NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
16
It is reported that with the exception of one vaccinator (Khudayar Khan)
all the vaccinators have done good work.
Only three deaths from small-pox were reported during the year; so the
district seems well protected.
40. Chhindwara.—Lymph was kept up during the year in the towns of
Chhindwara and Lodhikhera by the arm-to-arm method.
Vaccination in the district was commenced with animal lymph prepared
at Pachmarhi by the arm-to-arm method, and also by lymph taken direct from
calves.
The paste was received from the 27th September 1892 to 4th October 1892,
in nine wooden boxes. The supply appeared to be good. It was used on various
dates from the 30th September to the 30th October. The total number of
cases vaccinated was 635, of which 533 proved successful. The longest
interval between the receipt and use of lymph was 26 days. The best results
were obtained from lymph used on the second after receipt, where 95.45 per cent.
were successful. The operations performed later on did not give so successful
a result. The paste may be considered to have been on the whole active,
although the percentage of success is far below the results of arm-to-arm vac-
cination.
Narsinghpur lymph was practically useless, only 19 cases were successful
out of a total of 601.
The percentage of success in primary cases vaccinated with human lymph
was 92.4, while the percentage of calf lymph was 98.5.
Considerable opposition to animal vaccination was experienced below the
ghats in the Saosar Tahsil.
The Civil Surgeon was out in camp for 43 days and inspected 5,509 cases,
of which 4,670 were successful.
There is a decrease in the number of vaccinations during the year under
report, as compared with the previous year; and this is explained by the fact
that in the towns of the Saosar Tahsil there is always some difficulty in getting
at children.
The vaccination staff is well spoken of.
41. Seoni.— Vaccination was commenced with ten pill boxes of the lano¬
line paste received from Pachmarhi by instalments during the end of Septem-
ber and beginning of October 1892. Only one box turned out reliable, and the
others giving a fair percentage of success. The reason attributed by the vaccin-
ators for this difference is that the first box was received in dry weather, and the
remaining nine during the rains. The Civil Surgeon states that he can personally
give no opinion, having only received charge of the district on the 21st April
1893. The second supply of lymph received in February gave excellent results.
A number of calves and buffaloes was inoculated, and thus a sufficient supply
was raised and kept up during the year.
18
There is a falling off in the work of vaccination this year compared with
that of 1891-92, and this can be explained by the fact that the Tahsildars
of Tirora and Sakoli did not assist the Department.
The Civil Surgeon visited nine of the twelve circles and was out altogether
64 days inspecting 2,502 children; his percentage of success was 91.49.
44. Wardha.—Lymph was kept up during the non-working season by
arm-to-arm vaccination. In the beginning of the working season eight boxes of
lanoline paste were received from Pachmarhi and distributed to the vaccinators.
With this the vaccination work was commenced. The quality of the lymph
when fresh was very good, but in many instances the vaccinators kept it for too
long a time—about a month—and so it proved powerless. The Civil Surgeon
states that he himself used the paste in several instances. It was only powerful
when fresh, but deteriorated on keeping.
The cultivation of animal lymph was carried on as far as possible. The
number of cow and buffalo calves vaccinated in the district is 192. With a
few exceptions every assistance was rendered by the malguzars and the influ-
ential natives towards this branch of work in procuring buffalo or cow-calves.
At first great difficulty was experienced in procuring the calves.
The total number of vaccinations performed by vaccinators and Hospital
Assistants is 13,380, against 13,731 in the previous year. The decrease is mainly
due to the severe weather in March, and to the sickness of two or three vacci-
nators at the beginning of the working season; also to some of them being on
cholera duty in addition to their vaccination duties.
The Civil Surgeon was in camp 44 days and inspected 2,776 children, of
which 2,702 were found successful.
The vaccinators are well reported on with the exception of one Dadamia.
