NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
No. 1432, P.H., 25TH JULY 1927
3
Act to such portions of their districts as they consider desirable and orders have
been issued on the proposals so far received.
9. The Director of Public Health points out that only one or two district
boards have agreed to make vaccination compulsory within their areas. The
Government trust that all other district boards will further consider the question
of adopting this course.
(By order of the Government, Ministry of Local Self-Government)
C. B. COTTERELL,
Secretary to Government.
To the Director of Public Health.
„ the Surgeon-General.
„ the Inspector of Municipal Councils and Local Boards.
„ the Law (General) Department.
„ the Revenue Department.
„ the Board of Revenue (Land Revenue and Settlement).
„ the Director of Public Instruction.
„ the Accountant General.
„ the President, Corporation of Madras.
„ all Collectors and District Magistrates.
„ all Presidents of District Boards.
„ all Chairmen of Municipal Councils.
„ the Examiner of Local Fund Accounts.
„ the Assistant Quartermaster-General.
„ the Consul-General for Netherlands.
„ the Consul-General for Siam at Calcutta.
„ the Librarian, Legislative Council Library.
„ the Chief Editor, " Health and Welfare," Lucknow.
„ the Honorary Secretary, L.S.G. Institute, Poona.
Editors' Table.
AGENTS FOR THE SALE OF MADRAS GOVERNMENT
PUBLICATIONS.
IN INDIA.
THE BOOK COMPANY, Calcutta.
THE BURMA BOOK CLUB (LTD.), 240-A, Merchant Street, Rangoon, Burma.
BUTTERWORTH & Co. (LTD.), 6, Hastings Street, Calcutta.
R. CAMBRAY & Co., Calcutta.
The Superintendent, DIOCESAN PRESS, Vepery, Madras.
E. M. GOPALAKRISHNA KONE., Pudumantapam, Madura.
HIGGINBOTHAMS (LTD.), Mount Road, Madras.
V. KALYANATAMA IYER & Co., Vellala Street, Vepery, Madras.
M. C. KOTHARI, Bookseller, Publisher and Newspaper Agent, Raopur Road,
Baroda.
THE LAW BOOK DEPOT (LTD.), 15 and 16, Francis Joseph Street. Madras.
G. C. LOGANADHAM BROTHERS, Madras.
THE MODERN STORES, Salem.
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.
THE SRIVILLPUTTUR CO-OPERATIVE TRADING UNION (LTD.), Srivilliputtur.
R. SUNDER PANDURANG, Kalbadevi Road, Bombay.
D. B. TARAPOREVALA SONS & Co., Bombay.
THACKER & Co. (LTD.), Bombay.
THACKER, SPINK & Co., 3 Esplanade East, Calcutta.
THE THEOSOPHICAL PUBLISHING HOUSE, Adyar.
THE UNIVERSAL PUBLISHING COMPANY, Bezwada.
THE UPPER INDIA PUBLISHING HOUSE (LTD.), Lucknow.
S. VAS & Co., Madras.
IN STRAITS SETTLEMENTS.
THE FEDERAL RUBBER STAMP CO., Penang.
NOTICE.
Official publications hitherto obtained from agents in the United
Kingdom and on the Continent will in future be obtainable either
direct from the office of the High Commissioner for India, 42,
Grosvenor Gardens, London, S.W. 1, or through any bookseller.
ANNUAL REPORT
ON
VACCINATION IN THE MADRAS
PRESIDENCY
FOR THE YEAR
1927-28
MADRAS
PRINTED BY THE SUPERINTENDENT, GOVERNMENT PRESS
1928
PRICE, 12 annas]
ANNUAL REPORT
ON
VACCINATION IN THE MADRAS
PRESIDENCY
FOR THE YEAR
1927-28
MADRAS
PRINTED BY THE SUPERINTENDENT, GOVERNMENT PRESS
1928
INDEX TO THE VACCINATION REPORT FOR THE
YEAR 1927-28.
ADMINISTRATION
...
...
...
...
...
...
...
...
INSPECTIONS
...
...
...
...
...
...
...
...
VACCINATION STAFFS
...
...
...
...
...
...
...
...
FACTORS AFFECTING PROGRESS
...
...
...
...
...
...
...
...
VACCINATION IN DISTRICTS
...
...
...
...
...
...
...
...
