NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
( xi )
A. —VACCINATION DEPARTMENT.
STATEMENT No. II—concluded.
Showing the cost of the Department in the North-West Frontier Province during the year 1925-26.
1
Serial No.
1
1
2
3
4
5
6
7
8
9
10
11
12
2
DISTRICTS.
2
Hazara ... ...
Peshawar ... ...
Mardan Sub-Division ...
Kohat ... ...
Bannu ... ...
Dera Ismail Khan ...
Political Agencies
Sherani Country ...
Kurram Agency ...
Tochi „ ...
Wana „ ...
Chitral „ ...
Malakand „ ...
TOTAL ...
3
Expenditure—
concld.
Total cost.
14
Rs.
4,560
3,349
2,566
3,119
3,081
3,734
a.
1
4
13
0
0
2
p.
6
3
4
0
0
0
441
280
288
6
6
0
0
0
0
...
695
723
22,838
8
0
9
0
0
1
4
Paid from
Imperial
Funds
15
...
...
...
...
...
...
...
...
...
...
...
...
...
provincial
Funds.
16
Rs.
580
1,073
707
720
672
845
a.
15
0
15
8
0
3
p.
0
0
0
0
0
0
441
280
288
6
6
0
0
0
0
...
695 8 0
...
6,304 13 0
Local Funds.
17
Rs.
3,367
1,404
1,858
1,047
2,058
2,483
a.
2
10
14
0
0
15
p.
6
6
4
0
0
0
...
...
...
...
...
723
12,942
0
10
0
4
Municipal
Funds.
18
Rs.
612
871
a.
0
9
p.
0
9
...
1,336
351
405
4
0
0
0
0
0
...
...
...
...
...
...
3,575 13 9
Cantonment
Funds.
19
Rs. a. p.
...
...
...
15 4 0
...
...
...
...
...
...
...
...
15 4 0
Total.
20
Rs.
4,560
3,349
2,566
3,119
3,081
3,734
a.
1
4
13
0
0
2
p.
6
3
4
0
0
0
441
280
288
6
6
0
0
0
0
...
695
723
22,838
8
0
9
0
0
1
5
N
umber of all
successful vacci-
nations
and
re-vaccinations.
21
46,282
37,726
22,037
16,290
16,094
32,076
6,503
4,169
4,008
...
8,637
10,527
204,349
6
Average cost of
each successful
case.
22
Rs.
0
0
0
0
0
0
a.
1
1
1
3
3
1
p.
7
5
10
1
0
10
0
0
0
1
1
1
1
1
2
...
0
0
0
1
1
1
3
1
9
7
Serial No.
23
1
2
3
4
5
6
7
8
9
10
11
12
( xii )
B.—DISPENSARY VACCINATIONS.
STATEMENT No. III.
Showing Dispensary Vaccination in the North-West Frontier Province during the year 1925-26.
1
Serial No.
1
1
2
3
4
5
2
DISTRICTS.
2
Peshawar ... ...
Mardan ... ...
Bannu ... ...
Dera Ismail Khan ...
Kurram ... ...
TOTAL ...
3
Number of dispensaries in each district
to which a Vaccinator is attached.
3
...
...
...
...
...
...
4
Average number of Vaccinators attached
to dispensaries during the year.
4
...
...
...
...
...
...
5
Total number of persons vaccinated.
5
421
107
383
3,703
1,223
5,837
6
Average number of persons vaccinated
by each vaccinator.
6
...
...
...
...
...
...
7
PRIMARY VACCINATIONS.
Total.
7
196
107
59
1,368
1,381
2,111
Successful.
Under one year.
8
60
103
16
677
41
897
One and under 6 years.
9
98
4
12
562
165
841
Total of all ages.
10
196
107
30
1,331
340
* 2,004
Unknown.
11
...
...
23
13
31
67
8
RE-VACCINATIONS.
Total.
12
226
...
324
2,335
842
3,727
Successful.
13
143
...
107
1,857
530
2,637
Unknown.
14
...
...
154
190
56
400
9
PERCENTAGE OF
SUCCESSFUL CASES
IN WHICH THE
RESULTS WERE
KNOWN.
Primary.
15
100
100
83.06
98.22
97.14
98.04
Re-vaccinations.
