15
Vaccination done by the men in a body in this sense is the only way
which will give good results."
Ludhiana.—The Civil Surgeon, Rai Bahadur Fatteh Chund, states
" that under the old system Vaccinators, generally a Hindu and a Muham¬
madan, were sent out in pairs or joris. These joris were allotted, as far as
possible, an equal share of populations, either by thánás, zails or tahsíls,
hence their work was confined and their time was wholly devoted to that
particular area; and as they used to make constant visits to the same villages,
all children born up to the close of the season were vaccinated one after
another, and omissions used to be very few.
Under the present regime, all the Vaccinators are thrown in a bulk
under the direct control of their Native Supervisor, at first in the villages of the
Sadar tahsil. The work of that tahsíl is finished in the first few weeks, and
the next tahsil is then taken, and so on. Children who are born, after the
work of the first or second tahsil has been finished, are vaccinated, provided
Vaccinators had time to return to those tahsils again in that season, or they
are bound to remain unprotected till the season for vaccination comes next
year. I consider this to be the real cause of falling off in primary vaccinations
since the Vaccinators have worked in bodies. The advantage claimed for the
new system is that the Native Supervisor remains in direct touch with his staff,
but he has an easy time, and can safely put in 75 per cent. inspections to his
account. In the case of working in pairs he was required to travel long
distances, and to remain constantly on the move. It entailed hardship on him
for six months, but a spell of summer always come to his relief more or less.
The drawback imputed to this system was that Vaccinators having been
thrown in remote places, absented themselves; there is hardly any such chance
for them now, a Divisional Inspector comes periodically to the help of the
Native Supervisor, and Civil Surgeon can easily keep his Vaccinators at their
respective posts fully devoted to their legitimate work."
Ferozepore.—The Civil Surgeon, Major J. R. Adie, I. M. S., states that—
(1) "the whole body of Vaccinators engage one tahsíl at a time
from a centre, they radiate in groups of 2 or 3, and are con-
trolled from the centre by the Native Supervisor ;
(2) it is not possible to generalise, and to say that the men work or
do not work in pairs. Sometimes it is necessary for one man
to go ahead and arrange for lymph, while another follows to
carry on vaccination;
(3) if the men were all to work singly there would decidedly be a
waste of power, and probably more annoyance to the people;
(4) working in groups one goes in advance to arrange for lymph,
say at village B., Vaccinator, No. 1, then, who has finished his
work in village A, and inspected the results, goes forward and
joins the advance man in work in village B., Vaccinator No. 2,
also finishes his work at A. and passes to B. In this way the
actual operations are performed by one Vaccinator, while
another fills in the forms and takes notes. This is also advanta-
geous to the mothers. Another argument against single
workers is if a Vaccinator gets ill the whole arrangements falls
through and the lymph is wasted.
Mooltan-—The Civil Surgeon, Captain D. M. Davidson, I. M. S.,
remarks that "each tahsíl is divided into halves, each half being placed under
the charge of a Native Supervisor, each Native Supervisor has Vaccinators
under him, one having 6, the other 5. When work is commenced the Vacci¬
nators work in pairs in adjoining zails, and when the villages in each zail are
completed the pair moves on to the next zail. Efforts are made to prevent the
Vaccinators from scattering. By this means the work can be properly super-
vised, the present system differs from the old in the Vaccinators keeping close
together instead of pairs of Vaccinators starting work at scattered points in
the tahsíl. When working in pairs one Vaccinator assists the other, for