9
24. The expenditure incurred on the vaccination establishments employed by
the different agencies and the average cost of successful operations are given in
the following statement:—
Establishment.
Government ... ... ... ... ...
Local Fund
...
...
...
...
...
Municipal
...
...
...
...
...
Cantonment
...
...
...
...
...
Total ...
Total expenditure.
1925-26.
RS.
14,715
4,55,433
74,061
4,898
5,49,108
A.
10
9
1
8
13
P.
5
1
5
6
5
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
Average cost of each successful
case.
1925-26.
RS.
0
0
0
0
0
A.
10
5
8
11
6
P.
1
8
1
2
0
1926-27.
RS
0
0
0
0
0
A.
10
5
7
10
6
P.
4
11
7
4
2
The slight increase in the cost per case is due to the additional staff of Health
Inspectors and vaccinators entertained, and to the decreased number of successful
vaccinations done in some districts.
The average cost per successful case varied from Re. 0-4-6 in Tinnevelly
District to Re. 0-8-7 in the Nilgiris District.
In municipal areas, the average cost ranged from a minimum of Re. 0-2-3 in
Calicut to a maximum of Re. 1-6-11 in Walajapet. This high figure is explained
by the fact that the vaccinator was granted leave for three months and no
substitute was appointed, so that no vaccinations were done for nearly half of the
working year.
The Director, King Institute, reports that he issued lymph for 2,036,865 cases
to district boards and municipalities against 1,922,201 operations performed in
these areas. The difference of 114,664 represents a wastage of 5.6 per cent, which
is only slightly above the percentage allowed, and compares favourably with the
corresponding figures for previous years.
25. (a) The number of vaccinated cases inspected by District Health
Officers ranged from 998 in Trichinopoly to 5,570 in Coimbatore. Two District
Health Officers inspected less than 1,000 cases, 5 less than 2,000 cases, 5
less than 3,000 cases, 7 less than 4,000, 2 less than 5,000 and 2 less than
6,000. The shortage in the districts of Trichinopoly and Tanjore was due to
the prevalence of cholera throughout the year.
(b) The inspection of vaccinated cases by Municipal Health Officers
(excluding Madras) ranged from 805 in Coonoor to 30,621 in Madura. The work
of six Health Officers fell short of the prescribed minimum of 75 per cent and
their explanations are being called for.
(c) In municipalities where no Health Officers are employed the percent
age of cases inspected by the medical officers in charge of vaccination varied
from 59.1 in Gudiyāttam to 100.0 in Kodaikānal. Forty-three inspected more
than 75 per cent of the cases, 6 between 65 and 75 per cent and 3 between
50 and 65 per cent. These figures are a great improvement over those of last
year, and are probably the direct result of a circular issued by the Surgeon-
General drawing attention to the necessity for better supervision. The
attention of the Surgeon-General will be invited to the nine officers who are
still at default,
(d) District Medical Officers and Civil Surgeons inspected 10,802 cases as
compared with 7,571 in 1925-26.
(e) Two hundred and twenty-five Health Inspectors inspected more than
85 per cent of the cases and 37 failed to reach this prescribed minimum.
Suitable notice will be taken of those whose explanations are considered to be
unsatisfactory.
3