6
The Civil Surgeon's inspections were again limited, he does not explain the rea-
son ; this is unfortunate as his Superintendent is slow and not very efficient.
The Hospital Assistants attached to the Main and Gadarwara dispen-
saries worked fairly well.
There is now no opposition to vaccination in this district as reported by the
district officers ; apathy and dislike is all that is met with.
16. Hoshangabad—New hands employed in the room of men transferred
to Saugor did not do well and had to be got rid of at the close of the season, the
remainder of the establishment did well, two men vaccinating 4,856 persons, the
average out-turn of all reached 1,529. All vaccinators were at their posts on the
1st of November, no time was thus lost. The number of infanta vaccinated was
less than the number above that age. Dr. Browne's inspections were very care-
fully made, and he found that the average of success varied from 76 to 91 per-
cent against a success of from 95 to 99 as claimed by vaccinators ; the men
have with few exceptions, I think, given the success as it seemed to them correct
and without any intention to deceive. Dr. Browne insists on lymp being inserted
at four points, and on vaccinating arm to arm ; work performed in this way must
produce good results. The Superintendent's inspections were accurately made,
but he might with advantage have seen more than he did. The establishment
has on the whole done fairly well, and Hospital Assistants have done good work,
Dr. Browne's other duties did not admit of more than a month's inspection, he
was however able to form a fair opinion regarding each man's work.
17. Nimar.—The work in this district was not quite so good as regards
quantity ; two men only performed what might be expected, and one did badly ;
this district is not, however, so favorably circumstanced as Hoshangabad. Dr.
Cullen saw a fair number of villages and reports favorably, thus a percentage of
94 successful cases against 96 is returned by vaccinators ; an average out-turn of
1,464 however only is reported, and the number of children vaccinated in excess
of one year was few. Hospital Assistants have done little.
18. Dr. Cullen made a special enquiry into the prevalence of small-pox
among those vaccinated with the following results :—of 5,210 vaccinated children
examined of the seasons 1875-78, 148 were found to have had small-pox,
12 are said to have had it severely and one death only was reported during
the period, the total number of deaths reported being 1327 from small-pox
among all classes.
19. Betul.—The total number of operations was 2,626 less than during the
previous year, the majority of those vaccinated were infants which is what might
be expected in this district; the Assistant Surgeon in charge found successful
operations average 91 percent against 97 returned by vaccinators. The Hos-
pital Assistant at Multai has disobeyed orders in regard to vaccination and
did little.
20. Chhindwara.—Vaccination in this district continues to be excellent in
quantity and in quality. Each man performed on an average 2,055 operations.
The Civil Surgeon reports the work to be good, he spent 44 days in camp, and
saw a large number of children. This is the only district where re-vaccination
is practised to any extent. The Native Doctor at Lodikhera has not exerted
himself, Mr. Price should see to it.
21. Seoni—Here also a good season's work is reported, being a little more
than in Chhindwara per man ; it has not, however, been confirmed as owing to ill-
ness the Civil Surgeon was unable to inspect, and with the exception of the
-percentage of successful cases as seen by the Superintendent nothing, is known
of the work. Hospital Assistant Shaikh Shubrati has done fairly well, the
Hospital Assistant at Laknadon did not vaccinate as many as he might have done.
22. Mandla.—There has been an increase in this district of 1,179, and the
majority of those vaccinated were,overdone year old, here, also each vaccinator per-