NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
48
APPENDICES.
APPENDIX A.—Statement showing the ratio per 10,000 successfully vaccinated
and the mortality from Small-pox by quinquennial periods.
Official Year.
(1)
1913-14 ...
1914-15 ...
1915-16 ...
1916-17 ...
1917-18 ...
1918-19 ...
1919-20 ...
1920-21 ...
1921-22 ...
1922-23 ...
1923-24 ...
1924-25 ...
1925-26 ...
1926-27 ...
1927-28 ...
1928-29 ...
Ratio per 10,000
successfully
vaccinated.
(2)
367.34
332.06
330.70
365.25
347.10
392.57
524.21
443.70
408.22
431.94
456.24
466.23
477.33
407.11
446.76
498.14
Quinquennial
mean.
(3)
348.50
439.47
450.73
Calendar Year.
(4)
1913 ...
1914 ...
1915 ...
1916 ...
1917 ...
1918 ...
1919 ...
1920 ...
1921 ...
1922 ...
1923 ...
1924 ...
1925 ...
1926 ...
1927 ...
1928 ...
Ratio per 10,000
of mortality
from small-pox.
(5)
2.86
.26
.22
.72
.57
.76
3.99
290
.92
1.34
263
2.31
3.56
2.16
1.57
2.61
Quinquennial
mean.
(6)
.93
1.95
2.45
APPENDICES.
49
APPENDIX B.—Statement showing the number of vaccinations performed in
Municipal Towns and Notified Areas (to which Vaccination Act has been
extended) on children under one year of age (Paragraph 8).
Towns.
(1)
Akyab
...
Kyaukpyu ...
Sandoway
...
Rangoon ...
Pegu ...
Nyaunglèbin ...
Tharrawaddy ...
Thônzè ...
Zigôn ...
Letpadan ...
Gyobingauk ...
Minhla ...
Nattalin ...
Syriam ...
Thôngwa ...
Insein ...
Thamaing ...
Thingangyun ...
Kanbe ...
Kamayut ...
Prome ...
Shwedaung ...
Paungdè ...
Bassein ...
Ngathainggyaung ...
Kyônpyaw ...
Henzada ...
Myanaung ...
Kyangin ...
Myaungmya ...
Wakèma ...
Mawlamyainggyun...
Ma-ubin ...
Yandoon
...
Number
of births
during the
year
1928-29.
(2)
608
102
114
7,568
713
170
141
345
171
275
177
100
130
341
259
314
71
118
127
100
793
232
269
1,342
136
153
703
229
219
183
274
195
211
259
Number
of deaths
among
children
under
one year
during
the year.
(3)
163
27
20
2,575
197
106
29
57
45
65
66
13
12
63
42
99
21
22
45
35
96
54
41
446
32
44
216
58
48
66
88
85
81
58
Number of
successful
operations
on children
under one
year during
the year
ending 31st
March 1929.
(4)
345
63
66
6,702
912
211
178
427
152
195
108
103
114
268
87
413
82
94
126
109
1,160
126
180
1,429
72
131
534
127
170
116
105
127
217
222
Date of extension of
Vaccination Act of 1880.
(5)
August 1883 ...
April 1894
September 1890
April 1884
March 1893
29th March 1910
October 1897.
Do.
11th May 1914 ...
January 1897 ...
February 1897 ...
11th May 1914 ...
Do.
29th January 1913
3rd March 1914
14th March 1912
26th Mav 1926 ...
Do.
Do.
Do.
June 1890
10th Sept. 1917.
August 1890 ...
September 1888
February 1890 ...
26th Dec. 1923.
January 1889 ...
July 1889 ...
August 1894 ...
June 1894
27th April 1907...
20th July 1925 ...
October 1891 ...
January 1892 ...
Date of extension of
Vaccination Law
Amendment Act of
1909.
(6)
29th March 1910.
Do.
Do.
1st May 1909.
29th March 1910.
Do.
29th March 1910.
9th Sept. 1915.
29th March 1910.
Do.
9th Sept. 1915.
Do.
29th January 1913.
3rd March 1914.
14th March 1912.
26th May 1926.
Do.
Do
Do.
29th March 1910.
29th March 1910.
Do.
Do.
29th March 1910.
Do.
Do.
Do.
Do.
20th July 1925.
29th March 1910.
Do.
5
50
APPENDICES.
APPENDIX B.—Statement showing the number of vaccinations performed in
Municipal Towns and Notified Areas (to which Vaccination Act has been
extended) on children under one year of age (Paragraph 8)—concld.
