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1st November. From this time until the 1st of April I was able to visit and inspect the
work of 83 vaccinators and apprentices in both divisions of my circle. Within the
past two years the establishment has increased to such an extent, that it is now beyond
the physical ability of any one man to visit each individual during the vaccine season.
4. The returns show a considerable increase over the previous year, both in the
numbers vaccinated and in the number of operations per month performed by each vaccin¬
ator. At the same time, there is only a very slight improvement in the percentage of
successful cases. This last result is no more than might have been expected from the
sudden increase to the establishment of 30 inexperienced vaccinators, and 12 appren-
tices. The latter, however, should exercise no influence in comparison of the two sea-
son's work, as they should be considered as the representatives of the oomedwars of
former years. If the work of the old and new vaccinators of the same district is compared,
an idea may be formed of the effect which the appointment of a large number of the
latter exercises upon the returns. In the district of Saharunpore each of the four
old and trained men vaccinated, on an average, during the past five months, 1,516 per-
sons, with a percentage of 91.2 successful cases; whilst 13 new men and an apprentice
vaccinated each only 1,296, with a percentage of 83.6 successful cases.
5. As usual, the diversity in the amount of work done by the several vaccinators
is great. The two extremes occur in the same district. The Government vaccinator
of the Shamlee tehseel of the Moozuffernuggur district is credited with 2,167 operations ;
whilst the local vaccinator of the town of Kandlah can show only 312. As to the
possibility of the former having done so much, I may state that in the town of Bannut I
saw him vaccinate 86 children on the same day. Not only was he fortunate in having
little or no opposition offered him by the people of his tehseel, but his services were
even applied for through the Magistrate by some of the zemindars of Jelallabad.
In Kandlah the vaccinator was employed for four months only. I myself began ope-
rations in the town, and experienced no little difficulty in finding subjects. After seve-
ral hours I succeeded in vaccinating only 13 children. With this as a beginning, the
work proceeded, slowly improving until the end of the season. The difference in the
attitude of the people with regard to vaccination, on the Saharunpore and Meerut sides
of the Moozuffurnuggur district, struck me forcibly, and the returns are in accordance
with my experience. Looking at the returns, it might appear that other vaccinators
had done more work than the one posted to the Shamlee tehseel; but, as already
explained, theman employed in the huzoor tehseel of each district has the numbers
vaccinated by the apprentice incorporated with his own ; whilst the vaccinators of
Dehra Doon and Tehree were at work, in some cases, for the whole of the 12 months of
the year. The percentage of successful cases varies from 97.7 in the Mahabun tehseel
of the Muttra district to 60.5 in Khandlah. I examined the vaccinator's work in seve-
ral villages of the Mahabun tehseel, and found it excellent. In the case of Kandlah,
the low ratio of success is just what might have been expected. Unless considerable
numbers are vaccinated, suitable vesicles from which to obtain lymph are not always
available, and its quality, as a consequence, deteriorates. It is also not easy, where the
people are averse to vaccination, to get them to bring children of the best age for giving
the best vesicle.
The two most populous districts in the circle, Agra and Meerut, show the most
unfavourable results as regards the numbers vaccinated by each vaccinator. As com-
pared with last year, both districts have retrograded. In the case of Meerut, the small
amount of work done by the Municipal vaccinators is a good deal to blame for the low¬
ness of the average. Whilst each Government vaccinator shows an average of 198
persons per month, each Municipal vaccinator can show only 120. But apart from
this, vaccination is backward throughout the whole district. I cannot recollect a single
instance in which any Native of influence gave the slightest assistance, or appeared to
me to take the least interest in vaccination during the time I was engaged in inspect-
ing the work of the 18 men employed in it. It would be too much to expect that in