2
REPORT ON VACCINATION IN BURMA FOR THE YEAR 1889-90.
6. Statement No. II gives details concerning establishment, the sources
whence funds are obtained, and the average cost of successful cases.
7. The expenditure under the head " Establishment " is Rs. 23,369 against
Rs. 22,746 during the previous year, the increase of Rs. 623 being due to the
larger number of vaccinators employed. To the same reason in part, but
mainly to the vigour with which vaccination has been pushed, must be attribut-
ed the excess, amounting to Rs. 477, disbursed as travelling allowances.
The total cost was met as follows: Rs. 16,148 from Local funds, Rs.
11,797 from Municipal funds, Rs. 830 received from Government.
8. The cost of each successful case ranged from 10 annas 8 pies in the
Hill Tracts, Northern Arakan, to 1 anna 7 pies in Toungoo; the average cost for
the province was 4 annas 7 pies against 6 annas in 1888-89.
9. Except at Kyaukpyu, where there has been a slight rise (5 annas 4 pies
against 5 annas 1 pie), the cost of a successful case has diminished in every district.
The decrease is very noteworthy in the Shwegyin, Sandoway, and Tavoy districts.
The cost of each successful case in the Toungoo district, which was Rs. 3-9-5 in
1887-88, is now less than that paid in any other district. A satisfactory reduc-
tion in the cost of successful cases is shown in the Arakan Hill Tracts, where the
amount has fallen from Rs. 1-10-4 in 1888-89 to 10 annas 8 pies in 1889-90.
10. In Statement No. III particulars of dispensary vaccination are
given. The total number of cases operated on was 4,400 against 4,187 in the
previous year. The proportion of success in primary operations is inferior to
that returned by the regular establishment.
11. Statement No. IV shows the numbers of primary operations per-
formed during each of the past ten years by the establishments maintained by
Municipal, local, and other funds.
UPPER BURMA.
12. Vaccination has during the year 1889-90 received considerable at-
tention. The number of vaccinators at work in the previous year was nine, four
of whom were paid by the Mandalay Municipality, one by the Pyinmana dis-
trict fund, and four by Government. Early in May sanction to the employment
of a vaccinator in each district not already provided with one was accorded.
The districts to which the above sanction applied were Bhamo, Katha, Ruby
Mines, Upper Chindwin, Magwe, Pakôkku, Yamèthin, Meiktila, and to the
Mogaung subdivision, which was in charge of a separate Civil Medical Officer.
As the full number of vaccinators could not be obtained at once probationers
were entertained and trained at Mandalay, and whilst under instruction received
Rs. 8 per mensem.
13. The months in which vaccinators joined those districts are given
below.
Katha and Meiktila
...
...
...
Yamèihin
...
...
...
...
Ruby Mines
Upper Chindwin
Bhamo
Magwe
Pakôkku
... ... ...
Mogaung ... ... ... ...
June 1889.
May 1889.
July 1889.
February 1890.
For Mogaung no man could be obtained on the pay offered, Rs. 15
rising to Rs. 20 by annual increments of Re. 1, and the vaccinator at Bhamo
had eventually to be transferred to Mogaung when it was found possible to
replace him.
14. As a temporary measure sanction to the entertainment of a vaccinator
at Amarapura was also obtained in April 1889; this vaccinator continued to
work throughout the year. For want of funds the vaccinator previously
employed at Pyinmana was discharged in March 1889 ; but, on a representation
made to the Deputy Commissioner, two vaccinators for the town and two for the
district were engaged as a temporary measure, and work was resumed about the
middle of January last.