5
to supply any districts in which this cannot be done from other districts where the
supply of calves is adequate and the arrangements are satisfactory.
It has recently been shown that the purification of lymph which is effected
by glycerine in many days can be effected by chloroform vapour in a few
hours, and that the lymph so purified when subsequently mixed with glycerine
retains its potency for a long period, varying with the temperature; the great
advantage of this method is the saving of time, the lymph can be issued at once
instead of keeping it for a week or more; it is hoped that it may be possible to
introduce this improved method of purifying vaccine lymph.
Expenditure on vaccination
(Statement II).
18. The total cost of the Provincial Vaccine Department in the Central
Provinces amounted to Rs. 44,564-13-11 or Rs. 1,926-1-3
more than in the previous year and Rs. 2,402-4-11 more
than in 1902-03. The increase is mainly due to the increase of travelling allow-
ance charges, to the extra cost incurred in manufacturing glycerinated lymph
and to the payment of rewards to Vaccinators specially commended for good work.
The average cost of each successful case was one anna and nine pies
against one anna and ten pies in 1903-04 and 1902-03. In Berar the total
expenditure amounted to Rs. 15,166-11-1 against Rs. 17,325-3-9 and
Rs. 18,036-11-10 in 1903-04 and 1902-03, respectively. The decrease is mainly
due to the appointments referred to in paragraph 3 not having been filled
up. The average cost of each successful vaccination was two annas and
three pies against two annas and nine pies in 1903-04 and two annas and five
pies in 1902-03. Hitherto the Berar establishment has been comparatively highly
paid and was also unnecessarily strong. As the reorganization scheme referred to
in paragraph 3 takes effect the difference between the average cost of successful
vaccinations in the Central Provinces and Berar will become less and less.
In the Feudatory States the vaccination charges amounted to Rs 7,336-3-4,
practically the same as in the year previous; the average cost of each successful
vaccination was one anna against one anna and one pie in 1903-04.
Dispensary Vaccination
(Statement III).
19. Hospital Assistants attached to dispensaries in the Central Provinces
performed 17,687 vaccinations or 5,337 more than in
the previous year and 26.81 more than in 1902-03.
The largest amount of work was done in the dispensaries of Raipur,
Narsinghpur and Saugor; the amount done in the dispensaries of Nimar,
Chhindwara, Betul and Seoni was small. In the dipensaries of Nagpur,
Chhindwara and Wardha no re-vaccination was done. The percentage of success
in primary vaccination was 98.18 as compared with 95.79 in 1903-04 and 94.33
in 1902-03, while in re-vaccination it was 78.25 against 66.85 and 63.35 in the
two preceding years. In Berar no dispensary vaccination work was done in
previous years. A commencement was made in 1904-05, and in Amraoti and
Akola 771 primary and 35 re-vaccinations were performed by Hospital Assistants ;
the work will, it is hoped, be extended to the remaining districts in 1905-06. In
certain of the Berar dispensary towns there appears to have been some disinclina-
tion to impose this work on Hospital Assistants on the ground that they were
already fully occupied or that they were not expert Vaccinators ; in my opinion
they can well spare the time, and it is desirable they should become expert
Vaccinators if they are not such already. In the Feudatory States Hospital
Assistants performed 4,035 vaccinations against 3,756 in 1903-04 and 2,522 in
1902-03 ; in primary vaccination the percentage of succes was 96.26 against 97.80
in 1903-04; in re-vaccinations it was 90.65 against 90.08 ; the latter figures are
abnormally high.
Progress of primary vaccin-
ation since 1895 (Statement
IV).
20. Calls for no remarks.
Inspections (Statement V).
21. In the Central Provinces Civil Surgeons were 759 days on tour against
705 in the preceding year and 533 in 1902-03. They
visited 7,118 villages and saw 86,730 primary and 7,641
re-vaccinations against 58,755 primary and 6,388 re-vaccinations in 1903-04
and 64,243 primary and 8,482 re-vaccinations in 1902-03. Of the total number
inspected 89,140 were found to have been successfully vaccinated. More
inspections should have been done by the Civil Surgeons of Chanda, Mandla