( 3 )
Gorakhpur (12,939), Azamgarh (11,973), Ghazipur (8,512), Basti (7,058), Farrukh-
abad (5,703), Moradabad (5,343), and Sitapur (5,303). The non-co-operation
movement is reported to be a common cause of decrease in vac ination work in
all the seven districts. The additional causes in some districts were —
Gorakhpur. — Slackness on the part of some vaccinators who have been
suitably dealt with.
Azamgarh—Prevalence
of malaria, cholera, and plague.
Farrukhabad.—Abnormal epidemic of malaria, illness of some vaccinators,
want of help from the revenue staff and defective prepara-
tion of lists of unprotected children, low birth-rate, and
high infantile mortality.
Moradabad.—Severe epidemic of malaria and slaokness of some vaccinators
who have been suitably dealt with.
Sitapur.—Three vaccinators resigned their posts and some fell ill. Slack-
ness on the part of some vaccinators who have been
punished.
There is no doubt that the ill-effects of the non-co-operation movement were
largely responsible for the decrease in the year's work, there being a genera!
tendency to resistance and defiance against vaccination. But, as remarked by
the District Superintendent of Vaccination of Moradabad, the slacker vaccinators
are getting into the habit of advancing this excuse to cover their own slackness,
and deterrent steps must be taken to put a stop to this.
Successful vaccination and
degree of protection afforded
Statement I.)
7. During the year under review the number of persons successfully
vaccinated per mille of the population exceeded the
provincial average (25.28) in 24 districts.
Garhwal retained its position of the last two years as first on the list of the best
protected districts with a ratio of 46.03. Almora again followed with 37.77.
Pilibhit, Jhansi, Bulandshahr, and Jalaun were also among the districts indicating
good protection ; the number of persons successfully vaccinated amounting to
35.39, 34.95, 34.23, and 34.08, respectively.
Vaccination in proportion to
births and according to age
8. In 1921-22 the percentages of successful vaccination in proportion to
births show a decrease under all heads except under
one year as compared with the preceding year, the
ratios for the two years being 51 .63 and 51 .22 in the
case of children under one year, 17.12 and 18.59 in the case of children of over
one and under six years and 70.87 and 72.55 for all age-periods, respectively. An
examination of the figures of the different ranges shows that 62.82 children under
one year of age were successfully vaccinated per 100 births during the year under
report in the first range, 40.03 in the second range, 53 59 in the third range, and
47.60 in the fourth range, against 60.06, 40.48, 55.05, and 47.55, respectively, in
the preceding year
Mortality from small pox
9. The number of deaths registered in 1921 was 1,439, equivalent to a
death-rate of .03 per mille, as compared with 6,354
and .13, respectively, in 1920, and the quinquennial
mean of .10.
Diagram.
10. A diagram showing the relation between the mortality from small-pox
and the protection afforded by vaccination in each
district is attached.
Dispensary vaccination
(Statement III)
11. The total number of vaccination operations performed by medical
subordinates at dispensaries during the year 1921-22
was 250 (161 primary and 89 re-vaccination) as com-
pared with 576 (121 primary and 455 re-vaccination)
in the preceding year.
Vaccination in municipalities
12. The notified area of Baraut (Meerut) having been converted into a
municipality from the 1st April, 1921, the number of
municipal towns during the year under report stood at
85 as compared with 84 in the preceding year. During the year under report, the
vaccination work performed in municipalities (like the district work) showed
a decrease as compared with that of the previous year, the total number of persons
vaccinated being 97,994 and 106,543 and that of the vaccination operations per-
formed 100,379 (89,372 primary and 11,007 re-vaccination) and 107,904 (92,263.