THE METROPOLITAN CIRCLES.
15
meet and overcome them; if we yielded and left a district because there was
opposition or other hinderance, it would be years before any progress could be
made there.
Inspection.
10. Tours of the Superintendent.—The result of my own inspections I show
in a tabular form as in previous years. My inspections are conducted on the
same plan as last year, which plan has been twice favorably commented on
by the Inspector-General of Hospitals.
Result.
Seen after the 16th day
...
...
„ from 13th to 16th day ...
„ from 9th to 12th day ...
„ from 5th to 8th day ...
„ from 1st to 4th day* ...
Total
...
...
VACCINATED IN FOUR POINTS,
OF WHICH THERE WERE
SUCCESSFUL.
4
10,498
1,184
2,673
2,029
1,081
17,465
3
111
15
26
72
...
224
2
21
3
8
50
...
82
1
14
1
3
34
...
52
Failed.
15
9
19
37
...
80
VACCINATED
IN 2 POINTS,
OF WHICH
THESE WERE
SUCCESSFUL.
2
146
8
37
36
10
237
1
2
...
3
1
...
6
Failed.
1
...
...
2
...
3
Doubtful
17
2
10
33
...
62
Compared with registers.
10,825
1,222
2,779
2,294
1,091
18,211
Total.
10,825
1,222
2,779
2,294
1,091
18,211
Absent.
1,482
95
155
142
83
1,957
Grand Total.
12,307
1,317
2,934
2,436
1,174
20,168
* Seen too early to decide on the result.
Excluding the 1,091 cases seen from the first to the fourth day, we have—
number vaccinated, 17,120; number of points, 68,008; cases successful, 16,975;
points successful, 66,884; percentage of successful cases, 99.15; percentage of
successful points, 98.35. The percentage of success in cases seen by me is
99.15, that in the general return hereunto appended 99.55—a very slight differ-
ence, although greater than in the previous years.
Small-pox.
11. Reports of Small-pox.—Twenty-eight reports of the outbreak of
small-pox were received between the 1st April 1871 and the 31st of March 1872 ;
in twenty-seven the disease was found to be small-pox and in one chicken-pox.
Mortality.
Proceeding adopt-
ed.
Previous protec-
tion.
In the twenty-seven outbreaks of small-pox, 45 villages were affected and
459 persons were ascertained to have been attacked; of these 106 died, 223
recovered, and in 30 the result was not ascertained. In 24 villages vaccinations
were performed around the infected persons, and the spread of the disease was
arrested; in 8 vaccination was not required, the villages being already pro-
tected by vaccination or inoculation; and in 13 the people refused to take it.
7 of the villages were previously protected wholly or in part by vaccination,
34 by inoculation, and 4 were unprotected. Of the persons attacked, 11 were
previously vaccinated, of whom 1 died ;* 127 inoculated, of whom 28 died;
1 was protected by a prior attack of small-pox and recovered; and 320 were
unprotected, of whom 77 died.
Causes of outbreak
In 34 of the 45 villages the disease was traced to the practice of inoculation,
in 7 to contact with small-pox, and in 4 the origin could not be ascertained.
Illustration
of
beneficial result
of
vaccinating
during an out-
break of small-
pox.
In the villages of Mahatah, in Sahibgunge thannah, and Moorgram, in
Keogong thannah, I came across cases of small-pox. I first visited Mahatah on
the 4th December, and saw 7 cases of small-pox. The Mussulmans agreed to
take vaccination, but subsequently refused ; the Hindoos steadily refused, until
much later in the season. Here resided an orthodox Hindoo, the head man of
* These persons were not vaccinated by vaccinators of this department, and in five of the cases which were
specially inspected the vaccinations appeared to have been faulty.