3
Inspection work of the
Deputy Sanitary Commis-
sioners and Inspectors.
11. The Deputy Sanitary Commissioners inspected 18,422 vaccinated
persons or 2.86 per cent. in 545 towns and villages
and travelled 30,782 miles. The Inspectors of Sanita-
tion and Vaccination inspected 236,377 vaccinated
persons in 10,259 towns and villages. Thus the results
of 254,799 vaccinations or 39.56 per cent. were checked by examination. The
success rate for primary vaccination as ascertained by the Deputy Sanitary
Commissioners was 98.83 and by Inspectors 98.45.
Small-pox Statistics.
12. The following is a list of the towns in which Compulsory Vaccination
Act has been applied and shows the number of deaths
from small-pox in those towns during the last five
years. In some of these towns the compulsory features of the Act are not put
into force.
Towns.
Bombay City ...
Bandra ...
Kurla ...
Ahmedabad ...
Karachi ...
Hyderabad ...
Sukkur ...
Rohri ...
Larkana ...
Deolali Cantonment ...
Aden ...
Population.
979,445
24,286
15,081
214,000
151,903
75,952
35,294
10,754
16,097
1,834
46,165
1916-17.
Deaths
from
Small-pox.
489
30
4
46
2
...
8
...
...
...
1
1917-18.
Deaths
from
Small-pox.
840
26
7
71
77
...
4
...
...
...
3
1918-19.
Deaths
from
Small-pox.
617
40
27
71
248
7
...
1
...
...
5
1919-20.
Deaths
from
Small-pox.
683
18
22
33
91
311
22
11
36
2
5
1920-21.
Deaths
from
Small-pox.
335
5
...
32
39
30
4
1
...
...
1
13. The Inspectors of Sanitation and Vaccination enquired into the
vaccinal state of 650 cases of small-pox with the following results; 263 were
found to have been vaccinated, of whon 15 died; of the remaining 387
unvaccinated 66 died. The case mortality was, therefore, 5.7 among vaccinated.
The average age of vaccinated persons attacked by small-pox was 13 and for
unvaccinated 5, while of those who died the average age among the vaccinated
was 12 and the unvaccinated 5.
Diagram.
14. A diagram showing the proportion of population successfully vaccinated
in each district during seven years from 1st April 1914
to 31st March 1921 and the death-rate from small-pox
for the year 1920-21 is given as Appendix IV.
Inoculation.
15. Inoculation is still occasionally practised in outlying districts in Sind.
During the year an inoculator with the assistance of
the Headman of the village was found to have been
operating not far from Hyderabad in a village of Tando Allahyar Taluka and
these operations resulted in an outbreak of small-pox. Both offenders were
prosecuted and punished by the local authorities.
16. No case of ill-effects after vaccination was reported during the year.
17. A table showing the number of vaccinations under one year of age
in Municipal Towns is attached as Appendix III.
Vaccination in Aden.
18. In Aden 1,726 persons were primarily vaccinated. The success rate
excluding unknown was 95.25 and the percentage of
unknown cases was 72.82.
The number of re-vaccinations was 143. The percentage of success
excluding unknown, 100.00 and the percentage of unknown cases 90.90.
The total expenditure amounted to Rs. 3,556-8-0. Information from
Aden was received late, hence the vaccination work of Aden is shown separately
in this Report.
W. O'S. MURPHY,
Lieut.-Colonel, I.M.S., D.P.H.,
Sanitary Commissioner for the
Government of Bombay,
Poona, 29th July 1921.