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The dispensary work is said to have been specially good, and Hospital Assis-
tant Ramkrishna Apaji in charge of the Sehora, and Chuni Lal of the City branch
dispensary are particularly mentioned. The attitude of the people towards
vaccination is the same, but the quality of the work is improving.
The Assistant Surgeon is commended for his inspection and report.
71. Narsinghpur.—The supply of lymph failed at the beginning of October.
There was a slight falling off in the amount of work done which the Civil Sur-
geon attributes to a decrease in the number of children available, that number
being 11,412, while the number vaccinated was 13,264.
Hospital Assistant's work was better than in previous year.
The Civil Surgeon recommends a Municipal Vaccinator for the 3 Munici-
palities : he was 41 days in camp, and the children seen by him and the Native
Superintendent amounted to 5-6ths of all vaccinated.
The Native Superintendent is well reported of.
The attitude of the people towards vaccination is one of supreme indifference.
The Deputy Commissioner gave valuable help.
In 225 cases of small-pox, vaccination had been performed in 43, and most
of them were between 2 and 12 years of age.
72. Hoshangabad.—Lymph was kept up all through the non-working
season. There was an increase in the number of operations performed, though
it fell short of that for the years 1880-81, 1881-82. Three of the vaccinators did
not do full work.
The amount of work done by Hospital Assistants was also less, but almost
exclusively so in that of the men at Seoni Malwa and Sohagpur ; orders were
issued to Hospital Assistants to restrict their operations to within 4 miles of the
dispensary, and while this told very little on the work of the Hospital Assistants
at Harda and Hoshangabad, it reduced the number of children available to those
at Seoni and Sohagpur very much.
Hospital Assistants, though their work was fair, did not show much zeal in
the matter.
The Civil Surgeon considers the amount of work done as judged of by the
births and deaths of children under 1 year satisfactory.
The Civil Surgeon was on tour 36 days, and saw 3,310 vaccinated children.
The Native Superintendent is not altogether favourably reported of. Vaccina-
tion is still unpopular. The Civil Surgeon mentions the Malguzars of Sainkhera
and Tegaria in the Hoshangabad Tahsil, and of Palasonair in the Harda Tahsil
as having given aid.
The beneficial results of vaccination were clearly seen in 70 cases of small-
pox investigated by the Civil Surgeon. The disease was imported from the
Native State of Bhopal.
73. Nimar.—In consequence of the vaccination staff being employed on
cholera duty last year vaccination was stopped, and' the lymph supply could not
be kept up, except in Barhanpur and Khandwa: for the same reason there was
more opposition to vaccination at the commencement of the season.
Chest affections, especially whooping cough, carried off a very large number
of young children, and left those that survive d weakly and unfit for vaccination ;
this not only reduced the actual number of children -available for vaccination,
but it was made an excuse by some of the Vaccinators for doing less work than
they should have done. There was a decrease of upwards of 2,000 in the
number of operations, due partly to the above causes, and partly to the extra
number of operations performed last year in consequence of the prevalence of
small-pox.
Dispensary vaccination was nearly a failure; the Hospital Assistant at
Pundhana and Mandhatta did well in their own villages, as was proved by
inspection; but at Burhanpur and Khandwa they had not leisure; the Civil
Surgeon thinks a Hospital Assistant in charge of a large dispensary, cannot do
both his dispensary and vaccination work satisfactorily.