2
At Nagpur the number successfully vaccinated during the hot and rainy-
months varied from 57 in September to 103 in June, the ratio per cent of success
being 76.69 in July to 95.06 in May, the average for the whole year being 83.66.
In Chindwara the successful cases varied from 6 in June to 31 in Sep-
tember, with percentage from 54.5 to complete success, the average for the year
being 93.41.
In Bhandara the successful cases varied from 11 in August to 21 in
July, with a percentage of success of from 72.2 to 84, the average for the year
being 94.35.
The climate of Chhindwara is more favourable than that of most Sadar
towns in the Provinces, but the same cannot be said of the city of Nagpur, and
as it has been demonstrated that fresh and active lymph can be obtained there
throughout the year, there is no reason why, with care, attention, and interest in
the work, a few cases may not be successfully vaccinated from week to week at
the head-quarter towns of other districts.
From the fresh lymph so kept up at Nagpur, Chhindwara, and Bhandara,
supplemented by supplies received from England, the North-West Provinces,
Calcutta, and Poona, vaccination was spread throughout the Provinces, the
first distribution for the season being made from Nagpur on 21st October, follow-
ed by others in the same and succeeding months.
Tubes filled in and received from England were forwarded to all stations
in the Provinces and to the Medical Officer in charge of the Bhopal Agency at
Sehore. There was complete failure from its use at Sagar, Narsinghpur, Ho-
shangabad, Nimar, Mandla, Balaghat, Wardha, Sironcha, and Bilaspur. The
Civil Surgeons of Narsinghpur and Hoshangabad attributing this to the unusual
heat during the month. At the eleven other stations (including Sehore) there
was more or less success. The lymph from 39 tubes was used upon 79 persons,
and with success in 43 cases.
The Civil Surgeon of Jabalpur reports that at first the English lymph
appeared very sluggish, vesicles not reaching maturity till the thirteenth day, but
lymph having been taken from these on the tenth day, the vesicles obtained from
its use rose in the usual time and the virus from them was good.
The Civil Surgeon of Bhandara notes that the first vesicles were small
and irregular, but after a few transfers the vaccination succeeded well.
Vaccination had been fairly started throughout the Provinces by the mid-
dle of November, but in some districts, especially those of the Narbada Division,
the extreme heat seemed to militate against success, and not much good work
was done till December. At Mandla the Medical Officer on examination on
January 3rd found the work bad, and had to stop it for fresh supplies of lymph,
and in the Upper Godavari district the Civil Surgeon was not successful till
January, and very few persons were vaccinated in this district.
Throughout the year there have been 33,380 operated upon by the De-
partment in the three districts of Chhindwara, Seoni, and Betul, being less by
15,824 than in 1870-71, but in the season under review no work was done by
them in Chanda and Nagpur. The number of successful cases was 28,775,
against 40,394 in former year.
The numbers operated upon by the local Vaccinators in the other dis-
tricts are also less, but only by 633; but the successful cases were more numerous,
as 62,413 to 61,641.