(
11)
to be believed, it would appear that the vaccinations of the Hospital Assistant in question had been so
inefficiently done that it was deemed necessary to vaccinate the cases a second time ; and this statement
agrees with the results of my own inspection of the work done by another Hospital Assistant in the town
of Garhshankar, whose operations were of a very imperfect kind, and calculated to depreciate the value of
the operation in the eyes of the people. On the other hand, the work of the Government hakím in the
town of Hoshiárpur was found to be of exceptionally good quality; the explanation of his success
being that being a regularly trained vaccinator, he performed all his operations with lymph fresh
from the arm.
(m). Rawalpindi
District.—As in previous year, 3 temporary vaccinators paid from Local
Funds were employed under the local Native Superintendent of the Provincial Establishment, through
whom the returns have been submitted. They are reported to have vaccinated 3,539 persons, with a
percentage of success of 94.17,—a suspiciously high figure.
(n). Jhelum Town.—A permanent vaccinator, paid from Provincial Funds, was employed,
performing a total of 371 operations in the town and cantonments; the ratio successfully vaccinated
in primary cases is said to be 89.75 per cent.
(o). Pesháwar
District.—The
establishment consisted of 8 vaccinators,—3 paid from
Municipal, and 5 from District Funds,—employed in the town and rural circles; they performed
altogether 3,313 operations, being a decrease of 691 from the decreasing number of previous year ; and,
in primary cases, the ratio successfully vaccinated was 87.90 per cent. Assistant Surgeon Thákar Dás
states in his report that, of 1,517 infants born in the town of Pesháwar during the year under review,
801, or a little over 52 per cent., died within that period ; of the survivors, 601 are said to have been
successfully vaccinated, and 115 remained unprotected from small-pox. The returns submitted by the
2 vaccinators employed in the Mardán sub-division show that, in their hands, the performance of
re-vaccination was attended with a higher ratio of success than that obtained in primary vaccinations ;
this result is contrary to all experience in the matter, and points to inaccuracy in the returns. In the
Vaccination Report received from the Civil Surgeon of Mardán, it is stated that, " during the year, parents,
on several occasions, brought down their children from Swat, Boneyr, and the Mohmand country,
across the border, for the express purpose of having them vaccinated."
(p). Hazára District.—As last year, 2 vaccinators paid from Provincial, and 1 from
District Funds, were employed. Total number vaccinated was 2,464, as against 2,970 of the previous
year, the ratio of success in primary cases being 91.70 per cent. The Civil Surgeon, having had no
opportunity of inspecting the work done in the rural circles, is unable to give any opinion as to the
accuracy of the returns.
(q). Kohát District.—The total number vaccinated by 2 men paid from Provincial Funds
was 1,812, exceeding by 152 the number in previous year; and the recorded ratio of successful primary
vaccinations was 89.90 per cent., against 96.38.
(r). Bannu District.—Three vaccinators paid from Provincial Funds were employed. The
total number vaccinated fell from 12,734 in 1878-79 to 9,799 in the year under review; the ratio of
successful primary cases was 89.06. The decrease in the number vaccinated is explained by the
disturbed state of the border. Small-pox is said to have been very prevalent in the villages situated
near the river Indus, between Isa Khel and Kálabágh.
(s). Dera Ismail Khan District.—There were 7 vaccinators,—4 paid from Provincial, and 3 from
District Funds,—employed. The total number vaccinated rose from 5,672 in 1878-79 to 6,242 in
the year under report; and the ratio of success in primary cases was 84.40 per cent., as against 80.81 of
the preceding year. This improvement is attributed to the better state of health of the people during
the past cold season ; the vaccinators would appear to have been under more efficient supervision, and
fairly successful attempts to carry out arm-to-arm vaccination are stated to have been made; but it
does not appear that the use of crusts was absolutely forbidden. Inoculation is reported to have been
practised in the Leiah and Kúlachi tahsíls; and an outbreak of small-pox which occurred in the former
tahsíl is supposed to have been caused by this practice.
(t). Dera- Gházi Khan District.—Four
vaccinators,—2 paid from Provincial, and 1 from
Local Funds, and a compounder attached to the Jámpur Dispensary,—were employed in the town and
rural circles. The total number vaccinated was 1,890, being less by 511 than the largely decreasing
number in previous year; and the ratio of successful primary vaccinations was 87.19 per cent. Dr.
Hunter, the Civil Surgeon, reports that, on the several occasions on which he inspected the work done
in the city, the results were found to be unusually satisfactory; but he thinks the vaccinators' statement,
that in 424 vaccinations 5 failures only occurred, should be received with caution. He says that the
vaccination done in the villages was for the most part of a very perfunctory, imperfect kind, and he
casts grave doubts on the genuineness of the vaccinators' returns.
(u). Rájanpur Sub-division.—Two vaccinators,—one paid from Provincial, the other from Local
Funds,—were employed, performing a total of 2,213 operations. The percentage of success in primary
cases was 89.52, whereas in re-vaccinations cases it is stated to have risen to 94.11: the returns are
probably incorrect.