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No. 71, dated Camp Lobha, Gurhwal, the 30th April, 1874.
From—W. WATSON, ESQ., M.D., Superintendent of Vaccination,
Allahabad and Jhansie Division,
To—F. PEARSON, ESQ., Superintendent-General of Vaccination, N.-W. Provinces.
SIR,—I have the honour to forward the annual report of vaccination in the
States of Independent Bundelkhund.
2. The establishment consists of one native superintendent, nine assistant super-
intendents, and 65 vaccinators, all paid by the States, and costing nothing whatever to
Government.
3. The total number of cases vaccinated has increased from 23,014 to 28,454,
being an increase since last year of 5,440.
4. The number of cases vaccinated by each vaccinator is still small if compared
with the numbers vaccinated by the Government vaccinators on the North-Western
Provinces' establishment, but it must be remembered that the great majority of the
Bundelkhund States' vaccinators are Baids or Sattyas, the hereditary servants of the
State, and are employed in other ways besides working as vaccinators. The percentage
of success is incredibly high in some of the States, and this is what might naturally
be expected, considering that the vaccinators in Bundelkhund have not undergone the
careful training and supervision which all vaccinators on the North-Western Pro-
vinces' establishment have passed through.
After nearly ten years' experience as a superintendent of vaccination in the North-
-estern Provinces, I have rarely found a vaccinator falsely report that he had vac-
cinated a child whom he had not really vaccinated. The great, the all but universal,
fault of the new and untrained vaccinator is, that he enters as successful all or nearly all
the cases he has vaccinated. In some instances he does this deliberately, even though
the vesicle is altogether unsuccessful; more often he accepts a spurious or imperfect
vesicle as a successful one, and enters it as such in his returns. It is only by a long
series of explanations, reprimands, fines, and threats of dismissal, carried out in
extreme cases, that a vaccinator is taught to report faithfully whether a case is success-
ful or otherwise. In the Allahabad and Jhansie Circle this has to a great extent been
done, but in the Bundelkhund States, specially in the smaller ones, the vaccinators have
been too recently entertained to allow of this being as yet thoroughly accomplished.
From all I have seen during the past season, I believe that the total number of opera-
tions shown in the accompanying return gives the true number of cases actually vac-
cinated ; but I believe that in a considerable number of cases vaccinations have been
reported as successful where the vesicle was really a spurious or imperfect one.
5. During the past year, I inspected the work in the States of Sumpter, Amra,
Orcha, Alipore, Bijawar, Chutterpore, Punna, Ajygurh, Chiterkote and Gowrehar, and
the work in Duttia was inspected by yourself.
6. In the Sumpter State I saw 78 successful cases on the 28th December, and in
the Amra State 15 cases on the 30th December. In the large State of Orcha I saw, at
the capital town Tehree, 60 successful cases on the 15th January ; 27 at Mawai, and
10 at Mujna on the 16th January; 13 at Sehar on the 17th; 41 at Juttara on the 18th;
38 at Bumourie on the 19th, and 13 at Canera on the 20th, making a total of 202 suc-
cessful cases in the Orcha State. In the Alipore State I saw 20 cases on the 21st January,
and at Nowgong 17 cases on the 23rd January. On the 26th January I saw 14 suc-
cessful cases in the Bijawur State, and the same day I saw 59 cases at Chutterpore, the
capital town of the Chutterpore State, where vaccination has for several years been very
successful. I called in the evening on the young Rajah, and found that he had, with
his own hands, successfully vaccinated his cousin, a boy of about his own age. Next
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