NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
( 8A )
VACCINATION DEPARTMENT.
COMPARATIVE STATEMENT No. IV.—Showing the number of persons primarily vaccinated, and the number of those persons who were successfully vaccinated in the
North-Western Provinces and Oudh in each of the under mentioned official years—(concluded).
Number.
9
10
11
12
13
14
15
16
17
18
19
20
Circle.
Second Circle.
Establishment.
Kumaun Division.
Government ...
Municipal ...
Local Funds ...
Native States ...
Rohilkhand Divi-
sion.
Government ...
Municipal ...
Local Funds ...
Native States ...
Oudh Division.
Government ...
Municipal ...
Local Funds ...
Native States ...
Total of Second
Circle.
Persons primarily vaccinated.
1880-81.
Total number.
58,431
1,893
11,585
...
76,812
19,267
10,700
...
56,312
21,643
...
...
256,643
Number success-
fully vaccina-
ted.
55,022
1,678
11,063
...
70,827
17,422
9,480
...
48,626
18,928
...
...
233,046
1881-82.
Total number.
53,623
1,474
15,719
...
80,395
20,456
11,875
...
62,506
22,241
5,538
11,076
284,903
N umber success-
fully vaccina-
ted.
49,106
1,278
14,977
...
75,354
18,698
10,898
...
54,972
19,438
4,439
8,412
257,572
1882-83.
Total number.
27,443
1,415
12,007
...
70,706
20,743
10,539
...
28,309
8,792
2,184
6,230
188,368
Number success-
fully vaccina-
ted.
25,416
1,221
11,268
...
64,733
17,635
9,262
...
22,325
6,588
1,755
4,174
164,377
1883-84.
Total number.
27,446
1,288
10,121
...
53,009
15,962
9,371
...
20,126
7,062
5,346
6,704
156,435
Number success-
fully vaccina-
ted.
25,144
1,064
9,204
...
45,173
13,091
8,189
...
13,615
4,812
3,504
4,204
128,000
1884-85.
Total number.
14,812
1,134
8,319
...
58,506
17,629
9,025
...
21,412
7,895
5,440
6,098
150,270
Number success-
fully vaccina-
ted.
13,788
945
7,520
...
50,234
14,615
7,709
...
14,516
5,341
3,570
3,149
121,387
1885-86.
Total number.
15,772
990
9,423
...
71,929
21,189
12,646
...
22,885
8,643
6,177
5,427
175,081
Number success-
fully vaccina-
ted.
13,973
850
8,410
...
61,413
17,478
10,678
...
16,831
6,553
4,348
4,073
144,607
1886-87.
Total number.
14,989
1,033
9,604
...
75,224
20,979
11,624
...
25,727
9,635
4,253
9,085
182,153
Number success-
fully vaccina-
ted.
13,370
865
8,577
...
64,472
17,270
9,506
...
19,659
7,914
3,167
6,704
151,504
1887-88.
Total number.
16,009
1,309
9,545
...
79,499
20,509
13,257
...
27,446
10,887
7,124
7,816
193,401
Number success-
fully vaccina-
ted.
14,344
1,114
8,191
...
69,091
16,669
11,196
...
21,591
8,822
5,469
5,998
162,485
1888-89.
Total number.
17,218
1,198
10,249
...
80,478
22,376
12,484
...
36,914
12,918
5,430
9,756
209,021
Number success-
fully vaccina-
ted.
15,686
1,042
9,148
...
69,091
18,547
10,441
...
28,702
9,993
4,092
7,145
173,887
1889-90.
Total number.
16,346
1,210
10,400
...
82,527
22,866
12,026
...
45,032
20,374
11,375
21,297
243,453
Number success-
fully vaccina-
ted.
15,179
1,090
9,575
...
74,891
20,186
10,424
...
35,545
16,539
8,626
15,784
207,839
Number.
9
10
11
12
13
14
15
16
17
18
19
20
( 9V )
21
22
23
24
25
26
27
28
29
30
31
32
33
34
Third Circle.
Allahabad
Divi-
sion.
Government ...
Municipal ...
Local Funds ...
Native States ...
Benares Division.
Government ...
Municipal ...
Local Funds ...
Native States ...
Jhánsi Division.
Government ...
Municipal ...
Local Funds
...
Native States ...
