NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
No. 47 OF 1893.
FROM
SURGEON-MAJOR C. L. SWAINE, M.D., M.C.,
Offg. Sanitary Commissioner, Hyderabad Assigned Districts,
To
COLONEL K. J. L. MACKENZIE, C.I.E.,
Commissioner, Hyderabad Assigned Districts.
DATED AMRAOTI, 13th May 1893.
SIR,
Full report.
Under the orders contained in the Resolution of the Government of India,
Home Department, No. 28-1579-95 of July 1887,
I have the honor to forward a full report on
the working of the Vaccination Department in the Hyderabad Assigned Districts
for the year 1892-93.
Season's work started with lanoline
vaccine paste.
2. I assumed charge of the office on the 18th of August 1892, when the
season's work was closed owing to rains. In Sep-
tember, lanoline paste was manufactured at
Amraoti, and supplied to all the vaccinators in
the province to start the work, and since nothing but calf lymph has been used.
Two extra vaccinators for Melghat.
3. The vaccination establishment was in-
creased by two vaccinators, both for the Melghat.
Work of all establishments for three
years compared.
4. The following table shows the total num-
ber of vaccine operations performed in the pro-
vince for three years :—
TABLE No. I.—Showing the total vaccine operations by all establishments for three
years compared.
Special vaccination es-
tablishment ...
Dispensaries ...
Melghat ...
Total ...
Primary vaccination.
1890-91.
80,473
8,178
...
97,651
1891-92.
96,597
1,806
...
98,403
1892-93.
98,952
*...
2,822
101,774
Re-vaccination.
1890-91.
14,323
2,188
...
16,511
1891-92.
29,939
514
...
30,453
1892-93.
42,676
*...
1,432
44,108
Total vaccination.
1890-91.
103,796
10,366
...
114,162
1891-92.
126,536
2,320
...
128,856
1892-93.
141,628
*...
4,254
145,882
* Dispensary vaccination transferred to special establishment since July 1892.
It will be seen that there was an increase of 752 primary operations in
1891-92 and 3,371 in 1892 93.
Re-vaccination has also increased by 13,942 in 1891-92 and by 13,655 in the
year under review.
Results.
5. The following table shows percentage of results obtained by the special
vaccination establishment compared for three
years:—
B-119
( 2 )
TABLE No. 2.—Showing percentage of results obtained by the special vaccination
establishment
for three years compared.
1890-91 ...
1891-92 ...
1892-93
...
Results in primary vaccin-
ation, percentage of
operations.
Success-
ful.
95.1
95.1
94.7
Unsuc-
cessful.
2.9
2.6
3.1
Un-
known.
2.0
2.2
2.2
Results in re-vaccination,
percentage of operations.
Success-
ful.
29.5
29.3
24.8
Unsuc-
cessful.
49.9
46.4
44.3
Un-
known.
20.5
24.3
30.8
Results in total opera-
tions, percentage.
Success-
ful.
83.1
79.6
73.5
Unsuc¬
cessful.
9.4
13.0
15.6
Un-
known.
4.5
7.4
10.9
It will be seen that the percentage of success, both in primary and re-vac-
cination, is lower in 1892-93 than in the previous two years. The cause of this
is due to the late rains in autumn and also to the heavy rains in January
and March.
Work by districts.
6. The table given below gives full particulars of the work performed by
the special establishment and the progress of the
work by districts for the past three years:—
TABLE No. 3.—Showing total number vaccinated (special establishment only) for three
years compared.
Districts.
Amraoti ...
Ellichpur..
Wun ...
Basim ...
Akola
...
Buldana ...
Total
Primary vaccination.
1890-91.
19,252
8,697
14,852
13,925
17,186
15,561
89,473
1891-92.
22,456
10,184
14,834
13,731
18,394
16,998
96,597
1892-93
20,609
12,697
13,417
15,003
21,237
16,781
101,774
Re-vaccination.
1890-91.
2,556
4,969
1,803
1,395
3,126
474
14,323
1891-92.
8,574
4,721
4,539
4,275
2,640
5,190
29,939
1892-93.
13,701
5,075
5,646
5,155
6,779
7,752
44,108
Total number vaccinated.
