2
The increase in the revaccination was due to greater attention being paid
to revaccination on account of outbreak of small-pox in several districts, In
Manbhum generally and especially the Jherria Coal Field the people willingly
accepted revaccination though they were strongly opposed to it during the
previous years. The total number of revaccinations was 16,539 in this district.
Of the total operations (1,295,179) 1,270,949 or 98.12 per cent. proved
successful as compared with 1,284,609 or 98.9 per cent. of the last year. The
percentage of success in primary and revaccinations in which the results were
known was 99.69 and 73.51 respectively against 99.67 and 75.41 of the previous
year.
There was an increase of 7,048 over that of the last year in the operations
performed in municipalities. The ratio of success in municipalities was 98.17
for primary and 53.90 for revaccination as compared with 99.48 for primary,
69.62 for revaccination in rural areas.
4. VACCINATION IN COMPULSORY AREAS.
In the towns in which the Vaccination Act is in force 82.41 per cent. of
the total number of children under one year of age were successfully vaccinated
as compared with 77.70 per cent. of the previous year.
In the towns of Arrah, Muzaffarpur, Cuttack, Ranchi, Lohardaga, Palamau,
Purulia, Kishanganj, Rajmahal, and Jhalda the number of successful operations
was in excess of that of the children available. It is reported that people from
the adjoining villages bring their children to be vaccinated in the municipal
area to avoid payment of fees.
5. MORTALITY FROM SMALL-POX.
The provincial rate of mortality from small-pox was .22 against .11 per
1,000 in the previous year. The following districts had a higher mortality
than that prevailing in the province generally :—Balasore (.90), Patna (.48),
Monghyr (.46), Bhagalpur (.35), Shahabad (.32), Purnea (.30), Manbhum (.43)
and Singhbhum (.45).
6. PROTECTION AFFORDED TO INFANTS.
Out of 1,219,774, the estimated number of infants under one year available
for vaccination, 629,670 i.e. 516.21 per thousand were successfully vaccinated
against 461.88 in the previous year. The protection afforded was over 500
per mille in the following districts, which is satisfactory considering that vacci-
nation is not compulsory in rural areas :— Darbhanga, Bhagalpur, Purnea,
Santal Parganas, Cuttack, Balasore, Angul, Sambalpur Hazaribagh, Ranchi,
Palamau, Manbhum, and Singhbhum.
The protection to infants in municipalities is shown in the appendix attached.
It will be seen that the protection afforded was 824.18 per mille of the surviving
infant population against 777.02 of the previous year. The protection afford-
ed in the Municipalities given below was inadequate :—Tikari, Dumraon,
Motihari, Darbhanga, Monghyr, Bhagalpur, Katihar, Sahibganj, Sambalpur,
and Hazaribagh. The attention of the Civil Surgeons concerned has been
drawn to their responsibility in the matter of infant protection in these
towns.
A comparative diagram illustrating the death rate from small-pox in each
district, with the population protected against small-pox by vaccination during
the past seven years is also attached
7. INSPECTION.
The Deputy Sanitary Commissioners inspected 8,781 or .7 per cent. of
primary cases of the total operations against 3.63 per cent. in the last years.
The Civil Surgeons inspected 78,646 primary and 7,162 revaccinations
or 6.31 and 10.49 per cent. respectively against 7.27 and 14.71 of the previous
year. The Civil Surgeons of Gaya, Saran, Champaran, Santal Parganas,
and Ranchi inspected more than 5,000 operations.