20
South Arcot and Salem the decrease in the number of operations as compared
with the corresponding period of the previous year was 43,934. Orders were
issued to make up this fall by extra work during the last quarter of the , year and
as a result the fall is not so great as it would otherwise have been during the
year under report and this in spite of a number of vacancies in the vaccinating staff.
The reports of the Deputy Inspectors disclose that there were vacancies in
the vaccinating staff without substitutes for shorter or longer periods in the
majority of the ranges.
In the Northern Range, as compared with the previous year, the districts of
Kistna (+ 10,622), Koraput (+ 1,787), and Nellore (+ 368) showed an increase
in the number of operations and all the other districts showed a decrease, Guntūr
district being the worst off in this respect with (-18,620) cases and Vizagapatam
being a bad second with (-11,600). In the Central Range Kurnool (+ 4,388),
Salem (+ 4,243), Chittoor (+ 2,668) and North Arcot (+ 1 ,788) showed an increase
and the remaining districts a decrease. The greatest fall was in South Arcot with
a decrease of (-20,548) and Cuddapah (-5,681). In other districts the fall was
inappreciable, being below 2,500.
9. The following tables show the total successful vaccinations performed by
all agencies and the percentage of successful cases including re-vaccination in the
Northern and Central Ranges, respectively: —
The total fall in the percentage of success in the Northern Range is 8.5 and
in the Central Range 5 8. This is rather large. As re-vaccination is no criterion
for the quality of vaccination we shall take primary vaccination alone for
purposes of comparison. Even here the total fall as compared with the previous
year is as much as 7.0 and 7.1, respectively, in the Northern and Central Ranges.
This fall is mainly contributed by the results of the work of the Local Fund
vaccinators and is as much as 8.0 per cent and 9.1 per cent, respectively. This is
apparently due to the more accurate classification by Deputy Inspectors under
the new scheme since, under all other agencies in which there has been no change
in the system of verification, there has been either a rise in the percentage of
success under primary vaccination or only a slight fall. The inexperience of the
newly entertained vaccinators also contributed to some extent towards the fall in
the success rate. Vaccination, especially with lanoline lymph, is a delicate opera
tion which requires considerable skill of hand to ensure good result, which can
only be gained by experience.
Establishment.
(1)
Number of successful vaccinations.
1917-18.
Primary
vaccination.
(2)
Re-vaccination.
(3)
1918-19.
Primary
vaccination.
(4)
Re- vaccination.
(5)
Total of successful
vaccinations.
1917-18.
(6)
1918-19.
(7)
Ratio per cent
of successful cases.
1917-18.
Primary
vaccination.
(8)
Re-vaccination.
(9)
1918-19.
Primary
vaccination.
(10)
Re-vaccination.
(11)
Ratio per cent
of total suc-
cessful cases.
1917-18.
(12)
1918-19.
(13)
Northern Range.
Local Fund vaccinators ...
Government
do. ...
Municipal
do. ..
Cantonment
do. ...
Dispensaries... ...
Medical subordinates...
Total ...
293,421
15,057
17,343
...
...
14
327,835
61,108
3,024
9,866
...
4
2,858
76,860
239,005
14,158
16,802
...
5
...
269,970
44,294
3,773
13,172
... 6
3,983
65,228
356,529
18,081
27,209
...
4
2,872
404,695
283,299
17,931
29,974
...
11
3,983
335,198
81.3
81.8
82.2
...
...
93.3
81.3
80.4
73.4
67.6
... 100.0
73.8
78.0
73.1
82.7
86.1
...
83.3
...
74.3
60.1
76.7
77.6
...
85.7
77.7
64.8
81.1
80.3
76.2
...
100.0
...
80.7
70.7
81.3
83.2
...
84.6
77.7
72.2
Central Range.
Local Fund vaccinators ...
Government do.
Municipal
do. ...
Cantonment
do. ...
Dispensaries...
Medical subordinates...
Total ...
296,809
...
42,737
3,497
...
1
343,044
20,090
...
7,896
2,763
...
650
31,399
241,216
...
37,002
2,667
...
181
281,066
13,972
...
7,618
3,892
...
938
26,420
316,899
...
50,633
6,260
...
651
374,443
255,188
...
44,620
6,559
...
1,119
307,486
85.5
...
96.1
86.7
...
100.0
86.7
72.2
...
61.8
64.8
...
56.3
64.8
77.6
...
95.3
80.0
...
71.8
79.6
54.7
...
58.3
45.6
...
62.6
54.3
85.0
...
88.4
58.1
...
56.5
84.3
75.9
...
86.0
55.3
...
63.9
78.5