54

5. I am glad to state that no measles or small-pox prevailed during the year
under report.

6. The average number of weekly operations was 11.

                                        MAHABLESHWAR.

Surgeon-Major George C. Bell, M.D., Superintendent.
Population 4,006.

During the season under report vaccination was successfully practised in every
case that presented itself. The most favorable months for vaccination are April
and May, and I may here remark that after careful observations for some years, it
may now be regarded as an established fact that on this range of hills the results
are more successful if attempted after the hot season commences, very few proving
successful during the cold months. Lymph in tubes was obtained on three diffe-
rent occasions from the superintendent of vaccination, central circle which proved
active and good. In all 38 operations were performed ; in these, 3 were excess of
operations over persons, and 35 were individuals primarily vaccinated, 13 males
and 22 females ; 21 being under one year and 14 over a year old ; result of the
total operations was 22 successful 14 unsuccessful, and 2 unknown.

                                    VENGURLA DISPENSARY.

Apothecary Mr. D. M. Munday.
Population 10,618.

The total number vaccinated was 228, viz., males 133, females 95; of which
147 were under one year and 81 above one year old; 221 proved successful. 4
unsuccessful and doubtful and 3 unknown giving a percentage of 98.2 of success-
ful cases.

2. Vaccination has been performed by the native; medical pupil attach-
ed to the civil hospital at the station in the presence of the apothecary
in medical charge of the civil station.

3. There has been an increase of 55 in the number vaccinated compared
with the previous year, owing to the assistance rendered by the mahalkari
of this place who gave stringent orders to the pátils to assist with the
register of births and on all occasions to accompany me from house to house,
and persuade the parents of the children to allow the operation to be per-
formed. In a short time there will be no means of keeping up vaccination
constantly, for all will be protected by vaccination. Hitherto nothing but an
epidemic, of small-pox in the neighbourhood has induced the richer class or
Gujars to allow their children to Be vaccinated. Improvement might be
made if vaccination were made compulsory, but as it is not compulsory many
children are not operated upon until they are over one year old, owing to
the obstinacy of their parents. Our system is to go from house to house
in all parts of the place and vaccinate all that can be found unprotected
of all ages.

4.     There has not been an outbreak of small-pox.

5.     Revaccination is positively objected to by all classes.