NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
10
B.—DISPENSARY
Statement No. III—Showing Dispensary Vaccination
District.
1
Cachar ... ...
Sylhet
... ...
Khasi and Jaintia Hills
Naga Hills ...
Lushai „ ...
Goalpara ...
Kamrup ... ...
Darrang ... ...
Nowgong ... ...
Sibsagar ... ...
Lakhimpur ... ...
Garo Hills ...
Manipur State ...
Sadiya
Frontier
Tract.
Total ...
Number of dispensaries in
each district to which a vac-
cinator is attached.
2
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Average number of vaccina-
tors attached to dispensaries
during the year.
3
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Total number of persons vac-
cinated.
4
...
...
...
91
333
...
...
...
218
...
...
1
129
93
865
Average number of persons
vaccinated by each vaccinator.
5
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Primary vaccination.
Total.
6
...
...
...
47
256
...
...
...
186
...
...
1
97
10
597
Successful.
Under
one
year.
7
...
...
...
20
25
...
...
...
18
...
...
1
31
1
96
Over one
and under
six years.
8
...
...
...
25
78
...
...
...
127
...
...
...
62
...
292
Total of
all ages.
9
...
...
...
47
180
...
...
...
173
...
...
1
93
1
495
Un-
known
10
...
...
...
...
31
...
...
...
...
...
...
...
3
...
34
Comparative Statement No. IV—Showing the number of persons primarily vaccinated
in each of the under
Establishment.
1
Government ... ... ...
Dispensaries ... ...
Municipal ... ...
Local Funds ... ...
Licensed vaccinators ...
Apprentices
...
...
Native States ... ...
Total
... ...
Persons
Total number.
Number success¬
fully vaccinated.
Total number.
Number success-
fully vaccinated.
Total number.
Number success-
fully vaccinated.
Total number.
Number success-
fully vaccinated.
Year ending
1912-13.
2
30,130
1,036
8,517
179,380
45,790
13,669
13,656
287,178
3
28,802
937
3,093
176,043
44,336
13,542
11,521
278,274
1913-14.
4
33,014
1,005
2,897
179,040
44,537
15,329
13,626
289,448
5
31,655
900
2,865
176,981
43,523
15,007
12,343
283,274
1914-15.
6
23,384
1,580
2,828
109,629
34,560
17,208
13,756
262,945
7
20,649
1,430
2,684
163,948
32,706
16,645
12,595
250,657
1915-16.
8
21,309
1,095
5,575
173,757
25,697
16,342
13,974
257,749
9
18,365
945
5,389
168,724
24,562
15,966
12,966
246,917
11
VACCINATION.
in the Province of Assam during the year 1921-22.
Re-vaccination.
Total.
11
...
...
...
44
77
...
...
...
32
...
...
...
32
83
268
Successful.
12
...
...
...
44
20
...
...
...
19
...
...
...
14
13
110
Unknown.
13
...
...
...
...
5
...
...
...
...
...
...
...
15
...
20
Percentage of successful cases in
which the results were known.
Primary.
14
...
...
...
100.00
80.00
...
...
...
93.01
...
...
100.00
98.93
10.00
87.92
Re-vaccination.
15
...
...
...
100.00
27.77
...
...
...
59.37
...
...
...
82.35
15.66
44.35
Percentage of unknown cases
to total cases.
Primary.
16
...
...
...
...
12.11
...
...
...
...
...
...
...
3.09
...
5.69
Re-vaccination.
17
...
...
...
...
6.49
...
...
...
...
...
...
...
46.87
...
7.46
and the number of those persons who were successfully vaccinated in the Province of Assam
mentioned official years.
primarily vaccinated.
Total number.
Number success-
fully vaccinated.
Total number.
Number success-
fully vaccinated.
Total number.
Number success-
fully vaccinated.
Total number.
Number success-
fully vaccinated.
Total number.
Number success-
fully vaccinated.
Total number.
Number success-
fully vaccinated.
31st March.
1916-17.
10
23,969
2,553
5,110
213,215
18,942
6,445
12,946
283,180
11
22,218
2,149
4,793
208,712
18,154
6,235
12,023
274,2814
1917-18.
