4
suspension or reduction should be awarded in case of non-fulfilment after due
warning. I am unwilling to move in the matter at present having only recently
taken charge of my office, but Civil Surgeons will be definitely instructed again
to warn all Hospital Assistants serving under them, that every instance of
neglect will be enquired into for the future, and that, unless a satisfactory expla-
nation be given, the name of the individual concerned will be brought specially to
the notice of the Chief Commissioner.
8. 943 persons were revaccinated against 488 in 1880-81. Only in 3
districts, viz. Saugor, Chhindwara and Nagpur, has there been any revaccina-
tion in dispensaries. The general percentage of success in primary vaccination
for all districts, 94.27, is considerably better than in 1880-81, when it was only
92.93.
Vaccination in districts.
9. Saugor.—The vaccination in this district is to all intents under the
supervision of Assistant Surgeon Durga Dass Sen, as the Civil Surgeon is, from
the nature of his duties, unable to leave head-quarters. The supply of lymph
failed early in the non-working season. Dr. Strong attributes this to some
peculiarity of the climate, but there appears much more reason for its being
owing to the laziness of the vaccinators.
The out-turn of work was large, 23,224 vaccinations against 16,893 of the
previous year. The amount of inspection done by the Assistant Surgeon was
small, he was only 40 days in camp inspecting 235 villages and 4,477 children.
He was detained at head-quarters up to 21st February owing to the presence
of cholera there, and at Shahpur on the Damoh. road. The Native Superin-
tendent was in camp the whole season ; he inspected 590 villages and 10,231
children.He is very well reported on.
Staff.—12 vaccinators, 1 Native Superintendent. Average number of opera-
tions performed by each vaccinator 1,916.91.
10. Damoh.—The supply of lymph could not be kept up here during the
non-working season owing to the employment of the vaccinators on cholera duty.
A supply from Nagpur, and also some English lymph which turned out success¬
ful, were received in October, and with these operations were set agoing about
the middle of that month. The results of the season show a fair increase on the
previous year.11,948 operations were performed against 10,930 in 1880-81.
The Civil Surgeon's tour was cut short three times by sickness, and other
equally urgent demands on him at head-quarters. The Native Superintendent
has not done much in the way of vaccination (only 153 cases), but he is reported
as active and energetic. Four of the vaccinators performed over 2,000 opera-
tions each.On the whole the out-turn is satisfactory.
Staff—The Staff consisted of 6 vaccinators and 1 Native Superintendent.
Average number of operations performed by each vaccinator 1,966.
11.Jubbulpore.—In this district the returns show a slight increase on
those of 1880-81, the totals in each year standing thus :—
1880-81...
1881-82...
Increase ...
Total vaccination.
19,823
20,890
1,067
Successful per cent.
96.59
97.11
The Hospital Assistants of three dispensaries, Sihora, Murwara and Bije-
ragogarh, did the entire work of the Registration circles in which their dispen-
saries were situated. The Civil Surgeon states, that during the spring it is found
that they can leave their dispensaries for 3 days in the week for this purpose,