4
10. The cost of the various Vaccination staffs and the average cost of each
successful case are exhibited in the sub-joined statement:—
Establishment.
Government establishment.
Local fund
do.
Municipal
do.
Cantonments
do.
Total ...
Total expenditure.
1917-18.
RS.
10,797
2,88,677
42,607
3,807
3,45,890
A.
4
10
13
8
4
P.
8
4
5
3
3
1918-19.
RS.
13,437
3,37,666
43,964
4,286
4,05,355
A.
10
13
14
2
8
P.
9
3
0
5
5
1919-20.
RS.
13,853
3,86,028
75,424
4,393
4,79,700
A.
13
11
4
1
0
P.
10
10
11
8
3
Average cost of each successful case.
1917-18.
RS.
0
0
0
0
0
A.
9
4
4
9
4
P.
7
2
5
9
3
1918-19.
RS.
0
0
0
0
0
A.
12
6
5
10
6
P.
0
1
3
5
1
1919-20.
RS.
0
0
0
0
0
A
12
6
9
8
7
P.
11
10
8
0
4
There was a steady increase in the average cost of each successful case
from As. 4-3 in 1917-18 to As. 7-4 in the year under report. It varied from
As. 4-11 in the Kistna district to as high as Re. 1-2-4 in the Nilgiris district
whilst in Municipalities the variations were from Rs. 2-2-9 in Madras to
As. 2-4 in Mangalore.
11. 159,764 operations were performed in Municipalities during the year
against 190,387 in the preceding year and 195,110 in 1917-18, the largest de-
crease occurring in Madura (—9,307), Mangalore (—5,852), Calicut (—3,718),
Madras (—2,741), Berhampur (—2,648), Negapatam ( —1,609) and Palamcottah
(—1,512), due to the less prevalence of smallpox. The only Municipality that
showed an appreciable increase was Ootacamund ( + 2,521).
12. The percentage of success obtained by the use of different kinds of lymph
in primary vaccination in Local Fund and Municipal areas is compared in the
following table:—
Number of cases
excluding
unknown.
1,102,100
...
89,550
16,103
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.
77.0
...
91.2
89.9
Lanoline paste was used in all the Local Fund districts and Municipalities.
The percentage of success obtained with it showed a slight increase from 76.4 in
1918-19 to 77.0 in 1919-20 and in Municipalities there was an increase from
90.4 to 91.2. The supply of glycerine lymph was restricted to Madras City alone
and yielded a success rate of 89.9 as compared with 97.5 in 1918-19.
It having been reported by the Erode Municipal Council that lanoline vaccine
issued by the Bangalore Institute was more efficacious and produced better results
than that issued by the King Institute a series of carefully arranged tests with
both lymphs were ordered and were carried out by the Deputy Sanitary Commis-
sioners of the Central and Southern Ranges. The results which have just been
completed will form the subject of a separate report.
13. 40,592 deaths occurred from smallpox against 56,488 last year and
34,958 in 1917-18. The proportion of population protected in districts and
Municipalities during the year is shown in the annexed diagrams.
14. Inspection of vaccinated cases by Deputy Inspectors of Vaccination was
when compared with last year on the whole satisfactory. The cent per cent veri-
fication required under the new rules was with the exception of four Deputy
Inspectors of Vaccination not attained. Suitable notice has been taken of Deputy
Inspectors of Vaccination who failed to inspect even the old minimum of 50 per-
cent.