( 5 )
12. Deaths from small-pox.—The total number of deaths from small-pox
during the year was 26,168 and the ratio per mille of the population .33
against 45,742 and .58 of the previous year. The districts of the Sonthal
Parganas, Midnapore, Muzaffarpur, Patna, Pabna, Gaya, Saran, Rangpur and
Monghyr show the largest number of deaths, viz., 2,351, 2,111, 1,778, 1,538,
1,448, 1,445, 1,148, 1,116, and 1,054 respectively, while in the districts of
Khulna, Darjeeling, Jessore, Nadia, Noakhali, Faridpur and Calcutta, the
mortality was lowest, viz. 1, 1, 5, 13, 21, 22 and 47 respectively.
In paragraph 9 of the Government Resolution on the Annual Vaccination
Report of this Department for the year 1902-1903, the Government asked the
Sanitary Commissioner to arrange to furnish some more direct evidence
than is at present available, of the efficacy of vaccination in warding off small-
pox. With a view to give effect to the Government orders, some of the Sanitary
forms regarding registration of deaths has been revised with the sanction of
Government, which will enable Civil Surgeons to furnish, in future, informa-
tion regarding protection by vaccination or otherwise of persons dying from
small-pox. Arrangement has been made for furnishing this information in
next year's report.
13. Animal Vaccination Depôts.—In the Animal Vaccination Depôts in
Calcutta and Darjeeling, 767 and 229 calves were vaccinated against 596 and
237 respectively of the previous year. The quantity of lanoline paste manu-
factured was 130,680 and 49,189 grains respectively against 103,470 and
47,701 grains respectively of the previous year.
The increase of work in the Calcutta Depôt is due to the growing
demand for lymph from the mufassal, specially from the districts of Faridpur
and Backergunge and from Orissa where the people are very much averse to
the arm-to-arm method of vaccination and prefer to have it done with
lanoline vaccine paste.
14. Different methods of vaccination.—During the past year 212,537
primary operations were performed with calf lymph 415,310 with lanoline
lymph and 2,006,716 by the arm-to-arm process against 214,764, 399,205
and 1,978,208, respectively of the previous year. The ratio per cent. of
success under each of these methods was 98.83, 97.01 and 98.35 respectively
against 98.13, 96.75 and 98.38 of the previous year. Revaccinations under
each of the above processes of vaccination show a success of 65.89, 65.87 and
66.94 per cent. respectively.
15. Supply of lymph to the Nepal Durbar and Sikkim State.—Five hundred
and fifteen and 630 grains of lymph were supplied from the Animal Vaccina-
tion Depôt, Darjeeling, to the Nepal Darbar and the Sikkim State, respectively.
The result is reported to have been satisfactory.
16. Inspection.—During the year under review, the Deputy Sanitary
Commissioners of the Metropolitan, Northern and Western Circles, inspected
11,282, 17,384, and 10,872 cases, respectively.
Among Civil Surgeons, 2 only, viz., Pabna and Muzaffarpur, inspected more
than 10,000 operations; 13 from 5,000 to 10,000; 22 from 2,000 to 5,000;
6 from 2,000 to 1,000 and 4 less than 1,000.
Of the Subordinate Inspecting Staff, 16 District Inspectors of Vaccination
inspected more than 50 per cent. of the primary operations in their respective
charges; 9 between 40 and 50 per cent.; 19 between 20 and 40 per cent.; and 3
below 20 per cent. The post of District Inspector of Saran remained vacant
throughout the year and hence the District Inspector's inspection is shewn
blank. The inspection done by the District Inspector of Balasore is nominal
the post having remained vacant during the greater portion of the year. The
small amount of inspection done by the District Inspector of Cuttack is due
to his having been employed on special duty in meeting the opposition of the
people to vaccination.
In 11 districts the Sub-Inspectors of Vaccination inspected more than 80 per
cent. of the primary operations done within their jurisdictions; in 33 districts
between 50 and 80 per cent., and in 5 only below 50 per cent. Suitable notice
has been taken departmentally of the inadequate inspection performed by the
Subordinate Inspecting Staff.
17. The prescribed statements are appended to these notes.
F. C. CLARKSON, MAJOR I.M.S.,
Sanitary Commissioner, Bengal.
The 31st May 1904.