( 3 )
* 1888-89 ...
1889-90 ...
Total ...
240,784
183,691
424,475
8. The districts in which vaccination apparently received the most
attention and in which the largest number of operations were performed were
Kángra, Amirtsar, Gujránwála and Gurdáspur, in all of which over 40,000
vaccinations were performed, Kángra again heading the list with 183,691.
In those districts and also in Hoshiárpur, Mooltan, Gurgaon and Jhang special
attention was given to the subject of re-vaccination. Good work was also
done in the Lahore and Jullundur Districts, and altogether there Was an
increase in the number of persons vaccinated in 22 out of the 31 districts
of the Province. The district of Kángra shows the large decrease of 57,093
operations as compared with last year's figures, but the total number of
operations stated to have been performed in that district within the last two
years* is still very remarkable. The district
contained 730,845 souls at the census of 1881,
and in the last two years the number of primary
vaccinations returned has been—
1888-89
...
...
...
1889-90 ... ... ...
Total ...
58,719
29,370
88,089
and of re-vaccinations—
1888-89...
...
...
1889-90 ... ... ...
Total ...
182,065
154,321
336,386
giving a grand total of 424,475 vaccinations in two years, as shown in
margin above, or little less than two-thirds of the population of the district.
If these figures can be fairly taken as representing accomplished facts (and
the Sanitary Commissioner does not appear to doubt their accuracy), they
show that with special measures such results can be obtained as practically
to protect nearly the whole population by vaccination within a short period.
The residents of the Kángra District are not specially enlightened, and if
they have in fact so readily accepted vaccination there seems no reason
why other equally advanced areas should not do the same. In the Dera
Ismail Khan and Muzaffargarh Districts the Native establishment seems
to have been perfunctory and have been punished by fine and warned
by the Sanitary Commissioner. In the Dera Ismail Khan District the
Civil Surgeon has also military duties to perform, and probably has little
opportunity of supervising the work of the Vaccinators ; but in the case of the
Muzaffargarh District the Lieutenant-Governor is of opinion that the Assistant
Surgeon in medical charge should for some little time at least specially super-
vise the operations of the Vaccinators.
With reference to the falling-off in vaccination in the Karnál District,
His Honor requests that the Civil Surgeon may be called on to submit an ex-
planation as to why he failed to submit the usual annual report. His Honor will
also be glad if the Sanitary Commissioner will impress on those concerned in
the Karnál, Muzaffargarh and Shahpur Districts the desirability of paying more
attention to the subject of re-vaccination. In these districts this work was
much neglected. In the frontier districts vaccination failed, as in past years,
to make material progress. This may be attributed to ignorance and prejudice
only to be overcome with the lapse of time.
9. The ratio per thousand of successful vaccinations was satisfactory in
the Kángra, Amritsar, Mooltan, Gurdáspur, Dera Gházi Khan and Jhang
Districts. In the Umballa District the ratio was low, and the Sanitary Commis-
sioner complains that the work done was small because indifference to vaccin-
ation is exhibited by several of the Municipal Committees, especially those of
Shahabad, Jagádhri, Ládwa and Rúpar. On the other hand, it is noteworthy
that during the year under review the Municipal Committee of Umballa, by a.