12                            REPORT ON VACCINATION.

been reported satisfactory and the working lymph in use good. The cost of each
successful case has been Annas 2 and Pies 10. On the 18th September 1877
Dr. Shortt visited Saidapet Famine Camp and found much fault with the Vaccinators
for carelessness, and directed two of them to be recommended for fine to the President,
Local Fund Board. He also visited the Pallavaram Famine Camp on the 20th and
Chingleput on the 25th, where he inspected several subjects with good vaccine
vesicles at the feeding-place. On the 27th he visited the famine relief camp at
Tiruvallur and left for Salem.

                                COIMBATORE DISTRICT.

This district has been divided into two ranges with a First-class Deputy
Inspector to each.

                                NORTH COIMBATORE RANGE.

The Deputy Inspector reports 29,033 operations during the year with a success
of 96.65 per cent. The total work performed in the two ranges shows an increase of
24,610 cases when compared with that of the preceding year, notwithstanding that
a great deal of sickness prevailed in the range and many people left it on account
of the famine. The increase is accounted for, viz., first, by the employment of 19
Probationary Vaccinators on Rupees 7 each per mensem; second, result system in the
district. On reviewing the comparative work done by the staff of Vaccinators,
Temporary Vaccinator B. Cumroodeen stands first, who shows a total of 3,200
cases with a percentage of 98.75 of success. The Deputy Inspector states that
obstructions to the spread of vaccination arising from prejudice, &c., are gradually
diminishing, but great difficulties have been experienced by the Vaccinators by the
withdrawal of peons by Tahsildars. Batta to the extent of Rupees 13-4-0 was
spent on account of mothers for furnishing arm lymph. Small-pox was prevalent
throughout the district and the mortality from the disease has been 1,358 against
361 during the past year, but steps were taken to put down the spread of the disease
whenever it appeared. The number of children vaccinated under one year of age is
3,971. Small-pox after vaccination in a few cases occurred, but the disease was
very mild. Forty vaccination certificates were granted to candidates appearing for
examinations. The character of the staff of Vaccinators was generally good and the
lymph in use effective. The cost of each successful case has been 1 Anna and
8 Pies. Dr. Shortt was at Erode on the 1st November 1877, where he met the Deputy
Inspector, and in the evening visited the famine relief camps and saw the Tahsildar,
the Passed Hospital Apprentice in charge of the camp. He inspected a large number
of subjects and condemned the whole work as being most disgraceful to the depart-
ment, as the subjects were most carelessly operated on with badly stored lymph, and
each having but one or two insertions, and these were in a state of ulceration.
There were also 12 cases of small-pox in the camp hospital. He visited the camp
again on the 2nd; neither the Deputy Inspector nor the Vaccinator were present, but
after waiting for some time in the camp hospital he met the Deputy Inspector on
his way back to the town, and went to relief works and orphanage, where he saw
several subjects vaccinated only three or four days ago, in which nothing was to be
seen at the insertions. The whole work was most unsatisfactory. On the 3rd he left
for Bhavani and visited the famine relief camp, where also the work was in the same
unsatisfactory state as was seen at Erode. Saw three cases in the town and inspected
the equipments of the Vaccinators. On the 5th he went over to the famine camp
and found no working lymph. There were 4 cases of small-pox and 26 of
measles in the camp hospital. He left the Deputy Inspector to carry on vaccina-
tion with the two lymph subjects subsequently brought by the Vaccinator and returned
to the town. Visited the camp again in the afternoon, and the Vaccinator who went
for a subject did not return. On the 6th he left for Audyoor and visited the relief-
camp, where the Vaccinator, quite a youth, showed him one subject with large