NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
29
verified by Inspecting Officers during the year 1921-22.—(Concld.)
Percentage of cases found successful of total
number inspected.
By Deputy Sanitary
Commissioner or Civil
Surgeons.
Primary
vaccina-
tions.
12
Re-vaccina-
tions.
13
By Native Superintendents
or other Inspecting
Officers.
Primary
vaccina-
tions.
14
PROVINCES AND BERAR.
99.43
90.22
100.00
99.77
95.57
100.00
100.00
100.00
97.34
92.62
96.77
99.61
98.61
98.36
98.32
99.37
99.57
98.95
99.51
96.72
96.85
99.43
98.91
76.32
43.31
...
61.88
34.76
...
25.00
...
50.00
65.79
...
46.15
27.51
...
25.81
31.88
52.15
...
47.56
65.46
22.05
34.62
42.17
98.00
99.13
98.92
97.31
98.97
89.94
98.87
99.59
96.44
95.22
96.86
99.56
80.80
96.76
98.07
97.87
98.04
97.50
97.96
96.38
95.73
96.86
97.34
Re-vaccina-
tions.
15
29.83
52.22
45.46
47.17
42.36
32.61
18.95
40.83
75.00
52.32
32.50
61.80
36.54
33.22
23.83
67.87
57.41
56.83
23.48
31.20
13.77
30.68
40.10
Percentage of success reported
by Vaccinators.
Primary
vaccina-
tions.
16
98.89
99.62
99.97
97.94
99.69
99.26
99.73
99.71
97.39
98.56
99.42
99.05
98.13
98.04
99.53
98.98
99.33
99.25
98.77
97.43
96.16
97.94
98.76
Re-vaccina-
tions.
17
37.12
64.94
54.50
79.90
58.10
72.04
53.04
50.21
70.07
81.61
57.42
49.40
39.95
58.67
74.84
66.99
73.18
72.02
38.42
55.18
33.57
35.08
57.87
30
APPENDIX A.— Statement showing the number of vaccinations
performed in Municipal Towns on children under one year of age
in 1921-22.
Towns.
1
Nagpur District.
Nagpur ...
Kamptee Cantonment ...
Umrer ...
Ramtek ...
Khapa
...
Saoner ...
Kalmeshwar
...
Mowar ...
Katol
...
Total ...
Bhandara District.
Bhandara
...
Powni
...
Tumsar ...
Gondia
...
Total ...
Wardha District.
Wardha ...
Hinganghat ...
Arvi
...
Deoli
...
Pulgaon ...
Sindi ...
Total ...
Number
of
births
during the
year.
2
6,357
447
569
348
271
377
217
209
403
9,098
562
359
240
312
1,503
458
621
510
243
239
213
2,284
Number
of
deaths
among children
under one
year during
the year.
3
2,187
154
168
111
62
71
71
53
133
3,010
161
102
80
119
462
186
155
114
60
82
61
658
Number of
successful
vaccinations
on children
under one
year during
the year
ending the
31st March
1922.
4
4,560
317
355
205
133
75
171
119
316
6,251
276
289
197
163
925
348
541
506
183
269
150
1,997
Date of extension of
Vaccinatian Act
to town.
5
29th September 1892.
28th June 1906.
15th June 1900.
17th September 1901.
1st October 1915.
13th July 1914.
19th November 1913.
19th November 1912.
12th January 1916.
21st December 1893.
15th February 1894.
27th June 1894.
16th March 1916.
24th July 1897.
7th September 1899.
21st May 1900.
2nd November 1898.
7th October 1905.
30th November 1916.
31
APPENDIX
A.—Statement showing the number of vaccinations
performed in Municipal Towns on children under one year of
age in 1921-22. —(Contd.)
Towns.
1
Chanda District.
Chanda
...
Warora
...
Total ...
Balaghat District.
Balaghat
...
Jubbulpore District.
Jubbulpore ...
Do.
Cantonment ...
Sehora ...
Murwara ...
Total ...
Saugor District.
Saugor
...
Do. Cantonment ...
Khurai
...
Deori ...
Etawa ...
Bamora ...
Total ...
Damoh District.
Damoh ...
Seoni District.
Seoni ...
Mandla District.
Mandla ...
Number
of
births
during the
year.
2
836
336
1,172
150
2,356
360
183
628
3,527
1,352
307
309
208
136
74
2,386
665
490
298
Number
of
deaths
among children
under one
year during
the year.
