4
The total sum reafised by the sale of healed calves, rotatory lancets, vaccine, etc
amounted to Rs. 4,126-3-9.
The Assistant Superintendent conducted the training class for vaccinators ; 26 fourth
grade vaccinators were trained and given certificates of efficiency in vaccination and
sanitation by the Sanitary Commissioner.
20 Sanitary Inspectors were also trained in the technique of vaccination by the Super-
intendent.
The cost per dose of vaccine manufactured was pies three (Re. 0-0-3) only.
The results of primary vaccination were 97 per cent case success, 87 per cent insertion
success, and for revaccination 57 per cent case success and 41 per cent insertion success."
16. The quality of lymph is reported to be good and the supply sufficient
except in a few districts where on enquiry it was found that vaccinators themselves
were responsible for not keeping up their stock and for allowing the lymph
supplied to deteriorate. Stringent instructions were issued to the staff but
there are still recalcitrants who simply waste their supply. In Betul 28 per cent
of the doses supplied were used and 72 per cent unaccounted for. In Narsinghpur
the wastage was 60 per cent, in Buldana 54 and in Jubbulpore 51.
This wastage is a loss to the District Councils concerned who now have
to pay for the vaccine supplied to their staff, and Civil Surgeons should take
serious notice of delinquents in this respect.
Vaccination in Municipal
towns.
APPENDIX A.
17. In 1919-20 the births registered in municipal towns and notified areas
were 37,888 and deaths among children under one year
of age were 11,037. Of those that remained alive, 22,508
or 84 per cent were successfully vaccinated which is
less than the percentage vaccinated in the two previous years. The reason for
this is not far to seek: lack of supervision, as in the case of Jubbulpore
where the Health Officer has not inspected a single vaccination—and want of
proper facilities for the vaccinators to work, are the two great defects still
existing in many towns. Lieutenant Colonel Stokes in 1919 made arrange-
ments for the Sanitary Inspectors of Municipalities to come to Nagpur for
a short training at the Vaccine Institute, and had them appointed as
Superintendents of Vaccination, under Section 7 of the Vacciration Act, so
that they might be able to enforce the rules in connection with vaccination.
Regarding the provision of facilities it is the duty of Municipal Committees to
see that proper stations are established in accordance with section 21 of the
Act, that children are brought there for vaccination and inspection and that a
sustained effort is made to reduce to a minimum the number of unprotected
members of their community.
Mortality from small-pox.
18. Deaths from small-pox numbered 5,272 against 981 in 1917-18 and
4,254 in 1918-19. The Chhattisgarh and Berar Districts
have as usual reported the highest mortality. Strict appli-
cation of the rules in towns, and close supervision of the staff, are the only
means which will check this preventable waste of infant life.
General remarks.
19. During the triennial period, a suitable vaccination instrument case
was introduced, and a Vaccination Manual issued for
the guidance of the staff. Use of the vaccine prepared
at the Vaccine institute, Nagpur, was made compulsory throughout the
province and the vaccination season in Municipal towns prolonged, so that
vaccination is now permissible throughout the year in these towns. Sanitary
Inspectors employed in Municipal towns were trained in the technique of
vaccination and appointed Superintendents so that they may enforce vaccination
in their towns.
20. All that is possible has been done by Government and it now rests
with Local Bodies and their executive officers to further the progress of vaccina-
tion. Strict application of the rules embodied in the Vaccination Manual and
close supervision of the staff are essential.