72
ABSTRACTS OF REPORTS OF CIVIL SURGEONS.
The hill people submit readily to vaccination. No inoculation is practised,
and small-pox did not break out during the year.
Julpigoree.
Julpigoree.—Operations in this district are deseribed in the report of the
Superintendent, Darjeeling vaccine circle.
CHOTA NAGPORE.
SOUTH-WEST FRONTIER
AGENCY..
Hazareebaugh.
Hazareebaugh.—This district is in the Ranchee circle of vaccination, and
included in Dr. Wood's report. Dr. Delpratt, the Civil Surgeon, and his hospital
assistant, vaccinated 83 cases in and around the station. All the dispensary
subordinates are taught vaccination.
Ranchee.
Four inoculators
taught.
Ranchee.—Is in the vaccine circle of the same name. The Civil Surgeon
vaccinates those who apply for it. Thus, 34 operations were performed at the
Sudder Station, and 26 by the Sub-Assistant Surgeon of Palamow. The people
are indifferent about vaccination. Dr. Hoskins reports that four inoculators were
taught vaccination by the Sub-Assistant Surgeon of Palamow. They reported
having vaccinated 340 persons during the season, and 300 successfully. Inocula-
tion has been prohibited in this district, and is not practised. The missionaries
assist materially in recommending vaccination to the people. The following
particulars regarding protection are given.
Vaccine census.
Class of persons
examined.
Newly admitted pri¬
soners and estab-
lishment ... ...
Number
examined.
636
Inocu-
lated.
235
Per cent.
of total
examined.
36.94
Vaccin-
ated.
45
Per cent.
of total
examined.
7.07
Had
small-
pox.
14
Per cent.
of total
examined.
22
Unpro-
tected.
342
Per cent.
of total
examined.
53.77
Singbhoom.
Singbhoom.—Mr. S. J. Manook, the Civil Medical Officer, has furnished the
following report of vaccine proceedings in this district:—
The report on vaccination in this district must be a report on vaccination as practised
by inoculators who have been registered and are supplied with lymph in order to substitute
vaccination for inoculation. There are no public vaccinators entertained for the district, and
I am not aware of any having been sent to this district by the Superintendent of the
Ranchee circle, under whose superintendence this district is included.
Work done by
trained inocula-
tors.
By a reference to the register of these inoculators kept in the Deputy Commissioner's
office, I find the total number registered to be 36. Twenty six of them were supplied with
lymph during the season, and the result of their work, as submitted by them, is as follows:—
Total vaccinated.
9,326
Sucessful.
9,055
Unsuccessful.
261
Unknown.
10
Percentage of successful
cases.
97.19
Supervision neces-
sary.
This would be a very good result if their work had been properly tested and supervised, for
I find the percentage of successful cases in the vaccination performed by me and the hospital
assistants at Chyebassa to be only 70.0,—a result I can only ascribe to the lymph. In 48
cases of primary vaccination in my hands, after repeated trials with crusts only 12 cases were
successful, but in 10 cases vaccinated with fluid lymph in tubes, all 10 were successful.
These inoculators cannot be induced to make use of this lymph in tubes, and they will only
vaccinate with crusts, and this was also the reason of some delay in supplying these men with
lymph. At the beginning of the season I received a sufficient supply of tubes from Calcutta,
but no crusts were received till January, so that half the working season was lost for
want of a sufficient quantity of crusts.
Inoculators per-
mitted their old
areas of practice.
It had been the practice of these inoculators to work at certain selected spots or beats,
and to these beats they returned annually to carry on inoculation. In attempting to substi-
tute vaccination, these men have been allowed to retain their old areas of inoculation, and they
have not been interfered with in this respect. The people have also come to know their old
inoculators, and always take the choice of those who have practised among them before. The
want of any establishment also precludes the possibility of any other plan being substituted
to define the area of operation. The mode, however, followed by the inoculators is the best
for the present, for the area over which each works is generally thoroughly vaccinated, and,