3
generally enforced, that vaccination should be free and that the vaccination
staff in all the districts should be put on one consolidated provincial cadre for
purposes of administration and work.
8. Inspection of work.—During the year under report the three Deputy
Sanitary Commissioners inspected 133,895 primary vaccinations as against
8,781 in the previous year. The figures for the previous year were unusually
low as there were only two Deputy Sanitary Commissioners and both of them
were employed on special duty which kept them at headquarters during most
of the inspecting season. The inspecting work done this year by the Deputy
Sanitary Commissioners has been very comprehensive and they have submitted
valuable reports on the efficiency of the staff and the arrangements in sixteen 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 82485
primary and 10265 revaccination operations which results compare favourably
with last year's figures of 78646 primary operations and 7162 revaccina-
tions. The inspecting staff of 85 officers inspected 877792 operations during
the year. The officers of the inspecting staff generally and with but few excep-
tions are more or less ignorant of their duties, negligent and careless and have
not hitherto attempted to do their work thoroughly and in accordance with the
rules. Various orders and circulars have issued during the year but with com-
paratively little effect. Inspecting officers generally have failed to comply with
the rules regarding the keeping of their diaries and especially with the rule
requiring an inspection note on the work, capacity and conduct of each
vaccinator and subordinate officer whose work they inspected.
A class of instruction will be held at Patna in July at which the entire
staff will be required to attend and at which the officers will be instructed in
detail in the rules and regulations, the nature and scope of their duties and
the standard of efficiency and work expected from them. The class will be
instructed by the three Deputy Sanitary Commissioners and I shall inspect
it and endeavour to imbue the minds of the officers with some ideas of discip-
line and efficiency.
9. Supply of Vaccine.—The Vaccine Depôt at Namkum supplied the
Province with vaccine throughout the year. 312.290 doses were made during
the year and 1798239 doses were issued, chiefly in capillary tubes containing
one dose each. A reserve supply of 1559488 doses has been built up, and
there is now no fear of any failure in supply from epidemics or other causes.
The staff, the management and the technique of operation, have all been
reorganised during the year with excellent results both in efficiency and in
economy.
The number of calves required has been greatly reduced by the improve-
ment of the technique in operating whereby more than double the amount of
pulp is obtained from each calf, the vaccine has been further diluted after a
series of experiments ensuring the safety of the procedure and the out-put
of doses per calf has been raised from about 1,500 to over 4,000. There is a
corresponding reduction in the cost for calves, fodder, etc., and also the difficulty
of obtaining a sufficient number of calves has been obviated.
The number of doses produced has risen from 771696 to 3127290.
The number of doses issued has risen from 541259 to 1798239.
The number of calves required has fallen from about 150 to 180 per month
for 12 months to under 100 per month for 9 months and the Depôt will in
future remain closed from early in April till the end of June as the vaccine pro-
duced in the hot weather is not of good quality and also because a sufficient
supply can easily be manufactured in the remaining 9 months of the year.
The number of calves used during the year was 1128 for 3127290 doses as
against about 500 calves for 771696 doses during the previous year.
The working cost of the Depôt for the year amounted to Rs. 34,537-3-3 for
3127290 doses against Rs. 19,367-7-9 for 771696 doses in the previous year.