NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
ANNUAL REPORT
ON
VACCINATION IN THE MADRAS
PRESIDENCY
AND ON THE WORK OF THE
VACCINE SECTION
OF THE
KING INSTITUTE OF PREVENTIVE
MEDICINE, GUINDY
FOR THE YEAR
1915-16.
MADRAS:
PRINTED BY THE SUPERINTENDENT, GOVERNMENT PRESS
[PRICE, 10 annas.]
1916.
[1 shilling.]
ANNUAL REPORT
ON
VACCINATION IN THE MADRAS
PRESIDENCY
AND ON THE WORK OF THE
VACCINE SECTION
OF THE
KING INSTITUTE OF PREVENTIVE
MEDICINE, GUINDY
FOR THE YEAR
1915-16.
MADRAS:
PRINTED BY THE SUPERINTENDENT, GOVERNMENT PRESS.
1916.
4
with the Deputy Sanitary Commissioner in his remarks about vaccinators in
paragraph 4 of his report. The question of the improvement of the pay and
prospects of vaccinators and Deputy Inspectors of Vaccination has been
pending for a long time past and the sooner it is settled the better it will be for
the vaccination department of the Presidency. The recruitment of a proper staff
of vaccinators on the present rates of pay is becoming difficult year after year
and unless their position is improved on the lines laid down in the general scheme
now under the consideration of Government, there will, I fear, be a retrogression
in the quality of vaccination work turned out in the Presidency as a whole. I
think it therefore very essential that the introduction of the new scheme should
no longer be deferred.
The total vaccination work performed during the year showed an increase
both under "Primary vaccination" and " Re-vaccination". The one notable
feature is an increase of 92,578 cases in the total number of re-vaccinations per-
formed during the year over those of the previous year, a sign certainly of
appreciation by the people of the effect of re-vaccination during epidemics of
small-pox.
I have the honour to be,
Sir,
Your most obedient servant,
W. A. JUSTICE, Major, I.M.S.,
Sanitary Commissioner, Madras.
5
ANNEXURE.
ANNUAL REPORT ON THE WORK OF THE VACCINE SECTION OF
THE KING INSTITUTE OF PREVENTIVE MEDICINE,
GUINDY, 1915-16.
The total amount of vaccine supplied by. the Institute during the year
1915-16 shows, somewhat contrary to expectation, a marked increase, and for the
first time exceeds two million cases. The actual number is 2,113,697, an increase
of 130,280 cases or 6.56 per cent.
2. Table I shows the quantity of vaccine issued to various bodies for the
quinquennium 1911-12 to 1915-16.
TABLE I.
Statement showing the quantity of vaccine supplied to various bodies from 1911-12 to 1915-16.
To -whom supplied.
Government officers including jails ...
Agency Tracts
...
...
...
...
Military Department
...
...
...
District Boards
...
...
...
...
Municipalities
...
...
...
...
The Superintendent
of Vaccination,
Seounderabad ... ... ... ...
The Vaccinator, Bolarum ... ...
Civil Surgeon, Civil Hospital, Basrah ...
Private Bodies ... ... ... ...
Total ...
1911-12.
46,722
25,160
15,917
1,561,366
177,185
...
...
...
47,151
1,878,501
1912-13.
41,902
27,130
12,333
1,560,341
173,255
...
...
...
72,678
1,887,639
1913-14.
47,172
23,150
27,587
1,625,926
179,830
...
...
...
69,000
1,972,165
1914-15.
20,951
25,060
25,671
1,649,070
178,980
19,530
1,460
...
62,695
1,983,417
1915-16.
21,451
24,105
14,410
1,739,000
236,185
8,970
1,550
2,400
65,626
2,113,697
From this table it will be seen that the increased issues are mainly due to the
demands of District Boards and Municipalities, and as will be seen later Madras
City is responsible for the greater part of the second. Slight rises are also seen
in the supplies made to Private Bodies, to Government officers including Jails
and to the Vaccinator, Bolarum. The Civil Surgeon, Civil Hospital, Basrah,
appears for the first time as in receipt of a regular supply. In previous years
supplies of vaccine sent to Basrah at irregular intervals were included in supplies
to Private Bodies. Marked falls are noted in the amounts supplied to the Military
Department and to the Superintendent of Vaccination, Secunderabad, the
percentage reductions amounting to 44 and 54, respectively. A slight fall of about
3.8 per cent is seen in the amount supplied to Agency Tracts.
