NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
23
SMALL-POX.
Only 24 cases (with 10 deaths) were reported during the year; but the
Civil Surgeon thinks that the reports are not much to be relied on.
60. Seoni.—The supply of lymph was kept up throughout the year and
the English lymph proved successful.
The total number of cases fell from 17,489 to 12,511: this great falling
off being attributed by the Civil Surgeon to the great sickness and mortality
that prevailed in the district. The Municipality entertained a Vaccinator for
the work in the town of Seoni, relieving the Hospital Assistant of this work.
The percentage of success is:
By Vaccinators
„ Native Superintendent
„ Civil Surgeon
97.09
88.55
86.9
The Civil Surgeon visited 368 villages and inspected 2,617 vaccinated
persons; the Native Superintendent visited 825 villages and inspected 7,700
vaccinated persons.
There were only 8 re-vaccinations: the small number as compared with
that of the previous year being due to proper recording of operations. The
Native Superintendent is well reported of.
The Vaccinators met with very little opposition. The Hospital Assistant
at Lakhnadon vaccinated 68 persons.
61. Mandla.—Vaccination was not carried on from July to October owing
to the Vaccinators being employed on cholera duty. The English lymph proved
good and from it vaccination was commenced in October.
The number of operations performed by Vaccinators is 1,779 less than that
of last year, the decrease being ascribed by the Civil Surgeon to nearly all the
adult population having been vaccinated and only children left.
There were 1,772 cases of re-vaccination with a successful ratio of 96.8.
The ratio of successful results of all the operations is:
By Vaccinators
„ Native Superintendent
„ Civil Surgeon
98.85
96.65
98.22
The Civil Surgeon was on tour 30 days, visited 304 villages and inspected
6,087 vaccinated persons.
The Native Superintendent was 133 days on tour, visited 504 villages and
saw 11,046 vaccinated persons: he is well reported of.
DISPENSARY VACCINATION.
The Hospital Assistant in charge of the Main dispensary was directed to
vaccinate only within Municipal limits. He and the Hospital Assistant at
Dindori who vaccinated in villages beyond the circle performed 413 operations,
being a considerable increase on last year's number.
24
SMALL-POX.
The deaths from small-pox were chiefly in the parts of the district border-
ing on Rewah. The Civil Surgeon considers that the present staff is not suff¬
cient to admit of the whole district being worked over in one year.
62. Balaghat.—The lymph became inactive in the rains, and vaccination
was stopped till a supply was received from Nagpur. The English lymph
proved successful and furnished the supply from which the work in the vaccin-
ating season was carried on. The number of operations by vaccinators is 766
less than that of the previous year, but still more than that of 1883-84 by 3,977.
The decrease occurred in 3 circles and was due to the Vaccinators not
working satisfactorily in two and to the death of 2 men one after the other in
the third circle.
The Civil Surgeon was in camp 59 days and inspected 5,135 vaccinated
persons. The Native Superintendent was 104 days in camp and saw 5,992
persons, but a large number of these were the same as those seen by the Civil
Surgeon whom he accompanied; he was prevented by illness from being longer
on tour.
The percentage of success is:
By Vaccinators
„ Native Superintendent
„ Civil Surgeon
9396
97.49
95.91
The difference between the percentage returned by Vaccinators and by the
Native Superintendent and Civil Surgeon is said to be due to cases which
remained " unknown" at the time the Vaccinators recorded the results, having
been found successful by the Native Superintendent and Civil Surgeon at their
inspections, and the high ratio of success is due to the practice of repeating the
operation in cases in which it had already failed, without a fresh entry of the
person's name. The Civil Surgeon did not find any case of falsification and
thinks the figures shown in the returns are as true as it is possible to render
them.
It is calculated that 6,000 children under 1 year old remained unprotected
at the end of the season.
The number of re-vaccination operations is slightly in excess of what it
was in the previous year. The percentage of success was 59.10. The people
are favourably disposed to Vaccination.
DISPENSARY VACCINATION.
The Hospital Assistant at Burha now vaccinates only in the town, he
performed 179 primary and 10 re-vaccination operations, being an increase on
the previous year's work.
