xviii
GENERAL REPORT.
Hooghly, Howrah.
Serampore.
24-Pergunnahs, Nud-
dea.
Jessore
Moorshedabad
Dinagepore, Maldah
Rajshahye,
Rung-
pore
Bograh
Orissa.
Dacca
Fureedpore
Backorgunge
Mymensingh
Assam.
Kamroop
Nowgong.
Patna and Banki-
pore.
Gya
Arrah.
Tirhoot.
Chuprah
Chumparun
Monghyr.
Bhaugulpore
Sonthal Pergunnahs.
Purneah.
Darjeeling.
Julprgoree.
Chota Nagpore.
to be feared that if vaccination is not pushed in Midnapore, the people will be
left without protection. The work done in the towns of Hooghly, Howrah and
Serampore, was considerable, carefully supervised, and of good quality. Several
municipalities in the 24-Pergunnahs and Nuddea were supplied with vaccination
by the superintendent of the Metropolitan circles. The people will appreciate
better the vaccination which is locally paid for. The work was good and super-
vised by the local medical subordinates and by members of the vaccine estab-
lishment. Jessore is still very backward, though Dr. Bowser succeeded in
getting more men employed and more work done. Moorshedabad shows
better results than last year. Dr. Coates and his assistants exercised careful
supervision over the vaccinators. There is room for improvement in the
amount of work done in the town of Moorshedabad. The work done in
Dinagepore and Maldah was very trifling. Considerable improvement is mani-
fest in Rajshahye. No dispensary vaccination was performed in Rungpore.
A very fair amount of vaccination was performed in Bograh and Serajgunge.
The Orissa districts show very paltry results. Vaccination was carried on within
the limits of the town of Dacca under Dr. Wise's supervision. The amount
was much larger, and the ratio of success was above the average. Dr. Bose
has succeeded in getting some good work done at Fureedpore. Vaccination in
Backergunge is confined to the sudder station, and was rather less in amount
than in 1871-72. In Mymensingh, on the other hand, the amount of work was
doubled, and a good many vaccinations were performed in connection with the
dispensaries in the interior. Vaccination is still very backward in the remain-
ing districts of Eastern Bengal and in the Assam Districts. Fewer converted
inoculators were employed in Kamroop in order that they might be more
effectually supervised, but the results of inspection do not appear to have been
satisfactory. Mr. Hughes, Civil Medical Officer of Nowgong, only inspected the
work of his vaccinator once, and he was then unable to find a single vacci-
nated person. Turning to Behar the results are more hopeful. The number
of vaccinations in Patna and Bankipore have been much more numerous and
fairly successful. The results for Patna itself are very satisfactory, and Dr.
Simpson states that the work is regularly inspected and verified. Dr. R. McLeod
deserves credit for the progress he has made in Gya, a most difficult and bigoted
country. Dr. Thornton in Arrah has also been assiduous, and vaccination is
making some progress in the district. In Tirhoot vaccination has formed
several centres in the district, and the numbers vaccinated are increasing
except at Durbungah where there is a great falling off. Fewer vaccinations
have been performed in and around Chuprah, but a new centre has been
formed at Sewan. Dr. Cullen has been very successful in inducing inoculators
to vaccinate in Chumparun, and deserves much credit for having realized and
performed the duty of inspecting and verifying their work so assiduously. The
number of converted inoculators employed in vaccination in Monghyr exceeds
that in any other district. More systematic inspection is very much wanted,
but Dr. Purves saw enough to convince him that the work was fairly good. In
Bhagulpore and the Sonthal Pergunnahs also a large number of inoculators has
been induced to change their practice, but in both districts supervision is desir-
able. Vaccination is very backward in Purneah. In Darjeeling, municipal
vaccination obtained Dr. Duka's attention. A few vaccinations were performed
by the dispensary establishment at Julpigoree. Vaccination in the Chota Nag-
pore Division has already been dwelt on. The amount of inspection accom-
plished by Messrs. Manook and Wilson in Singbhoom and Maunbhoom contrasts
with the total abesnee of it in Hazareebaugh and Lohardugga.
Inspection
62. The duty of inspecting and verifying work has, on the whole, been
better performed during the past season than in previous years. The excel-
lent practice of fixing certain days of the week for this work has been
adopted by many Civil Surgeons who often take the duty in turn with the
Sub-Assistant Surgeon. The practice of seeing cases at the dispensary only
is not satisfactory. The vaccinator naturally brings his best cases. Verifying
vaccination on the spot by comparing the vaccinated with the register is the