( 5 )
working staff, and the lack of control over the vaccinators employed and paid by
the Kapurthala estate, which has been the subject of correspondence. The decrease in
the number of successful primary vaccinations in the Bijnor district was greatly
due to the employment of the vaccination staff during March, on sanitary duty
at Hardwár, and the slight falling off in the Naini Tal district is ascribed to the
sickliness of the season and to the considerable increase in infantile mortality which
was unusually great in the province in 1894.
Summary of District Superintendents'
reports.
15. In the Almora and Naini Tal districts the slight falling off in successful
results was due to the unhealthiness of the season and
to the excessive infantile mortality in 1894. It is
satisfactory to note that this cause did not operate extensively in diminishing successful
operations in the province generally. The District Superintendent of Naini Tal
records the fact that " It was a very rare thing to find a child over four months, or
adults under 30 years of age, who had no mark of vaccination." Operations in the
Bijnor district were as stated interfered with in March by the withdrawal of vaccina-
tors for sanitary duty at Hardwár; and the District Superintendent states " As a
matter of fact during my tour, though I made a point of examining elder children, I
found it quite rare to find any that were unprotected." In the Moradabad district the
satisfactory results of previous years were maintained. There was a considerable
increase in successful vaccinations in the Budaun district, due to the exertions of the
Civil Surgeon and assistance given by the district authorities. The attitude of the
people in the Bareilly district was not so unfavourable as in previous years; and the
results showed a satisfactory increase. A substantial increase in successful primary
vaccinations was recorded in the Pilibhít and Sháhjahánpur districts. An explanation
of the falling off in results in the Lucknow district has been given. The calf lymph
depôt at Lucknow was worked satisfactorily, but its supervision is inadequate. The
satisfactory results of the previous year's operations in the Unao district were fully
maintained. It has been customary to employ extra vaccinators in the Bara Banki
district; and, as the work of such men is generally unsatisfactory, it was pointed out to
the District Superintendent that the entertainment of such men should be stopped, and
thus owing to fewer vaccinators being employed the work fell off somewhat, as also in
the Rae Bareli district from the same cause. The falling off in results in the Sitapur
district is stated to be due to " the epidemic of cholera which prevailed almost during
the whole of 1894 and even in the early months of 1895, and to the employment of
vaccinators on special medical and sanitary duty," and to other causes as already
noted. A great increase in successful primary vaccinations in the Hardoi district is
recorded. There was a considerable advance in vaccination in the Kheri district, but
greater energy is necessary on the part of the vaccination staff. There was an increase
in successful vaccination in the Fyzabad district, and Dr. Sweeny remarks with regard
to the work in the district that:— " I can safely assert that close on 90 per cent. of the
results recorded as successful are so in reality." Work in the Bahraich district is the
most backward in the whole province. The vaccination staff should be strengthened,
and the vaccinators employed in the Kapurthala estate brought under strict depart-
mental supervision. The increase in results in the Gonda district is satisfactory, seeing
that the attitude of the people is still more or less hostile. A satisfactory increase in
work in the Sultánpur district is noted ; and the fairly successful results of previous
years in the Partábgarh district were maintained, although the season and condition of
the infant population were unfavourable.
Operations in the III Circle.
16. The total number of persons vaccinated in the III Circle was 435,608 against
408,685, and the total successful primary cases
380,604 against 357,432 in the previous season.
1,544 persons were vaccinated by each vaccinator as compared with 1,424; the
percentage of successful primary cases in which the results were known rose slightly ;
and the number of persons successfully vaccinated per 1,000 of the population from
20.33 to 21.72.