6
VACCINATION REPORT.
The increases in the proportion protected in the three districts above noted
are very small and do not call for remarks.
In addition to the prevalence of plague, other reasons for the large decreases-
given are prevalence of cholera, incompleteness of staff, and failure of lymph supply.
Probably prevalence of plague had also an indirect effect in diverting the attention
and energies of the local authorities to the more urgent and special duties caused
by its prevalence.
As regards municipalities the ratio of 75 per cent. and upwards usually taken
as indicating fair work, is attained by only 22 towns as compared with 40 last
year. As noted above these percentages might, however, also be at any rate partly
due to defective birth registration. The following municipalities show a substan-
tial increase :—
Erode (28.3), Cocanada (24.8), Anantapur (24.3), Tirupattúr (18.5), Chingie-
put (18.4), Tiruvannámalai (16.6), Madura (15.1) and Kumbakónam (11.4). The
improvement in the cases of Erode, Cocanada and Anantapur are satisfactory as
these have hitherto been backward. The number of towns showing a decrease
is considerable. The following show a decrease of 20 per cent. and upwards:—
Chicacole (58.4), Bimlipatam (40.9), Dindigul (33.7), Calicut (32.6), Ádóni
(32.4), Anakapalle (32.0), Cuddapah (30.7), Parlákimedi (29.7), Trichinopoly (27.9),
Bezwada (23.3), Bellary (21.9), Chidambaram (21.9), and Palni (20.4).
These decreases are principally attributed to (1) decrease in the number of
children available for vaccination, (2) inoculation scare, (3) deficiency in staff.
The Municipalities of Berhampur, Tanjore, Srírangam, Cuddapah and Kumba-
k6nam have kept more or less steadily at the bottom of the list during the last
three years.
The following municipalities show a decrease during each of the past three
years :—Wallajapet and Berhampur.
9. The following table shows the cost of various establishments and of each
successful case during the three years under review : —
Establishment.
Government establishment.
Local Fund
do.
Municipal
do.
Zamindari
do.
Cantonment
do.
Total ...
Total expenditure.
1896-97.
RS.
7,288
1,92,065
34,616
972
2,296
2,37,240
A.
7
14
7
14
11
6
P.
5
9
1
4
0
7
1897-98.
RS.
9,182
1,95,775
34,377
1,267
2,288
2,42,891
A.
0
14
12
9
9
13
P.
6
1
2
4
0
1
1898-99.
RS.
10,809
1,91,292
32,641
1,533
2,522
2,38,799
A.
12
7
1
11
10
12
P.
10
8
10
8
1
1
Average cost of each
successful case.
1896-97.
RS.
0
0
0
0
0
0
A.
6
3
5
3
8
3
P.
8
2
0
2
4
6
1897-98.
RS.
0
0
0
0
0
0
A.
5
3
4
2
7
3
P.
8
4
9
2
7
6
1898-99.
RS.
0
0
0
0
0
0
A.
5
3
5
2
7
4
P.
1
11
0
8
6
1
While the total expended is less than that of the previous year, the large
decrease in the number of operations performed, and consequently of successful
cases, has raised the average cost of each successful case from As. 3-6 in previous
years to As. 4-1 this year. The decrease in the total expenditure has occurred in
local fund and municipal areas, that in Government establishment, zamindaris
and cantonments having risen. The decrease in Local Fund areas is, however,
only about Rs. 4,400 and in Municipalities about Rs. 1,700. These differences are-
small when the number of Local Fund areas and Municipalities is taken into consi-
deration, and are probably due to minor causes, no special report having been
received.
With the exception of the Nilgiri district (As. 10-3) which is an exceptional
case, the cost per case in Local Fund circles has varied from As. 8-11 in the
Gódávari district to As. 2-9 in the Madura district, while amongst municipalities
the cost has varied from As. 14-1 in Walajapet to As. 1-11 in Madura (excluding
Anantapur (As. 1-10) where the cost of establishment is borne by the District
Board).
10. During the last three years the work done in municipalities shows an
improvement when compared with the work of the previous triennium in spite of a
drop of 9,584 cases this year. The average number of cases performed during the
previous triennial period was 117,387, and during the last triennial period 121,506.
This result may fairly be ascribed to the operation of G-.O., No. 1502-M, dated 19th
October 1894. Considerable tendency, however, still exists to practically impose-