NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
24
A—VACCINE DEPARTMENT—cont.
Statement No. II showing the Cost of the Department in the Madras Presidency for the official year 1921-22—cont.
Number.
11
12
13
14
15
16
17
18
19
20
21
Districts.
Municipalities—cont.
Circles.
NORTHERN RANGE-cont.
Narasaraopet...
...
...
...
...
Nellore...
...
...
...
...
Ongole... ... ... ...
Palacolo...
...
...
...
...
Parlākimedi...
...
...
...
...
Peddāpuram...
...
...
...
...
Rajahmundry...
...
...
...
...
Rōpalle...
...
...
...
...
Tenali...
...
...
...
...
Vizagapatam
...
...
...
...
Vizianagram... ... ... ...
Total of Municipalities in the Northern
Range...
...
...
...
...
Assistant Director of Public Health, Pay
Rs.
7,200...
...
...
...
Grand Total of Northern Range... ... ... ...
Expenditure—cont.
Travelling allowance.
17
RS. A. P.
...
...
...
2 4 0
...
...
...
...
...
...
...
5
7,112
42,075
8
8
6
0
0
3
Contingencies.
18
RS.
11
74
37
57
143
20
A.
4
15
7
14
2
3
P.
0
8
10
10
3
4
...
5
59
210
2
10
1
8
0
11
...
1,098 7 0
...
7,530 10 1
Total cost.
19
RS.
277
484
438
462
379
267
509
185
427
798
467
10,364
14,312
l,65,791
A.
1
11
15
11
4
11
14
2
14
14
13
10
8
5
P.
4
11
l0
2
6
4
6
8
3
3
0
6
0
8
Paid from
Imperial funds.
20
RS. A. P.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Provincial funds.
21
RS
A. P.
...
...
...
...
...
...
...
...
...
...
...
...
14,312
87,786
8
8
0
1
Local funds.
22
RS. A. P.
...
...
...
...
...
...
...
...
...
...
...
...
...
67,640 3 1
Municipal funds.
23
RS.
277
484
438
462
379
267
519
185
427
978
467
10,364
A.
1
11
15
11
4
11
14
2
14
14
13
10
P.
4
11
10
2
6
4
6
8
3
3
0
6
...
10,364 10 0
Total.
24
RS.
277
484
438
462
379
267
519
185
427
978
467
10,364
14,312
1,65,791
A.
1
11
15
11
4
11
14
2
14
14
13
10
8
5
P.
4
11
10
2
6
4
6
8
3
3
0
6
0
8
Number
of successful
primary vaccinations
and re-vaccinations.
25
328
744
459
746
465
354
1,941
412
608
1,147
2,101
18,576
...
266,634
Average cost of
each
successful case.
26
RS
0
0
0
0
0
0
0
0
0
0
0
0
A.
13
10
15
9
13
12
2
7
31
13
3
8
P.
6
5
4
11
0
1
8
2
1
8
7
11
...
0 9 4
CENTRAL RANGE.
1
2
3
4
Anantapur.
Anantapur
circle...
...
...
Penukonda
do. ... ... ...
Gooty
do. ... ... ...
Dharmavaram do.
...
...
...
Total of district ...
771
1,170
1,100
1,020
4,062
5
8
12
2
12
0
3
10
7
8
309
507
326
243
1,388
15
10
12
11
2
6
7
6
6
1
2,937
4,286
4,182
4,306
15,712
2
3
14
1
5
2
6
3
9
8
...
...
...
...
...
1,348
1,924
2,023
2,390
7,686
8
1
14
2
9
0
0
3
5
8
1,588
2,362
2,159
l,9l5
8,025
10
2
0
15
12
2
6
0
4
0
...
...
...
...
...
2,937
4,286
4,182
4,306
15,712
2
3
14
1
5
2
6
3
9
8
4,099
6,079
4,812
4,981
19,971
0
0
0
0
0
11
11
13
13
12
6
3
11
10
7
26
A—VACCINE DEPARTMENT—cont.
Statement No. II showing the Cost of the Department in the Madras Presidency for the official year 1921-22—cont.
Number.
1
34
35
36
37
1
2
3
4
5
6
7
8
9
10
11
12
13
14
l5
l6
17
18
19
Districts.
2
South
Arcot.
Municipalities.
Circles.
3
CENTRAL RANGE—cont.
Cuddalore
circle... ... ... ...
Chidambaram
d
o
. ... ... ... ... ...
Tirukkōyilūr
do.
...
...
...
...
Tindiranam
do.
