FOR THE TRIENNIAL PERIOD FROM 1893-94—1895-96.
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and vaccination in the town show that the number of children vaccinated falls
considerably short of the number surviving. The Committee should be urged to
reconsider their decision, which leaves them behind the other towns of the province
The only cantonment where the Act is not in force is Maymyo. The area of
this cantonment and the number of troops stationed there are at present so small
that the extension of the Act is considered unnecessary. When the Mandalay-
Kunlon Railway shall have been opened to Maymyo it will be advisable to apply
the Act.
Vaccination in the Shan States.
8. Two vaccinators have been at work for several years in the Southern
and one in the Northern Shan States. The outturn
of work in the Southern States has increased steadily
year by year and the percentage of success has improved continuously. In 1895-
96 the number of successful cases in the Southern States was 3,169 or 92 per
cent. of the aggregate number of operations. A further improvement may be ex-
pected to follow the appointment of an itinerary Hospital Assistant in the Mye-
lat—an appointment which it is proposed to make as an experiment. The results
in the Northern States, though much better than in the previous year, are by no
means satisfactory. Only 941 persons were vaccinated and the vaccination
" took " in only 73 per cent. of these cases. The Civil Surgeon inspected only
97 cases. The low percentage of successful cases is difficult to understand, seeing
that 97.75 per cent. of the dispensary vaccinations in the Northern States were
successful. Mr. Smeaton is not satisfied that vaccination is being sufficiently at-
tended to by the Civil Surgeon, Lashio. Dr. Sinclair is requested to report what
steps should be taken to ensure improvement.
Some account should have been given in the report of the progress made in
instructing sayas or native medicine-men in vaccination in the Southern States.
There are no Vaccine-depôts in the Shan States at present. The Civil
Surgeon of the Southern States opened one at Fort Stedman in February last,
but work had to be suspended in April as no calves could be procured. It is
hoped that a fresh start will be made soon. In the Northern States also, at Hsi-
paw, a depôt will probably be opened during the current year. In the mean time
vaccine-paste procured from local depôts in Burma and from India seems to
answer very well, at any rate in the Southern States.
Financial.
9. In consequence of the extension of work already noticed the cost of the
department in Lower Burma rose from Rs. 31,253
in 1892-93 to Rs. 42,713 in 1895-96, and during the
same period rose from Rs. 11,971 to Rs. 16,798 in Upper Burma. In Upper
Burma the greater part of the increased cost is borne by Imperial funds as the
District funds are unable to spare money for this or any other medical purpose.
The increase in Lower Burma has fallen on the District cess funds, which in 1895-
96 bore 66 per cent. of the total expenditure on vaccination. Though the aggre-
gate expenditure has risen considerably, the average cost of each successful case
has slightly fallen. In Upper Burma it is 2 annas 6 pies and in Lower Burma 3
annas 3 pies. The average cost of each case in the Mandalay district (5 annas
1 pie) and in Toungoo (6 annas 7 pies) appears very high. The table printed in
paragraph 6 of the report shows also that in several municipal towns, e.g., Kyaikto,
Myaungmya, Ngathainggyaung, Yandoon, and Akyab, the average cost is exces-
sive. The attention of the Civil Surgeons concerned is invited to this matter.
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