( xxiv )

the native army where all children should be vaccinated, and adults vaccinated
or revaceinated.

Small-pox in Sindh and Southern
Circles.

41. Dr. Williams gives some interesting information regarding the in-
troduction and stamping-out of small-pox in
Sindh (vide page 4-5). Mr. Macdonald appoin-
ted an extra vaccinator for the Supa petha to
overcome small-pox there; and old and young flocked to the vaccinator who
was aided very much by Mr. Ram Krishnapa the Mahalkari of Supa (vide
page 18, para. 9).

Inoculation.

42. It is reported that inoculators had
been carrying on their baneful work in
Wai táluká ; but I am unable to say to what
extent they did so.

43. One of the Presidency circle vaccina-
tors was permitted to accept an appointment
of assistant superintendent of vaccination in
the Berars.

Govind Moray transferred to the
Berars as an assistant superin-
tendent.

Vaccino-Syphilis.

44. It appears to be very generally admitted that the virus of syphilis
may be communicated to a person along with
the vaccine virus; but it can only be so by the
vaccinator being so careless as to imply an
utter neglect of the most ordinary observation and caution. The com-
munication of syphilis by vaccination must be one of the very rarest
occurrences in the world and the testimony of the officers of the Bom-
bay Vaccination Department alone proves this to be the case. Not one
of us has ever seen such a case and only one case has ever been even
spoken of, and in that case Dr. Turnbull's enquiries proved conclusively that
vaccination had nothing to do with the syphilis. During the past year the
medical officers of the department inspected 92,976 vaccinated children and
the worst things they saw were neglected sores and an abscess or two—acci-
dents which must be expected. The assistant superintendents saw 217,269 vac-
cinated children and in no case was there the least suspicion of syphilis having
been communicated by vaccination. The attention of all in the department
has been directed closely to this subject during the past 4 years and nothing
has been seen.

Departmental rules.

45. During the year I drew up a set of rules for the department which
will form a section in the new Medical
Code, now being brought out. The vac-
cination forms have all been numbered with
a serial number and bear the distinctive letter V. Several of the superintendents
have drawn up subsidiary rules for the guidance of themselves, assistant super-
intendents and vaccinators and the others are about to do so.

Superintendents to pass in the lan-
guage of their circles.

46. Government in their Resolution No. 107 dated 13th January 1874
directed all superintendents of vaccination
to pass in the language of their districts
by the end of next rains or forfeit their
appointments. And all officers appointed
to be superintendents in future must so pass within a year or forfeit the
amount of difference between their pay of rank and the pay of a super-