2
REPORT ON VACCINATION IN BURMA FOR THE YEAR 1890-91.
10. Statement II.—The establishment was increased in strength by one
Native Superintendent and five vaccinators. This and the expenditure of
Rs. 1,406 on contingencies, an item hitherto not shown in the Rangoon Muni-
cipal returns, added Rs. 3,710 to the total cost as compared with the previous
year.
11. The average cost of each successful case was Rs. 0-4-9 as against
Rs. 0-4-7 in 1889-90. The cost has decreased in Arakan and Pegu, and increased
in Irrawaddy and Tenasserim.
UPPER BURMA.
12. Statement I.—The transfer of the district of Kyauksè from the Central
to the Eastern division must be noted ; and this year the figures for the Northern
and Southern Shan States, and the subdivisions Mogaung and Gangaw in the
Bhamo and Pakdôku districts, are shown separately.
13. The total number of vaccine operations performed in 1890 91 was
37,956, an increase of 8,249 on the total of the previous year. There is a fal-
ling off in the total returned by the Northern division, but each of the other
divisions shows an increase.
14. The following districts show a decrease in the totals of 1890-91 com-
pared with those of 1889-90 : Mandalay, Katha, Ruby Mines, and Ye-u.
15. The Civil Surgeon, Mandalay, explains that, there having been com-
paratively little smallpox in his district, the people have not sought protection,
and that the knowledge that the operation is not compulsory having spread
abroad many refuse to have their children operated upon.
In Katha, owing to the unhealthiness of the district, it has been a very
difficult matter to retain the services of a vaccinator.
In the Ruby Mines it has been impossible to get a vaccinator, and for 10
months and a half of the 12 no vaccinator was employed.
The Civil Surgeon, Ye-u, states that since the people have learnt that they
need not have their children vaccinated unless they like considerable difficulty
has been experienced in obtaining subjects.
At Bhamo the poor results obtained are ascribed to the prejudice of the
people and to the indolence of the vaccinators. Now that there is a separate
Civil Medical Officer at Bhamo it is hoped that vaccination will receive greater
attention.
16. The success obtained in the Upper Chindwin district in 1889-.90 and in
1890-91 is in no small measure due to the assistance given by the Civil authori-
ties.
17. The percentage of success in primary operations (83.34 as against
82.68 in the previous year) has improved and is not far behind the average of
Lower Burma (85.38).
18. The percentage of success in re-vaccination, though 7.95 higher than
in Lower Burma, has fallen from 84.42 to 68.98, but the total number of secon-
dary operations in the year under report is 909 as against 77 in 1889-90.
19. The average number of persons vaccinated by each vaccinator has in-
creased from 1,143 in 1889-90 to 1,356 in 1890-91.
20. Statement II.—The establishment of vaccinators has been increased
by two since the date of last report. The total increase in cost is Rs. 890.
21. The cost of each successful case was Rs. 0-4-2 against Rs. 0-4-9 in
1889-90. This contrasts favourably with the cost of each successful case in
the older part of the province, which is Rs. 0-4-9.
The cost ranges from Rs. 2-14-10 in Bhamo, Rs. 1-10-2 in Mogaung, and
Rs. 1-5-9 in Pakôkku to Rs. 0-0-5 in the Upper Chindwin, Rs. 0-1-4 in Pyin-
mana, and Rs. 0-1-11 in Myingyan.
22. In Government of India, Home Department (Sanitary) letter No. 303,
dated the 15th October 1890, an account of experiments made with vaccine
paste was ordered to be included in the annual report; but, as in the meantime a
report was called for, the results of experiments as far as carried out were spe-
cially detailed in letter No. 1349-21V., dated the 7th March 1891. When these
experiments are completed a further report will be submitted.