16
average cost of each successful case. There is however still room for improvement
in the percentage of successful cases as well as in other respects.
Total operations.
3. The total number of persons primarily vaccinated, exclusive of dispensa-
ries, is 90,780 and of re-vaccinations 2,266. The num-
ber successfully vaccinated of the former is 79,683
giving a percentage of success of 91.8 ; of the re-vaccinations the number success-
ful is 1,291 which gives a percentage of 61.0.
Dispensaries.
4. Of the dispensary vaccinations, the total number of persons primarily
vaccinated is 2,637 ; of successful 2,365, giving a per-
centage of success of 89.8. The total number of persons
re-vaccinated is 965, 346 of whom are reported successful—rather more than half
being unsuccessful—and giving a percentage of 35.9 of successful.
Taking the whole establishments, the total number of persons vaccinated in-
cluding the re-vaccinated is 96,648 thus exhibiting, compared with the year 1872-73,
an increase of 15,951—the largest increase that has ever yet been attained in this
circle in any one year.
Causes of increase and de-
crease.
5. This increase is chiefly under the local fund establishment, and spread
pretty equally over all the collectorates, though the
native states' vaccinators, as will be seen from the
foregoing table, likewise show a creditable increase.
The state of Sawantwadi was transferred to this circle on 1st November last.
This is the only change that took place in this circle under the new distribution of
circles, so no remarks are required more than to state that the vaccinations in that
state compared with the previous year show a falling off of 389. There is a
slight falling off in dispensaries, accounted for partly by reason of those dispen-
saries where there is a municipal vaccinator ceasing to carry on vaccination, and
other dispensaries doing little or no work—such as Halial, Supa, Hapur, Siddapur,
and few vaccinations have been done at Kaladgi. The Kumpta dispensary in
charge of Assistant Surgeon Mackenzie is a bright exception to this, and the
vaccinations done by him and the former officer, both as regards numbers and
quality are very creditable. He likewise vaccinates in villages near Kumpta.
So favourable a result as the above sketch is not a little due to the dismissal of
several vaccinators for indolence and inefficiency, notices of which have been sent
to the different vaccinators at once, as warnings : also to the increased attention and
vigilance displayed by some assistant superintendents,and to the many circulars
that have been issued throughout the year. Finesh are likewise been inflicted,
and I regret to say on some vaccinators with very little apparent improvement.
These fines have not only been inflicted for bad work but for negligence in the
despatch of returns.
Progress in Belgaum zilha.
6. Of the progress of vaccination in the Belgaum collectorate, an increase
of 3,780 persons operated on, would seem as if it were
tolerably satisfactory, but there are a great number
of villages unvaccinated. some of the talukas being too large and populous for one
vaccinator to go over all of them in two years. In Athni, vaccination makes
very little head and though the collector, Mr. Boswell. has interested himself
and made enquiries about it, the people are still very reluctant to submit their
children to the vaccinator. and still more so to allow the vaccinator to extract
lymph. I have also had complaints of the want of assistance rendered by the
village officers who have in some instances refused to be present on the vaccina-
tion days, and when such complaints, accompanied by the printed notice that
is usually sent to village officers and on which their signature is taken, have
been forwarded for investigation, they have retorted that the vaccinator was not
present on the day in question. The collector appears to consider that in such
cases the word of the vaccinator and his peon are not trustworthy, so it is
† This incudes the decrease at the Sawantwadi dispensary.