5
19. Of the Districts in the other divisions an increased number of opera-
tions is returned from Chindwara, Hoshungabad, Saugor, and Seonce. In the
District of Chindwara operations had been carried on by the vaccine establish¬
ment from 1865-66 to 1867-68 and at the end of the latter season they were
brought to a close. Two Vaccinators paid by municipalities were employed in
1868-69, but little appears to have been done. In 1869 as the prevalence of
small-pox was increasing, 4 Vaccinators were entertained and they have been
employed through the past season. Only 1,041 operations have been performed,
which of course have had but little effect in checking the spread of the
disease.
20. In the past year, from April 1869 up to date, 4,838 cases of small-pox
and 361 deaths have been reported from Chindwara, of which 3,760 cases and
303 deaths have occurred since January last in a population of 327,875.
In Linga, a village with a population of 350, near Chindwara which I
inspected in March last, I found 30 cases of small-pox. By a return furnished
by the Deputy Commissioner, 13 of these children were under 3 years of age,
the remainder varied from 3 to 9 years, of these 9 had been vaccinated, 7 by the
vaccine establishment in April 1868, and 2 previously. Several children who
had been vaccinated at the same time, presented good scars and had escaped
small-pox.
21. In 1865 the present Vaccine establishment was organized for the
purpose of thoroughly and completely protecting from small-pox the popu-
lation of a defined area, and the districts of Chindwara and Nagpore were selected
as the field for the experiment, comprising 8,000 square miles with a population
of nearly 1,000,000. Operations were carried on in these Districts till May 1868.
In the first season not much was effected, but in the seasons of 1866-67 and
1867-68, 56,467 persons were vaccinated of which 47,677 were children under
6 years of age. It was then thought that operations might be brought to a close
in these Districts, and the field of operations transferred to other districts.
The number of children under 6 years of age at any one time in the districts
of Chindwara and Nagpore would be not less than 155,000 and the proportion
of children vaccinated to unvaccinated when vaccine operations were brought to
a close would have been not more than 30 per cent ; moreover, the number of
children born annually in these districts may be estimated at 33,000, therefore
supposing that all children born in previous years had been protected, it would
still be necessary in order to render the population proof against small-pox that
nearly 30,000 vaccinations should be performed annually, but the number of
children vaccinated by the special establishment in neither year of its opera-
tions reached this number even including all children under 6 years of age. It
must then I think be considered that the measure of bringing operations by the
establishment to a close in these districts in 1868, was premature. And we now
find that in Chindwara small-pox happens to be as prevalent as in adjoining dis-
tricts of Seonee and Baitool.
In fact it would appear that an area of from 8,000 to 10,000 square miles
with a population of one million is a sufficient field for the permanent operations
of one European Superintendent and a proportionate staff of Vaccinators.
22. In the Hoshungabad District, Doctor Cullen has always been zealous
in doing his best to extend vaccination, but the people of the Nerbudda valley
are much averse to the practice, and little can be done excepting under the
immediate supervision of the Civil Surgeon. In all 2,296 operations were per-
formed by 2 Vaccinators. The following extract from Doctor Cullen's report
describes the arrangement made by him for the inspection of the work. " Work
was commenced very late in the season, as the first three supplies of lymph
failed. The Superintendent of the Dispensary wrote everywhere for vaccine