NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
vii
No. 3.
NATIVE CHIEFS' AGENCY.
to the Divisions of Vaccination, and showing Details, as in Tables Nos. 1 and 2,
Year 1860.
Total Number Vaccinated, arranged according to—
Sex.
Males.
5,037
8,735
2,797
288
2,413
7,205
58
65
26,598
Females.
4,314
8,557
2,799
302
2,172
6,029
46
76
24,295
Caste.
Hindoos.
8,401
14,715
4,886
588
4,434
10,971
80
101
44,176
Mussulmans.
541
1,139
470
2
92
2,254
22
32
4,552
Christians.
11
..
4
..
57
..
1
..
73
Parsees.
..
..
2
..
1
..
2
..
5
Other Castes.
398
1,438
234
....
1
9
....
7
2,087
Age.
Under one
Year.
2,641
7,578
1,650
143
799
5,505
18
34
18,368
Above one
Year.
6,710
9,714
3,946
447
3,786
7,729
86
107
32,525
Result.
Successful.
8,654
14,753
4,535
453
3,837
11,897
98
107
44,334
Unsuccessful
415
1,525
439
56
347
809
2
19
3,612
Doubtful.
282
1,014
622
81
401
528
4
15
2,947
Ratio per Cent. of Suc-
cessful to Number
Vaccinated.
92.5
85.3
81.0
76.7
83.6
89.8
94.2
75.8
87.1
Number of persons
Vaccinated by each
Vaccinator.
1,017
1,729
466
590
4,585
696
26
141
783
viii
TABLE
GENERAL ABSTRACT OF VACCINATION
DESIGNATION OF TABLES.
No. 1, Vaccination under Superintendents ..........
No. 2, Ditto under Civil Surgeons, &c. ........
No. 3, Ditto by the Native Chiefs' Agency ......
Tota1..
Total Number Vaccinated.
195,132
28,408
50,893
274,433
Compared with last Year.
1859.
177,041
27,551
47,268
252,760
Increase.
17,191
857
3,625
21,673
Decrease
....
....
....
....
Sex.
Males.
105,719
16,142
26,598
148,459
Females.
89,413
12,266
24,295
125,974
ix
No. 4
FOR THE YEAR 1860.
Total Number Vaccinated, arranged according to—
Caste.
Hindoos.
129,358
19,460
44,176
192,994
Mussulmans.
57,729
7,297
4,552
69,578
Christians.
789
316
73
1,178
Parsees.
324
128
5
457
Other Castes.
6,932
1,207
2,087
10,226
Age.
Under one
Year.
58,273
12,303
18,388
88,944
Above one Year.
136,859
16,105
32,525
185,489
Result.
Successful.
182,933
24,170
44,334
251,437
Unsuccessful.
7,162
2,223
3,612
12,997
Doubtful.
5,037
2,015
2,947
9,999
Ratio per Cent. of Successful to
Number Vaccinated.
93.7
85.1
87.1
91.6
x
TABLE
SMALL-
Table showing the Admissions and Deaths from Small-pox amongst European and Native Troops,
with the Percentage of Deaths to Strength
DIVISIONS.
PRESIDENCY DIVISION ....
POONA
„
....
NORTHERN
„
....
SOUTHERN MAHRATTA CIR¬
CLE ....................
SIND DIVISION ............
MALWA „ ............
ADEN „ ............
TOTAL..
EUROPEAN TROOPS.
Strength.
1,037
4,490
1,886
1,669
2,627
4,229
454
16,392
Remained.
..
1
..
..
1
3
..
5
Admitted.
4
20
..
..
..
13
..
37
Total.
4
21
..
..
1
16
..
42
Discharged.
4
20
..
..
1
13
..
38
Died.
..
1
..
..
..
3
..
4
Remaining
..
..
..
..
..
..
..
..
Percentage
of
Deaths to
Strength.
..
0.02
..
..
..
0.07
..
0.02
Treated.
..
4.7
..
..
..
18.7
..
9.5
NATIVE TROOPS.
Strength.
4,667
9,419
5,980
5,116
5,852
5,390
1,218
37,642
Remained.
