NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
2
commencement of the official year for which the report is prepared. The
Act was introduced during 1893-94 into the Municipalities of Murree, Jullundur,
Jhang-cum-Maghiána, Edwardes-abad and Dharmsála, and also into the Canton-
ments of Jullundur, Dalhousie and Dharmsála. Rules under the Act were
promulgated for the Municipalities of Lahore and Jhang-cum-Maghiána, while
at the close of the year rules for the Municipalities of Dera Gházi Khan and
Murree were under consideration. Since the year actually closed the Act has
been extended to the Municipality of Beri and rules under the Act have been
framed for the Jullundur Municipality.
Paragraph 21.
5. A diagram showing the death-rates from small-pox and the proportion
of successful vaccinations, district by district, is
appended to the Report in accordance with the
orders of the Government of India. Some portions of the diagram seem to indicate
in a striking manner the effect of vaccination in reducing mortality from small-pox,
but others again do not. It would perhaps be easier to see one's way through the
diagram at a glance if the districts were arranged in it from left to right in the
order of the height of the black lines.
Paragraph 22 and Appendix A.
6. The work of the special staff under the orders of Surgeon-Captain James
appears to have been very satisfactory. The
statement made in Appendix A, that after the
Rája of Mandi had his children vaccinated the people of that State were
"most anxious to have their children done," needs correction. Some
of the people of that State may have been ready or even anxious to
see their children vaccinated, but the feeling of the people of the tract known as
Seoráj was very much the other way; indeed, one of the causes, and the immediate
cause of what may be called the rebellion in Seoráj last year, was the indiscreet
effort made to get the people to submit to vaccination.
7. In conclusion, Sir Dennis Fitzpatrick desires to thank Surgeon-
Lieutenant-Colonel Roe and Surgeon-Captain James for the excellent work done
during the year under review and for their respective reports.
ORDER.— Ordered, that the above remarks be published in the Punjab
Government Gazette and be communicated to the Sanitary Commissioner for
information and guidance; also that they be forwarded with the Report as usual
to the Government of India in the Home Department.
By order of the Hon'ble the Lieutenant-Governor,
R. E. YOUNGHUSBAND,
Offg. Junior Secretary to Government, Punjab.
Punjab Government Press, Lahore— 13-8-94—240.
TABLE OF CONTENTS.
Para.
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
I
II
III
IV
V
Subject.
REVIEW OF THE REPORT OF GOVERNMENT.
Administration of the Department
...
...
...
...
...
...
...
Strength of the Vaccination Establishment ...
...
...
...
... ...
The cost of the Department ... ... ... ... ... ... ... ...
Cost of each successful operation
...
...
...
...
...
...
...
The general results obtained during the year
...
... ... ... ...
Work of District Vaccination Staff ... ... ... ... ... ... ...
Primary vaccinations done by the District Staff ... ... ... ... ...
Re-vaccinations done by District Staff
...
...
...
...
...
...
Work done by Special Staff
... ... ... ... ... ... ... ...
Work done by the Cantonment Staff ... ... ... ... ... ... ...
Work done by the Dispensary Staff ...
... ... ... ... ... ...
Vaccination with animal lymph ... ... ... ... ... ...
Vaccination inspections by Dr. Stephen
...
...
...
... ... ...
Inspections by Deputy Sanitary Commissioner and Native Supervisors Special
Staff
...
...
...
...
...
...
...
...
...
...
...
Appointment of Inspector of Vaccination for Gujrát, Gujvánwála and Shahpur
districts, and his work ... ... ... ... ... ... ... ...
Inspections by Civil Surgeons, Native Supervisors and others ... ... ...
The places in which compulsory Vaccination Act was introduced...
... ...
Lambardárs' lists of persons vaccinated
...
...
... ... ... ...
Animal Lymph Depôt ... ... ... ... ... ... ... ... ...
Small-pox diagram
...
...
...
...
...
...
...
... ...
Vaccination in Native States... ... ... ... ... ... ... ...
Deputy Sanitary Commissioner's Annual Vaccination Report ... ... ...
ANNUAL FORMS.
Showing particulars of vaccination in the Punjab during the year 1893-94 ...
