5
The work done by the Superintendent at Wardha is very satisfactory. He
inspected 84.69 per cent of the primary vaccinations done. A good amount
was also done in Raipur (67.51 primary and 43.53 re-vaccinations), Nimar (66.17
primary and 61.23 re-vaccinations) and Balaghat (59.84 primary and 36.21
re-vaccinations). In the rest a fair amount was done except in Mandla, Seoni,
Betul, Nagpur, Chanda, Amraoti and Akola, where it was low. The attention
of the Civil Surgeons will be drawn to this. In the Feudatory States, no inspec-
tions were done by Medical Officers except in Chhuikhadan where the Civil
Surgeon, Drug, inspected 79 primary vaccinations. The work of Superintendents
also is very low (27.59 per cent of primary and 30.52 of re-vaccinations). In
fact in many of the States there are no regular Superintendents to check the
work of the staff and exercise supervision over them.
Verification of vaccination.
16. The percentage of success, as verified by Civil Surgeons and Superinten-
dents, and as returned by vaccinators in the Central
Provinces and Berar (excluding Feudatory States) during
the past three years, was as follows :—
By Civil Surgeons..
By Superintendents...
By Vaccinators...
Primary Vaccinations.
1905-06
96.51
95.17
97.70
1906-07.
95.93
95.69
98.75
1907-08.
95.99
95.80
98.75
Re-vaccinations.
1905-06
49.30
54.24
62.71
1906-07.
58.37
63.41
75.22
1907-08
57.11
60.42
76.12
From the above table, it will be seen that the percentage of success verified
by Superintendents in primary operations correspond with that of Civil Surgeons,
while the success claimed by vaccinators is generally high. This is probably
due to vaccinators submitting false returns of their work in the out-of-the-way
tracts which the Civil Surgeons or Superintendents seldom visit. If unexpected
visits were paid to such places, the percentage of successful operations verified
would be much smaller than that shown at present.
Inspections done by the Sa-
nitary Commissioner.
17. The number of children vaccinated in 1907-08, who were seen by my
predecessor—Colonel Weir—in the course of his inspec-
tions, was 4,233. Of these, 15.71 per cent had six and 3.10
per cent had five good cicatrices and were held to be excellently protected against the
risks of small-pox ; 55.85 per cent with four good marks were well protected and
10.35 per cent with three marks were fairly protected, while 12.26 per cent with
two marks were only poorly protected. 1.80 per cent having one mark and 0.93 in
which no good mark resulted from the operation were classified as not protected.
Cultivation of lymph in the
Central Provinces and Berar
and the expenditure incurred
thereon
18. 3,877 calves were vaccinated in 1907-08, of which 3,327 were used as
vaccinifers against 3,914 and 3,426, respectively, in 1906-
07, and 4,645 and 4,017 in the year previous. If lymph
was prepared at head-quarters, so many calves would not
be required. The cost incurred in the preparation of
lymph amounted in all to Rs. 1,945-3-3 in the past year against Rs. 1,922-11-6 in
1906-07 and Rs. 2,257-7-6 in the year preceding, the excess expenditure in
1907-08 over that of 1906-07 being due to high prices of fodder supplied to the
vaccinated calves.
Operations performed by
different kinds of lymph.
19. The following table shows the different kinds,of lymph used in the
Provinces (excluding Feudatory States) and the results
obtained with each during the past three years :—
Years.
1905-06...
1906 07...
1907-08...
By fresh calf
lymph.
Number
vacci-
nated.
43,617
6,103
2,517
Percent-
age of
success
57.60
96.93
95.19
By glycerinated
calf lymph.
Number
vacci-
nated.
480,615
529,543
525,181
Percent-
age of
success
96.38
92.01
93.00
By human (arm-to-
arm) lymph
Number
vacci-
nated
9,950
8,546
4,431
Percent-
age of
success
95.98
95.86
97.33
By lanolinated
calf lymph.
Number
vacci-
nated.
25,261
383
382
Percent-
age of
success.
90.77
75.45
87.17
Total.
Number
vacci-
nated.
559,443
544,575
538,511
Percent-
age of
success.
93.10
92.11
93.04
The use of glycerinated lymph has much increased during the triennium,
and in 1907-08 as much as 98.62 per cent of the operations were performed by