No. 1871/VI-32-12

                        CENTRAL PROVINCES ADMINISTRATION.

                                          Medical Department.

                                    Nagpur, the 25th October 1911.

READ—

The Triennial Report on Vaccination in the Central Provinces for the years 1908-09,
1909-10, and 1910-11, with Statements.

READ ALSO—

The District Reports.

                                                RESOLUTION.

Comparison of the vaccination work of the years 1908-09, 1909-10, and 1910-11
with the results of the previous triennium, shows that the total operations and the
total primary vaccinations have each increased by about 4 per cent, while revaccina--
tions show a slight fall. The ratio of persons successfully vaccinated per mille of
population, which was 42.66 in 1907-08, has risen to 45.08 in 1910-11 And the
percentage of children under one year of age successfully vaccinated during the
past three years is reported to be 80.62 compared with 79.49 in the previous
triennium.

An examination of the returns for each of the past three years shows that
the rate of progress would have been much greater than the above figures
indicate but for a temporary dislocation of work during the year 1909-10.

In the year previous to that all marriages among Hindus had been suspended
owing to the Sinhast year, with the result that during the vaccination season
of the year 1909-10, marriages were numerous and families were absent from
their homes with marriage processions to an unusual extent. Outbreaks of
plague in several districts of the Province caused further difficulties, and the bad
results of that year were due to temporary causes only and do not in any way
imply that vaccination is generally unpopular.

2. What opposition to vaccination there is, arises more in the richer and
open districts and in the larger towns than in the jungly portions of the Province,
and, as the Sanitary Commissioner remarks, the aboriginal population is marked
for its great tractability.

At the same time, even in the richer districts opposition was by no means
general, and while the Chief Commissioner agrees with the Sanitary Com-
missioner that efforts should be made to enquire into all cases of opposition
and remove the cause, he is inclined to accept the view of the Deputy Com-
missioner of Wardha that the opposition is often due to want of tact on the
part of the vaccinator, and that time would be saved if Civil Surgeons were
allowed to send the reports of vaccinators direct to the Tahsildar for disposal
instead of to the Deputy Commissioner.

A perusal of the District Reports, however, leads the Chief Commissioner
to think that much more might be done than is at present to meet the con-
venience of parents, and Mr. Craddock notices with approval the action taken
by Major Fleming and Captain Fraser in Raipur and Chanda to insist that
both vaccination and inspection should be carried out as far as possible from