18
3rd Class Vaccinator Amir Khán has done good work. He is very intelligent and is
deserving of promotion.
I have also to report favourably of Guláb Singh and Bhawání Prasád 2nd, both of whom
deserve promotion.
The other vaccinators have also done very well.
In conclusion I beg to offer my sincere thanks to the Deputy Commissioner, Major
Playfair, for the active help he ever gave me and for his hearty co-operation in endeavouring
to carry out the work as thoroughly as possible. Without his assistance I feel sure that but
a very small share of success would have attended my efforts.
The Tahsíldár of Chhindwárá, Amrit Ráo, is deserving of all the praise I can give him.
He took an active interest in the work, and by attaching a chapráhí to each vaccinator in,
his tahsil, rendered the work of the vaccinator very easy, and I specially bring him to your
notice.
APPENDIX No. 3.
Copy of a letter from the Civil Assistant Surgeon, Betúl, to the Sanitary Commissioner
Nágpúr,—dated April 1871.
I have the honor to submit my report on the working of the Vaccine Establish-
ment in this district during the season 1870-71, together with Tabular Statements I. to X.
Tubes of lymph, said to be English, were received by me on the 15th October 1870, and
on the 17th I vaccinated 6 children and 4 others on the 20th.
On the 24th October a further supply of lymph collected in Nágpúr was received, and
with this 15 children were operated on on the 26 th. Of those vaccinated on the 17th and
24 th October with English lymph, only 2 cases were successful. The result in the 15 cases
operated on the 26th was 10 successes and 5 failures. From the successful cases I was enabled
to collect a sufficient supply of lymph in tubes and on points to provide 4 vaccinators, who
were started off to their respective circles on the 4th of November. The other 6 vaccinators
were detained until the 9th of November. Raghunáth Prasád and Abdul Rahmán Khán,
being entirely new to the work, were put under the charge of two of the fìrst class vaccinators
to learn, they consequently were much later in joining their respective circles.
In addition to the lymph received from Nágpúr, I obtained a small supply from Calcutta,
not, however, of pure lymph, but lymph diluted with salt water. The proportion of successes
was very small when this diluted lymp was used.
The vaccinators were distributed as shown in Table I.
This district being very extended and sparsely populated, it was impossible to include the
whole population without so scattering the men that their work would be rendered more dif-
ficult and effective supervision impossible. The population according to the last Census was
258,335, scattered over an area of 4,118 square miles, which gives only an average of 62 in-
habitants per square mile. The Multáí tahsil sub-division is more densely populated than
the Betul sub-division, the former giving an average of 82 per square mile, the latter only
56. It will be seen from Table I. that 4 vaccinators had a population of less than 20,000 to
work amongst. This year comparatively good numerical results have been obtained, but in
another year or two, when the majonty of children under six years of age will have been
vaccinated, and when there will be only the births during the year to be operated on, I am
afrard that then the totals of a season's work will appear very small, not only in the aggregate
but also as divided between each vaccinator.
The births in this district are about 28.4 per mille, the deaths of children under one year
brings down this average to 23. If a vaccinator could obtain the full complement of 23 per