NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
2
VACCINATION OPERATIONS IN THE
by threats and encouragements paved the way to further success during
the past season, and opened an extensive field for the ensuing year. The
Bengallee and Hindoostanee traders, living in this part of the Damin,
were the most difficult to deal with, and by their perverseness and
obstinacy set bad examples to the Sonthals. If it were not for the
hearty co-operation of Mr. Wilmot, I fear I could scarcely have been
able to overcome these difficulties. During March and some part
of April vaccination throve prosperously; but in the latter part of
the month the heat became so excessive that the result in most of the
cases was either unsuccessful, doubtful, or ungenuine, and stray cases of
malarious fever, either of an intermittent or remittent type, appeared
among the vaccinated, when simple fever should have been the con-
sequence of vaccination. I reported the matter, and before any orders
were received, with the approval of Dr. Chundra, I found it necessary
to reduce the scale of work, and eventually to stop it on the beginning of
May, and did not think it prudent to resume owing to the excess of heat
and reluctance of the people.
With regard to my internal management, I have the honour to re-
port that vaccination has been adopted in four Pergunnahs in the dis-
trict, to the three smaller I located three vaccinators, and to the fourth,
that is Burhait and its suburbs, which was comparatively large and very
populous; I put to work three men, on the arrival of the batch from
Dinapore on 17th March. It was my duty to go out and inspect the
workings of my vaccinators; to induce people to adopt the blessing; to
ascertain the different stages of vaccine pustules; to give instructions to
the vaccinators with reference to cases collected and examined by my
own eyes, and thus preventing any falsification in the compilation of
returns; to ascertain the character and bearing of my vaccinators, and to
address the people. By this course of duties I have been able to keep a
constant watch over my men, and to have as much work done by them
as practicable. The collection of crusts and arm to arm operations were,
on the whole, I think, very satisfactory, considering the race of people we
had to deal with, and their superstitious notions. The statement given
below will show the number of cases operated with lymph from one
arm to another. The whole area touched this season in this district,
measures more than fourteen miles in length by six miles average
breadth.
SONTHAL PERGUNNAHS.
3
December...
January...
February ....
March...
April
May...
GRAND TOTAL
TOTAL.
2
549
1,929
2,394
2,856
19
7,749
Operations.
Sonthals.
...
486
1,619
1,607
2,225
19
5,956
Mahomedans.
1
6
43
239
99
...
388
Hindoos.
1
57
267
548
532
...
1,405
Results.
Successful.
2
507
1,848
2,185
2,537
13
7,092
Unsuccessful.
...
39
75
187
309
6
616
Doubtful.
...
3
6
22
10
.
41
Charges of Lymph.
Arm to Arm.
...
189
1,231
1,080
2,433
19
4,952
Crusts.
2
320
698
1,297
423
...
2,740
Tubes.
40
17
..
..
57
( ii )
GENERAL RETURN OF
FOR BENGAL PROPER, ASSAM, CHOTA
STATIONS,
Central Depôt, Calcutta ...
Park Street Dispensary...
Medical College Dispensary
North Division... ...
Middle „ ... ...
South
„ ...
TOTAL...
Balasore...
Bhuddruck...
Bancoorah...
Baraset...
Beerbhoom...
Burdwan...
Cuttack...
Darjeeling...
Dinagepore...
Hooghly...
Howrah...
Jessore...
Kishnaghur...
Maldah...
Maunbhoom*...
Midnapore...
Moorshedabad...
Nattore...
Ooterparah...
Pooree...
Rajshahye...
Rungpore...
Rajmehal...
Serampore...
TOTAL...
NUMBER OF VACCI-
------ EMPLOYED.
2
1
1
28
23
27
82
2
...
1
1
1
2
1
...
2
3
2
1
1
...
...
2
2
1
1
1
1
1
...
1
27
VACCINATION OF
JANUARY.
Successful.
198
18
147
8,196
4,114
7,940
20,613
165
...
6
214
171
326
220
...
...
732
501
59
173
5
90
1,822
76
291
479
200
248
89
67
...
5,934
Unsuccess-
ful and
Doubtful.
75
...
48
288
277
96
784
52
...
56
3
118
14
42
...
...
...
11
18
...
1
25
132
26
5
4
150
2
12
73
...
744
FEBRUARY.
Successful.
199
40
87
10,499
8,744
12,892
32,461
43
50
38
157
270
557
322
...
