6
this lymph. Glycerinated calf lymph only was used in all districts except in
Raipur and Drug, where, in addition to glycerinated calf lymph, vaccination
from arm-to-arm, direct from the calf and with lanoline lymph was also practised,
and in Yeotmal where lymph direct from the calf was also used. The percentage
(as shown by the figures which are not always to be depended on) of success
obtained from the use of glycerinated lymph compares unfavourably with that
of other lymphs used. It may be due to inexperience in preparing it on the
part of the Vaccination staff, especially in Berar. Now that the Paste Depôt at
Amraoti has been abolished, and Civil Surgeons are obliged to cultivate their
own supply in different parts of the district, in the absence of a suitable building
at head-quarters for housing calves, etc., such results must be expected. In some
districts in the Central Provinces suitable buildings have been erected and
arrangements are being made to increase the number, and when this is done and
when lymph is prepared by trained men at head-quarters, it is hoped that better
results will follow. Arm-to-arm vaccination will be discouraged as for many
reasons it is not a desirable method.
The compulsory Vaccina-
tion Act and vaccination in
municipal towns.
Appendix A.
20 During the period under review, the provisions of the Vaccination
Act were extended to only two towns, Pulgaon in War-
dha and Dhamtari in Raipur, and one (Sambalpur) in
which the Act was in force was transferred to Bengal.
Out of the existing 59 municipalities, the Act is in force
in 50. The total births in all these towns were 35,820 in 1907-08. Deducting
deaths among children under one year of age, the number available for vaccina-
tion was 24,936, of which 22,911 or 91.88 per cent were successfully vaccinated.
In many of the towns more children than are shown as available were success-
fully vaccinated. This may be due to vaccinating children, who were left out the
year previous, and to people, who had come from other places for work during
the prevalence of scarcity bringing their children with them, and also probably to
incorrectly estimating the ages of the children, who were vaccinated and of
those who died. A very low percentage (17.85) was done in the newly-formed
municipality of Malkapur in the Buldana District, and the Civil Surgeon attributes
this to plague and the absence of the vaccinator. In Buldana, Ramtek, Pan-
dhurna, Chanda, Mandla, Warora, Deoli, Balaghat, Dhamtari, Wardha, Chhind-
wara, Ellichpur, Badnur, Pulgaon, Seoni, Jubbulpore City, Saoner, Bilaspur
and Gadarwara many children were left unprotected. In many of these the
Vaccination Act is in force, but closer supervision is necessary and Civil Surgeons
will be asked to provide for this. The provisions of the Act might well be extended
to the remaining towns, and in all smaller Dispensary towns Dispensary vaccination
should be enforced and the Hospital Assistants and the local Magistrates held
responsible In several instances the Honorary Magistrates, in whose Courts
cases of obstruction to vaccination were committed, delayed disposing of them
so long that the season was over, children were sent away and nothing could be
done It would be well if a few persons were dealt with in a summary and
exemplary manner, and I agree with Mr. Fox-Strangways that a few chosen
cases might be tried by the Deputy Commissioner himself, or if the Honorary
Magistrate persistently neglects his duty another Magistrate might be appointed.
Deaths from small-pox com-
pared with the proportion of
persons protected by vaccina-
tion
Appendix B
21. The mortality from small-pox in 1907-08 was 5,285 or 0.44 per mille of
population as compared to 0.87 and 0.58 per mille, the
figures for 1905-06 and 1906-07, respectively, and the
proportion of persons protected by vaccination was 41.32
per mille of population against 41.83 in 1906-07 and 43.44
in 1905-06. The figures seem fairly satisfactory, but the prevalence of plague
in recent years has much retarded vaccination work and there are many left
unprotected, hence the mortality from small-pox is sometimes high. The deaths
from this cause during the past year were numerous in Mandla, Seoni,
Balaghat, Raipur, Bilaspur and Drug, in all of which except Seoni and Bilaspur,
the proportion per mille of persons protected by vaccination was below the
Provincial average. The increase in Seoni and Bilaspur is unaccountable, except
on the assumption that the returns submitted by vaccinators in the past have not
been correct and the protection afforded is not as extensive as would appear from
the statistical returns Major Rainier has collected some interesting statistics
during the recent prevalence of small-pox in the Chhindwara District. He received
reports of 231 cases, of whom 181 were vaccinated and 50 unvaccinated. Of the
former, 33 died, giving a death ratio of 18.23 per cent, and of the latter 19 died,
with a death ratio of 38.00 per cent. The statistics are no doubt unreliable, as
he says that from some villages only the deaths were reported without the attacks,