NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
19
A supply of lymph WAS kept up throughout the year in Chanda town, and
ten tubes were received from Nagpur on 4th October, all of which proved suc-
cessful.
The Civil Surgeon saw 2,786 vaccinated children, of these 2,482 were
successful.
The Hospital Assistants at the various dispensaries vaccinated 2,036 chil-
dren, 1,817 successfully. There was no small-pox during the year.
Staff—
1 Native Superintendent.
11 Vaccinators.
Primary vaccination... ...
Of these successful... ...
Last year primary vaccination... ...
Of these successful... ...
16,349
15,044
17,554
16,456
27. Raipur.—Sufficient lymph was kept up in the district to allow of
vaccination being regularly commenced on 1st November.
There were 18 vaccinators employed in the khalsa, 5 of whom were new
men, as last year 5 men had been dismissed for bad work.
The district was consequently divided into 18 circles, but the towns of
Raipur, Drug, Arung and Dnamtari were not included in any of these circles ;
the vaccination in these places being entrusted to the Hospital Assistants of the
dispensaries.
In Raipur itself the amount of work done was very unsatisfactory. The
two Hospital Assistants only vaccinated 322 cases. The Officiating Civil Sur-
geon calculates that Raipur having a population of 25,000 should yield at least
750 children under one year available for vaccination; but only 144 children
under one year were actually vaccinated.
The Hospital Assistant of Dhamtari vaccinated in the town and adjacent
villages 858 cases, of these 441 were under one year.
The Hospital Assistant of Drug vaccinated 484 cases, of these 449 were
children under one year.
The Hospital Assistant of Arung vaccinated 169 cases, all under one year.
Dr. Trimnell personally examined 4,258 cases of vaccination. The Native
Superintendent examined 17,551 cases.
With regard to the work in the Zamindaris as distinguished from the khalsa
there are at—
Khairagarh... ...
Raj-Nandgaon... ...
Bindra Nawagarh... ...
Lohara... ...
Barbaspur... ...
Thakurtola... ... ...
10
3
1
1
1
vaccinators.
„
„
„
„
None of the work done was inspected by the Civil Surgeon ; very little by
any body else.
The Native Superintendent of the khalsa vaccinators inspected 23 per cent
of the work done in Lohara and Barbaspur. He found the village forms correctly
kept, and that 90 per cent of the work he saw was successful.
In Khairagarh there are two Hospital Assistants. The Hospital Assistant
of Khairagarh inspected the work of two men only.
20
The Hospital Assistant of Dongargarh saw the work of 4.
At Nandgaon none of the vaccine work was inspected, as the Hospital
Assistant has so much to do in the station that he cannot get away.
I think that a Native Superintendent should be appointed specially to
inspect the work of the 16 khalsa vaccinators, and he might be assisted by the
Hospital Assistant of Khairagarh and Dongargarh in his inspection duties.
To leave 16 vaccinators without any regular system of inspection is most
anomalous and improper.
The Civil Surgeon of Raipur has a large jail and cannot easily leave the
station. Yet he has 18 khalsa and 16 Zamindari vaccinators under him and
4 Hospital Assistants who are also ordered to vaccinate work in khalsa.
Staff—
1 Native Superintendent.
18 Vaccinators.
Total primary vaccination... ... ...
Of these successful... ... ...
Primary cases last year... ... ...
Of these
successful...
...
41,613
39,287
33,415
32,564
In a supplementary report Dr. Trimnell, Civil Surgeon of Raipur, informs
me that during the year there were 734 births in the town of Raipur, and 132
deaths of children under one year, leaving 602 children available for vaccination.
The Officiating Civil Surgeon, Dr. Barter, estimated the number available as
750. His estimate was found on the usual 30 per mille theory, which in the
case of Raipur at least is apparently too high.
28. Bilaspur.—In this district vaccination was not kept up during sum-
mer, owing to the absence of the Native Superintendent and 7 of the vaccinators
at Nagpur, where they attended lectures in Hygiene, and to the remaining vac-
cinators being employed on cholera duty.
English lymph was received from Nagpur in the beginning of October and
work commenced on 1st November. At first the work was slow and interrupted
by failure of lymph.
The total number vaccinated during the year shows an increase of 3,423
over the previous year, but there were two additional vaccinators.
Two vaccinators suffered from sickness. One from ague and jaundice, and
another from necrocis of the jaw-bone.
One vaccinator, a Brahmin, was dismissed for receiving presents from the
parents of a child and inducing them to perform certain religious ceremonies in
connection with his operations. This man is said to have never failed to vaccinate
3,000 a season. His successor could do only half the number.
