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In September a few cases of small-pox occurred in the lower part of Kulú and Sooltan-
poor, a Native Superintendent and a Vaccinator were sent out with fresh lymph, and directed
to vaccinate all unprotected either by small-pox or vaccination; I am happy to say it did not
spread or extend up the valley, and as far as I could ascertain, was confined to one or two
villages, and the great majority of cases occurred in middle aged persons, which, I think is
proof, that a large number of children must have been well protected by the vaccine disease.
23. Vaccine lymph supplied.—I sent several supplies of lymph to Dr. Cayley at
Lé ; to the Missionaries at Kylung (in Lahoul); to the Medical officer of the Kangra Fort ; to the
Sub-Assistant Surgeon of Mundí, who was going to do his best to vaccinate the people in the
City ; and to Dr. White in medical charge of the Depôt at Dhurmsala, in whose hands it was
quite successful.
24. Recommenced work at Goordaspoor.—In October, as soon as the rains cleared off, I
marched down to Goordaspoor, and commenced operations in this Tehseel on 1st November, and
finished in the first week of December ; there remained to be finished in this Tehseel 11 zails,
(5 having been done in March).
25. Establishment.—The staff under my superintendence consisted of 5 Native
Superintendents and 15 Vaccinators. The two Dispensary or District Vaccinators were
working under me also.
26. Number vaccinated.—The total number of vaccine operations performed in this
Tehseel, since 1st November, is 6,353, of which 6,150 were successful, being at the ratio of 96.80
per cent. The proportion of females to males is 2,979 of the former, to 3,374 of the latter.
27. Difficulty owing to want of zeal of Tehseeldar.—I had very great difficulty in
vaccinating in this Tehseel, and this I must attribute in a great measure to the apathy and
want of zeal of Tehseeldar Muhummad Ukram. The Zaildars of course followed his example,
and with a few exceptions gave me little or no assistance.
28. I was informed that the Tehseeldar's own child, aged about two months, was
unprotected, and which he refused to have vaccinated ; this, which I believe to be true, was
sufficient reason for his avoiding me on all occasions where his assistance would have been of
service, and shewed that he himself did not believe in the great blessing of vaccination.
29. Important towns.—The principal towns in this Tehseel are Deenanuggur, said to
have 1,100 houses ; after a very great deal of trouble I was only able to vaccinate 130 children.
The next Kanowan, said to have 500 houses, vaccinated 125 children; and Dareewalla 400
houses, vaccinated 66 children.
30. Average vaccinations to number of houses.—Out of 83 villages (not selected)
aggregating 3,908 houses, 1,313 children were vaccinated, which gives an average of one
vaccination to every 2.97 houses.
31. Sickness hindering work. —There was a very great deal of sickness in every part of
this Tehseel during November, principally fever, and wherever I went I heard of deaths, which
was against success. At Deenanuggur I was struck with the great number of children marked
with small-pox, very many being most painfully disfigured, but in other parts of this Tehseel
it did not seem so bad.
32. Commenced work at Butálá Tehseel.—Having completed the work in the Goordas-
poor Tehseel, I proceeded to Bulálá, where I arrived on the 5th December.
33. This Tehseel is divided into 14 zails, and it took six weeks to vaccinate in all the
towns and villages contained in this area.
31. Difficulty in getting the people to be vaccinated.—In this Tehseel I had as much
trouble, if not more so, than in the last, and I must attribute it to the same cause; for I can see
no reason why the work should not be as successful in this district, as it was in others where the
Tehseeldars took an interest in the work.
If only the Tehseeldars can be made to realize the great blessing to be gained by
protecting the large number of children in every village and town waiting unconsciously for
their doom on the arrival of the next epidemic of small-pox, a great part of the difficulty would
then be over.
35. Municipal Committee gave no assistance.—I had great difficulty in vaccinating in the
city of Butala. I met the Municipal Committee twice together, with one or two native gentle-