( 4 )
The Deputy Superintendent of Vaccination, Allahabad Division, Ali Mirza, was
conspicuous in his efforts to establish efficient vaccination throughout his Division at
an early period ; and much good work had been accomplished in Cawnpore and else-
where before the end of October.
The lymph supply in the 1st Circle was fully maintained throughout the season,
and the vesicle was, as in other ciroles, established in some districts earlier than usual.
In the 2nd Circle the inspections of the Deputy Sanitary Commissioner were limited
to the Rohilkhand Division. He reports " I found the percentage of success to be 94.38,
and as most of the children showed good marks on both arms, was well satisfied with
the character of the work."
The Deputy Sanitary Commissioner of the 3rd Circle reports that " regular work
was carried on with human lymph, but if it failed from any reason animal lymph was
supplied to replenish stock, though this was rarely required. Many hundred children
were examined during, and at various periods after, the operation. In this way the
work of every day vaccination and its results could be correctly judged under the
varying conditions of different operators in different localities. As a result I think
I can express a decided opinion, that as a rule the lymph was good, the cases were
carefully selected, the operation was performed with care (efficiently and sufficiently),
and with a fair average success, more especially in the Cawnpore, Benares, Gházipur,
and Jaunpur districts."
Animal lymph.
14. Animal lymph operations were carried on at Lucknow, Hardoi, and Gonda, and
minor depôts maintained at Bara Banki, Unao, Par-
tabgarh, Allahabad, Lalitpur and Sultánpur. The
large depôt at Lucknow is supported by the Municipality, and the depôts at other
stations for the most part by subscriptions. In Bara Banki, Taluqdar Shaikh Tasadduq
Rasul Khan, of Jahangirabad, provided the means to promote vaccination among those
who objected to the use of humanized lymph, and in the Gonda district several native
gentlemen subscribed to the fund for the promotion of vaccination by animal lymph and
the extension of operations generally. The extension of animal vaccine experiments is
necessarily very gradual; and animal lymph depôts can only be recommended where the
operations are thoroughly and systematically carried out, and every precaution as to
the physical and sanitary condition of animals operated on rigidly enforced by the Civil
Surgeon personally. In fact vaccination with animal lymph is not advisable, unless
the strictest veterinary safeguards be adopted.
Localities in which the Vaccination Act
is in force.
15. At the close of the vaccination season of 1889-90 the Vaccination Act was in
force in three municipalities only. In the following
year the Act had been extended to 18, and it now
applies to 65 municipalities. It is satisfactory to note that there have been no formal
complaints lodged as to the working of, and the enforcement of bye-laws under, the
Act.
Vaccination and small-pox.
16. The death-rate from small-pox fell to 56 per 1,000 of the population, and
the total deaths from 55,394 in 1890 to 26,355. The
comparative immunity from small-pox in recent as
compared with former years is still maintained, and the retardation of epidemic small
pox, as indicated in last year's report, is still shown in the additional data of the year
under report.
Diagrams illustrating the incidence of
small-pox in the North-Western Provinces
and Oudh and in the chief city of the
Province.
17. The following diagrams illustrate the death-rate from small-pox in these Prov-
inces as compared with the actual, and the average
death-rate from small-pox in England, and the death-
rate from the disease in the city of Lucknow, as com-
pared with the actual and average death-rate from
small-pox in London.