NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
Paragraph 14.]
( 5A )
APPENDIX B.—Showing the number of vaccinations performed in the municipal to
of the United Provinces on children under one year of age during the year
1925-26.
Serial number.
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
District.
2
Dehra Dun
..
Saharanpur
..
Muzaffarnagar ..
Meerut
..
Bulandshahr
..
Aligarh
..
Muttra
..
Agra
..
Mainpuri ..
Etah
..
Bareilly ..
Bijnor
..
Budaun
..
Moradabad
..
Shahjahanpur ..
Pilibhit
..
Farrukhabad
..
Etawah ..
Cawnpore ..
Fatehpur ..
Allahabad ..
Municipality.
3
Dehra ..
Mussooree ..
Saharanpur ..
Hardwar Union ..
Deoband
..
Roorkee
..
Muzaffarnagar ..
Kairana ..
Meerut ..
Ghaziabad ..
Hapur ..
Baraut ..
Bulandshar ..
Khurja ..
Sikandrabad ..
Koil ..
Hathras ..
Atrauli ..
Sikandra Rao ..
Muttra ..
Brindaban ..
Agra ..
Firozabad
Mainpuri ..
Etah ..
Soron ..
Kasganj ..
Jalesar ..
Bareilly ..
Bijnor ..
Chandpur ..
Dhampur ..
Nagina ..
Najibabad ..
Budaun ..
Ujhani ..
Sahaswan ..
Moradabad ..
Chandausi ..
Amroha ..
Sambhal ..
Shahjahanpur ..
Tilhar ..
Pilibhit ..
Bisalpur ..
Farrukhabad-cum-
Fatehgarh.
Kananj ..
Etawah ..
Cawnpore ..
Fatehpur ..
Allahabad ..
Number
of
births
during
1925.
4
971
160
3,348
1,106
1,022
462
979
783
2,744
482
924
328
844
1,398
916
3,484
1,878
775
474
2,139
412
9,883
897
159
324
482
858
579
3,842
947
680
459
979
1,049
2,193
430
861
4,900
1,294
2,197
2,056
3,232
947
1,832
507
2,313
617
2,186
7,070
575
6,602
Number
of
deaths
amongst
children
under
one year
during
1925.
5
227
35
1,023
292
213
143
248
229
501
94
227
105
287
458
334
1,062
537
190
129
537
133
1,938
214
35
100
138
212
194
609
232
166
116
274
239
535
107
247
1,089
418
420
570
649
279
501
143
676
53
716
2,971
149
1,598
Number
of
successful
vaccinations
on children
under one
year during
the year
ending
March 31,
1926.
6
341
157
1,241
803
651
198
618
470
2,068
238
446
206
413
783
602
2,067
1,357
536
281
1,680
200
4,189
675
151
222
329
641
345
2,174
339
367
209
441
622
1,459
232
312
2,781
773
1,170
1,329
2,470
452
785
232
1,048
334
1,327
4,268
300
2,626
Date of extension
Vaccination Act to
municipality.
7
May 14,1891.
Ditto.
April 28,1892.
April 5, 1892.
June 7, 1894.
August 7, 1891.
December 21,1892
June 7, 1894.
March 12, 1891.
June 7, 1893.
October 16,1894.
March 5,1924.
July 16,1891.
June 28, 1894.
April 16, 1894.
November 24,1891.
May 4,1894.
December 21, 1892.
Ditto.
October 5, 1891.
August 6, 1891.
June 5, 1891.
Ditto.
June 15,1891.
May 6, 1891.
Ditto.
Ditto.
Ditto.
August 17,1891.
July 3,1891.
July 6,1891.
April 16, 1894,
July 6, 1891.
Ditto.
July 29, 1892.
July 1, 1891.
July 3, 1891.
December 19, 1892.
March 9, 1893.
Ditto.
April 1, 1893.
September 14, 1891.
January 2,1892.
July 9, 1891.
April 25,1892.
June 5, 1891.
September 16,1921.
November 15,1889.
August 1, 1888, De-
cember 11,1888 and
August 7,1891.
June 4,1891.
May 2,1891.
Paragraph. 14.]
