2
any locality completely from the inroads of small-pox in this country, the
numbers annually vaccinated must approach 50 per 1,000 of the population.
In Kamaon, where Government Establishments have been working for a long
series of years, the number reaches this standard; and as after four years' ex-
perience 41 per 1,000 have come to be vaccinated in the Satpura districts,
the results must be considered in every way encouraging.
5. In the majority of districts in the Province no complete vaccin-
ation arrangements have been made, there being no funds available to cover
so large an area with a qualified agency. In every district, however, some
local Establishments have been employed, and these have worked under the
immediate orders of the Civil Surgeon. The numbers and work of these local
Establishments are supplied by you in table at page 22 of your report. The districts
of Nagpur and Bhandara have each maintained ten Vaccinators. In other dis-
tricts they have ranged from two to six. The amount of protection which it has
been possible to afford the population against the ravages of small-pox in dffer-
-ent districts thus depends very much on the strength and efficiency of the
Establishments supported by the Local Funds. In Sambalpur alone has a small
local Establishment been able to compass the vaccination requirements of
the whole district, and here the work has been going on successfully for a series
of years. The results as they now stand are practically the same as in the
Satpura districts, where special Government Establishments have been enter-
tained, and exhibit 41 successful cases in the year per 1,000 of the population.
There are only three Vaccinators employed, and they have turned out 13,326
successful cases. Each Vaccinator has vaccinated on an average 4,664 persons,
and 95 per cent. of the cases have been successful. It would seem therefore, if
these figures really represent facts, that the Sambalpur Vaccinators have been
able to get through more than three times the work of those employed in
the Satpura districts, and that they have done it exceptionally well.
6. You have not entered into the causes which may have occasioned
this marked difference in the out-turn of work on the part of Establish-
ments which may be supposed to be equally efficient. Something may be
due to an unexplained difference of system, but as in many districts the
opposition of the people is advanced as an element materially retarding oper-
ations, it is possible that the great results in Sambalpur may be largely due
to the ready facility with which the people greet the advent of the Vaccin-
ators. This has resulted from the strenuous efforts in the cause of vaccination
on the part of Civil Officers, and the unremitting exertions of an energetic Civil
Surgeon. The Chief Commissioner hopes that with similar co-operation and
effort, equally good results may be attained everywhere.
7. It is no doubt true that in some places there is a feeling against vacci-
nation, but, so far as the Chief Commissioner is informed, there is nowhere in
these Provinces any strong religious prejudice against having children vaccinated.
The ill-feeling and opposition usually arise from the unpalatable manner in
which vaccination is conducted, and from a grounded disbelief in its efficacy
as a prophylactic. There are enthusiastic Medical Officers who fail to see
that some tangible grounds may exist for the resistance of the people to their
Vaccinators, which can only be effectually overcome by tact and sympathy.
They would disarm all opposition by compulsory vaccination under an order
from the Magistrate, and when the absence of co-operation by Civil Officers
is mentioned, the aid expected is too often of a kind which it is impossible to
render. With Vaccinators of good caste, working in the same area from year
to year, well-trained, and thoroughly controlled, both as to their work and their
demeanour towards the people, Mr. Morris is confident that all opposition