ABSTRACT OF REPORTS BY SUPERINTENDENTS.                               53

Superintendent were placed directly under this office, the orders from which he seems little
inclined to pay attention to.

Establishment.

123. The strength of the establishment employed during the working season, after some
changes had been effected, consisted of one Superintendent,
three head vaccinators, 27 vaccinators, and three appren-
tices. The services of the apprentices were dispensed with after the close of the working
season. The total cost of the establishment, excluding travelling allowance, amounted to
Rs. 5,014-2-8.

Conduct of establishment.

124. The conduct of the establishment was, with a few exceptions, reported to be very
satisfactory, as exhibiting great zeal and activity in
furthering the cause of vaccination in spite of great opposi-
tion from the people. One head vaccinator was degraded for misconduct, and a vaccinator
promoted to his post. One vaccinator was dismissed for disobedience and neglect of duty,
and another left the service of his own accord. The places of these three vaccinators were
filled up by apprentices. A few of the vaccinators were fined or warned for neglect of
duty or absence without leave, and those apprentices who were found incompetent were
dispensed with.

125. The areas taken up for protection this year were those named in the margin. The
vaccination staff was divided into three gangs, each consisting
of nine vaccinators, one apprentice, and a head vaccinator.
One gang worked in Domepara and Banki and performed
14,313 operations, of which 14,150, or 98.86 per cent., were
successful. The second gang took up the western part of
thana Dharmsala and adjacent portions of Dhenkanal,
Sukinda, Chousattipara, and Bolorampore, and vaccinated
12,641 persons—12,414, or 98.20 per cent., successfully. The
third gang worked in Patamundi, Kanika, Aul and Chaudbali, and performed 17,598
operations, of which 17,409, or 98.92 per cent., were successful.

The Civil Surgeon, referring to the plan of the operations of this year, remarks that
owing to the unwillingness of the people to receive vaccination it has not been found possible
entirely to protect definite areas, but that there is no doubt that a large amount of protection
has been conferred, and that much mortality has been averted during the small-pox epidemic
that has been prevailing in different parts of the district during the past two years. I
shall, however, offer presently my own views on the points referred to by the Civil Surgeon.

Plan and field of work.

In Cuttack

Domepara and Banki.

Western portion of thana
Dharmsala and adjacent
portions of Dhenkanal,
Sukinda, Chousattipara
and Bolorampore.

Patamundi, Kanika, and
Aul.

Thana Chandbah in Balasore.

Recess work.

126. No work was done during the recess owing, it is stated, to excessive heat rendering
it almost impossible to carry out vaccine operations in any
part of Orissa during the hot season.

Source and character of lymph.

127. English lymph was employed in establishing the virus. After one unsuccessful
attempt some good genuine vesicles were established on
the arms of a few children in Cuttack. Vaccinifers were
then taken from Cuttack to the mofussil, and virus established in the places selected as
centres of operation. The supply was after this kept up by arm-to-arm vaccination
throughout the whole working season. In a few instances, owing to distance or opposition
to part with lymph from the arms of children, vaccinifers were not available. In these
cases tubes or crusts were resorted to. The quality of the lymph was always examined
before using it, great care being taken to obtain it from children found free from syphilitic
or other constitutional disease. The character of the vaccinations performed is reported to
be of " high class," and the appearance of the vesicle at every stage to have been well
marked, and the scars of typical character.

Amount and value of the work per-
formed.

128. The amount and value of the work done during the
year are exhibited in the subjoined table as compared with
the results of 1879-80:—

Total number vaccin-
ated during the year.

PRIMARY VACCIN-
ATIONS.

RE-VACCINATIONS.

PERCENTAGE OF
SUCCESSFUL CASES.

Average number of
persons vaccinated
by each vaccinator.

Proportion of persons
vaccinated per 1,000
of population.

Total.

Successful.

Total.

Successful.

Primary.

Re-vaccin-
ations.

In 1880-81 ... ... ...

44,507

*44,531

43,963

21

10

98.7

47.6

1,484

45.23

In 1879-80 ... ... ...

43,733

†43,791

42,241

......

......

96.5

......

1,457

44.98

* Includes 45 repetition cases.

† Ditto 68 ditto do.

There was an increase in the number of vaccinations, to the extent of 774 operations,
and the quality of the work was superior and satisfactory. The proportion of the population
protected was also greater, and considering the difficulties that lie in the way of vaccination
in this circle, this proportion is not very unsatisfactory.

                                                                                          o