( 14 )
Results.
64. The number of operations performed rose from 7,794 in 1888-89 to 9,017 in
1889-90. The percentage of successful cases was 81.82 as
compared with 85.30 in the previous season. The work
was spread over a large area in a fairly definite manner.
Supply of lymph.
65. The lymph supply received from the different sources in Bengal proved failures,
and those received from the Sanitary Commissioner, Assam,
were reported as generally good.
Inspections.
66. Out of a total of 9,017 operations performed during the year, 1,328 cases were
inspected by the Civil Surgeon, of which 1,123 were found
successful. In this district the inspection of vaccinations
in the villages is a matter of great difficulty, as the villages are scattered over a large area
in which there are paddy-fields and jungles, and are in many cases approached by narrow
paths.
Feelings of the people towards vaccination.
67. On the whole, the attitude and feeling of the population is not against vaccination.
If objections are raised, they can be overcome by the mauza¬
dárs with the help of the Deputy-Commissioner and the
Civil Surgeon.
Inoculation.
68. There was no practice of inoculation in this district, and no such case was re-
ported to the Civil Surgeon.
Prevalence of small-pox.
69. There was no outbreak of small-pox during the year. Vaccination is com-
pulsory in the Dibrugarh Municipality. The town population
are reported to be fairly well protected.
Expenditure.
70. The total expenditure of the establishment amounted to Rs. 1,136-4, and of this
amount, Rs. 506-2 were paid by Government, Rs. 558-2 by
Local Funds, and Rs. 72 by the municipality. The average
cost of each successful case was 2 annas 5½ pie.
NÁGA HILLS.
Superintendence.
71. The vaccination work is nominally under the superintendence of the Civil
Surgeon, who, however, being a military medical officer,
cannot leave the sadr station except occasionally, when there
is urgent reason for so doing.
Results.
72. The Assistant-Surgeon performed only one operation in Kohima, which proved
successful. He should devote more time and attention to
such an important part of his work when travelling; with the
Deputy-Commissioner in the district, and I have drawn the attention of the Civil Surgeon
to this matter. As the Assistant-Surgeon is a specially selected officer of European
qualifications in medicine and surgery, it was intended from the outset that he should
perform such district work outside the sadr station, under the orders of the Civil Surgeon,
as is usually done by the Civil Surgeon. Three Hospital-Assistants performed 12
vaccinations, of which only 4 were successful, and the Compounder performed 2 vaccina-
tions, both of which were unsuccessful. There was only one vaccinator paid by Govern-
ment. He vaccinated only 20 cases at Wokha and the surrounding places Of these, 12
cases, or a percentage of 60, were successful. In 1888-89, the Provincial vaccinator
performed 71 operations with 87.32 per cent. successful, as compared with 1,299 cases
and 94.53 per cent. successful in 1887-88. The results of vaccination work are very
unsatisfactory in this district, and compare most unfavourably with those of the previous
years. During the year under report, altogether 35 operations were performed in this
district, of which 17 were successful. In 1888-89, there were 88 operations, with 75
successful, and in 1887-88, 1,308 operations, with 1,229 successful cases. The Angámi
and Kutcha Nágas are averse to vaccination. The other tribes allow it to be performed
only in some villages. See remarks in paragraph 11 of this report.
Expenditure.
73. The total expenditure was Rs. 165, being the pay of one vaccinator at Rs. 15 per
mensem for 11 months; and, as he performed only 12 cases
successfully, the average cost of each successful case amounted
to Rs. 13-12; the cost having been Re. 1-14-11 in 1888-89, and in 1887-88 it was 2 annas
and 4 pie only.