2
it is accompanied by more efficient performance of the proper work of the dis-
pensaries. The rules which the Chief Commissioner has recently issued provide
that Dispensary Committees acting under the advice and sanction of the Civil
Surgeon and Deputy Surgeon General may prescribe the limits and conditions
of Dispensary vaccination, or even set Hospital Assistants free from it altogether.
It will be for you to see that these rules are properly worked, and that Dispen-
sary vaccination is not unnecessarily neglected on the one hand nor allowed to
interfere with the special work of dispensaries on the other. The Chief Commis-
sioner is satisfied that in some cases the popularity and efficiency of the dispen-
sary have suffered from ill-judged attempts on the part of the Hospital Assistant
in charge to vaccinate over too great an area and during unhealthy months, when
his presence at the dispensary was specially required.
Feudatory vaccination.
4. It is difficult to compare the figures showing vaccination operations in
Feudatory States this year with those for last year; as the
Patna returns have not been received. The Chief Com-
missioner will be glad to receive an explanation of their non-submission.
The
figures (including Dispensary vaccination) for the Feudatories are :—
1882-83
...
...
1883-84... ...
Do. without Patna
1884-85
Primary vaccinations.
44,201
40,992
29,638
30,890
Re-vaccinations.
62
113
46
6
Total.
44,263
41,105
29,684
30,896
The work in Rehrakol, Sonpur, and especially in Bamra, requires attention;
but though the work in these States seems to have been less energetically pushed
forward, the percentage of success over all the States is higher than last year.
Inspection.
5. From paragraph 40 to the end of the report you deal with inspection
and with the results reported by Civil Surgeons. The
Chief Commissioner regrets to find that though this part of
your report contains a good deal of information and many disconnected facts and
figures, there is little attempt to put them together or to base on them useful
comment. The Chief Commissioner finds that Civil Surgeons (or their Assist-
ants) were in camp for periods varying from 8 days in Betul to 80 in Jubbul-
pore. The specially short periods shown are generally explained; and the Chief
Commissioner has nothing to say on this point. He would only remark that, in
his opinion, not less than about one month or more than six weeks is ordinarily
a suitable period for the Civil Surgeon to be on tour. His duties at head-quar-
ters do not permit of his being much out, without loss : he ought not then to be
on tour longer than is necessray. And the Chief Commissioner is convinced
that six weeks' earnest work in camp is as much as the Civil Surgeon of any
district need ordinarily give to sanitary and vaccination inspection. It should
be your duty to see that this work is not neglected, and that it is not made an
excuse for neglecting other duty. On the other hand, the inspection work of
the Native Superintendents should be constant and general ; and the Chief Com-
missioner does not understand why it should be allowed to vary from 82 days in
Nagpur or 118 in Hoshangabad to 185 in Nimar. This is a matter which calls
for the supervision and control of the head of the Department.
Attitude of the people.
6. Generally the results of their inspections, as reported by the Civil Sur-
geons, are favourable; and your own inspections have led you
to form on the whole a pretty favourable opinion of the work