2

4 As regards the Feudatory States there has been a marked improvement
generally; though in 1898-99 there was a decline in the number of secondary
operations. With reference to the remark of the Sanitary Commissioner in
paragraphs 4 and 19 of the Report that primary vaccination is of more import-
ance than re-vaccination, the Chief Commissioner would call attention to a
consideration which is not without weight when an ignorant population is being
dealt with. It is that cases of small-pox attacking a vaccinated person diminish
confidence in vaccination and discourage people from submitting their children to
it.

5. The number of children under one year of age vaccinated in the year
1898-99, as compared with the number shown as available, was as follows:—

It is impossible to compare these figures with those for the year 1897-98,
as the latter exclude Zamindari vaccinations while the former do not. The
want of success in effecting vaccination was common to all the districts except
Narsinghpur, Nimar, and Chhindwara, where the results are slightly better,
though even in those districts they are not good.

6.    During the famine and the year of scarcity which preceded it, most Civil
Surgeons were not able to pay much attention to vaccination. But in the last year
also of the period under review, the amount of inspection work done by Civil
Surgeons varied considerably. In Mandla, Wardha, Chanda, and Raipur,
extremely little supervision work was done; and in Jubbulpore, Chhindwara,
Bhandara, and Bilaspur the amount of check exercised over the operations
appears to have been inadequate.

7.    The cost of vaccination operations during the triennial period was slightly
greater than in the previous three years. The average cost of a successful opera-
tion was:—

The district figures vary from Re. 0-4-7 in Damoh to Re. 0-1-5 in Seoni.

8. The proportion of persons successfully vaccinated per 1,000 of the
population during the period was:—

Compared with the figures of the previous period these are not satisfactory,
though the results in 1898-99 are better than those of the previous year. The
worst results are shown in Damoh (where the percentage in 1898-99 was 16.80),
Chanda and Bilaspur.

9.    The Municipalities of Sehora, Murwara, Mandla, and Seoni were brought
under the Act during the period under review. In 29 out of the 52 Municipalities
of the province, vaccination is now compulsory, the only important exceptions being
Jubbulpore and Hoshangabad.

10.    The number of successful vaccinations performed under municipal
management were:—