3

the generality to submit them for vaccination. They entertain a belief that teething is as
much as an infant can endure, and dread any additional fever likely to be consequent on
vaccination.

Of the total number vaccinated 45,008 were successful cases, being a percentage of 92.7. I
believe that this is as near an approximation to truth as possible. Every means have been
taken both by the Deputy Superintendent and myself to test the accuracy and truth of the
men's returns, and in addition they have from time to time been verified by the Collector's
assistance. With one exception they have invariably been found correct.

A great boon has been conferred by Government in sanctioning the sum of one Rupee per
month to each vaccinator for the purpose of conveying fresh matter from village to village.
The old system of trusting to lymph on glass and points was attended with delay and frequent
failure. When vaccinating with dry lymph, even a clever operator could not calculate on
more than one successful case in six. He was obliged therefore on visiting a new village to
wait for a sufficient number of fresh vesicles, and great delay was thus occasioned. There is
no doubt too that the people lost confidence in a great degree, observing several operations
performed followed by no pustules. The case is different now. In every village two or three
children with fresh matter can be easily obtained for a small remuneration, and for the future
unsuccessful cases should invariably be the exception.

I would beg to offer a suggestion as to the advantage of supplying Superintendents of Vac-
cination annually with empty tubes in lieu of the square glasses and ivory points supplied by
the Medical Storekeeper. Vaccinators could be easily instructed in the method of filling
them, and a constant and certain supply of vaccine matter would at all times be available for
transmission to the Presidency and other distant parts.

The Principal Inspector-General's Circular, No. 2037 of 1863, dated 8th September last,
impressing on Superintendents of Vaccination the necessity of bearing in mind the wish of
Government, conveyed in paragraph 4 of Resolution 1131, dated 27th July, has not been lost
sight of, and when travelling through the districts I have been at much pains to try and collect
facts regarding the protective power of vaccination, such as I formerly brought to notice,
sufficiently striking for publication, as yet I have failed in meeting with such ; but in addition
to my own inquiries the Collectors of each district have been written to, and requested to
obtain through the mamlutdars information on the following points :—Whether any remarka-
ble out-break of small-pox took place in any town or village during the year, and if so with
what results. In what proportion death and disfigurement (such as loss of sight) occurred
amongst the vaccinated compared with those unprotected ; the result of this inquiry will
be communicated hereafter.