7
Establishment.
(1)
Local Fund vaccinators ...
Government
do. ...
Municipal
do. ...
Cantonment
do. ...
Dispensaries ... ...
Medical subordinates
...
...
Total ...
Ratio per cent of successful cases.
1920-21.
Primary
vaccination.
(11)
59.4
68.7
81.5
68.2
97.4
71.6
61.5
Re-vaccination.
(12)
35.7
71.2
61.0
35.3
100.0
69.8
45.0
1921-22.
Primary
vaccination.
(13)
77.7
72.2
88.6
75.6
90.6
78.9
78.6
Re-vaccination.
(14)
32.0
32.2
54.9
26.2
79.7
67.0
43.5
1922-23.
Primary
vaccination.
(15)
78.5
70.7
89.0
84.1
94.0
72.2
79.2
Re-vaccination.
(16)
31.3
36.6
52.8
24.5
57.8
63.2
39.5
Ratio per cent of total
successful cases.
1920-21.
(17)
57.5
69.0
76.4
60.2
97.4
69.9
59.6
1921-22
(18)
74.7
68.7
77.3
51.8
83.5
68.2
74.6
1922-23.
(19)
72.1
66.0
73.7
53.7
85.6
64.0
78.2
In paragraph 2 of their Order No. 1672-P.H., dated 2nd December 1922,
Government desired me to comment in future annual reports in the variations in
the successful vaccination rate per mille of population in different districts.
In the Northern Range, the municipalities showed an improvement chiefly-
due to the failure of the non-co-operation movement. There was a fall in the
local fund areas due to (1) employment of inefficient and unqualified vaccinators
and paucity of first-class vaccinators, (2) failure to verify all cases vaccinated,
(3) failure to raise the minimum of vaccinators in order to make up for
non-vaccination during the off-season and (4) non-employment of additional
vaccinators.
In the Central Range, when compared with the two previous years all the
districts except Kurnool showed an increased rate. The lowest figures are those
of Salem district (19.4) and South Arcot district (19.9). For the Presidency the
percentage of success under primary vaccinations has progressively increased
during the past two years, the actual figures for 1920-21, 1921-22 and 1922-23
being 61.5 per cent, 78.6 per cent and 87.6 per cent, respectively. These large
increases are very gratifying and the figure for 1922-23 is one which American
authorities consider to be very satisfactory. It is hoped that by (1) the cessation
of vaccination during hot weather months, (2) the supply of improved quality
of vaccine lymph by the King Institute of Preventive Medicine and (3) the recent
introduction of District Health Scheme throughout the Presidency, there will be a
still further increase in the percentage of success in future years, when it will be
possible to explain more satisfactorily the variations in success rates as required
in G.O. Mis. No. 1672-P.H., dated 2nd December 1922.
18. Infantile vaccination.—When compared with the previous year there has
been a rise of 22,335 in the number of children under one year of age successfully
vaccinated. The rise is due to the increased number of births recorded during the
year as the result of vigilant checking of vital statistics by the vaccination staff
during the vaccination off-season and the scrutiny exercised by the inspecting
officers.
In the Agency, compared with the previous year, there was a decrease in the
number of children under one year of age successfully vaccinated.
The districts which showed an increase were:—
Trichinopoly (+ 6.1 per cent), Cuddapah (+ 5.8 per cent), North Arcot
(+ 4.6 per cent), Malabar (+ 3.4 per cent), South Kanara (+ 2.5 per cent),
South Arcot (+ 1.2 per cent) and Coimbatore (+ 1.2 per cent).