NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
Extract from the Proceedings of the Resident at Hyderabad, No. 1893-R.,
dated Hyderabad Residency, the 22nd July 1886.
Read—
Report on Vaccination in the Hyderabad Assigned Districts for the year 1885-86.
RESOLUTION.
THERE has been a slight falling off in the result obtained by the department
during the year under review as compared with 1884-85. This is ascribed to
the fact that 23 vaccinators were employed on cholera duty for varying periods
up to three months. This is quite sufficient to explain the decrease. Nevertheless
the number of operations is far above the average for the past five years.
2. The operations have been more successful than in 1884-85, the percent-
age of success in primary vaccination having risen to 95.6.
The average number of operations performed by each vaccinator was 2,169,
which may, under the circumstances, be considered an exceedingly good figure.
3. The number of children under one year who were successfully protected
was 72,860, or 69.3 per cent. of the estimated births. As, however, Dr. Little
points out, the percentage above shown does not represent quite accurately what
it professes to do.
4. The table given in the 8th paragraph of the report under review shows
that Berar compares most favourably with other parts of India in the matter of
vaccination, and Colonel Ross is glad to remark that the high standard attained
in 1884-85 is kept up.
5. The Resident will consider separately any proposal for rewarding the
most deserving among the vaccinators.
6. The amount of inspection duty was much the same as in the preceding
year. The number of cases examined increased, but fewer villages were visited.
7. The expenditure of the department shows a trifling increase, but not so
much as to call for any notice.
8. The Officiating Resident has much pleasure in tendering his thanks to those
gentlemen who are mentioned in the concluding paragraph of Dr. Little's report
as having assisted the Vaccination Department. It is satisfactory to hear that
there is little or no hostility to vaccination in Berar, and its absence is, no doubt,
attributable to the interest taken by native gentlemen of influence and position.
(By order.)
J. R. FITZGERALD,
Secretary for Berar to the Resident.
B187
REPORT
ON
VACCINATION
IN THE
HYDERABAD ASSIGNED DISTRICTS,
FOR THE
OFFICIAL YEAR 1886—87.
BY
SURGEON-MAJOR CHARLES LITTLE, M. D.
Hyderabad:
PRINTED AT THE RESIDENCY GOVERNMENT PRESS.
1887.
Price 1 Re. per copy.
TABLE OF CONTENTS.
Strength of department ... ... ... ...
Establishment ... ... ... ... ...
Conduct of the staff
... ... ... ... ...
Punishment ... ... ... ... ...
Lymph ... ... ... ... ...
Season's work ... ... ... ... ...
Desirability of having special vaccinators for the Melghat ...
Annual Statement No. 1 ... ... ... ...
Result of operations ... ... ... ... ...
Amount of work performed in each town and circle ... ...
Inspection by District Superintendents ... ... ...
Notice of Superintendents ... ... ... ...
Inspections by Civil Surgeons ... ... ... ...
Statement No. II—Cost of department ... ... ...
Do.
No. III.—Dispensary vaccination ... ... ...
Annual Statement No.IV ... ... ... ...
Conclusion ... ... ... ... ...
Para.
2
3
4
5
6
7
8
9
10
11
12
13
14
13
16
17
18
96-B
No. 3659 OF 1887.
From
LESLIE S. SAUNDERS, ESQ., C.S.,
Commissioner, Hyderabad Assigned Districts,
To
THE SECRETARY FOR BERAR TO THE RESIDENT,
Hyderabad.
DATED AMRAOTI, 13th July 1887.
SIR,
I have the honour to forward the Vaccination Report for the past year
1886-87, which reached me on the 3rd instant.
2. The year's work (including the operations performed in Melghat) appears
to have been as follows, compared with the results of the three preceding
years:—
Number of operations ...
Percentage successful ...
1883-84.
86,471 ...
92.6 ...
1884-85.
101,134 ...
94.9 ...
1885.86.
97,654 ...
95.4 ...
1886.87.
