3
sent from the Depôt since October 1908, in accordance with the orders issued
by the Punjab Government. In some cases the bills are still under consideration
as necessary provision for the increased cost was not made in budget estimates
of Local and Municipal Funds. From certain enquiries I have instituted
recently, I find that the quantities of lymph supplied to certain districts is con-
siderably larger than in others and as vaccinators are not always as economical
in the use of lymph as they might be, the matter will be brought to the notice
of the Civil Surgeons concerned with a view of reducing the monthly supply
without hampering the work of vaccinators.
The total cost of the department amounted to Rs. 12,575 of which
Rs. 10,768 were borne by Local Bodies and the balance by Government.
Cost per successful case.
11. The cost per successful case was 2 annas and 5 pies as compared
with 2 annas and 3 pies in the previous year, the total
number of successful operations having been 81,991
against 84,884 in 1907-08.
Dispensary Vaccination, State¬
ment No. III.
12. At the Mustaj dispensary in the Chitral sub-agency 609 opera-
tions were performed which is creditable to 1st grade
Military Hospital Assistant No. 765, Rustam Ali.
The Hospital Assistant at Chakdara also did 72 operations.
Comparison of work done dur-
ing the past eight years.
13. The figures in this statement do not call for any special comment
as the results shown therein of the work done con-
tinue to be satisfactory.
Inspections made by the officers
of the department.
14. The total number of vaccine operations was 81,181 primary opera-
tions and 10,187 re-vaccinations as compared with
76,349 and 14,506, respectively, in the previous year.
Civil Surgeons inspected 2,800 operations of which 66.15 primary and 48.15
re-vaccinations were found successful. The inspection work done by Divi-
sional Inspectors and Superintendents of vaccination as compared with the
previous year was as follows :—
1908-09
1907-08
By Divisional
Inspectors.
Primary.
23.194
20,043
Re-vaccinations.
1,589
3,219
By
Superintendents.
Primary.
59,599
56,151
Re-vaccinations.
6,550
11,296
The percentage of inspections by Divisional Inspectors of the total
number vaccinated was 28.57 primary and 15.60 re-vaccinations and that by
Superintendents 73.41 primary and 64.30 re-vaccinations, while the percentage
of cases found successful of the total number inspected by the former inspect-
ing agency was 98.10 primary and 67.84 re-vaccinations and that by Superin-
tendents was 97.61 primary and 84.35 re-vaccinations.
Children available in towns for
vaccination.
Appendix A.
15. In the towns of Buffa, Bannu, Kulachi and Lakki it would appear
that a large proportion of available infants were not
submitted for vaccination. In the first three named
towns the Vaccination Act has been brought into force
and the provisions of the Act should have been enforced in respect to the
infants that were not protected from small-pox. The Act has not been en-
forced in the case of Lakki owing to the unwillingness of the people. The
only other municipal town in the Province, where the Act has not as yet been
enforced, is the Peshawar city. Here the question of enforcing the Act was
raised about five or six years ago and it was then decided that matter were
scarcely ripe for this. But as it is understood that there would be no opposition
to the step on the part of the Muhammadan population—though there might
be on the part of certain sections of the Hindus—it is reasonable to expect
that whatever prejudice to vaccination still exists in the Peshawar city might
be judiciously overcome by explaining to the representatives of the communi-
ties constituting themselves as a body of conscientious objectors, the benefits
which will most assuredly result from the acceptance of compulsory vacci-
nation. It is to be hoped that by the time the next vaccination season begins,
the Vaccination Act will have been introduced into the Peshawar city and
into Lakki.