12
23,473
1,929
4,495
201,759
18,760
7,888
12,947
271,251
13
20,246
1,704
4,199
189,413
17,188
7,614
9,909
250,273
1918-19.
14
17,309
1,406
4,072
170,387
14,316
7,161
8,689
223,340
15
15,570
1,216
3,792
162,163
12,931
7,011
7,265
209,948
1919-20.
16
22,970
4,787
4,606
249,931
...
5,271
26,595
314,160
17
20,682
3,892
4,276
238,218
...
5,180
16,159
288,407
1920-21.
18
26,096
1,017
3,858
252,105
...
2,325
17,059
302,460
19
24,194
892
3,431
237,777
...
2,223
11,690
280,207
1921-22.
20
48,215
597
3,467
205,990
...
950
16,529
275,748
21
45,045
495
3,268
194,158
...
925
13,240
257,131
12
Statement No. V—Showing particulars of Vaccination verified by Inspecting Officers for the
year 1921-22.
District.
1
Cachar
...
...
Sylhet ... ...
Khasi and Jaintia Hills ...
Naga Hills ... ... ...
Lushai
„
...
...
...
Goalpara ... ... ...
Kamrup
...
...
...
Darrang ... ...
Nowgong
...
...
...
Sibsagar
...
...
Lakhimpur
...
...
Garo Hills ... ...
Manipur State ...
Sadiya Frontier Tract ...
Total ... ...
Total number
of persons
vaccinated.
Primary.
2
18,479
114,860
11,498
5,108
3,549
20,825
18,499
11,327
12,880
17,365
16,263
6,971
16,626
1,498
275,748
Re-vaccination.
3
4,917
35,069
4,557
231
3,096
3,881
785
6,512
2,161
2,301
107
921
4,636
265
69,439
Total number inspected.
By Asstant Director
of Puplic Health or
Civil Surgeons.
Primary.
4
667
2,859
209
129
154
254
569
141
667
50
1,252
1,204
688
249
9,092
Re-vaccination.
5
18
1,319
1
...
126
19
14
97
152
6
...
7
32
71
1,862
By Native Superin-
tendents or other
Inspecting Officers.
Primary.
6
9,934
64,692
11,470
2,066
1,951
5,711
7,290
5,126
9,822
7,527
11,422
1,186
6,007
1,498
145,702
Re-vaccination
7
1,849
23,840
3,225
4
1,691
1,104
258
3,333
1,946
553
18
3
1,019
169
39,012
Percentage of inspection
to total number
vaccinated
By Assistant Director
of Public Health or
Civil Surgeons.
Primary.
8
3.61
2.49
1.81
2.52
4.84
1.22
3.07
1.24
5.18
.28
7.69
17.27
4.13
16.62
3.29
Re-vaccination.
9
.36
3.76
.02
...
4.07
.49
1.78
1.49
7.03
.26
...
. 76
.69
26.79
2.68
By Native Superin-
tendents or other
Inspecting Officers.
Primary.
10
53.75
58.32
99.75
40.44
54.97
27.42
39.40
45.25
76.25
43.34
70.23
17.01
36.13
100.00
52.83
Re-vaccination.
11
37.60
67.98
70.77
1.73
54.61
28.44
32.86
51.18
90.09
24.03
16.82
.32
21.98
68.77
56.18
Percentage of successful
cases to total
number inspected.
By Assistant Director
of Public Health or
Civil Surgeons.
Primary.
12
97.15
93.63
98.11
89.92
91.56
98.17
86.24
90.07
98.18
94.00
94.01
93.60
95.20
91.57
93.67
Re-vaccination.
13
55.50
59.59
...
...
57.14
78.94
14.28
73.19
61.84
...
...
85.71
50.00
76.06
61.22
By Native Superin-
tendents or other
Inspecting Officers.
Primary.
14
92.75
93.74
99.93
92.44
91.18
88.99
71.93
80.21
97.82
91.28
97.12
89.12
98.00
70.34
90.27
Re-vaccination.
15
65.60
48.79
55.59
75.00
68.07
56.36
17.62
59.30
84.39
45.93
66.66
100.00
74.77
83.43
64.39
Percentage of successes reported
by vaccinators.
Primary.
