NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
(
iii
)
General Remarks—
Inoculation; employment of ex-inoculators and payment by results...
Progress in the feelings of the natives towards vaccination ...
Improved accuracy and genuine vaccination of the year ...
Medical Officers' services acknowledged ... ... ...
Government of India's review of last season's report ... ...
PARA.
134
135
136
137
138
PAGE.
20
21
REPORT ON VACCINATION IN ASSAM.
21
Medical officers' services acknowledged.
137. During this year, Dr. Partridge at Cachar, Dr. Mullane at Gauháti,
Dr. Campbell at Tezpur, and Mr. Atkins at Sibságar have
been particularly active and successful, and their exertions
merit acknowledgment.
Review of last seasons Report by the
Government of India.
138. The review of the Report for 1884-85, and of the Chief Commissioner's Resolu-
tion thereon, by the Government of India is contained in
Home Department (Sanitary) No. 339, dated Calcutta, the
2nd December 1885, and was received in this office on the 28th idem. It notices with
encouragement the successful efforts made by Local Boards in Assam to promote
vaccination in their respective areas.
A. ETESON, M.D.,
Deputy-Surgeon-General, Eastern Frontier District, and
Sanitary Commissioner , Assam.
22
REPORT ON VACCINATION IN ASSAM.
STATEMENT No. III.
Showing Vaccination in the Province of Assam during the year 1885-86.
District.
Goápára ...............
Kámrúp ...............
Nowgong ............
Class of operators.
Civil Surgeon ..............................
Hospital-Assistant ...........................
Native Inspectors ..............................
Provincial Vaccinators ........................
Municipal „ ..............................
Local Fund „ ..............................
Licensed „ ..............................
Total
Civil Surgeon ..............................
Hospital-Assistant ...........................
Native Inspectors ..............................
Provincial Vaccinators ........................
Municipal „ ..............................
Local Fund „ ..............................
Licensed „ ..............................
Total .
Civil Surgeon ..............................
Hospital-Assistant ...........................
Native Inspectors ..............................
Provincial Vaccinators ........................
Local Fund „ ..............................
Total ............
Number of dispensaries
in each district.
...
...
...
...
...
...
...
6
...
...
...
...
... ...
...
2
...
...
...
...
...
3
Total number of opera-
tors in each district
during the season.
1
2
1
1
1
5
9
20
1
3
1
4
1
6
22
38
1
3
1
3
9
17
Total number of persons
vaccinated.
20
192
25
956
303
2,397
11,459
15,352
210
83
112
3,158
774
3,430
8,091
15,858
168
303
610
2,148
3,590
6,819
Average
number of
persons vaccinated by
each operator.
20
96
25
956
303
479.40
1,273.22
767.60
210
27.66
112
789.50
774
571.66
365.95
417.31
168
101
610
716
398.89
401.12
Primary vaccination.
Total.
20
188
25
956
300
2,397
11,399
15,285
210
83
112
3,158
734
3,430
8,027
15,754
168
303
610
2,148
3,590
6,819
Successful.
Under
1 year.
6
29
7
286
50
896
1,716
2,990
25
10
18
450
211
790
1,664
3,168
2
30
11
222
331
596
1 and
under 6.
12
91
8
257
131
1,056
6,219
7,774
155
41
77
2,183
376
1,507
4,292
8,631
141
105
446
1,348
2,366
4,406
Total of all
ages.
18
173
15
856
290
2,241
10,717
14,310
180
70
95
2,798
670
2,929
7,039
13,781
166
177
542
1,988
3,244
6,117
Re-vaccination.
Total
......
4
......
...... 3
...... 60
67
......
......
......
...... 40
...... 64
104
......
......
......
...... ......
......
Successful.
......
1
......
...... 3
...... 60
64
......
......
......
...... 34
...... 39
73
......
......
......
......
......
......
Percentage of successful vaccination.
Primary.
90.00
92.02
60.00
89.53
96.66
93.49
94.01
93.62
85.71
84.33
84.82
88.59
91.28
85.39
87.69
87.47
98.81
58.41
88.85
92.55
90.36
89.70
Re-vaccination.
......
25.00
......
