4
Native Supervisors and Divisional Inspectors are fully qualified to
report on the success or otherwise of the operations performed, and I cannot
too strongly deprecate excessive zeal in this matter on the part of Civil Sur-
geons and the Administrative Medical Officer. This often drives the people
to resorting to inoculation, which they know is not followed up by an army of
inspecting officers.
Appendix A.
Children available in
towns for vaccination and
number of operations per-
formed, also dates of exten-
sion of Vaccination Act.
18. It will be seen that with the exception of Peshawar and Lakki,
all the Municipal towns in the Province have now been
brought under the Vaccination Act.
The question will again be urged on the Deputy Commissioners of
Peshawar and Bannu.
The number of successful operations performed on children under one
year of age, as compared with the number available for operation, at the two
towns where vaccination is not compulsory, has, however, been fairly
satisfactory.
Appendix B.
Successful vaccinations
with Annual Ratios of
deaths from
small-pox,
per mille, of population
during last 5 years.
19. The deaths from small-pox have been lower than in any of the
preceding four years and the large increase in operations
is, therefore, most creditable to the Vaccination Staffs and
the Civil Surgeons under whom they have worked,
Particulars of Vaccina-
tions performed by various
kinds of lymph.
20. Animal lymph was used in 68,250 Primary and 10,979 Re-vaccina-
tions with a percentage of success in the former of 93.49.
Vaseline and Glycerine lymph was used in 14,695 Primary
and 1,278 Re-vaccinations, the percentage of success in
the former being 91.55 and human lymph in 4,826 Primary and 838 Re-Vac-
cinations with a percentage of 98.32 of successful cases in the former.
Vaseline and glycerinated lymph was more largely used in the Peshawar
District than in any other owing to the difficulty of obtaining buffalo calves in
this district.
Human lymph, it will be observed, was scarcely used at all in the
settled districts but was resorted to largely in the Sherani Country and in the
Kurram Valley.
It will be seen that the vast majority of operations were performed with
animal lymph, generally obtained from the buffalo calf, though I understand
that cow calves and young donkeys have occasionally been used when buffalo
calves were not forthcoming.
Each Civil Surgeon and Medical Officer obtains his lymph at the
commencement of the season from the Central Vaccine Depôt in the Punjab.
With this lymph, buffalo calves are vaccinated and a good supply is secured
during the remainder of the winter. In some Districts, where there is much
difficulty in maintaining the supply through calves, the Depôt has continued to
supply tubes of glycerinated and vaseline lymph at fixed intervals throughout
the vaccinating season.
No difficulties in obtaining sufficient lymph from the Depôt have been
brought to my notice and the operations performed with this lymph have been
most successful.
Vaccination Lymph
Depôt.
21. The suggestion made by my predecessor, Lieut.-Colonel V. Harington
in his Annual Vaccination Report for 1904-05 of estab-
lishing Central Depôts at large towns in this Province for
the supply of lymph has been dropped, in accordance with the proposals
contained in a letter No. 2087, dated 4th, December 1905, from the Under
Secretary to Government of India, Home Department, to the Hon'ble the
Chief Commissioner, that it would be more economical and satisfactory to
obtain lymph from the Punjab Depôt which is under continuous skilled
management.