NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
V.
Statistics of Life.
3.—Return of Vaccine Operations in the Province of the Punjab during the year 1867.
DISTRICT.
By Punjab Vaccine Establishment,
By Dispensary Vaccinators, ..
TOTAL, ..
Number of
operators.
99
56
155
PERSONS
TREATED.
Successful.
1,26,402
42,345
1,68,747
Unsuccessful.
3,960
9,894
13,854
TOTAL.
1,30,362
52,239
1,82,601
Cost of operations
during the year.
R.
37,426
5,963
43,339
A.
2
11
13
P.
5
5
10
Total number of suc-
cessful operations
recorded to date.
1,26,402
42,345
1,68,747
REMARKS.
To these should be added cases
''Doubtful," "Re-vaccinated,"
and
"Unknown,"—4,458
Ditto Ditto Ditto—9,507.
A. M. GARDEN,
Superintendent General of Vaccination, Punjab.
( 11 )
The following Native officials can be presented with khilluts of the
value specified, together with commendatory purwanahs from their respective
Commissioners, in acknowledgment of their services:—
Durga Parshad (Tahsildar of Attock)
...
...
Nujaf Khan (Tahsildar of Dehli)
...
...
...
Raja Lal (Tahsildar of Balubghur, Dehli district ...
Tahsildar of Gharounda, Karnaul district ...
Value of Khillut.
Rs. 50
„
50
„ 25
„ 25
Native Superintendents Balli Ram and Duni Chand can receive a
donation of one month's pay, as proposed. Hakím Bora of the Syalkote
district can be presented with a khillut of Rs. 25 in value.
ORDERED, that this report (with the exception of para. 9) be printed
with the remarks of the Lieutenant-Governor and circulated for general
information.
By order of the Hon'ble the Lieutenant-Governor of the Punjab.
T. H. THORNTON,
Secretary to Government, Punjab.
ANNUAL REPORT ON VACCINE OPERATIONS IN THE PUNJAB
FOR THE YEAR 1868.
From A. M. GARDEN, ESQ., Superintendent General of Vaccination, Punjab,
to the Secretary to Government, Punjab.
SIR,
I have the honor to submit, for the information of His Honor the Lieute-
nant Governor, my Report on Vaccine Operations in the Punjab for the
year 1868.
Cost of Punjab Vaccine Es-
tablishment.
Cost of Dispensary Establish-
ments.
The numbers Vaccinated during the year by the Punjab Vaccine Estab-
lishment are 1,68,970, being an increase of 34,150, upon the work of the pre-
ceding year. The number of successful cases is, 159,704. The numbers vaccinated
by the Dispensary Establishments are 64,892, being an increase of 3.146 upon
the work of the preceding year; the number of successful cases is 44,177, and the
cost of the Punjab Vaccine Establishment during the
year is Rs. 40,266 ; each successful case, therefore, costs
annas 4 and a small fraction. The cost of the Dispensary
Establishment is 5,903 Rupees; each successful case, therefore, costs annas 2
and 1 pie and a fraction.
The total number of cases Vaccinated by the Punjab Vaccine Establish-
ment and Dispensary Vaccinators, is 233,862, and the cost of each successful
case is annas 2 and 7 pie and a fraction.
Operations concluded in the
Rawul Pindee district.
2. Operations were concluded in the Rawul Pindee district on the 20th
of January, and the success met with, as shewn in the
Report for last year, was very good.
Sealkote—Small Pox Epide-
mic.
3. Small Pox was at this time (January) and had been for some time
previously, epidemic in the district of Sealkote, and a
large portion of the Establishment was set to work there.
Colonel Mercer, the Deputy Commissioner, had taken the greatest pains to
prevent, as far as possible, the spread of the disease, and his exertions were in a
great measure successful. He had also strongly urged on the people the advis-
ability of having their families vaccinated, and operations were carried on most
successfully up to the 12th of March, when the heat became too great and they
had to be discontinued.
Assistance given by the Mu-
nicipal Committee of Sealkote.
The Members of the Municipal Committee of Sealkote, who had previ-
ously set so good an example to the people, continued
to urge them to be vaccinated, and through their exer-
tions, the city was in a few days well protected.
