NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
14
With reference to Balaghat it is rather surprising that the Civil Surgeon
claims a larger percentage of successful cases than either the Native Superinten-
dent or Vaccinators. Every case he saw in his tour was found successful. The
Deputy Commissioner records the following observation : —
" It is certainly extraordinary that every case inspected was successful."
The explanation is doubtless in the fact that one of the duties of the Native
Superintendent is to revaccinate all unsuccessful and doubtful cases, and as the
Civil Surgeon's tour was at the close of the season, he very likely saw cases
which had thus been re-vaccinated.
The Civil Surgeon, Bhandara, commenting on the high percentage of 97.78
writes :—
" By the practice of vaccinating over again those children that had failed on the first
attempt, there must be a certainty of success in the second operation, and as this
was carried out by both Vaccinators and Native Superintendent the percentage of
success recorded is credible."
The above observations prove that the re vaccination of doubtful and un-
successful cases ensures ultimate success in the great majority of cases, and that
the high percentage of success secured by the adoption of this practice is quite
reliable. It is trusted that Civil Surgeons will instruct Vaccinators and Native
Superintendents to follow the practice carefully in the next season.
Attitude of the people.
51. The Civil Surgeon, Saugor, writes that the Assistant Surgeon re-
ports :—
" There is a sort, of apathy, not actual opposition."
The Civil Surgeon, Damoh :—
" It is certain that much apathy exists, and quiet opposition practised which sometimes
breaks out into open out-spoken repugnance."
Assistant Surgeon, Jubbulpore :—
" Although vaccine operations meet with great opposition in many parts of the district
still beyond all doubt this is gradually melting away."
Civil Surgeon, Narsinghpur, writes :—
" The attitude and feeling of the people as regards vaccination appear to me to be
favourable. There has been very little obstruction and that little had reference to
the unsuitability of the children from age or indisposition."
Civil Surgeon Hosbangabad :—
" I think the people object more or less strongly to vaccination, but have now come to
look on it as a disagreeable necessity ; cases of active opposition are not met
with ; but it is significant that a great number of the well-to-do men in' the district
prevent their own children being vaccinated if possible, whilst they assist the vacci-.
nator in his work amongst other families."
Civil Surgeons Nimar and Mandla do not allude to the subject.
Civil Surgeon, Betul, writes .—
: There is considsrable dislike to vaccination in some places ; this I think can be
removed by judicious management in future, but this reaches in a few places if not
to active, at all events passive opposition or obstruction."
Civil Surgeon, Chhindwara, writes : —
" Little or no opposition is offered,"
Civil Surgeons of Seoni and Balaghat do not mention the subject.
Civil Surgeon, Bhandara, writes :—
" There has been no opposition shown,"
17
The results gained by those who attended the course have been mentioned
in the Sanitary Report.
Cost of Vaccination.
59. The total cost incurred for the furtherance of vaccination amounted to
Rs. 37,515-2-10. This is an advance of Rs. 2,939-10-7 upon the expenditure
of 1879-80. The enhanced expense is in the item of establishment, Rs. 33,955-11-0
having been expended against Rs. 30,945-3-7 or a difference of Rs. 3,010-7-5.
The districts in which the cost of establishment has increased are 12 in
number, and those with a diminished expenditure under this head are Narsingh¬
pur, Nimar, Chhindwara, Nagpur, Wardha and Chanda.
The item "Travelling allowance" came to Rs. 3,334-1-8, which is a decrease
on the figures of 1879-80 (Rs. 148-2-0) ; but under contingencies the expendi-
ture has increased by Rs. 225-6-2 which is higher than the figures of 1879-80
by Rs. 77-5-2.
The average cost for each successful case came to Rs. 0-2-1¼, which is
certainly higher than it should be. Were it not for the drones in the depart-
ment the cost would be materially lessened.
The cheapest vaccination was done in Jubbulpore and Mandla (Rs. 0-1-4¾
each), and the most costly in Betul and Raipur (Rs. 0-2-11) and Rs. 0-2-10½
respectively.
