( 2 )
4. The results of the work shown as performed at dispensaries are better in
every way than those of the previous year. The total of vaccinations shows an
increase of 2,297, of which 417 were re-vaccinations, against 98 in 1887-88. The
percentage of successful re-vaccinations (39.3) is probably much nearer the truth
than that (83.6) given last year, which was pointed out by the Government of
India to be an unprecedented figure.
5. The inspection work done by District Superintendents was fairty satis-
factory. The smallest outturn of work was done by the District Superintendent
of Basim, in whose district operations fell off by 531 owing in some measure to
misconduct and dilatoriness on the part of vaccinators, which may be attributed
to inadequate supervision.
At dispensaries the inspection of Civil Surgeons, though better than last
year, was still less than it ought to be. In Amraoti and Ellichpur the percent-
age of verified cases was 45.9 and 41.6 respectively, which is much below the
standard, while in Akola it was only 15.5. The Resident has, in reviewing the
two preceding reports, specially called the attention of Civil Surgeons to this im-
portant duty. Civil Surgeons are expected to verify at least 75 per cent. of the
vaccine operations performed at dispensaries, and the Resident expects this duty
to be fully carried out in future.
6. It should, Mr. Howell is of opinion, be the object of Government to sup-
ply the people, at the district dispensaries as centres, with good vaccinators and to
encourage them to come to these centres to be vaccinated. This should be the
direction in which a large expansion of operations should be looked for. The
Government cannot in Berar or elsewhere keep up a special staff adequate for
the entire work to be done. This is only practicable on a comparatively small
scale. The bulk of the work must be done at the centres, to which the people
should be persuaded in their own interest to resort. The special vaccinators
will be fully employed in visiting the more remote outlying villages and
country.
7. Mr. Howell notes that in Berar the greatest number of operations are
performed during the seven cold-weather months from October to April, whereas
in the Hyderabad Residency District, which is the head-quarters of vaccination
operations for the Contingent and throughout His Highness the Nizam's domi-
nions, the greater part of the work is done during the hot months of the year—
March, April, and May—when small-pox, which the people have learnt to dread,
has made its appearance, and when they are therefore anxious to be vaccinated
and present themselves in numbers for vaccination.
8. The rewards recommended in paragraph 14 of the Sanitary Commis-
sioner's report to the three most deserving vaccinators—Sheikh Subhan, Raoji
Ramkrishna, and Ganesh Persad—are sanctioned.
9. Dr. Little has given some interesting details of experiments in connection
with artificial production of cow-pox in the calf, &c. While on this subject,
it may be observed that in the Hyderabad Residency District animal lymph is
not allowed to die out after a time as in Berar, where a large number of opera-
tions are carried out apparently from arm to arm, but is propagated from
calf to calf and has been the only material used for vaccination since June
1887. No deterioration has, Dr. Lawrie reports, occurred in the lymph since
that date; the vesicles now obtained by its inoculation are as perfect as those
when the lymph was first brought from Madras, and no renewal has therefore
been necessary.
10. Dr. Little's attention is invited to the remarks in paragraph 8 of the
Commissioner's letter pointing out that the " brief notes " prescribed by the Gov-
ernment of India have attained the dimensions of an ordinary report.