NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
INDEX.
The figures of the Feudatory States are separated from those of the
Province ... ... ...
Comparative table of work done in the past and previous season ...
Number of operations performed during the year ...
Percentage of success and the cost of each successful case ...
Remarks on Provincial and Feudatory State vaccine department ...
Do.
Do.
Dispensary Vaccination ...
Table exhibiting calculations of figures for this season as calculated
for the last in the case of the Raipur, Bilaspur and Sambalpur
districts ... ... ...
Comparative Table indicating the chief facts connected with the work-
ing of the Provincial Vaccine Department in the past two
seasons and remarks thereon ... ... ...
Primary Vaccination in Provincial Vaccine Department ... ...
Re-vaccination in
do.
do. ...
Difference in strength of Vaccine Staff in do. ... ...
Average number of operations performed by each Vaccinator, and
percentage of success returned ... ...
Comparison of the cost of Vaccine Department in 1883-84 with
that of previous year ... ... ...
Variation in the cost of each successful case ... ...
Remarks on the Feudatory States Vaccine Department ... ...
Inspection in the Feudatory States ...
Remarks on the Provincial Dispensary Vaccination ...
Remarks on the Feudatory State Dispensary Vaccination ...
Table showing work done at each of the Feudatory State Dispensaries
Small-pox ... ... ...
Inspections by Civil Surgeons and Native Superintendents of vac-
cination ... ... ...
Inspection of work done in Feudatory States ... ... ...
Advisability of increasing the number of State Native Super-
intendents ... ...
Difference in the ratio of success as returned by Civil Surgeons,
Vaccinators, and Native Superintendents ... ...
Inspection of vaccinated children by the Sanitary Commissioner
during his cold weather tour
...
...
...
Vaccination in the districts of the Central Provinces
...
...
No Lectures on Hygiene were given during the year ... ...
Supply of Lymph from Kumaon ... ... ...
Special report called for by the Chief Commissioner at the request
of the Government of Bombay as to the protection against
Small-pox by successful vaccination
...
...
PARA.
1
2
3
4& 5
6—14
15—17
18
19—21
22&23
24—27
28
29—31
32
33
34—39
40
41—46
47—49
50
51
52—56
57—59
60
61
62—66
67—85
86
87
88&89
Report on Vaccination in the Central Provinces during
the Season 1883-84.
As directed by the Chief Commissioner in his No. 586-31 of 7th February
1884, the figures of Fendatory States are separated from those of the Province,
and those of each State are shown separately.
2. The following table gives the comparative amount of work done in the
past and previous seasons by each of the 4 agencies in the Province viz. : —
1. Provincial Vaccine Department.
2. Feudatory State
„
3. Provincial Dispensary Establishment.
4. Feudatory State
„
Table I.—Showing total vaccination operations performed in the Central Provinces
during the season 1882-83 and 1883-84.
By Provincial Vaccine Department—
Primary ... ...
Re-vaccination
...
...
Total ...
By Feudatory State Vaccine Department—
Primary
...
...
Re-vaccination
...
...
Total ...
Total by Vaccine Department
...
By Provincial Dispensary Establishment—
Primary
...
...
Re-vaccination ... ...
Total ...
By Feudatory State Dispensary Establishment—
Primary ... ...
Re-vaccination ... ...
Total ...
Total by Dispensary Establishment
...
Grand Total of Central Provinces ...
1882-83.
345,126
12,829
357,955
43,666
62
43,728
401,683
30,114
1,359
31,473
535
...
535
32,008
433,691
1883-84.
343,096
9,547
352,643
40,207
84
40,291
392,934
25,548
2,246
27,794
785
29
814
28,608
421,542
Difference in
1883-84.
—2,030
—3,282
—5,312
—3,459
+ 22
—3,437
—8,749
—4,566
+ 887
—3,679
+ 250
+ 29
+279
—3,400
—12,149
3. The total number of operations performed was 421,542 or 12,149 less
than in 1882-83.
2
4. The percentage of success of all the operations was for the two sea-
sons :—
Primary ...
Re-vaccination ...
1882-83.
96.94
77.62
1883-84.
