28
(vi) The following table shows the cost of the various vaccination establish
ments in Southern Range and the average cost of each successful case:—
Establishments.
Local Fund establishment ...
Municipal
...
...
Total ...
Total expenditure.
1917-18.
RS.
1,10,046
16,505
1,26,552
A.
9
15
8
P.
3
1
4
1918-19.
RS.
1,83,451
18,406
1,51,858
A.
4
12
1
P.
11
4
8
Average cost of each
successful case.
1917-18.
RS.
0
0
0
A.
4
3
3
P.
0
5
11
1918-19.
RS.
0
0
0
A.
6
3
5
P.
1
9
8
When compared with the previous year there is rise in the cost of establish
ments both in the municipalities and local funds. The average cost of each
successful case rose from As. 3-11 in 1917-18 to As. 5-8 in 1918-19.
The above rise which is mainly observed in the local fund areas (from As. 4
in 1917-18 to As. 6-1 in 1918-19) is due to the increased rate of pay and allow
ances given to the Deputy Inspectors of Vaccination as well as to the vaccinators
as per G.O. No. 963 L., dated 4th July 1917.
It varied from As. 4-7 in South Kanara district to As. 14-6 in the Nilgiris.
Among municipalities Cochin shows the highest figure in regard to the cost
of each successful case (As. 14-10, next in order coming Dhārāpuram (As. 11-l),
Tiruppūr (As. 11-0), Virudupatti (As. 10-11), Erode (As. 10-8) and Udamalpet
(As. 9-5), whereas Mangalore returns the lowest figure (As. 1-10) followed by
Calicut (As. 2-0) and Tuticorin (As. 2-6).
(vii) Vaccination was compulsory in all the municipalities and the total
number of operations performed during the year under review were 94,384 against
95,525 in 1917-18. The towns that showed marked decrease were Madura
( — 5,698), Cochin ( — 2,544), Cannanore (—1,311), Virudupatti ( — 1,056),
Coonoor ( — 69), Bōdināyakkanūr ( — 482), Palni ( — 479) and Tanjore (— 391).
Madura, Bōdināyakkanūr, Cannanore, Cochin and Virudupatti attribute the
decrease this year to the absence of smallpox, the prevalence of which in the
previous year having contributed then to a large number of re-vaccinations.
Palni and Tanjore attribute influenza as the cause of short work, whereas
Coonoor offers no explanation.
(viii) The following table exhibits the success obtained by the use of different
kinds of lymph in primary vaccination (including secondary) in Southern Range:—
Number of
cases excluding
unknown.
394,098
56,436
172
Nil.
Area.
Local Fund... ...
Municipalities
Do.
(Erode).
Local Fund and Muni
cipalities.
Kind of lymph.
Lanoline...
Do. ...
Do. ...
Glycerine...
Whence obtained.
Supplied by the King Institute,
Guindy.
Do.
Supplied by Bangalore Institute
Do.
Percentage
of success.
77.8
90.7
95.3
Nil.
The percentage of success from lanoline lymph (supplied by King Institute,
Guindy) was 77.8 in 1918-19 against 81.6 in 1917-18 in local fund areas and
90.7 and 89.1 respectively in municipalities. No supply of glycerine lymph was
made to the Southern Range. Erode municipality which used lanoline lymph sup
plied from the King Institute, Madras, and Bangalore Institute show a success
rate of 63.4 and 95.35 respectively.
(ix) Smallpox.—24,907 deaths from smallpox were reported from my range
during 1918 against 11,756 in 1917.
The districts which were badly affected by smallpox were Tanjore, Malabar,
Rāmnād and Coimbatore and all these districts were visited by me during the year