NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
AGENTS FOR THE SALE OF GOVERNMENT PUBLICATIONS.
IN INDIA.
R. CAMBRAY & Co., Calcutta.
S. K. LAHIRI & Co., Calcutta.
NEWMAN & Co., Calcutta.
THACKER, SPINK & Co., Calcutta.
HIGGINBOTHAM & Co., Mount Road, Madras.
V. KALYANARAMA IYER & Co., Esplanade, Madras.
S. MURTHY & Co., Kapalce Press, Madras.
G. A. NATESAN & Co., Madras.
* T. K. SITARAMA AIYAR, Kumbakonam.
COMBRIDGE & Co., Bombay.
D. B. TARAPOREVALA SONS & Co., Bombay.
THACKER & Co. (Limited), Bombay.
SUPERINTENDENT, NAZAIR KANUN HIND PRESS, Allahabad.
M. GULAB SINGH & SONS, Mufid-I-Am Press, Lahore.
SUPERINTENDENT, AMERICAN BAPTIST MISSION PRESS, Rangoon.
IN ENGLAND.
E. A. ARNOLD, 37, Bedford Street, Strand, London, W.C.
ARCHIBALD CONSTABLE & Co., Ld. 16, James Street, Haymarket, London.
S.W.
P. S. KING & SON, 9, Bridge Street, Westminster Londan. S,W.
KEGAN PAUL, TRENCE, TRUBNER & Co. Charing Cross Road, London,
W.C.
B. QUARITCH, 15, Piccadilly, London, W.
WILLIAMS & NORGATE, Oxford.
DEIGHTON, BELL & Co., Cambridge.
ON THE CONTINENT.
FRIEDLANDER & SOHN, 11, Carlstrasse, Berlin.
OTTO HARRASSOWITZ, Leipzig.
KARL W. HIERSEMANN, Leipzig.
ERNEST LEROUX, 28, Rue Bonaparte, Paris.
MARTISUS NIJHOFF. The Hague, Holland.
* Agent for sale of the Legielutive Department publications.
REPORT ON VACCINATION
IN
THE MADRAS PRESIDENCY
AND
THE WORK
OF THE
KING INSTITUTE OF PREVENTIVE MEDICINE,
MADRAS,
FOR THE
YEAR
1904-1905.
MADRAS
PRINTED BY THE SUPERINTENDENT GOVERNMENT PRESS.
PRICE 1 rupee 4 annas.
1905.
2 shillings.
REPORT ON VACCINATION
IN
THE MADRAS PRESIDENCY
AND
THE WORK
OF THE
KING INSTITUTE OF PREVENTIVE MEDICINE,
MADRAS,
FOR THE
YEAR
1904-1905.
MADRAS:
PRINTED BY THE SUPERINTENDENT, GOVERNMENT PRESS.
1905.
6
10. It is a matter for regret that it has not yet been possible, owing to certain
questions as to equipment being still before Government, to open the Serum
Section for which suitable buildings are already in existence, but it is hoped the
next Report will bear evidence of advance in this respect.
11. In the matter of education, the Institute is also fulfilling useful functions.
Sanitary Assistants to District Medical and Sanitary Officers are, at the time of my
writing, received for instruction in practical bacteriology. They will especially be
taught to apply themselves to the elucidation of causes of disease, and to exhibit
discretion in the direction of personal research and the supply of material for
investigation by the Superintendent.
12. During the year, 49 candidates who had already qualified as Certificated
Sanitary Inspectors underwent a five months' course in Minor Sanitary Engineer-
ing under Mr. Hormusji Nowroji, A.M.I.C.E. Of these 35 passed the qualifying
examination. These candidates also received, as a voluntary matter, instruction
from Lieutenant Christophers in certain bacteriological details and the methods
of making blood films, packing of specimens and the like.
13. Accommodation has been furnished to Assistant Surgeon Pinto, who is
about to conduct physiological experiments as to snake venom. Two private
practitioners and one Commissioned Medical Officer have availed themselves of the
Bacteriological Laboratory set apart for the use of qualified applicants, but it is
hoped more will in future utilize it. It is obvious that in this Institute young
Medical Officers on first joining the service would find excellent opportunities for
research, and whilst thus gaining knowledge would form a valuable aid to the
Superintendent in undertaking definite branches of research under his guidance.
