4

with these orders, Goverement gave them grants aggregating
Rs. 25,846 to cover the extra cost involved upto the end of the
financial year 1921-22, and for subsequent years they were
requested to meet the extra cost from their own funds. It seems
that the revised scale has been introduced in all the districts
except Balaghat and Bhandara. In Balaghat district the
staff was first given the increased rate of pay according to
the scale from January 1921 to February 1922 and after-
wards they were put back on the old rates, a peculiar
procedure adopted by the District Council and one which has
created discontent among the men. This will not be conducive to
good results. In this connection Mr. C. A. Clarke, C.B.E., I.C.S.,
the Commissioner, remarks " The District Council have apparently
not seen their way to treat the vaccinators generously and I am
afraid it will require a bad epidemic of small-pox in this district
to make the local authorities duly sensible of the dangers of the
present situation". Similarly, the Bhandara District Council have
introduced a special rate of pay but as this rate is not the same
as that sanctioned by Government, the staff is dissatisfied. The
Deputy Commissioner, Bhandara, writes " I consider that we
cannot expect a complete return to the good figures of 17-18
unless the staff is adequately treated in the matter of pay and the
useless members are weeded out". It would be well for these
Councils to reconsider the matter and treat the staff adequately.

11.    Under the orders issued by Government in November
1922, the administrative and executive control of the vaccination
staff has been transferred to local bodies, but as these bodies have
no Health Officer of their own to advise them in technical matters
regarding vaccination, they have made arrangements with the Civil
Surgeon of their districts to carry on the technical control and
supervision of the staff. The relations of the local bodies with the
Civil Surgeons under the new régime have been cordial, and in
Nimar increased powers have been given to the Civil Surgeon. In
Berar the Commissioner remarks that there still remains to be
determined the exact relation of Civil Surgeons to local bodies as
Superintendents of Vaccination and the matter of entrusting definite
powers by the local bodies to Civil Surgeons is under consideration.

12.    During the triennium reports of opposition to vaccina-
tion were received by Civil Surgeons from many villages and sent
to the tahsildars for necessary action. This is an irregular
procedure. Such reports should go to the Deputy Commissioner
and local body. It is stated that parents flatly refused to get their
children vaccinated as they have adopted a more independent
attitude towards vaccination and in spite of the persuasion used by