3
Dispensary Vaccination.
STATEMENT III
9 Under orders conveyed in Secretariat letter No. 573—VI-29-2, dated the
21 st April 1909, vaccination by Sub-Assistant Surgeons
attached to dispensaries, was stopped. The few operations
that were done, were performed before the orders reached the Sub-Assistant
Surgeons. In the Feudatory States, 4,734 operations were performed (4,259
primary and 475 re-vaccinations) against 4,418 (3,904 primary and 514 re-vac-
cinations,)in 1908-09, the percentage of success claimed being 94.50 in primary
and 95.27 in re-vaccination.
Inspection of vaccination.
STATEMENT V
10. Civil Surgeons were 749 days out on tour and inspected 60,988 pri-
mary and 9,615 re-vaccinations (i. e., 13.21 per cent of the
total operations) in 5,577 villages. In very few districts
were real surprise visits paid. The Civil Surgeon, Narsinghpur, paid such visits
and derived some information by them In some districts the system adopted
was faulty. The Civil Surgeon unexpectedly visited villages where the vaccinators
were working, the first news of his visit was the arrival of his tents a few hours
before him. These few hours would enable a vaccinator to hide all unsuccessful
cases and unprotected children Surprise visits should be paid in villages at a dis-
tance from where the vaccinator is working. The system at present in vogue is
faulty in that the vaccinators collect children and produce, as remarked by the
Civil Surgeon, Wardha, only the cases in which the results have been successful.
In some cases it appears that the system of collecting children at a centre is large
ly employed, for the average number of villages inspected by one Civil Surgeon
comes to 16 per day; he no doubt sees a lot of work in this way, but it is a most
inferior method of inspection, devoid of thoroughness in the detail which is indis-
pensable if a real knowledge of the vaccinator's work is to be obtained. It is
further often a trouble to the people. As pointed out in last year's report
the limit of 10 days for touring can be extended by the permission of the Deputy
Commissioner or Commissioner.
11. Assistant Superintendents and other Inspecting Officers, such as the
Sub- Divisional Medical Officers at Basim, Ellichpur and Khamgaon, were 3,202
days out on tour and inspected 244,090 vaccinations (225,006 primary and 19,084
re-vaccinations, or 45.68 per cent of the total operations) in 18,337 villages. In
Narsinghpur, the Assistant Superintendent only toured for 69 days against 136
days in the previous year which is explained by a change of Superintendents
having occurred. It is not understood why this should cause such a falling off.
In Chanda the Assistant Superintendent only inspected 29 per cent of the work
and has not inspected in Sironcha for five years which is very unsatisfactory and
may account for the severity of the small-pox epidemic which recently visited the
district. Assistant Superintendents should arrange their inspections so that vil-
lages omitted one year would be inspected in the next season. It is proposed by
the Deputy Commissioner, Buldana, to allow vaccinators a fee for vaccinating
children at the houses of the better classes, but the suggestion does not commend
itself to my judgment. The amount of inspection work done by Assistant Super¬
intendents during the past year was very small in many districts owing to the
prevalence of plague. The absence of people owing to the numerous marriages
during the season following Sinhast also created a difficulty regarding which
the Civil Surgeon, Buldana, writes " It was a common thing to find at my inspec-
tions that one-third of the children who had been vaccinated, were absent from
the village at a ' Shadi' with their mothers." In Nagpur only 27.65 per cent of
the total work was inspected. As the district is too large for one man to manage
an additional Assistant Superintendent has been sanctioned for the district, as
also for Raipur and Bilaspur to each of which two additional hands have been
sanctioned. I am of opinion that Chanda should have an additional Assistant
Superintendent.
Percentage of success.
12. The percentage of success in primary vaccinations returned by vac-
cinators, was 99.24 against 98.46 and 97.50 found on in-
spection by Civil Surgeons and Assistant Superintendents.
The Civil Surgeons of Nagpur and Chanda have recorded cent per cent success,
while that claimed by the vaccinators is less, which shows that vaccinators
are apt to produce only successful cases if they know of the intended visit of the
Civil Surgeon. In re-vaccination the success recorded by vaccinators