( 9 )
Percentage of caste in primary cases.
Christians.
00.6
Mahomedans.
12.0
Hindoos.
12.2
All other classes.
75.2
Remarks.
Comparative number of all vaccinations per mensem, with percentage of success in pri-
mary cases, performed by each class of vaccinator.
No.
64
13
16
Class of Vaccinator.
Government Vaccinators, ...
Municipal
ditto, ...
Local
ditto, ...
Average monthly
number.
172.0
118.0
163.2
Percentage
monthly success.
82.7
82.4
82.7
Remarks.
11.— GENERAL REMARKS ON THE ALLAHABAD AND JHANSIE CIRCLES.
I observe from Dr. Watson's report that upon an outbreak of small-pox in the
city of Cawnpore, the Magistrate and Collector took upon himself the responsibility of
ordering in all the vaccinators from every tehseel in the district, without holding any
previous commucation with Dr. Watson upon the subject. I consider the step taken an
altogether improper proceeding, and I trust that His Honor will uphold my views. The
vaccinators are not under the orders of the Magistrate : they are the servants of the Su-
perintendent of Vaccination; and no orders should be given to them except through their
immediate superiors. Dr. Watson is responsible for making all proper arrangements with
reference to the vaccine requirements of his circle, and is always ready to listen to any
suggestions that the district officials may have to offer. Not only do I consider that
the Magistrate's proceeding was entirely ultra vires, but it was an unwise one, in leaving
the entire district unprotected, and disorganizing all the work in hand. The force was
largely in excess of the requirements of the city, and had to be sent back again. All
these blunders would not have happened had the direction of affairs been placed in the
hands of the duly constituted authority ; and the principle of non-sutor ultra crepidam
remembered. Moreover, the city of Cawnpore is not entitled to be treated with such liber-
ality at the expense of the rural community ; for, notwithstanding repeated warnings,
it has always refused to provide itself out of its ample revenues with the necessary
staff of municipal vaccinators. I am given to understand that not one of the Munici-
pal Commissioners has as yet submitted any of his children to vaccination. This, if a
fact, will further strengthen the remarks that I have made with reference to municipal
vaccination further on. Dr. Watson very properly condemns the practice of attempt-
ing vaccination and re-vaccination on such an enormous scale as is often done on an
outbreak of small-pox. It is much wiser to take matters quietly, and not to run
ahead of your lymph supplies. Such unnecessary haste causes false alarm, and, more-
over, entails failure. Officers in medical charge of regiments particularly need to
remember the caution given.
The Allahabad zillah still holds the wooden spoon of the circle; why it so perse¬
veringly maintains that position it is difficult to say. The Superintendent thinks the
inhabitants an exceptionally impracticable set of beings, and that some of the vaccin-
ators are not of the best. The proper mode of dealing with the difficulty may, however,
safely be left in his hands, for if a thorough knowledge of the people, sympathy with
their feelings, and an intelligent discharge of duty can alter the existing order of things,
I know of no one better fitted for the task than Dr. Watson.
I have pleasure in recording the undermentioned names of persons to whom Dr.
Watson feels indebted for assistance rendered :—Dr. Condon, Civil Surgeon, Cawnpore;
Messrs. Twigg and Knox, of Allahabad ; Baluk Ram, Tehseeldar, Bhogneepore;
Mahomed Zahoor, Tehsseeldar, Bilhour; Mahomed Ismail, Tehseeldar, Futtehpore;
V 3