10
TRIENNIAL REPORT ON VACCINATION IN BURMA
Supervisor Staff suffered loss by the death of one (Amherst district),
resignation of one (Sandoway District), removal of one (Myaungmya
district) and dismissal of two (Minbu and Thatôn districts). Eight
Vaccinators, viz., two each from Akyab, Ma-ubin and Myaugmya dis-
tricts and one each from Upper Chindwin and Lower Chindwin districts
were either removed or dismissed from the service.
Two out of the three Head Vaccinators employed in the Southern
Shan States, have since resigned their appointments and their places
are still vacant for want of suitable candidates.
11. Vaccination by "other agencies."— These amount to 1,007
primary and 3,592 revaccinations and include 506 primary cases per-
formed by the licensed Vaccinator, Kyauktaga Grant, Pegu district ;
282 primary and 3,452 revaccination cases done by Medical Registrars
in Rangoon ; 17 primary cases by Medical Practitioners in Moulmein ;
and 202 primary and 140 revaccination cases by the Civil Surgeon and
his Medical Staff in Putao.
12. Verification of Results.—Civil Surgeons verified 8 per cent.
and Supervisors of Vaccination 53 per cent. of the number of persons
vaccinated in 1922-23. A minimum of 10 per cent. has been regarded
as an adequate proportion for a Civil Surgeon's verification work in
consideration of his other multifarious duties. This year's work falls
short of this minimum and is also much less than the work done in the
two preceding years. It is necessary that Civil Surgeons devote more
attention to this verification work which is the sole check we have on
the work of the Supervisors. The proportion of cases verified by
Supervisors is also less than in the previous year but more than in
1920-21. The Civil Surgeon, Pyapôn, performed no verification at all.
The Civil Surgeon Toungoo, verified only six primary cases out of a total
of about 20,000 cases performed in his district and the Civil Surgeons,
Akyab and Shwebo, 41 and 86 cases in about 45,000 and 17,000
respectively. Other districts in which low verification (less than 5 per
cent.) was done by Civil Surgeons are Thayetmyo, Bassein, Henzada,
Myaungmya, Salween, Thatôn, Shwebo, Upper Chindwin, Chin Hills,
Magwe and Minbu. Explanations are being asked for from these
officers. The highest verification was done in Meiktila where 46.70 per
cent. of the 8,494 primary cases were verified by Dr. Aung Tun with cent
per cent. success. Other districts in which the Civil Surgeons verified a
large proportion (over 20) of cases are:—Yamèthin. Lower Chindwin,
Pegu, Tavoy and Putao.
A large percentage of verifications of primary cases was done by
Supervisors in Rangoon (88 per cent.), Pyapôn (84), Pegu (83),
Meiktila (81), Lower Chindwin (81), Insein (80), Tavoy (80), Ma-ubin
(79) and Thayetmyo (76). Omitting the districts which have no
Supervisors or in which the Supervisors worked only for part of the
year, short verification work in primary vaccination was noticed in
Pakôkku (40 per cent.), Toungoo (45), Henzada (46), Shwebo (47)
and Akyab (47) ; and the revaccination cases verified by these
Supervisors in the same districts was 33, 41, 10, 16 and 50 per cent.
respectively. Judged by the actual number of verifications reported,
good work has been done by the Supervisors of Pyapôn, Ma-ubin,
Mandalay, Henzada, Tharrawaddy, Pegu, Sagaing, Southern Shan
Sates, Myingyan, Bassein, Insein and Akyab.