NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
B.— DISPENSARY VACCINATION.
STATEMENT III.—Contd.
District.
1
STATE DISPENSARIES .
Raipur District.
Raj Nandgaon ...
Dongargarh ...
Total ...
BilaspurDistrict.
Sakti ...
Kawardha ...
Total
Sambalpur District.
Sarangarh ...
Total
Total of Feudatory States...
Total (Provincial and
Feudatory States)...
Number of
dispensaries in
each district to
which a vacci-
nator is attach-
ed.
2
......
......
......
......
......
......
......
......
......
......
......
Average number
of vaccinators
attached to dis-
pensaries during
the season.
3
......
......
......
......
......
......
......
......
......
......
......
Total number of
persons vacci-
nated.
4
......
......
194
375
569
......
165
165
734
18,134
Average num-
ber of persons
vaccinated
by each vacci-
nator.
5
......
......
......
......
......
......
......
......
......
......
......
Primary Vaccination.
Total.
6
......
......
194
375
569
......
165
165
734
16,796
Successful.
Under
one year.
7
......
.......
......
124
64
188
......
53
53
241
10,272
One and
under
six
years.
8
......
......
......
46
292
338
......
98
98
436
4,669
Total of
all ages.
9
......
......
......
170
356
526
......
151
151
677
15,338
Re-vaccination.
Total.
10
......
......
......
......
......
......
......
......
......
......
1,338
Success-
ful.
11
......
......
......
......
......
......
......
......
......
......
907
Percentage of suc¬
cessful cases.
Primary.
12
......
......
......
87.63
94.93
92.44
......
92.12
92.12
92.23
91.82
Re-vaccins
tion.
13
......
......
......
......
......
......
......
......
......
......
67.78
COMPARATIVE
Showing the number of persons primarily vaccinated and the number of those persons who were
Establishment.
Government ...
Municipal
Local or District Funds....
Native States
Dispensaries ...
Army ...
Europeans ...
Natives ...
Total ..
Persons pri
Total
number.
Number
success¬
fully
vaccina-
ted.
Year ending 30th
April 1886.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
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 ending
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
...
...
...
...
...
102,035
1872.
33,380
21,127
54,373
...
...
...
...
...
108,880
28,775
16,440
45,973
...
...
...
...
...
91,188
STATEMENT No. IV.
uccessfully vaccinated in the Central Provinces in each of the undermentioned official years.
narily 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
success -
fully
vaccina-
ted.
Total
number.
umber
success-
fully
vaccina-
ted.
Total
Number.
Number
success-
fully
vaccina-
ted.
Total
number.
Number
success-
fully
vaccina-
ted.
31st March.
1873.
45,098
25,090
53,327
...
...
...
.
...
123,515
40,734
20,455
45,971
..
...
...
...
...
107,160
1874.
128,590
...
...
...
...
...
...
...
128,590
112,435
...
...
...
...
...
...
...
112,435
1875.
176,893
...
...
...
...
...
...
...
176,893
l58,704
...
...
...
...
...
...
..
158,704
1876.
201,636
..
...
...
9,766
...
...
...
211,402
188,384
...
...
...
8,574
...
...
...
196,958
1877.
245,224
...
...
...
10,184
...
...
..
255,408
229,930
...
...
...
8,988
...
...
...
238,918
1878.
260,408
...
...
8,976
19,304
...
...
...
288,688
241,633
...
...
8,744
16,964
...
...
...
267,341
1879
235,846
...
...
24,015
19,097
..
...
...
278,958
223,036
...
...
23,653
17,114
...
...
...
263,803
1880.
254,824
5,238
9,535
17,229
20,386
...
...
...
307,212
239,497
5,023
8,788
16,579
18,480
...
...
...
288,367
COMPARATIVE STATEMENT No. IV.-Continued.
Persons primarily vaccinated.
Establishment.
Government
...
Municipal
...
Local or District Funds ...
Native States ...
