( 4 )
Owing to the great distance between the villages, the amount of work done by
each vaccinator during summer is very small; but the tubes and crusts collected near
the snowy range are very much better than those collected in the lower hills of
Kumaon.
The success of vaccination in this Commissionership is to be judged of, not by the
number of reported cases, but by the quantity and quality of the lymph which it has
for seventeen years past supplied annually to the plains.
It may also be noticed that the districts of Kumaon and Gurhwal have been for
many years an example of a large tract of country in which vaccination has afforded
absolute protection against small-pox.
In my last annual report I mentioned that for several years small-pox had been
unknown in the Kumaon and Gurhwal hills. This is still true with regard to the
interior, but, unfortunately, soon after my report was written, several cases of small-pox
occurred in the military station of Raneekhet and in the adjoining district of Ata¬
gowlie.
The infection was brought up from the plains by the numerous coolies who came to
work at Raneekhet, and on the new cart-road leading from Raneekhet to Ramnugger.
A vaccinator was immediately posted to Raneekhet, and continued to work in
the station, and in the country around, during the whole of the past summer, and a
similar arrangement will be made this year.
The rise of this new station has greatly increased the amount of work to be done
in Kumaon, and the work has also been increased by the influx of plains-men who have
recently settled in the Bhabur and Terai, many of whom have never been vaccinated.
Under these circumstances, I am of opinion that an increase to the Kumaon vaccine
establishment is required. The existing arrangements were made many years ago,
and at a time when the population was very much less. I would recommend that two
additional vaccinators should be allowed, and that they should be posted during winter,
one at Kotwara and the other near Hurdwar ; they would work during summer, one
at Raneekhet and the other at Nynee Tal. I make this recommendation on the sup-
position that it is intended to form a large military station at Raneekhet.
Owing to the appearance of small-pox at Raneekhet, secondary vaccination was
extensively practised in Kumaon during the summer of 1870, and this has greatly
increased the total number of persons vaccinated.
Should an outbreak of small-pox not occur this year, the practice of secondary
vaccination will not be continued to the same extent, and in that case the total number
of persons vaccinated will be less in next year's report than they are in the present one.
9. During winter I inspected all the vaccinators in the Rohilkhund Circle with
the exception of one man stationed in the Shahjehanpore Zillah, whose work I had seen
in March, 1869, and also in February, 1870.
The vaccination which I saw in Rohilkhund was on the whole most satisfactory,
and highly creditable to the Deputy Superintendent, Baboo Bunda Deen, who, owing
to the illness of Dr. Pearson, has for the last two or three years had almost the entire
management of the Rohilkhund Circle. I was particularly pleased with the work
of the municipal vaccinators of Moradabad and Shahjehanpore, and with that of the
Government vaccinators of Beharee, Sahuswan, Bijnour, Datagunj, and Gunnour.
I found the work unsatisfactory in only two places, in the town of Chandpore and in
the city of Bareilly. In Chandpore, the vaccinator had left in consequence of illness,
and a substitute was acting for him. This substitute showed me forty cases which he
called successful, and they were all successful to a certain extent, that is to say, in all
a vesicle had appeared on the child's arm; but among the whole forty there was not
a single really good case. It was doubtful whether any of the cases were efficiently