Notes on Vaccination in the North-Western Pro-
vinces and Oudh for the year 1900-1901.
Constitution and strength of
the Department.
1. There has been no change in the constitution of the Vaccination
Department, except in the number of vacci-
nators, which, according to Statement II,
was 921 as opposed to 934 in the previous
year.
Statement II.
Expenditure on vaccination.
2. The total expenditure on vaccination during the year under
report amounted to Rs. 1,37,470-10-5, as
compared with Rs. 1,38,932-6-2 in 1899-
1900, showing a decrease of Rs. 1,461-11-9. The decrease has chiefly-
occurred under the head of pay of establishment.
Ditto.
Average cost of each success-
ful case of vaccination.
3. The average cost of each successful
case of vaccination was the same as last
year, i. e., one anna three pies.
Statement I.
General operations.
4. There has been an increase of 37,797 in the number of persons
vaccinated, of 48,845 in the number of
successful primary operations, of 25 in the
average number of persons vaccinated by each vaccinator, of 1.14 in the
number of persons successfully vaccinated per 1,000 of population, and
of 4,708 in the number of successful re-vaccinations, as compared with
the previous year. The percentage of successful primary cases in which
the results were known has also risen from 97.00 in 1899-1900 to 97.30
in 1900-1901. There has thus been improvement under all heads, and
that in spite of the fact that some of the most experienced vaccinators
were deputed on plague duty, and that it was necessary to use much
caution in conducting operations in districts in which plague prevailed.
Thirty-eight districts show an increase in the number of successful
primary vaccinations compared with 40 in the previous year. The most
conspicuous are Bara Banki with 9,706, Jaunpur with 4,285, Sháhjahán-
pur with 3,916, Gorakhpur with 3,913, and Sultánpur with 3,679. Out of
10 districts showing a decrease, Hamírpur stands first with a decrease of
4,190 operations. Then in order come Sitápur with 3,713, Ballia with
1,624, Muttra with 1,549, Benares with 1,376, and Gonda with 1,191. The
decrease in Hamírpur is said to be due to a low birth-rate and to slack-
ness on the part of some vaccinators, who have been punished. In Sitápur
the decrease is described as due to (1) experienced vaccinators being
deputed on plague and cholera duties until the end of December 1900,
and (2) some vaccinators being appointed as enumerators in the last
census. In Ballia and Benares the decrease is no doubt due, as stated
by the District Superintendents of Vaccination and the Deputy Sanitary
Commissioner, to the prevalence of plague in both these districts, where
the work had to be carried on with great circumspection to avoid causing
alarm among the people. In some villages of the Ballia district the
work was completely stopped, while in Benares it was closed on 15th
March 1901, i. e., 16 days earlier than usual. In Muttra the decrease is
attributed to a low birth-rate, while in Gonda the District Superinten-
dent of Vaccination considers that more encouragement might be given
by tahsíldárs and others. There has always been a good deal of
hostility to vaccination in this district, however, and the authorities were
probably well advised in abstaining from active persuasion at a time
when men's minds were disturbed by wild rumours concerning plague
preventive measures.
Diagram.
5. A diagram showing the relation between the death-rate from
small-pox and the proportion of population
protected by vaccination in each district is
attached.