2
returned a successful percentage of 96 or the same as during the previous year.
Civil Surgeons and Native Superintendents have returned it at 90; and the cost
per successful case has fallen from annas 2-6¼ pies to annas 2-l¾ pies. Such is
a general sketch of the operations of the establishment.
4. The causes which led to an increased out-turn of work are stated gener-
ally in the commencement of this report. The causes of reduced expenditure
both in the aggregate and per successful case were these :—The number of first
class vaccinators fell from 38 to 26 owing to the dismissal of some, the reduction
of others, or to pensioning of aged men. The number of chupprasees employed
in the Narsinghpur, Nagpur and Raipur districts, viz. 29, was reduced to 5, cor-
responding with the number employed elsewhere. On the other hand, travelling
allowance has risen from Rs. 2,893-7-4 to Rs. 3,482-3-8 ; this is a small increase
and a small sum in the aggregate which may be increased with advantage ; thus,
no inspections were made in Raipur, and the small sums drawn in the Narsingh-
pur, Hoshangabad, Seoni, Bhandara, Bilaspur, Wardha and Chanda districts for
travelling allowance show that the extent of the Civil Surgeons' inspections fell
short of what was required ; other duties interfered in some cases. Farther on the
reasons given by each medical officer will be stated. These reductions in expen-
diture in the aggregate and the increased out-turn of work account for the reduced
cost per successful case given. The cost of contingencies is light, it includes
stationery, payment to mothers when it is found necessary to take them to other
villages for the purpose of supplying lymph from their children, maps for vacci-
nators, and such like.
5. The total cost of operations reached Rs. 34,575-8-3 or Rs. 694-0-5 less
than in 1878-79 ; all, including a moiety of the Sanitary Commissioner's salary,
so charged is met from " Provincial revenues" distributed thus under the three
heads; Provincial funds Rs. 33,562-2-11; Local Rs. 641-12-10 ; Municipal
Rs. 371-8-5. Vaccinators paid exclusively from the two last divisions of
" Provincial revenues" are employed only in the Saugor, Jubbulpore, Nagpur
and Raipur districts.
6. The general results of the season's work are fairly good, the establish-
ment as a body have exerted themselves, some instances of the reverse notwith-
standing, and better results may be expected next season. From an extended
inspection of the work done in six districts visited during the two last marching
seasons, and from personal observation of the manner in which the men conducted
their duties, I consider that the majority of the establishment work honestly and
well; and that they endeavour to overcome such opposition as they meet with
tact and good temper; the opposition met with is usually of a passive nature
due to a dislike to the operation from religious or other motives, or simply to
apathy. Nowhere have I met with active opposition or hostility ; this dislike
to the operation, however, is occasionally sufficiently strong to defeat the resources
of the vaccinators, and nothing short of coercion, which, of course, is not resorted
to, is sufficient to accomplish the end in view. The vaccinators appeared to me
to be on good terms with the people, and I have invariably in conversation with
villagers heard the Superintendents spoken of in terms of friendship and of
respect; in this connexion I specially mention the Superintendents in the Wardha,
Bhandara and Chanda districts.
7. Some Hospital Assistants have done very good work whilst others have
systematically and deliberately disobeyed standing orders on this subject; this,
disobedience has in some cases been so marked and without excuse that it is a
question which now requires to be taken up separately, and is therefore only
alluded to generally here. It is absurd to suppose that the Hospital Assistants
attached to the Arung and Drug dispensaries in Raipur could only vaccinate 10
children when the man at Dhamteri vaccinated 501 without any difficulty what-
ever.
8. The following statement shows the inspections performed by Civil Sur-
geons and Native Superintendents; the former examined about six to eight
villages a day, the Civil Surgeon of Chhindwara examined the children in fifteen;