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protected against small-pox, and, at all events, it is certain that in no one case was
there any lymph good enough to be used for the purpose of vaccinating other child-
ren. This man had been working most industriously, but, owing to want of judgment
and care in selecting cases, his lymph had degenerated, and would soon have failed
altogether. That the lymph had originally been of good quality was proved by an
examination of the vaccine-crusts, and of the cicatrices of vaccination on the arms of
children who had been vaccinated a month previously by the vaccinator for whom he
was acting.
This occurrence illustrates the necessity of constant and careful supervision, and
explains the circumstance, which at first sight appears anomalous enough, that one
result of efficient superintendence is to diminish the reported number of successful
cases. This occurs in two ways: in the first place, in the absence of efficient supervi-
sion, there will probably always be a certain number of vaccinators dishonest enough
to send in reports which they know to be false, entering as successful cases which
they have never vaccinated at all. This swells the column of total numbers vaccinated,
as well as of successfully vaccinated. In the second place, there is a still larger number
of vaccinators, who, without being absolutely dishonest, are far too easily satisfied with
the result of their operations. Such men enter all their doubtful cases as successful, and
in this way they have a large percentage of successful cases as compared with unsuc-
cessful ones.
With regard to the city of Bareilly, I found myself unable to account for the
bad success of vaccination. The vaccinators seemed to be active and industrious men,
and had been judiciously selected, as one was a Brahmin and the other a Mussulman.
They were highly spoken of by the Civil Surgeon, Doctor Corbyn, and appeared to be
popular in the city.
Many of the leading Hindoo gentlemen, such as Rai Bukhtawar Singh, Subordi-
nate Judge, Pundit Ajoodhia Pershad, Deputy Collector, and Luchmi Narain, banker
took great interest in the cause of vaccination. In spite of all this, the vaccinators
did very little work. On the 12th January, I attended a meeting of the leading men of
Bareilly, which was presided over by Rai Bukhtawur Singh.
I inquired from the various Native gentlemen present whether they could suggest
any remedy for the unsatisfactory state of vaccination in Bareilly, and in reply, was
advised by the meeting to entertain as vaccinators two or more " Malis," the reason
of the recommendation being that in Bareilly " Malis " are always called in to treat
cases of small-pox.
I adopted this advice, and entertained two " Malis," but, hitherto, the reports I have
received of the result of the experiment have not been satisfactory. I am now inclined
to believe that the real cause of the non-success of vaccination in Bareilly was the
excited state of the town, owing to disputes between the Hindoos and the Mahom¬
medans.
Except in the city itself, the vaccination in the district of Bareilly was very good.
After inspecting vaccination in the zillahs of Bijnour, Moradabad, the Terai,
and Bareilly, I marched to Allygurh, and went down by rail to Allahabad, in order
to meet Dr. Richardson, who had taken charge of the Allahabad and Jhansie Circle
about two months previously. I then returned by rail to Allygurh, and marched
through Budaon, Shahjehanpore, and Pillibheet to Huldwanee, at the foot of the hills.
The mode of testing the truthfulness of the returns of Rohilkhund vaccination was the
same as that which I adopted when I was Superintendent of the Allahabad Circle
A letter was sent on ahead to the vaccinator, directing him to meet me on the
boundary of the tehseel to which he was posted, and to bring with him his nominal
rolls of all vaccinations performed by him since the commencement of the vaccino
season
2