( 5 )
The following table shows the annual output of lymph, the number of areas
in which arm-to-arm vaccination has been replaced by calf lymph vaccination and
the income and expenditure of the Dépôt: —
Year.
1904-5 ...
1905-6 ...
1906-7 ...
1907-8 ...
1908-9 ...
1909-10...
1910-11...
1911-12...
1912-13...
1913-14...
1914-15...
1915-16...
1916-17 ...
1917-18...
Quantity of lymph issued.
Glycerinated lymph.
Tubes.
21,049
74,800
113,945
198,224
243,722
249,974
358,939
193,356
180,445
193,932
296,423
150,347
169,880
172,462
In bulk.
Grammes
Grs.
Nil.
98
205
0
0
Nil.
3,806
9,147
9,392
41,460
58,427
70,296
94,547
83,110
82,960
86,658
3
0
0
12
13
10
13
7
0
12
Glycerine
paste.
Grammes
Grs.
Nil.
Nil.
1,367
668
749
414
45
44
83
79
328
66
36
0
12
0
0
0
0
3
7
0
0
7
Nil.
Lanoline
paste.
Grammes
Grs
79
120
19
161
4
4
6
0
0
0
0
0
0
0
Nil.
Nil.
Nil.
8 7
Nil.
Nil.
Nil.
Arm-to-arm vaccination
replaced by calf lymph
vaccination in —
Dis-
tricts.
...
...
...
...
4
8
13
22
35
37
41
47
47
48
Munici-
palities.
5
14
23
53
79
87
87
87
87
86
84
84
84
83
Notified
areas.
...
...
...
5
19
32
37
45
45
46
48
47
45
44
Income.
Rs.
106
2,057
3,527
6,118
8,572
8,527
14,211
18,780
24,019
28,867
39,174
30,789
31,066
32,681
Expendi¬
ture.
Rs.
3,300
7,789
5,741
6,717
12,573
10,524
12,097
13,030
14,894
17,247
20,703
21,228
21,348
21,910
The quantity of the glycerinated lymph issued during the year under report
was 172,462 capillary tubes and 86,658¾ grammes in bulk in metal collapsible
tubes, against 169,880 and 82,960, respectively, in 1916-17. No glycerine paste
was issued during 1917-18 while 36½ grammes were issued in the preceding year.
Owing to the war, great difficulty was experienced in obtaining collapsible
tubes for the despatch of lymph. With a view to reduce the consumption of
tubes the lymph was, so far as possible, supplied in tubes of three or five grammes
capacity instead of in one gramme tubes. A circular letter asking the district
superintendents of vaccination and others to instruct the vaccination staff under
them to observe economy in the use of lymph and tubes was issued early in
January 1918.
All the 83 municipalities and 44 notified areas were supplied with lymph on
payment from the Dépôt throughout the vaccination season. There was a
decrease of Rs. 37 in the sale-proceeds of lymph supplied to municipalities, as
compared with last year, but an increase of Rs. 39 in that supplied to notified
areas. All the 48 districts obtained full regular weekly or fortnightly supplies of
lymph throughout the vaccination season. The district of Garhwal, which for
want of funds had retained the arm-to-arm method of vaccination till last year,
purchased lymph worth Rs. 218 during the year under report. The total cost of
lymph purchased by district boards during 1917-18 was Rs. 19,787 against
Rs. 19,807 in 1916-17. Several Native States, the Court of Wards, Cantonments,
the Medical Officer, East Indian Railway and private persons also purchased
lymph worth Rs. 3,410. No lymph was indented for by the Province of Bihar
and Orissa this year. The Military department was supplied with lymph worth
Rs. 2,462 during the year under report as against Rs. 1,517 in the preceding
year. As the Dépôt was being put to a loss, the Government of India sanctioned,
with effect from 1st April 1917 and for the remaining period of the war, a proposal
to raise the amount of the annual payment for the supply of vaccine lymph to
Military medical officers from Rs. 700 to Rs. 1,500. In 1917-18 the sale-proceeds
of lymph from the Depôt amounted to Rs. 30,002 against Rs. 28,843 in 1916-17,
while the income derived from the sale of calves and milk, etc., was Rs. 2,679
against Rs. 2,223.
The total expenditure on the Dépôt during 1917-18 amounted to Rs. 21,910
as against Rs. 21,348 in 1916-17, showing an increase of Rs. 562 over the last
year.
During the year under report 1,564,611 primary vaccinations and 100,413
re-vaccinations were performed with calf lymph, against 1,526,937 and 85,331,
respectively, in 1916-17—showing an increase of 37,674 and 15,082, respectively.
Returns of results have been received for 702,829 primary operations and 51,703
re-vaccinations, excluding unknown cases, and these show a percentage success of