[Maximum limit 5 pages].
ANNUAL
VACCINATION REPORT
BIHAR AND ORISSA
for the year
1917-18.
1. Staff.—Major W. C. Ross, I.M.S., was in charge of the Department
throughout the year under report.
The circles of the Deputy Sanitary Commissioners were rearranged at the
beginning of the year with headquarters at Muzaffarpur, Patna, and Namkum
(Ranchi). The office of the Deputy Sanitary Commissioner, North Bihar
Circle, was held by Dr. B. P. Mazumdar throughout the year, and Dr. T. Sebas-
tian remained in charge of the Chota Nagpur and Orissa Circle , and in super-
vising charge of the Vaccine Depôt during the year. Dr. R. C. Roy held
charge of the South Bihar Circle from 1st to 30th April, and Dr. S. Maitra
was in charge for the remainder of the year.
The inspecting staff consisted of 20 District Inspectors of Vaccination and
66 Sub-Inspectors of Vaccination (including 3 deputed for duty at the Vaccine
Depôt) in addition to the 2 Sub-Assistant Surgeons combining vaccination
inspection with other duties in Angul. During the year one additional appoint-
ment to the cadre was sanctioned in order to provide a Sub -Inspector for the
new Khondmal Subdivision in Angul, to replace the Sub-Assistant Surgeon
who had previously done the work in addition to his other duties.
The total numbers of vaccinators employed in the Province during the
year were 1,049 licensed and 202 paid, against 1,086 licensed and 207 paid in
the previous year.
In Municipalities and in the districts of Puri, Angul, Sambalpur, and part
of Singhbhum, vaccination was done by paid vaccinators ; but otherwise the
work throughout the Province was carried out under the licensing system
except for the employment of paid vaccinators for short periods to deal with
outbreaks of small-pox.
2. Operations performed.—The total number of operations performed
during the year amounted to 1,097,676 as compared with 1,090,434 last year.
The increase amounts to 7,242 which is in my opinion satisfactory in consider-
ation of the wide prevalence of plague, cholera, fever, and other diseases
during the year, which was an unusually unhealthy one.
Of the total number of operations, 1,084,031 were performed by the
Vaccination Department as compared with 1,072,081 last year: 1,055,374
operations were primary and the remaining 28,657 were revaccinations as
against 1,039,575 primary and 32,506 revaccinations last year.
There was an increase of 15,799 in the primary operations and a decrease
of 3,849 in the revaccinations during the year. Of the total operations per-
formed (1,084,031), 1,061,531 equal to 97.92 per cent. were successful as com-
pared with 1,042,865 equal to 97.27 per cent. last year. The number of opera-
tions performed in municipalities fell by 1,053 as compared with last year's
returns. The ratios of success in municipalities were 96.23 for primary and
69.12 for revaccination as compared with 98.98 for primary and 61.11 for
revaccination in rural areas.
Patna Division.
3. Vaccination in Districts.—During the year under report, vaccination
has been successfully carried out in the
Patna Division, from all the districts of
which an increase is reported in the number of operations performed, viz., Gaya