( 14 )
The 1st circle continues to show during 1898-99 much better results, as regards the
vaccination of children under one year of age, than the second circle.
Although the number of successful primary operations was greater in 1898-99
than in 1897-98, yet the higher birth-rate in the former year gives a resulting pro-
portion of protected children lower than that of 1897-98.
General results of inspection.
16. District Superintendents of Vaccination and Deputy Sanitary Commis-
sioners tested 129,403 cases or 9.25 per cent., and
Assistant Superintendents and other inspecting offi-
cers 411,165 cases, or 29.40 per cent. of the total operations. Owing to the presence
of plague in the Provinces the Deputy Sanitary Commissioner was unable to visit
the hill tracts ; vaccination there proceeds with facility, as the people generally
appreciate the protection thereby afforded ; nevertheless the important work of
lymph collection should be supervised to ensure that the high standard of lymph
hitherto supplied to the Proviaces be maintained. The employment of the Deputy
Sanitary Commissioner, 1st Circle, on duties in connection with the sanitation of
the large fairs at Allahabad and Hardwar occupied much of the time previously
spent in the inspection of vaccination in the districts where Civil Surgeons have no
time for inspection-tours.
The quality of inspection-work by Assistant Superintendents of Vaccination
is of far greater importance than the quantity ; thorough investigation into every
doubtful case met with will ensure far greater honesty on the part of a vaccinator
than a superficial inspection of many cases. The time occupied in investigating one
case thoroughly in which there is an endeavour to conceal a wrong result or a
fabrication will suffice for the inspection of many cases cursorily. I do not
therefore attach the same importance to the returns giving the number of inspections
performed, as to the manner in which the vaccinators work in a district, for the latter
fact gives a truer indication of the qualities of an Assistant Superintendent.
The percentage of success as returned by the vaccinators is very slightly in.
excess of that observed by inspecting officers.
Supply of lymph.
17. The supply of lymph from Garhwál was excellent, and work was started
satisfactorily in the plains on the due date.
The lymph supplied from Tehri-Garhwál was
very indifferent, and many tubes were rejected and destroyed by the Deputy
Sanitary Commissioner ; the tube-filler was incompetent and has been dismissed
from his post. The supply of lymph from the Almora district to commence work
in the plains was of good quality. The despatch of lymph to the various districts
in the plains commenced in the second week in September.
The following is a list of the applicants other than District Superintendents,
who were supplied with lymph during 1898-99:—
1. Medical Officer in charge, Station Hospital, Choubattia.
2. Medical Officer in charge, Station Hospital, Chakráta.
3. Medical Officer in charge, Station Hospital, Naini Tál.
4. Surgeon to the Bughelkhand Agency, Sutna.
5. Health Officer, Benares.
6. Residency Surgeon, Western Rájputána States, Jodhpur.
7. Medical Officer to His Highness the Mahárája Scindia, Gwalior.
8. Agency Surgeon, Kotah and Jhallawar, Kotah.
9. Agency Surgeon, Goona.
10. Officer in medical charge, Haraoti and Tonk Political Agency, Deoli
11. Agency Surgeon, Nowgong.
12. Superintendent of Vaccination, Charkhari.
13. Medical Officer, Lansdowne.
14. Medical Officer in charge, Fort Hospital, Allahabad.
15. Medical Officer in charge, Station Hospital, Allahabad.
16. Residency Surgeon, Nepál.
17. Medical Officer in charge, 17th Bengal Infantry Hospital, Benares Cantonmen