( 5 )
followed by Bahraich with 3,722 and Sitapur with 3,696. The worst
districts indicating a fall were Benares with a decrease of 4,252, Far.
rukhabad with 2,958, Mainpuri with 2,322, and Azamgarh with 2,182,
The districts of Basti, Sitapur, Gorakhpur, and Moradabad which reported
a decrease last year have shown a satisfactory increase. In Benares the
decrease is accounted for by the low birth-rate and the prevalence of
plague in epidemic form. In Farrukhabad it is attributed to the following
causes :—
(i) The non-receipt of lymph for three consecutive weeks owing to
the stock of collapsible tubes falling short and the late receipt of a
fresh supply from England.
(ii) The absence on leave of four permanent vaccinators for a period
ranging from one to six months during the working season and
their substitution by new hands.
(iii) The reduction in the number of chaukidars.
(iv) The lack of help from the Revenue officers.
(v) Non-co-operation movement.
In the Azamgarh district the decrease is reported to be due mainly to
the prevalence of plague in a severe epidemic form. It was also due to the
illness of one or two vaccinators during the vaccination season. In Main-
puri it is stated to be due to the fact that two vaccinators did not work for
a month during the vaccination season.
Successful vaccina-
tion and degree of pro-
tection afforded.
(Statement I)
9. During the year under report the number of persons successfully
vaccinated per 1,000 of population showed an
increase of .28 over that of the last year, while a
decrease of 1.62 over that of the year before last, the
actual rates for the three years being 25.56, 25.28,
and 27.18, respectively. The average for the three-
years was 26.01 as compared with 29.88 for the preceding triennium. In
25 districts the ratio of persons successfully vaccinated per mille of the
population in 1922-23 exceeded the provincial average (25.56). As usual,
Garhwal stood first among the districts enjoying best protection with a
ratio of 40.90. Almora retained its position of the last two years as second
with 39.47. The districts of Jhansi, Pilibhit, and Hamirpur were also
among the best protected, the ratios being 34.95, 34.45, and 34.11, respec-
tively. Among the districts showing the least protection, the most conspi-
cuous were Ghazipur (16.59), Fyzabad (18.49), and Azamgarh (18.64).
Vaccination in propor-
tion to births and
according to age
10. The percentages of successful vaccination operations in proportion
to births in 1922-23 show an improvement over
those in 1920-21 and 1921-22, the percentages for
children under one year of age being 54.16, for those
between one and under six years, 20.11, and for all age-periods, 76.71, as
compared with 51.63, 17.12, and 70.87 in 1921-22 and 54.22, 18.59, and
72.55 in 1920.21, respectively.
Taking the figures by ranges, the percentage of successful operations on
children under one year of age in proportion to births in the first range
was 61.21 in 1922-23, as against 62.82 and 60.06 in 1921-22 and 1920-21,
respectively. In the second range they were 41.91, 40.03, and 40.48, in
the 3rd range, 61.28, 53.59, and 56.95 and in the fourth range, 48.25,
47.60, and 47.55, respectively. The percentage of vaccination operations