NAGPUR:
28th July 1881.
J. A. C. HUTCHINSON, M. D.,
Deputy Surgeon General, Sanitary
Commissioner, and Superintendent of Vaccination, C. P.
Comparative Statement of Vaccine operations performed during 1879-80
and 1880-81.
Districts.
Saugor ... ...
Damoh
... ...
Jabbulpore ... ...
Narsinghpur
...
...
Hoshangabad
...
...
Nimar
...
...
Mandla
...
...
Betul
... ...
Chhindwara
... ...
Seoni ... ...
Balaghat
...
...
Bhandara
... ...
Nagpur ... ...
Wardha
... ...
Chanda
... ...
Raipur
...
...
Bilaspur
...
...
Sambalpur
... ...
Total ...
Number vacci-
nated 1879-80.
17,476
9,743
16,862
11,617
14,667
8,784
10,365
15,530
14,387
17,352
8,773
16,541
22,305
12,766
18,232
19,789
30,663
28,340
294,192
Number vacci¬
nated 1880-81.
16,893
10,930
19,823
12,540
19,216
7,803
12,034
10,018
12,723
12,973
9,274
19,276
27,269
15,759
20,667
20,188
25,115
28,949
301,450
Increase.
...
1,187
2,961
923
4,549
...
1,669
...
...
...
501
2,735
4,964
2,993
2,435
399
...
609
7,258
Decrease.
583
...
...
...
...
981
...
5,512
1,664
4,379
...
...
...
...
...
...
5,548
...
...
Statement showing inspections performed by Civil Surgeons and Native Superintendents during the year 1880-81.
Districts.
Saugor ... ... ...
Damoh ... ... ...
Jubbulpore
...
...
Narsinghpur ... ...
Hoshangabad
... ...
Nimar ... ...
Mandla ... ...
Betul ... ...
Chhindwara ... ...
Seoni ... ...
Balaghat
...
...
Bhandara
...
...
Nagpur ... ...
Wardha ... ...
Chanda ... ...
Raipur ... ...
Bilaspur ... ...
Sambalpur ... ...
Total
Number of days out
on tour
By Civil Surgeon.
58
48
31
27
40
31
25
67
55
19
7
38
...
55
51
...
31
35
618
By Native Superinten-
dent.
94
141
151
111
139
...
59
127
...
55
159
135
163
122
169
53
140
144
1,962
Number of villages
inspected.
By Civil Surgeon.
319
344
151
161
159
193
354
325
261
81
77
138
...
270
344
...
135
278
3,590
By Native Superinten-
dent.
508
478
665
319
641
...
386
389
...
271
444
635
474
460
539
381
641
401
7,632
Number of vaccinated
persons inspected.
By Civil Surgeon.
4,414
5,550
1,714
3,970
2,786
2,659
9,386
2,976
2,378
1,003
1,428
1,936
...
2,226
4,804
...
2,690
9,691
59,611
By Native Superinten-
dent.
7,043
8,137
6,403
3,693
9,786
...
9,904
3,461
...
2,260
8,483
9,063
6,567
8,056
6,629
8,338
12,516
14,055
1,24,394
Number of successful
cases seen.
By Civil Surgeon.
4,089
5,314
1,470
3,760
2,236
2,498
9,067
2,740
2,066
893
1,428
1,810
...
2,015
4,357
...
2,038
9,662
55,443
By Native Superinten-
dent.
6,434
7,781
5,503
3,517
8,041
...
9,437
3,137
...
1,777
7,588
8,849
5,680
7,710
5,901
7,438
10,818
13,978
1,13,604
Percentage of success as seen on
inspection by Civil Surgeon.
92.63
95.75
85.76
94.70
80.26
93.95
96.60
92.07
86.87
89.03
100.00
93.49
...
90.52
90.69
...
75.76
99.70
93.01
Percentage of success as returned
by Vaccinators.