Towns.
(1)
Danubyu ...
Pyapôn ...
Kyaiklat ...
Thatôn ...
Kyaikto ...
Moulmein ...
Kawkareik ...
Tavoy ...
Mergui ...
Toungoo ...
Shwegyin ...
Pyu ...
Thayetmyo ...
Allanmyo ...
Minbu ...
Salin ...
Magwe ...
Taungdwingyi ...
Yenangyaung ...
Chauk ...
Pakôkku ...
Mandalay ...
Maymyo ...
Kyauksè ...
Meiktila ...
Myingyan ...
Nyaung-u ...
Yamèthin ...
Pyinmana ...
Pyawbwè ...
Bhamo ...
Myitkyina ...
Shwebo ...
Ye-u ...
Sagaing ...
Myinmu ...
Mônywa ...
Lashio ...
Taunggyi ...
Total
...
Number
of births
during the
year
1928-29.
(2)
158
176
204
515
191
1,629
296
898
558
498
188
234
153
201
204
256
205
269
329
73
493
7,509
691
251
293
591
169
280
496
173
220
213
453
144
386
134
328
159
233
37,593
Number
of deaths
among
children
under
one year
during
the year.
(3)
36
60
78
110
57
359
158
192
157
73
27
33
90
76
69
98
101
138
126
53
283
2,153
167
65
128
218
29
88
197
67
35
40
182
35
152
63
140
42
16
11,306
Number of
successful
operations
on children
under one
year during
the year
ending 31st
March 1929.
(4)
212
454
110
295
152
1,657
87
842
450
269
59
43
175
189
145
110
178
86
214
39
282
7,903
431
262
284
320
136
134
419
132
87
27
291
9
229
183
213
34
94
32,707
Date of extension of
Vaccination Act of 1880.
(5)
9th July 1909.
November 1904
15th Dec. 1904 ...
October 1891 ...
March 1897 ...
August 1885 ...
September 1914
December 1889
October 1891 ...
May 1889 ...
January 1890 ...
January 1920 ...
May 1889 ...
May 1901...
March 1896 ...
Do. ...
10th March 1913
February 1893 ...
10th March 1913
20th May 1929 ...
April 1892 ...
August 1891 ...
October 1912 ...
May 1894 ...
June 1906 ...
September 1891
30th August 1921
February 1892...
November 1891...
May 1912.
26th October 1894
6th May 1929.
June 1894 ...
2nd April 1929.
April 1894 ...
5th October 1926
March 1893 ...
25th July 1927 ...
Do.
Date of extension of
Vaccination Law
Amendment Act of
1909.
(6)
29th March 1910.
Do.
Do.
Do.
Do.
17th Sept. 1914.
29th March 1910.
Do.
Do.
Do.
17th January 1920.
29th March 1910.
Do.
Do.
Do.
10th March 1913.
29th March 1910.
10th March 1913.
...
29th March 1910.
Do.
22nd October 1912.
29th March 1910.
31st July 1922.
29th March 1910.
30th August 1921.
29th March 1910.
Do.
29th March 1910.
29th March 1910.
29th March 1910.
5th October 1926.
29th March 1910.
25th July 1927.
Do.
G.B.C.P.O.—No. 60, D.P.H., 15-11-1929—470.
PUBLIC HEALTH FORM NO. 25.
APPENDIX C.
Diagram showing the Proportion of Population protected during the seven official years from 1922-23 to 1928-29 and the Death-rate from Small-pox during the year 1928 in districts
where full registration is in force.
Indicates proportion of population protected per 10,000.
Indicates ratio of deaths from small-pox per 10,000 of population.
* Deaths are not classified according to diseases in these Districts.
G.B.C.P.O.— No. 60 D.P.H. 1.11. 1929. 470.
L.
NOTES AND STATISTICS
ON
VACCINATION IN BURMA
FOR THE YEAR 1929-30
Rangoon
Supdt., Govt. Printing and Stationery, Burma
1930
Price,—Rs. 1-8 = 2s. 3d.]
NOTES AND STATISTICS
ON
VACCINATION IN BURMA
FOR THE YEAR 1929-30
Rangoon
Supdt., Govt. Printing and Stationery, Burma
1930
LIST OF AGENTS FOR THE SALE OF
GOVERNMENT PUBLICATIONS.
IN BURMA.
AMERICAN BAPTIST MISSION PRESS, Rangoon .
