NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
INSTITUTE OF PUBLIC HEALTH, RANGOON, FOR THE YEAR 1940.
7
(iii)
Pai-toddy.—This is only used in Upper Burma and is not as
easily available as Htan toddy. There is a belief that pai-toddy is
incompatible with pork. Taken together, they will cause diarrhœa.
(iv) Date-toddy.— It is taken only by some people in Arakan
where it is available in small quantities.
Toddy is taken either when it is sweet and unfermented, or in
fermented state.
Histories of cholera cases recorded in form P.H.6-S, during the
period, January to August 1940 were examined. Out of 407 cases
recorded, only 10 gave the history of drinking some kind of toddy or
other before the onset of the disease. Of these, in seven cases,
the infection could definitely be traced to sources other than toddy.
It is therefore difficult to incriminate toddy-drinking by itself, to be
responsible for the onset of cholera. Toddy, however, acts as a
laxative and may thus hasten the onset of symptoms in previously
infected persons.
A detailed report was submitted to the Director of Public Health,
Burma, with this office endorsement No. 576/13P-9, dated the
30th June 1940.
(c) Nutrition Survey.—The investigation as regards nutritive values
of indigenous foodstuffs, was continued throughout the year. One
hundred and sixty-four articles were analysed, a detailed list of which is
appended to this report.
PUBLIC HEALTH PROPAGANDA.—(a) A lecture on "The Nature and
Preparation of Prophylactic Vaccines issued by the Public Health
Department", was given by the Director of this Institute on the
29th August 1940, to the members of the Burma Branch of the British
Medical Association. The lecture was published in the October
1940 issue of the Burma Medical Journal.
(b) Radio broadcast talks on "Fitness Wins" and "Malaria"
were delivered by the Malariologist, on the 27th and 31st May
1940 respectively.
(c) Lectures on "Malaria" and "Venereal Diseases" were delivered
by the Assistant Malariologist to the Anglo-Vernacular Teachers at the
Physical Training Camp on Cabin Island, on the 20th and 27th
April 1940.
(d) A lecture on "Infectious Diseases" was delivered by the
Assistant Malariologist at the Health Week for the women students of
Judson College on the 15th August 1940.
(e) The staff and the students of the Institute rendered technical
assistance to the Annual Baby Show, held at the Tabaung Festival of
the Shwedagon Pagoda.
8
REPORT ON THE WORKING OF THE HARCOURT BUTLER INSTITUTE
OF PUBLIC HEALTH, RANGOON, FOR THE YEAR 1940.
(f) Various articles of exhibit, belonging to the Red Cross Society
and maintained at this Institute, were sent out on thirteen occasions
during the year under report to the following places :—
(1) Nyaunglebin.
(2) Pegu.
(3) Baby Show at Rangoon.
(4) Kyaukpyu.
(5) Hlegu.
(6) Nattalin.
(7) Magwe.
(8) Dedaye.
(9).Mandalay.
(10) Maymyo.
(11)
Hteindaw (Tharrawaddy District)
(12) Pyapôn
(13) Akyab.
(g) Repairs and renovations of various Public Health posters,
models and diagrams were constantly carried out.
(h) Diagrams of poisonous snakes found in Burma were drawn in
their natural colours, at this Institute, for the purpose of making posters
on snake-bite.
(i) The Public Health Pamphlet, "A Key to the Identification of
the Female Anopheline Mosquitoes of Burma" was revised, and brought
up to date.
(j)A demonstration on the fumigation of rat holes by cyanogass-
-ing, was given to the staff of the Combined Detention Hospital, at the
Sale Barracks during the year under report by the staff of the
Bacteriological Section.
(k)CINEMA SHOWS.—On nine occasions during the year, cinema
shows and demonstrations were given at this Institute.
(1) MEETINGS.—During the year under report, 34 meetings were
held at the Institute by various Societies and Committees, such as the
Burma Red Cross Society, the National Council of women in Burma,
the Burma Tuberculosis and Leprosy Relief Association, etc. The
Annual General Meeting of the Red Cross Society was presided over
by His Excellency the Governor of Burma.
V. ISSUE OF PROPHYLACTIC VACCINES .—The following table shows
the issue of prophylactic vaccines during the year :—
Name of prophylactic
vaccines,
Number of
requisitions
complied
with.
