( 13 )
Morrison verified 83.3 per cent. of total vaccination, and least in the Ellichpur and
Akola Districts, where 34.9 and 35.5 per cent. respectively were inspected.
As regard the verification of vaccine operations at dispensaries, Civil Sur-
geons are unanimous in representing the great difficulty experienced in having
children collected for their inspection, and how it is almost impossible under
existing conditions to verify 75 per cent. of the vaccinated children, except at
some of the smaller dispensary towns. It was suggested to Civil Surgeons that
timely notice should be given to patels, in writing, previous to their visiting a
dispensary, requesting that the vaccinated children might be collected for in-
spection at any convenient hour and centre, and to report to the Deputy Com-
missioner neglect of compliance on the part of the village authorities. Deputy
Commissioners were also addressed on the subject and asked to instruct patels to
render the required assistance. This procedure has not, however, gained the
desired end, and it is reported that though the Deputy Commissioners have
issued orders to patels to collect children at some convenient spot, full effect to
the orders is not given by these officials.
Deputy Commissioners point out that, if the parents refuse to bring their
children for inspection, the patels cannot make them do so, and one Deputy Com-
missioner writes:—
" I have myself been to a dispensary town with the Civil Surgeon ; and with the Patel
and the Local Committee, Jaglias, Local Committee peons, and Tahsil peons, all at work
giving notice to people to produce their children, we failed to get 75 per cent. for verifica-
tion. A list of the parents' names was prepared at the dispensary, and every house was
visited and orders given, but the patels cannot enforce his orders."
Difficulty experienced by Hospital
Assistants in vaccination work.
18. Hospital Assistants in charge of dispensaries find the same difficulty
in getting children collected, both for vaccina-
tion and verification ; the difficulty is an increas-
ing one, and Hospital Assistants find this part of
their duty not only difficult, but irksome, and that it brings them into conflict
with the people, which is certainly not. desirable, especially in the case of a
medical officer. Dispensary vaccination, for some years past, has only been
worked under considerable and constant pressure ; there are no vaccinators at-
tached to dispensaries, and the work has to be done by the Hospital Assistant
and his compounder, who, as a rule, have not the time to give to the seeking out
of cases from house to house without detriment to other medical duties.
Now that vaccination is to be carried on entirely by animal lymph, it will
probably be found necessary to relieve Hospital Assistants of this duty and
hand over the vaccination work of dispensary towns to the special vaccination
establishments, and which, on many grounds, is desirable. Proposals will, how-
ever, be submitted for the Resident's approval and sanction.
Total expenditure.
19. The total expenditure on vaccination and the cost per head of each
successful case compared for the past three years
is shown below : —
TABLE No. 17.— Showing the expenditure of the special establishment (Melghat excluded)
for three years compared.
Years.
1887-88 ... ...
1888-89 ... ...
1889-90 ... ...
Total expenditure.
Rs.
16,770
16,811
16,695
a.
3
15
8
p.
2
6
9
Total success-
fully vaccinated.
RS.
86,976
90,366
85,522
Average cost of
each success-
ful case.
Rs.
0
0
0
a.
3
2
3
p.
1
11
1
The total expenditure on account of vaccination for the province was
Rs. 16,695, which was less by Rs. 116-6-9 than the cost of the previous year,
and by Rs. 74-10-5 than that of 1887-88.
B-164—4