NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
56
REPORT ON THE WORKING OF THE KING INSTITUTE, GUINDY
excess of last year's figure of 16, but the in-patient figure of 25 for last year, has a corres
-
ponding nil admission this year. Again in February last year, there were ten out-patient
cases whereas in February this year the figure stood at 44 which is apparently high but not
really so when it is remembered that the out-patient cases of the previous month continue to
be treated during the following month.
It is needless to amplify, as enough evidence has been advanced to show that the
incidence of malaria is not unduly high.
The other important factor to consider is the nature of the infection and the possibility
of cerebral malaria. Evidence available as to the existing type of malaria points to a benign
infection as the great majority of cases diagnosed as malaria microscopically, were of the benign
type including the four cases of malaria among the cerebro-spinal fever cases. Two cases
of acute malaria reported sick in my presence and a blood examination revealed a benign
infection. These points together with the evidence of the Medical Officer who states that
malaria is not met with, in any but the mildest type remove the suspicion that the epidemic
of cerebro-spinal fever was influenced by an unduly heavy malarial infection. The disease
as a whole has had no influence or bearing on the occurrence of the cases of cerebro-spinal
fever.
III. Source of the disease.— It will be seen from the report of the Medical Officer that
no possible connection could be traced between the cases ; these had occurred in totally
different parts of the jail and outside the jail in the warder's lines. A close inspection of
the housing and working association of the affected convicts threw no new light either as
regards close association or association with a common group of convicts who might have
harboured a carrier amongst them. An enquiry into the existence of the disease outside the
jail showed that the disease is prevalent in the neighbouring parts and possibly to a large
extent unrecognized ; owing to the rapid fatal termination and atypical characters.
It is not improbable then that carriers are received into the jail from time to time who
cause an outbreak of the disease under favourable conditions, i.e. (1) suitable atmospheric
conditions and (2) overcrowding.
From the report of the Medical Officer, it will be seen that both these conditions existed
at the time of the outbreak of the epidemic.
IV.
An examination of the methods adopted to arrest the spread of the epidemic
showed that both the Medical Officer and the jail authorities had acted in a prompt and
thorough manner. All precautions were taken and the disease which might have assumed
some magnitude was immediately arrested. Spacing out of the general jail population with
segregation and medication of all contacts was immediately done. No further action was
necessary at the time.
58
REPORT ON THE WORKING OF THE KING INSTITUTE, GUINDY
Sample B in zinc container received on the 16th November 1922.
Date of examination .
Strength of
the solution
used for test.
Percentage of
available
chlorine.
Dosage of
chlorine for
Madras water
(Field test).
Result of bacteriological
examination.
PER CENT.
PARTS PER
MILLION.
16th November 1922 . . .
5
20.075
0.8
Not sterile.
23rd do. . . .
5
20.0
0.8
Sterile.
30th do. . . .
4
19.8
0.8
D o .
8th December 1922 . . .
4
19.6
0.8
Do.
19th do. . . .
4
19.2
0.8
Do.
26th do. . . .
5
18.0
0.8
Do.
16th January 1923 . . .
5
17.6
0.7
Do.
22nd do. . . .
5
17.4
0.6
Do.
28th do. . . .
4
17.0
0.8
Do.
5 t h F e b r u a r y 1 9 2 3 . . .
4
17.4
0.7
Do.
12th do. . . .
4
17.2
0.7
Do.
26th do. . . .
5
16.5
0.8
Do.
5th March 1923 . . .
4
16.0
0.8
Do.
22nd do. . . .
5
15.1
0.8
Do.
5th April 1923 . . .
4
14.6
0.8
Do.
12th do. . . .
4
14.3
0.9
Do.
19th do. . . .
4
14.0
0.8
D o .
Sample C in zinc container received on the 21 st April 1923.
21st April 1923 . . .
4
13.5
0.4
Sterile.
28th do. . . .
4
13.1
0.5
D o .
5th May 1923 . . .
4
12.9
0.5
Do.
12th do. . . .
4
12.8
0.5
Do.
19th do. . . .
4
12.35
0.5
Do.
Sample D in zinc container received on the 21 st April 1923.
21st April 1923 . . .
4
14.6
0.4
Sterile.
28th do. . . .
4
14.2
0.5
Do.
5th May 1923 . . .
4
13.7
0.5
Do.
12th do. . . .
4
13.77
0.5
Do.
19th do. . . .
4
13.5
0.5
Do.
