( 7A )
vaccination amongst persons who prefer vaccination from the calf, but such persons
amongst natives are extremely few. The Civil Surgeon of Sitapur, an extremely con-
conscientious medical officer, reports that from his personal observation of the vesicles
resulting from vaccination with pure calf lymph, he came to the conclusion that his
order that " only the Municipalities of Sitapur and Khairabad were to be supplied "
was a wise one; Sitapur is where the lymph depôt is placed and Khairabad is con-
nected with Sitapur by rail. The Civil Surgeon of Unao recommends that the calf
lymph depôt be closed, as it is unnecessary; and that the money thus saved be ex-
pended in the provision of an additional permanent vaccinatior, who is needed. The
Civil Surgeon of Hardoi recommends that the calf lymph depôt be abolished, as the
result of vaccination with pure calf lymph are not so good as the results of arm-to-
arm vaccination, and moreover animal lymph is not needed. Amongst those best quali-
fied to speak—I mean the subordinates of the Vaccination Department, who have
performed in this year alone considerably over half a million operations—the belief is
undoubtedly generally held that arm-to-arm vaccination gives more reliable results than
vaccination with calf lymph, except when the latter is used within 24 hours of extrac-
tion, when the results of both are equal. Vaccination with lanoline and vaccine paste
is, of course, another question altogether; but considering that the power of resistance
to induce sterility is so small with pure calf lymph that the discovery of a preservative
medium became a necessity, it would seem questionable whether the expense incurred
in the up-keep of numerous small more-or-less isolated Bovine Depôts is justifiable.
Results of lanoline and calf lymph paste.
Age.
3 days old
4
ditto
5
ditto
6
ditto
7
ditto
8
ditto
9
ditto
10
ditto
11
ditto
12
ditto
13
ditto
14
ditto
15
ditto
16
ditto
17
ditto
18
ditto
19
ditto
20
ditto
21
ditto
22
ditto
23
ditto
24
ditto
25
ditto
26
ditto
27
ditto
28
ditto
29
ditto
30
ditto
33
ditto
35
ditto
36
ditto
37
ditto
38
ditto
39
ditto
40
ditto
Total
...
Successful.
5
24
6
6
25
25
39
13
19
35
36
31
12
16
8
3
8
8
8
16
14
11
2
4
1
1
6
3
1
1
1
2
...
...
...
390
Unsuccessful.
1
8
2
4
12
19
18
20
21
28
21
21
21
13
4
6
5
10
7
11
17
14
8
4
7
6
9
7
1
3
6
5
4
3
10
356
Doubtful.
4
5
...
2
...
...
...
...
...
...
...
...
...
...
...
...
...
...
... 4
3
... 1
3
2
3
...
...
... 1
...
...
...
...
...
23
Unknow.
...
...
...
...
2
7
4
3
3
2
1
1
5
1
...
1
1
2
...
...
...
...
...
...
...
...
...
...
...
...
...
1
...
...
3
37
Slight
marks.
...
... 2
1
...
...
...
...
1
4
1
...
...
...
...
...
...
2
3
...
...
2
...
...
...
...
...
...
...
...
...
...
...
...
...
16
Total.
10
37
10
13
39
51
61
36
44
69
59
53
38
30
12
10
14
22
18
31
34
27
11
11
10
10
15
10
2
5
7
8
4
3
13
827
Percentage of
success in
known cases.
50.00
64 80
60.00
46.15
65.56
56.81
63.15
39.39
46.34
52.23
62.06
69.61
36.36
55.7
66.66
33.33
61.53
36.36
44.44
51.61
41.17
40.71
18.18
36.36
10.00
10.00
40.00
30.00
50.00
20.00
14.28
28.57
...
...
...
49.36
Remarks.
All doubtful and slight marks have been considered as unsuccessful.
6. My autumn tour of inspection in Kumaun was completely sacrificed, and
my cold weather tour in Oudh and Rohilkhand was greatly delayed, owing to my
being deputed in association with. Professor Haffkine in the performance of anti-chole-
raic inoculations until December 8th,1893. Further, at the end of. March 1894, when
about to continue my inspection of vaccinations, I proceeded on cholera duty instead.
The usual period of inspection of vaccination was thus very greatly curtailed, and to this
fact is due the diminished number of cases inspected. When the number of inspections