5
TABLE II.
Districts.
Saugor ... ... ... ...
Damoh ... ... ... ...
Jubbulpore ... ... ... ...
Narsinghpur ... ... ... ...
Hoshangabad ... ... ... ...
Nimar ... ... ... ...
Mandla ... ... ... ...
Betul ... ... ... ...
Chhindwara ... ... ... ...
Seom ... ... ... ...
Balaghat ... ... ... ...
Bhandara ... ... ... ...
Nagpur ... ... ... ...
Wardha ... ... ... ...
Chanda ... ... ... ...
Raipur ... ... ... ...
Bilaspur ... ... ... ...
Sambalpur ... ... ... ...
Central Provinces ...
Number of
births in
1898-99.
16,093
10,845
26,151
12,276
17,122
14,647
12,205
11,865
15,663
11,796
12,365
27,733
27,984
14,480
21,619
55,222
38,834
39,025
385,925
Deaths among
children under
one year in
1898-99 from
all causes.
3,283
2,265
5,444
2,509
3,439
3,533
1,813
2,465
3,761
2,438
2,608
6,055
6,587
3,746
4,430
9,128
5,939
6,800
76,243
Number of
children under
one year
available
for vaccine
operations.
12,810
8,580
20,707
9,767
13,683
11,114
10,392
9,400
11,902
9,358
9,757
21,678
21,397
10,734
17,189
46,094
32,895
32,225
309,682
Number of
children under
one year
successfully
vaccinated by
Vaccinators
in 1898-99.
7,602
4,728
12,512
7,169
9,076
10,583
3,779
6,053
9,229
5,958
4,215
17,541
14,271
7,515
7,282
33,265
16,169
23,640
200,587
General remarks on re-
vaccination.
18. With regard to re-vaccination it is laid down in Government of India let-
ter No. 301, dated 24th October 1894, to the Chief Commis-
sioner, Central Provinces, that " such operations should, the
"Government of India are advised, be restricted to (1) child-
" ren on whom marks of previous year's operations are doubtful: and (2) adolescents
"or adults on whom it is desirable to re-inforce the protection afforded in infancy."
At the same time a caution is added with a view to preventing Vaccinators from
resorting to re-vaccination merely for the sake of swelling their returns.
19. It is obvious that the more carefully and successfully the primary oper-
ation is carried out the smaller will be the number of children coming under class
(1). Regarding class (2) I am not aware of any scientific data on which a definite
period can be fixed in which the protective effects of successful vaccination expire,
but I believe it is generally considered advisable to repeat the operation every
seven years, although I fear such a measure would be impracticable in India.
While deprecating any approach to coercive means, I consider it advisable that
adolescents and adults who have not had small-pox and who either present unsatis-
factory marks of primary vaccination or with whom a long period has elapsed
since the operation was performed, should be encouraged to submit to re-vaccina-
tion. At the same time Vaccinators should be given to understand that the primary
operation is the more important of the two and that its neglect cannot be compen-
sated for by the performance of the secondary. While the two measures are shown
in separate columns, I do not think that, under the above circumstances, the evil
alluded to need be much apprehended.
Re vaccination in the
Khalsa.
20. The number of re-vaccinations performed during
1898-99 amounted to 52,274, being 13,872 in excess of that for
1897-98 and greater by 18,918 than the figures for 1896-97.
In Damoh, Balaghat and Raipur the operation does not appear to have been
resorted to at all. In none of these instances has any explanation been given by
the Medical Officers concerned. On the other hand the Civil Medical Officer of
Betul, the district in which the greatest increase, as compared with the previous
year, has taken place, states " the amount of re-vaccination done this year is very
" high. During my tour I found very old people are re-vaccinated. People who
" had small-pox before had also to undergo re-vaccination." I have enquired
whether, by the above, he means that coercive measures were resorted to, and
been informed that such was not the case.
Total number of opera-
tions in Feudatory States
and the success claimed by
Vaccinators.
21. In the Feudatory States, vaccination operations are not as strictly super-
vised as in the Khalsa, the Civil Surgeons who visit the former
only doingso when they can spare time from their substantive
duties. At present a scheme is under consideration for the pe-
riodical and more frequent medical inspection of these States.