2
vaccination, whereas the year 1909-10 was a favourable year for vaccination,
owing to the prevalence of small-pox in the Kurram Agency. In the latter,
it is due to an untrained Chitrali having been appointed, owing to the man who
was trained in the year previous not being available for the work for a second
season. As the work done by him was not considered satisfactory, it was stopp-
ed, till such time as the Civil Surgeon was able to proceed on tour in that area,
and to personally instruct him and supervise his work. It is important to
bear in mind, that the same vaccinators should carry on the work from year to
year, as the people get to know them and the vaccinators understand, and
should therefore do, their work better.
There were 133 secondary operations performed on account of failure
of the initial operations. This number has rightly been excluded from the
column of number of persons vaccinated as shown in the statements appended
to this report.
Average number of operations
performed by each vaccinator.
5. The average number of operations performed by each vaccinator in
the Province, was 3069.51 as compared with 2849.08
in 1909-10 and 2610.51 in 1908-09. The steady
increase in the outturn of work is a satisfactory feature and is creditable to the
vaccination staff who have, with few exceptions, done their work conscientiously
and well throughout the vaccinating season. The Bannu District shows the
largest amount of average work done by each vaccinator, viz. 3777.00, the
Peshawar District coming next with an average of 3637.71. The Mardan Sub-
Division shows the smallest amount of average work done by each vaccinator
viz, 2737.50 as compared with 2490.50 done in the previous year. This,
however, is nevertheless an improvement and it is hoped that the average work
will be larger in future years.
Percentage of success.
6. The percentage of successful cases in which the results were known,
was primary 99.06 and secondary 72.95. The results
obtained in the former are better than those obtained
in the two preceding years. The results obtained in the latter are not so satis-
factory, the percentage, viz. 72.95 being considerably lower than that recorded
in the two preceding years. No reason for the difference can be adduced.
Ratio of persons successfully
vaccinated per 1,000 of population.
7. The ratio of persons successfully vaccinated, per thousand, of the
population was 46.55 as compared with 47.36 in
1909-10 and 41.86 in 1908-09. These ratios compare
favourably with those shown for the triennial period 1905-06-to 1907-08.
Percentage of unknown cases.
8. The percentage of unknown cases to the total number of cases, in
regard to primary vaccinations, was much the same as
in the two preceding years. The percentage is,
highest in the agencies and in the Peshawar District and this is not surprising as
a large proportion of such cases occur among nomad tribes who, while passing
on their way to and from independent teritory, find it inconvenient to delay
their journey for the inspection of children who have been vaccinated.
Average annual number of deaths
from small-pox during previous
five years.
9. The average annual number of deaths from small-pox in the settled
districts of the Province during the previous five years
was 807 or a ratio of 0.42 per thousand, the Peshawar
District and the Mardan Sub-Division recording the
largest average number of deaths from the disease. In 1910 the Dera Ismail
Khan and Bannu Districts recorded the largest number of deaths from small-pox,
viz. 224 and 201, respectively.
Such a heavy toll would not have had to be
paid had the people of the town of Paharpur and of the Bannu City submitted
their children for vaccination on the appearance of the disease.
Appendix to Statement No. I.—
Vaccination in Political Agencies.
10. In the "Political Agencies," which include the Shirani Country and
the Amb State, 10,363 vaccinations were performed
as compared with 9,406 in the previous year and 10,127
in 1908-09. On the whole the work done during the triennial period has been
satisfactory, the chief feature being that the attitude of trans-frontier tribesmen
towards vaccination has considerably improved. There is ample evidence to
show that the time is not far distant when inoculation in the Agencies will be
a thing of the past.