( 5 )

                                            UMBALLA DISTRICT.

15. Proceeding from Karnál the Vaccinators commenced operations in this district about the
middle of March. The district Native Superintendent with four vaccinators had been employed
throughout the cold season in the Umballa tahsíl, but the people having been unfavourably inclined, a
comparatively small number of operations was done: in the tahsíls of Pipli and Jagádhri, on the
other hand, the operation was fairly well received, and a satisfactory amount of work was accomplished.

This table shows the results in the three tahsíls entered on :—

                            Statement No. VIII.

The comparatively low
ratio exhibited by Jagádri is
due to a considerable portion
of the tahsíl having remained
uncovered at the end of the vac-
cinating season. Total number
vaccinated, 17,933 ; and the
proportion of successful primary
cases was 97.58 per cent. The
number of deaths from small-
pox in 1878 was 2,042, being in the ratio of 2.02 per mille of population.

This concludes the work done by the staff, comprising 1 Native Deputy Superintendent, 10 Native
Superintendents, and 40 Vaccinators, employed under my direct supervision throughout the cold season.

16. Establishment of Superintendent.—Dr. Massy held charge of the office of Superintendent
during the year under report, his staff consisting of 6 Native Superintendents and 24 Vaccinators.
During the cold season, the districts of Mooltan, Jhang and Montgomery were for the first time system-
atically vaccinated. The scanty and scattered population of these districts, and the long distances
between the villages to be overtaken, rendered vaccination in many parts very laborious and difficult;
and it is entirely due to Dr. Massy's untiring energy and close attention to the work of the vaccinators
that such a large out-turn of work was accomplished. A summary of the year's proceedings is given as
follows:—

(a). Chumba State.—Operations were conducted here during a considerable portion of the
hot season, and, as in former years, the vaccinators were everywhere well received. Total number
of vaccinations, 13,944; and the percentage of success in primary cases 98.06. The work of the
vaccinator employed by the State is reported by Dr. Massy to have been of the most inferior description ;
and his returns were found to be untrustworthy.

(b). Nádáun State.—The Rajah is reported as having to a certain extent assisted the
vaccinators, but he would not permit the operation to be performed on his son. Total number of
operations was 1,212; percentage of success 99.66.

(c). Lambagraon State.—Total number of operations 1,107 ; percentage of success 99.34. Every
assistance was given. During the latter portion of the hot weather, Dr. Massy also superintended
operations in the Kángra District, a resumé of which incorporated with those performed by the staff
under my supervision in the earlier months of the season, has been given in paragraph 11 of this report.

(d).—Mooltan District.—This district, undertaken at the commencement of the cold season, had
never previously been visited by the vaccinators of the Provincial establishment. Dr. Massy reports
that, although the people were not averse to vaccination, a general dread of having infants operated
on prevailed. This proved an insurmountable obstacle, and a large proportion of the infantile
population in consequence remained unprotected. " Inoculation," he says, " had been carried on in this
district to an extent I have never seen elsewhere, the operation, it was said, being usually performed
by women. The practice of steeping rice in the virus taken from small-pox pustules is also resorted to,
the rice thus treated being administered internally. I noticed in the cases in which small-pox had been
thus induced that little or no trace of the disease remained ; and a considerable number of such cases
having been subsequently vaccinated, about 40 per cent. of the operations proved successful." A severe
epidemic of small-pox was observed to be everywhere prevalent; number of deaths from this disease
registered in 1878 was 1,639, being in the proportion of 3.56 per mille of population. Total number of
operations 39,703 ; percentage of success in primary cases 98.76, and the ratio successfully vaccinated
per mille of population, 78.07, is considerably above the average of other districts.

(e)   Jhang District.—Here also systematic vaccination was performed for the first time. The
people were much more unfavourably disposed than in the district of Mooltan, but, every assistance
having been received from the Civil authorities, a fair amount of work was done. Although small-pox
was raging in the town of Jhang at the time the vaccinators were working there, the members of the
Municipal Committee are reported to have shown the utmost indifference in the matter, and to have given
no assistance. Total number of operations 26,451; percentage of successful primary cases 99.23 ; and
persons successfully vaccinated per mille of population 69.98. The practice of inoculation was found
to be common throughout the district, and small-pox was present in an epidemic form; number of
deaths registered from this disease in 1878 was 367, or 1.05 per mille of population.

(f)   Montgomery District.—This also was new ground as regards systematic vaccination. In
the beginning much delay and opposition were met with in the tahsíl of Montgomery; elsewhere the
hostility of the people was less marked. Inoculation was found to be a common practice. Tota