NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
B.—STATE
Showing particulars of Vaccination in each Circle of Medical
1
No.
1
2
3'
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
2
District
Sagar ...
Damoh ...
Jabalpur
. .
Narsinghpur.
Hoshangabad.
Nimar ...
3
Name and rank of
Superintendent of
Dispensary.
Ramchunder,
Mitter,
Sub-Assistant
Surgeon.
Total
T. King, Assistant
Surgeon.
W. R. Rice, M. D.
Civil Surgeon.
Total .
T. P. Wright
Surgeon
P Cullen, M. D.
Civil Surgeon ..
Total
J. M. Fleming, M. D.
Civil Surgeon
Total .
4
Number of Native Superinten-
dents of Vaccination attach-
ed to the Dispensary.
1871-72
...
...
...
...
...
...
...
...
...
...
...
...
...
1
.
.
1870-71
...
...
...
...
...
...
...
...
...
...
...
...
..
...
.
.
...
...
...
...
5
Number of Vaccinators attach-
ed to the Dispensary.
1871-72
1
...
1
...
...
...
...
...
...
2
2
...
2
...
...
1
1
...
...
4
3
1
1
1
1
1
1
6
2
]
3
1870-71
1
...
1
...
...
...
...
...
...
2
2
1
..
...
1
1
1
1
5
3
1
1
1
...
...
...
3
1
1
2
6
Total number of persons vac¬
cinated.
1872-73
1,981
33
2,665
3
47
211
24
34
158
5,156
1,187
217
4,180
337
381
474
1,273
1,646
600
582
9,690
1,580
1,294
1,179
332
329
754
1,223
5,111
2,092
2,359
4,451
1871-72
5,784
39
894
...
98
150
82
38
108
7,193
1,131
211
1,487
246
276
26
1,714
1,287
882
1,031
7,160
1,219
1,321
1,070
793
58
...
...
3,242
1,109
l,389
2,498
7
Collectorate, Political Agency, or Native
State for the population of which the
Dispensary is provided.
Sagar.
...
Damoh
Jabalpur
...
Narsinghpur
Hoshangabad
...
Nimar
...
8
Population of area included in last
column.
130,340
18,997
101,964
1,852
72,056
135,672
9,316
470,197
283,525
22,211
28,564
2,000
13,183
838
176,108
12,369
11,516
2,667
259,456
336,000
54,063
62,274
45,308
48,360
40,697
34,284
284,986
124,832
65,675
190,507
9
Name of Dispensary.
Sagar Tahsil ..
Sadar Bazar ...
Kurai ...
Malthon .
Shagarh ...
Banda ...
Rehli ...
Deori
...
Garhakota .
...
Damoh ..
Main Dispensary
City
Do. ..
Thaggi
Do. ...
Cantonment
Do.
...
Central Jail
Do.
Sehora
Do. ...
Murwara
Do. ...
Bijeragogarh
Do. ...
Patun
Do. ...
Narsinghpur and Gadarwara.
Hoshangabad ...
Harda ...
Seoni ...
Sohagpur
...
Babai ...
Duluriya ...
...
Khandwa ...
Burhanpur
..
...
MENT No. V.
superintendence in the Central Provinces during the year 1872-73.
10
Primary Vaccination.
A
Sex,
Male
785
22
2,354
2
31
130
11
26
64
3,425
605
161
2,718
161
205
4
720
907
402
325
5,603
764
584
654
136
196
265
443
2,278
958
1,200
2,158
Female.
1,051
11
297
1
16
81
13
6
65
1,541
582
56
1,462
116
176
4
553
739
198
257
3,561
816
710
525
196
133
489
780
2,833
1,134
1,159
2,293
B
Caste.
Christian.
9
...
...
...
..
...
...
2
...
11
2
4
...
38
12
..
...
...
...
...
54
1
7
8
...
...
...
. .
15
28
1
29
Hindu.
