ABSTRACT OF REPORTS BY SUPERINTENDENTS.
57
roads; very large proportion of unprotected persons among the population of this district.
where vaccination is little known and inoculation is - pretty freely practised here and
there in an irregular manner, leaving large numbers totally unprotected; the greater
susceptibility of certain persons to take the disease from unknown peculiarity of their
constitution, and greater intensity of the infecting poison in certain places than in others
from causes not quite understood.
At Balasore small-pox prevailed throughout the district, but not very severely. The
areas that suffered most were Baliapal (at the rate of 1.78 per 1,000 of population), Busta,
Jallasore, and Dhamnugger (at 1.44 per 1,000 each), and Chandballi (at 1.15 per 1,000).
The Civil Surgeon made a house-to-house visitation in the town of Balasore, and personally
vaccinated a large number, and found that the people are getting over their aversion to
vaccination. He hopes for better success next season.
I submit below a statement compiled from the mortuary returns showing the mortality
from small-pox in 1880 and in the first five months of the current year of which the
returns have been received in each area in the districts of Cuttack, Poori, and Balasore,
contrasted with the mean death-rates of the quinquennium 1875-79 :—
DISTRICT.
CUTTACK
...
...
POORI
...
...
BALASORE
...
Circles.
Cuttack
town
...
...
Kendrapara „ ... ...
Jajipore
„
...
...
Cuttack
thana
...
...
Sahpore
„ ... ...
Kendrapara „
...
...
Pattamundi „ ... ...
Jajipore
„
...
...
Dhurmsala „ ... ...
Aul
„
...
...
Jagutsingporo „ ... ...
Tirtola
„
...
...
District Total ...
Poori
town ... ...
Pipli
thana ... ...
Khurda „ ... ...
Poori
„ ... ...
Gope „ ... ...
Banpore „ ... ...
District Total ...
Balasore
town ... ...
Balasore
thana ... ...
Busta
„
...
...
Jallasore
„
...
...
Sorah „ ... ...
Baliapal
„
...
...
Bhudruck „ ... ...
Basudebpore „
...
...
Dhamnugger „ ... ...
Chandballi „ ... ...
District Total ...
Total for the Orissa Circle ...
In 1880.
Deaths.
248
104
30
259
785
444
283
681
358
470
1,173
909
5,744
99
1,486
438
587
2,247
42
4,899
4
1
87
66
27
124
27
8
165
40
549
11,192
Ratio per
mille.
4.87
9.73
2.78
2.15
3.56
2.98
3.25
3.81
1.60
4.34
6.48
5.82
3.84
4.36
7.27
1.84
3.54
23.38
97
6.36
.22
.01
1.44
1.44
.17
1.78
.18
15
1.44
1.15
.71
3.68
In January to May
1881.
Deaths.
13
30
31
141
775
466
743
730
536
812
465
409
5,151
387
896
211
995
1,442
48
3,979
117
40
68
66
116
66
92
26
280
20
896
10,026
Ratio per
mille per
annum.
60
6.74
6.91
2.80
8.42
7.51
20.54
9.79
5.76
18.02
6.17
6.29
8.26
40.92
10.51
2.11
14.40
36
2.64
12.38
15.94
1.34
2.71
3.46
1.75
2.28
1.49
1.18
5.86
1.73
2.76
7.92
In 1875-79.
Deaths.
35
7
3
30
55
42
25
40
37
36
40
53
403
4
32
36
33
11
9
125
6
7
26
11
41
39
45
12
41
11
239
767
Ratio per
mille.
.68
.65
.27
.24
.24
.28
.28
.22
.16
.33
.22
.33
27
.17
.15
.15
.19
.11
.20
.16
.34
.09
.43
.24
.26
.56
.30
.23
.35
.31
.31
.25
The foregoing accounts of the prevalence of small-pox in Orissa, and the figures in the
above table, show that the disease increased very considerably in 1880, and continued to
prevail with added intensity during the current year. This sudden rise and continued un-
precedented severity and fatality of the disease prove conclusively that the vaccination staff
has not exerted itself as it ought in stamping it out, and reflect very unfavorably on the
Superintendent. These remarks apply specially to Cuttack, where vaccination is supposed to
have been carried on for years. As before shown, the Superintendent remained much in the
town of Cuttack while the disease was raging in the manner above shown, instead of being
present with his staff in the affected localities. Moreover he appears to be unaware of this
general severe prevalence of the disease almost all over Orissa, for his report regarding it,
as reproduced above, is confined to only two places, viz., Righagurh and Binjharpur. At the
latter place the disease could not, it is stated (vide para. 137), be arrested, owing to excessive
heat precluding the carrying out of vaccination with success. This statement can hardly be
accepted when under the same condition the operations can be effected in all other parts
of Bengal and in districts south of Orissa. Though I am no advocate of hot-weather
vaccination, I know that it can be practised sufficiently well to subdue outbreaks of small-
pox, and so to save life. The Superintendent's views regarding vaccination seem to be remark-
ably in accord with his own convenience and comfort.
Mortality among infants.
138. During the year under review 5,589 infants died within the area under operation.
This number gives a percentage of 19.16 on the estimated
births of the year, 29,163. The infants vaccinated amount
to, as before shown, 3.42 per cent. of the births. Thus the remaining infants, to the extent
of 77.42 per cent. of the number born, were unprotected.
p