NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
NOTES ON THE STATISTICS OF VACCINATION IN BURMA FOR THE YEAR 1897-98.
9
The majority of the districts show an increase in the percentage of success
and a decrease in the average cost of each successful case. Akyab and Southern
Shan States are responsible for a large increase in the average cost per head
which rose from 4 annas and 2 pies in 1896-97 to 6 annas and 5 pies in the year
of report in the former, and from 3 annas to 6 annas and 11 pies in the latter.
19. Vaccination in Rangoon Town (a).—Since 1894-95 the vaccination
work performed in Rangoon has steadily declined both in quantity and quality,
whilst its relative cost has progressively increased. The total number of persons
vaccinated in the year of report was 12,047 as against 20,647 in 1896-97, 35,401
in 1895-96 and 49,003 in 1894-95; in other words, the outturn during 1897-98
has fallen to less than one-fourth of the work done in 1894-95. The falling off
has been ascribed by the Health Officer to the discontinuance early in 1896 of the
practice of compulsory vaccination in the case of adults. But seeing that the
decline began in 1895, about a year before compulsory adult vaccination was in-
terdicted, the explanation cannot be considered satisfactory. The President of
the Municipal Committee, without advancing any sufficient reason, doubts the
accuracy of the figures of previous years.
Of the total number of subjects operated on, 8,368 were primary cases and
3,679 were re-vaccinations, as against 15,054 and 5,593 in 1896-97.
(b) Infant vaccination.—Of 1,751 survivals under one year of age only
1,218 (69.56 per cent.) were successfully vaccinated, as contrasted with 1,724
(92.24 per cent.) out of a total of 1,869 survivals in the year before.
(c). The percentages of success in primary operations and in re-vaccinations
were 91.01 and 74.01 respectively, the corresponding figures for the preceding
year being 90.07 and 58.27 respectively.
(d) The total cost of the establishment was Rs. 4,612 or Rs. 521 less than
in 1896-97, but the average cost of each successful case was over 45 per cent.
more than in 1896-97, being 7 annas 2 pies as against 4 annas 11 pies, the increase
being due to the smaller outturn of work.
20. The Vaccination Act was extended during the year to the town of
Thônzè.
21. Lymph paste was obtained chiefly from the depôts at Rangoon and
Taunggyi and was on the whole pronounced very good.
RANGOON:
The 7th May 1898.
D. SINCLAIR, M.B., SURGEON-COLONEL,
Superintendent-General of Vaccination, Burma.
3
vi.
APPENDICES.
B.—DISPENSARY VACCINATION.
STATEMENT No. III.—Showing dispensary vaccination in the Province of Burma for the year 1897-98.
No.
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
District.
2
Arakan division—
Akyab ... ... ......
Arakan Hill Tracts ... ... ... ...
Kyaukpyu
...
...
... ...
Sandoway
...
... ... ...
Total ...
Pegu division—
Rangoon
... ... ... ...
Hanthawaddy
...
...
...
...
Pegu ... ... ... ...
Tharrawaddy ... ... ... ...
Prome
... ... ... ...
Total ...
Irrawaddy
division—
Thôngwa
...
...
...
...
Bassein
...
...
... ...
Henzada
...
... ... ...
Myaungmya
... ... ... ...
Total ...
Tenasserim division—
Amherst
...
...
... ...
Tavoy
... ... ... ...
Mergui ... ... ... ...
Thatôn ... ... ... ...
Toungoo (Shwegyin) ... ... ...
Salween Hill Tracts ... ... ...
Total ...
Number of dispensaries in each
district to which a vaccinator is
attached.
3
3
1
1
2
7
1
3
2
7
3
16
4
2
2
3
11
3
1
1
2
2
1
10
Average number of vaccinators
attached to dispensaries during
the season.
4
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Total number of persons vacci-
nated.
5
...
1
24
286
311
...
2,578
...
38
...
2,616
1,457
...
... 135
1,592
...
...
...
...
638
6
644
Average number of persons vacci-
nated by each vaccinator.
6
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
PRIMARY VACCINATION.
Total.
7
... 1
24
286
311
... 3
... 37
...
40
277
...
... 124
401
...
...
...
... 59
6
65
Successful.
Under one year.
8
...
1
2
40
43
...
3
...
1
...
4
73
...
... 7
80
...
...
...
...
...
4
4
One and under six
years.
9
...
9
103
112
...
...
...
22
...
22
113
...
...
93
206
...
...
...
...
...
1
1
Total of all ages.
10
...
