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This volume contains in convenient form a compilation of the government reports regarding vaccination in India. As the author remarks in the preface, "in all countries in Europe where vaccination has been extensively carried on, an appeal to the figures of smallpox mortality has given in favor of the practice an answer as unequivocal as it is satisfactory and it is obviously of great interest to ascertain whether a similar answer results from inquiry in a country like India where the difficulties attending the introduction and progress of vaccination have been enormously greater than in Europe."
Among the difficulties enumerated are the enormous population (230,000,000 of people) scattered over a territory of more than a million square miles; the fact that only 5 or 6 per cent, of the natives can read or write their own language and that the great majority of them, beside being exceedingly ignorant and childish,
Smallpox and Vaccination in British India.. JAMA. 1910;LIV(11):904. doi:10.1001/jama.1910.02550370074026