( 2 )
concert with the District Magistrate, and much of the opposition with which
vaccination was received was attributed to its being thus cut off from the district
administration and left to fight its way unaided by the influence which a district
officer can judiciously exercise in a matter like this. Under the new scheme the
area of supervision has been reduced to the reasonable and practicable limits
of a district, and the Civil Surgeon is held responsible for its protection against
small-pox. He is allowed a district Inspector on a salary ranging from Rs. 80
to Rs. 40 a month, according to grade, and a Sub-Inspector on Rs. 25 a month
for each subdivision, and he uses his discretion as to the number of licensed and
municipal vaccinators it is necessary to employ. All the Deputy Superinten-
dents of Vaccination and the three uncovenanted Superintendents under the
old scheme have been abolished, the three covenanted officers being retained as
Deputy Sanitary Commissioners, and also to assist Civil Surgeons in inspecting
vaccination in the remote portions of their districts, which, on account of their
numerous duties at head-quarters, they are not able to get at. The idea is
excellent, but the number of Deputy Sanitary Commissioners is inadequate
thoroughly to inspect vaccination in outlying rural areas where supervision is
most required. It has been found impracticable for Civil Surgeons to do much
more than the little inspection that is possible in connection with their quarterly
inspection of dispensaries, which means going over the same ground again and
again, and owing to the enormous jurisdiction of the Deputy Sanitary Commis-
sioners (Metropolitan Circle 13 districts, Northern Bengal Circle 19 districts,
and Western Bengal Circle 14 districts, and the Tributary States of Orissa and
Chota Nagpur) and their other duties in connection with the sanitary inspection
of minor towns, it is not possible for them to visit a district for thorough
vaccination inspection more than once in three years: the result is that vacci-
nation in outlying tracts is practically left to the unchecked supervision of the
subordinate inspecting staff, who may or may not be performing their duties
honestly, though they may be regularly sending in satisfactory returns of work.
This is the defect of an otherwise admirable scheme.
Strength of the working staff.
4. The strength of the local supervising and working staff during each
of the three years under report is exhibited in the
following statement:—
Calcutta
... ... ...
Provincial rural areas
...
Mufassal Municipalities and
dispensaries.
Total of above ...
YEAR.
1890-91
1891-92
1892-93
1890-91
1891-92
1892-93
1890-91
1891-92
1892-93
1890-91
1891-92
1892-93
INSPECTING STAFF.
Number of
Superinten-
dents.
1
1
1
6
6
46
and 3
D.S.Cs.
...
...
...
7
7
47
and 3
D.S.Cs.
Number
of
Deputy Su¬
perinten¬
dents.
1
1
1
13
13
1
...
...
...
14
14
2
Number of
Inspectors.
4
4
4
115
119
51
...
... 6
119
123
61
Number of
Sub-Inspec-
tors.
...
...
...
...
...
135
...
...
...
...
...
135
Number of
Head Vacci-
nators.
2
2
2
13
13
9
...
...
...
15
15
11
Total number
of Inspecting
officers.
8
8
8
147
151
245
...
...
6
155
159
259
OPERATORS.
Vaccinators.
Govern¬
ment or
paid.
38
31
31
107
92
89
249
259
285
394
382
405
Licensed.
...
...
...
1,631
1,641
1,754
5
3
2
1,636
1,644
1,756
Apprentices.
Govern-
ment or
paid.
4
7
4
10
9
10
...
...
...
14
16
14
Licensed.
...
...
...
594
696
864
...
...
...
594
696
864
Total number
of operators.
42
38
35
2,342
2,438
2,717
254
262
287
2,638
2,738
3,039
The noticeable increase in Superintendents and Sub-Inspectors, and the
decrease in Deputy Superintendents, Inspectors, and Head Vaccinators in 1892-93,
as compared with the two previous years, is due to the re-organization scheme
explained in paragraph 3. The increasing number of Municipal vaccinators,
specially noticeable in the year 1892-93, is due to greater activity in vaccination
in municipalities since Civil Surgeons have been made responsible.
Number of operations performed
and average per man.
5. The following statement shows, district by district and in municipalities
separately, the total number of vaccinators employ-
ed, the total number of operations they performed,
and the average per man, during each of the three