3
Statement showing the result of the inspection of 14,222 lately vaccinated children.
NAME OF DISTRICT.
Muzaffaragrh ...
Dera Gházi Khan ...
Ludhiána
...
...
Gujránwála ...
Lahore
...
...
Amritsar
...
...
Gurdáspur
...
...
Total ...
Percentage of total
number inspected ...
NUMBER OF CHILDREN SHOWING
6 marks.
153
146
311
129
3,145
2,688
3,095
9,667
68
5 marks.
32
66
52
23
416
697
416
1,702
12
4 marks.
23
48
28
16
216
567
206
1,104
8
3 marks.
19
46
9
10
97
453
145
779
5
2 distinct
marks.
4
17
5
...
23
219
79
347
3
No mark
or fewer
than 2
distinct
marks.
17
16
6
2
51
405
126
623
4
Total.
248
339
411
180
3,948
5,029
4,067
14,222
100
Percentage
efficiently
vaccinated.
93
95
99
99
99
92
97
96
...
From the statement it will be seen that out of 14,222 cases inspected
there were only 623 in which I found either no mark or less than two distinct
marks, the percentage found efficiently vaccinated having been 96. The work
which I inspected in the Lahore district was particularly good. In Amritsar
I found a good many failures and a considerable number of cases in which there
were only two or three well marked cicatrices. The comparatively poor results
obtained in this district were, I believe, due to the fact that lymph had been taken
generation after generation from the buffalo calf. It appears that, unless the
greatest care is taken, lymph is apt to degenerate if it is taken for a large number
of generations in succession from the buffalo calf, and the activity of the lymph is
easily maintained if every fifth or sixth generation is taken through the human
subject. A circular will be sent to Civil Surgeons in the beginning of next
vaccinating season, directing them to renovate their lymph by taking every fifth
generation through the human subject.
In addition to the cases of primary vaccination given in the above state-
ment, I inspected 7,839 vaccinated children of six years of age and under in the
Kángra district; of these I found 284, or 4 per cent., who had either no cicatrix
or less than two distinct cicatrices.
The Deputy Sanitary Commissioner inspected 7,752 primary and 916
re-vaccinations. He found that 577 of the primary and 475 of the re-vaccinations
were unsuccessful, the percentages of successful cases being respectively 92.56
and 48.14. Most of the persons inspected by him were vaccinated by the special
staff. He is of opinion that the indifferent results observed by him were due
(a) to the lymph not having been renovated by taking it occasionally through
the human subject; (b) to the use of stored lymph; and (c) to inspections having
been more searching and to vaccinators having on that account entered results
more accurately. I am of opinion that the bad results were principally due to
the use of stored lymph. As soon as the matter was reported to me I directed the
Deputy Sanitary Commissioner to use only fresh lymph, and as soon as fresh
lymph only was used the results obtained by the special staff were much more
satisfactory than they had been previously. The native supervisors of the special
staff inspected 26,336 primary and 9,594 re-vaccinations. They found that of
these 25,848 primary and 6,778 re-vaccinations were successful, the percentages of
successful cases having been respectively 98.15 and 70.65. Civil Surgeons inspect-
ed 47,447 primary vaccinations and 8,610 cases of re-vaccination, of which 46,248
primary and 5,320 re-vaccinations were found to be successful, the percentages of
successful vaccinations having been respectively 97.47 and 61.79. Assistant