16
94.09
95.11
99.98
94.44
93.07
94.89
93.18
92.29
98.89
91.99
95.81
89.01
95.99
73.01
94.75
Re-vaccination
17
61.44
51.02
66.53
87.57
73.23
75.38
47.19
48.98
83.42
51.39
56.86
59.97
79.70
91.35
57.84
13
Statement No. VI—Showing the number of vaccinations performed in Municipal towns on children
under one year of age during the year 1921-22.
District.
1
Cachor ...
Sylhet
...
Khasi & Jaintia Hills
Goalpara
...
Kamrup
...
Darrang
...
Nowgong ...
Sibsagar ...
Lakhimpur
...
Town.
2
Silchar ...
Sylhet ...
Habiganj ...
Sunamganj ...
Karimganj ...
Maulvi Bazar ...
Shillong ...
Total of Surma Val-
ley and Hill Di-
vision.
Dhubri ...
Goalpara
...
Gauhati ...
Barpeta
...
Tezpur ...
Mangaldai ...
Nowgong ...
Sibsagar
...
Jorhat ...
Golaghat ...
Nazira ...
Dibrugarh ...
Doom Dooma ...
Total of
Assam
Valley Division.
Total for the Pro-
vince.
Number of births during the
year.
3
231
463
210
147
85
74
504
1,714
212
179
388
530
178
15
198
132
160
93
41
323
19
2,468
4,182
Number of deaths amongst
children under one year
during the year.
4
31
69
54
40
13
10
70
287
38
35
49
69
26
5
35
21
27
19
14
52
3
393
680
Number of successful vacci-
nation on children, under
one year during the year
ending 31st March 1922.
5
182
18
82
17
35
27
182
543
46
75
106
70
143
2
149
80
86
17
25
138
5
942
1,485
Date of extension of Vaccination Act to town.
6
21st January 1892.
1st October 1882.
11th December 1913.
28th June 1915.
27th July 1915.
16th April 1916.
21st June 1895.
13th February 1891.
12th November 1890.
August 1882.
29th October 1915.
22nd May 1907.
12th October 1916.
7th April 1897.
21st January 1892.
12th April 1892.
24th March 1892.
1st December 1916.
September 1883.
21st October 1918.
14
STATEMENT
Showing, side by side, the ratio per 1,000 of population of deaths
District.
1
Cachar ... ... ...
Sylhet ... ... ...
Khasi and Jaintia Hills ...
Naga Hills ... ... ...
Lushai „ ... ...
Goalpara ... ... ...
Kamrup
...
...
...
Darrang
... ... ...
Nowgong ...
...
...
Sibsagar ... ... ...
Lakhimpur ... ... ...
Garo Hills ...
...
...
Manipur State ... ... ...
Sadiya Frontier Tract ...
...
Total ...
1912-13.
Ratio of deaths from
small-poxs.
2
.008
.99
.13
...
...
.69
1.89
.50
.95
.09
.006
.09
...
...
.67
Number of successful
vaccinations.
3
16,992
132,022
10,740
5,119
3,123
19,731
39,978
10,964
6,602
18,298
14,063
12,338
11,678
...
301,648
1913-14.
Ratio of deaths from
small-pox.
4
.006
.47
.35
...
...
.59
1.02
.82
.43
.14
.07
.84
...
...
.40
Number of successful
vaccinations.
5
19,596
113,226
9,128
6,363
3,027
23,408
42,323
11,508
12,946
18,768
14,227
22,813
12,498
...
309,831
1914-15.
Ratio of deaths from
small-pox.
6
...
.14
.64
...
...
.78
2.03
.36
.24
.18
.09
.60
...
...
.37
Number of successful
vaccinations.
7
15,146
100,597
8,108
4,572
3,481
24,185
40,178
12,092
12,494
18,077
13,982
9,368
12,879
...
275,159
1915-16.
Ratio of deaths from
small-pox.
8
.008
.06
.02
...
.02
1.07
3.10
.61
.25
1.22
.06
.39
...
...
.58
Number of successful
vaccinations.
9
13,641
102,842
4,963
3,843
3,639
23,236
35,050
13,563
12,408
22,813
10,282
8,171
13,094
...
267,545
15
No. VII.
from small-pox and the number of successful vaccinations during the ten years ending 1921-22.
1916-17.
