ANNUAL
VACCINATION REPORT
BIHAR AND ORISSA
FOR THE YEAR
1921-1922.
1. Staff.—Lt.-Col. W. C. Ross, I.M.S., held charge of the Department
throughout the year and submits this report.
The three Assistant Directors of Public Health remained in charge of
their respective circles during the year except for short absences on privilege
leave, viz., Dr. S. N. Tiwari in the South Bihar Circle, Dr. B. P. Mazumdar
in the North Bihar Circle and Dr. T. Sebastian in the Chota Nagpur and Orissa
Circle.
The Inspecting Staff consisted of 20 District Inspectors of Vaccination and
69 Sub-Inspectors of Vaccination (including three deputed for duty at the
Vaccine Depôt), in addition to the one Sub-Assistant Surgeon combining
vaccination inspection with other duties in Angul. The total number of
vaccinators employed in the Province during the year was 1,073 licensed and.
233 paid, against 1,088 licensed and 227 paid in the previous year.
In municipalities and in the district of Puri 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 by
District Boards, and employed temporarily by Civil Surgeons for short periods
to deal with outbreaks of small-pox.
2. Operations performed.— The total number of operations performed
during the year amounted to 939,851, as compared with 1,060,485 last year.
The decrease was 120,634 and was due to political unrest and active interference
with the work of the staff. Many reports were received both in writing and
verbally of the increasing difficulty in carrying on the work in face of opposi-
tion stirred up by agitators and of the unwillingness of the people either to
permit the operation on their children or to pay for it. These difficulties are
likely to. cause a further falling off next year as the vaccinators are now
unwilling to work in many places and their numbers are likely to decrease as
they cannot realise their fees fully. Of the total number of operations in the
Province 925,134 were performed by the staff of the Vaccination Department
as compared with 1,041,481 last year. Nine lakhs two thousand two hundred
and eighty-six operations were primary and 22,848 were re-vaccinations as
against 966,334 primary and 75,147 re-vaccinations last year.
There was a decrease of 64,048 in the primary operations and 52,299 in
re-vaccinations during the year. Of the total operations performed (925,134),
909,007 equal to 98.26 per cent. were successful, as compared with 1,002,986
equal to 96.29 last year. The number of operations performed in municipalities
fell by 10,000 as compared with last year's returns. The total number of
operations performed was 33,903 and the number of successful operations was
31,036 of which 30,040 were primary and 996 were re-vaccinations as compared
with 31,541 and 5,329 respectively last year. The ratios of success in munici-
palities were 96.47 per cent. for primary operations and 36.00 per cent. for
re-vaccinations as compared with 95.09 percent. and 48.98 per cent.respectively
last year. The number of operations performed in rural areas was 891,231 as
compared with 997,578 last year and the ratios of successes were 99.33 per cent.
for primary operations and 61.93 for re-vaccinations.