NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
TABLE OF CONTENTS.
Para.
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I
II
III
IV
V
Subject.
Administration ... ... ... ... ... ... ... ... ...
Strength of the Vaccination Establishment ... ... ... ... ... ... ... ... ...
Cost of the Department ... ... ... ... ... ... ... ... ...
The number of vaccinations performed by different establishments ... ...
Work of the District Staff
...
...
...
...
...
...
...
...
...
Vaccination work ... ... ... ... ... ... ... ... ...
The work of the Dispensary Staff ... ... ... ... ... ... ... ... ...
Work of the Cantonment Staff ... ... ... ... ... ... ... ... ...
Work of the Special Staff
...
...
...
...
...
...
...
...
...
Small-pox map ... ... ... ... ... ... ... ... ...
Small-pox chart ... ... ... ... ... ... ... ... ...
Extent of supervision exercised by the officers of the Department ... ...
Different kinds of lymph ... ... ... ... ... ... ... ... ...
Protective efficiency of the vaseline vaccine paste ... ... ... ... ... ... ... ... ...
Vaccination in the Native States ... ... ... ... ... ... ... ... ...
Extension of the Vaccination Act ... ... ... ... ... ... ... ... ...
Statistics relating of the number of children under one year of age in towns
available for vaccination, and the number of successful operations performed
on them ... ... ... ... ... ... ... ... ...
ANNUAL FORMS.
Statement No. I showing particulars of vaccination in the Punjab Province
during the year 1899-1900
...
...
...
...
...
...
...
...
...
Appendix to Statement No. I showing the details of the vaccination operations
performed by the Special and Cantonment Staffs according to localities during
the year 1899-1900
...
...
...
...
...
...
...
...
...
Showing the cost of the Department in the Punjab Province daring the year
1899-1900 ... ... ... ... ... ... ... ... ...
Showing dispensary vaccinations in the Punjab Province during the year
1899-1900
...
...
...
...
...
...
...
...
...
Comparative Statement showing the number of persons primarily vaccinated
and the number of those persons who were successfully vaccinated in the
Punjab in each of the undermentioned official years ... ... ... ... ... ... ... ... ...
Showing total number of primary and re-vaccinations performed and number
inspected by Civil Surgeons and Native Supervisors or other inspecting
officers, the percentages of those inspected, together with the percentages of
cases found successful by them, as contrasted with the percentages reported
by the Vaccinators in each district of the Punjab during the year 1899-1900 ...
Page.
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Para.
A
B
C
D
E
Subject
APPENDICES.
Annual Report of the Deputy Sanitary Commissioner, 1899-1900 ... ...
Statement showing inspection of primary and re-vaccinations by Lt.-Col.
C. J. Bamber, I.M.S., Sanitary Commissioner, Punjab, during the year
1899-1900
...
...
...
...
...
...
...
...
...
Statement showing the results of Vaccinations seen by each Divisional Inspec-
tor during the year 1899-1900
...
...
...
...
...
...
...
...
...
Statement showing the annual number of successful vaccinations and the
annual ratio of deaths from small-pox per 1,000 of population for five years
ending 1899-1900, district by district ... ... ... ... ... ... ... ... ...
Table showing the vaccination work done under the Compulsory Vaccination
Acts Nos. V (B. C.) and XII of 1880 in certain Municipalities during the
years 1889-90 to 1899-1900
...
...
...
...
...
...
...
...
...
Page.
i
ix
x
xi
xii
No.
FROM
LIEUTENANT-COLONEL C. J. BAMBER, I.M.S.,
Sanitary Commissioner, Punjab,
To
H. A. CASSON, ESQUIRE, C. S.,
Judicial and General Secretary to the Government, Punjab.
Dated LAHORE, 30th June 1900.
SIR,
I have the honour to submit, for the information of His Honor the
Lieutenant-Governor, the Returns of Vaccination in the Punjab for the year
1899-1900, with the following remarks.
Administration.
2. I was in charge of the Department throughout the year. Captain
E. Wilkinson, I.M.S., held the office of Deputy Sanitary
Commissioner. He was on plague duty from the 19th
July to the 18th August at Malot Satian in the Ráwalpindi district.
