15
The vaccinators attached to those circles marked with an asterisk, having completed their
work before the end of the season, were transferred to the following circles, viz:—
Khamárpání and Bichwá
Jhilmilá
Butariá
Jambí
Bijá Gorá
4. Before commencing operations the District Superintendent of Poilce very kindly sup-
plied me with lists from each of the above circles showing the population and number of births in
each village up to end of September. These were furnished to the vaccinators and found very
useful during the season, as they enabled him to detect any deficiency in the numbers brought
up for vaccintion.
5. Vaccine operations first commenced on the 17th October, when two children were vacci-
nated under my immediate supervision from English lymph sent by you; both cases were
unsuccessful.
On the 21st October two other children were vaccinated from lymph collected at Nagpur,
and brought by the Native Superintendent; of these, one proved successful, the vesicles rising
well.
On the 24th October, four more children were vaccinated from a fresh supply of lymph
sent by you; of these, two cases proved successful.
On the 25th and 28th October three other children were operated on with Nagpur lymph,
also sent by you; of these, two were unsuccessful, the weather at this time being damp and
rainy as well as close and hot; the third case, vaccinated on the 28th, was successful.
6. From these cases several children were vaccinated, with very fair results and the
supply of lymph gradually increased ; but although the vesicles possessed typical characteristics,
I did not consider it prudent to send out any of the vaccinators until the 12th November, by which
lime I had collected a sufficient quantity of reliable lymph from selected cases, and the weather
had become more favourable. On this date four vaccinators were sent to Chánd, Chauraí,
Amarwárá, and Sigorí ; on the 16th five others were sent to Pándhurná, Mohgáon, Sausar, Moh-
kher, and Umreth; while the tenth vaccinator conducted operations in the rural circle of
Chhindwárá.
7. It was hoped that the plan of bringing up children for vaccination on a weekly bazar
day would be acceptable to the people as it entailed no extra trouble, but it was soon found
not to answer at all, the parents were unable to attend to their children as well as to their (to
them) more impoitant market duties. In fact, few parents bring their children to the markets
at any time. Again, the plan of sending the vaccinator from village to village armed with
"crusts" and "points" was also found not to work well, many of the cases vaccinated from
these sources of supply proved unsuccessful, and indeed to this cause may be attributed
many of the unsuccessful and doubtful cases noted in the returns.
8. Early in January, or rather at the end of December, I inspected the vaccinated
children at Lingá, a village six miles from Chhindwara, and from the successful cases vaccina-
ted a number of fresh cases "arm to arm" from the surrounding villages. The following
week these children were brought to a village four miles from Lingá for inspection, and
from these other fresh cases were vaccinated "arm to arm," and in this way, week by week,
fresh cases were vaccinated until a complete circle round Chhindwara had been made. While
this plan was being carried out at Chhindwara, the vaccinators at the different Registration
Circles were also directed to endeavour to carry out the same plan; at the same time they
were forbidden to use crusts or points unless fresh lymph could not be procured, and it was
also pointed out to them that the primary object to be aimed at was to vaccinate well, if
even slowly.
9. In this way, although the results of the season's operations may not appear as large as
I expected, the quality of the work, judging from my own actual inspection of more than
4,000 cases, has been very good. It must also be remembered that the district has for the last
two years suffered from a very widely diffused epidemic of small-pox. In many villages there
were few if any children to vaccinate, all having had the natural disease, and bore in many in-
ances painful remembrances of their sufferings.