10

shall be regarded as part of the duty of every Hospital Assistant in charge of a
Dispensary, except in cases where the Deputy Surgeon General declares' it to be
otherwise.

The very large decrease in the number of operations by the Hospital Assis-
tant in charge of the Seoni-Malwa dispensary is due to his circle having been
confined to municipal limits, whereas in former years he vaccinated in villages
as far away from his dispensary as 7 or 8 miles and included in the vaccination
circles.

The Civil Surgeon does not afford any explanation of the large falling off
in the number of operations by the Dhamtari dispensary Hospital Assistant;
but from what I saw there this year, I am quite sure that the dispensary work
suffered from the absence of the Hospital Assistant while vaccinating. I suspect
also that many of the operations in former years were performed by others
than the Hospital Assistant.

33. Jubbulpore and Chhindwara are again the only districts in which the
Hospital Assistants performed re-vaccination to any extent.

34.The percentage of success is lower than that of last year in both pri-
mary and re-vaccination operations and it is in both cases considerably lower
than that claimed by vaccinators.

35. The following table shows the work done by Hospital Assistants at
each dispensary.