Dispensaries
...
Army
Europeans
Natives
Total
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 ending 31st March.
1881.
261,959
9,456
3,314
20,026
23,083
...
...
...
317,831
248,924
9,247
3,058
18,922
20,989
...
...
...
301,140
1882.
295,766
8,534
5,167
51,843
26,188
...
...
...
387,492
284,465
8,183
5,020
49,702
24,288
...
....
...
371,651
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
...
...
...
393,378
1885.
330,877
15,876
...
29,738
23,964
...
..
...
400,455
319,345
15,430
...
28,789
22,095
...
...
...
335,659
1886.
...
15,166
297,863
38,446
16,706
...
...
...
368,571
...
15,025
285,060
37,209
15,338
...
..
...
352,632
REPORT
ON THE
VACCINE OPERATIONS
IN THE
CENTRAL PROVINCES
FOR
THE YEAR 1886-87.
NAGPUR:
PRINTED AT THE CHIEF COMMISSIONER'S OFFICE PRESS.
1887.
[PRICE 8 AS.]
No. 4124 A./241.
Proceedings of the Chief Commissioner, Central Provinces, dated Nagpur,
the 14th August 1887,
READ letter No. 1145 V., dated the 23rd ultimo, from the Deputy Surgeon-General, Central
Provinces, submitting the Vaccination Report for 1886-87.
READ also the Report.
RESOLUTION.
The work done by the Department shows an improvement, the number of
operations performed having increased since last year by 25,404. The increase
occurs both in Provincial and Feudatory State vaccination. The work done
by Dispensary establishments has slightly decreased.
2. There was a decrease in the amount of work done in six districts.
This is attributed in some instances to illness, but for the most part to bad
work among the vaccinators. The decrease in the work done by the Dispensary
establishments is explained by the reduction of the vaccination duties of the
Hospital Assistants of five dispensaries as mentioned in paragraph 25 of the
Report.
3. There is a satisfactory increase in the amount of primary vaccination
reported from the Feudatory States, but it must be remembered that these
figures cannot be verified as certainly as in the Districts. The Rajah of Reh-
rakole appears to be still hostile to vaccination in his State. In none of the
Raipur zamindaris except Bindra Nawagarh was any vaccination carried on,
no funds having been provided for the work.
4. The average proportion of success to the total number of cases is about
the same as last year, but this ratio fluctuates considerably. As returned by
vaccinators it varies from 89.59 in Damoh to 98.62 in Chhindwara, and as
regards the Feudatories, from 91.82 in Khairagarh to 100 in Bamra and Reh¬
rakole. As returned by Superintendents it varies from 75.71 in Jubbulpore
to 97.80 in Sambalpur, and as returned by Civil Surgeons from 67.65 in the
Sakti State and 82.53 in Seoni to 98 25 in Mandla. The percentage of success
in cases of re-vaccination varies from 39.73 in Nimar to 96.59 in Mandla. It
is not clear why there should be such fluctuations from district to district in
the relative proportions of persons over and under one year of age successfully
vaccinated, as shown in columns 9 and 10 of Statement I.
5. The deaths from small-pox decreased, the ratio being . 34 per 1,000
against an average of .40 for the preceding five years. As last year, Bhandara
is at the head of the list with 1,343 deaths, nearly 2 per 1,000; the next being
Chanda, with 275 deaths. The Deputy Surgeon-General attributes the high
death rate in Bhandara to neglect of work and careless vaccination, and his
inspection in Chanda showed the work there to be decidedly indifferent.
6. As regards the attitude of the people towards vaccination, the Deputy
Surgeon-General notices the opposition met with in the Nagpur district, and
to a less extent in Wardha. Opposition is also complained of among the
2
better classes in Jubbulpore. In connection with this the Chief Commissioner
in his review of last year's Report desired Civil Surgeons always to bring to
notice the names of persons who had aided the cause of vaccination. This has
been done by the Civil Surgeons of Nimar, Wardha, and Raipur, but by no
others. The Chief of Raj-Nandgaon took an interest in the work, and vac-
cination has made great progress in that State. The Municipal Committee
of Burhanpur are said to have been inclined to oppose. The Chief Com-
missioner understands, however, that their opposition has ceased.
