7
(+36.5), Parlākimedi (+35.9), Madras (+27.7) and Vāniyambādi (+27.0).
Smallpox scares explain the increases in most of these instances
14. The expenditure incurred on the vaccination establishments employed by
the different agencies and the average cost of each successful operation are
shown below :—
Establishment.
Government establishment ..
...
...
...
Local Fund
do.
...
…
…
…
Municipal
do.
…
…
…
…
Cantonment
do.
…
…
…
…
Total ...
Total expenditure.
1923-24.
RS.
17,206
6,48,728
93,956
6,091
7,63,983
A.
6
7
13
10
6
P.
6
7
10
4
3
1921-25.
RS.
15,618
4,58,926
70,882
4,827
5,50,254
A.
9
1
5
4
5
P.
8
1
9
11
5
Average cost of each
successful case.
1923-24.
RS.
0
0
0
0
0
A.
15
8
10
11
8
P.
10
5
6
6
9
1924-25.
RS.
0
0
0
0
0
A.
11
5
6
13
5
P.
9
6
8
0
9
The decrease of Re. 0-3-0 in the cost of each successful case is due to the
fact that only 33⅓ per cent of the total expenditure on Health Inspectors was
debited to vaccination (vide G.O. No. Mis. 852-P.H., dated 22nd April 1925), as
against the whole cost of this establishment in previous years. The higher
percentage of success also contributed to some extent in the same direction.
In districts, the cost per successful case varied from Re. 0-4-3 in Vizaga¬
patam to Re. 0-11-5 in the Gōdāvari Agency. In municipalities, the variation
ranged from Re. 0-1-8 in Calicut to Re. 0-15-10 in Tadpatri, in the City of
Madras the average cost per case being Re. 0-10-1. The causes of these wide
variations require investigation.
15. Infantile vaccination in districts.—A marked increase of successful vacci
nations, viz., 79,557, in the number of children under one year of age, is once
more to be recorded. The figure for the year under report is 193, 90 higher than
that for 1922-23. This increase is mainly to be attributed to the work done by
District Health staffs in connexion with improvement in the registration of births,
detection of outbirths and unprotected children during the vaccination off-season
and health propaganda. In certain districts, increase in the minima of vacci
nators has also had some effect.
With the exception of Nellore and Rāmnād districts which returned decreases
of (- 6.5) and (- 5.6), respectively, every district in the Presidency showed appre
ciable improvement.
Increases of over 5 per cent were recorded in Trichinopoly (+21.0), South
Kanara( + 16.2), Nilgiris (+14.0), Vizagapatam ( + 12.2), Coimbatore (+10.9),
Chittoor (+10.2), Bellary (+9.5), Salem (+9.2), South Arcot (+7.2) and
Malabar (+6.8).
16. Vaccination in municipalities.—The total number of vaccination operations
performed in the 81 municipalities of the Presidency rose from 185,967 in 1923-24
to 239,430 in the year under report, an increase of 53,463. This figure is the
highest on record, and is partly due to the fixing of higher minima in certain
towns and partly to the stimulus given by numerous and severe epidemics of
smallpox.
Large increases were recorded in Madras (+40,361), Vizagapatam ( + 6,679),
Rajahmundry ( + 4,132), Ongole ( + 3,388), Guntūr (+3,160), Cocanada (+1,633),
Madura (+1,183), and Nellore (+1,008).
Those towns returning decreases included Cannanore (- 4,827), Mangalore
(-3,257), Chirala(- 2,773), Bellary (- 2,533), Masulipatam (- 991), Tuticorin
(- 862), Cochin (-557), Berhampur (- 499), Tenali (-320), Tiruvannāmalai
(-319), Coonoor (-263), and Adōni (-250).
The decrease in the first three towns in this list is attributed to the diminished
prevalence of smallpox. In Bellary, Tuticorin and Berhampur, the decline was
due to the prolonged absence of vaccinators on leave without substitutes. In