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Superintendent was dismissed, and this year the numbers have fallen from 6,176 to
5,101. This enormous discrepancy in the case of Mirzapore, at all events, can hardly
be the consequence of less industry on the part of the Vaccinators, and the new
Native Superintendent; in fact, the Mirzapore Vaccniators are about the hardest-
working in the Division.
5. During the months of November, December, and January, there was also a
decrease in the amount of work as compared with the preceeding season. This
was most marked in the Goruckpore District. Here, the number fell from 2,765
to 1,389 in December, and from 2,584 to 1,571 in January. This is satisfac-
torily accounted for. So prevalent was malarious fever throughout the district
during these months, that healthy children could not always be found. If this be
true, the falling off in the numbers speaks well for the discrimination and care
of the Vaccinator. That it is true, appears probable from a remark made by Mr.
Robinson, the Assistant Magistrate, stationed at Kussya. In a note to me, he states
" I am afraid your returns will not be large this year an account of the unusual
severity of the fever which rendered so many unfit to be vaccinated." This observation
may thoroughly be relied upon. There is perhaps no officer in these Provinces more
throughly acquainted with the condition of the Natives in the portion of the district
under his charge, than Mr. Robinson.
6. The greatest number vaccinated by any Vaccinator, was 3,352. This Vaccina¬
tor has advantage over most. He is a wealthy zemindar, the owner of many villages, and
his influence with the people is great. This number is, moreover, the result of the
conjoint labours of two men, himself, and his brother. His success furnishes another
proof of the desirableness of having the Vaccinators natives of the district in which
they are employed.
7. The lowest number vaccinated by any one man was 420. This was in the
Municipality of Azimgurh. The Vaccinator besides being lazy, got sick and ultimately
resigned. This also reads a lesson. The Azimgurh Municipality voted funds for the
working season only. A good Vaccinator cannot be obtained for temporary enployment.
8. As might be expected, the Vaccinator who did most work, did also the best
work. The highest percentage of successful Vaccinations was 94.8. On the other
hand, the Vaccinator who did almost the least work showed the lowest percentage
of successful cases. Only 63.3 of his vaccinations were successful.
9. Altogether, although the numbers operated upon this season, may not be
considered unsatisfactory, the quality of the work is not what it should be. This
cannot fail to be the case so long as the present system of employment and paying
" oomedwars" continues in force, With the exception of the Inoculators, these men
take to vaccination because they are out of employment, or are friends of some Vaccina-
tor or of a Native Superintendent, and not because they possess any special aptitude
for the work. They are paid according as the numbers successfully vaccinated reach,
or fall below, a fixed standard. Although this may stimulate to exertion, it also
incites to fraud. The numbers vaccinated are thus greatly increased, but at the same
time a large amount of indifferent vaccination is the result. Whilst we are endea-
vouring to establish faith in the efficiency of the protection which vaccination affords
against small-pox, nothing can surely be more fatal to our efforts than its
unsuccessful or indifferent performance. It would be better to leave it alone, than do it
badly.
10. The measures chiefly required for the employment of the quality of vacci-
nation in this Circle are the better institution of the Vaccinators, and the substitution
of arm-to-arm vaccination for that by dried lymph.
11. As our Vaccinators are now to a great extent, and in future will still more
be recruited from the inoculating class, I would offer a few remarks regarding Inocu¬