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Superintendents should be made to understand that they form part of the district
staff, and that they will be held responsible for the efficiency of the vaccination
operations : frequent transfers should be avoided.
5. Though direct control of the vaccination staff is withdrawn from Deputy Sani-
tary Commissioners, those officers will continue to inspect vaccination work within their
respective circles, to verify the record of results, and to report on the progress of
vaccination to the Superintendent-General. They will arrange, as hitherto, so far as
may be necessary for the supply of lymph, and will be in special charge of the hill
tracts ; their tours should cover especially those districts in which vaccination is back-
ward or in which for special reasons the Civil Surgeon may be compelled to restrict his
tours. All returns and annual reports should be submitted to the Sanitary Commis-
sioner by Superintendents through the Deputy Sanitary Commissioner of the circle, so
that the latter officer may be kept fully acquainted with the state of vaccination in
his circle. As regards statistics all Superintendents of Vaccination of outlying muni-
cipalities and of cantonments in which the Civil Surgeon is not Superintendent should
submit the prescribed returns and annual reports to the District Superintendent of
Vaccination, that is the Civil Surgeon, who will forward them to the Deputy Sanitary
Commissioner : the rules for the enforcement of the Vaccination Act will be amended
accordingly. The returns and reports hitherto submitted by Deputy Sanitary Commis-
sioners to the Superintendent-General will now be submitted by District Superinten-
dents of Vaccination. The District Superintendent of Vaccination should submit
to the Superintendent-General through the Deputy Sanitary Commissioner of the
circle a concise annual report divided into two portions :—
I.—Municipal, dealing with the progress made in each municipality and canton-
ment in the district, the extent to which vaccination has been made com-
pulsory for all children, the due maintenance of registers I and II, the issue
of certificates of vaccination, the action taken under sections 17, 18 and 22
of Act XIII of 1880 and other matters of interest. The same points should
be reported on for each municipality by its Superintendent, a copy of whose
report is submitted in accordance with the rules to the Municipal Board or
Cantonment Committee concerned.
II.—District, showing among other matters the number of days on which the
Superintendent was on tour, the number of villages visited and the record
of the results, the sufficiency of the supply of lymph, the nature and quality
of the lymph used, the condition of the animal lymph depôt (if any), the
conduct of the vaccination staff, the attitude of the people towards vaccination,
the assistance given by district officials and others, and the prevalence of the
practice of inoculation. A copy of Part II of the report should be forward-
ed for information to the Chairman of the District Board.
6. The Lieutenant-Governor and Chief Commissioner trusts that the re-organiza-
tion and decentralisation, as it were, of the Department may lead to more satisfactory
results than are at present attained. His Honor anticipates an improvement from the
exercise of his local influence by the Civil Surgeon and from a more effective profession-
al control of vaccination by a medical officer present on the spot acquainted with, and
known to, the people of the district. He expects the Civil Surgeon as Superintendent
of Vaccination in municipalities and cantonments, or as the superior officer of such
Superintendents, to take measures to ensure that the provisions of the Vaccination Act
are fully observed in all towns in his district in which the Act is in force. As ex-officio
Superintendent of Vaccination throughout the district, the Civil Surgeon will be
invested with substantial authority and will fill to a greater extent than hitherto the
position which it has been long intended that he should occupy of Health Officer of the
district. It may be added that it is not intended that the efforts of revenue officials
in popularizing and extending vaccination should be in any way relaxed or that the-
powers exercised by District and Municipal Boards should be varied.