NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
18
The Civil Surgeon had to keep the Native Superintendent with his camp
for some time and this considerably curtailed the inspections of the latter, who
is favourably reported of.
The cost of each operation is somewhat enhanced by the inclusion of a sum
of Rs. 166 Travelling allowance, the greater part of which should have been
drawn in 1885-86, but was left undrawn till April 1886.
The attude of the people is said to have been decidedly obstructive in
many instances, and on the whole less favourable to vaccination than formerly.
The Burhanpur Municipal Committee were not inclined to aid the cause of
vaccination, but the Civil Surgeon acknowledges the assistance he received
from the members of the Committee at Khandwa and he mentions the following
Tahsildars, Malguzars and others as having given help :—
Mr. Bhagwant Rai, Tahsildar of Burhanpur, and Mr. Khunde Rao and
Vishwanath Rao, Tahsildars of Khandwa.
Hiralall. Patel of Ahmedpur.
Motiram
.,
Surgaon Josi.
Limru
„
Barur.
Tejsing, Mukaddum, Pokar-Fattehpur.
Jotaram, Patel, Chairbaih.
Motising, Mukaddum, Bhuckhul.
Bucktawersing, Mukaddum, Mohanpur.
Chitter, Patel of Gowh Dhangaon Circle.
Slumsing, Patel of Narba.
Bhugwan Patwari of Dhangaon.
Nihalsing, Patel of Rungaon.
Bapu
„
Neemgaon.
Dajiba
„
Titgaon.
Kubirkhan „
Mundwara.
Madho
„
Piplode.
Lachman Bhartha Akund.
Govindram, Patwari of Joswari.
Taij Sing, Patel of Harda.
Govind
„
Sirsol.
Kesho
„
Mundi,
Rao Ramrsing Patel of Bhumgarh.
Nehalsing
„
Songir.
DISPENSARY VACCINATION.
The Civil Surgeon thinks that more work might have been done and does
not think the percentage of success returned by the Hospital Assistants as
reliable as that of the Vaccinators.
SMALL-POX.
In the town of Khandwa among residents and persons from outside 13 cases
were known to have occurred.
19
An outbreak of the disease had existed at 2 villages for some days without
being reported till the Civil Surgeon visited the villages and cases are not
reported even in the Municipal towns.
Mandla. — The supply of lymyh failed in September and the English
having proved unsuccessful the work of vaccination was not started till the
early part of December from virus received from the Civil Surgeon Raipur,
and the Civil Surgeon, Nagpur.
In this district one of the circles is kept for work in the non-working
season.
The number of operations was less than that of 1885-86 by 1,487, the
reason of this decrease being that no work was done in October and November.
The ratio of success as returned by the Vaccinators is 98.40, that found by
the Civil Surgeon and Native Superintendent being nearly the same.
The Civil Surgeon was on tour 23 days, visited 402 villages and saw up
wards of half the vaccinated persons. The Native Superintendent was on tour
109 days, visited 479 villages and saw by far the larger part of the operations ;
he is again well reported of.
DISPENSARY VACCINATION.
The work by both the Hospital Assistants is less than in 1885-86. The
Civil Surgeon thinks that the Hospital Assistant of the Main Dispensary has
as much work as he can do properly without vaccination.
The number of villages in which the Hospital Assistant at Dindori vacci-
nated was less than in the previous year.
SMALL-POX.
The deaths were 28 as compared with 92 in the previous year.
The Civil Surgeon says that as with the present staff of Vaccinators the
whole district cannot be worked over each year, and that as inoculation is prac-
tised in the villages in the Rewah State bordering the district, it cannot be
expected that small-pox will cease to occur.
Betul.—The lymph failed to give satisfactory results in June, and vacci-
nation was not re-established till the English lymph was received in September.
The number of operations was 1,728 less than in 1885-86 ; the decrease is
coincident with a decrease in the number of births, to which the Civil Surgeon
attributes almost entirely the falling off.
The decrease took place in the work of every one of the Vaccinators.
The percentage of success claimed by the Vaccinators is 97.21, that return-
ed by Dr. Daphtary 92.15, and by Assistant Surgeon Ghatak 95.63.
