8
With the exceptions of Cuddapah, Rajahmundry, Vizianagaram and Vizaga-
patam, none of these towns have Health Officers, so that it may be assumed
that vaccination work received little or no supervision. A Health Officer has
recently been appointed in Conjeeveram, and most of the other towns in the
list are in urgent need of the technical services of such an officer.
(3) The recorded percentage of successful infantile vaccinations to total
births ranged from 29.8 in Chidambaram to 100.0 in Tirupati. This latter figure
was also returned by Tirupati in last year's report, where attention was invited
to the obvious error. Apparently the Chairman has failed to notice the remark.
In eight other municipalities, viz., Adoni, Bodinayakkanur,. Cochin, Ellore,
Nandyal, Peddapuram, Vellore and Srirangam, percentages of over 90 were also
returned. In these nine towns infantile mortality rates vary from 100—200 per
mille, so that infantile vaccination rates of 90—100 per cent are impossible. The
Municipal Health Officers of Adoni, Cochin, Ellore and Srirangam and the
Medical Officers in charge of vaccination in the other municipalities are being
warned to take more care in the preparation of their returns.
Fourteen towns recorded infantile vaccination rates below 50 per cent of'
the total births. The worst of these are Chidambaram (29.8), Vizianagram
(36.0), Tirupattur (36.3), and Nellore (37.1). The Health Officer of Vizianag-
ram explains that the decrease is due to the failure of the vacicnator, since
resigned, to bring forward from the previous year large numbers of pending
cases. The Health Officer of Nellore attributes the low percentage mainly to the
devastation caused by the cyclone. In the other towns, the defect is entirely due
to imperfect registration of births and lack of supervision of the work of vacci-
nators. The immediate attention of the Municipal Chairmen and the Medical
Officers in charge should be drawn to those deficiencies.
The rates for individual towns, compared with those of the previous year,
are given in Annexure B.
19. The following table gives the total number of vaccination operations
performed by all agencies during the year compared with the corresponding
figures for 1926-27:—
Primary and Secondary vaccinations ... ...
Revaccinations ... ... ... ...
1928-27.
1,493,021
455,041
1,948,062
1927-28.
1,518,058
452,324
1,970,382
Primary and Secondary vaccinations have increased by 25,037, whilst the
number of revaccinations shows a decrease of 2,717.
20. The results of primary and secondary vaccinations and revaccinations-
performed by the different agencies during 1926-27 and 1927-28 are compared in
the subjoined statement:—
Establishment.
(1)
Local Fund vaccinators
...
Government vaccinators
...
Municipal vaccinators ...
Cantonment vaccinators ...
Dispensaries
...
...
...
Medical subordinates ... ...
Total ...
Number of successful vaccinations.
1926-27.
Primary
vaccination.
(2)
1,156,949
26,610
122,008
6,230
711
2,239
1,314,747
Revaccination.
(3)
91,466
1,992
34,548
1,323
133
4,637
134,099
1927-28.
Primary
vaccination.
(4)
1,195,591
30,651
118,038
5,674
125
1,995
1,352,074
Revaccination.
(5)
86,505
2,526
25,701
2,116
113
4,101
121,062
Total number of success¬
ful vaccinations.
1926-27.
(6)
1,248,415
28,602
156,556
7,553
844
6,876
1,448,846
1927-28.
(7)
1,282,096
33,177
143,739
7,790
238
6,096
1,473,136