Triennial report on Vaccination in the United Provinces of Agra
      and Oudh for the years 1914-15, 1915-16 and 1916-17.

Period covered by the report.

This report has been drawn up to cover the triennial period 1914-15 to
1916-17 with special reference, however, to the work
of the last year as brief notes have already been
submitted on the work of the preceding two years.

Area and population.

2. During the triennium under report the Meerut district showed a
decrease in its area from 2,344 to 2,299 square miles
with a corresponding fall in the population from
1,519,364 to 1,504,812. There was thus a decrease in area and population of the
provinces from 106,402 square miles and 46,835,108 souls to 106,357 square miles
and 46,820,556 souls respectively. The decrease was due to the transfer of 65
revenue estates inclusive of Shahdara notified area to the Delhi Province on 1st
April, 1915.

Officers in charge of the depart-
ment.

3. The charge of the office of Sanitary Commissioner and Superintendent
General of Vaccination was held by me for the
triennium under review except for the period from
29th January to 25th February, 1916, during which I was on privilege leave and
Dr. D. D. Pandya held charge in addition to his own duties.

Constitution and strength of the
department.
(Statement II.)

4. The charge of the first range was held from the 1st April, to the
28th October, 1914, by Major E. Bisset, I.M.S.,
who reverted to military duty on the latter date,
from the 29th October, 1914, to 31st March, 1915,
by me in addition to my own duties and from the 1st April, 1915, to the end of
the triennium by Dr. D. D. Pandya, who, in addition, held charge of the fourth
range for the whole of the triennium. Major E. Bisset, I.M.S., also held additional
charge of the second range from the 1st April to the 28th October, 1914. Captain
(now Major) C. L. Dunn, I.M.S., Deputy Sanitary Commissioner, second range,
was granted leave out of India up to the 20th October, 1914, on which date
he reverted to military duty and Dr. K. L. Nehru, held charge of the third range
from the 1st April, 1914, and additional charge of the second range from 29th
October, 1914, to the 20th February, 1916, when he resigned and was succeeded
by Dr. A. Sousa, who held the charge of these two ranges from the 21st February,
1916, to the close of the period under report. During the triennium under review
the number of assistant superintendents of vaccination remained unaltered (49).
The Government, however, in their order no. 310/XVI—40, dated the 16th
December, 1916, sanctioned the appointment of a first grade assistant superintend-
ent of vaccination on Rs. 40 per mensem for the Naini Tal district in place of the
2nd grade assistant superintendent allotted to it. When this order is given effect
to the number of assistant superintendents of vaccination in the 1st grade on
Rs. 40 will thus be raised from four to five with a corresponding fall by one in
the number of 2nd grade assistant superintendents of vaccination. An important
circular was issued by Government in 1915 regarding control of vaccinators by
district boards prescribing their duties. In areas with a normal birth-rate and
normal density of population there should be one vaccinator for 65,000 population
and each vaccinator was expected to perform at least 2,000 operations per season.
The total number of vaccinators was consequently reduced from 925 in 1914-15,
to 887 in 1915-16. It was increased again to 916 in 1916-17. This latter number
includes apprentices appointed in several districts, according to the scale
sanctioned by Government.

Expenditure on vaccination.
(Statement II.)

5. The total expenditure in 1916-17, including the charges on account of the
deputy sanitary commissioners and their offices
amounted to Rs. 2,44,832 and, excluding these
charges, to Rs. 2,18,308 as against Rs. 2,41,370 and Rs. 2,14,427, respectively, in
1915-16 and Rs. 2,47,803 and Rs. 2,07,349 in 1914-15. The average expenditure
for the three years was Rs. 2,44,668 and Rs. 2,13,361 as compared with
Rs. 2,19,823 and Rs. 1,78,424 respectively for the preceding triennium. A
consideration of the total expenditure under different heads in 1916-17 shows
that Rs. 1,81,449 was spent on the establishment (including the pay, etc.,
of the deputy sanitary commissioners and their offices) Rs. 55,785 on
contingencies and Rs. 7,598 on travelling allowance as compared with
Rs. 1,78,280, Rs. 56,364 and Rs. 6,726 in 1915-16 and Rs. 1,89,514, Rs. 52,387
and Rs. 5,902 in 1914-15 respectively. Out of the total expenditure of
Rs. 2,44,832, Rs. 1,40,899 was paid from provincial funds, Rs. 69,768 from local