Government
of Madras
LOCAL SELF-GOVERNMENT (PUBLIC HEALTH) DEPARTMENT
G.O. No. 145-P.H., 30th January 1924.
Report—King Institute, Guindy, 1922-23—Reviewed.
R E A D—Letter from Lieut.-Col. T. H. SYMONS, O.B.E., I.M.S., Officiating Surgeon
-
General with the Government of Madras, to the Secretary to Government, Local
Self-Government (Public Health) Department, dated Madras, the 21st September
1923, R. No. 1550-G.
I have the honour to forward herewith two copies of the Annual Report on
the working of the King Institute of Preventive Medicine, Guindy, for the year
1922-23 for the information of Government.
Order—No. 145-P.H., dated 30th January 1924 .
Recorded.
2. The Government have since the close of the year under review sanctioned
the formation of a second bacteriological unit on a permanent basis. They have
also approved a programme of improvements and additions to the buildings of
the Institute, recommended by a committee specially appointed for the purpose.
3. The question of maintaining the accounts of the Institute on a com
-
mercial basis is still under consideration. Messrs. Fraser and Ross, Chartered
Accountants to the Government, have recently examined the present system of
accounts and made certain proposals. These have been referred to the Surgeon
-
General.
4. A public analyst has recently been appointed and the Government hope
to bring into operation the Food Adulteration Act at an early date.
5. On the recommendation of the Public Health Board local bodies have
been advised to make use of " Stabilized bleach " for sterilizing water by chlori
-
nation. The appointment of a travelling inspectorate of municipal water-supplies
consisting of bacteriologists is under the consideration of the Government. The
attention of the Sanitary Engineer and the Director of Public Health is invited
to the Director's suggestion that they might supply him with information as to
the steps taken by municipal councils to rectify the errors pointed out in the
periodical reports on their water-supplies.
2
No. 145-P.H., 30TH JANUARY 1924
6. The disposal of sewage and waste products of conservancy in a profitable
manner was the subject of examination by a special committee which recom
-
mended unanimously that a deputation of experts may be sent to China and Japan
to study the methods employed there. As the Government of India were unable
to arrange for an All-India deputation and were not prepared to contribute
towards the cost of a deputation from this Government, the matter had to be
dropped.
7. The report indicates considerable activity in every branch of the Institute
and the Government congratulate the Director and his staff on the high standard
of efficiency maintained.
(By order of the Government, Ministry of Local Self-Government).
P. L. MOORE,
Acting Secretary to Government.
To the Surgeon-General
.
" the Director of Public Health.
" the Sanitary Engineer.
" all Chairmen of Municipal Councils.
" the Public Works Department.
" the Law (General) Department.
" the Assistant Quartermaster-General,
9th (Secunderabad) Division (with C.L.).
" the Consul-General for Netherlands,
Calcutta (with C.L.).
Editors' Table.
AGENTS FOR THE SALE OF MADRAS GOVERNMENT
PUBLICATIONS.
IN INDIA.
BUTTERWORTH & Co. (LTD), 6, Hastings Street, Calcutta.
R. CAMBRAY & Co., Calcutta.
E.M. GOPALAKRISHNA KONE, Pundumantapam, Madura.
HARTLEYS, Mount Road, Madras.
HIGGINBOTHAMS (LTD.), Mount Road, Madras.
V. KALYANARAMA IYER & Co., Esplanade, Madras.
G. C. LOGANADHAM BROTUERS, Madras.
S. MURTHY & Co., Madras.
G. A. NATESAN & Co., Madras.
The Superintendent, NAZAIR KANUN HIND PRESS, Allahabad.
NIVASARKAR, Manager, " Hitawada," Nagpur.
P. R. RAMA IYER & Co., Madras.
RAMAKRISHNA & SONS, Lahore.
R. SUNDER PANDURANG, Kalbadevi Road, Bombay.
D. B. TARAPOREVALA SONS & CO., Bombay.
THACKER & Co. (LTD.), Bombay.
THACKER, SPINK & Co., 3, Esplanade East, Calcutta.
S. VAS & Co., Madras.
S.P.O.K. PRESS, Vepery, Madras.
IN THE UNITED KINGDOM.
B. H. BLACKWELL, 50 and 51, Broad Street, Oxford.
CONSTABLE & Co., 10, Orange Street, Leicester Square, London, W.C.
DEIGHTON, BELL & Co. (LTD.), Cambridge.