16
0.63
...
62.94
86.57
67.43
79.26
10
PERCENTAGE
OF UNKNOWN
CASES TO
TOTAL CASES.
Primary.
17
...
...
38.98
0.95
8.14
3.17
Re-vaccinations.
18
...
...
47.53
8.14
6.65
10.71
11
Serial No.
19
1
2
3
4
5
* These figures include 266 primary successful vaccinations of persons of 6 years and over 6 years.
( xiii)
COMPARATIVE STATEMENT No. IV.
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 undermentioned official years.
ESTABLISHMENT
Government ...
Municipal, Local
and District
Funds ...
Dispensaries ...
The informa¬
tion for the
year previous
to 1900 is not
available.
TOTAL ...
PERSONS PRIMARILY VACCINATED.
Total number.
Number successfully
vaccinated.
Total number
Number successfully
vaccinated.
Total number.
Number successfully
vaccinated.
Total number.
Number successfully
vaccinated.
Total number.
Number successfully
vaccinated.
Total number.
Number successfully
vaccinated.
Year ending 31st March.
From 1900
to 1912.
118,703
965,502
8,434
1,092,639
107,106
914,890
6,194
1'028,190
1913
10,125
113,385
299
123,809
9,718
110,276
291
120,285
1914
11,353
131,922
108
143,383
10,831
129,207
94
140,132
1915
7,341
130,866
8
138,215
6,548
128,616
7
135,171
1916
10,140
112,546
...
122,686
9,450
110,489
...
119,939
1917
6,601
126,421
...
133,022
5,953
122,423
...
128,373
( xiv )
COMPARTIVE STATEMENT No. IV—concluded.
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 undermentioned official years.
ESTABIISH-
MENT.
Government
Municipal,
Local and
District
Funds.
Dispensaries
The informa-
tion for the
year previous
to 1900 is not
available.
TOTAL ...
PERSONS PRIMARILY VACCINATED—concluded.
Total number.
Number successfully
vaccinated.
Total number.
Number successfully.
vacinated.
Total number.
Number successfully
vaccinated.
Total number.
Number successfully
vaccinated.
Total number.
Number successfully
vaccinated.
Total number.
Number successfully
vaccinated.
Total number.
Number successfully
vaccinated.
Total number.
Number successfully
vaccinated.
Total number.
Number successfully
vaccinated.
Year ending 31st March—
1918
8,487
105,542
...
114,029
7,848
102,276
...
110,124
1919
10,302
87,725
70
98,097
9,872
85,79
70
95,736
1920
8,754
99,203
...
107,957
8,201
96,826
...
105,027
1921
5,844
90,588
40
96,472
5,541
87,704
40
93,285
1922
6,590
81,609
312
88,511
5,931
77,760
293
83,984
1923
16,074
96,806
1,027
113,967
14,974
92,720
766
108,460
1924
11,885
96,859
93
108,837
10,789
92,819
54
103,662
1925
14,174
100,351
3,382
117,907
12,604
90,062
3,164
111,830
1926
29,777
122,398
2,111
154,286
28,085
117,432
2,004
147,521
( xv )
STATEMENT No. V.
Showing results of inspection of vaccination by Inspecting Officers in the North-West Frontier Province
during the year 1925-26.
Serial No.
1
1
2
3
4
5
6
7
8
9
10
11
12
DISTRICTS.
2
Hazara ... ... ...
Peshawar ... ... ...
Mardan Sub-Division ... ...
Kohat ... ... ...
Bannu
...
...
...
Dera Ismail Khan ... ...
Political Agencies.
Sherani Country ... ... ...
Kurram Agency ... ... ...
Tochi
„ ... ...
Wana
„ ... ...
Chitral
„ ... ...
Malakand „ ... ...
TOTAL ...
Total number of
persons vaccinated.
Primary.
3
34,143
28,252
18,885
11,806
14,264
16,778
2,924
4,125
3,460
...
9,000
10,649
1,54,286
Re-vaccinations.
4
14,812
14,948
3,705
6,102
6,491
20,278
4,435
1,461
1,386
...
...
...
73,618
TOTAL NUMBER INSPECTED.
By Civil Surgeons.
Primary.
