[ 15 ]
Department for some lymph taken direct from the cow, which is not
attended with the same difficulty in propagation.
Vaccine lymph from
England.
43. Supplies of vacccine in capillary tubes and on ivory points
were received from England at the commencement of the cold sea-
son, some of these were used by me and some by Dr. Benett with
success. Some were sent to Medical Officers in charge of Regi-
ments.
Distribution of vac-
cine lymph to the
Civil Surgeons and
Regimental Medical
Officers in the Pun-
jab.
44. Supplies of vaccine lymph were distributed to the Civil
Surgeons and Regimental Medical Officers, consisting of 282 tubes,
288 crusts, 154 ivory points and 22 glasses.
Dispensary Vaccination.
Dispensary Estab-
lishment.
Twenty-six districts of the Punjab have 54 Vaccinators at-
tached to the Dispensaries and paid from Imperial Funds. Two to
each Dispensary at Head Quarters (one on Rs. 10, the other on 8 per
mensem) and one vaccinator at a few Branch Dispensaries.
Number vaccinated.
They have vaccinated 61,600, being a decrease on the work per-
formed in 1869 of 12,039.
The average number of persons vaccinated by each Vaccinator
is 1100.
The percentage of success in primary vaccinations is 81.03 and
in secondary vaccinations 75.88
Sirsa district.
The decrease is principally in the Sirsa district, in which there
is a falling off to the extent of 14,217, no reason for this has been
given.
Hazara district.
In the Hazara district there is a decrease of 4240. The Vac-
cinators were working with the Provincial Establishment for about
two months during the hot season in this district, and the work done
by them during this period was included in the Provincial Returns,
but this would not account for such a large falling off.
Bunnu district.
In Bunnu there is a decrease of 804, no cause has been given.
Ferozpur district.
Reasons given by the
Civil Surgeons.
In Ferozpoor there is a decrease of 474. The Civil Surgeon
Dr. Williams reports that this is owing to "No assistance whatever"
"from the Civil authorities being given, and the people are averse"
"to the operation generally and fully comprehend that they can"
"do as they please, and until the subject is taken up by the Civil"
"powers, small pox will continue to decimate whole villages in its"
"periodical visitations." He also says "the low percentage of"
"success (59.58) is in a great measure accounted for by the fact"
"of crusts only having been used, as objections are raised to arm to arm"
"vaccination, as also to the taking of lymph from successful cases."
Remarks by the De-
puty Commissioner.
The Deputy Commissioner remarks in a letter in reply to the
Civil Surgeon, that in his late tour in the district it appeared to
him that the people had lost confidence in the treatment on ac-
count of the want of success that had resulted, and that under
these circumstances he would be reluctant to give the assistance
asked for by the vaccinators, and some special action should be
taken to ensure a more successful result, as the disease (small pox)
has committed great havoc in the district.
I have quoted the above as I believe it equally applies to the
majority of the districts to which dispensary vaccinators are at-
tached.
I have seen many instances during the three years I have
been in this Department, of the injury to the cause of vaccination,