45. Nagpur.—The vaccinators were started with a supply of lanoline
paste and tubes of buffalo-calf lymph; 3,727 children were vaccinated with
the lanoline paste, out of which only 2,086 were successful. The Native
Superintendent vaccinated 180 cases and failed in 113. Some boxes were
sent to Surgeon-Major H. B. Briggs, Superintendent of the Cantonment
Dispensary, Kamptee, and he vaccinated 40 children, the results being ab-
solute failures.
Animal vaccination was carried on satisfactorily, and there was very little
difficulty in obtaining calves, except in Nagpur City. This little difficulty will
be soon overcome; 10,158 persons were vaccinated with this lymph, and the
success obtained is 9,728.
The vaccination staff is well reported on, on the whole.
46. Chanda.—The results obtained from the lanoline paste in this district
are not very satisfactory; whether this is due to the faulty preparation of the
lymph paste or to the length of time which elapses before being used after
preparation, it is difficult to determine, and there has not been sufficient op-
portunity for making a careful record of its properties and results. This will be
done, the Civil Surgeon states, in the next working season.
19
The results of animal vaccination have been fairly satisfactory as far as
numbers are concerned, but it has certain drawbacks, such as the objection of
people to lend their buffalo calves for inoculation, and the want of confidence
in the system amongst the people.
The Civil Surgeon was out on inspection duty 31 days and inspected 2,707
children, of which 2,577 were successful.
47. Raipur.—The district is divided into 35 vaccination circles includ-
ing zamindaries, and they are under the supervision of four Native Superin-
tendents.
The supply of lymph was kept up during the year as usual by keeping
up the work in the Sadar town and in the surrounding villages. Besides this
six buffalo and eight cow calves were vaccinated at the Sadar town to supply
the vaccinators with lymph. Another source of supply was the lanoline paste
received from Pachmarhi in twenty-eight boxes of about 30 grains each.
These were distributed among the vaccinators; 3,164 operations were performed
in the Khalsa portion of the district, and 704 in the Zamindari, out of which
3,041 and 660, respectively, proved successful. The paste was good and active,
particularly when fresh; maturation of vesicles was at the same period as
human lymph; the inflammatory action was higher when paste was fresh,
otherwise much the same as with human lymph, and the cicatrix very typical
when the operation was successful.
Some difficulty was experienced in procuring buffalo calves to carry on the
system of animal vaccination, but this difficulty was overcome, there being no
objection to the use of cow-calves for this purpose by the people of the district.
Some people gave their calves willingly and seemed more anxious to have their
calves protected rather than their children. The Civil Surgeon remarks that
the experiment of animal vaccination this year has convinced him that there
will be no difficulty in making animal vaccination the rule all over the district
in the next season.
The Civil Surgeon was out in camp for 36 days and inspected 3,763 children,
out of which 3,661 were found successful. He could not leave head-quarters in
the months of December and January, owing to sickness among European
families in the station. His jail duties also did not permit him to leave head-
quarters.
The description given regarding the plan of work is satisfactory, but some
vaccinators did not finish their circles.
The vaccination staff with the exception of a few is well reported on.
48. Bilaspur.—A supply of lymph was kept up during the year as usual.
The lanoline paste received from Pachmarhi was distributed to the vaccinators.
The results obtained from this lymph were good; 82.31 per cent. of the
operations were successful. The paste when used in the fresh state seems to
have been quite as active as that taken directly from animals. The vesicles
matured on the sixth day, or seventh day after the operation. The inflamma-
tion seemed to be as active as that of healthy human lymph. The cicatrix was
20
clean, well defined and firm. The paste from Narsinghpur was a comparative
failure, only 28.40 per cent. of the operations proved successful.
Animal vaccination was well carried on in this district. No difficulty was
found in getting animals, though the people preferred leading buffalo-calves to
cow-calves. The Civil Surgeon states that, as far as he was able to inspect
the work of the vaccinators, he thinks they deserve credit for the successful
way in which they have introduced vaccination from the calf ; 2,607 children
were vaccinated with the lanoline paste, of which 2,146 were successful.