( 6A )
APPENDIX B.—Showing the number of vaccinations performed in the municipal
towns
of the United Provinces on children under one year of age during the year
1925-26—(concld.).
Serial number.
1
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
District.
2
Jhansi
..
Jalaun
..
Banda ..
Benares ..
Mirzapur ..
Jaunpur ..
Ghazipur ..
Ballia ..
Gorakpur ..
Azamgarh ..
Naini Tal
..
Almora ..
Lucknow ..
Unao ..
Rae Bareli ..
Sitapur
..
Hardoi
..
Kheri ..
Fyzabad
..
Gonda
..
Bahraich ..
Sultanpur ..
Partabgarh ..
Bara Banki ..
Municipality.
3
Jhansi ..
Mau ..
Lalitpur ..
Orai ..
Kalpi ..
Konch ..
Banda ..
Benares ..
Mirzapur-Bindhachal
Jaunpur ..
Ghazipur ..
Ballia ..
Gorakhpur ..
Azamgarh ..
Naini Tal ..
Kashipur ..
Almora ..
Lucknow ..
Unao ..
Rae Bareli ..
Sitapur ..
Khairabad ..
Hardoi ..
Shahabad ..
Sandila ..
Lakhimpur ..
Fyzabad-Ajodhya ..
Tanda ..
Gonda ..
Balrampur ..
Bahraich ..
Sultanpur ..
Bela ..
Nawabganj ..
Total ..
Number
of
births
during
1925.
4
2,442
639
571
417
519
602
559
9,799
2,571
l,095
673
446
2,368
467
325
503
242
10,017
481
680
979
567
476
720
715
204
1,187
676
319
759
949
293
182
360
1,30,381
Number
of
deaths
amongst
children
under
one year
during
1925.
5
649
142
129
52
128
135
110
2,483
529
133
98
90
573
88
63
130
39
2,605
112
202
233
128
125
161
199
35
374
185
5 2
171
185
77
41
62
33,110
Number
of
successful
vaccinations
on children
under one
year during
the year
ending
March 31,
1926.
6
1,532
436
351
316
856
475
452
3,209
1,547
714
597
261
1,173
150
162
362
215
4,477
242
296
450
289
260
546
485
270
943
233
317
437
675
166
99
254
70,705
Date of extensions of
Vaccination Act to the
municipality.
7
July 1, 1891.
May 5, 1892.
May 24,1894.
July 22, 1891.
December 5, 1892.
May 14,1891.
March 24, 1893.
April 10, 1891.
October 9,1891.
February 26, 1892.
May 4, 1893.
May 6, 1891.
January 18, 1893.
February 8,1893.
June 1, 1891.
May 5, 1894.
March 9, 1893.
February 4, 1893.
March 13, 1890.
June 1, 1891.
July 27, 1891.
April 12, 1892.
March 26, 1891.
March 17, 1892.
January 2, 1892.
June 1,1891.
June 11, 1891.
July 18, 1891,
June 25, 1891.
Ditto.
December 5, 1892.
November 11, 1884.
June 1, 1891.
December 2, 1889.
6
NOTES
ON
VACCINATION
IN THE
UNITED PROVINCES OF AGRA AND OUDH
For the year ending March 31, 1927
BY
LIEUT.-COL. C. L. DUNN, D.P.H., I.M.S.
Director of Public Health and
Superintendent-General
of Vaccination.
United
Provinces.
ALLAHABAD:
THE SUPERINTENDENT, GOVERNMENT PRESS, UNITED PROVINCES.
19 2 7.
Price, Re. 1-6-0.
NOTES
ON
VACCINATION
IN THE
UNITED PROVINCES OF AGRA AND OUDH
For the year ending March 31, 1927
BY
LIEUT.-COL. C. L. DUNN, D.P.H., I.M.S.,
Director of Public Health and
Superintendent-General
of Vaccination,
United
Provinces.
ALLAHABAD:
THE SUPERINTENDENT, GOVERNMENT PRESS, UNITED PROVINCES.
1927.
[Prescribed maximum
length—10 pages
Foolscap size.]
TABLE OF CONTENTS.
Brief notes on vaccination in 1926-27
..
.. .. ..
Area and population .. .. .. .. .. ..
