22
percentage of success obtained during the year. The increase in the cost of
Local Fund and Government establishments is marked. This in part is due to
the enhanced rate of pay sanctioned in G.O. No. 963 L., dated 4th July 1917,
which was given effect to during the year under report. This has also to some
extent contributed to the rise in the general average cost.
12. It is noticed that in many municipalities the salary paid to the vaccinators
is extremely low in spite of the scale fixed in G.O. No. 1592 M., dated 22nd August
1914, viz., Rs. 15—1—35 (or Rs. 25—1—45 if a qualified Sanitary Inspector
with vaccination training). For example, the total amount of salary and allowances
paid during the whole official year 1918-19 in the following municipalities were—
Bimlipatam... ... ... ... ... ... ... ...
Narasaraopet... ... ... ... ... ... ...
Ongole... ... ... ... ... ... ... ...
Peddapur... ... ... ... ... ... ...
Anantapur... ... ... ... ...
Chingleput... ... ...
...
Cuddapah... ... ... ... ...
Gudiyattam... ... ... ... ... ...
Hospet... ... ... ...
Walajapet... ... ... ...
RS.
170
171
106
141
136
144
174
133
153
176
A.
0
6
3
0
0
1
0
2
0
7
P.
0
7
2
0
0
11
0
4
6
8
It is needless to say that with the pittances paid in these municipalities no
good man can be secured. With the exception of Madras City I doubt if any
municipality employs any qualified Sanitary Inspector as vaccinator. May we not
infer from this that one of the factors that contribute to the general unsatisfactory
condition of vaccination in the mufassal municipalities is the inferior quality
of the staff employed ? Municipalities should take early steps to improve the
personnel and pay of the vaccination staff as is now being done in the adjoining
Local Fund areas.
13. The average cost of each successful case in the Local Fund areas varied
from As. 4-7 in the Kistna district to As. 11-2 in Bellary district In munici
palities the cost varied from As. 2 in Cocanada to As. 12-4 in Tiruppattūr.
The average cost was comparatively high in Tiruppattūr (As. 12-4), Madras
(As. 11-5) and Chittoor (As. 10-2) and comparatively low in Cocanada (As. 2),
Berhampur (As. 2-2) and Vizianagram (As. 2-8).
14. Vaccination was compulsory in all the municipalities. The total number
of operations performed in the municipalities of the Northern Range was 38,800
against 37,665 in the previous year and in the Central Range 57,038 and 61,920,
respectively. Thus there was an increase of 1,135 cases in the Northern
Range and a decrease of 4,882 cases in the Central Range during the year under
report. All the municipalities with the exception of Berhampur, Bezwada,
Bimlipatam, Cocanada, Peddapur and Rajahmundry in the Northern Range and
Adōni, Kurnool, Nandyal, Proddatūr, Salem, Tirupati, Vāniyambādi and Vellore
in the Central Range show a decrease when compared with the previous year.
The decrease is ascribed to the pandemic of influenza. However, as it has been
observed that vaccination has not made as much progress in municipalities as
might be expected in view of the compulsory provisions of law and the great
facilities available and that there is no uniformity in the system of working, a
complete set of instructions for the conduct of vaccination in municipalities has
been drawn up and submitted to the Sanitary Commissioner for his approval and
transmission to Government.
The municipalities which show a large decrease in the number of opera
tions are Madras (— 3,398), Guntūr (- 1,963), Ongole (-1,291), Nellore ( - 885)
and Tenali ( — 511). The municipalities of Cocanada (+3,528), Berhampur
(+ 2,164) and Rajahmundry (+ 1,093) show a large increase over the previous
year.