ORDERS OF GOVERNMENT.

                              No. 324C/XVI-47.
                  SANITATION DEPARTEMENT
                                RESOLUTION.
                  Dated Naini Tal, the 6th July, 1920.

Read. The triennial report on vaccination in the United Provinces of Agra and Oudh for the years 1917-
18, 1916-19, and 1919-20.

OBSERVATIONS:—(1) In the triennium under review 473,579 fewer pri-
mary vaccinations were performed than in the previous triennium, but re-vaccin-
ations increased by 69,238. The following table compares the figures of the two
periods : —

The decline in the number of primary vaccinations was most marked in
1918-19, and may be attributed to the outbreak of the influenza epidemic which
occurred in that year. Owing to this epidemic vaccination operations had to be
suspended while vaccinators were employed on itinerant medical relief. Further,
owing to the disease many children were incapacitated for vaccination, and not
a few of the vaccinators themselves fell ill. These conditions passed away in
1919-20, and a small increase in primary vaccinations occurred in that year. The
number of such vaccinations, however, is still considerably below the figure of
1917-18 and previous years, and leaves room for improvement. The satisfactory
increase in the number of re-vaccinations, especially in 1918-19, was due to
sporadic outbreaks of small-pox. The importance of re-vaccination as a preven-
tive against small-pox cannot be over-estimated.

2. As was the case at the close of the previous triennium, Garhwal and
Almora are of all districts in the province the best protected by vaccination
against small-pox. The record of these districts in the matter of vaccination
has been consistently creditable. Among districts at the other end of the list
are Partabgarh and Allahabad. The backwardness of these districts in the matter
of vaccination has been the subject of previous comment in Government's reviews.
In Partabgarh the ratio per thousand of successfully vaccinated persons, which
in 1917 was 26.79, is now only 20.52, the lowest ratio in the whole province. In
Allahabad the ratio, which stood at 27.26 in 1916-17, fell to 17.51 in 1918-19
and is now only 21.72 as compared with the provincial rate of 27.84. The death
rate from small-pox in this district for the five years previous to 1919-20 was
the highest in the province, .53 per thousand as against a provincial rate of .11.
The continued failure of the district of Allahabad to show a better record in
the matter of vaccination is to be regretted. In Sultanpur, on the other hand,