NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
104
DISPENSARIES IN RAJPUTANA.
STATEMENT H.—Showing the Income and Expenditure of State, Public, Local
District.
1
ALWAR . .
DHOLPUR
.
KARAULI
.
TONK
SHAHPURA .
BUNDI . .
KOTAH .
.
JHALAWAR .
Name of Dispensary.
2
INDIAN STATES—continued.
Alexandra Hospital, Alwar .
Tijara .
.
.
.
.
Rajgarh
.
.
.
.
Luchmangarh
. . .
Behror
.
.
.
.
Thana Ghazi
. . .
Ramgarh
. . . .
Nimrana
.
.
.
.
Bansur
.
.
.
.
TOTAL .
Dholpur
. . . .
Bari
.
.
.
.
.
Rajakhera
. . . .
TOTAL .
Karauli
.
.
.
. .
Mandrail
. . . .
Sapotra
. . . .
Machilpur
. . . .
TOTAL .
Tonk .
.
.
.
Shahpura
. . . .
Bundi
. . . .
Kotah Hospital
.
. .
Baran . . . . .
Khanpur
. . . .
Etawah
.
.
. .
Sangode
.
. . .
Mandana
.
.
. .
Attru
. . . .
Indergarh
. . . .
Mangrol . . .
Sultanpur
.
.
.
.
Chipabarode . . .
Iklera
.
.
. . .
Manoher Thana . . .
Shahbad
. . . .
Local Regimental Hospital .
Bakani
.
.
.
.
Kishanganj .
.
.
.
Chechat
. . . .
Antah
.
. . .
TOTAL .
Chaoni Hospital . . .
Jhalrapatan . . . .
Pachpahar . . . .
Dug
.
.
.
.
.
Gangdhar
. . . .
TOTAL
INCOME.
Cash
balance.
3
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
GOVERNMENT
CONTRIBUTION.
As
salary.
4
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Other-
wise.
5
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Local Fund con-
tributions.
6
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Municipal Fund
contributions.
7
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Interest on in-
vestments.
8
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
SUBSCRIPTIONS.
Euro-
pean.
9
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Indian.
10
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
DISPENSARIES IN RAJPUTANA.
105
Fund and Private non-aided Dispensaries of Rajputana for the year 1920—contd.
Miscellaneous
receipts
(to
include sale of
securities).
11
R
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Total
receipts.
12
R
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
EXPENDITURE.
SALARIES.
Medical
officers.
13
R
4,170
540
1,080
780
580
539
930
660
540
9,819
1,208
720
640
2,568
2,100
1,054
791
570
4,515
4,000
2,479
1,704
5,757
1,729
990
636
716
600
636
1,080
658
610
728
966
1,176
720
1,466
631
720
590
1,296
21,705
5,560
1,321
788
703
831
9,203
Nurses.
14
R
...
...
...
...
...
...
...
252
...
252
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Inferior
servants
15
R
3,592
357
456
360
354
287
440
84
444
6,374
2,653
361
218
3,232
1,068
345
228
228
1,869
2,465
934
876
3,221
1,024
397
416
376
440
372
436
425
346
424
348
435
392
438
338
312
448
438
11,026
1,342
752
328
241
245
2,908
MEDICINES.
European.
16
R
4,979
740
555
431
297
295
316
493
201
8,307
3,377
370
187
3,934
1,689
187
222
265
2,363
1,973
1,500
984
6,305
1,085
233
235
403
198
265
340
237
375
317
304
217
423
1,129
236
260
393
288
13,243
2,601
952
300
296
272
4,421
Bazaar.
17
R
242
71
47
20
22
14
29
75
20
540
252
38
19
309
135
25
25
7
192
156
103
179
151
84
12
41
22
14
58
32
47
60
65
57
14
38
71
15
9
41
44
875
8
20
1
...
2
31
Diet.
13
R
3,371
146
255
30
97
48
100
13
71
4,131
...
...
...
...
199
18
15
...
232
345
56
293
1,952
137
82
88
147
21
75
26
67
84
133
40
66
97
94
37
113
55
20
3,333
291
...