Ratio of deaths from
small-pox.
10
.59
.26
...
...
...
.82
.79
.61
.31
1.35
.18
.13
...
...
.47
Number of successful
vaccinations.
11
26,734
120,578
9,385
4,811
3,610
20,263
36,881
11,130
13,106
29,676
9,758
6,773
12,152
765
305,622
1917-18.
Ratio of deaths from
small-pox.
12
2.24
.52
.03
...
...
.79
.74
.08
.01
.96
.16
.98
...
...
.59
Number of successful
vaccinations.
13
17,561
93,549
7,902
4,663
4,031
19,822
44,802
11,582
13,225
23,404
15,905
5,023
18,159
707
280,335
1918-19.
Ratio of deaths from
small-pox.
14
.49
.11
.11
...
...
.27
1.65
.08
.05
.81
.14
...
...
...
.34
Number of successful
vaccinations.
15
14,244
104,435
5,395
7,766
2,380
14,007
27,727
3,163
11,722
15,182
10,536
5,198
17,699
471
239,925
1919-20.
Ratio of deaths from
small-pox.
16
.03
.16
...
...
...
.66
.13
.19
.02
.58
.09
.06
...
...
.20
Number of successful
vaccinations.
17
22,736
127,816
10,824
4,569
7,098
23,579
32,386
11,162
12,845
28,601
16,915
5,138
50,439
1,351
355,459
1920-21.
Ratio of deaths from
small-pox.
18
.02
.46
.20
...
...
.09
.08
.49
.07
.28
.05
.08
...
...
.24
Number of successful
vaccinations.
19
21,459
142,767
10,627
9,539
6,294
25,300
28,613
13,670
13,141
24,258
17,555
7,121
18,154
1,803
340,301
1921-22.
Ratio of deaths from
small-pox.
20
.003
.29
.12
...
...
.48
.27
2.38
.40
.10
.07
.02
...
...
.35
Number of successful
vaccinations.
21
20,263
127,139
14,508
4,748
5,249
22,434
17,383
13,036
14,522
17,028
15,608
6,312
16,214
1,182
295,626
SHILLONG . Printed and published by H. H. KING, Superintendent, Assam Secretariat Printing Office.
(D . P. H ) No. 22—145 + 12— 25-7.1922—A. E. R.
TRIENNIAL REPORT ON VACCINATION
IN
ASSAM
FOR THE YEARS
1920-21, 1921-22 and 1922-23
WITH BRIEF EXPLANATORY NOTES
BY
LIEUT.-COLONEL T. C. McCOMBIE YOUNG, M.D., D.P.H., I.M.S.,
DIRECTOR OF PUBLIC HEALTH, ASSAM
SHILLONG :
PRINTED AT THE ASSAM SECRETARIAT PRINTING OFFICE.
1923.
Price Eleven annas]
[Price One shilling
Agents for the sale of Books published by the Assam Government.
Agents in India.
(1) Messrs. Thacker, Spink & Co. Calcutta.
(2) Messrs. W. Newman & Co., Calcutta
(3) Messrs. S. K. Lahiri & Co., Calcutta.
(4) Messrs. A. M. and J. Ferguson, Ceylon.
(5) Messrs R. Cambray & Co., 6 and 8/2, Hastings Street,
Calcutta.
(6) Messrs. Thompson & Co., Madras.
(7) Babu Hari Ram Dhar, B.A., Popular Library, Dacca.
(8) Messrs. D. B. Taraporevala Sons & Co., 103 Meadon
Street Fort, Post Box No. 187. Bombay.
(9) The Indian School Supply Depôt, 309, Bow Bazar
Street, Calcutta.
(10) Messrs. Rai M. C. Sarkar Bahadur & Sons, 90-2 A,
Harison Road, Calcutta.
(11) Messrs. Students &Co., Cooch Bihar.
(12) Messrs. Vas & Co., Madras.
(13) The Standard Literature Co. Limited, 23-1, Old Court
House Street, Calcutta,
(14) The Standard Book Stall, Karachi.
(15) Mr. Mangaldas Harkisandas, Surat.
(16) Messrs. Kirsandas, Narandas & Sons of Surat.
(17) Munshi Seeta Ram, Managing Proprietor, Indian Army
Book Depôt Juhi, Cownpore.