3
286
138
424
28
1,072
143
51
257
1,523
400
99
87
50
21
15
672
245
143
99
Number of
successful
vaccinations
on children
under one
year during
the year
ending the
31st March
1922.
4
613
153
766
127
775
154
107
226
1,262
787
235
156
139
94
54
1,465
407
267
147
Date of extension of
Vaccination Act
to town.
5
18th March 1909.
13th July 1903.
27th July 1897.
15th February 1890.
28th December 1898.
8th December 1898.
5th September 1894.
22nd May 1895.
9th October 1899.
28th April 1916.
8th July 1920.
22nd December 1892.
1st March 1903.
20th April 1898.
32
APPENDIX
A.—Statement showing the number of vaccinations
performed in Municipal Towns on children under one year of age
in 1921-22.—(Contd.)
Towns.
1
Hoshangabad District.
Hoshangabad ...
Harda
...
Seoni-Malwa ...
Itarsi
...
Sohagpur
...
Piparia
...
Pachmarhi ...
Total ...
Nimar District.
Khandwa
...
Burhanpur ...
Total ...
Narsinghpur District.
Narsinghpur ...
Gadarwara ...
Chhindwara ...
Total ...
Betul District.
Betul ...
Betul-Bazar ...
Multai ...
Total ...
Chhindwara District.
Chhindwara ...
Pandhurna ...
Sausar ...
Total ...
Number
of
births
during the
year.
2
545
657
284
400
304
144
134
2,468
1,206
1,727
2,933
379
320
127
826
243
240
201
684
501
369
205
1,075
Number
of
deaths
among children
under one
year during
the year.
3
154
192
65
100
62
26
46
645
395
471
866
89
87
41
217
62
59
48
169
159
135
40
334
Number
of
successful
vaccinations
on children
under one year
during the year
ending the 31st
March 1922.
4
358
343
107
171
197
100
16
1,292
682
919
1,601
83
221
112
416
157
101
55
313
224
137
156
517
Date of extension of
Vaccination Act
to town.
5
5th April 1894.
24th September 1892.
19th February 1901.
8th March 1916.
1st May 1920.
8th August 1906.
28th August 1894.
6th September 1893.
29th September 1892.
16th September 1892.
13th May 1896.
20th September 1896.
6th September 1893.
5th January 1914.
6th March 1914.
33
APPENDIX A.—Statement showing the number of vaccinations
performed in Municipal Towns on children under one year of age
in 1920-22.—(Concld.)
Towns.
1
Raipur
District.
Raipur ...
Dhamtari ...
Bhatapara
...
Total ...
Bilaspur
District.
Bilaspur ...
Drug
District.
Drug
...
Amraoti
District.
Amraoti ...
Do. Camp ...
Eilichpur
...
Do. Camp ...
Total ...
Yeotmal
District.
Yeotmal
...
Akola District
Akola ...
Akot ...
Basim ...
Karanji ...
Murtazapur ...
Total ...
Buldana District.
Buldana ...
Khamgaon ...
Shegaon ...
Malkapur ...
Total ...
GRAND TOTAL
Number
of
births
during the
year
2
1,241
360
127
1,728
703
349
1,653
273
873
317
3,116
649
1,436
659
452
621
435
3,603
220
744
614
559
2,137
41,844
Number
of
deaths
among children
under one
year during
the year.
3
509
116
74
699
244
184
444
73
261
114
892
173
457
196
126
171
131
1,081
70
270
260
152
752
13,520
Number
of
successful
vaccinations
on children
under one ye?r
during the year
ending the 31st
March 1922.
4
653
165
51
869
449
151
984
159
669
173
1,985
474
964
262
383
407
301
2,317
164
590
364
478
1,596
25,594
Date of extension of
Vaccination Act
to town.
5
25th October 1888.
18th September 1903.
15th February 1916.
30th May 1894.
10th February 1916.
8th August 1854.
18th March 1893.
8th August 1894.
22nd December 1893.
1st April 1894.
18th March 1893.
1st April 1897
11th May 1917.
22nd December 1893.
18th March 1893.
8th August 1894.
2nd February 1911.
34
APPENDIX B.—Statement showing the annual mortality from small¬
Vaccination during each of
Year.
1
1915-16 ...
1916-17 ...
1917-18 ...
1918-19
...
1919-20 ...
1920-21 ...
