5
The amount drawn as travelling allowance shows a decrease, but as ex-
plained in the Notes for 1909-10, the figures under this head do not refer to
vaccination only.
The average cost of each successful case which stood at 2 annas through-
out the previous triennium, as well as in the year 1908-09, fell to Re. 0-1-11 in
1909-10, and to Re. 0-1-10 in the past year.
The average cost of each successful case for the whole of India during
1909-10 was 3 annas, while in the Bombay Presidency it was Re. 0-8-10 and
in the Punjab Re. 0-2-11.
In the Feudatory States, also the expenditure during the past year fell by
Rs. 234, the chief decrease being noticeable under the head " Salaries of Vacci-
nators ". The average cost of each successful vaccination also fell from
Re. 0-1-6 to 1909-10 to Re. 0-1-3 in the past year.
Dispensary vaccination
14. Vaccination by Sub-Assistant Surgeons attached to dispensaries was
discontinued by order of the Hon'ble the Chief Commis-
sioner and it is only in special cases, as during the pre-
valence of small-pox, that a Sub-Assistant Surgeon is allowed to vaccinate.
The cessation of dispensary vaccination resulted in the decrease of more
than 43,000 operations under this head during the triennium, but this loss, how-
ever, was more than made up for by the additional work of the district staff.
The few dispensary operations that were performed during the past two years
took place in Jails and in Railway institutions.
Progress of primary vaccina-
tion. Statement IV
15. Satisfactory progress has been made in primary vaccination by the Dis-
trict Fund staff during the decade. The rate of progress
in the Feudatories and Municipalities is slower, the
lack of close supervision in the former and the dilatory application of the penal
clauses of the Vaccination Act in the latter, is the cause of this retarded
progress
Inspection of vaccination
Statement V
16. In 1910-11 Civil Surgeons were 731 days on tour, and inspected 69,066
primary and 11,479 re-vaccinations in 5,919 villages, the
proportion per cent of inspection to the total number
vaccinated being 13.78 for primary and 16.85 for re-vaccination. In many
districts, the work of inspection was curtailed, owing to the prevalence of plague ;
on the whole the amount of inspection was well up to the average, and in
most districts there are signs of closer supervision of vaccination. Surprise visits
are paid in greater numbers and the custom of collecting children from distant
villages is dwindling, Seoni, Nagpur and Drug are exceptions, however, in
these districts 19, 18, and 15 villages per diem, respectively, were
inspected by the Superintendent which, of course, means that children from a
number of surrounding villages are collected together at a centre. During
the past year Assistant Superintendents of Vaccination were 3,585 days on tour,
and inspected 260,254 primary and 22,535 re vaccinations in 20,302 villages, the
percentage of inspection to total vaccinated being 51.93 for primary and 33.07
for re-vaccinations, against 48.13 and 28.52 in 1909-10, these figures compare
favourably with those of other provinces in India, e g , in the United Provinces
where the average percentage of primary cases inspected during the triennium
1905-08 is 31.22 per cent. There is, however, room for improvement in many
districts, and more uniformity is called for, but an Assistant Superintendent's work
should not be judged by the percentage of total vaccinations inspected by him,
because the number of total vaccinations varies greatly from district to district.
Also in the jungle areas as Mandla the same number of inspections cannot be
looked for, as in the case of Nagpur, Wardha or the Berar districts.
In the districts of Damoh, Mandla, Seoni, the inspection work was
poor, the average number of children per diem seen by the Assistant Superin-
tendents of these districts when on tour, was, in Damoh 35, in Mandla 55, and
in Seoni 71, the figures for some of the other districts being, Jubbulpore 117,
Bhandara 105, Nimar 86, Ako1a 67. An Assistant Superintendent of Vaccina-
tion should be able to put in 150 days touring a year, and in a populous district
he should inspect at least 11,000 operations yearly. I doubt the accuracy of
the Drug figures, as 158 days were spent on tour a daily average of 136, or
21,707 children during the season were inspected.