...
...
...
291
Miscel-
laneous
charges.
19
R
1,225
212
328
154
177
152
180
...
184
2,612
4,370
231
108
4,709
296
163
121
13
593
371
202
95
963
314
124
68
74
47
74
60
95
84
99
94
78
104
143
95
116
93
62
2,787
338
100
47
46
44
575
Buildings
or
Repairs.
20
R
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Invest-
ments.
21
R
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Total Ex-
penditure.
22
R
17,579
2,066
2,721
1,775
1,527
1,335
1,995
1,577
1,460
32,035
11,860
1,720
1,172
14,752
5,487
1,792
1,402
1,083
9,764
9,310
5,274
4,131
18,349
4,373
1,838
1,484
1,738
1,320
1,480
1,974
1,529
1,559
1,766
1,809
1,986
1,774
3,341
1,352
1,529
1,620
2,148
52,969
10,140
3,145
1,464
1,286
1,394
17,429
Closing
Balance.
23
R
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
P
106
DISPENSARIES IN RAJPUTANA.
STATEMENT H.—Showing the Income and Expenditure of State, Public, Local
DISTRICT.
1
MEWAR . .
PARTABGARH
.
BANSWARA
.
KUSHALGARH .
DUNGARPUR
.
Name of Dispensary.
2
INDIAN STATES—concluded.
Lansdowne Hospital
.
.
Chitorgarh
.
.
.
.
Rashmi
.
.
.
.
Sarara .
.
.
.
.
Saran . . . . .
Nathdwara . . . .
Jehazpur
.
.
.
.
Bhilwara
.
.
.
.
Kapasin
.
.
.
.
Sadrikhurd
. . . .
Mandalgarh . . . .
Udaipur Railway Dispensary .
Rajnagar
. . . .
Untala .
.
.
.
.
TOTAL .
Partabgarh
. . . .
Banswara . . .
Garhi
.
.
.
.
TOTAL .
Kushalgarh .
.
.
.
Dungarpur
. . . .
Sagwara
.
.
.
.
TOTAL .
Adams Memorial Hospital, Abu
Deoli .
.
.
.
.
Kherwara . . .
TOTAL INDIAN STATES .
PROVINCIAL TOTAL,
CLASS
A (GENERAL DISPENSARIES)..
B—HOSPITALS AND DIS-
PENSARIES FOR FEMALES.
INDIAN STATES.
Jaswant Female Hospital, Jodh¬
pur
Bharatpur Female Hospital .
Lady Dufferin Hospital, Alwar .
Walter Zenana Hospital, Tonk .
Victoria Hospital, Kotah .
Walter Female Hospital, Udaipur
PROVINCIAL TOTAL CLASS B
(FEMALE DISPENSARIES)
COMBINED PROVINCIAL
TOTAL
.
.
.
INCOME.
Cash
balance
3
R
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
11,536
186
...
1,722
4,507
...
...
...
...
...
...
...
4,507
GOVERNMENT
CONTRIBUTION.
As
salary.
4
R
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
2,530
...
...
2,530
14,428
...
...
...
...
...
...
...
14,428
Other-
wise.
5
R
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
9,923
...
...
...
...
...
...
...
9,923
Local Fund con-
tributions.
6
R
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
2,700
...
...
...
...
...
...
...
2,700
Municipal Fund
contributions.
7
R
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
5,600
...
...
...
...
...
...
...
5,600
Interest on in-
vestments.
8
R
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
175
...
...
175
1,710
...
...
...
...
...
...
...
1,710
SUBSCRIPTIONS.
Euro-
pean.
9
R
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
335
...
...
335
636
...
...
...
...
...
...
...
636
Indian.
10
R
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
412
1,622
...
2,034
5,834
...
...
...
...
...
...
...
5,834
DISPENSARIES IN RAJPUTANA.
107
Fund and Private non-aided Dispensaries of Rajputana for the year 1920—concld.
Miscellaneous
receipts
(to
include sale of
securities).