1921-22 ...
—
2
Annual mortality from small-pox ...
Annual proportion of persons protected by vaccination
per 1,000 of population.
Annual mortality from small-pox
...
Annual proportion of persons protected by vaccination
per 1,000 of population.
Annual mortality from small-pox ...
Annual proportion of persons protected by vaccination
per 1,000 of population.
Annual mortality from small-pox ...
Annual proportion of persons protected by vaccination
per 1,000 of population.
Annual mortality from small-pox ...
Annual proportion of persons protected by vaccination
per 1,000 of population.
Annual mortality from small-pox ...
Annual proportion of persons protected by vaccination
per 1,000 of population.
Annual mortality from small-pox ...
Annual proportion of persons protected by vaccination
per 1,000 of population.
Nagpur.
3
8
35.23
10
32.82
3
34.44
125
40.66
303
27.11
63
32.17
109
32.62
Bhandara.
4
6
43.22
4
44.70
4
48.31
7
37.90
52
29.44
96
26.80
130
24.80
Wardha.
5
19
34.59
4
33.43
4
35.70
66
34.65
218
31.76
80
35.84
43
35.33
35
pox for seven years and the annual proportion of persons protected by
the seven years.
Chanda.
6
60
42.61
8
36.72
3
38.16
155
28.32
428
23.20
221
20.67
56
20.39
Balaghat.
7
4
39.03
1
31.09
20
43.30
...
34.74
1
28.91
21
27.78
58
23.68
Jubbulpore.
8
...
34.51
...
37.74
...
47.32
3
33.50
6
26.50
16
34.21
98
21.24
Saugor.
9
...
50.01
...
38.68
...
46.83
1
36.13
66
27.07
6
29.31
...
28.55
Damoh.
10
7
32.90
8
33.51
29
36.76
9
26.51
21
32.89
80
31.28
61
31.95
Seoni.
11
12
44.05
2
33.39
3
40.57
3
37.05
73
27.34
335
16.68
69
16.01
Mandla.
12
38
41.00
4
39.39
5
39.13
5
23.23
13
26.69
208
25.40
244
22.64
Hosh¬
anga¬
bad.
13
...
34.06
4
35.86
3
35.63
21
32.39
134
27.69
5
29.34
6
30.50
36
APPENDIX B.—Statement showing the annual mortality from small¬
Vaccination during each of
Years.
1
1915-16 ...
5916-17...
1917-18 ...
1918-19
...
1919-20 ...
1920-21 ...
1921-22 ...
—
2
Annual mortality from small-pox
...
Annual proportion of persons protected by vaccination
per 1,000 of population.
Annual mortality from small-pox
...
Annual proportion of persons protected by vaccination
per 1,000 of population.
Annual mortality from small-pox
...
Annual proportion of persons protected by vaccination
per 1,000 of population.
Annual mortality from small-pox ...
Annual proportion of persons protected by vaccination
per 1,000 of population.
Annual mortality from small-pox ...
Annual proportion of persons protected by vaccination
per 1,000 of population.
Annual mortality from small-pox
...
Annual proportion of persons protected by vaccination
per 1,000 of population.
Annual mortality from small-pox
...
Annual proportion of persons protected by vaccination
per 1,000 of population.
Nimar.
14
16
39.14
2
31.09
44
40.05
69
37.26
93
32.24
1
33.43
6
34.33
Nar¬
singh¬
pur.
15
3
34.13
...
35.02
...
36.38
18
30.21
83
26.77
35
26.05
17
21.81
Betul.
16
8
40.65
4
36.35
8
36.06
2
23.63
129
20.38
55
22.72
3
27.56
37
pox for seven years and the annual proportion of persons protected by
the years.—(Concld.)
Chhind¬
wara.
17
...
43.78
...
47.57
...
40.83
4
40.80
43
29.13
15
28.21
4
29.05
Rai¬
pur.
18
132
39.27
52
37.80
136
37.04
344
32.95
708
29.60
143
27.72
120
26.93
Bilas¬
pur.
19
138
38.86
48
35.35
134
38.91
972
40.68
1,409
36.04
412
26.07
70
25.76
Drug.
20
346
40.08
28
38.02
3
43.60
6
35.64
270
32.39
251
32.85
40
22.77
Amraoti.
21
25
33.39
23
32.50
25
33.19
473
29.27
372
23.57
16
25.26
12
26.47
Yeotmal.
