( 4 )

Vaccination in compulsory areas under
Act V. of 1880.

10. The working of Act V., 1880, in Assam is shown above. The statistics exhibit
some improvement on those of the previous seasons, but are
still unsatisfactory. In Gauháti there is some indication
that the Act is not a dead letter, but in both Dibrugarh and Sylhet the law does not
appear enforced.

                                                                                TABLE No. 6.

                    Showing the number of Licensed Vaccinators' Operations inspected by the Civil Surgeons and Native
                                                            Inspectors during the year 1887-88.

District.

Total number of vaccinations.

Number of
vaccinations
inspected.

Number
of vaccinations
found
successful.

Number
of
vaccinations
found
unsuccessful.

Percentage of
successful
cases actually
verified by
inspection.

By Civil
Surgeons.

By Native
Inspectors.

By Civil
Surgeons.

By Native
Inspectors.

By Civil
Surgeons.

By Native
Inspectors.

By Civil
Surgeons.

By Native
Inspectors.

Goálpara .... ....

11,581

3,230

4,698

3,030

4,388

200

310

93.81

93.40

Kámrúp .... ....

8,226

...

3,699

...

3,293

...

406

...

89.02

Total ....

19,807

3,230

8,397

3,030

7,681

200

716

93.81

91.47

11,627

10,711

916

92.12

Inspection of licensed vaccinators' work.

11. Licensed vaccinators, formerly termed ex-inoculators, are chiefly employed in
Goálpára and Kámrúp. The operations attributed to them
have increased from 15,838 last season to 19,807 in this; and
the number inspected has also increased from 8,164, or 51 per cent., to 11,627, or 58 per
cent. The proportion of successful cases among those inspected has increased from 91.27
per cent. to 92.12 per cent. The work intrusted to these men is at last placed on a
thoroughly satisfactory footing in Goálpára. They are, in fact, under precisely the same
system as the Government vaccinators, and, indeed, are for the most part private
practitioners who extend the benefit of vaccination at no cost to Government. I should
be glad to see Dr. Dobson's excellent arrangements copied elsewhere, more especially in
the populous and thriving district of Sylhet. With local energy and emulation, the
vaccination in South Sylhet could easily be doubled by licensees drawing fees from those
operated on, subject to strict inspection and obtaining always their lymph stock through
the Civil Surgeon.

General tables.

12. Besides the preceding district tables, the Annual Vaccination Statements Nos. I.
to III. of the Province are submitted, drawn in accordance
with the Government of India requisition contained in
Home Department Sanitary Resolution No. 86, dated Simla, the 9th May 1877.

Statement No. I.

13. In Statement No. I., the particulars of vaccination are given for each district;
the classes of operators; the population both in gross and
average per square mile; the total operations of the season
in each district; the average number performed by each class ; the successful primary
and secondary vaccination, with the proportion per thousand of population ; the average
quinquennial preceding vaccinations; and the average mortality from small-pox during
the same period.

Statement No. I. continued.

14. It is difficult to compress within a single illustrative paragraph all the informa-
tion herein detailed. The average annual mortality from
small-pox, .72 per thousand, occupies a medium position,
being higher than Bengal, Punjab, Berar, Lower Burma, and Bombay; and lower than
the North-Western Provinces,. the Madras Presidency, and Coorg. The proportion of