12
is stated to have inspected every person vaccinated during the year, includ-
ing those vaccinated by the Dispensary Staff. In the districts of Pesháwar,
Montgomery, Jhelum, Hissár, Rohták, Ludhiána and Dera Gházi Khan the
percentages of total numbers vaccinated, said to have been inspected by Native
Supervisors, are also very high. In future I trust Civil Surgeons will inspect
the work of their Native Supervisors, by making tours in the rural portions of
their districts, more effectually than they have been able to do this year.
The percentage of successful cases actually verified by Civil and Assistant Sur-
geons by inspections is nearly the same as that verified by Native Supervisors;
95.24 per cent. of the operations inspected by Civil and Assistant Surgeons were
successful, and Native Supervisors report that 95.86 per cent. of the cases
inspected by them were successful.
The number of cases in-
spected by Sanitary Com-
missioner during his cold
weather tour.
24. While on tour I inspected 4,510 cases of primary vaccination: 4,333
of the cases were successful, 141 were unsuccessful, and in
36 cases, in consequence of ulceration, it was impossible to
say whether vaccination had been successful or not. Put-
ting the doubtful cases under the head of unsuccessful,
96.08 per cent. of the primary vaccinations inspected by me were successful.
Inoculation.
25. Inoculation continues to be practised in out of the way parts of the
frontier districts, but is evidently losing ground year by
year. The Civil Surgeon of Hazára writes :—" Inoculation
" is still performed in the outlying parts of the district, though not to the same
" extent as in former years. An Inoculator was entertained temporarily on a
" salary of Rs. 5 per mensem. He readily learned vaccination, and, in the
" short time he served, performed over 300 operations. He resigned for private
" reasons in October last, but he has completely given up his old vocation and is a
" firm adherent to vaccination." As soon as a vacancy occurs this man is to be
offered an appointment in the Hazára Vaccination Staff. The Deputy Commis-
sioner of Kohát reports that inoculation is almost extinct in that district.
He says that one of the two Inoculators in the Khattak Sub-division was
found in possession of a parwána, granted to him by the late Deputy Commis-
sioner, authorizing him to inoculate. This parwána has been withdrawn, and
the man has promised to discontinue the practice of inoculation. The Civil
Surgeon of Dera Gházi Khan states that no Inoculators were found this year
in that district.
Compulsory vaccination
extended to Simla and
Umballa.
26. Compulsory vaccination was introduced into the city of Amritsar
in 1887. I am glad to be able to report that vaccination
has been made compulsory in two Municipalities, in
Simla and Umballa, since last year's report was written.
It was made compulsory in Simla by Punjab Government Notification No. 353,
dated 24th June 1889, and in Umballa by Notification No. 263, dated 7th
May 1890. The Municipal Committee of Rohtak wish to have vaccination
made compulsory in that Municipality, and the matter is at present under consi-
deration. It is to be hoped that other Municipal Committees, especially those of
the large cities of Lahore and Delhi, will soon see their way to ask that the
Compulsory Vaccination Act be made applicable to their Municipalities.
SPECIAL STAFF.
The total vaccination ope-
rations performed by the
Special Staff.
27. The total number of vaccinations performed by the Special Staff
during the year was 71,138. They thus performed 34,297
fewer operations than they did last year, but the number
done is 13,477 in excess of the average of the five years
ending 1887-88. This large decrease is partly due to the fact that the Rája
of the Sirmoor State declined to allow the Vaccinators to carry on work in his
State, and, as the men had already gone to Nahan, much time was lost. The
principal cause of the decrease is, however, due to the fact that, when requested to