2

It is observed that in the columns showing total population the population
of Zamindaris in which no work was done has been excluded. This is incorrect.
Zamindaris are as much British territory as any other part of the Provinces, and
the Department is responsible for carrying on work in them as fully as in the
Khalsa. No part of the Provinces should be left without the protection afforded by
vaccination, or regarded as outside the area for which the District Medical
Officer is responsible.

3. In the exceptional conditions which prevailed it is not worth while
examining closely the statistics of the several districts. In spite of the adverse
circumstances of the year, eight districts show an increase in the number of
primary vaccinations performed. Except Saugor and Betul, these were all districts
which suffered only slightly from distress. In Saugor the recovery, 13 per cent.,
follows upon a much 'larger falling off,34 per cent., in the previous year.

4.    The proportion of successful primary cases verified as such among those
seen by Civil Surgeons (91.70) and Superintendents (92.78) was considerably
larger than last year, when it was given as 87.62 and 91.01 respectively, which result
may be considered satisfactory. Of the total number vaccinated 18.09 Per cent.
were seen by Civil Surgeons and 49.32 by Superintendents as compared with 18.58
and 51.13 in the preceding year. The percentage of cases inspected by the Civil
Surgeon (1.78) was exceptionally low in Sambalpur, and as this district was not
afflicted by famine, a larger amount of inspection was to be expected.

5.    Animal lymph supplied the bulk of the vaccination and worked very
successfully. There seems to be no prejudice worth notice against its use in
these Provinces. Betul appears to be the district in which the lymph used was
least successful, two supplies having failed before vaccination was thoroughly
established by means of lymph procured from Bangalore. The Sanitary Com-
missioner rightly directs attention to the great importance of seeing that operations
are in all cases carried out with thoroughly efficient lymph, a point which
specially requires the attention of the Civil Surgeons.

6.    The Chief Commissioner is indebted to the Sanitary Commissioner
for careful examination of vaccination work. He observes that in some districts
it is not as efficient as it might be. The approaching season will, the Chief
Commissioner trusts, enable the steady progress which has been temporarily
interrupted to be resumed, though the falling off in the infant population caused
by the effects of famine cannot be expected to be repaired for some time to come.

ORDER.—Ordered, that a copy of this Resolution be submitted to the
Government of India in the Home Department, and that a copy be forwarded to
the Sanitary Commissioner, Central Provinces, for information and guidance;
also that it be published in the Supplement to the Central Provinces Gazette.

                                                                        [True Extract.]

                                                                  A. L. SAUNDERS,

                                                                                         Second Secretary.

             Secretariat Press, Nagpur .—T. G. G., 30-9 97—200.