14. I have much exceeded the limits of an ordinary covering letter to a
Report, but I trust Government will find an excuse for this fact in that it is desir-
able to at least afford explanation on certain points—more especially in regard to
vaccination.
I have the honour to be,
Sir,
Your most obedient servant,
W. G. KING, Lieut.-Col., I.M.S.,
Sanitary Commissioner for Madras.
REPORT ON VACCINATION IN THE MADRAS PRESIDENCY
FOR THE YEAR 1904-1905.
From Captain F. F. ELWES, M.B., I.M.S., Acting Inspector of Vaccination and
Deputy Sanitary Commissioner for Madras, to the Sanitary Commissioner
for Madras, dated 4th July 1905, No. 1041-V.
I have the honour to submit the annual report on vaccination in the Madras
Presidency for 1904-1905 which includes a review of the past three years.
2. The post of Inspector of Vaccination and Deputy Sanitary Commissioner,
in conjunction with the Professorship of Hygiene and Bacteriology at the Medical
College, was held by Captain J. W. Cornwall, I.M.S., from April 1st to July 31st
and by Lieutenant S. R. Christophers, I.M.S., in addition to his duties as Superin-
tendent of the King Institute of Preventive Medicine from August 1st to October
5th, Lieutenant T. Harley, I.M.S., acted as Inspector of Vaccination and Deputy
Sanitary Commissioner from October 6th to December 11th, whilst the post of
Inspector of Vaccination and Deputy Sanitary Commissioner again combined with
the Professorship of Hygiene and Bacteriology at the Medical College has been
held by me from December 12th, 1904, to March 31st, 1905.
3. The following statement shows the strength of establishment employed
during the last three years with the pay of each post:—
Years.
1902-1903
...
...
...
...
1903-1904
...
...
...
...
1904-1905
...
...
...
...
First-class
Deputy
Inspectors,
Rs. 70-60.
33
33
33
Second-class
Deputy
Inspectors,
Rs. 40.
*30
*31
*32
First-class
Vaccinators,
Rs. 20-15.
274
275
284
Second-class
Vaccinators,
Rs. 12-10.
433
437
445
Probationers,
Rs. 7-5.
142
156
144
Total
number of
Vaccinators.
849
868
873
* Includes four Assistant Deputy Inspectors employed by the Madras Municipality.
4. (a) During the year under review the three districts of Gódávari, Kistna
and Nellore were re-distributed into four districts and the district of Guntúr has
been newly formed. The ranges of the Deputy Inspectors of Vaccination have
consequently been rearranged without adding to the strength of Deputy Inspectors.
(b) By the constitution of a new second-class range (Tirumangalam) in the
Madura district, Dindigul has been changed to a second-class and Madura to a first-
class range.
(c) Under G.O., No. 486, Financial, dated 1st August 1904, communicated
in G.O., No. 953-L., dated 9th August 1904, the pay of Deputy Inspectors of
Vaccination are debited to Provincial funds from 1st April 1904.
5. The following table shows the total vaccination work done by all agencies
throughout the Presidency:—
—
Primary and secondary vaccinations
...
...
...
...
Re-vaccinations
...
...
...
...
...
...
...
Total ...
1902-1903.
1,250,762
81,447
1,332,209
1903-1904.
1,240,655
69,330
1,309,985
1904-1905.
1,406,989
76,280
1,483,269
VACCINATION REPORT.
11
17. The total number of Deputy Inspectors of Vaccination rose from 59 to
60 this year, as an additional Deputy Inspector has been appointed to the
Madura district. Of these 34 are certificated sanitary inspectors. Four Deputy
Inspectors retired, one was suspended, and nineteen were fined for carelessness.
18. During the year the vaccination work in fourteen municipal towns and
in the Trichinopoly Range was inspected, but it is impossible for the Inspector of
Vaccination to tour during nine months of the year, for his duties as Professor
of Hygiene and Bacteriology at the Medical College necessitate his remaining in
Madras during the College sessions.
19. The service books of all Deputy Inspectors of Vaccination have been
brought up to date.