95,504
95.8
There has accordingly been a falling off, amounting to 2.2 per cent., in the
number of operations, the total number being less than in 1885-86; but the per-
centage of successful cases shows a fair improvement. This diminution in the
number of vaccinations is attributable to the unhealthiness of the year, owing to
which the birth-rate among infants decreased.
3. The number of operations performed by the special establishment was
86,934, as compared with 91,904 in 1885-86. Individually also the average
amount of work done by each operator has been less than last year, the general
average number of operations performed by each vaccinator having been 2,070,
against 2,169.
The percentage of success in primary vaccinations is given as 96.2, as against
95.6 for 1885-86. The number of secondary operations by vaccinators was only
36, of which 7, or 19.5 per cent., were successful, and 29, or 80.5 per cent., were
unsuccessful or doubtful.
The highest percentage of successful vaccinations (primary) is returned from
Amraoti, 97.3; while the other districts all show 95 per cent. or over.
The proportion of infants among those vaccinated is a satisfactory feature.
It would also appear, from Dr. Little's figures in table 5, that of the total
number of infants living at the end of the year, 64.9 had been protected by
vaccination.
4. The work of supervision by the officers of the special department appears
to have improved, 66.9 per cent. of the total operations having been verified,
against 63.7 per cent. last year, while the work has been inspected in 3,774 vil-
lages, against 3,619 in last year's returns. The supervision work, however, per-
formed by Civil Surgeons is still defective. In only two districts, Wun and
Basim, is it shown that any work of the kind was done, and only in the latter
district was the amount of work adequate.
B96
( 2 )
5. The vaccination establishments remain the same as they had been for the
previous year. Their total cost was Rs. 17,119-11-4, all of which was paid
from provincial funds. The average cost for each successful operation for the
province was Annas 3-3, against Annas 3-1 in former year. The average cost
varied from Annas 2-6, the minimum, in the Amraoti District, to Annas 3-8,
the maximum, in the Ellichpur District.
6. More vaccination work was done at dispensaries during 1886-87 than in
the preceding year, and this is satisfactory. The percentage of successful pri-
mary vaccinations was 92.3, that of secondary vaccinations 58.3 per cent. It
may be noticed that the percentage of successful primary vaccinations are lower
than those returned by the special establishment by 4 per cent. Compared with
the previous year, the number of operations at dispensaries has risen generally;
operations in the Buldana District only have somewhat fallen off. The Superin-
tendent of Vaccination has omitted to notice in this Report the negligence in
vaccine operations in the town of Khamgaon, which was imputed by him to the
medical officer of the dispensary there. I have already referred to the matter in
my remarks on the Sanitary Report for 1886 now before the Resident, and I
hope such neglect of duty will not again occur.
7. The attitude of the people towards vaccination has improved, and it is
gratifying to find that Dr. Little is able to record his satisfaction at the way his
own establishment have worked and for the assistance he has received at the hands
of the native gentlemen named in the concluding paragraph of his Report.
I have the honour to be,
Sir,
Your most obedient servant,
LESLIE S. SAUNDERS,
Commissioner, Hyderabad Assigned. Districts.
FROM
SURGEON-MAJOR CHARLES LITTLE, M.D.,
Superintendent of Vaccination,
Hyderabad Assigned Districts,
To
L. S. SAUNDERS, ESQ., C.S.,
Commissioner, Hyderabad Assigned Districts.
SIR,
I have the honour to submit my Annual Report on the working of the Vacci-
nation Department of the Hyderabad Assigned Districts for the year 1886-87.
Strength of department.
2. The strength of the department was the
same as last year.
Establishment.
3. During the year under report one vaccinator was put on the pension list,
two were dismissed, and one died. These vacancies
were filled up by promoting the most deserving of
the apprentices trained for the purpose in the department.
Conduct of the staff.
4. The conduct of the department throughout the year was on the whole
satisfactory, with one exception, which is under
investigation.
Punishment.
5. In all 22 punishments were inflicted: 14 fines, 5 reductions, 2 dismissals,
and 1 suspension. These men were punished
chiefly for allowing their lymph to die out and
for slow progress.
Lymph.
