3

Chanda, (25,059), Drug (24,077), Saugor (23,777), Buldana
(19,485), Chhindwara (18,130), Jubbulpore (16,354), Balaghat
(15,267) and Amraoti (15,148). In most of the districts the
decrease is ascribed to the non-co-operation movement, low birth-
rate or other cause as noted below. The largest fall was in
Bilaspur where the work received a great setback in the years
1920-21 and 21.22. Owing to the unusual delay in the introduction
of the time-scale of pay, the staff became discontented and went on
strike, consequently the work suffered in the beginning of 1922-23
also but subsequently it made fair progress. In Seoni the fall is
attributed to several changes amongst vaccinators and non-pay-
ment to them of the allowance for carrying their equipment; in
Bhandara to the exodus of the people to other places owing to
scarcity, changes amongst vaccinators, high mortality among
infants and the prevalence of plague in Gondia circle in 1921-22 ;
in Raipur to the exodus of people to tea gardens and the Tata
Iron Works owing to scarcity, and also to slackness of vaccinators;
in Chanda to deficiency coupled with slackness of the vaccination
staff; in Drug to the prevalence of influenza and malaria, slackness
of the vaccination staff and scarcity prevailing in the district; in
Buldana to inefficiency of vaccination staff and prevalence of
plague; in Chhindwara and Jubbulpore to the prevalence of
plague; in Saugor, Balaghat and Amraoti to the non-co-operation
movement as stated above.

9.     There can be no doubt that the non-co-operation move-
ment has affected vaccination to some extent, but the inefficiency
coupled with the slackness of vaccinators,as reported by several
Civil Surgeons, was also responsible for the decrease of work. Now
that the pay and prospects of the staff have improved, if it is
overhauled and stimulated, there is no doubt that a considerable
improvement in work can be shown. It is therefore essential to
put vaccination once more on a satisfactory footing, but apart from
the improvement that is necessary in the staff it is as remarked by
the Deputy Commissioner, Bhandara, absolutely necessary that the
general public and especially schoolmasters and Local Board
members should display a far greater degree of interest than they
evince at present. This, it is hoped, will result from the health
publicity campaign.

10.    An important feature of the triennium was the revision
of pay of the vaccination staff and the transfer of the administrative
and executive control of these men to local bodies Government
sanctioned a time-scale of pay for these men and it was given
effect to from the 1st January 1921, but as most of the District
Councils and Boards expressed their financial inability to comply