19

The causes of this considerable mortality were the change to the cold climate of these hills,
combined, in many cases, with the great activity of the lymph with which they were vaccinated,
which caused them to 'take' very freely.

Expenditure on calves.

5. The net expenditure on calves was Rs. 2,639, while in the
preceding year it was Rs. 3,150.

Cost of feeding.

6. The cost of the calves' food was Rs. 284-5-6, compared with
Rs. 381-13 in 1894-95.

Miscellaneous.

7. The expenditure under this head was Rs. 2,076-6-8, while in the year before it was
Rs. 1,817-8-8. Of this amount, vaccine tubes cost Rs. 1,686-13-1,
service stamps and telegrams, Rs. 51-6 and contingencies,
Rs. 338-3-7. In 1894-95 vaccine tubes cost Rs. 1,425-0-3, service stamps and telegrams, Rs. 51-4,
and contingencies, Rs. 341-4-5.

Establishment.

8. The establishment consists of a second-grade hospital assistant, with a special allowance
of Rs. 20 a month, a clerk at Rs. 10, a loader at Rs. 12, a coolie
at Rs. 10, and a coolie and sweeper at Rs. 10 each, engaged for
seven months only. An additional coolie at Rs. 10 is paid for by Manipur. The cost was—

Rs.

a.

p.

Hospital Assistant ... ... ... ... ... ...

765

0

0

Other establishment ... ... ... ... ... ...

519

7

3

Additional coolie for 7 months, paid by Manipur ... ... ...

68

5

6

Inoculation of calves.

9. Four hundred and forty-three calves were inoculated. In 13 of these the operation failed,
36 calves died before lymph could be taken, and from 103 no lymph
was taken for various reasons, such as illness, inflammation of the
vaccinated area, or because the vesicles did not come up to the highest standard, which specially
occurred in the earlier part of the season, before inoculation with lanoline paste was exclusively
adopted.

Number of tubes loaded.

10. The number of tubes loaded was 239,386, an average of 822.6 per calf. In 1894-95
the number was 250,249, an average of 532.4.

11. Lymph was distributed to all Civil Surgeons in the province, including those of Manipur
and the Lushai Hills.

The ordinary weekly supply to the various districts was as follows:

Tubes.

Sylhet ... ... ... ... ... ... ...

500

Cachar ... ... ... ... ... ... ...

800

Lakhimpur ... ... ... ... ... ... ...

800

Kamrup ... ... ... ... ... ... ...

2,000

Goalpara ... ... ... ... ... ... ...

1,000

Darrang ... ... ... ... ... ... ...

800

Nowgong ... ... ... ... ... ... ...

800

Sibsagar ... ... ... ... ... ... ...

800

Naga Hills ... ... ... ... ... ... ...

500

Garo Hills ... ... ... ... ... ... ...

300

North Lushai Hills ... ... ... ... ... ...

100

Manipur ... ... ... ... ... ... ...

1,200

Khasi and Jaintia Hills ... ... ... ... ...

150 in slack season.

300 in working season.

In addition to the above, occasional supplies were sent, on requisition, to the Medical Officers
of native regiments, Medical Officers of tea gardens, missionaries and others.

Quality of the lymph.

12. No unfavourable report was received throughout the season,
the quality of the lymph having been very satisfactory.

Since the 20th of December last, lanoline paste has been exclusively used for inoculating
the calves, which has been found to give better results and to be more certain than the methods
previously employed in the depôt, besides being more economical. The strength of paste found to
be best was 1 in 6.

Another change introduced was the adoption of punctures only in inoculating, which was
found to produce better vesicles than scarification.

The lanoline paste made in the depôt has been tested on children in these hills, and has given
excellent results, no failures having occurred with it.

If considered advisable, lanoline paste could be substituted for the glycerine lymph now used
in the province at a cost of probably little more than one-half the present expenditure of the vac-
cine depôt.

13. Hospital Assistant Chandra Nath Chand has worked throughout the year with the greatest
zeal, intelligence and efficiency.

                                                                          E. R. W. CARROLL, Surgeon-Captain,

                                                                                                       Civil Surgeon, Shillong.

Shillong,

The 16th April 1896.