NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
( v )
A.—VACCINATION DEPARTMENT.
STATEMENT No. II.
Showing the cost of the Department in the North-West Frontier Province during the year 1916-17.
1
Serial No.
1
1
2
3
4
5
6
7
8
9
10
11
2
DISTRICTS.
2
Hazara
Peshawar
Mardan Sub-Divi¬
sion.
Kohat ...
Bannu ...
Dera Ismail Khan
Political
Agencies.
Sherani Country
Kurram Agency
Tochi ...
Chitral ...
Malakand ...
Total ...
3
EXPENDITURE.
Divisional Inspectors.
3
1
1
...
...
...
...
...
2
Pay.
4
Rs.
360
495
A.
0
0
P.
0
0
...
300
228
192
0
9
0
0
4
0
...
...
...
...
...
1,575 9 4
Superintendents.
5
1
1
1
1
1
1
...
...
...
...
...
6
Pay.
6
Rs.
420
660
300
300
303
600
A.
12
0
0
0
0
0
P.
11
0
0
0
0
0
...
...
...
...
...
2,643 12 11
Vaccinators.
7
7
9
4
4
3
4
1
1
1
2
1
37
Pay.
8
Rs.
1,071
1,148
623
564
387
750
A.
2
2
2
0
6
2
P.
11
7
1
0
11
4
265
240
232
312
180
5,774
6
0
8
3
0
3
9
0
0
7
0
2
Clerks.
9
1
1
...
1
1
1
...
...
...
...
...
5
Pay.
10
Rs.
400
621
A.
0
12
P.
0
5
...
417
480
600
0
0
0
0
0
0
...
...
...
...
...
2,518 12 5
Peons.
11
1
2
...
1
...
...
...
...
...
...
4
Pay.
12
Rs.
96
146
A.
0
1
P.
0
7
...
...
118 0 0
...
...
...
...
...
...
360 1 7
Total of Establishment
13
Rs.
2,347
3,071
923
1,581
1,517
2,202
A.
15
0
2
0
0
2
P.
10
7
1
0
3
4
265
240
232
312
180
12,872
6
0
8
3
0
7
9
0
0
7
0
5
Travelling Allowance.
14
Rs.
50
20
A.
4
7
P.
3
0
...
18
14
53
12
10
2
9
9
0
...
...
20 7 0
...
...
177 11 9
Contingencies.
15
Rs.
787
492
354
122
230
305
A.
6
2
13
14
12
4
P.
0
9
10
0
0
0
34 8 0
...
16
42
13
2,400
10
8
4
2
0
0
0
7
Total Cost.
16
Rs.
3,185
3,583
1,277
1,722
1,762
2,560
A.
10
10
15
10
7
8
P.
1
4
11
9
0
4
299
240
269
354
193
15,450
14
0
9
11
4
5
9
0
0
7
0
9
4
PAID FROM
Imperial Funds.
17
Rs. A. P.
...
...
...
...
...
...
...
...
...
...
...
...
Provincial Funds.
18
Rs.
266
4
A.
0
12
P.
0
0
...
...
...
...
299
240
269
354
180
1,614
14
0
9
11
0
15
9
0
0
7
0
4
Local Funds.
19
Rs.
2,141
1,831
1,277
978
1,714
1,933
A.
7
4
15
8
7
8
P.
4
11
11
6
0
4
...
...
...
...
13
9,890
4
8
0
0
Municipal Funds.
20
Rs.
778
1,500
A.
2
10
P.
9
6
...
742
48
627
2
0
0
3
0
0
...
...
...
...
...
3,695 15 6
Cantonment Funds.
21
Rs. A. P.
246 14 11
...
2 0 0
...
...
...
...
...
...
...
248 14 11
Total.
22
Rs.
3,185
3,583
1,277
1,722
1,762
2,560
A.
10
10
15
10
7
8
P.
1
4
11
9
0
4
299
240
269
354
193
15,450
14
0
9
11
4
5
9
0
0
7
0
9
5
Number of all successful
vaccinations and re-vaccina¬
tions.
23
54,438
32,533*
14,446
14,940
14,205
11,287
406
1,932
762
2,303
748
148,030
6
Average cost of each success¬
ful cases.
24
Rs.
0
0
0
0
0
0
A.
0
1
1
1
1
3
P.
11
9
5
1
11
7
0
0
0
0
0
0
11
2
5
2
4
1
10
0
8
5
2
8
7
Serial number.