..
1
2
..
..
1
..
4
Admitted.
2
24
12
..
2
11
..
51
Total.
2
25
14
..
2
12
..
55
Discharged.
1
24
8
..
1
11
..
45
Died
..
1
..
..
..
1
..
2
Remaining.
1
..
6
..
1
..
..
8
Percentage
of
Deaths to
Strength.
..
0.01
..
..
..
0.02
..
0.005
Treated.
..
4.0
..
..
..
8.3
..
3.6
PRISONERS IN
Strength.
1,006
1,503
840
788
1,720
..
172
6,029
Remained.
..
..
..
..
..
..
..
..
Admitted.
..
..
..
..
1
..
..
1
Total.
..
..
..
..
1
..
..
1
Discharged.
..
..
..
..
1
..
..
1
Died
..
..
..
..
..
..
..
..
Remaining.
..
..
..
..
..
..
..
..
xi
No. 5
Pox.
Prisoners in Jails, Civil Hospitals, and Dispensaries, in each Division of the Bombay Presidency,
and to Treated, for the year 1860.
JAILS.
Percentage
of
Deaths to
Strength.
....
....
....
....
....
....
....
....
Treated.
....
....
....
....
....
....
....
....
CIVIL HOSPITALS.
Strength.
Unknown and variable.
Remained.
..
..
..
..
..
..
2
2
Admitted.
16
2
1
1
2
..
31
53
Total.
16
2
1
1
2
..
33
55
Discharged.
8
1
1
1
2
..
17
30
Died.
4
1
..
..
..
..
10
15
Remaining.
4
..
..
..
..
..
6
10
Percentage
of
Deaths to
Strength.
..
..
..
..
..
..
..
..
Treated.
25.0
50.0
..
..
..
..
..
30.3
DISPENSARIES.
Strength.
Unknown and variable.
Remained.
..
..
..
..
..
..
..
..
Admitted.
4
..
..
..
2
..
..
6
Total.
4
..
..
..
2
..
..
6
Discharged.
4
..
..
..
2
..
..
6
Died.
..
..
..
..
..
..
..
..
Remaining.
..
..
..
..
..
..
..
..
Percentage
of
Deaths to
Strength.
..
..
..
..
..
..
..
..
Treated.
..
..
..
..
..
..
..
..
F
xii
TABLE OF AGES.
Vaccination in 1860, arranged according to Ages, whether performed under or above
One Year of Age.
ESTABLISHMENTS, &c.
I. Sperientendents ................
II. Civil Surgeons and others ........
III. Native Chiefs' Agency ..........
Total..
I.—Superintendents.
Presidency Division ..........
Concan „ ..........
Northern Deccan „ .........
Southern „ „ ..........
Western Guzerat „ ..........
Eastern „ „ ..........
Sind „ ..........
Kattywar „ ..........
II.—Civil Surgeons and others.
Tanna ........................
Alibaugh ......................
Bandora ..................
Coorla ................
Poona ..................
Ahmednuggur ................
Sattara ....................
Sholapore ......................
Dhoolia ........................
Nassick ........................
Mahableshwar ................
Ahmedabad ....................
Kaira ........................
Rajcote ........................
Surat ....................
Broach ....................
Belgaum ....................
Dharwar ....................
Kolapore .....................
Rutnagherry ................
Vingorla ....................
Kurrachee ....................
Hydrabad ....................
Shikarpore ....................
Sind Jail, Civil, Police, and Dispen¬
sary Hospital ................
Aden ........................
Bushire ..................
III.—Native Chiefs' Agency.
Kolapore, &c.................
Mahee Kanta ................
Rewa kanta ................
Peint (Nassick) ................
Sawunt Warree ................
Rajcot ....................
Bhooj ......................
Hooblee ..................
AGE.
Under one
Year.
58,273
12,303
18,368
88,944
3,502
6,683
2,457
4,446
15,782
7,421
15,937
2,445
93
82
20
1
547
424
914
692
684
991
14
1,961
49
550
718
1,027
213
263
588
66
5
683
952
133
336
85
212
2,641
7,578
1,650
143
799
5,505
18
34
Above one
Year.
