NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
2
Those classed as vaccinated in every case bore good marks.
No recent cases were seen, the disease having died out during the past fortnight.
Vaccination in this village during the present season has been carried on chiefly by
Vaccinator Sayad Ibrahim who operated on 42 children, Vaccinator Shaik Akbar also vac-
cinated a few children towards the end of the season, and during the height of the small-pox
outbreak the compounder of the Harda Dispensary also operated on some children.
I inspected 26 children who had been vaccinated by Vaccinator Sayad Ibrahim and
found the results as under:—
Successful.
4 vesicles.
11
Successful.
3 vesicles.
5
Successful.
2 vesicles.
7
Successful.
1 vesicle.
2
Doubtful.
...
Unsuccessful.
1
The vaccinator had not however supplied a village form so that I could not compare his
notes with my own observations.
May 6th.—Handia to Kirkeeam visiting en route Bagrale, Koosia, Dewas, and Apgaon.
In the first two villages small-pox has not appeared, although they are but a short distance
from Handia where the disease was epidemic.
In Dewas and Apgaon a considerable number of children have been attacked, and of
these I inspected as many as possible with the results detailed below.
In every case the disease had been genuine, small-pox although in the majority of cases
mild in type.
Dewas
...
...
Apgaon
...
...
One year
5
Vaccinated.
Mild.
1
4
Severe.
...
...
One to five years.
8
Unvaccinated.
Mild.
1
9
Severe.
1
5
Over five years.
6
In these villages vaccinator Sayad Ibrahim had practised vaccination.
His work as I saw it was very scanty, but of fairly good quality; he had apparently
simply operated on those children who had been born within the year. The details of my
inspection are as follows : —
Successful.
4 vesicles.
Bagrale...
Koosia ...
Dewas ...
Total ...
3
2
12
17
Successful.
3 vesicles.
...
...
1
1
Successful.
2 vesicles.
...
...
...
...
Successful.
1 vesicle.
...
...
1
1
Doubtful.
...
...
...
...
Unsuccessful,
...
...
1
1
In the Handia circle the epidemic seems to be dying out, and in the villages which I
visited no new cases had been reported during the preceding fortnight.
May 7th.—Kirkeean to Amasail visiting Charwah. At Charwah small-pox has been
unusually prevalent during the past three months ; and fresh attacks are still taking place.
Vaccinator Abdul Wahab has been working in this circle, and has not vaccinated a single
person in the town of Charwah.
I examined 33 children who had suffered from small-pox, some being recent cases, and
found that the great majority of those attacked had not been previously vaccinated. The
details of my inspection are given below:—
Vaccinated.
Mild.
2
One year.
2
Severa
4
One to five years.
21
Unvaccinated.
Mild.
18
Severe.
9
Above five years.
10
3
I have included under the head of " Unvaccinated" all those cases where although vacci-
nation had been performed the marks were absent or badly formed.
At the village of Amasail, where the disease has been especially prevalent, I examined
33 children who had suffered. As in Charwah the majority were unprotected by vaccination
and the disease was of a mild type except in a few cases.My notes are as follows:—
Vaccinated.
Mild.
1
Severe.
...
One year.
7
Unvaccinated.
Mild.
27
One to five years
21
Severe.
5
Over five years.
5
In this village Vaccinator Abdul Wahab had vaccinated 13 children. I saw 8 of these
only and found the result as follows:—
Successful.
4 vesicles.
1
Successful.
3 vesicles.
...
Successful.
2 vesicles.
2
Successful.
1 vesicle
1
Doubtful.
»*.
Unsuccessful.
4
The vaccinator had not practised re-vaccination.
May 8th.—Amasail to Bharingi visiting Rehta Kulan where small-pox has been excep-
tionally prevalent.
In this village 58 attacks have been reported by the police, and of these I saw 50: new
cases are now becoming less frequent, and the disease would appear to be dying out, having
attacked the great majority of susceptible persons.
The cases which I saw were all genuine small-pox : details regarding their protection by
vaccination and the age of the patients are given below :—
Vaccinated.
Mild.
2
One year.
7
Severe.
...
Unvaccinated.
Mild.
44
One to five years.
38
Severe.
4
Above five years.
5
Here Vaccinator Abdul Wahab had vaccinated 18 children, but his work, as I saw it, was
inferior, the proportion of unsuccessful cases being high. The successful cases bore good
cicatrices.The following are details of my inspection:—
Successful.
4 vesicles.
3
Successful.
3 vesicles.
1
Successful.
2 vesicles.
. ..