Officers in charge of the department .. .. .. ..
Constitution and strength of the department .. .. ..
Expenditure on vaccination .. .. .. .. ..
Average cost of each successful case of vaccination .. .. ..
General operations .. .. .. .. .. ..
Successful primary vaccinations in different districts .. .. ..
Successful vaccination and degree of protection afforded .. ..
Vaccination in proportion to births and according to age .. ..
Mortality from small-pox .. .. .. .. ..
Diagram .. .. .. .. .. .. ..
Dispensary vaccination .. .. .. .. ..
Vaccination in municipalities .. .. .. .. ..
Vaccination in cantonments .. .. .. .. ..
Vaccination in notified area
.. .. .. .. ..
Vaccination of school children .. .. .. .. ..
Vaccination Act .. .. .. .. .. ..
Compulsory vaccination in rural areas .. .. .. ..
General results of inspection .. .. .. .. ..
Occurrence of cases of encephalitis following vaccination .. ..
Provincial Bovine Lymph Dépôt, Patwa Dangar (district Naini Tal) ..
District annual vaccination returns .. .. .. ..
General remarks .. .. .. .. .. ..
STATISTICAL STATEMENTS AND APPENDICES.
Statement no. I.—Showing the particulars of vaccination in the United Pro-
vinces during the year 1926-27
.. .. ..
Statementno.II.—Showing the cost of the department in the United Pro-
vinces during the year 1926-27 .. .. ..
Statement no. III.—Showing dispensary vaccination in the United Provinces
during the year 1926-27 .. .. ..
Statement no. IV.—Showing the number of persons primarily vaccinated and
the number successfully vaccinated in the United Pro-
vinces for a series of ten years .. .. ..
Statement no. V.—Showing the particulars of vaccination verified by inspect-
ing officers in the United Provinces during the year
1926-27 .. .. .. .. ..
Appendix A.—Showing the number and ratio of successful vaccinations and
number and ratio of deaths from small-pox in each
district of the United Provinces for a series of ten years
Appendix B.—Showing the number of vaccinations performed in the municipal
towns of the United Provinces on children under one
year of age during the year 1926-27 .. ..
PAGES.
1
ib.
ib.
ib.
ib.
2
2& 3
3
ib.
3&4
4
ib.
ib.
ib.
ib.
5
ib.
ib.
ib.
5&6
6&7
7—12
12
12& 13
ii—v
vi—ix
x
xi—xvi
xvii—xix
1A—4A
5A & 6A
Errata slip to the Notes on Vaccination in the United Provinces
for the year ending March 31, 1927.
Page.
3
5
5
5
7
iii
v
vii
5A
For
againt
17,J85
on the spot
the
19. 3
5.04
28.42
3 ,031
1901
Read
against
17,705
—
this
19.73
55.04
28.44
35,031
1921
Remarks.
In the last line.
In line 7 of para. 17.
In line 8 of para. 17.
In line 9 of para. 17.
In line 6 from the bottom.
In column 17 against serial no. 37 (Jhansi).
In column " Ratio of successful vaccination per 1,000 of
population " against total of summary.
In column " Number of all successful vaccinations and
re-vaccinations performed by the vaccination staff only"
against serial no. 28.
In column 7 against serial no. 47 (Kanauj).
NOTES ON VACCINATION IN THE UNITED PROVINCES FOR
THE YEAR 1926-27.
Brief notes on vacci-
nation in 1926-27.
A detailed report for the triennium 1923-24, 1924-25 and 1925-26
having been submitted last year, this report deals
briefly with vaccination in 1926-27 as compared
with 1925-26.
Area and population.
2. Excluding the States of Rampur, Benares and Tehri-Garhwal, the
area of the province according to census of 1921
was 107,167 square miles and the population
45,375,787.
Officer in charge of the
department.
3. I held charge of the office of the Superintendent-General of Vacci-
nation, throughout the year.
Constitution
and
strength of the depart¬
ment.
(Statement II.)
4. The following officers were in charge of the several ranges during
the year under report.
I RANGE.
Dr. K. L. Chaudhri, D.P.H., throughout the year.
II RANGE.
