NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
(
vii)
COMPARATIVE STATEMENT No. IV.
Statement 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.
ESTABLISHMENT.
Government
.....
Municipal, Local
and District
funds..
Dispensaries .....
ESTABLISHMENT.
Government ...
Municipal Local
and District
Funds.
Dispensaries ...
The informa¬
tion for the
year previous
to 1900 is not
available.
Total ...
The informs¬
tion for the
year previous
to 1900 is
not available.
Total ...
PERSON PRIMARILY VACCINATED.
Total number.
Number success
fully vaccinat-
ed.
Total number.
Number success-
fully
vaccinat¬
ed.
Tot al number.
Nu mb e r success-
ful l y vaccinat-
ed.
Total number.
Nu mb e r s uc c e s s -
ful l y vaccinat-
ed.
Tot al number.
Number success¬
fully
vaccinat¬
ed.
Total number.
Number success-
fully Vaccinat-
ed.
Total number.
Number success-
fully
vaccinat¬
ed.
Total number.
Number success-
fully vaccina¬
ed.
Total number.
Number success-
fully vaccinat¬
ed.
Total number.
Number success-
fully vaccinat-
ed.
Year ending 31st March.
1990.
8,295
68,474
...
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.
2,007
790045
.....
82,352
2,691
74,339
...
77,030
1904.
2,984
63,612
1,166
94,262
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
76,349
6,956
65,935
270
73,061
1909.
9,399
71,110
681
81,181
8,707
68,002
600
77,309
PEIRSONS PRMARILY VACCINATED—Concluded.
Total number.
Number success¬
fully vaccinat-
ed.
Total number.
Number success¬
fully vaccinat-
ed.
Total number.
Number success¬
fully vaccinat-
ed.
Total number.
Number success-
fully vaccinat-
ed.
Total number.
Number success
fully vaccinat-
ed.
Total number.
Number success-
fully vaccinat-
ed.
Total number.
Number success
fully vaccinat-
ed.
Total number.
Number success
fully vaccinat-
ed.
Total number.
Number success¬
fully vaccinat-
ed.
Total number.
Number success-
fully vaccinat-
ed.
Total number.
Number success¬
fully vaccinat-
ed.
Year ending 31st March—concluded.
1910.
7,996
86,054
651
94,701
6,911
82,994
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
1,082
107,123
1913.
10,125
113,385
299
123,809
9,718
110,276
291
190,285
1914.
11,353
131,922
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
1918.
8,487
105,542
.....
114,029
7,848
102,276
.....
110,124
1919.
10,302
87,725
70
98,097
9,872
85,794
70
95,736
1920.
8,754
99,203
..... 107,957
8,201
96,826
...
105,027
( 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 ... ...
Nawanshahr (Notified Area) ...
Buffa ... ... ...
Haripur ... ... ...
Peshawar District
Peshawar ... ... ...
Nowshera Kalan (Notified Area) ...
Becketganj-Khwajaganj
(Notified Area). ... ...
Kohat District.
Kohat ... ... ...
Bannu District.
Bannu ... ... ...
Lakki (Notified Area) ... ...
Dera Ismal Khan District.
Dera Ismail Khan ... ...
Kulachi ... ... ...
Tank (Notified Area) ... ...
Number of births during the year
1919 20.
3
111
266
369
242
2,393
538
305
546
561
204
1,095
235
77
Number of deaths among children
under one year during the year
1919-20.
4
19
65
82
77
515
84
80
98
132
38
282
69
25
Number of successful vaccinations
on children under one year of
age ending March 1920.
5
293
6
318
185
1,275
291
47
343
419
163
1,056
106
19
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 1919-20.
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 Age¬
cies Staff.
Total of Cantonment*
Staff.
Total of Dispensary
Saff.
GRAND TOTAL .....
1915-16.
Number of Successful cases.
3
30,946
33,780
14,238
13,884
13,557
10,533
122,958
9,495
3,496
.....
135,949
Annual ratio of deaths from
small-pox per 1,000 of popu-
lation.
4
0.04
0.14
0.01
...
...
...
0.01
.....
.....
0.01
1916-17.
