VACCINATION REPORT.
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Cuddapah are the municipalities which caused the most frequent references
to be made on the subject of their monthly returns and are the ones in which
vaccination seems to be the most carelessly carried on.
9. In the Local fund areas the progress of vaccination rests principally with
the Revenue officials. If the Collector manifests an interest in vaccination and
directs, in indubitable terms, his Tahsildars to forward it, village headmen quickly
respond and assist the vaccinators, but if vaccinators are left more or less to their
own devices difficulties arise and the work suffers. In some districts vaccinators
are wholly under the orders of the Tahsildars; in others their movements are
controlled by the Deputy Inspectors of Vaccination. In some districts again
the weekly diaries of the Deputy Inspectors of Vaccination and the work of the
vaccinators are periodically reviewed by the President, District Board, and action
is taken thereon, in others little notice is taken of the diaries until this office
makes a reference concerning them.
The more local interest is taken in vaccination the better is work performed
and the less necessary is it for this office to be constantly drawing attention
to the non-maintenance of unprotected lists in certain villages and such like
trivialities.
During the past year the non-maintenance of the village unprotected lists,
without which it is impossible for the vaccinators to do good work, was the cause of
numerous references, South Coimbatore, Cuddapah, Paramagudi, Gudur, Ongole,
Trichinopoly and Ariyalúr being the worst ranges in this respect.
10. The percentage of success with different kinds of lymph in primary and
secondary vaccination (re-vaccination excluded) is compared below:—
Number of
cases excluding
unknown.
216,606*
...
68,460 ...
414,476 * ...
206,141* ...
186,808 ...
46,685* ...
20,704* ...
Area.
Local Funds
Do. ...
Do. ...
Do. ...
Do. ...
Municipalities ...
Do. ...
Method.
Calf-to-arm
Animal lymph in tubes
and plates.
Glycerinated lymph ...
Lanoline lymph ...
Do.
...
...
Do.
...
...
Glycerinated lymph
...
Whence obtained.
Locally ... ... ... ...
Transferred from calves for
transport or economical rea-
sons.
Locally prepared in different
centres.
Supplied by the Bangalore
Institute.
Locally prepared ... ...
Different sources
...
...
Locally
...
...
...
...
Percentage of
success.
98.4
96.1
86.9
93.8
90.4
96.3
93.2
* Includes cases in Madras City.
The figures in this table exhibit some remarkable deviations from last year's.
The success rate of glycerinated lymph locally prepared has fallen from 91.5 per
cent. to 86.9 per cent., while the rate of locally prepared lanoline lymph has risen
from 79.1 per cent. to 90.4 per cent. in Local fund areas. It is impossible to
account for these variations, and, considering the magnitude of the numbers dealt
with, it seems reasonable to exclude mere chance.
11. The deaths from small-pox amounted to 26,024 or 1,137 less than last
year.
12. The diagrams have this year been prepared with the new census figures,
which accounts to some extent for the decrease in the proportion of the population
protected.
13. The Deputy Inspectors of the following ranges failed to verify the
50 per cent. of cases vaccinated which is required of them:—Saidapet (46.5),
* East Coimbatore (41.1), Guntúr (49.4), Masulipatam (43.0), Madras (41.1),
*Paramagudi (43.4), * Tellicherry (32.5), * Calicut (30.8), *Palghat (48.2), *Nilgiris
(44.1), Tiruvannámalai (45.2), South Canara, North (43.6), Vizagapatam (45.7).
Note—An asterisk denotes that 50 per cent. was not attained in this range in the previous year.
Excluding Sundays and holidays the number of working days is about 280.
The average number of days spent on inspection work by each of the 57 Deputy
Inspectors of Vaccination (excluding Madras) was 243.
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