10
36. As regards the workin Bilaspur, in the State of Kawardha, it was thought
best not to press vaccination, as the opposition against it was most decided ;
it was only carried on in Sakti and Pandaria. 1,151 cases were operated on by
2 men.
37. In connection with Sambalpur, work is carried on in the Native States
of Patna, Sonepur, Sarangarh, Padampur and Chunder.
In Patna 10 vaccinators are employed permanently. The work done was as
follows:—
Total number vaccinated ... ...
Re-vaccinated
...
...
...
Successful of primary ... ... ...
„
re-vaccination ... ...
Primary operations unsuccessful ... ...
„
„
unknown ... ...
Re-vaccination unsuccessful ... ... ...
„
unknown
...
...
Percentage of successful cases was 94.24.
9,997
518
10,515
9,800
110
166
31
403
5
Regarding Sonepur the Civil Surgeon writes:—
" In this Feudatory State Hospital Assistant Syud Aulad Alli, with some trouble, suc-
ceeded in vaccinating 87 subjects; the year before last the whole of the State was
brought under the operation of inoculation."
The Deputy Commissioner, in reporting on the work generally, writes:—
" These figures show a slight decrease everywhere except in Patna where from recent
personal observation I am satisfied that vaccination work continues to be most
thoroughly carried out. The slight decrease elsewhere may be accounted for by
many of the vaccinators having been called upon to assist in Census enumeration;
making allowance for this, a fair amount of work seems to have been performed
except in Sonepur where apparently inoculation has been almost completely sub-
stituted for vaccination."
Revaccination.
38. The subject of re-vaccination is one of great importance, and has not
received that attention in these Provinces which it merits. From the fact of its
practice being recommended and largely followed in England, it comes to be an
acknowledged fact that the protective power of vaccination is apt to lessen with
the lapse of time. This opens a great field for increased work on the part of the
staff of vaccinators. Re-vaccination should be especially resorted to as the best
known means of placing a barrier to the progress of an epidemic. Whilst then
primary vaccination should be the main object the vaccinator has in view, yet
he should be instructed to re-vaccinate adults.
He should be specially warned not to re-vaccinate children who have been
recently vaccinated. It was found in the cold weather tour of inspection in the
Nagpur district, that for the sake of swelling the numbers, re-vaccination was
largely practised. Children who had been successfully vaccinated in the previous
year were again operated on. Nothing could make vaccination more obnoxious
to the people than this annual putting the children to pain and inconvenience.
Civil Surgeons were at once instructed to warn vaccinators to discontinue the
practice, and not to attempt to re-vaccinate except after the lapse of 7 years.
According to the returns re-vaccination has only been practiced in 13
out of the 18 districts; of these 13, in 9 the numbers were insignificant, and in 4
only was the operation practised to any extent. The numbers run thus:—
Chhindwara 4,461, Chanda 800, Nagpur 655, and Sambalpur 662. The
percentage of successful cases being 75.67, 90.43, 88.06 and 37.14 respectively.
Regarding the work at Chhindwara the Civil Surgeon writes:—
" These re-vaccinations or secondary operations were performed on adults who had pre-
viously suffered from small-pox, or who believed that they had it in infancy, or
who had been previously vaccinated."