Number of successful cases.
5
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.
6
0.008
0.21
0.06
0.13
...
...
0.08
....
.....
...
0.08
1917-18.
Number of successful cases.
7
50,021
22,236
15,357
10,364
6,338
8,952
113,268
8,485
1,872
.....
123,626
Annual ratio of deaths from
small-pox-per 1,000 of popu-
lation.
8
0.009
0.04
0.20
0.05
...
.....
0.03
.....
...
...
0.03
1918-19.
Number of successful cases.
9
42,842
19,358
13,442
9,319
6,346
8,137
99,444
12,142
3,008
105
114,694
Annual ratio of deaths from
small-pox per 1,000 of popu-
lation.
10
0.07
0.02
0.01
0.001
...
.....
0.03
...
.....
...
0.08
1919-20.
Number of successful cases.
11
43,318
22,206
14,625
9,507
9,464
19,815
118,935
8,671
3,839
.....
131,445
Annual ratio of deaths from
small-pox per 1,000 of popu-
lation.
12
0.60
1.08
0.87
0.54
0.40
0.12
0.81
...
...
.....
0.81
Serial No.
13
1
2
3
4
5
6
* These Figures have already been Included in the District Staff Figures of the Peshawar District.
REPORT
ON
VACCINATION
IN THE
NORTH-WEST FRONTIER PROVINCE
FOR THE YEAR
1920-21
BY
LIEUT.-COLONEL W. M. ANDERSON, C.I.E., M.B., D.T.M. & H., I. M. S.,
SANITARY COMMISSIONER, NORTH-WEST FRONTIER PROVINCE,
Price Re. 1-4-0.
PESHAWAR :
GOVERNMENT PRESS, NORTH-WEST FRONTIER PPOVINCE.
1921.
REPORT ON VACCINATION IN THE NORTH-WEST FRONTIER
PROVINCE FOR THE YEAR 1920-21.
AGENTS FOR THE SALE OF GOVERNMENT PUBLICATIONS.
IN EUROPE.
MESSRS. CONSTABLE & Co., 10, Orange Street,
Leicester Square, London, W. C.
MESSRS. 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 QUARTHCH, 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, Adetphi Terracct,
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 Russel
Street, London, W. C.
MESSRS. OLIVER & BOID, Tweeddale Court.
Edinburgh.
MESSRS E PONSONBY, Limited, 116, Grafton
Street, Dublin.
MESSRS WELDON AND WESLEY, LTD, 28, Essex
Street, London, W C.
IN INDIA.
MESSRS. TRACKER, 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, Chowrin¬
ghee Road, Calcutta.
MESSRS. M. C. SIRCAR & SONS of 75, Harri-
son Road, Calcutta.
THE STANDARD LITERATURE COMPANY, Ld.,
Calcutta.
THE ASSOCIATION PRESS, Calcutta.
MESSRS. HIGGINBOTHAM & Co., Madras.
MESSRS. V. KALYANARAMA IYAR & Co.,
Madras.
MESSRS. VAS & Co., Madrag.
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 KONS,
Madura, Madras.
MESSRS. TRACKER & Co., LD., Bombay.
MESSRS. A. J. COMERIDGE & Co., Bombay.
MESSRS. D. B. TARAPOREVALA SONS & Co.,
Bombay.
MRS. RADHABAI ATMARAM SAGOON, Bombay
MESSRS. GOPAL NARATEN & Co., Bombay.
MESSRS. RAMCHANDRA GOVIND & SONS,
Booksellers and Publishers, Kulbadevi,
Bombay,
MR. RAMNATH SUNDER of Bombay.
SUPERINTENDENT, AMERICAN BAPTIST MISSION
PRESS, Rangoon.
MR. MANGALDAS HARKISANDAS of Surat.
RAI SAHIB M.GULAB SINGH & SONS, Mufid¬
i-Am Press, 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. WHERLER & Co., Allahabad,
Calcutta and Bombay.
THE NEW PROPRIETOR KITAB KHANA, POONA.
THE NEWAL KISHORE PRESS, Lucknow.
