2
this district. In the Nagpur District, primary vaccinations fell off by 519. During
the latter portion of the working season, vaccination was at a standstill in the
city and was interfered with in some towns and villages by reason of plague. Yet
it cannot be regarded as satisfactory that of available children under one year, little
more than half (57 per cent) were successfully vaccinated.
Children under one year of
age available for vaccination
and the number successfully
vaccinated in the Khalsa
8. Of 357,679 children under one year available for vaccination (that is the
total births less deaths under one year in 1902-03)283,891
or 79.37 per cent. were successfully vaccinated. In the
Bhandara district the percentage was as high as 92.70;
in Betul, Wardha and Sambalpur the figures are also
high. The districts which return the lowest percentages are Chanda (56.65),
Nagpur (56 67) and Jubbulpore (61.22). Chanda is a large district with a scattered
population; better results, however, might have been expected. The poor results
in Nagpur and Jubbulpore are to some extent accounted for by plague. Plague,
however, was present in other districts (Nimar, Hoshangabad, &c.) without a
corresponding decline in vaccination work.
Results of primary opera-
tions.
9. On the whole, the results of primary operations as performed by the
Provincial staff are satisfactory, except in Chanda and
Chhindwara. In the former, the percentage of successful
cases is only 90.61, in the latter 93.34.
Re vaccination
in
the
Khalsa
10. As compared with 1901-02 there was a drop of 9,019 in the number of
re-vaccinations. This is distributed over twelve districts
and ranges from 4,073 in Chanda to 201 in Narsinghpur.
The Civil Surgeon of Chhindwara discouraged the re-vaccination of mothers
each time they brought up children for vaccination : he found that some women
had in this way been re-vaccinated two or three times within five years. The
Civil Surgeon of Damoh writes that re-vaccination was interfered with by a
rumour that it was really plague inoculation. The operation is in general
unpopular. It would appear, however, that sufficient attention has not been paid
to it in some districts. In Nagpur, Hoshangabad, Saugor and Jubbulpore the
total re-vaccinations were 143, 270, 303 and 408 respectively, a great contrast to
Chhindwara with 7,123 re-vaccinations and to Narsinghpur with 5,978. It is
difficult to understand the very successful results of re-vaccination recorded in
some districts In six districts the percentage of success claimed exceeds 90,
and in one (Mandla) it is claimed that 97.93 of the re-vaccinations were
successful. This is in marked contrast to 26.60 in Nimar, a well-vaccinated
district.
Expenditure on vaccination in
the Khalsa (Statement II).
11. The total cost of the Provincial Vaccine Department for 1902-03
amounted to Rs. 42,162-9-0 or Rs. 793-11-6 less than
in 1901-02. The decrease occurred under "Travelling
allowance." Less touring was done by Civil Surgeons owing mainly to the
presence of plague in several districts. The average cost of each successful case
was Re. 0-1-10 or five pies less than in the preceding year.
Dispensary vaccination
(Statement III).
12. As compared with 1901-02 there was an increase of 2,019 in the number
of dispensary vaccinations in the Khalsa. " Primary
vaccinations " increased by 2,783 while re-vaccinations
decreased by 764. The total number of children under one year successfully
vaccinated was 3,631 more than in the previous year. In the Narsinghpur district,
dispensary vaccination has been in abeyance for some years. Arrangements
have now been made to start it again. In two dispensaries of the Chanda
District no vaccination was done last year. It is hoped that this default will not
occur again. In general, dispensary vaccination is best limited to the town
in which the dispensary is situated.
nspections (Statement V).
13. Civil Surgeons and Native Superintendents were 533 and 3,026 days on
tour, against 700 and 2,892 days respectively in 1901-02.
The former inspected 15,301 primary and 1,047 re-vaccina¬
tions more and the latter 52,076 primary vaccinations more and 5,196 re-vaccina-
tions less than in the previous year. The falling off in the Jubbulpore, Narsingh-
pur, Hoshangabad and Nimar Districts was due to plague. The result of these
inspections, as compared with the figures reported by vaccinators, was, on the
whole, satisfactory. In Chanda, the percentage of successful primary vaccinations