25
1
2
3
4
5
6
7
8
9
10
11
* Includes Peshawar and Nowshera Cantonments.
† Includes one Military Sub-Assistant Surgeon attached to the Cantonment General Hospital Nowshera.
( vi )
B.—DISPENSARY VACCINATION.
STATEMENT No. III.
Showing Dispensary Vaccination in the North-West Frontier Province during the year 1916-17.
1
Serial No.
1
2
DISTRICT.
2
TOTAL ...
3
Number of dispensaries in each
district to which a vaccinator is
attached.
3
4
Average number of vaccinators
attached to dispensaries during
the year.
4
5
Total number of persons vacci¬
nated.
5
6
Average number of persons vacci¬
nated by each vaccinator.
6
7
PRIMARY VACCINATIONS.
Total.
7
Successful.
Under one year.
8
One and under 6
years.
9
Total of all ages.
10
Nil.
Unknown.
11
8
RE-VACCINATION.
Total.
12
Successful.
13
Unknown.
14
9
PERCENTAGE OF
SUCCESSFUL CASES
IN WHICH THE
RESULTS WERE
KNOWN.
Primary.
15
Re-vaccination.
16
10
PERCENTAGE OF
UNKNOWN CASES
TO TOTAL CASES.
Primary.
17
Re-vaccination.
18
11
Serial No.
19
NOTE.—There are no special vaccinators attached to the Dispensaries. Vaccinations are performed by Sub-Assistant Surgeons.
( vii )
COMPARATIVE STATEMENT No. IV.
Showing the number of persons primarily vaccinated and the number of those persons who were successfully vaccinated in the North-West Frontier Province in each
of the undermentioned official years.
ESTABLISH¬
MENT.
Government ...
Municipal, Local
and
District
Funds.
Dispensaries ...
The inform¬
ation
for
the
year
previous to
1900 is not
available.
TOTAL ...
PERSONS PRIMARILY VACCINATED.
Total number.
Number successfully vaccinated.
Total number.
Number successfully vaccinated.
Total number.
Number successfully vaccinated.
Total number.
Number successfully vaccinated.
Total number.
Number successfully vaccinated.
Total number.
Number successfully vaccinated.
Total number.
Number successfully vaccinated
Total number.
Number successfully vaccinated.
Total number.
Number successfully vaccinated.
Total number.
Number successfully vaccinated.
Total number.
Number successfully vaccinated.
*
Total number.
Number successfully vaccinated.
Total number.
Number successfully vaccinated.
Total number.
Number successfully vaccinated.
Total number.
Number successfully vaccinated.
Total number.
Number successfully vaccinated.
Total number.
Number successfully vaccinated.
Total number.
Number successfully vaccinated.
Years ending 31st March.
1900
8,295
8,474
...
76,769
7,403
63,812
...
71,215
1901.
8,503
65,111
...
73,614
6,926
61,351
...
68,277
1902.
8,259
54,268
794
63,321
6,704
50,320
619
57,643
1903.
2,907
79,445
...
82,352
2,691
74,339
...
77,030
1904.
2,984
63,612
1,106
94,263
26,512
59,761
Not
Known.
86,273
1905.
4,086
70,089
92
74,267
3,756
66,695
81
70,532
1906.
5,015
80,088
2,668
87,771
4,745
74,905
2,355
82,005
1907.
6,619
69,112
873
76,604
6,450
64,592
729
71,771
1908.
7,132
69,047
170
76,340
6,956
65,935
270
73,061
1909.
9,390
71,110
681
81,181
8,707
68,002
600
77,309
1910.
7,996
86,051
651
94,701
6,911
83,994
517
90,422
1911.
9,518
90,135
66
99,719
8,601
86,867
61
95,529
1912.
11,499
98,957
1,273
111,729
10,744
95,317
1,062
107,123
1913.
10,125
113,385
299
123,809
9,718
110,276
291
120,285
1914.
11,353
131,023
108
143,383
10,831
129,207
94
140,182
1915.
7,341
130,866
8
138,215
6,548
128,616
7
135,171
1916.
10,140
112,546
...
122,686
9,450
110,489
...
119,939
1917.
6,601
126,421
...
133,022
5,953
122,423
...
128,376
( viii )
STATEMENT No. V.