3. There was no change in the manufacture of the vaccine. As usual the bulk
was made up with lanoline; but glycerinated vaccine was supplied to Madras City
and to Colombo. Madras City vaccinators prefer glycerinated vaccine, and as they
can be readily supplied at frequent intervals, there is no objection on the score of
the keeping qualities of the vaccine so made. The city usually takes a supply of
375 cases three times a week, but owing to small-pox having been epidemic during
several months of the year, large extra supplies were also made. These extra
supplies amounted to 37,175 cases which accounts for nearly 65 per cent of the
increased supplies to Municipalities as compared with last year.
4. In the great majority of cases the fortnightly despatch was adhered to ; but
the system of three despatches a month was extended to the Municipalities of
Anantapur, Nellore, Cocanada, Coimbatore and Vizagapatam. In consideration
B
REPORT OF THE KING INSTITUTE, GUINDY
7
TABLE III.
Statement showing the net expenditure incurred during the year 1915-16 in the King Institute of
Preventive Medicine, Guindy, Vaccine Section.
Particulars.
Gross expenditure as per Statement I
...
...
Deduct—
(1) Credits under sale of calves and miscel
laneous receipts remitted to Treasury ...
(2) Cost of vaccine lymph supplied to private
bodies during the year
...
...
...
RS.
A. P.
...
5,134
4,101
10
10
9
0
Net total expenditure ...
Amount.
RS.
51,050
A.
11
P.
0
9,236
41,814
4
6
9
3
TABLE IV.
Statement showing the number of cases for which vaccine was despatched to different
bodies—private
bodies being excluded—during the year 1915-16.
To whom supplied.
1. Government officers including jails ... ...
2. Agency Tracts
...
...
...
...
3. Military Department ... ... ... ...
4. District Boards
...
...
...
...
5. Municipalities
...
...
...
...
6. Superintendent of Vaccination, Seoundera-
bad [Secunderabad Local (Abkāri, etc.),
Fund]
...
...
...
...
...
7. Vaccinator,
Bolarum
(Bolarum Canton-
ment Fund) ... ... ... ...
8. Civil Surgeon, Civil Hospital, Basrah ...
Total ...
Number of
cases for which
vaccine was
supplied.
21,451
24,105
14,410
1,739,000
236,185
8,970
1,550
2,400
2,048,071
Rate
per case.
3.827617 pies.
Total amount
debitable.
RS.
* 436
† 509
287
‡ 35,539
§ 4,783
178
30
47
41,814
A.
12
6
4
6
15
13
14
13
6
P.
2
9
4
6
6
1
5
6
3
N.B.—In calculating the cost per case of vaccine, Rs. 985-1-0 has been deducted from Rs. 41,814-6-3 as the
former represents registration charges and it will be charged to the bodies concerned.
* Includes Rs. 9 2 0 for registering vaccine packets.
† „
‡ „
§
„
Total
„
„
„
„
28
871
75
985
14
9
8
1
0
0
0
0
„
„
„
„
„
„
6. As will be seen from Tables II, III and IV there has been a decrease of
rather more than Rs. 2,000 in the working costs. This by itself is satisfactory
enough, but a closer examination of the figures shows that there were rises under
several items in supplies and services but that these have been masked by the
large fall in the cost of establishment, this being mainly due to the continued
absence of the Assistant Director on military duty. Cost of calves including
transport shows the large rise of Rs. 6,000. This is partly due to decreased
productivity, the average yield per calf having fallen from 7.9 grammes to 6.29
grammes, but while this increase in the number of calves increases the item of
feeding charges, it, to a much more marked extent, increases the sale proceeds of
calves credited to Government. In addition, of course, there is the increase of
130,000 cases produced this year to be set against the increased cost of calves.