...
865
508
64
147
1
32
1,931
108
77
560
141
159
99
194
...
6,323
Unsuccess-
ful and
Doubtful.
15
...
109
305
883
288
1,600
26
14
192
...
67
5
109
...
...
...
13
10
12
4
7
233
46
5
8
35
3
11
94
...
894
MARCH.
Successful.
155
37
41
9,845
6,366
17,654
34,098
228
...
299
123
177
612
446
...
...
119
347
24
169
3
7
1,827
101
40
468
107
135
58
254
...
5,544
Unsuccess-
ful and
Doubtful.
8
3
29
420
1,456
237
2,153
160
...
206
...
135
5
94
...
...
3
7
9
13
...
1
141
29
3
2
199
15
5
213
...
1,240
APRIL.
Successful.
64
...
2
1,894
1,705
3,555
7,220
100
...
337
121
331
22
219
...
...
759
104
25
112
...
131
1,160
132
17
165
...
80
67
629
...
4,511
Unsuccess-
ful and
Doubtful.
8
...
3
76
802
104
993
55
...
233
...
177
10
54
...
...
...
10
17
4
...
11
45
24
2
2
...
7
2
23
...
676
MAY.
Successful.
24
...
...
267
842
842
1,975
45
...
314
19
263
...
98
...
...
596
22
20
125
1
283
870
55
...
53
...
13
65
24
...
2,866
Unsuccess-
ful and
Doubtful.
2
...
...
32
1,130
44
1,208
16
...
250
...
89
...
50
...
...
43
9
22
1
...
40
35
22
...
1
...
20
2
10
...
610
JUNE.
Successful.
16
...
...
185
881
105
1,187
...
...
164
...
90
...
15
...
...
426
18
23
21
1
...
1,193
47
13
26
...
...
61
...
...
2,098
Unsuccess-
ful and
Doubtful.
4
...
...
23
960
21
1,008
...
...
127
...
60
...
19
...
...
28
7
19
...
...
...
30
24
2
2
...
...
1
...
...
319
JULY.
Successful.
15
...
...
86
266
159
526
...
...
28
...
95
...
5
...
...
378
10
2
24
...
...
607
50
17
18
...
40
...
...
...
1,274
Unsuccess-
ful and
Doubtful.
...
...
...
3
270
66
339
...
...
29
...
30
...
8
...
...
29
7
8
...
...
...
13
26
2
3
...
7
...
....
...
162
* It is stated that there were, besides the Vaccination here shown, 625 cases
(iii)
VACCINATION FOR THE YEAR 1867.
NAGPORE, AND BEHAR PROVINCES.
EACH MONTH.
AUGUST.
Successful.
16
...
...
115
123
298
552
...
...
3
...
75
...
19
...
...
303
14
...
36
...
...
647
24
9
15
...
32
60
...
...
1,237
Unsuccess-
ful and
Doubtful.
1
...
...
5
117
112
235
...
...
14
...
38
...
9
...
...
18
8
...
...
...
...
21
.24
2
4
...
4
6
...
...
148
SEPTEMBER.
Successful.
13
...
...
93
110
292
508
...
...
...
...
60
...
33
...
...
314
24
...
3
...
...
685
41
2
14
6
37
67
...
...
1,286
Unsuccess-
ful and
Doubtful.
1
...
...
2
32
60
95
...
...
21
...
30
...
27
...
...
16
8
...
9
...
...
13
28
1
3
5
4
2
...
...
167
OCTOBER.
Successful.
28
...
...
88
238
493
847
...
...
...
...
...
5
47
...
...
365
48
4
15
...
...
635
13
...
18
21
55
25
...
...
1,251
Unsuccess-
ful and
Doubtful.
2
...
...
...
139
39
180
...
...
13
...
...
1
37
...
...
16
8
26
...
...
...
20
28
...
5
3
10
4
...
...
171
NOVEMBER.
Successful.
86
...
14
1,902
2,206
2,088
6,296
54
...
3
...
2
29
46
...
...
604
794
28
40
...
16
765
18
22
39
9
83
28
...
...
2,580
Unsuccess-
ful and
Doubtful.
6
...
5
13
247
107
378
18
...
24
...
8
5
20
...
...
31
19
27
2
...
3
11
28
3
7
15
2
3
...
9
235
DECEMBER.
Successful.
