8

attributed to the non-co-operation movement and the attendent
difficulties with which these men were faced but in the year
1922-23 the work shows some improvement although it was very
low in the districts of Jubbulpore, Saugor, Seoni and Chhindwara.

22.    The Sub-Assistant Surgeons in charge of outlying
dispensaries and those in charge of epidemic dispensaries inspected
schools regularly and reported the names of children found
unvaccinated. Necessary action was taken to get these vaccinated
by the vaccinators of the circles.

23.    Percentage of success in primary and revaccina-
tion.—The percentage of success in primary operations recorded
by vaccinators during the past three years was 98.19, 98.76 and
99.07, while the Assistant Superintendents of Vaccination found on
inspection 96.24, 97.34 and 98.11 and Civil Surgeons 98.40, 98.91
and 98.98. These figures seem satisfactory and show that the
vaccinators generally do not falsify their records.

In revaccinations the percentage of success claimed by vacci-
nators was 61.41, 57.87 and 60.19, while the Assistant Superin-
tendents found on inspection 40.44, 40.10 and 42.37 and Civil
Surgeons 42.14, 42.17 and 47.54. These figures show that the
success recorded by vaccinators and that found on inspection by
inspecting officers varied considerably which is due to the rapid
fading of the marks of revaccination.

24.    Vaccination in Municipal towns.—In 1922-23 the
births registered in Municipal towns and notified areas were 45,961
and deaths among chidren under one year of age were 10,964. Of
those that remained alive, 26,816 or 77 per cent were successfully
vaccinated which is less than the percentage vaccinated in the
two preceding years, viz., 90 in 1921-22 and 84 in 1920-21. During
my tours of inspection I found the vaccination work very unsatis-
factory in several of the important towns and impressed on the
Municipal Committees the necessity for taking energetic action in
the matter but the advice given is not often followed. I quote
below a few instances of the kind referred to. In Jubbulpore town
there is a large balance of unprotected children, e.g, 4,723, but
the Municipal Committee does not seem to pay any attention to
the matter. In the towns of Saugor district a balance of 3,294
unprotected children is reported. So also Narsinghpur and
Gadarwara have been great defaulters and there is little public
health spirit here as yet. In Raipur the percentage of children
unprotected within Municipal limits is large and the Deputy
Commissioner rightly remarks that the need for more vigorous
action on the part of the Municipality is indicated. The case of