2
VACCINATION REPORT.
the following table is instructive as showing what is probably the real percentage
of vaccination success throughout the Presidency:—
Year.
1893-94
...
...
...
1894-95
...
...
...
1895-96
...
...
...
Mean for three years ...
Percentage of success reported by
Inspector of
Vaccination and
District Medical
and Sanitary
Officers.
71.3
76.7
90.7
79.6
Deputy Ins-
pectors of
Vaccination
(Natives).
94.2
91.5
89.7
91.8
Vaccinators.
91.5
93.4
92.8
92.5
(c) In 1893-94 the important step was begun of undertaking the systematic
inspection of the whole range of each Deputy Inspector, with the result of reveal-
ing an amount of corruption beyond even what was suspected to exist. Cuddapah
district was thus gone over by me, and in consequence one first-class Deputy
Inspector was reduced to second class. In the next year Surgeon-Major Mallins
similarly inspected the Malabar district and in a special report to Government
showed up the gross irregularities and corruption that prevailed there. Again this
year;—the amount of municipal inspection work required of the Deputy Sanitary
Commissioner having been reduced by half (G.O., No. 1280 M. of 6th August 1895);—
he was able to visit in this thorough way the districts of Anantapur, Bellary, Madura,
North Arcot, South Arcot and Trichinopoly, with the result that three Deputies
have been suspended for periods of three months each, three have been fined for
indolence and irregularities in their work, and the conduct of two is still under
consideration. It is believed that in this way the department will gradually be
purged of idlers and cheats, and that its statistics will in time afford some indi-
cation of the actual condition of the population in regard to its state of protection
against small-pox.
(d) During this year the Sanitary Commissioner issued circular letters to all
Presidents of District Boards, and Chairmen of Municipalities, calling their atten-
tion to the need for revaccination, with the results exhibited in the table below.
Attention was also called to the supreme importance of infantile vaccination.
(e) In accordance with G.O., No. 1585-L., Local & Municipal, dated 19th
July 1893 a new table was inserted in the annual report of 1893-94 to show the
percentage proportion protected among the population under one year. This
served to direct attention to localities where this all-important matter had been
neglected.
(f) In accordance with G.O., No. 523, Public, dated 6th July 1893, dia-
grams were prepared to show in the Annual Report of 1893-94 the effect of
vaccination in protecting the people from small-pox, but owing to the admittedly
backward state of registration both of births and deaths, this has not proved so
instructive as had been anticipated.
(g) As it was found that epidemics of small-pox might be raging in villages
and yet the Deputy Inspector know nothing of it for three weeks or a month,
owing to the round-about way the information reached him, Government was
asked to change the Revenue Board's Standing Order No. 195, so that information
might be sent at once to the Deputy Inspector; this has now been done, but for
some reason unknown the new ruling has not come into force in many places. I
would, therefore, beg to suggest that attention be again called to this matter, as it
is one of great importance in checking the ravages of small-pox at the outset.
(h) During the year 1895-96 the supervision exercised by District Medical
and Sanitary Officers over the vaccination staff in their districts has been consi-
derably curtailed by G.O., No. 57, Public, dated 24th January 1895, which directs
that in future, outlying dispensaries shall be visited once yearly instead of twice
as formerly. That a very wholesome check was provided by these inspections is
shown by a case where a vaccinator submitted duplicate registers for two months,