1
24
285
310
... 3
... 37
...
40
272
...
...
100
372
...
...
...
... 21
5
26
RE-VACCINATION.
Total.
11
...
...
...
...
...
...
2,575
...
1
...
2,576
1,180
...
...
11
1,191
...
...
...
...
579
...
579
Successful.
12
...
...
...
...
...
...
1,277
...
...
...
1,277
728
...
... 3
731
...
...
...
... 250
...
250
PERCENTAGE OF SUCCESSFUL
CASES.
Primary.
13
...
100.00
100.00
99.65
99.68
...
100.
...
100.
...
100.
98.19
...
...
80.65
92.77
...
...
...
...
35.59
83.33
40.00
Re-vaccination.
14
...
...
...
...
...
...
49.59
...
...
...
49.57
61.69
...
...
27.27
61.38
...
...
...
...
43.18
...
43.18
APPENDICES.
vii.
B.—DISPENSARY VACCINATION.
STATEMENT No. III—Showing dispensary vaccination in the Province of Burma for the year 1897-98—concluded.
No.
1
20
21
23
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
District.
2
Mandalay division—
Mandalay...
...
Bhamo... ...
Katha... ...
Ruby Mines... ...
Myitkyina... ...
Mogaung (subdivision)... ...
Total...
Sagaing division—
Shwebo... ...
Sagaing... ...
Lower Chindwin... ...
Upper Chindwin
...
...
Total...
Minbu division—
Thayetmyo... ...
Pakôkku... ...
Minbu... ...
Magwe... ...
Total...
Meiktila division—
Meiktila... ...
Yamèthin...
...
Kyauksè... ...
Myingyan...
...
...
Total...
Shan States—
Northern Shan States...
Southern Shan States...
Total...
GRAND TOTAL...
Number of dispensaries in
each district to which a vac-
cinator is attached.
3
5
2
2
1
3
3
15
3
4
3
3
11
3
3
2
3
11
3
3
3
3
10
1
6
7
98
Average number of vacci-
nators attached to dispen-
saries during the season.
4
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
Total number of persons
vaccinated.
5
132
144
62
107
9
68
523
757
1,345
853
126
3,081
175
......
......
289
464
283
......
......
206
489
31
14
45
9,764
Average number of persons
vaccinated by each vacci-
nator.
6
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...
......
......
......
PRIMARY VACCINATION.
Total.
7
132
144
32
107
7
68
490
672
1,345
853
136
2,996
175
......
......
139
314
283
......
......
206
489
31
14
45
5,151
Successful.
Under one year.
8
25
115
14
44
6
27
231
118
970
214
14
1,316
49
......
......
2
51
174
......
......
48
223
2
1
3
1,954
One and under
six years.
9
87
39
10
59
1
33
219
314
295
547
84
1,340
76
......
......
......
76
58
......
......
125
183
16
11
27
2,086
Total
of all
ages.
10
126
144
24
103
7
63
466
633
1,287
844
109
2,873
161
......
......
133
299
261
......
......
199
460
31
14
45
4,391
RE-VACCINATION.
Total.
11
......
......
30
......
3
......
32
85
......
......
......
85
......
......
......
150
150
......
......
......
......
......
......
......
......
4,613
Successful.
12
......
......
......
......
1
......
1
80
......
......
......
80
......
......
......
68
68
......
......
......
......
......
......
......
2,407
PERCENTAGE OF SUCCESS-
FUL CASES.
Primary.
13
95.45
100.00
75.00
96.26
100.00
91.18
95.10
94.20
95.69
98.94
86.51
95.89
92.00
......
......
99.28
95.32
93.23
......
......
96.60
94.07
......
100.00
100.
94.95
Re-vaccination.
14
......
......
......
......
50.00
......
3.13
94.12
......
......
......
94.12
......
......
......
45.33
45.33
......
......
......
......
......
......
......
52.18
Columns 4 and 6 are left blank as the work was performed by Civil Surgeons and Hospital Assistants, not by vaccinators. No vaccinators are attached to these dispensaries.
viii
APPENDICES.
STATEMENT No. IV.—Showing the number of persons primarily vaccinated and the number of those persons who were successfully vaccinated in the Province
of Burma in each of the undermentioned official years.
Establishment.
Government ...
Municipal ...
Local Funds ...
Native States ...
Dispensaries ...
Army—
Europeans ...
Natives
...
Total ...
PERSONS PRIMARILY VACCINATED.
Total number.
Number successfully vaccinated.
1888-89.