The Hospital Assistant at Wara-seoni performed 260 primary operations;
his work also is confined to the town. The work of both is reported good.
25
SMALL-POX.
364 cases with 71 deaths were reported during the year, the Civil Surgeon
cannot say in how many cases the sufferers had been vaccinated. The Native
Superintendent is well reported of.
63. Bhandara.—The supply of lymph was kept up throughout the year
and the English lymph proved successful. The number of operations is 670
less than that in the previous year. The decrease being due to want of energy
on the part of the Vaccinators. The percentage of success is:—
By Vaccinators
„ Native Superintendent
„ Civil Surgeon
95.29
9313
9109
The Civil Surgeon was on tour 11 days, visited 31 villages and inspected
735 vaccinated children.
The Native Superintendent was on tour 146 days, visited 877 villages and
inspected 10,994 vaccinated children.
DISPENSARY VACCINATION.
There is a decrease of 416 in the number of operations performed by
Hospital Assistants, which is ascribed by them to reduction of the area in which
they now work.
The number of cases of small-pox reported from the district was 4,709 and
the deaths 156: in Bhandara town there were 20 cases and 3 deaths.
64. Nagpur.—The supply of lymph was kept up throughout the year at
Head-quarters and the English lymph proved successful.
The number of operations is 1,355 more than it was in the previous season.
The percentage of success is.
By Vaccinators
„ Native Superintendent
„ Civil Surgeon
98.32
9815
97.39
The Assistant to the Civil Surgeon was 42 days on tour, visited 263 villages
and examined 3,337 vaccinated children.
The Native Superintendent was on tour 149 days, visited 427 villages and
examined 7,420 vaccinated children.
The Civil Surgeon and his Assistant lay stress on the almost more than
passive resistance of many of the Malguzars and village officials. About 4,000
children who should have been vaccinated were left unprotected.
The Civil Surgeon suggests that each Vaccinator should be furnished with
copies of a printed purwana signed by the Deputy Commissioner, setting forth
clearly the duties of Malguzars in this matter and under what rules, and explain-
ing that non-compliance will not be permitted.
The only dispensary at which vaccination is carried on by the Hospital
Assistant is that at Khappa. This restriction has not decreased the total work
(by Hospital Assistants and Vaccinators together) in the district.
26
65. Wardha.
Vaccination was carried on throughout the non-working
season. The English lymph proved good.
The Native Superintendent was on tour for 121 days and inspected 9,110
vaccinated children; he is favourably reported of.
The Civil Surgeon took charge of his duties on the 4th December, but did
not get into camp till February: he was altogether 28 days in camp (a case of
serious illness and having to attend the Sessions Court necessitated his return
sooner than he intended) and inspected 2,011 vaccinated children in 115 villa-
ges. The number of operations was 1,079 less than in the previous year.
The decrease is said to be due to the more abundant crops of Jowari and
cotton having drawn away a larger number of people than usual from their
homes.
The Civil Surgeon says that in small villages there is little difficulty in
getting all the children born during the year vaccinated, but that it is not so
in large villages and towns in which there is much passive opposition, especially
among the Brahmins, Marwaries, and Bunniahs.
DISPENSARY VACCINATION.
Both the number of operations and the percentage of success are lower than
they were last year. The Hospital Assistants were, with the exception of the one
at Deoli, directed to vaccinate only within the town limits, and all of them
except the one at Sindi state that they have great difficulty in inducing the
parents to have their children vaccinated.
SMALL-POX.
The disease prevailed in nearly every police circle, the total cases being 415
and the deaths 70.
66. Chanda. The lymph became inactive in July so that there was not
any vaccination done in August and September. The English lymph received
early in October yielded successful results and from the children operated on
with it a supply was raised sufficient to allow of the Vaccinators going in
November to their circles with a good supply.
The Civil Surgeon reports unfavourably of the work: there being only
1 Vaccinator whom he reports well of.
The total number of persons vaccinated is 675 less than it was in the
previous season.
The attitude of the people is reported to be one of indifference: the old
hostility is said to have died out.
