( 5 )
head the list with a ratio of 65 per mille. The ratios for Bareilly (43),
Fyzabad (35), Saháranpur (38), Aligarh (37) are good: those for Agra
(31), Allahabad (32), Gorakhpur (27), Benares (29) leave room for
improvement.
9. In many municipalities the requirements of the Act and of the
rules made under it are indifferently observed. The registers are not
accurately kept up, certificates are not regularly granted, notices are not
issued, or, if issued, compliance with them is not strictly enforced. Com-
missioners of Divisions should now draw the attention of the District
Magistrate and the District Superintendent of Vaccination to the matter
in all cases in which the district summaries bring such defects to notice.
In paragraph 67 of your report and in the appended report of the
Deputy Sanitary Commissioner in charge of the First Circle the difficulty
of strictly complying with section 17 of the Act, which requires the
Superintendent of Vaccination in a municipal area to ascertain by
personal house inquiry whether a parent or guardian has omitted to
present his child for vaccination, is remarked on. As Civil Surgeons
have in headquarter municipalities been appointed Superintendents
under the Act, the difficulty no doubt exists. There is however no
immediate prospect of the Act being amended, and meanwhile it is found
in most places productive of very considerable results. The rules under
the Act are further alleged to be defective in prescribing public vaccina-
tion stations, whereas house-to-house visitation is still the predominant
practice. But the rules do not prohibit this practice, and they leave it
to the Municipal Board to fix the hours of daily attendance of the
vaccinators at the public station. The attendance can be so fixed as to
give the staff ample time for house-to-house visitation. The Superin-
tendent of the First Circle also objects to the municipal vaccinators
being prohibited from working beyond the limits of their circle. This
prohibition is not contained in the rules, and it is for the District Su-
perintendent of Vaccination to represent to the Municipal Board the
impolicy of such restriction, if he finds the municipal vaccinators can
conveniently undertake outside work.
10. The experiment of continuing vaccination operations in the
plains throughout the hot weather, with the object of keeping up in
each district a supply of lymph instead of obtaining it from the hill dis-
tricts each cold weather, cannot be said to have been successful, and it
is evidently most unpopular. You should now report whether you
consider the experiment is worth continuing. The Deputy Sanitary
Commissioner in charge of the First Circle considers that a calf lymph
depôt for that Circle is much needed. There is no reason why one should
not be started, and he should be requested to take up the matter. As such
a depôt has been established in Bareilly in connection with the dairy
farm, one might possibly be started at Aligarh in connection with the
dairy farm of that place, but under the management of the Civil
Surgeon of Aligarh. The Deputy Sanitary Commissioner in charge
of the Second Circle appears to consider that a similar institution should
be established in the hills from which bovine lymph preserved in lano¬
line paste might be issued to plains districts. You should report as to