VACCINATION IN MUNICIPALITIES ... ... ... ... ... ... ... ...
VACCINATION STATISTICS FOR THE OFFICIAL YEAR
...
...
...
SUCCESS RATES
...
...
...
...
...
...
...
EXPENDITURE
...
...
...
...
...
...
...
...
...
INSPECTION OF VACCINATION OPERATIONS
...
...
...
...
...
SMALL-POX MORTALITY
...
...
...
...
...
...
...
...
SMALL-POX HOSPITALS
...
...
...
...
...
...
...
...
PARAS.
1—6
7
8—11
12—16
17
18
19
20—21
22
23
24
25
4
Date.
1
Place.
Remarks.
(c) Dr. R. Adiseshan, B.S.Sc., Dip. Hyg. (Camb.), Asst. Director of Public Health,
Vital
Statistics—cont.
1927.
1st November ... ...
2nd November
...
...
3rd and 4th November ...
6th November ... ...
7th November ... ...
8th to 10th November ...
4th December
...
...
5th December
...
...
7th December
...
...
8th to 10th December ...
1928.
1st to 3rd January ... ...
5th January ...
...
...
Puttur,
Uppinangadi
and
Kāsargōd.
Cannanore
and
Chirakkal
taluks.
Manantoddy ... ... ...
Dharmadam and Tirur ...
Kotakal
...
...
...
...
Ponnani Taluk ...
...
...
Gudivāda ... ... ...
Kovvur ... ... ... ...
Tanuku
...
...
...
Palacole, Narasapur and Bhī¬
mavaram.
Srīrangam ... ... ...
Jayankondan ... ... ...
Inspection of vaccination work and Health In
spector's records.
Do.
do.
Do.
do.
Do.
do.
Do.
do.
Do.
do.
Investigation into the outbreak of plague and vacci
nation in the taluk.
Inspection of vaccination and vital statistics in the
taluk.
Do.
do.
Inspection of vaccination and vital statistics work.
Routine sanitary inspection including vaccination.
Inspection of vaccinator's work.
8. Details of the subordinate vaccination staff employed in the Presidency
during the last three years are given in the following table : —
Year.
1925-26 ... ...
1926-27
...
...
...
1927-28
...
...
...
Health
Inspectors
(Provincial).
229
261
266
Vaccinators.
First class.
202
195
208
Second class.
397
432
459
Probationary.
146
128
100
Total.
745
755
767
During the year under report, a District Health Officer and 4 Health
Inspectors were sanctioned for the new district of West Gōdāvari. The total
number of vaccinators has increased by 12 and the number of first and. second
class vaccinators by 13 and 27 respectively. Probationary vaccinators have again
decreased in number, but their disbandment requires to be hastened if a satis
factory standard of work is to be reached.
9. After examination of District Health Officers' suggestions mentioned in
paragraph 10 of last year's report, proposals were duly submitted to Government.
In G.Os. No. 844, P.H., dated 11th April 1928 and No. 880, P.H., dated 16th
April 1928, sanction has now been received for the appointment of 17 additional
Health Inspectors for the plains and five for the Agencies.
10. It is regrettable that many local bodies and municipal councils continue
to employ inadequate staffs, whilst frequently unqualified vaccinators are pre
ferred although qualified men are available. The pay offered by the average
local board is very inadequate and, if reasonable salaries were sanctioned, there
would be no lack of suitable candidates. In many Taluk Boards, only second
class vaccinators are employed, and the District Health Officers concerned are
justified in pressing for their substitution by first class vaccinators, owing to the
difficulties they experience in extracting efficient work from these poorly-qualified
subordinates.
11. The work of the majority of unqualified vaccinators has been inspected
during the last two years, and exemptions have been granted to all those whose
6
17. Vaccination in districts.— (1) The following statement gives the vaccina
tion figures for 1927-28 as compared with the figures of three previous years :—
Districts.
Agency districts ... ...
Anantapur ... ... ...
Arcot (North)
...
...
...
Arcot (South) ... ... ...
Bellary
...
...
...
Chingleput ... ... ...
Chittoor
...
...
...
Coimbatore ... ... ...
Cuddapah
...
...
...
Ganjām ... ... ...
Gōdāvari, East
...
...
...
Gōdāvari, West
...
...
...
Guntūr
...
...
...
...
Kistna ... ... ... ...