Garhwál district.
Government ...
Local Funds ...
Total of Third
Circle.
GRAND TOTAL ...
105,020
11,142
6,189
...
81,745
12,029
16,250
8,729
20,446
4,752
3,090
4,766
...
...
274,158
708,274
88,637
9,833
5,303
...
75,745
10,949
14,808
8,070
17,901
4,051
2,842
4,261
...
...
242,400
640,224
103,267
9,969
6,117
...
82,535
11,687
15,533
9,330
19,887
4,628
3,770
3,231
...
...
269,907
745,925
89,483
8,830
5,338
...
76,445
10,651
14,362
8,747
18,230
4,180
3,488
2,954
...
...
242,708
684,020
100,347
9,529
5,988
...
79,878
11,892
18,180
8,923
19,870
4,687
6,294
858
...
...
266,446
653,669
88,392
8,420
5,352
...
75,070
11,178
16,890
8,419
17,809
4,191
5,868
565
...
...
242,160
598,906
86,074
7,343
4,577
...
75,154
11,230
17,447
13,910
19,878
4,144
2,962
3,410
...
...
246,129
628,338
75,026
5,580
4,224
...
70,842
10,196
16,242
12,691
17,422
3,600
2,623
2,855
...
...
221,307
565,351
79,781
6,999
4,364
...
92,363
10,430
18,266
6,879
17,315
4,149
5,241
3,506
11,359
1,236
261,888
641,143
66,580
5,175
3,665
...
82,527
9,333
16,813
6,184
15,063
3,820
4,898
2,879
10,512
l,215
228,665
563,864
88,206
7,585
5,053
...
98,693
11,084
14,670
7,233
20,133
5,380
2,798
2,976
11,120
1,181
276,112
671,716
76,213
5,792
4,257
...
88,145
9,289
12,737
6,472
17,308
4,607
2,473
2,309
10,225
1,045
240,872
589,018
89,025
7,446
4,456
...
103,380
12,043
13,731
7,293
21,694
4,908
1,665
2,075
10,790
1,170
279,676
689,913
79,713
5,999
3,840
...
93,095
10,650
11,778
6,745
19,428
4,598
1,547
1,955
10,152
1,075
250,584
613,018
87,597
7,920
5,370
...
104,454
11,560
13,223
7,710
20,530
5,538
2,713
1,984
11,812
1,699
282,110
729,750
79,863
6,724
4,721
...
95,556
10,735
11,966
7,105
18,323
4,840
2,441
1,809
11,033
1,441
256,563
652,568
87,971
8,268
5,029
...
108,106
9,627
13,404
8,085
19,253
5,672
2,653
1,964
11,454
2,197
283,683
743,140
80,012
6,840
4,429
...
100,128
8,907
11,864
7,427
17,327
5,119
2,393
1,850
10,859
1,879
259,034
659,191
88,862
8,164
4,999
...
116,584
11,045
14,487
7,841
18,782
5,227
2,513
1,953
10,725
2,018
293,200
785,957
80,346
6,712
4,351
...
108,746
10,079
13,414
7,269
16,994
4,606
2,282
1,806
10,285
1,584
268,474
700,429
21
22
23.
24
25
26
27
28
29
30
31
32
33
34
12
ORDERS OF GOVERNMENT.
No. 214/V—105B OF 1890.
FROM
THE SECRETARY TO GOVERNMENT,
N.-W. PROVINCES AND OUDH,
To
THE SANITARY COMMISSIONER,
N.-W. PROVINCES AND OUDH.
DATED NAINI TAL, THE 17TH SEPTEMBER 1890.
SIR,
ION DEPT.
I AM directed to acknowledge the receipt of your Report
on Vaccination in the North-Western Provinces and Oudh, for the
year ending 31st March 1890. It is the first report which has been
submitted separately in accordance with the orders of the Government
of India. Though dated 7th June, it did not reach this Government
till the 13th August.
2. The following figures tabulate the results for the year under
review as contrasted with those for the preceding year :—
1888-89 ... ... ...
1889-90 ... ... ...
Increase ... ...
Number
vaccinated.
764,190
800,757
36,567
Successful
operations.
668,154
710,049
41,895
Ratio
per mille
of population
successfully
vaccinated.
15.14
16.09
.95
Primary
operations.
