10

method of incision will be universally
accepted without a single dissentient
voice.

9. Cost of vaccination.(a) The
average cost of vaccination during the
triennium under review was
Rs. 4,75,712-1-1 against Rs. 4,47,795-0-10
in the previous triennium. In 1928-29,
the total cost amounted to
Rs. 4,84,635-10-11, of which
Rs. 1,85,165-9-11 (including the annual
recurring grant of Rs. 50,000) were
contributed by the Government and
Rs. 2,99,470-1-0 by local bodies, against
Rs. 4,89,681-9-8, Rs. 1,77,523-0-8 and
Rs. 3,12,158-9-0, respectively, in the
previous year.

(b) The following district boards re-
duced their expenditure on vaccination
during the year under review compared
with the previous year:—

                                            Expenditure on Vaccination.

Districts.

Expenditure.

Amount of
reduction.

Small pox death-
rate per mille.

Increase
+ or
decrease

1927-28.

1928-29.

1927-28.

1928-29.

Rs.

A.

P.

Rs.

A.

P.

Rs.

A.

P.

Dacca .. ..

4,959

3

2

4,943

3

7

15

15

7

.84

2.67

+

24-Parganas .. ..

11,608

8

6

11,281

14

7

326

9

11

.88

.35

-

Darjeeling .. ..

4,570

6

0

4,192

6

0

378

0

0

.07

.30

+

Tippera .. ..

7,923

15

0

7,003

2

0

920

13

0

.41

1.16

+

Hooghly .. ..

2,911

14

9

1,920

5

0

991

9

9

.85

.71

-

Jalpaiguri .. ..

5,057

1

0

3,987

11

11

1,069

5

1

.07

.06

-

Bakarganj .. ..

6,192

3

0

5,104

1

0

1,088

2

0

.07

.10

+

Burdwan .. ..

17,012

5

10

15,798

0

11

1,214

4

11

.72

.77

+

Jessore .. ..

6,699

3

0

5,344

0

0

1,355

3

0

.22

.11

-

Rajshahi .. ..

4,871

9

0

3,502

9

0

1,369

0

0

.21

.55

+

Nadia .. ..

6,665

6

0

4,847

7

0

1,817

15

0

.45

.69

+

Mymensingh ..

23,690

5

9

21,006

15

6

2,683

6

3

.68

1.33

+

Faridpur .. ..

4,497

0

0

1,735

3

0

2,761

13

0

.44

1.71

+

Pabna .. ..

11,045

5

6

6,998

3

6

4,047

2

0

2.42

.39

-

Midnapur .. ..

19,853

3

9

13,555

14

0

6,297

5

9

1.70

.92

-

The reduction in the districts of
Burdwan, Nadia, Rajshahi, Darjeeling,
Dacca, Mymensingh, Faridpur, Bakar-
ganj and Tippera where there was an
excess of smallpox in 1928-29, compared
with the previous year, was extremely
injudicious.

(c) The average cost of each success-
ful case was 2 annas and 5 pies in the
present against 3 annas and 2 pies in the
previous triennium and one anna and 7
pies in 1928-29 against 2 annas and 8
pies in the preceding year.

10. Mortality from smallpox.—The
diagram on preceding page gives side by
side the death rates from smallpox in
each district and the proportion of
population protected by vaccination dur-
ing the last 10 years. The quinquennial
epidemic that started towards the close
of 1924, continued throughout the year,
though it now shows signs of abatement.
The average number of deaths during
the present triennium 37,890 exceeded
that of the previous one, 10,989 by
26,901 or 244.7 per cent. The total
number of deaths in 1928-29, 42,020
exceeded the previous year's total 39,713
by 2,307 or 5 8 per cent. From the
following table showing the number of
deaths from smallpox, district by dis-
trict, it will be observed that compared
with the previous year, the mortality
was reduced in every district except
Burdwan, Nadia, Rajshahi, Darjeeling,