Hakim Bora, the head of the hakim system established in the district,
was very useful, and accompanied the vaccinators on many occasions.
Assistance given by the dis-
trict hakims.
Some of the hakims under him, at his instigation, learnt how to vacci-
nate, and sometimes vaccinated the people with their
own hands, and promised to continue the practice as a
( 4 )
whether this practice should or should not be entirely forbidden in India. I
believe that all are agreed that when vaccination can be substituted for it, it
should be forbidden, but not otherwise, but on the contrary, it should be allow-
ed. This being a matter of great importance, I trust I may be allowed to insert
in this report some statistics concerning it, especially as there are some districts
in the Punjab (Hazara, Peshawur, Goojrat, Wazeerabad &c.,) where the oper-
ation is performed every year. My own opinion is that it should be entirely
forbidden, as I believe it tends not only to keep up the disease, but is also some-
times the cause of its becoming epidemic.
From statistics published in England (Parliamentary Return 26th April
1853, and Registrar General's Returns) it appears that in London the mean an-
nual Small Pox deaths per 1000 deaths were :—
Periods.
From 1650 to 1700
„ 1750 „ 1800
„ 1810 „ 1860
Comparative numbers.
56
96
25
No protection.
Innoculation.
Vaccination.
Here it is plainly shewn that the number of deaths from Small Pox
during the practice of inoculation, greatly exceed those occuring before its in-
troduction. It is also shewn from Parliamentary Returns that epidemic visit-
ations of Small Pox were far more frequent when variolous inoculation was
practised, and that the epidemics were more severe in their character.
THESE RETURNS ARE
When neither variolous inoculation
nor vaccination was practised,
"When variolous inoculation was
practised,
When vaccination was practised, ...
}
}
{
During
91 years,
During
64 years,
During
63 years,
{
{
{
epidemics occurred in
2-3rds of these years.
epidemics occurred in
6-7ths of these years.
epidemics occurred in
1-4th of these years.
Appointment of Dr. Newton
as Superintendent of Vaccina-
tion.
No complaints made against
the vaccinators.
13 Dr. Newton was appointed Superintendent of Vaccination in October,
and joined me in November. The inspection of work
done is now much more satisfactory; and a larger num-
ber of people were vaccinated in November and Decem-
ber than in the corresponding months of the previous year. I think this increase
may be fairly attributable to his presence. The work of all the vaccinators can
now be inspected, which before was often impossible. Dr. Newton takes much
interest in the work, and his being appointed is a great gain to the establish-
ment. Scarcely any complaints, and none of a serious
character, have been made against any of the establish-
ment. The establishment is not yet complete, but I trust it will be before long.
Résumé.
14. The Members of the Municipal Committee of Delhi have entertained
vaccinators who will work under their orders in that
city. It is believed the Committees of Lahore, Umritsur and Sealkote, will do
the same.
Several Hakims in the Sealkote district have learnt how to vaccinate
and have promised to make the operation a part of their regular duties.
Early in the year, Dr. Cayley vaccinated a few people in Ladak; they
were at first greatly opposed to it, and he wrote to me that he received many
( 5 )
petitions from the merchants begging him not to vaccinate there. I requested
him to frequently talk to them about it, and if possible get them to consent to
its being done.
Dr. Caylcy's success in Ladak.
Dr. Cayley has informed the Government of the success he ultimately
met with, which was very great.
Rajah of "Mundi" entertains
vaccinators.
The Rajah of "Mundi" has entertained two vac-
cinators for work in his territory.
"Inoculation" of heifers
15. On several occasions I wished to inoculate heifers with Small Pox
matter, the Hindus, however, always objected to its being
done and I did not attempt to press it on them. Dr.s Bellew and Johnson of
Peshawur and Murdan, found that the people of those parts did not in the least
object to it, and they performed many operations, but unfortunately without
success. My object was to see if the vaccine matter so obtained was superior to
that received from England, and if so to renew it from time to time in the same
manner as that now done in several countries of Europe.
No supplies of vaccine receiv-
ed from England.