1,187
30
1,572
3
47
205
21
20
120
3,205
597
187
3,372
141
273
7
981
1,606
564
568
7,699
1,335
1,207
1,040
249
280
686
1,088
4,550
1,258
1,525
2,783
Mohammadan.
640
3
269
...
...
6
3
10
9
940
95
26
808
98
96
1
292
40
36
14
1,411
99
78
131
8
43
14
40
314
129
402
631
Other caste.
...
...
810
...
...
...
...
...
...
810
493
...
...
...
...
...
...
...
...
...
...
145
2
. ..
75
6
54
95
232
677
431
1,108
C
Age.
Under 1 year.
795
26
554
2
14
208
16
27
84
1,726
448
30
1,199
91
295
3
407
1,439
41
75
3,580
198
389
232
93
74
341
804
1,933
932
763
1,695
Above 1 year.
1,041
7
2,097
1
33
3
8
5
45
3,240
739
187
2,981
186
86
5
866
207
559
507
5,584
1,382
905
947
239
255
413
419
3,178
1,160
1,596
2,756
Result.
Successful.
1,517
19
1,520
2
35
98
20
11
66
3,288
805
193
3,899
215
344
8
1,187
1,400
528
524
8,298
979
973
1,002
240
300
510
1,025
4,050
1,723
2,031
3,754
Unsuccessful including
those doubtful.
207
14
840
1
7
113
4
20
63
1,269
302
24
281
52
37
...
86
246
72
58
856
397
233
77
89
25
144
68
636
369
328
697
Unknown.
112
...
291
...
5
...
...
1
...
409
80
...
...
10
...
...
...
...
...
...
10
204
88
100
3
4
100
130
425
. . .
...
...
D
Total.
1,836
33
2,651
3
47
211
24
32
129
4,966
1,187
217
4,180
277
381
8
1,273
1,646
600
582
9,164
1,580
1,294
1,179
332
329
754
1,223
5,111
2,092
2,359
4,451
11
Re-vaccination
A
Successful.
81
...
8
...
...
...
...
1
22
112
...
...
...
11
...
271
...
...
...
...
282
...
..
...
...
...
...
...
...
...
...
...
B
Unsuccessful, including those
" doubtful."
40
...
6
...
...
...
...
1
7
54
...
...
...
2
...
195
...
...
...
...
197
...
...
...
...
..
...
...
...
...
...
...
C
Unknown.
24
...
...
...
...
...
...
...
...
24
...
...
...
47
...
...
...
...
...
...
47
...
...
...
...
...
...
...
...
...
...
...
D
Total
145
...
14
..
...
...
...
2
29
190
...
...
...
60
...
466
...
...
...
...
526
...
...
...
...
...
...
...
...
..
...
...
12
Percentage of
successful cases
excluding those
" unknown" from
the total
In primary vaccina-
ton.
87.99
57.57
64.40
66.66
83.33
46.44
83.33
35.48
51.16
72.15
72.71
88.94
93.27
80.52
90.28
100.00
93.24
85.05
88.00
90.03
90.64
71.14
80.67
92.86
72.94
92.30
77.98
9378
86.42
82.36
86.09
84. 34
In secondary vaccina-
tion.
66.94
...
57.14
...
...
...
...
50.00
75.86
67.47
...
...
...
84.61
...
58.15
...
...
...
...
58.87
...
...
...
...
...
...
...
...
...
...
13
Average number of persons vaccinated
by each vaccinator.
2578.00
2578.00
593.50
2422.50
2422.50
526.66
1294
1179
332
329
754
1223
851.83
1046.00
2359.00
1483.66
E.—13-105-385.
B.—STATEMEN
1
No.
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
AC
47
48
49
50
2
Districts.
Mandla ...
Balaghat ..
Bhandara
..
Wardha ..
Chanda ...
Upper Godavari
Raipur ...
Bilaspur
..
Sambulpur ...
3
Name and rank of
Superintendent of
Dispensary.
H. A. Kidd, M. D
Civil Surgeon...
