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No. 1396 L., 11TH AUGUST 1900.
Salem (98.7), Trichinopoly (98.7), Cuddapah (98.5) and Madura (98.4) and low in
Gódávari (75.6), Malabar (77.9) and Ganjám (81.9). The percentage of success in
re vaccination rose from 75.3 to 77.4. Owing partly to a decrease in the charges
and partly to an increase in the number of successful cases, the average cost of each
successful case fell from As. 3-11 to As. 3-7. The decrease occurred in fourteen
districts and was appreciable in Gódávari (As. 4-1) and the Nilgiris (As. 3-1). In
the remaining seven districts there was an increase which, however, was not large
in any case. The average cost of each successful case varied from As. 7-2 in Cudda-
pah and the Nilgiris to As. 2-5 in Madura and exceeded As. 4 in Anantapur, Bellary,
Gódávari, Nellore, North Arcot and Trichinopoly, in all of which this was the case
in the previous year also. Every endeavour should be made by the District Boards
concerned to reduce the cost. The work done in the several districts will, as usual,
be noticed in greater detail in reviewing the Administration reports of the District
Boards.
7. Municipalities.—Excluding the Municipalities of Kodaikánal and Nandyal,
which were constituted during the latter half of the year, there were 58 District
Municipalities, and vaccination was compulsory in all of them as well as in the City
of Madras. The total number of operations reported to have been performed in these
areas rose from 118,140 to 120,442, the increase being most marked in Trichinopoly
(2,906) and Calicut (870). On the other hand, there was a decline in nineteen towns,
which was considerable in Madras (3,227), Negapatam (853) and Cocanada (755), the
fall being explained in paragraph 10 of the report. It is to be regretted that in
Masulipatam and Anakápalle this has occurred for the last four years in succession.
The earnest attention of the Councils concerned is drawn to this subject. The
percentage of infants successfully vaccinated to the registered births of the year
rose from 74.7 to 79.2. The average number of operations performed by each
vaccinator was 1,095 against 1,440 in Local Fund areas and exceeded 1,000 in 29
towns against 25 in 1898-99. It was high in Cocanada (2,486), Madura (1,867),
Guntúr (1,810), Vizianagram (1,710), Srívilliputtúr (1,700), Trichinopoly (1,599) and
Salem (1,502), and low in Tiruppattúr (324), Walajapet (366), Anantapur (400),
Tirupati (442) and Ongole (490). The Municipal Councils of the last five towns
should take steps to get better work from the vaccinators employed by them. The
average cost of each successful case was As. 4-6, or six pies less than in the previous
year, but it compared unfavourably with that in Local Fund areas, where it was only
As. 3-7. The cost varied from As. 9-6 in Negapatam to As. 1-9 in Madura and
was more than As. 8 in Tirupati and Walajapet, although there was a decrease as
compared with the previous year. The Councils of these two Municipalities and
of Negapatam are requested to take early steps to reduce the cost.
From the table showing the working of the system prescribed in G.O., No. 1502 M.,
dated 19th October 1894, for the better supervision of compulsory vaccination, it
appears that the number of children under one year successfully vaccinated according
to the monthly returns was, except in Bimlipatam, Chicacole, Ootacamund, Palni,
Tanjore and Tuticorin, larger than the number returned as successfully vaccinated
out of the total births entered in the register as available for vaccination, the
difference being particularly large in Madura (2,382) and Trichinoply (1,069). As
these excesses cannot wholly be accounted for by the number of children born
elsewhere and brought into the town in the first year of life, there is no doubt that
the registration of births in these towns is defective and demands the special attention
of the Councils concerned. The remarks of the Sanitary Commissioner in paragraph
2 of his letter regarding the responsibility of Chairmen of Municipal Councils in
carrying out the instructions contained in G.O., No. 1502 M., dated 19th October 1894,
should also receive attention. The total number of operations performed in the City
of Madras fell from 28,186 to 24,959, and of these 5,877 or about one-fourth were
cases of revaccination. The percentage of success was 99.6 in the case of primary
and secondary vaccinations and 76.3 in that of revaccinations against 99.5 and 83.2,
respectively, in .1898-99, and the cost of each successful case rose from As. 6-2 to
As. 6-11. Infantile vaccination, however,made some progress, 71.9 per cent. of the
children born during the year having been successfully vaccinated against 70.9 per
cent. in the previous year. The poor results recorded are explained by the Inspector