REPORT ON VACCINATION IN THE MADRAS
PRESIDENCY DURING 1892-93.
From Surgeon-Major D. F. DYMOTT, M.B., Inspector of Vaccination and Deputy
Sanitary Commissioner for Madras, to the Sanitary Commissioner for Madras,
dated Fort St. George, 12th June 1893, No. 924—V.
I have the honour to submit a full report on vaccination in the Madras
Presidency for 1892-93.
2. During the year I visited on inspection duty the districts of Chingleput,
Madura, Malabar, Nilgiris, South Canara, Tanjore, Tinnevelly, Trichinopoly, Gan-
jam, Nellore and Vizagapatam, and submitted inspection reports on the towns of
Conjeeveram, Dindigul, Madura, Periyakulam, Palni, Cannanore, Calicut, Palghat,
Tellicherry, Ootacamund, Mangalore, Kumbakónam, Mayavaram, Mannárgudi,
Negapatam, Tanjore, Palamcottah, Tinnevelly, Tuticorin, Trichinopoly, Srírangam,
Berhampur, Chicacole, Parlákimedi, Nellore, Ongole, Bimlipatam, Vizagapatam
and Vizianagram. I also reported on 71 unions and villages. With such a large
amount of sanitary work to attend to I was unable to devote as much time as I
should have liked to vaccination. I am glad, however, to be able to state that the
progress made in vaccination during the year is satisfactory. There has been a
steady yearly rise in the numbers vaccinated since 1886.
3. The following statement compares the establishments employed during the
last three years :—
Years.
1890-91
...
...
1891-92
...
...
1892-93
...
...
First-class
Deputy
Inspectors.
34
34
34
Second-class
Deputy
Inspectors.
*23
*23
*24
First-class
Vaccinators.
251
254
259
Second-class
Vaccinators.
418
420
424
Proba-
tioners.
142
146
141
* Four Assistant Deputy Inspectors.
4. The following table contrasts the work performed with that of the previous
year, and shows that there was a large increase of 111,121 cases :—
——
Primary vaccinations
...
...
...
...
Re-vaccinations
...
...
...
...
...
Total ...
1890-91.
906,119
54,441
960,560
1891-92.
996,274
57,146
1,053,420
1892-93.
1,106,517
58,024
1,164,541
The increase is greater than that of any of the previous six years, and is largely
due to the introduction of animal vaccination. In Coimbatore, Madura, North
Arcot, Salem, South Arcot, South Canara, Tinnevelly, Trichinopoly, and Vizaga-
patam districts the interest taken in vaccination by the Presidents of the District
Boards and by the District Medical Officers led to excellent results.
5. The following table shows the rates of success in primary operations and
re-vaccinations for the last three years :—
Establishment.
Local Fund Vaccinators...
Government
do. ...
Native States
do. ...
Municipal
do. ...
Cantonment
do. ...
Dispensaries
...
...
Medical Subordinates ...
Total ...
Number of successful vaccinations.
1890-91.
Primary
vaccination.
706,117
16,684
6,017
85,008
3,343
33,162
2,727
853,058
Re-vaccina-
tion.
32,672
66
49
5,803
156
2,885
2,249
43,880
1891-92.
Primary
vaccination.
768,658
14,907
6,430
95,898
2,998
36,104
2,724
927,719
Re-vaccina-
tion.
31,814
120
... 5,947
220
2,167
2,517
42,785
1892-93.
Primary
vaccination,
889,648
13,823
6,496
100,613
4,806
30,292
3,827
1,049,605
Re-vaccina-
tion.
29,942
93
18
7,199
602
1,496
5,852
45,202
Ratio per cent. of successful cases.
1890-91.
Primary
vaccination.
95.0
93.6
94.9
93.2
90.8
85.6
57.3
94.1
Re-vaccina-
tion.
86.1
81.5
75.3
73.5
86.2
76.0
50.4
80.6
1891-92.
Primary
vaccination.
93.7
91.0
97.0
93.4
92.2
82.9
71.6
93.1
Re-vaccina-
tion.
79.3
95.2
... 73.4
66.3
56.7
54.0
74.9
1892-93.
Primary
vaccination.
95.4
91.9
94.7
94.6
92.3
84.2
78.4
94.8
Re-vaccina-
tion.
83.7
89.4
78.3
83.8
68.2
62.8
57.0
77.9
Ratio per cent. of
total successful
cases.
1890-91.
94.5
93.6
93.9
91.6
90.6
84.5
53.9
93.4
1891-92.
93.0
91.1
97.0
93.5
89.8
80.8
61.9
92.1
1892-93.
95.0
91.9
94.6
93.8
88.8
82.9
63.9
94.0