( 55 )
likely that the disease has been spread by their inoculations," but he adds : "It
is only fair to say, however, that in no particular case was it clearly shown that
inoculation was being practised by any particular person; it is impossible to
ascertain particulars and names in these cases, but no attempt is made to
conceal the fact that inoculation is largely practised, and frequently are its
marks seen on the arms of children. As long as inoculation prevails there is
no difficulty in accounting for the spread of small-pox, and it is satisfactory to see
that the people are becoming less inclined to submit to it, and gaining more
faith in vaccination every year. It may be confidently expected that in a
few years this practise will spontaneously cease as the protection afforded by
vaccination becomes more and more apparent."
This very interesting report was submitted by Surgeon M. O'Dwyer, late
Civil Surgeon of Pesháwar, who notes with regret "that the work done by the
vaccination staff has not been satisfactory on the whole;" he states that "they
do not work well together, and seem to go about their work in a half-hearted sort
of way, as if they did not care whether they succeeded or not." Since the above
was written I have transferred Mani-ud-dín, the native supervisor, to another
district, and appointed Hakím Saif-ud-dín, a local man, to his post. I feel sure
that Dr. Bates, the present Civil Surgeon, will keep the vaccinators up to their
work. In the short report furnished by Dr. Bates, it is stated that "certain
Miáns (Mullas) who practised inoculation have brought their children to the
native supervisor (Saif-ud-dín) for vaccination."
HAZARA.
The vaccination establishment entertained, and the annual cost thereof,
during the years 1882-83 and 1883-84 are as below :—
Establishment
Native supervisor ... ... ...
1st class vaccinator ... ... ...
2nd „ „ ... ... ...
3rd „ „ ... ... ...
Total ...
1882-83
Number
1
...
...
2
3
Annual
cost
Rs.
480
...
...
240
720
1883-84
Number
1
...
...
2
3
Annual
cost
Rs.
480
...
...
240
720
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
8,841
8,237
93.17
20.23
2,210.25
Re. 0-1-10
1883-84
5,084
4,876
96.84
12.08
1,694.66
0-2-6
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 5,084, being a decrease of 3,757 from the number
vaccinated in the previous year.
There were 4,876 primary cases returned as
successful against 8,237 in the previous year ; and the percentage of success 96.84
as compared with 93.17, being an increase of 3.67. The number of re-vaccina-
tions was 49 against 1 of previous year. The number successfully vaccinated
per mille of population was 12.08 against 20.23 in the preceding year; decrease
8.15.
The aggregate cost amounted to Rs. 778 as compared with Rs. 980, a
decrease of Rs. 202 ; and each successful case cost Re. 0-2-6, increase Re. 0-0-8.
Two hundred and sixty-nine primary vaccinations were inspected by the
Civil Surgeon (Dr. J. Farrell), of which 242 were found to be successful, the
ratio of success being 89.96 per cent.