22
28
40.74
57
30.26
43
37.20
280
23.01
294
22.70
179
25.09
41
26.11
Akola.
23
12
34.25
31
31.52
133
31.04
991
29.21
443
23.47
21
28.18
15
26.84
Buldana.
24
3
36.17
2
35.78
381
40.70
699
33.68
113
32.39
4
28.36
14
28.49
Govt. Press, Nagpur :—No. 1087, Dir. of P. H.—16-10-22.—315.
TRIENNIAL REPORT
ON
VACCINATION
IN THE
CENTRAL PROVINCES AND BERAR
FOR THE YEARS
1920-21, 1921-22 AND 1922-23
NAGPUR
PRINTED AT THE GOVERNMENT PRESS
1923
[PRICE—ONE RUPEE]
TRIENNIAL REPORT
ON
VACCINATION
IN THE
CENTRAL PROVINCES AND BERAR
FOR THE YEARS
1920-21, 1921-22 AND 1922-23
Agents for the sale of Books published by the Central Provinces.
Government.
IN ENGLAND.
CONSTABLE & Co., 10, Orange Street, Leicester Square, London, W. C.
P. S. KING & SON, 9, Bridge Street, Westminster, London, S. W.
KEGAN PAUL, TRENCH, TRÜBNEB & Co., 68/74, Carter Lane, London, E. C., and
39, New Oxford Street, London, W. C.
E. QUARITCH, 11, Grafton Street, New Bond Street, London, W.
GRINDLAY & Co., 64, Parliament Street, London, S. W.
DEIGHTON BELL & Co., LD., Cambridge.
B. H. BLACKWELL, 50 & 51, Broad Street, Oxford.
HENRY S. KING & Co., 65, Cornhill, London, E. C.
LUZAC & Co., 46, Great Russell Street, London, W. C.
W. THACKER & Co., 2, Creed Lane, London, E. C.
MESSRS. EAST & WEST, LTD., 3, Victoria Street, London, S. W. 1.
OLIVER & BOYD, Tweeddale Court, Edinburgh.
E. PONSONBY, LTD., 116, Grafton Street, Dublin.
T. FISHER UNWIN, LTD., 1, Adelphi Terrace, London, W. C.
MESSRS. WHELDON AND WESLEY, Ltd., 2, 3 & 4, Arthur Street, New Oxford Street, London, W. C. 2.
ON THE CONTINENT.
ERNEST LEROUX, 28, Rue Bonaparte, Paris.
MARTINUS NIJHOFF, The Hague.
OTTO HARRASSOWITZ, Leipzig.
FRIEDLANDER & SOHN, Berlin.
IN INDIA AND THE COLONIES.
THACKER, SPINK & Co., Calcutta and Simla.
NEWMAN & Co., Calcutta.
R. CAMBRAY & Co., Calcutta.
S. K. LAHIRI & Co., Calcutta.
BUTTERWORTH & Co. (INDIA), LTD, 8-2, Hastings Street, Calcutta.
CALCUTTA SCHOOL BOOK AND USEFUL LITERATURE SOCIETY, Calcutta.
THE WELDON LIBRARY, 18/5, Chowringhee Road, Calcutta
M. C. SIRCAR & SONS, 75, Harrison Road, Calcutta.
THE ASSOCIATION PRESS, Calcutta.
THE PROPRIETOR, INTERNATIONAL BUDDHIST BOOK DEPÔT, 4, Chandney Chowk, 1st Lane Calcutta.
A. J. COMBRIDGE & Co., Bombay.
'
THACKER & Co., LTD., Bombay.
RADHABAI ATMARAM SAGOON, Bombay.
SUNDER PANDURANG, 25, Kalbadevi Road, Bombay.
RAMCHANDRA GOVIND & SON, Booksellers, Kalbadevi, Bombay.
A. J. COMBRIDGE & Co., Madras.
HIGGINBOTHAM & Co., Madras.
V. KALYANARAM IYER & Co., Madras.
G. A. NATESAN & Co., Madras.
S. MURTHY & Co., Madras.
THOMPSON & Co., Madras.
TEMPLE & Co., Madras.
RAI SAHIB M. GULAB SINGH & SONS, Lahore.
THE PROPRIETOR, NEWAL KISHORE PRESS, Lucknow.