6. Humanized lymph was kept up in all districts throughout the year.
But in October it was renewed by means of retro-
vaccination. In the Akola Municipality vaccine
operations were entirely carried on with animal lymph, calves being arranged for
by the Vice-President, Mr. Deorao Vinayek, who takes an active interest in the
work. In the Amraoti Municipality humanized lymph had to be used owing to
the Municipal Committee being unable to keep up the neccssary supply of calves.
Some of the towns-people, however, took their children for vaccination to a place
six miles distant from Amraoti, where animal lymph was procurable.
Season's work.
7. The aggregate number of operations performed by all establishments in
1886-87 was 95,504, as compared with 97,654 in
the previous year, being a decrease of 2,150. The
total number of successful primary operations was 91,470, as against 93,027, and
the ratio of success obtained 95.8, against 95.4 in 1885-86.
The above includes the operations performed in Melghat, for which tract there
is no special establishment. At the request of the Deputy Commissioner of the
Ellichpur District, Colonel Mackenzie, four vaccinators were deputed to work in
the Melghat for six weeks during the hot season. These men were placed under
B-96
( 2 )
the orders of Mr. Ballantyne, the Forest Officer of the Division, who kindly offered
to assist, and it was almost entirely due to his influence amongst the timid people
inhabiting this part of the province that the vaccinators were able to perform
any work, for unless a vaccinator was accompanied by a Forest official or some
one they trusted, the people fled to the jungles on his approaching a village.
Desirability of having special vac-
cinators for the Melghat.
8. The climate of the Melghat is very unhealthy, and no one coming from
the plains escapes the fever, which is very fatal.
Though the hot season is the healthiest time of
the year in this malarious tract, yet all the four
vaccinators suffered from the fever on their return to the plains and were incapa-
citated for duty thereby for periods varying up to two months; in the case of
one man an enlarged spleen, which is slow to yield to treatment, still remains as
a memento of his visit to the Melghat. It will probably be necessary to specially
entertain some men inured to the climate as vaccinators for the Melghat.
The work performed in the Melghat is shown below:—
TABLE No. 1.—Showing work performed in Melghat during 1886-87.
Melghat ... ... ...
Population.
42,655
Primary.
Total.
1,332
Success.
1,244
Percentage
of
successful
cases.
93.4
Persons
successfully
vaccinated
per 1,000 of
population.
29.2
Annual Statement No. I.
9. This statement shows the particulars of the year's work performed by
the special vaccination establishment only, and the
following abstract compares some of the principal
totals with those of the previous year : —
TABLE No. 2.—Comparing vaccination, work under certain heads performed by the special
Vaccination Establishment during 1886-87 with 1885-86.
Years.
1885-86 ... ... ...
1886-87 ... ... ...
Difference ...
Total
number of
vaccinators.
42
42
...
Total
vaccinated.
91,094
*86,934
— 4,160
Average
number by
each
vaccinator.
2,169
2,070
— 99
Percentage
of success
in primary
vaccination.
95.6
96.2
+ *6
* Work in Melghat not included
Though there has been a decrease both in the total operations and operations
performed by each vaccinator, yet there has been an increase in the percentage of
successful operations, which rose from 95.6 to 96.2. District Superintendents of
Vaccination explain the falling off in the numbers operated upon as due to the
fact that there were fewer children to vaccinate, and considering that the provin-
cial birth-rate fell from 42.9 in 1885 to 37.3 in 1886, the explanation may, I
think, be accepted.
Result of operations.
10. The following table shows the results obtained in primary and re-
vaccination in each district as compared with the
figures of the province for the last year:—
( 6 )
The increase was general in each district, save that of Buldana, where the
number fell from 1,534 to 1,435.
The percentage of success in dispensary vaccination was 92.3 in primary
vaccination and 58.3 in re-vaccination.
The definition of re-vaccination is apparently not yet understood by some
Hospital Assistants, and Civil Surgeons will again be asked to draw their atten-
tion to this point.
The work performed at each dispensary town is shown in the following
table:—
TABLE No. 8.—Showing vaccination work performed by Hospital Assistants during 1886-87.
