NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
STATEMENT No. V.—Showing particulars of Vaccination verified by Inspecting Officers
during the year 1895-96.
District.
Saugor ...
Damoh ...
Jubbulpore ...
Narsinghpur ...
Hoshangabad ...
Nimar ...
Mandla ...
Betul ...
Chhindwara ...
Seoni ...
Balaghat ...
Bhandara ...
Nagpur ...
Wardha ...
Chanda ...
Baipur ...
Bilaspur ...
Sambalpur ...
Total ...
HOSHANGABAD DISTRICT.
Makrai State ...
Total ...
RAIPUR DISTRICT.
Khairagarh
...
Nandgaon ...
Chhuikhadan ...
Kanker ...
Total ...
BILASPUR DISTRICT.
Kawardha...
Sakti ...
Total ...
SAMBALPUR DISTRICT.
Sarangarh
...
Raigarh ...
Rairakhole ...
Sonepur ...
Kalahandi ...
Patna ...
Bamra ...
Total ...
TOTAL STATES ...
GRAND TOTAL ...
Total number of persons vaccinated.
17,388
5,197
24,649
17,500
13,826
11,456
19,963
12,721
22,664
11,920
8,009
26,715
23,495
11,646
21,713
45,537
46,012
31,027
371,438
100
100
6,603
7,429
885
4,232
19,149
4,846
1,412
6,258
5,357
8,039
642
8,411
10,244
17,527
2,555
52,775
78,282
449,720
TOTAL NUMBERS
INSPECTED.
By Deputy Sanitary Com-
missioners or Civil Sur-
geons.
1,570
1,631
9,333
4,439
1,927
4,940
5,115
4,353
4,616
1,921
2,638
5,720
3,764
1,402
3,437
3,433
4,191
4,592
69,022
...
...
...
...
...
...
...
...
279
279
695
1,001
179
500
526
1,333
...
4,234
4,513
73,535
By Native Superintendents
or other Inspecting Offi-
cers.
6,639
1,987
6,951
6,915
4,141
10,953
6,545
6,272
9,616
5,541
5,220
10,994
8,207
5,222
11,670
33,523
25,617
23,903
189,916
PERCENTAGE OF
INSPECTION TO TOTAL
NUMBER VACCIN-
ATED.
By Deputy Sanitary Com-
missioners or Civil Sur-
geons.
9.03
31.38
37.86
25.37
13.94
43.12
25.62
34.22
20.37
16.12
32.94
21.41
16.02
12.04
15.83
7.54
9.11
14.80
18.58
By Native Superintendents
or other Inspecting Offi-
cers.
38.18
38.23
28.20
39.51
29.95
95.61
32.79
49.30
42.43
46.48
65.18
41.15
34.93
44.84
53.75
73.62
55.67
77.04
51.13
FEUDATORY STATES.
...
...
5,133
6,002
451
4,186
15,772
944
1,273
2,217
3,173
5,431
179
1,152
3,490
16,399
...
29,824
47,813
237,729
...
...
...
...
...
...
...
...
19.76
4.44
12.97
12.45
27.88
5.94
5.13
7.61
...
8.02
5.76
16.35
...
...
77.74
80.79
50.96
98.91
82.36
19.48
90.16
35.43
59.23
67.56
27.88
13.70
34.07
93.56
...
56.51
61.08
52.86
PERCENTAGE OF CASES
FOUND SUCCESSFUL
OF TOTAL NUMBER
INSPECTED.
By Deputy Sanitary Com-
missioners or Civil Sur-
geons.
97.26
91.11
83.86
95.76
95.38
93.85
88.97
94.72
62.59
66.94
92.34
91.22
90.09
97.00
91.50
95.88
67.76
95.51
87.62
...
...
...
...
...
...
...
...
82.44
82.44
97.41
95.90
95.53
96.80
98.67
96.55
...
96.79
95.90
88.13
By Native Superintendents
or other Inspecting Offi-
cers.
98.51
90.74
87.07
96.69
91.48
90.87
93.38
93.69
75.42
76.34
96.67
92.71
89.53
97.82
93.20
96.63
79.87
96.71
91.01
...
