3
for a whole-time sanitary officer as his duties at the head-quarter station leave
him no time to perform vaccination inspection. I am in entire agreement with
the opinion of the Divisional Commissioner that the reasons given by the Civil
Surgeon of Narsinghpur to account for the unsatisfactory inspection of his
district are inadequate. I hope Civil Surgeons will make a genuine effort to do
more inspections in future, as it is useless to leave this important part of their
duties entirely in the hands of their subordinates.
12. The Assistant Superintendents of Vaccination, Sub-Divisional Medical
Officers and Assistants to Civil Surgeons seem to have done a fair amount of
inspection—53.08 per cent of the primary and 25.63 of the revaccinations against
48.78 and 23.64 in the previous season. Only in Mandla, Seoni and Narsingh-
pur the number of primary vaccinations inspected is low. In Mandla the
vaccinators have no maps to show the area in their jurisdiction, nor the villages in
which they have to work. The Assistant Superintendent of Vaccination is
seriously to blame for this, and I will look into the matter when I next visit the
district. The Assistant Superintendent of Vaccination of Seoni, whose conduct
has been unfavourably commented by the Civil Surgeon and the Deputy Commis-
sioner, has been removed to a subordinate charge and replaced by another
man who, I hope, will try and break the vaccinators of that district of their
present habit of collecting children from neighbouring villages for vaccination
and inspection. The Deputy Commissioner, Nagpur, suggests inspection of
vaccination by the epidemic dispensary staff; this has always been done and is
an important part of the duties of officers in charge of these dispensaries.
13. The Civil Surgeon, Wardha, complains of village officials not taking the
trouble to collect children into a central place for inspection. Such collec-
tion of children is of course essential for inspections by medical officers whose
duties in these days are multifarious, but in the case of Assistant Superintendents
of Vaccination and officers in charge of epidemic dispensaries, I am of opinion
that house to house visitation will not only prove a more efficient and popular
method of inspection in villages, but can also be conveniently combined with the
checking of vital statistics.
Percentage of success in
primary and revaccination.
14. The percentage of success in primary operations claimed by vaccina-
tors during the past three years was 98.05, 97.01 and
96.60, while the Assistant Superintendents found on
inspection 97.99, 95.66 and 94.32 and Civil Surgeons 82.39,. 98.28 and 96.62.
In revaccination, the success recorded by vaccinators and that found on
inspection by inspecting officers varied considerably as usual.
Preparation and supply of
vaccine
15. The special buildings for locating the Vaccine Institute were handed over
to the Department in July 1917 and from 1st October 1917
all the twenty-two districts in the Province were supplied
with vaccine prepared at the Institute. The reports on the working of this
Institute for 1917-18 and 1918-19 were incorporated in the notes for those
years.
For 1919-20 the Superintendent, Assistant Surgeon A. F. C. Games
writes—
" The whole province comprising of 22 districts was supplied regularly with vaccine
every week. Casual supplies were given to Assistant Surgeons, on Bengal-Nagpur and
Great Indian Peninsula Railways, Central Jails at Nagpur and Raipur, all the Feudatory-
States of Central Provinces, Military Hospitals at Pachmarhi, Kamptee and Nagpur, and to
Mission Hospitals at Dhamtari and Janjgir.
296 calves were successfully vaccinated during the year and the total yield of pulp
amounted to 8514.57 grammes equivalent to 775,820 doses of vaccine. 624,540 doses were
issued to the vaccinators and 37,595 in casual supplies.
The average purchase price per calf was Rs. 13-9-0 and an average of Rs. 10-5-6 was
realised per calf by sale in the local bazars.
The total expenditure incurred was Rs. 19,612-10-3 of which Rs. 6,177-5-10 were
spent on salaries and travelling allowances, and the rest on the purchase and feed of calves,
ice, etc.