( 6A )
vaccinators are employed by the estate ; the work of these men is subject to no properly
organised scrutiny, nor is it entered in the district returns ; yet the work done by Govern-
ment and Municipal vaccinators is calculated on the whole population of the district, inclu-
ding, of course, the population of the Kapurthala estate. I would strongly recom-
mend that the pay of these vaccinators be handed over to the District Board, as
is recommended by the District Superintendent of Vaccination in Bahraich ; and that
properly enrolled vccinators be appointed in the Kapurthala estate; and method
introduced. Money is thus handed over by the Maharájás of Benares, and Viziana-
gram in the Benares district and by the Maharájáh of Benares in Mirzapur district;
(3) The number of vaccinators (12) is disproportionate to the population (1,000,432).
The district has ample jungle towards the north, and is therefore difficult to travel in
and it is impossible for each vaccinator to protect a fair proportion per 1,000, when, on
an average, he has 83,369 persons to look after. There should be at least 16
Vaccinators, and I request that steps may be taken to increase the vaccination staff.
(4) The interest shown in vaccination by the district officials is at best lukewarm, and
differs widely from the interest shown in many neighbouring districts. Only strenuous
efforts on the part of the district authorities will break down the opposition of the
people to vaccination.
In Gonda the reasons are much the same as regards reasons (1) and (4) given above;
and as regards reason (3) the number of vaccinators is 20, and the population 1,459,229
giving an average of 72,961 of population to be protected by each vaccinator. This
average is too large and there should be at least 24 vaccinators, and I would request
that steps be taken to increase the vaccination staff.
In Sultánpur exactly the same reasons apply, and the disproportion between the
number of vaccinators and the population is enormously increased. There were in 1893-
94 four Government Vaccinators, 1 Municipal Vaccinator and 5 extra. Vaccinators,
and the population is 1,075,851 giving an average over 100,000 to be protected by
each vaccinator. There should be at least 18 permanent Vaccinators provided for in
the District Budget, exclusive of the Municipal Vaccinator, and I would request that
steps be taken to this end.
In reading these remarks it should, however, be remembered that the ratio of per-
sons protected per 1,000 in this circle has increased nearly 100 per cent. during 1893-
94 as contrasted with the ratio protected per 1,000 during the preceding 5 years.
The total expenditure for the year 1893-94 was 57,782-12-6 which shows an increase
of 1,170-6-1, and the average cost. of each vaccination was 0-1-9 which shows a de-
crease of 8 pie per vaccination.
4. As regards the endeavour to keep lymph current through the hot weather in
each district, I am of opinion that vaccination during hot months in the plains is most
unpopular, owing to the increased tendency to fever and irritation of vesicle, especially
during the rains, when ulcers are liable to form and sometimes difficult to heal. Dur-
ing my tour in June 1893, I had many complaints made to me personally, and I
also received many letters on the subject. Many districts in Oudh are still actively
hostile to vaccination, and for the present, 1 think that it would be advisable to has-
ten slowly.
5. I append a statement showing the results obtained from vaccination with lano-
line and vaccine paste of various ages. All this paste was prepared at Lauknow Bovine
Depôt; it was a mixture of vaccine, 1 part to lanoline 3 parts; it was forwarded to me
every other day, and issued to various Civil Surgeons for experiment. Considering that
the staff had not been trained by long practice in manufacture, and that the absence
of a grant necessitates that expenditure on the many vessels, carrying bags, trans-
port boxes, &c., should be curtailed as much as possible, the results are not discoura-
ging. Until, however, the Government sets aside a fairly large sum for establishment
of a properly arranged institution on the hills, the issue of lanoline paste can only be
carried on in an experimental manner. The Lucknow Bovine Depô is useful to start