(18) Proprietor, New Kitabkhana, Poona.
(19) The Association Press, Calcutta.
(20) The Manager, The Hitavada Craddock—Town, Nagpur
(21) Messrs. Butterworth & Co., (India) Limited
Post
Box 251, 6, Hastings Street, Calcutta.
Agents In Great Britain.
(1) Messrs Constable & Co., 10, Orange Street, Leicester
Square, W. C.
(2) Messrs. Kegan Paul, Trench, Trübner & Co., 68—74,
Carter Lane, E. C., London, Oriental Department, 39,
New Oxford Street, London, W. C.
(3) Mr. R.Quaritch, 11, Grafton Street, New Bond Street, W.
(4) Messrs. P. S.King & Son, 9, Bridge Street, Westmins-
ter, S. W., London.
(5) Mr B .H. Blackwell, 50 and 51, Broad Street, Oxford.
(6) Messrs. Deighton Bell & Co., Limited, Cambridge
(7) Messrs. Henry S. King & Co., 65, Cornhill, E. C.,
London.
(8) Messrs. Grindlay & Co., 54, Parliament Street, S. W.
London.
(9) Messrs. W. Thacker & Co., 2, Creed Lane, London, E. C.
(10) Messrs. Luzac & Co., 46, Great Russell Street, London
W. C.
(11) Mr. J. Fisher Unwin, Limited 1 Adelphie Terrace, London
W. C.
(12) Messrs. Weldon and Wesley Limited, 2, 3 & 4, Authur
Street, New Oxford Street, London, W. C. 2.
(13) Messrs. Oliver and Boyd, Tweedale Court, Edinburgh.
(14) Messrs. F. Ponsonby, Ltd., 116, Grafton Street, Dublin .
(15) Messrs East and West Limited, 3, Victoria Street, London, S. W. I.
Agents on the Continent of Europe.
(1) M Farnest Leroux, 28, Rue Bonaparte, Paris.
(2) MM. Friedlānder & Sohn 11, Carlstrasse, Berlin.
(3) M. Otto Harrassowitz, Leipzig.
(4) Martiaus Nijnoff, The Hague.
SHILLONG :
PRINTED BY H. H. KING, SUPERINTENDENT ASSAM GOVERNMENT PRESS.
No. 4239.
FROM
LIEUT.-COLONEL T. C. McCOMBIE YOUNG, M.D ., D.P.H., I.M.S.,
DIRECTOR OF PUBLIC HEALTH, ASSAM,
To
THE SECOND SECRETARY TO THE GOVERNMENT OF ASSAM.
Dated Shillong, the 7th June 1923.
SIR,
I HAVE the honour to submit herewith the Triennial Report on Vaccination
in Assam for the years 1920-21, 1921-22 and 1922-23.
Your obedient Servant,
T. C. McCOMBIE YOUNG, Lieut.- Colonel, I.M.S.,
Director of Public Health, Assam.
[Maximum limit of narrative portion of the report—8 pages.]
TRIENNIAL REPORT
ON
VACCINATION IN ASSAM
FOR THE YEARS
1920-21, 1921-22 & 1922-23.
Introductory.—I held charge of the department from April 1920 to 14th August
1920, Major Taylor, D.S.O., I.M.S., from 15th August 1920 to 4th July 1921, Dr. Rao
from 5th July 1921 to 25th August 1921, and myself for the remainder of the
triennium.
2. Vaccination agencies.—The average annual number of vaccinators employed
during the triennium was 444, as compared with 353 which was the average number
of preceding triennium. In July 1918, a proposal to increase the number of vaccina-
tors entertained by the Local Boards was submitted, which was calculated on the basis
of an annual visit to every village, as it had been noticed that outlying villages were
often not visited by vaccinators even at intervals of five years or more. These proposals
were in the main accepted, and the result has been the large increase in the number
of vaccination operations performed during this triennium. It is to be regretted, how-
ever, that the Local Boards of Sunamganj and Habiganj have retrenched 27 vaccina-
tors during 1922-23, thus receding from the policy of providing for a visit of a vacci-
nator to every village every year. The average number of persons vaccinated by each
vaccinator fell from 938 to 810. During the cold weather season of 1921-22, the non-
co-operation movement led to a large decrease in the number of vaccination performed
during that season.
