4
without delay and that the department would be able to show better results in the
future and retrieve the lost ground.
(iv) Infantile vaccination.—When compared with the previous year, there
was a fall of 122,981 in the number of children successfully vaccinated under one
year of age. The districts which showed a decrease of over 15 per cent in this
respect were Ganjām ( — 59.2 per cent), Tanjore ( — 31.2 per cent), Kurnool
( — 27.5 per cent), Rāmnād (—26.8 per cent), Bellary (—26.3 per cent),
Cuddapah (—15.8 per cent), and Anantapur (—15.1 per cent). The decrease-
in all these cases is attributed chiefly to the prevalence of influenza and to the
consequent inability of the vaccination staffs to push on vaccination.
Increases under infantile vaccination are noticeable in the following dis
tricts : Chingleput ( + 6.3 per cent), the Nilgiris ( + 5.6 per cent), Madura ( + 3.6
per cent) and North Arcot (+ 0.5 per cent).
Among municipalities where primary vaccination is compulsorily enforced,
Peddapuram ( + 77.0 per cent), Nandyal (+ 60.8 per cent), Adōni ( + 52.7 per
cent), Kurnool ( + 38.0 per cent), Narasaraopet ( + 29.5 per cent), Mangalore
( + 26.9 per cent), Cannanore ( + 25.2 per cent), Bodinayakkanur ( + 23.0 per
cent), and Karur ( + 20.4 per cent) showed considerable increases, while Bellary
(—39.4 per cent), Tiruppattūr ( — 33.2 per cent), Chittoor ( — 31.0 per cent),
Ongole (— 28.9 per cent), Cochin (— 25.0 per cent), Cuddalore ( — 24.0 per
cent) and Hospet (— 22.2 per cent) had marked decreases. No explanations are
forthcoming for such large variations. Can it be due to the rigorous application
of the compulsory provisions of the District Municipalities Act in the former
case and the apathetic attitude adopted by the authorities in enforcing these in
the latter ?
(v) The cost of the various Vaccination establishments and the average
cost of each successful case during the three previous years are shown below:—
Establishment.
Government establishment.
Local fund
do.
Municipal
do.
Cantonments
do.
Total ...
Total expenditure.
1916-17.
RS.
10,690
2,86,188
42,511
3,408
3,42,799
A.
12
5
8
15
8
P.
6
0
2
0
8
1917-18.
RS.
10,797
2,88,677
42,607
3,807
3,45,890
A.
4
10
13
8
4
P.
3
4
5
3
3
1918-19.
RS.
13,437
3,37,666
49,964
4,286
*4,05,355
AS
10
13
14
2
8
P.
9
3
0
5
5
Average cost of each successful case.
1916-17.
RS.
0
0
0
0
0
A.
9
3
4
11
4
P.
6
10
10
10
1
1917-18.
RS.
0
0
0
0
0
A.
9
4
4
9
4
P.
7
2
5
9
3
1918-19.
RS.
0
0
0
0
0
A.
12
6
5
10
6
P.
0
1
3
5
1
* Exclusive of the pay and allowances of the two Deputy Sanitary Commissioners.
The average cost of each successful case rose from As. 4-1 in 1916-17 and
As. 4-3 in 1917-18 to As. 6-1 in the year under report. It varied from
As. 4-7 in the Kistna district to As. 14-6 in the Nilgiri district. The rate
was above As. 9 in the Municipalities of Vizagapatam, Walajapet, Udamalpet,.
Tirupati, Chittoor, Erode, Virudupatti, Tiruppur, Dharapuram, Madras, Tirup¬
pattūr and Cochin, the highest figure reached being in Kodaikānal where the
cost was as high as Rs. 1-1-9. The lowest cost was As. 1—10 and the municipality
which returned it was Mangalore.
(vi) The total number of vaccination operations performed in all munici
palities fell from 195,110 in 1917-18 to 190,389 in the year under report. The
towns which returned the largest decreases were, Madura (— 5,698), Madras
(—3,398), Cochin (—2,544), Guntūr (—1,963), Cannanore (—1,311), Ongole
(—1,291) and Virudupatti (—1,056). In Madras Guntūr and Ongole, the
decrease is attributed to influenza and in Madura, Cannanore, Cochin and Virudu
patti to the absence of smallpox. Towns where increases occurred were Mangalore
(+5,860), Cocanada (+3,528), Calicut (+2,252), Berhampur (+2,164), Negapatam
(+1,169), Rajahmundry (+1,093) and Palamcottah (+1,042). Attention in this
connexion is invited to paragraph 12 of the report of the Deputy Sanitary
Commissioner for Northern and Central Ranges and latter part of paragraph 4 (v) of