Kurnool ...
...
...
...
Madura ... ... ... ...
Malabar ...
...
...
...
Nellore ... ... ...
Nilgiris ... ... ... ...
Rāmnād
...
...
...
Salem ... ... ... ...
South Kanara
...
... ...
Tanjore ...
...
...
...
Tinnevelly
...
...
...
Trichinopoly ... ... ...
Vizagapatam ... ... ...
Total ...
Total number of operations performed
during the year.
1924-25.
75,689
39,755
84,569
72,707
37,733
61,564
52,876
94,179
37,352
73,467
75,668
...
102,296
92,484
43,226
82,056
138,469
56,858
8,706
57,172
85,050
59,542
83,583
81,983
77,962
98,211
1,773,157
1925-26.
72,053
39,695
80,805
71,705
32,836
58,301
55,535
89,785
34,366
72,639
80,687
...
100,704
95,546
37,983
80,381
130,037
57,790
14,866
74,957
99,906
56,426
76,935
79,277
69,896
98,969
1,762,080
1926-27.
82,660
37,525
76,999
83,244
37,366
59,546
43,329
93,020
32,103
77,739
64,043
45,853
92,260
41,544
41,841
81,388
129,287
60,202
14,091
75,808
84,805
59,270
72,757
72,454
65,158
94,312
1,718,604
1927-28.
90,511
38,977
82,941
77,855
36,863
59,943
48,459
93,631
32,857
70,773
72,160
43,063
95,716
42,153
41,747
85,480
134,935
59,217
13,543
78,355
93,261
53,417
74,591
65,283
68,150
99,867
1,753,748
Increase or
decrease as
compared with
1926-27.
+ 7,851
+
1,452
+ 5,942
- 5,389
-503
+
397
+ 5,130
+
611
+
754
- 6,966
+ 8,117
- 2,790
+ 3,456
+
609
-94
+ 4,092
+ 5,648
-
985
-
548
+ 2,547
+ 8,456
- 5,853
+ 1,834
-
7,171
+ 2,992
+ 5,555
+ 35,144
As compared with 1926-27, the figures for the present year record increases
in seventeen districts and decreases in the others. Marked increases are reported
from Salem (+8,456), Gōdāvari East ( + 8,117), Arcot North (+5,942), Malabar
( + 5,648), Vizagapatam (+5,555) Chittoor ( + 5,130), Madura (+4,092) and
Guntūr ( + 3,456). The steady increase in Salem District is ascribed to more
efficient organization. In Gōdāvari East and in Madura, the increase is partly
due to the employment of additional temporary vaccinators, whilst in North
Arcot, stricter supervision of the vaccination work has resulted in improvement.
In Malabar, an enhanced minimum was required of the vaccinators, and in
Vizagapatam, the cost of wasted lymph was immediately recovered from the
vaccinators concerned and instructions were given that defects should be made
good at the earliest opportunity. In Chittoor District, strenuous efforts were
made to protect all available unprotected children and a much larger number of
birth omissions and unprotected children were detected. The increase in
Guntūr is reported to be due to more systematic detection of unprotected cases
and to wider application of the compulsory provisions of the law.
9
Establishment.
Local Fund vaccinators ...
Government vaccinators ...
Municipal vaccinators ...
Cantonment vaccinators ...
Dispensaries ... ... ...
Medical subordinates
...
...
Total ...
Ratio per cent of successful cases.
1926-27.
Primary
vaccination.
(8)
94.7
90.9
98.1
98.2
94.9
84.5
94.9
Re-vaccination.
(9)
29.4
35.5
49.5
22.4
59.6
52.4
33.4
1927-28.
Primary
vaccination.
(10)
95.8
89.8
99.8
97.7
96.9
99.2
96.0
Re-vaccination.
(11)
27.4
46.3
40.4
35.7
57.6
57.5
30.5
Ratio per cent of total
successful cases.
1926-27.
(12)
81.5
81.9
80.6
61.7
86.8
59.8
81.1
1927-28.
(13)
82.0
83.8
78.6
65.3
73.2
61.8
79.0
A further increase of 1.1 per cent in the already high percentage of success
for primary and secondary vaccinations is a clear indication of the continued high
potency of the glycerine lymph issued by the King Institute and of the generally
satisfactory work done by the vaccination staffs throughout the Presidency. The
small decrease in the success rate for revaccinations is again entirely due to the
very low figure obtained by local fund vaccinators.