Appendix to Statement No. I, showing the details of vaccination operations
performed by the Special and Cantonment Staffs according to localities during
the year 1893-94
...
...
...
...
...
...
...
...
...
Showing the cost of the Vaccine Department in the Punjab Province during the
year 1893-94
...
...
...
...
...
...
...
...
...
...
Showing Dispensary vaccinations in the Punjab Province during the year 1893-94
Comparative Statement showing the number of persons primarily vaccinated and
the number of those persons who were successfully vaccinated in the Punjab
in each of the undermentioned official years ... ... ... ... ...
Showing total number of primary and re-vaccinations performed and number
inspected by Civil Surgeons and Native Supervisors or other Inspecting Officers
the percentages of those inspected, together with the percentages of cases
found successful by them as contrasted with the percentages reported by the
vaccinators in each district of the Punjab during the year 1893-94 ... ...
APPENDICES.
A.—Deputy Sanitary Commissioner's Annual Vaccination Report for 1893-94 ...
Page.
1
ib.
2
ib.
ib.
ib.
ib.
ib.
ib.
ib.
3
ib.
ib.
ib.
ib.
4
5
ib.
6
ib.
ib.
ib.
ii
iv
V
vi
vii
viii
ix
NO. 30/3118
FROM
SURGEON-LIEUTENANT-COLONEL W. A. C. ROE, F.R.C.S.,
Officiating Sanitary Commissioner, Punjab,
To
H. C. FANSHAWE, ESQUIRE,
Officiating Chief Secretary to Government, Punjab.
Dated LAHORE, the 30th June 1894.
SIR,
I have the honor to submit the Annual Vaccination Statements for the
year 1893-94 with the following brief remarks :—
Administration of the
Department.
2. Surgeon-Captain Dyson was in charge of the Special Vaccina-
tion Staff from 1st January to 28th April when he proceed-
ed to Bengal to officiate as Sanitary Commissioner. From
29th April to 19th July there was no Deputy Sanitary
Commissioner. Surgeon-Captain James who was appointed to act for Dr. Dy-
son assumed charge of the office of Deputy Sanitary Commissioner on the
forenoon of the 20th July. Dr. Dyson reverted to his permanent appoint-
ment on the 13th November and on the 15th November re-transferred the
charge of his office to Surgeon-Captain James and proceeded to England on
six months' leave.
Strength of the Vaccination Establishment.
Native Supervisors ... ... ...
Vaccinators I class ... ... ...
Do.,
II
„ ... ... ...
Do.,
III
„
...
...
...
Average number employed.
1892-93.
35
43
77
183
1893-94.
35
43
78
183
3. The average strength of the Vaccination Establishment as employed
during the years 1892-93
and 1893-94 is given in the
margin. The table shows
that there was on an average
one more second class Vac-
cinator employed during the
year. With this exception
the establishment remained
the same as in 1892-93.
The following table shows
the expenditure under the different heads incurred by the District, Can-
tonment and Special Staffs during the year under review as compared with that
of the previous year :—
HEAD OF EXPENDITURE.
Pay of Establishment
...
...
...
Travelling Allowance
...
...
...
Contingencies ... ... ... ...
Total ...
GRAND TOTAL ...
1892-93.
District and Can-
tonment Staffs.
Rs.
53,680
1,258
4,227
59,165
Special Staff.
Rs.
12,839
3,888
806
17,533
76,698
1893-94.
District and Can-
tonment Staffs.
Rs.
55,386
916
4,801
61,103
Special Staff.
Rs.
9,256
3,199
593
13,048
74,151
Increase.
District and Can-
tonment Staffs.
Rs.
1,706
...
574
1,938
Special Staff.
Rs.
...
...
...
...
...
Decrease.
District and Can-
tonment Staffs.
Rs.
...
342
...
...
Special Staff.
Rs.
3,583
689
213
4,485
2,547
3
Work done by the Dis¬
pensary Staff.
12. The Dispensary Staff also performed fewer operations, doing
only 1,132 altogether, and of these 1,072 were primary
and 60 re-vaccinations.
Vaccination with animal
lymph.
13. The use of animal lymph has become almost universal in the
Province. In every district the statistics show a more
extended employment of this method of vaccination. Of
the total number of vaccinations (10,56,805) during the year, 8,43,238 or 80 per
cent. were performed with animal lymph.