Successful.
1 vesicle.
2
Doubtful.
...
2
Unsuccessful.
...
5
May 9th.—Bhiringi to Pokhurni and Pokhurni to Timurni. In the considerable town
of Timurni 100 cases of small-pox have been reported by the police with 35 deaths; £
inspected 80 children who were reported to have suffered from the disease, and found the
great majority to be cases of genuine small-pox, in the persons of children who had not
been vaccinated, chiefly those between the ages of one and five years. In a few cases only
had the disease been of a severe type, whilst in many of those who had suffered after having
been successfully vaccinated, the illness had been so slight as not to interfere with the
child's usual habits ; a few pustules caly appearing. The protection afforded by vaccination
was very apparent and seemed to be appreciated by some of the people. The details of my
inspection are as follows:—
Vaccinated.
Mild.
Severe.
19
One year.
11
...
Unvaccinated.
Mild.
57
One to five years.
62
Severe.
4
Above five years.
7
This village is in Vaccinator Ameer Khan's circle, he has vaccinated 68 children, of
whom I saw on this occasion 21, the results of my inspection being as follows:—
Successful.
4 vesicles.
...
Successful.
3 vesicles.
5
Successful.
2 vesicles.
6
Successful.
1 vesicle.
7
Doubtful.
...
2
Unsuccessful.
. ..
1
4
Considering the large size of the town (population about 4,000) the vaccinator has,done
very little work.
At the village of Pokhurni, also in Ameer Khan's circle, small-pox has been prevalent,
and new attacks are still occurring. I succeeded in seeing 7 children only who had suffered
from the disease, one being a recent case, and their condition as regards age and previous vacci-
nation is given below:—
Vaccinated.
Mild.
1
Severe.
1
Unvaccinated.
Mild.
2
Severe.
3
Vaccinator Ameer Khan had operated on 15 children in this village, which contains more
than 200 houses. I saw only 4 of these, a large section of the population being absent in
other villages at marriages.Three of those I saw bore good cicatrices.
5
Statement showing the details of inspection of the epidemic of Small-pox by the Native Superintendent of Vaccination in 4 Circles
of the Hoshangabad District.
NAMES OF CIRCLES.
Pokhurni ...
...
...
...
Condagaon... ... ...
Handia...
...
...
Charwa...
...
...
Total number of
small-pox cases seen.
Severe.
137
Mild.
118
Total.
255
Total number
of unvaccinated
children attacked
with small-pox.
Severe.
117
Mild.
89
Total.
206
Number of
vaccinated
children
attacked with
small-pox.
Severe.
21
Mild.
28
Total.
49
Number of
successfully
vaccinated
children
attacked with
small-pox.
Severe.
4
Mild.
10
Total.
23
Detail marks of
successful
vaccination on
their arms.
4 vesicles.
...
3 vesicles.
2
2 vesicles.
12
1 vesicle.
8
Number un-
successful and
doubtful cases
attacked with
small-pox.
Severe.
17
Mild.
9
Total.
26
B.—DISPENSARY VACCINATION.
Statement No. III, showing Dispensary Vaccination in the Central Provinces, during the year 1881-82.
District.
1
Saugor... ... ...
...
Damoh...
...
...
...
Jubbulpore...
...
...
...
Narsinghpur...
...
...
...
Hoshangabad... ... ... ...
Nimar...
...
...
...
Mandla...
...
...
...
Betul... ... ... ...
Chhindwara...
...
...
...
Seoni...
...
...
...
Balaghat... ... ... ...
Bhandara... ... ... ...
Nagpur... ... ...
Wardha... ... ... ...
Chanda... ... ... ...
Raipur...
...
...
...
Bilaspur...
...
...
...
Sambalpur...
...
...
Total... ...
Number of dispensaries in
each district to which a vac-
cinator is attached.
2
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Average number of vaccina-
tors attached to dispensaries
during the season.
3
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Total number of persons vacci-
nated.
4
1,818
1,032
5,948
882
3,048
382
315
131
1,537
761
351
506
5,066
1,319
1,317
1,806
641
271
27,131
Average number of persons
vaccinated by each vaccinator.
5
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Primary vaccinations.
Total.
6
1,635
1,032
5,948
882
3,048
382
315
131
1,027
761
351
506
4,816
1,319
1,317
1,806
641
271
26,188
Successful.
Under one year
7
1,053
582
3,264
553
1,884
259
167
93
897
409
155
328
3,734
564
408
602
355
89
15,396
One and under
six.