97.19
78.94
being a slight improvement in both classes.
5. And the cost of each successful operation by the Vaccine Depart-
ment was :—
In 1882-83.
Rs. 0-1-8¼
In 1883-84.
Rs. 0-1-8½.
or including those by Dispensary establishment for which no special remunera-
tion is given:—
In 1882-83.
Rs. 0-1-6¾.
In 1883-84.
Rs. 0-1-7.
VACCINE DEPARTMENT.
(Provincial and Feudatory States),
6. The chief points in the two last seasons' work as shown in Statements
I. and II. are stated below :—
Total number of operations ...
Ditto
primary ...
Ditto
re-vaccination
...
Ditto
vaccinators
...
Average number of persons vaccinated by each
vaccinator
...
...
Percentage of success in primary vaccination ...
Ditto
ditto
re-vaccination ...
Total cost of department
Rs.
Pay of establishment
„
Travelling allowance
„
Contingencies
„
Cost of each successful case
„
1882-83.
401,683
388,792
12,891
217
1,825
97.21
78.89
40,389
36,271
3,848
270
0
14
5
3
6
1
9
5
1
3
8¼
1883-84.
392,934
383,303
9,631
215
1,801
97.37
82.05
40,074
36,474
3,271
328
0
15
2
14
14
1
6
6
1
11
8½
Difference in
1883-84.
—8,749
—5,489
—3,260
—2
—24
+0.16
+ 3.16
—314
+202
—576
+58
+ 0
15
13
5
8
0
3
1
0
8
0¼
7. While the total number of persons vaccinated has been less than in
1882-83 by 8,749, it is larger than that in 1881-82, or any season previous to
that.
8. The decrease in the ratio of the total number of operations has been
much less in the Provincial than in the Feudatory departments.
9. The large decrease in the number of cases of re-vaccination has occurred
entirely in the Provincial Circles, there having been a small increase in the
numbers performed in Feudatory States.
3
10. The difference in the number of vaccinators is due to an increase of
1 in the Provincinal, and a decrease of 3 in the Feudatory State department.
11. The decrease in the average number of operations performed by each
vaccinator, was a necessary consequence of the falling off in the total number of
operations, and would have been more marked in the case of the Feudatory
State department, but for the reduction in the number of vaccinators from
34 to 31.
12. The percentage of success is very high for cases of re-vaccination.
13. While the amount paid to establishment has been rather more than
last season, the total cost of the department has been less, owing to a con-
siderably smaller amount having been drawn on account of travelling allowance.
14. The cost of each successful case was Rs. 0-0-¾ more in the Provincial
than in the Feudatory State department, owing to there not having been any
regular staff of Native Superintendents attached to, and to a very small amount
of travelling allowance having been paid by the latter.
DISPENSARY VACCINATION.
(Provincial and Feudatory State).
15. A comparison of the work done in the two last seasons is given
below:—
Total number of operations
...
„
„ primary ...
„
„ re-vaccination
...
Percentage of successful cases—
„
„ primary ...
„
„ re-vaccination
...
1882-83.
32,008
30,649
1,359
93.58
65.97
1883-84
28,608
26,333
2,275
94.61
65.92
Difference
in 1883-84.
—3,400
—4,316
+ 916
+ 1.03
—0.05
16. While there has been a decrease of 3,679 in the number of persons
vaccinated by the Provincial Dispensary establishment, there has been an
increase of 279 in that operated on by Feudatory State Dispensary establish-
ment.
17. It will be noticed that the ratio of success in Dispensary vaccination
is considerably less in both primary and re-vaccination than it is in that of the
Vaccine department, the difference being :—
In primary ...
„ re-vaccination ...
2.76 per cent
16.13 Do.
PROVINCIAL VACCINE DEPARTMENT.
18. As the figures in Statement I of this season for the Raipur, Bilaspur and
Sambalpur districts are not (owing to the separation of Provincial and Feuda¬
tory State operations) comparable with those of 1882-83, the following table is
4
inserted in which the figures for this season are calculated just as they were for
last:—
Districts.
1
Rajpur
...
Bilaspur ...
Sambalpur ...
Population of district according to
Census of 1881.