49. Sambalpur.—A supply of lymph was kept all the year round ; but
fresh supplies of lanoline paste were received from time to time; also some few
young buffaloes were vaccinated, and the lymph carried on from them. From
the paste received from Pachmarhi, 2,747 children were vaccinated, of which
2,505 proved successful. The paste was very strong; the vesicles matured on
the seventh day; the areola was very large and prominent, and the cicatrix
clear, and well pitted.
As regards animal vaccination, the Civil Surgeon states that it is exceed-
ingly unpopular in this district; one buffalo calf, which he obtained with some
difficulty, and which was vaccinated by the late Sanitary Commissioner himself
when he was there, died, and the owner of course said that it died from being
vaccinated, and this had a very prejudicial effect in extending operations about
Sambalpur, and so the arm-to-arm vaccination, which though much more
troublesome to the people, was much preferred.
The Civil Surgeon was out in camp 29 days, and inspected 1,211 children,
of which 1,183 were found successful.
The vaccination staff, with the exception of one vaccinator, has been well
reported on.
50. In the month of January 1893, Brigade-Surgeon-Lieutenant-Colonel
W. Center inspected, when on tour in the Saugor District, children vaccinated
with animal lymph, and the result of his inspection has already been submitted
for the information of the Chief Commissioner, in this office letter No. 25-C,
dated the 26th January 1893.
51. The inspection work of vaccination made by the Native Superinten-
dents and the Civil Surgeon on the whole is satisfactory.
52. Statement No. V, showing particulars of vaccination verified by Inspec-
ting officers, is appended as required by the Government of India in No. 6 Sanitary/198
dated the 29th August 1892, copy received under Secretariat No. 63 61, dated
the 14th September 1892.
53. The Vaccination Act has been extended in 1892-93 to the following
Municipal towns:—
Nagpur.
Narsinghpur.
Harda.
Sambalpur.
Damoh.
Hatta.
54. Brigade-Surgeon-Lieutenant-Colonel W. Center's note on the cultiva-
tion of animal lymph is appended to this report as an Appendix.
GEORGE CUMBERLAND ROSS, Surgeon-Col.,
Administrative Medical Officer
and Sanitary Commissioner,
Central Provinces.
Secretariat Press, Nagpur: — 21-7-93—200
2
Amount collected from each
calf.
" The amount collected from a single calf varied with the number of insertions made;
but the
maximum collection was ...
minimum
do. ...
average
do. ...
720 grains.
50 „
267
„
" This average of 267 grains is sufficient to vaccinate over 800 children ; one grain of " paste "
is calculated to do for three children.
" The following table compares the results obtained this year with those of the last:—
Number of insertions made on a calf.
Maximum ...
Minimum ...
Average
...
1891.
64
17
33
1892.
64
23
40
Amount of paste prepared from a calf.
Maximum ...
Minimum ...
Average
...
1891.
180grains
25 „
63 „
1892.
720 grains.
50 „
267 „
Better results obtained this
year.
" It will be seen that the average collection of " paste " per calf has risen from 63 grains last
year to 267 grains in this. This is partly due to more experience
acquired in the work and partly to a larger number of incisions
made on the animals. As stated above, the largest number of
insertions made on a calf was 64 ; more could have been done, but for the large ulcerated surface
left after the scraping from which the animal makes a slow and painful recovery.
Buffaloe calves yielded better
results.
" Buffaloe calves yielded more lymph than cow calves ; maximum collection from the former
was 720 grains of " paste" against 480 grains in the latter with
equal number of incisions in both (64).
" Calves were obtained on hire at Rs. 2 each. Each calf was kept in the stall for about
12 days on the average and fed on grass and grain. The establishment consisted of two
attendants on Rs. 6 each per mensem.
"The total cost of the experiment was Rs. 160, as under :—
Instruments, &c.
... ...
Contingencies ... ...
Hire and feeding of calves including wages of attend-
ants and hire of 5 calves (Rs. 10) required for
puncture operations ... ...
Total ...
