12
as we have our family physicians, and dislike employing strangers if they can
avoid it. The same rule will probably be found to hold good in respect of vacci-
nation.
The question remains, had the vaccinators a sufficient amount of work allot-
ted to them. Dr. Townsend, an officer of much experience, in the rules laid
down by him for the guidance of Civil Surgeons, published in 1874 and approved
of by the Chief Commissioner, states distinctly in para. 3 " that the number of
villages contained in any one circle should be not less than 130 and not greater
than 180, and the aggregate population not less than 30,000 and not greater than
60,000." On this calculation the 18 vaccinators allowed should be sufficient
for the whole district if properly looked after. Roughly speaking, this is the
proportion in most other districts of the Province, and as far as I am aware, no
Civil Surgeon has complained of it being insufficient. On the contrary Dr.
Hutchinson, the late Sanitary Commissioner, who approved of this arrangement
for the Raipur district, reduced the staff in Nagpur on the ground that more work
might be got from a smaller staff! and recommended a similar reduction for
Narsinghpur.
Vaccination staff consists of 18* vaccinators and 1 Native Superintendent.
Average number of operations performed by each vaccinator 1,829 or includ-
ing Feudatory States 1,417.
The Native Superintendent is reported as being industrious and careful.
25. Bilaspur.—The report is drawn up by Mr. Thipthorpe who was trans¬
ferred from Bhandara and only joined his new appointment at the latter end of
the season. The Civil Surgeon states that the supply of lymph was kept up
during the hot season and that operations commenced in the beginning of No-
vember. Vaccination was carried on over the whole district, which was divided
into 15 circles, with one vaccinator in each. 29,296 children were vaccinated,
of whom 26,888 or 93.70 per cent proved successful cases, against 25,115 and
92.59 per cent successful in 1880-81. The increase in the number of operations
over that of the previous year, he attributes to the active assistance of the
Deputy Commissioner and some of the Tahsildars. Strength of vaccination
staff 15 vaccinators, and 1 Native Superintendent. Average number of operations
performed by each vaccinator 1,731, exclusive of the Native Superintendent.
The Civil Surgeon seems to think the number vaccinated large. I do not
agree with him. The average work of the vaccinators is not particularly high.
The largest number of operations performed by one man being 2,670 and the
lowest 1,348, the average 1,513.
26. Sambalpur.—A supply of lymph was kept up here during the non¬
working season, and operations went on till the arrival of English lymph sent by
the Sanitary Commissioner : with this 27 children were vaccinated, 15 of whom
proved successful cases; the other lymph was then allowed to die out. The staff
was the same as in the preceding year, except that one extra temporary vacci-
nator was employed to help in circles where most work went on and to be ready
to take the place of any of the regular staff in case of sickness. The amount
of work done in the Khalsa portion of the district was unusually large, and the
figures if reliable most creditable to some of the men concerned, one man assisted
by the extra hand having performed 10,100 operations, whilst each of the remain¬
ing three topped 3,000. Mr. Harrison, the Civil Surgeon, apparently thinks the
figures genuine. The total number of operations performed by these 5 men
amounted to 19,492,
The Civil Surgeon was on tour for 31 days altogether, but 13 days of the
time he appears to have spent in the Feudatory State of Bamra.
He inspected
altogether 9,551 children; of these 4,436 belonged to Feudatory States. The
Native Superintendent was 132 days in camp and inspected 11,267 cases, all
except 433 being in the Khalsa portion of the district.The Native Superinten¬
* IN addition to 18 employed in Feudatory States.