743,140
785,957
42,817
Percentage
of successful
primary
operations.
92.74
93.27
.53
A marked and very satisfactory advance is thus noticeable. Of the
successful primary operations, 323,922 were performed on children
under one year of age and 335,856 on children between 1 and 6 years
of age, with this result—
Children under one year ... ... ...
Children between one and six years ... ...
Others ... ... ... ... ...
Total ...
Percentage
successful.
46.25
47.95
5.80
100.
If comparison be made with the similar percentages for Lower Bengal
and the Panjáb, which are given on page 3 of your report, it will be
noticed that only 16.84 per cent. of the infant population (i.e., children
under one year) in these Provinces are protected by vaccination against
63.22 in the Panjáb, where however 7078 per cent. of successful primary
operations were performed on children under one year, and 24.62 on those
between one and six—making a total of 95.40 on children under six. The
similar total for these Provinces is 95.20, and thus, though the percent-
ages are differently distributed, the total vaccinations on children under
six years of age do not compare so unfavorably with those for the
Panjáb as would at first sight seem to be the case. In Lower Bengal
the percentage of such operations on children under one year in 1888-89
was only 14.76, and the total for children under six did not exceed 86.18.
3. It will be observed from the Statement A, which is appended
to this letter and which contains statistics for the last ten years, that, as
( 3 )
North-Western Provinces ... ... ...
Oudh ... ... ... ... ...
Total successful
vaccinations.
623,935
76,494
Successful
infantile
vaccinations.
303,560
20,362
Percentage
of successful
infantile
vaccinations.
48
26
6. Active steps were taken last year to impress upon District Officers
and upon Talúqdárs and influential landholders in Oudh the advantages
of vaccination and the necessity for furthering its spread, especially in
those districts in which either apathy or hostility existed. The Lieu-
tenant-Governor is glad to see that a considerable advance has been made,
and that during 1889-90 there was an increase of 32,823 operations, of
which 9,137 belonged to the Hardoi district, in which the Lieutenant-
G-ovemor is glad to find that Colonel Pitcher and Dr. McReddie have
made unremitting efforts to aid and encourage the work of the Depart-
ment. The order in which the Oudh districts now stand is as fol-
lows :—
Hardoi ... ... ... ... ...
Lucknow ... ... ... ... ...
Sultanpur ... ... ... ... ...
Bahraich ... ... ... ... ...
Bara Banki ... ... ... ...
Unao ... ... ... ... ...
Fyzabad ... ... ... ... ...
Rae Bareli ... ... ... ... ...
Partabgarh ... ... ... ...
Kheri ... ... ... ... ...
Gonda ... ... ... ... ...
Sitapur ... ... ... ... ...
Ratio of successful
vaccinations per mille
of population.
18.13
11.68
9.30
7.77
7.28
5.51
5.25
5.11
4.17
3.79
3.34
2.95
Rae Bareli shows a most discreditable record, compared with the progress
made in other districts. Sitapur, Kheri and Gonda are also districts in
which the District Officers have signally failed to obtain any real
improvement in the matter of vaccination.
7. In most of the Oudh districts, indeed, and especially in the last
seven of the above list, an immense amount remains to be clone before
they can stand in line with districts in other provinces; and the attention
of the Commissioners, Deputy Commissioners, District Boards and Talúq-
dárs concerned will again be forcibly drawn to the need of more
activity.
8. Turning to the work in each of the three Circles we find the
following results for the last five years. The 1st Circle comprises the
Divisions of Agra and Meerut and the Native State of Garhwál; the 2nd,
the Divisions of Rohilkhand and Kumaun and the Province of Oudh; the
Divisions of Allahabad, Benares and Jhánsi and the. Garhwál Hills com-
pose the 3rd Circle :—
( 4 )
Circle.
1885-86 ...
1886-87 ...
1887-88 ...
1888-89 ...
1889-90 ...
Average number of
vaccinators em-
ployed during
the year.
I
184
196
184
189
188
II
221
220
221
230
254
III
257
256
258
258
258
Average number
of persons vac-
cinated by each
vaccinator.
I
1,198
1,246
1,381
1,325
1,327
II
837
855
903
940
976
III
1,135
1,161
1,153
1,152
1,174
Total number of persons vaccinated primarily,
with percentage of success.
