( 21)
following calculations. The population being 6,524,763, and taking one-thirtieth of this
as the number of children born annually, to thoroughly protect these there ought to
have been 217,492 successful vaccinations. But, deducting those vaccinated in the
Bundelkhund States, there remain only 35,245 such cases, and, even supposing all of
these to be under one year of age, this would protect less than one child out of every
six. Making similar calculations for each of the nine districts included in the Allahabad
and Jhansie Divisions, the result, leaving out fractions, would stand nearly thus:—
In Humeerpore,...
Cawnpore,...
Futtehpore,...
Lullutpore,
...
Banda,
...
Allahabad,...
Jounpore,...
Jhansie,...
Jaloun,...
1 child in 2 has been protected.
1
„
3
„
„
1
„
6
„
„
1
„
9
„
„
1
„
9
„
„
1
„
9
„
„
1
„
10
„
„
1
„
10
„
„
1
„
16
„
„
The above will help to show how much yet remains to be done to thoroughly
protect the infant population of these divisions from small-pox by means of vaccina-
tion.
29. Of small-pox, up to the end of March I have seen nothing, although I
heard of some cases having occurred amongst the camp-followers of the Royal Artil-
lery at Allahabad, and also of its prevalence to a considerable extent in the town of
Cawnpore. Into the truth of the latter report I had an opportunity of making per-
sonal inquiry. From the statement of the Native Superintendent of Vaccination, it
appears the Bazaar Sergeant brought to the notice of the Cantonment Magistrate the
prevalence of the disease. Inquiry was made, and the report seemed to be confirmed.
The Native Superintendent himself agreed that a mild kind of what he and others
called small-pox had broken out, and confessed that the vaccinated appeared to fare
alike with the unvaccinated. I asked him to show me some of the most severe and
best-marked cases. The first he showed me was a distinct and very serious case of
measles. Under treatment, the subject of it, a little girl, ultimately recovered. The
rest of the cases shown me were, also, in reality only cases of measles. One child, also,
a little girl, I know to have died of the disease, and I heard of several other deaths
from the same cause. Yet all of these cases were considered, and I believe reported by
the police, to be cases of small-pox. As such they will no doubt find their way into the
returns of the Sanitary Commissioner. It can hardly be expected under these cir-
cumstances that any correct conclusion can be arrived at as to the extent to which the
mortality from small-pox is affected by vaccination, whilst those entrusted with the
collection of mortuary statistics, and even vaccinators, fail to distinguish between measles
and small-pox.
30. Even were it possible to show by accurate statistics, as contemplated in the
Report of the Sanitary Commissioner with the Government of India, para. 327, the
effect of vaccination in influencing the prevalence of small-pox, I do not think the
people would be convinced by such facts. If conviction is not brought home to them
by the living proofs of the protection afforded by vaccination in the case of their own
and their neighbours' families, it is hardly probable that large statistical truths, which
from their ignorance they can little appreciate, will have much influence.
31. Meantime we must patiently persevere, in the hope that truth will ulti-
mately prevail. It is no doubt satisfactory to be able to indicate progress by large
and increasing returns of numbers vaccinated; but I believe with others, that a
more important object to keep in view is the improvement of the quality of the work
done, and the careful avoidance of mistakes. One such mistake whilst the people are
6