With reference to the correspondence ending with Punjab Government
letter No. 104, dated 3rd March 1894, the Deputy Sanitary Commissioner
was directed to carry out a series of experiments on the kid as a
vaccinifer, as it is supposed that if vaccination with lymph obtained from
kids can be as successfully performed as with the lymph taken from calves, many
religious and other prejudices would be overcome; but the results obtained up to
the present have not been very promising.
Vaccination inspections
by Dr. Stephen.
14. Dr. Stephen during his tour of inspection in February last inspect-
ed 2,104 vaccine operations and the results of his inspection
are given in the table below:—
Statement showing the result of inspection of vaccination work by the Sanitary
Commissioner
in February 1894.
6 Cicatrices.
1,520
5 Cicatrices.
213
4 Cicatrices.
232
3 Cicatrices.
82
2 Good
cicatrices.
19
2 Bad
cicatrices
and
1 cicatrix.
24
No mark.
14
Total.
2,104
Inspections by Deputy
Sanitary Commissioner and
Native Supervisors Spe-
cial Staff.
15. The Deputy Sanitary Commissioner inspected 3,019 primary and
634 re-vaccinations, of which number he found 84.86 primary
and 49.21 of re-vaccinations successful. The Native Super-
visors of the Special Staff inspected 31,403 primary
vaccinations and 12,802 re-vaccinations, the percentage of
primary cases found successful being 94.46 and of successful re-vaccinations
75.77.
Appointment of Inspector
of Vaccination for Gujrát,
Gujránwála and Shahpnr
districts, and his work.
16. As the appointment of an Assistant Surgeon to inspect vaccination
work did not prove successful, one of the District Native
Supervisors was selected for the purpose of inspecting
the work of Vaccinators in the districts of Gujrát, Gujrán-
wála and Shahpur with the sanction of Government.
The table overleaf gives the results of the vaccination inspections made
by this official during the season of 1893-94, showing that he inspected alto-
gether 20,715 persons of whom 18,896 were primary and 1,819 re-vaccinations.
The work done by this Native Inspector was very satisfactory and shows
the need of such an official for each Division of the Province.
6
shows the districts in which these lists were compared in the Civil Surgeons'
Offices :—
Districts.
Hissár
...
...
...
...
...
...
...
...
...
...
...
Rohtak
...
...
...
...
...
...
...
...
...
...
...
Kamál ... ... ... ... ... ... ... ... ... ... ...
Hoshiárpur
...
...
...
...
...
...
...
...
...
...
...
Ludhiána ... ... ... ... ... ... ... ... ... ... ...
Mooltan ... ... ... ... ... ... ... ... ... ... ...
Jhang ... ... ... ... ... ... ... ... ... ... ...
Montgomery ... ... ... ... ... ... ... ... ... ...
Lahore ... ... ... ... ... ... ... ... ... ... ...
Amritsar ... ... ... ... ... ... ... ... ... ... ...
Siálkot
...
...
...
...
...
...
...
...
...
...
...
Gujrát ... ... ... ... ... ... ... ... ... ... ...
Gnjránwála ... ... ... ... ... ... ... ... ... ...
Shahpur
...
...
...
...
...
...
...
...
...
...
...
Rawalpindi ... ... ... ... ... ... ... ... ... ...
Dera Ismail Khan ... ... ... ... ... ... ... ... ...
Dera Gházi Khan ... ... ... ... ... ... ... ... ...
Total ...
Number of
lists
compared.
60
56
53
66
17
18
27
190
122
19
148
249
130
172
282
227
268
2,104
Animal Lymph Depôt.
20. The Animal Lymph Depôt was kept open during the winter
at Amritsar and removed to Murree during the sum-
mer months, and as desired by the Punjab Government in
their letter No. 178 S., dated 10th June 1893, a 3rd class Vaccinator of the
Special Staff with some knowledge of English has been placed in charge of the
depôt at Murree, a first class Vaccinator with English qualifications not being
available.
Small-pox diagram.
21. A diagram showing the death-rates from small-pox during the year
1893-94 and the proportion of successful vaccinations district
by district during the years 1881-82 to 1893-94 per 10,000 of
population is appended, as desired by the Government of India in their letter
No. 46, dated 8th February 1894.
