No. 293-G OF 1891.

FROM

                        T. CHICHELE PLOWDEN, ESQ., C.S.,

                                    COMMISSIONER, HYDERABAD ASSIGNED DISTRICTS,

To

                        THE SECRETARY FOR BERAR TO THE RESIDENT,

                                                                              Hyderabad.

                  DATED CHIKALDA, the 17 th June 1891.

SIR,

I have the honour to submit the statistical returns with brief notes compiled
by the Superintendent, Dr. Little, showing the work of the Vaccination Depart-
ment in the Hyderabad Assigned Districts during the year 1890-91. The
return reached my office in print on the 13th June.

2. The total number of persons vaccinated during the year was 103,796 ; the
total number of successful operations was 89,351; the percentage of the popula-
tion successfully vaccinated was 36.8 per 1,000, and each vaccinator on the
average performed 2,171 operations. In all these points the work of the year
compares favourably with that of last year. In primary vaccination the per-
centage of success is slightly lower than that of last year, 95.1 compared with 95.7.
The percentage of the estimated births protected was 75.7. Taking the districts
separately, the variations in the ratio of successful re-vaccination are remarkable.
The two districts with the largest number of cases are Akola (3,126) and Ellichpur
(4,969), but the percentage of successful cases in Akola was only 18.8 against
34.6 in Ellichpur. The high ratio in Buldana has been calculated on a very
small number of operations.

2. The low outturn of inspection work by the local superintendents in
Akola is explained by the illness of the officers concerned. In other districts, and
particularly in Ellichpur and Buldana, the results are satisfactory. The rewards
recommended in Dr. Little's paragraph 5 will doubtless be sanctioned; the districts
in which the three vaccinators named were employed should have been named.

3 The total number of operations performed at dispensaries was 10,366, an
increase of 2,020 compared with 1889-90. In paragraph 18 of the vaccination
report for 1889-90 Dr. Little expressed an opinion, for reasons given, in favour
of suppressing vaccination at dispensaries and placing the work entirely in the
hands of the special establishment. Proposals to this end, which involve
no additional expense, were submitted to the Resident shortly after the close
of the official year 1890-91 and have been sanctioned. The inspection of
vaccination work at dispensaries by the Civil Surgeon of Wun is particularly
good—in marked contrast to that of the Civil Surgeon of Ellichpur.

4. The experiments for preserving animal lymph are an important feature
of the year's work. Before receipt of the orders of the Government of India of
the 6th November 1890, Dr. Little had placed himself in communication with
Dr. King and commenced experiments on a small scale on his own account. On
receipt of the orders cited arrangements were made for testing systematically
Dr. King's process. The details are explained in a memorandum and two tabular
statements appended to the notes, and Dr. Little considers that the practical
value of the lanoline-vaccine paste has been conclusively proved, and that, pro-
vided a sufficient number of calves can be reckoned on, a depôt located in each
province would supply all the lymph required in India. But so far as Ber r is
concerned there is no advantage in substituting this preserved lymph for the esh

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