2
the chief decreases occurred in Bilaspur (-5,771), Wardha (-2,550) and
Nagpur (-2,219).
Re-vaccinations
6. Re-vaccinations increased by 8,977. The districts of Akola, Jubbulpore,
Nimar, Seoni, Bilaspur, Mandla, Saugor, Raipur, Nar¬
singhpur, Betul and Bhandara show an increase and
the other districts a decrease.
Finance.
STATEMENT II.
7. The expenditure on vaccination in the Khalsa rose from Rs. 62,924-15-10
in 1907-08 to Rs. 65,994-0-7 in 1908-09. The
increase occurred in the pay of the establishment, on
account of compensation paid to them for dearness of grain and of the appoint-
ment of 2 additional vaccinators. The average cost of each successful case
was 2 annas, the same as in the previous year. In Feudatory States the total
cost rose from Rs. 5,005-7-6 to Rs. 6,488-3-4 and the average cost per
successful case from Re. 0-1-3 to Re. 0-1-4. The increase is chiefly due to the
inclusion of the pay of the staff working in the 3 States of Jashpur, Sirguja and
Korea.
Dispensary vaccination.
STATEMENT III.
8. 18,295 primary and 2,862 re-vaccinations were performed by Hospital
Assistants attached to Provincial Dispensaries against
18,244 and 2,664, respectively, in 1907-08. The per-
centage of success was 97.42 in primary and 54.07 in re-vaccinations. At the
Feudatory States Dispensaries 4,418 operations (3,904 primary and 514 re¬
vaccinations) were performed, as compared with 3,116 (2,720 primary and 396
re-vaccinations) in the preceding year, the success claimed being 97.29 in
primary and 85.71 in re-vaccinations.
Inspection of vaccination
STATEMENT V.
9. The Civil Surgeons were 831 days out on tour, visited 6,464 villages
and inspected 14.50 per cent of primary and 15.97 of
re-vaccinations during the year. In only very few
instances were surprise visits paid to villages to ascertain the real amount of
protection afforded by vaccinators, as suggested in paragraph 15 of the Report for
the year 1907-08, and in paragraph 6 of the Honourable the Chief Commissioner's
Resolution thereon. The Civil Surgeon of Nimar remarks that the system
adopted in his district of writing on the back of the village form the names of the
children left unvaccinated for certain reasons, and of vaccinating them at the
vaccinator's subsequent visit to that village, works well. I am of opinion that,
during the course of tours for the purpose of inspecting distant Branch Dispen-
saries, surprise visits should occasionally be paid to villages situated at long
distances from head-quarters. The time allowed by the rules for absence on
tour is no doubt short: but the permission of the Deputy Commissioner or of the
Commissioner can generally be obtained for a slight extension of the prescribed
limit of absence.
The Assistant Superintendents were out on tour for 3,238 days: they visited
18,600 villages and inspected 224,232 or 46 68 per cent of the primary vaccina-
tions and 23,266 or 29.57 per cent of the re-vaccinations done during the year.
A fair amount of inspection was done in Narsinghpur, Chhindwara, Balaghat and
Raipur districts, but in others the work was not so thorough as it should be. In
Saugor, Mandla, Betul, Nagpur, Chanda, Bhandara, Akola, Wardha and Amraoti
the amount of inspection done was very small.
None of the Feudatory Chiefs except Makrai and Chhuikhadan have sent in
inspection returns.
Percentage of success.
10. The percentage of success in primary vaccinations returned by vacci-
nators is 99.10, against 93.76 and 93.38, the figures
arrived at from the verification by Assistant Superin-
tendents and Civil Surgeons, respectively, which indicate that the work done by
vaccinators was satisfactory. But a close examination of the figures of Balaghat
and Mandla indicates that while the vaccinators returned cent per cent of success,
the verification by Civil Surgeons shows only 88.74 per cent successful in the
former and 81.70 in the latter district. It is accordingly desirable that Civil
Surgeons inspection visits should, as far as possible, be unexpected, leaving the
usual method of inspecting to the Assistant Superintendents.