EAST AND WEST (LTD.), 3, Victoria Street:, London, S.W. 1
.
T. FISHER UNWIN (LTD.), 1, Adelphi Terrace, London, W.C.
GRINDLAY & Co., 54, Parliament Street, London, S.W.
KEGAN PAUL, TRENCH, TRÜBNER & Co. (LTD.), 68—74, Carter Lane, London, E.C.
and 39, New Oxford Street, London, W.C.
HENRY S. KING & Co., 65, Cornhill, London, E.C.
P. S. KING & SON, 2 and 4, Great Smith Street, Westminster, London, S.W.
LUZAC & Co., 46, Great Russell Street, London, W.C.
B. QUARITCH, 11, Grafton Street, New Bond Street, London, W.
W. TRACKER & Co., 2, Creed Lane, London, E.C.
OLIVER AND BOYD, Tweeddale Court, Edinburgh.
E. PONSONBY (LTD.), 116, Grafton Street, Dublin.
WHELDON AND WESLEY (LTD.), 2, 3 and 4, Arthur Street, New Oxford Street,
London, W.C. 2.
ON THE CONTINENT.
ERNEST LEROUX, 28, Rue Bonaparte, Paris.
FRIEDLANDER AND SOHN, Berlin.
MARTINUS NIJHOFF, The Hague, Holland.
OT T O HAR R AS S OWI T Z , L e i p z i g .
I P .
a d u a c o l i s
I p / 2 5 / r z . 5
R E P O R T
O N T H E W O R K I N G O F T H EK
I N G I N S T I T U T E O F P R E V E N T I V E M E D I C I N EG
U I N D Y
P R I C E , 1 2 a n n a s
REPORT
ON THE WORKING OF THE
KING INSTITUTE OF PREVENTIVE MEDICINE
GUINDY
FOR THE YEAR
1923-24
(WITH APPENDICES)
BY
J. CUNNINGHAM, B.A., M.D., LT.-COL., I.M.S.
Director, the King Institute, Guindy
MADRAS
PRINTED BY THE SUPERINTENDENT, GOVERNMENT PRESS
1925
TABLE OF CONTENTS.
PAGE
Introduction . . .
1
I. Staff and buildings . . .
1
II. General . . .
2
III. Financial . . .
4
I V . S c i e n t i f i c —
(i) Vaccine Section—
(a) Seed lymph . . .
4
(
b
)
T y p e o f l y m p h i s s u e d
. . .
5
(c) Primary vaccinations . . .
5
6
(e) Work in the Saidapet Range . . .
6
(f) Yield of pulp
. . .
7
(ii) Bacteriological Section
—
(a) Manufacture of vaccines
. . .
8
( b ) Examination of specimens
. . .
8
(c) Antitoxic sera
. . .
8
( i i i ) P u b l i c H e a l t h S e c t i o n
. . .
8
(iv) Committee on Water Filtration
. . .
9
(v) Investigation units
. . .
10
V. Assistance to other departments
. . .
11
VI. Educational
. . .
12
VII. Research work
. . .
13
. . .
14
IX. Conclusion
. . .
14
Statements 1 to 14 and charts 1 and 2
. . .
16
A p p e n d i x N o .
I . — S y n o p s i s o f r e p o r t s o n i n d i v i d u a l w a t e r - s u p p l i e s
. . .
23
Do. II.—Report on the investigation into the out break of cholera at
Vā niyambādi . . .
26
Do. III.—Report on the investigation into gastro-enteritis in the Alipuram
Jail, Bellary . . .
27
REPORT ON THE WORKING OF THE KING INSTITUTE OF
PREVENTIVE MEDICINE, GUINDY, FOR THE OFFICIAL
YEAR 1923-24.
INTRODUCTION.
As in the previous year the King Institute has continued to function as :—
(1) The vaccine lymph depot for the Madras Presidency.
(2) The bacteriological laboratory where both large and small scale
manufacture of bacterial vaccines is carried on.
(3) The laboratory where clinical bacteriological work is performed for the
Presidency in general and for the hospitals in Madras City.
(4) The public health laboratory for the Presidency.
(5) A research laboratory for the investigation of problems connected with
medicine and public health.
The present report is divided into the following sections which conveniently
describe the various activities of the Institute during the year :—
I. Staff and buildings.
II. General.
III. Financial.
IV. Scientific.
V. Assistance to other departments.
VI. Educational.
VII. Research work.
Each of these sections may be read to the exclusion of the others.
I.—STAFF AND BUILDINGS.
