( 4 )

Dispensary vaccina-
tion.
(Statement III.)

12. In 1923-24, 512 vaccination operations (215 primary and 297 re-
vaccination) were performed by medical subordi-
nates at dispensaries as against 420 in 1922-23.

Vaccination in
municipalities.

13. There was an increase in the vaccination work performed in
municipalities during the year under review as
compared with the preceding year, the total number
of persons vaccinated being 107,045 and 101,815
and that of vaccination operations 112,863 (100,896 primary and 11,967
re-vaccination) and 103,646 (91,751 primary and 11,895 re-vaccination)
respectively. The number of successful primary vaccinations and that of
successful re-vaccinations amounted to 87,498 and 4,786 in 1923-24 as
against 85,729 and 6,538 in 1922-23 respectively. The ratio of persons
successfully vaccinated per mille of the population in 1923-24 was prac-
tically the same as in 1922-23, the figures for the two years being 31.73
and 31.72 respectively. Among the municipalities showing a large num-
ber of persons successfully vaccinated per mille of the population Etah
and Gonda which stood third and fourth last year are first and second this
year with a ratio of 68.25 and 56.47 respectively. Then came Mussoorie
with 51.44, Unao with 48.08 and Konch with 43.44. The municipalities
in which the least protection has been noticed are Mainpuri (12.75), Rae
Bareli (17.92), Kanauj (19.61), Azamgarh (20.22) and Farrukhabad-cum-
Fatehgarh (20.59). Farrukhabad-cum-Fatehgarh and Rae Bareli show an
improvement over last year, while Kanauj is gone worse this year. In
Mainpuri the decrease is ascribed by the District Superintendent of
Vaccination to a smaller number of re-vaccinations being performed
this year. In Azamgarh it is attributed to the supply of lymph of
poor quality. Appendix B to these notes will show the number of success-
ful vaccinations performed on children under the age of one year in
different municipalities during the year under review.

Vaccination in can-
tonments.

14. In 1923-24, 10,988 persons were vaccinated and 11,162 opera-
tions (5,661 primary and 5.501 re-vaccination)
performed by the regular vaccination staff in can-
tonments of these provinces against 8 840 and
9,017 (5,352 primary and 3,665 re-vaccination) respectively in the preced-
ing year. The number of successful primary vaccinations and successful
re-vaccinations during the two years were 4,928 and 2,719 and 4,884 and
2,485 respectively. The number of persons successfully vaccinated per
1,000 of population was 38.23 in 1923-24 as against 36.84 in 1922-23.
An examination of the above figures will show an increase under all
heads.

In 1923 it was brought to my notice that the returns of vaccination
operations performed by military medical officers in cantonments were
not received by District Superintendents of Vaccination and were not
included in the district returns. I accordingly addressed the Deputy
Director of Medical Services, Eastern Command, on the subject who did
not agree to furnish the information on the form in use in this depart-
ment, but issued instructions to the military officers concerned to send half-
yearly vaccination returns to my office on the form prescribed by the Army
department. These returns show that military medical officers performed
16,705 vaccination operations (531 primary and 16,174 re-vaccination)