12
11. Inspections.—The following table
shows the details of inspections by the
various inspecting agencies:—
Inspecting agencies.
(1) District Health Officers and
Civil Surgeons of Darjeeling
and Chittagong Hill Tracts
(2) Municipal Superintendents of
Vaccination and Municipal
Sanitary Inspectors
(3) Assistant Superintendents of
Vaccination, Rural Sanitary
Inspectors and
Assistant
Health Officers
Percentage of ins-
pections to total
number vaccinated.
Primary
vacci-
nation.
2.9
1.9
27.4
Revacci-
nation.
1.1
1.9
12.2
Percentage of cases
found successful to
total number
inspected.
Primary
vacci-
nation.
96.1
92.4
97.2
Revacci-
nation.
66.3
36.7
51.1
Percentage of success
reported by
vaccinators.
Primary
..
92.5
Revaccination
.. 59.05
Comparatively high percentages of
primary vaccination inspections were
returned by the District Health Officers
of Hooghly (36.9), Rangpur (17.6) and
Malda (10.07) and of revaccinations by
those of Rangpur (7.8) Dinajpur (7.4),
and Burdwan
(5.5). The Health
Officer of Bogra district did not inspect
a single vaccination while the District
Health Officer of Mymensingh inspected
only .04 per cent. primary and .01 per
cent. revaccinations. The Municipal
Superintendents and Sanitary Inspec-
tors of Dinajpur and Bogra returned the
highest percentages, 80.9 for primary
and 89.6 for revaccination inspections,
respectively, while only 4.7 per cent.
primary and 3.7 revaccinations were
inspected by these officers in Birbhum
and Bakarganj municipalities, respec-
tively. A hundred per cent. success to
total number of primary vaccinations
inspected, was returned each by the
District Health Officers of Nadia, Mur-
shidabad, Khulna and the Civil Sur-
geon of Darjeeling, and percentages of
97.6 and 93.1 in revaccinations, by those
of Rangpur and Murshidabad, respec-
tively. Turning to Municipal Inspect-
ing Officers, a cent. per cent. success in
primary cases was recorded in Birbhum,
Jessore, Jalpaiguri, Faridpur
and
Chittagong and 74.3 and 73.3 in revacci-
nations in Hooghly and Burdwan, respec-
tively. In Darjeeling alone, the success
was found as low as 4.8 per cent. The
rural inspecting staff of all the districts
except Bogra, Malda and Bakarganj
returned a percentage of success above
90 in primary cases, while in revaccina-
tion the highest 87.7 and 81.2 were
recorded in Rangpur and Bankura,
respectively. The lowest percentages
were found by the rural staff of Bogra,
44.6 in primary cases and 27 6 in
revaccinations. The vaccinators of all
the districts but Bogra, Mymensingh
and Noakhali, returned a success of
above 90 per cent. in primary cases. In
revaccinations, the highest percentages
were noted by the vaccinators of Dinaj-
pur, 73.6 and Rajshahi 71.9, and the
lowest, 19.1 in Calcutta.
12. Post vaccinal complications.—
With the introduction of the linear
method of vaccination, the risk of sepsis
has been reduced to a minimum. A few
cases of Impetigo Contagiosa have been
reported to have occurred after a long
interval after vaccination and have been
found on investigation to have no con-
nection with the latter; in fact their
occurrence in vaccinated cases generally
coincides in point of time with the vacci-
nation season and their number as
compared with the total number of
vaccinations performed has been so
infinitesimal as not to justify any
imputation against the purity of the
lymph. Had the lymph employed any-
thing to do with it, their number would
have been far in excess of what it has
been according to the reports of the
various District Health Officers. Be-
sides, a few cases of the same disease
have been observed in unvaccinated
persons in Calcutta. No case of post
vaccinal encephalitis has ever been
reported in this province.