( 5 )
18. The number of inspections by Deputy Sanitary Commissioners
and District Superintendents of Vaccination
was 134,614 in 1899-1900, 158,239 in 1900-
1901, and 145,515 in 1901-1902. The de-
creases in inspections this year have chiefly occurred in the districts of
Mirzapur, Bijnor, Rae Bareli, Fatehpur‚ Jhánsi, Basti, Sultánpur, Meerut,
Gonda, Azamgarh, Bara Banki, Moradabad and Mainpuri. In most cases
the District Superintendents of Vaccination could not leave their head-
quarters for vaccination tours for the usual number of days, but I trust
that medical officers will not neglect this portion of their duties, as
otherwise those working under them will deteriorate. Though below
the figure for the previous year, the number of inspections by superior
officers was largest in Sultánpur. The other districts with large numbers
of inspections were Gházipur with 7,885, Rae Bareli with 7,314, Fyzabad
with 6,049, Basti with 6,600, Sítapur with 5,898, Azamgarh with 5,854,
Unao with 5,348, and Pilibhít with 5,095. The districts showing the
lowest numbers (excluding the ten districts, the Civil Surgeons of which
are not required to tour in the districts for inspection of vaccination) were
Farrukhabad with 981, Jhánsi with 1,059, Bánda with 1,071, and Budaun
with 1,092.
The number of inspections by Assistant Superintendents of Vaccina-
tion and other inspecting officers has increased from 456,379 in
1899-1900 and 459,307 in 1900-1901 to 475,882 in 1901-1902—the
percentages of inspections to total number vaccinated being 30.19, 29.65
and 30.12 respectively.. The largest number of inspections was 18,485
in Almora. This was followed by 16,589 in Jaunpur, 15,332 in Gorakh¬
pur, 13,481 in Budaun, 13,050 in Hardoi, 12,975 in Bulandshahr, 12,779
in Sultánpur, and 12,049 in Garhwál. The districts showing the lowest
numbers of inspections were Dehra Dún with 4,908, Mirzapur with
5,477, Sháhjahánpur with 6,079, Unao with 6,465 and Fyzabad with
6,733. The low number of inspections in Mirzapur is explained by the
fact that the district is very sparsely populated, the average population
per square mile being 207 compared with 481, the Provincial average.
The same is the case with the hilly district of Dehra Dún. The Assistant
Superintendent of Sháhjahánpur was employed on cholera, duty in
November, and accompanied the District Superintendent of Vaccination
on his vaccination tour on several occasions. The Assistant Superinten-
dent at Unao inspected 2,894 operations in company with the District
Superintendent in addition to his own inspections. The attention of the
Assistant Superintendent of Fyzabad will be called to the deficient
number of inspections performed.
General results of inspection.
(Statement V).
Mortality from small-pox.
19. The death-rate from small-pox was .02 during the year 1901
compared with .03 in 1900 and .04 in 1899.
The rate for the last year was the lowest
on record. No high rates were recorded in any district during the
triennial period. There were in 1901 only 981 deaths from small-pox in
the Provinces in a population of 47,69,1782.
Diagram.
20. A diagram showing the relation between death-rate from small-
pox and the proportion of population protect-
ed by vaccination in each district, is attached.
Conduct of officials.
21. Twelve vaccinators were dismissed, 12 degraded, 239 fined,
and four suspended during the year 1901-
1902. In considering the character and the
outturn of work and what is expected of him, it must not be forgotten
that the vaccinator is not a highly educated man and is poorly paid. A
man on a monthly salary ranging from Rs. 5 to 10 cannot be
considered a highly paid skilled official, and moreover beyond vaccination
work he is required to attend fairs, cholera and plague duties. The cost
of each vaccination is only one anna six pies, or one penny half-penny,
a price that would cause surprise to many municipalities and corpora-
tions in England.