( 3 )
Compared with vaccination by the lancet, it has but one disadvantage, which is
that, though equally effective as far as the child itself is concerned, yet it does not
yield so large a supply of lymph with which to vaccinate other children. This objec-
tion is of no importance with regard to vaccination in the plains, as no largo store of
lymph is required. In Kumaon and Gurhwal, however, from which stores of lymph
are annually drawn, with which to supply the plains, vaccination is still performed by
the lancet.
8. Some time after the introduction of the vaccine needle, another very useful
novelty was introduced ; this was the bringing into use of Dr. Husband's capillary
tubes for storing lymph. These tubes were used in the North-Western Provinces long
before they were generally known in England.
9. In the month of July, 1869, Dr. Pearson submitted, for the consideration of
Government, a plan for the extension of the benefits of vaccination. Hitherto there
has been one Vaccinator in each Tehseel, and one Native Superintendent in each
Zillah.
Dr. Pearson recommended that the number of Vaccinators should be doubled,
but that the number of Native Superintendents should remain as before. He recom-
mended, however, that an addition of pay, amounting to Rs. 10 a month, should be
given to one-third of the number of Native Superintendents, the other two-thirds
remaining on the old scale of pay.
The mode of carrying out this recommendation is still under consideration,
but in the event of its being adopted I would recommend that the whole number
of new Vaccinators should not be entertained at once. My reason for advising
this is that I think if so large a number of untried men were brought all at
once on the strength of the establishment there would almost certainly be among
them a certain number who would bring discredit on the Vaccine Department A
Vaccinator, especially one posted to an out-of-the-way Tehseel, has great oppor-
tunity of extorting money, and although his misconduct would certainly be detected
by the European Superintendent when he arrived at the Tehseel in the course
of his tour, yet during the three or four months that might intervene between
the commencement of the season and the arrival of the Superintendent, much mis-
chief might be done, and an amount of prejudice might be excited in the minds of the
natives of the place, which it would take years to remove.
10. During the past year the sum of Rs. 500 was sanctioned for the education
of Hukeems and Baids. The money was distributed as follows:—
Rs. 250 to the Agra and Meerut Circle.
„ 200 to the Allahabad and Jhansie Circle.
„ 50 to the Benares Circle.
The details of the distribution will be given in a separate Report
The expenditure of this money has done much to further the cause of vaccination.
Unfortunately, however, the higher class of Hukeems are disinclined to practise vacci-
nation with their own hands. This is not from any dislike to vaccination itself, which
they appreciate highly; but because they think that any manual work is below their
dignity as physicians. In this respect the North-Western Provinces of India are in the
same state that England was a hundred years ago, when the physician looked down on
the Surgeon as a man belonging to a totally different profession. Under these cir-
cumstances, I would strongly recommend that next year the destination of this grant
should bo altered, and that instead of the money being devoted to the education of
Hukeems, it should be given for the purpose of training Inoculators. It has hitherto
been found very difficult to employ Inoculators as Vaccinators. This arises not from
any difficulty in teaching them the operation itself, but from the difficulty of getting