136,859
16,105
32,525
185,489
4,525
39,090
19,243
9,167
6,238
13,153
43,631
1,812
128
200
40
21
1,342
508
889
765
215
806
70
686
61
416
664
877
236
789
2,429
478
14
417
625
1,290
727
1,065
347
6,710
9,714
3,946
447
3,786
7,729
86
107
DIFFERRENCE.
Under.
....
....
....
....
....
....
....
....
9,544
....
....
633
....
....
....
....
....
....
25
....
469
185
....
1,275
....
134
54
150
....
....
....
....
....
266
327
....
....
....
....
....
....
....
....
....
....
....
....
Above.
78,586
3,802
14,157
96,545
1,023
32,407
16,786
5,121
....
5,732
27,694
....
35
118
20
20
795
84
....
63
....
....
56
....
12
....
....
....
23
526
1,841
412
9
....
....
1,157
391
980
135
4,069
2,136
2,296
304
2,987
2,224
68
73
TOTAL VAC-
-------.
195,132
28,408
50,893
274,433
8,027
45,773
21,700
13,213
22,020
20,574
59,568
4,257
221
282
60
22
1,889
932
1,803
1,457
899
1,797
84
2,647
110
966
1,382
1,904
449
1,052
3,017
544
19
1,100
1,577
1,423
1,063
1,150
559
9,351
17,292
5,596
590
4,585
13,234
104
141
GENERAL DEPARTMENT.
GOVERNMENT RESOLUTION No. 221, 7TH FEBRUARY 1862.
With respect to the increase which is exhibited in this Report, as also to the
decrease in the ratio of " doubtful" and " unsuccessful" cases, as compared with
the previous year, the Governor in Council observes that the Principal Inspector¬
General qualifies his statement on these points by the remark (paragraph 2)
" if the returns and reports represent an approximation to the truth." His
Excellency in Council therefore fears, that, taking this passage in connection
with paragraph 12 of the Principal Inspector-General's letter, there is reason
to believe that the results of the year's operations, which are shown by the
Superintendents in their Reports, cannot be depended upon.
2. The question of admitting Vaccinators to the benefits of the Pension
Rules is one of considerable importance to the efficient working of the
Department, and should be brought to the notice of the Government of India
in order that the system on which this important sanitary measure is regulated
may be uniform throughout British India.
3. His Excellency in Council is gratified to find that the Principal
Inspector-General is able to speak in high terms of the zeal and attention to
their duties which the several Superintendents have shown, and in particular
Assistant Surgeon Plumptre and Drs. Peach and Martin.
(Signed)
J. B. PEILE,
Acting Under-Secretary to Government.
REPORT
ON
VACCINATION THROUGHOUT THE BOMBAY
PRESIDENCY AND SIND.
FOR THE YEAR 1861.
Bombay:
PRINTED FOR GOVERNMENT
AT THE
EDUCATION SOCIETY'S PRESS, BYCULLA.
1862.
REPORT
ON
VACCINATION THROUGHOUT THE BOMBAY
PRESIDENCY AND SIND,
FOR THE YEAR 1861.
Bombay:
PRINTED FOR GOVERNMENT
AT THE
EDUCATION SOCIETY'S PRESS, BYCULLA.
1862.
( iii )
REPORT
ON
VACCINATION THROUGHOUT THE BOMBAY
PRESIDENCY AND SIND,
FOR 1861.
No. 712 OF 1862.
From the PRINCIPAL INSPECTOR GENERAL, Medical Department,
To the SECRETARY to GOVERNMENT, General Department.
SIR,—Agreeably to the instructions contained in your letter No. 1366 of
the 28th September 1861, I have the honour to forward extracts from the
Reports of Superintendents of Vaccination for the past year (1861), with the
results duly tabulated in the manner followed upon former occasions.
2. It will be observed, however, that the Reports and Returns are sub-
mitted to Government in manuscript, as it would be impossible to have them
printed and published within the prescribed period (1st May). It will rest
with His Excellency the Governor in Council to determine whether or not
copies, as before, shall be printed for circulation in this country, and for
transmission to the Home Authorities.