...... 100.00
...... 100.00
95.52
......
......
......
...... 85.00
...... 60.94
70.19
......
......
......
......
......
......
REPORT ON VACCINATION IN ASSAM.
23
Darrang .........
Sibságar
.
Lakhimpur .........
Nága Hills .........
Khási and Jaintia
Hills.
Civil Surgeon ..............................
Hospital-Assistant ...........................
Native Inspectors ..............................
Provincial Vaccinators ........................
Local Fund „ ..............................
Total ............
Civil Surgeon ..............................
Assistant Surgeon ...........................
Hospital-Assistant ...........................
Native Inspectors ..............................
Provincial Vaccinators ........................
Municipal „ ..............................
Local Fund „ ..............................
Total ............
Civil Surgeon ..............................
Hospital-Assistant ...........................
Provincial Vaccinators ........................
Municipal „ ..............................
Local Fund „ ..............................
Total ............
Civil Surgeon ..............................
Hospital-Assistant ...........................
Compounder(dresser) ...........................
Provincial Vaccinators ........................
Total ............
Civil Surgeon ..............................
Hospital-Assistant ...........................
Compounders ...........................
Provincial Vaccinators ........................
Total ............
...
...
...
...
...
2
...
...
...
...
...
...
...
3
...
...
...
...
...
2
...
...
...
...
1
...
...
...
...
4
1
2
1
4
6
14
1
1
4
1
3
3
13
26
1
1
4
1
4
11
1
2
1
1
5
1
3
1
3
8
456
427
4,434
4,364
9,681
222
188
381
238
2,389
1,784
7,792
12,994
46
261
3,820
510
3,368
8,005
28
82
377
8
495
12
102
9
4,156
4,279
456
213.50
456
427
121
109
259
174
413
383
His work not recorded separately.
1,108.50
727.33
691.50
222
188
95.25
238
796.33
594.66
599.38
499.76
46
261
955
510
842
727.72
28
41
377
8
99
12
34
9
1,385.33
534.87
4,434
4,364
9,681
205
186
379
236
2,370
1,716
7,767
12,859
46
261
3,820
510
3,368
8,005
28
82
377
8
495
10
86
9
4,135
4,240
923
915
2,068
72
37
115
81
552
453
2,083
3,393
16
24
769
134
456
1,399
2
5
28
1
36
6
12
2
741
761
1,938
1,994
4,365
101
117
191
107
1,479
878
4,633
7,506
24
231
2,518
265
2,130
5,168
15
35
209
...
259
...
24
3
1,608
1,635
3,854
3,393
8,043
185
164
335
216
2,132
1,552
7,226
11,810
40
255
3,287
399
2,586
6,567
27
63
323
6
419
8
67
7
3,530
3,612
......
......
......
......
......
17
2
2
2
19
68
25
135
......
......
......
......
......
......
......
......
......
......
......
2
16
......
21
39
......
......
......
......
......
17
2
2
2
17
63
24
127
......
......
......
......
......
......
......
......
......
......
......
2
8
......
21
31
90.57
89.69
86.92
77.75
83.08
90.24
88.17
88.39
91.52
89.95
90.44
93.03
91.84
86.95
97.70
86.04
78.23
76.78
82.03
96.42
76.83
85.67
75.00
84.64
80.00
77.90
77.77
85.37
85.18
......
......
......
......
......
100.00
100.00
100.00
100.00
89.47
92.64
96.00
94.07
......
......
......
......
......
......
......
......
......
......
......
100.00
50.00
......
100.00
79.48
24
REPORT ON VACCINATION IN ASSAM.
STATEMENT III.—(Concluded)
District.
Gára Hills ...............
Sylhet ...............
Cachar ...............
Class of operators
Civil Surgeon ..............................
Hospital-Assistant ...........................
Provincial Vaccinators ........................
Total
Civil Surgeon ..............................
Hospital-Assistant ...........................
Compounders ...........................
Native Inspectors ..............................
Provincial Vaccinators ........................
Municipal „ ..............................
Local Fund „ ..............................
Licensed „ ..............................
Total ............
Civil Surgeon ..............................
Hospital-Assistant ...........................
Compounders ...........................