Rs.
21
16
122
160
a.
3
10
3
0
p.
0
0
0
0
" Deducting from the above amount Rs. 10 paid for hire of five calves for the puncture
operations, each calf cost on the average Rs. 2-15-0, against Rs. 3-8-0 last year."
A trial was made of establishing a cold weather depôt for preparation of lanoline lymph,
with a view of facilitating the operations of Vaccinators in districts where there was any
difficulty as to lymph supply. It was established at Narsinghpur under Assistant Surgeon
Surrendra Nath Barat. Only Rs. 160 had been spent of the grant of Rs. 500, and the Chief
Commissioner sanctioned a further sum of Rs. 500, making a total of Rs. 1,000, with permis-
sion to start a cold weather depôt. A Hospital Assistant was attached to the establishment,
B.—DISPENSARY VACCINATION.
STATEMENT No. III.—Showing Dispensary Vaccination in the Central Provinces during the year 1892-93.
No.
1
1
2
3
4
5
6
7
8
9
10
11
12 13
14
15
16
17
18
District.
2
Saugor ...
Damoh
...
Jubbulpore ...
Narsinghpur ...
Hoshangabad ...
Nimar ...
Mandla ...
Betul ...
Chhindwara ...
Seoni ...
Balaghat ...
Bhandara ...
Nagpur ...
Wardha ...
Chanda ...
Raipur
...
Bilaspur
...
Sambalpur ...
Total ...
Number of dispen-
saries in each dis-
trict to which a
vaccinator is
attached.
3
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Average number
of vaccinators at-
tached to dispen-
saries during the
season.
4
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Total number
of persons vac-
cinated.
5
1,115
865
1,322
817
990
277
293
471
1,886
201
932
1,095
1,183
821
1,538
1,013
287
685
15,791
Average number
of persons vac-
cinated by each
vaccinator.
6
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Primary vaccination.
Total.
7
856
727
1,172
817
987
257
293
397
1,548
201
678
1,095
1,183
808
1,209
1,001
287
685
14,201
Successful.
Under
one
year.
8
697
584
692
591
787
206
192
317
1,473
142
550
740
712
445
703
656
111
299
9,897
One and
under six
years.
9
78
65
288
87
140
23
91
24
18
46
90
256
402
332
346
327
118
271
3,002
Total of
all ages.
10
789
657
1,061
680
932
237
284
349
1,499
189
642
996
1,114
779
1,120
985
229
578
13,120
Re-vaccination.
Total.
11
259
138
150
...
3
20
...
74
338
...
254
...
...
13
329
12
...
...
1,590
Successful.
12
189
75
128
...
3
11
...
54
234
...
207
...
..
12
202
11
...
...
1,126
Percentage of successful
cases.
Primary.
13
92.17
90.37
90.53
83.23
94.43
92.22
96.93
87.91
96.83
94.03
94.69
90.96
94.17
96.41
92.64
98.40
79.79
84.38
92.39
Re-vaccina-
tion.
14
72.97
54.35
85.33
...
100.00
55.00
...
72.97
69.23
...
81.49
...
...
92.31
61.40
91.67
...
...
70.82
No.
1
District.
2
Hoshangabad District.
Makrai State Dispen-
sary ...
Total ...
Raipur District.
Bindranawagarh ...
Dondi Lohara ...
Khairagarh ...
Kankar ...
Total ...
Bilaspur District.
Sakti ...
Kawardha ...
Pendra ...
Pandaria ...
Total ...
Sambalpur District.
Sarangarh ...
Raigarh ...
Borsambar ...
Phuljhar ...
Padampur ...
Patna (Bhawani) ...
Junagarh
...
Rampur ...
Total ...
Total State ...
GRAND TOTAL ...
Number of dispen¬
saries in each district
to which a vaccinator
if attached.
3
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Average number of
vaccinators attached
to dispensaries dur-
ing the season.
4
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Total number of
persons vaccinated.
5
Average number
of persons vacci-
nated by each
vaccinator.