I
220,523
228,084
254,233
250,436
249,298
92.29
95.27
92.21
94.02
94.12
II
175,081
182,153
193,401
209,021
243,453
88.57
88.85
89.81
85.89
90.47
III
276,112
279,676
282,116
283,683
293,206
91.69
93.82
94.36
94.60
94.84
Re-vaccination.
I
...
...
...
...
282
II
9,941
6,071
6,256
7,184
4,473
III
15,953
17,932
15,869
13,866
10,045
The strength of the establishment has practically remained the same, but
there has been an improvement both in the quantity and quality of
the work done, except perhaps in the 1st Circle, in which, though the
quality has improved, the quantity has fallen off and an absence of
re-vaccinations is conspicuous, as was noticed in paragraph 9 of last
year's Review. The reason of this has not been explained for either
year, and should be furnished. It is also observed that there has
been laxity of supervision in this Circle for the past two seasons, and
it should be stated who is responsible for this. The statement given in
paragraph 16 of your report shows the following result as regards
inspections:—
1st Circle ... ... ...
2nd „ ... ... ...
3rd „ ... ... ...
Total
inspections.
5,956
7,199
6,120
By Deputy
Sanitary Com-
missioner.
681
651
147
Deputy
Superinten-
dent.
1,159
698
1,252
Native Super-
intendent.
4,116
5,850
4,730
The Native Superintendents in the 1st Circle should be informed that
the amount of inspections made by them is inadequate ; and unless
matters mend you are requested to arrange for the reduction or dismissal
of those whose work is the most unsatisfactory. In the 3rd Circle
the number of those made by the Deputy Sanitary Commissioner
himself was remarkably small. As you remark, the importance of
systematic inspection, not merely in accessible localities but in outlying
villages, cannot be over-estimated, and the Government will look to you
to insist on more thorough inspection being carried out.
9. An examination of the figures for individual districts discloses
the fact that in the following districts there has been considerable
retrogression:—
Hamírpur ... ... ... ... ...
Aligarh ... ... ... ... ...
Bánda ... ... ... ... ...
Lalitpur ... ... ... ... ...
Muttra ... ... ... ... ...
Jalaun ... ... ... ... ...
Dehra ... ... ... ... ...
Number of operations.
1885-86.
19,606
30,124
15,717
9,780
19,529
12,091
5,211
1889-90.
15,123
26,986
13,827
8,003
17,927
10,825
4,089
Decrease.
4,483
3,138
1,890
1,777
1,602
1,266
1,122
( 5 )
A reference to the mortuary statistics shows that in several instances this
has been accompanied by an increase in deaths from small-pox. The dis-
trict authorities concerned will have their attention called to this. The
low ratios per mille of population successfully vaccinated in the districts
of Basti and Jaunpur (8.59 and 8. respectively) were also noticed in last
year's Reviéw, and you were asked to enquire into it. No explanation
has been received. The figures for the present year (9.52 and 916) show
a slight improvement, hut in these districts and in Azamgarh (11.40),
they are still considerably below the average ratio for the Circle (16.32).
10. District Officers can ensure, if they attend to the matter,
most material success in vaccine operations. A little countenance
given to the vaccinators when in camp; a little attention shown to the
Native Superintendents, and a few words to landlords and the leading
agriculturists will command constant progress, and will help rapidly
to remove what remains of the prejudices against vaccination. There
is absolutely no reason hut the apathy of officials and operators for a
falling off of the number of vaccine operations in any district in the
North-Western Provinces.
11. The total expenditure on vaccination was in 1889-90 Rs.
1,30,671-10-0 against Rs. 1,31,960-13-9 in the former year. The cost
of each successful operation fell from three annas one pie to two annas
11 pies. The figures for each Circle for the past triennial period
are
1st Circle ... ... ... ... ...
2nd „ ... ... ... ... ...
3rd „ ... ... ... ... ...
1887-88.
Rs.
0
0
0
a.
2
4
3
p.
9
1
0
1888-89.
Rs.
0
0
0
a.
2
3
2
p.
9
11
11
1889-90.
Rs.
0
0
0
a.
2
3
2
p.