96.70
97.40
96.59
99.30
96.49
98.03
95.14
97.00
99.61
96.19
97.12
97.50
97.76
95.43
93.58
95.42
92.59
98.97
96.55
Percentage of success on inspection
by Native Superintendent.
91.35
95.62
85.94
95.27
82.16
...
95.28
90.64
...
78.62
89.44
97.63
86.63
95.78
89.01
89.20
86.43
99.45
91.33
Dispensary Vaccination 1880-81.
District.
Saugor
...
Damoh
...
Jubbulpore
...
Narsinghpur ...
Hoshangabad ...
Nimar
...
Mandla
Betul
...
Chhindwara ...
Seoni
...
Balaghat
...
Bhandara
...
Nagpur ...
Name of Dispensari.
Garhakota
...
...
Rehli ... ...
Deori
... ...
Khurai
... ...
Banda ... ...
Shahgarh ... ...
Sadar Bazar ... ...
Police ... ...
Damoh ... ...
Hatta ... ...
Pathuria ... ...
Jabera ... ...
Jubbulpore ... ...
City Branch ... ...
Thaggi
... ...
Sehora ... ...
Murwara ... ...
Bijeragogarh ... ...
Gadarwara ... ...
Narsinghpur ... ...
Chhindwara ... ...
Jail and Police ... ...
Hoshangabad ... ...
Kothi Bazar ... ...
Harda ... ...
Seoni ... ...
Sohagpur ... ...
Pachmarhi ... ...
Khandwa ... ...
Burhanpur
... ...
Pandhana ... ...
Mandhatta ... ...
Civil Station ... ...
Mandla ... ...
Budnur ... ...
Multai ... ...
Chhindwara ... ...
Lodhikhera ... ...
Seoni ... ...
Laknadon ... ...
Balaghat ... ...
Hatta ... ...
Waraseoni ... ...
Bhandara ... ...
Tirora ... ...
Sakoli ... ...
Itwari ... ...
Rai Bahadur ... ...
Heude ... ...
Umrer ... ...
Khapa ... ...
Mowar ... ...
Katol ... ...
Remtek ... ...
Number of
vaccinations at
each Dispen-
sary.
216
246
261
325
178
126
36
17
329
287
252
189
235
1,846
421
1,008
970
742
296
548
229
61
546
128
951
654
421
57
114
72
73
66
37
126
266
99
459
172
543
38
74
49
94
316
255
168
560
700
85
342
605
517
581
369
Total.
1,405
1,057
5,222
1,134
2,757
362
126
365
631
581
217
739
3,759
District.
Wardha
...
Chanda
...
Raipur
...
Bilaspur
...
Sambalpur
...
Name of Dispensary.
Wardha ... ...
Hinganghat ... ...
Deoli ... ...
Sindi ... ...
Arvi ... ...
Jail and Police ... ...
Chanda ... ...
Sironcha ... ...
Brahmapuri ... ...
Armori ... ...
Mul ... ...
Warora ... ...
Raipur ... ...
Dhamtari ... ...
Drug ... ...
Arang ... ...
Sadar Branch. ... ...
Sadar ... ...
Mungeli ... ...
Seorinarain ... ...
Sambalpur ... ...
Bargarh ... ...
Jail
... ...
Sonepur State ... ...
Sarangarh State ... ...
Total
Number of vacci¬
nations at each Dis-
-------.
225
248
94
190
424
168
77
249
636
244
229
160
278
1,113
85
83
106
42
20
29
205
49
93
87
82
Total.
1,349
1,595
1,665
91
516
23,571
ANNUAL FORMS.
B.—DISPENSARY VACCINATION.
Statement No. III., showing Dispensary Vaccination in the Central Provinces, during the year 1880-81.
District.
1
Saugor ... ... ...
Damoh
... ... ...
Jubbulpore
... ... ...
Narsinghpur
...
... ...
Hoshangabad ... ... ...
Nimar
... ... ...
