12

In Kapurthala and Jínd, the outturn of work, as compared with the
previous year is almost the same. But in the State of Patiála, there has been
an increase of no less than 7,918 vaccinations; during the year under review.
Fortunately for this State as well as for the Native. State of Kapurthala, the
medical charge has been held by Drs. J. Fair weather and J. Bennett, respectively;
the work of vaccination therefore in these States has been well attended to.

Patiála State.

The large increase of vaccinations noticed in the returns of the Patiala
State is, according to Dr. Bennett, "mainly due to the
great sickness and mortality from fevers which, prevailing
throughout the greater part of the State in the autumn and early part of the
cold season of 1884, greatly impeded, the season's work for that year, while
during the past year the autumnal sickness was much more limited in extent
and severity."

Kapurthala State.

In the Kapurthala State, there has been a slight falling off of 807 in the
number of vaccinations, but it is attributable to the growing-
popularity of the system of vaccination, and consequently
the lesser number of children available for the operation from year to
year. The Commissioner of the Jullunder Division notices this fact with
great pleasure in forwarding Dr. Fair weather's report to this office :—" I can-
not think," says Dr. Fairweather in his report, "that the decrease is owing to
any loss of faith in the operation for I was surprised to find how many
children were this season brought up voluntarily by their parents to be vacci-
nated, because as they explained to me they thought their children would be
safe from small-pox if they were vaccinated at least three times. And all to
whom I spoke on the subject, seemed thoroughly convinced of the value of
vaccination, and of the way in which small-pox had been almost banished from
the State."

The percentage of
operations in the Pati-
ala State.

34. It appears from Dr. Bennett's report that in the Patiála State,
the vaccination, though vigorously carried on under the
supervision of that officer, the percentage of operations to
total births in the year, calculating the birth-rate at 40 per
mille, did not exceed 17 ; so that at this rate, there remained unprotected from
small-pox about three-fourths of the children born during the year.

The cost of each suc-
cessful case in the Pati-
ála State.

85. The vaccination establishment in this State consisted of one Deputy
Superintendent, two Native Supervisors and 17 Vaccina-
tors. The cost of each successful case was 1 anna 4 pies
against 2 annas in the preceding year, and the average num-
ber vaccinated by each Vaccinator was 1,827 against 1,286. The " arm to
arm" method was carried out, and to this method, says Dr. Bennett, is to be
attributed the very high ratio of successful cases. Of the primary vaccinations
which came under the personal inspection of Dr. Bennett, 99.28 per cent. were
found successful, "a result which in the main agreeing with that shown in the
vaccination returns is fairly good proof of their correctness." Of the total of
30,868 primary vaccinations, 15,878 were under one year of age, and. 14,488
between one and six years.

Vaccination work of
the large Native States
during the year satis-
factory.

36. From the reports received from the several Native States above
mentioned, it is quite evident that the work of vaccination
is now carried on in a very systematic and satisfactory
manner and reflects the greatest credit on the Darbár and
Medical authorities in these States. I have every reason
now to hope that the work (which has been only recently, that is, three or four
years ago, organized in those Native States), will now progress very rapidly and
increase in popularity from year to year. I regret that no reports have yet been
received from Baháwalpur.