The Native Superintendent inspected 17,430 cases, and found that the per-
centage successful was only 65.73.
The Civil Surgeon inspected 1,474 cases, and found that of these the per-
centage successful was 92.13.
The Native Superintendent explains the difference by saying that in some
parts of the district work was very badly done.
The Civil Surgeon promises to examine minutely the work of the vaccina-
tors whose work is characterised as bad by the Native Superintendent.
The Hospital Assistant vaccinated 1,250 against 641 done by them last
year.
21
With regard to vaccination in Native States, the Civil Surgeon says that
until this year vaccination was much neglected in Kawardha both by the Hospi-
tal Assistant and the vaccinator.
The Sanitary Commissioner visited the place in December 1882, and trans-
ferred the Hospital Assistant and dismissed the vaccinator.
The new Hospital Assistant and vaccinator began work in earnest and suc-
ceeded in carrying on operations in the town and surrounding villages.
Pandariah.—Here also little work was done., The Hospital Assistant
returned only 91 cases with 87 successful. The vaccinator did only 374, of
which 331 were successful. This man was fined a month's pay, and would have
been dismissed but for want of a trained man to take his place.
Pendra.—A vaccinator was sent here by order of the Sanitary Commis-
sioner on 10th January 1882, the total number he vaccinated was 3,118 against
1,619 done last year. The work was inspected by the Native Superintendent,
who found most of the cases unsuccessful, and gave 34.62 as percentage of success,
which is very unsatisfactory.
Bhutgaon, Kutqe and Balaigarh Zamindaris — Vaccination was only intro-
duced this year. The vaccinator did 2,000 cases, but the Native Superintendent
condemns most of the cases as unsuccessful. The percentage of success was
only 49.32.
The pay of these Native State vaccinators is, in the Civil Surgeon's
opinion, not sufficient, and the Deputy Commissioner agrees with him and
promises to try to get their pay increased.
The Staff is—
1 Native Superintendent... ... ... ...
Government
Vaccinators...
...
...
...
Feudatory...
...
...
...
Zamindari... ... ... ...
17
2
2
Total number of primary cases... ... ... ...
Of these
successful...
...
...
...
Total last year of primary cases... ... ... ...
Of these
successful...
...
...
...
32,731
30,578
29,296
26,888
29. Sambalpur.— Three additional vaccinators were sanctioned last year
for the khalsa portion of the district, and with the assistance of the Deputy Com-
missioner the vaccine circles were revised and the district divided into 6 circles,
which include all the Zamindaris except Chunderpur and Malkhorada, for which,
tract a vaccinator was entertained at the cost of the Zamindars.
Lymph was preserved throughout the year, but when English lymph was
sent from Nagpur in October it was found to be better than the district lymph,
and was allowed to replace it.
In the Feudatory States, 2 vaccinators worked in Sarangarh and did well.
Two worked in Phuljhar. The Civil Surgeon inspected their work and found
it good.
In Borasambar 2 vaccinators worked and did 1,726 cases. The Native
Superintendent inspected their work and found it good ; but they only operated
on one arm of each child instead of on both. This is the first time vaccination
has been introduced into the State.
In Sonpur 2 men were sent and were assisted by the Hospital Assistant.
They vaccinated 1,517. Their work was inspected by the Civil Surgeon, who
found it fairly good, but the scars were generally too. low down on the arms.
23
In Patna the Hospital Assistant is the supervising officer, but for the pur.
pose of comparison with the returns of previous years, the Patna returns have
been included in the returns for Sambalpur.
It would perhaps be better in future years to give them separately, as the
Civil Surgeon of Sambalpur is not directly responsible.
The following table shows the returns for the Patna State as sent me by
the Hospital Assistant.
1
Name of the Native Superintendent.
None.
2
Number of Vaccinators.
10
3
Circle or Town.
Patna State.
4
Population.
2,57,959
5
Average population per square mile.
2,399
6
Average number of Vaccinators employed
during the year.
10
7
Total number of per-
sons vaccinated in-
cluding those re-
vaccinated.
Males.
6,296
Females.
5,937
Total.
12,253
8
Average number vaccinated by each vac-
cinator.
1225.3
9
Primary vaccination.
Total number vaccinated.
12,209
Successful
Under 1 year.
3,381
Over 1 and under 6.
8,302
Over 6 years.
433
Total.
12,116
Unsuccessful including those doub-
ful.
90
Unknown.
3
10
Re-vaccination.
Total.
44
Successful.
44
Unsuccessful including those doubt-
ful.
...
Unknown.
..
