7
Gházi Khan, for this year, the ratio per 1,000 of persons successfully vaccina-
ted was 34.69, being the fourth on the list for the Province. The Civil Sur-
geon and his vaccination staff deserve credit for having obtained such favour-
able results.
The districts in which the ratio was low.
Simla
...
...
Pesháwar ... ...
Dera Ismail Khan ...
Umballa ... ...
Hazára ... ...
Per 1,000 of population.
7.17
12.54
14.02
15.47
16.39
13. The districts giving the smallest ratios per 1,000 of population success-
fully vaccinated are given in the mar-
gin. The lowest ratio is observed in
Simla, viz., 7.17 per 1,000. This ratio is
misleading as there is only one vaccinator
attached to the Simla district, and he
vaccinates in the station of Simla only, so
that the ratio should be calculated on the population of the station of Simla, and
not on the population of the district. The vaccinator did 435 vaccinations
during the year, whereas last year there were 774 operations performed. The
Civil Surgeon reported the vaccinator for careless work in the month of July,
and the man was transferred to the Gujrát district and was afterwards dismissed
the service.
The next smallest ratio is seen in the Pesháwar district, viz., 12.54 per
1,000 of population. The vaccination staff have special difficulties to contend
with in this district, and besides the station is an important one, with a largo
jail attached to it, so that the Civil Surgeon has little time at his disposal for in-
spection duty. It has been proposed to divide the district into two parts for vacci-
nation purposes, one division to be under the supervision of the Civil Surgeon of
Pesháwar, and the other under the Civil Surgeon of Hoti Mardán. In the event
of this proposal being carried out, more strict supervision will be exercised over
the vaccinators while on duty in the rural circles, and I trust the results will be
more satisfactory.
The ratios are also low in the districts of Dera Ismail Khan and Hazára.
These are Frontier districts, the latter being situated in the hills, where the
population is sparse, so that the vaccinators have more difficulties to contend
with than those in the rest of the Province have.
The districts in which the average number of
operations done by each vaccinator was largo.
District.
Kángra
...
...
...
...
Hazára
...
...
...
...
Gujránwála
...
...
...
Ferozepore ... ... ...
Ráwalpindi
...
...
...
Hoshiárpur
...
...
...
Siálkot
...
...
...
...
Average num-
ber of opera-
tions done by
each vaccina-
tor.
3,837.40
3,453.50
2,999.33
2,994.22
2,984.00
2,647.75
2,624.86
14. The districts in which the average number of operations done by each
vaccinator was large are given in the mar-
gin. The reason why the average num-
ber done by each man in the Kángra and
Hazára districts is so high is, because, these
districts being hilly, the temperature
throughout the year is comparatively low,
and the vaccinators are able to carry on
operations during the whole year, whereas
in the plains vaccination is usually re-
stricted to the six cold weather months,
from October to March inclusive. Of the
districts situated in the plains, Gujránwála,
Ferozepore and Ráwalpindi show the best
results; in each of these districts each vaccinator did, on an average, nearly
3,000 operations.
The districts in which
the average number of
vaccinations done by each
vaccinator was low.
District.
Simla ...
Pesháiwar ...
D. I. Khan ...
Average number of operations done
by each vaccinator.
435.00
893.00
1,004.43
Kohát ...
Delhi ...
Umballa ...
1,068.25
1,378.00
1,420.77
15. The districts in which the average number of
vaccinations done by each vaccinator is low are noted in
the margin.
The most of these have been referred
to in the Section which gives the
districts in which the ratios per 1,000
of persons successfully vaccinated are
low.
Inspections by Sanitary
Commissioner,
Deputy
Sanitary
Commissioner
and Deputy Superinten-
dent of Vaccination.
16. During the months of November, December, January and February, I
inspected part of the vaccination work of most of the Muni-
cipal towns, with the surrounding villages, of the districts of
Karnál, Delhi, Gurgáon, Rohtak and Hissár. The work
was on the whole satisfactorily done, the great majority of
the children whom I inspected having from four to six well formed marks. In the