7

" The cost per dose of vaccine manufactured was six pies
only. The results of primary vaccination were 99 per cent case
success and 94 per cent insertion success and for revaccination
72 case success and 49 per cent insertion success".

18.    The cost of preparation of lymph has increased from
5½ pies in the preceding year to 6 pies per dose. Heretofore the
local bodies and others to whom lymph was supplied were charged
at the rate of three pies per dose, but from the 1st August 1922
the cost of lymph has been raised to six pies.

19.    Inspection of vaccination. Statement V.—Out of
the 428,135 persons (386,346 primary and 41,789 revaccinations)
vaccinated during the year 1922-23, the Civil Surgeons inspected
5.68 per cent of primary operations and 6.87 of revaccination as
compared with 6.20 and 8.05, respectively, in 1921-22 and 6.92
and 5.43, respectively, in 1920-21. The fall in inspections is
ascribed to the non-production of children for inspection in villages
and also to the restrictions placed on the touring of Civil Surgeons.
During the year 1922-23 the Civil Surgeon, Nagpur, performed
no work at all as he states he was not able to go out in the district
for inspection purposes owing to pressure of work at the head-
quarters. In accordance with the orders issued by Government
tents are usually available with the Deputy Commissioner for
vaccination-touring and so in the absence of their own tents the
Civil Surgeons could not do much touring. They inspected the
vaccination of such villages only as were situated on road sides.

20.    At present there is urgent need for more effective
supervision of the work of the vaccination staff and in my opinion
the time has now come to re-establish touring throughout the
six months of the vaccination season. It is therefore desirable
that the restrictions on touring referred to above may be withdrawn
and tents placed at the disposal of the Civil Surgeons. In this
connection the Deputy Commissioner, Hoshangabad, remarks
"The control of the Civil Surgeon over vaccination in the interior
is diminished by the restriction on touring. But it should be
possible for the Civil Surgeon to do more inspection than is
represented by 36 villages in six days if this work be combined
with the inspection of outlying dispensaries".

21.    The Assistant Superintendents of Vaccination inspected
52.18 per cent of the primary and 20.54 of the revaccinations in
1922-23 and 50.37 and 17.65, respectively, in 1921-22 and 49.77
and 24.88, respectively, in 1920-21 as compared with 53.08 and
25.63 in 1919-20, 48.78 and 23.64 in 1918-19 and 46.34 and 25.55
in 1917-18 During the years 1920-21 and 1921-22 the fall is