...
97.51
96.00
62.31
93.02
94.74
90.57
88.85
89.58
95.71
91.73
95.53
95.14
95.93
96.87
...
95.63
96.05
91.82
Percentage of success reported by vac-
cinators.
95.98
88.80
93.23
96.77
92.24
95.26
98.52
96.51
93.55
97.47
94.63
98.40
95.19
96.27
96.92
97.55
95.53
99.00
95.88
77.00
77.00
97.27
97.64
94.35
99.53
97.78
98.13
98.37
98.19
95.56
97.73
98.44
94.62
96.43
99.42
94.29
96.81
97.19
96.37
xiv
APPENDIX.
Statement showing the number of calves vaccinated, and the cost incurred in
connection with the cultivation of animal lymph, together with the numbers
vaccinated with the lymph:—
No.
1
2
3
4
6
6
7
8
9
10
11
12
13
14
15
16
17
18
Districts.
Saugor...
Damoh...
Jubbulpore...
Narsinghpur...
Hoshangabad...
Nimar...
Mandla...
Betul...
Chhindwara...
Seoni...
Balaghat...
Bhandara...
Nagpur...
Wardha...
Chanda...
Raipur...
Bilaspur...
Sambalpur...
Total...
Number
of
calves
vaccina-
ted.
671
155
328
525
361
588
249
428
427
432
463
953
540
386
337
1,548
1,120
688
10,199
Number
success-
ful.
620
146
269
449
352
546
167
411
408
385
421
831
469
341
305
1,408
1,007
648
9,183
Num-
ber un-
suc-
cess-
ful.
26
9
59
42
9
40
82
17
9
28
31
88
40
45
32
78
70
40
745
Number
rejected
for suppu-
ration or
excessive
inflamma-
tion in the
vesicles.
25
...
...
34
...
2
...
...
10
19
11
34
31
...
...
62
43
...
271
Total cost
incurred.
Rs.
10
a.
10
p.
0
...
38
4
5
8
13
4
0
6
0
...
1 14 0
...
21
21
4
11
2
7
0
0
0
...
128 6 0
...
7
7
5
15
0
2
0
0
0
...
256 12 6
BY ANIMAL LYMPH.
Number
vaccinated.
14,700
2,817
22,259
17,500
14,312
10,710
4,978
13,112
23,639
11,290
8,522
22,055
14,383
11,498
17,990
27,332
34,259
12,403
283,759
Number
successful.
14,167
2,574
20,808
16,478
12,994
9,701
4,705
11,987
19,689
11,048
7,958
21,555
13,474
10,793
17,360
26,790
30,840
11,913
264,834
xv
NOTE
ON
VACCINATION
IN THE
CENTRAL PROVINCES
FOR THE SEASON
1896-97:
BY
SURGEON COLONEL G. HUTCHESON, M. D.,
OFFG SANITARY COMMISSIONER.
PRINTED AT THE SECRETARIAT PRESS,
1897.
[PRICE ONE RUPEE.]
No. 7517.
Extract from the Proceedings of the Chief Commissioner, Central Provinces, in
the General Department, dated Nagpur, the 29th September 1897.
READ—
The Annual Statements of Vaccination Operations in the Central Provinces for the
year 1896-97, with notes by the Sanitary Commissioner.
READ ALSO—
The District Reports.
RESOLUTION .
The total number of operations performed during the year by the Provincial
Vaccination Department is compared as follows with the operations during the
previous triennial period :—
Primary...
Re-vaccination...
Total...
1893-94.
323,989
53,156
377,145
1894-95.
351,791
48,088
399,879
1895-96.
317,866
53,572
371,438
1896-97.
294,101
33,056
327,457
The decrease begun in the previous year has therefore continued. Neverthe-
less, in view of the exceptional difficulties it had to contend with, it is, the Chief
Commissioner thinks, creditable to the Department that it should be able to show
so good an outturn of work as that exhibited above. The work of vaccination,
though performed sporadically during the hot weather, is chiefly carried on
during the winter months, from November to April. In 1896-97 this period
coincided with the establishment of famine conditions in fourteen out of the
eighteen districts of the Central Provinces, and the work of vaccination was
therefore much hampered. Vaccinators were in several districts withdrawn
from their proper duties for the Medical charge of famine camps and for other
work in connection with famine. Another burden extraneous to its proper work
which fell on the Department was duty in connection with plague inspections,
for which Vaccinators were employed at several railway stations.