11,614
19,649
41,986
...
4,075
39
84
77,447
10,436
1,7341
35,320
...
3,077
34
69
66,277
Total number.
Number successfully vaccinated.
1889-90.
2,881
34,841
87,218
...
7,479
46
6
1,32,471
2,476
29,503
74,578
...
35
6
1,11,965
Total number.
Number successfully vaccinated.
1890-91.
2,210
34,751
1,01,338
...
7,505
45
75
1,45,924
1,532
29,147
86,645
...
5,801
30
14
1,23,169
Total number.
Number successfully vaccinated.
1891-92.
3,531
38,541
1,05,587
...
6,220
40
47
1,53,966
2,716
33,665
89,735
5,126
10
1
1,31,253
Total number.
Number successfully vaccinated.
1892-93.
4,144
47,503
1,39,748
...
2,857
83
133
1,94,468
3,503
40,608
1,21,326
...
2,395
35
77
1,67,944
Total number.
Number successfully vaccinated.
1893-94.
67,777
73,315
91,302
...
4,143
... 761
...
2,36,298
60,498
62,372
82,333
...
3,455
...
443
...
2,09,001
Total number.
Number successfully vaccinated.
1894-95.
85,936
64,647
1,13,991
...
6,690
97
533
2,71,894
77,976
57,908
1,02,437
...
6,127
53
354
2,44,855
Total number.
Number successfully vaccinated.
1895-96.
92,369
81,340
1,55,537
...
6,056
68
604
3,35,974
85,137
74,204
1,42,638
...
5,546
45
329
3,07,899
Total number.
Number successfully vaccinated.
1896-97.
1,18,666
83,282
1,88,718
...
5,466
31
655
3,96,818
1,10,486
78,036
1,72,580
...
4,964
26
390
3,66,482
Total number.
Number successfully vaccinated.
1897-98.
95,153
82,934
2,22,231
...
5,151
80
379
4,05,928
88,851
78,827
3,10,880
...
4,891
50
249
3,83,748
APPENDICES.
ix.
STATEMENT No. V.—Showing particulars of vaccinations verified by Inspecting Officers in Burma.
District
Akyab
...
...
...
Arakan Hill Tracts... ... ...
Kyaukpyu...
...
Sandoway
...
...
Hanthawaddy... ...
Rangoon... ...
Pegu... ...
Tharrawaddy...
...
Prome... ...
Thôngwa...
...
Bassein...
...
Henzada...
...
Myaungmya...
...
Amherst...
...
...
Tavoy... ...
Mergui...
...
Thatôn... ...
Toungoo...
...
Salween Hill Tracts... ...
Mandalay...
...
Bhamo...
...
...
Katha... ...
Ruby Mines
...
...
...
Myitkyina... ...
Mogaung...
...
...
Shwebo...
...
Sagaing...
...
...
Lower
Chindwin...
...
Upper Chindwin...
Thayetmyo...
...
Pakôkku... ...
Minbu...
...
Magwe...
...
Meiktila... ...
Yamèthin... ...
Kyauksè...
...
Myingyan...
...
Northern Shan States
...
Southern Shan States...
total...
Total number of persons vaccinated.
7,340
1,368
9,355
21,499
28,751
12,047
13,304
19,269
25,140
20,547
13,726
28,216
6,475
19,762
11,754
6,479
23,147
13,427
1,620
17,679
2,807
2,233
1,925
305
536
20,930
13,537
8,947
7,184
16,384
10,036
4,787
7,817
3,774
8,121
4,922
11,741
1,404
3,285
431,550
TOTAL NUMBER INSPECTED.
By Deputy Sanitary Com-
missioner or Civil Sur-
geons.
1,737
...
1,099
4,713
3,175
10,403
1,934
3,210
3,834
3,993
3,042
3,301
2,106
1,600
3,396
3,642
3,855
2,890
...
2,483
1,422
1,307
1,226
178
291
2,792
6,131
5,703
1,158
1,642
3,444
1,509
1,741
2,382
2,801
2,640
1,927
254
675
97,439
By Native Superintend-
ents or other inspecting
officers.
3,535
97
80
...
23,713
...
77
1,051
2,356
3,978
5,218
794
261
7,168
792
736
1,904
7,710
73
4,080
363
16
...
55
82
37
1,379
391
414
1,724
110
916
747
108
2,135
...
552
...
665
1,297
PERCENTAGE OF INSPECTIONS TO TOTAL
NUMBER VACCINATED.