Quantity
issued.
Plague vaccine ...
...
258
152,028 doses.
Cholera vaccine ...
. . .
657
703,856 c.cs.
Influenza vaccine
...
3
40 c.cs.
K. P. KUNDU ,
)
,
Director, Harcourt Butler Institute of
RANGOON, the 20th May 1941,
Public Health.
(9)
TABLE I.
Detailed Statement of Miscellaneous Articles Examined during the year
ending 31st December 1940.
No.
Description of Samples.
Number
examined.
Number
adulterated
or otherwise
unsatis
factory.
Percentage
of
adulteration.
(1)
(2)
(3)
(4)
(5)
1 Ampoules, glass
29
. . .
. . .
2 Boiler inconstation
1
. . .
. . .
3 Broth
66
. . .
. . .
4 Butter
3
3
1 0 0 . 0
5 Coke
3
. . .
. . .
6 Crayons, coloured
16
8
5 0 . 0
7 Disinfectants
12
. . .
. . .
8 Ether
1
. . .
. . .
9 Fruits
1 . . .
. . .
10 Ghee
55
7
12.7
11 Glycerine
1
. . .
. . .
12 Honey
1
. . . ...
13 Maize
2
. . . ...
14 Medicine
1
. . .
. . .
15 Milk, fresh
92
78
84.8
16 Milk, evaporated
17
4
23.5
17 Milk, reconstituted
1
. . .
. . .
18 Oil, mustard
1
. . .
. . .
19 Phenol
3
. . .
. . .
20 Powders, face
2
. . .
. . .
21 Reagent, Nessler's
2
. . .
. . .
22 Rice
49
34
69.4
23 Rice bran
2
. . .
. . .
24 Salt
1
. . .
. . .
25 Salt, iodised
4
. . .
. . .
26 Soil
2
. . .
. . .
27 Starch
3
. . .
. . .
28 Sugar
1
. . .
. . .
29 Sugar candy
1
. . . ...
30 Tablets, Cinchona febrifuge
35
. . . ...
31 Tablets, eye lotion
2
. . .
. . .
32. Vaccine, Cholera
45
. . .
. . .
33 Vegetables
11
. . .
. . .
Total
466
. . .
. . .
(10)
TABLE II.
Detailed Statement of the 164 articles examined for their Food Values.
No.
(1)
Name of Food-Stuff.
(2)
Number
examined.
(3)
No.
(1)
Name of Food-Stuff.
( 2 )
Number
examined.
(3)
Cereals and Pulses (26).
Leafy vegetables (28)—
c o n c l d .
1 Rice
...
...
12
Brought forward ...
33
2 Atta
...
...
1
23 Kinmungyin leaves ...
1
3 Wheat flour
...
1
24 Minkhwa leaves ...
1
4 Sujee ...
...
1
25 Tamarind leaves ...
1
5 Sa-daw-pe
...
1
26 Canyut
(country
variety
of
Asparagus).
1
6 White bean (Pebyu-
gale).
1
7 Red bean (Pegya) ...
1
27 Drumstick leaves ...
2
8 Soya bean (Black) ...
1
28 Kim-peik ...
...
1
9 Soya bean (large
pearl.)
1
29 Kyee-chee
...
2
10 Soya bean (large
pearl roasted).
1
30 Phalan-taung-mway
1
31 Chinese variety of
Ipomoca.
2
11 Fried Mung Dahl ...
1
32 Bean leaves
...
1
12
13
Lentils ...
...
Green gram
...
1
1
33 Hmonado leaves and
Stems.
2
14 Bengal gram
...
1
34 Gourd leaves and
stalks.
1
15 Red gram
...
1
35 Aung-me-nyo leaves
2
Leafy vegetables (28).
36 Byone-hmway vege-
tables.
1
16 Safflower leaves ...
1
37 Pha-baung vegetable
1
17 Cabbage rye ...
1
38 Yay-ka-nyut vegetable
1
18 Gourd vegetable ...
1
Other vegetables (22).
19 White sorrel leaves ...
1
20 Red sorrel leaves ...
1
39 Pe-po-de (Jerusalem
artichoke).
1
21 Radish flowers ...
1
40 Green marian ...
1
22 Chrysanthenum vege-
table.
1
41 Taing-htaung-pai ...
1
Total, carried over ...
