76
VACCINATION IN THE HYDERABAD ASSIGNED DISTRICTS.
[Part II.
Results.
Reason of peculiari-
ties of results.
The vaccinator at the head-quarters of each district is directly under the
district civil surgeon, who is expected to examine the work of the vaccinator
and promote vaccination in the circle to the utmost of his power. The
statement below shows that fewer people were vaccinated; that the number
of successful cases has diminished by 3,802 and the number of unsuccessful
cases increased by 2,071; and the percentage of success has fallen. The
numbers returned as " unknown" were less than in the previous year
(2,545 against 3,317). The reasons assigned for these differences are the
non-arrival in proper time of the supply of lymph from England; the use of
indifferent lymph procured from Bombay, which gave rise to a large number
of failures ; the excessively severe epidemic of small-pox which prevailed; the
greater supervision exercised by superintendents, and consequently, more cor-
rect recording of results; and the promulgation of an order prohibiting the
vaccinators from carrying on work in towns where there are dispensaries.
Statistical results.
YEARS.
1869-70 .... ... ... ...
1870-71 .... ... ... ...
1871-72 .... ... ... ...
1872-73 .... ... ... ...
1873-74 .... ... ... ...
Number vaccinated.
7,920
19,638
34,706
44,153
41,650
Number successfully
vaccinated.
6,450
16,584
28,966
33,734
29,932
Percentage of
successful cases.
81.8
85.2
83.46
76.4
71.8
Arrangements for
ensuing year.
Bombay lymph.
Arrangements are being made to ensure the future arrival of a proper
supply of lymph from England early in the year. Dr. Abbot desires to begin
work in the middle of September, so that the vesicle may be well established
by 1st October, and lymph distributed from the districts. The Bombay lymph
used, when it did not end in failures, produced vesicles of puny appearance
from which material could not be collected.
Supervision.
Supervision by superintendents was much more efficiently performed than
in 1872-73.
Vaccinators prohi-
bited from working
in towns where there
are dispensaries.
The object of the order prohibiting vaccinators from operating in towns
where there are dispensaries was to avail as much as possible of the services
of the hospital assistants attached to those institutions, and though the
superintendent admits that the order has had the effect of diminishing the
number of cases, he does not purpose for the present to cancel the order.
Small-pox.
Small-pox caused 8,326 deaths in 1873. It appears that the province has
been undergoing an epidemic for some years, which only reached its height in
June.
Infant vaccinations.
The number of operations performed on children under one year of age was
31 per cent. of the whole against 17 per cent. in the previous year, and this
must be regarded as a favorable omen. The sexes were pretty evenly
divided.
Sexes and castes of
the vaccinated.
The ratios per cent of individuals vaccinated according to caste, as com-
pared with other years, are thus stated. Mahommedans were found to be
the most difficult to manage, and Rajpoots nearly equally so. They do not
offer active opposition, but they decline to bring their children forward.
CASTES.
Christians ... ... ... ...
Hindoos
...
...
...
...
Mahomedans ... ... ... ...
Other castes ... ... ... ...
Number vaccinated.
11
30,228
1,516
7,131
PERCENTAGE OF POPULATION.
1872-73.
1.6
1.8
1.4
2.4
1873-74.
1.2
1.7
.9
2.3
Cost.
The total expenditure of the department amounted to Rs. 18,289, being
an excess of Rs. 3,407 over the expenditure of the previous year, and they
will increase yearly till the higher grades among superintendents and vacci-
nators are filled up. With a similar establishment and fewer subjects operated
on, the average cost of each successful case has been raised from 7 annas to
9 annas and 9 pie.
Resident's resolution.
The Resident at Hyderabad expresses his satisfaction at the results of the
year, and considers that, notwithstanding diminished numbers, a fair amount
of progress has been made.