3

Chhindwara, 17,500 in Bilaspur, 16,327 in Akola, 16,262 in
Mandla, 16,138 in Bhandara, 14,730 in Yeotmal, 14,205 in
Amraoti, 24,170 in Seoni, 11,834 in Saugor, 8,850 in
Hoshangabad, 7,009 in Balaghat, 6,978 in Betul, 6,887 in
Narsinghpur, 5,038 in Nimar, 4,943 in Wardha and 1,071 in
Damoh. As remarked by some Civil Surgeons, the close and
effective supervision exercised by the supervising staff, the
drastic action taken against the vaccinators and the keen
interest displayed by the Deputy Commissioners and their
assistants in vaccination work and the cordial relations exist-
ing between the District Councils and Civil Surgeons contri-
buted a good deal to the improvement of work during the
triennium under review. In Nagpur city it is reported that
some extra vaccinators were temporarily engaged for pushing
on with vaccination and re-vaccination work during the year
1925-26 owing to the prevalence of small-pox.

8.     In spite of increase in the number of vaccinations,
there are still large number of children remaining unvaccinated
and this is mainly due to the slackness of the vaccination staff.
The returns show that in several districts vaccinators did not
perform even the minimum number of operations prescribed,
viz., 2,000. It is of extreme importance that steps should be
taken in order to ensure that these men give a sufficient outturn
of work. The infliction of adequate punishment on vaccinators
for faulty work and recruitment of suitable men in place of
slack and unreliable persons must be resorted to by Civil
Surgeons and District Councils in such cases.

9.    The Civil Surgeon, Nimar, remarks that the work
has suffered owing to shortage of staff, discontent among vacci-
nators owing to the appointment of an outside person to the
post of assistant superintendent of vaccination and forfeiture
of claims of senior men in the department.

10.    Cases of opposition to vaccination in rural areas are
not less frequent and the introduction of compulsory vaccina-
tion is therefore advocated from time to time. The Civil
Surgeon, Damoh, reports that he tried his best to explain to
the people the benefits of vaccination at his visits to the
villages, held meetings of the leading and influential villagers
and gave lectures on vaccination and small-pox, but the people
still refuse to have their children vaccinated, chiefly the high
castes. The Civil Surgeon, Raipur, quotes a particularly