9
33. At Raipur there has been a considerable increase from 620 to 1,665.
With the exception of 62 all the cases were primary and. the percentage of success
for the latter was 94.79 and of the former 71.70.
The increase at Raipur was due to the praiseworthy exertions of Hospital
Assistant Mulchand of Dhamtari, who vaccinated 1,113 children. His work is
in favourable contrast to that done by the Hospital Assistants of Drug and
A rang, who only did .85 and 83 each. The Civil Surgeon will, next season,
it is to be trusted, see that, these men exert themselves so as to merit approval.
Mulchand must be warned, however, not to interfere with the work of the district
vaccinators as the Civil Surgeon writes that in his zeal he visited villages 9 miles
distant.
At Bilaspur, the work has decreased most seriously. From 367 it has actu-
ally gone down to 91. This figure is the result of the work of three Hospital
Assistants who accomplished 42, 20 and 29 respectively.
This state of things is explained thus by the Civil Surgeon. " The Hospital
" Assistant of the main Dispensary would have done much more, being a willing
" man," but the work had been taken out of his hands by the Civil Surgeon him-
self and by the staff of vaccinators who, in order to keep up the supply of lymph,
worked from April to October.
The Civil Surgeon reports very unfavourably of the Hospital Assistant of
the Seorinarain Dispensary who ignored the orders issued to him. The Mun-
geli Dispensary was in charge of an inexperienced passed Medical Pupil who
hardly did any vaccination.
Having failed so much during the past season, it will be necessary for the
Civil Surgeon to see that the work done next season will be satisfactory.
At Sambalpur the work has improved. The numbers having risen from
339 to 516. This work was done by five Hospital Assistants. 94 out of the 516
were cases of re-vaccination, and the percentage of these was only 60.64, whereas
for the primary it was 94-30.
Vaccination in Native States.
34. Vaccination in the Native States is of comparatively recent introduc-
tion, the first record of cases being in the official year 1877-78. This then is the
fourth year and the numbers have risen from 8,976 to 20,026. The successful
cases in the former being 8,744, and in the latter 18,922.
It cannot be said that vaccination is yet satisfactorily established, as with
the staff employed the results are not good. Better work may be confidently
looked for next season, useless men will be replaced by those who are more com-
petent, work will be commenced earlier in the year, and the men will be employed
exclusively on their own peculiar duties.
The vaccine staff is strongest in the Native State connected with Raipur,
but the best work was accomplished in the Sambalpur ones.
35. At Raipur there are as many as eighteen vaccinators ; ten in the employ
of the Khairagarh State, three at Nandgaon, and one in each of the following :
Sahaspur Lohara Gaddai, Thakur Tola, Silheti Burgurpur, Purpri and Khuji.
The total work done by the eighteen men came to 6,748, corresponding to the
work of only two of the best men in the Central Provinces proper.
The ten men in the pay of the Khairagarh State did only 2,640 or 264 per man;
one of these seems to have done only 15 operations, others did 45, 46, 73, 75,
only one (Moti Ram) accomplished 1,432. It is reported, in his favour, that he
was not hindered by Census duty, whereas all the others were so employed. Still
they could not have been so entirely tied by the extraneous duty imposed upon
them as to be unable to do more of their proper work than they did. They
should be replaced by men who will be more active and understand more clearly
what is expected from them.
The vaccinators of Nandgaon, 3, did better work, the average being 772,
and the remaining 5 in the pay of the small zamindaris did on an average 360.
It may be inferred from these poor figures that vaccination has not been favoured
by the people generally in the Feudatory States.