VACCINATION REPORT.
7
12. A total of 133,701 cases were performed in the municipalities during the
year against 134,800 in the preceding year. The following towns exhibited the
largest decrease:—Coimbatore (310), Conjeeveram (434), Bellary (476), Calicut
(595), Dindigul (1,058) and Madras (2,247).
The largest increases were shown in the municipalities of Cannanore (1,561),
Adóni (1,228), Palghat (325), Cochin (324), Salem (280), Kumbakónam (275),
Ellore (260), Cuddapah (225), Kurnool (211) and Palamcottah (208).
13. The number of unions which have been brought within the range of
compulsory vaccination has steadily increased this year, but still several districts
remain in which the system has not yet been started. It appears that there are
few unions in connection with which the word " compulsory " can legitimately
be employed owing to extreme leniency on the part of the magistracy. So far,
therefore, even in those unions in which the system has been working for the full,
year and more, little or no improvement regarding numbers vaccinated has been
reported. Equally potent adverse influences are defective registration of births
and carelessness in maintaining lists of unprotected children on the part of the
village heads.
14. The percentages of success obtained by the use of different kinds of lymph
in primary and secondary vaccinations (re-vaccination omitted) are compared in the
following table :—
Number of
cases excluding
unknown.
* 164,513 ...
65,742 ...
* 441,646 ...
266,050 ...
* 163,045 ...
33,353 ...
*17,338 ...
* 23,345 ...
Area.
Local Funds ...
Do. ...
Do. ...
Do. ...
Do.
Municipalities ...
Do. ...
Do. ...
Method.
Calf-to-arm ... ...
Animal lymph in tubes
and plates.
Glycerínated lymph ...
Lanoline lymph ... ...
Do.
...
...
Do.
...
...
Do.
...
...
Glycerinated lymph ...
Whence obtained.
Locally ... ... ... ...
Transferred from calves for
transport for short distances
or economical reasons by prac-
tice of dilution.
Locally prepared in different
centres.
Supplied by the Bangalore
Institute.
Locally prepared in different
centres.
Supplied by the Bangalore
Institute.
Locally prepared ... ...
Do.
...
...
Percentage of
success.
98.5
96.9
86.9
95.0
87.0
96.3
95.5
95.8
* Includes cases in Madras City.
A slightly greater rate of success has been obtained by the Bangalore lymph;
otherwise there is little difference from the rates shown in the previous year.
15. 13,008 deaths occurred from small-pox against 18,359 last year.
16. Eleven Deputy Inspectors of the following ranges have failed to verify
50 per cent. of the cases vaccinated in their ranges :—East Coimbatore (40.6),
Ganjám Hill Tracts (49.9), Paramagudi (38.1), Tellicherry (44.5), Calicut (34.3),
Palghat (424), Salem, Central (49.3), Cuddalore (29.1), Tiruvannámalai (41.3),
Gunupur (42.9) and Jeypore (33.7).
The reasons for short work are held to be satisfactory.
17. An additional Deputy Inspector of Vaccination having been appointed
to the Gódávari district, the total number of Deputy Inspectors of Vaccination
employed is 59 against 58 last year. Of these 29 are Certificated Sanitary In-
spectors. Three Deputy Inspectors retired, one was dismissed, one was suspended
and five were fined for carelessness.
The service books of all Deputy Inspectors of Vaccination have been brought
up to date.
I have the honour to be,
Sir,
Your most obedient servant,
J. W. CORNWALL, Captain, I.M.S.,
Inspector of Vaccination and Deputy Sanitary
Commissioner for Madras.