2
The total vaccinations
performed by the different
branches of the establish-
ment.
5. As directed in paragraph 2 of Punjab Government Review of the
Vaccination Report for 1894, the number of vaccination
operations performed by the different branches of the Vac-
cination Department is shown in Statement No. I.
The
total number of primary vaccinations and re-vaccinations
performed by all establishments in 1895-96 was 923,175 compared with 909,842,
an increase of 13,333 operations over those in the preceding year. Of the total
numbers operated upon during the year, 527,973 were males and 395,202 females,
or in the proportion of 134 males to every 100 females.
The number of success-
ful primary vaccinations
performed.
6. There were 645,846 primary cases returned as successful, against
616,456 in the previous year, giving a percentage of
success of 93.10 as compared with 93.75. Of the total suc-
cessful primary vaccinations, 487,217 were performed upon
infants under one year of age, 153,692 upon those of over one and under six
years, and 4,937 upon children of six years and over.
Decrease in re-vaccina-
tions.
7. There has been a falling-off in the number of re-vaccinations in
1895-96 as compared with those in 1894-95, (the numbers
being 229,431, against 252,260) due to orders recently
issued against the practice of indiscriminate re-vaccination.
District Staff Vaccination.
Vaccination work by
distrcts.
8. The total number of primary operations performed by the District
Staff was 624,896, compared with 592,992 in the previous
year, and the number of re-vaccinations 204,832 as against
224,354, showing an increase of 31,904 under "Primary" and a decrease of 19,522
under " Re-vaccinations ". In the districts of Jullundur, Hoshiárpur, Ferozepore
and Jhang there was a very considerable increase in the number of primary
vaccinations, while in the districts of Jhelum, Kángra, Dera Ismail Khan and
Pesháwar the amount of work done was much below that of 1894-95. In all
the remaining districts, with few exceptions, the numbers were either slightly
above or slightly below those of the previous year.
Reasons for introducing a
uniform system of carrying
on vaccination in the Pro-
vince.
9. Since the amalgamation of the Vaccination with the Sanitary Depart-
ment in 1881, no systematic method of carrying on vacci-
nation has been in force. During my winter tours for the
pass two years I have paid particular attention to this
matter, and found that the manner in which it has been
worked varied greatly in different districts. Sometimes Civil Surgeons allowed
Native Supervisors to allot the work amongst the Vaccinators; others allowed
the Vaccinators to work in pairs in different parts of the district; while in
other places all the Vaccinators worked at the same time in one locality or
tahsíl. On comparing the Lambardárs' lists with those of the Vaccinators', and
examining the children brought before me for inspection, I was able to confirm
some of the irregularities that were brought to my notice last year by the
Divisional Inspectors, and was satisfied as to the truth of what they reported,
viz., returns falsified, children returned as successfully vaccinated when
they were not, the signatures of the Native Supervisors on the lists either
illegible or entered in pencil, &c. In some of the districts I found that the Native
Supervisors were actually ignorant of the whereabouts of their men, or, if they
knew, were perfectly indifferent as to whether they were really working or gone
to their homes. The latter is a very common practice amongst Vaccinators
who are employed in districts close to their villages; they take every
opportunity of running away, without leave, to their homes, and coming back
after a few days with the excuse that they were engaged in vaccinating a
buffalo calf for the purpose of obtaining lymph.
The instructions issued
to Civil Surgeons on the
subject.
10. As it was necessary to put a stop to such irregularities, the only
way that suggested itself to me was to introduce a uniform
system of carrying on vaccination operations in the Pro-
vince, and, after consultation with several Medical Officers,