SEETA RAM, Managing Proprietor, Indian Army
Book Depôt, Juhi, Cawnpore.
THE MANAGER, Hitavada , Nagpur,
The Standard Bookstall, Karachi
IN CEYLON.
MESSRS. A. M, & J, FERGUSON.
REPORT
ON
VACCINATION
IN THE
NORTH-WEST FRONTIER PROVINCE
FOR THE YEAR
1920-21
BY
LIEUT.-COLONEL W. M. ANDERSON, C.I.E., M.D., D.T.M, & H., I. M S.,
SANITARY COMMISSIONER, NORTH-WEST FRONTIER PROVINCE.
Price Re. 1-4-0.
PESHAWAR :
GOVERNMENT PRESS, NORTH-WEST FRONTIER PROVINCS.
1921.
Report on Vaccination in the North-West Frontier Province for
the year 1920-21.
REVIEW BY THE CHIEF COMMISSIONER.
THE number of vaccinations performed has decreased by 13 per cent.,
the number of re-vaccinations by 27 per cent., and the average number of
operations performed by each vaccinator by 11 per cent., as compared with
the totals of the previous year. The main reason assigned by the Chief Medical
Officer for this falling off is the discontent among the vaccination staff caused
by their inadequate pay, and the consequent difficulty in recruiting to fill
vacancies caused by resignations.
In consequence of the decrease in the average number of operations
performed by each vaccinator the cost of each successful operation has risen
by 27 per cent. The Chief Commissioner considers that the results reported
are disappointing and trusts that the great improvement in this important
branch of the medical administration of the Province foreshadowed by Colonel
Anderson may materialise during the coming year.
Small-pox appeared in epidemic form in Dera Ismail Khan and Bannu
districts : the total number of deaths recorded was 2,073 an increase of 312 on
the total for the previous year.
NATHIGALI :
The 8th July 1921.
H. A. F. METCALFE,
Secretary to the Chief Commissioner,
North-West Frontier Province.
N. W. F. P. Govt. Press, Peshawar—292 S. to C. C—21-7-21—145—J. B.
[ 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.— Establishment ... ... ... ...
Statement No. I.—Number of vaccinations performed by all establishments ...
Average number vaccinated by each vaccinator ... ... ...
Vaccination according to ages ... ... ... ... ...
Re-vaccination
...
..
...
...
... ...
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.—Work done during the past 21 years ... ...
Statement No. V.—Inspections made by officers of the Department ... ...
Appendix A.—Vaccination in Municipal Towns ... ... ...
Appendix 13.—Case success and annual ratios of deaths from small-pox ...
Particulars of lymph used ... ... ... ... ...
Attitude of the people towards vaccination ... ... ... ...
ANNUAL FORMS.
PAGE.
1
ib.
ib.
ib.
2
ib.
ib.
ib.
3
ib.
ib.
ib.
ib.
ib.
4
ib.
ib.
ib.
Statement No. I.— Showing particulars of vaccination in the North-West Frontier Province
during the year 1920-21.
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 1920-21.
Statement No. II.—Showing the cost of the Department in the North-West Frontier Province
during the year 1920-21.
Statement No. III.—Showing Dispensary vaccinations in the North-West Frontier Province
during the year 1920-21.
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 percentage reported by the
Vaccinators in each district of the North-West Frontier Province during the year
1920-21.
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 vaccinations and the annual ratio of
deaths from small-pox per 1,000 of population for five years ending 1920-21, district
by district.
Diagram showing the death-rates from small-pox during the year 1920-21, the average
rate of mortality from small-pox for the five years ending 1919-20, and the proportion of
successful vaccinations during the year 1920-21 and the preceding six years in each district
of the North-West Frontier Province.
No. 4133-V.
FROM
LT. COL. W. M. ANDERSON, C.I.E., M.D., D.T.M., & H., I. M. S.,
Sanitary Commissioner,
North-West Frontier Province.
To
H. A. F. METCALFE, ESQUIRE, I. C. S.,
Secretary to the Hon'ble the Chief Commissioner,
North- West Frontier Province.
Dated Peshawar, the 3rd June 1921.
