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Localities in which the Vaccination
Act is in force.
83. With the exception of the municipalities of Shahdara, Hapur, Pilkhua,
Mawana (Meerut) ; and Bhinga (Bahraich), the Vaccina-
tion Act (XIII of 1880) is in force in all of the 103
municipalities of the United Provinces; and it is also in force in all Military Canton-
ments. The extension of the Act to municipalities has not been much opposed and
while, as will be seen from the summaries of municipal reports, the application of the
Act has not been strict in many instances, there is no reason to doubt that within another
season all the provisions of the Act will be more or less properly carried into effect. The
total births recorded in the 103 municipal towns during 1893 was 127,695 and there
were in all 125,716 in successful primary vaccinations. Over 100,000 successful
vaccinations are required annually to protect the infant population in municipalities,
and this number should at no distant date be covered by the operations in municipalities
generally.
Reports of Deputy Sanitary Cominis-
sioners.
84. The Deputy Sanitary Commissioners in their reports (which form Appen-
dices A. to C.) refer chiefly to the general success of
the year's operations. Dr. Jameson says the high
birth-rate of the year, and the lengthened period during which vaccination was
continued and the aid given by the district staff account for the increase in operations,
all districts, with the exception of Dehra Dún and Tehri Garhwál, contributing to the
increase in results.
Dr. Jameson refers to the fact that in all districts there are still some villages
in which vaccination is unpopular. In the 1st Circle, animal lymph was little used,
and a fully equipped calf lymph depôt, he says, is needed. Vaccination in the hot
weather was not a success owing to the degeneration of the lymph, and the opposition
of vaccinators to continue work beyond the usual period.
Dr. Thorald advocates an increase in the number of vaccinators in the districts
of Bahraich, Sultánpur and Gonda. The endeavour to keep up a supply of lymph in
the districts during the hot weather was not successful, on account of the unpopularity
of the operation at this time when there is an increased tendency to fever and a greater
tendency to ulceration, but no exact data are given in support of the statement. Experi-
ments with lanoline vaccine paste were carried out in a somewhat indifferent manner,
and the results were necessarily imperfect. The employment of extra vaccinators
is again referred to with reference to the entertainment of a certain number in the Bara
Banki district, where, however, steps had already been taken to limit the work, and the
extension of vaccination, to the regular staff.
Dr. Giles refers to the difficulty in maintaining the lymph supply during the hot
weather owing to the impossibility of keeping the vesicle intact till maturity. He reports
that the quality of the work " was as a rule excellent and that the majority of the vac-
cinators were neat and systematic in their method." He is of opinion, that there is still
a vast amount of prejudice and misapprehension among the people on the subject of
vaccination. Vaccination in spite of this, he says, is making progress steadily. Some
districts which are backward, namely, Mirzapur, Azamgarh and Basti are short handed
as regards the Vaccination staff.
Progress in vaccination.
85. The vigour with which operations have been carried on for the past few years
in the United Provinces has been very marked, and the
results of the year's operations, in view of the opposition
and prejudice which still exist, are very satisfactory. The advance made has been more
than considerable; and if the good work done in many districts were achieved in all,
protection against small-pox in the United Provinces would soon extend to nearly every
child as it does in some areas in the 1st Circle. Vaccination in the United Provinces to be