7
of
small-pox occurred during
the
year. This point will be referred to
again later in this report. But while the
primary and re-vaccinations as a whole,
showed an excess over those of the pre-
vious year, the former outnumbered the
latter by 44,244 in 1927-28 in 15 districts
as follows :—
Districts.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
Mymensingh ..
Dacca .. ..
Rangpur .. ..
24-Parganas ..
Chittagong .. ..
Dinajpur .. ..
Howrah .. ..
Tippera .. ..
Burdwan .. ..
Faridpur .. ..
Jessore .. ..
Bankura .. ..
Bakarganj .. ..
Khulna .. ..
Chittagong Hill Tracts
Excess of
primary over
re-vaccinations,
1927-28.
94,368
51,331
23,657
71,725
6,155
28,657
10,040
20,297
12,139
996
1,916
1,376
103,051
28,303
2,659
Small-pox
deaths,
1927-28.
3,304
2,642
2,619
2,179
1,639
1,594
1,511
1,150
1,040
1,002
386
243
201
126
8
(since July 1927).
There may be some excuse for the last
five districts named above for this reduc-
tion in re-vaccinations, because the num-
ber of deaths from small-pox was not
so high there as to afford inducement to
the people to get themselves re-vaccin-
ated, but the state of affairs in the
other districts of the list is extremely
regrettable, in view of the serious out-
breaks of small-pox epidemics in those
localities. Unfortunately greater atten-
tion has been paid till quite recently to
primary vaccination, ignoring re-vaccina-
tion to a great extent. A glance at the
diagram on page 8 will show that pri-
mary vaccination alone which has its
own advantage on other occasions has
never been able to control an epidemic of
small-pox. Too much stress therefore
cannot be laid on the importance of
intensive campaigns of re-vaccination
especially during an epidemic of small-
pox and it is expected that this will not
be lost sight of in future.
7. Vaccination in municipalities.—
From the following statement it would
appear that compared with the previous
year, municipalities in 9 districts only
but of 26 showed increase in their pri-
mary vaccinations, while in 13 districts
they recorded rise in re-vaccinations. In
all the rest there was a falling off in the
number of both primary and re-vaccina-
tions. The decrease in re-vaccinations is
deplorable in the face of prevalence of
small-pox in these places, as shown in the
last column of the subjoined statement,
especially in the municipalities of the
districts of Howrah, Murshidabad,
Khulna and Pabna.
Districts.
Burdwan .. ..
Birbhum .. ..
Bankura .. ..
Midnapur .. ..
Hooghly .. ..
Howrah .. ..
24-Parganas ..
Calcutta .. ..
Nadia .. ..
Murshidabad ..
Jessore .. ..
Khulna .. ..
Rajshahi .. ..
Dinajpur .. ..
Jalpaiguri ..
Darjeeling.. ..
Rangpur .. ..
Bogra .. ..
Pabna .. ..
Malda .. ..
Dacca .. ..
Mymensingh ..
Faridpur .. ..
Bakarganj ..
Chittagong ..
Noakhali .. ..
Tippera .. ..
Total ..
Primary
Vaccinations.
1926-27.
3,115
777
2,719
2,809
7,479
4,825
12,643
29,162
3,203
2,596
324
505
1,004
459
398
884
900
264
1,677
1,376
7,181
3,630
2,082
2,317
1,122
1,367
2,282
97,100
1927-28.
2,481
181
2,492
2,049
4,820
4,267
13,039
20,993
2,961
2,239
239
580
951
595
363
1,129
1,418
284
2,127
1,223
8,021
3,448
1,722
1,895
1,897
771
2,001
84,186
Increase
+
decrease
—.
—
—
—
—
—
—
+
—
—
—
—
+
—
+
—
+
+
+
+
—
+
—
—
—
+
—
—
—
Re-vaccinations.
1926-27.
3,931
2,439
2,251
9,835
9,245
6,799
11,200
187,538
2,169
5,229
458
1,152
1,329
1,443
458
3,042
2,274
552
2,176
1,851
9,757
3,148
1,386
3,600
1,458
4,143
1,685
280,548
1927-28.
3,202
952
2,275
5,438
3,693
5,351
7,157
90,087
2,791
4,404
194
698
2,199
1,628
588
3,681
7,427
1,045
1,943
2,149
16,474
5,331
1,225
1,726
8,354
1,597
1,851
183,460
Increase
+
Decrease
—.
—
—
+
—
—
—
—
—
+
—
—
—
+
+
+
+
+
+
—
+
+
+
—
—
+
—
+
—
Small-pox deaths.
1926-27.
58
8
13
136
236
286
262
2,401
48
112
2
2
2
2
..
1
18
4
18
105
37
31
8
13
5
8
1
3,827
1927-28.
27
12
25
107
54
296
186
1,172
47
143
4
33
14
4
..
2
18
9
52
2
233
45
8
7
23
2
24
2,554
2A