5
2,406
7
129
906
924
638
...
386
85
...
1,403
1,500
8,384
Re-vaccinations.
6
1,070
7
...
500
1,336
137
...
862
104
...
..
...
4,016
By
Superintendent.
Primary.
7
31,890
18,527
14,989
10,122
9,791
12,998
...
...
...
...
7,400
...
105,717
Re-vaccinations.
8
11,426
7,064
2,276
5,300
4,760
14,698
...
...
...
...
...
...
45,524
By Divisional
Inspectors.
Primary.
9
...
...
...
...
...
...
...
...
...
...
...
...
...
Re-vaccinations.
10
...
...
...
...
...
...
...
...
...
...
...
...
...
( xvi )
STATEMENT No. V—concluded.
Showing results of inspection of vaccination by Inspecting Officers in the North-West Frontier Province
during the year 1925-26.
Serial No.
1
1
2
3
4
5
6
7
8
9
10
11
12
2
Hazara
... ...
Peshawar
...
...
Mardan Sub-Division ...
Kohat
... ...
Bannu
... ...
Dera Ismail Khan ... ...
Political Agencies.
Sherani Country ... ...
Kurram Agency
... ...
Tochi
„
... ...
Wana
„
... ...
Chitral
„ ... ...
Malakand „ ... ...
TOTAL ...
PERCENTAGE OF INSPECTIONS TO TOTAL
NUMBER VACCINATED.
By Civil
Surgeons.
Primary.
11
7.04
...
0.69
76.8
6.47
3.80
...
9.35
2.45
...
15.59
...
5.43
Re-vaccinations.
12
7.22
...
...
8.2
20.50
0.67
...
59.00
7.50
...
...
...
5.46
By Superin-
tendents.
Primary.
13
93.40
65.54
79.8
85.7
68.64
77.47
...
...
...
...
82.22
...
68.52
Re-vaccinations.
14
77.14
47.25
61.5
86.8
73.33
72.48
...
...
...
...
...
...
61.84
By Divisional
Inspectors.
Primary.
15
...
...
...
...
...
...
...
...
...
...
...
...
...
Re-vaccinations.
16
...
...
...
...
...
...
...
...
...
...
...
...
...
PERCENTAGE OF CASES FOUND SUCCESSFUL
TO TOTAL NUMBER INSPECTED.
By Civil
Surgeons.
Primary.
17
99.66
...
100.00
94.7
99.35
99.84
...
90.41
87.06
...
97.72
95.00
80.32
Re-vaccinations.
18
99.34
...
...
97.00
58.98
69.34
...
64.15
46.15
...
...
...
75.50
By Superin-
tendents.
Primary.
19
99.61
96.76
100.00
95.5
98.51
98.74
...
...
...
...
98.19
...
98.48
Re-vaccinations.
20
97.36
67.75
96.3
79.9
59.49
75.87
...
...
...
...
...
...
81.98
By Divisional
Inspectors.
Primary.
21
...
...
...
...
...
...
...
...
...
...
...
...
...
Re-vaccinations.
22
...
...
...
...
...
...
...
...
...
...
...
...
...
PERCENTAGE
OF SUCCESS-
FUL CASES
REPORTED BY
VACCINATORS.
Primary.
23
98.75
98.16
94.39
98.59
98.83
99.11
100.00
90.26
94.27
...
85.5
98.00
98.48
Re-vaccinations.
24
94.90
86.23
97.78
91.22
56.51
82.62
89.69
88.22
59.14
...
...
...
84.38
Serial No.
25
1
2
3 4
5
6
7
8
9
10
11
12
( xvii )
APPENDIX A.
Statement showing the number of vaccinations performed in
Municipal towns on children under one year of age.
Serial No.
1
1
2
3
4
5
6
7
8
9
10
11
12
13
TOWNS.
2
Hazara District.
Abbottabad ...
Nawanshahr (Notifi-
ed Area) ...
Buffa... ...
Haripur ...
Peshawar District.
Peshawar ... ...
Nowshera
Kalan
(Notified Area)...
Becketgang-
Khawajaganj
(Notified Area) ...
Kohat District.
Kohat ...
Bannu District.
Bannu ...
Lakki
(Notified
Area) ...
