VACCINATION
REPORT
15
(iii) The following table shows the total successful vaccinations by all
agencies and the percentage of successful cases including re-vaccination :—
Establishment.
(1)
Local Fund vaccinators ...
Government do. ...
Municipal
do. ...
Cantonment do. ...
Dispensaries ...
Medical subordinates ...
Total ...
Number of successful vaccinations.
1914-15.
Primary
vaccination.
(2)
1,186,576
17,892
108,742
3,949
1
117
1,317,277
Re-vaccination.
(3)
94,550
891
22,223
6,462
15
4,985
129,126
1915-16.
Primary
vaccination.
(4)
1,155,851
14,283
106,830
4,152
96
1,464
1,282,676
Re-vaccination.
(5)
1,20,748
1,249
51,785
1,988
33
8,519
184,322
Total of successful
vaccinations.
1914-15.
(6)
1,281,126
18,783
130,965
10,411
16
5,102
l,446,403
1915-16.
(7)
1,276,599
15,532
158,615
6,140
129
9,983
1,466,998
Ratio per cent
of successful cases.
1914-15.
Primary
vaccination.
(8)
90.5
90.5
94.7
89.6
100.0
92.9
90.8
Re-vaccination.
(9)
84.3
87.0
73.5
53.6
75.0
65.0
79.1
1915-16.
Primary
vaccination.
(10)
87.3
85.0
93.5
85.2
98.0
87.4
87.7
Re-vaccination.
(11)
79.5
69.5
70.9
42.5
84.6
70.4
75.7
Ratio per cent
of total suc
cessful cases.
1914-15.
(12)
90.0
90.3
90.3
63.2
76.2
65.4
89.6
1915-16.
(13)
86.5
83.3
84.7
64.3
91.2
75.5
86.0
The percentage of total success both under primary and re-vaccinations
when compared with that of the previous year showed a large decrease. The fall
in the success rate in primary was general for all kinds of establishment and in
re-vaccination the decrease was prominent under " Local Fund Vaccinators,"
" Government Vaccinators " and " Municipal Vaccinators." Although some enquiry
was made about it, it was found difficult to satisfactorily account for the large fall
in the percentage of success which was as much as 3.6. No doubt the success
rate with the stored raw lymph—a new experiment —issued from the King Institute
for a time was very low, namely 80.5 per cent, but this can only account for a small
part of the decrease, considering that only 356,418 operations were done with this
lymph. It was, however, found that the success rate with the usual preserved
lymph issued about the same time was also very low.
It should be noted that as long as there are no legal powers to enforce vacci
nation, the vaccination staff is more or less at the mercy of the public and the
vaccination has to be carried on, from door to door under the most unfavourable
conditions which affect both the rate of success and the quality of the vesicles in
successful vaccination.
One other factor which I venture to submit as a result of my inspections and
close study, is that tangible improvement may be expected to result, both in quan
tity and quality, if the local officials (Municipal, Local Board and Revenue)
recognize the importance of vaccination in preventing a fell disease and take a real
interest in vaccination work.
Infantile vaccination.
When compared with the previous year the following districts show the
largest increase:—Malabar (+8.0%), Ganjām (+6.5%) and Rāmnād (+4.6%).
The districts which show the largest decrease in this respect are Kurnool ( —19.6%)
and Gōdāvari (—9.1%).
Among Municipalities, Kodaikānal (+31.7%), Bimlipatam (+25.5%), Wala¬
japet (+24.6%) and Tiruvallur (+20.5%) show very large increase over the previous
year in infantile vaccination; but Palni (—34.7%), Rajahmundry (—30.2%) and
Cuddapah (—29.0%) show the greatest falls. The fall in Palni is due to the
prevalence of plague and consequent evacuation of the town. The attention of
the Chairmen, Municipal Councils, Rajahmundry and Cuddapah, has been drawn
to the fall in infantile vaccination in their Municipalities.