8
in this district has hitherto been badly conducted, villages were never visited,
results were poor, and no real efforts were made to overcome the objections of
the people, this is now changed. Dr. Evers has made a good beginning and will
be able during the recess to fill up vacancies caused by dismissal of useless vac-
cinators with suitable men, and will doubtless see that the work next season is
efficiently performed.
A good deal of obstruction was met with owing to the independent
attitude assumed by some Malguzars and the apathy of others. On the other
hand the Civil Surgeon has brought to notice the aid rendered by the follow-
ing gentlemen : Sri Newas Ganesh, Honorary Magistrate of Scindi, Govind Jey
ram, Honorary Magistrate of Palusgaon, Bapuji, Deshmuk of "Wanaira, Vittoba,
Malguzar of Dhunora, and Narain Vasadeo, Malguzar of Digdoh.
Dr. Evers was only able to spend one month in camp. I am aware of
his inability to do more ; his inspections were however thorough, and he was able
to form a fair estimate of each man's work. The Superintendent has not only
done a fair amount of inspection but has managed to vaccinate 2,314 children
in addition. I was well satisfied with his work. "With two exceptions Hospital
Assistants have done badly; one has ignored orders altogether.
27. Chanda.—The Civil Surgeon kept up his supply of lymph during the
rains, and was able to send out the men early in the season with good supplies.
I saw a great deal of the work in this district during the last cold season, and
have seldom seen better results ; the people submit readily to the operation, and
there is no opposition. One man performed 4,267 operations, it seemed to me
that no children escaped vaccination in this man's circle ; another man perform-
ed 3,170, the average for all was 2,026, I found the percentage of success about 90.
The Native Superintendent has done well, and the work in Chanda is creditable
to all concerned.
Hospital Assistants in charge of dispensaries have done fairly well, with
the exception of a feeble old man who has since been pensioned.
28. Raipur.—Mortality from small-pox in Raipur was heavy in 1878 and
1879, only thirteen vaccinators were employed in the cold season or three less
than in the Nagpur district where the population is about half that of Raipur
some villages were visited only once in two years therefore, and some were not
visited at all; the consequence was that when small pox broke out it committed
great havoc. In order to increase protection against the disease the Deputy Com-
missioner arranged in 1879, to entertain four vaccinators to be paid from Local
Funds and one from Municipal Funds. One was therefore transferred from
Chhindwara where his services could be spared, and four new men were enter-
tained; the results, however, are disappointing as the men with one exception
did but little, and although the vaccination staff was increased from thirteen to
eighteen the total number vaccinated fell from 20,302 to 17,414.
29. The supply of lymph was permitted to die out, and early in October
the Civil Surgeon of Bilaspur was applied to, but as might have been expected
the lymph received failed. It has often been explained that unless arm to arm
vaccination be practised in these Provinces during the rainy season the result
will probably be failure, and on this account Civil Surgeons have been asked to
keep up their own supplies. Again tubes were received and again they failed, and
not until the middle of December as reported by Dr. Trimnell, was arm to arm
vaccination fairly established ; six weeks of the working season were thus lost.
30. The returns show that the work in this district was the worst in the
Provinces, the average per man is given at 949 with a successful percentage of
98; but as the Civil Surgeon was unable to inspect, these figures are open to
correction; of the new vaccinators four reported having performed the following
operations 564 + 518 + 481 + 369 = 1,932 or a fair out-turn for one man, and two
of the old vaccinators reported the following 468 + 260=728. The reasons given
are, that mortality from small-pox during two years left few children for opera-
tion, and that Tahsildars and Malguzars gave no aid. Heretofore the establish-