23
and to be the special charge of one vaccinator, who will reside in his circle, and carry
on vaccination therein every year,
2. Now that the Imperial Vaccination Department is not to work at all in this Division,
it is absolutely necessary that some permanent vaccine establishment should be organised from
Local Funds. On this point all the Deputy
Some of the Deputy Commissioners have for a year or Commissioners* of this Division are in en-
two past ma n a g e d to get a great deal of vaccination done tire accord with yourself and me. The sta-
tistics of deaths from small-pox in the north-
ern districts during 1869 are terrible enough to make us feel the necessity for protecting the
people in this Division before the next epidemic attacks us.
Some of the Deputy Commissioners have for a year or
two past managed to get a great deal of vaccination done
in their districts.
2. Now that the Imperial Vaccination Department is not to work at all in this Division,
it is absolutely necessary that some permanent vaccine establishment should be organised from
Local Funds. On this point all the Deputy
Commissioners* of this Division are in en-
tire accord with yourself and me. The sta-
tistics of deaths from small-pox in the north-
ern districts during 1869 are terrible enough to make us feel the necessity for protecting the
people in this Division before the next epidemic attacks us.
3. I think that the second of your points (summarised in para. 2 above) is extremely
reassuring. You show (and it seems to me your calculations are quite correct) that by vacci-
nating 30 per mille of the population year by year, we shall, after a few years' time, have the
population thoroughly protected. Thus we must make effort to vaccinate—
15,090 souls a year of the Nagpur population of 502,750
18,240 „
10,290 „
16,110 „
5,130 „
Bhandara
„
Wardha
„
Chanda
„
Balaghat
„
608,480
343,485
537,295
170,964
If we can do this we may be content. After all, it will not be so very costly to do this much,
and one good result of your enquiries will be to satisfy all Civil officers that it is not so difficult
or expensive a business as we generally suppose to protect a whole district effectually from
small-pox.
* The Superintendent would generally be a selected
Native Doctor.
4. Applying your general principles to the Nágpúr district, you reccommend that eight
vaccinators be permanently entertained,—two for each tahsil; and that a circle containing
about 60,000 souls be assigned to each vaccinator. As the Civil Surgeon of Nágpúr has other
important duties, which will prevent his inspecting these vaccinators properly, you recommend
that a Superintendent* on Rs. 80 a month be
engaged, who should visit each vaccinator at
least once in every two months. The Civil Sur-
geon would pay visits, whenever possible, to some of the vaccinators. But the Superintendent
would be responsible that the true vaccine disease was established and maintained in each vac-
cinator's circle, and that the weekly returns of successful and unsuccessful operations were
correct.
The total cost of this organisation would be—
1
2
3
3
Superintendent on Rs. 80, including travelling allowance
Vaccinators on
„ 15
...
..
.„
Do.
„ 12
Do.
„ 10
Rs.
...
80
..
30
..
36
...
30
176
12
2,110
5. I concur in your proposals for establishments. It is quite clear that efficient and
trustworthy inspection is absolutely necessary to the success of any scheme of this kind. In
the smaller districts a Civil Surgeon will be able to do much of this inspection himself, and one
of the Dispensary Native Doctors could perhaps be deputed (with an extra allowance of Rs.
40 a month) to supervise the rural vaccinators during the critical part of the season. But in
Nágpúr a special Superintendent of Vaccination will be necessary, and if we cannot get a
good Superintendent on Rs. 80 (inclusive of travelling allowance) we must pay up to Rs. 100
a month. The Superintendent would have to travel a great deal, and travelling is in this dis-
trict very expensive. He would rank as an Inspector of Schools, and be under the direct
orders of the Deputy Commissioner and the Civil Surgeon.
6. The vaccinators would send all their reports, their bills, and their references, to the
Tahsíldars, in the first place, and they would receive orders from the Tahsildars. In this way
they would become part of the tahsil staff, and they would be more popular and influential