2
26TH JULY 1894, Nos. 1385, 1386 L., LOCAL AND MUNICIPAL.
vaccination statistics of the Presidency should be made reliable. The inspection work
turned out by the Deputy Inspector of the Madras Town range should in future be
stated.
3. Excluding the figures relating to the cantonments of Bangalore and Secun-
derabad, the total number of operations performed during the year was 32.9 per mille
of the population according to the census of 1891 against 32.5 per mille in 1892-93.
Infantile vaccination, however, exhibited a decrease, the number of children under one
year, who were successfully vaccinated, being only 240,123 against 257,405 in the
previous year and but 25.6 per cent. of the number of births registered against 31.1
per cent. in 1892-93. The explanations offered for this decrease in paragraph 6 of
the report and paragraph 2 of the Sanitary Commissioner's covering letter may be
correct, but it remains to be proved that they are so. The figures of the current year
will probably afford sufficient data to show whether the causes assigned for the falling
off which has occurred rest upon any sufficient basis. From the statement appended
to paragraph 7 it appears that infantile vaccination was especially backward in the
districts of Gódávari, Ganjám, South Canara, Madura, Nilgiris and Malabar and in
the municipalities of Cochin, Palghat, Tanjore, Calicut, Berhampur and Karúr. The
special attention of the local bodies concerned will be drawn to the matter.
1890-91..
..
..
..
1891-92..
..
..
..
1892-93
..
..
..
..
1893-94
..
..
..
..
778
750
688
608
4. There was a slight increase in the total amount of work done in the year under
review by the Government establishment in the Agency tracts of Ganjám, Vizaga-
patam and Gódávari. There was, however, a large decrease
in the Ganjám hill
tracts, which is attributed to the absence of some of the vaccinators for long periods.
The average number of operations performed by a vaccinator in all these tracts taken
together has displayed a continuous falling
off during the last four years as shown in
the margin. The attention of the Col-
lectors concerned will be drawn to the
Inspector's remarks in this connection
in paragraph 14 of the report with the
remark that Government trusts that they will spare no effort to promote vaccination in
these Agency tracts.
Coimbatore .. .. .. ..
Cuddapah .. .. .. ..
Granjám .. .. .. ..
Gódávari .. .. .. ..
Kurnool .. .. .. ..
Nellore .. .. .. ..
Nilgiris .. .. .. ..
North Arcot .. .. .. ..
South Canara .. .. .. ..
— 7,783
— 3,463
— 1,795
— 651
— 9,944
— 8,142
— 479
— 2,454
— 7,675
5. The number of operations performed in local fund areas was 24,399 more
than in 1892-93 and the average reported
outturn of work by each vaccinator rose
from 1,449 to 1,495 cases. Taking the
districts individually, it is observed that
there was a decline in the nine districts
noted in the margin. The explanations
offered for this in paragraph 10 of the
report are hardly adequate. The atten-
tion of the Collectors and District Board
Presidents will be drawn to the remarks
of the Inspector of Vaccination. The complete failure in Kurnool is particularly
unsatisfactory. On the other hand there was an increase in the other districts,
especially in Chingleput, Tanjore, Vizagapatam and Anantapur. In the last-mentioned
district it is attributed to the personal interest taken in the matter by Mr. Manavedan
Raja, the Acting Collector, which is noted with approval. As in the previous year
the average outturn of work for each vaccinator was highest in Trichinopoly (3,103)
and Tinnevelly, Madura and Vizagapatam followed next with 2,365, 2,176 and 2,113
cases respectively. It was between 1,000 and 2,000 cases in the remaining districts,
except Ganjám, Gódávari, Nellore and Nilgiris, where it was less than a thousand.
There was also an improvement in the reported quality of the work turned out during
the year, 96.1 per cent. of the total number of operations having been reported as
successful against 95.0 per cent. in the previous year. Trichinopoly stands first with
a ratio of 98.8 per cent. followed closely by South Arcot (98.7) and Bellary (98.6),
while Coimbatore was the last (87.4). The average cost of each successful case
was, as in 1892-93, As. 3-1. It varied from As. 8-2 in the Nilgiris, the circum-
stances of which are peculiar, to As. 2 in Trichinopoly and exceeded As. 4 in Anan-
tapur, Bellary, Cuddapah, Ganjám, Kumool and Nellore. Every endeavour should
be made by the boards concerned to reduce these unduly high rates. The work done