21. The percentages of success for the different administrative areas in the
Presidency are given in the following table :—
Number of cases excluding unknown.
1926-27.
29,279
1,221,055
124,341
1927-28.
34,133
1,247,257
119,437
Agency.
Government vaccinators ... ...
Local Fund
do.
...
...
Municipal
do. ... ...
Percentage of success.
1926-27.
90.9
94.7
98.1
1927-28.
89.8
95.8
98.8
The success rates recorded by Government vaccinators working in the
agency tracts once more show a small decrease. The Agency Civil Surgeons
should make every endeavour to ensure that no further lowering of the rate
occurs.
22. The expenditure incurred on the vaccination establishments employed by
the different agencies, together with the average cost per successful operation,
are given in the following statement:—
Establishment.
Government ... ... ... ... ...
Local Fund
...
...
...
...
...
Municipal
...
...
...
...
...
Cantonment
...
...
...
...
...
Total ...
Total expenditure.
1926-27.
RS.
18,415
4,58,780
74,331
4,895
5,56,423
A.
13
13
15
0
11
P.
11
5
9
0
1
1927-28.
RS.
18,451
4,89,030
99,210
4,541
6,11,233
A.
9
2
3
6
5
P.
2
6
6
0
2
Average cost of each successful
case.
1926-27.
RS.
0
0
0
0
0
A.
10
5
7
10
6
P.
4
11
7
4
2
1927-28.
RS.
0
0
0
0
0
A.
8
6
8
9
6
P.
11
1
9
4
6
3
Survey Office, Madras.
1928.
11
of advantage to make revaccination temporarily compulsory in infected areas, and
Government is requested to give every consideration to this suggestion. With
this additional weapon, and with more prompt notification of outbreaks, there
seems to be no reason why-this loathsome disease should not be finally eradicated.
Although every district was infected at one time or another during the year,
only two districts reported severe epidemics, South Arcot recording 1,165 and
Tanjore 668 deaths. Only 565 deaths from smallpox were registered in municipal
areas, and nearly one half of this total occurred in the two towns of Virudunagar
(109) and Tinnevelly (99). No other municipality recorded more than 30 deaths,
and-34 municipal towns remained entirely free throughout the year.
In the districts of South Arcot, Coimbatore, Ganjām, Guntūr, Kistna, South
Kanara and Trichinopoly certain village officers failed in their duty to make
prompt reports of smallpox outbreaks. In Guntūr district, for instance, an
outbreak which lasted from 27th March to 12th May 1928 was first notified by the
Tahsildar of Ponnur division in a consolidated report, dated 14th May, or seven
weeks after the first case had occurred. In South Kanara district, the village
officer of Urunail, where the disease appeared on 20th January 1928, failed to
report the outbreak until after the visit of the Health Inspector to the village on
17th February, by which time nine attacks and one death had occurred. Delays
such as these are fatal to real preventive work. It is suggested that the instruc
tions contained in G.O. No. 1415 P.H., dated 13th August 1926 may be re-issued.
25. Information regarding the number of patients treated in smallpox
hospitals, with their vaccinal condition, etc., called for by the Government of
India in their letter No. 1250, Health, dated 4th September 1925, has been con
solidated from district reports. Thirty-five cases were treated in the eleven
sheds exclusively reserved for the reception and treatment of smallpox patients,
and 754 patients were treated in institutions provided for general infectious
diseases. Only in 772 cases are particulars available, but the following tabular
statement gives no idea of the vaccinal condition of the general population :—
(a) Vaccination as evidenced by one or more cicatrices ... ...
(b) Stated to have been successfully vaccinated, but no vaccination
cicatrices present ... ... ... ... ... ... ...
(c) Stated to be unvaccinated or unsuccessfully vaccinated,but no
vaccination cicatrices present ... ... ... ... ...
(d) Previously unvaccinated but vaccinated during the incubation of
smallpox ... ... ... ... ... ... ...
(e) Stated to have been successfully revaccinated ... ... ... ...
Total ...
412
34
70
24
232
772
OOTACAMUND,
11th June 1928.
A. J. H. RUSSELL, C.B.K., M.A., M.D., D.P.H., LT.-COL. I.M.S.,
Director of Public Health, Madras,
4
13
ANNEXURE C.