Showing total number of primary and re-vaccinations performed and the number inspected by Civil Surgeons and Superintendents or other Inspecting Officers, the percentages
of those inspected, together with the percentages of cases found successful by them, as contrasted with the percentages reported by the Vaccinators in each district
of the North-West Frontier Province during the year 1916-17.
Serial No.
1
1
2
3
4
5
6
7
8
9
10
11
DISTRICTS.
2
Hazara ... ...
Peshawar * ... ...
Mardan Sub-Division ...
Kohat ... ...
Bannu ... ...
Dera Ismail Khan ...
Political Agencies
Sherani Country
...
Kurram Agency ...
Tochi „ ... ...
Chitral
„ ... ...
Malakand
„ ... ...
Total ...
TOTAL NUMBER
OF PERSONS
VACCINATED.
Primary.
3
42,008
31,139
15,273
13,456
13,398
11,147
391
1,896
787
2,703
824
133,022
Re-vaccinations.
4
14,820
1,919
291
2,168
2,134
1,430
19
122
115
25
...
23,043
TOTAL NUMBER INSPECTED.
By Civil Sur-
geons.
Primary.
5
1,620
...
128
80
179
741
...
201
...
...
...
2,949
Re-vaccinations.
6
...
...
139
...
...
377
...
122
...
...
...
638
By Superinten-
dents.
Primary.
7
35,021
24,221
11,617
12,654
9,274
9,111
...
...
...
† 2,500
...
104,398
Re-vaccinations.
8
11,318
967
69
1,728
1,269
1,010
...
...
...
25
...
16,416
By Divisional
Inspectors.
Primary.
9
8,875
7,927
6,453
4,717
5,043
7,464
...
...
...
...
...
35,479
Re-vaccinations.
10
413
...
67
544
1.456
516
...
...
...
...
...
2,996
PERCENTAGE OF INSPECTIONS TO TOTAL
NUMBER VACCINATED.
By Civil
Surgeons.
Primary.
11
3.86
...
0.84
0.51
1.36
6.65
...
10.60
...
...
...
2.22
Re-vaccinations.
12
...
...
47.77
...
...
26.36
...
100.00
...
...
...
2.77
By Superin¬
tendents.
Primary.
13
83.37
77.78
76.06
94.04
69.22
81.73
...
...
...
92.49
...
78.48
Re-vaccinations.
14
76.37
51.95
23.71
79.70
59.46
70.62
...
...
...
100.00
...
71.24
By Division¬
nal Inspec-
tors.
Primary.
15
9.22
25.46
42.25
35.05
37.56
66.96
...
...
...
...
...
26.67
Re-vaccinations.
16
2.79
...
23.02
25.09
68.23
36.08
...
...
...
...
...
13.00
PERCENTAGE OF CASES FOUND SUCCESSFUL
OF TOTAL NUMBER INSPECTED.
By Civil
Surgeons.
Primary.
17
100.00
...
89.84
77.50
96.64
97.03
...
80.09
...
92.00
...
96.64
Re-vaccinations.
18
...
...
74.82
...
...
67.63
...
77.86
...
12.00
...
71.16
By Superin-
tendents.
Primary.
19
99.81
99.02
96.40
100.00
95.04
95.73
...
...
...
...
...
91.28
Re-vaccinations.
20
98.80
84.25
95.65
88.25
82.51
57.23
...
...
...
...
...
92.84
By Division-
al Inspec-
tors.
Primary.
21
97.50
95.03
98.81
99.22
98.22
97.15
...
...
...
...
...
97.41
Re-vaccinations.
22
71.91
...
68.66
95.95
78.44
72.27
...
...
...
...
...
79.44
PERCENTAGE
OF SUCCESS
REPORTED BY
VACCINATOR.
Primary.
23
99.56
98.43
95.50
98.82
96.04
98.09
100.00
96.23
91.86
92.85
95.53
98.03
Re-vaccinations.
24
98.38
72.94
84.73
88.90
81.80
59.68
78.95
79.83
81.73
12.00
...
91.34
Serial No.
25
1
2
3
4
5
6
7
8
9
10
11
* Includes Peshawar and Nowshera Cantonments.
† By Sub-Assistant Surgeon.
( ix )
APPENDIX A.
Statement showing the number of Vaccinations performed in Municipal
towns on children under one year of age.
Serial No.
1
1
2
3
4
5
6
7
8
9
10
11
12
13
TOWNS.
