VACCINATION UNDER MUNICIPALITIES IN BENGAL, AND THE REVISED RULES FOR VACCINATION IN THE MADRAS PRESIDENCY. by Ilis Honor the Lieutenantgain an insight into the manner in which some of the municipalities discharge the important duty of paying vaccinators to protect from small-pox the inhabitants of their townships, and we regret to find that many of them have been extremely lax 111 this respect. In such towns as Culna, Runeegunge, Bisbenpore, Soory, Ghatal, Chunderkona, Bansberia, Bidabatty, Bhuddessur, and Koturung, in the Burdwan Division, 110 vaccinator apparently has been entertained, and in the large town of JUowrah oniy one man has been employed. In the Presidency Division, in many towns no vaccinator was thought of, while in others, where there was one, as Goberdanaga, Nawubgunge, Augurpara, Satkhiri, and Jessore, the work done was far from satisfactory. In Pubna and Rungpore, in the Knjslmhye Division; Furreedpore, Burrisaul and Naraingungo in the Dacca Division ; Cox's Bazar in the Chittagong Division ; Gynh and others in the Patna Division ; Colgong and Deoghur in the Bhaugulporo Division ; all the towns in the Orissa Division, except Cuttnck and Chattra ; Echak and Purulea, in the Chota Nagporo Division, there was no municipal vaccinator. These towns are named in the resolution, but many more might have been From:
a
recent resolution
Governor of
Bengal,
wo
mentioned. I11
llazareebaugh
the cost of vaccination amounted to
nearly
Ks. 12 per head for each person vaccinated, and in several places the work was very indifferently performed for the cost incurred. Different municipalities offer different terms to their vaccinators. Thus Bauleah pays a man 10 Rupees per month for 5 months, and Ks. 0 per month for the remainder of the year. The com-
missioners of this
to*pny
town
the vaccinators
would not be better season, or
to
apply
are
to consider whether it is necessary the year, and whether it
throughout to
increase the staff
any
saving, which
during
can
bo
the
working effected, by
In Burdwan, we believe, the for work dore way of bonus vaccinator gets Ks. 12 per month for the working season only. In
Bhaugulpore they are paid a small salary, plus a comon results, and this pluu seems to be working satisfac-
mission
torily.
January 1,
KEYIEW.
1877.]
Earing obtained and settled with the vaccinator, the next point is to supervise his work; for without proper supervision
will
this
returns with eudder
a
be
towns, of
nates will
a
parvum
in multo?a
maximum of
minimum of benefit to the the Civil
course,
supervise
and check
people. Surgeon and
the
In the
large
his subordi-,
returns of the
vacci-
nators, and it is in these we obtain the highest percentage of successful cases. In many of the municipalities of the Moffussil towns, there is Doctor
the
on
look after the work of bers
to direct
ought
Assistant-Surgeon
an
and
Committee,
the
vaccinator,
but
Native
or
he is the proper
man
all the
little of their attention to the
a
to
memsame
difficulty with non-professional persons is to true from spurious vaccination, but in this direction in most towns, they have the experience of a trained medical man to guide them. A careless vaccinator, regardless of the kind of sore he produces or of the ultimate object in view, who inoculates with pus from arm to arm, and whose ' successful' column of his register with a aim is to fill the number of cases, be they pustules of vesicles, does an incalcuThe
object. distinguish
The benefits
lable amount of harm.
of vaccination
can
be
greatly extended, in any town, by the exertions of an active and intelligent Assistant-Surgeon or Native Doctor, and to them we commend the subject as one deserving of all the attention nnd labour they can bestow upon it. The Madras revised rules for Vaccination.?Before dismissing this subject we may refer to the rules recently sanctioned for the Madras Presidency, and which strike us as being very good, and likely to be attended by beneficial results. The only fault we have to find with them is that too much is left Fund Boards and
to the discretion of Local
The establishment of the Vaccine
Inspector, Superintendents,
an
Municipalities.