By Deputy Sanitary Com-
missioner or Civil Sur-
geons.
23.66
...
11.75
21.92
11.04
86.35
14.54
16.66
15.25
14.57
23.16
11.34
32.53
8.10
28.89
40.78
16.65
21.52
...
14.05
50.66
54.05
63.69
58.36
55.32
13.35
45.29
63.74
16.12
10.02
34.35
31.52
22.31
63.12
34.49
53.64
16.41
18.09
20.55
22.58
By Native Superintend-
ents or other inspecting
officers.
48.16
7.09
.86
...
79.00
...
.58
5.45
9.37
14.49
38.02
2.81
4.03
36.27
6.74
11.21
8.23
57.42
4.51
23.09
12.93
.72
...
18.03
15.59
.18
10.19
4.37
5.76
10.53
1.10
19.14
9.56
2.86
26.17
...
4.70
...
20.24
16.52
PERCENTAGE OF CASES FOUND SUCCESS-
FUL TO TOTAL NUMBER INSPECTED.
By Deputy Sanitary Com-
missioner or Civil Sur-
geons.
90.33
...
87.35
97.24
55.24
88.79
82.99
97.35
90.85
80.42
96.42
94.06
85.52
93.31
92.99
97.39
97.41
73.91
...
99.15
96.91
73.32
94.86
90.45
92.44
84.13
96.71
97.97
75.65
91.78
91.35
90.52
91.80
98.07
80.29
95.04
91.54
77.95
86.81
...
By Native Superintend-
ents or other inspecting
officers.
93.64
95.88
98.75
...
89.43
...
83.12
98.38
94.19
98.79
93.25
72.67
78.16
95.37
95.20
94.77
95.48
90.40
75.34
98.82
96.14
93.75
...
90.91
78.05
63.16
95.94
94.63
77.54
100.00
66.36
94.32
98.66
87.96
97.69
...
89.49
...
92.48
...
Percentage of successes reported by
vaccinators.
91.42
90.27
88.96
97.19
89.82
85.82
91.15
97.67
95.06
89.99
90.35
94.10
91.85
95.95
93.68
91.76
95.00
82.47
90.68
96.73
97.60
83.87
94.48
90.32
88.58
92.02
95.98
98.52
71.70
94.02
90.18
94.19
94.62
91.53
80.14
96.46
91.25
79.82
90.71
...
c
APPENDICES.
xi.
STATEMENT NO. VI.—Showing the number of vaccinations verified by Civil Surgeons,
Superintendents of Vaccination, and Hospital Assistants in the Province of Burma
for the year 1897-98— concluded.
Division.
1
MEIKTILA
...
SHAN STATES
No.
2
34
35
36
37
38
39
District.
3
Meiktila
...
Yamèthin
... ...
Kyauksè
...
Myingyan ... ...
Northern Shan States
Southern Shan States
Name of Medical Officer.
4
Surgeon-Captain B. J. Singh ...
Surgeon-Captain K.Prasad ...
Surgeon-Captain H. O'Reilly ...
Surgeon-Lieutenant E. R. Rost ...
Surgeon-Captain T. W. Stewart ...
Senior Assistant Surgeon G. H. Camp-
bell.
3rd grade Assistant Surgeon San C. Po
Surgeon-Captain A. R. P. Russell ...
Senior Assistant Surgeon J. E. Camp-
bell.
Dr. L. G. Fink ...
TOTAL NUMBER
OF CLASS SEEN.
Civil Surgeon.
5
255
232
29
1,866
2,801
1,051
1,589
1,927
254
675
Hospital Assistant.
6
...
... ... 108
2,125
...
...
552
...
610
Total number of cases found
successful.
7
2,431
4,325
2,509
2,258
198
1,147
Total number of cases declared
to be successful.
8
3,460
7,317
4,748
10,691
1,127
2,984
Percentage of successful cases
verified.
9
70.26
59.11
52.84
21.13
17.57
38.44
G. B. C. P. O.—No. 2873, B. S., 29-7-98—370.
NOTES ON THE STATISTICS
OF
VACCINATION IN BURMA
FOR
THE YEAR 1897-98.
RANGOON:
PRINTED BY THE SUPERINTENDENT, GOVERNMENT PRINTING, BURMA.
1898.
[ Price,—Re. 0-8- . ]
TRIENNIAL REPORT
ON
VACCINATION IN BURMA
For the years 1896-97—1898-99.
RANGOON:
PRINTED BY THE SUPERINTENDENT, GOVERNMENT PRINTING, BURMA.
