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Re-vaccinations.
7. There has been an increase in the number of re-vaccinations in
almost all the districts, and this is no
doubt due to special efforts having been
made in this respect in compliance with the instructions issued by my pre-
decessor. Every reasonable assistance was afforded by the Civil authorities in
the matter of re-vaccination, but it cannot be denied that the value of secondary
operations is not understood nor appreciated by the poorer classes.
Appendix to Statement No. I.—Vaccination in Politi-
cal Agencies.
8. In the Agencies of Kurram and Tochi, the Chitral Sub-Agency, and
in the Swat Valley and Shirani country
satisfactory progress has been made.
In the former two work has been
somewhat hampered by the presence of inoculators, who, with a moving
population, still manage to ply their trade. Endeavours are being made to
induce professional inoculators in these two Agencies to learn vaccination work.
In the Swat Valley the present vaccinator was a professional inoculator, in
whom the Swatis have confidence, and to whom they willingly submit their
children for vaccination. Time, therefore, spent on his training in the modern
method has not been wasted. In the Chitral Sub-Agency local men also have
been trained, and, thanks to the continued sympathetic support of the Mehtar
of Chitral, improvement in every respect has been made. The absence of small-
pox, which was not unknown to the Chitralis at one time, is eloquent testimony
of the value of the work done in that sub-agency.
Appeodix to Statement No. I.—Vaccination in Can-
tonments.
9. In Cantonments 4,678 vaccinations were performed against 5,293 in
in the preceding season. The falling
off has been at Mardan, otherwise work
in Cantonments on the whole has been
satisfactory.
Statement No. II.—Cost of the Department.
10. The total expenditure incurred on account of the Vaccination staff
and on contingencies was Rs. 15,352, or
an increase of Rs. 181 over the figures
of the previous year. Of the total cost approximately Rs. 2,000 were met
from Provincial and Cantonment Funds, the balance being paid by Municipal
and Local Funds.
Coat per successful case.
11. The cost, per successful case, amounted to one anna and ten pies, or
an increase of two pies per case, as
compared with the cost per case in
the preceding year. Annually a certain amount of wastage of lymph occurs
owing to some tubes having to be thrown away half used through lack of
cases at the particular time they are opened. If this could be avoided, the cost
per successful case would be much less than it has been in the past.
Statement No. III.—Dispensary vaccination.
12. Very rarely vaccination work is done in Medical institutions.
This year none was done by the
Medical staff.
Statement No. IV.—Work done during past 16
years.
13. A fewer number of operations have been performed during the
season under report than in any one of
the past four seasons.
This is not,
however, an indication that there has
been slackness on the part of the Vaccination staff. Local unrest and threatened
troubles on the frontier are mainly responsible for the smaller outturn. On
the whole the quality of the work has been good as compared with that done
in previous years.
Statement No. V.—Inspections made by officers of
the Department.
14. The total number of vaccine operations was 122,686 primary and
18,432 re-vaccinations as compared with
138,215 and 12,549 respectively in the
previous season. The Civil Surgeons
inspected 3,820 operations, of which 95.80 primary and 66.15 re-vaccinations were
found successful. These results speak for themselves and reflect credit on the