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occasions rendered me most valuable assistance in persuading the people of
Nana's Wady to get themselves inoculated, and in various other ways, most readily
placed at my disposal a part of his shed for the use of the station.
Dr. Gregory M. H. DeSouza rendered me very great assistance for about two-
and-a-half months by his regular and punctual co-operation in the inoculation
operations. The very laborious work of the compilation of the statements A, B,
0, and D has been done by Khan Saheb Bhicaji Ratanji Rana, for which he deserves
great credit. Messrs. Vasantrao and Wamanrao Nana Moroba have all along
supplied lights, &c., for the use of the station.
Local Reaction.—The pain and tenderness at the seat of the injection in the
poorer classes, possibly because they are inured to pain and discomfort, were not so
marked as in the well-to-do classes.
General Reaction.—In one case a lad, named Pias, was inoculated at the
station in 1898, the temperature rose to 104° F., and it remained high for four days,
1 described this case fully in the course of a discussion which took place on the able
and instructive paper of Sir Bhalchandra Krishna on Plague Prophyloctic Inocu-
lation at the meeting of the Grant College Medical Society, of 22nd November 1898,
and which was fortunately attended by M. Haffkine; and I then thought that there
was yet room for improvement in the preparation of the prophylactic, and that thus
some of its undesirable effects, which made themselves manifest in a few cases, might
be obviated. In another case (Martin's) muscular pains appeared after inoculation
and persisted for about a month, especially in the loins. In a few cases general
weakness was complained of, which seldom lasted for more than a week.
Number of persons inoculated t~— Qui of a total of 19,605 low-caste Hindus num-
bered 11,507. The inoculated persons have come from almost every district of
the city and some of them from the suburbs.
Number of persons refused—7,919 persons were turned away without being
inoculated. The refusals were based on the presence of lumps which were found
out in them by the operator feeling both their arms before being inoculated; (2)
by the identification by Khan Saheb B. E. Rana of persons who had already been
inoculated at the station.
In order to bring inoculations performed by private practitioners
into line with the work being done by salaried officials, it was arranged
that they should work under the general control of the various District
Officers, and the following circular was issued :—
CIRCULAR.
To
ALL DISTRICT OFFICERS.
It is necessary for statistical and administrative purposes that a strict control
should be kept over all inoculations performed in Bombay. General orders have
already been issued in this office Circular No. 5612-P of 25th August 1899. The
following supplementary orders are issued with a view to bringing into line the per-
formance of inoculations by private practitioners :—
1. District Officers will submit the names of any private practitioner who is
willing to inoculate without remuneration, reporting whether they propose to accept
his assistance and stating the time and place where such practitioner will work.