BISWAS & Co., 30. Lewis Street, Rangoon.
BRITISH BURMA PRESS BRANCH, Rangoon.
BURMA BOOK CLUB, Ltd, Post Box No 1068. Rangoon.
INTERNATIONAL BUDDHIST BOOK DEPÔT. Post Box No.971.Rangoon.
NEW LIGHT OF BURMA PRESS, 49, Phayre Street. Rangoon.
RANGOON TIMES PRESS, Rangoon.
MAUNG LU GALE, Law Book Depôt, 42, Ayo-o-gale, Mandalay.
CHAPPLE'S RUSINESS COLLEGE, 377, Lower Main Road, Moulmein
THU DHAMA WADI PRESS, Rangoon.
IN INDIA.
BOOK CO., Ltd., 4/4A. College Square, Calcutta.
BUTTBRWORTH & Co. (India), Ltd., Calcutta.
S. K. LAHIRI & Co., 56. College Street, Calcutta.
W. NEWMAN & Co., Calcutta.
THACKER, SPINK & Co., Calcutta and Simla.
D. B. TARAPOREVALA. SONS & Co., Bombay.
THACKER & Co., Ltd., Bombay.
CITY BOOK CO., Post Box No. 283, Madras.
HIGGINBOTHAM & Co., Madras.
IN EUROPE.
The publications are obtainable either direct from the Office of
HIGH COMMISSIONER FOR INDIA, 42. Grosvenor Gardens, London
S.W. 1, or through any booksellers.
[The maximum limit of the body of the Report is six pages.]
TABLE OF CONTENTS.
NOTES AND STATISTICS ON VACCINATION IN BURMA FOR THE
YEAR 1929-30.
Establishment
...
...
...
...
...
General Review
...
...
...
...
...
Total Number of Persons Vaccinated
...
...
...
Operations Performed
...
...
...
...
Primary Operations
...
...
...
...
Re-vaccinations
...
...
...
...
...
Results of Vaccination
...
...
...
...
Vaccination in Towns
...
...
...
...
Results of Vaccination in Towns
...
...
...
Infant Vaccination
...
...
...
...
...
Dispensary Vaccination
...
...
...
...
Jail Vaccination
...
...
...
...
...
Vaccination by Private Practitioners
...
...
...
Steamer Vaccination
...
...
...
...
Verification Work by Inspecting Officers
...
...
...
Cost of the Department
...
...
...
...
Small-pox Inoculation
...
...
...
...
Prosecutions under the Vaccination Acts
...
...
...
Vaccine Depôt, Meiktila
...
...
...
...
Training Class
...
...
...
...
...
General Remarks
...
...
...
...
...
PARA.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
PAGE
1
ib.
2
ib.
3
4
ib.
5
6
ib.
7
ib.
ib.
ib.
ib.
8
9
ib.
ib.
11
ib.
NOTES AND STATISTICS
ON
Vaccination in Burma
For the year 1929-30.
1. Establishment.—The following table gives the strength of the
vaccination staff actually employed in the Province during the year
1929-30, and the two preceding years :—
Years.
(1)
1927-28 ...
1928-29 ...
1929-30 ...
District
Superintend-
ents of
Vaccination.
(2)
41
41
41
Part-time
Supervising
Officers.
(3)
S.A.S.
28
31
31
P.H.I.
11
13
13
Inspectors of
Vaccination.
(4)
43
42
40
Head
Vaccinators.
(5)
1
3
3
Vaccina-
tors.
(6)
384
385
392
The number of Inspectors of Vaccination decreased by two. This
is due to the employment solely on general sanitation duty of 3 Sanitary
Inspectors who carried out verification of vaccination in the previous
year in the Insein District, and to the appointment of one Inspector of'
Vaccination in the Northern Shan States.
Seven more vaccinators were employed during the year,—one each
in the districts of Prome, Henzada and Magwe; 2 in the district of
Thaton ; and one each in the towns of Kyaikto and Pyawbwè.
Ten temporary vaccinators were employed to cope with local out-
breaks of small-pox,—one each in the towns of Akyab, Moulmein and
Myingyan ; and 3 in Akyab District, one in Amherst, one in Upper
Chindwin and 2 in Myingyan Districts.
2. General Review.—It is satisfactory to note that the number of
persons vaccinated and re-vaccinated each year in the Province has
increased steadily during the last decade. This is the natural result of
a gradual realization on the part of the people of the value of vaccination,
and their consequent willingness to accept it.