The Civil Surgeon was on tour 6 weeks and inspected the work of 6 of the
10 Vaccinators.
DISPENSARY VACCINATION.
Hospital Assistants vaccinated 158 fewer persons than in the previous
season. The reason being that those in charge of the Chanda and Warora
dispensaries were exempted from this duty.
27
SMALL-POX.
The Police reported 1,682 cases with 89 deaths in the whole district,
31 cases without any deaths were reported as having occurred in the town
of Chanda, 12 of those attacked having been, it was said, vaccinated.
67. Bilaspur.—There was a decrease of 2,032 in the number of opera-
tions, the decrease being chiefly in the Zamindaries of Pendra and Matin.
The percentage of success is by Vaccinators 96.72 and by Civil Surgeon
90.36. The English lymph gave good results, but not superior to those obtained
from the lymph that had been kept up at Head Quarters.
The Civil Surgeon saw many cases where ulceration had followed the
operation : the result he thinks in some cases of the use of old lymph and in
other of the applications applied by the parents.
The people are reported as not opposed to vaccination and as beginning to
see that it protects them from the severe epidemics of small-pox which used
to devastate the country, and the Civil Surgeon says that the absence; of small-
pox marks among the younger generation, as compared with the older, is
very noticeable.
Dr. Swaine mentions a case in which there were 5 cases of small-pox in
a village, all in unvaccinated people. In one family all the children except one
had been vaccinated, and all escaped except this unprotected one who died from
the attack.
The number of Vaccinators is said to be too small for the work they have
to do, now that it has been extended to the Zamindaris.
The Civil Surgeon was unable to get out on tour till" February.
The khalsa Native Superintendent was in camp 124 days and is well
reported of.
The Feudatory State and Zamindari Native Superintendent is also well
spoken of, but the Civil Surgeon had little opportunity of seeing his work.
68. Raipur.—The work of the season was carried on from the English
lymph.
Previous to this season the Vaccinator paid for by the Municipality of
Raipur had been employed in the district: this season his circle was confined
to the town of Raipur and villages within a radius of 5 miles.
The senior Vaccinator was appointed to act as Native Superintendent in
the Feudatory States and Zamindaris. The total number of operations
performed by the vaccination staff during the year was 7,512 less than in the
previous year, and the Civil Surgeon says that he cannot assign any satisfactory
reason for it. The only causes to which he can attribute it being that two of
the Vaccinators were comparatively and one quite new to the work. The
Vaccinators attribute the decrease to fewer children having been left unvacci-
nated at the close of last season, but as the Civil Surgeon found numbers of such
28
children still unprotected, he cannot accept this explanation as satisfactory.
The Municipal Vaccinator worked badly and altogether neglected the villages
round the town.
The average number of operations performed by each Vaccinator is 379
less than in the previous year.
Re-vaccination operations rose from 88 in the previous year to 162.
The percentage of success in primary operations is given by Vaccinators
as 96.83: by Civil Surgeons, 90.58.
The Civil Surgeon was on tour 29 days and inspected the work in half the
circles, visiting 194 villages and inspecting 3,155 vaccinated children.
The Civil Surgeon met with an accident at the end of February which
prevented him being out for long in March.
In many villages the Civil Surgeon could not obtain the (village) forms
as in some they had not been left by the Vaccinator, and in others the malguzar
with whom the forms had been left was absent.
The Civil Surgeon did not find the names of any unvaccinated children
entered in the registers ; but he found that in some instances the results were
not correctly recorded in consequence of the Vaccinator having failed to re-visit
the village and ascertain the results : he saw more cases of axillary abscesses
than in previous years, and attributes them to the way in which the operation
was performed. Arm to arm vaccination was less practiced than usual, due to
some extent, he thinks, to the difficulty experienced by the Vaccinators in
inducing parents to take their children to other villages in the heavy rains
in December.
The Native Superintendent was on tour 146 days and found the work in
some circles bad, and the results not correctly recorded. The Civil Surgeon
is of opinion that the Native Superintendent "has taken considerable pains
in his work."
There was not any vaccination carried out in the Zamindaries of Gondai
Silhete, Parpori, Lohara, Burbaspur and Thakur Tola during the year as there
was not any Vaccinator available.
