17
82. Mr. Thipthorpe, the Medical Officer, reports that there was a good deal
of opposition offered to the Vaccinators and to the Hospital Assistants when
attempting to operate. He states that the men at Wardha and Hinganghat
worked well, but the Vaccinator at Arvi was dilatory and irregular, as well as
impertinent and disobedient to the Hospital Assistant.
The ratio of success, however, I do not consider creditable.
83. Beyond that exercised by the Hospital Assistants there appears to
have been little or no supervision in this district, and I cannot agree to Mr. Thip¬-
thorpe's proposition that the staff of Vaccinators be increased, until assured that
their work will be minutely and carefully inspected at frequent intervals.
The Medical Officer thus writes:—" I was not able to go into camp and to
devote any time and attention to the work, owing to the prevalence of sickness in
the station, and other frequent demands for my services, although I had on seve-
ral occasions arranged to go out. On each of my visits to the dispensaries I
inspected the children who were vaccinated in the towns, and was quite satisfied
with the result in all. I even visited a few villages in the Deoli circle to carry
on vaccination, but was as much disappointed and discouraged as the Hospital
Assistant who had been trying for about two months previously to persuade
the people to take kindly to it."
84. A proposal has been made to send out a Vaccinator with each Tahsildar
when the latter goes into camp. This would doubtless tend to increase the num-
ber of operations, but it is not stated how each case is to be inspected on the
7th or 8th day, —as important a matter almost as the original visit, for then is to
be noted the result of each operation; if unsuccessful a second operation is to be
performed, and from the fresh lymph then procurable other persons in the village
or neighbourhood hitherto unprotected are to be vaccinated with every proba-
bility of a successful result. This could not be done unless the Vaccinators worked
within a small radius.
85. Chanda.—The number of operations decreased by 2,665 and the
percentage of success fell from 83.73 to 81.83. Only 25 per mille of the children
under 1 year of age were operated upon.
From failure of earlier operations vaccination was not fairly started till
December 4th.
Three Vaccinators were employed, as in the preceding year ; but the Jail
Native Doctor, who had acted as Superintendent, and had himself operated upon
1,011 in 1871-72, was not available, and two of the Vaccinators were prostrated
by sickness and one of them died.
The Vaccinator sent to Garchiroli was called to Tallodi, where small-pox
was raging, and he succeeded in operating upon 1,779 with a percentage of suc-
cess of 80.7. The second man sent to Warora, suffered very much from fever
for days together, and failed to keep up a supply of fresh lymph Only 225 were
operated upon by him, with a percentage of 72.7 successes.
The third Vaccinator was doing well in the Haveli Parganah, but was
attacked by remittent fever in February and died in a few days. He was re-
placed by a new man, who promises well, but had not done much up to the end
of March.
86. These causes fairly account for the failure as to number and in some
degree as to success.
D-15—111-385.