Native Inspectors ..............................
Provincial Vaccinators ........................
Municipal „ ..............................
Local Fund „ ..............................
Total
Total of all Districts
Tea-gardens by garden agency .........
Total for the Province .........
Number of dispensaries
in each district.
...
...
...
1
...
...
...
...
...
...
...
...
19
...
...
...
...
...
...
...
4
47
...
47
Total number of opera-
tors in each district
during the season.
1
1
6
8
1
6
3
2
10
2
21
1
46
1
3
1
1
3
1
6
16
209
...
209
Total number of persons
vaccinated
9
9
7,623
7,641
14
333
197
87
9,699
513
14,152
20
25,015
7
102
52
347
3,047
380
5,568
9,503
115,642
6,249
121,891
Average number of
persons vaccinated by
each operator.
9
9
1,270.50
955.12
14
55.50
65.66
43.50
969.90
256.50
673.90
20
543.80
7
34
52
347
1,015.66
380
928
593.94
553.31
......
......
Primary vaccination.
Total.
9
9
7,619
7,637
14
318
197
87
9,699
513
14,069
20
24,917
7
97
51
347
2,889
370
5,472
9,233
114,925
6,249
121,174
Saccessful
Under
1 year.
4
5
1,054
1,063
...
29
4
9
564
48
1,122
4
1,780
...
19
6
72
535
54
1,012
1,698
18,952
...
18,952
1 and
under 6.
1
2
3,310
3,313
8
185
142
44
6,635
272
8,503
10
15,799
...
58
35
207
1,248
154
3,132
4,834
63,690
...
63,690
Total of all
ages.
9
9
7,302
7,320
14
270
183
85
9,462
454
13,044
17
23,529
......
88
47
310
2,468
317
5,051
8,281
103,789
4,579
108,368
Re-vaccination.
Total.
......
......
4
4
......
15
......
......
......
......
83
......
98
......
5
1
......
158
10
96
270
717
......
717
Successful.
......
......
4
4
......
15
......
......
......
......
80
......
95
......
5
1
......
158
9
57
230
624
......
624
Percentage of successful vaccinations
Primary.
100.00
100.00
95.83
95.85
100.00
84.90
92.89
97.70
97.55
88.49
92.71
85.00
94.42
......
90.72
92.15
89.33
85.42
85.67
92.30
89.69
90.31
73.27
89.43
Re-vaccination.
......
......
100.00
100.00
......
100.00
......
......
......
......
96.38
......
96.93
......
100.00
100.00
......
100.00
90.00
59.37
85.18
87.02
......
87.02
REPORT ON VACCINATION IN ASSAM.
25
STATEMENT No. III.
Abstract of Vaccination in the Province of Assam during the year 1885-86.
Class of operators.
Total for Civil Surgeons ..............................
„ Assistant-Surgeon .................................
„ Hospital-Assistants .................................
„ Compounders ..........................................
„ Native Inspectors ....................................
„ Provincial Vaccinators ...........................
„ Municipal „ .................................
„ Local Fund „ ..............................
„ Licensed „ ....................................
Total of all districts ........................
„ Tea-gardens by garden agency ...............
Total for the Province ........................
Total
number
of
operators.
11
1
30
6
8
42
9
70
32
209
......
209
Total
number of
persons
vaccinated.
1,192
188
2,275
635
1,419
41,438
4,264
44,661
19,570
115,642
6,249
121,891
Average
number of
persons
vaccinated
by each
operator.
108.36
188
75.83
105.83
177.37
986.62
473.77
666.58
611.56
553.31
......
......
Primary vaccination.
Total.
1,173
186
2,233
634
1,417
41,236
4,143
44,457
19,446
114,925
6,249
121,174
Successful.
Under 1
year.
254
37
387
40
198
6,097
950
7,605
3,384
18,952
......
18,952
1 and
under 6.
716
117
1,137
389
889
22,524
2,076
25,321
10,521
63,690
......
63,690
Total of
all ages.
1,060
164
1,890
560
1,263
37,683
3,682
39,714
17,773
103,789
4,579
108,368
Re-vaccination.
Total.
19
2
42
1
2
202
121
204
124
717
......
