3
as verified by the Native Superintendent appears abnormally high when contrasted
with the percentage of success claimed by vaccinators. I may here note that the
results of primary vaccinations as verified by Inspecting Officers in Feudatory
States are unsatisfactory.
Lymph cultivation.
14. 10,334 calves were vaccinated, of which 9,407 were successful, 742
unsuccessful and 185 were rejected for suppuration or
excessive inflammation. The cost incurred was about
the same as in 1901-02 (Rs. 190-3-3 against Rs. 184-1-6). In some districts,
notably Raipur, there has been considerable difficulty in getting calves. In
others, such as Wardha and Balaghat, there has been no difficulty, and the calves
have cost nothing.
Operations performed with
different kinds of lymph.
15. The different kinds of lymph used, the number vaccinated with
each kind, and the percentage successful are as
follows:—
Kind of lymph used.
1
Fresh calf-lymph ... ... ...
Glycerinated calf lymph ... ... ...
Human lymph ... ... ... ...
Lanolinated lymph ... ... ... ...
Number
vaccinated.
2
226,369
110,133
60,712
1,321
Percentage
successful
3
96.09
95.25
96.07
76.38
The results obtained from glycerinated lymph were more satisfactory than
in the previous year, the percentage of success being 95.25 against 90.76. In
Bhandara, the arrangements made for the preparation of this lymph were
admirab'e. Each dispensary was made a Laboratory station for adjoining
vaccinators who came in each for a week at a time, and under the supervision of
the Hospital Assistant prepared a large stock of lymph. When this was finished,
the vaccinator came back again. With the lymph so prepared the percentage
of success in primary vaccinations was 99.81. In marked contrast to this was the
glycerinated lymph prepared at Seoni, which resulted in failure in three-fourths of
the cases.
Vaccination in Municipalities
( Appendix A).
16. The Vaccination Act was not extended to any additional town during
the year. Of 20,777 children under one year available
for vaccination, 13,475, roughly 65 per cent., were success-
fully vaccinated, a poor result compared with the Provincial ratio as shewn in
paragraph 8. In the municipalities of Bhandara, Tumsar and Hinganghat, more
children than are shown as available were successfully vaccinated. The excess
number represents those born in the year previous who were left unvaccinated till
1902-03 by reason of tender age or illness. It possibly also includes some
immigrants Appendix A shows that vaccination of young children is defective
in many municipal towns to which the Vaccination Act has been extended
Amongst these may be mentioned Saugor, Damoh, Jubbulpore, Mandla, Chhind¬
wara, Nagpur, Wardha, Raipur and Sambalpur— all head-quarter towns. In regard
to Jubbulpore, Nagpur and to some extent Damoh, plague no doubt interfered
with vaccination, yet in Burhanpur and Khandwa plague had no such apparent
effect. For the rest the only obvious explanation is that the Vaccination Act has
not been enforced as it should have been. Improvement in this respect is antici-
pated during the next year.
Mortality from small-pox as
compared with proportion of
persons protected by vaccina-
tion.
17. The mortality from small-pox was less than in the two previous years.
Excluding Feudatory States, the proportion per 1,000
of population protected by vaccination was 38.65, a
satisfactory increase of 6.52 on the year previous. The
usual diagram is appended.
M. D. MORIARTY, COLONEL, I. M. S.,
Administrative Medical Officer
NAGPUR :
The 3rd July 1903.
Administrative Medical Officer
and Sanitary Commissioner,
Central Provinces.