3
The largest number of deaths were recorded in the districts of Dacca (2,079),
Chittagong (1,469), Mymensingh (1,429), Tippera (437), Midnapore (401),
Dinajpur (360), Calcutta (316), Noakhali (309), Faridpur (217), Bakarganj
(188), 24-Parganas (134), Hooghly (131) and Howrah (131), while the districts
of Bogra, Khulna and Darjeeling show only 5,07, and 9 deaths respectively.
It will be seen that a very large majority, 83.86 per cent. of the deaths
occurred in the Eastern Bengal districts, where recent inspection by
the Deputy Sanitary Commissioner revealed great laxity and want
of management and supervision of vaccination by the subordinate staff.
I have already brought this to the notice of Government in a separate com-
munication with a view to remedial measures being adopted.
12. Animal Vaccine Depot.—During 1913-14 altogether 2,212 calves
were vaccinated at the Animal Vaccination Depôt, Calcutta, against 2,253 and
1,973 in the two preceding years, the quantity of lymph manufactured there-
from being 744,054, 675,228 and 568,113 grains respectively. The average of
the triennial period was 2,146 calves and 662,465 grains of lymph against
1,896 calves and 516,658 grains of lymph during the previous epoch.
13. Different methods of vaccination.—During the past year 21,149
primary operations were performed with lymph taken direct from calf, 595,642
with lanoline lymph, 955,768 with glycerinated lymph manufactured at the
Shillong Animal Vaccination Depot, and 1,631 by the arm-to-arm method
against 26,347, 619,948, 1,139,989 and 859 respectively during the preceding
year and 17,689, 635,651, 1,135,619 and Nil during the year before (1911-12).
The ratio per cent. of success under each of these methods of vaccination
was 97.69, 98.76. 98.13 and 94.91 respectively against 98.51, 98.19, 97.28 and
90.10 respectively during 1912-13 and 99.81, 98.39, 96.75 and Nil respect-
ively during 1911-12. The number of re-vaccinations under each of these
processes of vaccination was 11,216, 65.523, 203,771, and 727 with a success
of 50.98, 55.70, 63.76 and 56.67 per cent. as compared with 11,933, 48.687,
136,189 and 387 operations with a success of 44.78, 43.54, 62.55 and 77.5 per
cent. during 1912-13 and 2,869, 36,031, 96.187 and 207 operations with a
success of 54.13, 44.50, 63.68 and 50.24 respectively during 1911-12.
14. Inspections.—During 1913-14 Captain A. M. Jukes, I.M.S., Captain
K. K. Mukerji, I.M.S., and Dr. R. B. Khambata, Deputy Sanitary Commis-
sioners of the Presidency, Burdwan and Rajshahi Circles, inspected 15,566,
19,500 and 10,585 operations respectively. Dr. M. E. Sufi, Deputy Sanitary
Commissioner of the Dacca Circle, was able to inspect only 4,542 cases as
all his time was taken up in overcoming opposition to vaccination, checking
the accuracy of previous year's vaccination figures, and organising as far as
possible proper vaccination measures in the Bakarganj District. The Civil
Surgeons saw 59.778 or 3.22 per cent. of the total operations performed in the
Presidency. Two of them, viz., the Civil Surgeons of Midnapore and Dinajpur,
saw 5,000 to 10,000 operations, 11 from 2,000 to 5,000. 3 from 1,000 to 2,000
and 11 below 1,000 cases. The Civil Surgeon of Faridpur reported that he
was unable to inspect vaccination for want of time. This explanation cannot
be considered satisfactory.
The Vaccination Inspectors and Sub-Inspectors inspected 1,279,122 cases
or 68.87 per cent. of the total operations performed in the Presidency. No
fixed percentage of inspection is now insisted on in the case of these officers.
Under this Department Circular No. 15, dated the 19th July 1911, these
officers are now required to pay more attention to the quality than to the
quantity of work done and to report on each vaccinator's work. Every
Inspector inspects the work of all the vaccinators once and every Sub-
Inspector twice during the season.
15. General remarks.—During 1913-14, the system of antiseptic vacci-
nation which is in force in the districts of West Bengal was introduced into
the Eastern Bengal districts and it appears from the reports received from
Civil Surgeons that the result has been fairly satisfactory. A revised scale
of travelling allowance for the subordinate vaccination inspecting staff has
been introduced with the sanction of Government It is hoped that this, by
preventing the abuses in travelling which existed before, will lead to more
efficient supervision of vaccination. The increase in the number of Deputy
Sanitary Commissioners has rendered it possible to organise a thorough and