2
NOTES AND STATISTICS ON VACCINATION
During the year under review the Vaccination Acts of 1880 and
1909 were extended to the areas under the District Councils of Lower
Chindwin, Myingyan and Meiktila. Thanks are due to U Shwe Mya,
Chairman of the Myingyan District Council for his strong support
of this important and progressive measure which should have a far
reaching effect in the heavily infected district of Myingyan.
For lack of funds to meet the cost of additional staff required for
the proper working of the Acts, these could not be extended to the
Yamèthin District Council area this year, and the matter is still under
consideration.
The map of Burma attached to this Report shows the area of Burma
in which compulsory primary vaccination is in force.
Only in a few backward tracts such as the excluded areas of Mergui
and Akyab, and to a certain extent in the Myingyan District, was there
any opposition to vaccination, but parents in the hill tracts of the
Bhamo and Katha Districts prefer vaccination of their children after the
first year of life. Some parents in the backward areas of Mergui
evaded vaccination of their children by removing them to the jungle on
the vaccinator's and District Health Officer's visits. Chittagonians in
the Akyab District are very difficult to vaccinate, and in that respect are
a great contrast to the Arakanese who come forward readily.
Statement I.
3. Total Number of Persons Vaccinated.—Altogether 984,273 persons
were vaccinated during the year under review, as compared with
946,761 in the previous year,—an increase of 37,512 persons. The
above figures exclude secondary operations.
Statement I
4. Operations Performed.—The total number of operations performed
in the 41 districts, excluding dispensary and steamer vaccinations, but
including both the Shan States and Rangoon City, during the year
under review was 976,782 (primary 623,922 and re-vaccinations 352,860),
as compared with 939,278 (primary 608,414 and re-vaccinations 330,864)
in the previous year—an increase of 37,504.
An increase in total operations is returned from 25 districts and a
decrease from 16. Amherst headed the list with an increase of 18,958,
closely followed by Akyab with 15,776 operations. The increase in
both these districts is made up mostly of re-vaccinations, due to the
prevalence of virulent small-pox throughout the year, necessitating the
employment of one additional vaccinator for a period of 3½ months in
the former district and of four for a total period of 14½ months in the
latter. Large increases are also returned from the districts of Meiktila
(+8,280), Sagaing (+6,427), Pakokku ( + 5,178), Hanthawaddy (+4,108),
Kyauksè (+3,798) and Bassein (+3,153).
Vaccination work in Meiktila District is reported to have been
seriously hampered by obstructive tactics inspired by the late District
Council Secretary, but with this officer's removal there is now an
IN BURMA FOR THE YEAR 1929-30.
3
apparently genuine desire for co-operation with the District Health
Officer, who, ably assisted by the Assistant District Health Officer, has
obtained creditable results under difficult circumstances. The District
Health Officer has represented the need to apply the Re-vaccination Act
(Act IV of 1928) to the District and Town of Meiktila. The Act is at
present not applicable to rural areas.
Though the districts of Sagaing, Pakokku and Hanthawaddy were
comparatively free from small-pox, vaccination work shows a decided
improvement, due to special efforts of supervising officers and energetic
work by the staffs concerned.
The continued prevalence of an epidemic of small-pox in Kyauksè
District acted as a stimulus for more vaccination.
An unusual reason for the enhanced number of operations in Bassein
District is given : " Burmese sages predicted an outbreak of small-pox
in the year 1930-31 and the people resorted to vaccination as a means
of protection against it.'' It is interesting to note that this prediction
coincides with forecasts by several Health Authorities of a general
small-pox pandemic about this time.
Of the 16 districts which report deficits over last year, Mandalay
takes first place with—15,081, followed by Rangoon (—7,837), Shwebo
(—6,112), Lower Chindwin (—4,833), Pegu (—4,229), Minbu (—3,867),
Toungoo (—3,385) and Southern Shan States (—2,958).
Comparative freedom from small-pox is given as the cause for the
decline in vaccination operations in Mandalay, Rangoon, Shwebo,
Lower Chindwin, Pegu and Toungoo Districts, coupled with lack of
proper supervision in Mandalay and Toungoo, and perhaps in others
also. No satisfactory explanation is given for the decline in Minbu
District.
For the fall-off in the Southern Shan States, Kēngtūng Subdivision
is entirely responsible by registering 7,881 less operations. Absence of
small-pox, good work done during the last two years, and inaccessibility
of most of the areas during the rains are stated to be the causes of the
decline in this subdivision.
