BOMBAY PRESIDENCY. 23
spection of all of them, and I shall be prepared to do it without any way
inconveniencing the school work."
In the Rural Circles the largest mortality is shown in the Khándesh and
Násik Districts. In Khándesh the small-pox has been advancing from the
eastern side in spite of every effort to stop it. It is in the larger towns and
villages that there is a difficulty in doing work, especially revaccination. This
year it has spread into the Násik Zilla and there were sharp outbreaks at
Yeola and Málegaon towns. In the latter town alone over 32 per cent. of the
total deaths reported in the district occurred. This town has a large poor and
dirty population of the weaver class who have come in from another district
and they overcrowd in badly ventilated huts, and when disease appears it takes
a firm hold. In Hyderabad Collectorate also of the deaths reported, more
than half occurred in the town itself. The Deputy Sanitary Commissioner,
Western Registration District, enquired into 1,577 cases of small-pox, and of
these 718 were previously vaccinated and 859 were unprotected. Among the 718
vaccinated 38 died or 5.29 per cent., whilst of the 859 unvaccinated 146 died or
16.99 per cent.
In the Násik District 606 cases of small-pox were enquired into, 159 were
previously vaccinated and 447 were not. Of those previously vaccinated 31
died or 19.49 per cent., whilst of the 447 not vaccinated 217 died or 48.54
per cent.
The Deputy Sanitary Commissioner, Sind Registration District, remarks on
the opposition to vaccination in Hyderabad town and the difficult conditions
which prevail there, on which a good deal of correspondence has passed. With re-
gard to the outbreak in the province generally, he states that all efforts to estab-
lish protective areas around the foci of the disease were rendered futile, that
measures of isolation and disinfection were neglected, municipalities being in
doubt as to their powers under the District Municipal Act to enforce pre-
ventive measures, and that conveyance of persons suffering from the disease by
road, boat or rail very frequently happened.
Diagrams showing the
death-rate from small-pox and
the proportion of population
protected against the disease,
by vaccination.
57. In compliance with the instructions contained in letter from the
Government of India, Home Department, Sanitary,
No. 44, dated 8th February 1894, printed in the
preamble of Government Resolution in the General
Department, No. 764 of 1st March 1894, there are two
diagrams given, one to illustrate the average num-
ber of the population protected against small-pox and the mean death-rate from
the disease per 10,000 of population for the last ten years (1885-86 to 1894-95
inclusive), and the other to illustrate the same proportion for the year under
report.
Vaccination progress.
Progress in the Western
Registration District.
58. The Western Registration District extends over an area of 24,546
square miles, comprising the Collectorates of Khándesh,
Násik, Thána and Kolába, and the Native States of
Jowhár, Janjira and Dángs. It has a population of
3,898,814 persons. It is administered by a Deputy Sanitary Commissioner,
who has working under him 8 Inspectors of Sanitation and Vaccination, 2 clerks,
91 vaccinators and candidates and 94 peons. Each vaccinator on an average
worked amongst a population of 46,973 persons.
They primarily vaccinated 115,606 and revaccinated 7,431 persons; in
the previous year the respective figures were 112,619 and 6,795. There were
107,916 or 93.20 per cent. successful under primary vaccination and 4,034 or
54.27 per cent. under revaccination. These together give the total rate of pro-
tection as 28.97 per mille of population, while last year it was 27.15. The total
cost was Rs. 49,994-14-9 and the average cost per each successful case was annas
7 and pies 2 against annas 7 in the preceding year. Each vaccinator averaged
1,482 persons. There were 1,905 deaths from small-pox against 1,063 in the
previous year.