( 2 )
Dispensary vaccination. (State-
ment III).
6. The form of statement No. III has also been
revised this year under the orders of the Government
of India referred to above.
As remarked last year, nearly all vaccination work in the Provinces is carried
out by the Vaccination Department, and only 540 operations—536 primary and
4 revaccination—were performed by medical subordinates during 1903-1904
against 470 in the previous year. Of these, 520 (including 3 cases of revaccination)
were successful. The reasons are that most of the vaccination work is either
performed at the children's homes, or at regularly appointed vaccination stations.
General results of inspection.
(Statement V.)
7. The Deputy Sanitary Commissioners and the District Superintendents of
Vaccination inspected 158,497 primary operations and
3,563 revaccinations, or 10.13 and 3.47 per cent.
respectively.
The Assistant Superintendents of Vaccination inspected 515,388 cases-483,972
primary and 31,416 revaccination—against 505,675 in the preceding year, the
percentage of inspections to total number vaccinated being 30.93 in the case of
primary vaccinations and 30.61 in that of revaccinations, against 30.38 and 30.11,
respectively, in 1902-1903. As regards inspection of primary operations, the
percentage was highest (92.81) in Almora, as was the case last year, and lowest
(15.84) in Lucknow, but in the last named district the Assistant Superintendent
of Vaccination devotes a certain proportion of his time to inspection and control
of the calf lymph depôt established here. As regards revaccinations, the
percentage was highest (90.72) in Naini Tál again this year and lowest (2.20) in
Lucknow.
Supply of lymph.
8. The supply of lymph from the hills to the plains was good, and the vesicle
was established in almost all districts on due date.
Lymph was supplied, as usual, to numerous military
and other officers on application.
Working of bovine lymph
depôts.
9. Bovine lymph depôts were maintained at Lucknow, Allahabad and Bahraich,
Owing to an outbreak of small-pox in some of the
plains districts, and with a view to meeting the
demands for lymph from military and other officers,
a temporary calf lymph depôt was established at Naini Tál on the 14th May
1903 for about two months. Sixteen calves were successfully inoculated at this
depôt and sufficient lymph obtained to meet all requirements. Calves were
inoculated in a few other towns also, but the amount of lymph collected was very
small. Twenty-three thousand nine hundred and ninety-three primary operations
were performed with pure calf lymph, the percentage of success being 97.77. In
5,010 operations performed with lanoline lymph the percentage of success was 95.18.
The work of construction of the buildings for the central calf lymph depôt
at Patwa Dangar (district Naini Tál) is now nearly completed, and the depot will
soon be in working order.
Vaccination Act.
10. The Vaccination Act is in force in all municipalities and cantonments,
but the degree of energy with which the rules are
enforced varies in different localities.
11. Including dispensary vaccination, there has been a decrease of 2,123
Vaccination in municipalities.
in the number of successful primary operations in the
municipalities of these Provinces during 1903-1904,
as compared with the preceding year. The number of persons successfully
vaccinated per 1,000 of population was 33.80 against 34.80 in the previous year.
It was highest (80.21) in Bhinga, followed by 64.98 in Bahraich, 62.19 in Sambhal,
57.44 in Mussoorie, 56.68 in Moradabad and 50.97 in Muhamdi. The worst pro-
tected municipalities were Gonda (15.12), Sandíla (15.32), Nánpára (15.75),
Gorakhpur (17.62), Sítapur (17.78) and Lakhimpur (18.40). This was no doubt
due to the prevalence of plague, but in Nánpára it was also due to a certain extent
to the dismissal of the permanent municipal vaccinator, who falsified his registers.
That the decrease in municipalities should have been so small is, I submit,
a subject for congratulation. Vague fears of inoculation in connection with plague
have been prevalent throughout the Provinces during the past year and only
District Officers, Civil Surgeons and officers of the Vaccination Department know
what tact and care have been necessary in some localities to allay suspicion and
maintain a satisfactory return of vaccination work.