ANNUAL VACCINATION REPORT
BIHAR AND ORISSA.
1915-16.
1. Staff.—Lieutenant-Colonel E. C. Hare, I.M.S., was in charge of the De-
partment from the 1st April to 16th May 1915, and from 26th November 1915
to 2nd February 1916: Dr. S. N. Tiwari from the 17th May to 25th June 1915
and Major W. C. Ross, I.M.S., from the 26th June to 25th November 1915
and again from 3rd February till the end of the year.
The office of Deputy Sanitary Commissioner, Bihar Circle, was held by
Dr. S. N. Tiwari throughout the year. The office of Deputy Sanitary Com-
missioner, Chota Nagpur Circle, and charge of the Vaccine Depôt at Namkum
were held by Dr. T. Sebastian throughout the year. The office of Deputy
Sanitary Commissioner, Orissa Circle, was held by Dr. B. P. Mazumdar during
the year.
The inspecting staff consisted of 20 District Inspectors of Vaccination and
65 Sub-Inspectors of Vaccination (including 3 deputed for duty at the Vaccine
Depôt) in addition to the 3 Sub-Assistant Surgeons combining vaccination
inspection with other duties in Angul. During the year 2 additional appoint-
ments to the cadre were sanctioned in order to provide Sub-Inspectors for the
new Subdivision at Simdega and for the compulsory vaccination area in Patna
and these are included in the above statement.
The total number of vaccinators employed in the Province during the
year were 990 licensed and 184 paid against 999 licensed and 142 paid in the
previous year.
In municipalities and in the districts of Puri, 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 out-
breaks of small-pox.
2. Operations performed.—The total number of operations performed
during the year amounted to 1288419 as compared with 1314042 last year.
The decrease amounts to 25623 and is in my opinion largely due to the deterio-
ration in discipline and in energy of the inspecting staff.
Of the total number of operations 1255710 were performed by the
Vaccination Department as compared with 1295179 last year: 1205202
operations were primary and the remaining 50503 were revaccinations as
against 1242316 primary and 52863 revaccinations last year.
Primary operations and re-vaccinations both fell off during the year by
37114 and 23.55, respectively. Of the total operations performed (1255710)
1221018 equal to 97.23 per cent. were successful as compared with 1270949
equal to 98.12 per cent. last year. The number of operations performed in
municipalities fell by 1687 as compared with last year's returns. The ratios of
success in municipalities were 96.66 for primary and 44.50 for revaccination
as compared with 99.13 for primary and 55.83 for revaccination in rural areas.
3. Vaccination in Districts.—During the year under report, vaccination
has been most 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 (9769), Patna (11394) and Shahabad (3498).
The Orissa Division on the other hand shows a very large decrease and
the Cuttack district again heads the list with another large drop of 15967
in the number of operations performed. The districts of Balasore (9583)
and Sambalpur (3660) both return the decreases noted against them and
the districts of Puri and Angul are the only districts in this Division which
show some increase of 5228 and 3337, respectively.