9
by the Tahsildar. The Haveli Circle was inspected by the Sub-Assistant Sur-
geon in charge of the Civil Dispensary ; the number vaccinated was large, but the
proportion of successful cases was not good. The percentage of success in the
Chanda district is scarcely 75 per cent, which is decidedly low ; and in many in-
stances the failure was attributed to the parents washing away the lymph imme-
diately after an operation or applying poultices, with a view of destroying the
effects of the lymph; but it is probable that in more instances the failure was
the result of inexperience or want of care on the part of the vaccinators. In
every village inspected by Dr. Craggs he found the prescribed list of children
vaccinated in the possession of the Malguzar.
31. Hoshangabad.—Vaccination was successfully commenced at the Sadar
Station on the 25th October with lymph received from Madras, and at Harda
on the 7th November with lymph received from Nagpur. The Circles marked
out in 1872-73 having proved more extensive than Dr. Cullen and his subordi-
nates could conveniently supervise, they were considerably reduced, and the num-
ber vaccinated was consequently less than the number returned in the previous
year by 23 per cent. Another cause of the reduction of the number was the
loss of the services of an experienced vaccinator who was put in charge of a
branch, dispensary in the station in the commencement of the season, and I can-
not but think that as small-pox was spreading in the district, more lives would
have been saved if this man had been allowed to go on with his proper work,
,even if it had been necessary to close the branch dispensary until a qualified
person could have been supplied.
31a. Dr. Cullen does not report favourably of the work of his vaccinators,
and he complains that little assistance is given by the Civil authorities in over-
coming the prejudices against vaccination, which are no doubt very strong
among the people of the Narbada Valley. The fact, however, that two influen-
tial Malguzars, on small-pox appearing in their villages, applied for the services
of a vaccinator, would show that the benefit of the operation is becoming evident
to the more intelligent of the people, and I have no doubt that eventually the
system on which Dr. Cullen has worked, of operating only in Circles that he can
carefully supervise, will before long give more decided proof to the people of the
protection which good vaccination surely affords.
When the epidemic which during the two last years has been passing over
the district has ceased, we shall be better able to judge of the effect of the work
that has been done, but up to end of the second quarter of this year the morta-
lity from small-pox in the Sadar Circle was below that of the adjoining Circles
of Babai and Seoni. The mortality in the Harda Circle also was comparatively
low.
32. Sagar.—Vaccination was commenced on the 1st November ; 3 Vaccina-
tors are employed, 1 in the Sagar Tahsil, 1 in Kurai, and 1 in Garhakota ;
operations are also performed by the Medical Subordinates in charge of the
several dispensaries ; 5,020 primary vaccinations were performed, with a percent-
age of 75 successful. The Civil Medical duties at Sagar are assigned to the
Medical Officer in charge of one of the Native Regiments quartered there ; there
is unfortunately no Medical Officer for the district; whether the work of
the vaccinators was inspected, does not appear in the report furnished to this
office.
33. Balaghat.—Vaccination is carried on in 4 Circles of limited area, to
each of which a vaccinator is permanently appointed. 1,976 operations were
H P- 29-240-290