26TH JULY 1894, Nos. 1385, 13815 L., LOCAL AND MUNICIPAL.
3
in the different local fund areas will be more fully noticed by Government in review-
ing the administration reports of the several district boards. With reference to the
suggestion made by Dr. King in paragraph 4 of his letter that vaccination should be
made compulsory in major unions at least, his attention will be drawn to paragraph 8
of G.O., dated 2nd July 1894, No. 1210 L.
6. Vaccination is now compulsory in all the 56 municipalities, including the city
of.Madras, having been introduced into 4 of these, viz., Tanjore, Karúr, Bimlipatam
and Cochin, during the year under review. It is to be regretted that the work done
by the municipal vaccinators instead of improving has actually declined, the total
number of operations performed by them having fallen from 114,953 in 1892-93 to
113,837 in the year under review. In no less than 29 towns was there a retrogression.
The Inspector of Vaccination ascribes this falling off to the decrease in the available
population under 10 years of age. But this explanation cannot be accepted as satisfac-
tory, seeing that the number of children successfully protected from small-pox during
the year under review was only 65.8 per cent. of the total number of births registered
in municipalities. In Madras, Trichinopoly, Masulipatam, Palamcottah, Cuddapah,
Srírangam, Berhampur, Coonoor and Conjeeveram the work has fallen off during
both the last two years. The special attention of the councils concerned is drawn to
this subject and the Government trusts that they will in future render compulsory
vaccination a reality instead of as is in far too many instances at present a mere name.
The average outturn of work by each vaccinator in municipalities was 990 cases
against 1,495 in local fund areas and exceeded 1,000 cases in only 23 towns. It was
high in Tinnevelly (1,864), Madura (1,796), Tuticorin (1,785) and Bezwada (1,748)
and especially low in Karúr (289), Tiruppattúr (331), Anantapur (383), Cuddapah
(462), Berhampur (466) and Vániyambádi (486). The average cost of each successful
case was, as in 1892-93, As. 5-1, showing that municipal vaccination compares
unfavorably in this respect also with that in local fund areas, where the average was
only As. 3-1. It was highest in Anantapur, Dindigul, Karúr, Kurnool and Tirupati,
being more than As. 8, while in Anakápalle, Cochin, Ellore, Madura, Mangalore,
Palghat, Parlákimedi, Tanjore and Vizianagram it was less than As. 3. The munici-
pal councils first named should take steps to reduce the cost to a reasonable figure.
The total number of operations performed in the town of Madras again declined,
being 23,644, against 24,858 in the previous year. Of the former, 19,140 were
primary vaccinations and 4,504 re-vaccinations against 21,421 and 3,437 respectively
in 1892-93, the number of successful cases being in the one instance 99.5 per cent.
and in the other 90.2 against 98.6 and 92.7 respectively. The cost of each successful
case rose from As. 6-2 to As. 6-6. The attention of the Municipal Commissioners
will be drawn to these not altogether satisfactory results. The work done in the
several municipal towns will, as usual, be more fully dealt with in reviewing their
administration reports.
7. The total number of operations performed with animal lymph was 1,077,580,
or only 101,252 less than the total number of all operations, and of these 1,007,334
or 95.4 per cent. were successful, the corresponding figures for the previous year
being 884,525, 832,021 and 94.1. The districts in which human lymph was
partially used were Gódávari, Nellore, Salem, Vizagapatam, Kistna, Ganjám and
Malabar, but in three of these the practice was discontinued during the latter part of
the year and it is stated that arrangements are being made in the others for the supply
of animal lymph. The percentage of success was the highest in the case of calf-to-
arm vaccination as will be seen from the following table :—
—
Calf-to-arm vaccination .. .. .. ..
Vaccination with lymph preserved in glass tubes
or plates .. .. .. .. .. ..
Vaccination with lymph preserved with gly¬
cerine .. .. .. .. .. ..
Total ..
Number
vaccinated.
516,800
185,458
375,322
1,077,680
Number of
successful
cases.
491,270
172,335
343,729
1,007,334
Percentage
of success.
97.0
94.7
93.7
95.4