Added to this was the falling off in the infant population caused by the
pressure of scarcity in the northern parts of the Province for a succession of
three years, and the deepening of distress into famine in the autumn of 1896.
The birth-rate for 1896 was 31.72 per 1,000 only, against a normal of over 40,
while the death-rate among children under one year of age was 318 against
a normal of 260. The vagrant habits induced by the pressure of distress,
especially among the aboriginal population, added to the difficulty of carrying out
vaccination work efficiently.
2. In the Feudatory States the number of operations fell from 65,690
primary and 12,592 re-vaccinations in the preceding year to 58,693 primary and
10,886 re-vaccinations in the year under report. The figures for Bamra and
Sonpur, which have not sent in returns this year, are excluded. The average
number of operations performed by each Vaccinator both in the Provinces and
Feudatory States was 1,519, or 221 less than during the previous year. The
number of vaccinations at dispensaries both in British and Feudatory territory was
16,773 against 15,775 in the previous season. The Chief Commissioner thinks
that returns of the work performed by the Municipal Vaccinators referred to in
paragraph 23 should also be reported. Column 4 of Statement 3 shows that this
is required.
2
It is observed that in the columns showing total population the population
of Zamindaris in which no work was done has been excluded. This is incorrect.
Zamindaris are as much British territory as any other part of the Provinces, and
the Department is responsible for carrying on work in them as fully as in the
Khalsa. No part of the Provinces should be left without the protection afforded by
vaccination, or regarded as outside the area for which the District Medical
Officer is responsible.
3. In the exceptional conditions which prevailed it is not worth while
examining closely the statistics of the several districts. In spite of the adverse
circumstances of the year, eight districts show an increase in the number of
primary vaccinations performed. Except Saugor and Betul, these were all districts
which suffered only slightly from distress. In Saugor the recovery, 13 per cent.,
follows upon a much 'larger falling off,34 per cent., in the previous year.
4. The proportion of successful primary cases verified as such among those
seen by Civil Surgeons (91.70) and Superintendents (92.78) was considerably
larger than last year, when it was given as 87.62 and 91.01 respectively, which result
may be considered satisfactory. Of the total number vaccinated 18.09 Per cent.
were seen by Civil Surgeons and 49.32 by Superintendents as compared with 18.58
and 51.13 in the preceding year. The percentage of cases inspected by the Civil
Surgeon (1.78) was exceptionally low in Sambalpur, and as this district was not
afflicted by famine, a larger amount of inspection was to be expected.
5. Animal lymph supplied the bulk of the vaccination and worked very
successfully. There seems to be no prejudice worth notice against its use in
these Provinces. Betul appears to be the district in which the lymph used was
least successful, two supplies having failed before vaccination was thoroughly
established by means of lymph procured from Bangalore. The Sanitary Com-
missioner rightly directs attention to the great importance of seeing that operations
are in all cases carried out with thoroughly efficient lymph, a point which
specially requires the attention of the Civil Surgeons.
6. The Chief Commissioner is indebted to the Sanitary Commissioner
for careful examination of vaccination work. He observes that in some districts
it is not as efficient as it might be. The approaching season will, the Chief
Commissioner trusts, enable the steady progress which has been temporarily
interrupted to be resumed, though the falling off in the infant population caused
by the effects of famine cannot be expected to be repaired for some time to come.
ORDER.—Ordered, that a copy of this Resolution be submitted to the
Government of India in the Home Department, and that a copy be forwarded to
the Sanitary Commissioner, Central Provinces, for information and guidance;
also that it be published in the Supplement to the Central Provinces Gazette.
[True Extract.]
A. L. SAUNDERS,
Second Secretary.
Secretariat Press, Nagpur .—T. G. G., 30-9 97—200.
