( 30 )
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
17,902
16,845
95.81
19.08
1,377.07
Re. 0-2-7
1883-84
25,480
24,358
96.93
27.46
1,960.00
0-1-10
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 25,480, being an increase of 7,578 over the number
vaccinated in the previous year. There were 24,358 primary cases returned as
successful against 16,845 in the previous year, and the percentage of success
96.93 as compared with 95.81, being an increase of 1.12. The number of re-
vaccinations was 350 against 323 of previous year. The number successfully
vaccinated per mille of population was 27.46 against 19.08 in the preceding year;
increase 8.38. The aggregate cost amounted to Rs. 2,901 as compared with
Rs. 2,816, an increase of Rs. 85, and each successful case cost Re. 0-1-10,
decrease Re. 0-0-9.
One thousand and ninety-one primary vaccinations were inspected by the
Civil Surgeon, of which 1,052 were found to be successful, the ratio of success
being 96.42 per cent.
Amritsar city.—The first supply of lymph was received on the 26th
September 1883 in two tubes. Four children were vaccinated from these tubes
by punctures (six in each) ; 17 good vesicles appeared in all, and from these the
operations were extended and the work commenced by mohallas and divisions of
the city. The vaccinators worked together, assisted by the moharrir and
chaprási. The headmen of the mohallas often, but not always, accompanied the
vaccinators, and the Municipal Commissioners did not attend themselves, but
some of them sent their servants to represent them. Shaikh Khair-ud-dín, a
Member and Honorary Magistrate of the city, was the only man who proved
himself useful in affording help in collecting children. My proposal of adopting
fixed stations, fixed days and hours for vaccination operations with the ticket
system has not yet been carried out in this city. The following resolutions of
the Municipal Committee, with a set of rules, have been sent to Government for
sanction :—
1st. "This meeting was specially convened with reference to letter No. 38 S, dated
30th May 1883, from Secretary to Government, Punjab, to Commissioner and Superintendent.
Amritsar, and to comply with the provisions of the law as contained in Section 3 of Act,
XIII of 1880.
" Resolution No. 10, dated 24th February 1883, in which it was resolved to make
application to Government to extend the provisions of the above Act to Amritsar, was read,
and it was again resolved that, the legal preliminaries having been complied with, the
application to make vaccination compulsory be renewed."
2nd. " READ paragraph 6 of Sanitary Commissioner's report of his inspection of the
Amritsar city, and report by Dispensary sub-committee on the subject of vaccination.
"The Committee, agreeing with the sub-committee, is of opinion that the issuing of
tickets as suggested by the Sanitary Commissioner is easy enough, but compliance by the
people with the instructions on the tickets without a penalty for non-compliance is not
to be expected.
" RESOLVED, that the application made to Government, some eight years ago, to make
vaccination compulsory be renewed after the prescribed time has been given to the people
to make objections."
The Officiating Civil Surgeon, Mr. Sáhib Ditta, in his report states that
notwithstanding every facility afforded in the vaccine operation (as house to house
visitations, instead of collecting children in one spot on fixed days and hours) and
with evident beneficial results, the prejudice against the work could not be over-
come, and that children are often hidden and not allowed to be vaccinated. He
therefore thinks that the sooner vaccination is made compulsory the better.
The city vaccination operations were supervised by Assistant Surgeon Mírán
Bakhsh Utárid, on general duty at the Civil Hospital. The Civil Surgeon, when
time allowed, was also present on many occasions.