8
527
359
2,163
274
717
71
121
18
51
261
154
163
846
467
737
1,019
185
157
8,290
Total of all
ages.
9
1,605
968
5,547
835
2,685
330
289
111
1,027
731
313
491
4,609
1,056
1,181
1,684
559
267
24,288
Revaccination.
Total.
10
183
...
...
...
...
...
...
...
510
...
...
...
250
...
...
...
...
...
943
Successful.
11
158
...
...
...
...
...
...
...
452
...
...
...
210
...
...
...
...
...
820
Percentage of suc-
cessful cases.
Primary.
12
98.53
97.67
95.70
96.64
89.14
89.43
91.74
84.73
100.00
96.06
89.68
97.42
96.54
85.16
90.98
93.39
88.73
98.52
94.27
Revaccination.
13
88.26
0.00
0.00
0.00
0.00
0.00
0.00
0.00
88.62
0.00
0.00
0.00
86.77
0.00
0.00
0.00
0.00
0.00
88.08
NOTE.—Columns 2, 3 and 5 are left blank, the work having been performed by Hospital Assistants.
Comparative Statement No. IV, showing the number of persons primarily vaccinated and the
of the undermentioned
Establishment.
Government ...
Municipal ...
Local Funds ...
Native States ...
Dispensaries ...
Army—
European ...
Native ...
Total ...
Persons primary
Total number.
Number successfully vaccinated.
Year ending
30th 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.
Total Number.
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
...
...
...
...
...
120,175
46,816
52,033
...
...
...
...
...
98,849
1870.
86,669
12,299
42,258
...
...
...
...
141,226
77,166
10,037
32,473
...
...
...
...
119,676
1871.
49,204
48,764
27,179
...
...
...
...
125,141
40,394
44,606
17,035
...
...
...
...
102,035
1872.
33,380
21,127
54,373
...
...
...
...
108,880
28,775
16,440
45,973
...
...
...
...
91,188
1873.
45,098
25,090
53,327
...
...
...
...
123,515
40,734
20,455
45,971
...
...
...
...
107,160
10
128,590
...
...
...
...
...
...
128,590
mber of those parsons who were successfully vaccinated in the Central Provinces in each.
acial years,
ccinated.
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.
Total number.
Number successfully vaccinated.
March 18882.
4
112,435
...
...
...
...
...
112,435
1875.
176,893
...
...
...
...
...
176,893
158,704
...
...
...
...
...
158,704
1376.
201,636
...
...
...
9,766
...
211,402
188,384
...
...
...
8,574
...
196,938
1877.
245,224
...
...
...
10,184
..,
255,408
229,930
...
...
...
8,988
...
238,918
1878.
260,408
...
...
8,976
19,304
...
288,638
241,633
...
...
8,744
16,964
...
267,341
1879.
235,846
...
...
24,015
19,097
...
278,956
223,036
...
...
23,653
17,114
...
263,803
1880.
254,824
5,238
9,535
17,229
20,386
...
307,212
239,197
5,023
8,788
16,579
18,480
...
288,367
1831.
261,959
9,456
3,314
20,026
23,083
...
317,838
248,924
9,247
3,058
18,922
20,989
...
301,140
1882.
295,766
8,531
5,167
51,843
26,188
...
387,498
284,465
8,183
5,020
49,704
24,288
...
371,658
REPORT
ON THE
VACCINE OPERATIONS
IN THE
CENTRAL PROVINCES,
FOR.
THE YEAR 1882-83.
NAGPUR
PRINTED AT THE CHIEF COMMISSIONER'S OFFICE PRESS,
1883.
No. 4008/221
FROM
L. K. LAURIE, ESQUIRE,
OFFG. ASST. SECRETARY TO THE CHIEF COMMISSIONER,
Central Provinces.
To
THE SANITARY COMMISSIONER,
Central Provinces,
Dated Nagpur, the 13th September 1883.
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 1883, The report was received in print by the Chief Commissioner on the
3rd instant. The delay in its submission was due to the same cause as that
which hindered the completion of the Sanitary Report, viz: the difficulty experi-
enced by some District officers in preparing the returns of the population
under registration in accordance with the figures recorded at the recent Census.
2. The number of operations performed by the Vaccine Department were
401,683, as compared with 369,651 in 1881-82, and the number performed by
Hospital Assistants at dispensaries was 32,008, as compared with 27,131 in the
previous year. There was thus a total increase of 36,909 operations. It was
mentioned in last year's review that the total then reached was higher than the
number of operations in any previous year.
