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18. Medical Officer in charge, 8th Bengal Cavalry Hospital, Bareilly.
19. Medical Officer in charge, 3rd Bengal Infantry Hospital, Allahabad.
20. Medical Officer in charge, Station Hospital, Sháahjaháanpur.
21. Medical Officer in charge, Station Hospital, Muttra.
22. Medical Officer in charge, 6th Bengal Light Infantry Hospital, Meerut.
23. Medical Officer in charge, Station Hospital, Bareilly.
Working of bovine lymph depôts.
18. The bovine lymph depôt at Lucknow is reported to have supplied lymph
of good quality ; the operations are however chiefly
in the city concerned ; calf lymph in tubes, unmixed
with any preservative, has not good keeping qualities in this climate, and there is no
antipathy among the people to the use of human lymph, although there is objection
among a very small number to the withdrawal of lymph from the vesicle. The
bovine lymph depôt at Allahabad was visited by me in the middle of the working
season, and was not found to be well managed in many matters of detail in connec-
tion with aseptic precautions. Very thorough supervision, and a training in
antiseptic methods far in advance of that given to vaccinators, are required in the
preparation of lymph preserved by admixture.
Vaccination in Municipalities.
19. The vaccination in Municipalities during the past year shows an increase
of 2,672 successful primary vaccinations as com-
pared with 1897-98, and a proportion of 33.11
persons successfully vaccinated per 1,000 of the population as compared with a pro-
portion of 32.51 protected in the preceding year. In 72 Municipalities there was an
increase in the number of successful primary vaccinations, and in 32 Municipalities
a decrease. In Farukhabad-Fatehgarh, Khairabad and Lakhimpur, the decrease is
attributed to the negligence of the Municipal vaccinators, who have been punished; in
Allahabad, Chunar, Hardoi and Lucknow to a diminution in the birth-rate closely
approximating the decrease in vaccination ; in Benares the decrease is apparent only,
the work of the previous year having included that done outside municipal limits ; in
Gházipur the decrease is attributed to the fears of the people connected with plague
inoculations.
In the year 1897-98 there were 4,987 re-vaccinations resulting from the widely-
spread outbreak of small-pox, whereas last year only 3,896 re-vaccinations were per-
formed.
The percentage of success in primary cases was 95.01. The Municipalities best
protected were Tilhar with a proportion of 111.73, Sambhal with 74.28, Sultánpur
with 64.11, Bahraich with 56.10, Chandausi with 55.00, Amroha with 52.86, Sikand-
rabad with 50.49 and Fatehpur with 50.15. The least protected Municipalities were
Brindaban with a proportion of 16.99, Almora with 17.00, Kálpi with 19.03 and
Pilibhít with 19.91. Brindaban is a pilgrim resort with a large proportion of aged
persons.
Working of the Vaccination Act.
20. The Vaccination Act is in force in all Municipalities, but the thorough-
ness of enforcement varies considerably; Register
No. 1 is not properly kept in Dehra Dún, Sikand-
rabad, Soron, Jalesar, Bareilly, Utraula and Balrampur ; and Register No. II is
frequently incomplete. Register No. I, in spite of instructions that its purpose is to
record the names of all children born within the Municipality, is not infrequently
a record only of children vaccinated. Vaccinators are in some instances required to
keep up the registers, instead of the Municipality, and this heavy clerical work inter-
feres with vaccination.
The issue of certificates of vaccination was satisfactory.
Notices are generally issued by Municipalities under sections 17 and 18 of the
Vaccination Act, but usually no further action is taken and prosecutions are
extremely rare. In Hardwár, Mussoorie, Deoband, Koil, Mirzapur-Bindhachal
and Chunar no notices were issued. In Aligarh district the Municipal Boards
passed resolutions ordering the Municipal vaccinators not to issue notices to parents