11
R
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
255
...
...
255
284
...
...
...
...
...
...
...
284
Total
receipts.
12
R
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
5,243
1,808
...
7,051
45,622
...
...
...
...
...
...
...
45,622
EXPENDITURE.
SALARIES.
Medical
officers.
13
R
4,804
1,193
502
450
420
900
1,216
1,566
864
525
402
450
534
520
14,346
860
829
491
1,320
195
450
960
1,410
1,500
180
240
2,05,459
2,33,142
1,470
...
1 ,240
2,919
5,140
4,000
14,769
2,47,911
Nurses.
14
R
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
591
...
...
...
...
...
...
...
...
...
122
3,411
3,731
...
1,378
200
...
...
...
1,578
5,309
Inferior
servants.
15
R
2,572
594
384
216
228
748
550
644
443
434
372
372
276
420
8,253
528
613
251
864
328
540
396
936
1,254
747
264
99,700
1,08,487
2,425
...
1,590
1,683
1,741
993
8,432
1,16,919
MEDICINES.
European.
16
R
8,791
1,785
381
917
655
1,530
1,554
2,036
1,105
1,312
1,254
911
534
610
23,375
1,266
2,812
447
3,259
621
1,942
...
1,942
...
32
...
1,43,147
1,56,730
145
1,163
991
498
699
764
4,260
1,60,990
Bazaar.
17
R
530
120
69
79
48
35
104
89
80
48
57
52
55
59
1,425
258
200
32
232
108
97
56
153
104
33
67
8,542
9,429
56
...
64
52
60
75
307
9,736
Diet.
18
R
3,655
494
53
59
150
...
27
684
166
...
46
...
46
53
5,433
20
60
...
60
19
119
10
129
232
14
36
36,295
38,729
102
...
330
142
444
156
1,174
39,903
Miscel-
laneous
charges.
19
R
2,209
261
148
101
252
55
174
301
245
162
210
125
198
174
4,615
...
601
126
727
151
229
129
358
478
292
96
63,404
71,366
127
4
365
112
209
143
960
72,326
Buildings
or
Repairs.
20
R
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
249
...
249
...
...
57
57
...
...
...
5,587
7,222
...
...
...
...
...
...
...
7,222
Invest-
ments.
21
R
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
15
...
...
...
...
...
...
15
15
...
...
...
...
...
...
...
15
Total Ex-
penditure.
22
R
22,561
4,447
1,537
1,822
1,753
3,268
3,625
5,320
2,903
2,481
2,341
1,910
1,643
1,836
57,447
3,523
5,364
1,347
6,711
1,437
3,377
1,608
4,985
3,568
1,298
825
5,65,560
6,28,851
4,325
2,545
4,780
5,406
8,293
6,131
31,480
6,60,331
Closing
Balance.
23
R
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
1,675
510
...
2,185
4,015
...
...
...
...
...
...
...
4,015
P 2
108
DISPENSARIES IN RAJPUTANA.
STATEMENT J.—Showing the Account of Invested Capital of the Dispensaries in Rajputana
during the year 1920.
No.
1
2
3
4
5
6
7
Names of Dispensaries.
Ajmer
.
.
.
.
Kekri
.
.
. .
Pisangan .
.
.
.
Ramsar
.
.
.
.
Masuda
. . . .
Beawar
. . . .
Todgarh
. . . .
TOTAL .
Abu and Abu Road . .
GRAND TOTAL .
Balance on
1st January
1920.
R
4,500
...
...
2,500
20,000
...
1,500
28,500
5,000
33,500
Invested
during the
year.
R
...
...
...
...
...
...
...
...
...
...
TOTAL.
R
4,500
...
...
2,500
20,000
...
1,500
28,500
5,000
38,500
Securities
sold.
R
...
...
...
...
...
...
...
...
...
...
Deposits
withdrawn.
R
...
...
...
...
...
...
...
...
...
...
Balance on
31st Decem-
ber 1920.
R
4,500
...
...
2,500
20,000
...
