2
Vaccination according to ages.
6. Of the successful primary vaccinations, 83,052 were performed on
infants under one year of age and
38,682 on children over one and under
six years of age, a decrease in the former of 5,847 and an increase in the latter
of 1,905. The heavy mortality among children, particularly infants, during
year as pointed out in paragraph 9 of my Annual Sanitary Report for 1914
explains the cause of decrease.
Re-vaccinations.
7. There has been a further falling off in the number of re-vaccinations
which is most noticeable in the Peshawar
and Kohat Districts. In the former, not a
single re-vaccination was performed. This may, to a certain extent, be attri-
buted to a year of comparative freedom from small-pox, the absence of which
results in apathy regarding vaccination amongst villagers.
Appendix to Statement No. I.
Vaccination in Political Agencies.
8. As in the settled districts, so in the agencies, there has been
considerably less activity in vac-
cination work. In the Kurram, the
prevalence of cholera during the busy
months of the year, when it was considered advisable to suspend vaccination
operations, accounts for the falling off in numbers ; while in the Tochi it is
attributed to the unsettled condition of that part of the country.
In the Chitral Sub-Agency work was very much hampered by the
deterioration of lymph caused by frequent delays and damage in transit. It
is, however, satisfactory to note that the modern method of vaccination is
popular with the Chitralis and that the Mehtar of Chitral continues to give his
sympathetic support to the work.
Appendix to Statement No. I.
Vaccination in Cantonments.
9. In the Cantonments of Abbottabad, Dera Ismail Khan and Mardan,
the services of the vaccinators of the
District Staff were utilized, but not so
in the Cantonments of Kohat and
Bannu. At Peshawar Cantonment, which entertains its own vaccinator, 3,689
operations were performed, while at Nowshera Cantonment. where the work
is done by a Military Sub-Assistant Surgeon attached to the Cantonment
General Hospital, only 283, which includes 167 secondary operations.
Statement No. II.—Cost of the Department.
10. The total cost of the Vaccination Department was Rs 15,171, the
expenditure being about the same as
in the year previous. Of the total cost,
Rs. 12,810 went towards the pay of the Staff, Rs. 1,847 were on account
lymph and the balance, viz. Rs. 514, on other contingencies. The expen-
diture was met as follows:—Provincial Funds, Rs. 1,676; Local Funds,
Rs. 9,530; Municipal Funds, Rs. 3,516; Cantonment Funds, Rs 449.
Cost per successful case
11. The cost, per successful case, which has continued to keep low for
the past four years, was one anna and
eight pies, the total number of success-
ful operations having been 145,678 out of 154,179.
Statement No. III.—Dispensary Vaccination.
12. The Bannu and Durgai Civil Dispensaries are the only two
Medical Institutions where vaccination
was done, seventy-three adults and
eight children being vaccinated. In the Chitral Sub-Agency the work done
by Vaccinators is inspected by Sub-Assistant Surgeons whose routine medical
work is interfered with to a certain extent in consequence. In the coming year
the Civil Surgeon hopes to arrange otherwise.
Statement No. IV.—Work done during past 15 years.
13. From this statement it will be observed that, though there has
been a decrease of successful operations
as compared with last year's figure,
there has been satisfactory progress in recent years, the work done since the
formation of the province having nearly doubled itself. There is, however,
room for greater improvement both in quantity and quality and, I am hopeful,
that better results will be achieved in the future.