3. Viewing the total results of Vaccination for the year 1861, it may be
said—as far as mere numbers are concerned,—that there has been a consider-
able falling off, to the extent indeed of about 14,000 vaccinations, as will
appear by reference to Table No. 4 at the end. The decrease, however, will
be observed to have taken place chiefly under Superintendents, and to about
21,000, whilst by the Native Chiefs' agency there was an increase of about
7,000, reducing the total decrement, as before stated, to about 14,000; that is,
there were about 260,000 vaccinations performed in the Bombay Presidency
in the year 1861, compared to about 274,000 operations in the previous year
1860.
Of the total number vaccinated, the average of successful instances
amounted to about 91.5 per cent.; that is to say, out of every 100 cases
( iv )
reported to have been operated on, 8.5 per cent. have been discarded for want of
a verified successful result, which appears to be about the average rate of
failures in this Presidency for a number of years, and is less, perhaps, than in
many parts of England.
4. By reference to Table No. 1, the decrease in the vaccinations performed
by Superintendents can be traced as occurring chiefly in the " Southern Circle "
and in Sind. There is no explanation offered of the cause of decrease in the
former Circle, whilst that of the latter is doubtless correctly ascribed by the
Superintendent to sickness and to changes in the Establishment. A decrease
is also observed of about 2,000 vaccinations in the " Central Circle," and of
about 1,000 in the " Northern Circle." Indeed, considering the changes all the
Divisions have undergone during the past year, a larger amount of decrease
might have been anticipated. It-is satisfactory therefore to turn to the Presi-
dency Circle, where there has been an increase of about 800, especially as,
under the recent Report submitted to Government by my predecessor's letter
No. 170 of the 27th January 1862, the whole of the operations reported as
" successful " may be implicitly relied upon, which is evidenced also by the fact
shown in the tables—that about 19 out of every 100 are discarded; or in other
words, that the percentage of success is 10 less than the average of the whole
Presidency. Again, in Kattywar there has been an increase of about 1,850
vaccinations.
5. The chief feature which marked the year 1861 was the reorganisation
of the Vaccinating Establishment, as directed to be carried out by Govern-
ment Resolution No. 2250 of the 20th November 1860. Under this measure
two Divisions of Vaccination were absorbed, and two Superintendents placed
at Army disposal. The Concan Division was allotted to the Central and
Southern Circles pretty equally, and the Northern and Eastern Divisions of
Gujarat were merged into the Northern Circle.
6. The establishments were also redistributed, and at the present time the
Northern Circle has 32 Government Vaccinators, and 23 Vaccinators belonging
to the Native Chiefs, or 55 individuals whose operations have to be inspected
by the Superintendent. Again, the Central Circle has a staff of 30 Govern-
ment Vaccinators. The Southern Circle has no less than 24 Government and
19 Native Chiefs' Vaccinators.
7. The scheme, as originally intended by Government to be carried out,
was, that the superintendence of so large a number of Vaccinators, and scat-
tered over so large a tract of country, should not devolve entirely upon the
Superintendents, but that in each Circle assistance should be afforded by two
Deputies, to be drawn from the ranks of Sub-Assistant Surgeons, and to be
( v )
located within a comparatively easy distance of the Vaccinators and Superin-
tendent.
8. I produce the orders on the subject, and the Rules regarding the duties
of Deputy Superintendents :—
"Notification,
General Department, 24th July 1861.—The Honorable the
Governor in Council is pleased to cancel the Rules under Article 2 Section
VIII., Medical Code, and to direct that the Bombay Presidency, with the
exception of the Island of Bombay, be divided into the following five Circles
for the purposes of Vaccination :—
I.—The Northern Circle, to include the Collectorates of Ahmedabad,
Kaira, Surat, and Broach.
II.—The Central Circle, to include the Collectorates of Tanna, Poona,
Khandeish, and Ahmednuggur.
