( 3 )
by Deputy Sanitary Commissioners, Deputy Superintendents and native Superinten-
dents of Vaccination are shown in the following statement:—
1
Circle.
First ...
Second ...
Third ...
Total ...
2
Number of
inspecting
officers.
Deputy Sanitary Commis-
sioner.
1
1
1
3
Deputy Superintendent of
Vaccination.
2
2
3
7
Native Superintendent of
Vaccination.
13
20
17
50
3
Number of villages
visited by—
Deputy Sanitary Commis-
sioner.
558
267
342
1,167
Deputy Superintendent of
Vaccination.
1,023
787
1,544
3,354
Native Superintendent of
Vaccination.
5,642
6,893
5,565
18,100
4
Total number of persons vacci-
nated during 1890-91.
300,039
334,359
354,771
989,169
5
Number of cases of
vaccination examined
by—
Deputy Sanitary Commis-
sioner.
17,520
6,149
4,527
28,196
Deputy Superintendent of
Vaccination.
25,152
13,421
24,214
62,787
Native Superintendent of
Vaccination.
90,803
88,659
93,743
273,205
6
Proportion per cent.
of successful cases
observed by—
Deputy Sanitary Commis-
sioner.
95.93
84.61
93.59
...
Deputy Superintendent of
Vaccination.
81.11
78.31
81.53
...
Native Superintendent of
Vaccination.
83.19
75.31
85.09
...
7
Proportion per cent. of inspections
to total number vaccinated.
44.48
32.36
34.34
...
The record of inspections by Deputy Superintendents and native Superinten-
dents of the 2nd Circle indicate laxity of direct supervision; and this may be ascribed
to the fact that there was no commissioned medical officer in charge of the Circle,
during the most important period of the vaccination season.
The supply of lymph.
12. An ample supply of pure lymph was available at the commencement of opera-
tions, and this was supplemented by the usual consign-
ment from England. Supplies were forwarded to all
applicants as noted in the triennial report.
Animal lymph.
13. The principal depôt for the supply of animal lymph has been established at Luck-
now for some years, and it is wholly supported by the
Lucknow Municipality. It is now located in a suit-
able building in Fort Machhi Bhawan, and the operations have got beyond the stage
of experiment. There are other depôts at Hardoi, Unao, Bara Banki, Lalitpur, Gonda,
Bahraich, Partabgarh and Sultanpur, and these have been worked on a small scale by
Civil Surgeons. The larger Lucknow depôt is under the direct supervision of the Deputy
Sanitary Commissioner, 2nd Circle. The operations with calf lymph were most success-
fully carried on at Hardoi, during the past season, under the zealous supervision of
Dr. McReddie.
Calf lymph should be available at the headquarters of each district, as at
Hardoi, Gonda, Bara Banki, Unao, &c., and Civil Surgeons might be required to main-
tain a supply for the use of local vaccinators. The use of calf lymph facilitates the
extension of healthy operations to a marked extent, especially in localities where parents
object to their children being vaccinated with lymph taken from the arms of persons
of lower castes, or where parents will not permit lymph to be taken from the arms of
their children. In most districts calves may be readily hired, and it is clearly advisable
to encourage the use of animal lymph for the reasons stated in order to supplement
arm to arm operations wherever necessary. Again, when many children are brought
together by the District Officers on tour, it may so happen that sufficient humanised
lymph is not available to the disappointment of officers who specially interest them-
selves in extending operations. It is possible, therefore, as at Lucknow, Hardoi, &c, to
meet any urgent or extensive demand for lymph by the use of calf lymph. Supplies
of such lymph to the extent of several hundred points may always be obtained at short
notice, while the amount of humanised lymph at times available may be practically
limited to less than a score or two of points. Besides experiments with vaccine paste
show that the efficacy of calf lymph remains in this form for over a month, and the
transport of lanoline vaccine paste is perfectly feasible.
Much care is required, and every reasonable precaution must be taken by Civil
Surgeons, in procuring and maintaining a supply of pure healthy animal lymph,
and the careful veterinary examination of the animal is essentially necessary in all cases.