1890-91.
21,808
13,666
16,655
15,320
20,312
16,035
103,796
1891-92.
31,030
14,905
19,373
18,006
21,634
22,188
120,536
1892-93.
34,310
17,772
21,093
20,158
28,016
24,533
145,882
There was an increase in the primary operations in the following districts:—
Ellichpur 2,513, Wun 613, Basim 1,272, and Akola 2,843.
The districts of Amraoti and Buldana each showed a decrease, the former by
1,847 and the latter 217. this large decrease in the Amraoti district is due in a
great measure to the illness of the Superintendent, who was not able to per-
form his duties, and had eventually to go on sick leave. His successor found
himself unable to cope with the work, and had to be pensioned. The head
vaccinator of Buldana was appointed Acting Superintendent in the Amraoti
district, and as the work was so much in arrears another head vaccinator was
appointed to assist him.
Under re-vaccination there is an increase in all the districts. Re-vaccination
is not popular with the people, as they do not see the necessity of repeating the
operation, and also it interferes with their daily occupations. Although not po-
pular, this great increase in re-vaccination is entirely due to the greater zeal and
tact shown by Superintendents and vaccinators in the performance of their
duties.
Results by districts.
7. The following table shows by districts the results obtained in primary
vaccination contrasted with those for the previous
two years:—
( 3 )
TABLE No. 4.—Showing results on primary vaccination for three years compared.
Districts.
Amraoti
...
Ellichpur
...
Wun ...
...
Basim ...
...
Akola ...
...
Buldana
...
Years.
1890-91
...
l891-92
...
1892-93
...
1890-91 ...
1891-92
...
1892-93
...
1890-91
...
l891-92
...
1892-93
...
l890-9l
...
1891-92
...
1892-93
...
1890-91
...
1891-92
...
1892-93
...
1890-91
...
1891-92
...
1892-93
...
Results.
Successful.
18,606
22,062
19,884
8,489
9,779
11,861
14,132
14,081
14,877
13,385
12,923
13,870
15,709
16,794
20,179
14,798
16,255
15,635
Unsuc¬
cessful.
453
285
439
135
248
523
471
379
342
427
431
706
582
804
556
508
452
555
Un-
known.
193
109
286
73
157
313
219
374
228
143
877
427
895
796
502
255
291
591
Percentage to total
vaccinated.
Success¬
ful.
96.6
98.2
96.4
97.6
95.0
93.4
95.2
94.9
96.3
96.1
94.1
92.4
91.4
91.3
95.0
95.1
95.6
93.1
Unsuc-
cessful
2.3
1.3
2.1
1.6
2.1
4.1
3.1
2.5
2.2
3.1
3.1
4.7
3.4
4.4
2.6
3.3
2.7
3.3
Un-
known.
1.0
.5
1.3
.8
1.5
2.4
1.7
2.5
1.4
.8
2.8
2.8
5.2
4.3
2.3
1.6
1.7
3.5
The percentage of success ranges from 92.4 to 96.4, the former in Basim and
the latter in Amraoti district.
Percentage of unknown cases shows an increase in Amraoti, Ellichpur
and Buldana districts.
The percentage in these districts is as follows:—Amraoti 1.3, Ellichpur 2.4,
and Buldana 3.5.
The results of re-vaccination by districts for three years are shown below :—
TABLE No. 5.—Showing district results in re-vaccination for three years compared.
Districts.
Amraoti
...
Ellichpur
...
Wun ...
...
Basim ...
...
Akola ...
...
Buldana
...
Years.
1890-91
1891-92
1892-93
1890-91
1891-92
1892-93
1890-91
1891-92
1892-93
1890-91
1891-92
1892-93
1890-91
1891-92
1892-93
1890-91
1891-92
1892-93
Results.
Successful.
588
2,290
3,653
1,719
1,429
1,366
612
1,794
1,344
451
1,179
1,389
588
570
1,485
264
1,513
1,708
Unsuccess-
ful.
1,306
3,745
3,842
2,665
1,946
1,874
983
1,900
3,593
759
2,353
2,889
1,287
1,069
3,331
161
2,878
4,048
Unknown.