The percentage of success of the 4 1st Class Vaccinators as returned by
the Civil Surgeon is much higher than that of the others. The Civil Surgeon
was on tour 47 days and saw 3,805 vaccinated persons. The Officiating Native
Superintendent is said to be active and intelligent but rather over-zealous, he
20
promises to be a good Superintendent. The Vaccinators had, the Civil Surgeon
found, operated on children in bad health and otherwise unfit for vaccination at
the time, the results in most of such cases being doubtful.
DISPENSARY VACCINATION.
The operation by the 2 Hospital Assistants numbered 254 less than in
1885-86.
The decrease at Badnur is due to the Hospital Assistant's work being con-
fined to the Municipal limits, but no satisfactory explanation, the Civil Surgeon
thinks, has been given of the decrease at Multai.
The percentage claimed by the Hospital Assistants is only 87.97, the Assis-
tant Surgeon who writes the report has not had an opportunity of finding out
the cause of this low rate as compared with that of the Vaccinators.
In the few cases of small-pox which the Civil Surgeon had an opportunity
of examining he found that the persons were unprotected infants or adults
without any marks of vaccination,
Chhindwara.—The supply of lymph was kept up in the towns of Chhind-
wara, Lodhikhera all through the year.
The English lymph proved successful.
Operations were extended from this lymph supply by tubes in the more
distant and " arm to arm" in the nearer circles.
A new distribution of the Vaccinators was made with a view to the better
vaccination of the Jagirs.
The total number of all operations in the district including the Jagirs ex-
ceeded that of 1885-86 by 3,242.
In primary operations there was a decrease of 571, while the re-vaccina-
tions were more numerous by 3,813.
The lesser number of primary operations is, the Civil Surgeon thinks, due
to a decrease in the number of births.
The number of operations in the Jagirs rose by 2,681, of which 463 were
primary.
The Civil Surgeon believes that there are still many childern unprotected
in some of the Jagirs and about 250 under 1 year still unprotected in the
Khalsa.
The percentage of success claimed by the Vaccinators is for primary opera-
tions 99.65, re-vaccination 82.01.
The Civil Surgeon says that vaccination is not, generally speaking, difficult
to carry out in the Jagirs with the exception of the Almodh Jagir, the Jagir-
dar of which does not give much assistance to the Vaccinators.
Vacination has been very much better in the Harrai Jagir during the past
season than it has ever been.
21
The Native Superintendent was on tour 148 days and saw on an average
rather more than 78 cases a day ; he is well reported of.
DISPENSARY VACCINATION.
The Hospital Assistant at the Chhindwara dispensary performed 169 more
operations than in 1885-86, his primary cases being 25 less.
At Lodhikhera there were 338 fewer operations performed than in 1885-86.
The decrease is attributed to the illness of the Hospital Assistant and to a
feeling against vaccination.
Dr. Martin states in proof of the necessity of the Civil Surgeon inspecting
as much of the district as possible, that in one circle 1,188 operations were
performed after he had visited it towards the close of the season, few of which,
he believes, would have been performed but for his visit.
SMALL-POX.
1 death from this disease was reported by the Police, it is doubtful if it
were not a case of chicken pox in a weakly boy.
Seoni.—The supply of lymph was kept up during the year.
The English lymph proved only partially successful. The work was not
started till later than usual owing to the non-receipt of instruments and forms
There was in spite of this delay an increase of 1,807 in the number of
operations over that of 1885-86.
The percentage of success is by Civil Surgeon ...
„
„
Native Superintendent
...
„
„
Vaccinators ...
83.9
95.01
96.74
The difference is due to the exclusion of doubtful cases by the Civil
Surgeon. The Civil Surgeon visited 558 villages and inspected 4,146 cases.
The Native Superintendent visited 1,136 villages and saw 11,739 cases; he is
well reported of.
Balaghat.— The supply of lymph was maintained till July when vaccination
failed, on account of the Vaccinators being sent on cholera duty.
The English lymph proved good and with it work was recommenced in
September. Vaccination was generally "arm to arm," tubes and points being
used only where children were not available.
There was an increase of 1,982 in the total number of operations, but there
was a decrease of 159 in the number of primary vaccinations. The Civil Surgeon
thinks that about 2,000 children under 1 year escaped vaccination owing to
being too young or ill or having left their villages, and says that owing to the
larger than usual emigration to the Berars few children between 1 and 6 years
old were available.
