2
TRIENNIAL REPORT ON VACCINATION IN BURMA FOR THE YEARS 1911-12 TO 1913-14.
There has however been a successive annual increase in primary successful
operations by the Vaccination Staff in combined rural and urban areas during the
last three years, the decrease referred to above being confined to Dispensary and
Army Vaccination.
Statement I.
7. Primary Vaccination in rural and urban areas by Special Staff.—The
total operations performed during the triennium 1911-12 to 1913-14 was
1,255,460, against 1,031,069 in the triennium 1908-09 to 1910-11, the increase
amounting to 224,391. The total of successful operations during the second
triennium was 1,164,704, against 937,695 in the earlier period, the increase in the
last triennium being 227,009.
The returns for the year 1913-14 show a higher total of successful primary
operations than do those of any one of the previous five years. The Provincial
totals for each of the years of the last triennium vary very little, and the work
during the whole period has been markedly better in results than that of the
previous triennium.
In studying the results of primary vaccination in towns and rural areas, which
afford the most important evidence as to the progress of vaccination, we find
that seven only out of the eight divisions shared in the excess of 224,391,
Sagaing Division showing a decrease on the previous triennium of 5,086. The
increase in each of the other seven divisions was as follows :—
Arakan Division 44,754, Pegu 49,878, Irrawaddy 52,398, Tenasserim
4,579, Mandalay 3,621, Magwe 31,067, Meiktila 26,027.
In comparing the returns of primary operations by districts for the last two
triennial periods, we may separate the districts into five groups under the following
heads:—
Group I.—Showing a marked improvement, includes the districts of Akyab,
Kyaukpyu, Hanthawaddy, Insein, Pegu, Tharrawaddy, Toungoo, Thatôn, Ma-ubin,
Rangoon, Meiktila, Henzada, Salween, Minbu, Magwe and Myitkyina. Of these,
Henzada, Tharrawaddy, Rangoon, Thatôn, Salween, Minbu and Magwe Districts
show a falling off in the last year which may be attributable to temporary causes
leading to a failure to maintain the previous higher level of work. These causes
will be examined later.
Group II.—Showing a slow but steady improvement, includes the districts
of Sandoway, Pyapôn, Bassein, Katha, Yamèthin, Kyauksè and the specially
administered territories of the Northern and Southern Shan States and Chin Hills.
Group III.—Stationary, includes Mandalay and Shwebo Districts.
Group IV.—Fluctuating, includes Sagaing, Upper Chindwin, Thayetmyo,
Ruby Mines, Pakôkku and Myingyan Districts.
Group V.—Declining, includes Myaungmya, Lower Chindwin, Northern
Arakan, Prome, Amherst, Tavoy, Mergui and Bhamo Districts.
The largest increase in primary vaccination is claimed by Ma-ubin District,
with an excess of 27,671 on the preceding triennium, Kyaukpyu is second with
20,574 followed closely by Henzada with 18,715, Akyab 18,503, Magwe 16,345,
Tharrawaddy 16,116, Pegu 14,806, Southern Shan States 12,368, Meiktila 10,381.
Prome District alone in the Pegu Division returns a decrease (3,895) and
Myaungmya District alone in the Irrawaddy Division (5,535). In the Tenasserim
Division, Amherst, Tavoy and Mergui Districts show respectively decreases of 7,093,
2,487, and 2,168 primary operations as compared with the preceding triennium.
The decrease in the Sagaing Division is shared by Sagaing District and Lower
Chindwin (the totals for these districts being 7,123 in the former and 2,501 in the
latter below those for the previous triennium). In the Mandalay Division,
Mandalay, Bhamo and Ruby Mines Districts all show a falling off in primary
vaccination, the decreases being 2,303, 1,359 and 697 respectively.
In the Magwe Division there was a decline in primary operations only in
Thayetmyo District, amounting to 2,071. There is a creditable increase of over
8,000 primary operations in each of Minbu and Pakôkku Districts and 16,345 in
Magwe District.
In Meiktila Division the increase is least in Kyauksè District (1,993), largest
in Meiktila District (10,381), while it is 7,351 in Myingyan, and 6,302 in Yamèthin.
The combined Insein-Hanthawaddy District returns an increase of 17,464
. primary operations over the total for the previous triennium. This increase is
largely due to the work of the last year 1913-14, the totals for the last three years
being. 7,279, 8,563, and 19,685. The increased outturn of work in 1913-14 over
that of the previous year was thus 11,122, or 129.88 per cent. This large increase