16
quite alarmed after examining his work at Kopah to see the frightful arms he had
made. It was sickening work examining.
" So much for the new hand, and now I will show what I found from watching the most
experienced vaccinator Nur Ali, the man from the Chhindwara Zilla. He has been
some seasons drawing the pay of a first class vaccinator. I saw this man vacci-
nating, only the lower orders appeared to be present. He was working quite
unconcerned with an abominably dirty needle at Lanji 19th of February. If the most
experienced vaccinator does this with impunity it may be imagined that this is
pretty often the case with the whole of the other five. This kind of vaccinating
accounts for the abscesses and excessively inflamed arms I have seen.
" Nur Ali also was not careful in taking the lymph, but pricked the arm making the
blood appear. It would not be, I think, saying too much to say that children die
from this careless vaccinating. I believe I know of a case and will mention it in
this report, but before I leave Nur Ali's work. Nur Ali vaccinated none in the
upper castes at Lanji. I am afraid he is not a very reliable man. I do not think he
has increased in standing, although he has been receiving pay of the 1st class.
"In moving camp away from Lanji, I saw two children at the village I think of
Chingerah. These were among a host of others and they had been vaccinated.
These had two enormous abscesses. Nur Ali had vaccinated them. They were so
large that I had to take both of them to head-quarters and treat them. I removed
about a pint of pus from one of these. There was no doubt these had been caused
by vaccination.
" In another part of the district I saw two other cases. These had formed over the
chest on the same side as the vaccination, and they pointed towards the axillary
border.
" Both children were suffering much, and I drew the attention of Colonel Bloomfield to
the cases. It looked like cause and effect—dirty needles and abscesses as a con-
sequence, and this is the work of a first class vaccinator."
Dr. Mayne describes his vaccinators as follows :—
"Nur Ali working with dirty needle causing abscesses, 1st Class vaccinator.
Ramdyalal
shamming work in the Katanghi circle and keeping register dishonestly. Rahimat
Khan newly appointed, improperly taught. Syed Lal, one supposed death among his
cases. Azizudin, dismissed for the second time. Anant Ram, has given a good
deal of trouble and has not been working as much as he might have done."
The Commissioner in reviewing Dr. Mayne's report says—-
" Dr. Mayne's report is full of complaints against the vaccinators ; the defective manner
in which vaccination had been performed before he joined the district on 7th De-
cember 1882, and the inefficient supervision of the vaccinators.
" The Deputy Commissioner endorses Dr. Mayne's remarks, and considers that Dr.
Mayne worked hard and did much to improve vaccination throughout the district.
" I have no opportunity of judging how far previous to Dr. Mayne's coming vaccination
was badly performed or otherwise; but if the facts stated are correct, Dr. Mayne's
coming must have been a blessing to the people."
I believe Dr. Mayne's report is too darkly coloured, but there is no doubt that
constant European supervision is absolutely required if vaccination is to be a
success.
Staff—
1 Native Superintendent,
6 Vaccinators.
Number of primary cases vaccinated... ...
Of these successful... ...
Last year there were primary cases... ...
Of these successful... ...
18,068
17,603
9,666
9,465
23. Bhandara.—During summer the Native Superintendent and 5 of the
vaccinators were employed on cholera duty, and the Civil Surgeon says they
worked well. The other 5 vaccinators were absent from Bhandara during sum-
mer, as they were attending lectures on Hygiene at Nagpur.