Vaccination in Native
States.
22. The following statement shows the number of vaccinations with re-
sults, performed in the large Native States from which
returns have been received.
NATIVE STATEE.
Patiála ... ... ... ...
Baháwalpur ... ... ...
Kapurthala
...
...
...
Nábha
...
...
...
...
Jínd
...
...
...
...
Farídkot
...
...
...
...
Malerkotla
...
...
...
Pataudi ... ... ... ...
Total number vac-
cinated.
61,679
12,465
6,115
3,681
5,930
1,938
1,750
360
Primary vaccinations.
Total.
50,288
12,266
6,079
3,674
5,920
1,933
1,621
346
Successful.
46,667
11,565
5,841
3,231
5,340
1,831
1,577
346
Re-vaccinations.
Total.
11,391
199
36
7
10
5
129
14
Successful.
6,081
181
9
7
...
5
129
...
Percentage of success¬
ful cases.
Primary.
92.80
94.29
96.08
87.94
90.20
94.72
97.29
100.00
Re-vaccina-
tions.
53.38
90.95
25.00
100.00
...
100.00
100.00
...
Deputy Sanitary Com-
missioner's Annual Vacci-
nation Report.
23. The Deputy Sanitary Commissioner's Vacci-
nation Report for the year 1893-94 is given as an appendix.
W. A. C. ROE, F.R.C.S., D.PH.,CAMB.,
SURGEON-LIEUT.-COLONEL,
Offg. Sanitary Commissioner, Punjab.
During the years 1881-82 to 1893-94,
Diagram showing the Death rates from Small-Pox during the year 1893-94 and the proportion of successful Vaccinations during the years 1881-82 to 1893-94,
per 10,000 of Population in each District of the Punjab.
A.—VACCINE DEPARTMENT.
STATEMENT No. I SHOWING PARTICULARS OF VACCINATION
IN THE PUNJAB PROVINCE DURING THE YEAR 1893-94.
ii
A.—VACCINE
Statement No. I showing particulars of Vaccination
1
Number.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2
DISTRICTS.
Hissár
...
...
...
Kohtak ... ... ...
Gurgáon
...
...
...
Delhi
...
...
...
Karnál
...
...
...
Umballa ... ... ...
Simla
...
...
...
Kángra
...
...
...
Hoshiáipur
...
...
...
Jullundur
...
...
...
Ludhiána ... ... ...
Ferozepore
...
...
Multán
...
...
...
Jhang ... ... ...
Montgomery ... ... ...
Lahore
...
...
...
Amritsar
...
...
...
Gurdáspur
...
...
...
Siálkot
...
...
...
Gujrát
...
...
...
Gujránwála
...
...
...
Shahpur
...
...
...
Jhelum
...
...
...
Ráwalpindi ... ... ...
Hazára
...
...
...
Peshawar
...
...
...
Kohát
...
...
...
Bannu
...
...
...
Dera Ismail Khan ... ...
Dera Gházi Khan ... ...
Muzaffargarh
...
...
Special Staff
...
...
Grand Total ...
3
Population of districts accord-
ing to Census of 1891.
775,808
590,446
668,863
635,224
683,652
982,291
35,246
759,458
1,011,644
891,347
648,655
861,499
620,859
436,821
499,449
1,055,619
990,990
940,785
1,098,712
760,823
690,061
493,535
605,774
845,259
476,125
671,156
190,514
369,972
482,463
399,860
381,072
...
20,553,982
4
Average population per square
mile.
150
328
337
492
280
357
346
79
451
622
446
200
102
74
87
287
619
498
552
371
229
102
152
175
170
275
69
96
51
71
111
...
186
5
Average number of vaccinators
employed throughout the
season.
12
7
8
12
8
13
1
10
14
12
8
9
12
9
6
13
13
11
14
10
9
8
8
10
2
9
4
5
8
7
5
21
298
6
TOTAL NUMBER OF PERSONS
VACCINATED.
Males.
11,414
7,518
11,070
10,071
16,419
15,684
657
149,352
20,035
14,236
15,709
12,160
16,084
6,649
10,158
17,244
30,629
28,486
21,087
10,956
12,620
7,519
9,977
11,929
4,291
10,038
2,294
5,365
13,041
15,859
5,158
52,022
575,731
Females.
