2
No. 1452 L., 11TH AUGUST 1898.
is stated that explanations have been called for from the defaulters and that they
will be suitably dealt with. The work done by the Deputy Inspectors of Ellore,
Nellore (Central Range), Karvetnagar and Tiruvannámalai appears to have been
particularly good, more than 75 per cent. of the operations having been verified by
them. In addition to this, the District Medical and Sanitary officers inspected 31,138
cases against 30,488 in 1896-97, the percentage of operations inspected to the total
number being, however, only 2.5 as in that year. These officers should inspect a
much larger number of cases, and the circumstances under which no cases at all
were inspected by the Medical officer of Ganjám should be explained. The Inspector
of Vaccination was on other duty in Bombay during nine months of the year and did
not therefore verify any cases.
4. Infantile Vaccination.—Excluding the operations performed in the cantonments
of Bangalore and Secunderabad, the total number of persons vaccinated during the
year was 35.5 per mille of the population against 34.8 in 1896-97. On the other
hand, infantile vaccination was almost stationary, the number of children under one
year reported to have been successfully vaccinated being 328,515 against 328,383 in
the previous year. Compared, however, with the registered births of the year, 36
per cent. of the children born during the year were protected from small-pox against
33.6 in 1896-97. Infantile vaccination was again very unsatisfactory in the districts
of Tanjore, South Canara, Gódávari and Malabar, and the Presidents of the District
Boards concerned are requested to take steps to ensure better results in the current
year. As compared with the previous year, there was a rise of 14 per cent. in Bellary
and South Arcot and a fall of over 6 per cent. in Coimbatore, Kistna and the Nilgiris,
the variations, except in the case of the Nilgiris, being explained in paragraph 8 of
the report. The best results were achieved in the districts of Madura, Bellary and
Coimbatore and in the municipalities of Calicut, Chicacole, Bimlipatam, Madura,
Salem, Adóni, Anakápalle and Ootacamund, while in the city of Madras (though this
was a considerable improvement) only 81.8 per cent. of the children born during the
year are reported to have been successfully vaccinated. In Mannárgudi, Cocanada,
Cuddapah, Anantapur, Berhampur, Kumbakónam and Tiruvannámalai, the outturn of
work was not satisfactory, the porportion being less than 60 per cent. The municipal
councils concerned are requested to devote their special attention to this subject and
to enforce the compulsory provisions of the Act. The proportion of infants protected
from small-pox showed a large increase of 45.7 per cent. in Chicacole, which is
ascribed to the prevalence of small-pox and the consequent tendency of the people to
subject themselves to vaccination. On the other hand, the greatest fall occurred in
Madura, where the decrease was 32 per cent., a result which is stated to be due to the
post of a vaccinator who had been dismissed not having been filled up for two
months and to the absence of another on one month's leave.
5. Agency Tracts.—There was a further improvement in the work done by the
Government vaccinators in the Agency tracts of Ganjám, Vizagapatam and Gódávari,
the number of operations reported to have been performed by them being 31,728
or 10,378 more than in 1896-97. The greater portion of the increase occurred in the
Ganjám Bill tracts, where 7,222 operations were performed in excess of those of the
previous year, owing mainly to the prevalence of small-pox in an epidemic form
throughout the year. The average number of operations performed by each vaccinator
rose from 915 to 1,637 in the Ganjám Hill tracts and from 776 to 1,358 in the
Gunapur circle of the Vizagapatam district. These increases are satisfactory.
Vizagapatam .. .. ..
Kistna .. .. .. ..
Gódávari
.. .. .. ..
Salem .. .. .. ..
Tanjore .. .. .. ..
North Arcot .. .. ..
Coimbatore .. .. ..
Chingleput .. .. .. ..
Cuddapah .. .. .. ..
Nellore .. .. .. ..
— 19,699
— 5,171
— 5,872
— 4,350
— 4,070
— 3,219
— 3,131
— 2,840
—
410
—
74
6. Local Fund Areas.—The total number of operations in Local Fund areas showed
a decline of 1,143 cases, while the average
outturn of work for each vaccinator rose
from 1,559 to 1,581. There was a decrease
in the ten districts noted in the margin.
In Coimbatore and Chingleput this has
occurred for two years in succession.
The explanation offered for the short
work in these ten cases cannot be accepted
as adequate and the subject should receive
the earnest attention of the Presidents of
the District Boards concerned. On the other hand, there was an increase in eleven