6

            Statement showing the number of vaccinations performed in the large Native States from which
                                returns were received, together with those performed in Kurram,

Annual number of suc-
cessful vaccinations and
the annual rates of deaths
from small-pox per 1,000 of
population for five years
ending 1895-96.

20. In accordance with Government of India, Home Department, Cir-
cular No. 3/8796 (Sanitary), dated 16th June 1893, and
paragraph 2 of Government of India No. 284, dated the 5th
October 1895, forwarded with Punjab Government en-
dorsement No. 442, dated 6th November 1895, the compa-
rative statement showing the annual number of successful
vaccinations and the annual ratios of deaths from small-pox per 1,000 of popula-
tion for the five years ending 1895-96, district by district, is given as Appendix F.

Blue lines added to the
small-pox diagram.

21. In the small-pox diagram a blue line has been added for each district
showing the average mortality per 1,000 of population for the
last five years, as directed by His Honor the Lieutenant-
Governor in paragraph 9 of the Review on the Vaccination Report for last year.
It will be seen that in those districts (notably Kángra, Simla, Dera Gházi Khan and
Gurdáspur) in which vaccination is comparatively more effectually carried out,
the deaths from small-pox per 1,000 of population during the past five years has
been very small as compared with the mortality in other districts in which
vaccination is not so well done.

Statement F, showing
vaccinations done under the
Compulsory Vaccination
Act, as directed by Govern-
ment of India No. 284,
dated 5th October 1895.

22. In Appendix F is given the statement ordered by the Government
of India in their letter No. 284, dated 5th October 1895,
showing the vaccinations done under the Compulsory Vac-
cination Act in certain municipalities in this Province.
The figures in the statement appear to me to be inaccurate,
the returns having been compiled in the offices of Civil

Surgeons, but as I have no means of checking them, I refrain from making

any observations this year.

Dr. James' notes on vac-
cination in relation to
small-pox.

23. Dr. James, in paragraph 11 of his Vaccination
Report, observes :—

On several occasions rumours have reached me that children have contracted
small-pox soon after being vaccinated, and at least one Civil Surgeon, who had great
experience of vaccination, has expressed a belief that buffalo calf vaccination is not pro-
tective against small-pox.

As I have frequently heard similar remarks made, I am glad that Dr.
James has gone so fully into the matter, and my own experience confirms his
in every respect. I therefore propose to have a vernacular translation made
of his investigations, and circulate them amongst the people of the Province,
to counteract, as far as possible, the effects of a report of this kind.

Experiments on goat or
kid lymph.

24. In paragraph 8 of the Review on last year's Vaccination Report, it
is observed that " it is a matter for regret that experi-
ments in the case of goat lymph have not yet been possible
in the Punjab. Although buffalo lymph has, on the whole, been very well
received by the inhabitants of the Province, His Honor considers that in a