( 2 )

Azamgarh, Gorakhpur, Mirzapur and Allahabad. In Gorakhpur
however it is satisfactory to note that the number of successful
vaccinations rose considerably in 1913-14.

3. There would appear to be considerable room for improvement
as far as the vaccination of children is concerned. In the review
on the last triennial report a decrease in the number of vaccinations
as compared with the number of births was noted. Even more marked
was the decrease in the number of operations on children over one year
and under six years of age. In respect of children under one year of
age there has been little variation from the figures of the last year
of the preceding triennium. It is true that there has been an increase
in the actual number of operations on infants, and that the low
percentage is due to the unusually high birth-rates that have been
recorded during the last three years, but an effort needs to be made
to increase this percentage. The high birth-rate of these three years
does not have the same effect on the proportion of children between
one and six years of age vaccinated, and in this case the percentage
of each year of the period under review is lower than the lowest
percentage recorded during the previous six years. The following
figures, taken from the Sanitary Commissioner's reports for 1912 and
1913, also serve to point out the importance of the revaccination and
vaccination of children.

4.    The amount of work performed by each vaccinator shows a
considerable increase. The average number of persons vaccinated by
each vaccinator was 1,801 in 1913-14, and the average for the whole
triennium was 1,717, as against 1,532 for the preceding three years.

5.    The average annual expenditure on vaccination during the
triennium was Rs. 2,19,823, as against Rs. 1,71,444 for the years 1908 to
1911. The increase is due to an increase in the number of Deputy
Sanitary Commissioners, two additional officers of this class having been
appointed to these provinces in 1912, to the increased expenditure in the
Patwa Dangar lymph dépôt, and to the improvement in the pay of the
vaccinating staff. The pay of 2nd and 3rd grade assistant superintendents
was raised in 1912 from Rs. 24 and 18 to Rs. 35 and 30 respectively, and
at the same time considerable improvements in the pay of vaccinators
were introduced. The average cost of each successful operation,
excluding the cost of the lymph dépôt and the pay of Deputy Sanitary
Commissioners and their establishment, was one anna nine pies, as against
one anna seven pies for the preceding triennium. The cost compares
favourably with that in other provinces.

6.    The 18th paragraph of the report gives a very satisfactory record
of the work of the Patwa Dangar lymph dépôt, which has made rapid
strides in recent years. Arm-to-arm vaccination is now only carried on
in nine districts in the province, and has been replaced by calf lymph