...
...
...
...
Total of district ...
Total of Circles in the Central Range ...
Adōni...
...
...
...
Anantapur...
...
...
...
...
Bellary...
...
...
...
Chidambaram...
...
...
...
Chingleput...
...
...
...
Chittoor...
...
...
...
Conjeeveram...
...
...
...
...
Cuddalore...
...
...
...
Cuddapah...
...
...
...
...
Gudiyāttam...
...
...
...
Hindupur...
...
...
Hospet...
...
...
...
Kurnool...
...
...
Madras...
...
...
...
Nandyal...
...
...
...
Proddatur...
...
...
...
Salem...
...
...
...
Saidapet...
...
...
...
Tadpatri...
...
...
...
Expenditure.
Inspector of vaccina-
tion and Deputy Sani
tary Commissioner.
4
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Pay.
5
......
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Deputy Inspectors.
First grade.
6
1
...
...
...
1
7
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Second grade.
7
...
1
...
...
1
12
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Third grade.
8
...
...
1
1
2
19
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Pay.
9
RS.
1,237
1,195
980
916
4,330
41,050
A.
13
8
15
7
11
8
P.
1
0
0
8
9
4
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Vaccinators.
First class.
10
2
1
2
1
6
26
1
...
1
...
...
...
...
1
...
...
...
...
1
15
1
...
1
...
...
Second class.
11
3
2
2
1
8
67
...
1
1
1
1
1
2
1
1
1
...
1
...
33
...
1
1
...
...
Probationers.
12
1
1
1
2
5
69
...
...
1
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
1
Pay.
13
RS.
1,702
1,412
2,440
1,482
6,987
53,700
546
240
837
433
217
307
840
472
302
270
10
302
377
13,001
446
306
885
A.
3
1
2
14
5
0
0
0
7
5
0
8
0
7
10
12
14
0
0
3
7
0
8
P.
5
5
5
1
4
4
0
0
4
1
0
0
0
5
0
6
3
0
0
5
1
0
11
...
270 0 0
Peons, etc.
Number.
14
1
1
1
1
4
38
...
...
...
...
...
...
...
...
...
...
...
...
...
42
...
...
...
...
...
Pay.
15
RS.
144
156
144
143
587
5,395
A.
0
11
0
3
14
15
P.
0
8
0
2
10
7
...
...
...
...
...
...
...
...
...
...
...
...
...
4,725 13 9
...
...
...
...
...
Total pay of estab
lishment.
16
RS.
3,085
2,764
3,565
2,492
11,905
1,00,156
546
240
837
433
217
307
840
472
302
270
10
302
377
17,727
446
306
885
A.
0
5
1
8
15
8
0
0
7
5
0
8
0
7
10
12
14
0
0
1
7
0
8
P.
6
1
5
11
11
3
0
0
4
1
0
0
0
5
0
6
3
0
0
2
1
0
11
...
270 0 0
28
A—VACCINE DEPARTMENT—cont.
Statement No. II showing the Cost of the Department in the Madras Presidency for the official year 1921-22—cont.
Number.
34
35
36
37
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
Districts.
South
Arcot.
Municipalities.
Circles.
CENTRAL RANGE—cont.
Cuddalore
circle
...
...
...
Chidambaram do.
...
...
...
Tirukkōyilūr
d
o
. ... ... ...
Tindivanam
do.
...
...
...
Total of district ...
Total of circles in the Central Range ...
Adōni
... ... ... ... ...
Anantapur
...
...
...
...
...
Bellary
...
...
...
...
...
Chidambaram
...
...
...
Chingleput ... ... ... ... ...
Chittoor
...
...
...
...
...
Conjeeveram ... ... ... ...
Cuddalore
...
...
...
...
...
Cuddapah ... ... ... ... ...
Gudiyāttam
... ... ... ...
Hindupur*...
...
...
...
...
Hospet
...
...
...
...
...
Kurnool
...
...
...
...
...
Madras
...
...
...
...
...
Nandyal
...
...
...
...
...
Proddatur
...
...
...
...
...
Salem
...
...
...
...
...
Saidapet
...
...
...
...
...
Tadpatri
...
...
...
...
...
Expenditure—cont.
Travelling allowance.
17
RS.
875
754
872
682
3,185
28,255
A.
15
9
4
8
6
2
P.
11
2
11
5
5
8
...
...
...
...
...
60 0 0
...
...
...
...
4 5 0
...
...
...
...
...
...
...
...
Contingencies.
18
RS.
113
186
285
276
862
3,618
20
A.