7. More inspection work was done both by Civil Surgeons and Native
Superintendents. The amount of inspection done by the Civil Surgeon, Sam-
balpur, was again insignificant, which is unfortunate, as last year the Deputy
Surgeon-General emphasised the necessity for inspection in this district. The
Deputy Commissioner has, however, elaborated a scheme, which has received
the Chief Commissioner's approval, and under which vaccination work will not
only be more efficient, but will also be more systematically supervised and
controlled.
8. The Chief Commissioner has under consideration the question of pre-
scribing a standard of work to be required from the Native Superintendent of
each district with reference to local circumstances. The general principles
under which the minimum standard should be fixed have been intimated to
the Deputy Surgeon-General; and he has been asked to submit detailed
proposals. At the same time the Chief Commissioner thinks that there is
more faith to be placed in close supervision than in mechanical check. The
best check lies in the close scrutiny of diaries of work done, and as much
local inspection as Civil Surgeons can manage to overtake.
9. The Chief Commissioner observes with regret that the Report, due
in this office by 1st June, has only been received in print on the 6th instant.
He will expect that the Deputy Surgeon-General will not allow the unpunc¬
tuality noticed in his letter submitting the Report to recur. The bulk of the
Report must also be very considerably abridged. It is unnecessary to give so
much district detail.
ORDER.—Ordered that a copy of this Resolution be forwarded to the
Deputy Surgeon-General, for information and guidance; also that copies,
bound with the Report, be distributed as usual.
(True Extract.)
A. L. SAUNDERS,
Offg. Under-Secretary.
No. 1145 V.
FROM:
JAMES H. LOCH, ESQ., M. D.,
SANITARY COMMISSIONER,
Central Provinces.
To
THE SECRETARY TO THE CHIEF COMMISSIONER,
Central Provinces.
Dated Nagpur, the 23rd July 1887.
SIR,
I have the honour to forward the Report on the Vaccine operations in
the Central Provinces for the year 1886-87 for submission to the Chief Com-
missioner.
I regret that I have been unable to submit the report on the proper date,
but in spite of reminders, the statements were not all received till near the close
of June, and the last District Report did not reach this office till the 11th
instant.
I have the honour to be,
Sir,
Your most obedient Servant,
JAMES H. LOCH, M. D.,
Sanitary Commissioner,
Central Provinces.
Report on Vaccination in the Central Provinces
during the year 1886-87.
There has been an increase of nearly 25,000 in the total number of opera-
tions on that of the previous year as shown in the following table.
Table I.—Shewing total vaccination operations performed in the Central
Provinces during the seasons 1885-86 and 1886-87:—
By Provincial Vaccine Department—
Primary ... ...
Re-vaccination ...
... ...
Total
By Feudatory State Vaccine Department—
Primary
...
...
..
Re-vaccination ... ... ...
Total
Total of Vaccine Department
...
By Provincial Dispensary Establishment—
Primary
...
...
Re-vaccination ...
Total ...
By Feudatory State Dispensary Establishment—
Primary
...
...
Re-vaccination ... ... ...
Total
Total by Dispensary Establishment
Grand Total of Central Provinces
1885-86.
313,329
14,464
327,793
38,446
99
38,545
366,338
16,062
1,338
17,400
734
...
734
18,134
384,472
1886-87.
323,427
22,203
345,630
45,982
130
46,112
391,742
15,475
1,569
17,044
613
...
613
17,657
409,399
Difference
in
1886-87.
+ 10,098
+ 7,739
+ 17,837
+ 7,536
+ 31
+ 7,567
+ 25,404
—587
+ 231
—356
—121
...
