( 2 )
the number of secondary vaccinations was 10,835 against 20,815 in the preceding
year from which, if the vaccinators have conscientiously reported secondary
insertions, it can be inferred that lymph was of better quality than in previous
years, as noted in paragraph 17. The number and percentage of successful primary-
cases in which the results were known were 1,482,778 and 97.35 in 1914-15 as
compared with 1,451,230 and 96.08 respectively in 1913-14. The number and
percentage of successful revaccinations were 73,295 and 71.76 in 1914-15 as
compared with 84,681 and 72.44 respectively in 1913-14. The average number of
persons vaccinated by each vaccinator in 1914-15 was 1,784 against 1,801 in the
preceding year and the numbers of persons successfully vaccinated per 1,000 of
population were 33.22 and 32.79 respectively.
It would thus appear that there was an increase under all the heads shown
above except in revaccinations and the average number of persons vaccinated by
each vaccinator.
Successful primary vaccination
in different districts.
(Statement I.)
6. Thirty-eight districts out of 48 show an increase in the number of
successful primary operations in 1914-15 over 1913-
14. Agra heads the list with an increase of 3,778
and is followed by Gorakhpur with 3,300, Azamgarh
with 3,226, Meerut with 2,803, Bahraich with 2,339 and Ballia with 2,281. Of
the 10 districts showing a decline, Budaun shows a marked decrease of 5,333.
Rae Bareli comes next with 2,723, followed by Bareilly with 2,194, Moradabad
with 1,949, Gonda with 724, Banda with 630 and Naini Tal with 524. In
Budaun and Naini Tal the decrease is stated to be due to low birth-rate
and in Rae Bareli to prevalence of small-pox and cholera and to the employment
of vaccinators on cholera duty. In Bareilly it is ascribed to low birth-rate, to
high mortality and to the deputation of five experienced vaccinators in March 1915
to Hardwar for Kumbh fair duty and to the appointment of only three new men as
substitutes. In Moradabad the deputation of the assistant superintendent of
vaccination and five vaccinators to Hardwar for fair duty is put forward as a cause
of decrease in work. In Gonda the staff was reduced by one vaccinator. In
Banda the decrease is said to be due to illness of a vaccinator and slackness of
two vaccinators, who have been punished, and to the fact that in 1913-14 famine
camps brought together a large number of people and vaccinators were thus able
to do larger amount of work in one place, time was thus not lost in travelling from
village to village.
Successful
vaccination and
degree of protection
afforded.
( Statement I.)
7. In 34 districts, out of 48, the number of persons successfully vaccinated
per 1,000 of population in 1914-15 exceeded that of
1913-14 and in 20 it exceeded the provincial average
(33 22). Garhwal, as usual, heads the list of the best
protected districts with 77.15 persons successfully vaccinated per 1,000 of popula-
tion and is followed by Almora with 63.65, Naini Tal with 59.16, Jhansi with
48.35, Hamirpur with 46.96, Dehra Dun with 44.32, Hardoi with 41.04 and Jalaun
with 40.92. Of these Garhwal, Naini Tal and Jhansi show a falling off as compared
with the preceding year. Of the 28 districts showing a low number of persons
successfully vaccinated per 1,000 of population the most conspicuous are
Farrukhabad with 21.99, Bara Banki with 22.88, Sultanpur with 24.74 and Unao
with 26.27. Of these Sultanpur shows a slight improvement over the preceding-
year and the other districts retain practically the same position.
Vaccination in proportion to
births and according to age.
8. It is satisfactory to note that in 1914-15, the percentage of successful
operations on persons of all ages in proportion to
births was higher than in the preceding year, the
percentages being 48.48 for children under one year of
age, 19.96 for children between the ages of one and six years and 70.45 for all
periods against 45.37, 1766 and 64.99 respectively in the preceding year.
Taking the figures for the different ranges separately, it is seen that the
number of successful operations on children under one year of age in proportion to
births in the first range was 60.61 per cent. in 1914-15 against 56.77 per cent. in
1913-14. In the second range the percentages were 40.11 and 36.75, in the third
range 48.73 and 47.99 and in the fourth range 40.76 and 37.81 respectively.
Mortality from small-pox.
9. The death-rate from small-pox in 1914 was .38 per mille of population
against .17 in 1913 and .08, the quinquennial average.
Diagram.
10. 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.