FEUDATORY STATE VACCINATION.
There was not any work in the Chhuikhadan State during the year.
The Native Superintendent appointed in January to inspect the work in
the Feudatory States and Zamindaris was 61 days on tour. He is well
reported of.
DISPENSARY VACCINATION.
The number of operations performed by Hospital Assistants in charge of
dispensaries was 986 as compared with 2,558 in the previous year. The reason
assigned by the Civil Surgeon for this falling off is that at Arang the Hospital
Assistant's work was confined to the town and that the Hospital Assistants in
Raipur were exempted altogether from vaccinating.
29
69. Sambalpur.—The Native Superintendent was suspended early in
December in consequence of the malpractices which it was alleged had occurred
in his district: he inspected 1,150 vaccinated persons and visited 44 villages
during the 32 days he was on tour and did his work satisfactorily. Hospital
Assistant Ram Dutt was appointed to officiate as Native Superintendent in
April; was out 35 days and saw 9,056 vaccinated children in 364 villages.
Except in those of Borasambar and Chunderpur, the work in the Feudatory
States and Zamindaris has been less than in the previous year, and especially in
Raigarh State is this the case. The Civil Surgeon reports that but little
vaccination has been done in the Rerakhol State, 439 cases as compared with
647 last season; he attributes the small number of operations to the State being
thinly populated and to the Rajah and people not being favourably disposed
towards vaccination. The vaccination in the Bamra State has been taken into
his own hands by the Rajah.
The Civil Surgeon did very little inspection as he was detained in the
station in consequence of his having had charge of the troops and by sickness.
DISPENSARY VACCINATION.
The Hospital Assistant of the main dispensary is reported to have worked
well and vaccinated more children than in the previous year, but finds difficulty
in getting children in sufficient numbers to keep up the supply of lymph.
The Hospital Assistant at Bargarh also vaccinated a larger number of
children than last year.
Taking into consideration the suspension of the Superintendent, the enquiry
into the conduct of the Vaccinators, resulting in the imprisonment of two of them
and the necessity of employing new men, the Civil Surgeon thinks that a
fair amount of work compared with that of previous years has been done.
I have the honour to be,
Sir,
Your most obedient Servant,
JAMES H. LOCH, M. D.,
Dy. Surgeon Genl., Sanitary Comr.,
and Supdt. of Vaccination,
Central Provinces.
Feudatory States.
Raipur District.
Khairagarh ...
Nandgaon ...
Total ...
Bilaspur District.
Sakti ...
Kawardha ...
Total ...
Sambalpur District.
Sarangarh ...
Raigarh ...
Bamra ...
Rairakol ...
Sonepore
...
Kalahandi
...
Patna ...
Total
Total of Feudatory States.
Total of vaccine Depart¬
ment Provincial and
Feudatory States ...
166,138
164,339
330,177
22,819
86,362
109,181
71,274
128,943
81,286
17,750
178,70
224,548
237,959
960,461
1,400,119
10,814,690
176.74
181.59
179.11
198.43
97.36
108.96
131.98
86.77
40.88
21.30
197.24
59.95
107.53
80.73
94.9
114.82
6
4
10
1
1
2
2
2
2
1
2
7
10
26
38
221
2,391
3,420
5,811
508
550
1,058
1,315
1,117
731
228
764
3,248
5,812
13,245
20,114
188,320
2,023
2,843
4,866
393
550
943
1,281
1,190
749
211
709
2,981
5,501
12,622
18,431
178,018
4,414
6,263
10,677
901
1,100
2,001
2,596
2,337
1,480
439
1,473
6,229
11,313
25,867
38,545
366,338
736
1,566
1,067
901
1,100
1,000
1,298
1,168
740
439
736
889
1,131
995
1,014
1,624
4,370
6,263
10,633
901
1,100
2,001
2,592
2,337
1,480
439
1,473
6,229
11,262
25,812
38,446
351,775
1,539
2,173
3,712
549
30
579
1,240
101
182
42
96
419
4,006
6,119
10,410
164,014
2,209
2,643
4,852
282
862
1,144
1,224
1,942
1,203
337
1,287
3,595
6,727
16,315
22,311
151,979
4,021
5,846
9,867
845
1,070
1,915
2,475
2,333
1,178
439
1,172
6,081
11,149
25,427
37,209
337,294
44
...