Statement I.
5. Primary Vaccination.—A total of 623,922 primary operations were
recorded during the year, as compared with 608,414 operations during
the previous year, resulting in an increase of 15,508. An increase is
reported from 26 districts, prominent amongst which are Prome
(+6,709), Akyab (+4,892), Yamèthin (+3,939), Sagaing (+3,472),
Bassein (+2,860), Myaungmya (+2,531) and Tharrawaddy (+2,107).
Strict supervision and enforcement of Vaccination Rules are stated
to be the cause of improvement in Prome District.
Good work of the staffs under efficient supervision and co-operation
of district authorities are responsible for the better outturn of work in
Sagaing, Myaungmya and Tharrawaddy. The increase in Yamèthin
4
NOTES AND STATISTICS ON VACCINATION
District is attributable to the continuance of last year's small-pox
outbreak, though in a lesser degree.
The improvement in primary vaccination in Akyab and Bassein
Districts is in accordance with the general rise in vaccination, and has
been commented on in paragraph 4.
Deficits are returned from only 15 districts, and in six of these a large
fall-off was registered : Northern Shan States (—9,102), Southern Shan
States (—4,098), Minbu(—3,830), Mandalay (—3,419), Meiktila (—2,170)
and Toungoo (—2,062).
The decline in the Southern Shan States is caused by the big drop
in the Kēngtūng Subdivision and that in the Mandalay District is
mainly attributable to the reduction by 2,984 primary cases in the urban
area.
The decrease in primary vaccinations in Toungoo District is due to
the general decline in vaccination work, for reasons already given. No
satisfactory explanation is given for the fall-off in the Northern Shan
States and Minbu District. Probably lack of proper supervision agency,
with difficulties in communication, account for the decline in the
former ; and slackness of the staff, in the face of indifference on the
part of the people, and absence of small-pox, account for the decline in
the latter. Obstructive tactics referred to in paragraph 4 are probably the
cause for the poor figure for primary vaccination in Meiktila District.
Statement I.
6. Re-vaccinations.—A total of 352,860 re-vaccinations is recorded
during the year as compared with 330,864 in the previous year, result
ing in an increase of 21,996 operations.
A large increase in re-vaccination work is reported from Amherst
( + 17,983), Northern Shan States ( + 11,329), Akyab ( + 10,884) and
Meiktila ( + 10,450). The rise in the districts of Amherst and Akyab,
and in the Northern Shan States, is due to prevalence of small-pox.
The notable increase in Meiktila District is the result of special efforts
made by officers and staff concerned. Other districts returning an
appreciable increase are Pakokku (+4,399), Sagaing (+2,955), Hantha-
waddy ( + 2,314) and Kyauksè (+2,238).
Deficits were registered in 20 districts, prominent amongst which are
Mandalay (—11,662) and Rangoon (—7,766). The great reduction by
12,149 cases in Mandalay Town is obviously the sole reason for the
decline in this district, while the drop in Rangoon is probably attribu-
table to a lower incidence of small-pox.
Other districts returning considerable decreases are Shwebo ( - 5,703),
Prome (-4,681), Lower Chindwin (-3,636), Yamèthin (- 2,858), Pegu
(-2,823), and Henzada (-2,231).
Statement I.
7. Results of Vaccination.—Of the 628,785 primary operations (includ-
ing dispensary figures) 575,113 were successful as compared with
556,889 in1928-29. Results of 34,335 primary operations were unknown
IN BURMA FOR THE YEAR 1929-30.
5
as compared with 42,045 in the previous year, leaving 19,337 failures
as against 16,585 in 1928-29.
Of the total of 575,113 successful primary vaccinations, 166,766 were
on infants under one year of age, and 312,378 on children of one to six
years. The remaining 95,969 successful primary vaccinations were on
persons over six years of age.
The percentage of success, in primary vaccinations of which the
results were known, is 96.75, as compared with 97.11 in the previous
year. The districts which return success rates over 99 per cent are
Bhamo (100 per cent), Tharrawaddy (99.95 per cent), Myaungmya
99.95per cent), Pegu (99.81 per cent), Henzada (99.48 per cent), Prome
(99.17 per cent) and Maubin (99.05 per cent), and below 90 per cent
are Chin Hills (75.37 per cent), Mergui (84.17 per cent), Hill District
of Arakan (84.89 per cent), Myitkyina (89.29 per cent), and Sandoway
(89.55 per cent). The remaining districts report success rates between
90 and 99 per cent.