16. No vaccine was received from England this year. It is a safe pre-
caution for some to be suppied yearly, and I beg that
an application for an annual supply may be made. The
latter part of September is the best time for it to reach the Punjab.
VACCINATION AT DISPENSARIES.
The number of vaccinations performed in some districts is considerably
larger than those of the previous year, on the other hand there is a marked
falling off in several districts. The total of the operations performed is 64,892.
The per-centage of successful cases is 72.96.
BUNNU.—In the Bunnu district there is an increase of 1,408. The num-
ber of successful cases in 1868, exceeded, by 109, the total of operations in 1 867.
In this latter year (1867) operations were, however, discontinued for a time on
account of the prevalence of cholera.
Dr. Ross, the Civil Surgeon, has been at great pains to induce the peo-
ple to be vaccinated. He managed to procure the assistance of an "Inocula-
tor" and states that his services were most useful. Dr. Ross believes that
"Inoculation" is now rarely practised in the district, and then only by the
Wazeerees. An extra vaccinator has been appointed to this district.
The conduct of vaccinator Gholam Mahoideen is much praised : Dr. Ross
says "he is a good hard working man and I have never found him to deceive."
DERA GAZEE KHAN:—In this district there is an increase of 186 opera-
tions.
DERA ISMAEL KHAN.—In the Dera Ismael Khan district there is an in-
crease of 1,235 operations. Dr. Courtney, the Civil Surgeon, has always taken
much interest in vaccination.
FEROZEPORE.—In. this district there is a decrease of 1,186 operations.
During part of the year the vaccinators were paid from Local Funds.
( 6 )
GOOJRANWALLA.—In this district there is a slight increase. In 1867 there
were 583 operations performed, and in 1868, there were 631.
GOORDASPORE.—The numbers are about the same as those of last year.
GOOJRAT.—Here there is a decrease of 2,111 operations, the Civil Sur-
geon tried to work through the district Hakims, but unsuccessfully.
GUGAIRA.—About the same as last year.
GOORGAON.—Here there is a falling off of 1,296 operations. In 1867,
there were 1,929 operations performed, and in 1868 only 633. The Civil Sur-
geon has not given any reason for this decrease.
(1.) HISSAR.—An Increase of 1,170 operations.
(2.) HUZARA.—In this district there is an increase of 3,009 vaccinations.
JHUNG.—About the same as in previous year.
JHELUM.—A falling off of 300 operations in this district.
KOHAT.—Returns for three months not received.
LOODIANA.—About the same as last year. A large number of vaccinations
have been performed in this district by the Punjab vaccine establishment.
MULTAN.—An increase here of 1,291 operations : this is ascribed to the
influence of "Gunga Ram" Municipal Commissioner, and shews of how great
assistance the Municipal Commissioners can be when they take an interest in
the work.
MOZUFFURGURH.—An increase of 347. Return for December not received.
PESHAWUR.—About the same as last year.
PIND DADUN KHAN.—A falling off of 1,162 and no reason given.
RAJANPOOR.—A decrease of 806 operations.
ROHTUCK.—An increase of nearly 1,000 operations.
SEALKOTE.—2,618 operations were performed. The vaccinators for some-
time worked with those of the Punjab vaccine establishment.
SHAHPOOR.—A increase of 635 operations.
SIRSA.—About the same as last year.
YUSOFZAI.—There is a falling off of 1,517 in this district.
Vaccinations have continued to be performed in the city of Umritsur by
''Hakim Motie Ram" and a few operations have been performed by the vac-
cinators entertained by the Municipal Committee of Delhi, and by the Raja of
"Mundi." In next year's report I hope to be able to include all vaccinations
by private agency.
In conclusion, I would beg to bring to the favorable notice of His Honor
the Lieutenant Governor, the services of "Uthur Mull" and "Radha Kishn"
Native Supeintendents of Vaccination, and trust they may receive a reward of
one months pay, namely Rs. 40.
Also, the good example set by His Highness the Raja of "Mundi," by
"Mahboob Bux" Honorary Magistrate of Delhi, and "Gunga Ram" Muni-
cipal Commissioner of Multan.
"Hushnath" Naib Tehseeldar of Goojur Khan in the Rawul Pindee
district.
