4
210,920 in the previous year. The decrease in the number of operations inpsected
is due to the more detailed and systematic manner in which the work is now
inspected and checked, by comparing inspecting officers' diaries and reports
and examining vaccinators' registers in the villages and verifying a number
of the entries. The inspecting work done during the year by the Deputy
Sanitary Commissioners has been very comprehensive, and they have submit-
ted valuable reports on the efficiency of the staff and the arrangements in
twenty of the twenty-one districts in the province. Action has been taken on
these reports in each case.
The Civil Surgeons of the province have inspected during the year 65,694
primary and 6,385 revaccination operations against 67,096 primary operations
and 6,263 revaccinations last year. It should be noted that the methods of
inspection, of Civil Surgeons and Deputy Sanitary Commissioners are different.
Civil Surgeons inspect the new work which has just been done and the numbers
returned by them are therefore smaller, whereas Deputy Sanitary Commis-
sioners, inspect all the children under ten years of age, and look at old work
as well as new work, and also look for unvaccinated children and children who
are marked with small-pox, and they also examine vaccinators' registers
and other records in the villages where they can be verified and checked.
10. The officers of the Inspecting staff.— The officers of the Inspecting
staff have not yet attained to a very satisfactory standard of efficiency. A few
of them are energetic and capable, and these men have been rapidly promoted
and put in the most responsible positions. The majority, however, are careless
and negligent and do not attempt to carry out their duties honestly and effi-
ciently. The standing rules of the Department and recent orders have been
enforced with considerable stringency in order to imbue the staff with some
sense of discipline. As that object does not appear to have been sufficiently
attained, the process at present continues, and a large number of inspecting
officers have been punished during the last year under report. At the end
of the last three working seasons a list of the punishments and promotions
has been circulated for general information amongst the members of the staff.
I am glad to be able to report that there has been in my opinion a defi-
nite improvement in the discipline and energy of the staff, but it has been
somewhat slow and there is still much room for further improvement.
11. Supply of vaccine.—The Vaccine Depôt at Namkum supplied the pro-
vince with vaccine throughout the year. A large reserve supply has been
accumulated, and the necessary stores and supplies for manufacture and dis-
patching are in ample stock.
The vaccine supply of the province is. now assured and the depôt could
without much difficulty, supply any other province with any quantity of vaccine
up to 2,000,000 doses on an emergency.
The following tabulated statement shows the number of doses manufac-
tured, the number of doses issued, the number of doses lost in storage and
manufacture, and the number of doses in reserve, for four years :—
Year.
1
1914-15
1915-16
1916-17
1917-18
No. of doses manufactured.
2
771,696
3,127,290
2,842,710
3,778,318
No. of doses issued.
3
541,259
1,798,239
2,017,730
2,250,072
No. of doses lost
in storage and
manufacture.
4
...
...
679,294
100,306
No. of doses in
reserve.
5
230,437
1,559,488
1,705,174
3,133,114
The number of calves required has been greatly reduced by improvements
in the technique of operating and by the better feeding of calves, and the
working costs have therefore been considerably reduced.