Lieut.-Col. J. Cunningham, M.D., I.M.S., was in charge of the Institute during
the year except for a period of about one month from 16th August to 25th Septem
-ber 1923 when he was deputed to attend the Far Eastern Congress of Tropical
Medicine held at Sinapore as one of the delegates of the Madras Government.
During this period Dr. K. S. Mhaskar, acting Assistant Director of the Institute,
acted as Director in addition to his other duties.
The post of Assistant Director was held by Major J. A. Cruickshank from
the beginning of the year until 28th June 1923 when he was transferred to
Coonoor to act as Director of the Pasteur Institute. Dr. K. S. Mhaskar, who
had been working at the Institute as a Supernumerary Officer, was appointed to
act as Assistant Director from this date and continued to do so until the end of
the year.
On the 8th of January 1924, the Public Analyst, Mr. H. Hawley, F.I.C.,
whose post had been recently sanctioned by the Secretary of State reported his
arrival.
In response to the request mentioned in my last year's report, Government
in G.O. No. 1766-P.H., dated 26th October 1923, sanctioned a second permanent
investigation unit similarly constituted to the first.
In addition, at the urgent representation of the Forest department, another
investigation unit for malarial work was sanctioned temporarily for three
months. Civil Assistant Surgeon M. K. Ramaswami Ayyar was appointed in
charge of this unit.
Civil Surgeon Rao Bahadur M. Kesava Pai and temporary Civil Surgeon
T. Sitapati Ayyar proceeded on combined leave during the year. Their
places were taken by Civil Assistant Surgeons S. R. Pandit and K. V. Krishnan.
Mention was made in my last year's report of certain suggested improve
- m e n t s t o b u i l d i n g s t o m e e t t h e c o n t i n u o u s e x p a n s i o n o f t h e I n s t i t u t e ' s a c t i v i t i e s .
15
REPORT ON THE WORKING OF THE KING INSTITUTE, GUINDY
districts. The demand for the services of these units has always exceeded the
supply and they have been instrumental in saving many serious situations
where epidemic disease threatened to get or was actually out of control. They
have also been instrumental in throwing new light on many medical problems
and they can be looked upon as the embryo of a new research department in
Madras which must of necessity develop in the near future.
The staff of the Institute has also devoted much time to original research
work and some very interesting and important results in different medical
problems have been obtained in this direction.
Finally the value of the Institute from the financial point of view has been
conclusively demonstrated and Government now recognize that the Institute not
only pays its way but brings in a handsome profit in addition.
This satisfactory record of progress could not have been achieved without
the whole-hearted and loyal support of all members of the staff. The Director
wishes to thank all those who have helped to bring the King Institute to its present
position of efficiency.
KING INSTITUTE, GUINDY,
3rd October 1924.
J. CUNNINGHAM, LT.-CoL., I.M.S.,
Director.
17
REPORT ON THE WORKING OF THE KING INSTITUTE, GUINDY
STATEMENT No. 3.
Showing the Financial statement of the King Institute, Guindy, for the year 1923-24.
— Receipts.
Expendi-
ture.
Profit.
R5.
RS.
RS.
DETAILS OF RECEIPTS.
No.
Value at Government
rates for private
bodies.
Rs.
Bacteriological Examinations made . . .
8,891 . . .
2,32,942
Doses of bacterial vaccine supplied . . .
62,521 . . .
15,881
Autovaocines made . . .
508 . . .
13,728
Cases of Vaccine lymph . . . 2,184,590 . . .
1,36,537
Total receipts . . .
. . .
3,99,088
3,99,08
. . .
. . .
DETAILS OF EXPENDITURE.
Salaries, Establishments, Purchase of Store, Calves,
etc., and contingencies. . . .
2,24,232
Cost of Stationery supplied . . .
499
Cost of Clothing supplied to staff . . .
753
Expenditure on Buildings . . .
9,249
Do.
on Electric Installation . . .
679
Total Expenditure
2,35,41
. . .
2,35,412
. . .
Total, King Institute . . .
3,99,088
2,35,412
1,63,676
STATEMENT No. 4.
Showing the month-war success rate of glycerine vaccine lymph issued from the King Institute,
Guindy, 1923-24.
(Primary vaccination cases.)
No.
Months.
Case success.
Insertion success.
Total
number
of cases.
Number of
successful
cases.
Percent
- age of
case
success.
Number of
insertions
verified.
Number
of successful
insertions.