N. B. MATHUR, SUPERINTENDENT, NAZAIR KANUN HIND PRESS, Allahabad
A. H. WHEELER & Co., Allahabad, Calcutta and Bombay.
SUPERINTENDENT, AMERICAN BAPTIST MISSION PRESS, Rangoon.
MANAGER, GENERAL BOOK DEPÔT, Nagpur and Jubbulpore.
THE MANAGER, "The Hitawad," Nagpur.
A. M. & J. FERGUSON, Booksellers, Ceylon.
BABU S. C. TALUQDAR, Proprietor, Students & Co., Cooch Behar.
THE STANDARD BOOKSTALL, Karachi,
KARSANDAS NARANDAS & Sons, Surat.
MUNSHI SEETA RAM, Managing Proprietor, Indian Army Book Dopôt, Juhi, Cawnpore.
THE PROPRIETORS, New Kitabkhana, Poona.
THE OXFORD BOOK AND STATIONERY Co., Delhi.
THE PATNA LAW PRESS Co., Patna.
No. 2387/567-IX
GOVERNMENT OF THE CENTRAL PROVINCES,
MEDICAL ADMINISTRATION AND PUBLIC HEALTH
DEPARTMENT.
Nagpur, the 6th October 1923.
READ—
The Triennial Report on Vaccination in the Central Provinces and
Berar for the years 1920-21, 1921-22 and 1922-23, with state¬
ments.
RESOLUTION.
An examination of the statistics of vaccination during the last
nine years shows that, while the number of vaccinations performed
during the three years ending 1916-17 was 1,754,752, it declined
to 1,616,431 during the next triennial period, and fell to 1,279,167
during the triennium under review
The decrease in the years
1917-20 amounted to only 7.8 per cent and was mainly due to the
influenza epidemic which hampered vaccination work. The period
under review on the other hand shows a fall of 20.8 per cent as
compared with the previous triennium for which no satisfactory
explanation is forthcoming. The decrease was most marked in
primary vaccinations, which may be partly accounted for by the
low birth-rate in 1920-21, but the chief reasons appear to have
been slackness on the part of vaccination staff combined with
apathy on the part of the people. The general opposition to all
Government measures excited by the non-co-operation movement,
and the absence of any severe small-pox epidemic in recent years,
undoubtedly rendered the vaccinator's task more difficult, but this
alone was not sufficient to account for the serious backsliding
which has occurred and other reasons must be sought. One of
these is the cessation of touring by the Civil Surgeons which was
ordered as a measure of economy and the consequent absence of
supervision over the vaccinators' work. The Local Government
(Ministry of Public Health) considers that there should be proper
inspection of the vaccinators' work and that the bar on touring
by Civil Surgeons in tents should now be removed.
2
Another reason for the unsatisfactory state of vaccination
during the triennium was the stoppage of executive action by
Revenue officers. In the past the practice was for Tahsil¬
dars to take action against parents who failed to have their
children vaccinated, but for obvious reasons the system could not
be continued as a permanent measure. It is necessary however
in the interests of the coming generation that the executive action
of the Revenue officer should be replaced by some other method
of pressing the merits of vaccination on the attention of the
people. During the triennium under review, the administrative
and executive control over the vaccination staff was transferred
to the local bodies, and His Excellency the Governor acting with
the Minister trusts that they will take an active interest in the
work. The District Councils at present have no health officers
of their own and Civil Surgeons have accordingly been instructed
to advise in technical matters and assist in supervising the staff.
Many of the local bodies have delegated to the Civil Surgeons
their powers of technical control over the staff, and the Local
Government trusts that, under the new conditions, a real effort
will be made to recover the ground lost during recent years. For,
as the Director remarks, if a considerable percentage of children
remain unvaccinated, the susceptibility of the population to small-
pox infection greatly increases and a severe epidemic may sweep
over the province at any time.
ORDER.—Ordered that a copy of this Resolution be for-
warded to the Director of Public Health, Central Provinces, for
information and guidance; also, that it be published in the Supple-
ment to the Central Provinces Gazette
By order of Government (Ministry of Medical
Administration and Public Health),
A. MCDONALD,
Financial Secretary to Government,
Central Provinces.
Govt. Press, Nagpur:—No. 1314, Civil Sectt.—10-10-23—284.
TABLE OF CONTENTS.
Introductory
...
... ...
Administration
...
...
...
Area and population ...
...
...
Establishment
... ... ...
Total operations
...
...
...
