80
45. This Report should embrace the following points, and in the order given:—
1. The comparative numbers vaccinated in the past and previous year, with remarks on
the increase or the decrease.
2. The comparative numbers vaccinated by each Vaccinator, with explanation of any
marked difference.
3. Observations with regard to the Sex, Age, and Result of those vaccinated, and per-
centage of success.
4. Remarks upon the condition of the Lymph and Vesicles.
5. The prevalence of Small-pox; and whether inoculation or other obstruction to the
spread of Vaccination exist; their nature, and the means recommended for their
removal.
6. Suggestions for the more effectual spread of Vaccination.
7. Resumé of the monthly tours of the Superintendent, and of the special subjects which
have engaged his attention.
46. (As it stands.)
47. Half-yearly Returns of Establishment, according to the accompanying Form, are to be
forwarded in duplicate by Superintendents and Civil Surgeons to Superintending Surgeons,
one copy of which is intended for the Medical Board.
48. Superintending Surgeons will frame, from the Annual Returns of Superintendents of
Vaccination and Civil Surgeons, according to Forms V 4, V 5, and V 6, a General Return of
Vaccination in their Divisions, agreeably to those forms, and make a report on the state and
progress of Vaccination within their circle.
49. The Medical Board will, from the Annual Returns and Reports furnished them by
Superintending Surgeons, Superintendents of Vaccination, and Civil Surgeons, frame a General
Report for the whole Presidency, to be submitted to Government and the Honorable Court
of Directors.
50. Indents are to be preferred by Superintendents and Civil Surgeons on the Secretary to
the Medical Board, countersigned by Superintending Surgeons, for supplies of Forms V 1,
V 2, V 3, V 4, and V 5, (the two former being lithographed, and the others printed,) and no
alteration is to be made in the Forms without the sanction of the Medical Board.
51. The Medical Stores at the Presidency is the only Depôt for the Forms, and from thence
they will be issued to indenting Officers.
52. A small indent for Medicines and requisites for Vaccinators is to be preferred on the
Medical Depôts annually, on 15th August, according to Form No. 9, page 211, Medical Code.
N. B.—With reference to Section VIII., Appendix Forms No, I. and No. II. alluded to
in Arts. 11 and 12, will not in future be kept lithographed, but must be written. Appendix
Forms No. III. and No. VI. are cancelled, and V 2 (as being referred to in Arts. 22 and 25)
substituted. Art. 23 and Appendix Form No. IV. are cancelled.
New Forms of Returns.
46. These Returns as now prepared and forwarded are much more
simple than those previously in use, and are
found to embrace nearly every important parti-
cular. The objection stated at page 45 ante, by Dr. Morehead, Acting
Superintending Surgeon Poona, that "the total number vaccinated" (in-
cluding therein entries made of doubtful and unsuccessful cases, which
are re-vaccinated) " expresses an excess over the total individuals i. e.
members of community vaccinated" is undoubtedly correct; but it did
not appear to the late Medical Board of very great importance to dis-
tinguish between those who were vaccinated for the first, and those who