5
19. It will be observed that the vaccination rates actually obtained in these
districts with the exception of Rohilkund are greatly in excess of what (on the
assumption that the birth rate of this country is no higher than the English rate)
could be kept up for a series of years. In Kumaon, however, vaccination has
been carried on for a long series of years, to the extent of completely protecting
the people from small-pox, yet in the season of 1872-73 there were found a
number of children available for vaccination to the extent of 52 per 1,000 of the
population, and the average number of children successfully vaccinated in the
three years 1870-71 to 1872-73 was 49 per 1,000 of the population. These vac-
cination rates then corroborate the figures of the Census, and the statistics
obtained from several of our towns, and we are almost compelled to accept the
conclusion that the birth rate of India, is much above that of England, and that
to keep small-pox out of any Province or district, the number of persons vac-
cinated annually must be equal to nearly 50 per 1,000 of the population,
20. I have carefully analysed the work in the Satpura districts, and com-
pared the results with those obtained in other Provinces, because the system of
making over the vaccination of those districts to the Civil Medical Officers was
adopted as an experiment. I think it will be acknowledged that the system
has so far answered, and that the reports afford good evidence that when a
Civil Medical Officer is able to undertake the superintendence of the vaccination
of his district he is the best person to do it.
LOCAL AND MUNICIPAL ESTABLISHMENT
21. In 1870, when the Provincial Establishment was assigned to the 3
districts of the Satpuras, efforts for the extension of vaccination were initiated
in many other districts, to the extent of the means at the disposal of the Local
and Municipal authorities, the principle laid down for guidance being that no
more work was to be attempted than could be efficiently overlooked by the
Civil Surgeon or other trustworthy officer. A good deal of work has been ac-
complished by the District Establishment during the last 4 years, which has been
very efficiently supervised, but the principle of working in certain defined areas
has not perhaps been sufficiently adhered to.
22. Table III. shows the means employed and the results obtained in dif-
ferent districts in the season of 1873-74. The districts are placed in the table in
order according to the rates of successful cases per 1,000 of population.
TABLE III.
No.
1
2
3
4
5
6
7
Districts
Sambalpur ...
Jabalpur
..
Nimar ...
Bhandara ...
Sironcha ...
Raipur
Nagpur ...
Total amount expended
Rs.
613
411
412
922
...
773
1,946
A.
8
0
0
0
...
3
10
P.
9
0
0
0
...
2
0
Coat of each successful case.
R.
0
0
0
0
...
0
0
A.
0
0
1
1
...
1
6
P.
8¾
½
½ 7
...
5
1
Number of vaccinators.
3
6
3
10
...
6
10
Number of persons vaccina¬
ted by each vaccinator
4,664
2,645
974
1,006
...
1,692
645
Number of successful cases.
13,326
14,090
4,499
9,312
778
8,881
5,111
Successful percent of opera-
tions.
95.54
90.79
86.53
92.77
72.98
90.66
82.97
Infants vaccinated per cent
of estimated births.
67.58
25.63
45.80
19.82
3.51
7.88
10.79
Successful cases per 1,000 of
population.
41.64
26.64
21.30
16.48
14.92
9.68
8.09
A. U. O. k. 28 230 290