1
14
12
12
8
8
0
P.
6
0
7
0
1
10
0
...
26
81
11
77
137
148
34
4
3
1
9
2
2
7
0
2
0
11
10
3
6
...
3
75
7
4,286
17
8
8
2
14
15
0
3
0
11
9
...
191 13 11
...
5 2 4
Total cost.
19
RS.
4,073
3,705
4,723
3,451
15,953
1,41,580
566
240
863
514
228
445
977
620
337
270
18
377
384
22,014
464
306
1,077
A.
1
12
2
13
14
3
0
0
11
8
1
1
2
9
1
12
11
8
2
0
6
0
6
P.
11
3
11
4
5
9
0
0
4
3
0
11
10
8
6
6
3
3
0
1
10
0
10
...
275 2 4
Paid from
Imperial funds.
20
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Provincial funds.
21
RS.
1,983
1,734
1,676
1,462
6,857
68,894
A.
7
8
6
10
0
2
P.
10
0
7
3
8
3
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Local funds.
22
RS.
2,089
1,971
3,046
1,989
9,096
72,686
A.
10
4
12
3
13
1
P.
1
3
4
1
9
6
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Municipal funds.
23
RS. A. P.
...
...
...
...
...
...
566
240
863
514
228
445
977
620
337
270
18
377
384
22,014
464
306
1,077
0
0
11
8
1
1
2
9
1
12
11
8
2
0
6
0
6
0
0
4
3
0
11
10
8
6
6
3
3
0
1
10
0
10
...
275 2 4
Total.
24
RS.
4,073
3,705
4,723
3,451
15,953
1,41,580
566
240
863
514
228
445
977
620
337
270
18
377
384
22,014
464
306
1,077
A.
1
12
2
13
14
3
0
0
11
8
1
1
2
9
1
12
11
8
2
0
6
0
6
P.
11
3
11
4
5
9
0
0
4
3
0
11
10
8
6
6
3
3
0
1
10
0
10
...
275 2 4
Number
of
successful
primary
vaccinations
and re-vaccinations.
25
11,956
9,162
8,228
6,510
35,856
251,848
1,410
311
4,140
577
512
581
898
1,597
570
312
166
467
1,021
21,896
472
471
2,189
817
251
Average cost of each suc
cessful case.
26
RS.
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
1
0
0
0
A.
5
6
9
8
7
9
6
12
3
14
7
12
1
6
9
13
1
12
6
0
15
10
7
P.
5
6
2
6
1
0
5
4
4
3
1
3
5
3
6
11
10
11
0
1
9
5
10
...
1 1 7
30
A—VACCINE DEPARTMENT—cont.
Statement No. II showing the Cost of the Department in the Madras presidency for the official year 1921-22— cont.
Number.
1
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Districts.
2
Rāmnād.
South
Kanara.
Tanjore.
Tinnevelly.
Circles.
3
SOUTHERN RANGE-cont.
Rāmnād
circle
... ... ... ...
Tiruppattūr
do.
...
...
...
...
Manamadura do.
...
...
...
...
Sivakasi
do.
...
...
...
...
Total of district ...
Coondapoor circle
...
...
...
...
Karkal
do.
...
...
...
...
Mangalore
do.
...
...
...
...
Kasaragod
do.
...
...
...
...
Total of district ...
Tanjore
circle ... ... ... ...
Pattukkōttai do.
... ... ... ...
Māyavaram
do.
...
...
...
...
Negapatam
do.
...
...
...
...
Total of district ...
Tenkasi
circle
...
...
...
...
Srīvaikuntam do.
...
...
...
...
Nāngunēri
do.
...
...
...
...
Kovilpatti
do.
...
...
...
...
Total of district ...
Inspector of Vaccina
tion and Deputy
Sanitary Commis
sioner.
4
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Pay.
5
RS. A. P.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Deputy Inspectors
First grade.
6
...
1
...
...
1
...
...
...
1
1
...
1
1
...
2
...
1
...
...
1
Second grade.
7
1
...
...
...
1
...
...
1
...
1
1
...
...
1
2
1
...
...
...
1
Third grade.
8
...
...
1
1
2
1
1
...
2
...
...
...
...
...
...
...
1
1
2
Pay.
9
RS.
1,110
1,331
1,539
1,089
5,070
781
969
1,101
1,462
4,315
1,754
1,282
1,375
1,232
5,644
1,009
1,239
913
917
4,079
A.
0
10
7
0
2
8
15
0
13
5
1
2
0
14
2
10
15
3
0
13
P.