Purchase of apparatus and stores shows a rise of Rs. 629, but part of this is
10
REPORT OF THE KING INSTITUTE, GUINDY
10. This year Gōdāvari with a fall in its success rate of 10.53 per cent
attains to the bottom of the list and eclipses all its own performances in the down
ward direction. Coimbatore is, however, more consistently bad, and is an easy
worst, having succeeded in adding nearly 1 per cent to its quinquennial deficit as
compared with Bellary. This now stands at the astonishing figure of 22.66 per
cent. The deficit for the year under report is 25.59 per cent.
TABLE VIII.
Statement showing the percentage of success obtained in the different months of the year
for five years and the average for each month during that time.
Serial
number.
1
2
3
4
5
6
7
8
9
10
11
12
Months.
April ... ... ... ... ...
May ... ... ... ... ...
June ... ... ... ... ...
July ... ... ... ... ...
August ... ... ... ... ...
September ... ... ... ...
October ... ... ... ... ...
November ... ... ... ... ...
December ... ... ... ... ...
January ... ... ... ... ...
February ... ... ... ... ...
March ... ... ... ... ...
1911-12.
84.33
83.58
88.15
89.13
90.54
89.30
89.73
92.36
93.28
93.29
88.57
89.08
1912-13.
86.72
80.57
82.84
88.42
87.39
84.87
88.02
91.58
91.73
93.00
91.62
88.56
1913-14.
87.24
86.09
81.61
87.47
90.53
92.10
93.83
96.17
93.79
95.28
96.36
95.72
1914-15.
95.76
92.85
92.87
93.19
92.65
92.14
90.64
90.33
86.82
87.24
87.91
87.45
1915-16.
84.26
82.62
81.49
83.27
79.86
81.75
92.18
92.76
93.28
92.82
93.74
92.48
Average.
87.66
85.13
85.39
88.29
88.19
88.03
90.88
92.64
91.78
92.32
91.64
90.65
11. Table VIII shows that the seasonal curve has returned to the normal
and that the success rate rises and falls in the main with the temperature. The
curious tendency for the early autumn months to show a lower success rate than
the late summer months is clearly marked.
TABLE IX.
Statement showing the duration of storage of ' Lanoline ' paste during the official year 1915-16.
Serial
number.
1
2
3
4
5
6
7
8
9
10
11
12
Name of month.
1915.
April ... ... ... ...
May ... ... ... ...
June ... ... ... ...
July
...
...
...
...
August ... ... ... ...
September ... ... ...
October ... ... ...
November ... ... ...
December ... ... ...
1916.
January
... ... ...
February
...
...
...
March ... ... ...
Duration of storage each month.
Minimum
period.
56 days ...
65 „ ...
83 „ ...
95 „ ...
112 „ ...
4 „ ...
1 „ ...
2 „ ...
3 „ ...
2 „ ...
2 „ ...
20 „ ...
Maximum
period.
160 days
82 „
94 „
111 „
128 „
138 „
18 „
38 „
52 „
72 „
85 „
83 „
12. Table IX shows for each month the maximum and minimum length of
times during which the lanoline vaccine was stored before issue. The general
tendency was for the periods to be shorter than last year.
REPORT OF THE KING INSTITUTE, GUINDY
11
TABLE X.
Statement showing the duration of storage of ' Glycerine ' paste during the official year 1915-16.
Serial
number.
1
2
3
4
5
6
7
8
9
10
11
12
Name of month.
1915.
April
...
...
...
...
May
...
...
...
...
June
...
...
...
...
July
...
...
...
...
August
...
...
...
...
September ... ... ... ...
October
...
...
...
...
November
...
...
...
...
Docember ... ... ... ...
1916.
January
...
...
...
...
February ... ... ... ...
March
... ... ... ...
Duration of storage each month.
Minimum
period.
17 days ...
4
„
...
35
„ ...
65
„ ...
95
„ ...
7
„ ...
10
„ ...
4
„ ...
3
„ ...
19
„ ...
2
„ ...
15
Maximum
period.
30 days.
