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39.    In the Nagpur and Wardha districts there appears to be very deci-
ded passive resistance to vaccination on the part of the people in many vil-
lages.

In Chanda the work of the vaccinators is reported as not satisfactory.

The Civil Surgeon, Mandla, attributes the prevalence of the disease to non-
protection of the people from an insufficient staff of vaccinators.

40.    With a view to trace what relation exists between the state of protec-
tion by vaccination and the prevalence of small-pox, I have in the table
printed below placed opposite each district of the Province the position it
occupies (1) according to the state of protection enjoyed by the people as
judged by the proportion of the population said to have been successfully
vaccinated in the previous 5 years, and (2) according to the death rate from
small-pox in 1885-86.

The position in the 2 scales occupied by several of the districts shows a dis-
tinct relation between the state of protection enjoyed by the population and the
death rate from small-pox, but there are several districts in which no such
relation is found to exist.

In the case of the districts of Wardha and Mandla the high position they
occupy both as to protection and small-pox mortality indicates that either the
vaccine operations returned as successful are really not so, or that while a large
part of the population is well protected parts of the district escape vaccination
altogether, and the reports of the Civil Surgeons of these districts show that
parts of the districts do escape vaccination, in the Wardha district, because of
the oppssition of the people in towns and large villages and in the Mandla dis-
trict, because the vaccination staff is so small that only half of each circle can
be worked over during the year. But from what I saw of the work in this dis-