5

years, on whom the operation had not been repeated up to the time of his
inspection.

The decrease in the Jubbulpore district is assigned by the Civil Surgeon
to less work having been done by the old Vaccinators and to 4 of the staff being
new, and especially to the loss by death of one of the best men.

The Civil Surgeon of Seoni attributes the decrease to the great mortality
that took place in the district, and he shows that the number of primary opera-
tions exceeded the number of infants calculated to be available.

The Civil Surgeon, Mandla, says that the decrease is " owing to the adults
" having been nearly all vaccinated and only children left ;" but as he does
not give any information as to the number of children available it is impossible
to say if this explanation is correct.

As regards the other districts in which the decrease exceeded 1,000, in
Chhindwara the decrease is accounted for partly by one Vaccinator having
done very little work and partly by the heavy mortality that occurred during
the year. The decrease in Bhandara appears due to the Vaccinators having
failed to work as they should have done. No reason is assigned by the Civil
Surgeons of Bilaspur and Sambalpur for the smaller number of operations.

19. The total number of re-vaccination operations for the Province is
769 more than it was in the previous year. The increase was greatest in
Mandla (1,772), Hoshangabad (983) and Nimar (278).

The Civil Surgeon, Mandla, says that of the 1,772 re-vaccination operations
1,717 or 96.9 per cent were successful, which makes it doubtful if the operations
were not cases of repeated vaccination or operations on adults.

The Civil Surgeon, Hoshangabad, states that the greater part of the persons
re-vaccinated were children of from 3 to 9 years of age, and that he cannot
recollect having seen a single adult who had been re-vaccinated.

If a child of three years of age had been successfully and sufficiently
vaccinated in infancy, its re-vaccination was unnecessary, and therefore objec-
tionable as tending to make vaccination unpopular : but it is a good instance of
the difficulties met with in carrying out work by a half educated class of men
like Vaccinators.

Special instructions had been given by the Civil Surgeon that re-vaccina-
tion should be promoted as far as possible, and so the Vaccinators finding they
could most easily get the small children operated on them.

In Nimar the Civil Surgeon found at the commencement of the season
that the Vaccinators were ignorant of the real meaning of the term " re-vacci-
nation" and that as a consequence the classification was not correct ; but this
was rectified, and the percentage of success (32.67) would indicate that most of
the cases were correctly returned.

There is a decrease of 1,622 in the number of re-vaccination operations in
Betul, but, as stated in last year's report, the term was in former years applied