III.—The Southern Circle, to include the Collectorates of Rutnagherry,
Sattara, Sholapore, Belgaum, and Dharwar.
IV.—The Kattywar Circle. '
V.—The Sind Circle.
As at present.
" 2. Each Circle will be under the superintendence of an Assistant Surgeon,
upon the salaries at present pertaining to those appointments.
" 3. Two Sub-Assistant Surgeons of the 2nd Class, and four Sub-Assistant
Surgeons of the 3rd Class, will be appointed Deputy Superintendents, upon a
consolidated salary of Rs. 200 and Rs. 150 respectively, agreeably to Article 12
of the Notification of 25th March 1861.
" 4. Two Deputy Superintendents will be posted to each of the following
Circles, viz. Northern, Central, and Southern, to act under the orders of the
Superintendents."
Rule 1.—The chief duties of Deputy Superintendents of Vaccination are to
assist the Superintendents in the inspection of the work of Native Vaccinators;
to explain to the inhabitants of the districts, in which they may be, the objects
of vaccination, and to encourage its diffusion by persuasion and by all legiti-
mate means.
Rule 2.—They will report to the Superintendent whether the Vaccinators
are perfectly competent to perform vaccination, and are able to judge whether
the operation has proved successful or otherwise.
Rule 3.—Deputy Superintendents will examine thoroughly the Native returns
of the Vaccinators, to see if their nominal rolls or registers are correctly framed
and kept up to date, and to verify and check the registers. They will per-
sonally ascertain whether the columns in the Returns of "Age," "Successful,"
" Unsuccessful," and " Doubtful " are correctly filled up, and report to the
( vi )
Superintendent any misconduct of the Vaccinators, particularly should they
detect any falsification of Returns.
Rule 4.—On every Monday the Deputies will report to the Superintendent
how they have been employed each day of the previous week. The reports at
the end of the month will be summarised by the Superintendents, attached to
and sent in with his own Employment Return to the Deputy Inspector General
of the Division, for transmission to the Principal Inspector General.
Rule 5.—Deputy Superintendents are not to be the channel of communica-
tion between the Native Vaccinators and Superintendent, nor are any returns
or reports from Vaccinators to be sent through Deputies, except such as the
Superintendent may transmit for verification, examination, &c.
Rule 6.—Deputy Superintendents are not generally to communicate by letter
with Native Vaccinators, but are personally to give any orders the Superinten-
dent may direct, and personally to advise and encourage the Vaccinators. They
are not to originate orders, as all such must be issued by the Superintendent.
Rule 7.—Deputy Superintendents will not have any special locality assigned
them, but they must be kept constantly moving from the station of one Native
Vaccinator to that of another, as the Superintendent may direct.
Rule 8.—Deputy Superintendents will be provided with a few of the most
useful Surgical Instruments, and with a Box of Medicines in a portable shape,
which will be replenished from time to time from any Civil or Military Hospital
in the districts on their simple requisition.
Rule 9.—The pay of Deputy Superintendents will be drawn by the Super-
intendent of Vaccination in the General Abstract for the Establishment.
Rule 10.—Superintendents will understand that it is the wish of Government
that the Deputy Superintendents of Vaccination should thoroughly examine
into the progress of Vaccination in such localities, and at such times, as the
Superintendent may direct; and Superintendents must hold out encouragement
to their Deputies zealously and efficiently to perform their allotted duties.
9. As His Excellency the Governor in Council is aware, the appoint-
ments were not only not sought for by the members of the Sub-Assistant
Surgeon class—although bringing with them increased emoluments,—but the
situations were relinquished, with one exception, as soon as made, and at the
present time, instead of six Deputy Superintendents for the three great Circles,
there is only one in the Northern Division.
10. The great objection to the appointments seems to have been that it
involved the necessity of travelling, and entailed considerable expense to the
individual in providing proper equipment, whilst there can be no doubt that it
was distasteful to others as estranging them from the practice of the profes-
( vii )
sion to which they had been educated, and was, moreover, a duty they were
not aware they should be called upon to perform when they entered Govern-
ment Service ; hence the number of resignations which resulted.
