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                        KARACHI CIVIL HOSPITAL.

Surgeon Major N. Hopkins, Civil Surgeon.
Population 51,822.

Vaccination has been carried on during this year as previously, by one
of the vaccinators provided by the municipality.

2.     The vaccinator sends his returns to the superintendent of vaccina-
tion in Sindh through me. He brings me some children every week so as to
enable me to report every month on the character of the vesicles and lymph.

3.     There were only 2,828 persons vaccinated and revaccinated during the
year, which the vaccinator explains by the increased difficulty in getting
children to be vaccinated as there has been no small-pox about to frighten
the parents ; among primary vaccinations there were 1,754 successful, 100
unsuccessful and 46 unknown ; of the number of revaccinations 989, there were
591 successful, 375 unsuccessful, and 23 unknown, giving a percentage of
94.6 in primary and 61.1 in revaccination.

4.     The pay of the vaccinator is Rs. 15 a month, or Rs. 180 a year,
the contingent bills amounted to Rs. 53-8-0, so that the cost of the whole
working establishment was only Rs. 233-8-0, which divided by the operations
gives one anna and three pies as the cost of each operation and one anna and
seven pies as the cost of each successful operation.

5.     There is a great increase in the number of revaccinations over former
years ; this is in a great measure due to revaccination being carried out
thoroughly in the jail. All convicts who have not distinct cicatrices of either
vaccination or small-pox are vaccinated. Persons vaccinated at the jail and
hospitals were not included in this return, but were shown separately till
this year. The vaccinator reports that he has great difficulty in getting
some parents to permit their children to be vaccinated, and afterwards there
is great difficulty in finding them to ascertain the result, and it is only
when small-pox comes to the immediate neighbourhood that they seek vacci-
nation.

                        KETI BANDAR DISPENSARY.

Mr. F. Jacob, 3rd Class Hospital Assistant.
Population 2,199.

The total children vaccinated during the year is 228, being 167 in excess
of the previous year.

2.     The quality of the lymph was very good.

3.     On my arrival in April last, I heard that small-pox was prevailing
in the town and adjacent villages. I immediately applied for and obtained
fresh lymph from the táluká vaccinator and vaccination was practised until
15th July last. The assistant superintendent of vaccination, Karáchi collec-
torate, on visiting this dispensary in February last, informed me that one
case of small-pox had been seen by him in the out-skirts, in close proximity
to this station : I therefore applied to the vaccinator for fresh lymph and
commenced vaccinating the children newly-born and also those that were left
unvaccinated from July owing to their illness. 19 cases of small-pox have
been reported at the kotwál's office during the year, of these 3 were males, 10
females, and 6 children, out of these 3 cases proved fatal. None of these applied