Statement showing Inspection of vaccinated cases by D.H.Os* and
M.H.Os. during 1927-28.
By D.H.Os *
Name of district.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
Anantapur ...
Arcot, North ...
Arcot, South ...
Bellary ...
Chingleput ...
Chittoor
...
...
Coimbatore ...
Cuddapah ...
Ganjām
...
...
Gōdāvari, East ...
Gōdāvari, West...
Guntur ... ...
Kristna
...
...
Kurnool ... ...
Madura ... ...
Malabar
...
...
Nellore
...
...
The Nilgiris ...
Rāmnād
...
...
Salem ... ...
South Kanara ...
Tanjore ... ...
Tinnevelly ...
Trichinopoly ...
Vizagapatam ...
Mettur
...
...
Total number
of cases
vaccinated
during the
year.
38,977
82,941
77,855
36,863
59,943
48,459
93,631
32,857
70,773
88,354
43,063
95,716
42,153
41,747
85,480
1,34,935
59,217
13,543
78,355
93,261
53,417
74,591
65,283
68,150
99,867
1,718
Total number
of cases
inspected
during the
year.
1,486
4,480
6,326
1,360
2,019
2,603
3,644
1,108
3,408
3,225
1,485
1,937
2,539
2,097
2,447
3,840
1,032
1,522
2,778
2,253
4,104
839
5,560
2,260
961
185
By M.H.Os. †
Name of
municipality.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
35.
Adoni
...
...
Bellary
...
...
Berhampure ...
Bezwada ... ...
Calicut ... ...
Cocanada ...
Cochin ... ...
Coimbatore ...
Coonoor ... ...
Cuddalore ...
Cuddapah ...
Ellore
...
...
Guntūr
...
...
Hindupur ...
Kumbakōnam ...
Kurnool
...
...
Madura
...
...
Mangalore ...
Masulipatam ...
Negapatam ...
Nellore
...
...
Ootacamund ...
Palghat
...
...
Pollachi
...
...
Proddatur ...
Rajahmundry ...
Salem
...
...
Srirangam ...
Tanjore
...
...
Tellichery ...
Trichinopoly ...
Tuticorin ... ...
Vizagapatam ...
Vizianagaram ...
Tinnevelly ...
Total number
of cases
vaccinated
during the
year.
1,270
1,924
1,612
3,020
5,930
3,404
1,661
4,672
1,016
2,759
727
2,114
5,055
763
2,419
1,780
19,622
2,802
2,359
2,244
2,143
1,434
2,305
850
677
3,095
4,579
1,319
2,862
1,459
6,986
2,626
3,623
1,783
2,821
Total number
of cases
inspected
during the
year.
1,219
1,440
1,326
2,639
4,130
2,703
1,352
3,482
810
1,885
672
1,597
3,795
618
1,836
1,636
14,689
2,223
1,855
1,618
1,635
1,141
1,664
780
646
2,399
3,556
992
1,967
1,194
5,451
2,154
2,963
1,363
2,365
Percentage
of cases
inspected to
total number
vaccinated.
95.5
74.8
82.3
87.4
69.6
79.4
81.4
74.5
79.7
68.3
92.4
75.5
75.1
81.0
75.9
91.9
74.9
79.3
78.6
72.1
76.3
79.6
72.2
91.7
95.4
77.5
77.7
75.2
68.7
81.8
78.0
82.0
81.8
76.4
83.8
N.B.—No percentage has been fixed for the D.H.O.'s verification of vaccination cases.
* D.H.Os. = District Health Officers.
† M.H.Os. = Municipal Health Officers.
23
DEPARTMENT—cont.
Madras Presidency for the official year 1927-28— cont.
vaccination.
Successful.
1 and under 6 years.
11
3,677
3,686
1,929
2,775
2,281
2,601
2,317
3,169
1,887
24,322
2,724
4,151
2,665
1,360
1,814
2,040
2,735
2,570
2,649
2,982
2,709
1,692
30,091
1,440
889
970
3,741
1,611
1,601
1,221
11,473
809
2,154
1,672
1,112
1,121
1,513
1,320
1,749
2,121
3,374
1,256
1,857
1,758
2,489
...
24,305
Total of all ages.
