6
district, a fair estimate of the entire work could hardly have been made; the
Native Superintendent's inspections also might have been more extended.
24. Two Hospital -Assistants did good work, one man performed only 40
operations and a fourth man none ; he explains that he was apprehensive that
vaccination would have an injurious effect on the dispensary attendance ; he has
been informed that his duty was to carry out orders and he has been warned to
do so in future. Altogether 14,240 persons were vaccinated in this district, and
these results are fair.
25. Hoshangabad.—Nine vaccinators are employed in this district; one
man's work was very poor, one moderate, and the remainder very good ; the aver-
age for each reached 1,661. They have returned a successful percentage of 95 ;
the Civil Surgeon has found it on inspection to be just 84; his inspections were
not numerous however.. During the previous year vaccination being new to the
people of the Harda Tehsil but little was done. During the year under report,
however, the men working in this Tahsil vaccinated a much larger number of
children than those employed elsewhere : it has been reported that no difficulty
was experienced, and the general result was that with the same number of vac-
cinators an excess of above 3,000 operations has been shown.
26. Hospital Assistants too have done much better. Four men vaccinated
2,479 children, or 1,050 in excess of the previous year. The Hospital Assistants
attached to the Seoni dispensary vaccinated 1,008 children; this was very good
work. The Civil Surgeon was only able to spend 27 days in camp; the Native
Superintendent, however, saw a large number. Altogether good work has been
done in this district, it has been well supervised, and the attitude of the people
has changed for the better.
27. Nimar —A low out-turn of work is usual in this district, owing to the
manner in which it is conducted. Vaccinators are compelled to visit every vil-
lage, and thus much time is lost. The Deputy Commissioner considered that the
inconvenience to the people arising from taking their children to neighbouring
villages for vaccination would be productive of bad results. The Civil Surgeon
therefore shaped his operations accordingly. During the previous season, the
men were sent into unhealthy parts of the district too early, and falling sick,
little was done. During the past season they went out rather later to those
parts with better results. The out-turn for the year is, however, poor. Each man
vaccinated on an average 1,188 operations only. The Civil Surgeon was only
able to be out 20 days, yet he saw 1,931 children in 160 villages whilst in camp,
and several around Khandwa in addition. Vaccinators have returned a suc¬
cessful percentage of 95, this was found to be 93 on inspection.
28. Hospital Assistants have not done so well in this district. Four men
vaccinated 377 children only ; this is not satisfactory, owing to the poor out-turn
of work here the cost was high, 2 annas and 10 pies per case.
29. Betul.—The very high average number of operations performed in this
district during the previous year (3,000) fell to 2,269 during that under report.
The number of re-vaccinations also fell from 3,529 to 622. The number of infants
vaccinated was slightly in excess of that for the previous year, whilst the number
between the ages of one to six and above those ages has decreased.
The Assistant Surgeon who is in medical charge of the district spent 70
days in camp and saw a large number of children ; he gives the percentage of
successful cases at 90 ; vaccinators have returned it at 98, Owing to the large
number operated on here the cost per case was only 1½ anna.
Hospital Assistants have not done as much as they should. The Assistant
Surgeon explains that" as they are not accustomed to the work they shrink
from it;" he should have informed them that to shrink from carrying out orders
is not permitted.