4
the protection of the coolies on gardens against small-pox. The Gáro Hills show only
a small increase (74) over the figures of the previous year, but there has been a general
steady, though slight, increase of vaccination in those hills in the last five years. North
Lushai appears for the first time in this table with 246 vaccinations, which is a fair
beginning, considering the difficulties which had to be contended with. Although the
Nága Hills show a large decrease (7,165) in vaccinations as compared with the results
of the previous year, it must be remembered that the exceptionally high figures in
that year were altogether due to a very extensive outbreak of small-pox (connected
with that at Manipur), which caused the Nágas to flock in crowds to the district dispen-
saries and vaccination centres for protection against this disease. The other districts
which show decreases, as compared with the previous year, are Goálpára, Sibságar,
Lakhimpur, and Khási and Jaintia Hills, the districts with the greatest decreases being
given first in order. It is hoped that in the current year better results may be shown in
the last three districts, although I may say, at least for Goálpára, that the decrease there
is most unusual, and could not have been due to any want of activity or supervision on
the part of the Civil Surgeon, but may have been partly due to the large increase (4,117) in
the year 1891-92 over the corresponding figures of 1890 91. An Inspector of Vaccination
was appointed to the Khási and Jaintia Hills before the beginning of the past vaccination
season, in the hope that vaccination would be through this means much increased in that
district, but, instead of an increase, there has been a decrease of 644 vaccinations from
the number vaccinated in the previous year, which is unsatisfactory and arises from the
reasons given at the end of paragraph 8 above.
Remarks on Annual Statement
No. V.
10. The annual statement No. V appended to this report has been prepared in accord-
ance with Government of India, Home Department
No. 6—200-Sanitary, dated Simla, the 29th August 1892.
It shows the total number of persons vaccinated, the number of operations verified by
the inspecting officers, the percentage of inspections to total number vaccinated, the
percentage of cases found successful to total number inspected, and also the percentage
of success reported by vaccinators. Out of a total of 214,402 vaccinations performed
during the year 1892-93 by the vaccination staff, and also by the dispensary agency, 123,144
were inspected by the Civil Surgeons and Superintendents of Vaccination, or 57.43 per
cent. of the total vaccinated, of which number 18,074 operations were inspected by the Civil
Surgeons and 105,070 by the Native Superintendents of Vaccination, against 12,432
operations inspected by the Civil Surgeons and 88,765 by the Native Superintendents,
&c., in the preceding year, North Lushai, Goálpára, Sibságar, and the Gáro Hills, in
the order given, give the highest percentages of inspections by the Civil Surgeons to the
total number vaccinated, and Manipur, Sylhet, Khási and Jaintia Hills, Kámrúp.
Lakhimpur, Nowgong, Cachar, and Darrang, in the order noted, give the lowest corre-
sponding percentages. Manipur gives by far the correspondingly highest percentage of
91.82 inspections by Native Superintendents, Lakhimpur, Darrang, and North Lushai
coming next in order, although not by any means so numerous. The Khási and
Jaintia Hills, Kámrúp, and the Nága Hills give the lowest percentages. Of the total
number inspected by Civil Surgeons, Sibságar, North Lushai, Cachar, Lakhimpur, and
Goálpára, give the highest percentages of success, and Manipur gives the lowest corre-
sponding percentage of success, which latter is not satisfactory, as it is extremely low and
is in remarkable contrast to the percentage as reported by the Native Superintendents
and to that reported by the vaccinators. In the corresponding inspections by
Native Superintendents, Manipur, Lakhimpur, Kámrúp, Nowgong, Darrang, and Cachar
give the highest figures. In the similar percentages as reported by vaccinators,
Kámrúp, Sylhet, Manipur, Cachar, and Nowgong show the highest figures, and the Nága
Hills, North Lushai, and Darrang the lowest. As inspections by Civil "Surgeons form
the basis of the only reliable test of the success of vaccinations, Sibságar, North Lushai,
Cachar, Lakhimpur, and Goálpára give, in the above order, the best and most satisfac-
tory results in this respect, and it may be remarked that, generally speaking, the results
of the corresponding inspections by Native Superintendents approach too closely to
those as reported by the vaccinators to be perfectly reliable. The percentage of success as
ascertained by Civil Surgeons inspections exceeded the average of the previous year. The
very large number vaccinated in Kámrúp in the past year, vastly exceeding that of the
previous year, will explain the small proportion and number inspected by the Civil
Surgeon and the consequent low percentages given as having been found successful by
that officer.
Commendation of officers on ac-
count of the large number of their
personal inspections of vaccinations.
11. Dr. Macleod, Civil Medical Officer of the Sibságar district, deserves credit for
having inspected a larger number (4,765) of vaccinations than
any other medical officer in the province, the Civil Surgeon of
Goálpára, Surgeon-Major E. Dobson, coming next with 4,628
inspections to his credit. Although the percentage of inspections by the Civil Surgeons