14
The total number of operations performed during the year was 46,311, of
which 43,532 were primary and 2,779 were cases of re-vaccination. Of the 43,532
cases of primary vaccination 41,697 were successful, being 95.78 per cent.,
and of the successful cases, 26,799 were infants under one year of age, and 12,796
were children of one year and under 6 years of age. Of the 2,779 cases of re-vacci-
nation 1,203, or 43.29 per cent., were successful. Last year the number of vacci-
nations done by the Special Staff was 52,778, or 6,467 more than the number done
in the present year. The diminution in the number of vaccinations done is, in my
opinion, due to the supervision being less perfect than it used to be. Last year
there were two Deputy Sanitary Commissioners, one for the Eastern and the other
for the Western circle, and, during the hot weather months, each personally super-
vised the work done by his own staff. There was besides, the Deputy Superin-
tendent of Vaccination, who assisted the Deputy Sanitary Commissioner, Eastern
Circle, during the hot weather months, and, during the winter months, supervised
the work of the Special Staff in the plains. During the year under review, there was '
no Deputy Superintendent of Vaccination and only one Deputy Sanitary Com-
missioner. Doctor Doyle remained with the Special Staff of the Eastern Circle till
August, when he went to inspect the work of the Western Circle in the Murree hills.
As he had thus to go from one circle to the other, it was simply impossible
for him to superintend thoroughly the work of both, and the consequence was that
less work was done.
During the greater part of the cold weather Doctor Doyle was absent on
Military duty, and, during his absence, Pandit Bál Kishen was appointed to the
Vaccination Department. He was principally employed in attending to the
vaccination of the larger Municipalities, and, consequently the work of the Special
Staff, in the Native States, was superintended by the two native supervisors only.
During the hot weather months the vaccinators of the Eastern Circle worked
principally in Chumba, Suket, Mandi, Nalagarh, Baláspur and the small States in
the neighbourhood of Simla. During the winter months the most of the men were
working in the Umballa district, and vaccinators were detached to vaccinate the
children of the Pataudi, Dujána and Loháru States. The men of the Western Circle
worked in Hazára and the Murree tahsíl of the Ráwalpindi district, during the
summer months, and during the winter months they were employed in the lower
portions of the Hazára district, and in the Jhang, Montgomery and Pesháwar
districts.
Arrangements for the
supply of lymph.
31. Lymph was, as usual, sent to Civil Surgeons in the end of September by
the Deputy Sanitary Commissioner to enable them to com-
mence vaccine operations. The supply from the hills was
sent in two instalments, and Civil Sugeons as a rule report favourably on the quality
of what they received. In addition each Civil Surgeon received two tubes of lymph
which Doctor Doyle got out from England. In some cases the lymph of both
tubes failed, but the majority of Civil Surgeons, who make reference to it, were
successful in getting well developed vesicles from the English lymph,
CANTONMENT VACCINATION.
The vaccinations per-
formed in the Canton¬
ments of the Punjab.
Jullundur, Ferozopore,
Mooltan, Bukloh, Jhelum,
Campbellpore, Abbotta¬
bad, Kohát, Dera Is-
mail Khan and Dera
Gházi Khan,
32. No change has taken place during the year in the manner in which Can-
tonment vaccination is carried on; in some cantonments the
work is done by the District Staff, and in others by special vacci-
nators.
In the ten cantonments noted in the margin the District
Staff vaccinated 3,334 persons, 2,829 being cases of primary vac-
cination, and 505 being re-vaccinations. Of the 2,829 primary
vaccinations 2,675 were successful, and 298, of the 505 cases
of re-vaccination, succeeded.
In the cantonments of Umballa, Meean Meer, Siálkot, Ráwalpindi and Pesha-
war, the work was done by separate cantonment vaccinators, and at Sabathu a few
persons were vaccinated at the Cantonment Hospital. In these six cantonments
there were 6,073 vaccination operations performed, of which 4,516 were primary
vaccinations, 4,214 of which were done successfully, or 93.31 per cent. There
were 1,557 cases of re-vaccination, 1,011 of which, or 64.93 per cent., were success-
fully done.