3
vaccine taken from calves which are vaccinated by the Vaccinators in
the villages according to the system which is in force in the Central Provinces.
The system is well suited to the habits of the people and the results appear
to be satisfactory. Glycerinated vaccine made in the Central Depôt which
is preferable in many ways to that prepared by the local Vaccinators will be
gradually introduced.
Chota Nagpur Division.
The rate of mortality from small-pox in this Division during the last five
years was .27. In each of the five districts the number of operations perform-
ed during the last three years has decreased in comparison with that of the
previous period.
The decrease was most marked in Palamau (—16,141) where the
work is said to be carried on under great difficulties owing to the hilly
nature of the country and the scanty population, but the Deputy Sanitary
Commissioner who inspected the work reports that the Vaccination staff
is not properly supervised and that the quality of their work is
very poor.
In Singhbhum small-pox is becoming endemic in an area round the
Tata Steel and Iron Company's works at Sakchi. This place has sprung
into existence very rapidly during the last six years and a miscellaneous
collection of some 12,000 people of various nationalities has settled there. It
is difficult to get them vaccinated under the voluntary system and a recom-
mendation has been made to Government to extend the provisions of the
Bengal Vaccination Act to this area.
The Jheria Coal Field in the Manbhum district is another densely populat-
ed area in which vaccination work is not satisfactory and in which outbreaks
of small-pox are of frequent occurrence. The vaccination of the people living
in this area will be supervised by the Medical Officer to the Mines Board
of Health when that body comes into existence.
4. THE INSPECTING STAFF.
There were 20 Inspectors and 59 Sub-Inspectors in permanent employ-
ment on the staff during the period under report, viz., one Inspector for each
district (except in Angul, in which the Inspector of Vaccination is a Sub-
Assistant Surgeon) and one Sub-Inspector for each subdivision except in
Sambalpur in which there was no Sub-Inspector for the Sadr subdivision. An
additional officer for this area has been appointed since the close of the
year.
Difficulty is experienced at the present time in finding officers who are
suitable for District Inspectorships. Many of the senior grade Sub-Inspectors
are unfit for promotion by reason of their age and of their inability to under-
stand English which is an essential qualification for the post, and those of the
junior grade are still too young and inexperienced for promotion. It is prob-
able that some direct appointments to the Inspectors' grade will have to be
made.
As soon as the Vaccine Depôt, which is now under construction, has been
opened for work, arrangements will be made to put all Sub-Inspectors and a
certain number of selected Vaccinators from each district through a
course of training in vaccination which should go far towards increasing their
efficiency. At the present time there are no facilities for training them.
5. PERCENTAGE OF SUCCESSFUL OPERATIONS PERFORMED BY THE VACCINATORS
AND ITS VERIFICATION BY THE INSPECTING STAFF.
The percentage of successful operations reported by the Vaccinators
during the last three years was 99.25 in primary vaccinations and 61.74 in
re-vaccinations.
The Deputy Sanitary Commissioner of the Bihar Circle inspected 4.25 per
cent. of the total operations, the District Inspectors 30.27 per cent. and Sub-
Inspectors 50.46 per cent.