717
Success-
ful.
19
2
31
1
2
200
109
161
99
624
......
624
Percentage of suc-
cessful vaccination.
Primary.
90.37
88.17
84.64
88.32
89.13
91.38
88.87
89.33
91.39
90.31
73.27
89.43
Re-vaccina-
tion.
100.00
100.00
73.81
100.00
100.00
99.01
90.08
78.92
79.84
87.02
......
87.02
E
26
REPORT ON VACCINATION IN ASSAM.
STATEMENT No. IV.
Showing the number of persons primarily vaccinated and the number of those persons who were successfu
vaccinated in the Province of Assam in each season of the undermentioned years.
Establishment.
Government... ...
Dispensaries ...
Municipal ...
Local Fund ...
Licensed Vaccinators ...
Tea-gardens by garden
agency.
Army—
European... ...
Native ... ...
Total ...
Persons primarily vaccinated.
Total
number.
Number
successfully
vaccinated.
Total
number.
Number
successfully
vaccinated.
Total
number.
Number
successfully
vaccinated.
Years ended 31st March.
Average for ten years
from 1874-75 to
1883-84.
......
26,496
666
11,936
11,937
5,838
......
......
56,873
......
23,887
567
10,838
11,135
3,648
......
......
50,075
1884-85.
......
48,922
4,045
26,413
15,319
8,449
......
......
103,148
......
45,100
3,595
23,821
14,398
5,486
......
......
92,400
1885-86.
......
46,879
4,143
44,457
19,446
6,249
......
......
121,174
......
42,620
3,682
39,714
17,773
4,579
......
......
108,368
REPORT ON VACCINATION IN ASSAM.
27
APPENDIX A.
DIRECTIONS FOR PERFORMING VACCINATION.
1. People in good health only should be vaccinated, except when small-pox is prevalent.
Infants who have fever, or diarrhœa, or any skin-disease, or other illness, should not be vaccinated.
2. Four separate vaccination spots should be made in each case. The vaccination spots should
be at least one finger's breadth from each other.
3. Direct that great care be taken that the vesicles or scabs be not rubbed, or injured, for ten
days after vaccination.
4. Each case should be entered in the daily register immediately after the operation, and the
result immediately after inspection.
No results should be entered unless seen by yourself, or another vaccinator, or Hospital-Assistant.
In primary cases, only normal vaccine vesicles should be registered as successful.
In re-vaccination cases, a perfect or modified vesicle may be registered as successful; when an
unsuccessful case is re-vaccinated, it should be entered in the register as a fresh case.
5. Always have ready some dry lymph on ivory points, and some fluid lymph in thin glass
tubes, but endeavour to keep up a succession of cases, so that, if possible, you may vaccinate from
arm to arm.
Vaccination from arm to arm is the best and most certain.
6. Never use lymph that is the least stained with blood. When lymph is stored in tubes or on
ivory points, write the number and name of the child from whom it was taken on the package.
7. Never take lymph from cases of re-vaccination, or from adults, but from healthy children
without skin disease, and who have healthy relations.
Lymph should be taken on the eighth day, i.e., the day week after vaccination.
The vesicles should be full and plump, and without much redness around them.
Take care to draw no blood when taking lymph, and only use lymph that is clear and uncoloured
by blood.
From one vesicle never take more lymph than is enough to vaccinate five new cases or to charge
seven ivory points or fill three glass tubes. Never squeeze a vesicle.
8. If several cases vaccinated with the same lymph are irregular, or ripen too soon, or are too
much inflamed, stop using the lymph, and take lymph from a fresh source.
9. Keep your lancets clean and sharp, and never use them for any other purpose than vac-
cination. Always wash and dry them after each operation before using them for a fresh case.
E 2
28 REPORT ON VACCINATION IN ASSAM.
SHILLONG:
The 18th September 1884.
A. ETESON, M.D.,
Sanitary Commissioner, Assam.
APPENDIX B.
MEMORANDUM OF DUTIES REQUIRED OF THE INSPECTOR OF VACCINATION.
To be constantly visiting the areas of vaccination in turn.
To inspect the vaccination work done in each area in respect to the vesicle or scar, the health of
the children from whom the lymph is taken, the manner of storing or conveying the lymph to other
villages.
