NOTES ON VACCINATION IN THE CENTRAL
PROVINCES AND BERAR FOR THE
SEASON 1908-09.
Population and area in
which vaccination work was
done.
The population and area in which vaccination work:
was performed were the same as in 1907-08.
Vaccination establishment.
2. The number of Assistant Superintendents (formerly " Native Superin-
tendents") in both the Khalsa and the Feudatory States
remained unaltered. There was an increase of two vac-
cinators in the Khalsa and of one each in the Feudatory States of Bastar and
Raigarh. Returns having been received from the Native States of Jashpur,
Sirguja and Korea, 14 vaccinators have been added to the list.
Total number of operations
performed in the Khalsa and
Feudatory States.
STATEMENT I.
3. The total number of operations performed in the Khalsa and the Feuda-
tory States, including Dispensary vaccination, rose from
599,247 in 1907-08 to 639,647 in 1908-09; of these
559,098 (480,429 primary and 78,669 re-vaccinations)
were done in the Khalsa and the remaining 80,549 (73,009
primary and 7,540 re-vaccinations) in the Native States. The increase is attribut-
able partly to the inclusion of the statistics of the Feudatory States of Jashpur,
Sirguja and Korea, and partly to the good work done by some of the vaccinators
in the districts of Jubbulpore, Yeotmal, Akola, Buldana, Saugor and Nimar.
Of the 480,429 primary vaccinations, 379,258 were successfully performed on
infants under one year of age, the number "available for vaccination " (calculated
according to the instructions conveyed in Government of India No. 1299, dated
the 7th May 1900) being 453,295. This shows that 83.67 per cent of the
available infants were successfully vaccinated.
Work done by vaccinators.
4. The total number of vaccinations performed by vaccinators in the Khalsa
amounted to 537,941 (462,134 primary and 75,807 re-vac-
cinations ) against 511,603 (444,773 primary and 66,830
re-vaccinations) in 1907-08, or an increase of 26,338 ( 17,361 primary and 8,977
re-vaccinations ). The districts contributing towards the increase are Mandla
(+6,029), Jubbulpore (+4,399), Akola (+4,336), Buldana (+4,046), Yeot-
mal (+3,767), Saugor (+2,829), Nimar (+2,152), Raipur (+1,980), Damoh
(+1,665), Bhandara (+1,665), Drug (+1,272), Seoni (+1,200), Amraoti
(+1,079), Betul (+736), Narsinghpur (+468), and Chanda (+57). The
largest decrease occurred in Bilaspur district where the fall was as much as 4,383,
which the Civil Surgeon attributes to the lazy conduct of the staff and to emigra-
tion of people to other parts of the Province in search of livelihood owing to the
prevailing scarcity in the district. The other districts showing a decrease are
Nagpur (-3,099), Wardha (-2,666), Chhindwara (-738), Hoshangabad
(-448), and Balaghat (-8). The Civil Surgeons of Wardha, Chhindwara and
Hoshangabad attribute the decrease to bad work on the part of some of the vac-
cinators, who have since been dismissed, and the Civil Surgeon of Nagpur to
the work not having been taken up by the Hospital Assistants attached to the
newly opened dispensaries till the close of the year. I am not inclined to agree
with the explanation offered by the Civil Surgeon of Nagpur. I attribute the
decrease in Nagpur and in Bilaspur to imperfect supervision and the consequent
laziness of the staff. Of course the Civil Surgeon of Nagpur is very much tied
up by his work at head-quarters. It will be necessary to increase the number of
Assistant Superintendents in both the districts named I am glad to note a dis-
tinct improvement in Mandla, where the work was very unfavourably commented
on last year. This is no doubt due to stricter supervision by the Civil Surgeon.
In Feudatory States the total number of operations performed by vaccinators.
was 76,131, against 63,620 during the preceding year.
Primary vaccinations.
5. There was an increase of 17,361 in the number of primary vaccinations
by the Provincial vaccinators as compared with 1907-08.
The increase was most marked in Buldana (+5,966),
Mandla (+4,721) and Yeotmal (+4,009). As already explained in paragraph 4