2
6TH AUGUST 1892, Nos. 1790, 1790-A L., LOCAL AND MUNICIPAL.
1890-91
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1891-92 .. .. .. ..
482,170
524,571
the average cost of each such case remained the same as in 1890-91, viz., As. 3-7, owing
to a corresponding increase in the total cost of the vaccine establishments. The total
number of cases verified by Deputy Inspec-
tors of Vaccination exhibits a satisfactory
increase of 42,401 over that of the pre-
vious year, and the ranges in which these
officers failed to verify less than 50 per cent. of the cases vaccinated, declined from
ten in 1890-91 to six in the year under report. The explanation of this shortcoming
is inadequate. The Deputy Inspector, Permagudi range, who has been reported for
short work in two successive years, should be severely dealt with. The figures given
under the heading "Percentage of successful cases to total number inspected" in
the statement appended to paragraph 17 appear in some instances open to doubt,
notably in that of the Ganjam Hill tracts where, notwithstanding the known facts
that the vaccinators are bad and good lymph is difficult to obtain, the percentage of
successful cases amongst those inspected is alleged to have been 96.6 per cent.
The work done by medical subordinates was, on the whole, satisfactory, particularly
in the case of the Chingleput district which was far ahead of other districts in this
respect.
3. Excluding the work done in the cantonments of Bangalore and Secunderabad,
the proportion per mille of the total number of operations performed during the year
to the total population according to the census of 1881 was 34.1 against 31.0 in
1890-91 and 28.3 in 1889-90. Infantile vaccination, however, has not received
the attention that it should, as, although there was an increase of 28,366 in the
total number of successful operations on children under one year of age, the proportion
per cent. of such cases to the total number of registered births fell from 24.1 in 1890-91
to 22.5 during the year under review.
4. The work done in the year under review by the Government establishment in
the Hill tracts of the Northern Circars was even less than the short work of 1890-91.
In Ganjam, Jeypore and Peddapur Agencies the falling off was most marked, though
Ganjam still showed the highest average outturn of work per vaccinator. No attempt
has been made to explain the discreditable results under notice. This is a point into
which, although the staff is under the control of the respective Agency officers, the
Inspector of Vaccination should have made enquiry. The Agents of the districts
concerned will now be called upon in the Judicial Department to account for the
falling off within their charges.
5. Local Fund Circles.—The number of operations performed by Local Fund
vaccinators increased by 78,871 or 10.1 per cent., as compared with 1890-91.
The average outturn per vaccinator was 1,302, the corresponding figure for the previous
year being 1,182. As in 1890-91 the Local Fund vaccinators head the list, as
regards quantity the next in order being those of the Madras town with an average of
1,046. The quality of the operations performed, however, has continued to deteriorate.
The Inspector ascribes this mainly to the changes in the kind of lymph used ; this
explanation is probably correct. The work done in the different Local Fund circles
will be noticed by Government in reviewing the administration reports of the several
District Boards. The large increase in the number of operations performed in Tinne-
velly (12,973), South Arcot (10,322) and Godávari (10,301) is very satisfactory; but
in three districts, as against six in 1890-91, viz., Coimbatore, Kurnool and Trichinopoly,
less work was turned out than in the previous year. In Coimbatore the deficiency was
small, but this is the third year in succession in which it has been noticed. The
Government must again direct the attention of the District Board to the matter. The
short outturn of work in Kurnool and Trichinopoly has not been satisfactorily
explained. It is presumed that during the suspension of the Deputy Inspector of the
last-named district an officer was appointed to carry on the work. In Kurnool each
vaccinator performed 2,490 operations—a number rather less than that of the previous
year (2,836). This district in this respect heads the list and Trichinopoly again occu-
pies the second place with 1,884 cases per vaccinator—an improvement on 1890-91
(1,687 cases). The other districts showing more than 1,600 cases per vaccinator are