7
formed over 2,000 on an average, one man having operated on 3,468 children.
The Superintendent's inspections confirm the results stated by the vaccinators,
the Civil Surgeon's inspections are also confirmatory of their correctness, but
Dr. Kidd's tours were conducted rather too rapidly.
23. Balaghat.— Some good work has at length been reported in this district;
the Superintendent was however only three months in the district, the reason for
this is not explained. Here also the Civil Medical Officer attempted too much
with the result of weakening the value of his inspections. All the Hospital
Assistants have done very little work, due to the Civil Medical Officer having
confined them to five villages each, the reason for which is not explained or
understood.
24. Bhandara.—In 1878-79 there had been a falling off in this district to
which the Civil Medical Officer's attention was invited, and although there has
been an increase in 1879-80 the total has fallen short of what is expected ;
four men however have done very well, two have not done badly, and unless two
can improve on the past season's work they should be got rid of; the average
per man has thus only reached 1,575; all were at work by the first of November
supplied with lymph locally procured. The Civil Medical Officer reports general
accuracy on the part of those vaccinators who have shown large returns as
ascertained on his own and the Superintendent's inspections, and indolence and
carelessness on the part of others ; indolent and lazy men need not be retained
in the service. In opposition to standing orders the Civil Medical Officer trans-
ferred live vaccinators to other circles, the object of keeping men to their circles
is in view to make them responsible for the extent and quality of vaccination
there, and consequent exclusion of small-pox, it is very undesirable to move
these men. The Hospital Assistant at head-quarters only has exerted himself
in the matter of vaccination, the others have disobeyed their instructions.
25. Nagpur.—The arrangements of the Superintendent and the work in
this district generally in 187.8-79 were bad, two useless men were therefore got
rid of, others were punished, and a more efficient Superintendent has been
brought in from another district; five men have now done excellent work,
three men have done well, four have not done well, and two have done badly,
one of these from no fault of his. The highest out-turn shown by a vaccinator
reached 2,804 and the lowest 500; the average stands at just 1,500 per man,
I saw some of the work of nearly all and found it for the most part of good
quality ; some opposition still exists in a few places, I think a really efficient
Superintendent might ere this have overcome it ; the present Superintendent
might now be expected to do so, although he has not given me entire satisfac-
tion ; he attached one of the vaccinators to himself who was consequently only
able to vaccinate last season 500 children, he should not do this again. Thus
although work in this district has not improved to the extent I had anticipated,
still an increase of 4,564 in one year is hopeful, and a considerable increase may
be looked for next season. Hospital Assistants have done little, 871 operations
is the total for this district.
Two vaccinators employed at Kamptee by the Military Authorities vacci-
nated 1,335 persons only; the work is not under the Sanitary Commissioner's
supervision.
26. Wardha.—Work in this district was commented on unfavourably in
1878-79. Dr. Evers, however, took the matter up with energy last season, and
has raised the average number per man from 1,243 to just 1,500 or from a
total of 9,552 performed by seven vaccinator to 12,766, which with the excep-
tion of 386 cases were performed by six. The seventh was found by me in
'February to have vaccinated only 386 cases and was promptly dismissed with
forfeiture of pay due, another, man worked badly and must be got rid of, a third
is old and inefficient, three men have done , remarkably well, a fourth not so,well
as he should ; the number of children of frorn,one to six years vaccinated was
nearly double that of, infants, thus children neglected in previous years have
been picked up. The Civil Surgeon's inspections and my own showed that work