4
and is mainly due to the re-organization in the pay and prospects of the Central
Provinces Vaccination Establishment. But notwithstanding this increase in total
expenditure, the cost of each successful vaccination, which remained at annas two
throughout the triennium, is not high. Compared with the year 1906-07, the
proportion of expenditure, debited to Provincial Revenues in 1907-08, fell by
Rs. 6,153-0-10. This is due to the transfer in October 1907 of the Berar Vac-
cination staff to the District or Local Fund Establishment. The total expenditure in
the Feudatory States amounted to Rs. 4,749-15-1, Rs. 5,275-9-3, and Rs. 5,005-7-6
during the past three years, and the cost of each successful vaccination remained
at Re. 0-1-3 throughout the period.
Dispensary vaccination.
(Statement III)
13. Hospital Assistants attached to Government and Local Fund Dis-
pensaries performed 67,117 operations (55,607 primary
and 11,510 re-vaccinations) against 40,836 (36,713 prim-
ary and 4,123 re-vaccinations) during the preceding triennium. Of the primary
operations done during the past three years, 49,885 were returned as successful,
giving a ratio per cent of 87.36 in 1905-06, 97.02 in 1906-07 and 95.57 in 1907-08,
which is less than the percentage claimed by the vaccinators. The percentage
of success claimed by Hospital Assistants is always lower than that claimed by
vaccinators: the former are presumably not less skillful than the latter and both
use the same lymph. The explanation is that the returns of the vaccinators are
not as correct as that of the Hospital Assistants, who do not falsify their records,
while this is not the case with vaccinators whose records of remote and out-of-
the-way tracts are seldom or never inspected. The same feature is noticable in
re-vaccination returns also, where the percentage of success returned by vacci-
nators was 75.22 and 76.12 in 1906-07 and 1907-08, respectively, while the
success claimed by Hospital Assistants amounted to 65.34 and 66.62, respec-
tively In the Feudatory States 8,583 primary and 1,146 re-vaccinations were done
by Hospital Assistants, against 7,093 and 311, respectively, in the preceding
triennium, the percentage of success being 96.21, 96.63 and 96.99 in primary,
and 80.25, 86.66 and 93.03 in re-vaccinations during the three years of the
past triennium. The latter figures are abnormally high
Progress of primary vacci-
nations since 1898.
(Statement IV)
14. The primary vaccinations done by vaccinators paid from Provincial
Revenues have much decreased in 1907-08, with corre-
sponding increase in the number performed by Local Fund
vaccinators. This is due to the transfer in October 1907
of the Berar Vaccination Establishment to Local Bodies.
Inspection of vaccination
(Statement V )
15. During the year 1907-08, Civil Surgeons were 786 days out on tour and
inspected 73,301 primary and 10,450 re-vaccinations in
6,632 villages, the proportion per cent of inspections to
total number vaccinated being 15.83 for primary and 15.04 for re-vaccinations.
Though the work done seems more than in the year previous, when 66,522 (or
14.41 percent) primary and 11,814 (or 13.80 per cent) re-vaccinations were
inspected, this is not a sufficient amount of supervision to be exercised over a
poorly paid staff, whose conduct in many cases was found to have been otherwise
than satisfactory, nor does the usual method of inspection by Civil Surgeons
give a true insight into the amount or quality of the work done A better opinion
regarding the efficiency of the vaccinator, and the amount of protection afforded by
the vaccine operations performed by him, could be formed if the commendable
method of inspection adopted by Captain McGillivray, Civil Surgeon of
Mandla, was followed and surprise visits were paid to the villages in the absence
of the vaccinators. Formerly, in accordance with the custom, which now obtains
in most districts, the Superintendent and vaccinators were informed of the route of
inspection and children were collected at different points on the route; though
this method allowed of more children being inspected, it gave no idea of the
percentage of population protected, or the number of villages visited by the
vaccinator This year Captain McGillivray paid surprise visits to 126 villages,
off the main road without informing the vaccinators, and found that, while in
1906-07, 128 villages showed over 1,000 vaccinations, in 1907-08, 126 villages
(practically the same number) showed only 283 vaccinations and in many of
the villages no vaccinations had been performed at all.
The Superintendents of Vaccination were out on tour for 3,173 days against
3,056 in the previous year, visited 17,820 villages against 14,973, and inspected
45.95 per cent of the primary and 30.00 per cent of the re-vaccinations, against
43.16 and 28.95, respectively, in 1906-07. In their cases also the amount of
inspection work done was small. At least 60 per cent of the vaccinated children
should be inspected to ensure a fair amount of check on the work of the staff