2
Patna Division.
3. Vaccination in Districts.—Of the three districts of the Patna Division,
Shahabad. reported an increase in the
number of operations performed (6,899)
whilst Patna and Gaya reported a decrease of over 8,000.
Tirhut Division.
There was a general decrease in the number of operations reported from all
the districts of the Tirhut Division.
Bhagalpur Division.
The districts of the Bhagalpur Division recorded small increases except
Purnea and Monghyr in both of which
large decreases were reported.
Orissa Division.
With the exception of Angul and Sambalpur all the districts of Orissa
recorded decreases in the number of opera-
tions, the greatest decrease being in Puri
(7,305).
Chota Nagpur Division.
With the exception of Ranchi there was a general fall in the number of
operations returned from the districts of
Chota Nagpur, the greatest decrease being
in Palamau (4,177).
4. Vaccination in Towns and Compulsory Areas.—Statement
VII shows
that during the year 15,645 children under one year of age out of an available
number of 26,347 or 59.38 per cent. were successfully vaccinated.
The towns of Monghyr, Bhagalpur and Darbhanga again show the small-
est proportion of work done, and the towns of Chapra, and Cuttack have
also given unsatisfactory returns.
5. Work done in the Native States under the Supervision of the Poli-
tical Agent and Commissioner.—Vaccination work in the Orissa Feudatory
States has steadily developed during recent years under the direction and
encouragement of the Political Agent and Commissioner.
Both vaccination and to a large extent re-vaccination are practically
compulsory in the majority of these States.
During the year under report 191,822 primary operations and 389,925
re-vaccinations were performed as compared with 201,433 and 348,149 respect-
ively in the previous year. As the total population of the Feudatory States
is under four millions, these figures are rather extraordinary when compared
with the provincial figures, which show a total of roughly nine lakhs opera-
tions performed amongst the population of 34,002,189.
The ratio of primary vaccinations reported by the Orissa States is 48.42
per thousand against 26.57 in the Province and of re-vaccinations 98.43
per thousand against a provincial ratio of 1.06. The number of children
born each year in the Feudatory States may be estimated roughly at two
lakhs, and of these a considerable number, certainly over 60,000, die in
infancy.
6. Protection of infants.—During
the year under report the number
of children under one year available for vaccination was 934,229 and
the number of successful operations was 370,510 equal to 396 per thousand
against 377,981 or 386 per thousand successful operations out of 978,806 child-
ren available during the previous year. The protection of infants in muni-
cipalities is separately shown in statement VII. It gives a ratio of 593
per thousand of the surviving infant population as compared with 594 in the
previous year.
These figures are unsatisfactory inasmuch as they show that for more
than half of the total number operations are performed on children over one
year of age. Civil Surgeons and Assistant Directors of Public Health are
unanimous in attributing the opposition to vaccination to be concerned more.
with the age of the child than with the operation itself, and, in view of the
strong popular prejudice which exists against the vaccination of infants