VACCINATION REPORT.
7
As regards municipalities, a ratio of 75 per cent. and upwards has been attained
by 37 towns as compared with 22 last year. The proportions per cent. protected
shown by the first five must, however, be due to defective registration, and this is
probably the case also with several others though the constant and large influx of
visitors in certain towns, such as Madura, may partly account for it. The follow-
ing municipalities show a substantial increase :—Cuddapah (48.7), Walajapet (45.6),
Srírangam (36.4), Vizianagram (27.1), Bimlipatam (25.1), Rajahmundry (24.5),
Tiruvannámalai (23.9), Parlákimedi (19.2), Madura (18.8), Adóni (18.7), Cuddalore
(18.5), Gudiyáttam (18.3), Mannárgudi (18.2), Karúr (17.6), Chidambaram (17.3),
Ellore (17.0), Berhampur (16.6), and Bezwada (16.0).
In the cases of Walajapet, Bimlipatam, Srírangam, Tiruvannámalai, Vizia-
nagram and Cuddapah, the improvement is specially satisfactory, as these towns
have hitherto been backward. Towns which show a decrease of 20 per cent. and
upwards are very few, namely, Chingleput (20.3), Erode (24.2), Mangalore (21.8)
and Nellore (20.9); and in the majority of cases where a decrease is shown it is
comparatively small. The general average has risen from 74.7 to 79.2 per cent.,
and the considerable all-round improvement shown is satisfactory and is probably
partly due to efforts made to improve the working of G.O., No. 1502 M. of 1894.
The cases of decrease are attributed to the small number of children available for
vaccination. The municipalities of Berhampur and Tanjore still remain backward,
though the former shows a satisfactory increase. Municipalities whose vaccinators
have done good work would do well to reward them.
9. The following table shows the cost of the various establishments and the
average cost of each successful case :—
Establishment.
Government establishment ... ...
Local Fund
do. ... ...
Municipal
do. ... ...
Zamindari
do. ... ...
Cantonment
do. ... ...
Total ...
Total expenditure.
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
1899-00.
RS.
11,468
1,90,604
31,066
1,527
2,282
† 2,36,949
A.
1
8
12
9
11
12
P.
5
8
10
8
8
3
Average cost of each
successful case.
1898-99.
RS.
0
0
0
0
0
0
A.
5
3
5
2
7
4
P.
1
11
0
8
6
1
1899-00.
RS.
0
0
0
0
0
0
A.
6
3
4
3
6
3
P.
2 7
6
7
10
9
† Exclusive of the pay and allowance of the Inspector of Vaccination and Deputy Sanitary Commissioner.
Both the total expended and the average cost show a slight decrease due to minor
causes in the one case and the increased number of cases in the other. The
decrease has occurred mainly in local fund and municipal areas. The high average
cost in Government areas and in cantonments is due to the comparatively small
amount of work turned out, which also is less in both cases than that of last year.
The average cost of each successful case varies very widely in the districts, e.g., from
annas 2 pies 5 per case in Madura to annas 7 pies 2 in Cuddapah. This of course
depends mainly on the number of cases done, but the number of vaccinators
employed, which is the principal item causing variations in the total expenditure,
also varies a good deal ranging from 3.5 per 100,000 of population in Malabar to
1.8 in Madura, Tanjore and North Arcot, 1.6 in Trichinopoly and 1.4 in South
Arcot. This variation moreover does not seem to be dependent on the size of the
various districts as some of those with a particularly small staff are those which are
the most thickly populated. The total expenditure depends also on whether fresh
or preserved lymph is used, the latter being necessarily the cheaper.
10. As previously noted the work done in municipalities shows an increase of
2,302 cases in spite of a large decrease in Madras City. This is probably due partly
to the ordinary increase of population, better registration, and diminution of plague
scare, as at Trichinopoly where there has been an increase of 2,906 cases. The
number of towns in which the total outturn shows a marked decrease is compara-
tively small, viz., * Madras (3,227), Negapatam (853), Cocanada (755), Mangalore
(328), * Tiruppattúr (299), * Bellary (281) and * Conjeeveram (202). The towns
NOTE.—The names marked with one asterisk showed a decrease last year also.