G Baily, Civil Me-
dical Officer ...
F E. F. Ffrench
Assistant Sutgeon.
C. Thipthorpe, 1st
Class Assistant
Apothecary .
Total .
M. Craggs, 1st Class
Apothecary ..
J B. Gaffney, As-
sistant Surgeon.
D. W. Trimnell,
Civil Surgeon
Total ..
J. B. Ferdinands
M. D. Civil Sur-
geon
Total ..
J. E. Hanison,
Honorary Assistant
Surgeon
Grand Total
4
Number of Native Superin-
tendents of Vaccination at-
tached to the Dispensary.
1872-73
...
...
.
...
...
...
...
...
...
...
..
1
..
.
.
1
..
..
.
1
1871-72
...
1
...
...
...
...
...
...
1
...
1
...
.
.
...
1
...
..
...
...
3
5
Number of Vaccinators at-
tached to the Dispensary.
1872-73
2
3
7
1
1
1
...
...
3
3
...
5
...
..
.
...
5
1
1
1
1
4
3
50
1871-72
2
3
7
1
1
1
...
...
3
3
.
4
.
.
4
1
]
1
1
4
2
45
6
Total number of persons vac-
cinated.
1872-73
1,180
1,243
5,796
750
718
631
68
104
2,271
2,725
717
11,696
75
60
465
43
12,339
833
906
1,232
1,012
3,983
13,949
71,378
1871-72
1,462
1,069
6,161
545
660
911
...
181
2,297
5,390
159
10,772
41
604
16
11,433
1,075
883
1,111
812
3,881
12,941
67,233
7
Collectorate, Political Agency, or Native
State for the population of which the
Dispensary is provided.
Mandla
Balaghat
Bhandara
Wardha
..
Chanda
Upper Godavari.
Raipur
.
Bilaspur
...
Sambalpur
...
8
Population of area included in last
column.
187,699
170,934
608,510
843,209
343,269
537,295
54,684
835,662
835,662
155,530
163,358
152,447
6,910
478,245
268,295
5,659,244
9
Name of Dispensary.
Mandla, Shaipura Branch.
Balaghat
Bhandara
Wardha
Hinganghat
Arvi
Deoli
Sindi
...
Chanda
Upper Godavari ...
Main Sadar and Town ..
Arang
Drug
..
Dhamtari ..
Simga ..
...
Bilaspur ..
Mungeli
..
Seorinarain
..
Ratanpur ..
...
Sambalpur ..
..
V.—(Contd.)
10
Primary Vaccination.
A
Sex.
Male
952
659
307
368
393
275
28
65
129
762
402
217
59
39
264
27
606
403
513
712
604
232
053
935
Female.
228
584
2,489
382
325
350
33
39
1,129
958
315
4,479
16
21
201
16
4,733
430
393
520
408
1,751
3,896
27,709
B
Caste.
Christians.
...
...
...
7
...
...
...
..
7
7
...
50
...
...
...
...
50
2
...
...
...
2
...
178
Hindus.
1,168
1,042
2,931
597
587
393
23
41
1,641
2,289
551
8,804
59
30
223
25
9,141
250
396
653
676
1,975
10,044
50,951
Mohammadans
12
45
157
11
20
14
1
7
53
77
11
267
6
5
32
3
313
80
10
10
4
104
50
4,212
Other castes.
...
156
2,708
135
111
218
37
56
557
347
155
2,575
10
25
210
15
2,835
501
500
569
332
1,902
3,855
15,303
C
Age.
Under 1 year.
62
187
1,942
598
153
160
4
9
924
209
26
2,355
15
19
182
11
2,582
309
302
150
412
1,173
7,715
24,400
Above 1 year.
1,118
1056
3,854
152
565
465
57
95
1,334
2,511
691
9,341
60
41
283
32
9,757
524
604
1,082
600
2,810
6,234
46,244
Result.
