2
6. In the 19th and two following paras. of your report, you advert to the
effect wrought in the Chindwara district by the special vaccination establish-
ment which for three years was employed in that district, and by the Munici-
pal vaccinators since. In spite of their efforts small-pox still continues to visit
the district periodically. You also show that when the special establish-
ment was withdrawn in 1868 and sent elsewhere, the proportion of chil-
dren vaccinated (in the Nagpore and Chindwara districts, to which the
operations of the whole establishment had before been entirely confined), to the
unvaccinated was only 30 per cent, and you further estimate the number of chil-
dren born every year in these districts at 33,000. You accordingly express your
opinion that the measure " of bringing operations by the establishment to a close-
in these districts in 1868, was premature, and we now find that in Chindwara
small-pox happens to be as prevalent as in the adjoining districts of Sconce and
Baitool."
7. The Chief Commissioner quite concurs in your remarks and he consi-
ders that the erratic employment of the Government establishment in one dis-
trict after another should be stopped, and that in future, in directing the opera-
tions of this Establishment, the principle which was laid down when the
Vaccination Department was first created should be continually kept in view.
That principle was that a small establishment should commence work within
the limited area of two districts, and should continue vaccinating in these districts
until small-pox entirely disappeared. It was distinctly admitted that Govern-
ment could not afford to entertain a staff of vaccinators sufficiently strong
to introduce vaccination thoroughly all over the country, and it was also
accepted as undeniable that nowhere could vaccination become a complete
success unless the people themselves came to believe in it, and of them-
selves seek to obtain the protection which it affords. To prove to them the
efficacy of vaccination, it was considered that it would be necessary to show
that in a tract of country in which vaccination was thoroughly intro-
duced, small-pox disappeared. The Government establishment was there-
fore sanctioned that it might endeavour to secure this result in a certain
part of the Central Provinces, when it was thought the remainder of the
population would welcome vaccination and enable simple and permanent
arrangements to be made for the vaccination of all young children, so as to
render the whole population proof against small-pox.
8. A departure has been made from the principle laid down. The
Chief Commissioner would now keep the whole establishment in a single
district, and not move it until the whole population had been vaccinated, were
it not that Government has been obliged to add the duties of Superintendent
of vaccination to those of the Sanitary Commissioner. It is impossible for
the Sanitary Commissioner to perform efficiently these duties. He cannot
supervise the working of the establishment with that care which is so essential
to success. As matters stand, Mr. Morris thinks it will be best that the
Vaccination establishment which consists of 3 Superintendents and 30 vacci-
nators should be divided into 3 parties. One of those parties will be