1,500
28,500
5,000
33,500
109
Statement No. XIV (Vital).—Showing the Sickness
and Mortality among Prisoners of all classes in
the Jails and Subsidiary jails of Rajputana during
the year 1920.
NOTES
ON
VACCINATION
IN THE
NORTH-WEST FRONTIER PROVINCE
FOR THE YEAR
1922-23
BY
LT.-COL W. M. ANDERSON, C.I.B., M.D., D.T.M. & H.,
I. M. S.
Director of Public Health, North- West Frontier Province.
Price—Re. 0-11-0.
PESHAWAR :
NORTH-WEST FRONTIER PROVINCE GOVERNMENT PRESS
1923.
NOTES ON VACCINATION IN THE NORTH-
WEST FRONTIER PROVINCE FOR THE
YEAR 1922-23.
NOTES
ON
VACCINATION
IN THE
NORTH-WEST FRONTIER PROVINCE
FOR THE YEAR
1922-23
BY
LT.-COL. W. M. ANDERSON, C.I.E., M.D., D.T.M. & H.,
I. M. S.,
Director of Public Health, North- West Frontier Province.
Price—Re. 0-11-0.
PESHAWAR :
NORTH-WEST FRONTIER PROVINCE GOVERNMENT PRESS
1923.
Notes on Vaccination in the North-West Frontier
Province for the year 1922-23.
REVIEW BY THE CHIEF COMMISSIONER.
IN his review on the Vaccination Report for 1920-21
and again in that for 1921-22, the Chief Commissioner
noted with regret the substantial decrease in the number of
vaccinations as compared with the year 1919-20. The
record for the year now under review presents a most
welcome contrast. In spite of both the posts of Divisional
Inspector having been brought under reduction, and in
spite of a reduction of one in the number of Vaccinators,
the number of operations rose from 100,219 in 1921-22 to
144,155, the latter figure being more than 9,000 in excess of
the number for 1919-20. In the Hazara District alone was
there a decrease as compared with the. average for the
preceding five years.
The increase in the number of revaccinations is parti-
cularly gratifying.
Further, the Chief Commissioner notes with satisfaction
that, thanks to the large average of successful vaccinations
per head of the staff, the average cost of each case was
commendably low (Re. 0-2-7), in spite of the increased pay
which has been in force since March 1921. The cost of each
successful operation in the North-West Frontier Province
now compares favourably with that in the Punjab and in the
United Provinces.
Small-pox did not occur in epidemic form and the
number of scattered cases was unusually low, the total
number of deaths recorded being only 118.
The Chief Commissioner desires to tender his cordial
acknowledgments to Lieutenant-Colonel W. M. Anderson,
C.I.E., I. M S., for the marked success which has attended
the efforts made by him to increase the efficiency of this
important branch of the medical administration of the
Province.
C. LATIMER,
Secretary to the Chief Commissioner,
CAMP SIMLA :
The 3rd August 1923.
North- West Frontier Province.
N.-W. F. P. Govt. Press, Peshawar—1050 S. to C. C.—146—13-8-23—J. B.
CONTENTS.
PARA
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
Administration
...
...
...
Statement No. I.—Establishment ... ...
Statement No. I.—Total vaccinations performed
Average number vaccinated by each vaccinator ...
Vaccination according to ages ... ...
Re-vaccinations ... ... ...
Appendix to Statement No. I.—Vaccination in Political
Agencies ... ... ...
Appendix to Statement No. I.—Vaccination in Cantonments
Statement No. II.—Cost of the Department ...
Cost per successful case ... ... ...
Statement No. III.—Dispensary vaccination ...
Statement No. V.—Inspections made by officers of the
Department ... ... ...
Appendix A.—Vaccination in Municipal Towns
Appendix B.—Case success and annual ratio of deaths from
small-pox ... ... ...
Particulars of lymph used ... ... ...
Attitude of the people towards vaccination ...
General remarks ... ... ...
PAGE.
1
ib.
id.
2
ib.
ib.
3
ib.
ib.
4
ib.
5
ib.
6
ib.
ib.
ib.