No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
District.
Wun ... ...
Buldana ... ...
Wun ... ...
Basim ... ...
Do. ... ...
Do. ... ...
Do. ... ...
Wun ... ...
Do. ... ...
Buldana ... ...
Do. ... ...
Amraoti ... ...
Do. ... ...
Ellichpur ... ...
Amraoti ... ...
Buldana ... ...
Wun ... ...
Amraoti ... ...
Do. ... ...
Buldana ... ...
Do. ... ...
Akola ... ...
Ellichpur ... ...
Do. ... ...
Basim ... ...
Ellichpur ... ...
Akola ... ...
Do. ... ...
Amraoti ... ...
Akola ... ...
Ellichpur ... ...
Akola ... ...
Buldana ... ...
Akola ... ...
Amraoti ... ...
Ellichpur ... ...
Name of charitable dispensary.
Ner ... ...
Mehkar ... ...
Digras ... ...
Risod ... ...
Mangrul Pir ... ...
Umarkhed ... ...
Pusad ... ...
Darwha ... ...
Wun ... ...
Nandura ... ...
Chikhli ... ...
Morsi ... ...
Kholapur ... ...
Kalamkher ... ...
Burrur ... ...
Dongaon ... ...
Panderkowra ... ...
Chandur ... ...
Karanja ... ...
Deulgaon Raja ... ...
Malkapur ... ...
Telhara ... ...
Ellichpur ... ...
Daryapur ... ...
Basim ... ...
Chandur Bazaar ... ...
Akot ... ...
Balapur ... ...
Murtazapur ... ...
Shegaon ... ...
Anjangaon ... ...
Khamgaon ... ...
Pimpalgaon Raja ... ...
Jalgaon ... ...
Talegaon† ... ...
Chikalda ... ...
Popula-
tion.
3,875
4,374
4,235
4,264
4,900
5,949
5,047
4,052
4,206
6,743
4,396
5,592
6,452
408
6,607
4,259
1,306
3,578
10,923
7,025
8,152
3,820
8,910
4,392
11,756
4,860
16,137
11,244
4,887
11,079
8,530
12,390
4,364
10,392
5,506
?
Total
vacci-
nated.
209
215
200
212
226
275
234
160
162
266
195
217
238
14
223
149
48
130
367
174
247
105
249
132
421
123
386
295
129
290
196
266
121
186
25
160
Ratio of
successful
operations
per mille
of popu-
lation.
53.4
47.3
47.
46.
45.7
45
42
39.2
38.5
38.2
38
37
36.1
34.3
33.6
32.2
32.1
30.8
30.2
29.4
28.4
26.1
25.8
25.3
21.8
24.8
23.7
23.2
23
21.8
20.9
20.2
19.0
16.
3.2
?
Percent-
age of
success-
ful cases.
99.
96.3
99.5
92.9
99.1
97.4
90.6
99.3
100
97.
95.6
95.4
97.8
100
99.5
92.
87.5
84.6
89.4
74.1
93.9
92.2
92.4
84.1
69.3
95.1
99.2
88.5
86.0
83.4
90.8
94.
68.6
89.3
80
93.1
* The figure shows the population of portion of the city allotted to Hospital Assistant for vaccination.
† Dispensary opened during the year.
At the smaller dispensaries there is no excuse for Hospital Assistants not
affording at least a similar amount of protection to the population of their respec-
tive towns as the special vaccination establishment affords to the rest of the
( 7 )
population of the province, and explanation has been called for from Civil Sur-
geons in all cases where the proportion of the population protected is below 35.6
per 1,000, the average obtained by the vaccine department.
Annual Statement No. IV.
17. Annual Statement No. IV shows the amount of primary vaccination
performed both by the special department and by
dispensaries for the past 12 years.
The following tables, reproduced from the Sanitary Report, show how small-
pox mortality has decreased as the ratio of successful vaccinations to population
has increased:—
TABLE No. 9.—Showing death-rates from small-pox per 1,000 of population
in periods of five years.
Year.
1868 ...
1869 ...
1870 ...
1871 ...
