8
the separate appointment of Superintendent of Vaccination having been abolished
in February.
The average cost of each operation by the Vaccine establishment was
6 annas and 3 pies, or d.9¼.
32. The total cost of the Sumbulpore establishment amounted to Rs. 863,
and the average cost of each operation was 4 pies, or one half-penny.
33. The sums expended from municipal and local Funds in all districts
amounted to Rs. 4,476-7-1, and the average cost of each operation was one anna
and eight pies.
This average was to some degree enhanced by the high rate of cost in
certain districts as Nursingpore, Belaspore and Dumoh, where, from the circum-
stances mentioned above, little use was made of the Vaccinators that had been
entertained.
In the districts of Jubbulpore, Nagpore, Hoshungabad, Wurdah and
Sconce, where good work was done, the rate varied from 2 pies at Wurdah to
1 anna 10 pies at Seonee.
The largest sums were expended on vaccine operations in the District of
Nagpore, where the total cost of operations was Rs. 905, and for this sum
17,000 operations were performed at the rate 1¼ anna for each operation.
34. The total number vaccinated in the Provinces during the year by all
establishments, as shown in Table III, amounted to 127,600 against 131,727
in the previous year. This apparent diminution, however, is more than accounted
for by the fact of the returns for this year showing the operations of 11 months
only. Making allowance for the difference of time to which the returns refer,
the number of operations would exceed that of the previous year, and so far
the results of the year are satisfactory,
In the Districts of the Nagpore Division, in Hoshungabad, in Sconce
and in some other districts, efforts have been made to render local vaccination
more systematic and ensure better supervision. When, however, we com-
pare the numbers vaccinated with the prevalence of small-pox during the past
year, we find that the work done is small indeed with what is still required.
From the statistics of 1869, it appears that out of a population under regis¬
tration of a little less than 5 millions, 16,844 deaths from small-pox were
returned, and if we extend this proportion to the whole population of the Province
which is a little over 9 millions, the total deaths from small-pox in the Pro-
vince would amount to 30,000. Judging by returns received from several
districts during the past year, the ratio of deaths to cases of small-pox appears
to be about 13 per cent, and at this rate the number of cases over the whole
Province in the course of last year would have amounted to 200,000. When
we consider the amount of suffering, blindness and disfigurement that this
number of cases of small-pox represents, and that similar aggravations of the
prevalence of the disease occur at intervals of two or three years, it is evident
that further extension of the protective influence of vaccination is most urgent-
ly called for, and that the means available for the purpose should be used to the
best advantage.
35. With regard to the feelings of the people on the subject of vacci-
nation, it varies greatly in different parts of the Province, but on the whole
great progress has been made. In the Saugor and Nerbudda territories the
people are still greatly averse to it. In Sumbulpore, on the other hand, the
whole population has taken to it instead of inoculation. In the Nagpore
country the people do not yet quite like it, but there is no strong feeling