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maintenance of vaccine establishments. Of this sum Rs.

1,670,861 was spent in the Bengal Presidency


(including the North-Western Provinces), Rs. 1,328,635 in the Madras Presidency and Rs. 292,948 (from
1828 only) in the Bombay Presidency. From the 1st of January 1835 a new scheme at a cost of Rs. -
10,000 a year, by whicli 56 civil surgeons were again arjpointed superintendents of vaccination, was
started in Bengal, but after a persevering trial for two years the attention of Government was drawn to
its shortcomings. In Calcutta an important advance had been made by Dr. Stewart in 1837 by the
establishment of vaccine stations at the 1837. public dispensaries, where the native vaccinators were
required to attend bringing with them for the inspection of the European surgeon, and for registration,
the children vaccinated in the neighbourhood. From these children people attending at the dispensary
were vaccinated under Dr. Stewart's supervision and they were easily induced to present themselves for
inspection in the following week. Under this system the number of vaccinations in Calcutta increased
considerably. During 1838 the scheme of setting up dispensaries in other large towns of Bengal was
matured and in 1839 institutions of this kind were established in twelve large towns in the Presidency.
They were under the charge of the civil surgeons who were granted an allowance for managing them
and for superintending vaccinations performed at them. An educated The dispennative sub-assistant
surgeon was placed in immediate medical 1838. charge, and two or three subordinate assistants capable
of performing vaccination were also attached to the establishment. Thus was commenced the "
dispensary system of vaccination " which in somewhat modified form has continued to the present day.
The establishment of dispensaries, while being regarded as an additional means of introducing
vaccination among the people of Bengal, was not at first considered a sufficient reason for altering the
existing arrangements of the vaccination department

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