Successful
801
1,040
5,360
525
427
406
21
66
1,445
1,973
622
10,124
25
29
409
25
10,612
774
859
1,127
891
3,651
13,225
59,903
Unsuccessful, including
those "doubtful."
349
148
249
150
291
147
17
38
643
438
95
1,242
50
21
26
14
1,353
59
47
105
101
312
724
8,468
Unknown.
30
55
187
75
...
72
23
...
170
309
...
330
...
10
30
4
374
...
...
...
20
20
...
2,273
D
Total.
1,180
1,243
5,796
750
718
625
61
104
2,258
2,720
717
11,698
75
60
465
43
12,339
833
906
1,232
1,012
3,983
13,949
70,644
11
Re-vaccination.
A
Successful
...
...
...
...
...
...
6
...
6
5
...
...
...
...
...
...
...
...
...
...
...
...
...
405
B
Unsuccessful, including those
"doubtful."
...
...
...
...
...
...
1
...
1
...
...
...
...
...
...
...
...
...
...
...
...
...
...
252
C
Unknown.
...
...
...
...
...
6
...
...
6
...
...
...
...
...
...
...
...
...
...
...
...
...
...
77
D
Total.
...
...
...
...
...
6
7
...
13
5
...
...
...
...
...
...
...
...
...
...
...
...
...
734
12
Percentage of
successful cases,
excluding those
"unknown" from
the total.
In primary vaccina-
tion.
69.65
87. 54
95.56
77.77
59.46
73.41
55.26
63.46
69.20
81.83
86.75
89.07
33.33
58.00
94.02
64.10
88.69
92.91
94.81
91.47
89.81
92.12
94.80
87.61
In secondary vaccina-
tion.
...
...
...
...
...
...
85.71
...
85.71
100.00
...
...
...
...
...
...
...
...
...
...
...
...
...
61.64
13
Average number of persons vaccinated by
each vaccinator.
590.00
414.33
828.00
757.00
757.00
908.33
...
2467.80
2467.80
995.75
995.75
3927.30
1427.56
REPORT
ON
VACCINE OPERATIONS
IN THE
CENTRAL PROVINCES.
FOR
THE YEAR 1873-74.
NAGPUR:
PRINTED AT THE CHIEF COMMISSIONER'S OFFICE PRESS:
1874
5—10—K—37—290
No. 3073 A./147
FROM
J. W. CHISHOLM, ESQUIRE,
OFFG. SECRETARY TO THE CHIEF COMMISSIONER,
Central Provinces.
To
THE SANITARY COMMISSIONER,
Central Provinces.
Dated Nagpur, the 29th August 1874.
SIR,
I am directed to convey the following remarks and orders of the Chief
Commissioner on your Report showing the result of Vaccine operations in the
districts of the Central Provinces during the year 1873-74.
2. A special Government Establishment, with three Native Superintendents
subordinate to the Civil Surgeons, has now for four years being carrying on vacci-
nation in the Satpura districts of Betul, Chindwara and Seoni. Here the at-
tempt is made to vaccinate the whole of the infant population, and it would seem
from the table given in your 6th paragraph that in Chhindwara about two-
thirds, in Betul about one-half, and in Seoni one-third of the infants born in the
past year were protected from small-pox by vaccination. This is on the assump-
tion that the birth rate is 36 per 1,000 of population, but as this is the English
rate it is doubtless too low an estimate, and it is probable that the real birth rate
is between 50 and 60 per mille. The proportion of infants vaccinated therefore
in each district out of the aggregate infant population is doubtless somewhat
smaller than the figures which you present.
3. The total number of operations in these districts amounted to 41,265,
being in Betul and Chhindwara an increase on the previous year, and in
Seoni a falling off, owing to the transfer of one Tahsil to the Balaghat district.
Each Vaccinator got through on the average from 12 to 1,500 operations during
the season, and you accept this as a fair amount of work, though it is much
less than local Vaccinators have performed in some districts. Of vaccinations
carried out, 93.5 per cent were successful, and if the returns are accurate this
result may be regarded as fairly satisfactory. The work generally seems to have
been carefully supervised by the Civil Surgeons, and in Chhindwara especially
the subordinate Establishment appears to have attained a high standard of effi-
ciency.
