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There was an increase in the number of operations performed by the
vaccinators of the Vaccine establishment, but a decrease in that at the dispen-
saries. The Civil Surgeon says that each circle is so large that the vaccinators
cannot do more than half of it in the season, so that with the present staff of
vaccinators half the district is untouched season by season.
The Civil Surgeon was 53 days on tour and inspected 10,186 cases of
vaccination.
The Native Superintendent is very favourably reported of.
There were 1,883 cases of small-pox, the majority of the sufferers being
unprotected, and the disease being very mild in such as had been vaccinated.
As many adults as possible of those unprotected by previous vaccination or
small-pox were vaccinated.
78. Balaghat.—The supply of lymph was kept up during the non-working
season.
The number of operations was only a little over half of what it was last
season. The Civil Surgeon attributes this not so much to a failure to vaccinate
the children under 1 year available this season, as to a larger number of children
over one year having been vaccinated last, leaving fewer of that age available
this.
Inspection by the Civil Surgeon was confined chiefly to the Balaghat circle,
a little being done in the Waraseoni and Baiher circles ; altogether he inspected
860 vaccinated children, in 88 villages,
The Native Superintendent was on tour 171 days and saw 8,102 children.
The Staff is not reported well of on the whole.
The dispensary vaccination work is very small, only 44 children being vac-
cinated at head-quarters, 78 in Waraseoni and neighbouring villages, and 26 at
Baiher. No reason is assigned for this very great decrease.
The Civil Surgeon has not observed any great opposition to vaccination on
the part of the people, nor have the vaccinators reported any difficulty in getting
cases for vaccination. The Civil Surgeon says in explanation of the small
amount of inspection he did, that being quite new to his duties at the com-
mencement of the season, he did not like to leave head-quarters, and especially
the jail work till he had become acquainted with it.
79. Bhandara.—The supply of lymph was kept up through the non-work-
ing season.
A considerable increase took place in the number of persons vaccinated,
and the number of operations performed by each vaccinator was larger except
in the case of 3 men, one of whom was new to the work, and 2 of whom did
not work well.
Dispensary vaccination has also increased, especially at Pauni.
The Civil Surgeon was 44 days on tour, and inspected 3,381 children, while
the Native Superintendent was 117 days in camp, and saw 9,472 children.
Vaccinators all worked well during the Cholera epidemic.
80. Nagpur.—The only inspection done in this district was by the Civil
Surgeon on his inspections of out-station dispensaries, and by the Native Super-
intendent.
The question of inspection of vaccination operations in this district having
been made the subject of a separate reference to the Chief Commissioner, it is
unnecessary to say more here.
The Civil Surgeon calculates that there were no less than 7,053 children
in the district liable to small-pox from not having been vaccinated at the close
of this season.
There is decided opposition to vaccination in some places, and the Civil
Surgeon gives a long list of names of persons who have shown themselves espe-
cially opposed to it.