3
Orissa Division.
The Orissa Division shows the worst record of the five divisions of the
province. The decrease in the average
number of operations performed during
the last three years was 62,965. The decrease was shared by all the districts
with the exception of the district of Puri which recorded a rise in the average
number of operations by 237. The rise in this district was marked in the year
1917-18. The highest fall occurred in the district of Cuttack (36,742)
followed by Balasore (17,154), Sambalpur (6,568) and Angul (2,738).
Chota Nagpur Division.
In the five districts of this division there were decreases in the average
number of operations performed during
the triennial period under report, amount-
ing to 8,892 in Manbhum, 8,108 in Hazaribagh, 7,069 in Ranchi, 6,950
in Palamau and 2,757 in Singhbhum.
In 1918-19 influenza was epidemic during the vaccination season and
large percentage of vaccinators could not do much work for about three
months in the season.
4. Vaccination in Towns and Compulsory Areas.—During the triennial
period under review the Vaccination Acts were extended to certain mauzas in
the thanas Ghatsila and Jamshedpur in Singhbhum, Gharwa Union in Palamau,
Dhanbad in Manbhum, and Chakradharpur Municipality in Singhbhum and
to the villages Satvarwa, Chainpur and Pathra in Daltonganj thana in
Palamau.
Statement VII shows the details of Municipal Vaccination from which
it appears that in Darbhanga and Monghyr the work has been unsatisfactory.
The towns of Patna, Gaya, Arrah, Chapra, Motihari, Sahibganj, Cuttack,
Balasore, Ranchi and Purulia have given satisfactory returns.
5. Work done in the Native States under the supervision of the Political
Agent—During the triennium under report vaccination continued to be satisfac-
tory in the Native States. In 1917-18 the total number of vaccination opera-
tions performed was 526,410, in 1918-19 426,712 and in 1919-20, 680,103. The
fall in 1918-19 is reported to be due to the epidemic of influenza.
6. Protection of Infants.—During
the year 1919-20, 838,706 children
were available for vaccination. Of the available children, 391 per thousand
were successfully vaccinated against 367 per thousand of the previous year.
Protection of infants in Municipalities is shown separately in Statement
No. VII. The number of children available for vaccination was 24,993, of
this 743 per mille was successfully vaccinated against 681 per thousand
of the previous year.
7. Incidence and Mortality of Small-pox.—The death-rate from small-pox
during the year 1919-20 was .53 in the province against .17 of the previous
year and .26 the average of the last five years.
Patna Division.
The death-rate from small-pox in the district of Patna was .85 which was
the highest
in the division.
The
quinquennium rate of the district was
34. Gaya recorded a rate of .62 per mille against .35 the average of the
previous five years.
Tirhut Division.
As usual the districts of this division recorded the lowest rates in compari-
son with rates of the other districts of
the province, the highest being .13 per
thousand in Champaran.
Bhagalpur Division.
The mortality in this division was higher than in Tirhut. Of the four
district of the division the district of
Purnea recorded the highest rate .96.