2
1,531,031
985,627
1,287,271
Average population per square mile.
3
149.35
172.49
108.09
Average number of vaccinators em-
ployed throughout the year.
4
31
21
31
Total number of per-
sons vaccinated.
Male.
Fe-
male.
Total.
5
27,536
19,354
27,479
26,295
18,969
27,057
53,831
38,323
54,536
Average number of persons vaccinated
by each vaccinator.
6
1,698
1,810
1,754
Paimary Vaccination.
Total.
7
53,745
38,323
54,417
Successful.
Under 1 year.
8
11,780
8,092
9,149
Over 1 and under 6
years.
9
35,912
26,811
40,677
Total of all ages.
10
51,345
36,120
53,633
Re-vacci-
nation.
Total.
11
86
...
119
Successful.
12
39
...
75
Percentage of
successful
cases.
Primary.
13
95.77
95.59
98.98
Re-vaccination.
14
47.56
...
65.22
Persons successfully vaccinated per
1,000 of population.
15
33.56
36.65
41.72
Average annual number of
persons successfully vacci-
nated during previous 5
years.
Num-
ber
16
36,216
26,884
50,990
Ratio
per
1,000.
17
23.65
27.28
39.61
Average annual number of
deaths from
small-pox
during previous 5 years.
Num-
ber.
18
2,786
974
275
Ratio
per
1,000.
19
1.82
0.98
0.21
5
19. The following figures give the chief facts connected with the working
of this department in the two past seasons :—
Total number of operations ...
„
„
primary ...
„
„
re-vaccination ...
„
„
vaccinators ...
Average number of persons vaccinated
by each vaccinator ...
Percentage of success in primary vac-
cination
...
...
„
„
re-vaccination ...
Total cost of department ...
Pay of establishment ...
Travelling allowance
...
Cost of each successful case
...
1882-83.
357,955
345,126
12,829
183
1,925
97.24
78.84
Rs.
37 256
33,390
3,606
0
a.
11
2
1
1
p.
0
5
4
9
1883-84.
352,643
343,096
9,547
184
1,885
97.41
82.33
Rs.
37,340
33,927
3,150
0
a
11
2
7
1
p.
4
6
6
9¼
Difference in
1888-84.
— 5,312
—2,030
—3,282
+
1
— 40
+ 0.17
+ 3.49
Rs.
+84
+ 537
—455
+ 0
a.
0
0
9
0
p.
4
1
10
0¼
20. There has been a decrease of no less than 5,312 in the total number
of persons operated on,
21. It will be at once observed that the decrease was in a much smaller
ratio in primary than it was in re-vaccination.
22. There was a decided falling off in the amount of primary vaccination
in 11 of the 18 districts: in 1, Chanda, the decrease was very small; and in 6,
Hoshangabad, Mandla, Bhandara, Nagpur, Bilaspur, and Sambalpur, there was
an increase.
23. The most marked decrease was in the Balaghat district, in which the
number fell from 18,068 to 9,492, or little more than half what it was last
season ; and the largest increase was in the Sambalpur district, where it rose
from 21,670 to 27,392.
24. In the season of 1882-83 special attention was given to re-vaccina-
tion, and a large increase in the number of cases was the result; this effort
does not appear to have been generally maintained during the past season, for
the cases are fewer by one-fourth.
25. In the Balaghat, Nagpur, and Chanda districts there was an increase
in the number of cases of re-vaccination this season ; while 6, Damoh, Jubbul¬
pore, Narsinghpur, Mandla, Seoni, and Bilaspur, do not return any such.
26. From the reports of Civil Surgeons, and from what I saw while on
tour, there are without doubt great differences as to what are classed as cases
of re-vaccination, and I think comparatively few of the operations so classed
were performed on persons who had been previously successfully vaccinated.
27. Attention will be given to this subject in the next season's returns.
28. The only district in which there was any difference in the strength
of the staff was Nimar, in which there was an increase of 1 vaccinator.
29. The average number of operations performed by each vaccinator neces-
sarily shows a decrease, it was above 2,000 in 4 districts ; the highest average
being reached in Mandla where it was 2,592, and the lowest in Betul in which
it was only 1,382.