662
2,539
6,206
585
1,346
1,835
198
845
709
185
743
877
1,251
1,001
1,963
49
799
1,996
Percentage to total
re-vaccinated.
Success-
ful.
23.0
26.7
26.7
34.6
30.2
26.9
34.5
39.5
23.8
32.3
27.5
26.9
18.8
21.6
21.9
55.7
291
220
Unsuccess-
ful.
51.1
43.7
28.0
53.6
41.2
36.9
54.5
41.9
63.6
54.4
55.0
56.0
41.1
40.5
49.1
33.9
55.5
52.3
Un-
known.
259
29.6
45.3
11.8
28.6
36.2
10.9
18.6
12.6
13.3
17.4.
17.0
40.0
37.9
29.0
10.4
15.4
25.7
( 4 )
The percentage of success obtained varied from 26.9 in Basim district to
23.8 in Wun and 22 in Buldana; as compared with the record of the previous
years, there has been an improvement in recording these results in all the
districts.
The percentage of unknown cases varied from 12.6 in Wun to 45.3 in
Amraoti district. This large number of unverified cases in Amraoti district
was due to lack of supervision as already explained.
Class of those vaccinated.
8. The following statement shows the num-
ber of primary operations according to class :—
TABLE No. 6.—Showing the class of those primarily vaccinated by the special
vaccination
establishment for three years compared.
Districts.
Amraoti
...
Ellichpur ...
Wun
...
Basim
...
Akola
...
Buldana
...
Years.
1890-91
1891-92
1892-93
1890-91
1891-92
1892-93
1890-91
1891-92
1892-93
1890-91
1891-92
1892-93
1890-91
1891-92
1892-93
1890-91
1891-92
1892-93
Total persons vaccinated.
Total.
19,252
22,456
20,609
8,697
10,184
12,697
14,852
14,834
15,447
13,925
13,731
15,003
17,186
18,304
21,237
15,561
16,998
16,781
Christians.
23
11
10
...
2
...
...
...
2
6
...
4
3
3
13
...
1
2
Mahomedans.
1,080
1,465
1,407
838
1,112
1,073
374
427
512
534
579
691
854
1,229
l ,456
733
987
1,025
Hindoos.
18,149
20,980
19,192
7,859
9,070
11,624
14,478
14,4 7
14,933
13,385
13,152
14,308
16,329
17,162
19,768
14,823
16,010
15,754
Proportion per cent. to
total vaccinated.
Christians.
.1
.05
.04
...
.02
...
...
...
.01
.04
...
.02
.01
.01
.06
...
.006
.01
Mahomedans.
5.6
6.5
6.8
9.5
10.9
8.4
2.5
2.9
3.3
3.7
4.2
4.6
49
6.6
6.8
4.7
58
6.1
Hindoos.
94.3
93.4
93.1
90.5
89.0
91.5
97.5
97.1
96.6
96.2
95.7
95.3
95.0
93.3
93.1
95.3
94.1
93.8
Children vaccin-
ated per cent. of
the population of
each class.
Christians.
10.8
5.1
4.7
...
...
...
...
...
5.8
12.5
...
8.3
2.2
2.2
9.6
...
...
3.4
Mahomedans.
2.3
3.0
2.9
3.2
4.2
4.1
1.8
2.0
2.5
2.3
2.5
3.0
1.6
2.3
2.8
2.1
2.7
2.9
Hindoos.
2.9
3.4
3.1
3.3
3.9
4.9
3.2
3.1
3.3
3.6
3.5
3.9
3.1
3.2
3.7
5.3
3.6
3.5
The above table shows 31 Christians, 6,164 Mahomedans and 95,579 Hin-
doos who were primarily vaccinated in 1892-93.
As regards each district, Mahomedans have a lower percentage than
Hindoos.
Protection was afforded at the following rates per cent. of population:—
Christians 6.3, Mahomedans 3.0, and Hindoos 3.5.
The above goes to show that Hindoos accept vaccination more readily
than Mahomedans.
Ages of those successfully vaccinated
and proportion per cent. to total suc-
cessfully vaccinated.
9. The following table contrasts the ages of
those successfully vaccinated and the proportion
per cent. to total successfully vaccinated for
three years.