Lieut.-Colonel W. A. Mearns, I.M.S., from April 1, 1926 to March 9,
1927, on which date he proceeded on leave. Captain D. Clyde, I.M.S., from
March 10, 1927, to the close of the year.
III RANGE.
Dr. A. Sousa, D.P.H., throughout the year.
IV RANGE.
Dr. K. P. Mathur, D.P.H., throughout the year.
The number of Assistant Superintendents of Vaccination (49) remained
unaltered while that of vaccinators was 898 against 888 in the preceding
year.
In addition to the 16 districts mentioned in the last year's report, the
district health scheme was extended to the district of Bulandshahr during
the year under report and the District Medical Officer of Health is now
the District Superintendent of Vaccination in that district instead of the
Civil Surgeon.
Expenditure on vacci-
nation.
(Statement II.)
5. In 1926-27 there was an increase of Rs. 8,249 in the total expendi-
ture excluding the charges on account of the Assis-
tant Directors of Public Health and their establish-
ment and that of Rs. 16,426 including these
charges, as compared with 1925-26, the total during the two years being
Rs. 4,15,725 and Rs. 4,07,476 and Rs. 4,89,393 and Rs. 4,72,967, respect-
ively. The increase was due to the increased expenditure under the heads
(1) Government Bovine Lymph dépôt, (2) vaccination establishment, (3)
travelling allowance and (4) contingencies.
( 2 )
Average cost of each
successful case of vac-
cination.
(Statement II.)
6. The average cost of each successful case of vaccination in these
provinces during the year was nearly the same as
in the preceding year, the figures for the two years
being annas four and pies six and annas four and
pies five, respectively. The following table shows
the average cost of each successful case of vaccination in these provinces
during the year underreport as compared with that of other provinces : —
Province.
Burma .. .. .. .. .. ..
Delhi.. .. .. .. .. .. ..
United Provinces .. .. .. .. ..
Bihar and Orissa .. .. .. .. .. ..
North-West Frontier Province .. .. .. ..
Punjab .. .. .. .. .. ..
Madras .. .. .. .. .. ..
Bengal .. .. .. .. .. ..
Bombay .. .. .. .. .. ..
Central Provinces .. .. .. .. ..
Assam
..
..
..
..
..
..
Cost of each suc¬
cessful case of
vaccination
during 1926-27.
Rs.
0
0
0
0
0
a.
11
6
4
2
2
p.
7
10
6
1
3
*
0
6 2
*
*
0
0
6
3
6
3
* Information not received.
General operations.
(Statement I.)
7. During the year under report 1,433,056 persons were vaccinated—
1,431,683 by the special (district staff) and 1,373
by the dispensary staff as against 1,465,862 in the
preceding year, showing a decrease of 32,806. The
number of vaccination operations performed in 1926-27 also exhibited a
decrease of 39,260 as compared with 1925-26, the actual figures for the
two years being 1,450,044 (1,304,844 primary and 145,200 re-vaccinations)
and 1,489,304 (1,304,127 primary and 185,177 re-vaccinations), respectively.
The number of secondary operations fell from 23,442 in 1925-26 to 16,988
in 1926-27. The number and percentage of successful vaccinations in
which the results were known during 1926-27 amounted to 1,219,979 and
94.79 in the case of primary vaccinations and to 70,621 and 53.83 in the
case of re-vaccinations as against 1,208,273; 94.01; 89,381 and 53.55,
respectively, in 1925-26. Each vaccinator vaccinated on an average
1615.89 persons during the year under report as against 1650.10 in the
preceding year. The district staff successfully vaccinated 28.44 persons
per mille of the population as compared with 28.60 in 1925-26.
It will be seen that there is a decrease under all heads except in the
number and percentage of successful primary cases in which the results
were known. The decrease is chiefly due to the deputation of a number
( 3 )
of experienced vaccinators to the Kumbh fairs at Brindaban and Hardwar
and the appointment of new men in their places.
Successful primary
vaccinations in differ¬
ent districts.
(Statement I.)