( ii )
ANNUAL FORMS.
Statement No. I.—Showing particulars of vaccination in the North-West
Frontier Province during the year 1922-23.
Appendix to Statement No. I.—Showing the details of vaccination
operations performed in Political Agencies and by the cantonment
staff according to localities during the year 1922-23.
Statement No. II.—Showing the cost of the Department in the North-
West Frontier Province during the year 1922-23.
Statement No. III.—Showing dispensary vaccinations in the North-West
Frontier Province during the year 1922-23.
Statement No. IV.— Comparative statement showing the number of
persons primarily vaccinated and the number of those persons who
were successfully vaccinated in the North-West Frontier Province
in each of the official year mentioned.
Statement No. V.—Showing the total number of Primary and re-vaccina-
tions performed and the number inspected by Civil Surgeons,
divisional inspectors and other inspecting officers, the percentage
of those inspected, together with the percentages of cases found
successful by them, as contrasted with the percentages reported
by the vaccinators in each district of the North-West Frontier
Province during the year 1922-28.
Appendix A.—Showing the number of vaccinations performed in
municipal towns on children under one year of age.
Appendix B.— Showing the annual number of successful vaccinations and
the annual ratio of deaths from small-pox per 1,000 of population for
five years ending 1922-23, district by district.
Diagram showing the death-rates from small-pox during the year 1922-23,
the average rate of mortality from small-pox for the five years
ending 1921-22 and the proportion of successful vaccinations during
the year 1922-23 and the preceding six years in each district of the
North-West Frontier Province.
NOTES
ON
VACCINATION
IN THE
NORTH-WEST FRONTIER PROVINCE DURING
THE YEAR 1922-23.
Administration.
1. The charge of the Vaccination Department was held
by me throughout the year, The post
of Assistant Director of Public Health
was held by Lieutenant-Colonel J. Husband, I. M. S., from
11th January to 11th September and by Lieutenant-Colonel
H. G. Stiles-Webb, I. M. S., for the rest of the year.
Statement No. I.—Estab-
lishment.
2. The appointments of two divisional inspectors of
vaccination were abolished in April, in
connection with retrenchment necessitat-
ed by financial stringency, The inspecting staff consisted
of six Superintendents, one of whom was posted in each of the
settled districts and one in Mardan. Thirty-five vaccinators
were employed, of whom 29 worked in the settled districts
and six in the agencies.
In addition two sub-assistant
Surgeons in military employ carried out vaccination in the
Peshawar and Nowshera cantonments and certain sub-
Assistant Surgeons in charge of outlying dispensaries in
Mardan, Kohat and Wano also performed some vaccina-
tions.
Statement No. I.—Total
Vaccinations performed.
3. The total number of operations performed in the
settled districts and agencies during the
year was 144,155 compared with100,219
in the preceding year. This increase of 43,936 is most satisfac-
tory, and is mainly attributable to the work done in the Hazara,
and the Dera Ismail Khan districts and the Kurram Valley.
Last year, however, owing to the prevalence of malaria and
cholera the number of vaccinations carried out was below the
average. A table is therefore appended comparing the work
done in the year under review with that of the annual average
for the preceding quinquennium. It will be noticed that there
( 2 )
was an increase in the number of vaccinations in all districts
and agencies, except in Hazara, and a total increase of 24,341.
District.
Hazara ...
Peshawar ...
Mardan
...
Kohat ...
Bannu ...
Dera Ismail Khan
Agencies ...
Total
Mean average
1917-18 to 1931-22.
38,792
22,890
15,507
10,132
8,391
14,570
9,332
119,814
1922-23.
34,315
25,835
18,027
12,115
9,396
20,276
23,191
144,155
A special effort was made this year to increase the
efficiency of the vaccination staff. In May, instructions for
vaccinators in their own vernacular were prepared and
supplied to Civil Surgeons for distribution to them. At the
beginning of the vaccination season, all vaccinators were
summoned to head-quarters and the Civil Surgeons saw that
each man was supplied with all the articles of equipment on
the sanctioned list, and that he understood the instructions
referred to above. He was then provided with a tour
programme, directing him where he was to work during the
next six months. The result has been a great increase in the
output of work.