6
Primary vaccination.
Total.
7
STATE DISPENSARIES.
99
99
13
263
110
94
480
237
184
51
167
639
171
271
230
392
274
15
40
34
1,427
2,645
18,436
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
99
99
13
263
107
94
477
205
183
51
167
606
165
271
230
285
274
15
40
34
1,314
2,496
16,697
Successful.
Under
one year.
8
14
14
5
91
59
22
177
94
103
34
76
307
120
156
179
254
177
3
20
13
922
1,420
11,317
One and
under six
years.
9
76
76
7
154
36
48
245
31
47
8
86
172
38
85
40
19
91
8
10
14
305
798
3,800
Total of
all ages.
10
90
90
12
245
97
81
435
125
155
42
163
485
158
242
224
279
271
12
32
28
1,246
2,256
15,376
Re-vaccination.
Total.
11
...
...
...
...
3
...
3
32
1
...
...
33
6
...
...
107
...
...
...
...
113
149
1,739
Successful.
12
...
...
...
...
3
...
3
10
1
...
...
11
5
...
...
84
...
...
...
...
89
103
1,229
Percentage of successful
cases.
Primary.
13
90.91
90.91
92.31
93.15
90.65
86.17
91.19
60.97
84.70
82.35
97.60
80.03
95.76
89.30
97.39
97.89
98.90
80.00
80.00
82.35
94.82
90.38
92.09
Re-vaccination
14
...
...
...
...
100.00
...
100.00
31.25
100.00
...
...
33.33
83.33
...
...
78.50
...
...
...
...
78.76
69.13
70.67
COMPARATIVE STATEMENT No. IV.—Showing the number of persons primarily vaccinated
undermention
Persons prim
Establishment.
Government...
Municipal ...
Local or Dis¬
trict Funds.
Native States
Dispensaries...
Army ...
Europeans ...
Natives ...
TOTAL ...
Total
num-
ber.
Num-
ber
suc-
cess-
fully
vac-
cina-
ted.
Year end-
ing 30th
April 1866.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Total
number.
Number
success
fully
vaccina-
ted.
Total
number.
Number
success-
fully
vaccina-
ted.
Total
number.
Number
success-
fully
vaccina-
ted.
Total
number.
Number
success-
fully
vaccina¬
ted.
Total
number.
Number
success-
fully
vaccina-
ted.
Total
number.
Number
success-
fully
vaccina-
ted.
Total
number.
Number
Success¬
fully
vaccina¬
ted
Year en
1867.
17,466
...
...
...
...
...
...
...
17,466
15,060
...
...
...
...
...
...
...
15,060
1868.
36,927
43,259
...
...
...
...
...
...
80,186
31,435
34,417
...
...
...
...
...
...
65,852
1869.
55,348
64,827
...
...
...
...
...
...
120,175
46,816
52,032
...
...
...
...
...
...
98,848
1870.
86,669
12,299
42,258
...
...
...
...
...
141,226
77,166
10,037
32,473
...
...
...
...
...
119,676
1871.
49,204
48,764
27,173
...
...
...
...
...
125,141
40,394
44,606
17,035
...
...
...
...
...
103,035
1872.
33,380
21,127
54,378
...
...
...
...
...
108,880
28,775
16,440
45,973
...
...
...
...
...
91,188
1873.
45,098
25,090
53,827
...
...
...
...
...
123,515
4,
25
41
...
...
...
...
...
107
the Number of those persons who were successfully vaccinated in the Central Provinces, in each of the
Official years.
vaccinated.
Total
number.
Number
success¬
fully
vaccina-
ted.
Total
number.
Number
success¬
fully
vaccina-
ted.
Total
number.
Number
success-
fully
vaccina-
ted.
Total
number
Number
success-
fully
vaccina-
ted.
Total
number.
Number
successfully
vaccinated.
Total
number.
Number
successfully
vaccinated.
Total
number.
Number
successfully
vaccinated.
31st March
1874.