From the
4th November 1899 he proceeded on three months privilege leave, and I carried
on his duties in addition to my own.
Strength of the vaccina-
tion establishtment.
3. The strength of the vaccination establishment
was as follows : —
Divisional Inspectors ... ... ... ... ... ...
Native Supervisors ... ... ... ... ... ...
Vaccinators, 1st Class ... ... ... ... ... ...
Do.
2nd do
...
...
...
...
...
...
Do.
3rd do
...
...
...
...
...
...
Special Staff Vaccinators ... ... ... ... ... ...
Cantonment
do. ... ... ... ... ... ...
6*
34†
37
70
168
21
7
which was the same as in the previous year.
Cost of the Department.
4. The following statement shows the cost of the Department during
the year 1898-99 and 1899-1900 :—
Deputy Sanitary Commissioner
Divisional Inspectors
Native Supervisors
Vaccinators
Clerks
Peons, &c.
Travelling allowânce
Contingencies
Total
1898-99.
Rs.
8,143
7,002
15,882
41,054
13,642
2,319
5,540
6,763
1,00,345
1899-1900
Rs.
7,799
7,177
15,465
41,181
14,050
2,458
5,816
6,278
1,00,224
*NOTE.—This number includes Rai Bahádur Pandit Bál Kishan who inspects vaccination and registration in
the Kángra district only.
† Includes the two Special Staff Native Supervisors.
2
The total expenditure in 1899-1900 was Rs. 1,00,224 as compared with
Rs. 1,00,345 in 1898-99, or a decrease of Rs. 121 only. The variations under
each head are so small that they call for no explanation.
The number of vaccina-
tions performed by different
establishments.
5. The general results of vaccination as compared
with the previous year are shown in the following
statement: —
District Staff ... ...
Special Staff ... ...
Cantonments ... ...
Dispensaries ... ...
Total ...
1898-1899.
PRIMARY VACCINATION.
Number.
594,434
62,196
4,419
888
661,937
Per cent.
success¬
ful.
95.50
88.68
93.51
85.59
94.84
1899-1900.
PRIMARY VACCINATION.
Number.
663,052
75,273
6,248
344
744,917
Per cent.
success-
ful.
95.63
86.40
95.52
66.57
94.68
1898-1899.
RE-VACCINATION.
Number.
162,481
14,742
1,373
335
178,931
Per cent.
success-
ful.
58.85
56.83
73.93
62.99
58.80
1899-1900.
RE-VACCINATION.
Number.
180,178
13,969
3,603
407
198,157
Per cent.
success-
ful.
62.24
62.38
76.41
83.29
62.55
In this statement are included the operations performed by the four
different agencies, viz., the District, the Special, the Cantonment, and the
Dispensary Staff.
The total number of primary operations performed was 744,917 com-
pared with 661,937 in the previous year, and of re-vaccinations 198,157 as
compared with 178,931, that is to say, there has been an increase of 82,980 in
primary vaccinations and of 19,226 in re-vaccination, a total increase of
102,206. The results for the year under review, when compared with the
figures of the three previous years, show that there has been a very satisfactory
and substantial increase in primary vaccination, vide statement given below
YEARS.
1896-97
1897-98
1898-99
1899-1900
Primary vacci-
nations.
673,078
631,774
661,937
744,917
Re-vaccina-
tions.
229,335
213,717
178,931
198,157
Total.
902,413
845,491
840,868
943,074
I attribute the success acheived to the work being done in a more
systematic way than in previous years the instructions conveyed in this
office Circular No. 5 of 1899 for "Vaccinators to work in bodies having been
carefully observed and acted upon generally.
Work of the District Staff.
6. The following statement compares the number of primary operations
and re-vaccinations, with the percentage of success, perform-
ed by the District Staff in 1899-1900 with the previous year:—
District Staff ...
PRIMARY VACCINATIONS.
1899-1900.
Number
of
Primary
vaccina¬
tions.
663,052
Percent-
age of
success.
95.63
1898-99.
Number
of
Primary
vaccina-
tions.
594,434
Percent-
age of
success.
95.50
RE-VACCINATIONS.
1899-1900.
