( 3 )
rife in the places where they had been at work. Fortunately the district has a very energetic promoter
of vaccination in the Deputy Commissioner, Colonel Jenkins, whose prompt and vigorous action on
the occasions of these outbreaks was, in a great measure, the means of preventing their spreading and
assuming epidemic dimensions. But had it not been for the comparatively high degree of protection
by vaccination, which, for several years, has been maintained in this district, the efforts of the vaccina¬-
tors to stamp out the disease would not have been attended with such marked success.
This table shows the out-turn of work in the different tahsíls :—
Statement No. III.
Tahsíls.
Kángra ...
Núrpur ...
Hamirpur ...
Dehra ...
Kulu ...
Total ...
Total number vaccinated.
12,045
5,275
8,570
3,202
322
29,414
Ratio of successful cases
per 1,000 of population.
54.46
40.66
46.08
23.87
2.48
37.93
The ratio exhibited by
the Kángra tahsíl is, with the
exception of that of the Simla
District, the highest in the
Province, being 14.46 above the
assumed birth rate; this is to
some extent due to the large
number of adults on whom the
operation was successfully prac-
tised. The vaccinations per-
formed in Palampur, numbering
1,645,areincorporatedwith those
done in Kángra tahsíl, of which Palampur is a sub-division ; in the Kulu valley operations were limited
to a few localities where small-pox had made its appearance. The total number of operations in the
district was 29,414 ; the percentage of success in primary cases was 97.53. The mortality from small-
pox, considering the epidemic tendency of the disease throughout the Province during the year, is very
low, the number of deaths assigned to this head in 1879 having been only 244, or at the rate of 0.33 per
1,000 of population : this satisfactory result is, no doubt, due to the high state of protection by vaccin-
ation just referred to.
SIMLA DISTRICT.
Statement No. IV
Circles.
Koteghar and Kot Khai ...
Kasauli ...
Sanawar ...
Kalka ...
Barauli ...
Simla station ...
Total ...
Total number
vaccinated.
1,017
180
120
378
909
647
3,251
9. During the hot weather, operations were carried
on in the places noted in the accompanying statement. In
the Simla bázárs the usual amount of opposition was me
with ; but in the rural circles no difficulties were raised, and
an unusually large out-turn of work was accomplished. For
the reasons stated in the last Vaccination Report (para. 8)
which need not here be repeated, particular attention was
paid in this district to the vaccination and re-vaccination of
adults, many of whom were found to be very inadequately
protected from small-pox ; so that, compared with districts
situated in the plains, the proportion of successful cases to
the population is exceedingly high—73.22 per 1,000. Of a
total of 2,460 successful cases, 574 or 23.33 per cent., were re-vaccinations; while of a total of 1,886 suc-
cessful primary cases, 17.5 per cent. were chiefly adults. The total number of operations performed was
3,251, of which in primary cases 94.20 were recorded as successful. The number of deaths referred to
small-pox in 1879 was 32, or 0.95 per 1x,000 of population.
UMBALLA DISTRICT.
10. Over a considerable portion of this district a majority of the people have always displayed
an antagonistic feeling towards vaccination; and during the past season no improvement in this respect
was noticed. As a glance at Statement No. V. will show, an unusually small amount of work was this
year accomplished; but this, in. a great measure, it must be said, was also due to the excessive fever
prevalence obtaining in the months of October and November, when the vaccinators under my direct
supervision were at work in this district; as well as to the fact that, in the preceding year, an epidemic
of small-pox occurred, with a recorded mortality of 5,246 (chiefly among children), which, taking the
proportion of deaths to seizures at 37 per cent., gives about 14,178 persons who suffered from the
disease. On comparing the returns for 1870-71,1871-72, and 1874-75, when systematic vaccination
was carried,out under direct European supervision, the average ratio successfully vaccinated per 1,000
of population in the tahsíls of Kharar, Rúpar, and Narainghar, is found to be 41.4, 64.9, and 61.3
respectively while, in the year under report, the average ratio of these three tahsíls is only 18.08 per
1,000 of population.