Of the 356,459 re-vaccinations, 103,182 were successful, as against
99,118 in the previous year. The percentage of success in re-vaccina-
tions of which the results were known is 34.55, as against 36.22 in the
previous year.
8. Vaccination in Towns.—In the year under review the vaccination
work performed in the 73 towns where compulsory vaccination is in
force shows a decline of 1,661 operations, compared with the previous
year, the total number being 129,044 for 1929-30 and 130,705 for the
previous year. This is due to 1,980 fewer primary vaccinations during
the year, which were not counterbalanced by the small increase of 319
revaccinations.
Notable increases in total vaccinations are reported from Moulmein
(+17,143), Akyab (+5,502), and Syriam (+2,025); while large deficits
are reported from Mandalay (-15,133), Rangoon (-7,837), and Mon-
ywa (-1,635).
A marked increase in primary vaccinations was recorded in the
towns of Akyab (+836), Mergui (+541), Maubin (+296), Pakokku
( + 288), Chauk (+275), Kyaiklat ( + 139), Minbu (+132), Moulmein
(+114), and Shwebo( + 114).
A big decrease was recorded from Mandalay ( — 2,984), due to a
large output of work during the previous year, when 4 additional
vaccinators were employed for 3 months. Other towns returning
deficits are Thonzè (-335), Myinmu (-333), Thayetmyo (-242),
Allanmyo (-185), Myingyan (-162), Pyawbwe (-138), Pegu (-132),
Henzada (-125), and Lashio ( — 115).
A notable increase in re-vaccinations is reported from Moulmein
(+17,029), Akyab (+4,666) and Syriam (+2,077) ; while a considerable
decrease is returned from Mandalay (-12,149), Rangoon (—7,766) and
Monywa (—1,694).
6
NOTES AND STATISTICS ON VACCINATION
In Moulmein and Akyab the presence of small-pox in a virulent
form, and the employment of an additional vaccinator to cope therewith
in the latter town, are the causes of the increased number re-vaccinated
during the year. Good work by the staff with efficient supervision was
probably the cause of the improvement in Syriam, which was free from
small-pox during the year.
Comparative freedom from small-pox and an exceptionally large
number operated upon during the previous year were the causes of the
decrease in Monywa, and this year's figure 139 compares favourably
with that of 1927-28 which was only 105.
Revaccination work in Rangoon has gradually decreased since
1927-28 when 82,992 operations were performed, against 29,253 in
1928-29 and 21,487 this year. Comparative freedom from small-pox
was probably the cause.
9. Results of Vaccination in Towns.—Out of 50,523 primary operations-
46,192 were successful, and out of 78.521 re-vaccinations 19,972 were
successful. The percentage of successful cases to total known cases
was 96.79 for primary operations and 33.64 for re-vaccinations as com-
pared with 97.27 and 40.43 respectively during the previous year.
One hundred per cent success in primary cases is reported from 27
towns, and over 99 per cent from 8 towns. The towns returning low
primary success rates, below 90 per cent, are Myingyan (87.39) and
Sandoway (88.61).
One hundred per cent success in re-vaccinations is reported from 8
towns—Pegu, Tharrawaddy, Thonzè, Ngathainggyaung, Myaungmya,
Kawkareik, Bhamo and Myitkyina ; while low rates below 10 per cent
are returned from Kanbè, Thingangyun, Minbu, Henzada, Thongwa,
Shwedaung, Nyaung-U, Pyapon, Danubyu, Insein and Kyaiklat.
Appendix B.
10. Infant Vaccination.—A total of 40,180 births and 11,758 deaths
among infants under one year of age, was registered during the year
under report in the 74 towns in which the Vaccination Acts are in force.
The number of survivors according to these records therefore is 28,422.
During the year 30,622 infants under one year, however, were success-
fully vaccinated in these towns,—being 2,200 in excess of the estimated
survivors for the year.
The reasons given for this apparent excess are the vaccination of
infants brought into towns from rural areas or of infants within 5 miles
radius of some towns, but the real cause in the majority of towns
would seem to be defective registration of births. In 30 towns infants
vaccinated were in excess of estimated survivors, and in 13 they were in
excess of recorded births. Large excesses over births are found in the
returns of Prome (353), Kyonpyaw (349), Pyapon (320) and Pegu (206).
In the other 10 towns excesses are below 200.