64
VACCINATION IN THE NORTH-WESTERN PROVINCES.
[Part II
Kumaon division.
Results.
Kumaon division of the Kumaon and Rohilcund circle.—The Superinten-
dent General himself supervises the work of this division. The establishment
was increased by one cantonment vaccinator; 64,502 cases were operated upon,
being an increase of 9,788 over last year, with a percentage of success of 95.20 in
primary cases. 153.3 per cent. on the birth-rate was thus successfully vacci-
nated, and 36.6 per cent. of the children born during the year. From small-pox
there were 105 deaths in a population of 743,602; but if the deaths of visitors
from the plains were eliminated, the number would be considerably reduced.
The people accept vaccination readily. Each vaccinator performed 368 opera-
tions per mensem.
Rohilcund division.
Results.
The Rohilcund division is also under the direct management and inspec-
tion of the Superintendent General. Numerically, the establishment remained
unchanged though the classes of the vaccinators were slightly altered. There
were 92,335 persons vaccinated, being an increase of 10,723. In primary cases
the percentage of success was 87.13; 46 per cent. of the birth addition (at
the rate of 30 births per 1,000 of population) was protected, 12.8 per cent. of
whom were children under one year of age. The civil authorities, it is stated,
lent the most energetic assistance, but the large increase in numbers was owing
to an " omedwar " having been attached to each vaccinator in the Budaon and
Bareilly zillahs. Dr. Pearson hopes to be able to station two vaccinators in
each tehsil of the division next year, and thus he will have an establishment
" which will admit of every village and town being visited from every two to
three years." A female vaccinator was employed by the Bareilly municipality
but she did very little work.
Agra and Meerut
circle.
Results.
The Agra and Meerut circle.—Surgeon-Major J. Richardson, M. B., offici-
ated as superintendent of this circle. Since the previous year three municipal,
and five local vaccinators were added to the establishment. The total number
vaccinated was 159,553, being an increase of 4,178. The percentage of success
in primary cases was 88.9, being a decrease of 2.0, and the average number
vaccinated by each vaccinator was 239 monthly, or a decrease of 8.7. Females
constituted 51.8 per cent. of the primary vaccinations, and 26 per cent. of
primary cases were under one year of age. The slight falling off in the number
of operations performed per man and in the percentage of success was due to
the number of new hands entertained.
Increase of establish-
ment.
From November 1st 1874 a deputy superintendent has been sanctioned
for the circle, and the vaccinators in the Mozuffernuggur zillah are to be
doubled.
Small-pox.
The year was a deadly one as regards small-pox in this circle (23,631
deaths against 12,347 in the previous year), everywhere except in Dehra Doon
and Tehree Gurhwal, in both of which districts the fixed population is almost
thoroughly protected by vaccination. In the districts of Boolundshuhur and
Etah the disease was particularly fatal, the deaths exceeding 7 per 1,000 of the
population. It is quite apparent that vaccination has had as yet no apprecia-
ble effect in diminishing the mortality from small-pox in these districts. Sta-
tistics appear to show that the protecting influence of such an outbreak lasts
for about three years, in the fourth year the event recurs with tolerable
regularity.
Female vaccinator.
The experiment of employing a female vaccinator is about to be tried by
the municipal committee of Furruckabad, under the impression that she is
more likely than men to obtain access to families of the better classes.
Attitude of the peo-
ple.
The people have no objection to vaccination, but are apathetic on the point.
They, however, readily yield to a little official influence.
Lymph.
The lymph collected at the new depôt in Tehree, Gurhwal and Jaunsar
turned out remarkably well.
Allahabad and Jhansi
circle.
Increase of estab-
lishment.
The Allahabad and Jhansi circle.—Was under the superintendence of
Dr. W. Watson. From November 1st, 1874, a deputy superintendent has
been sanctioned for this circle, the progress made having outstripped the inspect-
ing capabilities of the superintendent; and the number of vaccinators in the
Futtehpore zillah, it has been decided, are from that date to be doubled.
Cawnpore is the only zillah in the circle which now enjoys a double establish-
ment.