I have the honour to be,
Sir,
Your most obedient servant,
F. F. ELWES, Captain, I.M.S.,
Ag. Inspector of Vaccination and Dy. Sanitary
Commissioner for Madras.
16
REPORT OF THE KING INSTITUTE, GUINDY.
mammal and its cycle of development in the louse. The results of this investigation
are on the point of publication in the Scientific Memoirs. Another piece of work
has been a study of the anatomy and histology of ticks especially with regard to a
species of human tick found in India (Orinthodorus savignyi).
This paper is also
in the hands of the printer and is to be published in the Scientific Memoirs. Further
work on a variety of subjects, notably a study of vaccine, has been carried on, but
is not yet complete enough for publication. It is hoped that in the future, Com-
missioned Medical officers will avail themselves of the Institute for work of this
nature, for which there is immense scope in Madras.
14. In summing up the results of the year's work in the Bacteriological Depart-
ment, it may be said that much good work has been done. At the same time it
is very evident that the work is capable of enormous expansion in almost every
respect..-' The specimens sent in during the present year exceeded somewhat the
powers of the staff to deal with them, and in many cases regrettable delay of neces-
sity arose. Efforts to arouse interest were always met with an increased number,
and there can be no doubt that the interest of medical officers in the scientific
aspects of their work is much helped by such an institution. The specimens sent
in by different surgeons have shown that, as a rule, an enormous waste of valuable
pathological material occurs, and this is accounted for by the fact, that a small
minority only of the medical officers are able to examine the tumours or tissues
they remove, without forwarding the material to Europe, and the payment of a
considerable fee. In this way most valuable information regarding cancer and
other matters is lost.
15. In the matter of public health the work that could be done, more especially
in connection with the examination of water-supplies, is capable of being much
increased. At first it was found impossible to do more than very incomplete
examinations of samples of water sent to the Institute, and in some cases it was
not possible owing to the pressure of other duties to examine the sample before
this had become useless for the purpose. Since the appointment of an Assistant
of good qualifications, much more thorough examinations have been possible,
and as he becomes further trained, it will be possible to increase the work done.
16. Before the Section can really adequately fulfil the position it ought to
occupy in the Presidency, it will require the services of a European officer, who
can devote to it his whole time.
THE SERUM SECTION.
17. No work has yet been done in this section, and although the buildings are
now complete there are still certain essential particulars which await Government's
sanction.
S. R. CHRISTOPHERS, Lieut., I.M.S.,
Superintendent.
OFFICE OF THE KING INSTITUTE
OF PREVENTIVE MEDICINE,
GUINDY, 11th July 1905.
REPORT OF THE KING INSTITUTE, GUINDY.
17
TABLE I.
Statement showing the Expenditure incurred during the year 1904-05 under all heads of Expenditure of the
Vaccine Section of the King Institute of Preventive Medicine.
Heads of account.
Establishment charges ...
...
...
...
...
...
...
Travelling allowance of the establishment
...
...
...
...
Purchase of calves
...
... ... ... ... ... ...
Feeding charges of calves
...
...
...
...
...
...
Service postage
...
...
...
...
...
...
...
...
Service telegrams ... ... ... ... ... ... ...
Telephone charges
...
...
...
...
...
...
...
Hot and cold weather charges
...
...
...
...
...
Gas works ... ... ... ... ... ... ... ...
Water works
...
...
...
...
...
...
...
...
Petty construction and repairs
...
...
...
...
...
Purchase of, and repairs to, furniture ... ... ... ...
Tour charges
...
...
...
...
...
...
...
...
Office expenses ... ... ... ... ... ... ... ...
Miscellaneous charges ...
...
...
...
...
...
...
Total Gross Charges ...
Add—
Expenditure by the Public Works Department on repairs to
buildings
...
...
...
...
...
...
...
Grand Total ...
Deduct—
(1) Credits under " sale of calves " and miscel-
laneous receipts remitted to the treasury ...
(2) Amount to be recovered from private bodies
for the supply of vaccine sufficient for
6,208 cases at 10 pies a case
...
...
...
RS.
5,862
323
A.
5
5
P.