Mandla
... ... ...
Betul
... ... ...
Chhindwara ... ... ...
Seoni ... ... ...
Balghat
...
... ...
Bhandara ... ... ...
Nagpur ... ... ...
Wardha ... ... ...
Chanda ... ... ...
Raipur ... ... ...
Bilaspur
...
...
...
Sambalpur
...
... ...
Total ...
Number of dispensaries in each district
to which a vaccinator is attached.
2
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Average number of vaccinators attached
to dispensaries during the season.
3
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Total number of persons vaccinated.
4
1,405
1,057
5,222
1,134
2,757
362
126
365
631
581
217
739
3,759
1,349
1,595
1,665
91
516
23,571
Average number of persons vaccinated
by each vaccinator.
5
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Primary Vaccinations.
Total.
6
1,402
1,057
5,222
1,132
2,757
358
126
365
494
581
217
739
3,649
1,297
1,571
1,603
91
422
23,083
Successful.
Under one year.
7
919
467
2,637
718
1,825
258
14
209
450
265
89
390
2,412
504
950
994
33
103
13,237
One and under six.
8
377
424
1,930
331
585
87
92
120
21
233
109
226
1,000
437
381
363
20
251
6,987
Total of all ages.
9
1,335
976
4,686
1,058
2,471
345
118
329
480
550
201
618
3,427
1,087
1,386
1,456
69
397
20,989
Re-Vaccination.
Total.
10
3
...
...
2
...
4
...
...
137
...
...
...
110
52
24
62
...
94
488
Successful.
11
3
...
...
2
...
...
...
...
91
...
...
...
84
25
11
38
...
57
311
Percentage of successful cases.
Primary.
12
95.35
95.50
93.07
95.66
90.81
96.36
93.65
91.13
97.16
95.00
92.62
84.54
95.25
86.40
90.06
94.79
89.61
94.30
92.93
Re-vaccination.
13
100.00
...
...
100.00
...
...
...
...
66.42
...
...
...
78.50
54.34
91.67
71.70
...
60.64
67.90
NOTE.—Columns 2,3, & 5 are left blank, the work having been performed by Hospital Assistants.
Comparative Statement No. IV., showing the number of persons primarily vaccinated and
of the undermentioned
Establishment.
Government ...
Municipal
...
Local Funds ...
Native States ...
Dispensaries ...
Army—
European
Native
Total ...
Persons primary
Total number.
Number successfully vaccinated.
Year end¬
ing30th¬
April
1866.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Total number.
Number successfully vaccinated.
Total number.
Number successfully vaccinated.
Total number.
Number successfully vaccinated.
Total number.
Number successfully vaccinated.
Total number.
Number successfully vaccinated.
Total number.
Number successfully vaccinated.
Total number.
Number successfully vaccinated.
Year ending
1867.
17,466
...
...
...
...
...
17,466
15,060
...
...
...
...
...
15,060
1868.
36,927
43,259
...
...
...
...
80,186
31,435
34,417
...
...
...
...
65,852
1869.
55,348
64,827
...
...
...
...
1,20,175
46,816
52,032
...
...
...
...
98,849
1870.
86,669
12,299
42,258
...
...
...
1,41,226
77,166
10,037
32,473
...
...
...
1,19,676
1871.
49,204
48,764
27,173
...
...
...
1,25,141
40,394
44,606
17,035
...
...
...
1,02,035
1872.
33,380
21,127
54,373
...
...
...
1,08,830
28,775
16,440
45,973
...
...
...
91,188
1873.
45,098
25,090
53,327
...
...
...
1,23,515
40,734
20,455
45,971
...
...
...
1,07,160
the number of those persons who were successfully vaccinated in the Central Provinces in each
official years.
Total number.
Number successfully vaccinated.
Total number.
Number successfully vaccinated.
Total number.
Number successfully vaccinated.
Total number.
Number successfully vaccinated.
Total number.
Number successfully vaccinated.
Total number.