11
Primary and re
vaccination.
Caste.
Christian.
Wahomedan.
6
Hindu.
12,247
Others.
12
Percentage of suc-
cessful cases exclud-
ing those unknown
from the total,
Primary.
99.24
Re-vaccination.
100.00
LECTURES ON HYGIENE.
31. Last Session 1 Native Superintendent and 45 vaccinators attended
the class.
Of these, 10 vaccinators obtained First class certificates; eight vaccinators
obtained Second class certificates; one Native Superintendent and 15 vaccina-
tors obtained Third class certificates; and 12 failed to pass the examination. Of
the present staff, viz: 192 (including Native Superintendents and 15 vaccinators
sanctioned by the Chief Commissioner during the year under report and exclud-
ing vaccinators attached to Feudatory States) 121 have passed successfully, 24
have failed, and 47 remain unpassed.
GENERAL REMARKS.
32. I believe that vaccination is, on the whole, admirably conducted in the
Central Provinces, but vaccinators in India require constant European supervision.
and to make vaccination perfect in the Central Provinces, it requires even more
supervision than it has hitherto received. Every Civil Surgeon, unless prevented
by serious illness or by unavoidable detention at head-quarters, ought to spend at
least two months in camp every winter, and ought if possible to see every one of
his vaccinators. This is perhaps not possible in Raipur, Bilaspur and Sambalpur,
but it could be done everywhere else.
Every vaccinator ought to feel that his work will in all probability be care-
fully examined and that he will be judged of, not by the returns he sends in,
but by the work he actually shows to the Civil Surgeon,
W. WATSON, M. D.
Officiating Deputy Surgeon General,
Sanitary Commissioner and
Superintendent of Vaccination,
Central Provinces.
NAGPUR:
The 14th August 1883.
B.—DISPENSARY VACCINATION.
Statement No. III.—Showing Dispensary Vaccination in the Central Provinces, during the year 1882-83.
District.
1
Saugor... ... ... ...
Damoh... ... ... ...
Jubbulpore... ... ... ...
Narsinghpur...
...
...
...
Hoshangabad...
...
...
...
Nimar...
...
...
...
Mandla...
...
...
...
Betul... ... ... ...
Chhindwara...
...
...
...
Seoni...
...
...
...
Balaghat... ... ...
Bhandara...
...
...
...
Nagpur... ... ... ...
Wardha... ... ... ...
Chanda...
...
...
...
Kaipur...
...
...
...
Bilaspur... ... ... ...
Sambalpur...
...
...
...
Total
...
Number of dispensaries in
each district to which a
vaccinator is attached
2
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Average number of vaccina-
tors attached to dispen-
saries during the season.
3
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Total number of persons
vaccinated.
4
2,178
1,139
6,347
1,008
3,517
635
531
534
1,960
634
547
751
4,515
1,505
2,036
1,890
1,250
1,031
32,008
Average number of persons
vaccinated by each vacci-
nator.
5
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Primary vaccinations.
Successful.
Total.
6
1,866
1,139
6,288
1,006
3,433
635
531
396
1,376
634
544
751
4,476
1,505
2,010
1,841
1,250
1,028
30,649
Under one year.
7
1,354
581
2,989
589
2,153
405
312
214
1,294
299
185
441
3,328
687
1,144
825
434
248
17,482
One and under
six.
8
415
356
2,528
324
815
170
176
47
46
263
263
282
702
515
610
532
656
678
9,378
Total of all
ages.
9
1,806
1,017
5,747
938
3,102
591
507
275
1,370
614
493
723
4,086
1,262
1,817
1,686
1,094
986
28,114
Re-vaccination.
Total.
10
312
...
59
2
84
...
...
198
584
...
3
...
39
...
26
49
...
3
1,359
Successful.
11
97
...
39
2
46
...
...
132
470
...
3
...
32
...
22
38
...
3
884
Percentage of success-
ful cases.
Primary.
12
97.20
94.08
95.16
95.42
91.10
93.36
95.84
87.58
99.56
96.84
94.62
97.04
92.78
85.09
92.00
92.03
90.56
96.47
93.58
Re-vaccination.
13
32.22
...
66.10
100.00
58.22
...
...
67.00
80.47
...
100.00
...
82.05
...
91.66
77.55
...
100.00
65.97
NOTE.—Columns 2,3 and 5 are left blank, the work having been performed by Hospital Assistants.
Comparative Statement No. IV.—Showing the number of persons primarily vaccinated and the num
the under mention
Establishment.
Government ...
Municipal...
...
Local Funds ...
Natives States... ...
Dispensaries... ...