4. The comparison which you have made of the results in the Satpura
districts with the best vaccinated tracts in other Provinces proves that the
experiment of entrusting Civil Medical Officers with the charge of vaccine
operations in their disticts, wherever this can be done, has been attended with
a large measure of success, Your conclusion is probably correct that to protect
6 10 Y E 34 290
4
Government Resolution No. 112, dated 7th November 1873, passed on the Vacci-
nation Report of 1872-73. It is not necessary in this place to follow you
through all the details which you have supplied, but the table you give is quoted
as showing in a concise shape the actual statistical results.
DISTRICT.
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
Districts south of
the Satpuras.
Wardha ...
Nagpur ...
Bhandara ...
Chanda
...
Sironcha ...
Mahanadi Districts.
Raipur ...
Bilaspur ...
Sarabalpur ...
Satpura
Districts.
Burhanpur Tahsil,
Nimar District...
Betul ...
Chhindwara ...
Seoni ...
Balaghat ...
Mandla ...
Districts north of
the Satpuras.
Nimar
...
Hoshangabad ...
Narsinghpur ...
Jabalpur ...
Murwara Tahsil,
Jabalpur District.
Damoh ...
Sagar ...
Total ...
Population.
2
354,720
631,109
564,813
406,016
52,120
917,312
499,548
319,962
63,832
284,055
264,610
321,623
280,715
213,018
147,344
440,186
339,395
346,660
182,199
269,642
527,725
7,426,604
Deaths fom Small-pox
1871
3
26
30
44
8
3
442
203
9
96
...
65
24
34
181
68
8
97
22
1
74
...
1,435
1872
4
351
228
153
74
3
1,330
238
19
390
71
27
20
86
92
813
67
20
11
10
169
...
4,172
1873.
5
618
625
1,298
959
21
4,142
550
9
11
129
36
38
485
157
125
678
29
8
4
5
9
9,936
1874.
6
595
535
2,047
1,797
36
2,244
381
24
25
76
85
33
418
238
102
386
283
1,234
70
271
180
11,110
Total.
7
1,590
1,418
3,542
2,838
63
8,158
1,372
61
522
276
213
115
1,023
668
1,108
1,139
429
1,325
85
519
189
26,652
Total persons vac-
cinated in the 4
years.
8
10,827
32,102
28,217
24,745
2,138
39,859
12,220
53,766
6,251
52,822
52,272
58,300
5,572
6,976
7,004
16,412
5,726
34,624
8,589
4,608
25,708
4,88,738
Ratio per
1,000
Deaths from
small -pox.
9
4.48
2.24
6.25
6.98
1.20
8.90
2.75
0.19
8.17
0. 97
0.80
0.36
3.64
3.13
7.52
2.59
1.26
3.82
0.46
1.92
0.36
3.58
Successful vac¬
cinations.
10
23.32
39.59
46.43
41.45
31.06
37.30
21.90
157.13
82.79
159.48
180.38
160.87
15.42
23.90
41.12
30.25
9.96
90.19
32.92
11.40
32.79
55.65
13. It is observed that in contrasting the death rate from small-pox in the,
protected districts of Betul, Chhindwara, Seoni and Sambalpur, it is much
smaller than in the adjoining districts which may be accepted as possessing
similar climatic conditions, and as you have arranged the districts geographically
a comparison of this kind can be readily made. It would be satisfactory if the.