Number successfully vaccinated. .
Total number.
Number successfully vaccinated.
Total number.
Number successfully vaccinated.
31st March 1881.
1874.
1,28,590
...
...
...
...
...
1,28,590
1,12,435
...
...
...
...
...
1,12,435
1875.
1,76,893
...
...
...
...
...
1,76,893
1,58,704
...
...
...
...
...
1,58,704
1876.
2,01,636
...
...
...
9,766
...
2,11,402
1,88,384
...
...
...
8,574
...
1,96,958
1877.
2,45,224
...
...
...
10,184
...
2,55,408
2,29,930
...
...
...
8,988
...
2,38,918
1878.
2,60,408
...
...
8,976
19,304
...
2,88,688
2,41,633
..
...
8,744
16,964
...
2,67,341
1879.
2,35,846
...
...
24,015
19,097
...
2,78,958
2,23,036
...
...
23,653
17,114
...
2,63,803
1880.
2,54,824
5,238
9,535
17,229
20,386
...
3,07,212
2,39,497
5,023
8,788
16,579
18,480
...
2,88,367
1881.
2,61,959
9,456
3,314
20,026
23,083
...
3,17,838
2,48,924
9,247
3,059
18,922
20,989
...
3,01,140
REPORT
ON THE
VACCINE OPERATIONS
IN THE
CENTRAL PROVINCES,
FOR
THE YEAR 1881-82.
NAGPUR:
PRINTED AT THE CHIEF COMMISSIONER'S OFFICE PRESS.
1882.
No. 3015/137
FROM
C. W. IMRIE, ESQUIRE, C. S,
OFFG. ASST. SECRETARY TO THE CHIEF COMMISSIONER,
Central Provinces.
To
THE SANITARY COMMISSIONER,
Central Provinces.
Dated Nagpur, the 8th August 1882.
SIR,
I am directed to acknowledge with thanks the receipt of your report on
vaccination in the Central Provinces during the year ending on the 31st March
1882. The report was received in print by the Chief Commissioner on the 13th
ultimo only : the delay in its preparation having been, as you state, caused by
the dilatoriness of certain Superintendents in submitting their returns.
Year's operations and returns.
2. The total number of vaccinations was higher than in any previous year, the
figures (including those for re-vaccination) being 369,651
as compared with 301,450 in 1880-81. These figures
however do not include the vaccinations at dispensaries : and the Chief Commis-
sioner finds that altogether there were 387,498 primary vaccinations, and 9,284
re-vaccinations or 396,782 persons in all operated upon.
The number of successful operations was : —
District primary ...
Do. re-vaccinations ...
Dispensary primary ...
Do. re-vaccinations
...
347,370
5,640
24,288
820
378,118
or a total percentage of 95.2 of successful cases. These figures appear to the
Chief Commissioner very satisfactory, but he observes from the record of the
Civil Surgeons' inspections given in the table in paragraph 26 that in every dis-
trict but one the vaccinators, on whose returns the above percentage is calculated,
have been found to claim better results than on inquiry they were found entitled
to. In some districts the difference in the percentage of success as returned by
the vaccinators and as seen on inspection by the Civil Surgeon and the Native
Superintendent is marked. In Hoshangabad the vaccinators' percentage of
97.53 is found to be, so far as the Civil Surgeon has checked it, 17.7 per cent
above the truth ; while in Jubbulpore, Nimar, Betul, Seoni and Raipur, the
difference is above 10 per cent. If it is presumed that the inspections by the
Native Superintendent are of other operations than those brought under the
notice of the Civil Surgeons, then it appears that Civil Surgeons and Native
Superintendents examined a little more than half the work of the vaccinators and
found their proportion of success in the average, from 4 to 7 per cent above the
truth. The Chief Commissioner considers that this is a subject calling for close
scrutiny, and he trusts that vaccinators are nowhere allowed to enter a case as
successful without the required inspection some days after the operation. Further
doubt is thrown on the success of vaccine operations by the statement in
Dr. Browne's report given by you as an appendix that, of the 286 persons seen by
him who had suffered from small pox last May, 46, or 16 per cent were recorded
as having been, previous to the attack, successfully vaccinated.
