10
in the Western and Central Districts, and was severe each year in Bombay
City. The table appended shows the total deaths from small-pox by districts for
each year of the triennium together with the age period of deaths and is com-
pared with the total number of persons successfully vaccinated. The proportion
of children under 10 years of age who died from small-pox to the total deaths in
1902-03, 1903-04 and 1904-05 was 49.08, 54.62 and 55.83 per cent. respectively.
The total recorded deaths during the triennium amounted to 17,842.
To prevent such a death toll in future there must be compulsory primary and
re-vaccination and a continuity of control by supervising officers.
District.
Western Registration District ...
Central Registration District ...
Southern Registration District ...
Gujarát Registration District
...
Sind Registration District ...
Bombay City
... ...
Total ...
Total deaths from
Small-pox.
1902-03.
401
132
484
37
231
893
2,241
1903-04.
1,118
395
30
35
260
952
2,790
1904-05.
7,952
1,448
93
874
459
l,985
12,811
Age periods.
1903-03.
Under
one
year.
147
46
91
11
40
250
585
Above
one and
under
ten
years.
300
42
135
13
71
539
1,100
1903-04.
Under
one
year.
378
129
11
13
41
288
860
Above
one and
under
ten
years.
681
141
8
13
75
604
1,5
1904-05.
Under
one
year.
2,897
543
31
295
84
691
4,541
Above
one and
under
ten
years.
4,350
629
41
444
154
1,531
7,152
Persons successfully
vaccinated.
1902-03.
88,629
125,274
76,589
66,750
75,958
13,699
446,879
1903-04.
93,556
123,552
76,347
68,042
76,931
14,213
452,641
1904-05.
94,884
139,533
79,542
80,233
84,701
17,502
496,395
Work of Inspectors and
Assistant Superintendents of
Vaccination.
35. There were 38 Inspectors of Sanitation and Vaccination who were on
travelling duty. The names of 327,541 children were
called from registers, of whom 229,598 were present
and 97,943 absent, but their absence was accounted
for. Out of 229,598 children inspected 223,754 were
protected and 5,844 were unsuccessful. Of the 223,754 cases returned as
protected, 191,312 or 85.50 per cent. had good cicatrices and 32,442 bad or im-
perfect ones, 14.50 per cent. In the Registers tested, the results as given by the
Vaccinators were, successful 300,978 or 91.83 per cent., unsuccessful and doubtful
4,948 or 1.51 per cent., unknown or absent 21,834, and 219 secondary operations.
Conduct of members in
the Department.
36. The conduct of clerical establishment was excellent. The Inspectors of
Sanitation and Vaccination worked well on the whole
but require constant supervision. The majority of
the Vaccinators worked well—some brilliantly, a few
required punishment for various faults.
Inoculation.
37. No inoculation was reported to have been
practised anywhere in the Presidency during the year
under report.
Ill effects by vaccination.
38. No instances of any disease were reported as having been communicated
through vaccination. Lanolinated lymph was however
reported by the Deputy Sanitary Commissioner,
Gujarát Registration District, as causing a good deal of axillary glandular
swelling and inflammation around vesicles.
Diagram showing the pro-
portion of population protect-
ed during seven years and
the death-rate from small-pox
during the triennium.
39. A diagrm illustrating the proportion of population protected by vaccina-
tion in each District during the seven preceding
years with the death-rates from small-pox during each
of the three years of the triennial period under review
is attached.
Opposition to vaccination.
40. Opposition to vaccination was reported chiefly in Sind, Southern, Guja-
rát and parts of Dhárwár. The opposition to vacci-
nation amongst a section of the educated classes
appears to be increasing. There is almost universal opposition to re-vaccina-
tion. It is believed vaccination with preserved lymph will overcome the chief
opposition to vaccination which consists in the dislike of parents to give lymph
rom their children's arms.