32                                       RANCHEE CIRCLE.

be got. But although the whole country was covered with vaccinators after this fashion
enough would not be done. Native superintendence is needed for this work alone during
the working season.

In Hazareebaugh many ex-inoculators dwell who have been trained to vaccinate, but
the number is much too small to cover the whole area, and their work would be desultory,
or even worthless, without careful supervision.

Until there are a much larger number of trained and resident vaccinators in
Lohardugga and Hazareebaugh there will always be need for a staff of men, in the case of
epidemic small-pox particularly, to carry on vaccination.

Work done by ex-
inoculators in
Maunbhoom

20. In Maunbhoom 7,362 persons have been vaccinated this year (against 3,728 last
year) by twenty-seven ex-inoculators. 6,516 of these cases were tested by the Civil Surgeon.
This in a population of 995,570 is by far too little. Under efficient native superin-
tendence a great deal more work could be got out of the native and resident vaccinators
in Maunbhoom.

In Singbhoom.

In Singbhoom 8,258 persons have been vaccinated this year by 24 inoculators against
9,326 last year in a population of 415,023. To the Civil Surgeons of these districts I am
indebted for the facts noted above.

21. There are 100 ex-inoculators on the register in Maunbhoom and 37 in Singbhoom,
and the number annually engaged in vaccinating could, doubtless, be increased, but one
native superintendent should be appointed for each district, for the cold weather at least,
to look after and direct those vaccinators who are already engaged. It is plainly impossible
for Civil Surgeons to attend to them sufficiently. Ex-inoculators* did 21,684 successful
cases this year against 12,842 last year.

With each thannah defined and each vaccinator's beat known there would be little
difficulty in supervising work in the season, and it would be comparatively easy to provide
for epidemics. Such provision has not been required in these two happy districts of late
years, in consequence of all inoculators ceasing their old trade, and Act IV. B. C. of 1865
being in force.

Epidemic small-pox,
Lohardugga.

Hazareebaugh.

Chyebassa

22. Epidemic Small-pox, Lohardugga.—During the non-working season, two vaccina-
tors were almost constantly employed in attending to outbreaks in Palamow sub-division,
whence 92 reports were received. In all 177 reports were received of small-pox in Lo-
hardugga district, the number of deaths reported is 125, but as usual the cases reported
cannot be depended on, they number 523.' A vaccinator was sent to every affected village—
Hazareebaugh. One man remained in Chuttra, but proved an idle fellow, and was discharged
in November. He did only 13 cases. The number of deaths reported from Hazareebaugh
district is 244, and of cases 273. Vaccinators were sent here as in Lohardugga. From
Chyebassa only two cases were reported during the year, one in the sudder bazaar, and one
in Kolepara.

Maunbhoom

Superintendence.

Maunbhoom has been entirely free from small-pox during the year under report.

23. Superintendence.—Each party was visited twice, that of Elahi Bux three times
during the season. The number of miles travelled was about 616. My presence was found
to have a good influence sometimes when opposition was thought of by the villagers, and
medical advice was generally asked and given always.

Lymph.

24. Lymph.—Some time was lost at the beginning of the season in raising lymph.
The English lymph all failed, except one tube, and the stock which we had been able to
keep up throughout the year was very scanty. A small supply was got from the North-
West. The work has been good throughout the season, and inflammatory results less com-
mon than usual.

* 88 were employed in 1872-73 and 60 in 1871-72.