20

The Civil Surgeon directed the Vaccinators to work in a regular order so
that he might know if any portion of the district remained unprotected at the
close of the season, and he found that rather less than a third of the people had
not had vaccination carried out among them: this he attributes to the large size
and population of the circles and the great difficulty in getting hold of the
people in March as they are then all occupied in their fields. There was an
increase of 314 in the number of operations, but the increase is entirely in re-
vaccinations, there being a decrease of 669 in the number of primary operations.
Re-vaccination rose from 224 to 1,207, but the greater part of the operations
were performed on children of from 3 to 9 years of age.

The Native Superintendent was on tour 125 days, visited 487 villages,
inspected 7,135 vaccinated children, and returns the percentage of success as
93.72. he is well reported of.

The Civil Surgeon was in camp only 29 days, he visited 109 villages, saw
1,300 vaccinated children, and gives the percentage of success as 94: dispensary
work detained him in the station.

The attitude of the people is the same as it was last year.

                       DISPENSARY VACCINATION.

Vaccination by Hospital Assistants was confined to the limits of the towns
in which the dispensaries are situated. This has caused a falling off in the
numbers vaccinated, especially by the Hospital Assistant of the Sohagpur dis-
pensary, who used in previous years to vaccinate in villages far distant from his
dispensary.

                                   SMALL-POX.

The police returned 213 cases of small-pox (with 1 death) in 122 of which
vaccination was said to have been performed.

The Civil Surgeon feels sure from enquiries which he has made that many
cases of this disease are not reported.

57. Nimar.—The Vaccinators remained in their circles and kept up the
supply of lymph during the non-working season. Birth registers were institu-
ted in the towns of Khandwa, Mandhatta, Burhanpur and Pandhana, and by
these it was hoped, all children born during the year could be traced, certifi-
cates of successful vaccination were also issued to the parents of children suc-
cessfully vaccinated in Khandwa and Burhanpur where Municipal Bye-laws
render vaccination compulsory. A system of making a vaccination census in
each village, introduced by Doctor Cullen, was fairly completely carried out and
is said to ensure as nearly complete protection of the people as is possible under
existing circumstances. The total number of primary operations is less by 822,
but that of re-vaccination is larger by 278.

The ratio of success for primary operations claimed by vaccinators is 97.10
per cent. The decrease in the number of operations is attributed to idling on
the part of 3 vaccinators and the illness of one. Again this year the number of
children under 1 year vaccinated exceeds the number alive according to the
police returns : the Civil Surgeon remarks that this shows that not only was the
registration of births incomplete but that very few children of this age can have
been left unprotected.