( 51 )
cannot be had because the finest children belong to the well-to-do classes.
Attempts have often failed to persuade parents to allow lymph to be taken from
their children's arms, and, when successful with the fathers, the mothers and
grandmothers are often abusive, the husband getting a fair share of it for having
consented.
The results being inspected, in 1,738 children 91 cases were found unsuc-
cessful. The head vaccinator inspected 5,091 children, and he found 82 cases
unsuccessful. The Alípur tahsíl, and about three-quarters of the Muzaffargarh
tahsíl, have been inspected. The head vaccinator inspected the Sinánwán tahsíl
and one-half of the Muzaffargarh tahsíl. The vaccinators had orders to take the
birth registers of each mauza and mark off the children they had done, and to
call for all born within 18 months ; this they did, but absent children were always
accounted for as being away to some Saint's tomb on pilgrimages, marriages,
or some such excuse, the fact being that they were either sent away or not
brought because the zaildárs and lambardárs did not exert themselves in some
parts of the district, notably Alípur.
DERA ISMAIL KHAN.
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
1
2
4
8
Annual
cost
Rs.
480
180
2S8
480
1,428
1883-84
Number
1
1
2
4
8
Annual
cost
Rs.
480
180
288
480
1,428
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
6,744
6,243
94.73
14.21
963.42
Re. 0-4-6
1883-84
9,760
8,504
92.88
20.26
1,394.28
0-3-2
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 9,760, being an increase of 3,016 over the number
vaccinated in the previous year. There were 8,504 primary cases returned as
successful, against 6,243 in the previous year ; and the percentage of success
92.88 as compared with 94.73, being a decrease of 1.85. The number of re-vac-
cinations was 605 against 154 of previous year. The number successfully vac-
cinated per mille of population was 20.26 against 14.21 in the preceding year ;
increase 6.05. The aggregate cost amounted to Rs. 1;789 as compared with
Rs. 1,763, an increase of Rs. 26; and each successful case cost Re. 0-3-2, decrease
Re. 0-1-4.
Thirty-five primary vaccinations were inspected by the Civil Surgeon, of
which 30 were found to be successful, the ratio of success being 85.71 per cent.
From 1st October until the end of December the staff was at work
in the city of Dera and surrounding villages, and at Pahárpur ; in the commence-
ment of January two men were sent to Kuláchi, in which tahsíl several cases of
small-pox have occurred, and the remainder to Bhakkar, where they have been
employed up to the present time. On account of the small number of vaccinators
no work has been done in the tahsíls of Tánk and Leiah.