3. The increase occurred both in primary vaccination and in re-vaccination
cases: the figures comparing as under:—
Primary vaccination
...
Re-vaccination.... ...
1882-83.
Vaccine Depart-
ment.
3,88,792
12,891
401,683
Dispensaries.
30,649
1,359
32,008
1881-82.
Vaccine Depart-
ment.
361,310
8,341
369,651
Dispensaries.
26,188
943
27,131
4. The number of successful cases was as under:—
Primary vaccination.
Vaccine Department... ... ...
Dispensaries...
...
Re-vaccination.
Vaccine Department... ... ...
Dispensaries...
...
...
1882-83.
No.
372,462
28,114
9,672
884
Percentage on
operations.
97.21
93.58
78.89
65.97
1881-82.
No.
347,370
24,288
5,640
820
Percentage on
operations.
97.40
94.27
70.93
88.08
4
advice which the Chief Commissioner has received on the subject. In last year's
report Dr. Simpson reported that 40 deaths has been caused in the Feudatory
State of Bamra by the operations of two inoculators : and it was upon his bring-
ing to notice the fact that inoculation was encouraged in the Feudatory State of
Sonpur, and in accordance with his advice, that the Raja of the State has been
advised to employ vaccinators instead. The Chief Commissioner is not pre-
pared to discuss the medical aspect of this question. In respect to this he must
be guided by the responsible medical advisers of Government. But, as your
opinion differs so widely from that which has hitherto been accepted, he thinks
it would have been well to have reserved its discussion for a separate paper. Your
report will be published, and may tend to throw discredit on work which Govern-
ment has hitherto done all it could to foster. It would serve no useful purpose
for the Chief Commissioner to enter into any controversy on this point; but I am
to say that he cannot accept an opinion which seems so contrary to all the advice
given to Government by its medical advisers in the past, until that opinion is
endorsed by the highest available medical authority, and accepted by the Govern-
ment of India as,the basis of its action,
14. Your report is open to the criticism that a good number of details
have been thrown together somewhat indiscriminately and without systematic
arrangement and compression, and that some considerable space has been occu-
pied by matters of comparatively little public interest, which might quite satis-
factorily have been disposed of within the Department. But the Chief Commis-
sioner feels that this is mainly due to your only having recently taken charge of
the Department, and being unacquainted with its general operations.
I have the honor to be,
Sir,
Your most obedient Servant,
L. K. LAURIE,
Offg. Asst. Secretary.
No. 4732/C.C.
FROM
W. WATSON, ESQUIRE, M. D.,
OFFG. SANITARY COMMISSIONER,
Central Provinces.
To
THE OFFG. SECRETARY TO THE CHIEF COMMISSIONER,
Central Provinces.
Dated Nagpur, the 14th August 1883.
SIR,
I have the honor to forward herewith for submission to the Chief Com-
missioner the Annual Report on the Vaccine operations in the Central Provinces,
for the year 1882-83.
2. The delay in its preparation has been owing to the Deputy Commis-
sioners of Raipur, Chanda and Mandla not having been able to send in the
population under registration. This is required for the preparation of State-
ment I.
I have the honor to be,
Sir,
Your most obedient Servant,
W. WATSON, M. D.,
Offg. Deputy Surgeon General
and Sanitary Commissioner,
Central Provinces.
INDEX.
General result of the year's operations... ...
Successful primary vaccination... ... ...
...
Re-vaccination... ... ...
Increase of establishment... ... ...
Vaccination of children over age of 6... ... ... ...
Cost of
establishment...
...
...
...
Dispensary vaccination... ... ...
Progress of vaccination... ... ... ...
Vaccine inspections...
...
...
...
Percentage of success... ... ...
Registration of small-pox... ... ...
Vaccination in districts... ... ...
Vaccination in Patna State... ... ...
Lectures on Hygiene... ... ...
General remarks... ... ...
PARA.
1
2
3
4
5
6
7
8
9
10
11
12—29
30
31
32
Report on Vaccination in the Central Provinces
during the season 1882-83.
The general result of the past season's operations as shown in Annual State-
ment No. I. is a large increase.
There have been 32,032 more operations performed than there were last year.
With regard to primary vaccination successfully performed which repre-
sents the real practical work of the Vaccine department, there has been an
increase of 25,092.
Any further increase can hardly be expected, as the number of children
annually successfully vaccinated is already in some districts equal to the birth
increment of the year.
Taking the number of children available for primary vaccination to be 30
per mille of the population, we find that in Saugor with a population under regis-
tration of 564,950 there should be 16,948 children who can be primarily vacci-
nated. The number actually successfully vaccinated as shown in Statement
No. I. was 20,924.