10
4
Total Credits ...
Net Cost ...
Expenditure incurred.
RS.
11,442
62
19,788
1,763
1,319
36
35
42
340
612
232
308
57
158
1,219
37,419
711
38,131
6,185
31,945
A.
0
5
5
13
2
1
0
9
13
8
4
3
12
4
15
2
14
0
11
5
P.
0
0
1
2
6
9
0
0
10
2
8
2
0
2
7
1
3
4
2
2
5
REPORT OF THE KING INSTITUTE, GUINDY.
19
TABLE III.
Statement showing the results of inoculation of the calf with vaccine returned by Vaccinators, which
had therefore been exposed to unusually severe conditions.
Number of tubes of vaccine
returned during the
year.
674
Number selected for
experiment.
359
Results.
Between 100
per cent. and
80 per cent.
270
Between 80
per cent. and
60 per cent.
15
Below 60
per cent. but
successful.
28
Total failure.
46
TABLE IV.
Statement giving the percentage success as shown by returns made to the Institute by Vaccinators.
Month.
1904.
April
...
...
...
...
...
...
May
...
...
...
...
...
...
...
June ...
...
...
...
...
...
...
July
...
...
...
...
...
...
...
August
...
...
...
...
...
September
...
...
...
...
...
...
October
...
...
...
...
...
...
November ...
...
...
...
...
...
December
...
...
...
...
...
...
1905.
January
...
...
...
...
...
...
February
...
...
...
...
...
...
March
...
...
... ... ... ...
Total ...
Successful
cases.
7,012
12,318
30,426
32,368
63,759
72,534
88,956
107,834
113,595
116,438
118,984
93,865
858,089
Unsuccess-
ful
cases.
2,495
2,957
7,470
11,804
4,917
3,511
5,386
8,233
9,178
8,746
9,798
8,162
82,657
Percentage
of
success.
73.76
80.64
80.28
73.28
92.84
95.38
94.29
92.91
92.52
93.01
92.39
92.00
91.21
TABLE V.
Statement showing percentage success of Lanoline Vaccine Paste as returned by Vaccinators of the
District of Malabar.
Month.
1904.
April
...
...
...
...
...
...
...
May
...
...
...
...
...
...
...
June ...
... ... ... ... ... ...
July
...
...
...
...
...
...
...
August
...
...
...
...
...
...
September ...
...
... ... ... ...
October
...
...
...
...
...
...
November ...
...
...
...
...
...
December
...
...
...
...
...
...
1905.
January
...
...
...
...
... ...
February
...
...
...
...
...
...
March
...
...
...
...
...
...
Total ...
Successful.
Unsuccess-
ful.
Percentage
of
success.
No returns.
2,995
7,931
10,314
10,203
9,722
8,997
3,136
53,298
123
270
206
214
122
144
60
1,139
96.5
96.71
98.04
97.95
98.76
98.42
98.12
97.91
S. O.
1905
[Reg: No. 8737
[Copies — 350
28
APPENDIX.
A—VACCINE
STATEMENT No. I showing the Particulars of Vaccination in the
Number.
1
40
41
42
43
44
45
4Ü
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
Districts.
2
Municipalities— cont.
Circles.
3
Palamcottah... ...
Palghat... ...
Parlákimedi... ...
Periyakulam...
...
Palni... ...
Rajahmundry... ...
Salem... ...
Srírangam... ...
Srívilliputtúr... ...
Tanjore... ... ...
Tellicherry... ...
Tinnevelly... ...
Trichinopoly... ...
Tiruppattúr... ...
Tirupati... ...
Tiruvannámalai...
Tuticorin... ...
Vánivambádi... ...
Vellore... ... ...
Vizagapatam... ...
Vizianagram... ...
Walajapet... ...
Total of municipalities...
Grand Total ...
Population of districts or circles
according to the census of 1901.
4
39,545
44,177
17,336
17,960
17,168
30,408
70,621
23,039
26,382
57,870
27,883
40,469
104,721
18,689
15,485
17,069
28,048
12,005
43,537
40,892
34,589
10,067
2,422,127
*38,227,818
Average population per square mile.