128,590
...
...
...
...
...
...
...
128,590
1,12,435
...
...
...
...
...
...
...
112,435
1875.
1,76,803
...
...
...
...
...
...
...
176,893
1,58,704
...
...
...
...
...
...
...
158,704
1876.
2,01,636
...
...
...
9,766
...
...
...
211,402
1,88,381
...
...
...
8,574
...
...
...
196,958
1877.
2,45,224
...
...
...
10,184
...
...
...
255,408
2,29,930
...
...
...
8,988
...
...
...
238,918
1878.
2,60,408
...
...
8,976
19,304
...
...
...
288,638
2,41,633
...
...
8,744
16,964
...
...
...
267,341
1879.
2,35,846
...
...
24,015
19,097
...
...
...
278,958
2,23,036
...
...
23,653
17,114
...
...
...
263,803
1880.
2,54,824
5,238
9,535
17,229
20,386
...
...
...
307,212
2,39,497
5,023
8,788
16,576
18,480
...
...
...
2,88,367
COMPARATIVE STATEMENT
Establishment.
Government ...
Municipal ...
Local or District
Funds ...
Native States ...
Dispensaries
...
Army ...
Europeans ...
Natives ...
TOTAL ...
Persons primary
Total
number.
Number
success-
fully vac-
cinated.
Total
number.
Number
success¬
fully vac-
cinated.
Total
number.
Number
success¬
fully vac-
cinated.
Total
number.
Number
success-
fully vac-
cinated.
Total
number.
Number
success-
fully vac-
cinated.
Total
number.
Number
success
fully vac¬
cinated.
Year end
1881.
261,959
9,456
3,314
20,026
23,083
...
...
...
317,838
248,924
9,247
3,058
18,922
20,989
...
...
...
301,140
1882.
295,766
8,534
5,167
51,843
26,188
...
...
...
387,48S
284,465
8,183
5,020
49,702
24,288
...
...
...
371,658
1883.
330,788
7,334
7,004
43,666
30,649
...
...
...
419,441
316,681
6,979
6,801
42,001
28,114
...
...
...
400,576
1884.
329,518
13,578
...
40,207
26,333
...
...
...
409,636
316,836
13,190
...
38,844
24,508
...
...
...
393,783
1885.
330,877
15,876
...
29,738
23,964
...
...
...
400,455
319,345
15,430
...
28,789
22,095
...
...
...
385,659
1886.
...
15,466
297,863
38,446
16,796
...
...
...
368,571
...
11
282
31
153
...
...
...
35
I—(Concluded.)
d
Number
succes¬
fully vac-
cinated.
Total
number.
Number
success-
fully vac-
cinated.
Total
number.
Number
success-
fully vac-
cinated.
Total
number.
Number
success-
fully vac-
cinated.
Total
number.
Number
success-
fully vac-
cinated.
Total
number.
Number
success-
fully vac-
cinated.
Total
number.
Number
success-
fully vac-
cinated.
h
887.
9
2
8
7
...
18,392
289,841
44,461
14,815
...
...
...
367,509
1888.
...
13,744
328,681
51,562
13,958
...
...
...
407,948
...
13,142
315,365
50,036
12,914
...
...
...
391,457
1889.
...
16,355
335,525
56,878
13,425
...
...
...
422,183
...
15,541
321,912
54,793
12,378
...
...
...
404,624
1890.
...
13,839
294,927
43,366
12,777
...
...
...
364,909
...
13,217
284,545
41,199
11,867
...
...
...
350,828
1891.
...
15,204
326,220
53,794
13,508
...
...
...
409,026
...
14,293
314,959
51,698
12,955
...
...
...
393,905
1892.
...
15,475
323,149
60,330
15,305
...
...
...
414,250
...
14,851
311,978
57,779
14,090
...
...
...
398,698
1893.
...
15,847
324,313
51,034
16,697
...
...
...
410,891
...
15,080
313,559
52,454
15,376
...
...
...
396,469