Of course the birth rate is considerably over 30 per mille, but so many
children die within the first month or two that it may be taken as giving the
average number who can be vaccinated.
When vaccination is first introduced into a new district, there is a con-
siderable number of older children available for vaccination, but these cannot
be found in a country where vaccination has been practised for a series of years.
This is what has probably happened in Sambalpur.
Last year there were 50,124 cases of successful primary vaccination in Sam-
balpur. This year there have only been 48,720.
2. With regard to successful primary vaccination there has been an increase
this year in 8 districts —Jubbulpore, Nimar, Mandla, Chhindwara, Balaghat,
Wardha, Raipur and Bilaspur; a decrease in 10—Saugor, Damoh, Narsinghpur,
Hoshangabad, Betul, Seoni, Bhandara, Nagpur, Chanda and Sambalpur.
There has been very great progress in Balaghat.
The number of primary successful cases has nearly doubled, having increased
by 8,138.
The number of primary successful vaccinations was 17,603, the number of
available children on the 30 per mille theory being only 10,216.
Column 16 gives the persons successfully vaccinated per 1,000 of popula-
tion, but it includes both primary and secondary successful vaccination, so that it
is somewhat misleading.
The number of cases of re-vaccination has increased from 8,341 to 12,891.
The percentage of success for the whole Province is given as 78.89. This I
cannot help thinking must be a mistake. In Balaghat there were 5 cases of
revaccination and all 5 were successful, giving a percentage successful of 100. This
may of course have occurred, but I cannot credit the returns of Saugor, where
2,618 cases were re-vaccinated, 2,409 of them successfully or those of Chanda,
where 522 cases were re-vaccinated, 418 of them successfully or those of Wardha,
where 158 cases were re-vaccinated, 150 of them successfully.
In Wardha re-vaccination was actually more successful than primary vacci-
nation.
The only possible explanation of such marvellous success is to suppose that
in re-vaccination slighter indication of success is accepted as constituting a suc-
cessful case.
2
Vaccinators must have one standard for judging success in primary cases,
another standard for judging of success in cases of re-vaccination.
Re-vaccination has been more attended to than it was in previous years.
Last year there were only 8,341 cases. The previous year there were 6,695.
This year the number has increased to 12,891. In many districts, however, such
as Narsinghpur, Seoni, Mandla, Bhandara and Bilaspur, no re-vaccination has
been done.
4. By letter No. 3815-217 of the 6th October 1882, from the Secretary
to the Chief Commissioner, an increase of 15 vaccinators was sanctioned in the
Vaccine establishment.
They were distributed as follows :—
Jubbulpore
...
Mandla ....
Chhindwara ...
Balaghat ...
Chanda ...
Bilaspur ...
Sambalpur ...
3
2
1
2
2
2
3
Nine new men were employed in Sambalpur Feudatory States; On
the other hand, the Feudatory States in Raipur employed 2 vaccinators fewer
than last year. In Nagpur the Kamptee vaccinator was dispensed with, and
there were three vacancies in Hoshangabad, Nimar and Sambalpur.
The total establishment employed was 217 instead of 199 last year.
5. In Statement I, column 9, the number of successful cases under one
year is given as 156,728.
In column 10 the number of successful cases of children between 1 and 6
is given as 189,616.
The number of successful cases of persons over 6 is not entered in the
Statement as there is no column for it, but as the total is 372,462 it must be
26,118. In the previous year it was 33,120. The year before 1879-80 it was
17,648.
As the number of primary successful vaccinations in persons over 6 years of
age is not expressly given I submit a table showing it for each district—
Saugor ...
Damoh ...
Jubbulpore ...
Narsinghpur ...
Hoshangabad ...
Nimar ...
Mandla ...
Betul ...
Chhindwara ...
624
620
3,160
430
1,083
1,214
2,517
483
99
Seoni ...
Balaghat
...
Bhandara
...
Nagpur ...
Wardba
...
Chanda ...
Raipur ...
Bilaspur
...
Sambalpur ...
707
738
139
767
270
405
4,300
1,973
6,588
The practical importance of this table is that it gives some indication of the
number of children in each district who have not been vaccinated at the usual
time.
Where vaccine circles are too large or where in previous years the vaccina-
tors have neglected their work these numbers are high. They are small under
the opposite conditions.
It might be supposed that the number of children vaccinated and entered in
column 9 (under 1 year) could be directly compared with the number of children
born during the year after deducting the deaths which occur during the first