20                              VACCINATION REPORT,

Ill effects by vaccination.

49. No instances were reported of any other disease but cow-pox having
been communicated through vaccination.

Abscesses and ulcers in the sites of vaccination vesicles were observed by
Dr. Colah.

Dr. Kantak says : " It is well known that bovine lymph is more powerful
and affects the system of tender children more strongly during the development
of vesicles than does humanized lymph. The records have heretofore shown no
cases of death resulting from an attack of small-pox after vaccination with
bovine lymph. Cases have occurred in which probably owing to children having
already, at the time of vaccination, been in the incubatory period, got small-pox
subsequently ; then again rarely cases have occurred in which small-pox in a
modified form has attacked persons vaccinated in infancy. A few cases are
sometimes seen in which the vesicular development has run an irregular course
attended with inflammatory symptoms, glandular swellings and slight skin
eruption, &c.; and although the majority of these cases are due to the general
filthy condition of their bodies and their surroundings, a few may be due to the
occasional deterioration of the lymph, which it is impossible by mere inspection
to detect. When vaccination has been performed with efficient calf lymph and
under proper precautions the system receives an impress more powerful and more
durable and far less mischievous, than when operated on with humanized lymph."

A few cases of small-pox occurring after vaccination were seen by Dr. Street.

Aid from Civil, Revenue
and Political officers.

50. The Civil, Revenue and Political officers
have rendered aid when required to all the officers of
this department.

Small-pox by Collectorates.

51. The table given below shows the deaths from small-pox for the year
under report as well as the ages of the deceased and
the number of persons successfully operated on in each
district of the Bombay Presidency :—