3

Two Depôts for the manufacture of preserved lymph were at work through-
out the year, one at Belgaum, from which most of the Vaccinators are supplied,
and the other at Bombay for the local Municipal establishment.

The Second Annual Report of the Belgaum Vaccine Depôt shows that
at the beginning of the year 133 Vaccinators were being supplied with lymph
and that at the end of the year this number had increased to 298.

During the year a bacteriological laboratory has been added to the
Belgaum Depôt, so that the purity of each supply of lymph is now tested before
issue.

In Sind the use of preserved lymph has not yet been introduced; calf
lymph is used in Karáchi town, and human lymph throughout the various Dis-
tricts of the Province.

19. The following table shows the different kinds of lymph used, the work
done with each kind, and the comparative results obtained :—

District.

Kind of lymph used.

Number of operations.

Successful cases
excluding ''unknown."

Percentage of success
excluding "unknown."

Primary.

Re-vacci-
nation.

Primary.

Re-vacci-
nation.

Primary.

Re-vacci-
nation.

Western Registration District.

Human ...

49,492

3,216

41,878

1,954

91.26

72.31

Glycerinated ...

49,613

4,509

44,110

3,073

97.45

86.42

Presidency Circle ... ...

Animal ...

2,191

40l

1,967

40

98.25

70.18

Glycerinated ...

1,076

949

13,778

89

99.02

53.94

Central Registration District...

Humam ...

50,595

509

46,395

287

91.69

56.39

Animal ...

10,728

1,786

9,340

901

87.06

50.45

Glycerinated ...

79,127

1,920

69,041

858

87.25

41.68

Southern Registration District.

Human ...

18,996

2,193

18,869

1,664

99.57

80.58

Animal ...

4,717

584

4,688

441

99.41

77.23

Lanoline ...

2,204

304

2,005

209

97.90

90.87

Glycerinated ...

111,719

13,517

94,801

6,659

92.54

66.45

Gujarát Registration District .

Human ...

61,695

2,628

60,042

1,426

98.69

62.96

Glycerinated ...

51,446

1,199

44,949

469

93.07

58.33

Sind Registration District ...

Human ...

76,522

2,434

169,738

1,519

98.57

87.50

Animal ...

4,742

1,258

4,368

638

96.66

59.85

20.    On the whole the results with glycerinated lymph are not yet as good
as with animal or human lymph.

This is purely a matter of experience and dexterity; new methods, new
material and new instruments require time before the best results can be obtained.

In these results also are included all the operations performed during
the hot weather when it was found that the preserved lymph deteriorated in
transit through the post and many failures were reported.

Improved methods of packing have largely overcome this defect and better
results may be expected next year.

21.    No inoculation was reported to have been practised anywhere in the
Presidency.

22.    No instances were reported of any disease having been communicated
through vaccination.

23.    The table showing the number of children under one year of age in
towns available for vaccination is given in appendix III.

                                                T. E. DYSON, M B., D.P.H.,

                                                            Lieut.-Colonel, I. M. S.,
                                                                  Sanitary Commissioner.