120
2
27
4,410
2,343
3,657
10,559
56
13
9
7
36
25
295
...
262
682
974
64
103
...
71
1,008
75
73
295
53
100
28
12
155
4,396
Unsuccess-
ful and
Doubtful.
9
...
3
24
217
64
317
15
7
27
19
5
8
76
...
2
23
20
41
8
...
16
15
18
10
18
9
10
5
9
32
393
TOTAL VACCINATIONS OF 1867.
Total vac-
cinated.
1,065
100
515
38,771
34,468
51,213
1,26,132
1,033
84
2,393
663
2,327
1,624
2,310
...
264
6,350
3,491
510
1,017
16
733
13,859
1,063
596
2,209
953
1,066
700
1,602
196
45,059
Successful.
934
97
318
37,580
27,938
49,975
1,16,842
691
63
1,201
641
1,570
1,576
1,765
...
262
6,143
3,364
313
968
11
630
13,150
740
561
2,150
537
982
647
1,180
155
39,300
Unsuccess-
ful and
Doubtful.
131
3
197
1,191
6,530
1,238
9,290
342
21
1,192
22
757
48
545
...
2
207
127
197
49
5
103
709
323
35
59
416
84
53
422
41
5,759
TOTAL OF 1866.
Successful.
1,289
59
895
25,378
39,783
42,779
1,10,183
731
27
259
1,098
1,684
973
1,399
3,080
52
3,722
2,200
251
1,244
32
87
11,882
801
849
2,734
395
2,879
2,025
47
1,120
39,571
Total vac-
cinated.
1,462
73
1,053
28,870
51,903
45,341
1,28,702
937
39
677
1,133
2,456
1,059
1,877
3,925
75
3,824
2,305
473
1,275
39
101
12,642
1,217
891
2,781
514
2,950
2,278
83
1,258
44,809
RATIO PERCENT. OF
SUCCESSFUL CASES
TO
THE TOTAL
NUMBER VACCI-
-----.
OPERATIONS OF 1867.
87.70
97.00
61.75
96.93
81.05
97.58
92.63
during the first six months of the year, of which no accurate record was kept.
( iv )
GENERAL RETURN OF
FOR BENGAL PROPER, ASSAM, CHOTA
STATIONS.
Backergunge...
Bograh...
Chittagong...
Cherrapoonjee... ...
Cachar... ...
Dacca... ...
Debrooghur... ...
Furreedpore... ...
Gowhatty... ...
Mymensing... ...
Noacolly... ...
Pubna... ...
Seebsaugor... ...
Shillong... ...
Sylhet... ...
Tezpore... ...
Tipperah... ...
TOTAL. . .
Arrah... ...
Bhaugulpore...
...
Buxar... ...
Chumparun...
...
Chyebassa... ...
Deoghur... ...
Dinapore...
...
Gyah... ...
Hazareebaugh... ...
Monghyr ... ...
Patna... ...
Purneah... ...
Ranchee... ...
Sarun... ...
Tirhoot... ...
TOTAL. . .
GRAND TOTAL...
NUMBER OF VACCI-
NATORS EMPLOYED.
1
...
1
...
1
6
1
...
1
1
...
1
1
1
1
...
1
17
2
...
...
1
...
...
1
1
3
2
8
1
4
1
2
26
152
VACCINATION OF
JANUARY.
Successful.
77
47
1
...
170
246
33
72
79
95
6
5
205
...
27
8
34
1,105
67
4
57
60
...
233
29
46
33
177
826
64
283
174
171
2,224
29,876
Unsuccess-
ful and
Doubtful.
8
6
6
...
77
93
8
1
5
23
4
9
21
...
2
2
1
266
21
1
17
46
...
9
10
19
210
22
74
73
29
21
55
607
2,401
FEBRUARY.
Successful.
63
214
6
...
61
251
55
41
79
140
2
3
232
...
22
14
23
1,206
115
90
89
67
...
69
22
67
163
188
1,006
25
262
221
272
2,656
42,646
Unsuccess-
ful and
Doubtful.
22
5
9
...
21
160
7
15
26
10
...
7
105
...
...
4
9
400
37
33
10
42
...
3
7
51
6
84
69
23
368
76
36
845
3,739
MARCH.
Successful.
88
325
3
...
192
261
230
28
145
175
...
2
220
...
...
25
119
1,813
173
43
8
62
...