0
8
4
0
0
0
8
0
7
3
7
0
0
11
6
4
11
3
0
6
Expenditure.
First class.
10
...
...
1
1
2
...
...
...
...
...
2
...
3
2
7
2
3
2
1
8
Vaccinators.
Second class.
11
5
3
2
3
13
4
2
3
3
12
3
3
2
3
11
1
2
2
2
7
Probationers.
12
2
2
2
...
6
...
2
2
2
6
...
2
...
...
2
2
1
1
2
6
Pay.
13
RS.
2,551
1,395
1,742
1,490
7,179
1,200
1,052
1,220
1,314
4,787
2,216
1,619
1,986
2,301
8,123
1,926
2,479
2,094
1,515
8,016
A.
6
10
8
5
14
0
8
7
12
12
5
0
4
12
7
15
12
1
15
12
P.
7
5
2
0
2
0
0
1
11
0
9
8
0
7
0
6
0
11
4
9
Number.
14
1
1
1
1
4
1
1
1
1
4
1
1
1
1
4
1
1
1
1
4
Peons.
Pay.
15
RS.
144
148
144
144
580
144
144
144
156
588
174
142
144
144
604
144
144
141
124
554
A
0
14
0
0
14
0
0
0
0
0
3
0
0
0
3
0
0
9
6
0
P.
0
9
0
0
9
0
0
0
0
0
1
0
0
0
1
0
0
7
5
0
Total pay of
establishment.
16
RS.
3,805
2,876
3,425
2,723
12,830
2,125
2,166
2,465
2,933
9,691
4,144
3,043
3,505
3,678
14,371
3,080
3,863
3,148
2,557
12,650
A.
6
3
15
5
14
8
7
7
10
1
10
2
4
11
12
9
11
14
5
10
P.
7
10
6
0
11
0
8
1
6
3
5
8
0
6
7
10
11
9
9
3
35
Statement No. IV showing the number of persons primarily vaccinated and the number of those persons who were successfully vaccinated in the Madras Presidency
in each of the undermentioned years.
—
Government vaccinators ...
Local Fund
do. ...
Cantonment
do. ...
Zamindari
do. ...
Municipal
do. ...
Dispensaries
...
...
Medical Subordinates ...
Total ...
Persons primarily vaccinated.
In the Madras Presidency.
Total number.
Number success-
fully vaccinated.
1912-1913.
15,646
1,277,687
4,821
...
103,170
17
206
1,401,547
13,254
1,118,543
4,681
...
99,018
11
118
1,235,025
Total number.
Number success-
fully vaccinated.
1913-1914.
17,492
1,335,023
5,021
...
110,076
6
139
1,467,757
17,015
1,223,086
4,916
...
106,611
6
114
1,351,748
Total number.
Number success-
fully vaccinated.
1914-1915.
19,843
1,333,727
4,282
...
113,408
1
131
1,471,392
17,892
1,186,576
3,949
...
108,742
...
117
1,317,277
Total number.
Number success-
fully vaccinated.
1915-1916.
16,052
1,332,471
4,354
...
112,146
99
1,681
1,466,803
14,283
1,155,851
4,152
...
106,830
96
1,464
1,282,676
Total number.
Number success-
fully vaccinated.
1916-1917.
17,276
1,275,205
3,218
...
114,172
148
250
1,410,269
13,900
1,090,029
2,950
...
107,326
145
213
1,214,563
Total number.
Number success-
fully vaccinated.
1917-1918.
17,765
1,194,558
3,710
...
121,439
191
197
1,337,860
15,057
989,157
3,497
...
113,652
189
103
1,121,655
Total number.
Number success-
fully vaccinated.
1918-1919.
18,540
1,161,772
3,185
...
116,193
157
550
1,300,397
14,158
787,222
2,667
...
105,156
155
312
909,670
Total number.
Number success-
fully vaccinated.
1919-1920.
16,082
1,157,793
4,757
...
103,653
131
610
1,283,026
14,675
833,655
4,012
...
96,188
129
345
949,004
Total number.
Number success-
fully vaccinated.
1920-1921.
14,625
1,107,117
4,105
...
105,504
115
680
1,232,146
10,616
651,154
3,024
..
88,536
113
492
753,935
Total number.
Number success-
fully vaccinated.
1921-1922.
15,749
1,057,517
5,218
...
99,480
124
1,764
1,179,852
11,860
796,007
4,354
...
