NOTES on Vaccination in the United Provinces for the year
                                          1906-07.

Constitution of the Vaccina-
tion Department.

THERE has been no change in the constitution of the Vaccination Depart-
ment during the year 1906-07 except that the appoint-
ments of vaccinators made after the 27th November
1906 have been declared non-pensionable under the
orders contained in G. G. O. (Home Department) No. 190-202, dated the 27th
November 1906. The appointments of tube-fillers attached to the districts of
Almora, Garhwal and Dehra Dun were also abolished with effect from 17th October
1906 in consequence of the reorganization of the staff attached to the central bovine
lymph depôt at Patwa Dangar (Naini Tal).

Strength of the Vaccination
Department.

(Statement II.)

2. During the year under report an additional Assistant Superintendent
of Vaccination has been posted to Gorakhpur, which
is a very large district. The number of these officials
is now 50 (including one for the Native State of
Tehri-Garhwal), as compared with 49 in the preced-
ing year. The number of vaccinators was 934 as compared with 933 in the
preceding year.

Expenditure on Vaccination.
(Statement II.)

3. The total expenditure on vaccination during the year under report was
Rs. 1,50,971 against Rs. 1,53,241 in the preceding
year. The decrease is chiefly due to the lessened
expenditure connected with the bovine lymph depôt
at Patwa Dangar (Naini Tal) for which fewer costly articles were purchased from
England during the period under report than in the preceding year.

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

4. The average cost of each successful case of vaccination was Re. 0-1-3 (one
anna and three pies) during 1906-07 when the pay and
expenses of Deputy Sanitary Commissioners and their
offices are not taken into account, but including these
charges the cost of each successful case comes to
Re. 0-1-6 (one anna and six pies). In both cases the cost was exactly the same as in
the preceding year. The fact that the cost of a successful case remained the same
although the total expenditure on vaccination was less than in the preceding year
is explained by the falling off in the number of operations performed during the
period under report.

General operations.
(Statement I.)

5. The total number of persons vaccinated during 1906-07 was 1,675,060
against 1,695,416 in the preceding year—showing a de-
crease of 20,356. The number of successful primary
operations fell from 1,544,152 in 1905-06 to 1,515,150
in 1906-07. There was also a decline in the average number of persons vaccinated
by each vaccinator and the number of persons successfully vaccinated per 1,000 of
population, which were 1,824 and 33.31 against 1,850 and 33.79 respectively in the
preceding year. The percentage of successful cases in which the results were
known was 97.72 as regards primary vaccination, and 84.43 as regards revaccination,
against 97.93 and 84.78 respectively in the preceding year. The total number of
revaccinations was 103,574. Of these 82,493 were successful. In 1905-06 the
numbers were 95,511 and 76,260 respectively. It will thus be seen that there was
a decrease under all heads except those relating to revaccination.

This decline was confined to the 1st Circle ; there was an actual increase in
the 2nd Circle as a whole. According to the figures, plague was about as pre-
valent in one Circle as in the other during the vaccination season, and the same
remark applies generally to measles. But famine had doubtless much reduced the
number of children physically fit for vaccination in Bundelkhand and the neighbour-
hood, and malarial fever was severe in the western districts of these Provinces—both
portions of the 1st Circle. Nevertheless I am satisfied that more supervision of
this charge is desirable. The Deputy Sanitary Commissioner of the 1st Circle is