171
8
37
451
257
1,139
10
271
264
279
3,173
44,628
Unsuccess-
ful and
Doubtful.
11
27
4
...
36
73
18
17
27
19
...
5
69
...
25
...
6
337
48
11
1
37
...
27
3
37
271
59
90
16
160
59
39
858
4,588
APRIL.
Successful.
23
7
1
...
36
196
88
...
117
71
...
3
219
...
17
...
73
851
127
50
...
72
...
185
22
...
4
69
1,024
...
22
290
262
2,127
14,709
Unsuccess-
ful and
Doubtful.
11
...
4
...
12
110
...
...
22
6
...
5
103
...
...
...
2
275
30
5
...
46
...
...
1
...
...
42
64
...
9
77
47
321
2,265
MAY.
Successful.
5
6
...
...
7
152
54
...
...
60
...
4
48
...
9
...
110
455
41
...
...
...
...
26
...
...
...
...
...
...
...
...
...
67
5,363
Unsuccess-
ful and
Doubtful.
15
2
...
...
2
73
10
...
...
7
...
6
28
...
4
...
2
149
22
...
...
...
...
...
...
...
...
...
...
...
2
...
...
24
1,991
JUNE.
Successful.
4
2
...
...
...
98
17
...
...
49
...
3
28
...
...
...
...
201
...
...
...
...
...
...
10
...
...
...
...
...
...
...
...
10
3,496
Unsuccess-
ful and
Doubtful.
13
...
...
...
...
88
4
...
...
7
3
5
26
...
15
...
...
161
...
...
...
...
...
...
2
...
...
...
...
...
5
...
...
7
1,495
JULY.
Successful.
...
1
...
...
...
106
9
...
...
...
...
3
13
...
...
...
...
132
...
...
...
24
...
...
15
...
...
...
...
...
...
...
...
39
1,971
Unsuccess-
ful
and
Doubtful.
22
4
...
...
...
73
...
...
...
...
...
6
12
...
...
...
...
117
...
...
...
17
...
...
6
...
...
...
...
...
...
...
...
23
641
* Excluding the Return from Akyab
C. R. FRANCIS, M. B., Surgeon Major,
Officiating Secretary to Inspector General,
Medical Department, L. P.
( v )
VACCINATION FOR THE YEAR 1867.
NAGPORE, AND BEHAR PROVINCES.
EACH MONTH.
AUGUST.
Successful.
...
1
...
...
2
129
...
...
...
42
...
2
26
...
...
...
...
202
...
...
...
...
...
...
31
...
...
...
...
...
...
...
...
31
2,022
Unsuccess-
ful and
Doubtful.
14
3
...
...
...
106
...
...
...
13
...
6
39
...
...
...
...
161
...
...
...
...
...
...
11
...
...
...
...
...
...
...
...
11
555
SEPTEMBER.
Successful.
...
...
...
...
3
130
...
...
...
35
...
1
...
...
...
...
...
169
...
...
...
...
...
...
21
...
...
...
...
...
...
...
...
21
1,984
Unsuccess-
ful and
Doubtful.
10
2
...
...
2
79
...
...
...
12
...
6
...
...
...
...
...
111
...
...
...
...
...
...
4
...
...
...
...
...
...
...
...
4
377
OCTOBER.
Successful.
...
...
...
...
...
137
...
...
...
35
...
2
3
...
...
...
1
178
...
...
...
...
...
...
22
1
...
...
...
...
...
...
148
171
2,447
Unsuccess-
ful and
Doubtful.
7
15
...
...
...
104
...
9
...
8
...
7
3
...
...
...
1
154
...
12
...
....
...
...
0
5
...
...
...
...
...
...
44
70
575
NOVEMBER.
Successful.
7
16
...
...
17
168
4
59
...
34
...
1
44
...
16
3
4
373
...
4
...
...
13
...
8
19
35
48
31
...
44
20
212
434
9,683
Unsuccess-
ful and
Doubtful.
21
...
4
...
12
109
27
16
30
11
...
8
8
...
...
1
9
256
...
16
...
...
15
...
5
40
30
12
35
5
20
8
42
228
1,097
DECEMBER.
Successful.
90
447
1
...
23
197
25
45
27
38
...
...
91
...
22
2
9
1,017
...
1
...
26
6
2
23
60
...
182
582
...
469
167
301
1,819
17,791
Unsuccess-
ful and
Doubtful
106
15
3
...