34
„
64
„
94
„
122
„
131
„
28
„
12
„
23
„
38
„
14
„
32
„
13. Table X shows the same for glycerine paste. During the hot weather
this year minimum periods tended to be longer than last year while maximum
periods, with the exception of those in August and September, tended to be
shorter.
14. The reduction of extraneous germs in animal vaccine without injury to the
vaccine itself continues to be an unattainable ideal in India. Experiments were
made to effect this by means of added preservatives and storing the vaccine in
vacuo. As the organisms in vaccine are aerobic it was hoped to at least prevent
multiplication in this way. Certain of the germs showed, however, that they were
only facultative aerobes and could multiply quite readily in vacuo. At body
temperature in vacuo vaccine showed no improved keeping quality.
TABLE XI.
Statement showing the average yield of pulp per calf according to the month of the year.
Months.
January ... ...
February
...
...
March ... ...
April
...
...
...
May
...
...
...
June
...
...
...
July
...
...
...
August
...
...
...
September ... ... ...
October ... ... ...
November ... ... ...
December ... ... ...
Grammes.
Average.
6.7
7.06
6.4
7.06
6.87
4.5
4.6
5.1
6.2
5.8
Maximum.
14.2
17.0
13.8
13.8
14.0
No operation.
Do.
7.0
11.0
11.2
13.9
12.8
Minimum.
1.6
2.0
1.0
1.2
2.8
1.0
1.0
1.0
1.0
1.0
Average yield of
lymph per calf
during 1915.
6.29 grammes.
15. The yield of pulp per calf fell considerably compared to that of last year,
but still remains higher than any other year. The fall seems to be pretty evenly
distributed over the year.
12
REPORT OF THE KING INSTITUTE, GUINDY
TABLE XII.
Average yield of lymph per calf according to years.
Year.
1904
...
...
...
...
...
...
...
...
...
1905
...
...
...
...
...
...
...
...
...
1906
...
...
...
...
...
...
...
...
...
1907
...
...
...
...
...
...
...
...
...
1908
...
...
...
...
...
...
...
...
...
1909
...
...
...
...
...
...
...
...
...
1910
...
...
...
...
...
...
...
...
...
1911
...
...
...
...
...
...
...
...
...
1912
...
...
...
...
...
...
...
...
...
1913
...
...
...
...
...
...
...
...
...
1914
...
...
...
...
...
...
...
...
...
1915
...
...
...
...
...
...
...
...
...
Grammes.
4.9*
3.5
No records.
3.2
2.6
3.7
5.1
5.3
5.9
5.3
7.9
6.29
* The records are incomplete; this figure would be lower.
16. Table XII calls for no remark.
17. Civil Assistant Surgeon S. Ramakrishnan continued as temporary Assist-
ant to the Director throughout the year.
18. The vaccination class was held as usual during February and March.
Twenty-one students sat for the examination and all of them obtained qualifying
marks in the examination held at the end of the course.
19. The staff of the section worked very well and, in spite of the increased
volume of work, carried out their duties with regularity and dispatch.
THE KING INSTITUTE, GUINDY,
F. MAITLAND GIBSON, M.B., B.SC.,
15th June 1916.
Director.
13
REPORT ON VACCINATION IN THE MADRAS PRESIDENCY
FOR THE YEAR 1915-16.
From Dr. K. T. MATTHEW, D.HY., D.P.H. (Cantab.), Deputy Sanitary Commis
sioner and Inspector of Vaccination, Madras, to the Sanitary Commissioner
for Madras, No. 323, dated 12th July 1916.
I have the honour to submit the Annual Report on Vaccination in the Madras
Presidency for the year 1915-16.
2. Staff.—The three Deputy Sanitary Commissioners sanctioned for the
Presidency have not yet been fully recruited. I continued to be in charge of all
the three ranges with head-quarters at Madras throughout the year.
The following statement shows the subordinate vaccination staff employed
in the Presidency during the past two years :—
—
(1)
1914-15
...
...
1915-16
...
...
Deputy Inspectors.
First grade,
Rs. 70.
(2)
22
19
Second
grade,
Rs. 60.
(3)
23
25
Third grade,
Rs. 40.