44
...
...
...
4
...
...
...
...
...
51
55
99
14,563
44
...
44
...
...
...
3
...
...
...
..
...
46
49
93
10,452
92.01
93.34
92.79
93.78
97.27
95.70
95 49
99.83
99.86
100.00
99.93
97.62
989.9
98.51
96.78
95.88
100.00
...
100.00
...
...
...
75.00
...
...
...
...
...
90.2
89.09
93.93
71.77
24.47
35.57
29.99
37.03
12.39
17.54
34.77
18.69
18.18
21.73
8.24
27.09
43.39
20.52
26.64
32.15
8,142
3,380
11,522
696
671
1,367
3,015
4,217
6,670
703
1,536
..
10,970
27,111
40,000
367.479
49.01
20.56
34.86
30.50
7.76
12.52
42.30
32.70
82.05
39.60
859
...
42.52
28.22
28.56
33.97
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
4,103
...
...
...
...
...
...
...
...
...
.
..
...
..
...
0.37
VACCINE DEPARTMENT.
STATEMENT II.—(Contd.)
Number.
1
1
2
3
4
5
6
7
8
9
10
11
District
2
Raipur District.
Kairagarh
..
Nandgaon ...
Total ..
Bilaspur District.
Sakti ...
Kawardha ...
Total ...
Sambalpur District
Sarangarh ...
Raigarh ...
Bamra ...
Rehrakhol
...
Sonepore
...
Kalahandi ...
Patna ...
Total ..
Total of Feudatory
States. ..
Total of Vaccine De¬
partment(Provincial)
and Feudatory States
Establishment.
Superin¬
tendent
General
3
...
...
...
... ...
...
...
...
...
...
...
...
...
...
...
...
Superin¬
tendent
of
District.
4
...
...
...
... ...
...
...
...
...
...
...
...
...
...
...
18
Deputy
Superin-
tendent.
5
...
...
...
... ...
...
...
...
...
...
...
...
...
...
...
...
Native
Superin-
tendent.
6
...
*1
1
*1
...
1
...
...
...
...
...
...
...
...
2
20
Vaccinators.
1st
class.
7
...
1
1
...
...
...
...
...
...
...
... 1
2
3
4
78
2nd
class
8
6
1
7
... ..
...
1
...
...
...
... 1
3
5
12
61
3rd
class.
9
...
2
2
1 1
2
1
2
2
1
2
5
5
18
22
85
Chapra¬
sis and
other
servants.
10
...
...
...
... ...
...
...
...
...
...
...
...
...
...
...
33
Expenditure.
Pay of
Establish¬
ment.
11
616
504
1,120
8
0
8
2
0
2
172 72
244
13 0
13
7 0
7
220
80
100
40
80
587
910
2,047
3,412
39,522
0
0
0
0
0
0
0
0
5
15
0
0
0
0
0
0
0
0
9
4
Travelling
allowance.
12
Rs. a. p.
......
......
......
...... ......
......
......
......
......
......
......
......
212
212
212
3,185
8
8
8
7
0
0
0
11
Contingen-
cies.
13
Rs. a. p.
28
27
55
10
3
13
9
0
9
4 1
5
11 0
11
10 0
10
......
......
......
......
......
36 10 7
......
36
98
701
10
4
9
7
2
2
Total cost.
14
Rs. a. p.
645
531
1,176
2
3
5
11
0
11
177 73
250
9 0
9
5
0
5
220
80
100
40
80
623
1,152
2,296
3,723
43,410
0
0
0
0
0
10
8
2
1
0
0
0
0
0
0
7
0
7
11
5
Paid from.
Imperial
funds.
15
...
...
...
... ...
...
...
...
...
...
...
...
...
...
...
...
Provincial
funds.
16
Rs. a. p.
......
......
......
...... ......
......
......
......
......
......
......
......
......
......
......
10,140 4 11
Local funds
17
Rs. a. p.