8. In 31 out of 48 districts the number of successful primary vaccina-
tions performed in 1926-27 was in excess of that
performed during the preceding year. Of these
Fyzabad headed the list with an increase of 4,989,
followed by Lucknow with 2,847, Ballia with 2,541,
Partabgarh with 2,391 and Allahabad with 1,921. It is notable that in
all these districts except Lucknow, District Medical Officers of Health were
incharge of vaccination instead of Civil Surgeons. Of the 17 districts
showing a falling off, the most conspicuous were Meerut with a decrease of
3,311, Kheri with 3,082, Budaun with 3,035, Muzaffarnagar with 2,785
and Almora with 2,020.
The causes of decrease in these districts were :—
Meerut.—(a) Availability of lesser number of children for vaccination
as the work was done for nine months in the preceding year and (b) deputa-
tion of seven vaccinators to the Kumbh fair at Hardwar during February
and March, 1927.
Kheri.—(a) Low birth-rate, (b) increase in infantile mortality, (c) pre-
valence of small-pox during 1925-26 which reduced the number of unpro-
tected children over one year of age for vaccination during 1926-27.
Budaun.—Slackness
on the part of certain vaccinators who will be
suitably dealt with.
Muzaffanagar.—(a)
Low birth-rate, (b) deputation of four vacci-
nators to the Hardwar fair and the appointment of only two instead of
four substitutes in their places.
Almora.—(a)
Prevalence of a mild type of coryza in the district
during the working season and (b) low birth-rate.
Successful vaccina-
tion and degree of pro-
tection afforded.
( Statement I.)
9. The number of persons successfully vaccinated per 1,000 of the
population in 1926-27 was 28.44 against 28.60 in
1925-26. The districts showing the highest degree of
protection were Garhwal (53.61), Almora (51.62),
Naini Tal (40.41), Mirzapur (39.75) and Hamir¬
pur (36.49). The first two districts interchanged their last year's posi-
tion while Naini Tal retained its position as third on the list.
Among those showing the least protection the most conspicuous were
Rae Bareli (18.80), Mainpuri (20.71), Bara Banki (20.98), Kheri (22.65)
and Hardoi (23.12). The first three districts show a slight improvement
over last year.
Vaccination in pro-
portion to births and
according to age.
10. In 1926-27 the percentages of successful vaccination operations
in proportion to births showed a decrease as com-
pared with the preceding year except in the case of
children under one year of age, the ratios for the
two years being 52.28 and 52.08 in the case of children under one year of
age, 22.20 and 24.71 in the case of those between one and six years of
age, and 78.60 and 94.01 for all ages, respectively.
An analysis of the figures of the different ranges shows that during the
year under review 62.68 children under one year of age were successfully
vaccinated per 100 births in the first range as againt 59.75 in the
( 4 )
preceding year. The figures for the second, third and fourth ranges were
43.70 against 42.86 ; 61.47 against 60.95 and 40.36 against 43.86, res-
pectively. The first range showed the best protection in comparison to
other ranges.
Mortality from small-
pox.
11. The total number of deaths registered from small-pox in 1926
amounted to 12,020 indicating a death-rate of .26
against 9,373 and .21, respectively, in 1925. The
quinquennial average was .07.
Diagram.
12. The diagram appended shows the relation between the mortality
from small-pox and the protection afforded by
vaccination in each district.
Dispensary vaccina-
tion.
(Statement III.)
13. The total number of vaccination operations performed by medical
subordinates at dispensaries during the year 1926-27
was 1,373 (552 primary and 821 re-vaccinations)
against 572 (304 primary and 268 re-vaccinations)
in 1925-26, or more than double.
Vaccination in mu-
nicipalities.
14. During the year 1926-27, the total number of persons vaccinated
in municipalities in the United Provinces was 141,801
against 148,357 in 1925-26. The total number of
operations performed during the year was 145,100
(110,006 primary and 35,094 re-vaccinations) against 153,097 in the preced-
ing year. The ratio of persons successfully vaccinated per 1,000 of the popu-
lation was 38.14 against 38.60. The figures show a decline compared to those
for 1925-26, which (as in the case of districts) is due to the deputation of
a number of municipal vaccinators to the Kumbh fairs at Hardwar and
Brindaban.
