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also Chief Plague Officer and the amount of time at his disposal for vaccination
work is very small and his inspections were very few. I am of opinion that it is
very necessary to have a whole time Deputy Sanitary Commissioner in charge
of each Circle, as was the case in former years.

Twenty-two districts show an increase in the number of successful primary
operations against 34 in the preceding year. Garhwal stands first with an increase
of 3,804. Ghazipur follows with 3,240. Then in order come Rae Bareli with 2,958,
Benares with 2,791, Allahabad with 2,121, Cawnpore with 1,838, Azamgarh with
1,806, Partabgarh with 1,753 and Kheri with 1,752. Jalaun, with a decrease of
7,922, heads the list of districts which show a falling off. Etawah comes next with
6,251. Then in order come Hamirpur with 5,997, Agra with 5,643, Saharanpur with
4,962 and Farrukhabad with 3,143. In Jalaun the decrease is stated to be due to a
certain extent to the weak condition of children in consequence of the famine which
preceded the vaccination season. It was also due to the unusual prevalence of mala-
rial fever in the first three months of the season. Another reason adduced by the
District Superintendent of Vaccination of Jalaun is that much work has been done
in that thinly populated district in former years, and that it cannot go on at the same
rate. In Etawah, Hamirpur and Agra the decrease is attributed to the high
death-rate and low birth-rate which followed scarcity. In Agra it was also due
to the illness of some vaccinators, and to the fact that a large number of operations
were performed in 1905-06 in schools, &c., on account of the prevalence of small-pox.
In Saharanpur the decrease is attributed to the prevalence of plague and malarial
fever. In Farrukhabad it is stated to be due to the prevalence of plague, and
to a slight extent to slackness on the part of some vaccinators.

Vaccination in proportion to
births.

6. The percentage of successful primary vaccinations in proportion to
births in 1906-07 was 48.42 for children under
one year, 26.76 for those over one and under six
years and 78.66 for all age-periods, against 48.25, 26.81 and 78.13 respectively in
the preceding year. The percentage for children under one year for the 1st
Circle was 55.97, against 40.59 for the 2nd Circle. The reasons for this
discrepancy have been explained in previous reports, but it is satisfactory to note
that improvement has continued under this head in the 2nd Circle during the
year under report.

The statistics of Tehri-Garhwal are not included in these figures.

Dispensary vaccination.
(Statement III.)

7. The number of operations performed by medical subordinates at dispen-
saries during 1906-07 was only 261—243 primary
and 18 secondary—against 655 in 1905-06. Of
these, 234—225 primary and 9 revaccinations—were successful. The explanation
of the decrease in general operations given above may be taken to account for the
decrease under this head also.

Vaccination in municipalities.

8. The total number of successful primary operations in the municipalities
of these Provinces was 96,172 against 104,409 in
1905-06. The number of persons successfully vacci-
nated per 1,000 of population was 32.49 against 35.84 in the preceding year.
Gonda heads the list of municipalities which show the highest number of persons
successfully vaccinated per 1,000 of population, with 59.14. Bisalpur comes next
with 57.66. Then in order come Lalitpur with 54.67, Bahraich with 54.03, Hardoi
with 49.20, Tilhar with 48.45 and Almora with 48.24. Among the worst protected
municipalities, i.e., those showing the lowest number of persons successfully
vaccinated per 1,000 of population, Konch stands first with 17.24. Nagina comes
next with 17.61. Then in order come Brindaban with 20.38, Lakhimpur with
2l.46, Dehra with 23.34, Hathras with 23.84 and Farrukhabad cum Fatehgarh
with 24.97.

The number of children under one year of age available for vaccination in the
municipalities of these Provinces and the number of successful operations performed
on them are shown in Appendix B. In some municipalities the number of
children successfully vaccinated exceeds the number available. This discrepancy
has been explained in previous reports.

Vaccination Act.

9. The Vaccination Act is in force in all municipalities and cantonments
of these Provinces, but its provisions are enforced
in different places with varying degrees of energy.