16
In Nimar small-pox was introduced in different directions, but it did not
show a tendency to spread :—
" In all the cases, as far as can be ascertained, the children were all unprotected, and
doubtless there are numbers of unvaccinated children in the district ready to take
the disease."
The Civil Surgeon, Mandla, writes : —
" Small-pox was present all last year; there were 44 cases in all, 23 of which were fatal,
one of these had been vaccinated and 22 unprotected; of the 21 who recovered, 16
were unprotected and 5 vaccinated."
The Civil Surgeon of Chhindwara reports that at the close of last year's
operations it was reported that a mild outbreak of small-pox had occurred in the
villages about Mokher. By vaccinating the unprotected children in these vil-
lages the disease disappeared. Later on in the season the disease appeared in
another part. The Civil Surgeon found on inspection that a great many chil-
dren had escaped vaccination year after year, and that the disease spread amongst
these children only as not one was found to have marks of vaccination.
At Bhandara small-pox did not prevail extensively, and no case occurred in
the large towns or villages. The Civil Surgeon states that no instance could be
brought forward of a well protected child having been attacked by the disease.
At Wardha only 13 deaths from small-pox were reported in the year, and
the Civil Surgeon states that it is satisfactory to note that none of the children
who had been vaccinated suffered from the disease.
In the Chanda district 166 cases of small-pox are recorded, 77 of which were
fatal; but the Civil Surgeon states that there were no deaths from small-pox
amongst children successfully vaccinated.
The Civil Surgeon of Bilaspur reports :—
" That he made inquiries in villages in which small-pox had appeared to discover if
any well vaccinated children had been attacked. In three villages 7 deaths are
reported of vaccinated children, but of this there were no proofs save the statement
of the people. In two other villages the Civil Surgeon examined the village
forms with the view of discovering the names of the vaccinated children who had
died of small-pox, but the record of their vaccination could not be found."
56. On the whole, the above short references to the important subject of
the protective power of vaccination speak as to its efficacy, but the subject
requires more perfect looking into, and Civil Surgeons will be expected to make
inquiry into this matter, as one of the most important subjects to. be taken in
hand in their cold, weather tours.
57. From none of the districts have any reports been received of inocula-
tion being practised, so that this made of protection from small-pox may be said
not to exist in these Provinces.
Lectures on Hygiene.
58. 12 Superintendents and 44 Vaccinators attended the course in the
session of 1880-81.
The men were selected from the staff of each district. The course of lec-
tures was delivered by Assistant Surgeon Kali Krishna Ghose, and lasted from
15th June to 30tb August 1880. At the close of the course examinations were
held, which tested the intelligence and application both of Native Superintend-
ents and Vaccinators. Of the former class 2 failed and 10 passed; and of the
latter, 7 failed and 37 passed.
The successful students were furnished with certificates of the 1st, 2nd or
3rd class, according to the degree of intelligence and acquaintance with the
subject displayed.
Of the Native Superintendents, 2, 5, and 3 obtained the 1st, 2nd and 3rd
position in the examination, and of Vaccinators, 12,12, and 13 occupied the 1st
2nd and 3rd place respectively.
The lectures have been a success, and they are to be repeated during the
present session with the sanction of the Chief Commissioner.