24
113
13
21
9
5
..
8
83
...
2
3
8
413
...
5
...
26
68
...
7
14
2
63
58
12
262
97
37
651
1,774
TOTAL VACCINATIONS OF 1867.
Total vac-
cinated.
617
1,145
42
...
697
3,252
602
324
566
895
15
107
1,606
...
161
62
411
10,502
681
275
182
525
102
725
276
396
1,205
1,203
4,998
228
2,206
1,474
1,945
16,421
1,98,114
Successful.
357
1,066
12
...
511
2,071
515
245
447
774
8
29
1,129
...
113
52
373
7,702
523
192
154
311
19
686
211
230
686
921
4,608
99
1,351
1,136
1,645
12,772
1,76,616
Unsuccess-
ful and
Doubtful.
260
79
30
...
186
1,181
87
79
119
121
7
78
477
...
48
10
38
2,800
158
83
28
214
83
39
65
166
519
282
390
129
855
338
300
3,649
21,498
TOTAL OF 1866.
Successful.
432
540
382
28
315
1,385
203
235
394
638
33
42
488
21
183
10
238
5,567
278
81
104
331
32
1,606
95
234
844
287
2,751
198
1,104
288
834
9,067
1,64,388
Total vac-
cinated.
582
568
542
32
378
2,094
273
313
584
797
45
111
613
32
264
36
312
7,576
414
129
142
551
33
1,646
131
357
1,492
407
3,162
258
2,878
363
1,055
13,018
*1,94,105
incorporated in the General Return of 1866.
JAMES L. BRYDEN, M.D., Asst. Surgeon,
In charge Statistical Branch Office,
Bengal Medical Department.
( vi )
RETURN OF THE DARJEELING CIRCLE OF
DISTRICTS.
Western Doars and Terai...
Dinagepore... ...
Rungpore... ...
Bogra... ...
Rajshahye... ...
Darjeeling Circle... ...
NUMBER OF VACCI-
NATORS EMPLOYED.
4
7
4
4
5
24
NUMBER OF OPERATIONS AND THE
NOVEMBER.
Successful.
42
9
...
262
...
313
Unsuccess-
ful.
8
...
...
174
...
182
Doubtful.
...
...
...
...
...
...
Unknown.
...
...
...
...
...
...
Total.
50
9
...
436
...
495
Re-vaccina-
ted.
8
...
...
174
...
182
DECEMBER.
Successful.
662
520
744
273
9
2,208
Unsuccess-
ful.
85
54
39
61
5
244
Doubtful.
6
13
9
13
...
11
Unknown.
5
5
6
3
...
19
Total.
758
592
798
350
14
2,512
Re-vaccina-
ted.
85
57
39
61
...
242
JANUARY.
Successful.
1,109
1,398
1,562
695
1,421
6,185
Unsuccess-
ful.
90
121
68
110
97
186
Doubtful.
20
33
24
55
17
149
Unknown.
13
36
22
14
9
94
Total.
1,232
1,588
1,676
874
1,544
6,914
Re-vaccina-
ted.
87
92
70
107
73
429
RETURN OF VACCINATION IN THE SANTHAL
DISTRICT.
Santhal Pergunnahs... ...
NUMBER OF VACCI-
------ EMPLOYED.
6
NUMBER OP OPERATIONS AND
DECEMBER.
Successful.
2
Unsuccess-
ful.
...
Doubtful.
...
Total.
2
JANUARY.
Successful.
307
Unsuccess-
ful.
39
Doubtful.
3
Total.
549
FEBRUARY.
Successful.
1,848
Unsuccess-
ful.
75
Doubtful.
6
Total.
1,929
Of 7,749 Vaccinations, 5,956 were performed on Santhals,
RETURN OF THE RANCHEE CIRCLE OF
DISTRICTS.
Ranchee... ...
Hazareebaugh... ...
Purulia...
...
Chyebassa*... ...
TOTAL...
NUMBER OF VACCINA-
---- EMPLOYED.
5
9
1
4
19
NUMBER OF OPERATIONS AND
OCTOBER.
Successful.
...
36
...
*
36
Unsuccess-
ful and
Doubtful.
...
25
...
*
25
Total.
...
61
...
*
61
NOVEMBER.
Successful.
14
...
16
*
30
Unsuccess-
ful and
Doubtful.
20
5
3
*
28
Total.
