4         VACCINATION PROCEEDINGS THROUGHOUT

Mount Stuart Elphinstone at about the year 1827, in the Bombay Presi-
dency; when four European Superintendents of Vaccination, (being-
medical officers) were at first appointed, who were distributed in four
vaccine districts, thus dividing between them the whole of the Presi-
dency ; under each European Superintendent is placed a head vaccinator
and an establishment of native vaccinators, varying in numbers with
the size of the division, with grades of pay sliding from Rs. 18 to 10 a
month.

The Bombay system requires the close inspection by the European
Superintendent of the work done by his native vaccinators. He keeps
his establishment spread over a district at reasonable distances apart,
principally in the neighbourhood of large towns, from which they pro-
gressively move on, protecting all the towns and villages in succession.
The European Superintendent follows them up. Arriving at any place
in the course of his tour, he has the children already vaccinated
brought to him, and examines their arms to assure himself of the
soundness of the vaccination; he sees the recently vaccinated cases,
looking at the arms in all their stages of the vesicle, ascertains the
purity of the vaccinia, and of the lymph used to propagate it. He
compares the native vaccinators' registers on the spot with the children
and people entered in them and with the vaccinator's own register, and
thus verifies the work performed. His duty is also to see that the local
registers of small-pox occurrences ordered to be kept up are so done.
This excellent system appertained to Bombay alone for many years,
and is still in operation, the number of circles and superintendents
and native vaccinators having been increased only. This system
essentially comprises the examination of every case vaccinated upon,
either by inspection of the arm during some one or other of the stages of
the vesicle, or else by investigation into the kind of cicatrix left; com-
paring the people vaccinated with the native vaccinator's registers; look-
ing at the crusts saved and produced.

Vaccination in
Bengal Proper.

8. In the Bengal Presidency, from time to time, slight shiftings and
alterations of the system have taken place. At Calcutta, under the
immediate eye of the Superintendent General of Vaccination a sound
vaccinia was maintained, but vaccination did not find its way into the
homes of the native population of Calcutta. From Calcutta sound vaccine
lymph was distributed all over the Presidency ; it was the only large
depôt for years, assisted by periodical supplies of lymph sent from the
National Vaccine Institution in London. By the resolution of the