4
work, which shall be enquired into and dealt with departmentally. Vaccinators
have returned their percentage of success at 90; the results of the medical officer's
inspections are not very clear and are contradictory.
Dispensary vaccination was not good in this district; ten Hospital Assistants
vaccinated only 1,783 children. With the exception of the Hospital Assistants
at Korai, Garhakota and Rehli they did badly. The cost per successful case
was under two annas.
15. The Deputy Commissioner writes thus :—
" I have personally made enquiries in some few villages as to the work done by vaccina-
tors, and have ascertained nothing that would lead me to assume that their returns
were incorrect."
No opposition is met with in this district although vaccination is not
generally accepted.
16. About half the number of children born within the year who were
alive at its close, were vaccinated ; the remainder were either too young, sick,
not in their villages, or not produced by their parents for other reasons ; the
greater number of those who escaped vaccination will, however, come under it
during the ensuing year, those vaccinated under one year of age being always
in the minority.
17. The vaccinators have been employed during the non-working season in
learning the compounding, appearance, doses and uses of drugs at the main and
jail dispensaries. Honorary Magistrate Rao Zorowar Singh of Rehli and Mu-
hammad Hussain, Tahsildar of that place, gave much assistance.
18. Damoh.—The work performed in this district was, on the whole, better
than that done in Saugor. Of six men employed two performed over 3,000 opera-
tions, one man performed only 881; the average out-turn is almost the same as
during the previous year, 1,266 being the average number recorded for each man ;
this is far below what it should be. The Civil Surgeon spent ample time in camp
to enable him to form a just estimate of the work done : Doctor Skipton states
that the registers of vaccinators are faithfully kept up, and he thinks that the
percentages of success which are given at 95 have been recorded by the vaccina-
tors truthfully to the best of their judgment; the Civil Surgeon's estimate on
inspection reached 90 per cent. He also states that although the attitude of
the people is adverse to vaccination still this dislike is giving way. In some
places indeed the people admitted its benefits which were patent; thus in one
village the Civil Surgeon saw 12 cases of small-pox, but none of the 23 whose
names were on the village register were attacked. The Deputy Commissioner
also bears testimony to the improved attitude of the people in regard to vaccina-
tion.
19. Hospital Assistants in this district were formerly encouraged to wander
too far from their dispensaries on vaccinating expeditions. All that was desired
was that they should vaccinate in the towns in which the dispensaries were situ-
ated and in villages in the immediate vicinity; these instructions were exceeded in
Damoh. I arranged, however, that the men should be confined to reasonable
limits this year ; the result is a smaller yet fair out-turn of work. Four men
vaccinated 1,232 persons ; the man attached to the Jail and Police did nothing,
which is not explained. The Native Superintendent worked very well. The
number of infants vaccinated in this district compared with children over one year
of age was good.
20. Jubbulpore.—Of nine men employed here three performed less than
1,100 operations each, and a vaccinator employed in the cantonment vaccinated
only 592 persons. There seemed some uncertainty as to whether this man was
subject to the supervision of the Civil or Military medical officer. Meanwhile he
performed less than half the number of operations that might have been expected.
He is now under the supervision of the Civil Surgeon. The staff of nine men