2
VACCINATION REPORT.
also showed a slight decrease. The diminished outturn has been accounted for by
the Deputy Inspectors concerned as follows :—
Vizagapatam.—Prevalence of cholera and presence of famine; absence of
certain vaccinators on long leave.
Kistna.—Paucity of cases owing to the large increase shown in 1896-97;
famine; want of help from the Revenue authorities.
Gódávari.—Want of help from the village heads; non-payment of rewards
to vaccinators ; re-organization of the staff by the District Board.
Salem.—Transfer of a first-class vaccinator to the calf-depot; general oppo-
sition of the people to vaccination.
Tanjore.—Prevalence of cholera; failure of glycerine paste and the conse-
quent short supply of lymph to the vaccinators during two months in the year.
North Arcot.—Famine ; cholera ; difficulty experienced in procuring calves.
Coimbatore.—Paucity of cases ; prevalence of cholera.
Chingleput.—Paucity of cases; failure of lymph on more than one occasion.
Cuddapah.—Famine;
prevalence of measles and fever; discontinuance
of the system of reviewing the monthly work of vaccinators by the President,
District Board, in consequence of which Tahsildars did not interest themselves in
vaccination.
Nellore.—Absence of certain vaccinators on leave; re-organization of the
department by the President, District Board.
6. The following table shows the number of successful operations performed
by all agencies, and rates of success attained:—
Establishment.
Local Fund vaccinators ...
Government
do. ...
Zamindari
do. ...
Municipal
do. ...
Cantonment
do. ...
Dispensaries ... ... ...
Medical subordinates ...
Total ...
Number of successful vaccinations.
1896-97.
Primary and
Secondary
vaccination.
927,372
17,311
6,405
96,389
3,628
10,267
1,088
1,062,460
Re-vaccina-
tion.
32,216
249
21
13,535
762
909
8,051
55,743
1897-98.
Primary and
Secondary
vaccination.
915,095
25,693
9,363
102,063
3,840
9,754
1,511
1,067,319
Re-vaccina-
tion.
34,962
389
43
14,141
978
1,100
10,306
61,919
Ratio per cent.
of successful cases.
1896-97.
Primary and
Secondary
vaccination.
92.4
86.4
87.1
96.1
88.8
88.0
87.8
92.5
Re-vaccina-
tion.
81.3
71.3
100.0
84.7
53.8
74.8
73.1
80.1
1897-98.
Primary and
Secondary
vaccination.
91.8
87.0
93.8
95.4
95.7
83.5
86.2
92.0
Re-vaccina-
tion.
82.5
55.5
100.0
81.6
59.9
72.8
79.0
80.8
Ratio per
cent. of total
successful
cases.
1896-97.
92.0
86.1
87.2
94.6
79.8
86.7
74.6
91.8
1897-98.
91.4
86.3
93.8
93.5
85.3
82.3
80.3
91.3
Note.—The statistics given in this statement include those exhibited in Statements I and III appended to this
report.
The variations in the success rates attained by the several agencies as exhib-
ited in the above table point either to the efficiency or otherwise of the lymph
used or to the degree of care taken by the operators both as regards its preser-
vation and use. In respect of re-vaccination which was specially commented on
by Government in reviewing the operations of last year, circulars were issued
defining secondary operation and re-vaccination. Deputy Inspectors of Vaccination
and Chairmen of Municipal Councils have been written to on this subject and their
assurance was taken that their vaccinators understood thoroughly the two kinds
of operation and could differentiate them. As this subject had always in the past
formed a questionable point, I have caused the statistics recorded in the jails of
this Presidency to be tabulated. From the results obtained a fair standard of
success may be fixed. Re-vaccination as conducted in these institutions yielded a
success rate of 79.8 per cent.
7. Classified according to the different age periods, the year's operations may
be abstracted as shown below :—