2
Hazara District.
Abbottabad ... ...
Nawashahr (Notified Area) ...
Buffa ... ...
Haripur ... ...
Peshawar District.
Peshawar ... ...
Nowshera Kalan
(Notified
Area).
Becketganj-Khwajaganj (No-
tified Area).
Kohat District.
Kohat ... ...
Bannu District.
Bannu ... ...
Lakki (Notified Area) ...
Dera Ismail Khan District.
Dera Ismail Khan ...
Kulachi ... ...
Tank (Notified Area) ...
Number of births during the year
1916-17.
3
73
186
309
246
2,219
391
143
616
520
268
1,172
194
172
Number of deaths among children
under one year during the year
1916-17.
4
17
43
60
46
641
70
43
108
90
80
276
58
66
Number of successful vaccinations
on children under one year of age
ending March 1917.
5
38
...
122
351
*4,316
357
71
545
490
95
765
255
162
Date of extension.
of the Vaccination
Act to towns.
6
21st May 1906.
Act not in force.
1st October 1904.
November 1904.
Act not in force.
December 1897.
20th January
1906.
* Includes infants imported from other places.
( x )
APPENDIX B.
Statement showing the Annual Number of Successful Vaccinations and the Annual Ratio of
Deaths from Small-pox per 1,000 of population for the five years ending 1916-17.
Serial No.
1
1
2
3
4
5
6
DISTRICTS.
2
Hazara ...
Peshawar ...
Mardan Sub-Division
Kohat ...
Bannu ...
Dera Ismail Khan ...
Total ...
Total of
Political
Agencies' Staff.
Total of Cantonment
Staff.
Total of Dispensary
Staff.
GRAND TOTAL ...
1912-13.
Number of successful cases.
3
29,404
36,558
15,268
15,083
17,413
13,045
120,771
9,800
6,240
297
143,108
Annual ratio of deaths from
small-pox per 1,000 of popu-
lation.
4
2.18
1.02
1.83
0.92
0.07
0.30
1.22
...
...
...
1.22
1913-14.
Number of successful cases.
5
44,750
44,247
14,882
14,344
10,413
12,585
141,221
10,887
4,128
130
156,366
Annual ratio of deaths from
small-pox per 1,000 of popu-
lation.
6
1.07
0.12
0.17
0.20
0.07
0.60
0.42
...
...
...
0.42
1914-15.
Number of successful cases.
7
39,110
47,521
14,114
16,631
7,889
9,941
135,206
6,697
3,732
43
145,678
Annual ratio of deaths from
small-pox per 1,000 of popu-
lation.
8
0.11
0.03
...
...
...
0.20
0.06
...
...
...
0.06
1915-16.
Number of successful cases.
9
36,946
33,780
14,238
13,884
13,557
10,553
122,958
9,495
3,496
...
135,949
Annual ratio of deaths from
small-pox per 1,000 of popu-
lation.
10
0.004
0.04
0.01
...
...
...
0.01
...
...
...
0.01
1916-17.
Number of successful cases.
11
54,468
30,201
14,446
14,940
14,205
11,287
139,547
6,151
2,332
...
148,030
Annual ratio of deaths from
small-pox per 1,000 of popu-
lation.
12
0.008
0.21
0.06
0.13
...
...
0.08
...
...
...
0.08
Serial No.
13
1
2
3
4
5
6
N.-W. F. P. Govt. Press, Peshawar—19 C. M. O.—7-6-17—135—M. Y.
REPORT
ON
VACCINATION
IN THE
NORTH-WEST FRONTIER PROVINCE
FOR THE YEAR
1917-18.
BY
LIEUT.-COLONEL T. W. IRVINE, M.B., C.M, F.R,C.S.E., D.P.H., I. M. S.,
Sanitary Commissioner, North-West Frontier Province.
Price Re. 0-10-0 or 10 pence.
PESHAWAR:
GOVERNMENT PRESS, NORTH-WEST FRONTIER PROVINCE.
1918.
REPORT ON VACCINATION IN THE NORTH-WEST FRONTIER
PROVINCE FOR THE YEAR 1917-18.
FOR THE AGENTS SALE OF GOVERNMENT PUBLICATIONS.
IN EUROPE.
MESSRS. CONSTABLE & Co., 10, Orange Street,
Leicester Square, London, W. C.
MESSES. GRINDLAY & Co., 54, Parliament
Street, London, S. W.
