6
to the inadequacy of the sanctioned scales of pay. The decrease in Kurnool,
although it is small, is regrettable, as smallpox was prevalent. It is reported by
the District Health Officer that in the taluk of Nandyal which has the largest
population, only one vaccinator is employed in spite of his repeated represen
tations. This Taluk Board has refused to declare vaccination compulsory or to
increase its permanent staff, whilst it also declined to employ additional temporary
vaccinators even although smallpox was prevalent. The special attention of
Government is invited to the indifference displayed by this Local Board.
12. The results of primary and secondary vaccinations and re-vaccinations
performed by the different agencies are set forth in the subjoined table along
with the corresponding figures for 1923-24. It will be seen from this table that,
compared with 1923-24, the percentage of success has increased by 4.6 in the case
of primary and secondary vaccinations, 1.8 in the case of re-vaccinations, and by
2.0 when the total operations are taken into account. Since 1920-21, therefore,
when the success-rate was only 59.6 per cent, continued improvement has been
maintained.
Establishment.
(1)
Local Fund
vaccinators ...
Government
vaccinators ...
Municipal
vaccinators …
Cantonment
vaccinators ...
Dispensaries …
Medical subordi
nates ... …
Total ...
Number of successful
vaccinations.
1923-21.
Primary
vaccination.
(2)
1,149,187
16,852
109,620
5,850
143
842
1,282,494
Re-vaccination.
(3)
83,627
561
33,283
2,611
47
7,256
127,385
1921-23.
Primary
vaccination.
(4)
1,226,452
19,629
115,688
4,275
2
1,267
1,367,313
Re-vaccination.
(5)
112,190
1,615
53,760
1,676
28
5,807
175,106
Total number of
successful
vaccinations.
1923-24.
(6)
1,232,814
17,413
142,903
8,461
190
8,098
…
1,409,879
1924-25.
(7)
1,338,642
21,274
169,418
5,951
30
7,074
1,542,419
Ratio per cent of success
ful oases.
1923-24.
Primary
vaccination.
(8)
89.7
83.7
94.4
93.3
36.6
73.0
90.0
Re-vaccination.
(9)
39.7
22.2
55.1
29.8
96.0
43.3
42.6
1924-25.
Primary
vaccination.
(10)
91.3
9.8
97.5
98.5
100.0
88.0
94.6
Re-vaccination.
(11)
40.8
50.3
52.9
32.7
75.7
58.6
44.4
Ratio per
cent of total
successful
cases.
1923-24.
(12)
82.6
76.8
80.9
56.3
96.4
45.2
81.7
1924-26.
(13)
85.0
86.4
76.9
62.9
77.0
62.3
83.7
Details of the success rates for individual districts and municipalities are
shown in Appendix A of the report.
13. The ratio of successful vaccinations per mille of population varied from
25.8 in South Arcot district to 71.5 in the Nilgiris. Compared with the previous
year, marked increases were recorded in the districts of the Nilgiris (+19.5),
Salem ( +12.4), Guntūr (+7.9), Agency (+7.4), Ganjām and Gōdāvari(+7.3 each)
and South Kanara (+6.5). Only four districts returned decreased rates, viz.,
Anantapur (- 4.2), Malabar (- 3.7), Cuddapah (-3.3) and Kurnool (-1.5). The
causes of these variations have already been discussed in paragraph 12.
As regards municipalities, the maximum and minimum rates per mille of
population were 153.0 in Ongole and 20.2 in Tiruvālūr. The severe epidemic of
smallpox in Ongole, as a result of which an intensive campaign of vaccination and
re-vaccination was instituted, explains the high rate in that municipality. The
low rate in Tiruvālūr is not peculiar to the present year ; and if the municipal
council has any desire to avoid the disastrous experience of Ongole, it should
carry out without further delay the recommendations already made by this
department.
Compared with 1923-24, marked decreases occurred in Cannanore (-110.8),
Chirala (-94.3), Bellary (-41.2), Mangalore (-32.9), Coonoor (-20.1), Masuli¬
patam (-17.1) and Berhampur (-14.7). The towns which show large increases
include Ongole (+128.1), Vizagapatam (+62.8), Rajahmundry (+50.2), Guntūr