TRIENNIAL REPORT ON VACCINATION IN BURMA FOR THE YEARS 1890-91 TO 1892-93.
5
was not in force in these towns for the whole period under review. Of the four
remaining towns in respect of which figures are available, Shwedaung is the only
one in which the infant population has been protected. Pegu is the most back-
ward. The Act has not been extended to these four, nor can it be to the three
last, as they are not Municipal towns. In the case of Pegu, however, there is no
reason why it should not be.
In the following table the same particulars as have been given in respect of
towns are exhibited for the districts, excluding the towns above noted. An addi-
tional column has been provided showing the percentage of successful vaccina-
tions to children living.
District.
1
Akyab ... ...
Kyaukpyu ... ...
Sandoway ... ...
Hanthawaddy ... ...
Pegu ... ...
Tharrawaddy ... ...
Prome ... ...
Thôngwa ...
Bassein ... ...
Henzada ... ...
Thayetmyo ... ...
Amherst ...
Tavoy ... ...
Mergui ... ...
Shwegyin ... ...
Toungoo ... ...
Average annual number
of births for the three
years 1890 to 1892.
2
5,927
4,106
2,226
5,754
6,785
9,839
6,496
5,525
6,895
10,016
5,136
6,130
1,549
1,397
2,972
1,862
Average annual number
of deaths for the three
years 1890 to 1892.
3
1,447
755
364
964
1,366
1,319
683
923
849
1,501
767
545
64
88
294
283
Number living after de-
ducting figures in
column 3.
4
4,480
3,351
1,862
4,790
5,419
8,520
5,813
4,602
6,046
8,515
4,369
5,585
1,485
1,309
2,678
1,579
Average annual number
of children under one
year successfully vac-
cinated for the three
years 1890-91 to 1892-
93.
5
816
387
132
3,643
286
1,044
1,147
705
646
411
767
2,149
226
57
494
325
Percentage of successful
vaccinations to aver-
age number living
(column 4).
6
18.21
11.55
7.09
76.05
5.28
12.25
19.73
15.32
10.68
4.83
17.55
38.48
15.35
4.35
18.45
20.58
The Hanthawaddy and Amherst districts give the best results, and Mergui,
Pegu, and Sandoway the poorest.
. Small-pox is practically endemic in the Pegu district, and I would suggest
that, in consideration of its proximity to Rangoon and the facilities which exist of
affording complete protection to its population by means of private and public
vaccinators, it be selected as one of the areas in which inoculation shall be prohi-
bited by legislation, as was done in the districts of Kumaon and Ghurwal in
India. The time has also come, I think, for the prohibition of inoculation in all
large towns in which vaccinators are employed, as was done in Bengal when Act
IV (Bengal) of 1865 was passed.
For the good effects resulting from complete protection I need only to
point to Rangoon. For the five years ending December 1884 the number of
deaths from small-pox in the town amounted to 1,806, which gives an average of
361 per annum, while after the Vaccination Act was enforced, the total number
of deaths from small-pox for the five years ending December 1889 was 68, or an
annual average of 13 only.
Statement No. II, Establishment and Expenditure.—The
establishment
employed has been much the same for the past three years. The expenditure,
which in 1890-91 and 1891-92 amounted to Rs. 32,485 and Rs. 32,663, was for
the year just closed Rs. 31,253. A lesser amount was spent on pay and travelling
allowance than during the two previous years, while contingencies, though more
than for the year immediately preceding, cost less than in 1890-91.
The average cost of each successful case for the past three years has been
Re. 0-4-9, Re. 0-5-3, and Re. 0-4-2 respectively. For the last of those three
years it was highest in the Arakan Hill Tracts, Salween and Pegu districts (Re.
0-8-4, Re. 0-13-0, and Re. 0-8-8 respectively). At Akyab and Shwegyin the
2