( 2 )
Redistribution of Government vacci-
nators.
5. This vaccination staff (888), however, is not confined to that supplied by Govern-
ment, but includes municipal and town vaccinators
as well as those maintained by public subscriptions.
It was pointed out in the Review of the Report for last year that there were consider-
able inequalities in the distribution of the staff supplied by Government. This is to
some extent inevitable, since the opportunities of supplementing the regular staff by
local efforts, vary in different districts, but the question has now been fully considered
and a redistribution scheme sanctioned. When this has been carried out, it will remain
for the district authorities to endeavour by local contributions to render the staff for
the district as fully adequate to requirements as possible.
Reorganization of Department.
6. During the triennial period to which this report refers, a very important change
has been made in the organization of the Depart-
ment, and from October 1893, Civil Surgeons have
been placed in executive control of the vaccination staff in their districts, and now
supervise and test the operations performed both in urban and rural areas. The only
exceptions are in the seven districts of Allahabad, Benares, Lucknow, Agra, Bareilly,
Cawnpore and Gorakhpur, and here the work in the principal cities is too constant and
heavy to permit the Civil Surgeon leaving head-quarters for other than very short
periods. In these districts Assistant Superintendents on higher pay are appointed to
assist the Civil Surgeons in the supervision of the work of vaccination. This re-
organization has removed the necessity of retaining the appointments of Deputy
Superintendents of Vaccination, and these have been abolished and the Assistant
Superintendents graded in three classes on different scales of pay. Vaccination oper-
ations in the hill tracts, and the lymph collection operations, are still supervised by the
Deputy Sanitary Commissioners.
Result of re-organization scheme.
7. The result of the introduction of the scheme has been decidedly satisfactory
and a large increase in the number of operations has
been recorded. There is no doubt but that the
local influence of the Civil Surgeon and his acquaintance with the people have largely
contributed to this result, and it is satisfactory to know that these officers as a body
regard the records as reliable and accurate. This I believe to be the case, but incessant
vigilance will be necessary to prevent falsification of returns by lazy men in out-of-
the-way localities. Such falsification has of late years rarely been found to take the
form of entering fictitious cases, but rather of recording a higher ratio of success in
the operations than was actually attained.
Expenditure on vaccination.
8. The total expenditure on vaccination in 1895-96 was Rs. 1,47,963-5-2 as
compared with Rs. 1,55,786-2-2 in the year 1894-95,
shewing a reduction of Rs. 7,822-13-0. But this
large decrease is more apparent than real, and is principally explained by the fact of the
travelling allowances for District Superintendents of Vaccination having been in past
years shown in the Vaccination Report. As, however, this item is debited to the Medical
Department, it is omitted in the report now submitted. Nevertheless there is a re-
duction, and this, in view of the increase in the outturn of work, is satisfactory.
In the following tables are given the sources of disbursement, the heads of expen-
diture, and the items in which increase or decrease of the same have occurred :—
Sources of disbursement.
Year.
1893-94 ...
1894-95 ...
1895-96 ...
Provincial
funds.
Rs.
1,15,928
1,13,368
1,03,922
a.
9
6
8
p.
4
4
2
Local funds.
Rs.
11,831
11,056
11,538
a.
10
8
1
p.
5
10
5
Municipalities.
Rs.
22,908
23,521
24,727
a.
3
10
12
p.
9
4
3
Other sources.
Rs.
8,328
7,839
7,774
a.
2
8
15
p.
4
8
4
Total.
Rs.
1,58,996
1,55,786
1,47,963
a.
9
2
5
p.
10
2
2