Percent
-
age of
insertion
success.
1 April
1923 . . .
63,080
49,717
80.1
247,248
142,553
57.6
2 May " . . .
13,888
11,216
80.8
54,801
32,530
59.4
3 June " . . .
19,240
15,268
79.4
76,801
43,373
56.5
4 July " . . .
15,132
13,901
91.9
60,043
47,226
78.7
5 August " . . .
83,176
76,113
91.5
330,697
251,496
76.1
6 September " . . .
153,962
142,302
92.4
613,989
491,736
80.1
7 October " . . .
150,846
139,293
92.3
601,027
477,830
79.4
8 November " . . .
133,312
121,440
91.1
532,002
402,114
75.6
9 December " . . .
124,741
116,153
93.1
498,005
398,071
79.9
10 January 1924 " . . .
105,710
100,812
95.4
421,990
356,025
84.4
11 February " . . .
98,729
93,178
94.4
392,738
325,326
8 2 . 8
12 March " . . .
85,190
80,069
94.0
339,545
282,334
8 3 . 2
Total . . .
1,046,006
959,462
91.7
4,168,886
3,250,114
78.0
5
19
REPORT ON THE WORKING OF THE KING INSTITUTE, GUINDY
STATEMENT No. 7.
Showing the success rate of glycerine vaccine lymph according to districts, 1923-24.
(Re-vaccination cases.)
No.
Districts.
Case success.
Insertion success.
Total
number of
cases.
Number of
successful
cases.
Percentage
of case
success.
Nu mber of
insertions
verified.
Number of
successful
insertions.
Percentage
of insertion
success.
12,131
4,007
33.0
33,723
7,842
23.3
1. Madras Corporation . . .
42.5
2. Nilgiris . . .
1,613
883
54.7
3,235
1,375
3.
38,483
17,729
46.1
149,195
44,620
29.9
Malabar . . .
35.1
4.
4,664
2,339
50.1
18, <i l l egi bl e>918
6,341
South Kanara . . .
23,549
3,842
16.3
5. Coimbatore . . .
6,321
1,584
25.1
6.
8,628
3,367
39.0
33,866
8,200
24.2
Ganjām . . .
8,275
21.4
7. Gōdāvari . . .
9,749
3,400
34.9
38,814
28.1
16.9
1,197
2,713
8. Kurnool . . .
4,254
15,984
9. Bellary . . .
3,211
924
28.8
10,332
1,908
1 8 . 4
38,520
4.715
12.2
10. Vizagapatam . . .
9,976
2,361.
23.7
3,774
1,583
11,608
32.5
11. Salem . . .
3,415
46.4
2,097
18,196
5,534
30.4
12. Chingleput . . .
4,556
4<i l l e gi bl e >. 0
13. Guntū r . . .
11,249
5,483
48.7
34,716
11,787
33.9
3,459
25,560
31.6
14. Trichinopoly . . .
7,366
46.9
8<illegible>76
26,242
36.8
15. Tanjore . . .
6,493
3,471
53.4
9,646
18.1
16. South Arcot . . .
1,676
494
29.5
6,464
1,171
10,094
3,075
17. Anantapur . . .
8.8
28.9
1,846
18.3
7,876
18. Cuddapah . . .
2,021
698
34.5
1,835
23.3
12,219
19. Kistna . . .
4,265
34.9
48,702
1<illegible>, 662
23.9
20. Nellore . . .
5,541
1,862
33.6
17,742
3,792
21.4
21. North Arcot . . .
4,191
1,688
40.3
16,569
4,543
27.4
22. Chittoor . . .
4,922
1,695
34.4
18,642
4,069
21.8
23. Tinnevelly . . .
6,086
2,574
42.3
24,296
6,745
27.8
24.
5,932
2,271
38.3
22,374
5,951
26.6
Madura . . .
25.
4,771
1,501
31.5
18,927
3.392
17.9
Rāmnād . . .
8,761
2,490
25,021
44,496
18.0
26. Other bodies . . .
28.4
39,577
23,927
101,678
1,837
41.1
27. Municipalities . . .
60.5
Total . . .
230,881
98,240
42.6
800,543
220,187
27.5
STATEMENT No. 8.
Showing the average yield of pulp per calf according to the months of the year 1923-24.
Serial
No.
Months.
Grammes.
Average yield of
lymph per calf
during 1923-24.
Average.
1
April
1923 . . .
No work.
23.5 grammes.
2
May " . . .