30. The percentage of success as returned by vaccinators was 97 ; but
the Civil Surgeon's average was 95., and the Native Superintendent's 92, the
6
two latter are higher than last season when they were 93 and 89 respectively,
but that of the vaccinators is practically the same.
31. Chhindwara vaccinators returned the percentage of success in primary
cases, as 99.70 and those of Chanda as 92.56, these being the two extremes in
the Provincial department.
32. A comparison of the cost of the establishment in 1882-83 with that
in 1883-84 shows that the total expenditure was nearly the same, that the cost of
establishment was more, and travelling allowance less in 1883-84, than in
1882-83, while each successful case cost Rs. 0-1-9¼ in 1883-84, as compared
with Rs. 0-1-9 in 1882-83.
33. The cost of each successful case varied from Rs. 0-1-0 in the Sambal
pur to Rs. 0-2-3¼ in the Damoh district.
Feudatory State Vaccine Department.
34. The work of this Department during the two past seasons is shown
below :—
Total number of operations ...
„
„
primary ...
„
„
re-vaccination ...
„
„
vaccinators ...
Average number of persons vaccinated by each
vaccinator
...
...
Percentage of success in primary vaccination ...
„
re-vaccination
...
...
1882-83.
43,728
43,666
62
34
1,286
96.92
88.71
1883-84..
40,291
40,207
84
31
1,300
97.04
50.00
Difference
in 1883-84.
—3,437
—3,459
+ 22
—3
+ 14
+ 0.12
—38.71
35. In 8 of the 10 Feudatory States which support a Vaccine Depart-
ment, there has been more work done, the highest ratio of increase being in
Rairakhol where the number rose from 580 in 1882-83, to 1,261 this season ;
while Khairagarh shows the highest ratio of decrease, there having been 11,839
operations last season, and only 7,781 this.
36. The number of cases of re-vaccination are so few that it may be said
not to have been carried out at all.
37. The reduction in the staff was confined to the Raipur States, in which
10 vaccinators were employed this as compared with 13 last season.
38. The average number of operations performed by each vaccinator was
almost the same as last season.
Bamra (Sambalpur) is the only State in which the average was over 2,000.
The highest average of work (3,101) was reached in the Bamra State, and the
lowest (842) was in Nandgaon.
39. The percentage of success in primary vaccination is slightly higher
than it was last season.
40. As regards inspections in the Feudatory States, Nandgaon employed
for part of the season a Native Superintendent, who also inspected the work
in the Khuji Zamindari receiving extra pay for that work.
In the Khairagarh State the inspection was done by the 2 Hospital Assis-
tants.
7
Provincial Dispensary Vaccination.
41. The following is the work done by Hospital Assistants attached to
Government dispensaries in the two past seasons :—
Total number of operations
...
...
„
„
primary ... ...
„
„
re-vaccination
...
...
Percentage of success in primary vaccination
...
...
„
„
re-vaccination
...
...
1882-83.
31,473
30,114
1,359
93.60
65.97
1883-84.
27,794
25,548
2,246
94.79
65.54
Difference
in 1883-84.
—3,679
—4,566
+ 887
+ 1.19
—0.43
42. There was thus a very considerable falling off in the total amount of
work done, the decrease being entirely in primary vaccination ; this is no doubt
due partly to Hospital Assistants having been in several districts confined to a
smaller area than last season, as the Civil Surgeons were of opinion that the
dispensaries were suffering by the long absence of the Medical officer.
43. The districts in which there was an increase were Jubbulpore, Bhandara,
Raipur, and Bilaspur. The largest ratio of decrease took place in Balaghat,
where the number fell from 547 to 148. Jubbulpore as usual showed by far the
largest number of operations of any district.
44. There was a considerable increase in the total number of re-vaccina-
tion cases. Jubbulpore heading the list with a rise from 59 to 1,289 ; while
Chhindwara, which has hitherto been so foremost, showed a decrease of 165.
45. While the percentage of success was somewhat higher than last sea-
son, it is still, as already observed, lower than that claimed by vaccinators.