To test the accuracy or otherwise of the registers, diary, and returns of the vaccinators, noting
on the registers and village vaccination rolls the date of his inspection, number seen, how many success-
ful, &c., and to note opposite each name in the village vaccination roll the number of successful marks,
failure, &c., failure being at the same time remedied if possible.
REPORT ON VACCINATION IN ASSAM.
29
To examine the instruments, &c., in possession of the vaccinators, and report their condition by
entry in his diary.
To examine the vaccinator as to his acquaintance and compliance with the procedure laid down
in the rules for performing vaccination and to instruct him when deficient. He should, if possible, see
the vaccinator perform vaccination, so that any error may be corrected. He should encourage him to
to careful and good work.
To vaccinate as many himself as can conveniently be done, and show the vaccinator the proper
procedure.
To explain the nature of vaccination and its many advantages to the people, and encourage them
to accept it.
To keep up and submit to the Civil Surgeon a half-monthly diary. This should be carefully filled
lp and he should clearly note the number of successful vaccinations performed by each vaccinator
separately, and the number of those seen by himself. He should be provided with vaccine instruments,
registers and forms, and a supply of good lymph.
He should at once remedy any defect found in the quality of lymph or in the vaccine operation
generally. He should keep a separate list of persons in each mauza who refuse vaccination, their
village, Gosain, caste, and reason for refusing also being clearly stated, and submit it with his diary.
F
ANNUAL VACCINATION REPORT
OF THE
PROVINCE OF ASSAM
FOR THE
Season 1886-87.
BY A. ETESON, M.D.,
DEPUTY-SURGEON-GENERAL AND SANITARY COMMISSIONER,ASSAM.
SHILLONG:
PRINTED AT THE ASSAM SECRETARIAT PRESS.
1887.
ANNUAL VACCINATION REPORT
OF THE
PROVINCE OF ASSAM
FOR THE
Season 1886-87.
BY A. ETESON, M.D.,
DEPUTY-SURGEON-GENERAL AND SANITARY COMMISSIONER, ASSAM.
SHILLONG:
PRINTED AT THE ASSAM SECRETARIAT PRESS.
1887.
No. 393 S.
FROM THE DEPUTY-SURGEON-GENERAL,
EASTERN FRONTIER DISTRIC,
AND SANITARY COMMISSIONER OF ASSAM.
To THE SECRETARY TO THE CHIEF COMMISSIONER OF ASSAM.
Dated Shillong, the 18th July 1887.
Government of India, Home Department, Sanitary
No. 11-107, dated Simla, the 12th May 1879.
Circular No. 83, from the Secretary to the Chief Com-
missioner of Assam, dated Shillong, the 30th May 1879.
SIR,
IN accordance with the instructions contained in the standing orders quoted
in the margin, I have the honour to submit the
accompanying Report on Vaccination in Assam during
the season 1886-87.
I have the honour to be,
SIR,
Your most obedient Servant,
A. ETESON, M.D.,
Deputy-Surgeon-Gen eral and Sanitary Commissioner, Assam,
TABLE OF CONTENTS.
GENERAL SUMMARY.
Basis of the report and of vaccination the same as before... ...
Sources of lymph... ... ... ... ...
Quality of the lymph... ... ... ... ...
Classes of operators employed... ... ... ... ...
Results in each district compared with last season. . . ... ... ... ...
Vaccination performed by each class of operators... ... ...
„
„
by Civil Surgeons... ... ...
„
„
by Hospital-Assistants and compounders... ...
„
„
by Native Inspectors... ... ...
„
„
by Provincial, Municipal, Local Fund, and licensed
vaccinators... ... ... ...
Percentage of successful operations in each class... ... ...
Statistics of inspections... ... ...
Results... ... ... ... ...
Inspection of licensed vaccinators... ... ... ...
Vaccination on tea-gardens ... ... ...
Expenditure...
...
...
Government cost... ... ... ...
Local
Boards...
...
...
...
...
Summary... ... ... ... ...
Mortality from
small-pox...
...
...
...
Compulsory vaccination... ... ... ...
Goálpára—
Staff...