3
June " . . .
4
July " . . .
5
August " . . .
6
September " . . .
19.5
7
25.9
October " . . .
8
25.1
November " . . .
9
23.9
December " . . .
10
January 1924 . . .
22.0
11
21.3
February " . . .
12
March " . . .
23.4
Total calves operated in 1923-24 : 873.
Average yield per calf in grammes :23.5.
STATEMENT No. 9.
Showing the number of doses of Bacterial vaccines issued during the last 5 years.
Nature of vaccines sent out.
1919.
1920.
1921-22.
1922-23.
1923-24.
Autogenous vaccines . . .
1,095
2,309
1,634
1,742
3,297
Other vaccines . . .
97,172
66,739
59,928
69,912
59,224
Total . . .
98,267
69,048
61,562
7 1 , 6 5 4
62,521
22
REPORT ON THE WORKING OF THE KING INSTITUTE, GUINDY
STATEMENT No. 12.
Showing the quantity and types of serum bought and distributed by King Institute during 1923-24.
Name of serum.
Stook on
hand on 1st
Apr. 1923.
Received
during
1923-24.
Issued
during
1923-24.
Balance on.
hand on 1st
Apr. 1924.
Anti-Tetanic serum
. . .
64
3,322
2,546
840
Anti-Streptococcus serum . . .
52
1,248
1,041
259
Anti-Dyseuteric serum . . .
206
800
681
325
Anti-Diphtheritic serum . . .
36
448
287
197
Anti-Meningococous serum . . .
65
100
70
95
Anti-Anthrax serum . . .
60
0
4
56
Anti-Venomous serum . . .
7
96
55
48
C o l e y ' s f l u i d . . .
20
0
8
12
Total . . .
510
6,014
4,692
1,832
STATEMENT No. 13.
Specimens (excluding water) examined in the Public Health section during 1923-24.
No.
Description of specimens.
Total number
dealt with.
1
Cow's milk for chemical and bacteriological examination.
1
2
Human milk
do.
do.
9
3
Condensed milk
do.
do.
4
4
Butter
do.
do.
6
5 Ghee
do.
do.
10
6
Vegetable oils
do.
do.
2
7
Rice . . .
2
8
D h o l l
. . .
2
9
Aerated waters . . .
1
10
Ginger beer . . .
6
11
Meltis milk chocolate . . .
2
12
Bleach powder for available chlorine . . .
3
13
Disinfectants for Rideal Walker Test . . .
8
14
Snakes for identification . . .
12
15
Mosquitoes
do. . . .
90
16
Other insects
do. . . .
18
17 Tick
do. . . .
1
18 Salt fish for bacteriological examination . . .
3
19
Kelp (from Karaikal water-supply main) . . .
1
20
Preparation of Vitamine 32 os . . . .
3
21 Catgut for sterility . . .
7
22 Cyanide gauze ffor sterility . . .
6
23 Greens . . .
3
24 Soils . . .
15
25
Faeces (animal) . . .
21
26 Cocoa . . .
1
27 Distilled water for examination of deposit . . .
1
28 Human faeces (for chemical examination) . . .
4
Total . . .
242
STATEMENT No. 14.
Samples of water examined during 1923-24.
Nature of examination.
Routine
and
intermittent.
Gnindy
experimental
filters.
Samples
from the
Madras City
w a t e r - s u p p l y
.
Total.
B a c t e r i o l o g i c a l a n d C h e m i c a l . . .
349
211
250
810
Bacteriological only . . .
107
23
. . .
130
Chemical only . . .
5
47
112
164
Total . . .
461
281
362
1,104
Helio-Zinco. Survey Office, Madras.
1924.
Reg No. 946
/ 2
Copies 306
NOTE.—Reproduced from the original received from the
Superintendent Government Press, Madras.
CART No 2 .
S HOWING CASE AND INSERTION SUCCESS RATES OBTAINED IN PRIMARY AND RE-VACCINATION WITH GLYCERINE LYMPH
A CCORDING To DISTRICTS. THE DISTRICTS HAVE BEEN ARRANGED ACCORDING T O
T H E T Y P E S
O F M O N S O O N
PREVALENT
IN THEM
INCIDENCE
OF
GASTRO-ENTERITIS IN THE ALIPURAM JAIL
NOTE.—Reproduced from the original received from the
Superintendent Government Press, Madras.
Reg No. 946
/3
Copies 306+268
Helio-Zinco., Survey Office, Madras.
1925.