Number
of re-vac¬
cinations.
180,178
Percent-
age of
success.
62.24
1898-99.
Number
of re-vac-
cinations.
162,481
Percent-
age of
success.
58.85
4
With regard to the cause of decrease in these districts the Civil Surgeons
of four districts only, viz., Umballa, Montgomery, Karnál and Muzaffargarh,
report as follows:—
Umballa.—The Civil Surgeon, Umballa, says, "the total number of
primary vaccinations was 19,653 against 19,703 in the previous year, showing a
small deficit of 50 only due to famine, &c., and the residents had proceeded
towards the Chenáb Canal. The percentage of success in the primary vac-
cinations was 97.98 against 97.49, which appears to be satisfactory. The
total number of re-vaccinations was 22,894 with 83.61 successful against
31,914 and 77.25 successful in the previous year. The large decrease of
9,020 operations is accounted for by the Native Supervisor that during the
previous year operations were performed up to the age of 30 throughout
the district, except Rúpar, which was made over to the Special Staff."
We see from the above that the decrease is due to a falling off in re-
vaccinations.
Montgomery.—The Civil Surgeon of Montgomery, says, “the figures
show a falling off, 333 primary and 761 secondary vaccinations, and is account-
ed by the Native Supervisor to be chiefly due to the fact that an experienced
Vaccinator of this district was transferred to Shahpur and also 3rd class Vac¬
cinator, Mahesh Dás, absconded without leave and was absent for nearly three
months, in consequence of which only apprentices had to be employed for work,
and partly to the fact of the depopulation of the district on account of the
emigration of the people to the Chenáb Canal. "Here too the falling off is
chiefly due to the deficiency in the number of re-vaccinations.
Muzaffargarh-—The Civil Surgeon, Muzaffargarh, says, “the decrease
of 698 in both primary and secondary operations was due to the inefficiency of
the Staff, and also that two new Vaccinators did not know much of the district
or of the mode of performing vaccination operations."
Karnal—The Civil Surgeon, Karnál, says, “that the decrease is due to°
the fact that owing to famine the people had left their homes in search of their
livelihood."
Amritsar and Gujrat—In Amritsar and Gujrát the decrease is due
entirely to a falling off in re-vaccinations.
The work of Dispensary
Staff.
8. The operations performed by the Dispensary Staff are considerably
less than what they were last year, as will be seen from
the following statement :—
1899-1900.
Number of
primary
Vaccinations.
344
Percentage
of success.
66.57
1898-1899.
Number of
primary
vaccinations.
888
Percentage
of success.
85.59
1899-1900.
Number of
re-vaccina-
tions.
407
Percentage
of success.
83.29
1898-1899.
Number of re¬
vaccinations.
335
Percentage of
success.
62.99
With regard to the small amount of work done by the Dispensary Staff, I
beg to refer you to the correspondence ending with this office No. 49/ 2495,
dated 11th September 1891, and your No. 438, dated 30th September 1891,
and to the explanation furnished in paragraph 18 of the Vaccination Report
for. 1895-96. The reason is that Assistant Surgeons and Hospital Assistants
Diagram showing the death-rates from Small-pox per 10,000 of population during the year 1899-1900, the average rate of mortality from Small-pox per 10,000 of population for the five years ending 1898-99 and the proportion
of successful Vaccinations during the years 1881-82 to 1899-1900 per 10,000 of population in each District of the Punjab.
NOTE.— Black lines indicate the proportion of sucessful vaccinations per 10,000 of population during the year 1891-82 to 1899-1900.
NOTE.—Red lines indicate death-rates from small-pox per 10,000 of population during the year 1899-1900.
NOTE.—The blue, lines indicate the average rate of mortality from small-pox per 10,000 of population for the previous five years ending 1898-99
9
Captain Wilkinson's results as to the foveation of the scars from vaseline
vaccine are what I have always found in my own inspections. Non-foveation
shows that excessive scarring has been caused by the application of too much
vaccine or lymph, and may occur when vaseline vaccine or fresh lymph is used.
With regard to the experiments to prove that vaseline vaccine is pro-
tective, Captain Wilkinson was unable to do more than make so few experiments
as to prove nothing.