NOTE
ON
VACCINATION
IN THE
CENTRAL PROVINCES
FOR THE SEASON
1896-97.
Owing (a) to scarcity and widespread distress among the general popula-
tion, (b) to the falling off in the number of births, and (c) to the emigration of the
people from their villages while in search of employment or the means of sub-
sistence, the operations of the Vaccination Department have been considerably
restricted during the past as compared with former seasons. Besides a number of
Native Superintendents of Vaccination and a considerable proportion of the
Vaccination Establishment were employed on famine, cholera and plague duty
during the season, and such causes tended to limit the field of operations. It
may be here stated, also, that the returns from the Feudatory States of Bamra and
Sonepur were not received in time to be incorporated in the general returns.
Establishment.
2. The strength of the Provincial and Feudatory
State Vaccination Establishments is noted below : —
1895-96...
...
...
1896-97... ... ...
Difference...
Provincial.
209
209
...
Feudatory States.
48
51
+ 3
Although the number of Provincial Vaccinators was the same in both years,
the district figures show that there was one less in the Seoni District, and an
additional Vaccinator was employed in the Ambagarh Zamindari of the Chanda
District. The particulars of vaccination in the Bastar State are included for the
first time in the returns, and 11 Vaccinators were entertained by the State autho-
rities. The non-receipt of the returns from the Bamra and Sonepur States has
led to the exclusion of the eight Vaccinators of those States from this year's
statement.
General operations.
3. The following table shows the total number of operations performed by
Vaccinators in the Province and Feudatory States during
the past two years :—
Central Provinces.
Feudatory States..
Total...
TOTAL NUMBER VACCINATED.
1895-96.
371,438
78,282
449,720
1896-97.
327,457
* 69,579
397,036
Difference.
—43,981
—8,703
—52,684
TOTAL PRIMARY VACCINATIONS.
1895-96.
317,866
65,690
383,556
1896-97.
294,101
* 58,693
352,794
Difference.
—23,765
—6,997
—30,762
TOTAL RE-VACCINATION.
1895-96.
53,572
12,592
66,164
1896-97.
33,356
* 10,886
44,242
Difference.
—20,216
—1,706
—21,922
* Excluding Sonepur and Bamra, and including Bastar State returns.
4. The total number of operations performed in 1896-97 in the Provinces
and Feudatory States was 397,036, or 52,684 less than in the previous year.
2
5. Primary vaccinations numbered 352,794 against 383,556, and re-vaccina-
tions 44,242 against 66,164 during the previous season. The decline in primary
vaccinations in the Provinces, excluding the figures of Feudatory States,
was about 8 per cent.
6. The decline in operations was due to general privation and the unhealthi-
ness of the year, and to a decrease in the number of births and increase in the
deaths of children. The birth-rate of 1896 reached the minimum rate recorded
during the past 15 years, and the decrease in the number of births occurred in
fourteen districts. The withdrawal of Vaccinators for epidemic duty during the
working season also affected the results, as previously noted.
7. The percentage of successful primary cases was 96.20 against 96.37, and
that of re-vaccinations was 77.68 as compared with 82.11 in the previous year.
The following table shows the percentage of success claimed to have been
obtained by the Vaccinators, and as checked by Native Superintendents and Civil
Surgeons:—
Year.
1895-96...
1896-97
Claimed by Vaccinators.
96.37
96.20
As seen by Civil
Surgeons.
88.13
92.01
As seen by Native
Superintendents.
91.82
93.46
8. The average number of operations performed by each Vaccinator, both
in the Provinces and Feudatory States, was 1,519, or 221 less than during the
previous year.
STATEMENT No. I.
Operations by Provincial Vaccinators.
9. The total number of persons vaccinated by Provincial Vaccinators was
327,457 (169,833 males and 157,624 females) as compared with 371,438
(191,468 males and 179,970 females) in the previous year, or 43,981 less than
in 1895-96. The decrease occurred under the head "Primary Vaccinations"
as well as under " Re-vaccinations."
The average number of operations performed by each Vaccinator was 1,557,
or 208 less than that of the previous season.