1899.
[ Price,—Re. 0-8-0. ]
TRIENNIAL REPORT
ON
VACCINATION IN BURMA
For the years 1896-97—1898-99.
RANGOON:
PRINTED BY THE SUPERINTENDENT, GOVERNMENT PRINTING, BURMA.
1899.
RESOLUTION
ON THE
TRIENNIAL REPORT ON VACCINATION IN BURMA
For the years 1896-97—1898-99.
Extract from the Proceedings of the Government of Burma in the General Department, No. IZ.—12, dated
the 1st August 1899.
READ—
The Report on Vaccination in Burma for the period 1896-97 to 1898-99.
Delay in submission.
THIS report, which was due in the Secretariat on the 31st May, was received
on the 30th June. The delay on the part of the
officers and bodies mentioned by the Superintendent-
General in the submission of the reports for the area under their charge should be
explained. It is not understood why the returns for the Municipality of Ran-
goon, where a Municipal Health Officer has special charge of the vaccination
operations, should have been the latest of all.
General results.
2. The period dealt with in the report is the triennium from 1st April 1896
to 31st March 1899. During this period there has
been a general increase throughout the province,
both in the number of operations performed and in the outturn of work of the
vaccinating staff. The ratio per cent. of successful primary vaccinations has risen
from 90.33 in the previous triennial period to 93.94 in the period under review,
and the percentage of successful re-vaccinations averages 60.07 for the past three
years as compared with 47.56 in the previous period. The total number of re-
vaccinations performed has, however, fallen from 128,823 in the previous triennium
to 72,905 in the period under review, a result which appears to be due in part at
least to more accurate classification. It is satisfactory to note that the number
of persons successfully vaccinated per mille of population, which in the previous
period averaged 33.01, now averages 49.07.
* Letpadan.
Gyobingauk.
Kyaikto.
Thônzè.
The general improvement indicated above may be attributed in part to the
increase of the establishment, which during the past three years has been augmented
by two native superintendents and 30 vaccinators, and in part to the introduc-
tion of the Vaccination Act into four more municipal towns.*
The most marked increase in the number of operations occur-
red during the year 1898-99 and was probably one of the re-
sults of the severe epidemic of small-pox which visited Ran-
goon and the neighbouring districts at the end of 1898 and the beginning of 1899.
RESOLUTION ON THE TRIENNIAL REPORT ON VACCINATION IN BURMA FOR THE YEARS 1896-97-1898-99.
5
the population, the attitude of the people towards vaccination, and the cost and
difficulty of travelling. But the conditions in municipal towns vary but little, and
His Honour is not satisfied that the high cost of vaccination in some munici-
palities could not be reduced.
Local Funds continue to bear about one-half the total cost of vaccination,
Government and Municipal Funds sharing the balance in the proportion of 21 per
cent. and 29 per cent. respectively. The ratio of expenditure borne by Local and
Municipal Funds has, however, shown a steady decrease during the past three
years, while that borne by Government has, owing to the establishment of a vaccine
depôt at Taunggyi in the Southern Shan States, shown a corresponding increase.
Progress of vaccination and pre-
valence of small-pox.
11. Beyond tabulating some statistics in the body of his report, the Super-
intendent-General gives no assistance in arriving at
conclusions as to the effect of vaccination in afford-
ing security against small-pox. The number of per-
sons protected in Lower Burma is much higher than fifteen years ago, while the
mortality from small-pox is somewhat less heavy. These figures by themselves
scarcely justify the assumption of any relation of cause and effect. On the other
hand, in the towns of Lower Burma, which are comparatively well protected, the
death-rate from the disease continues to be below that which prevails in rural
tracts, the rate per mille of population in 1898 being .85 and 1.10 respectively. It
appears also on the whole that those districts which are best protected suffer
least from the ravages of the disease. As remarked in a former review, the
area of operations is not yet sufficiently wide to make it an easy matter to demon-
strate by statistics the undoubted value of vaccination. Year by year as the field
is extended this difficulty will doubtless disappear.
Vaccination of coolies.
12. The question of amending the Vaccination Act with the special object
of providing for the compulsory vaccination of cooly
immigrants from Madras has been under discussion
for some time, but a final decision has not yet been arrived at. Opinions are not
unanimous on the subject, and it is well that it should be thoroughly considered
from all points of view before action is taken.
General remarks.
