( 2 )
Vaccination agency.
3. The table in the preceding page exhibits the number of vaccinators, inspectors, and
other classes of operators employed in each district in 1889-90,
as compared with those in the previous three years. The
number has risen from 214 in 1886-87 to 252 in 1889-90, but the total number of
operators in 1889-90 shows a very slight increase, as compared with the figures in 1888-
89. The marked increase in the number of Hospital-Assistants and compounders, as
contrasted with these classes of operators in the previous year, is due to the opening of
new Local Board dispensaries. The number of Native Inspectors of Vaccination rose
from 12 in 1888-89 to 13 in 1889-90, which is due to the appointment of the Hospital-
Assistant in charge of the Rainagar municipal dispensary, who acted as Inspector of
Vaccination in the Sylhet town. The number of licensed vaccinators decreased from 50
in 1888-89 to 41 in 1889-90 caused by the number of this class of operators having been
reduced from 32 to 20 in Kámrúp in the year under report. In Goálpára the number
rose from 18 to 20.
TABLE NO.2.
Showing increase and decrease of Vaccination work in each district during the four years 1886-87 to
1889-90.
District.
Cachar ..............
Sylhet ..............
Goálpára ..........
Kámrúp ..........
Darrang ..........
Nowgong ........
Sibságar ..........
Lakhimpur ..........
Nága Hills ..........
Khasi „ ..........
Gáro „ ..........
Manipur ..........
Tea-gardens by garden
agency.
Total ........
Total number
vaccinated.
1886-87.
10,646
28,080
11,088
14,653
11,417
10,775
16,450
6,214
1,143
3,209
8,222
.... 6,933
128,833
1887-88.
11,271
26,959
12,145
15,879
14,201
10,870
15,709
9,124
1,308
3,797
5,277
763
5,046
132,349
Difference.
Increase.
625
...... 1,057
1,226
2,784
95
...... 2,910
165
588
...... 763
......
10,213
Decrease.
......
1,124
......
......
......
...... 741
......
......
...... 2,945
...... 1,887
6,697
Total number
vaccinated.'
1887-88.
11,271
26,959
12,145
15,879
14,201
10,870
15,709
9,124
1,308
3,797
5,277
763
5,046
132,349
1888-89
10,658
30,659
15,344
15,868
13,172
9,526
15,959
7,854
88
3,065
5,894
272
5,779
134,138
Difference.
Increase.
......
3,700
3,199
......
......
...... 250
......
......
...... 617
...... 733
8,499
Decrease.
613
......
...... 11
1,029
1,344
......
l,270
1,220
732
...... 491
......
6,710
Total number
vaccinated.
1888-89.
10,658
30,659
15,344
15,868
13,172
9,526
15,959
7,854
88
3,065
5,894
272
5,779
134,138
1889-90.
7,731
37,274
15,887
12,872
15,378
10,133
18,713
9,035
35
3,242
5,925
1,064
9,217
146,506
Difference.
Increase.
......
6,615
543
...... 2,206
607
2,754
1,181
...... 177
31
792
3,438
18,344
Decrease
2,927
......
...... 2,996
......
......
......
...... 53
..
......
......
......
5,976
Actual
increase.
......
......
......
......
......
......
......
......
......
......
......
......
......
12,368
Increase and decrease of vaccination work
in each district during the year.
4. In the above table the work in each district and on tea-gardens is detailed in
comparison with those for the past three seasons. The number
of operations has increased from 128,833 in 1886-87 to
146,506 in 1889-90, showing an actual increase of 17,673. The work done has also
increased from 134,138 in 1888-89 to 146,506 in 1889-90, showing a net increase of
12,368 over the figures of the previous year. In the Sylhet district the increase of 6,615
over the figures of the previous year is very remarkable. On tea-gardens the work done
has increased by 3,438 over the previous year; in the Sibságar district by 2,754; in the
Darrang district by 2,206 ; in the Lakhimpur district by 1,181; in Manipur by 792 ; in
the Nowgong district by 607 ; in the Goálpára district by 543; and by 177 in the Khási and
Jaintia Hills over the previous year. In the Gáro Hills there is a very slight improve-
ment. The improvement would have been greater had the Civil Medical Officer been able
to inspect the vaccinations more than was allowable, as, for a part of the season, his
presence was required in Tura for civil executive duties to look after the current work of the
Deputy-Commissioner's office owing to the absence of that officer on duty in the district
and to there having been no other officer available for this purpose. He inspected 1,028 cases
on the two brief occasions on which he was able to go out into the district. In Kámrúp
and Cachar there was a remarkable falling off in this work. Dr. Mullane, the Civil Surgeon
of Kámrúp, attributes this falling off in that district to the very general and increasing pre-
valence of kála-azár, rendering the people on the south bank of the Brahmaputra unfit
subjects for vaccination, on account of the consequent tendency to axillary abscess, and
also from the mortality among the vaccinating staff from this disease. In the former the
number has decreased by 2,996, and in the latter by 2,927. In the Cachar district the
absence of the regular Civil Medical Officer in Lushai for two months and the impossibi-
lity of the acting Civil Medical Officer (a Military Medical Officer) leaving the station in
great part accounts for this falling off. I hope that the Civil Medical Officer there will
be good enough to devote considerable attention to this work in the coming year. In
the Nága Hills the decrease is very slight.