46. The following table is inserted as usual, and shows the work done at
each dispensary, but as there is not any rule as to the area over which Hospital
Assistants are to work, or the exclusion of such area from the regular vaccina-
tion circles, it is difficult to estimate the relative merits of each man's work, but
I would call attention to the very large amount of work done by the men in the
Jubbulpore district.
District.
Saugor.
...
Damoh
...
Name of Dispensary.
Saugor
...
Sadar Bazar
...
Shahgarh
...
Deori ...
Khurai
...
Banda ...
Rehli ...
Garhakota ...
Police ...
Jail ...
Damoh ...
Pathuria ...
Hatta ...
Jabera
...
Number of vacci-
nations at each
dispensary
in
1883-84.
33
292
73
236
343
117
305
379
...
2
366
262
309
198
1,780
1,135
No. of vaccinations
at each Dispen-
sary in 1882-83.
110
248
97
301
582
142
293
405
...
...
408
258
269
204
2,178
1,139
8
District.
Jubbulpore
...
Narsinghpur
...
Hoshangabad
...
Nimar
...
Mandla
...
Betul
...
Chhindwara
...
Seoni
...
Balaghat
...
Bhandara
...
Nagpur
...
Wardha
...
Chanda
...
Name of Dispensary.
Jubbulpore ...
City Branch ...
Thaggi ...
Murwara ...
Sehora
...
Bijeragogarh ...
Civil and Jail ...
Gadarwara
...
Narsinghpur
...
Chhindwara ...
Jail and Police ...
Hoshangabad
...
Kothi Bazar ...
Harda
...
Seoni ...
Sohagpur
...
Pachmarhi
...
Khandwa
...
Pandhana
...
Civil Station
...
Burhanpur ...
Mandhatta ...
Mandla ...
Ramgarh ...
Dindori
...
Jail and Police ...
Budnur ...
Multai
...
Chhindwara ...
Lodikhera ...
Seoni
...
Lakhnadon
...
Balaghat
...
Wara Seoni ...
Behir ...
Bhandara ...
Tirora
...
Sakoli ...
Tumsar ...
Pauni ...
Itwari
...
Rai Bahadur ...
Heude ...
Umrer ...
Khapa ...
Mowar
...
Katol
...
Ramtek ...
Wardha
...
Hinganghat ...
Sindi
...
Arvi ...
Deoli
...
Jail and Police ...
Sironcha ...
Warora ...
Brahmapuri ...
Armori
...
Mul ...
Chanda
...
Jail
...
Allapilli ...
Number of vacci-
nations at each
dispensary in
1883-84.
463
2,358
557
801
1,396
557
958
340
311
178
27
522
200
864
645
407
15
123
80
11
94
33
131
...
248
14
250
160
1,337
489
319
81
44
78
26
227
275
82
152
202
384
467
15
849
302
571
481
268
229
134
104
194
148
156
267
340
361
252
206
60
108
18
7,090
856
2,653
341
393
410
1,826
400
148
938
1,337
965
1,612
Number of vacci¬
nations at each
Dispensary in
1882-83.
365
2,835
420
1,008
1,063
656
...
323
498
132
55
591
237
720
972
972
25
318
90
76
92
59
145
383
...
3
265
269
1,574
386
540
94
322
168
57
289
217
140
...
105
559
671
62
912
725
599
425
562
285
282
211
408
251
68
347
314
613
428
307
...
27
...
6,347
1,008
3,517
635
531
534
1,960
634
547
751
4,515
1,505
2,036
9
District.
Raipur
...
Bilaspur
...
Sambalpur
...
Name of Dispensary.
Raipur
...
Sadar Bazar ...
Arung ...
Drug ...
Dhamtari
...
Jail ...
Police ...
Bilaspur
...
Mangeli
...
Seormarain ...
Jail and Police ...
Pandaria
...
Pendra ...
Sambalpur
...
Bargarh
...
Police
...
Jail ...
Total
No. of vaccinations
at each Dispen-
sary in 1883-84.
146
204
538
610
965
...
96
111
219
321
50
171
104
160
77
101
37
...
2,559
976
375
27,794
No. of vaccinations
at each dispen-
sary in 1882-83.