10. An increase was shown in the average number of operations—primary and
re-vaccinations—-performed by each Vaccinator in the districts noted, namely :—
Hoshangabad ...
Saugor...
Nimar...
Wardha...
Nagpur...
Raipur...
+ 187
+ 142
+ 141
+
99
+
69
+
7
and a decrease in :—
Balaghat... ... ...
Mandla... ... ...
Chhindwara...
...
...
Narsinghpur... ... ...
Bilaspur... ... ...
Bhandara... ... ...
Chanda... ... ...
Jubbulpore... ... ...
Betul...
...
...
Damoh...
...
...
Seoni... ... ...
Sambalpur... ... ...
— 966
— 785
— 735
— 581
— 547
— 261
— 249
— 243
— 192
— 165
—
27
— 14
3
11. As regards primary vaccinations, eight districts showed an increase and
10 a decrease. The decrease varied from 5,593 in Balaghat to 715 in Hosh-
angabad, and the increase from 33 in Chanda to 1,732 in Saugor.
12. The following table shows the difference in the number of primary
operations performed by Provincial Vaccinators during seasons 1895-96 and
1896-97:—
Balaghat...
...
Bilaspur...
...
Jubbulpore ... ...
Mandla...
...
Seoni...
...
Bhandara ...
...
Chhindwara...
...
Narsinghpur...
...
Damoh...
...
Hoshangabad...
...
Saugor...
...
Nagpur...
...
Nimar...
...
Wardha... ...
Betul... ...
Raipur...
...
Sambalpur...
...
Chanda...
...
1895-96.
7,801
37,916
24,032
11,848
11,895
24,898
11,263
14,391
5,195
13,111
13,158
22,828
10,242
10,147
9,093
45,529
29,698
14,821
1896-97.
2,208
32,713
19,862
7,951
9,280
22,493
9,257
12,785
4,228
12,396
14,890
24,280
11,074
10,933
9,457
45,685
29,755
14,854
Difference.
—5,593
—5,203
—4,170
—3.897
—2,615
—2,405
—2,006
—1,606
—967
—715
+1,732
+1,452
+832
+ 786
+ 364
+ 156
+ 57
+ 33
13. Successful primary operations performed on infants, under one year of
age, during the past five years, are indicated as follows:—
1892-93...
...
1893-94... ...
1894-95...
...
1895-96...
...
1896-97...
...
327,553
215,806
231,097
209,317
202,750
14. The following table shows the total number of children, under one year
of age, available for vaccination, and the number successfully vaccinated during
the past season:—
Year.
1895-96
1896-97
Registered
births.
313,119
303,584
Registered
deaths under
one year.
99,562
92,171
Number
of children
available for
vaccination.
213,557
211,413
Infants
successfully
vaccinated.
* 192,229
*184,587
Infants
remaining to be
vaccinated.
21,328
26,826
* Excluding Zamindari vaccination.
4
Re-vaccination.
15. There has been a large decrease under the head " Re-vaccination",
which may be in part due to the orders issued on the subject. Vaccinators are
frequently tempted to perform re-vaccination more frequently than necessary with
a view to supplement their record, when the number of primary operations falls
short of the average. This practice has been discouraged of late years.
STATEMENT No. II.
16. The total cost of the Provincial Vaccination Department amounted to
Rs. 40,535-0-10 against Rs. 41,610-4-10 in 1895-96, or Rs. 1,075-4-0 less. The
decrease occurred chiefly under the heads "Establishment" and "Travelling
Allowance." The decrease under the former head was due to the retirement from
the service of Native Superintendents and dismissal of Vaccinators of the higher
grades, their places being taken by juniors on less pay ; and under the latter head
to less travelling allowance having been drawn by Civil Surgeons.
17. The average cost of each successful case of vaccination for the year
was Re. 0-2-1 2/5 against Re. 0-1-11 in 1895-96. The increase is due to a
decrease in the number of successful operations performed by the Vaccinators
owing to causes already indicated.