SIR,
I HAVE the honour to submit the annual vaccination statements for the
year 1920-21.
Administration.
2. The charge of the Vaccination Department was held by five
different officers during the year as follows :—
Lieutenant-Colonel J. H. Hugo, I. M. S., from 1st April 1920 to 16th
May 1920.
Lieutenant-Colonel G. Tate, I. M. S., from 17th May 1920 to 25th
September 1920.
Lieutenant-Colonel R. B. B. Foster, I. M. S., from 26th September
1920 to 23rd October 1920.
Lieutenant-Colonel W. M. Anderson, I. M. S., from 24th October
1920 to the end of the year under report, excluding a fortnight
in March, during which Lieutenant-Colonel J. Husband,
I. M. S., was in charge.
Statement No. I —Establishment.
3. Two Divisional Inspectors, six Superintendents and 36 Vaccinators
were employed during the year. Of the latter some
only worked for a part of the year. The reason for
this is that the present pay of the vaccination staff is very inadequate, causing
discontent and slackness. Several vaccinators resigned, and it was not possible
to obtain other men in their place. In the Dera Ismail Khan District there
was a deficiency of two vaccinators during part of the year. In the Kohat
District only two of the four vaccinators worked throughout the year. In the
Kurram Valley one vaccinator worked for three months only. He had to be
dismissed and could not be replaced. The result has been a regrettable falling
off in the total number of vaccinations performed during the year.
Owing to a state of war in the Wana Agency no vaccination work was
done there during the year.
Vaccination in Peshawar Cantonment is carried out by a civil
vaccinator under the supervision of the cantonment authorities, and in the
Nowshera Cantonment by the Military Sub-Assistant Surgeon attached to the
Cantonment Hospital. The returns from these two areas are included in this
report.
Statement No I.—Number of
vaccinations performed by all
establishments.
4. The total number of vaccinations performed in settled districts and
agencies during the year was 116,167. When this
figure is compared with 134,532, the number for the
preceding year it will be seen that there was a large
decrease in the operations performed during the year.
( 2 )
under report. Of the total operations performed 97,405 were primary and
18,762 secondary vaccinations, both figures being less than the corresponding
figures for last year by 11,257 and 7,108, respectively.
The figures for the six districts show a decrease of vaccinations in all
except in Mardan, when compared with the operations carried out in the pre-
ceding year. They are as follow :—
Districts.
Hazara
...
... ...
Dera Ismail Khan ... ...
Peshawar ... ... ...
Kohat ... ... ...
Bannu
... ... ...
Mardan ... ... ...
TOTAL VACCINATIONS.
1919-20.
44,958
21,559
19,250
10,320
9,983
14,782
1920-21.
35,548
17,232
17,502
9,182
9,616
15,386
Decrease.
9,410
4,327
1,748
1,138
367
...
Increase.
...
...
...
...
...
604
The Civil Surgeon. Hazara, reports that vaccination is not very popular
in the district, that this feeling was accentuated during the time of the
Hijrat and that for two months a vacancy occurred in the appointment of one
vaccinator, who was dismissed, also that the vaccinators have complained
of a lack of help from the tahsil authorities. He thus accounts for the
large falling off in the number of vaccinations performed in Hazara during
the year.
In both the Kohat and Dera Ismail Khan districts the vaccination staff
was under strength. In the latter district, in the preceding year, small-pox
occurred among the Powindahs and 1,388 individuals were vaccinated. They
are reported, however, only to submit to vaccination if small-pox exists in
epidemic form and this year no vaccination was done among them
Average number vaccinated by
each vaccinator.
5. The average number of operations performed by each vaccinator
was 3106.59. The corresponding figure last year
was 3521.76. Of the individual districts, the Hazara
vaccinators head the list with an average of 5061.43.
This is explained by the fact that in this district vaccination can be carried out
throughout the year, while in other districts it has to be discontinued during
the hot weather as heat destroys the lymph. The vaccinators in Dera Ismail
Khan come next with an average of 4031.7. The vaccination staff in Kohat
return the smallest amount of average work done, namely only 2295.5 opera-
tions by each vaccinator.
Vaccination according to ages.
