APPENDIX I.
From Mr. A. G. Price, Civil Medical Officer, Chhindwara, to the Sanitary Com-
missioner, Central Provinces,—dated Nagpur the 19th May 1873.
I have the honor to submit the Annual Report on Vaccination in this dis¬
trict for the year 1872-73.
No change was made in the disposition of the Vaccinators, each man worked
in the same circle to which he was first posted on joining the district.
It was my intention to employ the entire staff for the first half of the sea-
son in the Sausar, and the second half in the Chhindwara Tahsil, but on further
consideration it appeared more advisable not to alter former arrangements, as the
Vaccinators could then work the whole season in their respective circles and
vaccinate every child born up to end of February or middle of March before the
season closed, whereas if the whole of the staff worked in one Tahsil the work
would be finished in less than two months, and those children born immediately after
would have to wait a whole year before any protection would be afforded them.
After the close of the season's operations last year, children were brought
up weekly to the Dispensary and vaccinated arm to arm under my own supervision,
with a view of keeping up a supply of reliable lymph. In June unfortunately
no children could be obtained and no work was done. In July I was again
enabled to get a few children, and since then have vaccinated weekly in the town.
In October I received some English lymph, and of five children vaccinated
not one proved successful. I also received some lymph collected at Nagpur and
of 3 cases vaccinated only I was successful. The Chhindwara lymph has continued
good and active throughout the season, and children now vaccinated at the Dis-
pensary have as good and typical vesicles as ever.
Towards the end of October I extended operations to the surrounding
villages in the direction of the several Registration circles as Umret, Singori,
Amarwara, Chaurai Chand, and Mokher, and in this way by first collecting fresh
children at Chhindwara and vaccinating them arm to arm, then collecting them at
their own villages on the 7th day and vaccinating other fresh children from vil-
lages further on, in two weeks the Vaccinators attached to the circles already men-
tioned were enabled to vaccinate in their own circles from fresh reliable lymph ;
and no delay had to be incurred by carrying the virus in tubes or glasses, for
although lymph in tubes is a good way of transmitting the virus, I have fre-
quently found that even in these it soon either dries up or ferments, losing its
transparent colour and giving either entirely negative or very doubtful results,
even when the greatest possible care has been taken to collect it from selected
vesicles.
In this way all the circles above the ghats were provided with fresh lymph.
Below the ghats the Vaccinators filled the tubes themselves at Chhindwara, and
proceeded without delay to their respective circles and were enabled to obtain
good results.
The same plan of collecting children at a central village and vaccinating
fresh cases " arm to arm" week by week, in a defined circle round each Registra-
tion circle, was continued this year as in former years with the same good results ;
and whatever objections the people might have had before, these seem to be now
nearly overcome, and practically the Vaccinators had little or no difficulty in carry.
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