5
the Southern Range Deputy Sanitary Commissioner's report. It is time that the
municipalities improved the personnel and pay of their vaccinators.
(vii) 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.
1,048,634
...
96,958 *
17,814
Area.
Local fund ...
Do. ...
Municipalities ...
Do. ...
Kind of lymph.
Lanoline lymph
Glycerine
Lanoline lymph
Glycerine
Whence obtained.
The King Institute, Guindy ...
Do. ...
Do. ...
Do. ...
Percentage of
success.
76.4
...
90.4
97.6
* Excludes 172 cases vaccinated in Erode Municipality with Bangalore lymph.
During the year under report the percentage of success with lanoline lymph
fell from 82.6 to 76.4 in local fund areas and rose from 89.3 to 90.4 in
municipalities. While the complete change in the agency employed for verification
of results in local fund areas accounts for the lowered success rate, the increase
of 1.1 per cent in the rate in municipalities is not easily explained. The figures
however returned from municipalities have to be taken with caution, seeing that
well more than 50 per cent of the cases done in these towns are still verified by
the vaccinators who do the vaccination. Glycerinated lymph whose supply was
restricted to Madras City alone yielded a success rate of 97.5 against 98.3 in
1917-18. The fall is slight and calls for little comment.
(viii) Smallpox was prevalent to a greater extent in 1918 than in the
previous year, the total number of deaths registered therefrom being 58,752
against 34,958 in 1917. The proportion of population protected in the districts
and municipalities during the year is shown in the annexed two diagrams.
(ix) Verification of vaccinated cases by Deputy Inspectors of Vaccination
was not, on the whole, satisfactory. In no case was the cent per cent verification
required under the new scheme carried out. There were Deputy Inspectors who
did not verify even the old minimum of 50 per cent of cases and suitable notice
has been taken of such men. With the proper understanding of the new scheme
and the strict enforcement of the rules sanctioned in G.O. No. 760 L., dated 18th
June 1919, there is scope for improvement in this direction.
(x) During the year under report two Deputy Inspectors of Vaccination were
punished with suspension and two with reduction for submitting false diaries and
returns : three were fined and one was warned for irregularities in the conduct of
their work.
(xi) The service registers of all the Deputy Inspectors of Vaccination have
been duly verified.
(xii) The proposals of the Deputy Sanitary Commissioner, Northern Range,
in paragraph 20 of his report for the revision of the office staffs of the Deputy
Sanitary Commissioners should form the subject of a separate communication.
(xiii) The report of the Deputy Sanitary Commissioner, Northern and Central
Ranges, was received in this office on the 11th June 1919, while that of the Deputy
Sanitary Commissioner, Southern Range, in complete form did not reach this office
until 31st July 1919. The cause of this extraordinary delay is explained by the
Deputy Sanitary Commissioner, Southern Range, in paragraph 6 of his report.
I have the honour to be,
Sir,
Your most obedient servant,
K. T. MATTHEW, D.HY., D.P.H. (CANTAB.),
Acting Sanitary Commissioner for the
Government of Madras.
B