6
6. The following statement compares
the primary and re-vaccinations in rural
areas performed during the year under
review and the previous year :—
Districts.
Burdwan .. ..
Asansol Mining Settle-
ment .. ..
Birbhum .. ..
Bankura .. ..
Midnapur .. ..
Hooghly .. ..
Howrah .. ..
24-Parganas ..
Nadia .. ..
Murshidabad .. ..
Jessore .. ..
Khulna .. ..
Rajshahi .. ..
Dinajpur .. ..
Jalpaiguri .. ..
Darjeeling.. ..
Rangpur .. ..
Bogra .. ..
Pabna .. ..
Malda .. ..
Dacca .. ..
Mymensingh ..
Faridpur .. ..
Bakarganj .. ..
Chittagong .. ..
Noakhali .. ..
Tippera .. ..
Chittagong Hill Tracts
Total ..
Primary Vaccinations.
1926-27.
33,710
16,736
36,616
32,524
83,207
20,867
22,080
61,990
38,612
49,071
47,505
45,793
41,992
77,263
21,227
10,392
75,354
27,460
77,275
32,312
131,199
256,094
53,573
101,091
54,530
62,983
110,913
6,810
1,629,179
1927-28.
40,290
13,142
37,360
36,694
143,629
19,862
24,626
112,643
45,045
55,958
42,951
52,390
40,740
83,733
29,510
8,566
93,779
30,574
74,301
27,467
106,214
240,839
64,993
126,696
64,542
78,047
121,717
6,242
1,822,550
Difference.
6,580
3,594
744
4,170
60,422
1,005
2,546
50,653
6,433
6,887
4,554
6,597
1,252
6,470
8,283
1,826
18,425
3,114
2,974
4,845
24,985
15,255
11,420
25,605
10,012
15,064
10,804
568
193,371
Percen-
tage of
increase +
or
decrease —.
+ 19.5
-21.5
+ 2.0
+ 12.8
+ 72.6
-4.8
+ 11.5
+ 81.7
+ 16.6
+ 14.0
-9.6
+ 14.4
-3.0
+ 8.4
+ 39.0
-17.6
+ 24.4
+ 11.3
-3.8
-15.0
-19.1
-6.0
+ 21.3
+ 25.3
+ 18.3
+ 23.9
+ 9.7
-8.4
+ 11.9
Re-vaccinations.
1926-27.
22,022
46,096
38,654
36,133
107,186
17,755
13,689
37,732
33,219
79,501
35,579
21,344
52,131
32,144
29,399
9,498
43,383
43,840
80,435
44,455
24,441
113,168
58,769
7,179
43,240
60,356
40,365
3,174
1,174,887
1927-28.
28,156
16,026
38,432
35,318
238,977
24,871
14,586
40,918
52,126
102,956
41,035
24,087
58,694
55,076
34,478
9,929
70,122
39,400
138,453
157,384
54,883
146,471
63,997
23,645
58,387
104,901
101,420
3,583
1,778,306
Difference.
6,129
30,070
222
815
131,791
7,116
897
3,186
18,907
23,455
6,456
2,743
6,563
22,932
5,079
431
26,739
4,440
58,018
112,929
30,442
33,303
5,228
16,466
15,147
44,545
61,055
409
604,419
Percen-
tage of
increase +
or
decrease —.
+ 27.8
-65.3
-0.6
-2.3
+ 123.0
+ 40.1
+ 6.5
+ 8.4
+ 56.9
+ 29.5
+ 15.3
+ 12.8
+ 12.6
+ 71.3
+ 17.3
+ 4.5
+ 61.6
-10.1
+ 72.1
+ 254.0
+ 124.5
+ 29.4
+ 8.9
+ 229.3
+ 35.0
+ 73.8
+ 151.3
+ 12.9
+ 51.3
Primary vaccinations increased in all
but Asansol Mining Settlement, Hooghly,
Jessore, Rajshahi, Darjeeling, Pabna,
Malda, Dacca, Mymensingh and the
Chittagong Hill Tracts; whereas re-
vaccination was in excess compared with
the previous year in all the districts of
the province except Asansol Mining
Settlement, Birbhum, Bankura and
Bogra. The increase in the number of
primary vaccinations was most notice-
able in the 24-Parganas (81.7 per cent.)
and Midnapur (72.6) and in re-vaccin-
ations in Malda (254.0 per cent.),
Bakarganj (229.3), Tippera (151.3),
Dacca (124.5) and Midnapur (123. 0).
The decrease in the number of primary
vaccinations will be discussed later
when dealing with the degree of pro-
tection among available infants (para-
graph 9 infra). The decrease in the
number of vaccinations in Asansol
Mining Settlement amounting to 21.5
per cent. in the case of primary and 65.3
per cent. in re-vaccinations has been
ascribed by the Chief Sanitary Officer to
the decreased number of persons requir-
ing vaccination and re-vaccination and
also to the absence of small-pox in epi-
demic form. The District Health
Officer, Birbhum, attributes the decrease
in re-vaccinations to his district being al-
most free from small-pox, although ac-
cording to the epidemic diseases returns
there were 1,024 deaths from small-pox
in that district. The District Health
Officer, Bankura, explains the reduction
by " the less prevalence of small-pox
cases " in his district. In Bogra the re-
vaccinations decreased by 4,440 or 10.1
per cent., compared with the previous
year in spite of the fact that 2,710 deaths
occurred from small-pox there during
the year under review. The District
Health Officer makes " a greater atten-
tion paid to primary vaccination "
responsible for this reduction. The
District Health Officer is very much mis-
taken if he believes that " a greater
attention paid to primary vaccination "
alone at the expense of re-vaccination
will help him in averting epidemics of
small-pox; in fact the high mortality
from small-pox in this district can be
appropriately ascribed to negligence in
carrying out an intensive campaign of
re-vaccination as was undertaken in
many other districts where epidemics