—121
—477
+ 24,927
2. This increase has taken place entirely in the work of the Vaccination
Establishment, the number of operations performed by Hospital Assistants in the
Province and in the Feudatory States being less.
3. The ratio of success for the past two years is—
Primary ... ...
Re-vaccination ... ...
1885-86.
95.8
71.7
1886-87.
95.48
73.27
2
4. The cost of each successful case of vaccination performed by the
Vaccination department was Rs. 0-1-11 as compared with Rs. 0-1-11¾ in the pre-
vious year, or including those by the Dispensary Establishment Rs. 0-1-10 as
compared with Rs. 0-1-10¾ in 1885-86.
VACCINE DEPARTMENT.
(Provincial and Feudatory States.)
5. The table given below shows the chief points in the working of the
Vaccine department.
Table II.—Provincial and Feudatory States.
Total number of operations ... ...
Ditto
primary ... ...
Ditto
re-vaccination ... ...
Ditto
of Vaccinators... ...
Average number of persons vaccinated by each
Vaccinator ... ...
Percentage of success in primary vaccination.
Ditto
re-vaccination ... ...
Total cost of department
Pay of establishment ... ...
Travelling allowance...
...
Contingencies
...
...
Cost of each successful case
...
...
1885-86.
366,338
351,775
14,563
224
1,624
95.88
71.77
Rs.
43,410
39,552
3,185
701
0
a.
0
15
7
9
1
p.
5
4
11
2
11¾
1836-87.
391,742
369,403
22,333
227
1,726
95.48
73.27
Rs.
44,024
39,188
4,046
788
0
a.
0
9
7
15
1
p.
2
5
3
6
11
Difference in
1886-87.
+ 25,404
+ 17,634
+ 7,770
+ 3
+ 102
—.40
+ 1.50
Rs.
+ 613
—364
+ 860
+ 87
— 0
a.
15
5
15
6
0
p.
9
11
4
4
¾
6. There was an increase in the work of both the Provincial and State
Vaccinators, and in both primary and re-vaccination : the rise being much greater
proportionately in re-vaccination than in primary operations. There were 3
more Vaccinators employed in 1886-87 than in 1885-86, but in spite of this
increase in the number of men each man vaccinated on the average 102 more
persons in the latter than in the former year.
7. The total cost of the department was about Rs. 600 more than in
1885-86, but the cost of establishment was less, the increase being almost
entirely in the amounts drawn as Travelling allowance: this was due largely to
arrear allowances of last year having been drawn in this and to a higher rate
having been admissible to one Medical Officer.
3
DISPENSARY VACCINATION.
(Provincial and Feudatory States.)
8. The work done in the two past years is compared below :—
Total number of operations ... ...
Ditto
primary ... ...
Ditto
re-vaccination ... ...
Percentage of success in primary vaccination ...
Ditto
in re-vaccination ... ...
1885-86.
18,134
16,796
1,338
91.32
67.78
1886-87.
17,657
16,088
1,569
92.09
68.32
Difference in
1886-87.
—477
—708
+ 231
+ 0.77
+ 0.54
9. The decrease in the number of primary operations took place in the
work of both Provincial and Feudatory State Hospital Assistants.
10. The re-vaccinations were all performed by Provincial Hospital Assis-
tants. The ratio of success by Hospital Assistants is 3 less than that by
vaccinators.
PROVINCIAL VACCINE DEPARTMENT.
11. The working of this department in the 2 past years is shown below : —
Total number of. operations ... ...
Ditto
primary ... ...
Ditto
re-vaccination ... ...
Ditto
vaccinators ... ...
Average number of persons vaccinated by
each vaccinator ... ... ...
Percentage of success in primary vaccination ...
Ditto
re-vaccination ...
Total cost of department ... ...
Pay of establishment ... ...
Travelling allowance ... ...
Contingencies ... ...
Cost of each successful vaccination ...
1885-86.
327,793
313,329
14,464
186
1,748
95.77
71.62
Rs.
