PRESIDENCY CIRCLE.                                           29

Character of
vaccination.

21. Character of vaccination.—A high standard and quality of vaccination was uniformly
maintained throughout the last season. The percentage of successful cases continues high, viz.
99.8, and my inspection has almost fully confirmed and verified it. In every case direct arm-
to-arm vaccination was practised; no other method was employed.

Vaccine census.

22. Vaccine census.—In accordance with instructions received from the Surgeon-General,
an attempt was made to collect vaccine census. For this purpose village pathsalas, vernacular
and Anglo-vernacular schools, and jails, were applied to for the information. I myself took
down the figures of some schools which I happened to inspect. The rest were taken down
by the deputy superintendents and vaccinators. For the information regarding jails I am
indebted to the courtesy of the civil surgeons of Burdwan, Hooghly, Howrah, and Kishnaghur.

               Table showing the amount of protection enjoyed by the people.

Conclusions from
the above.

Conclusions deduceable from the above table.—The census was collected by the vaccinators
while they were engaged in carrying on vaccination, and consequently they could not devote
much time to it. It will be observed that it is the juvenile population of schools and pathsalas
that have furnished the above table, and, as might have been expected, the percentage of
vaccination is greater among them than among the adult population, 73.09 against 12.20.
The returns from the different jails give a fair idea of the degree of protection that exists
among the lower class adult population. It gives 77.83 per cent. of inoculated and 12.20
vaccinated. In next year's report I will be able to furnish considerable information on this
subject. During the recess three or four gangs will be employed in collecting "vaccine
census."

Behaviour of the
establishment.

23. Behaviour of the establishment.—The whole establishment of head vaccinators,
ordinary vaccinators of all grades, and apprentices, have worked very hard, despite sickness,
much ignorant opposition, and several other untoward circumstances, and given great satisfac-
tion.

The office establishment have performed their duties satisfactorily.

CALCUTTA,
The 22nd May 1874.

Memorandum by H. B. BUCKLE, ESQ., Deputy Surgeon-General, Presidency Circle,
                         (No. 8L, dated Fort William, the 23rd May 1874.)

Memorandum by
Deputy Surgeon-
General.

FORWARDS the annual report and returns of the Metropolitan vaccine circles for the year
ending the 31st March 1874, submitted by Surgeon K. P. Gupta, Superintendent of
Vaccination, Metropolitan Circles.

Small-pox.

The result of the operations of the past year is
stated on the margin; the usual high average of
successful cases is fully maintained. In state-
ment No. III the establishment and cost of main-
tenance is given. This amounts to Rs. 35,626-15-1,
and makes the cost of each successful case of
vaccination one anna nine pies per head.

Mr. Gupta notices 19 reports of outbreaks of
small-pox in his circle, of which four proved to be
measles. There have been outbreaks more or
less severe during the past year in the 24-Per-
gunnahs, in the Nuddea, Burdwan, and Beerbhoom
districts, also a severe outbreak in the Bankoora
district, and reports of local outbreaks have been received from the majority of the districts
in the Presidency circle of medical inspection. Gangs of vaccinators are, under these
circumstances, despatched, and the disease is, as it is the fashion to term it, "stamped out."
The actual fact must, though, be accepted with some reservation; as although every endeavour
is made to concentrate action, and by vaccinating round infected villages to localize and