20

promises to be a good Superintendent. The Vaccinators had, the Civil Surgeon
found, operated on children in bad health and otherwise unfit for vaccination at
the time, the results in most of such cases being doubtful.

                              DISPENSARY VACCINATION.

The operation by the 2 Hospital Assistants numbered 254 less than in
1885-86.

The decrease at Badnur is due to the Hospital Assistant's work being con-
fined to the Municipal limits, but no satisfactory explanation, the Civil Surgeon
thinks, has been given of the decrease at Multai.

The percentage claimed by the Hospital Assistants is only 87.97, the Assis-
tant Surgeon who writes the report has not had an opportunity of finding out
the cause of this low rate as compared with that of the Vaccinators.

In the few cases of small-pox which the Civil Surgeon had an opportunity
of examining he found that the persons were unprotected infants or adults
without any marks of vaccination,

Chhindwara.—The supply of lymph was kept up in the towns of Chhind-
wara, Lodhikhera all through the year.

The English lymph proved successful.

Operations were extended from this lymph supply by tubes in the more
distant and " arm to arm" in the nearer circles.

A new distribution of the Vaccinators was made with a view to the better
vaccination of the Jagirs.

The total number of all operations in the district including the Jagirs ex-
ceeded that of 1885-86 by 3,242.

In primary operations there was a decrease of 571, while the re-vaccina-
tions were more numerous by 3,813.

The lesser number of primary operations is, the Civil Surgeon thinks, due
to a decrease in the number of births.

The number of operations in the Jagirs rose by 2,681, of which 463 were
primary.

The Civil Surgeon believes that there are still many childern unprotected
in some of the Jagirs and about 250 under 1 year still unprotected in the
Khalsa.

The percentage of success claimed by the Vaccinators is for primary opera-
tions 99.65, re-vaccination 82.01.

The Civil Surgeon says that vaccination is not, generally speaking, difficult
to carry out in the Jagirs with the exception of the Almodh Jagir, the Jagir-
dar of which does not give much assistance to the Vaccinators.

Vacination has been very much better in the Harrai Jagir during the past
season than it has ever been.