( 27 )
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
24,215
23,346
96.51
25.91
1,862.69
Re. 0-1-6
1883-84
32,443
31,339
96.62
34.78
2,703.58
0-1-2
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 32,443, being an increase of 8,228 over the number
vaccinated in the previous year. There were 31,339 primary cases returned as
successful against 23,346 in the previous year, and the percentage of success
96.62 as compared with 96.51, being an increase of 0.11. The number of
re-vaccinations was 7 against 27 of previous year. The number successfully
vaccinated per mille of population was 34.78 against 25.91 in the preceding
year ; increase 8.87. The aggregate cost amounted to Rs. 2,237 as compared
with Rs. 2,224, an increase of Rs. 13, and each successful case cost Re. 0-1-2,
decrease Re. 0-0-4.
Three thousand eight hundred and eleven primary vaccinations were in-
spected by the Civil Surgeon (Mr. C. L. Fox), of which 3,793 were found to be
successful, the ratio of success being 99.52 per cent.
Each vaccinator was furnished with two books (for municipal towns
only) which contained blank pages of counterfoil tickets, and at the end of
the month the number of operations performed was shown in their monthly
return, and as far as practicable checked by the 1st-class vaccinator. These
tickets bore the name of the child to be vaccinated, the name of the father, the
age of the child and date when the operation was completed; the date on the
parent's ticket and counterfoil was entered with direction to appear on the
specified date.
The work of vaccination first began in Hoshiárpur tahsíl, and the children
in the towns of Hoshiárpur, Bahádurpur, Khánpur and the suburbs were
operated on, and from them the lymph was conveyed from village to village accord-
ing to zails until the Hoshiárpur tahsíl was completed. The staff then was
divided into 4 gangs of 3 each ; of these, 6 men were sent to the Garhshankar and
6 to the Dasúya tahsíls, taking up their work by zails and concluding in like
manner. After they had finished these two tahsíls the entire body entered the
Una tahsíl. In this tahsíl the population is sparse and the villages and
houses far apart, and a great deal of time is required to complete the work.
Vaccination lymph was obtained from the Deputy Sanitary Commissioner in two
tubes, and on the 26th September 4 children were vaccinated by 21 insertions
of lymph. Of this number 17 well-developed vesicles were the result.
A
second supply of 3 tubes was received on the 30th September, 36 insertions in 6
children were made on the 3rd October, and of this number 12 vesicles were
produced, and only 5 well-developed ones was the result.
From the above sources vaccination operations were commenced on the
2nd October 1883, and steadily carried out through each tahsíl, namely,
Hoshiárpur, Garhshankar, Dasúya and Una; and on the 26th March 1884 the
entire work of the district was completed.
The Civil Surgeon, Mr. Fox, states that the greatest difficulty is experi-
enced in the work of vaccination in the Una tahsíl. The population here, he
says, is sparse, consisting of Rájputs ; the houses are situated far apart from each
other, studded about the hills, and their constant refusal to bring their children
to a certain spot or village on the plea that they are pardawálas,
and must
have their children vaccinated at their respective houses. This opposition causes
a great deal of inconvenience, delay and hardship to the vaccinators, together
with the loss of time and lymph, while in the other tahsíls the work is got
through in a comparatively short time. " This is quite true," says the Deputy
Commissioner, Mr. Roe; who remarks further that "it is a great hardship for
women in these hills to have to take their children to another village."
The hardship complained against is quite evident, particularly in the hills,
as I myself noticed during my recent tour in this part of the country, and the
only remedy that I can suggest is for the Civil and Medical authorities to