2
Berar.
10. The total number of vaccinations performed in Berar was 123,696
(101,401 primary and 22,295 re-vaccinations): the per-
centage of success in primary vaccinations was 97.92
and in re-vaccinations 15.60. The average number of operations performed by
each vaccinator was 3,255.
Increase or decrease in pri-
mary operations in different
districts.
11. Compared with 1902-03 twelve districts, viz., Jubbulpore, Mandla,
Seoni, Narsinghpur, Hoshangabad, Nagpur, Chanda,
Bhandara, Balaghat, Raipur, Sambalpur and Akola, show
increases ranging from 143 in Sambalpur to 2,962 in
Mandla. The other districts show decreases ranging from 286 in Damoh to 1,993
in Saugor. The increase in primary vaccination may be attributed to the high
birth-rate which, with the exception of the year 1902, was the highest recorded
during the past two decades. Despite the prevalence of plague, good work
was done in the districts of Nagpur, Hoshangabad and Jubbulpore. Narsinghpur,
which showed a steady decrease during the past four years in primary vaccin-
ations, returns an increase of 1,515 over the figure reported last year.
Berar.
12. All the Berar districts except Akola show a considerable decrease in
primary vaccinations. The decrease is most marked in
Amraoti, Ellichpur and Basim. The decrease is attri-
buted chiefly to plague and to a breakdown of the Lymph Depôt at Amraoti,
which retarded work for about a month.
Children under one year of
age available for vaccination
and the number successfully
vaccinated in the Khalsa and
Berar.
13. Deducting the deaths under one year of age from the births during
1903-04, the number of children who became available
for vaccination during the year both in the Central
Provinces and Berar was 411,166. The number success-
fully vaccinated was 358,618, or 87.22 per cent. In the
district of Nimar the percentage was as high as 118.50 and in Wardha and
Bhandara the percentages were 106.66 and 106.41, respectively. In Narsinghpur,
Chhindwara, Betul, Balaghat, Chanda, Bilaspur, Sambalpur, Amraoti, Ellichpur
and Wun the figures are also high. The number of successful vaccinations on
children under one year of age includes visitors from outside and those that were
left unprotected during 1902-03 on account of tender age, etc. This accounts for
the high percentage of success in some districts. The districts which return the
lowest percentages are Jubbulpore (70.70), Nagpur (73.30), Buldana (7370),
but the success attained in the first two districts is an improvement on last year.
Result of primary vaccination.
14. The percentage of successful cases in which the results were known
was generally very satisfactory. The districts which
showed unsatisfactory results last year show an improve-
ment this year.
Re-vaccination in Khalsa.
15. Compared with the previous year there was an increase of 2,884 in
the number re-vaccinated in the Central Provinces.
The largest increases are reported from Bhandara (6,201),
Sambalpur (4,009) and Betul (3,684). In Bhandara several vaccinators are
reported to have needlessly re-vaccinated children in order to swell their numbers.
The Civil Surgeon has promised to remedy this practice. The percentages of
successful cases of re-vaccination in the Central Provinces and Berar are in
marked contrast: while in the former they appear unduly high, ranging from
36.11 in Nimar to 100.00 in Saugor, in the latter they are extremely low, being
only 5.84 in Ellichpur and 23.90 in Buldana. There may be differences of
opinion as to what constitutes a successful operation, but the subject will receive
attention. In Berar (except in Buldana and Ellichpur, which show increases)
the total number of re-vaccination cases was 1,210 less than in 1902-03. The
percentage of success (15.60) was slightly lower than the previous year. Of
the total number re-vaccinated 40,650 were adolescents and 30,208 were adults.
Expenditure on vaccination
in Khalsa (Statement II).
16. The total cost of the operations in the Central Provinces during
1903-04 amounted to Rs. 42,638-12-8, or Rs. 476-3-8
more than in 1902-03. The increase has occurred under
the head " Travelling allowances," whilst under all other heads the expenditure
is lower than in the year previous. The average cost of each successful case
was 1 anna 10 pies as in the previous year.