59

viously vaccinated the revaccination was successful in 63, unsuccessful in 34 and
the result in 5 was unknown. Of those who had the inoculation or small-pox
before, 16 were successful and 6 unsuccessful.

5. The condition of the lymph during the year was mostly good. When-
ever it failed it was renewed from the state vaccinator. Weekly vaccinations
from arm-to-arm were performed almost througout the year in all the different
parts of the town. Vaccination is firmly established in this state and though the
people are not very forward to have it, yet they have no objections to its per-
formance.

Small-pox.

6. 10 sporadic cases of small-pox occurred in the town during the year;
one case was in May, 2 were in January, 3 in Febru-
ary and 4 in March. All the subjects had been vac-
cinated and they all recovered. In 5 the small-pox was distinct and in 5 it was con-
fluent. There was some small-pox in the districts generally throughout the year.
The state vaccinator has said about 131 cases, 74 in males and 57 in females ; 51
were vaccinated and 80 were unprotected. 13 of the unprotected died.

                            ALIBAG DISPENSARY.

Assistant Surgeon M. F. Pereira, L.M.

Population 5,473.

Vaccination and revaccina-
tion.

During the year 1873-74 the total number of
vaccinations (primary) and revaccinations was 209 or
2 more than in the preceding year. 200 were pri-
mary and 9 revaccinations.

Result and percentage

2. Primary vaccination was successful in 182 cases, giving a percentage of
91 ; revaccination succeeded in 8 out of 9 cases,
giving a percentage of success of 88.8.

Caste, age and sex.

3. All the revaccinations were performed on christians. Primary vaccina-
tion was practised on 177 hindus, 9 musalmans and
14 jews. Of these 103 were males and 97 females ;
94 were under and 106 above the age of one year.

Small-pox.

4. This cruptive fever prevailed to a slight extent in the months of April
and May, and again in November and December. In
the month of May the European, gentry were revac-
cinated, and the result showed that they were not protected by the former vac-
cination performed in infancy. Although these examples were before the eyes of
the natives, yet I could not prevail on even one of them to receive revaccination.

Lymph.

5. The quality of the lymph was very good, but whenever it deteriorated it
was renewed. The failure in the 18 cases was attri-
butable, probably, to the lymph having been forwarded
to me in tubes. Arm-to-arm vaccination invariably gave successful results. As
it is not possible to get children every eight days to keep up the supply, it renders
the use of tubes a matter of necessity. However, direct vaccination was practised
as much as possible. The supply of lymph was sometimes obtained from the tá-
luká vaccinator, but that forwarded by the district vaccinator of Pen gave the
most satisfactory results.

House to house vaccination.

6. This was the only way in which vaccination could be performed. Al-
though the people believe in the benefits conferred by
vaccination, yet they, through mere indifference or
inability to perform certain religious ceremonies connected with the small-pox,