1872 ...
Mean
...
Death-rate.
1.9
3.6
.6
.2
3.8
2.02
Year.
1873 ...
1874 ...
1875 ...
1876 ...
1877 ...
Mean
...
Death-rate.
3.8
.5
.4
.2
2.9
1.56
Year.
1878 ...
1879 ...
1880 ...
1881 ...
1882 ...
Mean
...
Death-rate.
2.7
.03
.02
.08
.10
.58
Year.
1883...
1884...
1885...
1886 ...
Mean
...
Death-rate.
1.5
.2
.09
.04
...
TABLE No. 10.—Showing ratio of successful vaccinatins per 1,000 of population
in five-year periods from 1868 to 1886.
Year.
1868-69
...
1869-70
...
1870-71
...
1871-72
...
1872-73
...
Mean
...
Ratio per
1,000 suc-
cessfully
vaccinated.
4.3
3.2
7.9
13.0
162
8.92
Year.
1873-74 ...
1874-75 ...
1875-76 ...
1876-77 ...
1877-78 ...
Mean
...
Ratio per
1,000 suc-
cessfully
vaccinated.
14.5
21.
24.
31.1
38.
25.72
Year.
1878-79 ...
1879-80 ...
1880-81 ...
1881-82 ...
1882-83 ...
Mean
...
Ratio per
1,000 suc-
cessfully
vaccinated.
22.3
29.3
33.9
32.5
38.
31.2
Year.
1883-84 ...
1884-85 ...
1885-86
...
l886-87 ...
Mean
...
Ratio per
1,000 suc-
cessfully
vaccinated.
30.3
37.
35.3
34.3
...
Attitude of the people.
18. No active opposition to vaccination is experiened in this province, but
at the same time official support and assistance are
essential to the efficient protection of the popula-
tion against small-pox.
The acknowledgments of the department are due to district officers for the
ready assistance generally accorded, and more especially to t he Drputy Commis-
sioner, Ellichpur District, Colonel Mackenzie, for the prompt and useful support
he rendered the department in his district.
Conclusion.
19. I beg to bring to the notice of the Resident the following officials who
rendered active assistance to the Vaccination De-
partment during the year under report:—
Mr.Govind Rao Iyah, Tahsildar of Daryapur.
Mr.Shapurjee, Tahsildar of Khamguon.
Mr.Shoschaohcllam, Tahsildar of Yeotmal.
Mr.Saadat Mir Khan, Tahsildar of Basim.
Mr. Purshram Ganesh, Tahsildar of Pusad.
Mr. Sitaram Sukharam, Coaservancy Inspec-
tor of Akola.
( 8 )
The following is a list of Patels and Pandias who gave cordial assistance to-
vaccination in their respective villages :—
District.
Amraoti ...
Do. ...
Do. ...
Do. ...
Ellichpur ...
Do. ...
Do. ...
Do. ...
Basim ...
Do. ...
Buldana ...
Do. ...
Do. ...
Do. ...
Taluk.
Chandur ...
Murtazapur ...
Amraoti ...
Morsi ...
Ellichpur ...
Do. ...
Do. ...
Daryapur ...
Pusad ...
Basim ...
Mehkar ...
Do. ...
Do. ...
Do. ...
Village or town.
Sendurjana ...
Oombarda ...
Takelkheda ...
Nerpinglai Town ...
Sawalapur ...
Sirasgaon Town ...
Karasgaon do. ...
Nimkheda Bazaar ...
Dhanki ...
Kowta ...
Futtekheda ...
Gomedhar ...
Mudhephal ...
Madin ...
Name of patel or pandia who
rendered assistance to the
cause of vaccination.
Bhasker Rao Patel.
Bulwant Rao Patel.
Sonajee Patel.
Jaikrishna Patel.
Atmaram Pandia.
Balaji Patel.
Maroti Patel.
Ganpat Rao Pandia.
Mahadaji Patel.
Amrit Rao Patel.
Harjee Patel.
Vittoba Patel.
Parshram Patel.
Sonajee Patel.
