( 4 )
five years in these districts being 65.88 and .33, 37.58 and .82, 42.14 and .04 and
41.16 and 1.02 respectively. In Garhwal and Naini Tal the rates, though higher
than those of other districts in 1910-11, are lower as compared with 1909-10—
chiefly due to a decrease in revaccination, which has been fully explained above.
Among the worst protected districts, i. e. those showing a low. number of
persons successfully vaccinated per 1,000 of population in 1910-11, the most
conspicuous were Farrukhabad with 17.66, Bara Banki with 19.75, Unao with
20.75 and Azamgarh with 20.98, as compared with 18.03, 16.73, 21.20 and 21.04
respectively in 1909-10, and 15.96, 17.06, 24.80 and 24.52 in 1908-9. The
average annual number of persons successfully vaccinated, and the average annual
death-rate from small-pox, per 1,000 of population during the previous five years
in Farrukhabad were 21.31 and .16, in Bara Banki 21.94 and .37, in Unao 25.56
and .05 and in Azamgarh 26 25 and .66. Bara Banki shows an improvement
over the preceding two years and the causes of decrease in the districts generally
have been explained above. In Farrukhabad an additional cause was the sickness
of one vaccinator for 4 months, and in Unao there were two men short for a
month. In Azamgarh the District Superintendent of Vaccination gives as.
additional causes. (1) that vaccination work had been done during the recess in
1909-10 on account of small-pox, (2) that better supervision had been exercised
by the new assistant superintendent of vaccination and false work prevented and
(3) that bad work had been done by one vaccinator who has been punished.
Mortality from small-pox.
10. The death-rate from small-pox per 1,000 of population was .02 in 1910,
.12 in 1909 and 1.26 in 1908—the quinquennial average
being .44. As stated elsewhere, the mortality from
this cause in 1910 was the lowest on record.
Diagram.
11. A diagram showing the relation between the death-rate from small-pox
and the proportion of the population protected by.
vaccination in each district is attached.
Vaccination in proportion to.
births.
12. The percentage of successful primary vaccinations in proportion to
births in 1910-11 was 45.83 for children under one
year, 18.18 for those over one and under six years, and
66.29 for all age periods as compared with 48.80,
24.75 and 76.90 in the preceding year and 44.37, 22.15 and 69.94 in the year
before. The percentage for children under one year was 52.67 in the First
Circle in 1910-11 and 39.14 in the Second Circle against 58.03 and 40.48
respectively in 1909-10 and 49.61 and 38.86 in 1908-9. As explained in previous
reports, the discrepancy in the figures of the two circles is due to the fact that
people in Oudh strongly object to submitting very young children to vaccination.
The lower percentages for 1910-11 as compared with 1909-10 and 1908-9 do not
represent a decrease in work. As noted above, the actual numbers for 1910-11
were greater than those of either of the other two years but in 1910-11 the
birth-rate was higher.
Dispensary
vaccination.
(Statement III.)
13. The total number of vaccination operations performed by medical
subordinates at dispensaries in 1910-11 was 279—264
primary and 15 revaccinations—against 253 in 1909-10
and 765 in 1908-9—the average for the three years being
432 against 736 for the preceding three years. The explanation given above for
the decrease in vaccination generally in the triennium under review applies to
the decrease under this head also, but the chief cause is that children are mostly
vaccinated at the regularly appointed vaccination stations, if not in their own
homes.
Vaccination in municipalities.
14. The total number of persons vaccinated in the municipalities of these
provinces in 1910-11 was 108,536, that of successful
primary operations 96,091 and successful revaccinations
5,145 as compared with 105,7.46, 89,978 and 6,092, respectively, in 1909-10 and
117,947 91,524 and 7,862 in 1908-9. The number of persons successfully
vaccinated per 1,000 of population in 1910 11 was 32.74 against 31.09 in 1909-10
and 32.25 in the year before. The increase is not a very large one, but it is to be
expected that recovery from the epidemic of 1908, which affected vaccination so
adversely, cannot be otherwise than slow. Among the best protected municipalities,
i. e. those showing a great number of persons successfully vaccinated per thousand
of population, Lalitpur (Jhansi) stands first with 107 87, Mau Ranipur (Jhansi)