22
The percentage of success claimed by the Vaccinators is 82.57 or upwards
of 8 lower than that of last year, the cause being that in consequence of the
larger emigration from the district the Vaccinators could not ascertain the
results in a much larger number of cases than last year.
The ratios of success found by the Civil Surgeon and Native Superintendent
were 88.20 and 89.68 respectively, the cause of the difference from that of the
Vaccinators being that results which were not seen by the Vaccinators were
found successful by the Civil Surgeon and Native Superintendent.
Re-vaccinations were more numerous than last year by 2,141. The per-
centage of success in them as claimed by the Vaccinator is 55.95, which is the
same as that returned by the Civil Surgeon. The Civil Surgeon considers the
quality of the work satisfactory and the quantity as much as could be effected
under the supervision of the Native Superintendent and Civil Surgeon.
DISPENSARY VACCINATION.
The work of each of the Hospital Assistants was more than it was last year.
The Civil Surgeon was on tour 59 days and saw 6,378 children belonging
to 395 villages.
The Native Superintendent was on tour 161 days and saw 7,438 children
of 609 villages, besides accompanying the camp of the Sanitary Commissioner
for 8 days; he is on the whole well reported of.
The Civil Surgeon drew a higher rate of travelling allowance than he did
in 1885-86, and this has raised the cost of each successful operation. The Civil
Surgeon reports the people to be favourably disposed to vaccination.
SMALL-POX.
There were 267 cases and 80 deaths, being fewer cases but more deaths than
in 1885-86. The Civil Surgeon cannot say how many of those attacked had
been vaccinated.
Bhandara.—Lymph was kept up from arm to arm till the close of May,
when a supply was stored in tubes; this proved good at the commencement of
the working season.
The number of persons successfully vaccinated is 1,500 more than in
1885-86.
The percentage of success is returned by Vaccinators
By Civil Surgeon ... ... ...
By Native Superintendent ... ... ...
96.53
93.45
87.53
The Civil Surgeon thinks that the ratio returned by the Native Superin-
tendent is probably correct.
The Civil Surgeon says that the work which is done in the circles passed
through by him on his way to the out-station dispensaries is better than else-
where, showing the advantage of constant inspection.
The Civil Surgeon was 49 days on tour, visited 239 villages, and saw about
4,000 vaccinated persons.
23
The Native Superintendent was 152 days on tour, visited 822 villages, and
saw 11,195 vaccinated persons.
He is fairly well reported of, but is indifferently educated. The Civil Sur-
geon considers the Vaccinators insufficiently educated and paid, but that their
work taken all round is fairly good.
DISPENSARY VACCINATION.
The vaccination was taken out of the hands of the Hospital Assistant in
charge of the Bhandara Dispensary towards the close of the season, a Municipal
Vaccinator having been appointed at each of the out-stations; the Hospital
Assistant vaccinated more persons than in 1885-86, the total increase being 277
and the largest (150) at Tumsar.
Nagpur.—The supply of lymph was kept up at Nagpur and Kamptee.
The English lymph proved good.
The number of operations was 1,710 less than in 1885-86, the causes
assigned for this being—
(1) Sickness among the staff, one of the best Vaccinators has been able
to do no work since the commencement of December, and another
was ill almost all through the working season.
(2) The detention of one of the Vaccinators of Nagpur for a month on a
criminal charge.
(3) The appointment of a new hand to take the place of an experienced
man who was transferred on promotion to the grade of Native
Superintendent.
One additional Vaccinator was appointed for the City and suburbs of
Nagpur.
The Assistant to the Civil Surgeon and the Native Superintendent both
state that there is more than passive resistance to the work, especially in the
Kalmeshwar and Nagpur circles, and there is said to be a difficulty in procuring
lymph for arm to arm vaccination in the City of Nagpur and its suburbs, as
many of the people object to lymph being taken from their children's arms.
There is difficulty also in getting the children collected for inspection, and
mention is made of the opposition given to vaccination if small-pox breaks out
in a village.
The Assistant to the Civil Surgeon was on tour 42 days, visited 263
villages and saw 1,926 children. The report is written by the Assistant to Civil
Surgeon and Native Superintendent, the Civil Surgeon merely adding his
remarks.
Wardha.— Vaccination was continued till July when the lymph proved
unsuccessful: it was recommenced in September.
The English lymph proved good and from it was raised that which was
used in the working season.
The circles were recast with a view to a more equal distribution of the
work.
