7
26. In Jubbulpore, owing to this restriction of the field of operation; the
number has fallen to 6,599 in the present year, from 15,662 returned in the
previous year; but that the large number of operations performed in Jubbulpore
in 1867-68 and 1868-69 have had a sensible effect on the mortality is, I think,
shown in the following comparative table showing the number of vaccinations
and the mortality from small-pox in three districts of Jubbulpore, Saugor, and
Dumoh. In these three districts small-pox broke out severely, almost simul-
taneously in the fall of 1868 ; it continued to prevail with equal virulence in
each district throughout 1869, and all these districts are now almost equally
free from it; they afford therefore a very fair opportunity for showing the
effects of the partial vaccination of a population on the mortality from small-pox
during a violent epidemic. It will be observed that in Jubbulpore the ratio of
mortality was considerably below that of the other two districts.
DISTRICTS,
Jubbulpore ... ... ... ...
Dumoh ... ... ... ...
Saugor ... ... ... ...
Population
under Re-
gistration.
423,659
157,026
490,249
Number
vaccinated
in 1867-68
and
1868-69.
19,806
2,965
9,038
Number of
deaths from
small-pox
in 1869.
2,372
2,014
5,434
Number
vaccinated
per 1,000
of popula-
tion.
46.7
18.8
18.4
Number of
deaths from
small-pox
per 1,000 of
population.
5.6
12.8
11.1
27. In Nimar the Civil Surgeon would have been glad to undertake the
supervision of a circle having a radius of 20 miles from the station, but as no
provision had been made in the budget for travelling allowance for the medical
Officer, he was obliged to confine his operations to the town of Khundwa itself,
and very little was done.
28. In Raepore Doctor Trimncll limited the operations of his four Vacci¬
nators to the town of Raepore and a circle having a radius of 5 miles. This was
sub-divided into 4 Divisions, a certain number of villages being allotted to each
Vaccinator. 50 villages were vaccinated and of these 40 were inspected by
Doctor Trimnell himself. 2,780 operations were returned. The ratio of success,
69.5, appears small, but only those have been returned as successful which
Doctor Trimnell was able to inspect.
29. In Belaspore little or nothing has been done,—failure of the lymph
supplied is assigned as the cause,—but it appears that supplies were repeatedly
forwarded which had been derived from the same sources with lymph supplied
to other districts and which had proved efficient.
In Nursingpore again the work done amounts to nothing.—one Vaccinator
had been employed, but proving inefficient he was dismissed and another was
not entertained.
30. In Dumoh also, the number of operations has been small, and the
medical Officer assigns excessive opposition by the people as the cause, and
there is no doubt that the prejudice of the population of the Nerbudda territories
against the operation is stronger than in other parts of the Province. It is
moreover probable that the terribly severe epidemic of small-pox which ravaged
the District of Dumoh in the previous year left comparatively few of the
surviving children unprotected, and this may be assigned as another cause for
the great falling off in the number of children vaccinated in the past season.
31. The total cost of the vaccine establishment for the year amounted to
Rs. 11,592 or Rs.2,691 less than in the previous year. This reduction is due to