Vaccination performed by special staff ...
Revaccinatons
...
...
...
Vaccination iby dispensary staff and other agencies
...
Cost of Vaccination Department
... ...
Inspection of vaccination ... ... ...
Percentage of success in primary and revaccination
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Vaccination in Municipal towns ... ...
Mortality from small-pox
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General remarks
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PARAS.
1
2
3
4&5
6&7
8—13
14
15
16—18
19—22
23
24
25—27
28
TRIENNIAL REPORT ON VACCINATION
IN THE
Central Provinces and Berar for the years 1920-21, 1921-22
and 1922-23.
1. Introductory.—The annual notes for 1920-21 and 1921-22 .
deal briefly with the vaccination work performed in those years,
while this report deals more fully with the work performed during
the triennium as a whole.
2. Administration —During the triennium the charge of
the department was held by me except for the period from the
26th July 1920 to 25th June 1921 when I was on leave. Major
A. E. Grisewood, I.M.S., was in charge from the 26th July to the
20th September 1920 when Major P. M. Rennie, I.M.S., succeed-
ed him and remained in charge till the 25th June when I returned
from leave and resumed charge.
3. Area and population.—The area served by the
vaccination staffs remained the same as in the previous triennium,
viz., 99,823 square miles, while the population of the province
which was 13,916,158 in the previous triennium has decreased
to 13,912,760 according to the census of 1921.
4. Establishment.—During the triennium the number of
Assistant Superintendents of Vaccination continued the same (36),
but that of vaccinators was reduced by one man. In Yeotmal
district three more men were entertained, in Buldana two, Nimar,
Betul and Drug one each, while Chanda reduced its staff by three
and Nagpur, Narsinghpur and Raipur by two each. The estab-
lishment during the triennium therefore stood at 36 Assistant
Superintendents of Vaccination and 307 vaccinators as compared
with 36 and 308 respectively in the previous triennium.
5. It is reported by the Civil Surgeon, Chanda, that the
deficiency of the staff in that district partly accounts for the
fall in the number of operations performed there. The District
Council would be well advised to pay attention to this matter and
take early steps to increase the number of vaccinators.
2
6. Total operations performed.—The following table
illustrates the progress of vaccination during the triennium as
compared with the previous triennium :—
Establish-
ment.
By vaccina¬
tors.
By Sub-Assist-
ant
Sur-
geons
at-
tached
to
dispensaries.
By
other
agencies.
Total ...
Triennial period ending 1922-23.
1920-21.
438,501
32
961
439,494
l921-22.
409,979
109
294
410,382
1922-23.
427,874
1,033
384
429,291
Total.
1,276,354
1,174
1,639
1,279,167
Triennial period ending 1919-20.
1917-18.
604,460
...
346
604,806
1918-19.
538,2l6
...
917
539,133
1919-20.
470,138
436
1,918
472,492
Total.
1,612,814
436
3,181
1,616,431
Difference.
—336,460
+ 738
—1,542
—337,264
7. From the above it will be seen that the vaccination staff
(as distinct from others) actually performed 336,460 fewer vacci-
nations during this triennium than in the previous one. This
difference is made up of 223,760 primary and 112,700 revaccina¬
tions and is remarked on rightly as very serious by Commissioners,
Deputy Commissioners and Civil Surgeons alike.
The decrease is most marked in primary vaccination and
suggests that the low birth-rate in 1920-21 may be responsible.
In the triennium under report there were actually 135,632 fewer
births, but this does not explain the above large decrease in
infant vaccinations as a difference of 88,128 remains unexplained.
It is clear that the birth-rate has had a great effect by pro¬
viding fewer children, but other factors have also had a marked
effect. Of these, political agitation, diminished supervision by
Civil Surgeons and discontent of vaccinators arising from delayed
increase of. pay are clearly the causes. The effect of these latter
on revaccination is very pronounced.
8. Vaccination performed by the special staff.—
Statement No. I.—The total number of operations performed
by vaccinators during the triennium was 1,276,354, of which
1,129,194 were primary and 147,160 revaccinations (377,456
primary and 61,045 revaccinations in 1920-21, 364,660 and
45,319 in 1921-22 and 387,078 and 40,796 in 1922-23). As com-
pared with the operations performed during the previous triennium,
all districts show a decrease, the most marked being Bilaspur
(33,514), Seoni (29,773), Bhandara (29,339), Raipur (25,687),