(4)
36
37
First-class
vaccinators,
Rs. 20—15.
(5)
268
268
Second-class
vaccinators,
RS. 12—10.
(6)
462
466
Third-clsss
vaccinators,
Rs. 7—5.
(7)
136
152
Total
number of
vaccinators.
(8)
860
886
NOTE.—These figures include the staffs employed in Bangalore and Secunderabad Cantonments and exclude
those on duty in the King Institute, Guindy. In the Institute there are five Deputy Inspectors of the first grade.
3. Inspections by the Deputy Sanitary Commissioner.—During the year, I
inspected the municipalities of Rajahmundry, Nellore and Narasaraopet and
vaccination in Vizagapatam, Gōdāvari, Kistna, Guntūr and Nellore districts in
the Northern Range. The number of villages inspected in the Northern Range
was 102 and the total number of vaccinated cases examined therein was 2,045.
In the Central Range, I inspected the municipalities of Salem, Kurnool, and
Proddattur and vaccination in the districts of Kurnool, Cuddappah, Anantapur
and South Arcot. The number of villages inspected was 55 and the number of
vaccinated cases examined 1,161. In the Southern Range, I inspected the
municipalities of Tanjore, Māyavaram, Erode and Coonoor and vaccination in
the districts of Coimbatore, Tanjore and Tinnevelly. The number of villages
inspected was 38 and the number of vaccinated cases examined 587. On the whole
3,793 cases of vaccination were inspected in 195 villages in twelve districts and the
inspection included the Agency tracts of Gunupur, Polavaram and Chodavaram.
4. Vaccination.—The trial scheme of vaccination continued to be in force in
the whole of Chingleput district and in selected areas of North Arcot, South Arcot
D
VACCINATION REPORT
17
Glycerinated lymph also showed a decreased success rate of 97.4 against 97.9 in
the previous year.
(vii) A large number of deaths from small-pox was recorded during the year,
the figures being 21,463 against 26,623 in 1914-15. The proportion of population
protected in the districts and municipalities during the year is shown in the
annexed two diagrams.
(viii) Six Deputy Inspectors of Vaccination of Penukonda (49.7), Central
Coimbatore (49.5), Malappuram (47.1), Palghat (45.3), Vizianagram (42.5) and
Ganjām hill tracts (36.7) have failed to verify 50 per cent of cases vaccinated
within their ranges. Their explanations for the shortage have been obtained and
orders passed. With regard to Ganjām hill tracts it may be stated that an
additional Deputy Inspector of Vaccination has since been sanctioned by
Government.
(ix) Of the 85 Deputy Inspectors of Vaccination borne on the Provincial
list, 79 are qualified or certificated Sanitary Inspectors ; the remaining are either
exempted men or those specially selected for these posts before the present rules
came into force. The service registers of all the Deputy Inspectors of Vaccination
have been verified in the Sanitary Commissioner's office.
5. I have much pleasure in stating that the head clerks and other members
of my office staff did their work well.
6. The little delay in the submission of this report is due to my having been
absent on privilege leave from the 28th April to the end of June 1916.
I have the honour to be,
Sir,
Your most obedient servant,
K. T. MATTHEW, D.HY., D.P.H. (CANTAB),
Deputy Sanitary Commissioner, Madras.
20
A—VACCINE
STATEMENT No. I showing the Particulars of Vaccination in the
Number.
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
Districts.
2
Ananta-
pur.
Bellary.
Chingle-
put.
Chittoor.
Coimba-
tore.
Cuddapah.
Ga nj ā m.
Gōdāvari.
Circles.
3
Anantapur circle ...
Penukonda do. ...
Total of district ...
Bellary circle
...
...
Hospet do. ... ...
Total of district ...
Chingleput circle ...
Saidapet
do. ...
Panneri
do.
...
Total of district ...
Chittoor
circle
...
Karvetnagar do.
...
Total of distcrict
...
North Coimbatore circle.
East
do.
do.
South
do.
do.
Central
do.
do.
Total of district ...
Cuddapah circle
...
Proddatur do.
...
Sidhout
do.
...
