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causes (1) to the fact that the order directing children to be vaccinated in their own
villages has been more strictly carried out; (2) to transfers and changes that have
been made in the staff, in consequence of which there were two short during a part
of the vaccinating season and two were beginners ; and (3) to the breaking out of
measles in fearful form which carried away several children from almost every
village in the district, and left a greater portion sick and unfit for vaccination.
But the chief cause is, Dr. Gray believes, that the whole of the district had not
been vaccinated for some years before 1882, and consequently the number of
unvaccinated children was larger than it will again be, now that the district has
its own staff of vacccinators who visit the whole or the greater part of it every
year. Assistant Surgeon Múl Chand is reported to have taken great interest
in the work. He states in his report that he has given brief lectures on vaccina-
tion and sanitation in the villages, and that he has tried to persuade the old and
influential gentlemen of the district "to adopt vaccination as a religious rite like
others in force, so that their descendants would never after raise any objection
to it."
In regard to the number of vaccinations actually inspected by the Civil
Surgeon and others, Dr. Gray remarks that "it is not so satisfactory as I should
like it to be." But this is owing to the fact that it is a new form, and that the
circular asking for the information was only lately received. In future, however,
a more accurate record will be kept.
He (the Civil Surgeon) speaks in high terms of the assistance rendered
by Mr. Johnston, the Secretary of the Municipal Committee, in the cause of
vaccination. I believe some plan was adopted by him for vaccinating females
in Zanána schools. I have not been informed of this officially, and should like
to hear further particulars of the plan pursued. The subject of introducing some
better means for popularizing vaccination in the capital of the Punjab is at
present under the consideration of Dr. Gray and myself, but I agree with
Colonel Minchin "that the time has come to make vaccination compulsory," and
that until this is done the present difficulties will never be surmounted. The
report of Dr. Gray is exceedingly interesting, and reflects great credit upon
that officer.
GUJRANWALA.
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 vaccinators ... ... ...
2nd „ „ ... ...
3rd „ „ ... ...
Total ...
1882-83
Number
1
1
2
3
7
Annual
cost
Rs.
480
180
288
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
20,645
19,562
94.85
31.71
2,580.62
Re. 0-1-5
1883-84
23,060
21,257
92.40
34.47
3,843.33
0-1-3
The work performed
by the above establish-
ment during the two years
is shown in the margin.