11
5
6
The increase in the 1st Circle is probably due to the decrease in the
quantity of work done. Contingent charges have maintained a peculiar
uniformity. In the 1st and 2nd Circles exactly Us. 936 have been spent
in each of the last five years: in the 3rd Rs. 967-12-9 were spent in
1889-90, and Rs. 984 in each of the four previous years. You explain
that the average cost of operations in some districts, chiefly at divisional
head-quarters, though seemingly high, has been swelled by the practice
of debiting the salaries of Deputy Superintendents to those districts
instead of distributing them over the different districts included in the
division. It is, however, observed that the rates in Sitapur and Kheri are
also high, in both of which the outturn of work was inappreciable, and
the number of vaccinators employed was not exceptionally large.
12. You suggest the introduction of the system in force in Lower
Bengal of employing licensed vaccinators. This subject cannot be
conveniently dealt with in connection with your present report, but
should form the subject of a separate reference, to be accompanied by all
necessary details. In connection with your remarks as to the vaccination
of Government servants and their families, I am to remind you of the
( 6 )
existing rule to the effect that all candidates for Government employ-
ment are required to furnish a certificate of having been successfully
vaccinated, and that by the orders which are printed at page 52—V of
the Manual of Government Orders, Civil Surgeons were in 1888
reminded of their duty in this respect, to ensure this rule being
rigorously observed. The subject has also recently been brought to
the notice of District Boards by Government, when suggesting for
their adoption a set of regulations for boarding-houses attached to high
and vernacular secondary schools, one of these regulations being that
no boy should in future be admitted to a boarding-house who has not
been vaccinated or had small-pox.
13. During the period under review, the Vaccination Act (XIII of
1880) was extended to the Nawábganj (Bara Banki) and Unao Munici-
palities ; and after its close to that of Etáwah. Its further extension
to other Municipalities is a matter which must be left to Municipal
Boards; but, in the opinion of the Lieutenant-Governor, the time has
come when in all the more important Municipalities the Act should be
introduced. The attention of Municipalities will be drawn to the
subject, with a view to the adoption, should they see fit, (as it is hoped
most of them will) of the necessary resolutions. More than one
important Municipality has recently expressed its willingness to adopt
the Act; while in those in which it has been introduced the measure
has excited no opposition. The prejudice against vaccination may
linger in some agricultural districts; but there is every reason for
believing that in towns it has lost all vitality.
Munshi Wazir Ali.
Munshi Ali Hasan.
Ali Mirza Beg.
Munshi Muhammad Hasan.
Munshi Abdul Latif.
14. In conclusion, I am to say that the Lieutenant-Governor
and Chief Commissioner has noticed with
satisfaction the names of the officers of the
Department marginally noted, whom, in the
24th paragraph of your report, you commend
for the excellent work done by them during the year; and the
acknowledgments of Government are due to yourself for your efficient
supervision of the year's operations, which indicate fair results.
I have the honor to be,
SIR,
Your most obedient servant,
J. B. THOMSON,
Secy. to Govt., N.-W. P. and Oudh.
A.
1880-81 ... ... ...
1881-82 ... ... ...
1882-83 ... ... ...
1883-84 ... ... ...
1884-85 ... ... ...
Total ...
1885-86 ... ... ...
1886-87 ... ... ...
1887-88 ... ... ...
1888-89 ... ... ...
1889-90 ... ... ...
Total ...
1
Successful
primary vaccinations.
North-West-
ern Provin-
ces.
572,670
596,765
564,064
539,216
537,288
2,810,003
557,213
575,574
610,688
609,259
623,935
2,976,669
Oudh.
67,554
87,261
34,842
26,135
26,576
242,368
31,805
37,444
41,880
49,932
76,494
237,555
2
Deaths from
small-pox (calendar year).
North-West-
ern Provin-
ces.
5,613
12,528
18,110
59,372
100,962
196,585
6,828
3,930
6,441
8,520
12,764
38,483
Oudh.
2,627
4,625
8,518
79,269
101,559
196,598
7,765
6,556
2,051
16,480
35,479
68,331
3
Total births.
North-West-
ern Provin-
ces.
1,036,808
1,853,141
1,218,575
1,337,354
1,403,004
1,306,487
1,191,156
1,213,593
1,197,834
1,153,336
Oudh.
354,062
426,332
437,584
464,047
527,957
512,792
468,376
495,142
489,605
475,874
4
Successful vaccinations
under one year.