24
The number of operations is 387 more than in 1885-86. The percentage
of success claimed by the Vaccinators is 96, almost the same as in the pre-
vious year.
The Civil Surgeen was 38 days on tour, visited 153 villages, and saw 2,613
vaccinated children. The Native Superintendent was on tour 146 days, visited
740 villages, and inspected 10,622 vaccinated persons. He vaccinated a consi-
derably smaller number of children than he did last year as he devoted himself
more to inspection.
The Civil Surgeon says that he has attended to the usual routine of his
duties satisfactorily during the year.
The Civil Surgeon reports as last year that in the small villages the Mal-
guzars are ready to help and vaccination is readily carried out, but in many of
the large ones there is very great difficulty, the Malguzars giving no assistance
especially in villages in which there are two or more of them.
The Civil Surgeon names the following persons as having given aid to the
Vaccinators and Hospital Assistants in their work.
Sheik Bhikan, Conservancy Darogah at Hinganghat, who, as in former
years, gave much assistance.
Dajiba,
Malguzar of Birool.
Mahade Rao
„
Kamgaon.
Bapoojee Janardhan „
Wadneira.
Harihar Rao
„
Janona.
The Kamdar of Bhidee.
The 2 Malguzars of Khudda.
Dhavajee Dhotia, Malguzar of Ellikeli.
Mahadeo Rao
„
Anji.
Beerbul
„
Kharangna.
Anthajee Kamdar of Talegaon.
Narayan Sakharan
Ashti, Kamdar of Bhisnur.
Seetaram Marwaree Malguzar of Wathora.
Govind Rao Kamdar of Bharaswan.
Ram chandra Jairam
Malguzar and Honorary Magis-
trate of Sindi.
DISPENSARY VACCINATION.
All the Hospital Assistants, except the one at Sindhi, operated on a larger
number of children than in 1880-86, but with the exception of that at Deoli,
where it was 66, the increase is very small. There is very decided difficulty in
carrying on vaccination in the dispensary towns. The Civil Surgeon mentions
that at Hinganghat, although 9 children were attacked by small-pox and 1 died,
all Marwarees, yet, on his sending the Native Superintendent with lymph, only 1
Marwaree child was vaccinated, even after the Tahsildar had tried his best to
persuade them to accept the protection.
SMALL-POX.
There were 180 cases and 31 deaths reported. In one village with a popula-
tion of 767, in which 16 cases occurred, only 12 children could be vaccinated, and
25
in another with a population of 1,159 in which 18 cases occurred, only 8. In
the former the disease attacked unvaccinated infants, and in the latter children
over 12 years of age who had not been protected.
Ghanda.—Vaccination was kept up till June when the lymyh proved abor-
tive. Work was recommenced with the English lymph.
The total number of operations was 2,785 more than in 1885-86 : there was
a decrease in the work of 4 of the Vaccinators. The percentage of success
claimed by the Vaccinators is 94.4.
In one Vaccinator's form in a few cases the result was entered as successful,
even when the Civil Surgeon could not see any marks of vaccination.
The percentage of success returned by the Civil Surgeon is in one case as
much as 28 below that of the Vaccinators, and in another 19. The Native
Superintendent's ratio of success is in the case of several of the men much
lower than that returned by them. There was not any re-vaccination properly so
called.
Vaccination is largely by tubes and points and only partly arm to arm.
The Civil Surgeon and Native Superintendent between them saw 56 per
cent of the cases of vaccination.
The Civil Surgeon reports that opposition is met with in some of the
villages.
He acknowledges the help received from the Tahsildars of Warora and
Mul.
DISPENSARY VACCINATION.
The Hospital Assistant at Brahmapuri performed the largest number of
operations. The percentage of success claimed by the Hospital Assistants and
found by the Civil Surgeon are the same, viz. 84.
SMALL-POX.
There were 1,729 cases and 329 deaths reported by the Police, but the
Civil Surgeon thinks that cases of chicken-pox and measles were included.
In the town of Chanda 37 cases with 19 deaths were reported.
Raipur.—The lymph used in the working season was that raised from the
English supply.
There was an increase of 2,583 in the number of operations, but this in-
crease was due to more work on the part of only some of the staff, and two of
the men are very unfavourably spoken of. The amount of work in the town
of Raipur was not as much as the Civil Surgeon thinks it should have been.