Army
..
European... ... ...
Native... ...
Total... ... ...
Persons.
Total number.
Number successfully vaccinated.
Year ending
30th April
1866.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Total number.
Number successfully vaccinated.
Total number.
Number successfully vaccinated.
Total number.
Number successfully vaccinated.
Total number.
Number successfully vaccinated.
Total number.
Number successfully vaccinated.
Total number.
Number successfully vaccinated.
Total number.
Number successfully vaccinated.
Total number.
Number successfully vaccinated.
Year endi
1867.
17,466
...
...
...
...
...
...
...
17,466
15,060
...
...
...
...
...
...
...
15,060
1868.
36,927
43,259
...
...
...
...
...
...
80,186
31,435
34,417
...
...
...
...
...
...
65,852
1869.
55,348
64,827
...
...
...
...
...
...
120,175
40,816
52,032
...
...
...
...
...
...
98,849
1870.
86,669
12,299
42,258
...
...
...
...
...
141,226
77,166
10,037
32,473
...
...
...
...
...
119,676
1871
49,204
48,764
27,173
...
...
...
...
...
125,141
40,394
44,606
17,035
...
...
...
...
...
102,035
1872.
33,380
21,127
54,375
...
...
...
...
...
108,880
28,775
16,440
45,973
...
...
...
...
...
91,188
1873.
45,008
25,090
53,327
...
...
...
...
...
123,515
40,734
20,455
45,971
...
...
...
...
...
107,160
1874.
128,590
...
...
...
...
...
...
...
128,590
112
...
...
...
...
...
...
..
112
ber of those persons who were successfully vaccinated in the Central Provinces in each of
official years.
manly vaccinated.
Total number.
Number successfully vaccinated.
Total number.
Number successfully vaccinated.
Total number.
Number successfully vaccinated
Total number.
Number successfully vaccinated.
Total number.
Number successfully vaccinated.
Total number.
Number successfully vaccinated.
Total number.
Number successfully vaccinated.
Total number.
Number successfully vaccinated.
Total number.
Number successfully vaccinated.
March 1882.
1875.
176,893
...
...
...
...
...
...
...
176,893
158,704
...
...
...
...
...
...
...
158,704
1876.
201,636
...
...
...
9,766
...
...
...
211,402
188,381
...
...
...
8,574
...
...
...
196,958
1877.
245,224
...
...
...
10,184
...
...
...
255,408
229,930
...
...
...
8,988
...
...
...
238,918
1878.
260,408
...
...
8,976
19,304
...
...
...
288,638
240,603
...
...
8,744
16,964
...
...
...
267,341
1879.
235,816
...
...
24,015
19,097
...
...
...
278,958
223,036
...
...
23,653
17,114
...
...
...
268,803
1880.
254,824
5,238
9,535
17,229
20,386
...
...
...
307,212
239,497
5,023
8,788
16,579
18,480
...
...
...
288,367
1881.
261,959
9,456
3,314
20,026
23,080
...
...
...
317,838
248,924
9,247
3,058
18,922
20,989
...
...
...
301,140
1882.
295,766
8,534
5,167
51,843
26,188
...
...
...
387,498
284,465
8,183
5,020
49,702
24,288
...
...
...
371,658
1883.
318,794
7,334
7,001
55,660
30,619
...
...
...
419,441
305,921
6,979
6,801
52,761
28,114
...
...
...
400,576
REPORT
ON THE
VACCINE OPERATIONS
IN THE
CENTRAL PROVINCES
FOR
THE YEAR 1883-84.
NAGPUR:
PRINTED AT THE CHIEF COMMISSIONER' S OFFICE PRESS.
1884.
No. 4611/ 269
FROM
LINDSAY NEILL, ESQUIRE, C. S.,
SECRETARY TO THE CHIEF COMMISSIONER,
Central Provinces.
To
THE DEPUTY SURGEON GENERAL,
Central Provinces.
Dated Nagpur, the 1st December 1884.
SIR,
I am directed to acknowledge your report on Vaccine operations in the
Central Provinces during the year 1883-84.
2. The outturn of work was less than in the year 1882-83, though above
the amount of any year previous to it.
The total vaccinations of 1883-84 were 421,542 against 433,691 in 1882-83,
and these numbers are thus made up :—
By Provincial Staff
...
By Feudatory State Staff.
By Provincial Dispensary
Staff.
By Feudatory State Dis-
pensary Staff.
Total
...
1882-83 ...
1883-84 ...
1882-83 ...
1883-84 ...
1882-83 ...
1883-84 ...
1882-83 ...
1883-84 ...
