( 2 )

Average cost of each success-
ful case.
(Statement II.)

6. The average cost of each successful case of vaccination during
each of the three years covered by this
report was Re. 0-1-3 (one anna three pies),
excluding pay and expenses of Deputy Sa-
nitary Commissioners and their offices, and
Re. 0-1-6 (one anna six pies) including the same.

General operations,
(Statement I.)

7. The number of persons vaccinated
in each of the three years has increased

      1,511,436 in 1899-1900 and
      1,549,233 in 1900-1901 to
      1,579,795 in 1901-1902.

The total number of successful primary vaccinations has likewise
increased from—

      1,365,931 in 1899-1900 and
      1,414,776 in 1900-1901 to
      1,431,277 in 1901-1902.

There has been a satisfactory increase in the average number of
persons vaccinated by each vaccinator, and the figures were 1,683 in
1899-1900, 1,708 in 1900-1901, and 1,757 in 1901-1902. I hope to see
this average steadily improve, and I think that 1,800 per vaccinator is
not an excessive number to expect in the immediate future. The number
of persons successfully vaccinated per 1,000 of population was
31.36 in 1901-1902, compared with 31.11 and 29.97 in the two preceding
years. A satisfactory feature is that the number of successful re-vaccina-
tions also has risen from 47,292 in 1899-1900 and 52,000 in 1900-1901,
to 72,742 in 1901-1902. The increase has chiefly occurred in the First
Circle, and the hill districts account for most of it. Notwithstanding an
increase of 7,000 secondary operations in the Second Circle, there is much
room for improvement as compared with the First Circle. The various
District Superintendents of Vaccination should not overlook the import-
ance of the work of re-vaccination, and endeavour should be made to
improve the work generally in the Second Circle. The percentage of
success in primary vaccinations in which the results were known was,
97.00 in 1899-1900, 97.30 in 1900-1901 and 97.71 in 1901-1902. Of the
48 districts, 31 showed increases of primary successful operations in 1901-
1902, compared with the previous year.

Increases in work.
(Statement I.)

8. The districts showing increases of over 1,000 were, Allahabad
with 3,373, Gonda with 2,976, Farrukhabad
with 2,327, Cawnpore with 2,132, Etáwah
with 2,065, Agra with 1,954, Gházipur with 1,565, Sultánpur with 1,434,
Unao with 1,345, Garhwál with 1,250, Fatehpur with 1,209, Budaun with
1,172, Almora with 1,146, Moradabad with 1,010, and Muttra with 1,007.

Decreases in work.
(Statement I.)

9. The districts showing decreases of over 1,000 were Jhánsi with
2,886, Sítapur with 2,640, Gorakhpur with
2,177, Meerut with 1,825, Mirzapur with
1,402, Hardoi with 1,262, and Bánda with 1,019. The decrease in Jhánsi
is due to the number of vaccinators having been reduced from 26 to 21.
In Sítapur it is said to be due to the employment of vaccinators on
cholera duty in October and early part of November. Sítapur used to
stand very high in vaccination work, and I hope it will soon regain its
former position. In Gorakhpur the decrease was no doubt largely due
to the prevalence of plague both in the city and in the district. In
Meerut the decrease was due to retirement of three experienced vaccina-
tors. The existence of plague explains to some extent the decrease in
Mirzapur. In Hardoi, although there is a decrease compared with the
previous year, the number of persons successfully vaccinated per 1,000
of population is very high (46.84) and is above the provincial average by
15.48. The decrease in Bánda of primary vaccinations is more than
made up by an increase of 2,120 in successful re-vaccinations..