( 3 )
Mortality from small pox.
9. The death-rate from small pox in 1911 was .03 against .02 in 1910 and
.43, the quinquennial average.
Diagram.
10. A diagram is attached showing the relation between the death-rate from
small pox and the proportion of the population
protected by vaccination in each district.
Dispensary vaccination.
(Statement III.)
11. The number of vaccinations performed by medical subordinates at
dispensaries during 1911-12 was 384—304 primary and
80 re-vaccinations—against 279 in the preceding year.
Although there is an increase of 105 operations over
the preceding year the number is very small. Very little vaccination work is done
at dispensaries. The reasons for this have been given in previous reports.
Vaccination in municipalities.
12. The total number of persons vaccinated in the municipal area of the
provinces in 1911-12 was 115,548, of which 98,112
were successful primary cases or a proportion of 35.58
per mille of population and 7,142 successful re-vaccinations as compared with
108,536, 96,091, 32.74 and 5,145 respectively in 1910. Of the best protected
municipalities Mau (Jhansi) stands first with 94.92. Gonda follows with 83.79.
Then in order come Lalitpur (Jhansi) with 80.17, Jaunpur with 73.96, Kalpi
(Jalaun) with 62.45, Etah with 61.00, Kashipur (Naini Tal) with 53.00, Koil
(Aligarh) with 52.88, Naini Tal with 52.79 and Bijnor with 51.78. Of the
municipalities showing the least protection the most conspicuous are Nawabganj
(Bara Banki) with 10.26, Sitapur with 15.91, Dehra Dun with 21.35, Farrukhabad-
Fatehgarh with 22.43 and Jhansi with 22.58. In all these municipalities the low
rates are said to be due to the prevalence of plague on account of which people
left their houses and scattered in all directions and in Farrukhabad-Fatehgarh,
which shows a slight improvement over the preceding year, the slackness of the
municipal vaccinator (who has been punished) is given as an additional cause.
The successful vaccinations performed on children under one year of age in
the different municipalities of these provinces are shown in Appendix B.
Vaccination in cantonments.
13. In the cantonment areas the total number of vaccinations and the
protection afforded per mille was 10,360 and 47.52
against 8,584 and 40.64 respectively in the preceding
year.
Vaccination in notified areas.
14. As the town of Bilgram in the Hardoi district was converted into a
notified area on 1st April 1911, there were 45 notified
areas in 1911-12 against 44 in the preceding year.
In these notified areas 13,074 persons were vaccinated during the year as compared
with 12,687 in 1910-11. The increase is only 15, as 372 persons were vaccinated
in the new notified area of Bilgram. The number of persons successfully vaccinat-
ed per mille during 1911-12 in the 45 notified areas was 38.25, or 38.04, excluding
Bilgram, against 34.15 in 1910-11.
Vaccination Act.
15. The Vaccination Act is in force in all municipalities and cantonments
and was extended in 1911-12 to three notified areas,
making a total of 40 in place of 37 in 1910-11. The
rules are enforced with a varying degree of energy in different localities.
General results of inspection.
(Statement V.)
16. The total number of vaccination operations inspected by the Deputy
Sanitary Commissioners and the District Superinten-
dents of Vaccination in 1911-12 was 225,317 (of
which 214,628 were primary and 10,689 re-vaccina-
tions) against 186,217 in the preceding year, showing an increase of 39,100. The
percentage of inspections to the total number vaccinated was 15'53 for primary
vaccinations and 10.38 for re-vaccinations in 1911-12 against 13.41 and 10.55
respectively in the preceding year. The percentage of cases found successful to
the total number inspected in 1911-12 was 97.23 for primary vaccination and 59.61
for re-vaccination against 97.26 and 68.19 respectively in the preceding year. Azam¬
garh again heads the list of districts showing a large number of inspections of pri-
mary cases with 16,497. Partabgarh follows with 10,877. Then in order come Fateh¬
pur with 10,799, Jaunpur with 9,918, Hardoi with 9,608, Shahjahanpur with 8,625
and Rae Bareli with 8,235. With percentages in order of precedence Fatehpur
(57.09) comes first followed by Azamgarh (49.24), Partabgarh (41.48), Shahjahanpur
(33.92) and Pilibhit (31.15). No inspections were made in 1911-12 in Gorakhpur,
Benares and Agra and only 124 vaccinations were inspected in Jhansi and
159 in Dehra Dun. The very large decrease in the number of inspections in the
Jhansi district is stated to be due to the fact that owing to the several changes in