......
......
......
......
......
......
......
......
......
......
......
......
......
......
28,401 4 7
Municipali¬
ties.
18
Rs. a. p.
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
1,145 5 0
Native
States.
19
Rs. a. p.
645
531
1,176
2
3
5
11
0
11
177 73
250
9
0
9
5
0
5
220
80
100
40
80
623
1,152
2,296
3,723
3,723
0
0
0
0
0
10
8
2
1
1
0
0
0
0
0
7
0
7
11
11
Total.
20
Rs. a. p.
645
531
1,176
2
3
5
11
0
11
177 73
250
9
0
9
5 0
5
220
80
100
40
80
623
1,152
2,296
3,723
43,410
0
0
0
0
0
10
8
2
1
0
0
0
0
0
0
7
0
7
11
5
Number
of all suc¬
cessful
vaccina¬
tions and
re-vac-
cinations
21
4,065
5,846
9,911
845
1,070
1,915
2,478
2,333
1,478
439
1,472
6,081
11,195
25,476
37,302
347,746
Average
cost of each
successful
case.
22
0
0
0
2
1
1
6
5
10
0
0
2
2
1
1
0
0
0
0
0
0
0
0
0
0
1
0
1
1
0
1
1
1
1
1
5
6½
0
5½
10
7½
7½
5
7
11¾
* These two Native Superintendents were appointed to inspect the Vaccine operations performed in the following Feudatory States and Zamindaries: —
Khairagarh.
Nandgaon.
Khugi.
Chuikhadan.
Kawardha.
Burbaspur.
Thakurtola.
Sakti.
Pendra.
Kenda.
Matin.
Lopha.
Chhuri.
Uprora.
Korba
Raigarh.
Sarangarh.
B.—DISPENSARY VACCINATION.
Statement No. III. showing Dispensary Vaccination in the Central Provinces, during the year 1885-86.
District.
1
Saugor ...
Domoh ...
Jubbulpore ...
Narsinghpur ...
Hoshangabad ...
Nimar ...
Mandla ...
Betul ...
Chhindwara ...
Seoni ...
Balaghat ...
Bhandara ...
Nagpur ...
Wardha ...
Chanda ...
Raipur ...
Bilaspur ...
Sambalpur ...
Total of Province (exclu-
sive of Feudatory States.)
Number of
dispensaries in
each district to
which a vaccin-
ator is attached.
2
......
......
......
......
......
......
......
......
......
......
......
.......
......
......
......
......
......
......
......
Average number
of vaccinators
attached to dis-
pensaries during
the season.
3
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
Total number
of persons
vaccinated.
4
1,039
1,440
4,241
......
1,136
372
413
415
2,333
68
457
724
301
975
1,192
986
844
464
17,400
Average
number of
persons vac-
cinated by
each vaccin-
ator.
5
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
Primary Vaccination.
Total.
6
1,020
1,440
3,667
...
1,112
362
413
396
1,684
68
445
723
301
967
1,185
971
814
464
16,062
Successful.
Under
one year.
7
888
854
2,155
...
742
221
307
284
1,569
54
378
454
263
417
679
522
161
83
10,031
One and
under
six.
8
114
358
1,002
...
220
100
101
60
51
11
61
203
26
302
298
364
599
363
4,233
Total.
of all
ages.
9
1,003
1,250
3,225
...
962
321
408
345
1,669
65
439
657
290
857
1,027
908
778
457
14,661
Re-vaccination.
Total.
10
19
...
574
...
24
10
...
19
649
...
12
1
...
8
7
15
...
...
1,338
Successful.
11
9
...
386
...
20
5
...
12
451
...
8
1
...
1
7
7
...
...
907
Percentage of suc-
cessful cases.
Primary.
12
98.33
86.81
87.94
...
86.51
88.67
98.79
87.12
99.11
95.59
98.65
90.87
96.35
88.63
86.67
93.51
92.18
98.49
91.27
Re-vaccin-
ation.
13
47.37
...
67.25
...
83.33
50.00
...
63.16
69.49
...
66.66
100.00
...
12.50
100.00
46.67
...
...
67.78