90,518
115
1,402
904,256
Government
of Madras
LOCAL SELF-GOVERNMENT (PUBLIC HEALTH) DEPARTMENT
G.O. No. 1496-P.H, 31st October 1922
Vaccination Report
Recording the — of the Madras Presidency for 1921-22.
Read—Letter from Major A. J. H. Russell, M.A., M.D., D.P.H., I.M.S., Director of
Public Health, Madras, dated the 15th August 1922, No. 836-D.
Order—No. 1496-P.H., dated 31st October 1922.
Recorded.
2. The salient factor of the year's record is the rise in the rate of success
in primary vaccination. The success rate for the past four years was—
1918-19
... ... ... ... ... ... ... ... ...
1919-20
...
...
...
...
...
...
...
...
...
1920-21
...
...
...
...
...
...
...
...
...
1921-22
...
...
...
...
...
...
...
...
...
77.9
78.2
61.5
78.6
The principal factors contributing to this rise are (a) the cessation of routine
vaccination during the hot weather months and (b) the improved potency of the
lymph supplied.
3. Fluctuation in the success rate is the subject of a special report by the
Director of King Institute which is under separate examination. A fair idea of
the economy of a higher success rate is given in the following figures :—
Number of operations ... ...
Number successful ... ...
Number unsuccessful ... ...
1920-21.
1,388,598
853,988
534,610
1921-22.
1,298,094
1,020,301
277,793
Difference.
— 90,504
+ 166,313
— 256,817
In other words the number of persons protected by the year's operation was
increased by 166,313 though 90,504 fewer operations were performed, and the
wastage in time, labour and money of performing 256,817 unsuccessful operations
was saved.
4. The decline in the aggregate number of operations performed is in part
attributable to the decline in smallpox mortality. The smallpox death roll in
1920-21, viz., 13,697, was less than in any preceding year since 1912-13 and was
about one-third of the total for 1919-20. In the year under report the death
roll fell to 9,792, easily the lowest on record. Attention has been drawn to the
relation between the incidence of smallpox and the number of vaccinations by
the Director of Public Health in paragraph 17 of his memorandum printed in G.O.
No. 765-A, P.H., dated 1st June 1922. Whenever an epidemic breaks out,
vaccination booms. The disease subsides, apathy supervenes, vaccination is
neglected, the number of unprotected persons increases and in four or five years
4
No. 1496-P.H., 31ST OCTOBER 1922
figures would be far worse if the true number of births were known. Unfortu-
nately, as pointed out by the Director of Public Health in his Administration
Report for 1921—22, there is hardly a local body in the Presidency which knows
its own birth-rate.
16. The record of the year's work is anything but creditable to local self-
governing bodies as a whole, though there are some honourable exceptions to the
general retrogression. With the greatly improved potency of lymph better
results should be easily attainable and in rural areas the organization of district
health staffs under competent district health officers should put new life into
the campaign against preventible disease. But the efforts of the King Institute
and of the vaccination staff will avail little unless the members of local bodies
maintain a lively interest in their activities.
(By order of the Government, Ministry of Local Self-Government)
F. J. RICHARDS,
Secretary to Government.
To the Surgeon-General.
„ the Director of Public Health.
„ the Sanitary Engineer, through Public Works Department.
„ the Assistant Quartermaster-General, 9th (Secunderabad) Division (with C.L.).
„ the Director of Public Instruction.
„ the Accountant-General.
„ the President, Corporation of Madras.
„ all Collectors.
„ all Presidents of District Hoards.
„ all Chairmen of Municipal Councils.
„ the Inspector of Municipalities and Local Boards.
„ the Publicity Officer.
„ the Examiner of Local Fund Accounts.
„ the Law (General) Department.
„ the Revenue Department.
„ the Judicial Department.
Editors' Table.
[Annexures.]
8
ANNEXURE B—cont.
Serial number
(1)
73
74
75
76
77
78
79
80
81
82
Municipality.
(2)
Udamalpet ... ... ... ... ... ... ... ... ... ...
Villupuram
...
...
...
...
...
...
...
...
...
...
Sivakāsi ... ... ... ... ... ... ... ... ... ...
Palacole
...
...
...
...
...
...
...
...
...
...
Pollāchi
...
...
...
...
...
...
...
...
...
...
Saidapet
...
...
...
...
...
...
...
...
...
...
Chirala ... ... ... ... ... ... ... ... ... ...
Tadpatri
...
...
...
...
...
...
...
...
...
...
Hindupur ... ... ... ... ... ... ... ... ... ...
Rēpalle
...
...
...
...
...
