7
The districts in which the ratios per 1,000 of population of persons
successfully vaccinated were low.
NAME OF DISTRICT.
Dera Ismail Khan ... ... ... ...
Simla
...
...
...
...
...
Pesháwar
...
...
...
...
...
Kohát
...
...
...
...
...
Umballa ... ... ... ... ...
Hazára ... ... ... ... ...
Bannu ... ... ... ... ...
Ratio per 1,000 of
population of persons
successfully vacci¬
nated.
10.68
12.50
15.73
18.09
18.48
18.53
18.72
15. In the margin are given the districts in which the ratios per 1,000
of population of persons suc-
cessfully vaccinated are low.
With the exception of Simla
and Umballa, the districts
are those of the North-West
Frontier. The ratio
in
Simla is small because the
Vaccinator works only in
the station, and the ratio is
calculated on the population
of the district. The amount
of work done in the district
of Umballa is very small,
and this unsatisfactory state
of matters is partly due to the indifference shown by the members of several of
the Municipal Committees. The Civil Surgeon in his Annual Report writes :—
" The Municipality of Shahabad was averse to vaccination. In this Municipal
town the births registered in this year were 332, and the total number vacci-
nated under one year of age was 89 only. The members, with the exception
of Abdul Rahmán Khan, did not take any interest in the work. The Munici-
palities of Jagádhri, Ládwa and Rupar were also backward in this part of their
duty." As might have been expected the ratios per 1,000 of persons success-
fully vaccinated in the frontier districts were low. The ratio obtained in the
Dera Ismail Khan District is particularly unsatisfactory.
Vaccination work pro-
gressing satisfactorily in
the Province.
Number of deaths from Small-pox in the Punjab
from 1868 to 1889.
YEARS.
1868
...
...
...
1869
...
...
...
1870
...
...
...
1871
...
...
...
1872
...
...
...
1873
...
...
...
1874
...
...
...
1875
...
...
...
1876 ... ... ...
1877 ... ... ...
1878
...
...
...
1879
...
...
...
1880
...
...
...
1881
...
...
...
1882 ... ... ...
1883
...
...
...
1884
...
...
...
1885 ... ... ...
1886 ... ... ...
1887
...
...
...
1888
...
...
...
1889
...
...
...
Number of
deaths.
23,759
53,195
27,163
25,534
23,728
25,699
12,026
13,611
10,254
12,296
40,271
49,489
9,145
6,749
6,379
12,103
16,416
7,575
10,770
16,382
16,938
7,928
Average num-
ber in quin-
quennial
periods.
30,676
14,777
22,407
12,649
12,433
16. The ratio of persons successfully vaccinated in the Province by the
members of the District and Special Establishments was
40.13 per 1,000. The vaccination work done in the district
of Kángra was abnormally large, but even after that district
is excluded the ratio amounts to 36.02 per 1,000. This is a very fairly satis-
factory ratio, and is considerably in
excess of 31.35 per 1,000, the corre-
sponding average ratio for the five years
1884-85 to 1888-89. The amount of
vaccination work done is, on the whole,
increasing year by year, and that it is
gradually reducing the mortality from
small-pox may be seen from the state-
ment given in the margin, in which is
given the recorded number of deaths
from that disease for the years
1868 to 1889.
It is well known that the num-
ber of deaths from small-pox varies
considerably from year to year, and
consequently in the statement is given
the average number of deaths in
quinquennial periods. The average
number of small-pox deaths in the
quinquennium 1868-72 was 30,676, in
the succeeding five years it was 14,777;
in the period 1878-82 it again rose to
22,407, during the five years 1883-87
it fell to an average of 12,649 ; and the
average for the two years 1888 and
1889 was 12,433. In 1889 the register-
ed number of deaths was 7,928, and in
only three years—in 1881, 1882 and
in 1885—since registration was intro-
duced in 1868 has the number been
so low.