ABSTRACTS OF REPORTS FROM CIVIL SURGEONS.
73
Manbhoom.
Manbhoom district.—Mr. Wilson, civil medical officer, reports that 266 persons were
vaccinated in the sudder station by himself and his two assistants, the dispensary being too
poor to employ any vaccinator. Five public vaccinators with their native superintendents
of the Ranchee circle were at work in the district Mr. "Wilson reports thus on the pro-
ceedings of the inoculators.
"During last season not more than 29 tekaits worked, and their operations amounted to
12,213, in 241 villages situated in 15 pergunnahs, and I verified the same on various occasions
between 28th October and 30th March; the result of which verifications is given below :— Work performed
by ex-inoculators.
Number of operations said to have been performed ...
Successfully vaccinated ... ... ...
Unsuccessfully ... ... ... ...
Absentees ... ... ... ...
Total ...
12,213
9,775
1,351
1,087
12,213
The season's work.
" (As regards 198 absentees of the above, it is my firm belief that they were never operated
upon at all: the number was merely inserted by the ex-inoculator to swell his return, and
make it appear that he had done more than was actually the case.) Thus showing an
increase of 3,760, or nearly one-third over those of the preceding season, and giving an
average at 421.13 cases to each tekaits; whereas the average for 1872-73 was 241 only.
The highest number of operations performed by a tekait was 2,803 and lowest 163
" From returns received by me up to 10th April, I find 2,937 other operations were
performed by 12 ex-inoculators (five are included and seven are not amongst the 29 men
mentioned before) in 54 villages, in nine pergunnahs (seven pergunnahs are included, and two
are not in the 15 pergunnahs mentioned above).
" These last operations have not been verified by me, partly because the returns reached
too late in the season to admit of my going out, and also, partly because the numbers taken
separately were too insignificant for me to undertake a journey on their account.
" The grand total number of operations performed in the district last season aggregated
15,150, being 6,692 in excess of those for 1872-73.
" At the commencement of last season 47 tekaits were in possession of lancets, and since
then 10 more men applied for and obtained instruments and crusts, having been previously
instructed in vaccination, and furnished with certificates of their fitness to operate.
" It will be seen from the foregoing particulars that not more than 29 of the 57, or a
trifle more than half, ex-inoculators have done any work which has been seen by me. Seven
others have performed some work, so they say, but what the remaining 21 tekaits have been
doing, I am unable to ascertain.
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Re-distribution of
tekaits.
"As one hundred tekaits registered themselves in the office of the deputy commis-
sioner three years ago, it will be seen that little more than half have accepted lancets
and only 30 of them have done any work last season; the other six operators being Hindu-
stanees, of whom I shall have something to say further on."
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As many pergunnahs were without resident tekaits, " whilst some had too many, the
deputy commissioner, at my recommendation, in the middle of October last, arranged that 42
men should practice in as many pergunnahs, and that the remaining three should be taken in
hand by a few Hindoostanee vaccinators who were here at that time. This was highly
satisfactory, and would have answered admirably if the 42 tekaits had fulfilled their engage-
ments, as I believe they promised to do, but the result was unfortunately otherwise, as out of
the 42 tekaits only 23 performed operations in 12 pergunnahs, and the three Hindoostanee
vaccinators (who afterwards increased to six) operated in three other pergunnahs; so that
exactly one-third of the district received the benefits of vaccination."