North-West-
ern Provin-
ces.
*
249,221
256,367
283,101
269,242
275,050
298,534
302,699
303,560
Oudh.
*
8,979
8,129
11,482
13,185
12,769
12,324
13,415
20,362
5
Percentage of infant
population protected.
North-West-
ern Provin-
ces.
*
20.
19.
20.
20.
23.
24.
25.
26.
Oudh.
*
2.
1.7
2.1
2.5
2.7
2.4
2.7
4.2
6
Successful vaccinations
per mille of population.
North-West-
ern Provin-
ces.
*
17
17
16
17
17
18
18
19
Oudh.
*
3.0
2.2
2.3
2.8
3.2
3.6
4.3
6.7
Population, North-Western Provinces ...
Do„
Oudh ... ... ...
32,720,128
11,387,741
44,107,869
* NOTE.—The vaccination figures for these years are not considered reliable.
ANNUAL REPORT
ON
VACCINATION
IN THE
NORTH-WESTERN PROVINCES AND OUDH,
FOR THE YEAR 1890-91.
ALLAHABAD:
NORTH-WESTERN PROVINCES AND OUDH GOVERNMENT PRESS.
1891.
Price Re. 1-4-0.
ANNUAL REPORT
ON
VACCINATION
IN THE
NORTH-WESTERN PROVINCES AND OUDH,
FOR THE YEAR 1890-91.
ALLAHABAD:
NORTH-WESTERN PROVINCES AND OUDH GOVERNMENT PRESS.
1891.
ANNUAL REPORT ON VACCINATION IN THE NORTH-WESTERN
PROVINCES AND OUDH, FOR THE YEAR 1890-91.
Notes on the operations of the year.
The first triennial report was submitted last year, and the following brief notes
on the operations of 1890-91 are recorded with
reference to, and in explanation of, the statistical
statements in the appendix.
Distribution of establishment.
2. The following statement shows the distribution of the establishment of each
circle :—
Circle.
First, comprising the Agra
and Meerut Divisions
Second, comprising the Ro¬
hilkhand and Kumaun
Divisions and the Pro-
vince of Oudh. ...
Third, comprising the Allah-
abad, Benares and Jhánsi
Divisions and British
Garhwál ...
Superintendents
(Deputy Sanitary
Commissioners).
1
1
1
Deputy Superin-
tendents
2
2
3
Native Superin-
tendents.
1st class.
6
6
13
2nd class.
7
14
4
Vaccina¬
tors.
188
300
263
Appren¬
tices.
12
13
18
As compared with the previous year there was an increase of 51 vaccinators, and
the addition (for the most part confined to the districts of Oudh) to the working staff
resulted in a considerable extension of successful operations.
Expenditure on vaccination.
3. The total expenditure was Rs. 134,360-13-3 against Rs. 1,30,671-10-0 in
1889-90, and there was a slight increase under each
chief head of expenditure :—
Heads of Expenditure.
Year.
1889-90 ... ...
1890-91 ... ...
Increase ...
Pay of establish-
ment.
Rs.
122,638
125,162
2,523
a.
12
11
15
p.
0
9
9
Travelling
allowance.
Rs.
5,193
6,018
825
a.
1
1
0
p.
3
6
3
Contingencies.
Rs.
2,839
3,180
340
a.
12
0
3
p.
9
0
3
Total.
Rs.
1,30,671
1,34,360
3,689
a.
10
13
3
p.
0
3
3
Average cost of each successful case.
4. There was a decrease, however, of five pie in the average cost of each successful
case of vaccination : the average cost of each successful
case being two annas and six pie against two annas
and eleven pie in 1889-90, and three annas and one pie in 1888-89.
General operations in 1890-91.
5. The total number of persons vaccinated was 989,169 against 800,757 in 1889-90,
and the number of successful cases of vaccination
rose from 710,049 in the previous year to 859,358.
There was thus a total increase in successful operations of 148,949, or 21 per cent.
more successful operations than in 1889-90. Each vaccinator performed on an
average 1,317 cases against 1,144 in 1889-90 and 1,128 in 1888-89. There were 19.48
persons per 1,000 of the population successfully vaccinated in comparison with 16.09
in the previous year. The general results show a marked and very satisfactory increase
1