MESSRS. HENRY S. KING & Co., 65, Cornhill,
London, E. C.
MESSRS. KEGAN PAUL, TRENCH, TRUBNER & Co
Limited, 68-74, Carter Lane, London, E. C.
and 25, Museum Street, London, W. C.
MR. BERNARD QUARITCH, 11, Grafton Street,
New Bond Street, London, W.
MESSRS. P. S. KING & SON, 2 & 4, Great
Smith Street, Westminster, London, S. W.
MESSRS. W. THACKER & Co., 2, Creed Lane,
London, E. C.
MR. T. FISHER UNWIN of 1, Adelphi Terrace,
London, W. C, with depôts at New York,
Toronto, Melbourne, Wellington, Cape
Town, Calcutta, Tokio and Leipzig.
MR. ERNEST LEROUX, 28, Rue Bonaparte,
Paris.
MR. MARTINUS NIJHOFF, The Hague, Holland.
MR. B. H. BLACKWELL, 50 & 51, Broad
Street, Oxford.
MESSRS. DEIGHTON, BELL & Co., LIMITED,
Cambridge.
MESSRS. LUZAC & Co., 46, Great Russell
Street, London, W. C.
MESSRS. OLIVER & BOYD, Tweeddale Court,
Edinburgh.
MESSRS. E. PONSONBY, Limited, 116, Grafton
Street, Dublin.
MESSRS. WILLIAM WESLEY & SON, 28, Essex
Street, Strand, London.
IN INDIA.
MESSRS. THACKER, SPINK & Co., Calcutta
and Simla.
MESSRS. NEWMAN & Co., Calcutta.
MESSRS. R. CAMBRAY & Co., Calcutta.
MESSRS. S. K. LAHIRI & Co., Calcutta.
CALCUTTA SCHOOL BOOK AND USEFUL LITERA-
TURE SOCIETY of 1, Wellington Square,
Calcutta.
MESSRS. B. BANERJEE & Co., Calcutta.
MESSRS. BUTTERWORTH & Co., LD., Calcutta.
THE WELDON LIBRARY of 18-5, Chowringhee
Road, Calcutta.
MESSRS. M. C. SIRCAR & SONS of 75, Harri-
son Road, Calcutta.
THE STANDARD LITERATURE COMPANY, LD.,
Calcutta.
MESSRS. HIGGINBOTHAM & Co., Madras.
MESSRS. V.
KALYANARAMA IYER & Co.,
Madras.
MESSRS. VAS & Co., Madras.
MESSRS. G. A. NATESAN & Co., Madras.
MESSRS. THOMPSON & Co., Madras.
MESSRS. S. MURTHY & Co., Madras.
MESSRS. TEMPLE & Co., Madras.
MESSRS. COMBRIDGE & Co., Madras.
MESSRS. P. R. RAMA IYAR & Co., Madras.
M. R. Ry. E. M. GOPALA KRISHNA KONE
Madura, Madras.
MESSRS. THACKER & Co., LD., Bombay.
MESSRS. A. J. COMBRIDGE & Co., Bombay.
MESSRS. D. B. TARAPOREVALA SONS & Co.,
Bombay.
MRS. RADHABAI ATMARAM SAGOON, Bombay.
MR. SUNDER PANDURANG, Bombay.
MESSRS. GOPAL NARAYEN & Co., Bombay.
MESSRS. RAMCHANDRA
GOVIND
& SONS,
Booksellers and Publishers, Kalbadevi,
Bombay.
SUPERINTENDENT, AMERICAN BAPTIST MISSION
PRESS, Rangoon.
RAI SAHIB M. GULAB SINGH & SONS, Mufid-
i-Am Press, Lahore.
MESSRS. A. CHAND & Col, Punjab, Lahore.
MESSRS. RAMA KRISHNA & SONS, Lahore.
MR. N. B. MATHUR, Superintendent, Nazair
Kanun Hind Press, Allahabad.
BABU S. C. TALUKDAR, Proprietor, Students
& Co., Cooch Behar.
MESSRS. A. H. WHEELER & Co., Allahabad,
Calcutta and Bombay.
THE NEWAL KISHORE PRESS, Lucknow.
THE MANAGER, Hitavada, Nagpur.
IN CEYLON.
MESSRS. A. M. & J. FERGUSON.
