4
8TH AUGUST 1895, No. 1388 L., LOCAL AND MUNICIPAL.
year having been successfully protected against 72.1 per cent. in that preceding it.
The work done in the several municipalities will, as usual, be more fully noticed in
the reviews of their administration reports.
8. Vaccination with Animal Lymph—The total number of operations performed
with animal lymph was 1,164,150 or 97.1 per cent. of the total number of all opera-
tions against 1,077,580 and 91.4 per cent., respectively, in the previous year. As will
be seen from the following table, the percentage of success was again highest in the
case of calf-to-arm vaccination :—
Calf-to-arm vaccination
..
..
..
Vaccination with lymph preserved in glass tubes
or plates.
Vaccination with lymph preserved with glycerine
Total ..
1893-94 ..
1894-95 ..
1893-94 ..
1894-95 ..
1893-94 ..
1894-95 ..
1893-94
..
1894-95 ..
Number
vaccinated.
516,800
378,955
185,458
142,899
375,322
642,296
1,077,580
1,164,150
Number of
successful cases.
491,270
363,448
172,335
132,536
343,729
558,009
1,007,334
1,053,993
Percentage of
success.
97.0
97.4
94.7
94.1
93.7
89.2
95.4
92.5
The noticeable decline from 93.7 to 89.2 per cent. in the ratio of success
obtained with lymph preserved with glycerine has not been explained. As this lymph
was used in a very large proportion of the cases operated upon, the general percentage
also fell from 95.4 to 92.5. This is a considerable decline and the Government
trusts that better results may be obtained in the current year. Every effort should be
made to discontinue the use of human lymph; that this should have still been
employed in such districts as Ganjám, Gódávari and Vizagapatam, where there are hill
tracts remote from centres from which lymph can be obtained, is capable of explanation;
but this is not the case with Nellore where, if proper arrangements were made, there
should have been no need to use lymph obtained from the human subject.
9. Mortality from small-pox.—It is satisfactory that only 7,369 deaths from small-
pox were reported during the year against 20,579 in 1893-94. The diagrams
appended to paragraph 25 of the report show that the progress made by vaccination
varied very considerably in the different districts and municipalities in the Presidency.
Thus in Tinnevelly district 3,200 persons were vaccinated in every 10,000 of the
population, while in Gódávari the number was only 1,700. In municipal areas again
the number of persons protected in every 10,000 of the population varied from 6,300
in Coonoor to 2,100 in Tirupati. The special attention of the officers of the Vaccination
Department should be directed to those localities which are low in the scale.
The rates of mortality in the diagrams do not in all cases vary inversely with
the proportion which the number of persons vaccinated bears to the total population,
but this may be due to a number of independent factors, such as defective registration
of vital statistics and the neglect of infantile as distinguished from other vaccination.
In the case of the four municipalities of Tellicherry, Cochin, Calicut and Palghat in
Malabar district, the high mortality is probably due to the fact that the rural tracts
round them, as is evident from the diagram relating to districts, were insufficiently
protected. The work in these tracts appears both from the Deputy Sanitary Commis-
sioner's interesting inspection notes printed in G.O., dated 8th June 1895, No. 990 L.,
and from the present report to require immediate and thorough scrutiny, and the
President of the District Board and the Sanitary Commissioner will be requested to
report what steps should be taken to improve matters.
10. The report received from the Sanitary Commissioner on the subject of the
reorganization of the Vaccination Department and referred to in paragraph 8 of G.O.,
dated 26th July 1894, No. 1385 L., is still under the consideration of Government.
(True Extract.)
J. F. PRICE,
Chief Secretary.