16

It is reported that with the exception of one vaccinator (Khudayar Khan)
all the vaccinators have done good work.

Only three deaths from small-pox were reported during the year; so the
district seems well protected.

40.     Chhindwara.—Lymph was kept up during the year in the towns of
Chhindwara and Lodhikhera by the arm-to-arm method.

Vaccination in the district was commenced with animal lymph prepared
at Pachmarhi by the arm-to-arm method, and also by lymph taken direct from
calves.

The paste was received from the 27th September 1892 to 4th October 1892,
in nine wooden boxes. The supply appeared to be good. It was used on various
dates from the 30th September to the 30th October. The total number of
cases vaccinated was 635, of which 533 proved successful. The longest
interval between the receipt and use of lymph was 26 days. The best results
were obtained from lymph used on the second after receipt, where 95.45 per cent.
were successful. The operations performed later on did not give so successful
a result. The paste may be considered to have been on the whole active,
although the percentage of success is far below the results of arm-to-arm vac-
cination.

Narsinghpur lymph was practically useless, only 19 cases were successful
out of a total of 601.

The percentage of success in primary cases vaccinated with human lymph
was 92.4, while the percentage of calf lymph was 98.5.

Considerable opposition to animal vaccination was experienced below the
ghats in the Saosar Tahsil.

The Civil Surgeon was out in camp for 43 days and inspected 5,509 cases,
of which 4,670 were successful.

There is a decrease in the number of vaccinations during the year under
report, as compared with the previous year; and this is explained by the fact
that in the towns of the Saosar Tahsil there is always some difficulty in getting
at children.

The vaccination staff is well spoken of.

41.    Seoni.— Vaccination was commenced with ten pill boxes of the lano-
line paste received from Pachmarhi by instalments during the end of Septem-
ber and beginning of October 1892. Only one box turned out reliable, and the
others giving a fair percentage of success. The reason attributed by the vaccin-
ators for this difference is that the first box was received in dry weather, and the
remaining nine during the rains. The Civil Surgeon states that he can personally
give no opinion, having only received charge of the district on the 21st April
1893. The second supply of lymph received in February gave excellent results.
A number of calves and buffaloes was inoculated, and thus a sufficient supply
was raised and kept up during the year.