2
No. 1275 L., 7TH AUGUST 1901.
this report has been, I regret to say, submitted a few days in arrears. This, however,
was, under the circumstances, unavoidable and I trust that Government will
recognise the fact.
The covering letter of the Inspector of Vaccination has been reduced to three
pages only and as many statements as possible have been placed in the appendix, or
omitted, in accordance with G.O., No. 1068 L., dated 28th June 1901.
ORDER—No. 1275 L., dated 7th August 1901.
There was an increase in the work done by the Vaccination department, the
number of vaccine operations performed during the year having exceeded that of the
previous year by 98,474 or 8.5 per cent. This increase was particularly large in the
districts of Gódávari (25,751), Trichinopoly (17,245), Malabar (17,063) and Salem
(16,979). On the other hand, there was a considerable fall in Vizagapatam (8,390)
and Madura (7,241) which in the former case is ascribed to various causes, and in the
latter to the incompleteness of the staff of vaccinators. The explanations offered for
the short work in Vizagapatam, where a decrease has occurred for two successive
years, point to unsatisfactory administration. The President of the District Board is
requested to devise measures to remedy the present state of things.
2. The percentage of success remained almost stationary in the case of primary
and secondary vaccination, but in the case of revaccination it rose from 76.1 to 77.7.
In the Coimbatore district, however, the percentage of successful primary and second-
ary vaccinations was as low as 68.3.
3. The average cost of each successful operation fell by two pies (from As. 3-9 to
As. 3-7). Taking the districts individually, it was more than As. 4 in Anantapur,
Bellary, Cuddapah, Nellore, North Arcot, the Nilgiris, Coimbatore and South Canara.
In all these districts, except Coimbatore and South Canara, a similarly high average
cost was noticed in last year's review. In the case of municipalities the cost exceeded
As. 8 in Bimlipatam and Cuddapah and for a second consecutive year in Tirupati and
Walajapet. The District Boards and the Municipal Councils concerned are requested
to see if the cost cannot be reduced without sacrificing efficiency.
4. The total number of successful operations on children under one year rose
from 324,241 to 350,763, the districts of Bellary, Anantapur, Trichinopoly, the
Nilgiris and Kistna, and the municipalities of Palni, Dindigul, Bellary, Anakápalle,
Mangalore and Nellore having chiefly contributed to this increase. There was,
however, a large decrease in Coimbatore, which is attributed to the inferiority of the
lanoline paste supplied from the local depot. It is presumed that the low percentage
of success in primary and secondary vaccination in this district, noticed in paragraph 2
above, was also due to this cause. The cause of the inferiority of the lymph
should be reported to Government and it should be explained why it did not earlier
attract attention. Decreases of more than 20 per cent. occurred in the municipalities
of Palamcottah, Walajapet, Tinnevelly, Cuddapah and Cannanore, for which no
explanation has been offered. The Chairmen of the Municipal Councils concerned
are requested to supply the omission. It is observed that out of the total number of
children available for vaccination, more than 50 per cent. escaped vaccination in the
municipalities of Bellary, Cannanore, Chingleput, Coimbatore, Cuddapah, Nellore and
Tanjore. This indicates that the provisions of the District Municipalities Act in
regard to compulsory vaccination have been neglected in these towns. The Municipal
Councils concerned should bestow proper attention on this branch of their adminis-
tration.
5. The mortality from small-pox rose from 21,195 to 27,161, the increase having
been caused by severe epidemics in Gódávari and Tanjore. Special efforts were made
in Gódávari to promote vaccination. In Tanjore only a slight endeavour appears to
have been made in this direction, as the total number of persons vaccinated during
the year shows an increase of only 2,192. The attention of the President of this
District Board is drawn to the matter.