33
Total, carried over ...
—
57
(12)
TABLE II–concld.
Detailed Statement of the 164 articles examined for their Food Values—-
concld.
No.
(2)
Name of Food-Stuff.
(2)
Number
examined
(3)
No.
(1)
Name of Food-Stuff.
(2)
Number
examined.
(3)
Fruits (32)—concld.
110
Miscellaneous food-stuff
( 2 9 ) .
Brought forward ...
Brought forward ...
135
83 Doorian
...
1
106 Vermicelli (Kya-zan)
1
84 Mangosteen
...
1
107 Chinese
spagheti
(Myu-swan).
1
85 Ye-yo ...
...
1
86 Soon-moon
...
1
108 Soya bean coffee ...
3
87 Kyet-mouk-thee
...
1
109 Soya bean milk
...
5
88 Custard apple
. . .
1
100 Soys bean cake
...
1
89 Banana ...
...
2
111 Tow Fu
...
1
Flesh foods (17).
112 In-oo ...
. . .
1
113 Kaing-oo...
...
1
90 Dried Beef
...
1
114 Seinsa-oo
...
1
91 Dried Mussel
...
1
115 Kin-bon
...
1
92 Fish meal chips
...
1
116 Mushrooms (Mho) ...
1
93 Nga-chin
. . .
1
117 Pe-byar ...
...
1
94 Turtle eggs
...
2
118 Jaggery
...
1
95 Lobster, head (fresh)
1
119 Pazun-chin
. . .
1
96 Lobster body (fresh)
1
97 Bhekti fish (fresh) ...
1
120 Pazun-gale-chin
. . .
1
121 Doorian preserve ...
1
98 Rohn fish (fresh; ...
1
122 Milled rice cooked in
cows milk.
1
99 Nga-phaung-zau ...
1
100 Nga-myin-yin (fresh)
1
123 Bengal gram curd ...
1
101 Hilsa fish (fresh)
. . .
1
124 Sea weeds
...
2
102 Hilsa fish roe (fresh)
1
125 Fermented
Nyan
flower.
1
103 Goat mutton
...
1
104 Ngapi ...
...
1
126 Fermented sesamum
oil cake.
1
105 Fats of prawns
...
1
127 Poneye gyi
...
1
Total, carried over ..
135
Total
...
164
G.B.C.P.O.—No. 7, D.P.H., 11-8-41—245—VIII.
( 11 )
TABLE II—contd.
Detailed Statement of the 164 articles examined for their Food Values—
contd.
No. Name of Food-Stuff.
Number
examined No. Name of Food-Stuff.
Number
examined
(1)
(2)
(3)
(1)
(2)
(3)
Other vegetables (22)—
concld.
Roots and tubers (7)—
concld.
Brought forward
57
Brought forward
81
42 Padatsa
1
64 Arrowroot
1
43 Subok-gyi
1
65 Gadut
1
44 Edible cactus
1
Nuts and oilseeds (3).
45 Ye-hti-gayon
1
66 Coconut
1
46 Brinjal
2
67 Groundnut
1
47 Hog apples
1
68 Groundnut, roasted
1
48 Phanga fruits
1
Fruits (32).
49 Zaungyan fruits
1
69
50 Kba-we-thee
1
Ripe marian (sour
quality.)
2
51 Myo-pyet-Kayan
1
70 Melon
1
52 Ladies finger
1
71 Danyin-thee (tender)
7
53 Green tamarind
1
72 Ye-ngan-thee
1
54 Cucumber (mature)
2
73 Thit-to-thee
1
55 Green sa-daw-pe pods
1
74 Kanazo-thee
2
56 Green papaya
1
7 5
Tha-kya-thee (sugar
fruits).
2
57 Hibiscus flowers
1
76 Damson fruit (Mai-
mum-thee).
1
58 Gorkha-thee
1
Roots and tubers (7).
77 Pine apple
1
78 Guava
1
59 Pe-myit
1
79 Indian gooseberry
1
60 Sweet potato
1
80 Thabye-thee
1
61 Potato (Naihital type)
1
81 Jack fruit
1
62 Potato (Shan type)
1
82 Mango
2
63 Aurum
1
Total, carried over
81
Total, carried over
110
SEASON OF 1877-78.
RETURNS OF VACCINATION
FOR THE
N.-W.PROVINCES AND OUDH.
