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registers appeared to be correctly kept. A month's delay in commencing operations was caused by the
failure of the vaccinators to produce the vaccine disease with the lymph supplied at the end of the hot
season. Much credit is given to Assistant Surgeon Brij Lal Ghose, for the zeal, ability, and tact
exhibited by him in conducting operations. The number of deaths referred to small-pox in 1879 was
390, being in the ratio of 4.24 per 1,000. In the town of Kasúr 341 operations were performed by a
vaccinator paid from Municipal Funds.
(f). Ferozepore Town.—Hitherto vaccination has been somewhat neglected in this town, but,
during the past season, considerable attention was devoted to the subject; and the method of vaccinating
fresh from the arm having been adhered to, a great improvement in the quality of the work was effected.
The members of the Municipal Committee were induced to exert themselves in the cause, and did much
good by going round with the vaccinators when at work. The total number of vaccinations performed
by 2 vaccinators paid from Provincial Funds was 1,005, as against 1,138 in the previous year; the
decrease is explained by operations having been confined to the town and to cantonments, the vaccination
of the adjacent villages having been accomplished by the vaccinators of the Provincial Establishment.
In primary vaccinations the percentage of success rose from 87.08 in 1878-79 to 90.14 in present year.
In 1879 small-pox is reported to have caused 55 deaths, or at the rate of 3.63 per 1,000.
(g). Mooltan District.—Two permanent vaccinators, paid from Municipal Funds, were employed
in this town, performing a total of 1,510 vaccinations; in primary vaccinations the percentage of success
fell from 98.67 in 1878-79 to 94.56 in this year; the ratio successfully vaccinated per 1,000 of population
being 28.06. The members of the Municipal Committee are reported to have taken much interest in
the work, and to have afforded the vaccinators every assistance. The number of deaths assigned to
small-pox in 1879 was only 25. In the town of Kahror 135 vaccinations were performed by a temporary
vaccinator.
(h). Jhang District.—The establishment employed here, in the first half of the season, consisted of
3 permanent and 6 temporary vaccinators. Assistant Surgeon Chetan Shah, on assuming medical
charge of the district in December, reported vaccination matters to be in a very unsatisfactory state, the
work in the town of Jhang being of a very imperfect, useless, description. The temporary men were
found to be so utterly incompetent that they could scarcely be considered vaccinators in the proper
sense of the term, and it was deemed advisable to dismiss them. A marked improvement in the quality
of the work was speedily effected by introducing arm-to-arm vaccination, and by conducting operations
on a more systematic plan than had heretofore obtained. Operations were also performed, although
on a small scale and in a somewhat desultory fashion, by six Hospital Assistants at their respective
Dispensaries. The total number vaccinated in the district was 1,774, of which, in primary cases, 8483
per cent. are recorded to have been successful.
(i). Montgomery District.—The establishment consisted of 3 vaccinators of the Provincial
Establishment, who were paid from Local Funds, and the 2 permanent Dispensary vaccinators:
one of the former, acting as Native Superintendent, conducted the operations, and submitted
the returns. This arrangement, made at the suggestion of Mr. Crossley, the Civil Surgeon, is
reported by him as having worked well, and as having been the means of bringing about a marked
improvement in the system of vaccinating, as compared with the effete, worthless method for-
merly practised. The total number of persons vaccinated was 2,565, of which, in primary cases, 95.10
per cent. are returned as successful, as compared with 62.30, the ratio of the previous year; while of
158 operations performed by four Hospital Assistants, the ratio of success in primary cases was but
72.15 per cent., a difference of 22.95. The explanation of this remarkable difference is that the local
vaccinators worked with lymph fresh from the vesicle, while the Hospital Assistants used crusts.
(j). Shahpur District.—Two vaccinators, paid from Provincial Funds, and one temporary hand,
paid from Local Funds, were employed, performing a total of 1,631 operations. In primary vaccinations
the ratio of success recorded by the vaccinators in permanent employ is 98.42 per cent.; but, the fact
that in 484 operations performed in a comparatively outlying part of the district by the temporary,
and, it is to be presumed, unskilled vaccinator, not a single failure is returned, raises grave doubts as
to the genuineness of the returns.
(k). Sirsa District.—Four vaccinators, paid from Provincial Funds, were employed. The total
number vaccinated rose from 2,176 in 1878-79 to 5,066 in the year under report; the ratio of success in
primary cases is reported to be 99.18. Of 1,922 primary vaccinations said to have been performed by the
two men attached to the Fázilka Dispensary, not a single case, according to the returns, escaped inspec-
tion, and all were successful. The Civil Surgeon in his report admits these returns to be false, and
recommends that the vaccinators be dismissed. Again, of the 3,138 operations performed by the
vaccinators who worked in the Sirsa and Dabwáli tahsíls, only 41 failures in primary cases are recorded.
No failures occurred in re-vaccinations, and none escaped inspection.
(l). Hoshiárpur District.—Two Hakíms and three Hospital Assistants were employed in
vaccination work, performing altogether 836 operations, of which 61.14 per cent. are recorded successful;
if, however, the unknown cases be excluded from the calculation, the ratio rises to 93.83 per cent. In the
returns submitted by the Hospital Assistant at Anandpur, it is shown that of 305 vaccinations, the
results in 47 had alone been ascertained, all of which were found to be successful; but, if the report of the
Native Superintendent of the Provincial Establishment, who was at work in that part of the district, is