3
Nagpur is satisfactory, but there is still a good deal of leeway to be made
up. The very high birth-rate of 1904 and the comparatively low infant mortality,
combined with good work on the part of the vaccination staff in general, account
for the general increase of primary vaccinations. In Wardha although there was
a small decrease as compared with 1903-04, yet 93 per cent. of available infants
under one year were vaccinated. In Balaghat plague is said to have interfered a
good deal with vaccination, in such case re-vaccinations should have decreased
considerably, whereas on the contrary they have increased; in Buldana plague
certainly interfered with vaccination work, moreover there was one Vaccinator short.
Children under one year
available for vaccination and
the number of these success-
fully vaccinated.
12. The number of children under one year of age available for vaccination
in any given year is the number of births in that year
less the number of deaths under one year during the
same period. The successful primary operations per-
formed on infants under one year during the past three
years and the percentage of these to the total available are as follows:—
Year.
1902-03
1903-04
1904-05
Number of infants
under one year
successfully vaccinated.
384,990
358,6l8
408.702
Per cent of
total available.
7977
87.22
74.54
In 1904-05 practically all the available children under one year were success-
fully vaccinated in Nimar, Ellichpur, Betul, Narsinghpur and Bhandara. On the
other hand, in Raipur, Jubbulpore, Bilaspur, Nagpur, Chanda, Buldana and
Sambalpur a considerable proportion remained unvaccinated.
Re-vaccinations (excluding
Feudatory States).
13. The total number of re-vaccinations performed in the Central Provinces
and Berar was 56,564 being 14,294 and 12,889 less than
in 1903.04 and 1902-03, respectively. Of the total num-
ber re-vaccinated 25,766 were adolescents and 30,798 adults. At least one
cause of the decrease is attention to the instruction that no case should be
considered a re-vaccination unless the person showed obvious marks of previous
successful vaccination or of small-pox; there is reason to believe that in former
years many so-called re-vaccinations were really primary vaccinations. The
operation itself is not generally popular, yet in some districts, e. g., Betul, Seoni
and Narsinghpur a large amount of work was done; on the other hand, in
Damoh, Nagpur and Bilaspur, but scant attention appears to have been paid to
re-vaccination; in the Berar districts a fair amount of re-vaccination is done.
Percentage
of successful
operations claimed by Provin-
cial Vaccinators in Central
Provinces and Berar.
14. In the Central Provinces the percentage of successful primary opera-
tions claimed by Provincial Vaccinators was 99.31
against 98.98 in 1903-04 and 97.39 in 1902-03 ; and of
re-vaccination 85.00 against 88.17 and 85.14 in the two
preceding years. In Berar the percentage claimed in
primary cases was 97.45 against 97.92 and 96.80 in 1903-04 and 1902-03, res-
pectively, and in re-vaccinations 17.11 against 15.60 in 1903-04 and 16.50 in
1902-03. In Berar lanolinated lymph is used—it is probably inferior to the
glycerinated calf lymph now extensively used in the Central Provinces. Notwith-
standing efforts to secure uniformity of practice the percentages of successful
re-vaccinations claimed in different districts shows that diverse views are still held
as to what constitutes a successful re-vaccination; in some districts, e. g., Saugor,
Mandla and Narsinghpur, the percentage of successes claimed equals or approxi-
mates that of primary operations, an impossible result; in Ellichpur, on the other
hand, only 3.72 per cent. of re-vaccinations are returned as successful. In the
Berar Division the percentage of success claimed is much less than in the Central
Provinces; it should be noted, however, that in Berar the results were returned as
unknown in 25.22 per cent. of the cases against 4.99 per cent. in the Central
Provinces. Civil Surgeons will again be addressed on this subject.
Primary and re-vaccination
in Feudatory States.
15. The total number of primary and re-vaccinations performed in
Feudatory States, including dispensaries, amounted to
95,545 and 26,751 respectively, being an increase of
4,248 in the former and a decrease of 884 in the latter as compared with the