BY SURGEON-MAJOR F. PEARSON,
SUPERINTENDENT-GENERAL OF VACCINATION, N.-W. P. AND OUDH.
ALLAHABAD:
NORTH-WESTEPN PROVINCES AND OUDH GOVERNMENT PRESS.
1878.
SEASON OF 1877-78.
RETURNS OF VACCINATION
FOR THE
N.-W. PROVINCES AND OUDH.
BY SURGEON-MAJOR F. PEARSON,
SUPERINTENDENT-GENERAL OF VACCINATION, N.-W. P. AND OUDH.
ALLAHABAD
NORTH-WESTERN PROVINCES AND OUDH GOVERNMENT PRESS.
1878.
SEASON OF 1877-78.
RETURNS OF VACCINATION
FOR THE
NORTH-WESTERN PROVINCES.
No. 327 OF 1878.
FROM
THE SUPERINTENDENT-GENERAL OF VACCINATION,
NORTH-WESTERN PROVINCES AND OUDH,
To
THE SECRETARY TO GOVERNMENT,
NORTH-WESTERN PROVINCES AND OUDH.
DATED ALMORA, THE 1ST MAY, 1878.
SIR,
I HAVE the honour to submit, for the information of His Honour the Lieute-
nant-Governor, the returns of vaccination, North-Western Provinces, for the year
1877-78.
1. This year's report has been prepared in accordance with the new statements
ordered by the Government of India. The statements are four in number. Statement
No. I. shows the particulars of vaccinations in the North-Western Provinces during
the year 1877-78.
Statement No. II. shows the cost of the vaccine department.
Statement No. III. shows dispensary vaccination.
Statement No. IV. is comparative, showing the number of persons primarily
vaccinated, and the number of those persons who were successfully vaccinated in
each of the past ten years.
I will deal first with the statements.
STATEMENT No. I.
A.—The number of circles in the North-Western Provinces and under whose
superintendence.
1.
2.
3.
4.
5.
6.
7.
Kumaun.
Rohilkhand.
Agra.
Meerut.
Allahabad.
Jhánsi.
Benares.
Under Mr. F. Pearson, Surgeon-Major, the Superintendent-
General, North-Western Provinces and Oudh.
Under Dr. Pringle, Surgeon-Major.
Under Dr. Watson, Surgeon-Major.
Temporarily under Dr. Watson, Surgeon-Major ; Dr. Richard-
son, Surgeon-Major, the permanent incumbent being absent
on furlough.
B.—Population of the North-Western Provinces, according to the census of 1872,
amounts to 30,781,204.
( 2 )
C.—Average population of the North- Western Provinces per square mile, 378.
D.—Average number of vaccinators employed throughout the season, 521,—being
an increase of four vaccinators (paid out of local funds) over the strength of the
previous year.
E.—Total number of persons vaccinated—primary and re-vaccinations—
Males ... ... ... ...
Females
...
...
...
...
Total ... ...
362,254
341,801
704,055
showing an increase of 79,286 over the numbers of the previous year.
F.—Average number of persons vaccinated by each vaccinator, including primary
and re-vaccinations, 1,351.35—showing an increase of 142.90 over the previous year.
G.—Total number of primary vaccinations, 672,241, of which were successful—
Under one year ... ... ... ...
Over one and under six years ... ...
Total ... ...
198,074
392,971
591,045
showing an increase of 81,337.
H.—Total of re-vaccinations, 31,814, of which 6,343 were successful, showing
a decrease of 3,269 over the previous year.
Two-thirds of these re-vaccinations were performed in the Kumaun division, for
it is in this division and Dehra Dún only where the birth-rate has been overtaken,
and re-vaccination can be attended to.
I.—Percentage of successful cases.—In primary 93.21, being an increase of 1.18
over the previous year.
In re-vaccination 19.93, being an increase of 1.14.
J.—Persons successfully vaccinated per 1,000 of population, 19.40; but if calcu-
lated on the birth-rate only, then the rate would be 480.00.
K.—Average annual number of persons successfully vaccinated during the previous
five years, 391,937, showing a ratio per 1,000 of population of 12.73.
L.—Average annual number of deaths from small-pox during previous five years,
54,687, showing a ratio per 1,000 of the population of 1.77.
STATEMENT No. II.