These experiments should be carried out again this year, and the inter-
val between the two periods of vaccination should be much less than a year, say
four months. The experiments might with advantage be made on animals too.
It is known that there are persons who can be re-vaccinated after a year with
a successful result. If the supposition is true that vaseline vaccine is not pro-
tective then re-vaccination with fresh lymph should be successful immediately.
Control experiments should be made by vaccinating with fresh lymph, and then
re-vaccinating with the same, this would show in what percentage of cases a
successful re-vaccination takes place even in the case of fresh lymph.
Vaccination in the Native
States.
16. The following statement shows the work performed in the large
Native States which entertain their own vaccination estab-
lishment :—
NATIVE STATES.
Patiála
...
...
...
...
Baháwalpur
...
...
...
...
Kapurthala ... ... ... ...
Nábha ... ... ... ...
Jhínd ... ... ... ...
Farídkote
...
...
...
...
Maler Kotla
...
...
...
...
Karram ... ... ... ...
Total number vaccinat-
ed.
92,067
8,652
8,943
4,988
5,132
6,046
1,878
2,120
PRIMARY VACCINA-
-----.
Total.
56,413
8,644
8,911
4,988
5,132
5,123
1,868
1,902
Successful.
54,749
8,136
8,622
4,651
4,732
4,994
1,832
1,782
RE-VACCINATIONS.
Total.
35,654
8
32
...
...
928
10
218
Successful.
17,791
8
13
...
...
604
10
136
PERCENTAGE OF SUC-
CESSFUL CASES.
Primary.
97.05
94.12
96.76
93.24
92.21
97.48
98.07
93.69
Re-vaccination.
49.90
100.00
40.63
...
...
65.44
100.00
62.39
Extension of the Vac-
cination Act.
17. During the year under report the Vaccination Act was extended to
the cantonments of Siálkot and Ferozepore only.
Statistics relating of the
number of children under
one year of ago in towns
available for vaccination,
and the number of success¬
ful operations performed
on them.
18. With reference to Government of India's. No. 88, dated the 8th Jan-
uary 1900, and Punjab Government, endorsement No. 110.
dated 3rd February 1900, the new form prescribed by the
Government of India regarding statistics relating of the
number of children under one year of age in towns avail-
able for vaccination and the number of successful opera-
tions performed on them in 1899-1900 is shown in the fol-
lowing statement by towns :—
10
Statistics relating of the number of children under one year of age in Towns available for
vaccination, and the number of successful operations performed on them during
the year 1899-1900.
1
TOWNS.
Hissar District.
Hissár ... ... ...
Hánsi ... ... ...
Bhiwáni ... ... ...
Sirsa ... ... ...
Fatehabad
...
...
...
Rohtak District.
Rohtak
...
...
...
Jhajjar ... ... ...
Beri ... ... ...
Gohána ... ... ...
Bahádurgarh ... ...
Gurgaon District.
Rewári ... ... ...
Palwal ... ... ...
Farukhnagar ... ... ...
Ferozepore ... ...
Sohna ... ... ...
Hodal
...
...
...
Delhi District.
Delhi
...
...
...
Sonepat ... ... ...
Balabgarh ... ... ...
Farídabad ... ... ...
Karnal District.
Karnál
...
...
...
Kaithal
...
...
...
Pánipat
...
...
...
Ládwa ... ... ...
Shahabad ... ... ...
Thánesar ... ... ...
Umballa District.
Umballa ... ... ...
Jagádhri ... ... ...
Búriya ... ... ...
Sádhaura ... ... ...
Rúpar ... ... ...
Simla District.
Simla ... ... ...
Kangra District.
Kángra
...
...
...
Dharmsála ... ... ...
Núrpur
...
...
...
Hoshiarpur District.
Hoshiárpur
...
...
...
Khánpur
...
...
...
Hariána
...
...
...
Garhdiwála
...
...
...
Dasúya
...
...
...
Tándu and Urmar ...
Miáni
...
...
...
Mukerián ... ... ...
Una
...
...
...
Anandpur
...
...
...
2
Number of births during
the year.