5
9,886
3,681
52,008
23,927
9,810
3,034
6,900
3,291
21,105
7,716
11,153
5,058
8,727
7,475
4,266
1,552
9,349
4.802
6,966
7,789
8,646
10,067
5,335
271
Average number of vaccinators
employed throughout the season.
6
2
2
1
1
1
2
2
1
1
2
2
2
5
1
1
1
1
1
2
1
1
1
117 3/8
852 61/120
Total number of persons
vaccinated.
Males.
1,080
1,131
619
429
667
1,891
1,369
693
654
1,154
886
898
4,663
254
357
462
703
401
869
957
894
218
87,340
773,384
7
Females.
739
1,084
416
422
334
681
1,301
574
618
806
727
837
3,982
211
244
343
593
404
638
725
801
227
57,813
697,072
Total.
1,819
2,215
1,035
851
1,001
2,572
2,670
1,267
1,272
1,960
1,613
1,735
8,645
465
601
805
1,296
805
1,507
1,682
1,695
445
145,153
1,470,456
Average number of persons vacci-
nated by each vaccinator.
8
909
1,107
1,035
851
1,001
1,286
1,335
1,267
1,272
980
806
867
1,729
465
601
805
1,296
805
753
1,682
1,695
445
1,237
† 1,713
Primary and
Total.
9
1,590
2,108
927
816
664
1,576
2,614
1,186
1,210
1,891
1,297
1,658
7,780
457
468
750
1,230
795
1,387
1,516
1,382
434
111,455
1,398,055
Under 1 year.
10
1,249
1,378
595
693
462
904
1,987
627
985
1,371
731
1,096
2,575
373
333
596
737
548
860
988
679
315
68,467
432,481
Note.—This statement does not include the statistics of dispensary vaccination
N.B.—In calculating the percentage of success shown in this statement and
* Excludes the population of the cantonments of Bangalore and Secunderabad.
† In finding the average number of persons vaccinated, the total work of medical
VACCINATION RETURNS.
29
DEPARTMENT.
Madras Presidency during the official year
1904-1905—continued.
secondary vaccinations.
Successful.
1 and under 6 years.
11
152
523
214
78
78
452
110
448
86
300
278
143
4,704
26
80
57
374
128
304
234
78
87
25,932
605,324
Total of all ages.
12
1,438
2,044
900
771
552
1,394
2,107
1,126
1,144
1,872
1,230
1,265
7,605
407
423
668
1,181
699
1,237
1,275
853
417
103,242
1,184,789
Unknown.
13
...
...
...
3
35
21
9
24
...
...
23
20
42
...
5
...
2
2
89
11
...
2
1,693
42,618
Re-vaccination.
Total.
14
229
107
108
35
337
996
56
81
62
69
316
77
865
8
133
55
66
10
120
166
313
11
33,698
72,401
Successful.
15
196
99
81
33
204
663
17
78
47
61
109
39
745
5
69
12
48
6
30
50
165
10
21,915
48,678
Unknown.
16
...
...
2
1
86
167
26
2
...
...
83
1
35
...
39
15
...
...
26
54
...
...
4,471
7,157
Percentage
of success-
ful cases
excluding
unknown.
Primary and secondary
vaccinations.
17
90.4
97.0
97.0
94.8
87.7
89.6
80.8
96.9
94.5
98.9
96.5
77.2
98.2
89.0
91.3
89.0
96.1
88.1
95.3
84.7
61.7
96.5
94.0
87.4
Re-vaccination.
18
85.6
92.5
76.4
97.0
81.3
79.9
56.6
98.7
75.8
88.4
46.7
51.3
89.7
62.5
73.4
30.0
72.7
60.0
31.9
40.2
52.7
90.9
75.0
74.6
Persons successfully vaccinated
per 1,000 of population.
19
41.3
48.5
56.5
44.7
44.0
56.7
30.0
52.2
45.1
33.4
48.0
32.4
79.7
22.0
31.7
39.8
43.8
58.7
29.1
32.4
29.4
42.5
51.7
32.1
Percentage
of unknown
cases to
total cases.
Primary and
secondary
vaccinations.
20
...
...
...
0.3
5.2
1.3
0.3
2.0
...
...
