( 4 )

Then came in order Naini Tal (36.30), Mirzapur (36.17), Pilibhit (34.76) and
Saharanpur (33.91).

The average annual number of persons successfully vaccinated and the average
annual death rate from small-pox per 1,000 of population during the five years
previous to 1919-20 in these districts were 68.54, 64.09, 44.95, 34.73, 35.01, and
34.95 and .02, .07, .07, .52, .03 and .01, respectively.

Of the worst protected districts, the most conspicuous are Partabgarh (20.52),
Muttra (21.60), Allahabad (21.72) and Agra (21.94).

The average annual number of persons successfully vaccinated and the average
annual death rate from small-pox per mille of population during the previous five
years in these four districts are Partabgarh (25.65 and .21), Muttra (32.95 and
.02), Allahabad (26.49 and .53) and Agra (32.60 and .04). Of these districts
Partabgarh was mentioned in the previous triennial report as amongst the districts
showing the lowest number of protected persons per mille of population.
However, all the above four districts show an improvement over last year's figures.

Vaccination in proportion to
births and according to age.

10. The percentage of successful vaccinations in proportion to births in
1919-20 shows the best results on record for the
several years past, the ratios for the year being
53.59 in case of children under one year of age, 23.64 for children between
the ages of one and under six years and 80.82 for all age periods as com-
pared with 43.75, 18.47 and 65.17, respectively, in 1918-19 and 48.69, 19.06
and 70.29 in 1917-18. During the year under report 63.30 children under
one year of age per hundred births were vaccinated in the I Range, 43.07
in the II Range, 55.46 in the III Range and 49.45 in the IV Range,
as compared with 53.06, 35.75, 43.63 and 40.85, respectively, for last year and
61.92, 38.07, 48.73 and 42.86, respectively, for the year before last. The I Range
has been showing a comparatively high percentage in this respect for the
past several years.

Mortality from small-pox.

11. In 1919, 10,993 deaths were recorded from small-pox, giving a death
rate of .23 as compared with 2,908 and .06 in 1918,
and 2,011 and .04 in 1917, respectively. The quin-
quennial average was .11.

Diagram.

12. A diagram showing the relation between the mortality from small-pox
and the proportion of the population protected by
vaccination in each district is attached.

Dispensary vaccination.
(Statement III.)

13. During the year under report the total number of vaccination opera-
tions performed at the dispensaries in these Provinces
amounted to 272 (120 primary and 152 re-vaccina-
tions) as against 933 during last year and 143 during the year 1917-18, the average
for the three years being 449 as compared with 276 for the preceding triennium.

Vaccination in municipalities.

14. During the triennial period under review Kandhla municipality was
converted into a notified area with effect from 15th
August, 1917, and Kanauj notified area into a munici-
pality from 1st September, 1919. The number of municipalities in 1919-20
stood at 84, but for the purposes of comparison of the statistics for the
year under report, with those of the preceding two years, the figures of Kanauj
have not been taken into account. The total number of persons vaccinated
and the number of vaccination operations performed in the municipalities of
these Provinces in 1919-20, were 119,765 and 121,739 (95,265 primary and 26,474
re-vaccinations) as compared with 127,499 persons and 128,751 operations in
1918-19 and 121,092 persons and 122,798 operations in 1917-18, respectively.
The average for the three years comes to 122,785 in the case of the former and to
124,429 in the case of the latter as compared with 121,461 and 122,969,
respectively, for the preceding corresponding period. Successful primary vaccina-
tions and successful re-vaccinations performed during the year under report
numbered 87,235 and 12,723 against 88,681 and 17,586 for the last year and
105,751 and 7,006 for the year before last, respectively, the averages for the
present triennium being 93,889 and 12,438 as against 104,037 and 6,769 for the
preceding triennium. The percentage of successful cases in which the results
were known during 1919-20 was 93.21 in case of primary and 53.00 in case
of re-vaccinations as compared with 95.54 and 57.12 in 1918-19 and 96.41 and
68.33 in 1917-18. The number of persons successfully vaccinated per mille of
population during the three years was 34.06, 36.38 and 38.60 respectively.