6
46. Native Superintendents were 2,892 days on tour against 2,994 in the
previous year. They inspected 167,019 vaccinated children against 188,240 and
201,975 in 1900-1901 and 1899-1900, respectively, and found 156,304 success-
fully vaccinated against 176,411 in the previous year and 191,928 in 1899-1900.
47. The Makrai State is the only one which has sent in an inspection return.
Therefore no remarks are made under this head as regards the Feudatory States.
APPENDIX A.
Vaccination in Municipalities.
48. During the year, the Vaccination Act was not extended to any fresh
Municipal town. Out of 45 municipalities in the Pro-
vince, the Act is in force in 35 only ; it is to be hoped that
ere long it may be extended to the remaining 10.
49. Of the 16,555 children under one year available for vaccination in
Municipal towns 12,151, equal to 73.40 per cent., were successfully vaccinated
against 12,095 in the previous year and 14,009 in the year 1899-1900.
50. In the municipalities in which the Vaccination Act is in force, the
percentage of available children under one year who were successfully vaccinated
varied between 20.95 in Deori (Saugor District) and 136.36 in Mandla.
51. In the Municipal towns of Gadarwara, Burhanpur, Mandla and Bilaspur
a larger number of children under one year were vaccinated than are shown as
available in the return No explanation of this is offered by the Civil Surgeons
concerned. It would appear, however, that the Vaccinators of these towns were
at some pains to discover and vaccinate unprotected children other than those
shown in the local birth register.
52. The percentage of available children successfully vaccinated in the
following municipalities, in all of which the Vaccination Act is in force, was very
low—Deori (Saugor District) 20.95, Deoli (Wardha District) 33.75, Sambalpur
44.83, Seoni 50.16, Sehora (Jubbulpore District) 50.83 and Betul 52.76.
Enquiry will be made as to the cause in each case.
APPENDIX B.
Mortality from small-pox as
compared with proportion of
persons protected by vaccina¬
tion.
53. The annual mortality from small-pox was less than in the previous
year but greater than in any of the years 1897-98, 1898-99
and 1899-1900. The annual ratio per 1,000 of population
protected by vaccination was 30.93 against 31.44 in the
preceding year. The small-pox mortality was heavier in the year 1901-1902 in
Saugor, Damoh, Jubbulpore, Narsinghpur, Mandla, Chhindwara, Seoni and Bala¬
ghat than in the two preceding years.
APPENDIX C.
Diagram illustrating mortality
from small-pox compared with
proportion of population pro-
tected by vaccination.
54. The diagram required by Government of India
letter No. 47, dated the 8th February 1894, is appended.
GENERAL REMARKS.
55. Having only very recently assumed charge of this office, I was not
present during any portion of the period under review, and am therefore under
the disadvantage of having no personal knowledge of the actual work done. On
the whole, I think, the work of the Vaccination Department has been carried on
in a satisfactory manner during the past three years.
M. D. MORIARTY, M. D., F. R. C. S. I., COLONEL, I. M. S.,
Administrative Medical Officer and Sanitary Commissioner,
NAGPUR:
The 5th July 1902.
Central Provinces.