Of the ages of those successfully vaccinated, 76,986 were infants under
one year of age, 18,041 children between 1 and 6 years, and 1,279 persons over
6 years and adults.
( 5 )
TABLE No. 7.—Showing the age of those successfully vaccinated, primary (special establish-
ment only), for three years compared.
Districts.
Amraoti
...
...
Ellichpur
...
...
Wun
...
...
Basim
...
...
Akola
...
...
Buldana
...
...
Years.
1890-91
1891-92
1892-93
1890-91
1891-92
1892-93
1890-91
1891-92
1892-93
1890-91
1891-92
1892-93
1890-91
1891-92
1892-93
1890-01
1891-92
1892-93
No. of those successfully
vaccinated.
Under 1
year.
15,779
17,826
15,721
7,866
8,802
8,988
12,139
11,714
12,157
11,238
10,368
11,134
13,845
14,348
16,654
12,192
12,891
12,332
1 to 6
2,720
3,966
3,934
532
849
2,698
1,716
2,126
2,395
1,967
2,398
2,575
1,755
2,357
3,300
2,338
3,056
3,139
All other
ages.
107
270
229
91
128
175
277
241
325
160
157
161
109
89
225
268
308
164
Proportion per cent. to
total successfully vaccin-
ated.
Under 1
year.
84.8
80.8
79.1
92.6
90.0
75.8
85.9
83.2
81.7
83.9
80.3
80.3
88.1
85.5
82.5
82.4
79.3
78.3
1 to 6
14.6
17.9
19.7
6.3
8.7
22.8
12.1
15.0
16.1
14.9
18.5
18.6
11.2
13.9
16.4
15.8
18.7
20.1
All other
ages.
.6
1.2
1.2
1.1
1.3
1.4
1.9
1.7
2.2
1.2
1.2
1.1
.7
.5
1.1
1.7
1.9
1.6
The rate of infantile protection varied from 75.8 in Ellichpur district to
82.5 in the Akola district.
In the former district, the proportion of children protected between one and
six is the highest.
The amount of protection afforded by vaccination as gauged by the avail-
able number of infants protected is shown in the following table :—
TABLE No. 8.—Showing protection afforded by infantile vaccination for three years compared.
Districts.
Amraoti
...
Ellichpur
...
Wun
...
Basim
...
Akola
...
Buldana
...
Years.
1890
1891
1892
1890
1891
1892
1890
1891
1892
1890
1891
1892
1890
1891
1892
1890
1891
1892
Registered
births.
25,194
27,998
26,475
10,730
11,599
10,972
15,686
16,446
15,637
14,813
15,596
14,553
24,510
27,363
25,405
20,517
22,753
20,598
Registered
deaths under
one year.
5,182
5,982
5,036
2,420
2,786
2,280
2,884
3,067
2,897
3,099
3,982
2,846
5,445
6,751
4,856
4,813
5,040
4,196
Children avail¬
able for vacci-
nation.
20,012
22,016
21,439
8,310
8,813
8,692
12,802
13,379
12,740
11,714
11,614
11,707
19,065
20,612
20,549
15,704
17,713
16,402
Infants suc¬
cessfully
vaccinated.
16,977
18,357
15,721
8,801
8,947
8,988*
12,735
11,837
12,157
11,973
10,383
11,134
15,825
14,886
16,654
13,370
13,072
12,332
Ratio per cent.
of available
children pro-
tected.
84.8
83.4
73.3
105.9
101.5
103.4
99.5
88.5
95.4
102.2
89.4
95.1
83.0
72.2
81.0
85.1
73.8
75.2
* Including successful vaccination in the Melghat.
B-119—2
( 6 )
The available number of infants is calculated by deducting the registered
deaths of children under one year from registered births, and though not abso-
lutely correct, yet it affords approximate data for gauging the protection afford-
ed.
It will be observed that there were 76,986 successfully vaccinated children
and 91,529 registered births, less the deaths of infants under one year, and that
infantle protection fell short of the available number by 14,543 or 15 per cent.
Sex of those vaccinated.
10. Of the sexes vaccinated, 89,713 were
males and 56,169 females, the proportion to total
vaccinated being for males 61.5 and females 38.51.
