3
In the Shirani Country 1,654 operations were performed. Had timely
help been given by the District Authorities, more work could have been done
there. The results shown are satisfactory, but in a matter like this a good deal
depends on the honesty, zeal and popularity of the vaccinator, it not being pos-
sible to have the work checked in that area. In the Kurram Agency the vacci-
nator, who worked almost continuously throughout the year, did 3,612 operations
mostlyprimary—as compared with 3,401 in the previous year. The Civil Surgeon
checked the results in several villages and found no discrepancies. In the absence
of marked incidence of small-pox during the year under report, the increase in the
number of operations performed is satisfactory. Towards the close of the year,
however, the disease became prevalent across the border near Sadda and a number
of children from across the border were vaccinated in Sadda and neighbour-
ing villages. The Civil Surgeon, Kurram, has, I am glad to say, succeeded in
inducing an educated Turi Pathan to work as an apprentice vaccinator. If he
gives satisfaction, I hope to be able to appoint him as a regular vaccinator.
The man is not willing to serve outside the Kurram Agency. In the Tochi
Valley an increase in the number of operations performed is also shown, the
figures being 1,601 against 1,299 in the preceding year. Here too, a large pro-
portion of the work was inspected by the Civil Surgeon and found very good.
The people of the Afghan border are, it is said, much more desirous of vaccina-
tion than the local people, but being an unprotected area it is impossible to
send a vaccinator there. In the Sub-Agency of Chitral, where vaccination
work has been done for the third year, a great advance has been made, thanks
to the sympathetic interest taken by the Mehtar of Chitral in vaccination work.
Two vaccinators for five months in the year have been sanctioned for this
Sub-Agency, but this number is not considered sufficient to meet requirements.
The entertainment of a third vaccinator for the Sub-Agency has been recom-
mended by the Civil Surgeon. He has also suggested that the vaccinator
should work for a longer period during the year. The matter is receiving my
consideration and I hope to submit proposals shortly to the local administration.
During the autumn of 1909, an epidemic of small-pox broke out in and around
Dir, and two vaccinators, on that occasion, were deputed to work in the Dir
Territory. No vaccination work has been done there since then, nor in the
Swat Valley. It is, however, understood that public opinion in that valley is
veering round in favour of vaccination and arrangements will be made to
supply vaccinators when the Jirgas come forward with requests to that effect.
Appendix to Statement No. I.—
Vaccination in Cantonments.
11. The total number of operations performed in the Peshawar Can-
tonment during the year was 2,913, as compared with
2,764 in the previous year and 2,386 in 1908-09. As
mentioned in paragraph 3 of this report, the Nowshera Cantonment authorities
have arranged to have vaccination work in that Cantonment done by a military
Sub-Assistant Surgeon attached to the Cantonment General Hospital. It is
doubtful whether this arrangement will work well in practice. During the year
under report, 435 operations only were done by the military Sub-Assistant Sur-
geon while in the year-previous 1,052 operations were done by a whole time
vaccinator. The matter is receiving my attention and, if necessary, will be
brought to the notice of the military medical authorities.
During the year under report 640 operations were performed in the
Abbottabad Cantonment by Military Medical Officers. These figures have not
been included in Statement No. I, appended to this report, as the operations
were not performed by vaccinators of the District Staff. A circular has since
been issued by me to all Civil Surgeons and Cantonment Magistrates in the
settled districts of the Province to the effect that the non-military native popu-
lation of Cantonments should in future be vaccinated by the District Vacci-
nation Staff.
Statement No. II.—Cost of the
Department.
12 The total cost of the department was Rs. 14,265-9-9 against
Rs. 14,743-12-9 in the preceding year and Rs. 12,574-9-1
in 1908-09. The reason for the increase of expendi-
ture within the past two years is partly due to the entertainment of an extra
vaccinator for the Mardan Sub-Division in the previous year and of another
temporary vaccinator for the Bannu District for part of the year under report,