6
2ND SEPTEMBER 1891,
Nos. 2117,
2118 L., LOCAL AND MUNICIPAL.
of such officers as may fail to comply with these orders should be reported to Govern-
ment, on or before the 10th of May, for such action as may be necessary.
2. The following statement shows the total number of operations performed by
the several vaccine agencies employed during each of the last five years, together with
the average cost of each successful case:—
Operations performed.
(a) By Government vaccinators in Agency tracts ..
(b) By Local Fund vaccinators
..
..
..
(e) By Municipal vaccinators, including Madras ..
(d) In cantonments
..
..
..
(e) In dispensaries .. .. ..
(f )Other operations by medical subordinates ..
(g) By the zemindary vaccinators .. .. ..
Total ..
Average cost of each successful case .. ..
1886.
8,514
588,750
74,012
3,154
17,243
9,485
4,629
705,587
A.
4
P.
3
1887-88.
9,816
625,795
75,535
3,937
14,174
5,181
4,042
738,480
A.
4
P.
1
1888-89.
17,104
676,293
85,572
4,972
18,827
4,379
2,270
809,417
A.
3
P.
11
1889-90.
28,336
* 718,587
85,570
3,702
27,849
6,444
5,260
875,748
A.
3
P.
8
1890-91.
17,901
781,430
99,058
3,862
42,683
9,223
6,403
960,560
A.
3
P.
3
* Exclusive of 17,582 operations performed by the special staff employed in the Kurnool district in connection with
the small-pox epidemic therein.
The general increase in the work done by each of the establishments employed,
except in the case of the Government vaccinators in the Agency tracts, is very satis-
factory, amounting, as it does, to 9.5 per cent. on the figures for 1889-90. The total
number of cases verified by Deputy Inspectors of Vaccination was 482,170 against
455,664 in the previous year ; but in ten ranges these officers, eight of whom, it is
observed, were of the 1st-class, failed to verify 50 per cent, of the cases. The explana-
tions offered-for the short work in the instances referred to and embodied in para-
graph 17 of the Inspector's report cannot be accepted as sufficient. There was a
large increase in the work performed by medical subordinates, but the outturn in
some districts, particularly Ganjam, Kistna, Malabar, Nílgiris and South Canara,
was still far from good and calls for the careful attention of the District Medical
officers concerned.
3. Excluding the figures reported from the cantonments of Bangalore and
Secunderabad, the proportion per mille of operations performed to the total population
according to the census of 1881 was 31.0 against 28.3 in 1889-90 and 26.1 in
1888-89. It is to be regretted, however, that only 24.1 per cent. of the children
registered as born during the year were successfully vaccinated. It is true that the
mortality amongst infants is, unfortunately, very high, but there can be no reason why
50 per cent. at least of the children born should not be vaccinated, were the registra-
tion agencies and the members of Local Boards and Municipal Councils to co-operate
more effectively with the vaccination officers. As pointed out in a separate Proceed-
ings, 22 per cent. of the deaths from small-pox in 1890 occurred among children
under one year of age, and it is hoped, therefore, that the great importance of
efficiently protecting the infantile population from the ravages of that disease will not
be lost sight of in the current year.
4. The decline of no less than 10,435 in the number of vaccinations performed by
Government officers in the Agency tracts, occurred almost entirely in Ganjam and has not
been explained, but was probably in a measure due to the illness of the Deputy Inspector
referred to in para. 17 of the Inspector's report. In spite of this falling off, however,
the work done by each vaccinator in the Ganjam hill tracts averaged 1,201 per man,
while each of the 16 other vaccinators employed by Government performed on an average
only 593 operations. The comparison is by no means creditable to the Deputy
Inspectors concerned. The Inspector of Vaccination should take special care that
these officers attend more closely to their duties.
5. Local Fund Circles.—There was a net increase of 62,843 in the number of
operations performed by Local Fund vaccinators, the average outturn per man being
1,182 or 98.5 per mensem. The quality of the work done was not quite so good as in
the preceding year; the reason assigned for the decrease in para. 9 of the Inspector's