( 3 )
a ratio of 57.52 and was followed by Almora with 53.48. Then in order came
Benares with 33.46, Mirzapur with 33.39, Cawnpore with 33.04 and Buland-
shahr with 32.54. Among the least protected districts the most conspicuous were
Rae Bareli (18.95), Allahabad (20.03), Fyzabad (20.79), Lucknow (20.86) and
Fatehpur (20.99).
Vaccination in proportion to
births and according to age.
8. The percentages of successful vaccinations in proportion to births
during 1920-21 were 51.22 for children under one
year of age, 18.59 for those between the ages of one
and under six years, and 72.55 for all age-periods against 53.59, 23.64 and 80.82,
respectively, in 1919-20. 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 1920-21 per hundred births was 59.72 for the 1st
Range, 40.48 for the 2nd Range, 56.95 for the 3rd Range and 47.55 for the 4th
Range as compared with 63.30, 43.07, 65.46 and 49.45, respectively, in 1919-20.
The fall is due to the facts explained in paragraphs 5 and 6. The 1st Range
however maintains its reputation of affording best protection as compared with.
other ranges.
Mortality from small-pox.
9. The death-rate from small-pox in 1920 amounted to .13 per mille of the
population as compared with .23 in 1919 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 appended.
Dispensary vaccination.
(Statement III.)
11. During the year under report 576 vaccination operations (121 primary
and 455 re-vaccination) were performed by medical
subordinates at dispensaries as compared with 272
(120 primary and 152 re-vaccination) in the preceding year, which is satisfactory.
Vaccination in municipalities.
12. The number of municipalities during the year under report remained
the same as it was last year, viz. 84. The notified
area of Kanauj in the Farrukhabad District was
converted into a municipality with effect from 1st September, 1919, but its statis-
tics for the year 1919-20 were not taken into account for the purposes of compa-
rison. This year they have been excluded from the statement of notified areas
and included in that of municipalities. Like the district work, the vaccination
work performed in municipalities during the year under review showed a decrease
as compared with that of the preceding year, the total number of vaccination
operations performed being 107,904 and 122,310 and that of persons vaccinated
106,543 and 120,319, respectively. The total number of primary vaccinations
in 1920-21 was 92,263 and that of re-vaccinations 15,641 as compared with 95,826
and 26,484, respectively, in 1919-20. Successful primary vaccinations and success-
ful re-vaccinations numbered 86,987 and 7,895 in 1920-21, against 87,742 and 12,725,
respectively, in 1919-20. The number of persons successfully vaccinated per 1,000
of the population was 32.12 against 34.03 in the preceding year. Among the
municipalities showing a large number of persons successfully vaccinated per
1,000 of the population, Almora which stood 4th last year, heads the list
with 230.86. Ghazipur, which was 3rd last year, stands 2nd this year with 57.90
and is followed by Etah with 56.90, Gonda with 55.46, Naini Tal with 52.95,
Gorakhpur with 52.29 and Balrampur with 50.30. Among the least protected
municipalities the most conspicuous are Mainpuri (11.45), Rae Bareli (12.87),
Sikandra Rao (15.92), Brindaban (17.02), Fatehpur (18.48), Hardwar (19.93) and
Farrukhabad (20.19). None of these showed an improvement over last year's
figures. The attention of the district superintendents of vaccination and health
officers concerned will be invited to this. The number of successful vaccinations
performed on children under the age of one year in the municipalities of these
provinces in 1920-21 was 70,086 (vide Appendix B) against 69,493, or an increase
of 593.
Vaccination in cantonments.
13. In 1920-21, 11,516 persons were vaccinated and 11,527 vaccinations
(6,015 primary and 5,512 re-vaccination) performed in
the cantonments of these provinces against 17.575
and 17,602 (8,339 primary and 9,263 re-vaccination), respectively, in the preceding
year. The numbers of successful primary vaccinations and successful re-vaccina-
tions during the two years were 5,713 and 3,579 and 5,175 and 4,440. respectively.
The number of persons successfully vaccinated per 1,000 of population was 48.35