on the first occasion and though less this year in the Jugraon and
Sumrala sub-divisions of the district, the same difficulty and pas-
sive resistance was experienced in the Loodiana sub-division.
The other two districts have not yet been visited by the Pro-
vincial Establishment.
Districts having a
small mortality from
small pox.
The districts that are remarkable for a small mortality are
Simla, only 5 deaths, and this is the largest number that has
occurred for the last four years. This I think must be attributed
to two causes, 1st vaccination is carried on every year in this dis-
trict and secondly the people are fully alive to the contagious nature
of the disease and carry out as far as is possible a species of qua-
rantine among themselves.
Dera Ghazee Khan only 27 deaths (return for May not pub-
lished) This district in previous years has had a small mortality from
small pox. Kangra has only 66 deaths in spite of inoculation being
practised in one part of this district.
Of the total deaths from small pox (26579) only 578 were in
(persons) above ten years of age.
The mortality began gradually to increase during the months
of March and April, rising to 4224, the maximum number of deaths
in May, and gradually decreasing to 381 deaths in October.
Special measures ne-
cessary to check the
spread of small pox
in the Punjab.
40. I would strongly urge the necessity of some special measures
being adopted to check the spread of small pox. If in each district
the first case (not the first death) as soon as it could be known,
were to be at once reported to the civil authorities and measures
were immediately taken to put that house in quarantine, and vacci-
nate all the unprotected in the affected house, village and neigh-
bourhood, the disease would in most instances be prevented from
spreading and much misery prevented.
Compulsory vaccina-
tion necessary for
the large Towns.
In the large towns of Lahore, Umritsur and Delhi, I think the
time has arrived for compulsory vaccination. The rules might be
framed and carried out by the Municipalities, they should be lax
at first, and the limit of age to which the children should be per-
mitted to remain unprotected should be six months, except in the
case of small pox occurring in the town. Nothing but this will
ever convince the Natives of the power of vaccination to render
small pox inocuous.
Inoculation in the
Punjab.
41. I fear inoculation is still carried on in many parts of the
Punjab. I have lately received reports of its being practised ex-
tensively in the Shahpore district, also in the Kangra and in the
Attock sub-division of the Rawul Pindee district.
Inoculation of Hei-
fers at the Hissar
Cattle Farm.
42. I regret to have to report that the Medical Officer at
Hissar has again been unsuccessful in his attempts to inoculate
the Heifers. Mr. Cooper attributes the failure to the want of proper
shelter from the cold, he is sanguine that eventually he will suc-
ceed although he has failed again this year.
Dr. Seaton says that "The production of vaccine in the cow
by small pox inoculation is a matter of very considerable difficulty,
for one case in which the inoculation succeeds, it will fail in at least
a dozen."
As it is impossible to overrate the advantages to be gained by
having an annual supply of pure lymph not only plentiful in quan-
tity but of which there can be no doubt as to its purity, I think it
desirable to continue the experiments.
I purpose also applying to Dr. Blance of the Bombay Vaccine