4
was 76.03 per cent, while Assistant Superintendents found 53.54 per cent and
Civil Surgeons 47.64; this is probably often due to a long interval elapsing
between the operation and the inspection, for the scar from the secondary opera-
tion is evanescent.
Inspection by the Sanitary
Commissioner.
13. My predecessor, Colonel Weir, I. M. S., who held charge of the
office of the Sanitary Commissioner till the 31st Janu-
ary 1910, inspected during the course of his tours,
5,096 primary vaccinations and found that 0.2 per cent had 6 good marks,
0.1 per cent had 5, 80.2 per cent had 4, 10.4 per cent had 3, 6.7 per cent had
2, 1.8 per cent had only one mark, and in 0.6 per cent there was failure.
The protection afforded during the year was, in my opinion, ' good ' in 80.5 per
cent, 'fair' in 10.4 per cent, ' poor' in 6.7 per cent and ' bad' in 2.4 per cent.
Judging from the figures of 1908-09 when 78.8 per cent were good, 11.1 per
cent fair, 8.3 per cent poor and 1.7 per cent bad, I would say that the quality of
work in these Provinces in 1909-10 has been satisfactory. There appears to be
a lack of uniformity in the modus operandi in many cases which might be correct-
ed with advantage. The result to be aimed at is that of obtaining two good
cicatrices on each arm, but every conceivable variation in number and situation
of the insertions is found due apparently to the whim of the vaccinator.
Cultivation of lymph.
14. 3,466 calves were vaccinated during the year against 3,469 in the preced-
ing year, and 3,078 were used as vaccinifers, the cost
incurred being Rs. 498-8-7. There can be little doubt
I think that the lymph for each district should be prepared at head-quarters
under proper supervision. At present some lymph is manufactured in this way,
some by the Assistant Superintendent, and frequently Vaccinators prepare their
own. The question of a large Central depot for the Provinces is a more difficult
one, but in my opinion every Civil Surgeon should take steps to build a suitable
shelter for calves and have a small laboratory in which the lymph would be made
on a system more in keeping with scientific principles.The present plan is
most unreliable and cases of numerous undesirable complications are reported,
though these are probably often due to soothing applications made by the
mothers. Calves can always be obtained on hire at Re. 0-8-0 or Re. 1 each, and
the number required is really not great (though it appears to vary enormously
probably on account of bad management). In Nagpur for example 65 calves
supplied 1,518 drachms of lymph from which 29,289 vaccinations were performed.
The strain of lymph should be re-enforced by obtaining seed lymph from the
Lister Institute as recommended by the Civil Surgeon, Yeotmal. The Deputy
Commissioner, Hoshangabad, suggests a supply of calves from the Agricultural
Department. I do not know if this would find favour in their eyes, but the matter
will be put before the Department for consideration.
Kind of lymph used and the
success obtained therefrom.
15. Only glycerinated calf lymph was used during
the year, and the success obtained therefrom was 94.27
per cent.
Vaccination in Municipal
towns and Vaccination Act.
APPENDIX A
16. This statement has been prepared in accordance with instructions
conveyed in Government of India No. 1798, dated the
2nd November 1909. In the Municipal towns there
were in all 34,019 births during the year and 9,197 deaths
among infants under one year of age. The infants under one year successfully
vaccinated numbered 21,171. Many of the available children could not be vac-
cinated owing to reasons given in paragraph 3. The Vaccination Act was ex-
tended during the year to three towns—Chanda, Warora and Drug. In several
towns this matter requires attention, viz. —
(1) Umrer—it is unnecessary to keep a Vaccinator to do 152 operations per
annum ;
(2) Amraoti requires a Municipal Vaccinator of its own ;
(3) In Betul, only half the available children were vaccinated which is most
unsatisfactory;