6
These percentage columns, however necessary and valuable, are emphatically
columns which should not be carried to places of decimals. They are only
approximately true, never absolutely. The only entries therefore that appear
to me worthy of notice, are those of Bilaspur, where the vaccinators claim a per-
centage of 96, the Civil Surgeon allows them one of 92, and the Native Sup-
erintendent only gives them one of 65. It appears almost certain from this that
very bad work was done in that part of the Bilaspur circle inspected by the
Native Superintendent, and that this work was falsely reported by the vaccina-
tors as being good.
Small-pox.
11. Many Civil Surgeons complain that children dying from measles are
often entered in the Registration returns as having died from small pox. I am
afraid this is unavoidable, and that it will occasionally happen all over India for
many years to come. Even in London many cases are annually sent to the
Small-pox Hospital diagnosed as small-pox which turn out to be some other
eruptive disease.
This year small-pox was epidemic in the following districts—
Nimar,
Hoshangabad,
Narsinghpur,
Jubbulpore,
Mandla,
Betul,
Nagpur,
and at Hindoria in Damoh.
12. Saugor.—The Officiating Civil Surgeon writes:—
" A continuous supply of lymph was kept up throughout the year, arm to arm vacci-
nation being practised during the entire period of the non-working season, except
at a time during the rains, when our lymph became inactive and the operation at
first doubtful and afterwards totally unsuccessful.
" We thought at this time that our lymph had failed. Fortunately we had collected
sufficient lymph in tubes at a favourable time and preserved it, some in Glycerine and
other without it. We now renewed our operations with these tubes ; but the cases
so operated on would not prove successful, and we had to give it up for some time
(about a fortnight) as it would be mere waste of lymph and labour, had we con-
tinued vaccination in spite of repeated failures. This had the desired effect; for
the same lymph which had become quite inactive proved to be a very good stuff
afterwards. The operations now began to be successful. The lymph improved
gradually by 'arm to arm' vaccination till early in the working season there was a
large supply, and we were enabled to send out all our vaccinators to their respective
circles as well as to distribute lymph to the Hospital Assistants at the out-lying
dispensaries by the 25th October last.
" Ten tubes of English lymph were received with the Sanitary Commissioner's
No. 5303 V. of 6th October 1882, and two tubes of Nagpur lymph with his
letter No. 5297 V. of 10th October 1882. With this supply the Native Superin-
tendent and the Vaccinators at the Head-quarters vaccinated some selected cases.
The English lymph proved successful; but the other failed.
*
*
*
*
" Assistant Surgeon Durgadass Sen, Assistant to Civil Surgeon, began his tour of
inspection early in February (9th February,) and when only 7 days out in camp he
had to be called back to look after affairs at the Head-quarters and could not be
out again during that month. His presence was again required at the Head-quar-
ters at the end of March, so that he had only 35 days to spend in camp, and
during this short period he did as much as he could do. He visited 212 villages
and towns. Inspected 4,543 cases of vaccinated children, of which 4,327 or 95.25
per cent were found to be successful. He himself vaccinated 48 children in camp,
of these 45 were successful and 3 unknown. Besides he had to inspect all the
branch dispensaries in the district during this period (First quarterly inspection.)
" Native Superintendent Ajodhia Prashad spent 145 days in Camp, visited 669 villages
and inspected 11,423 children. Of this number 10,135 or 88.72 were found to be
successful. He has worked hard and has given his superiors entire satisfaction.