765
770
1,100
717
119
753
439
378
291
308
896
580
300
290
283
402
9,124
680
214
181
1,137
818
1,479
190
467
116
1,151
461
251
344
369
289
158
131
153
727
169
250
168
317
451
207
150
184
165
3
Number of deaths amongst
children under one year
during the year.
167
178
453
244
23
159
124
103
60
81
217
143
84
84
60
100
2,166
156
34
33
215
165
242
20
65
17
221
110
45
45
228
102
59
21
42
183
30
49
45
46
56
28
36
41
49
4
Number available for vac¬
cination after deducting
the numbers who have
died as shown in column 3.
598
592
647
473
96
594
315
275
231
227
679
437
216
206
223
302
6,958
524
180
148
922
653
1,237
170
402
99
930
351
206
299
141
*536
99
110
111
544
139
201
123
271
395
179
114
143
116
5
Number of successful vac¬
cinations on children under
one year during the year
ending March 1900.
347
377
599
450
60
527
245
198
190
193
600
388
190
196
198
264
4,517
475
122
109
433
605
1,014
161
396
96
895
243
196
270
99
420
63
80
82
277
118
111
118
137
312
104
71
112
62
6
Date of extension of Vac¬
cination Act to Town.
Act is not. in force
22nd July 1890.
Act is not in force.
31st July 1893.
Act is not in force.
Do.
do.
Act is not in force.
19th September 1896.
Act is not in force.
Do.
do.
Do.
do.
Act is not force.
1st October 1895.
Act is not in force.
Do.
do.
Do.
do.
Do.
do.
7th August 1889.
Act is not in force.
11th November 1893.
Act is not in force.
Act in not in force.
* Includes 349 vaccinations upon those who have come up from the plains.
11
Statistics relating of the number of children under one year of age in Towns available for
vaccination, and the number of successful operations performed on them during
the year 1899-1900.
1
TOWNS.
Jullundur District
Jullundur
...
...
...
Aláwalpur ... ... ...
Kartárpur
...
...
...
Bunga
...
...
...
Ráhon
...
...
...
Nawashahr
...
...
...
Phillour ... ... ...
Núrmahal ... ... ...
Nakodar
...
...
...
Ludhiana District.
Ludhiána
...
...
...
Jagráon ... ... ...
Raekot ... ... ...
Khanna ... ... ...
Máchiwára ... ... ...
Ferozepore District.
Ferozepore ... ... ...
Zíra
...
...
...
Makhu ... ... ...
Dharmkot ... ... ...
Muktsar
...
...
...
Fázilka
...
...
...
Mooltan District.
Mooltan ... ... ...
Kahror ... ... ...
Shujabad ... ... ...
Jalálpur ... ... ...
Talamba ... ... ...
Dunyapur ... ... ...
Jhang District.
Jhang cum Maghiána ...
Chiníot
...
...
...
Montgomery District
Montgomery ... ... ...
Kamália
...
...
...
Pákpattan
...
...
...
Lahore District.
Lahore ... ... ...
Sharakpur ... ... ...
Chunian ... ... ...
Khudian ... ... ...
Kasur
...
...
...
Khem Karn ... ... ...
Patti
...
...
...
Amritsar District.
Amritsar ... ... ...
Majitha
...
...
...
Jindiala ... ... ...
Tarn Táran ... ... ...
2
Number of births during
the year.
2,525
178
416
197
374
198
3
Number of deaths amongst
children under one year
during the year.
503
30
77
29
92
56
4
Number available for vac-
cination after deducting
the numbers who have died
as shown in column 3.
2,022
148
339
168
282
142
5
Number of successful vac-
cinations on children under
one year during the year
ending March 1900.
1,597
130
286
99
273
102
Information not received.
448
218
2,037
1,001
446
183
268
90
49
316
261
82
73
40
358
169
1,721
740
364
110
228
240
134
1,241
481
197
77
130
Information not received.
3,926
375
268
230
135
122
1,236
775
89
73
70
48
22
697
3,151
286
195
160
87
100
539
2,480
169
140
147
74
87
500
Not received.
