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APPENDIX B.
Annual Report on Vaccination in the 2nd Circle, by Surgeon-Captain W. G. Thorold,
Deputy Sanitary Commissioner.
I have the honour to submit herewith the annual report for the year 1893-94 for
the II Circle, North-Western Provinces and Oudh. The delay in submission, which
I regret, has been caused by the re-organisation of the department, and the consequent
compilation in many offices of the returns which previously have been compiled in this
office alone.
2. The year under review has been one of a new departure in these Provinces, as
regards the administration of the department : the direct control of the Vaccination staff
having been transferred to the Civil Surgeons of districts; the Deputy Sanitary Commis-
sioner having special charge of 5 or 6 districts, where the duties of the Civil Surgeons
prevent the latter going on tour., and in other districts, the Deputy Sanitary Commis-
sioner is purely an inspecting and checking officer. It is as yet too early to en-
deavour to criticise with any soundness, the effects of the change of system. In this
year, also, the period for performing vaccinations has been extended from March 31st to
April 15th; although in certain cases municipalities, who make rules for themselves, have
ordered that the old date for the discontinuance of operations was to be adhered to.
3. Briefly reviewing the work of the year, it is satisfactory to be able to note a
most marked increase in the amount of work done.
(a) The average number of vaccinators employed during the season 1893-94, was
364, which shows an increase of 7 over the strength of the preceding season.
(b) The total number of vaccinations, both primary and secondary, was 616,511,
which shows an increase of 166,396 over the number of the preceding season. Every
district in this circle, except Naini Tal, Sultánpur and Partábgarh, contribute to this
increase; the two districts of Sitapur and Rae Bareli showing an increase of 42,098,
and 18,852, respectively.
The falling off in the number of vaccinations preformed in Naini Tal and Partáb-
garh has been slight, but in Sultânpur the decrease amounts to 8,553. I attribute this
decrease partially at any rate, to the appointment of a new Assistant Superintendent
in the middle of the working season, the previous Assistant Superintendent being also a
newly appointed man.
(c) The average number of persons vaccinated by each vaccinator, including both
primary and secondary operations, was 1693.71, which shows an increase of 432.88
over the average of the preceding season.
(d) The successful primary vaccinations tabulated according to age, may be thus
contrasted.—
Under one year
...
...
Over one year and under six
...
...
Total of all ages
Increase of successful primary vaccinations during
1893-94.
1893-94.
170,512
295,304
515,997
165,006
1892-93.
128,907
211,824
367,259
...
(e) The successful re-vaccinations during the season 1893-94, were 3,714, which
shows an increase of 800 over the preceding season.
(f) The percentage of successful cases were (1) in primary cases 90.97 per cent,
which shows an increase of 1.31 per cent. of success over the preceding season; (2) in
re-vaccination 55.12 per cent., which shows an increase of. .63 per cent. over the preced-
ing season.
(g) The persons successfully vaccinated per 1,000 of the population in this circle,
was 27.69, which shows an increase of 7.97 per 1,000 over the persons protected during
the preceding season. Still the ratio of persons per 1,000 protected is low in the follow-
ing districts :—Bahraich (14.67), Gonda (12.52), Sultánpur (10.82). In Bahraich the
following are the reasons for the small proportion of vaccinated persons per 1,000 :—(1)
The people are adverse to vaccination; (2) In the Kapurthala estate three or four private
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