( 2 )
Re-vaccinations.
7. As already pointed out in previous reports, the value of secondary
operations in certain parts of the Province is not
appreciated by the poorer classes, to whose indifference
is mainly attributed the falling off under this head.
Further efforts will be made in this direction, more specially in the
Hazara and Bannu districts, where the decline is mostly marked. In the
Peshawar District 363 secondary operations were performed during the year
under report as compared with 54 operations made in the previous year,
thus making an increase of 309. Every reasonable assistance was afforded by
the Civil authorities in the matter of re-vaccination.
Appendix to Statement No. I.—
Vaccination in Political Agencies.
8. The total number of vaccine operations performed in all the
Agencies was 8,487 primary and 824 secondary opera-
tions, representing an increase of 1,836 in the former
and of 543 in the latter. This increase results from
850 primary and 350 secondary operations having been done in the Wana
Agency, where a Vaccinator was employed for the first time In the Sherani
country also satisfactory progress has been made and a local Vaccinator been
appointed. In the Malakand and Kurram Agencies the vaccination work
has been somewhat hampered by the presence of inoculators who still manage
to ply their trade. In the Swat Valley the newly entertained Vaccinator is
a professional inoculator, in whom it is hoped the inhabitants will have con-
fidence. In this Agency the decline in amount of work done was due to the
severity of the weather, which is believed by the people to be unfavourable to
vaccination. In the Chitral Sub-Agency also local men are employed, and to
the assistance given by the Durbar the increase in vaccinations is no doubt
due. The absence of small-pox, which was not unknown in Chitral at one time,
is testimony of the value of the work done in that Sub-Agency.
Appendix to Statement No. I.—
Vaccination in Cantonments.
9. In the Cantonments of Peshawar and Nowshera, where vaccination
work is done under the control of the Cantonment
authorities, 2,308 vaccinations were performed as com-
pared with 3,120 operations in the previous year.
In other Cantonment stations vaccination work among the non-military
native population is done by the District Vaccination staff. The total number
of vaccinations performed was 854 against 1,156 in the preceding year.
Statement No.II.—Cost of the
Department.
10. The total expenditure incurred on account of the Vaccination
staff and for lymph from the Punjab Central Vaccine
Institute was Rs. 15,759-14-11 as compared with
Rs. 15.450-5-9 in the previous year, or an increase of
Rs. 30.9-9-2 over the figures of the previous year.
This small increase mainly results from increase of staff by one. The
expenditure was met as follows ;—
Provincial Funds
...
...
Local Funds ... ...
Municipal Funds ... ...
Cantonment Funds ... ...
Rs.
l,854
10,051
3,632
222
A.
2
5
4
2
P
8
6
0
9
Cost per successful case.
11. The cost per successful case amounted to 2 annas, or an increase
of 4 pies per case over 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. The
total number of successful operations were 123,625 out of 130,061 actually
performed.
Statement No. III.—Dispensary
vaccination.
12. Very rarely vaccination work is done in
medical institutions. This year none was done by
the Medical staff.