12
6,269
6,076
5,014
5,007
7,756
6,637
6,028
6,527
4,814
54,128
5,735
7,111
5,081
5,376
5,463
5,221
6,517
5,367
6,846
5,987
5,682
4,096
68,482
3,079
3,547
3,373
8,937
5,424
4,748
5,670
34,778
2,098
4,481
4,445
2,770
3,064
2,746
2,373
3,211
4,534
5,658
3,528
3,989
3,777
5,245
...
51,919
Unknown.
13
823
234
253
479
569
621
437
817
327
4,560
360
269
312
253
294
442
453
462
619
755
521
350
5,090
421
91
444
1,177
629
414
382
3,558
213
721
505
445
117
192
305
509
368
649
318
480
713
477
...
6,007
Re-vaccination.
Total number of operations.
14
2,258
1,544
2,151
1,783
2,925
1,676
1,642
2,224
1,407
17,610
1,332
1,271
142
3,327
1,129
2,127
456
2,376
533
1,315
1,625
938
16,571
2,128
1,555
1,163
3,518
1,660
2,910
1,435
14,369
616
1,108
832
1,760
1,283
385
433
297
2,346
549
1,217
1,591
1,124
1,228
...
14,769
Successful.
15
540
227
372
434
850
202
397
251
326
3,599
382
293
19
547
95
466
96
688
158
119
483
162
3,508
535
497
418
782
330
1,418
338
4,318
146
308
242
555
391
158
84
85
350
205
266
262
217
437
...
3,706
Unknown.
16
280
251
238
294
417
99
429
224
210
2,442
140
197
20
443
112
142
65
395
81
123
120
268
2,106
245
79
227
639
262
240
112
1,804
72
147
172
43
131
25
100
128
122
187
66
176
215
391
...
1,975
Percentage
of successful
cases in which
the results
were known.
Primary vaccination.
17
96.7
97.9
95.7
97.5
98.2
95.0
95.5
95.7
94.4
96.3
98.6
96.6
96.4
98.4
96.1
94.8
95.0
94.0
98.7
89.9
96.0
92.8
95.6
97.0
99.2
98.9
96.2
98.6
98.9
98.8
98.0
97.8
97.6
97.4
94.8
99.3
95.3
92.2
94.8
97.7
96.0
92.1
97.2
95.6
98.1
...
96.5
Re-vaccination.
18
27.3
17.6
19.1
29.2
33.9
12.8
32.7
12.6
27.2
23.7
32.0
27.3
15.6
19.0
9.3
23.5
24.6
34.7
35.0
10.0
32.1
24.2
24.3
28.4
33.7
44.7
27.2
23.6
53.1
25.5
34.4
26.8
32.0
36.7
32.3
33.9
43.9
25.2
50.3
15.7
56.6
23.1
18.5
23.9
52.2
...
29.0
Persons successfully vaccinated per
1,000 of population.
19
...
34.9
...
35.2
...
32.9
...
26.8
Percentage
of cases
unknown to
total cases.
Primary vacci-
nation.
20
11.3
3.6
4.6
8.5
6.7
8.2
6.5
10.7
6.0
7.5
5.8
3.5
5.6
4.4
4.9
7.4
6.2
7.5
8.2
10.2
8.1
7.3
6.6
11.7
2.5
11.5
11.2
10.3
7.9
6.2
9.1
9.0
13.6
10.0
13.2
3.7
6.2
10.6
13.1
7.3
10.1
7.7
10.5
15.3
8.2
...
10.0
Re-vaccination.
21
12.4
16.3
11.1
16.5
14.3
5.9
26.1
10.1
14.9
13.9
10.5
15.5
14.1
13.3
9.9
6.7
14.3
16.6
15.2
9.4
7.1
28.6
12.7
11.5
5.1
19.5
18.2
15.8
8.2
7.8
12.6
11.7
13.3
20.7
2.4
10.2
6.5
23.1
43.1
5.2
34.1
5.4
11.1
19.1
31.8
...
13.4
Average
annual
number
of persons
successfully
vaccinated
during previous
5 years.
Number.
22
...
48,488
...
61,616
...
42,691
...
58,943
Ratio per 1,000.
23
...
29.3
...
30.1
...
35.9
...
28.4
Average
number of
deaths from
smallpox
during
previous
5 years.
Number.
24
...
641
...
884
...
384
...
1,045
Ratio per 1,000.
25
...
0.4
...