REPORT
ON
VACCINATION
IN THE
NORTH-WEST FRONTIER PROVINCE
FOR THE YEAR
1917-18.
BY
LIEUT.-COLONEL T. W. IRVINE, M. B., C. M., F.R.C.S.E., D.P.H., I. M. S.,
Sanitary Commissioner, North-West Frontier Province.
Price Re. 0-10-0 or 10 pence.
PESHAWAR:
GOVERNMENT PRESS, NORTH-WEST FRONTIER PROVINCE.
1918.
Report on Vaccination in the North-West Frontier Province for the
year 1917-18.
REVIEW BY THE CHIEF COMMISSIONER.
THE strength of the Vaccination establishment employed during the
year was one more than in the previous year owing to the appointment of a
vaccinator in the Wana Agency.
According to Statement I the total number of vaccinations performed
during the period under report was 130,061. This represented a decrease of
28,161, as compared with the previous year and was the smallest number of
operations performed in any year during the last five years The decline is
attributed by the Sanitary Commissioner to the prevalence of malaria, and
as a contributory cause, to indifferent work by some members of the staff.
In his report for 1916-17 the Sanitary Commissioner proposed to remedy
this latter defect by establishing short classes at the headquarters of districts ;
it is not known whether this proposal was carried out nor what success attended
it, but it might be possible perhaps to arrange for a few selected men to attend
the special training classes recently instituted at the Vaccine Institute at
Lahore.
Re-vaccinations decreased by over 30 per cent. While the attitude
of the people is certainly not hostile to primary vaccination, re-vaccination is
not regarded by them with the same favour. The Peshawar District, however,
showed a remarkable rise from 54 to 363 in the number of secondary
operations.
The average number of operations performed by each vaccinator was
very creditable in the Hazara District (7,302.72) and was more than three
times the average number in the Bannu District. Successful primary cases
in which the results were known averaged 98.93 per cent, but they were at the
rate of only 42.46 per mille of the population, compared with the quinquennial
average of 49.95 for the previous five years, a moderately satisfactory result.
The Chief Commissioner welcomes the increased activity in the Political
Agencies, but although the total number of vaccinations, both primary and
secondary, was more than in 1916-17, as a result chiefly of the employment
for the first time of a vaccinator in the Wana Agency, yet it was still below
that of the year 1915-16. Valuable work was done in the Chitral Sub-Agency,
as the absence of small-pox testifies, and the Chief Commissioner takes this
opportunity of acknowledging the assistance given by the Chitral Durbar.
On the whole perhaps the most satisfactory feature of the year's report
is the low death-rate from small-pox which, so far as registration statistics go,
was only .03 per mille compared with .08 in the previous year and an average
of .35 for the quinquennium.
The duties of Sanitary Commissioner were again discharged efficiently
by Lieutenant-Colonel Irvine, I. M. S., who held charge as well of those of the
Deputy Sanitary Commissioner.
NATHIA GALI :
The 23rd July 1918.
E. H. KEALY,
Secretary to the Chief Commissioner,
North- West Frontier Province.
N.-W. F. P. Govt, Press, Peshawar—270 S. to C. C—6-8-18—140—M. Y.
[ The text of the Vaccination Report is limited to 5 pages.]
TABLE OF CONTENTS.
PARA
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
Introductory
...
...
...
Administration
...
...
...
...
...
...
...
Statement. No. I.—Strength of Vaccination Establishment ... ...
Statement No. I.—Number of vaccinations performed by all establishments ... ...
Average number of persons vaccinated by each Vaccinator ... ... ...
Vaccination according to ages ... ... ...
Re-vaccinations ... ... ... ...
Appendix to Statement No. I. — Vaccination in Political Agencies ... ... ...
Appendix to Statement No. I.—Vaccination in Cantonments ... ... ...
Statement No.II.—Cost of the Department ... ... ... ...
Cost per successful case ... ... ...
Statement No. III.—Dispensary vaccination ... ... ... ...
Statement No. IV.—Comparison of work done during the past 18 years ... ...
Statement No. V.—Inspections made by the officers of the Department ... ... ...
Appendix A.—Vaccination work in Municipal Towns and Notified Areas ...
Appendix B.—Successful vaccinations with annual ratios of deaths from small-pox
Particulars of lymph used ... ... ...
Attitude of the people towards vaccination
PAGE.
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3
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4
ANNUAL FORMS.
