2
" The whole Province comprised of 22 districts was supplied regularly with vaccine
every week. Casual supplies were given to Assistant Surgeon, Bengal-Nagpur Railway,
Nagpur, and Great Indian Peninsula Railway, Bina, Central Jails, Nagpur and Raipur, all
the Feudatory States of Central Provinces, Military Hospitals at Pachmarhi, Kamptee,
Nagpur and to Bhopal State.
" 297 calves were vaccinated during the year, and the total yield of pulp amounted to
8,359.25 grammes equivalent to 713,340 doses of vaccine; 646,980 doses were issued to the
vaccinators and 23,480 in casual supplies.
"The average purchase price per calf was Rs. 10-10-6 and on an average Rs. 8-1-0
was realised per calf in the local bazaars by the Assistant Superintendent.
" The total expenditure incurred was Rs. 19,458-15-8, of which Rs. 6,742-3-3 were
spent on salaries and travelling allowances and the rest on the purchase and feed of calves,
ice, etc.; Rs. 2,724-5-3 were realized on the sale of healed calves, rotatory lancets and
vaccine.
" The cost per dose of vaccine manufactured was pies four ( Re. 0-0-4 ) only.
"The results of primary vaccination were 98 per cent case success and 89 per cent
insertion success and for re-vaccination 63 per cent case success and 49 per cent insertion
success.
" The Assistant Superintendent conducted the Training Class. Twenty-five fourth
grade vaccinators and one first grade vaccinator were trained and given certificates of
efficiency in vaccination and sanitation by the Sanitary Commissioner"
7. The buildings which are originally provided only as a skeleton have
not sufficient accommodation. Additional buildings have just been sanctioned,
and when these are ready, the present inconvenience which is felt will disappear.
The lymph prepared at the Institute is reported by almost all Civil Surgeons as
good. In some of the district reports it is mentioned that it gave poor results
during the hot weather, but this, as stated by the Civil Surgeon, Bilaspur, is due
to vaccinators having failed to use it soon after its receipt. Now that Local
Bodies have to pay for the lymph supplied to their vaccinators, they will, I hope,
adopt stringent measures to secure its use as soon as it reaches their vaccinators.
In parts of Mandla, lymph is still prepared by the vaccinators, and 77 calves are
said to have been used, which should be enough to supply lymph to seven
districts! This should be stopped at once, and the Civil Surgeon will be
instructed accordingly.
Inspection of Vaccination.
8. Civil Surgeons report that they inspected 36,334 primary and 5,918
re-vaccinations in 3,032 villages. This is low in com-
parison with what they did in the previous year, but the
circumstances of the season were such that they could not devote much time to
this work. On the whole, a fair amount of vaccination was inspected in most
districts. The Civil Surgeons of the two small districts, Betul and Narsinghpur,
do not appear to realize their responsibilities as Health Officers of their districts.
They have done practically no inspection work, though others, with more
important charges, have done much, and their time should be better apportioned
in future.
Some Civil Surgeons include in their work the inspections done by their
assistants and the travelling dispensary staff. This is incorrect.
The Assistant Superintendents of Vaccination and other inspecting officers
seem to have inspected a good number— 215,943 primary and 21,574 re-vaccina¬
tions — in spite of the very unfavourable circumstances of the season which
claimed much of their attention. In Jubbulpore Division more could have been
done.
Vaccination in Municipal
towns.
9. Vaccination in Municipal towns shows marked improvement this year.
This is due to the prevalence of small-pox in the Province.
In most of the Municipal towns special efforts were made,
especially in Nagpur city and also in Kamptee, to get every unprotected child in
the town vaccinated, but there is still room for improvement. The children left
over from previous years are neglected owing to the careless maintenance of
registers.