No. 1452 L., 11TH AUGUST 1898.
3
districts, which was considerable in South Arcot (16,049) and Ganjám (13,422). The
average outturn of work for each vaccinator was highest in South Arcot (2,207), and
this was followed by Trichinopoly (2,160); the average was more than 1,500 cases in
Chingleput, Coimbatore, Ganjám, Madura, Salem, South Canara, Tanjore, Tinnevelly
and Vizagapatam. As compared with the previous year, there was a satisfactory
increase in South Arcot (750) and a corresponding decrease in Vizagapatam (732),
which has not been explained. Owing probably to the greater accuracy of the figures
and stricter supervision, there was a further apparent deterioration in the quality of
the work turned out, as many as nine districts exhibiting lower figures than in the
previous year, and the general percentage of success fell from 92.0 to 91.4. The
Nilgiris stood first with a reported ratio of 99.1 per cent., followed by Trichinopoly
(98.9), Cuddapah (98.6), Madura (98.5) and South Arcot (98.3), while the lowest
figures were reported in Gódávari (76.4), Ganjám (79.8), Malabar (81.7), Nellore
(82.0), Tanjore (82.9) and Coimbatore (83.0). The percentage of success in re-vacci-
nation was 82.5. Owing chiefly to an increase in the charges and a fall in the
percentage of success, the average cost of each successful case rose from As. 3-2 to
As. 3-4. It varied from As. 7-5 in the Nilgiris, the circumstances of which are
peculiar, to As. 2 in Salem, and exceeded As. 4 in Anantapur, Bellary, Cuddapah,
Gódávari, Kurnool, Malabar, Nellore and North Arcot, in all of which, except the last
two, this was the case in the previous year also. The cost in Cuddapah, Godávari,
Malabar and Nellore showed an increase as compared with that year. Every endeavour
should be made by the District Boards concerned to reduce the high cost in the current
year. The work done in the different Local Fund areas will be noticed in greater
detail in reviewing the administration reports of the District Boards.
7. Municipalities.—Vaccination was compulsory in all the municipalities includ-
ing the City of Madras, and the total number of operations reported to have been
performed in these areas rose from 118,655 to 127,724, the increase being most
marked in Madras (6,061), Cocanada (2,791) and Berhampur (893). On the other
hand, there was a decline in 31 towns, which was considerable in Calicut (656) and
Madura (610). It is to be regretted that in Palghat and Tellicherry this has occurred
for the last four years in succession, while in Walajapet, Anakápalle and Anantapur
there was a fall of over 20 per cent. as compared with the previous year. The councils
concerned are requested to pay special attention to this subject. The percentage of
infants successfully vaccinated to the registered births rose from 78.3 to 84.0. The
average number of operations performed by each vaccinator was 1,140 against 1,581 in
Local Fund areas and exceeded 1,000 in 29 towns against 30 in 1896-97. It was high
in Cocanada (2,370), Madura (1,752), Vizagapatam (1,609), Trichinopoly (1,587) and
Vizianagram (1,526) and low in Walajapet (380), Anantapur (394) and Tirup¬
pattár (476). The municipal councils of the last three towns should take steps to
get better work done by the vaccinators employed by them. The average cost of each
successful case was As. 4-9 or 3 pies less than in the previous year, but it compared
unfavourably with that in Local Fund areas, where it was only As. 3-4. The cost varied
from As. 12-2 in Tirupati to As. 1-10 in Madura and was more than As. 8 in Canna-
nore, Chidambaram, Kurnool and Walajapet. The councils of these four municipali-
ties and of Tirupati are requested to take early steps to reduce the cost. It is a matter
for regret that in these towns there was an increase as compared with the previous
year, when the Government remarked that the cost was excessive.
From the table showing the working of the system approved in G.O., No. 1502 M.,
dated 19th October 1894, for the better supervision of compulsory vaccination, it
appears, as in last year, that the number of children under one year successfully vacci-
nated was, in the case of some municipalities, much in excess of the number successfully
vaccinated out of the total births available for vaccination. The difference was large
in Madura (1,551), Calicut (1,547) and Trichinopoly (1,106), and as it cannot wholly
be accounted for by the number of children born elsewhere and brought into the town
in the first year of life, the Government considers that the registration of births in
these towns is defective and demands the special attention of the councils concerned.
The total number of operations performed in the city of Madras rose from 27,021 to
33,082, and of these, 8,254 or about one-fourth, were cases of re-vaccination. The
percentage of success was 99.6 in the case of primary and secondary vaccinations
and 87.0 in the case of re-vaccinations against 99.2 and 87.1, respectively, in 1896-97