1.7
1.2
0.5
...
1.0
...
0.1
0.2
6.4
0.7
...
0.4
1.5
3.0
Re-vaccination.
21
...
...
1.8
2.8
25.5
16.7
46.4
2.4
...
...
26.2
1.3
4.0
...
29.3
27.2
...
...
21.6
32.5
...
...
13.3
9.9
Average annual
number
of persons
successfully
vaccinated
during previous
5 years.
Number.
Ratio per 1,000.
22
1,548
2,118
896
843
702
2,210
2,697
1,159
1,232
1,827
963
1,510
7,772
639
442
671
1,258
846
1,776
1,485
1,790
380
119,112
1,102,965
23
39.1
47.9
51.6
46.9
40.8
60.7
38.0
50.3
46.7
31.5
34.5
37.3
74.2
34.1
28.5
39.3
44.8
70.4
40.7
36.3
51.7
37.7
49.1
28.7
Average
annual
number of
deaths from
small-pox
during
previous
5 years.
Number.
24
31
27
...
...
...
28
4
5
5
19
6
15
15
13
5
...
5
12
66
...
3
...
1,029
22,248
Ratio per 1,000.
25
0.7
0.6
...
...
...
0.7
0.05
0.2
0.1
0.3
0.2
0.3
0.1
0.6
0.3
...
0.1 0.9
1.5
...
0.08
...
0.4
0.5
which are exhibited separately in statement No. III.
statement No. III, unknown cases have not been taken into account.
subordinates is excluded.
8
30
APPENDIX.
A—VACCINE DEPARTMENT.
STATEMENT No. II showing the Cost of the Department in the Madras Presidency during the official year 1904—1905.
Number.
1
1
2
3
4
5
6
Districts.
2
Anantapur.
Bellary.
Chingleput.
Circles.
3
Anantapur
circle...
...
Penukonda d
o
. ... ...
Total ...
Cost of lymph
...
...
Total of district...
...
Bellary circle
...
...
Harpanahalli circle...
Total ...
Cost of
lymph...
...
Total of district ...
Chingleput circle... ...
Saidapet
d
o
. ... ...
Total ...
Cost of
lymph...
...
Total of district ...
Expenditure.
Inspector of Vaccina-
tion and Deputy Sani-
tary Commissioner.
4
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Pay.
5
RS. A. P.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Deputy Inspectors.
First class.
6
1
...
1
...
1
1
...
1
...
1
1
1
2
...
2
Second class.
7
...
1
1
...
1
...
1
1
...
l
...
...
...
...
...
Pay.
8
RS.
840
480
1,320
A.
0
0
0
P.
0
0
0
...
1,320
840
480
1,320
0
0
0
0
0
0
0
0
...
1,320
840
770
1,610
0
0
0
0
0
0
0
0
...
1,610 0 0
Vaccinators.
First class.
9
2
1
3
...
3
6
3
9
...
9
6
3
9
...
9
Second class.
10
4
3
7
...
7
7
5
12
...
12
6
9
15
...
15
Probationers.
11
4
3
7
...
7
2
1
3
...
3
2
1
3
...
3
Pay.
12
RS0
1,104
978
2,082
A.
3
10
14
P.
8
7
3
...
2,082
2,485
1,488
3,974
14
11
9
3
3
7
8
3
...
3,974
1,903
1,657
3,561
3
6
11
1
3
7
2
9
...
3,561 1 9
Clerks.
Number.
13
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Pay.
14
RS.
A. P.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Peons, &c.
Number.
15
1
1
2
...
2
1
1
2
...
2
1
1
2
...
2
Pay.
16
RS.
76
68
144
A.
9
4
13
P.
3
4
7
...
144
72
71
143
13
0
8
8
7
0
0
0
...
143
72
72
144
8
0
0
0
0
0
0
0
...
144 0 0
Total pay of
establishment.
17
RS.
2,020
1,526
3,547
A.
12
14
11
P.
11
11
10
...
3,547
3,397
2,040
5,437
11
9
1
11
10
7
8
3
...
5,437
2,815
2,499
5,315
11
6
11
1
3
7
2
9
...
5,315 1 9
VACCINATION RETURNS.
