( 4 )
Nadia.—Decrease of 18,002 operations. "Due to the fact that the health
of the district during the year under report was much worse than that of the
previous year owing to the greater prevalence of cholera, malarial fever and
scabies; consequently it was thought desirable to postpone operations in many
cases."
Murshidabad.—Decrease of 3,422 operations. " Due to the prevalence of
cholera and fever during the vaccination season."
Jessore.—Decrease of 5,780 operations. " Unusual unhealthiness of every
part of the district from the month of September 1893 to the beginning of
January 1894."
Khulna.—Decrease of 4,428 operations. " Due to less populous parts having
been taken up for operation this year."
Rajshahi.—Decrease of 4,449 operations. "Owing to the fact that less
work remained to be done in the whole district after last year's operations of
vaccination were carried out."
Dinajpur.—Decrease of 3,264 operations. "Due to some thanas, especially
Porsha, having been thoroughly vaccinated during the previous year."
Jalpaiguri.—Decrease of 3,879 operations. "Due to the unsatisfactory
manner in which some of the vaccinators worked."
Darjeeling.—Decrease of 3,440 operations. No explanation has been given.
Rangpur.—Decrease of 1,885 operations. "Prevalence of malarial fever
among a large number of available subjects; also to portion of the vaccination
staff being incapacitated from fever from time to time."
Bogra.—Decrease of 2,406 operations. "Due to the epidemic of cholera
from 26th September to 28th December in every thana of the district which
prevented vaccination work being carried on systematically—two vaccinators
died during the epidemic which created a panic among the staff. Another cause
which impeded the progress of vaccination was the strong opposition offered
by the Rafadars, a class of influential prejudiced men."
Mymensingh.—Decrease of 5,048 operations, of which the Civil Surgeon
says he has "no explanation to offer."
Faridpur.—Decrease of 20,116 operations. "Due to the severe outbreak
of cholera throughout the district from the middle of October 1893 up to
the middle of January 1894; also to the scarcity and distress which prevailed
throughout the year within the district."
Backergunge. —decrease of 3,865 operations. No explanation given.
Tippera.—Decrease of 13,967 operations. "Due to the bad health of the
district during the vaccination season: when cholera and fevers prevail in
a village, parents naturally object to an operation which induces high tempera-
ture and which they believe renders the patient more susceptible to other
diseases during the time they are under the influence of the vaccine virus.
The decrease is also due to the difficulties in realizing fees from the people;
also to the dislocation of work in the Chandpore subdivision owing to the illness
of the Sub-Inspector."
Gaya.—Decrease of only 651 operations, of which no explanation has been
given.
Saran.—Decrease of 3,377 operations. "Due in part to one or all of
the following causes:—(1) disturbed state of the district in consequence of the
cow-killing riots, (2) police aid unwillingly rendered, (3) incompetence
of some of the supervising staff, and (4) transfer or dismissal of some of the
members of the vaccinating staff which interfered in some measure with the
continuity of the work.
Muzaffarpur.—Decrease of 2,860 operations. "Due entirely to the fact
that the season was begun without a proper staff."
This explanation is not understood.
Darbhanga.—Decrease of 11,732 operations. "Due to the area being
taken up for the second time and their being fewer subjects. In the previous
year the district was gone over for the first time and there were more subjects."
Sonthal Parganas.—Decrease of 6,529 operations. " Due to a large number
of unprotected villages being brought under operation in the previous year;
also to the large village of Malati absolutely refusing vaccination and defying
the local authorities. The matter was reported to Government at the time
through the Sanitary Commissioner,"