8
explanation is not satisfactory ; thus it is said that the Hospital Assistant attached
to the main dispensary merely vaccinated a sufficient number of children to
keep up the supply of lymph. The percentage of success given by vaccinators
is 96. The Civil Surgeon found it to be 97.
34. Nagpur.—In this district, where vaccination has been in force for many
years, and where a highly paid native official has charge of the work. I found
during my inspection in the cold weather that considerable repugnance exists to
the operation in some places ; and that although each vaccinator is provided with
a chaprassi with a view to the speedy collection of children, the work has been
slurred over, a large number of children have been left unprotected, and the
general out-turn of work is the lowest in the Provinces, the average being only
1,131 for each man, and the highest only 1,700. Judged by results the success of
the Superintendent and establishment has been very poor. My inspections have
shown me that work has been carelessly done in some places, and badly done
elsewhere. Those who have shown themselves inefficient are to be dismissed now.
that the season is over, and those who have exhibited great carelessness will be
reduced. I think the Superintendent has exhibited but little energy, and
although he reported that he was perfectly satisfied with the work of a certain
vaccinator during the previous year, I found on inspection that both he and this
vaccinator retired from the town of Narkher and the large village of Saorgaon
without vaccinating a child in either, on the malguzars representing that they
did not wish for vaccination owing to a threatened out-break of small-pox and
the heat of the weather (the first week in March). Such feebleness as this accounts
for the bad work done in the Nagpur district. A man who is unable to success-
fully overcome such pleas as the heat of the weather at the commencement of
March, and a threatened outbreak of small-pox (which by the way subsequently
occurred) is unfit for the appointment, seeing that an epidemic of small-pox was
then threatened. The Superintendent should have had sufficient resource to
secure the protection of the children in those large communities. I shall secure
better arrangements for the ensuing season.
35. Two men working in the city of Nagpur have done badly; they opera-
ted on 1,850 persons only. I intend to move them cut of Nagpur and dismiss
them if they fail to, do better elsewhere. I shall endeavour to bring the work in
this district up to that attained elsewhere, ; at present it is the worst in the Pro-
vinces and the most expensive.
36. Hospital Assistants in this district have done little vaccinating, owing
probably to the late Civil Surgeon Dr. Beatson being of opinion that it inter-
fered with their medical duties. I am unable to coincide with this opinion as far as
those in outlying dispensaries are concerned at all events. Vaccination in Kamp-.
tee is under the medical authorities there ; two men performed only 1,903 opera-
tions.
37. Wardha.—The out-turn of work in this district was but little better
than that in Nagpur; the average per man was only 1,243. A change of Medical
Officers was unfavourable to good supervision. In this thickly populated district
only 2,811 infants were vaccinated. Six Hospital Assistants vaccinated only 900
children. The heavy epidemic of small-pox that visited this district during the,
previous year fell heavily on children, and there were thus fewer for operation
than before; notwithstanding this I think 10,451 was a poor return for seven
vaccinators and six Hospital Assistants. One man only did well, he vaccinated
1,701 persons.
38. Chanda.—Here operations as during the previous year were very
satisfactory; each man performed on an average 2,383 operations, the highest
number was 5,460 in the Brahmapuri Circle. This is a very large number
for one man, but as the Civil Surgeon spent 9 days and the Native Superin-
tendent 12 in this circle, and are satisfied with what they saw, I accept it as cor-
rect. No time was lost at the commencement of the season in this district, as
the Civil Surgeon kept up the supply of lymph during the year, and when the