18. The total cost of the Vaccination Establishment of the Feudatory States
exclusive of Makrai, Bamra and Sonepur for the year amounted to Rs. 6,171-7-11
against Rs. 4,567-9-11 in 1895-96, or Rs. 1,603-14-0 more. This increase is
chiefly due to the inclusion in the statements of the cost of carrying on vaccina-
tion in the Bastar State (Rs. 1,708-2-11).
19. The average cost of each successful operation was Re. 0-1-5 1/3 against
Re. 0-0-11 1/2 in the previous year.
20. The total amount expended during the year in the Central Provinces
and in the Feudatory States was Rs. 46,706-8-9 against Rs. 46,177-14-9,
or Rs. 528-10-0 more than in 1895-96.
21. The average cost of each successful case of vaccination was Re. 0-2-0
against Re. 0-1-9 in the previous season.
STATEMENT No. III.
22. The total number of operations performed by Hospital Assistants
attached to dispensaries, both in the Central Provinces and in Feudatory States,
was 16,773 against 15,755, or 1,018 more than in the previous season. Fifteen
thousand and twenty-seven were primary operations and 1,746 re-vaccinations,
and 8,959 were successful primary operations on infants under one year of age.
23. The Dispensary Vaccination Return for the Narsinghpur District was
blank. It is stated that a Municipal Vaccinator was employed to perform vacci-
nation in Narsinghpur and Gadarwara towns.
STATEMENT No. IV.
24. The total number of operations and the number successfully vaccinated
were considerably less than in the previous season.
7
31. Saugor.—Lanoline vaccine paste of buffalo calf lymph was prepared at
head-quarters, and distributed to Vaccinators.
32. Damoh.—Lanoline vaccine paste was prepared at head-quarters by
the Native Superintendent, and distributed to Vaccinators.
33. Jubbulpore.—The supply of lymph was kept up during the recess, and
Lanoline vaccine paste prepared therefrom at the Victoria Hospital.
34. Narsinghpur.—Lymph was kept up throughout the non-working
season from buffalo calves, and the lymph obtained from them was distributed to
Vaccinators, who kept up the supply of fresh lymph from buffalo calves through-
out the working season.
35. Hoshangabad.—Vaccination work was begun with animal lymph, which
was kept up during the preceding hot weather and rains.
Lanoline lymph was prepared from this and distributed to Vaccinators.
36. Nimar.—The supply of lymph was kept up during the hot weather and
rains, with which regular work was commenced in the cold weather. From May
to September the arm-to-arm method was adopted, but during the rest of the year
animal lymp was used.
37. Mandla.—Arm-to-arm operations were conducted during the recess,
several attempts at calf vaccination having proved failures. Regular work was,
however, commenced with calf lymph and Lanoline paste.
38. Betul.—Lymph was preserved during the non-working season by
vaccinating from cow and buffalo calves, and each Vaccinator was supplied with a
calf inoculated with this lymph when the work commenced. The lymph, however,
was not satisfactory, and a supply was obtained from Darjeeling, which also proved
unsuccessful. Some Bangalore lymph was then obtained, which proved suc-
cessful.
39. Chhindwara.—Arm-to-arm vaccination has been completely stopped,
and all operations are carried on with animal lymph obtained from buffalo calves.
40. Seoni.—Buffalo calf lymph was kept up during the recess, with which
Vaccinators commenced their regular work.
41. Balaghat—Vaccination was performed with buffalo calf lymph.
42. Bhandara—Vaccinators were provided with animal lymph of local
cultivation carried on through the calf without any renewal since the end of 1894.
43. Nagpur.—Lymph used was cultivated and preserved during the non-
working season by arm-to-arm vaccination and by buffalo calf retro-vaccination.
At the commencement of the working season Vaccinators were supplied with
buffalo lymph. Any lymph they required after this was obtained for themselves
by vaccinating calves.
44. Wardha.—Lanoline vaccine paste was made at head-quarters and
issued to Vaccinators.
45. Chanda.—Three kinds of lymphs were used—human, animal and
Lanoline paste. Lanoline lymph was procured from Bangalore.
46. Raipur.—Lymph was kept up during the non-working season by
vaccinating calves, and this was used during the working season.