Total of district ...
Berhampur circle
...
Chicacole
do.
...
Ganjām Hill Tracts ...
Aska circle
...
...
Parlākimedi circle
...
Purashottapur circle
...
Total of district
...
Cocanada
circle
...
Rajahmundry do. ...
Polavaram
do.
...
Peddapur
do.
...
Bhadrāchalam do.
...
Total of district ...
Population of districts or circles
according to the census of 1911.
4
444,221
510,545
954,766
885,164
*885,164
1,340,518
1,340,518
528,016
694,025
1,222,041
489,392
554,719
367,884
640,861
2,052,856
303,660
267,072
305,459
876,191
2,153,614
†2,153,614
341,838
574,472
130,992
427,120
75,910
1,550,332
Average population per square mile.
5
135
119
142
156
156
436
436
194
234
215
165
383
211
414
266
137
198
131
148
257
257
249
249
Average number of vaccinators
employed throughout the year.
6
8
11
19
10
10
20
4
4
4
12
10
14
24
9
8
7
9
33
8
7
8
23
9
8
14
8
8
8
55
7
10
5
10
5
37
Total number of persons
vaccinated.
7
Males.
6,668
8,444
15,112
7,406
6,919
14,325
8,311
8,910
7,818
25,039
8,745
12,103
20,848
9,999
11,709
6,641
10,022
38,371
5,916
4,652
5,946
16,514
9,536
8,319
6,608
8,268
6,900
8,221
47,852
7,773
15,443
3,352
17,464
2,099
46,131
Females.
6,158
7,772
13,930
7,530
6,643
14,173
8,136
8,115
7,877
24,128
7,561
11,266
18,827
9,323
11,288
6,548
9,673
36,832
5,149
4,225
4,971
14,345
7,439
6,728
5,960
6,108
6,513
6,904
39,652
7,666
13,447
3,027
15,315
1,714
41,169
Total.
12,826
16,216
29,042
14,936
13,562
28,498
16,447
17,025
15,695
49,167
16,306
23,369
39,675
19,322
22,997
13,189
19,695
75,203
11,065
8,877
10,917
30,859
16,975
15,047
12,568
14,376
13,413
15,125
87,504
15,439
28,890
6,379
32,779
3,813
87,300
Average number of persons vacci
nated by each vaccinator.
8
1,603
1,474
1,529
1,494
1,356
1,425
4,112
4,256
3,924
4,097
1,631
1,669
1,653
2,147
2,875
1,884
2,188
2,279
1,383
1,268
1,365
1,342
1,886
1,880
898
1,797
1,676
1,891
1,591
2,206
2,889
1,276
3,278
763
2,359
Primary
Total number of operations.
9
12,277
16,106
28,383
16,020
13,873
29,893
17,162
15,806
15,429
48,397
16,041
22,779
38,820
19,157
22,182
12,952
20,082
74,373
11,870
9,792
11,131
32,793
13,901
9,272
12,134
12,575
9,816
14,302
72,000
12,190
25,096
5,657
13,677
4,024
60,644
Under 1 year.
10
6,774
8,027
14,801
10,472
10,256
20,728
7,688
5,497
4,448
17,633
7,136
9,208
16,344
5,986
6,883
4,738
6,838
24,445
4,538
4,712
4,382
13,632
6,619
5,314
2,917
4,463
4,107
5,450
28,870
3,079
3,646
1,249
4,413
1,152
13,539
* Excludes Sandur (13,526).
† Includes Hill Tracts.
21
DEPARTMENT.
Madras Presidency for the official year 1915-16.
vaccination.
Successful.
1 and under 6 years.
11
4,844
6,020
10,864
4,121
2,883
7,004
3,303
2,525
5,367
11,195
6,472
10,939
17,411
5,896
5,777
5,558
6,488
23,719
3,704
3,782
4,426
11,912
4,095
2,462
5,919
5,046
3,493
5,742
26,757
4,978
10,844
2,162
3,552
999
22,535
Total of all ages.