...
...
...
...
Results... ... ... ... ...
Inspections... ... ... ...
No tea-gardens nor compulsory
area...
...
...
...
Acceptance of the operation by the
people...
...
...
Prevalence of
small-pox...
...
...
...
Lymph supply... ... ...
Expenditure...
...
Kámrúp—
Superintendence and staff... ... ...
Results...
...
...
...
...
...
Lymph
source...
...
...
...
Attitude of the people... ... ... ...
Small-pox...
...
...
...
Expenditure... ... ...
Nowgong—
Superintendence and
staff...
...
...
...
Results... ... ...
Classes vaccinated... ... ...
Inspections... ... ...
Tea-gardens...
...
...
...
...
Lymph
supply...
...
...
...
...
Decrease of small-pox ... ... ... ...
Inoculation... ... ...
Expenditure... ...
Special remarks... ... ... ...
Darrang—
Superintendence and staff... ... ...
Results...
...
...
...
...
General observations... ... ... ... ...
Inspections... ... ...
Expenditure...
...
...
Sibságar—
Superintendence and staff... ... ...
Results...
...
Inspections...
...
...
...
...
General
remarks...
...
...
Small-pox...
...
...
...
...
Expenditure... ... ...
Lakhimpur—
Superintendence and staff... ... ...
Results... ... ...
North Lakhimpur... ... ...
General remarks... ... ...
Expenditure...
...
...
Page.
1
ib.
ib.
2
ib.
4
ib.
ib.
ib.
5
ib.
6
ib.
ib.
8
ib.
ib.
ib.
ib.
ib.
9
ib.
ib.
ib.
ib.
ib.
10
ib.
ib.
ib.
ib.
11
ib.
ib.
ib.
ib.
ib.
ib.
ib.
ib.
12
ib.
ib.
ib.
ib.
ib.
ib.
ib.
ib.
13
13
ib.
ib.
ib.
ib.
ib.
ib.
14
ib.
ib.
ib.
Para.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
26
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
(ii)
Nága Hills—
Summary... ... ... ... ...
Khási and Jaintia Hills—
Superintendence and staff... ... ... ... ...
Summary of
results...
...
...
...
Feeling of the people... ... ... ...
Lymph supply... ... ... ...
Expenditure... ... ...
Gáro Hills—
Superintendence and working staff... ... ... ...
Supply of lymph... ... ...
Results... ... ... ...
Attitude of the Gáros and prevalence of small-pox... ...
Expenditure...
...
...
...
...
Sylhet—
Superintendence and
staff...
...
...
Results...
...
...
...
...
Inspections...
...
...
...
...
Vaccination on tea-gardens by private agency... ... ... ...
Inoculation and small-pox... ... ...
Lymph supply... ... ...
Expenditure... ...
Compulsory
area...
...
...
Conclusion...
...
...
...
...
Cachar—
Superintendence and staff... ... ... ...
Results...
...
...
...
Inspections...
...
...
...
...
...
General
summary...
...
General protection against
small-pox...
...
...
...
Expenditure... ... ...
Conclusion...
...
...
General Remarks—
Substantial progress still being made... ... ... ...
Accompanied with decreased
expenditure...
...
...
...
...
Continued decrease of inoculation and
small-pox...
...
...
Reduced travelling
allowances...
...
...
Inspection of licensed
vaccinators...
...
...
Poor work done by municipal
vaccinators...
...
...
Vaccination under the Rev. Dr. Griffiths at
Mauphlang...
...
...
Review of last season's report by the Government of India... ... ... ...
Medical officer's services
acknowledged...
...
...
Statement No. III., showing vaccination in the Province... ... ...
„
„ IIIA., abstract of
ditto...
...
„
„ IV., showing vaccinations from 1877-78 to 1886-87
Page.
ib.
ib.
ib.
ib.
15
ib.
ib.
ib.
ib.
ib.
ib.
ib.
ib.
ib.
16
ib.
ib.
ib.
ib.
ib.
ib.
ib.
ib.
17
ib.
ib.
ib.
ib.
ib.
18
ib.
ib.
ib.
19
ib.
ib.
20 to 25
23
24
Para.
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97