3
Attitude of the people.
6. You quote the opinions of some Medical officers to the effect that the
opposition to vaccination is becoming less year by year
or that the people are apathetic ; while another Civil
Surgeon is confident that a careful vaccinator working with tact will not meet
with any difficulty. The Chief Commissioner considers that such tact is essen-
tially necessary and that the conduct of vaccinators should be carefully noted by
the supervising staff.
Hygiene.
7. The Hygiene class in the Nagpur Medical School was attended by 4
Native Superintendents and 47 Vaccinators, who all
passed the examination set except 11 vaccinators. Of
the present staff for the Province only 71 vaccinators now remain who have not
attended the lectures and appeared at the examination. You have asked the
Civil Surgeons to send some 40 to attend this year's course, and perhaps the
remainder will be able to attend during the next session. The Chief Commis¬
sioner has repeatedly expressed his opinion that such a knowledge of hygiene is
specially beneficial to vaccinators, and that it will be a great advantage to the
Province when all the vaccinators have passed through a regular course of such
lectures.
I have the honor to be,
Sir,
Your most obedient Servant,
C. W. IMRIE,
Offg. Asst. Secretary.
No.3430/C. C.
SANITARY COMMISSIONER' S OFFICE,
CENTRAL PROVINCES.
FROM
B. SIMPSON, ESQUIRE, M. D.,
SANITARY COMMISSIONER,
Central Provinces.
To
THE OFFG. SECRETARY TO THE CHIEF COMMISSIONER,
Central Provinces.
Dated Nagpur, the 4th of July 1882.
SIR,
I have the honor to forward herewith for submission to the Chief Commis-
sioner the Annual Report on the Vaccine operations in the Central Provinces for
the year 1881-82.
2. The delay in its preparation has been occasioned by the dilatoriness of
some Superintendents in furnishing their annual reports and returns, and the
want of care in others in preparing and checking them, thus necessitating their
return for correction. Those from Raipur were only finally received corrected in
this office on 13th June.
I have the honor to be,
Sir,
Your most obedient Servant,
B. SIMPSON, M. D.,
Deputy Surgeon General
and Sanitary Commissioner,
Central Provinces.
INDEX.
General result of the year's operations
... ...
Average work performed by each vaccinator
... ...
Largest percentage of success obtained in Chhindwara and lowest in
Bilaspur ... ...
Re vaccination
... ...
Cost of the Vaccine establishment
...
...
Dispensary vaccination
...
...
Vaccination in the districts of the Central Provinces...
Inspections by Civil Surgeons and Native Superintendents of
Vaccination ... ...
Small-pox in connection with vaccination ... ...
Vaccination in the Feudatory States
... ...
Attitude of the people ... ...
Lectures on Higiene
...
...
1
2
3
4
5
6— 8
9—26
27&28
29 & 30
31—33
4
35
2
Annual Statement No. III. however, only shows the work done by districts:
the following table indicates more clearly the work done at each dispensary :—
Dispensary Vaccination 1881-82.
District.
Saugor...
Damoh
...
Jubbulpore
...
Narsinghpur ...
Hoshangabad ...
Nimar...
Mandla
...
Betul...
Chhindwara ...
Seoni
...
Balaghat
...
Name of Dispensary.
Saugor ... ...
Sadar Bazar ... ...
Deori ... ...
Khurai
... ...
Banda
...
...
Shahgarh
...
...
Rehli ... ...
Garhakota
...
...
Police
...
...
Damoh ... ...
Hatta...
...
Pathuria
...
...
Jabera...
Jubbulpore ... ...
City Branch ... ...
Thaggi
... ...
Murwara ... ...
Sehora...
...
Bijeragogarh ... ...
Gadarwara ... ...
Narsinghpur ... ...
