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done by vaccinating with crusts, the percentage of success under
these circumstances cannot be much above 50.
Importance of vacci-
nating from "Arm
to Arm" or with
lymph.
I think this of such importance that I would remove vaccina-
tors from such districts in which vaccination cannot be carried on
from "arm to arm" or at least by lymph, as I am convinced it does
more harm than good, as the people have good reason to complain
of the non-protection afforded by such vaccination, and the people
have strong objections to having their children vaccinated a second
or perhaps a third time, even when they would not object to once.
And when it is understood that the generality of the people have
no idea that protection is only afforded when the operation is suc-
cessful, and even have no idea when it is successful or not, but
simply think that the fact of inserting the lymph under the skin, is
all sufficient to protect them from small pox, the loss of faith in the
operation, by the parent whose children are attacked with small pox
is communicated to all around and the injury to the cause of vacci-
nation is far greater than might be supposed.
Jhung district
At Jhung there is a decrease of 150, although the work of two
extra vaccinators has been included. In 1869 there was also a fall-
ing off in this district, as compared with the year previous. No
explanation has been given by the Civil Surgeon. Small pox was
very prevalent in this district, 1489 deaths took place in 1869, of
which 67 were above 10 years of age.
Kohat district.
Reason for decrease
given by the Civil
Surgeon.
In Kohat there is a falling off of 280, only 145 persons having
been vaccinated during the year. The Civil Surgeon states that
vaccination was not performed during the months of February and
March, owing to great prevalence of Fever and Pneumonia which
proved very fatal. The Afreedees sent down an application, to have
some one sent with medicine for their relief; the vaccinators were
used for dispensing medicines, and the Afreedees showed their appre-
ciation of the measure by sending down the Mallick a second time,
to beg that the vaccinators might be allowed to stay a considerable
time longer, as they were doing a great deal of good.
Deaths from small
pox.
There is comparatively very little small pox in this district. In
1870 there were 89 deaths, of which 12 were above ten years of
age.
Rohtuk district.
In Rohtuk there is a decrease of 239, but there was a large in-
crease in 1869, of 4454 on the year previous.
District in which
there has been an
increase on the pre-
vious year.
In sixteen districts there has been an increase—In Gugaira of
1727, In Goojrat of 1071. In Sealkote of 1576. In Dera Ismael Khan
of 918, and in the remaining districts the increase has been trifling.
In the districts of Dera Ghazee Khan and Rajanpore, no vaccinations
were performed during the month of March. The Civil Surgeons
give no reason.
Loodiana vaccinators
working with the
Provincial Estab-
lishment.
In Loodiana, the vaccinators were working with the Provincial
Establishment until the end of January and the numbers vaccinated
by them up to this period, were included in the Provincial Returns.
The number entered in the Dispensary Return was principally per-
formed by the Hospital Assistant at the Branch Dispensary at Jug-
raon, and praise is due to this man for his exertions in the cause of
vaccination.
The good that Native
Doctors might do at
Branch Dispensaries
by vaccinating in
the Towns.
Much good might be done if a similar pratice were carried out
in other towns in which Branch Dispensaries are situated. The
Native Doctor at the Dughshai Dispensary has also vaccinated 57
children.
Small percentage of
success in some dis-
tricts.
In some districts the percentage of success is very small, for
instance in Goorgaon it is only 54.89. In Hissar it is only 55.0.
Ferozpore 59.58. In Kahrore Branch Dispensary (Mooltan district)
43.52. And Meean Wallee (Bunnu district) 58.71.