( 2 )
of 136,949 in the number of successful primary operations, a rise of 173 in the average
number of operations performed by each vaccinator, and an addition of 3.39 to the
number of persons relatively to the population protected by vaccination.
Vaccination according to age.
6. It is satisfactory to note also, that the number of successful primary operations
among children, under one year of age, rose from
323,922 in the previous to 386,293, and among children
over one and under six years of age from 335,856 to 388,703. The results indicate that
the standard of operations, among the infantile community, was not lessened by the rapid
extension of operations.
Vaccination in proportion to births.
7. The percentage of successful primary operations, among children under one year
of age, was 22.06, among children over one and
under six years, 22.20, and the percentage of all ages
47.82, as compared with 19.88, 20.61 and 42.99 in 1889-90, and 16.84, 16.98 and
35.90, the average percentages of the previous nine years.
Operations in the 1st circle.
8. There was an increase of 50,459 operations in the 1st Circle, and the number of
successful primary operations rose from 224,116 in
1889-90 to 248,041, or an increase of 23,925. Of
20,817 cases of re-vaccination, 8,866 were recorded as successful, and the result of this
important series of cases has proved the necessity for re-establishing re-vaccination opera-
tions in this Circle. The increase in the number of successful primary operations extend-
ed to all districts, although the rise was slight in the Meerut, Dehra Dún, Mainpuri
and Farukhabad districts.
Operations in the 2nd Circle.
9. The increase of operations in the 2nd Circle amounted to a total of 86,433 and
there were 67,136 successful cases of primary vac-
cination over the number recorded in the previous
year. The greatest increase in successful primary operations occurred in the Sultanpur,
Hardoi, Bara Banki and Lucknow districts. There was a very slight falling-off in
the number of successful cases of primary vaccination in the Kumaun hills, Tarái par¬
ganas, Bijnor district and Kumaun Bhábar. The number of persons successfully vac-
cinated per 1,000 of the population is still low in some of the Oudh districts, but the
lowest number, 5.41, in Kheri, compares very favourably with 2.95 as recorded against
Sitapur, 3.34 against Gonda, 3.79 Kheri, 4.17 Partabgarh, 5.11 Rae Bareli, and 5.25
Fyzabad, in the previous year. The very favourable results in the Sultanpur district
were in a great measure due to the vigorous effort made by the Deputy Commissioner,
P. J. White, Esq., to extend vaccination to all parts of his district.
Operations in the 3rd circle.
10. There was an increase of 51,520 in the operations of the 3rd Circle. The greatest
increase, 24,997, in the number of successful primary
operations was recorded in the Basti district, where
the work was carried on with the assistance of the principal Zamindárs on a special sys¬
tem devised by T. R. Wyer, Esq., C.S., the Collector and Magistrate of the district.
The result of Mr. Wyer's efforts was a very great increase in the number of successful
cases and a great addition to the total of protected persons in the district, and the number
of protected persons rose from 7.38 per 1,000 of the population in the previous year
to 24.86 in 1890-91. Under this system local men are appointed to assist and work
with Government vaccinators. "These local men are selected from the higher castes,
and are, as a rule, supplied gratis by influential Zamíndárs or by Court of Wards' Estates,
a small gratuity or monthly salary being sufficient to obtain the services of men
of good character and some position in the locality."
The district of Gházipur shows an increase of 4,690 in the successful cases of
primary vaccination, Gorakhpur 3,718, Jaunpur 3,562, and Azamgarh 3,188; while
Jhánsi, Bánda and Fatehpur show a slight increase.
Inspection of operations.
11. The inspections of the Sanitary Commissioner were carried out in all districts
visited with a view to ascertain the qualification
and fitness of native Superintendents, and to test
the quality of the work of the subordinate vaccinators. The results of inspections