2
TRIENNIAL REPORT ON VACCINATION IN BURMA FOR THE YEARS 1893-94—1895-96.
years was 100 against 70 for the preceding triennial period. The increase in the
number of operations, therefore, has been in keeping with the increase in establish-
ment, namely,—
Increase in operations, 47 per cent.
Increase in establishment, 43 per cent.
4. The operations performed in each district for the past three years are
contrasted in the statement annexed.
District.
Akyab ... ... ...
Paletwa
...
...
...
Kyaukpyu
...
...
...
Sandoway
...
...
...
Hanthawaddy ... ... ...
Pegu ... ... ...
Tharrawaddy
...
...
...
Prome
...
...
...
Thôngwa
...
...
...
Bassein
...
... ....
Myaungmya ... ... ...
Henzada
... ... ...
Amherst ... ... ...
Tavoy
...
...
...
Mergui
...
...
...
Toungoo
... ... ...
Sahween
... ... ...
Thatôn
Shwegyin ... ... ...
Thayetmyo ... ... ...
NUMBER OF OPERATIONS PERFORMED.
1893-94.
2,290
1,362
5,908
10,032
49,146
4,658
8,567
10,993
9,516
9,428
1,089
14,517
18,732
6,457
4,031
3,718
2,258
...
5,799
7,307
1894-95.
5,252
1,386
3,761
9,998
68,237
5,941
10,057
13,642
9,993
9,290
3,852
12,885
18,659
8,313
4,232
3,933
2,034
...
6,403
8,224
1895-96.
9,826
1,533
9,119
15,375
60,504
8,122
15,796
23,910
10,986
9,922
4,941
13,344
15,749
9,142
4.833
9,582
1,483
9,655
...
9,023
Total.
17,368
4,281
18,788
35,405
177,887
18,721
34,420
48,545
30,495
28,640
9,882
40,746
53,140
23,912
13,096
17,233
5,775
9.655
12,202
24,5.4
*Kyaukpyu, Sandoway, and Bas-
sein.
In 11 of the 19 districts the progress has been regular; in three* others the
work done in 1894-95 was less than for the preced-
ing year, but the operations in 1895-96 were far in ex-
cess of the two previous years, while in the Henzada,
Amherst, and Salween districts there has been a decline. In the Hanthawaddy
district the operations during the last two years were more than in 1893-94, but the
increase in 1895-96 was not as great as in the previous year. The operations
performed during part of 1895-96 in the old Shwegyin district are included in
the returns of the districts by which it has been absorbed.
Taking the older districts, the areas of which have not been much changed
for many years past, the largest number of operations during the three years of
report were performed in the Hanthawaddy, Amherst, Prome and Henzada districts
in the order mentioned, and the least in the Arakan, Salween Hill Tracts and
Mergui districts, but when the population to be dealt with in each district is con-
sidered, the Arakan Hill Tracts—in which the number of vaccinations was least—
is about the best protected, 90 per mille of the population having been successfully
vaccinated, whilst the first place is occupied by Sandoway (176 per mille),
Hanthawaddy, Amherst, Prome, and Henzada taking the fourth, sixth, fifth and
seventeenth places respectively. Turning now to the ratio per mille of persons
successfully vaccinated during the previous five years, the Hanthawaddy, Arakan
Hill Tracts and Sandoway districts give the largest averages, namely, 70.37,
62.47 and 60.07 respectively; but the question suggests itself, Are these figures
reliable ? Is the population of these districts protected to the extent indicated?
In respect of the Arakan Hill Tracts district no conclusions can be drawn as
the district is not under registration and the mortality from smallpox cannot be
ascertained. The check can, however, be applied to the other two districts, and
in the case of the Hanthawaddy district, seeing that the average number of deaths
from small-pox for the previous five years was next to Akyab and Prome greatest
(264), it is evident that the figures are unreliable. At Akyab and Prome the
quinquennial ratio per mille of persons protected is returned as 15.84 and 28.32