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BHANDARA.—There is an establishment of 7 men paid from Muncipal
Funds. One, a Hospital Assistant, receives additional pay for vaccinating and
superintending the work of the 6 others. English and Nagpur lymph were
employed, but by far the largest proportion of operations was from fresh lymph
taken from children vaccinated at the Dispensary, cow-pox having been kept up
through the rainy reason. The Civil Surgeon reports that he had no difficulty
in getting fresh lymph or crusts from those operated upon, and in the district the
parents preferred this to having their children taken from their own to some
neighbouring village for arm to arm vaccination. The Vaccinators work in four
divisions,—2 at Bhandara and neighbourhood, 2 at Kamtha, 2 at Singhori, and 1
at Tumsar. By making tours in different directions the Civil Surgeon was able to
inspect the work of his subordinates. Due assistance was rendered by the local
authorities, and in no town or village was great opposition met with. The total
operations were 6,191 with a percentage of 94.35 successful cases.
NAGPUR.—The establishment consists of a 2nd Class Hospital Assistant
and Native Superintendent, 10 vaccinators. Two are paid by Municipalities, the
rest from Local Funds, the whole cost being Rs. 1,995. Vaccination having been
kept up during the year, fresh lymph could be distributed to the other districts
early in November. Two men were sent to each of the Tahsils on November 1st and
2 kept to work in the City. Seven tubes of English lymph were used and suc-
cessful operations performed upon 4 persons ; the lymph obtained from them was
used to supplement that already in process of transmission from arm to arm.
The work in the City was good, carried on under the immediate supervision of
the Superintendent General, the Civil Surgeon, and Native Superintendent.
Cases are examined by myself weekly up to this time and the vesicles are good
and quite typical.
In the Nagpur Tahsil 2,550 persons were vaccinated, with 85.88 per cent
of success. Most of the operations were from arm to arm, but there was difficulty
in collecting children at Bori, Bazargaon, Hingna, Seva, Ghorad, and Chich¬
bowan. Great assistance was given by the Tahsildar, Mr. Dadaji Jaywant.
At Umrer vaccination was carried on from arm to arm for 2 months, for 6
or 7 weeks tubes and crusts were used, but with less success, and return made
to arm to arm vaccination. Total operated upon 1,513, percentage of success
88.23. The Tahsildar, Mr. Ganpat Rao, rendered good assistance.
At Katole arm to arm vaccination was carried on for two months, after
which the Vaccinators are reported to have become careless and had to be repre-
manded. One was subsequently dismissed. The Tahsildar, Mr. Shivraj Singh,
and Naib-Tahsildar Sakaram Mahipat assisted the Vaccinators and Superin-
tendent.
At Ramtek operations at first were unsuccessful, but in the second
week of December vaccination from arm to arm had been properly started. On
the departure of the Superintendent, however, this was neglected, and the cases
of failure were numerous, 1,528 operations were performed with 73.57 per cent
of success. One vaccinator was sick, but the other was careless and inattentive
and has since been reduced. The Tahsildar, Mr. Yado Rao, gave assistance.
The Mohammadan Hawkers and some low castes in the Sadar Bazar and
Sitabaldi are those most opposed to the operation, which is now pretty freely
accepted, but parents are procrastinating and children have to be sought out,
excepting when small-pox is threatening. During the latter part of the season
a mild attack of small-pox was prevalent in the district, but it is reported that
very few of those who had been vaccinated were attacked.