10
infantile mortality, secondary vaccinations and out-births. None of these calcula
tions however hold good for a municipality where vaccination has been systemati
cally neglected for years. In such cases the fixing of an arbitrary minimum as
proposed by Government till the arrears are worked up is the only right course.
30. The percentage of success obtained by the use of the different kinds of
lymph in primary vaccination (including secondary) in Local Fund and Municipal
areas is compared in the sub-joined statement:—
Number of cases
excluding
unknown.
20,138
1,281,807
116,164
7
Area.
Government ...
Local Fund ...
Municipal ...
Do. ...
Kind of lymph.
Glycerine
...
...
Do.
...
...
Do.
...
...
Lanoline ... ...
Whence obtained.
King Institute, Guindy ...
Do. ...
Do. ...
Do. ...
Percentage of
success.
83.7
89.7
94.4
71.4
The percentage of success obtained with glycerine lymph in local fund areas
and the municipalities was 89.7 and 94.4, respectively, whilst that obtained with
lanoline lymph in the municipalities was 71.4. It is satisfactory to note that
with the supply of glycerine lymph the percentage of success has considerably
increased.
31. The total number of deaths from smallpox was 22,626 against 26,526 in
the previous year. The proportion of population protected in the districts and
municipalities during the year is shown in the annexed diagrams.
The districts which returned a very large number of deaths were Malabar,
South Arcot, Kistna, Ganjām, North Arcot, and Tanjore. In some districts, due
to want of prompt intimation of the outbreak of smallpox from the village
officers, the disease was allowed to spread. It is, however, satisfactory to note that
timely measures were, as far as possible, taken to arrest the progress of the disease
by active propaganda work done in all the infected villages and by increased atten
tion paid to vaccination of the unprotected cases and to re-vaccination. The
increase in the death-rate from smallpox in a few districts was also attributed
to the indifference of the local boards in the matter of appointment of additional
vaccination staff recommended by the District Health Officers concerned.
Amongst municipalities, Cannanore, Calicut, and Tellicherry were badly
affected.
32. The conduct and work of all the Health Inspectors with a few excep
tions have been generally satisfactory during the year under report. Inspection
of vaccinated cases by Health Inspectors was not wholly satisfactory. 113 Health
Inspectors verified more than 85 per cent of the cases vaccinated and 116 below
85 per cent. Suitable notice has, wherever necessary, been taken of the Health
Inspectors whose work was below the standard. The large percentage of Health
Inspectors who failed to verify the required percentage was partly due to the
formation of additional ranges of Health Inspectors towards the close of the
year and partly to the manifold duties other than vaccination performed by
Health Inspectors under the District Health Scheme.
33. During the year under report, one Health Inspector's probationary
period was terminated, one was suspended, two were dismissed from service and
two died.
34. The service registers of all the Health Inspectors are being verified in
my office.
35. It is obvious from this report that the introduction of the District Health
Scheme in the Presidency and that within the short period of its working, has given
an impetus to vaccination and that the progress has been satisfactory both in quality
and quantity. While the progress will be kept up in the years to come, I am