25

                                      SMALL-POX.

364 cases with 71 deaths were reported during the year, the Civil Surgeon
cannot say in how many cases the sufferers had been vaccinated. The Native
Superintendent is well reported of.

63. Bhandara.—The supply of lymph was kept up throughout the year
and the English lymph proved successful. The number of operations is 670
less than that in the previous year. The decrease being due to want of energy
on the part of the Vaccinators. The percentage of success is:—

The Civil Surgeon was on tour 11 days, visited 31 villages and inspected
735 vaccinated children.

The Native Superintendent was on tour 146 days, visited 877 villages and
inspected 10,994 vaccinated children.

                           DISPENSARY VACCINATION.

There is a decrease of 416 in the number of operations performed by
Hospital Assistants, which is ascribed by them to reduction of the area in which
they now work.

The number of cases of small-pox reported from the district was 4,709 and
the deaths 156: in Bhandara town there were 20 cases and 3 deaths.

64. Nagpur.—The supply of lymph was kept up throughout the year at
Head-quarters and the English lymph proved successful.

The number of operations is 1,355 more than it was in the previous season.
The percentage of success is.

The Assistant to the Civil Surgeon was 42 days on tour, visited 263 villages
and examined 3,337 vaccinated children.

The Native Superintendent was on tour 149 days, visited 427 villages and
examined 7,420 vaccinated children.

The Civil Surgeon and his Assistant lay stress on the almost more than
passive resistance of many of the Malguzars and village officials. About 4,000
children who should have been vaccinated were left unprotected.

The Civil Surgeon suggests that each Vaccinator should be furnished with
copies of a printed purwana signed by the Deputy Commissioner, setting forth
clearly the duties of Malguzars in this matter and under what rules, and explain-
ing that non-compliance will not be permitted.

The only dispensary at which vaccination is carried on by the Hospital
Assistant is that at Khappa. This restriction has not decreased the total work
(by Hospital Assistants and Vaccinators together) in the district.