ABSTRACTS OF REPORTS BY SUPERINTENDENTS.
43
on the whole, but 11 of them did not submit their annual returns. Their work cannot
therefore be shown in this report.
Plan and field of work.
89. The areas in which vaccination was carried on this
year are noted below: —
AGENCY.
Government establish-
ment ... ... ...
Licensed vaccinators ...
Area of work.
Sub-division of Jamtara ... ...
Ditto
of Rajmehal ...
Ditto
of Godda
...
...
Ditto
of Pakour ... ...
Ditto
of Deoghur ... ...
Ditto
of Dumka ...
Sudder division in thana Colgong
in Bhagulpore ... ... ...
Thanas Katoria, Banka, Amurpur,
and Dharia in Bhagulpore ...
Thana Kharukpore in Monghyr ...
Thanas Jamui, Chakai, and Secun-
dra in Monghyr
...
...
Sub-division of Rajmehal ...
Ditto
of Pakour
...
...
Ditto
of Godda
...
...
Ditto
of Dumka ... ...
Ditto
of Jamtara ... ...
Ditto
of Deoghur ... ...
Number of
villages
visited.
376
109
234
185
34
8
219
490
101
250
36
17
147
171
93
158
Number of
operations
performed.
15,793
4,265
7,050
6,640
1,747
481
5,378
14,522
2,654
6,293
1,321
735
7,575
4,787
3,629
4,242
Number
successfully
vaccinated.
15,732
4,262
7,024
6,623
1,747
481
5,355
14,476
2,589
6,266
1,312
731
7,539
4,756
3,617
4,236
Percentage of
successful
operations.
99.61
99.29
99.63
99.74
100
100
99.57
99.68
97.55
99.57
99.32
99.45
99.52
99.35
99.66
99.85
The licesned vaccinators appear to have worked here and there in a desultory manner,
according to the convenience and will of those who employed them. This is a mistake.
Each licensed vaccinator should be allotted a separate jurisdiction, and his work should be
confined within it, and the number of vaccinators to a thana or sub-division should be
reckoned on the birth-rate requiring protection. They should be permanently employed in
their respective jurisdictions during good conduct, and not changed from year to year.
Those who do not submit returns should never be employed again. Moreover, it is evident
that no supervision was exercised over these men ; and this, no doubt, led to some of them
neglecting to submit their returns. This requires to be remedied.
Owing to some ex-inoculators having behaved badly in Bhagulpore and Monghyr last year,
the Deputy Superintendent determined this year to subject the candidates to a course of
practical training before granting them licenses; but not a single man would consent to be
trained, and consequently no licenses were issued for these areas. This fact supports the
view of Dr. Lawrie that these men never really practise vaccination, and that the licenses
are a cloak under which to carry on inoculation.
The Civil Surgeon notes in his sanitary report that nothing in the way of vaccination
has been done for the last two years in the northern sub-division of Bhagulpore, and that
in the villages in Mudehpura the work was done by some unqualified vaccinators and
measures were not taken to verify their returns. The sub-divisional officer of Soopole,
in asking for the assistance of the Vaccination Department to stamp out an outbreak of
small-pox that had occurred there in March, brought to notice that no vaccination had
been carried on in this station for the last two or three years, and that although inoculation
had not been prohibited here by law, the inoculators were afraid of openly and
generally carrying on the practice, since some inoculators had been in an irregular manner
sent up by the police: consequently the people were without protection of any kind.
Proposal to carry on work in the
Sonthal Pergunnahs district entirely
under the licensed agency system.
90. The Deputy Superintendent states that the Sonthal Pergunnahs district can now be
fairly left in the hands of the local licensed vaccinators, who,
he believes, are well qualified to keep their respective elakas
thoroughly protected. This is also necessary to obviate the
constant clashings of interests that take place between them
and the paid vaccinators. He therefore recommends the withdrawal of the latter from this
area, and the substitution entirely in their place of licensed vaccinators to work under a
properly organized plan, and that four or five inspectors be employed all the year round to
keep constant and close supervision over them. I quite concur in this view of the matter,
and support the recommendations, and have already submitted to Government proposals
concerning this subject.
The area of operations in Bhagulpore
and Monghyr to be limited to one dis-
trict at a time.
91. He also considers that the plan upon which operations are carried on in Bhagulpore
and Monghyr is not well regulated, and he recommends that
a permanent staff of vaccinators and inspectors be employed
for this area, and that the vaccinations be carried on conti-
nuously, commencing in one district and completely protecting
it before going to the other, instead of, as at present, doing work in both districts and in
different thanas simultaneously, as under this plan sufficient control cannot be exercised
over the staff, and the Deputy Superintendent loses much time in travelling from one distant
field of work to another. I approve of this suggestion to diminish the field of work in
order that one district may be thoroughly protected before another is taken up.