statistics could be carried, further back, and the average death rate in these dis-
tricts could be given for any period of years before vaccination operations were
commenced. But although such statistics do not exist the Chief Commissioner
thinks it may be safely affirmed that these districts do owe their comparative im¬
munity from the ravages of small pox to the vaccine operations of the last few
years. This confidence in the effectiveness of the vaccine arrangements adopt
5
ed is not shaken by the exceptional instance of Sagar, where the death rate was ac-
tually lower than in either Betul or Chhindwara, because you explain that as a fact
small-pox has not within the period treated visited the Sagar district as an epidemic,
though it has appeared there this year, and may be expected to run its course as
an epidemic after the rains have ceased. The conclusion at which you arrive
is, that the statistics of another year will prove yet more conclusively the protection
which has been afforded by vaccination in special districts where Establishments
systematically labour among the whole population. In this opinion the Chief
Commissioner concurs, and he fears from the facts which you adduce in your
Sanitary Report, that in some of the districts north of the Satpuras an epidemic
out-break of small-pox may occur during the dry months of 1875.
14 The future work of vaccination in these Provinces will, as you remark,
" be best carried on by an Establishment in each district under the control and
direction of the Civil Medical Officer," and, as already stated, whatever area
is taken up, should be thoroughly done. Spasmodic attempts to spread vacci-
nation when small-pox has broken out as an epidemic are not of much benefit,
and they are calculated to shake the faith of the people, who find that operations
hastily conducted during a crisis of the kind too often fail to afford the desired
protection.
15. The Chief Commissioner desires me to convey to you his thanks for
the careful attention which the whole subject of vaccination is receiving at your
hands, and to express his confidence that the arrangements now being matured
for the future will be attended with satisfactory results. The acknowledgments
of the Administration are due to Drs. Rice, Hall and Evers, and to Messrs. Price
and Harrison, for the efforts they have made in the cause of Vaccination.
I have the honor to be,
Sir,
Your most obedient Servant,
J. W. CHISHOLM,
Offg. Secretary.
6-10-E-35-290.
INDEX
PARA.
Tour of inspection. ... ... ...
Distribution of lymph ... ... ...
Inutility of commencing work before November ... ...
Vaccination Establishments ... ...
Cost of Provincial Establishments ...
...
...
Number of operations by Provincial Establishment ...
Civil Surgeons' Reports ... ... ...
Dr. Barter's inspections ... ... ...
Estimate of the amount of protection conferred on the people of these
districts
...
...
...
...
Birth rate according to the registration returns too low
Birth rate of England taken as the standard ... ...
Work of Provincial Establishment compared with that of other Provin-
ces ... ... ... ...
Vaccination statistics tend to show that the Birth rate of the Province
is much above that of England ... ...
Local Establishments
...
...
...
Summary of results
...
... ...
Results compared with other Provinces ... ...
Work everywhere insufficient for the protection of the people ...
Extension of Provincial Establishment not advocated ...
The work will be best carried on by District Establishments ...
1— 2
3
4
5
6
7
8
10
12
15
16
18
19
21—38
39
45
46
47
49
6 10 E 40 290.
No. 440.
FROM
SURGEON MAJOR S. C. TOWNSEND,
SANITARY COMMISSIONER,
Central Provinces,
To
THE SECRETARY TO THE CHIEF COMMISSIONER,
Central Provinces,
Dated Nagpur, 25th September 1874.
Sir,
I have the honor to submit for the information of the Chief Commissioner
the Vaccination Returns of the Central Provinces for the year 1873-74.
2. In the commencement of the season I first made a short tour in the
Nagpur district to see the work fairly started under the Native Superintendent,
and then left for Seoni and Jabalpur, inspecting the work that had been com-
menced in the Sadar towns of those districts. I was then called to Calcutta on
duty, but during my absence Dr. Barter, who first officiated for me, inspected the
work of the Establishment in the Betul, Chhindwara and Seoni districts ; and
subsequently in April Dr. Law made an inspection of the work in the Nagpur
District.
3. Vaccination was kept up throughout the year at Nagpur, Seoni,
Chhindwara and Khandwa; there was, therefore, no lack of fresh lymph to com-
mence the season with. The first general distribution of lymph was made on
the 3rd November. To some districts tubes of English lymph which had been
received from Bombay were distributed, to the remainder lymph collected at
Nagpur. With two or three Medical Officers the English lymph proved inactive,
but as repeated supplies of fresh lymph were distributed during the first month
of the season, there was no delay on this account, and vaccination was every-
where started early in November.
