14
The Civil Surgeon could not take any long tours in consequence of his
presence being needed in the Sadr station : he devoted much attention to the
register of births and deaths, that he might assure himself of the amount of
infant life.
The Native Superintendent is well reported of by the Civil Surgeon, and
the Tahsildar of Khandwa, and the Naib Tshsildar of Burhanpur gave willing
help, while the interest taken by the District Officer was of great assistance in
the work.
74. Betul.—There was a decrease in the number of operations, due to the
illness of one, and the idleness of another vaccinator.
The small proportion of success in dispensary secondary vaccination as
compared with that in the district, is attributed to a large number of those so
operated on, being persons who though they had had small-pox came forward
and asked to be vaccinated. This is a most satisfactory proof of the value placed
in the protective power of vaccination by the people.
The Civil Surgeon calculates that 3,288 of the children born were left un-
protected at the close of the season.
There was a decided decrease in the number of re-vaccinations, for which no
cause can be given. The proportion of unknown cases was less.
The staff is well reported of.
Little information concerning small-pox was obtainable by the present
Civil Surgeon who only took charge of the district at the close of the vaccina-
tion season.
Arm to arm vaccination is chiefly carried out, and the people are said to
accept it more willingly every year.
75. Chhindwara.—The lymph supply was kept up at the dispensaries at
Chhindwara and Lodikhera, and supplemented by English lymph.
Vaccination is carried on from arm to arm.
There was a very considerable decrease in the number of operations, attri-
butable to the sickness of 2 vaccinators, and the carelessness and idleness of the
vaccinators of the Harrie circle. But the proportion of available children
vaccinated was in the khalsa (where alone registration is carried out) nearly
5 per cent larger than in the previous year.
The number of re-vaccinations is increasing, and are said to be operations
on persons previously successfully vaccinated, or who had had small-pox.
Of 2,142 reported cases of small-pox, only 158 died, and the vaccinators say
that the disease was almost confined to unprotected adults.
There is not any Native Superintendent in this district, but one has been
sanctioned, and will be appointed before next working season. 2 vaccinators
are reported of unfavourably.
76. Seoni.—The supply of lymph failed in the month of September.
There was a slight decrease in the number of operations; but still the
number exceeded that of births by 2,151.
Re-vaccination of persons formerly successfully vaccinated is not carried
out at all in this district; the presence of good marks sufficing to give confi-
dence against an attack of small-pox.
The Native Superintendent and staff are well reported of except one
vaccinator whose returns are doubted.
The Civil Surgeon was prevented from doing as much inspection work
as he wished.
77. Mandla.— The supply of lymph was kept up by vaccinating in the
non-working season in the Mandla circle, in which 688 children were vaccinated
between the end of March and 1st of November.
The Vaccine department vaccination was extended from the English lymph,
and that by Hospital Assistants from the tubes containing Kumaon lymph.