( 2 )
respectively, in 1916-17. The average number of persons vaccinated by each vac¬
cinator in 1917-18 was 1,833, as compared with 1,801 in 1916-17, and the number
of persons successfully vaccinated per 1,000 of population was 33.95, against 33.44.
It would thus appear that there was a fair increase in the vaccination work during
the year under report.
Successful primary vaccinations
in different districts.
(Statement I.).
6. Twenty-nine districts out of 48 show an increase in the number of suc-
cessful primary operations performed in 1917-18 over
that recorded in 1916-17. Sultanpur heads the list
with a material increase of 7,080, followed by
Farrukhabad with 4,134, Basti with 3,870, Lucknow
with 3.694, Garhwal with 3,279, Moradabad with
2,488, Bahraich with 2,314 and Bareilly with 2,280. Of the 19 districts showing a
decline Almora shows a falling off of 3,995, Rae Bareli of 3,574, Shahjahanpur of
2,370, Ballia of 2,049, Bijnor of 1,633, Gorakhpur of 1,573, Allahabad of 1,403,
Agra of 1,239 and Jalaun of 1,204. In Almora the decrease is stated to have
been due to the prevalence of skin diseases, diarrhœa, and measles amongst
children in certain parts of the District, and in Rae Bareli to the prevalence of
plague and the deputation of vaccinators to duty at the Allahabad Kumbh Fair.
In Shahjahanpur and Ballia it is ascribed to the prevalence of relapsing fever
and plague, respectively. In Bijnor it was partly due to the prevalence of plague
and partly to the slackness of vaccinators, who were adequately punished. In
Gorakhpur and Allahabad the decrease is attributed to the prevalence of
plague. In Agra, the prevalence of a virulent type of plague and the absence of
a vaccinator in the Agra Municipality were responsible for the decrease, and in
Jalaun plague, which raged furiously in the district throughout the season,
was the main cause of the falling off in vaccination work.
Successful vaccination and
degree of protection afforded.
(Statement I.)
7. The number of persons successfully vaccinated per 1,000 of the population
in 1917-18 was in excess of the provincial average
(33.95) in 27 districts out of 48, while in 32 districts
it showed an increase as compared with last year.
Garhwal, as usual, heads the list with 65.66 persons
successfully vaccinated per one thousand of population and it is closely followed by
Almora with 65.36. Then in order come Hamirpur with 47.00, Naini Tal with 45.90,
Jhansi with 43.83 and Jalaun with 40.41. Of the 21 least protected districts,
the most conspicuous are Bara Banki with 23.93, Rae Bareli with 25.55, Partab¬
garh with 25.92 and Allahabad with 26.32.
Vaccination in proportion to
births and according to age.
8. The percentages of successful vaccinations in proportion to births during
1917-18 were 48.69 for children under one year of
age, 19.06 for those between one and under six years
and 70.29 for all age periods, as compared with 50.37, 21.32 and 73.97, respec-
tively, in 1916-17. It will be seen that there was a decline under each head as
compared with the preceding year. The number of children under one year of
age successfully vaccinated in 1917-18 per hundred births was 61.92 for the first
range, 38.07 for the second range, 48.73 for the third range and 42 86 for the fourth
range, as compared with 62.55, 40.39, 49.05 and 44.00, respectively, in 19.16-17.
The fall is to some extent explained by the fact that the deaths amongst infants
during 1917 were in excess of those recorded in 1916 and the number of children
available for vaccination included a larger percentage of children too young for
vaccination during 1917-18. These factors indirectly affect the above percentages
for all age periods.
Mortality from small-pox.
9. The death-rate from small-pox in 1917 was
.04 per mille of population, as compared with .03 in
1916 and .14, 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 appended.
Dispensary vaccination.
(Statement III.)
11. The number of vaccination operations performed by medical sub-
ordinates at dispensaries fell from 297 in 1916-17 to
143 in 1917-18. The causes of the decrease under
this head have been explained in previous reports.
Vaccination in municipalities.
12. Kandhla Municipality having been converted into a notified area from
the 15th August 1917, the number of municipalities
has fallen from 84 to 83. For the purposes of com-
parison the statistics of the Kandhla Municipality have been excluded from the
returns for 1916-17. Like the district work, the vaccination work performed in
municipalities during the year under review shows an improvement over that of
the preceding year. The total number of persons vaccinated in the municipalities