4. One or two Medical Officers anxious to begin the work of the season
had obtained lymph from the Himalayas and other sources but there is really
nothing to be gained by commencing the work before November. I have shown
in former reports (1870 and 1871) that the season favourable for vaccination does
not usually set in in these Provinces till November, and that it is inexpedient to
commence operations before the 1st or 2nd week of that month. In a very dry
season, as it was last year, operations many prove successful in October, but
there is always a risk in sending out the Vaccinators before the prevalence of
the autumnal fever has subsided. Last season Dr. Hall commenced operations
with lymph obtained from Nagpur in September, and distributed his Vaccinators
to their different Circles with good supplies of lymph early in October, but two
of his Vaccinators were laid up with fever for several weeks. It is better to
begin a little later, when there is little or no risk from fever, and prolong opera-
tions in the hot weather, for, as far as my experience goes, operations in this part
of the country are quite as successful in April and May as in January.
5. Vaccination in these Provinces is carried on by a small Provincial
Establishment paid from Provincial Funds, and by local Establishments paid
from Municipal and District Funds.
The Provincial Establishment, consisting of 3 Native Superintendents and 30
Vaccinators, has been employed, as in the three previous years, in the districts
of Seoni, Betul and Chhindwara, under the immediate superintendence of the
Civil Surgeons of those districts.
S.10.—23 185—290.
2
6. The following table shows the cost and main results of the working of
the Establishment in the three districts, more minute details of which are given
in Tables I. and III. appended.
TABLE I.
DISTRICTS.
1.
2.
3.
Chhinchwara.
Betul ...
Seoni ...
Total ..
Total exponded.
Rs.
2,000
2,164
1,941
6,105
Number of operations.
12,240
13,823
15,202
41,265
Number of Vaccinators
employed
10
10
10
30
Number of operations by
each Vaccinator.
1,224
1,382
1,520
1,376
Successful per cent of
opciations.
95.40
93.00
92.36
93.56
Cost of each operation,
in annas.
2.9
2.8
2.2½
2.6
Infants vaccinated per cent
of estimated births
*64.3
47.3
33
57.66
Persons vaccinated per 1,000
of population.
36.0
53.1
48.9
41.43
* Births estimated at 36 per 1,000 of population.
The total cost is greater by 1,000 rupees than the amount expended last
year ; this is due to the Medical Officers having been for longer periods on tours
of inspection and drawn a larger amount of travelling allowance, more especially
the Medical Officers of Betul and Seoni; the average cost of each successful case
was, however, only 2½ annas.
7. The number of operations, 41,265, is less by nearly 4,000 than the num-
ber vaccinated by the Establishment in the previous year, but the deficiency
occurred in the Seoni district only, and was due to a large portion of the district,
containing a third of the population, having been transferred to Balaghat. The
number vaccinated in the Chhindwara and Betul districts in 1873-74 rather
exceeded the number of the previous season. The number vaccinated by each
Vaccinator is not small when compared with the work obtained from Vaccinators
in other Provinces, especially when the sparseness of the population of these dis-
tricts is considered. The percentage of success, 93.5, is also good, and is rather
higher than in the previous season.
8. The reports of the Civil Surgeons are submitted in original. That of
Mr Price contains much useful information concerning the feelings of the peo-
ple with regard to vaccination, and the amount of protection afforded by the
work done.
Dr. Hall's report also shows a large amount of inspection work. He was
in camp for 49 days, and from time to time made short trips in the neighbour-
hood of the Sadar Station In this way he was able to inspect the work of each
of his Vaccinators. Altogether he inspected 13,444 children belonging to 431
villages; of these, 8,431 had been successfully vaccinated, and 5,013 were operated
on while he was present. He reports that although people are not so opposed to
vaccination as they were two or three years ago, and in many places even acknow¬