9,959
6,613
10,393
8,338
12,817
11,249
302
147,310
14,248
11,112
8,704
10,339
13,681
5,240
7,950
13,822
16,467
16,538
19,703
9,112
9,857
6,616
7,283
8,511
3,611
7,277
1,719
4,388
10,873
12,074
4,298
42,387
472,791
Total.
21,373
14,131
21,463
18,409
29,236
26,933
959
296,662
34,283
25,348
24,413
22,499
29,765
11,889
18,108
31,066
47,096
45,024
40,790
20,068
22,477
14,135
17,260
20,440
7,902
17,315
4,013
9,753
23,914
27,933
9,456
94,409
1,048,522
7
Average number of persons
vaccinated by each vaccina-
tor.
1,781.08
2,018.71
2,682.88
1,534.08
3,654.50
2,071.77
959.00
29,666.20
2,448.79
2,112.33
3,051.63
2,499.89
2,480.42
1,321.00
3,018.00
2,389.69
3,622.77
4,093.09
2,913.57
2,006.80
2,497.44
1,766.88
2,157.50
2,044.00
3,951.00
1,923.89
1,003.25
1,950.60
2,989.25
3,990.43
1,891.20
4,495.67
3,518.53
*Entries in columns 3 and 4 taken from the Sanitary Report for 1893.
The Special Staff worked in the following tahsíls, during the year 1893-94—Hánsi and Sirsa in Hissár
district, Sampla and Gohána (in Rohtak), Jagádhri (in Umballa), Samrála (in Ludhiána), Moga (in Ferozepore),
Pasrúr (in Siálkot), Una (in Hoshiárpur), Murree and Pindigheb (in Ráwalpindi), Harípur, Abbottabad
and Mansahra (in Hazára).
vi
B.—DISPENSARY VACCINATION.
Statement No. III.—Showing
Dispensary Vaccinations in the Punjab Province during the year 1893-94.
1
Serial number.
1
2
3
4
5
6
7
8
9
2
DISTRICTS.
Hoshiárpur
... ... ... ...
Ludhiána
...
...
...
...
...
Jhang
...
...
...
...
...
Montgomery
...
...
...
...
Lahore ... ... ... ... ...
Amritsar
...
...
...
...
Gujránwála
...
...
...
...
Ráwalpindi
...
...
...
...
Dera Gházi Khan
...
...
...
Total
...
...
3
Number of dispen-
saries in each
district to which
a Vaccinator is
attached.
...
...
...
...
...
...
...
...
...
...
4
Average number
of Vaccinators
attached to dis-
pensaries during
the season.
...
...
...
...
...
...
...
...
...
...
5
Total number of
persons vacci-
nated.
58
339
349
254
86
6
32
5
3
1,132
6
Average number
of persons vacci-
nated by each
Vaccinator.
...
...
...
...
...
...
...
...
...
...
7
8
9
10
PRIMARY VACCINATIONS.
Total.
58
335
319
253
64
3
32
5
3
1,072
Successful.
Under one
year.
50
270
282
196
45
3
28
3
...
877
One year
and under
6 years.
6
22
27
36
17
...
4
2
3
117
Total of
all ages.
56
292
309
232
62
3
32
5
3
994
11
12
RE-VACCINATIONS.
Total.
...
4
30
1
22
3
...
...
...
60
Successful.
...
2
3
...
7
3
...
...
...
15
13
14
PERCENTAGE OF SUC-
CESSFUL CASES.
Primary.
96.55
87.16
96.87
91.70
96.88
100.00
100.00
100.00
100.00
92.72
Re-vacci-
nation.
...
50.00
10.00
...
31.82
100.00
...
...
...
25.00
NOTE.—There were no special Vaccinators attached to the Dispensaries.
NOTE.—Vaccinations were performed by Civil Surgeons, Assistant Surgeons, Hospital Assistants and Compounders.
ix
APPENDIX A.
Annual Vaccination Report of the Special Staff for 1893-94 by
Surgeon-Captain
C. H. JAMES, Officiating Deputy Sanitary Commissioner, Punjab.
The past year has been a very successful one. The Vaccinators of the Special
Staff, Punjab, have done 94,409 vaccinations, a total which is 19,113 in excess of the
previous year, and many more than has been done in any year before. (See Table I.)