110
212
169
484
858
50
7
202
214
264
58
126
...
168
507
76
131
1,890
864
882
31,473
Feudatory State Dispensary Vaccination.
47. At these institutions the following work was done :—
Total number of operations
...
...
„
„
primary ... ...
„
„
re-vaccination ... ...
Percentage of success in primary vaccination.
...
„
„
re-vaccination ... ...
1882-83.
535
535
...
92.95
...
1883-84.
814
785
29
88.80
96.30
Difference
in 1883-84.
+ 279
+ 250
+ 29
— 4.15
+ 96.30
48. There is thus shown a large increase in the total number of operations.
49. As in the Vaccine department so in the dispensaries of Feudatory
States, re-vaccination has received little attention; the only Hospital Assis-
tant who has done any being the one attached to the Sakti dispensary; and as
the percentage of success is said to have been 96.30, I think we may conclude
the few cases could not have been re-vaccination of- persons previously success-
fully vaccinated.
50. The following table, showing the work done at each of the Feudatory
State dispensaries, is inserted:—
District.
Raipur
...
Bilaspur
...
Sambalpur
...
Name of Dispensary.
Dongargarh
...
Kowarda
...
Sakti ...
Sarangarh
...
Total
Number of
vaccina-
tions at
each dis-
pensary in
1883-84.
156
211
241
205
...
Total.
156
453
205
814
Number of
vaccinations
at each dis-
pensary
in 1882-83.
...
160
226
149
535
386
149
11
52. The only district in which the Civil Surgeon or his Assistant Surgeon
did not do any inspection of vaccination work was Nagpur.
53. In 16 districts half or more of the vaccinated persons were seen by
the Civil Surgeons and the Native Superintendents together ; in three of these,
Damoh, Nimar, and Mandla, more than the whole number having been seen.
54. In Chhindwara and Nagpur less than half the number of those
operated on were inspected, the reason being, that in the former there was no
Native Superintendent, and in the latter the inspection had to be done by the
Native Superintendent, and he saw only 31 per cent of the cases, a smaller pro-
portion than that seen by any other Native Superintendent.
55. The Civil Surgeons of Wardha, Seoni, Balaghat, and Bilaspur, saw
a very small number of cases.
56. The three first mentioned officers give the reasons for this in their
reports.
57. The inspection of the work done in Fendatory States is unsatisfactory.
The only district in which anything like a fair proportion of the cases was
inspected being Raipur.
58. The percentage of vaccinated persons in Feudatory States seen by in-
specting officers are as under :—
Raipur
...
Bilaspur ...
Sambalpur ...
By Civil Surgeon.
5 per cent.
13
„
15 „
By Native Superintendent.
45 per cent.
10
„
18
„
59. Including the Feudatory State vaccinators, whose work they inspect
in addition to that of those of the Provincial department, the Native Superin-
tendents of Raipur, Bilaspur and Sambalpur had respectively 21, 21, 31 men
under them, numbers which it appears to me are much too large to admit of
proper supervision.
60. I think, considering the present number of State vaccinators (which
it is hoped may be increased), and the very wide area over which they work,
the number of Native Superintendents should, if possible, be increased before
the next season's work commences.
61. There are the usual differences in the ratios of success as returned by
the Civil Surgeons, Vaccinators and Native Superintendents, but they are less
than they were last year or the previous.
62. During my cold weather tour I saw a large number of vaccinated
children (and many adults in the Chhindwara district) in the Bhandara, Bala-
ghat, Seoni, Narsinghpur, Chhindwara, and Betul districts.
63. In two circles I fouud that the vaccinators had almost entirely neg-
lected their work.
64. I did not find any falsification of the returns.
65. The points that appeared to me most calling for attention by Civil Sur-
geons are, that any cicatrix if well marked was considered by many Vaccinators
evidence of successful vaccination, they not distinguishing between the typical
cicatrix and that caused by ulceration; and 2nd, that sufficient attention is not paid
to the number of vesicles or marks, but that one or two small vesicles or marks
are not infrequently accepted as proof of successful, that is, protective vaccina-
tion.
66. Thus parents are led to believe that their children are protected when