Department
consists of
first and second class Vaccina-
tors, Probationers and Peons.
head-quarters of the Inspector is at Madras, and he is expected to inspect every district at least once in two years. The Superintendents and Assistant Superintendents will be selected by the Inspector from the grade of first class vaccinators. One will be appointed for Madras City and one for each district, and their pay shall not be less than Rupees 60 to which Local Fund Boards may add travelling per mensem, batta not exceeding Rupee 1 per diem if the Board thinks fit. The
The
cipal
supervision of
these officers will extend over all muni-
within their
towns
the commissioners
circles,
paying
the population of the part of their salaries in proportion to and also such share of the that with circle, town as compared of the
travelling
batta
as
tnay be incurred
by inspection
of
the town. A
candidate for the
served
post
of first class vaccinator must have
second class vaccinator for
period of at least examination, conducted by the Inspector of Vaccination, in the orders of the Vaccination Department and in Dr. Shortt's Manual of Vaccination, and he must be able to read and write both English and the Vernacular of his district. They will be appointed by Local Fund Boards and Municipalities as
a
three years, and must pass an Civil or Zillah Surgeon or
in numbers not less than town,
and
one
their pay will be
mensem, with
travelling
for each not
batta not
taluq
less than
exceeding
and municipal Rupees 15 per
annas
8 per diem
21
if the Board finds it necessary in his
taluq
or
Failure in the latter dismissal.
or
ing
or
desirable.
Each will reside
town and vaccinate at least
respect
will be
fifty cases monthly. punished by warning, fine,
He will reoeive extra pay, at
a
rate not exceed-
2 per case, for all successful operations in exccss of in any month, or 1,200 in any year, certified by the
annas
100
Superintendent
Assistant
Superintendent. appointment as second class vaccinators must be able to read and write the Vernacular of the district, and after examination are admitted from the probationer class. They may be appointed by the Local Fund Boards and Municipalities in numbers adapted to their needs, and their duties are the same as those of the grade above. Their pay will be not less than Rupess 10 per mensem with travelling batta, if allowed by their Boards, not exceeding 4 annas per diem. They will be expected to perform at least thirty successful operations monthly, subject to punishment by warning, fine, or dismissal in case of failure. Their employers may allow them annas 2 for each successful operation in excess of 100 performed in any month, or 1,200 in any year, certified by the Superintendent or Assistant Superintendent. Probationers, nominated by Local Fund Boards or Municipalities, must have studied the practice of vaccination for or
Candidates for
not
less than three months under the immediate observation
and instruction of a
Superintendent or Assistant SuperintenBeing recommended by him a3 fit for employment, a probationer may be appointed to act as second class vaccinator on the full pay of the grade until admitted into the department by tho Inspector, after examination into dent of Vaccination.
his qualifications held either at the Head Office in Madras or during his insoection of the districts in which the probationer is than
serving. Rupees 5 per
probationer will be not less travelling allowance ot annas accompanying the Superintendent during His pay as with
mensem
4 per diem while the course of instruction.
to
Local Fund Boards may, if they think fit, allow each Superintendent and Assistant Superintendent.
a
Peon
a
recent resolution
Governor of
Bengal,
wo
mentioned. I11
llazareebaugh
the cost of vaccination amounted to
nearly
Ks. 12 per head for each person vaccinated, and in several places the work was very indifferently performed for the cost incurred. Different municipalities offer different terms to their vaccinators. Thus Bauleah pays a man 10 Rupees per month for 5 months, and Ks. 0 per month for the remainder of the year. The com-
missioners of this
to*pny
town
the vaccinators
would not be better season, or
to
apply
are
to consider whether it is necessary the year, and whether it
throughout to
increase the staff
any
saving, which
during
can
bo
the
working effected, by
In Burdwan, we believe, the for work dore way of bonus vaccinator gets Ks. 12 per month for the working season only. In
Bhaugulpore they are paid a small salary, plus a comon results, and this pluu seems to be working satisfac-
mission
torily.
January 1,
KEYIEW.
1877.]
