5
his inspections ; the inspections by the Civil Surgeon and Superintendent show
that the percentage of success returned by the vaccinators was in the main cor-
rect ; work of good quality seems therefore to have been done in Damoh, but
the average out-turn is not yet good. Doctor Skipton states that vaccinated
children are rarely attacked by small-pox, and that chicken-pock and measles
which are occasionally prevalent are shown in the vital statistic returns as
small-pox. Two Hospital Assistants have done fairly ; one man at a branch
dispensary might have vaccinated more children than 131 in one year.
14. Jubbulpore.—Work in this district was not good in 1878-79, an aver-
age of 1,278 only per man was attained, one man having performed less than
700 operations. Before the following season commenced therefore the Civil
Surgeon warned his men of the consequences of a repetition of such negligence,
and those in fault were given to understand that it would not be tolerated ; the
result is that four have done very well, four have done fairly well, whilst two
only have not quite come up to what was expected ; the average out-turn is still
too low, notwithstanding that the total number vaccinated exceeded the total
of the previous year by 4,084.
The percentage of success as returned by the men is given at 95.71,
but the Assistant Surgeon who inspected made it out to be 88.53, this is not a
serious difference. The Assistant Surgeon's report goes to show that his inspec-
tions were as full and thorough as could be expected, he appears to have covered
a good deal of ground and to have seen a great deal of the work, but I have
already expressed an opinion that such rapid movements are not desirable. The
Native Superintendent has given himself up to narcotics and must be got rid of.
Hospital Assistants worked extremely well ; special credit, Dr. Rice
states, is due to 1st class Hospital Assistant Chuni Lall who found time to vac-
cinate 1,856 notwithstanding his heavy work in the city dispensary, also to 2nd
class Hospital Assistant Hera Lal Singh at Sehora who vaccinated 1,104, and to
3rd class Hospital Assistant Abdul Kareem at Murwara who vaccinated 1,087,
Native Doctor Ali Bux vaccinated 651 in the neighbourhood of his dispensary
at Bijeragogarh which was, the nature of the country considered, a very good
season's work. The Civil Surgeon states that the work done by all was good and
accurately returned. No vaccinated children were known to have had small-pox
during the year.
Dr. Rice states that the immunity from small-pox of the head-quarter,
city and cantonment as well as the towns in the interior is evidence of the tho-
roughness of work done in previous years, and he hopes that in time the district
will be similarly protected.
The adult population as noticed in paragraph 20 of the previous year's report
have nearly all had small-pox, but this is only what has happened elsewhere and
is not due to failure of vaccination, but to the fact that systematic operations
had not commenced in the Central Provinces when these people were young.
Dr. Rice is not in favor of compulsory measures and thinks our present system
of persuasion is quite sufficient. The number of children vaccinated between
the ages of one and six was nearly double the number of infants, which shows
that great efforts were made to reach those who have hitherto escaped vaccina-
tion.
Again the following gentlemen are brought to notice for assistance in the
cause of vaccination : Dilraj Oopadya of Bhargi, Pratab Pooree of Kanjye, and
Padum Singh Thakur of Nigri. The following gentlemen also rendered assistance:
Kripa Ram of Maili, Habibula Khan of Bichai, and Ragnandan of Singooh ; on
the other hand the Thakurs of Khymori, Patan, Shahpura and Malanpur were
obstructive.
15. Narsinghpur—Here there has been a falling off of 1,685, two new
men did badly, some did fair work, and two showed an excellent out-turn ; the
men returned a percentage of 99, which is manifestly too high, the Civil Surgeon
gives it at 89 ; here the number of infants vaccinated was nearly double those
between infancy and six years or the reverse of what happened in Jubbulpore ;
it cannot be said that all children up to six years of age have been vaccinated,-
they should therefore have been sought for and protected in larger, numbers.
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