14
REPORT ON VACCINATION.
operating on coolies working in the various famine relief camps and partly to the
kind aid rendered by the District Collectors, Divisional Officers, and Tahsildars, who
all took a warm interest in promoting vaccination among the famine relief laborers.
Great obstruction exists in regard to infantile vaccination, as the parents imagine
that young children will have their health ruined by vaccination. The conduct
of the Vaccinators was on the whole satisfactory. The largest number, viz., 1,734,
was obtained by First-class Vaccinator P. Sashachellum. The mortality from
small-pox was 973. Small-pox broke out in almost all parts of the circle, and
immediate steps were taken to arrest the disease. Fever also showed itself, commit-
ting great havoc during the year, and deaths from it were countless, and this greatly
interfered with the progress of vaccination. The salary of Second-class Vaccinators
is complained of very much by the Deputy Inspector, as it hardly suffices to meet the
expenses incurred by the Vaccinators, and he suggests that the new rules providing
batta and extra allowance to Vaccinators be brought into operation. Among the
staff there were 4 resignations, 1 dismissal, and 1 desertion. One of these was
convicted and punished for submitting false returns. No batta was paid to mothers
for furnishing lymph during the year, as no provision was made for this purpose ;
consequently the mothers were reluctant to allow lymph being taken from their
children's arms. The cost of each successful case has been Annas 5 and Pies 3.
MADHANAPALLE CIRCLE.
In this circle the Deputy Inspector reports that 7,618 were vaccinated with
a success of 88.01 per cent., showing a considerable increase of 4,677 cases over
that of the past year. The increase in the number of operations is partly due to
compulsory vaccination in getting the inmates of the famine relief camps vaccin-
ated, and partly to the employment of extra hands, viz., three Second-class and four
Probationary Vaccinators. During the year the staff was not complete; there
were two deaths from cholera and fever, and one was on the sick list for three months.
The people in some parts of the circle are averse to being vaccinated owing to
ignorance. They believe that if they submit to the operation they will incur the
displeasure of their goddess, who, it is supposed, would bring some calamity on their
family. Although the Vaccinators convinced many of the people of the advantages
of vaccination, yet they would not allow lymph to be taken from the subjects
vaccinated. 353 subjects were vaccinated under one year of age, comprising 164
males and 189 females. The Deputy Inspector acknowledges the material
assistance given by the Sub-Collector and Vice-President in encouraging vaccina-
tion on all his visits to the famine camps. The cost of each successful operation
was 6 Annas and 1 Pie. On the 15th July 1877 Dr. Shortt arrived at Madhanapalle,
where the Deputy Inspector of the circle met him, when he was engaged in transacting
office work. Saw the medical officer and visited the relief-camp on the 16th, and
inspected a large number of old cases and the working lymph of the eighth day.
Conversed with Lieutenant Money, the officer in charge of the camp. Inspected the
records of the Deputy Inspector and the equipments of two Vaccinators, and was
much pleased with all he saw there, and left for Punganur the same night.
GANJAM DISTRICT.
This district comprises two circles with a First-class Deputy Inspector to each,
and in addition there are the hill tracts, in which a First-class Deputy Inspector
and a staff of Vaccinators are at work.
CHETTERPORE CIRCLE.
The Deputy Inspector reports 8,301 operations with a percentage of 88.7 of
success. The total shows an increase of 3,754 cases as compared with the