( 7 )
"Usud Ali" Naib Tehseeldar of Sealkote, "Joahir Lall" Tehseeldar of
Pusroor in the Sealkote district, and "Radha Kishn" Tehseeldar of Jugroan in
the Loodiana district, all of these by their examples and exertions gave excel-
lent assistance to the vaccinators.
Dr. Ross, Civil Surgeon of Bunnu, and Dr. Courtney, Civil Surgeon of
Dera Ismael Khan, have always taken great interest in vaccination.
Dr. Ross praised highly the services of vaccinator "Gholam Mahoideen,"
and I trust that a reward may be given to him.
Appended to this report are Returns shewing the numbers vaccinated
during the year.
A. M. GARDEN,
Superintendent General of Vaccination.
Punjab.
( 8 )
Numerical Return of Vaccinations performed at Dispensaries
for the year 1868.
DISTRICTS.
Bunnu, . .... . ... .. ... .... ....
Dera Ghazee Khan, . .... . .........
Dara Ismael Khan, . ...
... .
Ferozepore, .. . . ... . . . . .
Googranwalla, .. ... ... ... ... ...
Goordaspoor, . . . ... ..... .
Goojrat,
. ............ ...... . .
Gugaira,
..
.. ...
Goorgaon, ....
... .. . . . .
Huzara, . . . .. . . .... ..
Hissar,
. . . ... . ... ..
Jhung,
.
... .. . . . . .
Jhelum, . .. . .. .. .. . .. .
Kohat,
.
.. .. . .. ...
Loodiana, .. . ..... . ... . ... .. . .
Multan, .
. ..... . .. . .
Mozuffurgurh,† ...
... .
Peshawur, . ... . . . ..
Pind Dadun Khan, . . . ..
Rajanpoor, . . ... . . ... ..
Rohtuck, . . .. ...
Sealkole, ...
...
...
Shahpoor, ... ... ... ... ... ...
Sirsa, ...
... ... ... ...
Yasufzai,
... ... ... ... ...
Total, . . .
RESULT.
Successful.
1,621
1,208
3,313
5,331
515
368
1,405
767
420
4,023
1,501
778
1,544
92
724
1,861
588
828
2,511
1,527
1,640
2,448
2,575
5,879
710
44,177
Unsuccessful.
418
398
344
1,302
47
117
731
142
156
641
697
140
202
53
56
391
69
113
497
141
804
76
1,080
808
398
9,821
Doubtful.
110
305
405
886
4
99
429
51
57
341
321
111
492
12
...
80
24
73
343
192
612
59
915
309
316
6,546
Revaccination.
381
122
26
...
29
4
2
60
...
733
332
...
16
2
...
60
41
...
...
...
...
16
242
577
253
2,896
Unknown.
141
111
27
...
36
.
5
23
...
192
142
121
...
...
...
24
152
6
...
79
...
19
250
80
44
1,452
Total.
2,671
2,144
4,115
7,519
631
588
2,572
1,043
633
5,930
2,993
1,150
2,254
159
780
2,416
874
1,020
3,351
1,939
3,056
2,618
5,062
7,653
1,721
64,892
REMARKS.
Omitting "Revaccinated" and cases "Unknown" 72.96 per cent. are successful.
About 40 per cent. are female.
* Returns from Kohat for January, February and March not received.
† Return from Mozuffergurh for December not received.
( 9 )
Numerical Return of Vaccinations performed by the Punjab Vaccine
Establishment for the year 1868.
MONTHS.
January, ... ... ... ... ... ... ... ... ... ... ...
February, ... ... ... ... ... ... ... ... ... ... ...
March, ... ... ... ... ... ... ... ... ... ... ...
April, ... ... ... ... ... ... ... ... ... ... ...
May, ... ... ... ... ... ... ... ... ... ... ...
June, ... ... ... ... ... ... ... ... ... ... ...
July, ... ... ... ... ... ... ... ... ... ... ...
August, ... ... ... ... ... ... ... ... ... ... ...
September, ... ... ... ... ... ... ... ... ... ... ...
October, ... ... ... ... ... ... ... ... ... ... ...