The best protected municipalities during the year were, in order, Naini
Tal (173.33), Almora (125.23) and Etah (98.99). Among the municipa-
lities showing the least degree of protection, Dehra Dun was first with
20.03, followed by Baraut (Meerut district) with 20.96 and Brindaban
with 22.48. Appendix B shows the number of successful vaccinations
performed on children under one year of age in the different municipalities
during the year under review. The total number of such operations
performed during 1926-27 was 74,981 against 70,705 in 1925-26 or an
increase of 4,276.
Vaccination in can-
tonments.
15. 17,376 persons were vaccinated and 17,404 operations (6,036 primary
and 11,368 re-vaccinations) were performed in
1926-27 against 18,763 and 18,959, respectively, in
the preceding year. The numbers of successful
primary vaccinations and re-vaccinations in the two years were 5,452 and
6,599 and 5,246 and 7,377, respectively. The number of persons success-
fully vaccinated per 1,000 of the population amounted to 60.25 in 1926-27
as compared with 63.11 in 1925-26.
The Director of Medical Services, Eastern Command, United Provinces,
having expressed his inability to furnish vaccination returns for the official
year for the purposes of vaccination report, he was asked to furnish the
information for the calendar year.
The returns received from the military medical officers show that
15,618 operations (485 primary and 15,133 re-vaccinations) were performed
by these officers during the year under report. Of the 15,618 operations,
10,774 (426 primary and 10,348 re-vaccinations) were successful,
( 7 )
should be adopted to ascertain the occurrence of the disease. All the
district superintendents of vaccination and medical officers of health
of municipalities were accordingly asked to report on the matter after
the vaccination season. From the replies received it appears that only
one case of post-vaccinal encephalitis was found in the Lucknow muni-
cipality.
Provincial Bovine
Lymph depot, Patwa
Dangar (District Naini
Tal).
22. I held the supervising charge of the dépôt throughout the year
under report. The new system of railing calves
from Bareilly, as suggested last year, in order to
avoid the calves being brought through the areas
infected with contagious diseases, was introduced.
The contract for the supply of calves was at first given to the old con-
tractor Abdul Rahim, in the beginning of the season at the rate of
Rs. 10-8-0 per calf and Rs. 3 were paid by him for each animal returned,
but as he failed to supply the required number of calves, which caused
great inconvenience and loss to Government, his contract was cancelled
and the security deposit of Rs. 200 forfeited for breach of contract
according to the terms of his agreement. The contract was then given
to another man, at the same rate. He carried out his contract in a
satisfactory manner, as far as numbers were concerned, but owing to an
epidemic of rinderpest in the whole of the Bareilly and Tarai and Bhabar
districts, the calves were in very poor condition with the result that the
outturn of lymph was bad.
The total number of calves purchased from the contractors or obtained
from other sources was 499 (104 cow and 395 buffalo calves) against
610 (148 cow and 462 buffalo calves) in the preceding year—a decrease
of 111 animals.
The following detail shows the disposal of 499 calves :—
1.
2.
3.
4.
Successfully vaccinated.. .. ..
Failed .. .. .. ..
Died before operation .. .. ..
Died under operation .. .. ..
Total ..
Buffalo.
349
11
20
15
395
Cow.
103
..
1
..
104=499
Out of the total of 499, 228 were sold, 38 returned to the contractor
and the rest died.
The total number of deaths amongst calves (including those which
occurred in the quarantine) was 233 as against 246 of the previous year.
The majority of the deaths were due to rinderpest.
The quantity of crude lymph obtained during the year under report
was 19,024 grammes from 452 successfully vaccinated calves, giving an
average of 42.09 grammes per calf, against 20,961 grammes from 566
calves, with an average of 37.03 grammes per calf in the preceding year,
an increase of 5.06 grammes per calf. The average yield of crude lymph
per cow and buffalo calf was 21.96 grammes and 47.98 grammes, res-
pectively, as compared with 19.73 and 42.99 grammes of last year,
showing an average increase of 2.23 grammes per cow and 4.99 grammes
per buffalo calf. During the year under review 85,301 grammes of
glycerinated lymph (of strengths varying from 1—3 to 1—-7) and 3,528
grammes of glycerine paste were manufactured as against 106,028 and
3,741 grammes manufactured last year.