3
Cause of decrease.
8. The cause of decrease in the number of primary vaccinations per-
formed by the District Staff is generally attributed by
the Civil Surgeons, to the prevailing scarcity in the Pro-
vince, emigration, and excessive prevalence of small-pox, and from my personal
knowledge I am inclined to agree with this opinion.
Re-vaccination by the
District Staff.
9. The number of re-vaccinations done by the District Staff was 188,777
against 204,832 during the previous year, a decrease
of 16,055. The largest number of secondary vaccina-
tions, 59,029, were done in the district of Hoshiárpur. In Rohtak, Gurgáon,
Umballa, Pesháwar, Kohát and Muzaffargarh the District Staff did very little
re-vaccination work.
Work done by the Special
Staff.
10. The Special Staff under the supervision of the Deputy Sanitary
Commissioner performed 67,780 primary vaccinations as
compared with 61,708 last year, showing an increase of
6,072. Under the head of re-vaccinations the increase was most marked, the
number of operations amounting to 34,113 or almost double the number done
in the previous year. The percentages of successful primary vaccinations and
re-vaccinations were 86.93 and 61.84 against 90.29 and 51.22, respectively, dur-
ing the previous year.
Cantonment vaccination.
11. The cantonments which entertain their own Vaccinators show
4,875 primary and 4,218 secondary operations, or 91.92
and 66.00 per cent. successful, the percentages of success-
ful cases during the previous year being 94.77 and 75.58, respectively.
Dispensary vaccination.
12. The work done at the dispensaries was satisfactory, the number of
primary and secondary vaccinations being 3,737 and 2,227
as compared with only 2,282 and 987 last year, the per-
centages of success being 89.11 and 64.53 against 93.38 and 51.57.
Inspection work.
13. The subjoined table shows the inspection work of the officers of the
Vaccination Department during the year—
Sanitary Commissioner ... ... ... ...
Deputy Sanitary Commissioner ... ... ... ...
Thirty-one Civil Surgeons
...
...
...
...
Six Divisional Inspectors ... ... ... ...
Thirty-four District and Special Native Super-
visors. ... ... ... ...
Total
...
...
TOTAL INSPECTIONS.
Primary.
3,428
3,821
62,912
104,719
386,582
561,462
Re-vacci-
nations.
755
748
10,799
21,323
71,122
104,747
PERCENTAGE OF SUCCESS.
Primary.
92.65
95.04
96.60
98.76
97.69
Re-vacci¬
nations.
66.42
68.53
59.38
53.41
63.47
It will thus be seen that of a total of 902,413 vaccinations done by the
different establishments 666,209 or 74 per cent., were inspected by the
officers of the Department. The work of the Divisional Inspectors continue
to be satisfactory, their inspections of primary and secondary operations
amounting to 104,719 and 21,323 against 104,393 and 8,660 in 1895-96.
Mr. L. White King, Deputy Commissioner of Kohát, in submitting the Civil
Surgeon's Annual Vaccination Report to this office, makes the following ob-
servation in regard to the work of the Divisional Inspector. " The percentage
of successful cases has fallen from 96 0 in 1893-94 (the year previous to the
appointment of the Divisional Inspector) to 91.8 in the year under report.
The decrease, however, is not real as the statistics of vaccination were invari-
ably fudged and untrustworthy before, the appointment of the Divisional In-
spector who has effected a marked improvement not only in vaccination