Earing obtained and settled with the vaccinator, the next point is to supervise his work; for without proper supervision
will
this
returns with eudder
a
be
towns, of
nates will
a
parvum
in multo?a
maximum of
minimum of benefit to the the Civil
course,
supervise
and check
people. Surgeon and
the
In the
large
his subordi-,
returns of the
vacci-
nators, and it is in these we obtain the highest percentage of successful cases. In many of the municipalities of the Moffussil towns, there is Doctor
the
on
look after the work of bers
to direct
ought
Assistant-Surgeon
an
and
Committee,
the
vaccinator,
but
Native
or
he is the proper
man
all the
little of their attention to the
a
to
memsame
difficulty with non-professional persons is to true from spurious vaccination, but in this direction in most towns, they have the experience of a trained medical man to guide them. A careless vaccinator, regardless of the kind of sore he produces or of the ultimate object in view, who inoculates with pus from arm to arm, and whose ' successful' column of his register with a aim is to fill the number of cases, be they pustules of vesicles, does an incalcuThe
object. distinguish
The benefits
lable amount of harm.
of vaccination
can
be
greatly extended, in any town, by the exertions of an active and intelligent Assistant-Surgeon or Native Doctor, and to them we commend the subject as one deserving of all the attention nnd labour they can bestow upon it. The Madras revised rules for Vaccination.?Before dismissing this subject we may refer to the rules recently sanctioned for the Madras Presidency, and which strike us as being very good, and likely to be attended by beneficial results. The only fault we have to find with them is that too much is left Fund Boards and
to the discretion of Local
The establishment of the Vaccine
Inspector, Superintendents,
an
Municipalities.
Department
consists of
first and second class Vaccina-
tors, Probationers and Peons.
head-quarters of the Inspector is at Madras, and he is expected to inspect every district at least once in two years. The Superintendents and Assistant Superintendents will be selected by the Inspector from the grade of first class vaccinators. One will be appointed for Madras City and one for each district, and their pay shall not be less than Rupees 60 to which Local Fund Boards may add travelling per mensem, batta not exceeding Rupee 1 per diem if the Board thinks fit. The
The
cipal
supervision of
these officers will extend over all muni-
within their
towns
the commissioners
circles,
paying
the population of the part of their salaries in proportion to and also such share of the that with circle, town as compared of the
travelling
batta
as
tnay be incurred
by inspection
of
the town. A
candidate for the
served
post
of first class vaccinator must have
second class vaccinator for
period of at least examination, conducted by the Inspector of Vaccination, in the orders of the Vaccination Department and in Dr. Shortt's Manual of Vaccination, and he must be able to read and write both English and the Vernacular of his district. They will be appointed by Local Fund Boards and Municipalities as
a
three years, and must pass an Civil or Zillah Surgeon or
in numbers not less than town,
and
one
their pay will be
mensem, with
travelling
for each not
batta not
taluq
less than
exceeding
and municipal Rupees 15 per
annas
8 per diem
21
if the Board finds it necessary in his
taluq
or
Failure in the latter dismissal.
or
ing
or
desirable.
Each will reside
town and vaccinate at least
respect
will be
fifty cases monthly. punished by warning, fine,
He will reoeive extra pay, at
a
rate not exceed-
2 per case, for all successful operations in exccss of in any month, or 1,200 in any year, certified by the
annas
100
Superintendent
Assistant
Superintendent. appointment as second class vaccinators must be able to read and write the Vernacular of the district, and after examination are admitted from the probationer class. They may be appointed by the Local Fund Boards and Municipalities in numbers adapted to their needs, and their duties are the same as those of the grade above. Their pay will be not less than Rupess 10 per mensem with travelling batta, if allowed by their Boards, not exceeding 4 annas per diem. They will be expected to perform at least thirty successful operations monthly, subject to punishment by warning, fine, or dismissal in case of failure. Their employers may allow them annas 2 for each successful operation in excess of 100 performed in any month, or 1,200 in any year, certified by the Superintendent or Assistant Superintendent. Probationers, nominated by Local Fund Boards or Municipalities, must have studied the practice of vaccination for or
Candidates for
not
less than three months under the immediate observation
and instruction of a
Superintendent or Assistant SuperintenBeing recommended by him a3 fit for employment, a probationer may be appointed to act as second class vaccinator on the full pay of the grade until admitted into the department by tho Inspector, after examination into dent of Vaccination.
his qualifications held either at the Head Office in Madras or during his insoection of the districts in which the probationer is than
serving. Rupees 5 per
probationer will be not less travelling allowance ot annas accompanying the Superintendent during His pay as with
mensem
4 per diem while the course of instruction.
to
Local Fund Boards may, if they think fit, allow each Superintendent and Assistant Superintendent.
a
Peon
