2
8. Inoculation is practised in some of the Eastern Districts. The Civil Sur-
geon of Raipur states that it is extensively carried on in that district. He says
that where it is known to be practised, there small pox has been worst. In
Bilaspur the civil authorities sentenced each of three Inoculators detected prac-
tising their craft in that district, to three months' rigorous imprisonment. In
Raipur the civil authorities " have not yet obtained the support of legislation
" against a baneful system of this kind ;" but have done all they legally could
to prevent the practice of inoculation.
9. The number of persons successfully vaccinated per 1,000 of population
for the Provinces has been 37.51. The birth rate for the year 1888-89 was 41.68.
Roughly calculating the proportion of children who die under one year of age,
or are unfit for vaccination on account of sickness, at one-fourth of the number
born, it is evident that if all the operations were performed on children under
one year of age, full protection to the population against small pox would be
afforded.
10. The ratio of the population vaccinated varies greatly in different dis-
tricts. In Sambalpur it is recorded as being 61.58; and in Damoh only 26.24
per 1,000.
11. The proportion of Vaccinators to population, also, varies greatly. In.
Sambalpur there is one Vaccinator to every 37,640 of population : in Bhandara
there is but one to every 62,161. The Civil Surgeon of Bhandara complains that
the vaccination staff is too weak for the requirements of his district. His com-
plaint seems to be well-grounded.
12. A very favourable feature of the season's work is the increase in the
proportion of operations performed on children under one year of age. During
1887-88 the number of children under one year of age who were successfully
vaccinated was 173,924: during 1888-89 this number rose to 196,985. In some
districts, and notably in the District of Raipur, the increase was very great.
13. Between the 1st of April 1888 and the 31st March 1889 the recorded
deaths from small pox numbered about 15,279. As showing the influence which
vaccination exercises on the prevalence of small pox, it may be noted that, in
the 7 districts in which the proportion of persons vaccinated almost equalled,
or exceeded, the Provincial birth rate (41.68), the ratio of deaths from small
pox per 1,000 of population was 0.33; whilst in the 11 districts in which the
ratio of persons vaccinated per 1,000 of population fell below the Provincial birth
rate, the ratio of deaths from small pox per 1,000 of population was 2.32, or
seven times greater.
14. In three districts buffaloes were successfully inoculated with vaccine
virus, and the lymph obtained from them successfully used for the vaccination
of children. In several other districts calves were successfully inoculated, and
a supply of vaccine lymph obtained from them for beginning the season's work.
STATEMENT No. II.
15. It will be seen that the total cost of the Vaccination Establishment,
Provincial and Feudatory, amounted to Rs. 48,902-1-5 (excluding the expendi-
ture in the Feudatory States of Chhuikhadan, Kanker, Sonpur and Bamra), as
compared with Rs 46,098-6-4 for the previous year. There was thus an in-
crease of expenditure of Rs. 2,803-11-1, as compared with the expenditure for the
previous year. The cost of each successful case of vaccination was Rs. 0-1-11:
during 1887-88 the cost was Rs. 0-1-10 ½.
STATEMENT No. III.
16. This Statement gives details of Dispensary vaccination. The total num-
ber of successful primary vaccinations was 12,378; and of these, 8,028 were per¬