39,686
36,110
2,972
603
0
a.
14
9
15
5
2
p.
6
7
11
0
0½
1886-87.
345,630
323,427
22,203
191
1,800
95.30
73.20
Rs.
40,245
35,791
3,774
679
0
a.
3
1
9
9
1
p.
11
0
3
8
11¾
Difference in
1886-87.
+ 17,837
+ 10,098
+ 7,739
+ 5
+ 52
—0.47
+ 1.58
Rs.
+ 558
—319
+ 801
+76
—0
a.
5
8
9
4
0
p.
5
7
4
8
¾
4
12. There was not any vaccination in the Khuji Zamindari of the Raipur
district as the necessary funds had not been provided.
Bindra Nawagarh was the only Raipur Zamindari in which vaccination was
carried on in the past year, the reason of no work having been done in the others
being the same as that stated in the case of the Khuji Zamindari.
13. The number of operations has increased by 17,837, the increase having
taken place in both primary and re-vaccination.
The only districts in which there was a decrease are Damoh. (99), Mandla
(1,503), Betul (1,906), Nagpur (1,710), Bilaspur (1,510), and Sambalpur (839).
The small decrease in Damoh is due to the illness of two Vaccinators, these
being the only men in whose circles there was not an increase of work.
The number of operations was less in Mandla because vaccination could
not be carried on in October and November. The lymph supply failed in
September and the English lymph proved bad.
The decrease in the work of Betul is ascribed by the Civil Surgeon to the
smaller number of births in 1886 and consequent smaller number of children
available.
The smaller amount of work done in the Nagpur district is attributed to
the illness of three Vaccinators, (one of their best men having been laid up
nearly all the season,) to one man being detained in Nagpur in a criminal case and
to a new hand having taken the place of an experienced Vaccinator promoted.
There was considerable sickness among the staff of the Bilaspur district,
and this, with bad work by one or two of the Vaccinators, is held to account for
the lesser amount of work.
The decrease in Sambalpur is altogether in the work of the Zamindari
Vaccinators and was due to new men having as usual to be engaged and to
their not getting to work till late.
The report of the Civil Surgeon, Mandla, shows that the failure in the lymph
supply was due to bad work on the part of the Vaccinators. I think that in
the Nagpur district arrangements might have been made for the performance of
the work of at least one of the Vaccinators who were ill: the Civil Surgeon's
remarks show that this man is never likely to be fit for work
In Bilaspur the Native Superintendent's inspection was altogether unsatis-
factory, and this will account for the laziness of Vaccinators complained of by
the Civil Surgeon, who only took charge of his duties at the end of December.
14. There is a large increase in the number of cases of Re-vacoination in
Saugor, Jubbulpore, Chhindwara and Balaghat, while there is a very decided
decrease in the Mandla district.
15. The number of Vaccinators is 5 more than it was in 1885-86, but, as
in the Jubbulpore and Bhandara districts, the appointments were made to sup-
ply the place of Hospital Assistants who had been exempted from vaccination
duty, the real increase is 3, namely 1 (additional) for the city of Nagpur and its
suburbs, 1 for Raipur town and surrounding villages, and 1 (additional) for the
Phuljhur Zamindari.
5
16. The average number of operations performed by each Vaccinator is
slightly larger than in 1885-86.
17. The percentage of success in primary operations is, as returned by
Vaccinators, practically the same as in 1885-86 and in cases of re-vaccination
very slightly higher.
The highest ratio is claimed by the Vaccinators of the Chhindwara and
Mandla districts and the lowest by those of Damoh whose percentage is only
89.59.
In some cases the Civil Surgeon found the percentage of success higher
than that claimed by the Vaccinators themselves : the explanation of this is
that the Civil Surgeon saw the successful result of a repeated operation, in
cases where the first had failed and been recorded as unsuccessful by the Vacci-
nator.
