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lymph proved unsuccessful. 3 Vaccinators were employed on cholera duty at
the beginning of the season so that they did not begin vaccinating till the 8th,
20th and 22nd November respectively: notwithstanding this there was an
increase of 106 in the number of operations. The ratio of success returned by
the vaccinators is lower than it was last year, the difference being due to more
accurate recording of results.

The Civil Surgeon was 40 days on tour and found the percentage of success
to be 83.72.

No falsification of the returns was detected. The Native Superintendent
was 143 days on tour and inspected 7,817 children. The Civil Surgeon reports
that he was not as energetic as he should have been.

The attitude of the people in general is one of indifference, the higher
and more wealthy still showing some opposition.

                      DISPENSARY VACCINATION.

The Hospital Assistants did more work than in any previous year: the
increase took place at all the dispensaries, but was most marked at the main
dispensary. The vaccination by the Hospital Assistants at Damoh and Hatta
is to be confined to the limits of the Municipal town.

                                   SMALL-POX.

There were 665 cases as compared with 1,113 in the previous year; but the
Civil Surgeon found on personal inspection that cases of chicken-pox are
reported as those of small-pox.

54. Jubbulpore.—The number of operations by the Vaccine department
is 5,905 below that of the previous season, the decrease being due partly to less
work having been done by the old vaccinators and partly to 4 of the men being
new, to replace 1 died, 1 dismissed and 2 resigned. The Vaccinator who died
was a great loss to the staff : 6 Vaccinators are reported as having worked well,
and 4 badly.

The percentage of success as given by the Vaccinators is 93.3, by the Assis-
tant Surgeon who inspected the work as 90.55, and by the Native Superinten-
dent as 84.60, the last named ratio being that accepted by the Civil Surgeon as
most correct.

The Native Superintendent was 151 days on tour, visited 1,033 villages, and
inspected 11,565 children. The Civil Surgeon's report on him is somewhat more
favourable than it was last year.

The Assistant Surgeon who was deputed to inspect the work spent 88 days
in camp, inspected 412 villages, and saw 3,449 children; his inspections were
largely among the hilly and jungly parts of the district; he examined the work
in all the circles.

The Assistant Surgeon reports that opposition to vaccination is growing
weaker year by year; the people in some villages have began to appreciate the
value of vaccination, and with a little persuasion can be induced to have their
children vaccinated.