( 3 )
Appendix to Statement No. I.—
Vaccination in Cantonments
9. In the cantonments of Peshawar and Nowshera, where the work is
under the control of the cantonment authorities, 3,705
vaccinations were performed as compared with 4,263
in the preceding year. In other cantonments, among
the non-military native population, vaccination is done by the district vaccina-
tion staff. This year only 53 such persons were vaccinated—all at Abbottabad
cantonment.
Statement No. II.—Cost of the
Department.
10. The total expenditure incurred on account of the vaccination staff
and for purchase of lymph from the Punjab Central
Vaccine Institute was Rs. 18,969-7-11 as compared
with Rs. 17,892-10-9 in the previous year.
The expenditure was met from the four funds noted below as
follows:—
Provincial Fund ... ... ... ...
Municipal Fund ... ... ... ...
Cantonment Fund ... ... ... ...
District Board Fund ... ... ... ...
Total ...
Rs.
1,476
4,712
325
12,455
18,969
a.
2
2
3
15
7
p.
8
2
11
2
11
Cost per successful case.
11. The total number of successful operations was 109,124 out of 116,167
actually performed and the cost for each successful case
was Re. 0-2-9, an increase of seven pies for each case
compared with the preceding year. This increase is mainly accounted for by
the falling off in the total number of vaccinations performed by individual
vaccinators, while the pay of the staff amounted to more than last year.
Statement No. III.—Dispensary
vaccination.
12. Vaccination work is rarely done by the staff of medical institutions,
but this year owing to a deficiency in the strength of
the vaccination staff in the Dera Ismail Khan District,
a small quantity of lymph was sent to outlying dis-
pensaries where 40 primary and 47 re-vaccinations were carried out. The Sub-
Assistant Surgeons in Chitral and Drosh also supervised vaccination work in the
neighbourhood of their dispensaries.
Statement No. IV.—Work done
during past 21 years.
13. There has been a very marked falling off in the number of opera-
tions performed during the year under report, which
only totals 116,167. This is seen when the figures are
compared with the average number of vaccinations
for the preceding five years which amounts to 136,685. The difference of
20,518 is large. The main cause is the discontent among the vaccination
staff caused by their inadequate pay, resulting in a certain number of resigna-
tions, and difficulty in filling vacancies so caused.
Supervision by Civil Surgeons of the vaccinators' work has not been
overdone. Out of a total of 116,167 cases vaccinated only 1,959 were inspect-
ed by them. A third cause is the fact that the charge of the Vaccination
Department was held by five different officers during the year. Such frequent
changes are hound to militate against its efficient supervision.
A revised and adequate scheme of pay considerably improving the
emoluments and prospects of the vaccination staff has been submitted to the
Government of India. It is hoped that it will be sanctioned shortly, and that
by its means a contented and more efficient staff will be obtained. With more
careful supervision it will then be possible to obtain in the future a great
improvement both in the quantity and quality of the work done.
Statement No. V.— Inspections
made by officers of the Department.
14. This statement shows that in the districts where the civil surgeoncy
is held by a full-time officer, most inspections were
done in the Dera Ismail Khan District and none in the
Peshawer District. In the district and agencies where the civil surgeoncies are
held as collateral charges, the Tochi was the only place where vaccination