The Civil Surgeon reports that the people still object to the vaccination of
children under 1 year of age, and gives this as the explanation of the age of
most of the children vaccinated being between 1 and 6 years.
26
Re-vaccination operations numbered 291 more than in 1885-86, the total
number being 453.
DISPENSARY VACCINATION.
There was a small decrease of 81 in the number of operations by Hospital
Assistants and the work of two is not well reported of.
The Civil Surgeon was on tour only 27 days, indisposition and charge of
the Native Infantry for a month being the causes which prevented his spending
a longer time in the district. The number of villages visited was 159 and the
cases of vaccination seen 3,326, including persons vaccinated the previous year.
Dr. Trimnell found in some of the circles very decided carelessness in the
performance of their duties by Vaccinators, including incorrect returns of results.
The Khalsa Native Superintendent was on tour 139 days, visited 886 villags
and saw 12,968 children : he inspected in 15 of the 18 circles, and he is said to
have worked well.
The ratio of success is by Vaccinators ...
„
„
Native Superintendent
„
„
Civil Surgeon
96.53
87.87
86.51
FEUDATORY STATE VACCINATION.
In Khairagarh the number of Vaccinators was reduced by 2, as it was con-
sidered by the Chief and the Native Superintendent of Vaccination that 4 were
sufficient, and that it would be better to distribute the money thus saved in
rewards for good work.
There was a decrease of 441 in the number of operations performed, which
the Civil Surgeon attributes to the reduction of staff and to bad work on the
part of one of those Vaccinators that remained. Re-vaccination was carried
out.
Rajnandgaon entertained the same vaccination staff, but the operations
have increased by 2,829.
There was not any re-vaccination.
The Native Superintendent inspected the work in 427 villages and was on
tour in this district 151 days.
The Civil Surgeon says that the Chief has interested himself in the work,
and that his Tahsildar Riki Daon has given much assistance; he also names the
following Malguzars and others as having aided the Vaccination staff in their
work.
IN RAIPUR TAHSIL.
Malguzar Raghoba Maharik of Rajim, Secretary District Council and
Honorary Magistrate.
„
Fazil Karim of Datan, Local Board.
Muktiar Jiwan Lal of Sirpur.
27
Malguzar Agardass of Bhandar.
„
Luchman Dass, Mahant of Deosundra.
„
Balaji of Chatowd.
„
Ramji of Ganod.
„
Sarju Prasad of Kathia.
DRUG TAHSIL.
Zamindar Than Singh of Gundhardehi.
Malguzar Musnu of Sakrod, Local Board.
„
Hira Singh of Patora.
„
Gajraj of Pinkapur, Local Board.
„
Gondu Deo of Nahanda.
„
Sunder Lal of Nipani, Local Board.
„
Damodhar of Boria.
„
Sheo Singh of Dhour.
;,
Gondu Devu of Changori, Secretary, District Council.
Thakur Singh of Wuteband.
„
Madho Prasad of Burgaon.
„
Ladumal Set of Boregaon.
„
Banam Singh of Peerut, Local Board.
DHAMTARI TAHSIL.
Malguzar
„
„
„
„
91
„
Lilmani of Siri.
Manik Rao of Hardi.
Rajaram of Bhatagaon.
Ghedro Thakur of Gattasili.
Gobardhan of Sakra.
Baraji Kirdath of Atung, Hono-
rary, Magistrate, and Local Board.
Karia Saru of Chikla Kassa.
Mauzar Pulua of Bhismundi.
„ Hira Ram of Bhengari.
„ Dhan Singh Rao of Thooo,
Local Board.
„ Donk Thakur of Nagri.
„ Sirpath Rao of Barna.
SIMGA TAHSIL.
Malguzar
„
„
„
„
„
„
„
„
Chattarbhuj of Chapa.
Sarbas of Gindola
Thop Singh of Gainari.
Domar Singh of Pathri, Local
Board.
Achli Pershad of Kusuni, Local
Board.
Balgobind Sao of Sardha.
Kamdeo misra of Sungera, Lo-
cal Board
Paran of Khurmura, Local
Board.
Pithambar of Bhimbori.
Umedi of Kesda.
Nohri Sirdar of Charoti, Loca
Board.
Rameshwar of Mungsa.
Bilspur. — The supply of lymph was maintained at Head-quarters through-
out the year and as the English proved bad, the work was carried on with the