November, ... ... ... ... ... ... ... ... ... ... ...
December, ... ... ... ... ... ... ... ... ... ... ...
Total, ... ... ... ...
RESULT.
Successful.
19,107
36,002
22,160
4,916
4,747
2,200
5,751
443
116
731
31,967
31,564
1,59,704
Unsuccessful.
563
875
708
129
150
82
49
7
12
45
783
819
4,222
Doubtful.
245
490
442
129
134
104
46
15
18
63
479
359
2,524
Revaccinated.
69
165
169
97
117
95
4
4
4
36
19
16
795
Unknown.
126
794
416
3
...
...
...
...
...
...
154
232
1,725
Total.
20,110
38,326
23,895
5,274
5,148
2,481
5,850
469
150
875
33,402
32,990
1,68,970
REMARKS.
Omitting cases Revaccinated and Unknown
95.94, per cent. are successful.
About 48 per cent. are females.
Numerical Return of Vaccinations performed in the Punjab
for the year 1868.
Vaccinations performed by the
Punjab Vaccine Establishment, ...
Vaccinations performed by Dis-
pensary Vaccinators, ... ... ... ... ...
Totals,
RESULT.
Successful.
1,59,704
44,177
2,03,881
Unsuccessful.
4,222
9,821
14,043
Doubtful.
2,524
6,546
9,070
Revaccinated.
795
2,896
3,691
Unknown,
1,725
1,452
3,177
Total.
1,68,970
64,892
2,33,862
REMARKS.
{ 95.94 per cent. suc-
cessful.
{ 72.96 per cent, suc-
cessful.
A. M. GARDEN,
Superintendent General of Vaccination,
Punjab.
No. 791.
Proceedings of the Honorable the Lieutenanl Governor of the Punjab in the
General Department, dated the 10th March 1869.
Read annual Report on Vaccine operations in the Punjab for the year
1868 furnished by Dr. A. M. Garden, Superintendent General of Vaccination.
The following Statement shews the number of persons Vaccinated by
the special establishment and by the establishments at Dispensaries for the
last 3 years.
Year.
1866
1867
1868
By Special
Establishment.
1,62,100
1,34,820
[1,68,970
Percentage of
successful cases.
... ...
95.01
95.94
At Dispensaries.
85,994
61,746
64,892
Percentage of
successful cases.
... ...
72.3
72.96
Total.
The number Vaccinated by the special establishment in 1868 was thus
greater than it has ever been in previous years, the number vaccinated at Dis-
pensaries, though greater than in 1867, was less than it was in 1866; the per-
centage of successful cases has steadily improved.
2. The number of vaccine operations performed in the following districts
was very small.
Gujeranwala, ... ... ... ... ... ... ... ... ... ... ... ... ...
Gurdaspore, ... ... ... ... ... ... ... ... ... ... ... ... ...
Goorgaon, ... ... ... ... ... ... ... ... ... ... ... ... ...
Ludhinah, ... ... ... ... ... ... ... ... ... ... ... ... ...
631
588
633
780
It is requested that the special attention of the Civil Surgeon be called to the
subject.
3. The enforcement of strict quarantine regulations in the case of villages
infected with small pox advocated in paragraph 4 of the report, would, His
Honor apprehends, be a matter of difficulty and give rise to much vexatious
oppression; but it is desirable that District Officers, on learning of the outbreak
of small pox in a village, should warn the headmen of adjacent villages to
prevent as far as possible all intercourse with the infected village, and this they
will be instructed to do. His Honor will be glad to learn in detail the arrange-
ments made by Lieutenant Colonel Mercer for preventing the spread of the
disease in the villages of Syalkot. The fact that some of his Hakims have
themselves undertaken to vaccinate, affords an additional evidence of the prac-
tical value of the system which he has inuagurated. An Indent for fresh
vaccine from England should be submitted as soon as possible.
( 2
)
The statistics supplied by Dr. Garden showing how the occurrences of
small pox epidemics have heretofore been affected by the practice of inoculation
are likely to prove of value, in connexion with the discussions which occur from
time to time, as to the expediency or otherwise of allowing the practice, to
continue.
