10
VACCINATION REPORT
were called for for the reorganization of the vaccination staff of every district in G.O.
No. 1686 L., dated 29th September 1914, on the basis of a scheme prepared by the
President, District Board and the District Medical and Sanitary Officer of Salem and
hence come to be known as the ' Salem scheme,' which is really a modification of
the trial scheme or rather a compromise between the old system and the new ' trial
scheme.' The essence of the ' Salem scheme' is, as in the ' trial scheme,' a
better scale of pay for vaccinators and the taking off from them the duty of verifi
cation of results of vaccination which is entirely to be done by the Deputy
Inspectors whose number in consequence has to be increased. These proposals
have now been received from every district and forwarded to Government whose
orders on the subject are awaited. The revised scale of pay proposed and
approved for the Deputy Inspectors of Vaccination in G.Os. Nos. 1005 L., dated
13th September 1905 and 1814 L., dated 23rd October 1913, has also yet to be
introduced.
(ii) The total vaccination work performed during the last three years by all
agencies throughout the Presidency is shown in the following table:—
Primary vaccination ... ...
Re-vaccination ... ... ...
Total ...
1914-15.
1,512,515
176,407
1,688,922
1915-16.
1,532,185
268,985
1,801,170
1916-17.
1,481,337
218,589
1,699,926
As compared with the previous year the number of cases under both primary
vaccination and re-vaccination showed a decrease of 50,848 and 50,396 respect
ively, i.e., a total fall of 101,244. When compared with 1914-15 the year under
report showed a decrease of 31,178 cases under primary vaccination and an
increase of 42,182 under re-vaccination and on the whole an increase of 11,004
cases. As compared with last year large increases are noticeable in the districts
of Chingleput (+ 6,746), South Arcot (+ 6,575) and Koraput (+ 6,452). The
districts which show a great decrease in the total number of vaccinations are
Malabar (—31,933), Gōdavari (—21,009), Vizagapatam (—15,825), Madura
(— 8,939), Kistna (— 7,944) and Nellore (— 7,522). The decrease in Malabar
is attributed to the paucity of cases for vaccination which is a matter for investi
gation and in the Madura district to temporary vacancies in the staff. In all
other districts the main cause is stated to be diminished prevalence of small
pox compared with the previous year when owing to the impetus given by virulent
outbreaks large numbers were vaccinated.
(iii) The following table shows the total successful vaccinations by all
agencies and the percentage of successful cases including re-vaccinations :—
Establishment.
(1)
Local Fund vaccinators ...
Government
do. ...
Municipal
do. ...
Cantonment
do. ...
Dispensaries ...
Medical subordinates ...
Total ...
Number of successful vaccinations.
1915-16.
Primary
vaccination.
(2)
1,155,851
14,283
106,830
4,152
96
1,464
1,282,676
Re- vaccination.
(3)
120,748
1,249
51,785
1,988
33
8,519
184,322
1916-17.
Primary
vaccination.
(4)
1,090,029
13,900
107,326
2,950
145
213
1,214,563
Re-vaccination.
(5)
97,737
4,119
34,500
1,667
30
6,771
144,824
Total of successful
vaccinations.
1915-16.
(6)
1,276,599
15,532
158,615
6,140
129
9,983
1,466,998
1916-17.
(7)
l,187,766
18,019
141,826
4,617
175
6,984
1,359,387
Ratio per cent
of successful cases.
1915-16
Primary
vaccination.
(8)
87.3
85.0
93.5
85.2
98.0
87.4
87.7
Re-vaccination.
(9)
79.5
69.5
70.9
42.5
84.6
70.4
75.7
1916-17.
Primary
vaccination.
(10)
86.2
82.0
93.0
87.6
98.0
88.0
86.7
Re-vaccination.
(11)
76.7
80.2
68.6
40.9
100.0
66.3
73.4
Ratio per cent
of total suc
cessful cases.
1915-16.
(12)
86.5
83.3
84.7
64.3
94.2
75.5
86.0
1916-17.
(13)
85.3
81.6
85.6
62.0
98.3
66.8
85.0
The percentage of success both under primary and re-vaccination showed
a decrease. The total fall is 1 per cent when compared with 1915-16 during
which year itself there had been a fall of as much as 3.6 per cent as
compared with 1914-15. A comparison such as this of a combined success rate