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from January 1889, no report having been sent here of this matter and no substitute
having been engaged. I have ordered a capable substitute to be employed at once. Of
course, the want of an energetic Civil Surgeon, and Dr. Conceicao's illness, while
in the district, partly accounts for this. I have directed the Civil Surgeon to keep the
Assistant-Surgeon (specially appointed) well up to vaccination inspection work in the
Nága Hills district during his tours with the Deputy-Commissioner, or when able to go
out independently. In the Khási and Jaintia Hills there has not been until lately a
separate Civil Surgeon; but now that there is one we must look to him for a very decided
improvement in regard to vaccination work for the future. Of course, the absence of a
really responsible officer accounts for the backward state of vaccination in these hills,
nowithstanding the exertions and good work of the medical missionaries as regards
vaccination. In the Cachar district, in his covering letter forwarding the district vac-
cination report, the. Deputy Commissioner explains that the decrease is attributed to the
Local Boards' vaccinators not having been employed on tea-gardens in compliance
with the Deputy-Surgeon-General's Circular No. 58 , dated the 28th May 1888. The
managers and medical officers of gardens seem to be, at least in the Cachar district, very
apathetic (as a rule) as regards vaccination. The Civil Medical Officer of Cachar also
mentions that many managers are very remiss even in submitting the vaccination returns,
only 83 out of 129 due having been received up to date of the submission of his general
return. Either vaccination should be made compulsory on gardens, or Local Board or
Government vaccinators should vaccinate in them, their work being regularly inspected
by the Native Inspector and also by the Civil Surgeon. I have issued a Circular to all
Civil Surgeons in the Province with the object of securing better vaccination results in the
ensuing season.
TABLE No. 3.
Showing the number of vaccinations actually inspected by the Civil Surgeons, Hospital-Assistants,
and Native Inspectors, and the number of those found successful during the year 1888-89.
Number.
1
2
3
4
5
6
7
8
9
10
11
District.
Cachar .....................
Sylhet .....................
Goálpára .....................
Kámrúp ....................
Darrang ....................
Nowgong ...................
Sibságar .....................
Lakhimpur ..................
Nága Hills ..................
Kási„ ..................
Gáro „ ..................
Total
Number of vaccina-
tions inspected.
By Civil Surgeons.
889
934
3,438
1,041
352
2,137
2,379
36
17
18
2,348
13,589
By Assistant-Surgeon,
Hospital-Assistants, &c.
...
1,326
...
636
259
...
65
338
...
...
...
2,624
By Native Inspectors.
2,054
22,132
5,814
9,010
8,568
5,318
7,814
...
...
...
...
60,710
76,923
Number of vaccina-
tions found suc-
cessful.
By Civil Surgeons.
781
909
3,218
883
312
1,983
2,257
29
13
15
2,266
12,666
By Assistant-Surgeon,
Hospital-Assistants, &c.
...
1,231
...
534
218
...
49
298
...
...
...
2,330
By Native Inspectors.
1,635
21,218
5,701
7,962
6,827
4,836
7,139
...
...
...
...
55,318
70,314
Number of vaccina-
tions found un-
successful.
By Civil Surgeons.
108
25
220
158
40
154
122
7
4
3
82
923
By Assistant-Surgeon,
Hospital-Assistants, &c.
...
95
...
102
41
...
16
40
...
...
294
By Native Inspectors.
419
914
113
1,048
1,741
482
675
...
...
...
...
5,392
6,609
Percentage of suc-
cessful cases actually
verified by inspec-
tion.
By Civil Surgeons.
87.85
97.32
93.60
84.82
88.63
92.79
94.87
80.55
76.47
83.33
96.50
93.28
By Assistant-Surgeon,
Hospital-Assistants, &c.
...
92.83
...
83.96
84.17
...
75.38
88.16
...
...
...
88.79
By Native Inspectors.
79.60
95.87
98.05
88.37
79.68
90.93
91.36
...
...
...
...
91.12
91.41
Inspection of vaccination.
5. The number of vaccinations actually inspected in each district during the
year 1888-89 will be found in the above table ; the
total number of inspections was 76,923, as compared with
69,237 in the previous year, giving a percentage of inspections on the total vaccinations of
57 per cent., against 52 in the previous year, which is a good improvement. As regards
the number of vaccinations inspected by the Civil Surgeons, Goálpára (Surgeon
E. Dobson) comes in an easy first, followed, at a considerable interval between,
by Sibságar (Surgeon Banerji), Gáro Hills (Dr. Gupta), Nowgong (Mr. McNaught),
and Kanirúp (Surgeon-Major Borah) in the order given. The numbers inspected by
the Civil Surgeon in the Nága and Khási and Jaintia Hills and in the Lakhimpur
district quite agree with the quantity and quality of the general work done by the
Civil Surgeons of those districts in the year under report, as has been noted and
explained above. Of the total vaccinations inspected by the,Civil Surgeons or their
B 2