7
24. The Civil Surgeon of Betul explains the falling off in his district
thus :—
1. The abandonment of the pratice of collecting villagers with their- children at central
points. This in the opinion of the Civil Surgeon was the principal cause of decrease
and yet he by no means advocates a return to this system, but strongly condemns it.
2. The employment of the establishment on Census duty. Two men are reported to
have grossly neglected their duty in remaining unnecessarily 28 and 25 days res-
pectively away from their legitimate work.
3. The laziness of some of the vaccinators and gross neglect of duty on the part of others.
The Civil Surgeon of Chhindwara explains the diminution in number (1,664)
vaccinated in his district, thus :—
" The results of the year's work show that no bad effects have occurred (from reduction
of his establishment by native Superintendent and one vaccinator) although the
operations are fewer, but this is due to three of the men being engaged in Census
operations for nearly 1½ month, while a fourth was in attendance at the Sadar
station in order to be available for Census work if necessary."
25. The Civil Surgeon of Seoni explains the falling off in his district ( 4,379),
thus:—
" The outturn of work was far below the ordinary average, owing to the employment of
the vaccination staff on Census duty."
26. The Civil Surgeon of Bilaspur accounts for the decrease (5,548) thus:—
" The deficiency is attributable to some vaccinators not doing as well as in the year pre-
vious, and also to 6 vaccinators having to attend to cholera patients and to distri-
bute medicines to the sick in addition to their vaccination duties, and two were
altogether removed from their circles and sent to the Zamindaries to attend to cholera
patients in the month of March by order of the Deputy Commissioner."
DISPENSARY VACCINATION.
27.
Hospital Assistants in main and branch dispensaries vaccinated
23,571 persons, of which 23,083 were primary and 488 cases of re-vaccinated.
The results being that 20,989 were successful in the former and 311 in the latter.
The percentage of success for the primary being 92.93 and for the re-vaccinated
67.90. There is an increase of 2,697.
This is due to the work at the following
places having increased, —Damoh, Bhandara, Nagpur, Raipur and Sambalpur. In
all others the numbers are less. If this decrease had not occurred in 13 out of
the 18 districts, the vaccination returns would have been very satisfactory. Civil
Surgeons should be most particular in keeping up their Hospital Assistants to the
work of efficiently protecting the children of the towns in which their dispensaries
are, and this can only be done by requiring that an adequate proportion of the
number born in the year should be vaccinated.
28. At Saugor the work has decreased from 1,547 to 1,405. As 8 Hospital
Assistants were engaged the average for each is 175 or, by the month of the
working-season, 35. The figures are not creditable. Much more work should
be done in such large towns as Garhakota, Rehli, &c. The best work was done
by the Hospital Assistant at Kurai (325).
At Damoh the work is better, 1,057 having been done by 4 men, but, as the
Civil Surgeon states, there has been no increase. The cases at Damoh were all
primary, and the percentage of success is 95.50.
At Jubbulpore 6 Hospital Assistants have done 5,222, which give an average
of 870 for each. The cases were all primary, and the percentage of success 93.07.
With all the good work there has been a decrease to the amount of 1,152. These
figures represent a falling off to the amount of 844 cases as regards the Assistant
Surgeon himself, and about 100 for each of the three outlying branch dispensaries.
The Civil Surgeon writes:—
" In the case of the Hospital Assistants they have made up the falling off in their work
done during this April which will be accounted for next year."
29. At Narsinghpur 1,134 cases were done by 4 men. All with the excep-
tion of 2 were primary, and the percentage of success came to 95.66.