Result by class of those vaccinated.
11. The proportion of persons vaccinated ac-
cording to class is shown in the following table:—
TABLE No. 9.—Showing results of primary vaccination by class for 1892-93.
Districts.
Amraoti ...
Ellichpur ...
Wun ...
Basim ...
Akola ...
Buldana ...
Total ...
Christians.
Total.
10
... 2
4
13
2
31
Successful.
8
... 2
3
12
2
27
Unsuccessful.
2
...
... 1
1
...
4
Unknown.
...
...
...
...
...
...
...
Mahomedans.
Total.
1,407
1,073
512
691
1,456
1,025
6,164
Successful.
1,348
1,029
493
647
1,357
886
5,760
Unsuccessful.
31
31
9
32
52
37
192
Un k n o wn .
28
13
10
12
47
102
212
Hindus.
Total.
19,192
11,624
14,933
14,308
19,768
15,754
95,579
Successful.
18,528
10,832
14,382
13,220
18,810
14,746
90,518
Unsuccessful.
406
492
333
673
503
519
2,926
Unknown.
258
300
218
415
455
489
2,135
Ratio per cent. to total vaccination.
Christians.
Successful.
80.0
... 100.0
75.0
92.3
100.0
87.1
Unsuccessful.
20.0
...
... 25.0
7.6
...
12.9
Unknown.
...
...
...
...
...
...
...
Mahomedans.
Successful.
95.8
95.8
96.2
93.6
93.2
86.4
93.4
Unsuccessful.
2.2
2.8
1.7
4.6
3.5
3.6
3.1
Unknown.
1.9
1.2
1.9
1.7
3.2
9.9
3. 4
Hindus.
Successful.
96.5
93.1
96.3
92.3
95.1
93.6
94.7
Unsuccessful.
2.1
4.2
2.2
4.7
2.5
3.2
3.0
Unknown.
1.3
2.5
1.4
2.9
2.3
3.1
2.2
It will be seen that Hindus head the list with 94.7, Mabomedans come
next with 93.4, and Christians last with 87.7 successful cases.
Proportion of population protected.
12. The number of persons successfully vaccinated to 1,000 of population
is shown in the following table compared with
the preceding two years :—
TABLE No. 10—Showing protection afforded to population (special and dispensary
establishment) for three years compared.
Districts.
Amraoti ...
Ellichpur ...
Wun ...
Basim ...
Akola ...
Buldana ...
Total ...
Popula-
tion.
655,645
315,798
471,618
398,181
574,782
481,021
2,897,040
No. of successful operations.
1890-91.
20,584
11,377
15,578
14,724
19,020
16,497
97,780
1891-92.
24,969
11,374
16,053
14,122
18,104
17,974
102,596
1892-93.
28,537
13,227
16,221
15,259
21,664
17,343
107,251
Proportion per 1,000 of the
population protected.
1890-91.
31.4
42.3
33.0
36.9
33.1
34.3
34.3
1891-92.
38.1
42.3
34.0
35.5
31.5
37.3
36.0
1892-93.
35.8
41.9
34.4
38.3
37.7
36.0
37.0
Registered birth-
rate per 1,000 of
population.
1890.
43.7
41.0
40.0
41.2
41.2
46.9
42.5
1891.
42.7
44.7
34.8
39.1
47.6
47.3
42.8
1892.
40.3
42.3
33.1
36.5
43.7
43.0
39.9
The rate of protection afforded for the three years is respectively 34.3, 36
and 37 per 1,000 of population.
( 7 )
The following table shows separately the vaccination work done in Melghat
during the year under report:—
TABLE No. 11.—Showing particulars of vaccination performed in Melghat during 1892-93.
Melghat ... ...
Population.
47,049
Total number of vaccinated
children.
Primary.
2,822
Re-vacci-
nations.
1,432
Total.
4,254
Percentage of success
ful to total vaccinated.
Primary.
89.7
Re-vacci¬
nation.
42.2
Protection
afforded per
1,000 of po-
pulation.
66.6
Work commenced in the Melghat in October, and the total number of
operations performed was 4,254; of these 2,822 were primary and 1,432 re-vacci-
nation. The percentage of success attained was 89.7, and the proportion of
population protected 66.6 per 1,000. As there was no work done for the last
two years, comparison cannot be made.
