Notes on Vaccination in the United Provinces for the year 1918-19.

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

I continued to hold charge of the office of the
Superintendent-General of Vaccination throughout
the year in addition to my own duties.
Dr. D. D. Pandya remained in charge of the I and IV Ranges and in
supervising charge of the Government Bovine Lymph Dépôt, Patwa Dangar,
throughout the year. Dr. A. Sousa held charge of the II Range throughout the
year and of the III Range from the 1st April 1918, till the 7th February 1919.
Major E. Bisset, I.M.S., who returned from Military duty on the afternoon of the
7th February 1919, held charge of the III Range from the 8th February 1919,
till the close of the year.

The number of assistant superintendents of vaccination remained the same
(49) as in the previous year but the number of vaccinators increased from 915 in
1917-18 to 922 during the year under report.

Expenditure on vaccination.
(Statement II.)

2. The total cost of the Vaccination Department in 1918-19 amounted to
Rs. 2,68,243 including the charges on account of the
Deputy Sanitary Commissioners and their establish-
ments, and to Rs. 2,34,870 excluding the latter charges—showing an excess of
Rs. 21,665 in the case of the former and of Rs. 15,454 in the case of the latter,
as compared with the preceding year. The excess is accounted for by (1) increased
expenditure on the Government Bovine Lymph Dépôt, Patwa Dangar, as
explained in paragraph 16 of the Notes and under the head " travelling allowance,"
(2) reversion of an I.M.S. Deputy Sanitary Commissioner from the Military
Department towards the latter part of the year, (3) increments in the pay of the
Deputy Sanitary Commissioner, IV Range, and in that of the clerks attached to
the I and IV Ranges, (4) increase in the number of vaccinators employed and (5)
increments in the pay of, and grant of compensation and war allowances to, the
staff.

Average cost of each successful
case of vaccination.
(Statement II.)

3. The average cost of each successful case of vaccination in the United

Provinces in 1918-19 was Re. 0-2-7 against Re. 0-2-0
in the preceding year. The increase in the cost is
due to the increased expenditure under the several
heads explained above and to the fact that a less number of vaccination operations
was performed during the year under report than in the preceding year.

The sub-joined table shows the cost of successful vaccination per head in
these Provinces, as compared with other provinces during 1918-19 :—

General operations.
(Statement I.)

4. The total number of vaccination operations performed during 1918-19,
amounted to 1,420,332, as compared with 1,685,153
in 1917-18. Of this number, 1,273,821 were primary
and 146,511 re-vaccinations, as compared with 1,572,818 and 112,335, respect-
ively, in the preceding year. The decrease of 298,997 in the number of
primary operations was mainly due to the outbreak of influenza in epidemic
form in all the districts of these Provinces in the beginning of the vaccination
season and its continued prevalence for some months. In the districts wherever