Statement No. I.—Showing particulars of vaccination in the North-West Frontier Province
during the year 1917-18.
Appendix to Statement No. I.—Showing the details of the vaccination operations performed
in Political Agencies and by the Cantonment staff according to localities during the
year 1917-18.
Statement No. II.—Showing the cost of the Department in the North-West Frontier Province
during the year 1917-18.
Statement No. III—Showing
Dispensary vaccinations in the North-West Frontier Province
during the year 1917-18.
Statement No. IV.—Comparative statement showing the number of persons primarily vaccinat-
ed and the number of those persons who were successfully vaccinated in the North-
West Frontier Province in each of the official years mentioned.
Statement No. V.—Showing the total number of primary and re-vaccinations performed and
the number inspected by Civil Surgeons, Divisional Inspectors and other Inspecting
Officers, the percentage of those inspected, together with the percentages of cases
found successful by them, as contrasted with the percentages reported by the Vacci-
nators in each district of the North-West Frontier Province during the year 1917-18.
Appendix A.—Showing the number of vaccinations performed in Municipal towns on children
under one year of age.
Appendix B.—Showing annual number of successful vaccination and the annual ratio of
deaths from small-pox per 1,000 of population for five years ending 1917-18 district
by district.
Diagram showing the death rates from small-pox during the year 1917-18, the average
rate of mortality from small-pox for the five years ending 1916-17, and the proportion of
successful vaccinations during the year 1917-18 and the preceding six years in each district
of the North-West Frontier Province.
No. 48-V.
FROM
LIEUT.-COLONEL T. W. IRVINE, M.B., C.M., F.R.C.S.E., D.P.H., I. M. S.,
Sanitary Commissioner,
North- West Frontier Province.
To
E. H. KEALY, ESQUIRE, I. C. S.,
Secretary to the Hon'ble the Chief Commissioner,
North-West Frontier Province.
Dated Peshawar, the 7th June 1918.
SIR,
I HAVE the honour to submit, for the information of the Hon'ble the
Chief Commissioner, the prescribed Annual Vaccination statements for the
year 1917-18 with the following remarks.
Administration.
2. I held charge of the Vaccination Depart-
ment throughout the year.
Statement No. I.—Strength of
Vaccination establishment.
3. The establishment employed was 2 Divisional Inspectors, 6
Superintendents and 38 Vaccinators, which number
includes one Military Sub-Assistant Surgeon attached
to the Cantonment General Hospital, Nowshera.
This is an increase of one Vaccinator. This new appointment from 1st Octo-
ber 1917 is in the Wana Agency.
The management of the Cantonment vaccination was controlled by the
Peshawar Cantonment Committee throughout the year under report as in the
previous year.
Statement No I.—Number of
vaccinations performed by all
establishments.
4. The total number of vaccinations performed during the year was
114,588 primary and 15,473 secondary operations,
representing a decrease of 20,591 in the former and
7,570 in the latter as compared with the figures of
the preceding season. Under the former heading the
falling off occurred in the Peshawar, Bannu, Kohat and Dera Ismail Khan
districts. In all the decrease is ascribed to sickness due to malaria and also as
a contributory cause to indifferent work by some members of the Vaccination
staff.
Average number vaccinated by
each Vaccinator.
5. The average number of operations performed by each Vaccinator
in the Province was 3405.79. The Hazara District
heads the list with an average of 7302.72 and the
Mardan Sub-Division coming next with an average
of 3887.50. The Bannu District shows the smallest amount of average work
done by each Vaccinator, viz. 2159.00.
Vaccination according to ages.
6. Of the 110,124 successful primary vaccinations 67,806 were on
infants under one year of age and 34,396 on children of
one, but under six years. The successful vaccinations
were at the rate of 42.46 per thousand of the population, 49.95 being the
average of the preceding five years. These results are only moderately satis-
factory.
( 4 )
Attitude of the people towards
vaccination.
18. From the report of the various Civil and Agency Surgeons it
would appear that the people are not hostile to primary
vaccination, but regard secondary vaccinations as
unnecessary and irksome. The protection conferred
is understood. This is shown by the increase in the demand for both vaccination
and re-vaccination when small-pox tends to become epidemic. There are still
some places where inoculators are active.
I have the honour to be,
SIR,
Your most obedient Servant,
T. W. IRVINE, LIEUT.-COLONEL, I. M. S.,
Sanitary Commissioner, North-West Frontier Province.