12
11,735
14,611
26,346
15,159
13,734
28,893
11,095
9,196
9,950
30,241
14,101
20,827
34,928
12,087
12,877
10,534
13,646
49,144
8,676
8,903
9,484
27,063
11,449
8,166
10,622
10,258
7,937
11,820
60,252
8,438
16,254
3,840
8,265
2,257
39,054
Unknown.
13
25
35
60
25
14
39
2,094
3,162
1,918
7,174
493
753
1,246
969
1,831
425
1,328
4,553
371
172
469
1,012
578
379
500
797
482
633
3,369
810
2,305
378
1,202
348
5,043
Re-vaccination.
Total number of operations
14
741
650
1,391
143
314
457
264
1,219
625
2,108
999
1,069
2,068
1,076
1,542
463
224
3,305
561
262
713
1,536
3,774
5,927
1,205
2,296
3,759
1,259
18,220
3,757
5,408
1,253
20,589
673
31,680
Successful.
15
553
550
1,103
138
311
449
123
554
208
885
529
728
1,257
445
553
303
103
1,404
339
212
624
1,175
2,966
4,963
1,027
1,786
2,996
1,082
14,820
2,085
2,397
561
10,895
159
16,097
Unknown.
16
1
16
17
...
...
...
30
250
143
423
201
131
332
79
143
53
19
294
18
11
25
54
303
462
65
229
367
75
1,501
747
1,373
184
2,498
81
4,883
Percentage
of successful
cases in which
the results
were known.
Primary vaccination.
17
95.8
90.9
93.0
94.8
99.1
96.8
73.6
72.7
73.6
73.3
90.7
94.6
92.9
66.5
63.3
84.1
72.8
70.4
75.5
92.5
88.9
85.2
85.1
91.8
91.3
87.0
85.0
86.4
87.7
74.0
71.3
72.7
65.4
61.6
70.2
Re-vaccination.
18
74.7
86.8
80.3
96.5
99.0
98.2
52.6
57.2
43.2
52.5
66.3
77.6
72.4
44.6
39.5
73.9
50.2
46.6
62.4
84.5
90.7
79.3
85.4
90.8
90.0
86.4
88.3
91.3
88.6
69.2
59.4
52.4
60.2
26.8
60.6
Persons successfully vaccinated per
1,000 of population.
19
27.7
29.4
28.7
34.3
34.3
23.2
23.2
27.8
31.1
29.6
25.6
24.2
29.5
21.5
24.6
29.7
34.1
33.1
32.2
34.8
34.8
35.5
35.5
Percentage
of unknown
cases to
total cases.
Primary vacci-
nation.
20
0.2
0.2
0.2
0.2
0.1
0.1
12.2
20.0
12.4
14.8
3.1
3.3
3.2
5.1
8.3
3.3
6.6
1.3
3.1
1.7
4.0
3.1
4.1
4.1
4.1
6.3
4.9
4.4
4.6
6.6
9.1
6.6
8.8
8.6
8.3
Re-vaccination.
21
0.1
2.5
1.2
...
...
...
11.4
20.5
22.9
20.1
20.1
12.3
16.1
7.3
9.3
11.5
8.5
8.9
3.2
4.2
3.5
3.5
8.0
7.8
5.3
9.9
9.7
5.9
8.2
19.8
25.3
14.6
12.1
12.0
15.4
Average
number
of persons
successfully
vaccinated
during previous
5 years.
Number.
22
...
27,543
...
28,540
...
34,831
...
30,101
...
50,417
...
33,001
...
...
...
...
...
...
71,789
...
...
...
...
...
52,197
Ratio per 1,000.
23
...
28.8
...
32.2
...
25.9
...
24.6
...
24.6
...
37.7
...
...
...
...
...
...
33.3
...
...
...
...
...
33.6
Average
number of
deaths from
small-pox
during
previous
5 years.
Number.
24
...
573
...
125
...
481
...
662
...
1,726
...
557
...
...
...
...
...
...
523
...
...
...
...
...
707
Ratio per 1,000.
25
...
0.6
...
0.1
...
0.3
...
0.5
...
0.8
...
0.6
...
...
...
...
...
...
0.2
...
...
...
...
...
0.4
F