( 54 )
Total vaccinations (including primary and re-vaccina-
tions) ... ... ... ...
Successful cases ... ... ... ...
Percentage of successful cases ... ... ... ...
Persons successfully vaccinated per 1,000 of population
Average number vaccinated by each vaccinator ... ...
Cost of each successful case ... ... ... ...
1882-83
5,721
4,793
86.36
8.23
817.28
Re. 0-5-10
1883-84
5,638
4,601
86.14
8.05
704.75
0-5-1
The work performed
by the above establish-
ment during the two years
is shown in the margin.
The average number of operations returned by the vaccinators of this
district during the year is 5,638 being a decrease of 83 from the number
vaccinated in the previous year, There were 4,601 primary cases returned as
successful against 4,793 in the previous year ; and the percentage of success 86.14
as compared with 86.36, being a decrease of 0 22. The number of re-vaccinations
was 297 against 171 of previous year. The number successfully vaccinated
per mille of population was 8.05 against 8.23 in the preceding year; decrease
0.18. The aggregate cost amounted to Rs. 1,805 as compared with Rs. 1,791,
an increase of Rs. 14; and each successful case cost Re. 0-5-1, decrease Re. 0-0-9.
Five hundred primary vaccinations were inspected by the Civil Surgeon
(Dr. T. E. L. Bates), of which 500 were found to be successful, the ratio of
success being 100 per cent.
The quality of the vaccinations which the Civil Surgeon inspected "has
been, as a rule, very satisfactory, the vesicles being large, distinct and numerous."
In this district there are seven vaccinators and a native supervisor.
The latter with 3 vaccinators went to Naushahra where vaccination was known
to be very backward and small-pox prevalent. Almost all the large villages
in the tahsíl were visited by the vaccinators, but the amount of work done was
not very large. The Civil Surgeon saw a large number of the cases that had
been vaccinated when he visited Naushahra in November, and the results "were
excellent," the vesicles and marks being "numerous and large." The difficulties
attending vaccination in the Naushahra and Mardán tahsíls are very much
greater than those met with in the neighbourhood of Pesháwar, where the work
has been fairly satisfactory.
In the city the people are fully aware of the benefits of vaccination, but
many of them will not take the trouble to bring their children for the purpose.
During the year a good number of people brought their children to the
hospital, and vaccinators did a good deal of work by going round to their
homes
Towards the end of December the members of the Municipal
Committee were requested to help by collecting children, on fixed days, in one
place for the vaccinators. The city was divided into divisions, and each
member was to collect children on a fixed day in his own division. In this
way a good deal of work was done. The Civil Surgeon attended these meet-
ings and saw the children vaccinated, and Assistant Surgeon Nabi Bakhsh also
assisted in carrying out this plan.
A good deal of vaccination work has been done in the villages. In
one rather small village, inspected by the Civil Surgeon one morning, 38 successful
cases were seen, all of them having almost perfect vaccine vesicles. In another
village (Fatto) the people themselves asked for a vaccinator to vaccinate their
children, and even brought some of them to the Civil Surgeon for that purpose.
On the whole, the Civil Surgeon considers that vaccination is gaining a hold
on the people slowly but steadily, and will become easier year by year. Nothing
is done to force it, the vaccinator goes about unarmed with any official authority,
and it is only in places where the people generally are very backward and
have had very little communication with Europeans that they experience
much difficulty.
During the latter months of the year under review there was a severe
epidemic of small-pox in the district, and particularly so in the city of Pesháwar.
The Civil Surgeon believes that inoculation is largely practised by Mullas,
who pretend to protect the people from small-pox by charms, "which simply
means," the Civil Surgeon states, "that they inoculate them from small-pox
crusts." There is evidently no law to prevent such practices, and, as the Mullas
have great power over the people, they probably must derive a considerable
profit from the sale of this charm. "It is," says the Civil Surgeon, "extremely