I have the honour to be,
Sir,
Your most obedient Servant,
C. LITTLE, M. D.,
Superintendent of Vaccination,
Hyderabad Assigned Districts.
APPENDICES.
B-96—3
( 2 )
Table showing Vaccination performed in each Circle and Town of the Hyderabad Assigned
Districts during 1886-87.
District.
Amraoti.
Ellichpur.
Name of Circle and Town.
Barur Circle ...
Do. Town ...
Sendurjana Town ...
Loni Circle ...
Morsi Town ... ...
Do. Circle ...
Sirkhed Circle ...
Ner Town ...
Chandur Circle ...
Do. Town ...
Mangrul Town ...
Do. Circle ...
Nandgaon Kazi Circle ...
Damuk Circle ...
Talegaon Town ...
Do.
Circle ...
Kurha Circle ...
Tiwasa Circle ...
Amraoti Town ...
Do.
Circle ...
Nandgaon Peth Circle ...
Badnera Circle ...
Do.
Town ...
Takelkheda Circle ...
Balgaon Circle ...
Kholapur Circle ...
Do.
Town ...
Murtazapur Town ...
Do.
Circle ...
Karonja Circle ...
Do.
Town ...
Phanaj Town ...
Mana Town ...
Loni Town ...
Paratwada Town ...
Ellichpur Town ...
East Ellichpur Circle ...
West Ellichpur Circle ...
Karasgaon Town ...
Chandur Circle ...
Do. Town ...
Sirasgaon Circle ...
Do. Town ...
Asegaon Circle ...
Anjangaon Circle ...
Do.
Town ...
Kapustalni Circle ...
Pathrot Town ...
Do. Circle ...
Daryapur Circle ...
Do.
Town ...
Khullar Circle ...
Population
according to
Census of
1881.
37,487
6,607
8,501
14,070
5,592
19,763
31,024
6,644
26,476
3,571
6,122
22,876
28,860
9,586
5,506
23,454
31,132
14,021
25,828
17,218
17,715
19,138
6,460
32,160
13,617
17,308
6,452
4,887
28,459
27,923
10,923
20,170
18,209
12,004
9,445
26,728
14,208
14,265
7,330
24,792
4,860
10,424
5,408
15,924
33,474
8,530
15,611
5,271
9,184
41,582
4,392
18,454
Total No.
vaccinated.
1,196
223
271
452
267
771
1,444
239
1,255
146
244
934
1,082
366
173
844
1,122
462
773
560
808
669
334
1,012
433
542
249
149
944
1,102
367
548
470
432
228
951
415
400
202
870
123
356
207
495
960
288
484
129
245
1,385
132
528
Total
successful
operations.
1,180
222
269
443
257
762
424
238
1,246
125
242
932
1,061
365
163
833
1,073
451
714
544
759
601
327
996
426
535
244
129
919
1,090
329
519
431
409
207
908
388
380
193
849
117
352
207
489
942
268
478
128
233
1,333
111
518
Percentage
of success-
ful opera-
tions to
total vac-
cinated .
98.7
99.5
99.3
98.0
96.3
98.8
98.6
99.6
99.3
87.
99.2
99.8
98.0
99.7
94.2
98.7
95.6
97.6
92.4
97.1
93.9
89.9
98.
98.4
98.3
98.7
98.0
86.6
97.3
98.9
89.6
94.7
91.7
95.0
90.8
95.4
93.5
95
95.5
97.6
95.1
98.9
100
98.8
98.1
93.0
98.8
99.2
95.1
96.2
84.1
98.1
Ratio of
successful
operations
per mille.
31.5
33.3
31.6
31.4
45.9
38.5
45.9
35.8
47.1
35.0
39.5
40.7
36.7
38.8
29.6
35.5
34.4
32.2
27.6
31.6
42.3
31.4
50.6
30.9
31.3
30.9
37.8
26.4
32.3
39.0
30.1
25.7
23.9
34.0
21.9
34
27.3
26.6
26.3
34.2
24.1
33.8
38.3
30.7
28.1
31.4
30.6
24.3
25.3
32.5
25.3
28.1