2
Cost of the Department.
Statement II.
5. The total cost of the Department rose from Rs. 1,19,096-5-1 to
Rs. 1,21,995-12-1 on account of the development of the
Central Provinces Vaccine Institute and working expenses
connected therewith. Since October 1917, the Institute has been supplying
lymph to all the districts in the Province. Excluding the expenditure at this
institution, the cost of the District Establishment stands at Rs. 1,04,835-13-10
or Rs. 3,726-2-1 less than in 1916-17. This is mainly due to lymph being
no longer prepared at District Head-quarters at the expense of Local Bodies.
The cost of each successful vaccination to Local Bodies also has in consequence
fallen from Re. 0-3-5 to Re. 0-3-1.
Preparation and supply of
lymph.
6. The special buildings for locating the Central Provinces Vaccine
Institute were handed over to the Department in July
1917, and from the 1st October 1917 the whole Province
was supplied with lymph prepared at the Institute. The quality of this lymph is
highly spoken of by all Civil Surgeons. The following is a note on its working
during the past year, drawn up by the Superintendent-in-charge :—
" Assistant Surgeon A. F. C. Gomes was in charge as Superintendent, and Sub-Assis-
tant Surgeon Maroty Ramkrishna in sub-charge throughout the year.
"The whole Province comprising of 22 districts was supplied regularly with lymph
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 and Kamptee,
Consulting Surgeon, Mhow, and to State Surgeon, Bhopal.
" 256 calves were vaccinated during the year and the total yield of pulp amounted to
983,378 grammes equivalent to 841,520 doses of vaccine lymph. Of these, 753,860
doses were issued to the Vaccinators and 23,600 in casual supplies.
"The average purchase price per calf was Rs. 11 and on an average Rs. 8
was realised on each calf in the local bazaars by the Assistant Superintendent.
"The total expenditure incurred was Rs. 17,159-14-3, of which Rs. 4,903-10-11 were
spent on salaries and the rest on feed of calves, ice, etc., etc. Rs. 1,742-12-0 were realised
on sale of calves after operation and Rs. 291-14-0 on rotatory vaccination lancets.
" The Assistant Superintendent of the Institute conducted the Training Class ;
27 fourth grade vaccinators were trained and given certificates of efficiency in Vaccination
and Sanitation.
" The cost per dose of vaccine manufactured at the Institute was pies three (Re. 0-0-3)
only.
" The results for primary vaccination were 99 per cent case success and 92 per cent
insertion success, and for re-vaccination 62 per cent case success and 47 per cent insertion
success. "
7. Since the Institution undertook the preparation of lymph on a large
scale, the supply has been very satisfactory, except in the Raipur and Mandla
Districts, where, owing to the want of proper postal communication, it is not
possible to supply vaccinators working far from the District Head-quarters.
Hence in these two districts some of the vaccinators prepare their own supply
as was done in previous years.
As the establishment of the Institution has relieved District Councils, Civil
Surgeons and the Vaccination Staff of a great deal of trouble and expense in-
preparing lymph, I think it is only fair that Local Bodies and others who get
lymph should pay for the supply ; a charge of 3 pies per dose would not in my
opinion be too much. In Madras and Bombay higher rates are charged.
Inspection of vaccination.
Statement V.
8. Civil Surgeons and their assistants (Assistants to Civil Surgeons)
visited 3,471 villages during the season and inspected
61,369 or 11.95 pPer cent of the primary vaccinations and
5,503 or 6.41 per cent of the re-vaccinations performed during the year. In
Bhandara and Narsinghpur, the Civil Surgeons have done practically no inspec-
tions and have left the work of inspection to the Assistant Superintendents of
Vaccination. This should not be. These officers have now assistants at head-
quarters and there is no reason why they should not spare a few days at a time
for the inspection of vaccination.