18. The total cost of the department was upwards of Rs. 500 more than
in 1885-86, the increase being almost entirely in Travelling Allowance: the
pay of Establishment was less, the larger amount drawn as travelling allowance
is due to allowances not drawn in last year being included in this year's accounts,
and to a higher rate having been admissible under the rules to the Civil Surgeon
Balaghat, and to the longer time spent on tour by Civil Surgeons of Saugor,
Betul and Bhandara.
The cost of each successful vaccination was rather less than in 1885-86.
FEUDATORY STATE VACCINE DEPARTMENT.
19. The work of this Department in the two past years is shown below :—
Total number of operations ...
Do.
primary
...
Do.
re-vaccination ...
Do.
Vaccinators ...
Average number of persons vacci-
nated by each Vaccinator ...
Percentage of success in primary
vaccination ...
Do.
re-vaccination
...
Total cost of Department ...
Pay of Establishment
...
Travelling allowance ...
Contingencies ...
Cost of each successful case ...
1885-86.
88,545
38,446
99
38
1,014
96.78
93.93
Rs.
3,723
3,412
212
98
0
a.
1
5
8
4
1
p.
11
9
0
2
7
1886-87.
46,112
45,982
130
36
1,281
96.69
87.69
Rs.
3,778
3,397
271
109
0
a.
12
8
14
0
1
p.
3
5
0
10
4¼
Difference in
1886-87.
+ 7,567
+ 7,536
+ 31
—2
+ 267
—0.09
—6.24
Rs.
+ 55
—14
+ 59
+ 11
—0
a.
10
13
6
1
0
p.
4
4
0
8
2¾
6
20. Vaccination was carried out in all the States in which there had been
work in 1885-86, and only in those, so that the figures of the two years can
be justly compared.
There was a very satisfactory increase in the total number of operations.
the increase being almost entirely in primary operations. This must be the case
for some years to come, seeing that but comparatively few persons can have
up to the present time been vaccinated a sufficient number of years to warrant
re-vaccination, the work having been started comparatively recently in most
of the States.
The only States in which there was not an increase are Khairagarh, Kala-
handi and Sakti, the decrease in the last being nominal and in Kalahandi small.
The decrease in Khairagarh is attributed by the Civil Surgeon to the reduction
of staff of Vaccinators by two, but while this may account for the decrease
it will not satisfactorily explain the small amount of work done by the Vacci-
nators as compared with that by those in Nandgaon. One of the Vaccinators
in Khairagarh gives the remarkable results of 91.82 percentage for primary and
97.92 for re-vaccination as those of his success ; neither the Civil Surgeon nor
Superintendent saw the cases of re-vaccination. There was a very satisfactory
increase in the work in the States of Nandgaon (2,829), Bamra (2,236), Raigarh
(1,347) and Sonpur (1,017).
21. The Khairagarh State employed two Vaccinators less than in 1885-86,
but in all the other States the number was the same during the two past years.
There has been a most remarkable rise in the number of operations
performed by each Vaccinator in the Bamra (1,118) and Sonpur (509) States;
but the entire management of the work in the first is now in the hands of the
Rajah, and the Vaccinators in the Sonpur State were also appointed by the
Rajah. The work of the latter was inspected by the Feudatory State Native
Superintendent, but as there is not any information in the Civil Surgeon's
report as to the result of the inspection, I am unable to say if reliance can be
placed in the returns of the Vaccinators in these two States.
22. In the Sonpur State the Vaccinators were not paid any salary, but
allowed to levy a fee of one or two annas for each child vaccinated. The
Deputy Commissioner addressed the Rajah on the subject.
At the commencement of the season the Rajah of Rerakhole refused to
allow vaccination in his State, as one of his family was to be married; he how-
ever was induced to alter his decision, but not till February.
23. There is but little difference in the total cost and in that under the
different heads in the past year and in 1885-86.
The larger number of unsuccessful operations reduced the cost of each from
Rs. 0-1-7 to Rs. 0-1-4¼.