31
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
Coimbatore.
Cuddapah.
Ganjám.
Gódávari.
Kistna.
North Coimbatore circle ...
South
do.
do. ...
East
do.
do. ...
Total ...
Cost of lymph...
...
Total of district ...
Cuddapah
circle... ...
Madanapalle circle ...
Siddhavattam
circle...
Total ...
Cost of
lymph...
...
Total of district ...
Chatrapur circle...
Chicacole d
o
. ...
Ganjám Hill tracts... ...
Russellkonda...
Total ...
Cost of
lymph...
...
Total of district ...
Pithápuram circle...
Bajahmundry do. ...
Local Fund vaccinators in
Agency.
Total ...
Cost of
lymph...
...
Total of district ...
Ellore
circle...
...
Masulipatam circle... ...
Total ...
Cost of
lymph...
...
Total of district ...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
1
...
1
2
...
2
1
1
1
3
...
3
1
1
1
...
3
...
3
...
1
...
1
...
1
1
1
2
...
2
...
1
...
1
...
1
...
...
...
...
...
...
...
...
...
1
1
...
1
1
...
1
2
...
2
...
...
...
...
...
720
436
770
1,926
0
2
0
2
0
1
0
1
...
1,926
840
840
719
2,399
2
0
0
12
12
1
0
0
0
0
...
2,399
830
875
793
507
3,006
12
5
0
13
6
9
0
2
0
5
7
2
...
3,006
498
678
475
1,652
9
15
1
15
15
2
0
0
11
11
...
1,652
831
840
1,671
15
8
0
8
11
0
0
0
...
1,671 8 0
3
3
4
10
...
10
4
4
4
12
...
12
4
3
4
2
13
...
13
4
8
5
17
...
17
9
5
14
...
14
7
6
10
23
...
23
6
9
4
19
...
19
7
8
5
7
27
...
27
7
6
2
15
...
15
6
8
14
...
14
1
1
3
5
...
5
1
2
1
4
...
4
1
1
4
3
9
...
9
...
...
...
...
...
...
...
5
5
...
5
1,557
1,535
2,363
5,456
8
11
7
11
4
8
7
7
...
5,456
1,387
1,913
1,077
4,377
11
3
5
6
15
7
3
9
7
7
...
4,377
1,600
1,867
1,863
1,141
6,473
15
13
0
11
10
4
7
6
6
11
5
4
...
6,473
1,781
1,874
1,142
4,798
4
3
10
12
10
4
2
10
5
5
...
4,798
2,185
2,105
4,291
10
4
14
2
5
0
3
3
...
4,291 2 3
1
1
1
3
...
3
...
...
...
...
...
...
1
1
...
1
3
...
3
1
1
1
3
...
3
1
1
2
...
2
87
95
100
282
2
11
0
14
9
6
0
3
...
282 14 3
...
...
...
...
...
...
180
165
0
0
0
0
...
180
525
0
0
0
0
...
525
119
120
137
376
0
8
0
4
12
0
0
0
9
9
...
376
112
106
219
12
8
12
4
9
0
0
0
...
219 4 0
1
1
1
3
...
3
1
1
1
3
...
3
1
1
1
1
4
...
4
1
1
1
3
...
3
1
1
2
...
2
84
83
84
251
0
1
0
1
0
6
0
6
...
251
87
80
84
252
1
2
13
0
0
6
6
10
0
4
...
252
72
72
66
72
282
0
0
0
0
0
0
4
0
0
0
0
0
...
282
84
84
84
252
0
0
0
0
0
0
0
0
0
0
...
252
84
84
168
0
0
0
0
0
0
0
0
...
168 0 0
2,448
2,150
3,317
7,916
11
10
7
13
1
9
7
5
...
7,916
2,314
2,834
1,881
7,029
13
5
3
2
11
5
9
7
7
11
...
7,029
2,683
2,979
2,723
1,901
10,286
11
2
0
9
1
13
11
8
6
4
0
6
...
10,286
2,483
2,756
1,840
7,080
13
10
11
1
7
6
2
10
1
1
...
7,080
3,213
3,136
6,349
7
4
10
14
1
0
3
3
...
6,349 14 3