( 3 )

requires improvement, and your especial attention is called to this circle,
which the Government trusts will not again be unfavourably noticed in
the annual review of your operations. Explanation must be given of
the small amount of inspecting work done by the Deputy Sanitary Com-
missioner of the 2nd Circle.

6. The progress made in Oudh, to which in 1S89, and in subse-
quent years, the Lieutenant-Governor has called urgent attention, and
in which the number of persons vaccinated per 1,000 of population
(14.74 still falls far short of the number in the United Provinces
(19.48), is shown in the following table:—

                                                                           N.B.—Figures in block type denote a falling off.

In only two districts is there a falling off in the total number of
persons vaccinated, and in these two the number of persons successfully
vaccinated per mille of population is well above the provincial average.
It was not to be expected that the rate of increase in Sultánpur last
year (257 per cent.) would be maintained. The advance in Bara Banki,
owing chiefly to Colonel Grigg's exertions, and in Sitapur, is very
marked. In Hardoi, during Colonel Horsford's administration, there
was also a very great advance, which his successor is expected to
maintain. Except in Gonda, Sultánpur and Eyzabad the number of
infants successfully vaccinated did not keep pace with the increase in
total vaccinations. This was probably due, in part, to the low birth
rate. Much yet remains to be done to bring the districts of Unao,
Kheri, Fyzabad, Gonda and Rae Bareli up to the provincial standard ;
they should receive your special attention; and the urgent attention of
the Commissioner and District Officers will be called to the discredit-
able state of vaccination operations in these districts, in some of which
(in Gonda, for example) although there has been a considerable increase
in the actual number vaccinated, the proportion vaccinated per 1,000
of population is extremely low. Unao, Kheri and Fyzabad are other
especially backward districts.