2
of Saoner, Latchmanswami of Sironcha and K. D. Salpekar of Chanda. The
amount of work per vaccinator varies enormously with the district, for
instance, the average in Yeotmal is 3,160, whereas in Wardha it is only 1,324.
This difference cannot be due to sparsity of population, travelling difficulties,
etc., for in many instances jungly districts show high figures. There appears
to be a personal equation, the significance of which is difficult to compute.
Some Deputy Commissioners comment on unpopularity or rather on a want of
tact on the part of vaccinators. However tactful a vaccinator may be, the
assistance of Revenue and other influential officers is invaluable [as remarked
by the Deputy Commissioner of Drug who writes: " I think that vaccinators
should endeavour to meet the Deputy Commissioner on tour, provided it will not
hinder the progress of their work. Revenue officers can render them much
assistance and short conversations put the Deputy Commissioner in possession
of facts and information not to be culled from bare statistics ;"] and the Deputy
Commissioner, Nagpur, proposes, in consultation with the Civil Surgeon, to draw
up some rules in this connection, viz., to co-ordinate the efforts of the vaccin-
ator with assistance from Revenue officers.
In the Feudatory States, 94,632 operations (82,697 primary and 11,935
re-vaccinations) were performed against 79,002 (75,329 primary and 3,673
re-vaccinations) in the preceding year. In Bastar State only was a satisfactory
amount done but in the remaining States the work is not up to the mark on
account most likely of lack of supervision.
STATEMENT II.
Finance.
5. The cost of the establishment increased during the year under almost all
heads on account of the appointment of additional
Assistant Superintendents, vaccinators and peons, and
consequently the cost of each successful vaccination
rose slightly from Re. 0-1-10 in 1910-11 to Re. 0-1-11, during the year under
report. The only items which show less expenditure are " travelling allowance "
and " contingencies. " In the former, the decrease was due to Civil Surgeons
having done less touring on account of plague and, in the latter, there were no
outstanding accounts for adjustment as was the case in 1910-11.
STATEMENT III.
Dispensary Vaccination.
6. Owing to the prevalence of small-pox in Nagpur and other places, Sub-
Assistant Surgeons were ordered to vaccinate, some
other medical officers and private practitioners also
undertaking the work. The Sub-Assistant Surgeons in
Nagpur, where the outbreak was severe, performed 904 primary and 1,151 re-
vaccinations. In Betul, a few (18) were done by these men and in Chanda 42
are reported to have been done by the compounder at Allapilli.
Other officers, or rather volunteers, did 235 primary and 969 re-vaccinations.
In the Feudatory States, where vaccination by Sub-Assistant Surgeons is still
continued, 4,058 primary and 386 re-vaccinations were done, which is less than
in the previous year.
Inspection of Vaccination.
7. Civil Surgeons were 512 days out on tour and inspected 3,221 villages
against 5,919 villages in 731 days in 1910-11, the number
of operations inspected being 44,330 primary and
6,233 re-vaccinations against 69,066 and 11,479, respectively, in the preceding
year. The prevalence of plague and the carrying out of inspections from
village to village account for the low number of inspections. In some districts,
however, the old procedure of collecting children at certain centres is still fol-
lowed, e. g., Jubbulpore, where in five days as many as 112 villages were in-
spected, giving an average of 22 villages per day, which shows that children
from distant villages must have been collected. This system defeats the object
of an inspection as explained in previous reports and should be avoided. Inpec¬
tions by Civil Surgeons, which should be mostly of a surprise nature, should be
carried out as near the village as possible so that unsuccessful and exempted
cases may also be seen. It often happens that in larger districts Civil Surgeons
cannot devote much of their time to such inspection work, and even in smaller
districts, as remarked by the Deputy Commissioner, Seoni, out-lying tracts are
rarely inspected, but, under such circumstances, a Civil Surgeon should depute
his Assistant Surgeon to assist in carrying out the more important inspections,
taking care to examine his results and see that the work is progressing
satisfactorily. It is quite true that the amount of skill required for this