Owing to the illness and resignation of one of the vaccinators during the
working season and a substitute not being available for some time, the work
suffered a good deal.
Vaccinators accustomed to live in the plains suffer a good deal from the
malarious climate of the Melghat. I shall, however, endeavour to get this year
two hillmen innured to the climate and train them as vaccinators for service in
the Melghat.
Results of work in Berar and other
provinces compared.
13. Table No. 12.—Showing vaccination re-
sults obtained in each province of India during
1891-92 as compared with Berar for 1892-93.
Province
Bengal ... ...
North-West Provinces ...
Punjab ... ...
Central Provinces ... ...
Berar ... ...
Burmah, Lower ...
Do.,
Upper ...
Assam
...
Madras ... ...
Bombay ... ...
Berar for 1892-93 ...
Number
of operations
performed
by each vacci-
nator,
1891-92.
625
1,377
2,718
1,771
3,013
1,962
1,812
879
1,220
1,823
3,316
Ratio of
success in
primary vac-
cination.
99.43
91.66
94.86
96.40
95.1
85.21
85.74
94.20
93.6
94.95
94.5
Proportion of
population
protected.
22.63
19.10
33.24
38.25
36.0
21.42
14.37
29.93
30.2
31.78
37.0
Percentage
of births esti-
mated at 40
per 1,000 of
population
successfully
vaccinated.
10.8
20.1
54.5
56.8
67.9
11.0
10.8
9.9
17.1
58.4
66.4
Mean death¬
rate from
small-pox for
5 years end-
ing 1891-92.
.10
.67
.57
.83
.23
.41
...
.29
.8
.14
.20
The average number of operations performed by each vaccinator in Berar
during 1892-93 was 3,316, which is very high indeed, and in comparison with
the last report for Berar and other Provinces this is the highest average of work
yet attained in Berar, and probably in any other province.
( 8 )
Inspection work of Superintendents of
Vaccination.
14. The following table shows the inspection
work performed by District Superintendents of
Vaccination :—
TABLE No 13.— Showing inspection done by District Superintendents of Vaccination during
1892-93.
Districts.
Amraoti ...
Ellichpur ...
Wun ...
Basim ...
Akola ...
Buldana ...
Total ...
Total number vaccinated.
Primary.
20,609
12,697
15,447
15,003
21,237
16,781
101,774
Re-vaccination.
13,701
5,075
5,646
5,155
6,779
7,752
44,108
Total.
34,310
17,772
21,093
20,158
28,016
24,533
145,882
Total number verified.
Primary.
10,953
8,103
10,435
9,579
10,722
11,173
60,965
Re-vaccination.
1,659
1,710
2,695
2,084
1,653
2,117
11,948
Total
12,642
9,813
13,130
11,663
12,375
13,290
72,913
Percentage of veri-
fication to total
vaccinated.
Primary.
53.2
63.8
67.5
63.8
50.4
66.5
59.9
Re-vaccination.
12.3
33.7
47.7
50.1
24.4
27.3
27.1
Total.
36.9
55.2
62.2
57.8
44.2
54.1
49.1
No. of villages visited by
Superintendents.
576
482
807
596
612
735
3808
Percentage of villages visit-
ed to total in which vacci-
nation was performed.
62.0
74.7
71.1
74.4
67.0
85.2
70.2
It will be seen that the proportion of villages visited by Superintendents in
which work was performed was 70.2 per cent., and the percentage of cases veri-
fied to total operations was 59.9 primary and 27.1 re-vaccination, compared
with 55.1 primary, 45.6 re-vaccination, and 52.5 primary, 28.1 re-vaccination,
respectively, in the two previous years.
The greatest number of children was inspected in Buldana and Wun,
13,290 in the former and 13,130 in the latter, and the least number inspected
was in Ellichpur, 9,813.
The percentage of work verified was highest in Wun, 62.2, and the nex
highest in Basim, 57.8.
On the whole, the total number of children inspected is more than last
year, and in the discharge of their duties the Superintendents worked zealously
and conscientiously.
Total expenditure.