3. Total number of operations.—The total number of operations performed by all
establishments during the triennial period 1920-21 to 1922-23 was 1,162,931, as com-
pared with 1,085,373 in the preceding triennium 1917-18 to 1919-20, showing an
increase of 77,558. The number of operations performed during the year 1922-23 was
376,447, i.e., 300,895 primary and 75,552 re-vaccination against 367,548, 291,970 and
75,578, respectively, in 1921-22, and 418,936, 314,233 and 104,703, respectively, in
1920-21.
The number of persons successfully vaccinated per 1,000 of population during the
year 1922-23 was 40.71.
4. Deaths from small-pox.—The ratio of mortality from small-pox per 1,000 of
population in 1922-23 was .38, as compared with .35 and .24 in the preceding two years.
Nowgong returned the highest ratio of 3.12 followed by Kamrup with 1.13 and Goalpa¬
ra with 1.05.
4
11. Vaccination in compulsory areas.—Statement No. VI shows the working of
the compulsory Vaccination Act. The figures are somewhat misleading. Many
parents prefer to postpone the vaccination of their children until the child has com-
pleted one year of life whereas the law provides that they should be vaccinated within
that period. The practice varies in different towns, some, such as Silchar, Goalpara,
Tezpur, and Nowgong, achieving the vaccination of nearly all infants available for
vaccination before the completion of one year of life, and in others such as Sylhet, the
Act has been more loosely administered, and a large number of children reached
their first birth-day unvaccinated. The postponement of vaccination after one year
of age is not however permitted, and few, if any, surviving children in compulsory
areas, remain unvaccinated in their second year of life. Vaccination has been made
compulsory in certain rural areas in which Village Authority have been constituted
and efforts have been made to administer the working of the Act in these areas
through the district inspecting staff but without much success, and it is now being
considered whether the administration of the Act might not be more fittingly entrusted
to the Chairman of the Village Authority.
12. Vaccine Depôt.—The number of capillary tubes loaded during the year 1922-
23 was 591,825 as compared with 583,433 in 1921-22, and 641,678 in 1920-21
and 614,845 the average of the preceding triennium. The number of calves inoculated
in 1922-23 was 542, lymph being taken from 447 only, the remaining 95 calves being
rejected for the following causes,—failure of operation in 43, illness in 14, and
ulceration and unsatisfactory vesicles in 38. The average number of tubes filled per
calf in 1922-23 was 1,110, as compared with 1,165 in 1921-22 and 1,038 in 1920-21.
The subjoined table shows the expenditure incurred in the Vaccine Depôt in the
last three years:—
Heads.
1
Establishment ... ... ...
Purchase of calves ...
...
... ...
Feed of calves
...
...
...
...
Vaccine tubes ... ... ... ...
Miscellaneous
... ... ... ...
Total ...
1920-21.
2
Rs.
4,162
3,733
766
2,734
1,077
12,474
1921-22.
3
Rs.
4,387
4,119
881
3,926
1,126
14,439
1922-23.
4
Rs.
4,640
5,000
784
4,648
976
15,998
13. Cost of the Department.—The cost of the department in the last six years
was as follows :—
1920-21 ... ...
1921-22 ... ...
1922-23 ... ...
Rs.
78,973
88,795
88,360
a.
15
15
14
p.
2
0
0
1917-18 ... ...
1918-19 ... ...
1919-20 ... ...
Rs.
55,000
58,247
71,167
a.
11
4
8
p.
10
5
9
The increase in cost from 1919-20 was due to the increase in the number of
vaccinators entertained by Local Boards on my recommendations, and the further
increase in 1921-22 was due to the increase in pay of staff owing to the rise in price
of food stuffs.
5
14. General.—The subjoined table shows the operations reported to have been
performed by other agencies :—
1
1917-18 ... ... ... ... ...
1918-19 ... ... ... ... ...
1919-20 ... ... ... ... ...
1920-21 ... ... ... ... ...
1921-22 ... ... ... ... ...
1922-23 ... ... ... ... ...
Tea gardens.
2
28,927
16,280
18,096
12,340
16,970
18,597
Jails.
