( 7 )
vaccinated during the previous two or three years by the vaccinators employed in the service of the
State, showing bad or imperfect vaccine marks, were again subjected to the operation; and the fact
that successful results were for the most part obtained, was sufficient proof that no protection whatever
had been conferred by the attempts at vaccination in the first instance. Although the State authorities,
inasmuch as they spend a considerable sum of money every year in keeping up a strong body of
vaccinators, show that they recognise the value of vaccination, as well as the necessity of bringing it
within easy reach of the people, it cannot be doubted that vaccination for several years past, owing to
incompetent management, has really been very much neglected in this State; but under a different
regime—with an energetic European Officer in charge of the Medical Department—there is every reason to
hope that vaccination will now be taken in hand in earnest, and prosecuted with greater vigour and
effect than has heretofore been the case.
This concludes the statement of the operations performed by the staff employed under my direct
supervision.
17. Establishment of Superintendent.—This
portion of the establishment worked under the
supervision of Pundit Bal Kishan, the Deputy Superintendent of Vaccination. A summary of the work
done in each tahsíl is given as follows :—
(a). Hazárd District.—The tahsíls of Hamirpur, Abbott-abad and Manserah were visited, and for
the most part overtaken, during the first three months of the hot season. There were 4 Native Super-
intendents and 17 vaccinators employed; total number of operations was 8,482, of which the success in
primary cases amounted to 92.92 per cent., the ratio successfully vaccinated per mille of population
being 22.18. Number of deaths from small-pox in 1879 was 769, or 2.09 per mille of population.
(b). Rawalpindi
District.—In the Murree tahsíl, and in the hilly parts of Kahuta, operations
were kept up from the beginning of the rains until the end of the hot season; the tahsíls of Rawalpindi,
Pindigheb, Fattehjang, and Gujar Khan were visited in the cold season, but not systematically vaccinated.
The members of the local staff belonging to the Special Establishment worked in a somewhat desultory
manner, their time having been for the most part employed in attempts to stamp out localised out-breaks
of small-pox which were of frequent occurrence in this district throughout the cold season. The total
number vaccinated was 13,998, the ratio of successful primary vaccinations being 97.10 per cent; ratio
successfully vaccinated per 1,000 of population was only 19. Total deaths from small-pox in 1879 was
2,614, being in the ratio of 3.74 per mille of population.
(c). Lahore District.—This district was overtaken in the early part of the cold season ; 5 Native
Superintendents and 23 vaccinators were employed. As in former years the opposition met with was
greatest in the Lahore tahsíl, and especially in the villages situated within a radius of six miles of the
city of Lahore ; in other parts of the district the vaccinators are said to have been fairly well received.
The total number of operations was 20,198, and the percentage of success in primary cases amounted
to 94.45 ; the ratio of persons successfully vaccinated per 1,000 of population was 24.02. The number
of deaths assigned to small-pox in 1879 was 4,516, being in the ratio of 5.82 per 1,000 of population.
(d). Gujrat District.—From the Lahore district the vaccinators proceeded to the district of
Gujrat, where their numbers were supplemented by the Local Native Superintendent and four vaccina-
tors of the Special Establishment. The vaccination of this district was attended with a fair amount of
success—a result due to the active interest in the work taken by Major Harrington, the Deputy
Commissioner. The total number vaccinated was 18,144, of which in primary cases the ratio of success
was 94.24 per cent.; the ratio of successful cases per 1,000 of population being 27.65. Of 239 recently
vaccinated cases examined by me in the town of Gujrat on the 25th January, 3 only were unsuccessful,
giving a percentage of success of 98.74. The number of deaths registered from small-pox in 1879 was
3,127, being in the proportion of 5.07 per 1,000.
(e). Shahpur District.—After having been joined by the local vaccinators of the Special
Establishment, who had been employed in this district since the beginning of the cold season, the vaccin-
ating staff aggregated 8 Native Superintendents, and 31 vaccinators. Considerable opposition was
met with in the Shahpur tahsíl, but it cannot be said that the district, as a whole, is antagonistic to the
operation. The total number vaccinated was 12,065, of which 95.88 per cent. in primary vaccinations
were recorded successful; the proportion successfully vaccinated per 1,000 of population was 31.03.
In 1879 there were 1,134 deaths from small-pox recorded, being in the ratio of 3.07 per mille of popula-
tion. Small-pox was exceedingly prevalent throughout the cold season under review; judged by the
mortuary returns issued from the Sanitary Commissioner's Office, this district, for several months
during the period mentioned, held the highest place in point of fatality from that disease. Inoculation
with small-pox, to the practice of which the people in these parts are much addicted, is reported by the
Deputy Superintendent of Vaccination to have been carried out over a large tract of country.
(f). Jhelum District.—The local vaccinating staff of the Special Establishment which had been
kept up here since the beginning of the cold season, was joined by a portion of the itinerating staff
from Shahpur about the middle of March. The tahsíls of Pind Dádan Khan, Talagang and Chakwál,
were overtaken, but part of the Jhelum tahsíl remained uncovered at the end of the working season.
Considerable difficulty in obtaining vaccinifers for the performance of arm-to-arm vaccination is report-
ed to have been met with ; but, in other respects, judging from the returns, the operation would not