...
...
...
...
...
Number of
births
available.
(3)
322
368
353
236
574
603
247
299
347
326
Number of
successful
vaccination
on children
under one
year.
(4)
106
135
238
54
253
450
15
131
95
212
Percentage
of col. 4 to 3.
(5)
32.9
36.7
67.4
22.8
44.08
74.6
6.07
43.8
27.4
65.03
AGENTS FOR THE SALE OF MADRAS GOVERNMENT
PUBLICATIONS.
IN INDIA.
BUTTREWORTH & Co. (LTD.). 6, Hastings Street, Calcutta.
R. CAMBRAY & Co., Calcutta.
E. M. GOPALAKRISHNA KONE, Pudumantapam, Madura.
HARTLEYS, Mount Road, Madras.
HIGGINBOTHAMS (LTD.), Mount Road, Madras.
V. KALYANARAMA IYER & Co., Esplanade, Madras.
G. C. LOGANADHAM BROTHERS, 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.C.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.
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. THACKER & 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 & 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.
OTTO HARRASSOWITZ, Leipzig.
REPORT
ON
VACCINATION IN THE MADRAS
PRESIDENCY
FOR THE TRIENNIUM ENDING
1922-23
MADRAS
PRINTED BY THE SUPERINTENDENT, GOVERNMENT PRESS
PRICE, 8 annas
1924
REPORT
ON
VACCINATION IN THE MADRAS
PRESIDENCY
FOR THE TRIENNIUM ENDING
1922-23
MADRAS
PRINTED BY THE SUPERINTENDENT, GOVERNMENT PRESS
1924
D. No. 202-P.H.
OFFICE OF THE DIRECTOR OF PUBLIC HEALTH,
MADRAS, 15th August 1923.
From
MAJOR A. J. H. RUSSELL, M.A., M.D., D.P.H., I.M.S.,
Director of Public Health, Madras,
TO
THE SECRETARY TO GOVERNMENT,
LOCAL SELF-GOVERNMENT (PUBLIC HEALTH) DEPARTMENT, MADRAS,
SIR,
I have the honour to forward the Report on Vaccination in the Madras
Presidency for the triennium ending 1922-23.
2. Consequent on the introduction of the complete District Health Scheme,
the Vaccination Department as such has been merged into the wider Public
Health Department. The Deputy Inspectors of Vaccination who previously
supervised only vaccination work in their ranges are now, under the District
Health Scheme, responsible for all branches of Public Health Administration.
As a consequence, their designation has been altered to that of Health
Inspectors—vide G.O. No. 1425-P.H., dated 17th October 1922, and G.O.
No. 1312-P.H., dated 6th August 1923. District Medical and Sanitary Officers
(or District Medical Officers as they are now styled) were relieved of the duty of
supervising the work of Deputy Inspectors of Vaccination on the appointment of
District Health Officers for each district. From 1st October 1923, Government
have ordered the reduction of Assistant Directors of Public Health to three with
headquarters in Madras in the place of the three range Assistant Directors of
Public Health and the Assistant Directors of Public Health in charge of Fairs
and Festivals and of Vital Statistics. Under the revised scheme one of the
Assistant Directors of Public Health will be in charge of vaccination throughout
the Presidency.
3. One of the recommendations of the conference of the officers of the Public
Health Department held at the end of March 1923 was that the time had come to
make vaccination compulsory throughout the Presidency. Government delegated
to Presidents of District Boards in G.O. No. 789-P.H., dated 11th May 1923, the
power to declare vaccination compulsory in any area under their jurisdiction.
They have now, in G.O. No. 1226-P.H., dated 21st July 1923, restricted this
delegation only to the case of villages which have facilities for the trial of
vaccination offences, e.g., the existence of Village Panchayat Courts constituted
under the Village Panchayat Act.
4. Under the Local Boards Act, the administration and control of vaccination
in rural areas is vested in the Taluk Boards. There is little doubt that it would
conduce to greater efficiency if this control were centralized in the District
Boards and the Act amended accordingly. This question is under the separate
consideration of Government.
5. Government have recently passed final orders regarding the issue of
glycerine lymph throughout the Presidency in preference to the lanoline lymph
hitherto in use. Orders have also issued, in consultation with the Director, King
Institute, that vaccinators should have supplies of lymph four times a month
instead of three times.
6. In G.O. No. 411-P.H., dated 15th March 1923, it was ordered that routine
vaccination work should cease, except in the presence of smallpox, during the
hot weather months and the Railway Administration, the Jail Department, the