VACCINATION REPORT.
7
each successful case in no district exceeded As. 5. The only district which
showed this rate was Cuddapah. The cost was at its minimum (As. 2-5) in the
districts of Guntūr, Malabar and Tinnevelly. The rate was above As. 7 in the
municipalities of Cocanada, Coonoor, Kodaikanal, Madras and Tiruppattūr. The
minimum cost was As. 1-8 in Guntūr municipality.
H. 152,809 operations were performed in municipalities during the year
against 146,692 in 1912-13 and 160,567 in 1911-12. Guntūr (+ 7,954), Tuticorin
(+ 1,739), Bezwada (+ 1,218) and Ellore (+ 1,034) showed the largest increases.
The towns that showed marked decreases were Cocanada (—6,755) and Madras
( — 2,288). In Cocanada, the decrease was due to the discontinuance of vaccina
tion of passengers arriving from Rangoon. In Madras it is attributed to the
''reorganization of this department of the Corporation in August 1913." How
this reorganization affected the number of vaccinations I am at a loss to under
stand !
I. The comparative success obtained by the use of different kinds of lymph
in primary vaccination is shown in the subjoined table :—
Number of
cases excluding
unknown.
1,355,189
...
91,076
20,382
Area.
Local Fund ...
Do. ...
Municipalities ...
Do. ...
Method.
Lanoline lymph
Glycerine lymph ...
Lanoline lymph ...
Glycerine lymph ...
Whence obtained.
Supplied by the King Institute
of Preventive Medicine, Guindy.
Do.
Do.
Do.
Percentage of
success.
91.5
...
96.2
98.1
During the year under report the percentage of success from lanoline lymph
rose from 88.0 to 91.5 in local fund areas and from 92.7 to 95.2 in municipalities.
Glycerinated lymph yielded a success rate of 98.1 against 95.1 in 1912-13.
J. The number of deaths from small-pox during 1913-14 we re20,353 against
13,535 in 1912-13 and 19,198 in 1911-12. The proportion of population
protected in the districts and municipalities during the year is shown in the
annexed two diagrams.
K. Six Deputy Inspectors of Vaccination [of Calicut (49.6), Penukonda
(49.0), Guntūr (47.0), Mallappuram (47.2), Hoswr (47.0) and Central Coimbatore
(43.8)] failed to verify 50 per cent. of cases vaccinated within their ranges. Satis
factory explanations have, however, been rendered for this short verification work
by the officers concerned.
L. Of the 85 Deputy Inspectors of Vaccination borne on the provincial list
in the Presidency, 78 were qualified or certificated sanitary inspectors. One
Deputy Inspector of Vaccination retired from the service during the year. Five
Deputy Inspectors were fined for carelessness and similar offences. The service
registers of all the Deputy Inspectors of Vaccination have been verified.
3. The delay in the submission of this report is regretted. The annual
returns of one Deputy Inspector of Vaccination (of Ponnēri in Chingleput district)
reached this office only on 23rd July 1914. It was only on receipt of this that
consolidation of all the annual statements that are to be appended to the district
had to be undertaken. This entailed some necessary delay in this office. The con
duct of the Deputy Inspector of Vaccination on whose account the submission of the
report was delayed is under separate enquiry.
I have the honour to be,
Sir,
Your most obedient servant.
W. A. JUSTICE, Major, I.M.S.,
Sanitary Commissioner for Madras.