( 5 )
Deaths from small-pox.
12. The total number of deaths from small-pox during the year was
12,090 and the ratio per mille of the population .22
against 9,572 and .17, respectively, of the previous
year. The districts of Puri, Calcutta, Bhagalpur, Howrah, Murshidabad,
Patna and Burdwan show the largest number of deaths, viz., 2,894, 1,988, 732,
674, 653, 528 and 488 respectively; while in the districts of Ranchi, Sambal¬
pore, Palamau, Darjeeling, Manbhum, Hazaribagh and Singbhum, the mortality
was lowest, viz., 1, 5, 6, 7, 10, 13 and 17 respectively.
Out of the 12,090 persons who died of small-pox, 3,821 were reported to
have been protected, 5,918 unprotected; while in 2,351 cases, the results were
not ascertained. No reliance can, however, be placed on these figures and no
useful conclusions can be drawn from them.
Animal Vaccination Depôts.
13. In the Animal Vaccination Depôts in Calcutta and Darjeeling, 1,621
and 210 calves were vaccinated against 1,023 and
204, respectively, of the previous year. The quan-
tity of lanoline paste manufactured was 223,322 and 61,823 grains respectively
against 147,579 and 53,846 grains respectively of the previous year.
Different methods of Vaccina-
tion.
14. During the past year 151,080 primary operations were performed
with calf lymph, 400,847 with lanoline lymph,
and 1,352,698 by the arm-to-arm process against
101,952, 292,726, and 1,364,446, respectively,
of the previous year. The ratio per cent. of success under each of these
methods was 98.92, 96.57 and 99.21, respectively, against 99.30, 95.81 and 98.95
respectively of the previous year. Re-vaccinations under each of the above
processes of vacccination show a success of 58.81, 53.98 and 78.02 per cent.
respectively.
Supply of lymph to the Nepal
Darbar and Sikkim State.
15. Three hundred and eighty and 860 grains of lymph were supplied from
the Animal Vaccination Depôt, Darjeeling, to the
Nepal Darbar and the Sikkim State respectively.
The result is reported to have been satisfactory.
Inspections.
16. During the past year, I myself inspected about 450, the Deputy
Sanitary Commissioner of the Bengal and Orissa
Circle 14,742 and the Deputy Sanitary Commis-
sioner, Bihar and Chota Nagpore Circle 9,053 cases.
Among Civil Surgeons, two only, viz., Saran and Muzaffarpur, inspected
more than 10,000 operations; 10 from 5,000 to 10,000; 18 from 2,000 to 5,000;
3 from 1,000 to 2,000 and 1 only less than 1,000.
Of the subordinate inspecting staff, 17 District Inspectors of Vaccination
inspected more than 50 per cent. of the primary operations in their respective
charges; 8 between 40 and 50 per cent.; 6 between 20 and 40 per cent.; and 1
only below 20 per cent.
In 9 districts, the Sub-Inspectors of Vaccination inspected more than 80
per cent. of the primary operations done within their jurisdiction; in 23 dis-
tricts between 50 and 80 per cent. and in 3 only below 50 per cent. Suitable
notice has been taken departmentally of the inadequate inspection performed
by the subordinate inspecting staff.
General Remarks.
17. It may be remarked generally that the good results of the reforms
lately introduced into the department have
already begun to be felt. The system of granting
rewards to vaccinators has already stimulated the vaccinators of some districts
to greater activity in their work, and complaints about non-realization of fees
by vaccinators are getting less frequent. It is hoped that after the schemes
recently sanctioned by Government about the education of vaccinators and the
general substitution of prepared lymph for arm-to-arm vaccination, are brought
into operation, which will be shortly, much improvement will be effected.
Antiseptic vaccination has already produced good results in the districts where
it has been introduced, and now that a regular system of training will be given
to the vaccinators, it will be desirable to introduce it generally in the province.
A proposal on the subject will be submitted to Government shortly.
18. The prescribed statements are appended to these notes.
W. W. CLEMESHA, M.D., D.P.H.,
CAPTAIN, I.M.S.,
Offg. Sanitary Commissioner for Bengal.
The 30th May 1906.