TABLE I.
Total of Vaccinations done by the Special Staff.
Years.
1889-90
...
...
...
...
...
...
1890-91...
...
...
...
...
...
1891-92
...
...
...
...
...
...
1892-93
...
...
...
...
...
...
1893-94
...
...
...
...
...
...
Primary Vaccinations.
61,017
50,266
43,979
49,336
58,963
Re-vaccinations.
10,121
22,852
28,030
25,960
35,446
Total.
71,138
73,118
72,009
75,296
94,409
This large increase is due to the fact that a very large number of vaccinations
were done in Mandi and Chamba States by our Vaccinators. The Rájás of these States
took a personal interest in vaccination, and one of them (the Rájá of Mandi) had his
eldest son and two daughters vaccinated. It is needless to add that after this the people
of these States were most anxious to have their children done.
The Vaccinators have not been called away on any special duty (e. g., cholera) and
have therefore been able to work continuously throughout the year.
Last summer by the order of the Sanitary Commissioner (Surgeon Lieutenant-
Colonel W. A. Crawford Roe) the Vaccinators of the Special Staff worked in a
different way to formerly.
They were divided into three groups;- two under
Native Supervisors, and the third under a senior 1st class Vaccinator, who acted
as Supervisor. In this way the Vaccinators were kept more or less together and
were under better control. The advantages gained by this arrangement have been
even greater than were anticipated. The men have been under much better supervision,
and their work has, in consequence, been of a better quality. Fewer complaints have
reached the Deputy Sanitary Commissioner's Office from local authorities and villagers,
and the Vaccinators have been able to work in 37 localities instead of only 31 as they did
last year (see Table II). I cannot too strongly recommend the continuance of this
arrangement. But in order to put it on a more permanent footing, it is necessary that
another Native supervisor be appointed to take charge of the third group.
TABLE II.
Localities in which the Special Staff Vaccinators have worked during the year 1893-94.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
1J.
12.
13.
14.
Hánsi tahsil
...
...
...
Sirsa
„
...
..
...
Sámpla tahsíl
...
...
...
Gohána
„
...
...
...
Indri thána ... ... ...
Jagádhri tahsíl
...
...
...
Búria town
...
...
...
Ludhiána pargana ...
...
...
Máchhiwára town ...
...
...
Khanna
...
...
...
...
Sanirála tahsíl
...
...
Moga
„ ...
...
...
Pasrúr
„
...
... ...
Kila Sobha Singh town
...
...
Hissar District.
Rohtak
„
Karnál
„
Umballa
„
Ludhiána. „
Ferozepore „
Siálkot
,
xi
2nd Supply September 26th, to 31 Districts.
Successful ... ... ... ... ... ... ...
Failed ... ... ... ... ... ... ...
Broken or not used ... ... ... ... ...
21
6
4
3rd Supply September 30th, to 31 Districts.
Successful ... ... ... ... ... ... ...
Failed ... ... ... ... ... ... ...
Not used ... ... ... ... ... ... ...
20
5
6
The only place which required a fourth supply was Jullundur. In consequence of
the success of the supply this year the vaccination in the plains was started much earlier
than usual. The weather was probably much better suited to the storing and transmis-
sion of lymph last autumn than in the year before. During the cold weather 33 Medical
Officers received lymph from the Amritsar depôt. Of these 21 were successful, 3 un-
successful, and in 9 cases the results were not communicated. As the Medical Officers in
the unsuccessful cases did not indent for more lymph, it is presumed they got lymph
locally from the District Vaccinators.
REPORT
ON
VACCINATION
IN THE PUNJAB
FOR THE YEAR 1894-95.
Price Re. 0-8-0
Lahore:
THE "CIVIL
AND MILITARY GAZETTE" PRESS.
Contractors to the Punjab Government..
1895.
REPORT
ON
VACCINATION
IN THE PUNJAB
FOR THE YEAR 1894-95.
Published by Authority.
Lohore:
THE ''CIVIL AND MILITARY GAZETTE" PRESS,
Contractors to the Punjab Government.
1895.