15. The total expenditure on vaccination
and the cost per head of each successful case com-
pared for the past three years are shown below :—
TABLE No. 14.— Showing the expenditure of the special establishment for three years.
Years.
1890-91 ... ... ...
1891-92 ... ... ...
1892-93 ... ... ...
Total expenditure.
Rs.
16,900
16,659
17,234
a.
15
14
7
p.
0
2
10
Total successfully
vaccinated.
89,351
100,669
107,251
Average cost of each
successful case.
Rs.
0
0
0
a.
3
2
2
p.
0
7
7
The total expenditure for the year was Rs. 17,234, which was Rs. 575 more
than the cost of the previous year. This was due to the entertainment of two
vaccinators for the Melghat.
( 9 )
Small-pox. mortality diminished by
vaccination
16. The following table will show how small-
pox has decreased in this province as the ratio of
successful vaccination has increased :—
TABLE No. 15.— Showing efficincy of vaccination in diminishing small-pox
mortality.
Years.
1868-69 ... ...
1869-70 ... ...
1870-71 ... ...
1871-72 ... ...
1872-73 ... ...
Mean
1873-74 ... ...
1874-75 ... ...
1875-76 ... ...
1876-77 ... ...
1877-78 ... ...
Mean
1878-79
...
...
1879-80 ... ...
1880-81 ... ...
1881-82 ... ...
1882-83 ... ...
Mean
...
Ratio per
1,000 suc-
cessfully vac¬
cinated.
4.3
3.2
7.9
13.0
16.2
8.92
14.5
21.0
24.0
31.1
38.0
25.72
22.3
29.3
33.9
32.5
38.0
31.2
Death-rate
per 1,000
from small-
pox
1.9
3.6
.6
.2
3.8
2.02
3.8
.5
.4
.2
2.9
1.56
2.7
.03
.02
.08
.1
.58
Years.
1883-84 ... ...
1884-85 ... ...
1885-86 ... ...
1886-87 ... ...
1887-88 ... ...
Mean
1888-89 ... ...
1889-90 ... ...
1890-91 ... ...
1891-92 ... ...
1892-93 ... ...
Mean
...
Ratio per
1,000 suc-
cessfully vac¬
cinated.
30.3
37.0
35.3
35.6
35.2
34.68
36.1
35.68
34.3
36.0
37.0
35.8
Death-rate
per 1000
from small-
pox.
1.5
.2
.09
.04
.1
.38
.3
.7
.2
.01
.02
.2
The death-rates are for calendar years.
This diminishing mortality from small-pox in the light of the above figures
must be accepted as due to beneficial results of vaccination, and is practical
evidence of the protective power of vaccination against small-pox.
Small-pox mortality and number of
successful operations compared.
17. The next table shows the deaths from small-pox as well as the ages of
the deceased and the number of persons success-
fully operated upon in each district for the past
three years:—
TABLE No. 16.—Showing
deaths from small -pox according to age and number
successfully
vaccinated for three years compared.
Districts.
Amraoti
...
Ellichpur
...
Wun
...
Basim
...
Akola
...
Buldana
...
Years.
1890 ...
1891 ...
1892 ...
1890 ...
1891 ...
1892 ...
1890 ...
1891 ...
1892 ...
1890 ...
1891 ...
1892 ...
1890 ...
1891 ...
1892 ...
1890...
1891 ...
1892 ...
Deaths from small-pox.
Total
deaths.
46 ...
7
2
4
...
...
44
15
15
11
8
11
89
2
29
130
2
11
Under
year.
10
5
1
1
...
...
6
2
12
6
2
5
32
...
14
49
...
3
Under 12
years.
32
2
1
2
...
...
20
8
3
4
5
6
48
2
15
77
2
8
No of succes¬
ul operation.
(special and
dispensary).
20,584
24,969
23,537
11,377
11,374
13,227
15,578
16,053
16,221
14,724
14,122
15,259
19,020
18,104
21,664
16,497
17,974
17,343
Propor-
tion of
popuation
per 1,000
protected
31.4
38.1
35.8
42.3
42.3
41.9
33.0
34.0
34.4
36.9
355
38.3
33.1
31.5
37.7
34.3
37.3
36.0
B-119—3