( 5 )
1916-17, 1915-16 and 1914-15 respectively. The average annual number of
persons successfully vaccinated and the average annual death-rate from small-pox
per mille of population during the five years previous to 1916-17 in the above
four districts were Sultanpur 24.27 and .25, Bara Banki 22.65 and .07, Unao 25.94
and .21 and Partabgarh 27.91 and .25. Of these, Sultanpur has been noted as
showing the lowest number of protected persons per mille of population in the
preceding triennium, while Bara Banki in the preceding two trienniums. The
latter has, however, now begun to show a slow but steady improvement over
the last five years.
Vaccination in proportion to
births and according to age.
10. The percentage of successful vaccination operations in proportion to
births continues to show an improvement—the per-
centages for children under one year of age being
50.37, for those between one and under six years 21.32, and for all age-periods
73.97 as compared with 50.01, 19.97 and 71.94 in 1915-16 and 48.48, 19.93 and
70.45 in 1914-15 respectively.
Taking the figures by ranges, the percentage of successful operations on
children under one year of age in proportion to births was 62.55 in the first range
as against 63.55 and 60.61 in 1915-16 and 1914-15 respectively. In the second
range they were 40.39, 38.90 and 40.11, in the third range, 49.05. 51.72 and 48.73
and in the fourth range, 44.00, 43.05 and 40.76 respectively. The percentage of
vaccination operations to births in the first range has been the highest for the
several years past as compared with other ranges.
Mortality from small-pox.
11. The mortality from small-pox fell from 38 in
1914 and from .05 in 1915 to, .03 in 1916. The
quinquennial average was .14.
Diagram.
12. A diagram showing the relation between the mortality from small-pox
and the proportion of the population protected by
vaccination in each district is attached.
Dispensary vaccination.
(Statement III.)
13. An increase of 113 is noted in the number of vaccinations performed
at dispensaries in 1916-17 as compared with last year,
but a decrease of 51 as compared with the year
1914-15, the actual figures for the three years being
297 (134 primary and 163 re-vaccinations) 184 and 348 respectively. The average
for the triennium was 276 against 649 for the preceding triennium.
Vaccination in municipalities.
14. The municipalities of Kosi (Muttra) and Sardhana (Meerut) were
reduced to the status of notified areas from 1st April,
1914, and consequently the number of municipalities
decreased from 86 to 84 and that of notified areas increased from 46 to 48. The
total number of persons vaccinated in municipalities in 1916-17 was 119,489,
that of vaccination operations 120,940, and that of successful primary operations
104,287 and successful re-vaccinations 6,457 as against 118,308, 120,016, 102,570
and 6,110 in 1915-16 and 126,585, 127,952, 105,253 and 7,739 in 1914-15
respectively. The number of persons successfully vaccinated per 1,000 of
population in 1916-17 was 37.69 as compared with 36.99 in last year and 38.47
in the year before last.
Jaunpur heads the list of municipalities showing a high degree of protection
with 122.63 and is followed by Naini Tal with 106.35. Then come in order
Gonda with 60.79, Etah with 57.66, Koil-Aligarh with 55.98, Bahraioh with
55.64 and Firozabad (Agra) and Kasganj (Etah) with 54.60 each, the first
two retaining their positions of the last year. Among the municipalities showing
a small degree of protection are Farrukhabad-cum-Fatehgarh with 20.22, Dehra
and Rae Bareli with 23.20 each, Nawabganj (Bara Banki) with 24.49 and
Mussoorie with 24.53. All the above municipalities except Gonda, Dehra, Nawab-
ganj (Bara Banki) and Mussoorie have shown improvement over the preceding
year.
The statement showing the number of successful vaccinations performed on
children under one year of age in the different municipalities forms appendix B to
this report. This statement shows in many towns a most unsatisfactory condition
of affairs.
For checking the work of vaccinators and the working of the Vaccination Act
in towns the total births are first ascertained and the deaths under one year are then
subtracted. This gives the total number of children available for vaccination.
Attention is particularly directed to column 11 of appendix B. From this it is
apparent that in some towns a large number of children escape vaccination and
the Vaccination Act is not properly enforced. The worst offender in this respect is
Sultanpur, where out of 367 births 48 died and only 73 were successfully vaccinated,
giving a percentage of 77 per cent. children available, which remained unvaccinated.