( 3 )
The inspection work done by Divisional Inspectors and Superintendents
of Vaccination as compared with the previous year will be seen from the
following table :—
Year.
1920-21 ... ... ...
1921-22 ... ... ...
BY DIVISIONAL INSPECTORS.
Primary.
22,807
19,064
Re-vaccination.
1,776
1,812
BY SUPERINTENDENTS
Primary.
73,063
65,936
Re-vaccination.
12,235
7,176
The percentage of inspections by the various inspecting officers of the
total number vaccinated was as follows : —
By Civil Surgeons ... ...
By Divisional Inspectors ... ...
By Superintendents ... ...
Primary.
5.85
21.53
74.49
Re-vaccinattons.
14.80
15.47
61.20
Appendix A.—Vaccination in
Municipal Towns.
14. Appendix A shows the number of children under one year of ago
who were available for vaccination in Municipal
Towns and Notified Areas and the actual number of
vaccinations performed on them during the year.
The excess in vaccinations over births registered also occurs in other provinces
and is due to defective registration, and also in this Province to the fact that
many people from across the border when passing through submit their
children for vaccination.
Appendix B.—Case success and
annual ratio of deaths from
small-pox.
15. During the past five years the average annual number of deaths
from small-pox was 766 and the ratio mortality per
thousand of population was 0.36. During the year
under report there were 352 deaths, giving a ratio of
0 16 per thousand of population. Small-pox did not
occur in epidemic form, but there were scattered cases in all districts.
Particulars of lymph used.
16. Glycerinated chloroform lymph procured from the Punjab Vaccine
Institute has been used throughout the year and, with
the exception of ten tubes supplied to Dera Ismail
Khan, the lymph was of good quality.
Attitude of the people towards
vaccination.
17. Vaccination is popular on the whole, but
not re-vaccination.
No religious prejudice exists
against vaccination.
General remarks.
18. In July a letter was addressed to all Civil Surgeons pointing out
the need for more efficient supervision of the vaccina-
tion staff, giving a list of the equipment with which
a vaccinator should be supplied, asking them to draw up a tour scheme for
each man and by personal supervision to endeavour to improve the work of the
vaccinators. Taking into consideration the existence of the economic and other
difficulties referred to in paragraph 4 above, the result of the year's work in
all districts, except Hazara, was on the whole satisfactory. The best work was
done in the Mardan Sub-Division. In Hazara, although the Civil Surgeon
inspected more cases than were seen by any other Civil Surgeon, the number
of vaccinations performed was disappointingly small.
The pay of the vaccinators is now satisfactory; many of the present staff
are however new to the work, and as vaccination is voluntary except in a few
limited areas, where the Vaccination Act is in force, the success of vaccinators
depends a good deal on their personality and tact. It is hoped that the
efficiency of the staff will improve with experience.
I have the honour to be,
SIR,
Your most obedient servant.
W. M. ANDERSON, LT.-COL., I. M. S.,
Director of Public Health, North-West Frontier Province.
N.-W. F. P. Govt. Press, Peshawar—14 C. M. O.—145—J. B.— 20-6-22.