vi                                    REPORT.

in these returns, yet their correctness is questionable, and a peculiarity that
must be noticed is, that while residents in Calcutta show only a ratio of
93.10 per cent. of successful operations, those in the suburbs and metropolitan
circles at a distance round show from 98.05 to 99.64.

4. The following table, of which the results agree more with my experi-
ence than Dr. Charles' high averages, is entered for the sake of comparison:—

Country.

Year.

RATIO OF SUCCESSFUL CASES
per Cent.

By the Vaccine
Establish-
ment.

By Civil
Surgeon and
Vaccinators
attached
to Dispensaries

Punjab ... ... ...

1866 ...

94.74

72.3

... ... ...

1867 ...

95.01

75.7

... ... ...

1868 ...

95.94

72.96

Central Provinces ... ...

1867 ...

83.00

...

... ... ...

1868 ...

79.34

80.26

Sumbulpore, C. P. ... ...

1868 ...

.....

93.87

Madras Presidency ... ...

1865 ...

83.46

„ „ ... ...

1866 ...

86.39

„ „ ... ...

1867 ...

89.58

Bombay „ ... ...

1866 ...

92.89

„ „ ... ...

1867 ...

94.0

Scotland ...... ...

1866 ...

96.7

......

Result of the Vaccination Act stated by
the Registrar General to be the highest
percentage attainable under any system.

Parishes of England and Wales ...

1867 ...

98.9

......

10th Report of the Poor Law Board. "This
proportion is above the average."

It would have been more satisfactory if Dr. Charles had given statistical
tables of the work performed, as are appended to the other reports.

5.    In the 5th to 9th paragraphs of his report, he urges the necessity of
some measure of medical police for providing effective isolation, by legislature, of
cases of small-pox occurring among the native inhabitants of Calcutta. If such
a provision does not already exist in the municipal bye-laws, the necessity of
some interference is required; the publication of the rules alluded to in Secre-
tary to Bengal Government's letter No. 1411 of the 30th March last will be no
safeguard against the contagion of the disease spreading.

6.    The entertainment of the temporary establishment recommended by
Dr. Charles in his 16th paragraph would doubtless be useful in extending
vaccination if the increased work could be properly superintended.

7.    Dr. Matthew's report of his work in the Darjeeling Circle is very
creditable to him. He superintended 44,533 operations, of which the successful
ratio per cent. was 88.00, a very fair result for the third year of the operations.