Chhindwara ... ...
Jail and Police
Hoshangabad
...
...
Kothi Bazar ... ...
Harda ... ...
Seoni... ...
Sohagpur ... ...
Pachmarhi... ...
Khandwa ... ...
Burhanpur ... ...
Mandhatta ... ...
Pandhana
... ...
Civil Station ...
Mandla... ...
Ramgarh ... ...
Mandla Road P. W. D. ...
Police ... ...
Badnur ... ...
Multai ... ...
Chhindwara ... ...
Lodhikhera...
...
Seoni ... ...
Laknadon ... ...
Balaghat
...
...
Hatta
...
...
Waraseoni
... ...
Behir
...
...
Number
of vacci-
nations at
each Dis-
pensary
1881-82.
60
87
280
487
201
85
256
347
15
248
301
284
199
165
1,760
349
1,565
1,307
802
364
231
242
45
720
158
783
413
918
56
209
114
39
20
...
120
132
60
3
27
104
1,332
205
658
103
88
5
242
16
Total.
1,818
1,032
5,948
882
3,048
382
315
131
1,537
761
351
Number of vacci,
nations at each
Dispensary in,
1880-81.
...
36
261
325
178
126
246
216
17
329
287
252
189
235
1,846
421
970
1,008
742J
296
548
229
61
546
128
951
654
421
57
114
72
66
73
37
126
...
...
...
266
99
459
172
543
38
74
49
94
...
1,405
1,057
5,224
1,134
2,757
362
126
365
631
581
217
3
Dispensary Vaccination 1881-82.—(Contd.)
District.
Bhandara...
Nagpur...
Wardha...
Chanda
...
Raipur...
Bilaspur...
Sambalpur
...
Name of Dispensary.
Bhandara ... ...
Dirrora ... ...
Sakoli ... ...
Itwari ... ...
Rai Bahadur ... ...
Heude ... ...
Umrer
... ...
Khapa ... ...
Mowar...
...
Katol ... ...
Ramtek...
...
Wardha ... ...
Hinganghat ... ...
Arvi ... ...
Sindi ... ...
Deoli ... ...
Jail and Police ... ...
Chand ... ...
Sironcha ... ...
Brahmapuri ... ...
Armori ... ...
Mul ... ...
Warora ... ...
Raipur ... ...
Sadar Bazar ...
Arung ... ...
Drug ... ...
Dhamtari ... ...
Bilaspur ... ...
Seorinarrain ... ...
Mungeli ... ...
Sakti State ... ...
Pandana State ... ...
Sambalpur ... ...
Bargarh ... ...
Police ... ...
Sarangarh State ... ...
Jail ...
Sonpur State ... ...
Total ...
Number
of vacci¬
nations at
each Dis¬
pensary
1881-82
252
157
97
702
759
71
920
775
629
708
502
224
259
373
231
111
121
155
188
121
372
279
202
186
83
85
102
1,350
106
73
187
122
153
14
13
18
226
...
...
...
Total.
506
5,066
1,319
1,317
1,806
641
271
27,131
Number of vacci-
nations at each
Dispensary in
1881-82.
316
255
168
560
700
85
342
605
517
581
369
225
248
424
190
94
168
77
249
636
244
229
160
278
106
83
85
1,113
42
29
20
...
...
205
49
...
82
93
87
23,571
739
3,759
1,349
1,595
1,665
91
516
7. In the districts of Jubbulpore, Nagpur, Hoshangabad and Chhindwara,
nearly all the dispensaries show a good amount of work, but whilst the majority
have somewhat increased their out-turn, 18 have retrograded. It is to be hoped
that in future Civil Surgeons, who have not already done so, will impress on all
Hospital Assistants that this is a part of their duties, and that they will report
all instances of neglect. The Chief Commissioner, in para. 7 of his review of the
Vaccine report for 1879, lays great stress on the importance of Hospital Assistants
performing diligently this duty, and directs that punishment in the shape of