M.—Establishment consisted of—
1 Superintendent-General.
2 Superintendents.
6 Deputy Superintendents.
36 Native Superintendents.
63 1st class vaccinators.
458 2nd class vaccinators.
58 chaprasis and other servants ; including 3 English writers. 3
muharrirs, 5 tube fillers, 12 chaprasis, and 35 apprentices.
( 3 )
N.—Expenditure—
Pay of establishment ... ...
Travelling allowance ... ...
Contingencies ... ... ...
Total ...
Rs.
1,06,016
4,021
3,026
l,13,063
a.
2
1
7
11
p.
3
11
6
8
O.—Paid from—
Provincial funds ... ...
Local funds
...
...
...
Municipalities ... ... ...
Native States ... ... ...
Total ...
Rs.
94,210
8,425
8,664
1,764
1,13,063
a.
11
0
0
0
11
p.
8
0
0
0
8
P.—Average cost of each successful case, three annas, being eleven pies less than
last year.
STATEMENT No. III.
Q.— Dispensary vaccination.—In the North-Western Provinces no vaccination is
done at dispensaries.
STATEMENT No. IV. (COMPARATIVE).
R.—Showing the number of persons primarily vaccinated, and the number of those
persons who were successfully vaccinated in each year for the past ten years.
In the year 1868 the number successfully vaccinated was 266,587, the strength of
vaccinators being 254. In the year 1877, the number successfully vaccinated was
591,045, the strength of the vaccinators being 521.
The average annual increase during the past ten years of persons successfully
vaccinated being about 36,000, but the greater proportion of this increase has taken
place within the last three years.
GENERAL REMARKS.
KUMAUN DIVISION.
The supplies of vaccine virus from the hill portions of this division were as
under—
Crusts ... ... ...
Tubes ... ... ...
4,466
11,194
There was an increase of 20,252 cases of total vaccinated (109,044).
The Deputy Superintendent, Babu Purna Nund, has worked well, and is popular
with all classes.
The Extra Assistant Commissioner, Ganga Dat, Upreti, and the Tahsíldar of
Srinagar, Gopi Ballabh Tiwari, have proved themselves active in the interest of vac-
cination.
ROHILKHAND DIVISION.
This division, under its new Deputy Superintendent, Gopal Chandra, shows an
increase of 4,288 in total vaccinated, 125,391; and I have every reason to believe that
good progress will continue to be made under his supervision.
The undermentioned native gentlemen have taken much interest in vaccination:—
Rai Badri Das, Tahsíldar, Bijnor; Pandit Sheo Parshad, Tahsíldar, Najíbabad;
Lala Muthra Das, Raes, Najibabad; Shaikh Sharf-ud-din, Honorary Magistrate, Budaun:
Shaikh Munir-ud-din, Tahsíldar, Bareilly ; Pandit Hirde Narain, Tahsildar, Baheri.
( 4 )
AGRA AND MEERUT CIRCLE.
In this circle there was an increase of two vaccinators paid out of local funds.
Out of the total number vaccinated (230,149) there was an increase of 25,174
(all being primary cases), and the percentage of success in primary cases was increased
by .6.
Dr. Pringle supplied during the season 3,000 tubes of lymph and many hundreds
of loaded points from Tehri, Garhwál, and Dehra Dún.
There was a considerable epidemic of small-pox throughout the Meerut circle
during the cold season, but owing to the excellent arrangements made last year and
during the present season by Dr. Pringle, the city and cantonment of Meerut escaped
almost entirely. The progress of vaccination in the Agra and Meerut circle is very
satisfactory, and thanks are due both to Dr. Pringle and his Deputy Superintendent,
Mír Ahmad Hasan, for their exertions.
The undermentioned native gentlemen are mentioned by Dr. Pringle as con-
spicuous for the interest they have taken in the promotion of vaccination :—
Maharaja of Tehri.
Nawab Seram-ullah Khan, Raes, Meerut.
Nawab Syud Muhammad Ali Khan, ditto.
Munshi Muhammad Asgar Ali, Honorary Magistrate, Garhmuktesar.
Babu Mohan Lal, Raes, Sikandra, Agra.
Lala Ujagar Mal, Tahsildar, Meerut.
Allahabad and Jhánsi Circle.—This circle shows an increase of 20,345 in total
vaccinated (138,660) and an increase of 4.7 per cent. of success in primary cases.
