in more accurate returns being submitted than was formerly the
case. I have no doubt from what I have seen during my own tours, and from
what I have learned from Deputy Sanitary Commissioners and District Officials,
that the returns are still not as accurate as we should wish them to be; it should,
however, be remembered that licensed vaccinators, although they are, as a rule,
well-meaning, hard-working and intelligent men, anxious to do what is right
and to earn their living respectably, are very timid and are afraid to enter all
cases of vaccination in their returns that have not been thoroughly successful,
while all doubtful cases they carefully suppress, as they think by introducing
such cases into their returns they render themselves liable to be harassed by
inspecting officers, especially enthusiastic Sub-Inspectors looking for promotion;
their returns consequently show an incredibly high percentage of successful
cases. There cannot also be the slightest doubt that a very much larger
number of persons are vaccinated than are shown in the returns, and that
B