72

                                                SATTARA.

One Government Vaccinator under the Civil Surgeon, Surgeon H. V. CARTER,
M.D.

Population 22,949. Total cost, Rs. 305. Average cost of each vaccination,
2 annas and 4 pies.

The above table shows a diminution in the number of vaccinations at this station,
as compared with the previous year, but not with other former years. The cause of
decrease may be referred to the great prevalence of cholera in 1869 : for experience
has shown that this fell disease has a paralyzing and distracting effect upon the people,
highly unfavourable to the progress of vaccination ; families are both unwilling to move,
and are strongly disinclined to vaccination, during the prevalence of this epidemic. Such
considerations, I am assured, amply account for the falling off in the number above
shown; and I believe there is generally no opposition offered to Vaccinator's work,
but, on the contrary, a satisfactory appreciation of its benefits. It should be added
that small-pox widely prevailed during the early part of the year under report, and
had not the dread occasioned by cholera co-existed, it is probable that no decrease
would have occurred, as vaccination was proceeding steadily in April (in which month
no fewer than 837 children were vaccinated) ; but afterwards the monthly number
diminished two-thirds, and then suddenly fell to 97 in June.

2.     The lymph employed here continues to be good and efficient; in the
month of September, as it appeared to give less satisfactory results than usual, a
fresh supply was obtained in tubes from the Circle Superintendent, but it did not
take well, and with the subsidence of the rainy season the original lymph much im-
proved. Perhaps this fact may serve to show the unabated efficiency of Jennerian
vaccine, which the advocates of animal vaccine (so called) are disposed to doubt.
The percentage of success, 89.8, is slightly over that in 1868, which stood at 88.9.

3.     The Vaccinator has continued to conduct his work so well, that any addition
to his pay, by way of batta, for district work, would be merited ; and it does not seem
clear why he should not have the benefit of rank by service as well as Hospital
Assistants and District Vaccinators.

4.    Referring to the subject named in paragraph 2 of Circular No. 4442, dated 9th
December 1869, by the Inspector General, Medical Department, and subsequent