Two extra vaccinators (paid out of local funds) were entertained at Cawnpore
to meet the large amount of work to be done, caused by an outbreak of small-pox in
the city. Dr. Watson had this season the superintendence of the Benares circle, in
addition to his own circle of Allahabad and Jhánsi. He reports that during his
absence in the Benares circle he was satisfied with the way work was carried on by
his two Deputy Superintendents, Nabi Baksh and Mir Ahmad Ali.
The increase of numbers vaccinated proves their exertions.
The undermentioned native gentlemen are noticed for the assistance they gave :—
Muhammad Husain Khan, Tahsíldar, Akbarpur, Cawnpore; Siraj-ud-din Ahmad,
Tahsíldar, Derapur, Cawnpore; Maulvi Abdul Hamid, Sarishtadar, Orai; Azaz Husain
Khan, Tahsíldar, Kamasin, Bánda ; Syud Manzur Ahmad, Tahsildar, Bánda.
Benares Division.—This division shows an increase of 9,227 in the total vacci-
nated (100,811), and an increase of 2.14 percentage of success in primary cases.
Dr. Watson reports as follows :—
" Rae Bakhtawar Singh, Bahadur, the Judge of the Small Cause Court, Benares,
has done more for the Vaccine Department than any other native official of his rank
in the North-Western Provinces.
" During the cold weather I inspected all the vaccinators of the Benares, Gházipur,
Gorakhpur, and Basti districts, and most of the vaccinators of Azamgarh and a few
of Mirzapur. I cannot praise sufficiently highly the excellent arrangements made
by Pandit Bishan Datt, the Deputy Superintendent, who since Dr. Richardson's
departure has managed everything in the Benares circle.
" Pandit Bishan Datt is a first rate officer.
( 5 )
" He has great influence among the natives everywhere, and especially among
the rich merchants in the great cities of Benares and Grorakhpur. I attended along
with him two large public meetings in these two cities. The meetings were attended
in each case by all the leading people of the places.
" Pandit Bishan Datt delivered addresses on vaccination which were listened to
with the deepest attention.
" In consequence of these meetings the cause of vaccination has made, and is
making, wonderful progress in these two cities and in the country round."
I myself can bear testimony to the excellent work done by the Deputy Superinten-
dent, Pandit Bishan Datt. He is a Kumaun Brahmin, and has great influence with the
high caste classes of the Benares division.
The number of high caste Hindus who have accepted vaccination has risen this
year from 12,275 to 17,357.
Pandit Bishan Datt has written a treatise on vaccination which has been well
received by all classes and been very useful in promoting vaccination. He particularly
mentions the undermentioned native gentlemen as having assisted him much in forward-
ing vaccination:—
Maharaja of Bánsi; Raja of Mahsoan; Lala Lachmi Narain, Tahsíldar, Mirzapur ;
Pandit Chiranji Lal, Tahsildar of Chandauli; Maulvi Muhammad Rahmat-ullah Beg,
Vakil, and Member, Municipal Committee, Benares ; Rao Sankta Parshad, Member,
Municipal Committee, Benares; Babu Kesho Ram, Member, Municipal Committee,
Benares ; Babu Balesar Parshad, B.A., Head-master, Normal School, Benares ;
Munshi Muhammad Khalil, Tahsildar, Azamgarh ; Munshi Imdad-ullah Khan, Tah-
sildar, Nagra ; Munshi Sheo Ram, Tahsildar, Khalilabad ; Munshi Sarup Narain,
Tahsildar, Hareya ; Babu Muhammad Shaik, Assistant Surgeon, Gorakhpur ; Lala
Bakhtawar Lal, Tahsildar, Gorakhpur; Lala Sheo Parshad Ram, Honorary Magistrate,
Saidpur, zila Gházipur; and Babu Kali Charan, Mosahib to His Highness the
Maharaja of Benares, G.C.S.I.
Dr. Watson has done an immense amount of marching this year, and has
worked very hard in supervising his three circles. It must be a source of satisfaction
to him that his labour has been rewarded by so great success.
I have the honour to be,
SIR,
Your most obedient servant,
F. PEARSON, SURGEON-MAJOR,
Supdt.-General of Vaccination, N.-W. P. and Ouah.