4. It is satisfactory to learn that scarcely any complaints of a serious
character have been made against any of the establishments of the Vaccine
Department.
5. The acknowledgements of the Lieutenant Governor will be conveyed
to the following Officers, Lieutenant-Colonel McNeile, Commissioner, Delhi.
Mr. Fitzpatrick, Deputy Commissioner of Delhi. Lieutenant Colonel Mercer,
Deputy Commissioner, Syalkot. Dr. Ross, the Civil Surgeon of Bunnu. Dr.
Courtney, the Civil Sorgeon of Dera Imael Khan. Commendatory letters
from this office will be addressed to, His Highness the Raja of Mundi; Mahbub
Baksh Khan, Honorary Magistrate of Delhi; Gunga Ram, Municipal Com-
missioner of Multan; Members of the Municipal Committee of Syalkote.
The following Native officials can be presented with Khilats of the
values specified, with commendatory Parwanahs, from their respective Com-
missioners, in acknowledgement of their services.
Kashnath, Naib Tehseldar of Gujar Khan, ... ... ... ... ... ... ...
Asad Ali, Tahseldar of Syalkot, ... ... ... ... ... ... ... ...
Jowahir Lal, Tahseldar of Pasrur, ... ... ... ... ... ... ...
Radha Kishan, Tahseldar of Jugraon, ... ... ... ... ... ... ...
Rs. 25
„ 25
„ 50
„ 50
Vaccinators Athar Mal, Radha Kishen, Hakim Bora, and Ghulam Mohiuddin,
can receive a donation of one months pay.
By order,
(Signed,)
T. H. THORNTON,
Secretary to Government,
Punjab.
ANNUAL REPORT ON VACCINE OPERATIONS IN THE PUNJAB
FOR THE YEAR 1867.
From A. M. Garden, Esquire, Superintendent -General of Vaccination,
Punjab, to the Secretary to Government, Punjab.
Work finished in the Kar-
maul district.
1. I finished work in the Karnaul district in the month of January.
The opposition met with in the city of Paniput, and
mentioned in my last report, was in a great measure
overcome, and a large number of people there were vaccinated.
Good example set by Na-
wab "Amanoolah Khan" of
Karnaul.
Nawab "Amanoolah Khan," an Honorary Magistrate of the city, was
the first to set a good example by having the people of his
household vaccinated. He also succeeded in getting
many friends and others living near him to receive
vaccination, and in this manner operations became gradually more extended
in the town. A good deal of work still remains to be done there.
Bad example set by Sheikh
"Bholee Búksh" of Karnaul.
Sheikh "Bholee Buksh," a man of considerable influence in the town,
would give no assistance. He is also an Honorary Ma-
gistrate, and was formerly a Tahsildar, and now, I be-
lieve, receives a pension from Government. When I first visited him, he was
very ill, and his recovery was considered hopeless by the Hukeems who attend-
ed him. I succeeded in curing him. "When ill, he was profuse in his pro-
testations of the assistance he would render to the vaccinators, but when he
had.got well, he would give no help.
Dehli.
But small progress made.
2. I next visited the Dehli district. Major McMahon, the Deputy
Commissioner, gave me all the assistance in his power.
Rather more than the usual opposition was here met
with, and the greater part of the district was badly vaccinated. "Raja Lall,"
Tahsildar of Bullubghur, exerted himself well, and this
Tahsil was better done than any other.
In the city, the opposition was very great. The Honorary Magistrates
and Municipal Committee frequently promised to assist the vaccinators, but
they did not do so.
Rawulpindi district.
3. When as much work as could be accomplished was done in the
Dehli district, the weather becoming hot, I sent several
vaccinators into the lower hills for work there, and-
myself proceeded to Rawalpindi and carried on vaccinations in and about
Murree during the hot weather and rains. No opposition was offered to the
vaccinators in these hills. There are comparatively few villages situated at
a sufficient elevation to allow of vaccination being carried on throughout the
hot weather, and in consequence I had considerable difficulty in keeping up
the vaccine disease. Early in October, the weather becoming cool enough,
I left the higher hills, and carried on work in the other parts of this district.