6. There were 93,285 successful primary vaccinations performed. Of
these 52,466 were on infants under one year of age
and 32,112 on children between one and six years of
age. The successful vaccinations were at the rate of 37.05 per mille of the
population, the average for the preceding five years being 47.20.
Re-vaccinations.
7. The value of re-vaccination is not appreciated by the mass of the
people unless small-pox is prevalent. During the
year only 18,762 re-vaccinations were performed,
which is 7,108 less than in the preceding year.
Appendix to Statement No. I —
Vaccination in Political Agencies.
8. The total number of persons vaccinated in the agencies and the
Sherani Country was 7,996, which is 1,421 less than
in the year before. This may be accounted for by the
absence of small-pox throughout the year in Chitral
and the Malakand, and the fact that vaccination in the Kurram was only done
for three months out of the twelve.
( 4 )
was inspected, and there only 18 cases were seen. The percentage of successes
recorded by Civil Surgeons was 86.16 for primary vaccinations and 74.08 for
re-vaccinations. The Divisional Inspectors recorded a success of 98.20 for
primary vaccinations and 68.63 for re-vaccinations and Superintendents 98.61
for primary and 91.61 for re-vaccinations.
It may, however, in this connection be pointed out that the percentage of
inspections by Civil Surgeons of the total number vaccinated was only 0.95 of
primary vaccinations and 5.57 of re-vaccinations while the Divisional Inspectors
inspected a percentage of 23.64 primary and 9.57 re-vaccinations and Superin-
tendents 75.73 primary and 65.92 re-vaccinations.
The Deputy Sanitary Commissioner reports that he inspected the vaccina¬
tiou of 92 towns and villages during the year and inspected 1,358 children,
but he gives no details as to the percentage of successes among the cases seen.
Appendix A —Vaccination in
Municipal Towns.
16. The excess of primary vaccinations over births registered in some
of the Municipal towns and notified areas is due in
part to defective registration and also to the fact that
migratory sections of trans-frontier tribes allow their children to be vaccinated
while they are passing through British territory. It will be noticed from
column 6 of Appendix A that the Vaccination Act is only in force in certain
places and not in Peshawar City, the notified areas of that district, nor
in Lakki.
16. In Appendix B are shown the number of successful vaccinations
and the mortality from small-pox per mille of popula-
tion during the past five years. It will be noticed
that the ratio of deaths has been practically the same
during the past three years, namely 0.8 per mille. Small-pox was present in
epidemic form in the Dera Ismail Khan and Bannu districts during the year.
The reported numbers of deaths from this disease in the various districts are as
follow : —
Appendix B—Case success and
annual ratio of deaths from
small-pox.
Dera Ismail Khan ... ... ... ...
Baunu ... ... ... ... ...
Hazara
...
...
...
... ...
Peshawar ... ... ... ... ...
Kohat
... ... ... ... ...
Mardan ... ... ... ... ...
1,003
424
126
83
79
46
Particulars of lymph used.
17. Throughout the year the lymph used has been glycerinated
chloroform lymph procured from the Punjab Vaccine
Institute. The lymph received was of good quality and
gave satisfactory results, with the exception of 15 grammes received in October
at Dera Ismail Khan where all the vaccinations done with this lymph were
unsuccessful.
Attitude of the people towards
vaccination.
18. The attitude of the people towards vaccination is, on the whole,
favourable. Re-vaccination, however, is considered
unnecessary and trouble some, except when small-pox
prevails in epidemic from. There is no religious prejudice against vaccination.
I have the honour to be,
Sir,
Your most obedient Servant,
W. M. ANDERSON, LIEUT.-COLONEL, I. M. S.,
Sanitary Commissioner, North- West Frontier Porvince.
N,-W.F. P., Govt. Press, Peshawar—13 C. M. O.—22-6-21—146—J.R.
Diagram showing the death-rates from small-pox per 10,000 of population during the year 1920-21, the average rate of mortality from small-pox per 10,000 of population
for the five years ending 1919-20, and the proportion of successful vaccinations during the year 1920-21 and the preceding six years
in each district of the North- West Frontier Province.