13. The report is marred to some extent by the inclusion of too many
tables and statements. For the sake of convenience
of comparison and intelligibility, it is desirable that
comment and inferences should be based as far as possible on the prescribed state-
ments attached to the report. Attention is invited to the orders on this matter
contained in paragraph 2 of the Chief Commissioner's Resolution No. 561 dated
the 27th January 1888.
The question of the extent to which the practice of inoculation is carried on
is of interest and might have been mentioned.
By order of the Lieutenant-Governor,
J. B. WINGATE,
Offg. Secretary to the Govt. of Burma.
2
TRIENNIAL REPORT ON VACCINATION IN BURMA FOR THE YEARS 1896-97—1898-99.
The total number of persons vaccinated during the period under review was
1,302,939 or 348,902 in excess of the aggregate number operated on in the pre-
ceding triennial period. The increase is exclusively due to primary operations
which show a steady and progressive improvement from year to year throughout
the period dealt with in the table, whilst re-vaccinations, except in 1898-99, have
since 1894-95 declined.
The average amount of work done by each vaccinator has also considerably
increased during the three years under reference as compared with the preceding
period of similar duration. In 1893-94 to 1895-96 the average was 2,269, whilst
in 1896-97 to 1898-99 it rose to 2,579. Side by side with the increase in quantity,
the quality of the work has also considerably impoved. The percentage of suc-
cess in primary operations has increased from 90.33 in the preceding three years
to 93.94 in the period under discussion, whilst in the case of re-vaccinations the
ratio during the same period has risen from 47.56 to 60.07 per cent. Again,
comparing the annual figures, it is noticeable that in primary cases the ratio of
success has steadily increased from 88.64 per cent. in 1893-94 to 94.71 in 1898-
99. In re-vaccinations the improvement is more conspicuous, though not so
regular and uniform. The ratio of persons successfully vaccinated per mille of
population likewise shows a steady enhancement. In 1893-94 the protection
amounted to 27.73, while during the last year of the triennium under review it
had increased to 53.03.
7. The following table gives, district by district, the total number of primary
and re-vaccinations performed in each of the three years of report as well as the
number of successful cases, their ratio per cent. to the total treated, and the
average number of persons operated on by each vaccinator:—
6
TRIENNIAL REPORT ON VACCINATION IN BURMA FOR THE YEARS 1896-97—1898-99.
Generally, there has been an improvement in the total outturn of work and the
average number of persons vaccinated by each vaccinator within municipal areas.
Thus, in 16 towns out of 41 there was a steady increase under both heads. In 11
others, though there was a falling off in 1897-98, the figures of 1898-99 show a
considerable rise. In 8 towns there was a continnous decline, whilst the remaining
6 towns show a decrease in 1898-99 only. The falling off was most marked and
steady in the following towns—
Akyab.
Ramree.
Shwebo.
Rangoon.
Myingyan.
Myanaung.
Pyinmana.
The decrease in Ramree is not explained by the Superintendent concerned,
while that in Rangoon will be touched upon in paragraph 23. The decline in
other towns grouped above is said to be due to paucity of subjects. In Sandoway
there was a very large falling off in 1898-99 as compared with 1897-98. This is
only apparent and not real as the figures of 1897-98 were abnormal, owing to an
apprehension of an epidemic of small-pox, all the people in the town both young
and old being vaccinated.
11. The quality of work done within municipal limits during the period under
review has likewise greatly improved, Pakôkku being the only town where there
was a steady and large decline (from 94 in 1896-97 to 87.65 in 1898-99).
The ratio of successful cases in the triennium to the total treated was highest
in Shwegyin, Mandalay, and Yandoon ,and lowest in Zalun and Toungoo. In the
last place, however, the improvement made in 1898-99 is very considerable.
12. The results of primary successful vaccinations by age periods during the
triennial under report as contrasted with the previous three years are set forth
in the subjoined table:—
Year.
1893-94 ... ... ... ...
1894-95 ... ... ... ...
1895-96 ... ... ... ...
Total ...
Average ...
Ratio per cent. ...
1896-97 ... ... ... ...
1897-98 ... ... ... ...
1898-99 ... ... ... ...
Total ...
Average ...
Ratio per cent. ...
AGE PERIODS.
Under one year.
48,708
57,347
70,247
176,302
58,767
21.36
103,483
109,977
120,471
333,931
111,310
27.15
Over one year
and under six
years.
109,118
132,587
159,397
401,102
133,701
48.61
175,139
189,457
209,159
573,755
191,252
46.65
Over six years.
47,277
48,387
72,335
167,999
56,000
20.36
82,480
79,124
86,206
247,810
82,603
20.15