0.4
...
0.3
...
0.5
7
24
A.—VACCINE
Statement No. I, showing the particulars of Vaccination in the
Number.
1
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
258
257
258
259
260
261
262
263
264
265
266
Districts.
2
Tinnevelly.
Trichinopoly.
Vizagapatam.
Ranges.
3
Ambasamudrm ...
Kovilpatti ... ...
Nanguneri
...
...
Rhadhapuram ... ...
Sankaranāyinārkoil ...
Srīvaikuntam ... ...
Tenkasi ... ... ...
Tinnevelly ... ...
Tiruchendur ... ...
Vilattikulam ... ...
Total of district ...
Ariyalur ... ... ...
Jayankondam ... ...
Karur
...
...
...
Kulittalai
...
...
Lalgudi ... ... ...
Manapparai ... ...
Musiri ... ... ...
Perambalur ... ...
Trichinopoly ... ...
Turaiyur
...
...
Total of district ...
Anakapalle ... ...
Bimlipatam ... ...
Bobbili ... ...
Chipurupalli ... ...
Chodavaram ... ...
Gajapatinagaram ...
Narasapatam ... ...
Palkonda
...
...
Parvatipur
...
...
Salur
...
...
...
Srungavarapukōta
...
Vizagapatam ... ...
Vizianngram ... ...
Yellamanchili ... ...
Total of district ...
Grand total of districts.
Population of districts or munici
palities according to the census of
1921.
4
1,756,448
1,756,448
1,741,014
1,741,014
2,231,874
2,231,874
39,611,411
Average population per square mile.
5
404
404
412
412
...
...
...
Average number of vaccinators
employed throughout the year.
6
2
2
1
1
2
2
2
2
2
2
18
2
2
2
2
2
2
2
2
1
1
18
2
2
1
2
2
2
2
3
2
1
1
1
2
2
27
590
Total number of persons
vaccinated.
Males. Females. Total.
7
3,068
3,786
2,002
2,473
3,947
3,038
4,461
2,253
3,468
2,902
31,398
4,271
4,193
4,571
4,315
4,129
3,740
2,680
4,722
1,834
2,941
37,396
2,507
2,939
2,005
5,430
4,974
4,242
3,660
4,789
3,767
1,739
3,013
2,250
4,016
4,055
49,386
926,469
2,682
3,120
1,866
2,283
3,154
2,707
3,982
1,845
3,211
2,511
27,361
3,208
2,894
3,691
3,423
2,884
3,272
2,172
3,514
1,351
2,387
28,796
2,625
2,808
2,193
4,706
4,765
4,056
3,509
4,013
3,164
1,645
2,814
2,317
3,847
3,689
46,151
754,685
5,750
6,906
3,868
4,756
7,101
5,745
8,443
4,098
6,679
5,413
58,759
7,479
7,087
8,262
7,738
7,013
7,012
4,852
8,236
3,185
5,328
66,192
5,132
5,747
4,198
10,136
9,739
8,298
7,169
8,802
6,931
3,384
5,827
4,567
7,863
7,744
95,537
1,681,154
Average number of persons vacci-
nated.
8
2,875
3,453
3,868
4,756
3,551
2,873
4,222
2,049
3,340
2,707
3,264
3,740
3,544
4,131
3,869
3,507
3,506
2,426
4,118
3,185
5,328
3,677
2,566
2,874
4,198
5,068
4,870
4,149
3,585
2,934
3,466
3,384
5,827
4,567
3,932
3,872
3,538
2,849
Primary
Total number of operations.
9
5,585
5,588
3,813
4,755
6,919
5,552
8,176
4,682
6,587
5,693
57,350
5,844
5,333
6,438
5,718
5,862
5,194
4,090
6,393
2,729
4,675
52,276
3,756
4,787
3,500
7,050
6,844
5,650
5,353
8,207
5,839
3,026
5,233
3,349
5,872
5,493
73,959
1,389,574
Under 1 year.
10
2,498
4,023
2,203
2,342
4,045
3,393
5,235
1,712
3,932
2,922
32,305
2,257
3,427
2,979
2,604
3,454
3,204
2,415
2,693
1,064
2,248
26,345
1,772
2,605
1,770
3,834
3,447
2,885
1,952
4,041
2,617
1,358
2,274
2,163
3,140
3,350
37,208
689,422