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(g). Mooltan Town.—Two Municipal vaccinators were employed in the town, and vaccinated
2,193 persons, with, in primary cases, a percentage of 9917 returned as successful. There were also
3,088 operations performed by the vaccinators of the special establishment, making a grand total of
5,281 cases, equal to a rate of 103.99 per mille of population. Of the successful primary vaccinations
performed by the Municipal vaccinators, 1,443 were under a year, or 66.68 per cent., while only 721, or
33.32 per cent., were above one year ; and if to the former be added 918 under a year performed by the
vaccinators of the special establishment, the total number of infants operated on would be 2,361, or
more than 300 above the assumed birth-rate for the year. The returns must, therefore, be received
with considerable caution. During the cold season small-pox was present in an epidemic form : the
number of reported cases was 1,663, and of deaths 274.
Dr. Gray has submitted an interesting report, which concludes with this remark :—
" My opinion is that the time has come when vaccination should be made compulsory in the city
of Mooltan, and in all the larger Municipal towns of the district."
(h). Jhang.—Two permanent and five temporary vaccinators were employed, and performed
a total of 5,602 operations, of which 91.47 per cent. were returned as successful. As operations were
for the most part performed with crusts, it is hardly possible that such a high ratio of success could
have teen maintained. Dr. Massy, in going over this district, closely inspected the dispensary vaccination,
and found it to be practically worthless.
(i). Montgomery District.—The two permanent vaccinators employed here were found to be so
incompetent, that Dr. Massy, on commencing operations in this district, considered it expedient to put
them under a Native Superintendent in order to be instructed in the practical details of their work.
In addition to these two men, five temporary vaccinators equally incompetent were employed during
the early months of the season. The total number vaccinated in the district was 886, with 70 per cent.
successful.
(j). Shahpur District.—Three vaccinators, two paid from Provincial and one from Local funds,
were employed, performing altogether 2,305 operations, with a percentage of 9882 returned as success-
ful. If to this number be added the vaccinations performed by the men of the special establishment
(vide para. 17 of this Report), the grand total for the district would be 9,161. There is a decrease of
3,432 in dispensary vaccinations, chiefly due to the reduction made last year in the local establishment,
the number of which was less by seven than in 1877-78. With regard to the disposition of the people
Dr. O'Neill writes:—" Should Government feel disposed to give compulsory vaccination a trial, they
could hardly select a district in the Punjab more likely than this to be suited for the experiment.
The people are very quiet and docile, and I have never met one who appeared to think vaccination
objectionable; and still vaccination is difficult." The difficulty, he says, is entirely due to apathy and
indifference.
(k). Kohát District.—Two vaccinators, paid from Provincial funds, were employed. The returns
show a total of 1,660 operations, with a percentage of success of 97.62. There is a small increase of 436
cases, which must be attributed to the fact of the vaccinators having been employed throughout the
vaccinating season; whereas the year before, owing to unavoidable circumstances, they did not commence
operations till the 1st January. Arm-to-arm vaccination is said to have been carried out.
(l). Dera Ismail Khán District.—In this district there were four Provincial and three Local fund
vaccinators employed. The total number vaccinated was 5,672, a decrease of 2,443 as compared with
previous year. This falling off is attributed to the great prevalence of sickness from fever, and partly
to disturbances on the border. The vaccinators, it would appear, were under but little supervision or
control, and to this, as also to the probability of their working with crusts, is due the low ratio of success
( 84.6 per cent.) obtained ; in Leiah the percentage of success was as low as 73.85. In future this
point should be carefully attended to ; and before commencing operations next season, the vaccinators
should be taught to operate from arm to arm.
(m). Dera Gházi Khan District.—Three vaccinators, two paid from Provincial and one from Local
funds, were employed, and performed a total of 2,401 operations, a decrease of 3,760 as compared with
previous year, the ratio of success being 92.29 per cent. The returns for the previous year were considered
untrustworthy, and no fair comparison between the two years can be made.
(n). Rájanpur Subdivision.—One
Provincial and one Local fund vaccinator were employed,
and performed 2,926 operations, an increase of 669 cases over previous year ; and the ratio successfully
vaccinated in primary cases is reported to be 95.15 per cent. No control or supervision of any kind
appears to have been exercised over the vaccinators, and their returns must be received with caution.
(o). Muzaffargarh District.—Four vaccinators, two paid from Provincial and two from Local
funds, were employed. Total number of vaccinations was 1,723, showing a large decrease of 1,438 from
the work of the preceding year. This is attributed to the failure of the lynph first supplied in raising
vesicles, and to operations in consequence not having been fairly started until the month of December.
The arm-to-arm method is reported to have been practised, but the ratio of success is small—88.14 per
cent. The people, as a rule, are favourably disposed.
(p). Pesháwar District.—The returns show that six vaccinators, five paid from Municipal and
one from District funds, were employed in the town and rural circles, and performed altogether 4,004
operations, being 804 less than in 1877-78. This decrease is attributed to the great sickness and
mortality among children from malarious fever and bowel complaints. The ratio successfully vaccinated