REPORT ON VACCINATION IN THE MADRAS
                         PRESIDENCY DURING 1890-91.

From Surgeon D. F. DYMOTT, M.B., Inspector of Vaccination and Deputy Sanitary
Commissioner for Madras, to the Sanitary Commissioner for Madras, dated
Fort St. George, 28th June 1891, No. 2552A/V .

I have the honour to submit statistical returns and brief notes of vaccination
in the Madras Presidency for the official year 1890-91.

2.  I returned from sick leave and took charge from Surgeon-Major W. G.
King on the 14th November 1890. From the 1st April to 14th November Dr.
King visited, for vaccine and sanitary inspections, the districts of Anantapur,
Tanjore, Malabar and Chingleput and the towns of Anantapur, Negapatam, Palghat
and Conjeeveram. From the 15th November to the end of the year I visited, on
inspection-duty, the districts of South Canara, Malabar, Ganjam and Vizagapatam
and the towns of Mangalore, Cannanore, Tellicherry, Calicut, Cochin, Berhampore,
Chicacole, Parlákimedi, Bimlipatam, Anakápalle, Vizianagrum and Vizagapatam.

3.   The following statement shows the strength of establishment employed
during the years 1889-90 and 1890-91 :—

Years.

First-class Dy.
Inspectors.

Second-class
Dy. Inspec-
tors.

First-class
Vaccinators.

Second-class
Vaccinators.

Probationers.

1889-90 ... ...

33

* 24

241

427

126

1890-91 ... ...

34

* 23

251

418

142

                                    * 4 Assistant Deputy Inspectors.

4. The following table contrasts the work performed during 1889-90 with that
of 1890-91:—

1889-90.

1890-91.

Primary vaccinations ... ... ... ... ... ...

856,894

906,119

Re-vaccinations ... ... ... ... ... ... ...

18,854

54,441

Total ...

875,748

960,560

The increase is due partly to increased strength of establishment, partly to
an increase in the average number of operations performed by each vaccinator.

5. The following table shows the rates of success in primary and re-vac-
cinations :—

Establishment.

Number of successful vaccinations.

Ratio per cent. of suc-
cessful cases.

Ratio per
cent. of
total success-
ful cases.

1889-90.

1890-91.

1889-90.

1890-91.

Primary vac-
cinations.

Re-vaccina-
tions.

Primary vac-
cinations.

Re-vaccina-
tions.

Primary vacci-
nations.

Re-vaccina-
tions.

Primary vacci-
nations.

Re-vaccina-
tions.

1889-90.

1890-91.

Local Fund Vaccinators ...

680,355

8,740

706,117

32,672

96.0

88.0

95.0

86.1

95.9

94.5

Government do. ...

27,227

70

16,684

66

96.3

88.6

93.6

81.5

96.3

93.6

Native States do. ...

5,069

6

6,017

49

96.4

100.0

94.9

75.3

96.5

93.9

Municipal do. ...

76,215

3,361

85,008

5,803

93.5

81.4

93.2

73.5

93.0

91.6

Cantonment do. ...

3,285

224

3,343

156

98.3

62.0

90.8

86.2

94.8

90.6

Dispensaries ... ... ...

23,363

577

33,162

2,885

86.9

58.9

85.6

76.0

85.6

84.5

Medical Subordinates ... ...

1,793

1,214

2,727

2,249

58.2

36.0

57.3

50.4

46.7

53.9

Total ...

817,307

14,192

853,058

43,880

95.4

75.3

94.1

80.6

94.9

93.4

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