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Circle has always shown better returns than the Second, but it is gratify-
ing to see a general improvement all round in infantile vaccination.

Supply of lymph, &c.

14. As usual, lymph was supplied from the hills to the districts
in the plains in September and it was
established in almost all districts by Octo-
ber. Lymph was also supplied to numerous military officers and Native
States on application. The mode of insertion in these Provinces is
by cross scratching with a four pointed needle—one insertion on each
arm or the two insertions on one arm. The lymph is preserved dry on
ivory points and is rubbed in at the place of inoculation.

In some provinces, four insertions—two on each arm—are insisted on,
and there is, no doubt, much to be said for the four insertion method, but
the prophylactic effect of two insertions has been found to be sufficient,
while the larger number causes opposition and dissatisfaction on the part
of parents.

Working of bovine lymph
depôts in 1901-1902.

15. Bovine lymph depôts were maintained at Lucknow, Bahraich
and Allahabad. Calves were inoculated in
a few other towns also, but the amount of
lymph collected was very small. The total
number of primary operations performed in the Provinces with pure calf
lymph was 18,132, the percentage of success being 97.34. In 4,630
operations performed with lanoline lymph, the percentage of success was
96.68. Glycerine lymph was not used in any locality.

In Lucknow 14,433 persons were vaccinated primarily with pure
calf lymph with a percentage of success of 97.63. Calf lymph mixed
with lanoline was used in 370 operations, all of which proved successful.
In Allahabad 4,254 persons were primarily vaccinated with calf lymph
mixed with lanoline, the percentage of success being 96.40. In Bahraich
3,128 primary operations were performed with unmixed calf lymph. The
percentage of success was 95.91.

The work of construction of the buildings for the new Provincial
bovine depôt at Patwa Dangar, a place about six miles from Naini Tál,
was not commenced during the year 1901-1902, owing to representations
made by the Forest Department, who object to the site being acquired on
account of the timber which is reported to be valuable. It will be a
matter for regret if this site is not available, as it possesses great advan-
tages, being close to Naini Tál and consequently easily supervised. The
project is now before Government, and it is hoped that an early decision
may be come to as the matter is a very urgent one.

Vaccination Act.

16. The Vaccination Act was in force in all municipalities and can-
tonments of the United Provinces. Except
in a few municipalities, the prescribed regis-
ters were carefully kept and notices under sections 17 and 18 of the
Vaccination Act (XIII of 1880) served with good results.

Vaccination in Municipalities.

17. The number of municipal towns was the same, i.e. 104, through-
out the triennial period. The total number
of successful primary vaccinations in the
municipalities of the United Provinces has decreased from 116,656 in
1899-1900 and 113,275 in 1900-1901, to 110,455 in 1901-1902. The
decrease is due to the number of births being low compared with the two
preceding years. The number of persons successfully vaccinated per
1,000 of population was this year highest (82.81) in Sambhal, followed
by 72.80 in Chandausi, 66.47 in Gonda, 64.83 in Fatehpur, 63.59 in
Sítapur, 62.43 in Mussoorie, and 62.26 in Khairabad. The worst pro-
tected municipalities were Brindaban (23.24), Tilhar (24.83), Gorakhpur
(24.88), Nánpára (24.49), Allahabad (25.18), and Nawábganj, Bara Banki,
(25.62). Brindaban is peculiar, but I hope the other municipalities will
endeavour to improve matters.

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