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Vaccination is carried on by a staff of vaccinators under the orders of the
Deputy Sanitary Commissioner, and by 3 district vaccinators. In several places
visited by the Civil Surgeon vaccination seemed to be appreciated, and the
people desirous of having their children vaccinated; in other places, however, it
was the reverse of this, and so much apathy, if not antipathy, shown, that vaccina-
tion makes small way, and there are some parts of the district which it has not
yet reached. The independent territory of the Nawáb of Amb which adjoins
the district, as well as some portions of Kághan, have not yet been visited by
vaccinators. The Nawáb, it is believed, is anxious that vaccination should be
introduced into his country, and applied for the services of some vaccinators from
the Civil Surgeon, but as there was no qualified man available, the request was
not complied with. I have now directed Dr. Doyle, the Deputy Sanitary Com-
missioner, Western Circle, to make enquiries on the subject, and, in communi-
cation with the Nawáb, to arrange for the introduction of vaccination in his
State.
"The Hazára district," says the Civil Surgeon, "is under great disadvan-
tages as regards vaccination by having two staffs of vaccinators, one under the
Deputy Sanitary Commissioner, and the other under the Civil Surgeon. The
district is one peculiarly suited for a staff of local vaccinators, and none
but those acquainted with the district and the people and their language can
expect to spread vaccination among them." This matter is now under considera-
tion, and will form the subject of a separate communication. The Civil Surgeon
has not instituted any comparison with the work of previous years "owing to
there being no record of the work of the Deputy Sanitary Commissioner's staff."
This remark is not understood, for the special staff is quite distinct from the
district staff, and the vaccinations performed by it should not, of course, be includ-
ed in the Civil Surgeon's returns.
Dr. Farrell's military duties prevented his personally supervising the
vaccination work of the district.
In December, however, he made a short tour
in lower Hazára and saw a good deal of the work which was being carried on ;
that coming under his own observation, he says, "was fairly done, though in some
instances it was far from being satisfactory."
KOHAT.
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
1
2
5
Annual
cost
Rs.
480
180
144
240
1,044
1883-84
Number
1
1
1
2
5
Annual
cost
Rs.
480
180
144
240
1,044
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
3,618
2,927
81.41
16.15
904.50
Re. 0-6-11
1883-84
4,484
4,001
90.34
22.15
1,121.00
0-6-5
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 4,484, being an increase of 866 over the number
vaccinated in the previous year. There were 4,001 primary cases returned as