2
Fewer females are re-vaccinated than males, as the parents object to their young
girls being seen by Vaccinators.
Primary
vaccinations
done by the District Staff.
Statement No. I.
8. District Staff.—There was an increase of about nine thousand and
five hundred in the number of primary operations as
compared with the previous year. Fifteen out of the
twenty-seven districts of the Province showed an
increase and twelve a decrease in the work.
The districts showing
the largest increase were Jhang, Lahore, Gurgáon, and Miánwáli, and those in
which the decrease was most marked were Dera Gházi Khan, Gurdáspur and
Ludhiána. The increased work in Miánwáli was due to the entertainment
of the full scale of the Vaccination Staff sanctioned by Government for this dis-
trict. The decrease in Dera Gházi Khan is attributed to a smaller amount
of work done by new men succeeding three old and experienced Vaccinators
transferred on promotion to other districts. In Gurdáspur the falling off is
assigned, among other causes, to fewer children available in the Shakargarh
Tahsil, in which a large number remaining unvaccinated in previous years
were operated upon in 1902-03. The decrease in the Ludhiána district was
an apparent one, the tahsil of Ludhiána being reserved for the Vaccinators
of the Special Staff, whose work does not appear under that of the District
Staff.
The returns of each district were carefully scrutinized month by
month, and in all instances in which the deficiency was due to neglect on
the part of the Vaccination Staff, the men in fault were punished.
Total re-vaccinations done
by the
District Staff.
Statement No. I.
9. The total re-vaccinations done by the District Staff show a
decrease of four thousand as compared with the
previous year.
With regard to the great variation
in the number of re-vaccinations in different districts from
year to year, it may be stated that in former years Vaccinators, in order to show
an increase in their work, were in the habit of re-vaccinating children who had
been vaccinated two or three years previously.
With the view to check this
habit, orders were issued that no child should be re-vaccinated within seven
years of the previous successful operation. The Civil Surgeons will be directed
to see that the Vaccinators, while carrying out these orders, do not neglect
to perform re-vaccinations where necessary.
Percentage of successful
cases. District Staff.
Statement No. I.
10. The number of operations in which the results were unknown and
the percentage of such cases to total cases, are shown in the
returns. In calculating the percentages of success in
primary vaccinations and re-vaccinations, the unknown
cases are omitted from the total number of operations. The results of vaccin-
ations performed by the District Staff show that the percentage of success
during the year, excluding unknown cases from the total, was 99.23 in primary
cases and 76.45 in re-vaccinations. The percentage of unknown cases to total
cases was 2.61 in primary vaccinations and 17.48 in re-vaccinations.
Number of successful
cases per 1,000 of popula-
tion. Statement No. I.
11. The number of successful operations performed by the District
Staff was at the rate of 29.1 per 1,000 of population.
This ratio is 0.56 below the average of the previous
quinquennium, and 0.61 and 3.58 in excess of the rates
for the previous two years.
Work of the Special Staff.
Appendix
to Statement
No. I.
12. Special Staff.—The
work of the Special Staff of Vaccinators, as
regards primary vaccinations, shows considerable im-
provement as compared with that of last year, the number
having increased by no less than twelve thousand, or at
the rate of thirty-nine per cent.; the re-vaccinations, however, show a slight
decrease of about four hundred operations. The percentage of successful
primary vaccinations performed by the Special Staff, excluding unknown cases
from the total, was 97.86. The percentage of success in re-vaccinations
was 71.57.
Vaccinations in Canton-
ments. Appendix to State.
ment No. I.
13. The Cantonment Staff.—The work of the Cantonment Staff is, on
the whole, satisfactory, the number of primary cases
increased by four per cent. and re-vaccinations by nineteen
per cent. as compared with the previous year. The per-
centage of success in primary cases was 97.87 and in re-vaccinations 75.28,
excluding unknown cases from the total operations.