( 3 )
Inspection of operations.
11. The results of inspection of the operations of the year are shown in the follow-
ing table. An extra column has been added which
indicates the proportion per cent. of successful cases
actually verified by inspections to the total number of operations entered as successful.
1
Circlo.
First ...
Second ...
Third ...
Total ...
2
Number of
inspecting
officers.
Deputy Santary Com-
missioner
1
1
1
3
Deputy
Superinten-
dent of Vaccination.
2
2
3
7
Native Superintendent
of Vaccination.
12
20
17
49
3
Number of villa-
ges visited by—
Deputy Sanitary Com-
missioner.
523
154
534
1,211
Deputy Superinten-
dent of Vaccination.
952
1,187
1,345
3,484
Native
Superinten-
dent of Vaccination.
4,617
7,254
5,707
17,668
4
Total
number
of persons
vaccinated during 1891-92.
303,079
404,237
352,065
1,059,981
5
Number of cases of
vaccination
exa-
mined by—
Deputy Sanitary Com-
missioner.
11,516
3,875
11,618
27,000
Deputy Superinten-
dent of Vaccination.
22,190
23,384
26,431
72,005
Native Superintendent
of Vaccination.
80,440
85,179
03,203
2,58,822
6
Proportion
por
cent of success-
ful cases observ-
ed by—
Deputy Sanitary Com-
missioner.
97.00
04.38
91.19
...
Deputy
Superinten-
dent of Vaccination.
87.40
80.17
82.69
...
Native Superintendent
of Vaccination.
90.29
85.54
88.56
...
7
Proportion per cent. of inspec-
tions to total number vacci-
nated.
37.59
27.81
37.28
...
8
Proportion per cent. of suc-
cessful cases actually verified
by inspection to the total
number of operations entered
as successful.
41.59
22.01
33.21
...
Results of verification.
12. The results of verification are very variously recorded, and the proportion per
cent. of successful cases varies from 97.60 by the
Deputy Sanitary Commissioner, 1st Circle, to 91.19
in the 3rd Circle; from 87.40 by the Deputy Superintendents in the 1st Circle to 80.17
in the 2nd Cricle ; and from 90.29 by the native Superintendents of the 1st Circle to
85.54 in the 2nd Circle. The proportion per cent. of successful cases verified to
total number of successful operations varied from 41.59 in the 1st Circle to 22.01 in
the 2nd Circle.
There is no definite professional standard of a successful primary vaccination, and
while some authorities consider two, other authorities would require three or four, well
defined vaccination cicatrices as evidence of successful vaccination.
The Local Government Board relative to " the distinction between good and im-
perfect vaccination" has stated that "it appears to the Board that what is required is
rather the accurate record of facts than the opinion of the observer as to their value ;"—
and the Metropolitan Asylums Board, adopting this view under the heading vaccination
in the case books supplied to the medical departments of small-pox hospitals, require
information to be noted as follows:—
(1) Number of vaccination cicatrices ... ... ...
(2) Their collective area.
(3) The fractions of foveated cicatrical area.
(4) Re-vaccination
...
...
...
...
(a) Depressed.
(b) Not depressed.
(c) Puckered.
(d)
Glazaed.
(e)
Undefined in margin.
(a) Date.
(b) Number and description
of cicatrices.
It is thus indicated that hitherto the estimation of a successful primary vaccina-
tion has been left to professional and individual opinion, which varies somewhat as is
shown by the record of the scrutiny of the results of vaccination by all classes of medi-
cal officers in England, and in the different provinces of the Empire.
The supply of lymph.
13. There was a sufficiency of pure lymph available at the commencement of
operations, and good vesicles were rapidly established
in most districts.
The usual supply of English lymph was not received, and the discontinuance of
the English supply in the future has been notified. The local vaccination establish-
ment has hitherto relied for the most part and will now wholly rely on its own supply
of lymph, which has proved sufficient for all demands, including the supplies sent to
many applicants as noted in the triennial report.