34
5
19
*
58
DECEMBER.
Successful.
341
120
71
*
532
Unsuccess-
ful and
Doubtful.
243
4
16
*
263
Total.
584
124
87
*
795
* The details for the Chyebassa District have been inaccurately rendered
C. R. FRANCIS, M.B., Surgeon Major,
Offg. Secretary to Inspector General,
Medical Department, L. P.
( vii )
VACCINATION FOR THE SEASON 1867-68.
RESULTS IN EACH MONTH.
FEBRUARY.
Successful.
1,013
1,914
1,204
1,231
1,993
7,355
Unsuccess-
ful.
47
80
64
104
74
369
Doubtful.
33
60
150
51
72
366
Unknown.
5
30
23
7
22
87
Total.
1,098
2,084
1,441
1,393
2,161
8,177
Re-vacci-
nated.
47
80
64
114
65
370
MARCH.
Successful.
645
1,554
1,318
1,317
1,766
6,600
Unsuccess-
ful.
44
106
54
147
70
421
Doubtful.
14
68
82
51
47
262
Unknown.
4
10
14
4
25
57
Total.
707
1,738
1,468
1,519
1,908
7,340
Re-vacci-
nated.
44
106
54
141
79
424
OPERATIONS AND RESULTS FOR THE SEASON.
Successful.
3,471
5,395
4,828
3,778
5,189
22,661
Unsuccessful.
274
361
225
596
246
1,702
Doubtful.
73
174
265
170
136
818
Unknown.
27
81
65
28
56
257
Total.
3,845
6,011
5,383
4,572
5,627
25,438
Re-vaccinated.
271
335
227
597
217
1,647
RATIO PER CENT. OF
SUCCESSFUL CASES
TO THE TOTAL NUM-
--- VACCINATED.
90.28
89.75
89.69
82.63
92.22
89.08
PERGUNNAHS FOR THE SEASON 1867-68.
THE RESULTS IN EACH MONTH.
MARCH.
Successful.
2,185
Unsuccess-
ful.
187
Doubtful.
22
Total.
2,394
APRIL.
Successful.
2,537
Unsuccess-
ful.
309
Doubtful.
10
Total.
2,856
MAY.
Successful.
Unsuccess-
ful.
13
Doubtful.
...
Total.
19
OPERATIONS AND RESULTS FOR THE
SEASON.
Successful.
7,092
Unsuccessful.
616
Doubtful.
41
Total.
7,749
RATIO PER CENT. OF
SUCCESSFUL CASES
TO THE TOTAL NUM-
--- VACCINATED.
91.52
1,405 on Hindoos and 388 on Mahomedans.
VACCINATION FOR THE SEASON 1867-68.
THE RESULTS IN EACH MONTH.
JANUARY.
Successful.
335
334
328
*
997
Unsuccess-
ful and
Doubtful.
204
168
72
*
444
Total.
539
502
400
*
1,441
FEBRUARY.
Successful.
131
162
...
*
293
Unsuccess-
ful and
Doubtful.
101
119
...
*
220
Total.
232
281
...
*
513
MARCH.
Successful.
145
227
...
*
372
Unsuccess-
ful and
Doubtful.
55
157
...
*
212
Total.
200
384
...
*
584
OPERATIONS AND RESULTS FOR
THE SEASON.
Successful.
966
879
415
2,858
5,118
Unsuccessful
and
Doubtful.
623
478
91
137
1,329
Total.
1,589
1,357
506
2,995
6,447
RATIO PER CENT. OF
SUCCESSFUL CASES
TO THE TOTAL NUM-
--- VACCINATED.
60.79
64.78
82.02
95.42
79.38
and the results of the Vaccination of each Month cannot be shewn.
JAMES L. BRYDEN, M. D., Asst. Surgeon,
In charge Statistical Branch Office,
Bengal Medical Department.
OFFICE SUPDT. GOVT. PRINTING —NO. 6503 M. D.—28-9-68.—975.
OFFICE SUPDT. GOVT. PRINTING.—NO. 6503 M. D.—28-9-68.—975.
REPORT
ON THE
STAMPING OUT
OF
SMALL-POX IN CALCUTTA
BY
T. EDMONDSTON CHARLES, M. D., M. R. C. P. LOND.,
SUPERINTENDENT GENERAL OF VACCINATION.
INDEX.
PARA.