Average number vacci-
nated by each vaccinator.
4. The average number vaccinated by each vaccinator
was 3,837.57. Dera Ismail Khan heads
the list with an average of 5,053.5 per
vaccinator, Hazara being next with
4,902.14.
Vaccinations according
to ages.
5. There were 108,460 successful primary vaccinations
performed, 63,852 of which were on
infants under one year and 34,454 on
children between one and six years of
age. The successful vaccinations were at the rate of 40.31
per mille of the population, the average for the preceding
five years being 36.98.
Re-vaccinations.
6. Thirty thousand one hundred and eighty-eight
re-vaccinations were performed during
the year compared with an average of
( 3 )
17,980 in the preceding quinquennium. This is a great
improvement. It is generally agreed that a single vaccina-
tion does not produce immunity to small-pox for life. At
least two re-vaccinations are necessary, especially if risk of
infection occurs.
Appendix to Statement
No. I.—Vaccination
in
Political Agencies.
7. The vaccination work in the trans-frontier tracts has,
on the whole, been exceptionally good.
The total number vaccinated was 21,997
compared with 9,332, the annual average
for the preceding five years. The
following table gives the actual number of operations carried
out in four of these areas :—
Kurram Valley ...
Chitral ... ...
Sherani Country ...
Tochi Valley ...
Average annual number
of vaccinations
1917-18 to 1921-22.
2,143
2,865
1,421
1,603
1922-23.
7,125
6,247
5,774
2,766
No vaccinator was able to work in South Waziristan
owing to the unsettled state of the country and very little
vaccination was done in the Malakand where no small-pox
was reported during the year.
Appendix to Statement
No. I.—Vaccinations in
cantonments.
8. Vaccination of the civil population in the canton-
ments of Abbottabad, Kohat, Bannu
and Dera Ismail Khan is carried out by
the district vaccination staff and the
figures are included in the returns for
those districts in Statement No. I. The total number of such
vaccinations performed was 1,045 compared with 907, the
average for the preceding five years. In the cantonments of
Peshawar and Nowshera, where vaccination work is done by
sub-assistant surgeons under the control of the military
medical authorities, 3,090 vaccinations were performed as
compared with 3,086, the average for the preceding
quinquennium.
Statement No. II.—Cost
of the Department.
9. The total expenditure during the year was Rs. 21,458
compared with Rs. 23,426 in the
previous year. The abolition of the
appointments of two divisional inspec-
tors of vaccination, referred to above, resulted in a saving on
( 4 )
cost of staff of Rs. 2,640, but much more lymph was
purchased than in 1921, and this, with other minor
expenses, reduced the savings to Rs. 1,968. The expendi-
ture incurred on the purchase of lymph was Rs. 3,210. The
total expenditure incurred was met from the funds noted
below :—
Provincial Funds
... ...
Municipal Funds ... ...
Cantonment Funds ... ...
District Board Funds... ...
Total ...
Rs.
5,745
4,033
238
11,442
21,458
Cost par successful case.
10. The total number of successful vaccinations and re-
vaccinations amounted to 132,650.
The average cost of each successful
case was two annas and seven pies. This is practically the
same as the average annual cost of each case during the
preceding quinquennium. A comparison with the expen-
diture of vaccination in certain other provinces of which
the figures are available shows that the working expenses of
the Vaccination Department in this Province are low :—
North-West Frontier Province ...
Central Provinces ... ...
Punjab
...
... ...
United Provinces
... ...
Bihar and Orissa
... ...
Annual average cost of
each successful case of
vaccination from
1917-18 to 1921-22.
Rs.
0
0
0
0
0
a.
2
5
3
8
2
p.
8
7
11
2
1
11. As a rule, sub-assistant surgeons in charge of
dispensaries only do vaccination work
when, for some special reason, the
district vaccinators need assistance. In
Statement No.
III.—
Dispensary vaccination.