1882-83 ...
1883-84 ...
Primary.
345,126
343,096
43,666
40,207
30,114
25,548
535
785
419,441
409,636
Re-vaccination.
12,829
9,547
62
84
1,359
2,246
...
29
14,250
11,906
Total.
357,955
352,643
43,728
40,291
31,473
27,794
535
814
433,691
421,542
3. In our own territory vaccinations were 380,437 in 1883-84 against
389,428 in 1882-83, the decline being proportionately greater in vaccinations
performed by Dispensary establishment. This result is not satisfactory, as there
was no diminution in the number of vaccinators. They were 184 in 1883-84
against 173 in the previous year. With regard to Dispensary vaccination it
may be obseived that the decrease in vaccination work is not a matter for regret
if in previous years such work interfered with Dispensary work proper, and if
in the present year vaccination was entirely subordinated to Dispensary work
proper. The matter is referred to in paragraph 42 of your report. The Chief
Commissioner, however, believes that in all of the larger towns Hospital Assistants
and Native Doctors, without neglecting their dispensaries, can easily vaccinate a
large or fair number of children. In the Jubbulpore district over 7,000 vacci-
nation operations were performed by Dispensary establishment, and what is done
successfully there can probably with some little arrangement and attention be
done in other places also.
4. It is not possible to contrast the figures for the two years for the districts
of the Chhattisgarh division, as last year vaccinations in Feudatory States were
included in district totals. For the remaining 15 districts comparison is possible.
It appears from A. Statement 1. that in four districts, Hoshangabad, Mandla,
Bhandara, and Nagpur, more work was done, and in the other 11 districts less.
2
A very common excuse for short outturn of work is that children were not avail-
able. You do not say if, in your opinion, the plea is a reasonable one. It is,
however, clear from your résumé of district details that, in some districts, the
arrangements for maintaining or procuring a supply of lymph- were defective ;
that vaccinators were idle and inefficient; and that, in some cases, supervision and
control were weak. These causes sufficiently explain short work.
5. Compared with the preceding year, Civil Surgeons were on tour for a
shorter number of days, inspected fewer villages, and saw a smaller number of
vaccinated persons. The percentage of successful cases seen by Civil Surgeons
increased from 93.57 in 1882-83 to 95.41 in 1883-84. The Civil Surgeon who was
longest on tour was the Civil Surgeon of Nimar, who was 68 days on tour, visited
290 villages, saw 7,128 vaccinated persons, and certified the percentage of success
to be 97.23. The Civil Surgeon of Mandla, though only 53 days on tour, accom-
plished more work. He inspected 505 villages, saw 10,186 vaccinated persons,
and verified success in 97.25 per cent of cases. The inspections of some Civil
Surgeons seem of very limited duration. The Civil Surgeons of Bilaspur, Bala-
ghat, Wardha and Seoni were only 31, 25, 22 and 20 days on tour respectively.
It appears that the Civil Surgeon of Balaghat, who was only shortly before the
cold season posted to Civil duty, did not at once go on tour; the Civil Surgeon
of Wardha is said to have been prevented by sickness at the Head-quarters
station from being out much, and the Civil Surgeon of Seoni was prevented by
causes which are not given.
6. While reasons may exist for Civil Surgeons staying at Head-quarters,
it is difficult to understand the variations in the length of Native Superintend-
ents' tours of inspection. Constant inspection and supervision is their raison
d' etre, and if they fail in these they would seem to be useless. The Native
Superintendents of Nimar and Balaghat were longest on tour, viz. 175 and 171
days respectively, the Superintendents of Bhandara and Chanda only 117 days.
7. The statistics of the year's work are thus not altogether satisfactory,
and more systematic supervision and control seem needed.
I have the honor to be,
Sir,
Your most obedient Servant,
LINDSAY NEILL,
Secretary.
No. 4649/CC
FROM
JAMES H. LOCH, ESQUIRE, M. D.,
DEPUTY SURGEON GENERAL,
Central Provinces,
To
THE SECRETARY TO THE CHIEF COMMISSIONER,
Central Provinces.
Dated Nagpur, 15th August 1884.
SIR,
I have the honor to forward to you, for submission to the Chief Commis¬
sioner, the Annual Report of Vaccine operations in the Central Provinces for
the year 1883 84.
2. I regret the delay in submitting this report, which has arisen from a mis-
understanding on my part of the Chief Commissioner's orders.
I have the honor to be,
Sir,
Your most obedient Servant,
JAMES H. LOCH M. D.
Deputy Surgeon General
and Sanitary Commissioner,
Central Provinces .