121
322
257
6,546
285
668
173
1,013
332
366
7,142
330
351
163
17
58
56
1,455
70
139
40
216
74
66
1,403
52
79
57
104
264
201
5,091
165
529
133
797
258
300
5,739
278
272
106
66
106
115
4,672
139
450
113
684
220
259
1,547
142
161
79
6
Date of extension of Vac-
cination Act to Town.
9th July 1894.
Act is not in force.
Do.
do.
Do.
do.
Do.
do.
Do.
do.
Do.
do.
Act is not in force.
18th January 1897.
Act is not in force.
Do.
do.
Do.
do.
Do.
do.
Do.
do.
Act is not force.
10th August 1894.
Act is not in force.
Do.
do.
Do.
do.
Do.
do.
Do.
do.
Do.
do.
29th March 1887.
Act is not in force.
Do.
do.
DO.
do.
12
Statistics relating to the number of children under one year of age in Towns available for
vaccination, and the number of successful operations performed on them
during the year 1899-1900.
1
TOWNS.
Gurdaspur District.
Gurdáspur
...
...
...
Dínanagar ... ... ...
Kalánaur
...
...
...
Páthankot
...
...
...
Sujánpur ... ... ...
Dalhousie
...
...
...
Batála
...
...
...
Srigobindpúr ... ... ...
Dera Nának ... ... ...
Sialkot District.
Siálkot
...
...
...
Daska
...
...
...
Jámki
...
...
...
Kila Soba Singh ... ... ...
Pasrúr
...
...
...
Zafarwál
...
...
...
Nárowal
...
...
...
Gujrat District.
Gujrát ... ... ...
Jalálpúr ... ... ...
Kunjáh
...
...
...
Dinga
...
...
...
Gujranwala District.
Gujránwála ... ... ...
Wazirabad ... ... ...
Emínabad ... ... ...
Kila Didár Singh ...
Akálgarh ... ... ...
Rámnagar
...
...
...
Shahpur District.
Bhera
...
...
...
Shahpur ... ... ...
Sáhiwál ... ... ...
Miáni ... ... ...
Khusháb
...
...
...
Jhelum District
Jhelum ... ... ...
Pind Dádan Khan ...
Rawalpindi District.
Ráwalpindi ... ... ...
Murree ... ... ...
Pindigheb ... ... ...
Hazro ... ... ...
Attock ... ... ...
Hazara District.
Abbottabad ... ... ...
Nowshera
...
...
...
Baffa
...
...
...
Haripur
...
...
...
Peshawar District.
Pesháwar
...
...
...
Kohat District.
Kohát ... ... ...
2
Number of births during the
year.
189
228
283
164
192
80
1,367
167
265
2,169
314
282
240
420
204
236
973
548
287
253
1,143
777
320
123
269
307
795
350
594
335
518
402
609
509
68
313
399
106
42
181
287
202
2,100
616
3
Number of deaths amongst
children under one year
during the year.
40
60
49
47
34
7
199
26
43
320
51
40
40
63
37
34
175
88
41
46
252
160
81
18
39
72
185
43
124
55
68
68
143
380
19
70
116 30
6
25
57
28
474
102
4
Number available for vac¬
cination after deducting
the numbers who have
died as shown in column 3.
149
168
184
117
158
28
1,168
141
222
1,849
263
192
200
357
167
202
798
460
246
207
891
617
249
105
230
235
610
307
470
280
450
334
466
1,129
49
243
283
76
36
156
230
174
1,626
514
5
Number of successful vac-
cinations on children un-
der one year during the
year ending March 1900.
95
95
90
82
95
23
1,010
80
143
1,523
185
131
120
246
108
148
409
181
170
181
*1,003
353
181
†142
159
133
477
181
220
180
341
246
342
1,065
49
88
242
33
24
140
200
87
1,096
202
6
Date of extension of Vac-
cination Act to Town.
Act is not in force.
Act is not in force
Act is not in force.
13th October 1899.
Act is not in force.
Act is not in force.
27th April 1897.
5th July 1897.
10th August 1896.
14th December 1894.
Act is not in force.
Do.
do.
Do.
do.
Act is not in force.
Act is not in force.
Act is not in force.
*112 Excess vaccinated came in from outside.
†3
Ditto
ditto.