3
2,479
2,742
5,152
4,087
5,307
5,044
Railways.
4
81
...
173
272
84
150
Owing to a belief that unconditional compliance with extravagant indents had
led to considerable wastage of lymph in tea estates, during the triennium under
review, all such indents have been scrutinised by Civil Surgeons with reference to the
amount of vaccination reported to be performed on the indenting garden, and the
indents have been corrected, with good results in the prevention of waste.
T. C. McCOMBIE YOUNG, Lieut.-Col., I.M.S.,
Director of Public Health, Assam.
6
The following diagram illustrates the death-rates from small-pox in each district side by side with the
proportion of the population protected against the disease by vaccination during the seven years 1916-17
to 1922-23.
NOTE.—Black lines indicate death-rates from small-pox.
Red lines indicate the proportion protected by vaccination.
8
A.—VACCINE
Statement No. I—Showing particulars of Vaccination in
No.
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
District.
2
SURMA VALLEY AND HILL DIVISION.
Cachar ... ... ...
Sylhet ... ... ...
Khasi and Jaintia Hills ... ...
Naga Hills ... ... ...
Lushai Hills ... ... ...
Total of Surma Valley and Hill Division
ASSAM VALLEY DIVISION.
Goalpara ... ... ...
Kamrup ... ... ...
Darrang ... ... ...
Nowgong ... ... ...
Sibsagar
...
...
...
Lakhimpur ... ... ...
Garo Hills
...
...
...
Total of Assam Valley Division ...
Manipur State ... ... ...
Sadiya Frontier Tract ... ... ...
Total Vaccine Department
...
Total Dispensaries ... ...
Total tea-gardens by garden agencies ...
Total Jails, Lunatic Asylum, Police hos-
pitals and Coolie Depôts.
Total Railways ...
Grand total ...
Population of district according
to the census of 1921.
3
527,228
2,541,341
243,263
160,960
98,406
3,571,198
762,523
762,671
477,935
397,921
823,197
588,295
179,140
3,991,682
384,016
39,531
7,986,427
...
...
...
...
7,986,427
Average population per square
mile.
4
148
472
40
52
14
141
193
197
164
108
162
143
57
149
45
101
130
...
...
...
...
130
Average number of vaccinators
employed throughout the Reason.
5
32
118
9
5
5
169
48
53
28
23
53
33
7
245
15
4
433
...
...
...
...
433
Total number of persons
vaccinated.
6
Male.
13,476
68,057
5,180
3,457
2,746
92,916
16,176
18,023
10,506
9,863
13,067
8,519
6,317
82,471
11,862
842
188,091
...
9,910
4,852
123
202,976
Female.
11,107
62,792
5,496
2,798
1,670
83,863
12,959
15,407
8,514
7,067
11,695
7,990
5,249
68,881
9,562
618
162,924
...
8,687
192
27
171,830
Total.
24,583
130,849
10,676
6,255
4,416
176,779
29,135
33,430
19,020
16,930
24,762
16,509
11,566
151,352
21,424
1,460
351,015
1,641
18,597
5,044
150
376,447
Average number of persons vacci-
nated by each vaccinator.
7
768
1,108
1,186
1,251
883
1,046
607
631
679
736
466
500
1,652
617
1,428
365
810
...
...
...
...
810
Primary
Total.
8
18,915
113,393
8,766
4,988
2,281
148,343
20,891
28,218
14,424
10,548
22,220
16,372
6,670
119,343
13,892
1,322
282,900
756
16,473
730
36
300,895
Suc
Under one year.
9
2,954
12,063
1,812
776
1,058
18,663
6,348
4,870
2,773
1,374
3,647
2,613
3,440
25,065
6,195
44
49,967
150
8,617
2
3
58,739
Sum
1
By special staff (Statement I)
...
... ...
By dispensary staff (Statement III) ... ...
By other agencies—tea-gardens, Jail hospital, Police hospital,
cholera hospital and coolie depôts.
Total ...
Total number of persons vaccinated.
Primary.
2
282,900
756
17,239
300,895
Re-vaccinations.
3
68,115
885
6,552
75,552
Total number of operations performed.
Primary.
4
282,900
756
17,239
300,895
Re-vaccinations.
5
68,115
885
6,552
75,552