( 6 )
The towns in which a large per cent. of children available for vaccination have not
been vaccinated are as follows :—
Sultanpur with a percentage unvaccinated 77 per cent., Saharanpur with 75
per cent., Tilhar, Allahabad and Almora with 42 per cent. each, Unao and
Farrukhabad-cum-Fatehgarh with 41 per cent. each, Rae Bareli with 40 per cent.,
Naini Tal with 39 per cent., Azamgarh, Benares and Sitapur with 38 per cent.
each, Lucknow with 31 per cent., Gorakhpur with 30 per cent. Jhansi with 29
per cent., Ujhani and Bahraich with 28 per cent. each, Agra with 27 per cent.,
Khairabad and Amroha with 25 per cent. each, Muzaffarnagar with 24 per cent.,
Sahaswan and Pilibhit with 23 per cent. each and Ghaziabad, Cawnpore and
Bareilly with 22 per cent. each.
Vaccination in cantonments.
15. The total number of persons vaccinated in cantonments of these
provinces in 1916-17 was 14,751, of vaccination
operations 14,780 (8,828 primary and 5,952 re-vacci-
nations) and of successful primary and re-vaccinations 12,001 as compared with
11,913, 12,065 and 9,721 in last year and 12,930, 13,094 and 10,571 in the year
before last. The figures of the year under report show an increase over the
preceding two years under all these heads.
Vaccination in notified areas.
16. During the triennium under report the
following changes occurred in the number of notified
areas :—
Owing to the conversion of the municipalities of Kosi and Sardhana into
notified areas from 1st April, 1914, as explained in paragraph 14, the number of
notified areas was increased from 46 to 48. On 1st April, 1915, the notified
area of Shahdara was transferred to Delhi Province as stated in paragraph
2 of this report. The Bhim Tal Sat Tal Settlement was constituted as a
notified area on the 1st of April, 1915, and Bhowali on 1st April, 1916,
on which latter date Phulpur was abolished as a notified area. There were
thus, in 1916-17, 48 notified areas. In 1916-17 the total number of persons
vaccinated in the notified areas (including Bhim Tal Sat Tal and Bhowali),
the number of operations performed and of successful vaccinations were
respectively 14,354, 14,497 (13,652 primary and 845 re-vaccination) and 13,613
(13,094 primary and 519 re-vaccination). Excluding Bhim Tal Sat Tal and Bhowali
there were 14,159, 14,302 (13,574 primary and 728 re-vaccination) and 13,472
(13,018 primary and 454 re-vaccination) as compared with 15,985, 16,186 and 14,919
in 1915-16 and 15,576, 15,814 and 14,767 in 1914-15 respectively. The number
of persons successfully vaccinated per 1,000 of population in 1916-17 including
Bhim Tal Sat Tal and Bhowali was 40.33 and excluding these areas 40.34
as compared with 44.68 and 44.22 in 1915-16 and 1914-15 respectively. Previous
to 1916-17 statistics for Bhim Tal Sat Tal and Bhowali were not available
and therefore the comparison of the work in the year under report cannot be
made with that of the other two years of the triennium.
Among the notified areas showing the largest number of protection afforded
against small-pox Mainpuri civil station stands first with a rate of 234.16, followed
by Shahganj (Jaunpur) with 162.47, Badshahpur (Jaunpur) with 111.28, Ahraura
(Mirzapur) with 92.77, Fatehpur Sikri (Agra) with 79.58 and Sheopur (Benares)
with 79.21. The notified areas showing least protection are Rajpur (Dehra Dun)
with a rate of 11 37, Shikohabad (Mainpuri) with 12.03, Mau (Azamgarh) with
15.04 and Utraula (Gonda) with 22.53.
Out of all the above notified areas Mainpuri civil station, Badshahpur,
Ahraura and Fatehpur Sikri only have shown an improvement over the preceding
year while Mau, Utraula and Shikohabad have shown a marked decrease. The
cause of the decrease in the Rajpur notified area is attributed to the epidemic of
"measles" amongst children, in Shikohabad to the non-maintenance of the
vaccination registers and in Mau to the prevalence of plague. No cause is given
for the decrease in Utraula.
Vaccination Act.
17. The Vaccination Act is in force in all the municipalities, cantonments
and in 40 out of 48 notified areas. Steps are being
taken for the enforcement of the Act in the remaining
areas. Judging from appendix B and from paragraph 14, the Act in many towns
does not appear to be strictly enforced.
General results of inspection.
(Statement V.)
18. (a) By deputy sanitary commissioners and
district superintendents of vaccination.
In 1916-17 these officers inspected 252,200 vaccinations (245,076 primary and
7,124 re-vaccination) including 11,192 (11,184 primary and 8 re-vaccination) perform-
ed in 1914-15 and 1915-16 and not included in Statement no. V, as against 231,067
in 1915-16 and 219,068 in 1914-15—the average for the three years being 234,112
as compared with 237,269 in the preceding triennium. It will be seen that there