( 2 )
and Rs. 4,02,165 and Rs. 3,03,360, respectively. The increase in expenditure
during the year under report was mainly due to the following facts : —
(1) Employment of two Assistant Directors of Public Health belonging
to the Indian Medical Service of the rank of Major.
(2) Separate Assistant Directors of Public Health being in charge of each
range for the greater part of the year.
(3) General increase in the pay of the vaccination staff.
It was also partially due to the increased expenditure under the head
" Travelling allowance."
Average cost of each successful
case of vaccination.
(Statement II. )
4. There was a further increase of one anna and ten pies in the average
cost of each successful case of vaccination in these
provinces during the year under report, the actual
amounts for 1921-22 and 1920-21 being annas five,
pies two and annas three and pies four, respectively. The increase in cost is due
to the increased expenditure under the several heads explained above and to the
fact that a smaller number of vaccination operations could be performed during
the year under report than in the preceding year for reasons given elsewhere in
these Notes.
The following table shows the average cost of each successful case of
vaccination in these Provinces during the year under report as compared with
other provinces :—
Province.
Burma ... ... ... ... ...
Punjab ... ... ... ... ...
United Provinces ... ... ... ...
Delhi Province ... ... ... ...
North-West Frontier Province ... ... ...
Assam ... ... ... ... ...
Bihar and Orissa ... ... ... ...
Bengal ... ... ... ... ...
Central Provinces ... ... ... ...
Madras ... ... ... ... ...
Bombay ... ... ... ... ...
Cost of each successful
case of vaccination
during 1921-22.
As.
9
5
5
4
4
4
2
p.
7
11
2
8
1
0
8
Information not receiv-
ed.
General operations
(Statement I )
5. During the year under report 1,208,733 persons were vaccinated—
1,208,483 by the special (district) staff and 250 by
the dispensary staff as against 1,347,474 in the pre-
ceding year, indicating a decrease of 138,741. The number of vaccination opera-
tions performed in 1921-22 also exhibited a considerable falling off (136,992) as
compared with 1920-21, the actual numbers for the two years being 1,219,989
(1,155,705 primary and 64,284 re-vaccination) and 1,356,981 (1,257,130 primary
and 99,851 re-vaccination). The number of secondary operations rose from 9,507
in 1920-21 to 11,256 in 1921-22. The number and percentage of successful
primary vaccinations in which the results were known in 1921-22 were respectively
1,106,079 and 96.82 as against 1,207,457 and 97.14 in 1920-21, while in the case
of re-vaccinations they were 41,122 and 70.23 as compared with 65,012 and 71.34,
respectively. Each vaccinator vaccinated on an average 1,327 persons during the
year under review as against 1,470 in the preceding year. The ratio of persons
successfully vaccinated by the district staff was 25.28 per mille of the population
as compared with 27.18 in 1920-21. It will be seen that there was a decrease
under all heads during the year under report which is attributed mainly to the
spirit of non-co-operation and ignorance of the benefits of vaccination amongst
the people which obstructed vaccination work in many districts. The decrease
is also accounted for by the prevalence of cholera, malaria, and plague in some
districts and by illness and slackness of vaccinators in others. Low birth rate
was also responsible to a certain extent.
Successful primary vaccination
in different districts.
(Statement I. )
6. In 14 out of 48 districts the number of successful primary vaccinations
performed in 1921-22 was in excess of that performed
during the preceding year. Of these, Budaun stood
first with an increase of 2,533 followed by Hamirpur
with 1,592, Etah with 1,249, Jalaun with 1,080, Agra with 806, Jhansi with 752,
and Banda with 706. Of the 34 districts showing a decrease most conspicuous were