SECTION
I.—POLICE REGULATIONS AGAINST SMALL-POX NECESSARY.
Argument for restrictions of Medical Police
...
...
...
Mortality from small-pox in Calcutta
...
...
...
...
During February and March 1865 exceeded that in Eng-
land for a year
...
...
...
...
...
...
...
Comparison with naval actions
...
...
...
...
...
...
Comparison with wars on land
...
...
...
...
...
...
Comparison with accidents in civil life ... ... ... ...
„
II.—POSSIBILITY OF STAMPING OUT SMALL-POX.
Purely contagious nature of small-pox
...
...
...
...
Three factors necessary to allow of small-pox becoming
epidemic. Theory of prevention
...
...
...
...
Atmospheric and hygienic conditions affecting small-pox ... ...
Facility of prevention
...
...
...
...
...
...
„
III.—REMOVAL OF THE SUSCEPTIBILITY OF RECEIVING THE
DISEASE.
Repeated attacks of small-pox rare
...
...
...
...
Present Vaccine Establishment capable of protecting Calcutta ...
In working it, two objects held in view
...
...
...
...
General Vaccination
...
...
...
...
...
...
...
...
Vaccination round cases of small-pox
...
...
...
...
Early notification of the occurrence of small-pox
...
...
„
IV.—INSTANCES OF SMALL-POX BEING "STAMPED OUT" BY REMOVING
THE SUSCEPTIBILITY TO CONTAGION OP THOSE AROUND.
Stamping out in Calcutta
...
...
...
...
...
...
Stamping out at Sankiberiah ... ... ... ... ...
Stamping out at Sookchur ... ... ... ... ... ...
„
V.—GUARDING AGAINST THE DIFFUSION OF CONTAGION BY
AFFECTED PERSONS.
Isolation of affected persons
...
...
...
...
...
Illustration of danger from the mischief caused by the
"Delta"
...
...
...
...
...
...
...
...
Necessity for legislation ... ... ... ... ... ...
Vaccination along all routes of communication ... ... ...
Principle of such a law not new
...
...
...
...
...
Isolation at sea
...
...
...
...
...
...
...
...
Comparative facility of such quarantine ashore
...
...
...
Absence of all restrictions in Calcutta ... ... ... ...
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
ii
SECTION VI.—LEGAL ENACTMENT TO COMPEL ISOLATION.
PARA.
Seclusion to be enforced
...
...
...
...
...
...
In private houses
...
...
...
...
...
...
...
In hospital
...
...
...
...
...
...
...
Classification of patients ... ... ... ... ... ... ... ...
Relations and private attendants
...
...
...
...
...
Means for enforcing compliance
...
...
...
...
...
„
VII.—PRECAUTIONS WITH REGARD TO FOMITES AND OTHER
CARRIERS OF CONTAGION.
Infected rooms, clothing and bedding
...
...
...
...
Public conveyances ... ... ... ... ...
Dangerousoccupations
...
...
...
...
...
...
28
29
30
31
32
33
34
35
36
REPORT
ON THE
STAMPING OUT OF SMALL-POX IN CALCUTTA.
SECTION I.
POLICE REGULATIONS AGAINST SMALL-POX NECESSARY.
Argument for
restrictions of
Medical Police
1. In the following report I have to call attention to the fact
that very much might be done by a judicious system of Medical
Police to prevent the mortality attendant on an epidemic of small-
pox, when that scourge is allowed to make head in Calcutta.
Public attention in Great Britain has been recently strongly
directed to the advantages to be derived from restrictions being applied
to those who are for the time dangerous, in consequence of laboring
under disease which they can communicate to those around.
Sir James Simpson, President of the Public Health Section of
the National Association for the Promotion of Social Science, has
published an address on the subject, and it would be well for India,
were a copy of it placed by Government in the hands of every
medical man, and every civil administrator in the country.
In the following report, I shall have to follow some parallel lines
of thought, and avail myself of illustrations similar to those which he
has made use of, and it would be impossible to introduce the subject
more fittingly than by taking the following quotation from the address
referred to:—
" The public mind has during the last two or three years become
familiarised with the idea of ' stamping out' a disease, in the instance
of rinderpest—a malady apparently spreading in this country, as
small-pox does, by contagion only; and every one well knows the
perfect success with which this affection has been lately banished
out of England, while it has also, by due care, been prevented spread-
ing to Ireland and the Isle of Man. I believe the same principle