( 2 )
The greatest increase in the number of primary operations was recorded in
the Amraoti district, viz., 3,204, but, as regards rate of increase to population
Ellichpur shows best with an increase of 1,487 operations. There was a very
slight falling off in the Wun and Basim districts, but sickness amongst the
vaccination staff fully accounts for this, as also for the small increase in the
Akola district.
The percentage of success in primary vaccination was the same as last year,
i.e., 95.1, and ranged from 98.2 in the Amraoti district to 91.3 in Akola.
In Berar, the determining the degree of success is not entirely left to the
vaccinators themselves. The practice is for the Superintendent to enter in his
note-book the results of village inspections, and to correct the vaccinators' re-
gisters accordingly before he leaves the circle. Thus, over 50 per cent. of the
total primary operations are verified and corrected, and the ratio of success as
shown in the annual report is not that originally shown by vaccinators, but as
partially verified and corrected by the inspections of District Superintendents.
During the year, Superintendents inspected 52.8 per cent, of primary
operations, and the proportion per cent. of successful cases observed was 93.3.
Of the numbers verified by Sanitary Commissioner, the rate of success was 92.6.
Thus the proportion per cent, of success claimed by vaccinators was...
As verified by Native Superintendents ... ... ...
By Sanitary Commissioner ... ... ... ...
95.1
93.3
92.6
The number of successful primary operations amongst infants under one
year of age rose from 73,059 in the previous year to 75,949 in the year under
review ; and among children over one and under six years of age from 11,028 to
14,752. Thus, out of 100 persons successfully vaccinated, there were 82.7
infants ; 16 children over one and under six ; and 1.3 of other ages.
Calculated on the number of infants under one year successfully vaccinated
the proportion of the registered births (121,755, or 42 per 1000 of population)
protected against small-pox was 63.6 per cent., and ranged from 77.1 in the
Ellichpur district to 54.4 in the Akola district.
Deducting the deaths of children under one year from the births, the
number of infants available for vaccination was 94,147, of whom 82.3 per cent.
were protected and 17.7 remained unprotected.
Re-vaccination.
5. Considerable attention was given to re-vaccination by the district staff;
a total of 29,939 operations was performed
as compared with 14,323 in 1890-91.
The increase was distributed over the Amraoti, Buldana, Basim and Wun
districts. In the districts of Akola and Ellichpur there was a decrease. The
percentage of success attained was 29.3, and ranged from 39.5 in the Wun district
to 21.6 in the Akola district. The proportion of success returned from Wun is
somewhat too high, due to the Superintendent not clearly discriminating between
the perfect and modified vesicle, though a circular was issued last year on the
subject.
A small proportion of the cases in this district, which I inspected in com-
pany with the Superintendent, showed that the operation had produced but modi-
fied results, the cicatrices being small and poor.
The Superintendent assured me he had seen these cases at an early stage
when the vesicles appeared regularly developed—similar to those of primary vacci-
nation—that there was considerable constitutional disturbance, and that he was
surprised now to find such indifferent results.
On the whole, however, there has been general improvement in recognizing
the difference between successful and modified results in re-vaccination, and the