56

further increase in the amount of work done. With other two or three Vaccinators,
I believe vaccination in the Native States would soon be as thorough as it is in the
Punch Mahals.

Never saw a case of Syphilis
resulting from impure Lymph.

19. I have altogether inspected the arms of 16,573 children during the four
years I have held my present appointment, and
have never seen a case of syphilis resulting from the
use of impure lymph.

                              PRESIDENCY CIRCLE.

Local Superintendent.—Sub-Assistant Surgeon Anunta Chandroba.

            Establishment.—Six Vaccinators (Government).

Population 816,562. Total cost, Rs. 6,730. Average cost of each successful
vaccination, 1 rupee 1 anna and 11 pies.

Causes of Decrease.

The total number vaccinated during the year under report amounted to 9,222,
being 1,535 less than the number operated upon
during the preceding year. The great prevalence of
small-pox, measles, and fevers amongst the children could not but cause such a consi-
derable lessening in the number vaccinated. Small-pox alone carried away some 1,725
in the course of the year, and must have protected a great many more. It has been
found from past experience that an outbreak of small-pox has been the signal for
hundreds to flock to the vaccine stations, and the numbers vaccinated bore a direct
ratio to the extent and severity of the epidemic. This being the case, the total number
vaccinated during the past year should have at least equalled, if not exceeded, the
number for 1868, seeing that the epidemic was both extensive and severe. This, I am
sure, would have been the case, had it not been for circumstances which, from their
very nature, could not but materially influence the result. Whilst small-pox was
decimating the children in all directions, measles and fever, both of a very severe
type, were not less active. The deaths from the former amounted to 477; the
latter carried away from amongst the children alone, ranging from seven months to four
years, no less than 1,316 individuals. So, what with small-pox, measles, and fevers,
there was scarcely time, in many instances, to have recourse to vaccination. Small-pox
raged most violently during the first half of the year—at a time, too, when we were