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From each district the vaccinators are constantly forwarding complaints
of the obstacles thrown in the way of their work, and aid has been sought from
the Civil authorities to use their influence with villagers through their headmen.
This has always been complied with, but it will be some years before the people
sufficiently recognise the merits of vaccination to bring forward their children
of their free-will.
"For a district of this size," says the Civil Surgeon, "with villages scattered
miles apart, the number of vaccinators employed is far too small to produce any-
thing approaching complete protection. If the staff could be doubled for two
or three years and the whole district thoroughly worked through once, a smaller¬
number of men would suffice to keep the work in hand." This subject is now
under my consideration.
DERA GHAZI 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
3
7
Annual
cost
Rs.
480
180
388
360
1,308
1883-84
Number
1
1
2
3
7
Annual
cost
Rs.
480
180
288
360
1,308
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
7,623
6,937
91.10
19.09
1,524.60
Re. 0-3-8
1883-84
10,685
9,775
91.92
26.93
l,780.83
0-2-1
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 10,685, being an increase of 3,062 over the number
vaccinated in the previous year. There were 9,775 primary cases returned as
successful against 6,937 in the previous year; and the percentage of success 91.92
as compared with 91.10. being an increase of 0.82. The number of re-vaccinations
was 51 against 9 of previous year. The number successfully vaccinated per mille
of population was 26.93 against 19.09 in the preceding year; increase 7.84.
The aggregate cost amounted to Rs. 1,310 as compared with Rs. 1,589 a decrease,
of Rs. 279 ; and each successful case cost Re. 0-2-1, decrease Re. 0-1-7.
Four hundred and sixty primary vaccinations were inspected by the Civil
Surgeon, of which 457 were found to be successful, the ratio of success being
99.35 per cent.
From 7th October 1883 to 31st March 1884 vaccine operations were
carried on in the tahsíls of Dera Gházi Khan, Sanghar, Jámpur and Rájanpur,
including 5 towns and 390 villages, each tahsíl being divided into three divisions;
2 vaccinators were told off for each division till the vaccination work was com-
pleted in that division. Each person had 3 punctures made on each arm, or
a total of 6 for each person. Excepting at the commencement of operations, all
the vaccinations were from arm-to-arm. The native supervisor, excepting when
ill at the beginning of the season, followed the vaccinators and inspected their
work in each town and village.