6
and Damoh; the Civil Surgeons of Nimar and Narsinghpur, on the other
hand, saw nearly half of the total vaccinations in their districts. An Assistant
Surgeon was deputed to Jubbulpore and another to Nagpur for inspection of vac-
cination during the working season of 1904-05 ; in the Nagpur District the As-
sistant Surgeon saw a large number of vaccinations; the Civil Surgeon of Nagpur
will seldom be able to do any touring, but there appears to be no reason why the
Civil Surgeon of Jubbulpore should not do a little when circumstances admit of it ;
a closer supervision of the staff in his district is desirable. Native Superinten-
dents, who were 3,095 days on tour, visited 17,673 villages and saw 212,593 per-
sons (199,029 primary and 13,564 re-vaccinations), of whom 200,171 had been
successfully vaccinated. In the previous year they saw 191,552 persons (176,801
primary and 14,751 re-vaccinations). In Berar, Civil Surgeons and Native
Superintendents were on tour 218 and 777 days. The former inspected 15,045
primary and 830 re-vaccinations against 5,723 primary and 43 re-vaccinations
in 1903-04, and the latter 46,228 primary and 2,289 re-vaccinations against
48,457 primary and 3,685 re-vaccinations in the preceding year. The decrease
in inspections by Native Superintendents was due to there being no Native
Superintendent in the district of Basim.
Taking the Central Provinces and Berar together the percentage of success
as verified by Civil Surgeons and Native Superintendents and as claimed by
Vaccinators during the past two years was as follows:—
Civil Surgeons
...
...
...
Native Superintendents ... ... ...
Vaccinators
...
...
...
Primary vaccinations.
1903-04.
94.71
94.58
98.96
1904-05.
94.99
94.12
98.91
Re-vaccinations.
1903-04.
33.83
35.16
68.41
1904-05.
49.72
39.24
64.63
In Feudatory States Medical Officers inspected 13,640 primary and 1,388
re-vaccinations and Native Superintendents 44,460 primary and 17,073 re-vaccin-
ations. The percentage of success as verified by Medical Officers was 95.67
in primary and 79.96 in re-vaccinations and by Native Superintendents 93.37
in primary and 79.50 in re-vaccinations. No inspections were made in Makrai
and Sakti and no inspection returns have up to date been received from Khai¬
ragarh, Sarangarh and Rehrakhol States.
Vaccination in Municipalities
(Appendix A).
22. The Vaccination Act was not extended to any additional town in the
Central Provinces or Berar during 1904-05. Out of 57
Municipalities the Act is in force in 49 only. Of the 26,906
children under one year available for vaccination in municipal towns, 23,183 or
86.16 per cent. were successfully vaccinated against 17,769 in the previous year
and 13,475 in the year 1902-03 ; the figure 86.16 compares favourably with the
general provincial ratio of 74.54. In 13 Municipalities more children were success-
fully vaccinated in 1904-05. than are shown as available ; the excess are the
balance of the year previous, unvaccinated by reason of illness, tender age, or
the prevalence of plague ; some also were immigrants. In Jubbulpore and
several other Municipalities plague interfered very much with vaccination. In
Sausar for this reason no work at all was done ; the infant population was in
fact practically wiped out there. In Pulgaon the small amount of work done is
attributable to the slackness of the Hospital Assistant. Vaccination in the
Sambalpur Municipality has been adversely commented on in recent years and
in 1904-05 shows but little improvement; the defect can only be attributed
to neglect—if people are obstructive the aid of the law can be invoked, but prose-
cutions here and elsewhere should be instituted with due care and after persuasion
and warning have failed; exemplary fine in a few well-chosen cases may then be
looked for; the smaller Municipalities in the Nagpur District also require more
attention in connection with vaccination.