( 2 )
during the past three years in spite of pressure of work resulting from the
war. This is encouraging, and further efforts will be made in this direction,
more especially in the Peshawar District where the decline is most marked.
In this district the small number of secondary operations done is explained
by the Civil Surgeon to be due to the blockade of Mohmands and Swatis
and to malaria fever of a malignant type.
Average number vaccinated by each Vaccinator.
5. The average number of operations performed by each Vaccinator
in the Province was 4217.97 as com-
pared with 3713.63 in 1915-16 and
3965.34 in 1914-15. The large outturn of work during the last vaccina-
tion season is a satisfactory feature, and is creditable to the Vaccination
staff, who have, with few exceptions, done their work well. The Hazara
District shows the largest amount of average work done by each Vaccinator
during the triennial period, viz., 6467.50, the Peshawar District coming next
with an average of 5279.33. The Dura Ismail Khan District shows the
smallest amount of average work done by each Vaccinator during the past
three years, viz., 2915.75, and this, I think, is due to the unrest on the Dera
Ismail Khan border.
The percentage of success.
6. The percentage of successful cases in which the results were known
was primary 98.03 and secondary 91.34.
The results obtained under both these
heads are about the same as in the preceding two years.
Ratio of persons successfully vaccinated per 1,000 of
population.
7. The ratio of persons successfully vaccinated per thousand of the
population was 50.85 as against 46.70
in 1915-16 and 50.05 in 1914-15, and
compares favourably with those shown
for the triennial period ending 1913-14. In the Agencies, where there is no
proper supervising staff, the percentage is low.
Percentage of unknown cases.
8. The percentage of unknown cases to the total number of cases in
regard to primary cases for the Province
was 3.13 and re-vaccinations 6.62,
much the same as in the preceding two years. The percentage was the high-
est last year in Cantonments (primary 9.80 and re-vaccinations 9.38). An
explanation for this has not been furnished.
Average annual number of deaths from small-pox
during previous five years.
9. The average annual number
of deaths from small-pox during the
previous five years was 881, or 43 in
the settled districts of the Province.
Appendix to Statement No. I.—Vaccination in Politi-
cal Agencies.
10. The total number of persons vaccinated in the Agencies of Kurram,
Tochi, the Malakand, the Sub-Agency
of Chitral and the Shirani Country was
6,882 against 10,218 in the preceding
year and 7,541 in 1914-15. The decline has been contributed by all the
Agencies. It is most marked in the Shirani Country, where only 410 opera-
tions were performed against 2,573 in 1915-16. More work could have been
done in that area but for the bad example set by the influential men and
Lambardars, who refused to submit themselves and their children for vaccina-
tion. In the Chitral Sub-Agency the decline is due to the withdrawal of the
Mastuj Vaccinator.
During the autumn of 1916 a small-pox epidemic prevailed amongst
the Dotanis, and for the first time a Vaccinator, a Mahsud, was em-
ployed in the Wana Agency, not only for the benefit of the people
living in that Agency, but as a preventive measure against the spread of
small-pox to the troops and civil population in the adjoining district
of Dera Ismail Khan. He did useful work under the guidance of the Agency
Surgeon, Wana, but no record was kept. Arrangements are now being made to
obviate this by employing a whole-time Vaccinator, who during the six cold
weather months will do vaccination work and for the remainder of the year be
attached to one of the hospitals in that Agency.