No. 1122/VI-32-11

                Central Probinces Administration

                SANITARY DEPARTMENT

             Nagpur, the 14th October 1914.

READ—

The Triennial Report on Vaccination in the Central Provinces and Berar for the
years 1911-12, 1912-13 and 1913-14, with Statements.

READ ALSO—

                The District Reports.

                                RESOLUTION.

Compared with the statistics of the previous triennium the number of
vaccinations has risen by 7 per cent. Primary vaccinations increased by 6.20
and revaccinations by 12.35 per cent. The ratio of successful operations seems,
however, to have slightly fallen, being 40.05 in 1913-14 per mille of the popula-
tion as against a similar ratio of 44.57 in the last year of the previous triennium.

2.     The district figures show considerable variations, the proportion of
persons protected per 1,000 of population in 1913-14 varying from 57.74 in
Narsinghpur to 33.25 in Damoh. These variations are not due to any important
difference in the strength of the staff, and the reason must therefore be looked
for in the attitude of the people and in local organization. The results obtained
in the Saugor district show what can be achieved towards the suppression of
small-pox by well-directed action, and the Chief Commissioner would like to
see in each district systematic efforts made on the lines given in paragraph 6
and paragraph 21 of the Sanitary Commissioner's Report, to extend the
immunity obtainable by inoculation.

3.     Allusion has already been made in paragraph 11 of the Resolution on the
Sanitary Report to the reorganization of the Vaccination Services. With
a staff of vaccinators properly trained and adequately paid, progress should
be more rapid and thorough. The institution of a Central Lymph Depôt is
another feature of considerable importance in the operations of the year.
A start has been made in the supply of pure lymph under proper supervision,
and accommodation for the depôt, which is at present temporarily housed, is
being constructed on a convenient site. The initial expenditure to Government
has worked out at a somewhat high rate, but the Sanitary Commissioner
indicates a method of reducing it later on, and the money at present spent need
not be grudged.

4.    The Vaccination Act is now in force in 59 towns. The Report shows
that the proportion of children in towns under one year successfully vaccinated
was 84 per cent. In areas where the population is concentrated under
a presumably intelligent local administration, the enforcement of the Vaccination
Act and the extension , of the benefits of vaccination ought to present no
difficulty, and the Chief Commissioner will hold that slackness in this respect
must indicate a general want of vitality in the local municipal organization.