11. Since the publication of the above Notification, the undermentioned
Sub-Assistant Surgeons have resigned Government Service, viz :—
Rustomjee Merwanjee . . . . . . . . . . . .
Framjee Shapoorjee . . . . . . . . . . . .
Dadabhoy Jamsetjee . . . . . . . . . . .
Dossbhoy Hormusjee . . . . . . . . . . . .
Burjorjee Framjee . . . . . . . . . . . .
Pestonjee Nowrojee . . . . . . . . . . . .
7th August 1861.
28th August 1861.
Ditto.
Ditto.
28th September 1861.
16th October 1861.
12. It would be out of place to enter into the consideration of the scheme as
laid down by Government, or to discuss the bearing of the question with re-
spect to the future effect of carrying out the measure upon the class of servants
chiefly affected—Sub-Assistant Surgeons, or upon the cause of medical educa-
tion in this Presidency; but I think the result of the first year's experience
of the measure, coupled with the very considerable falling off in vaccination,
is not such as to augur great success hereafter.
13. The condition of the lymph employed in the several Circles of vaccina-
tion was reported to be " good" and effective. In several instances it was
received direct from England. With the exception of Bombay itself, there
was almost an entire absence of small-pox throughout the Presidency; but
whenever or wherever it was reported, active measures were adopted by the
Superintendents and their establishments to arrest its progress.
14. With reference to para. 2 of Government Resolution, No. 221
of the 7th February 1862, I trust the decision of Government respecting
pensions to superannuated Vaccinators may be early received, to enable
changes in the several establishments to be made, which are urgently required
to carry on Vaccination in a systematic and efficient manner.
15. In conclusion, I venture to express a hope that Government may be
pleased to overlook the brevity of the Report, inasmuch as it appertains to
the working of a Department for a period antecedent to my taking charge of
my present duties.
I have the honour to be,
Sir,
Your most obedient Servant,
M. STOVELL, M.D.,
Principal Inspector General, Medical Department.
Bombay, 9th April 1862.
( viii )
INDEX TO THE FOLLOWING REPORTS.
VACCINATION UNDER SUPERINTENDENTS —
Presidency Division .. .. .. .. .. .. .. ..
Central Circle .. .. .. .. .. .. ..
Southern do. .. .. .. .. .. .. ..
Northern do. .. .. .. .. .. ..
Sind Division .. .. .. .. .. .. ..
Kattywar Circle .. .. .. .. .. .. ..
Kutch
..
..
..
..
..
..
..
..
..
Peint (Nassick) .. .. .. .. .. .. ..
VACCINATION UNDER CIVIL, SURGEONS —
Tanna .. .. .. .. ..
Poona .. .. .. .. ..
Ahmednuggur .. .. .. .. ..
Sattara
..
..
..
..
Sholapore .. .. .. .. ..
Dhoolia .. .. .. .. ..
Nassick .. .. .. .. ..
Ahmedabad .. .. .. .. ..
Kaira .. .. .. .. ..
Bajcotc .. .. .. .. ..
PAGE
9
ib.
10
11
ib.
12
ib.
13
14
ib.
Surat .. .. .. ..
Broach .. .. .. .. ..
Belgaum .. .. .. ..
Dharwar .. .. .. ..
Kolapoor .. .. .. ..
Eutnagherry .. .. .. ..
Kurrachee.. .. .. ..
Hydrabad.. .. .. .. ..
Shikarpoor.. .. .. ..
Aden .. .. .. .. ..
APPENDIX—
Vaccination under Superintendents
..
..
..
..
..
..
Do.
do. Civil Surgeons .. .. .. .. .. ..
Do.
do. Native Chiefs .. .. .. .. ..
General Abstract of Vaccination .. .. .. .. .. ..
Table of Ages .. .. .. .. .. .. ..
Employment Return of Superintendents of Vaccination .. ..
PAGE
1
2
3
4
6
7
8
ib.
PAGE
15
16
ib.
17
ib.
18
ib.
19
ib.
20
Table No. 1
No. 2
No. 3
No. 4
No. 5
No. 6