ANNUAL

                           VACCINATION REPORT,

                              BIHAR AND ORISSA,

                                 FOR THE YEAR

                                      1924-25.

1. Staff.—Lieutenant-Colonel W. C. Ross, I.M.S., held charge of the
department throughout the year and submits this report.

The three Assistant Directors of Public Health remained in charge of
their respective circles during the year except that Dr. J. L. Das officiated for
Dr. T. Sebastian for about three months whilst he was on leave. In October, a
mutual transfer was arranged between Dr. T. Sebastian and Dr. S. N. Tiwary,
Dr. Sebastian returning to Namkum as Assistant Director of Public Health,
Chota Nagpur and Orissa Circle, and Dr. Tiwary assuming charge of the North
Bihar Circle. Dr. B. P. Mazumdar remained in charge of the South Bihar Circle
throughout the year.

The Inspecting staff consisted of 20 District Inspectors of Vaccination and
69 Sub-Inspectors of Vaccination (including three deputed for duty at the
Vaccine Depôt) in addition to the one Sub-Assistant Surgeon combining
vaccination inspection with other duties in Angul. The total number of
vaccinators employed in the province during the year was 1,121 licensed and
222 paid, against 1,088 licensed and 228 paid in the previous year.

In municipalities and in the district of Puri, vaccination was done by paid
vaccinators ; but otherwise the work throughout the province was carried out
under the licensing system, except for the employment of paid vaccinators by
District Boards, and employed temporarily by Civil Surgeons for short periods
to deal with outbreaks of small-pox.

2. Operations performed.—The total number of operations performed
during the year amounted to 1,044,282, as compared with 1,043,264 last
year. There has again been an increase in the total number of operations
which is very satisfactory, and indicates that the difficulties and the opposition
experienced in recent years are gradually diminishing. Of the total number of
operations in the province, 1,031,146 were performed by the staff of the
Vaccination Department as compared with 1,031,904 last year. Nine hundred
and ninety thousand, five hundred and seventy-one operations were primary and
40,575 were re-vaccinations as against 999,718 primary operations and 32,186
re-vaccinations last year.

There was a decrease of 9,147 in the number of primary operations and an
increase of 8,389 in the number of re-vaccinations during the year. Of the
total operations performed (1,031,146), 1,004,537 equal to 97.42 per cent.
were successful, as compared with 1,010,911 equal to 97.96 last year.

The number of operations performed in municipalities increased by 2,910
as compared with last year's returns. The total number of operations performed
was 42,847 and the number of successful operations was 35,316 of which 30,816
were primary and 4,500 were re-vaccinations as compared with 32,833 and
3,085, respectively, last year. The ratios of success in municipalities were 95.97
per cent. for primary operations and 41.91 per cent. for re-vaccinations as
compared with 97.25 per cent. and 49.94 per cent., respectively, last year.

The number of operations performed in rural areas was 988,299 as
compared with 991,967 last year and the ratios of successes were 99.38 per
cent. for primary operations and 55.89 for re-vaccinations.