Dera Ismail Khan
District.
Dera Ismail Khan...
Kulachi ...
Tank
(Notified
Area) ...
Number of births during
the year 1925-26.
3
121
227
291
240
2,322
326
185
591
601
186
1,196
111
247
Number of deaths among
children under one year
during the year 1925-26
4
14
34
38
39
515
45
41
83
127
37
335
27
56
Number of successful
vaccinations on children
under one year of age
ending March 1926.
5
185
254
151
110
2,790
372
343
649
1,106
288
1,403
390
214
Date of extension
of the
Vaccination Act
to towns.
6
1st May 1906.
Act not in force.
1st October 1904.
November 1904.
Act not in force.
December 1897.
20th
January
1906.
( xviii )
APPEN
Statement showing the annual number of successful
per 1,000 of population for
Serial No.
1
1
2
3
4
5
6
DISTRICTS.
2
Hazara ... ...
Peshawar ... ...
Mardan Sub-Division ...
Kohat ... ...
Bannu ... ...
Dera Ismail Khan ...
Total ...
Total
in
Political
Agencies Staff ...
Total in Cantonment Staff
Total in Dispensary Staff
GRAND TOTAL ...
1921-22.
Number of
successful
cases.
3
16,663
18,717
18,306
9,587
8,573
11,737
83,583
6,371
1,711
657
92,322
Annual ratio of deaths
from small-pox per 1,000
of population.
4
0.07
0.03
0.10
0.27
0.50
0.31
0.16
...
...
...
0.16
1922-23.
Number of successful
cases.
5
32,734
21,854
17,199
10,982
7,886
18,290
108,945
19,986
2,347
1,372
182,650
Annual ratio of deaths
from small-pox per 1,000
of population.
6
...
0.15
0.01
0.06
0.01
0.08
0.05
...
...
...
0.05
( xix )
DIX B.
vaccinations and the annual ratio of deaths from small-pox
the five years ending 1925-26.
1923-24.
Number of
successful
cases.
7
36,401
17,181
18,822
11,525
8,286
12,600
104,815
11,787
2,312
54
118,968
Annual ratio of deaths
from small-pox per 1,000
of population.
8
...
0.03
...
...
...
...
0.03
...
...
...
0.03
1924-25.
Number of
successful
cases.
9
40,129
21,236
16,982
12,758
8,580
17,153
116,838
14,598
2,325
3,694
137,455
Annual ratio of deaths
from small-pox per 1,000
of population.
10
...
0.44
0.13
0.13
0.004
0.01
0.14
...
...
...
0.14
1925-26.
Number of
successful
cases.
11
46,282
26,552
21,930
16,290
15,957
28,888
155,899
32,974
10,835
4,641
204,349
Annual ratio of deaths
from small-pox per 1,000
of population.
12
0.02
0.53
0.02
0.39
0.61
1.12
0.38
...
...
...
0.38
Serial No.
13
1
2
3
4
5
6
NOTES
ON
VACCINATION
IN THE
NORTH WEST FRONTIER PROVINCE
DURING THE YEAR
1926-27
BY
LIEUTENANT-COLONEL C. I. BRIERLEY, I. M. S.,
Director of Public Health, North West Frontier Province.
CALCUTTA : GOVERNMENT OF INDIA
CENTRAL PUBLICATION BRANCH
1927
Price—Rs. 1-1-0 or £ 0-1-9
NOTES
ON
VACCINATION
IN THE
NORTH WEST FRONTIER PROVINCE
DURING THE YEAR
1926-27
BY
LIEUTENANT-COLONEL C. I. BRIERLEY, I. M. S.,
Director of Public Health, North West Frontier Province.
CALCUTTA : GOVERNMENT OF INDIA
CENTRAL PUBLICATION BRANCH
1927
Notes on Vaccination in the North West Frontier
Province for 1926-27.
REVIEW BY THE CHIEF COMMISSIONER.
IN the year 1926-27 the number of vaccinations
performed was 185,957 as compared with 227,904 in the
previous year. Though at first sight, disappointing, this
decrease in the number of operations is partly accounted for
by the fact that the epidemic of small-pox in the year under
review was not so severe as in the preceding year. The
Chief Commissioner is glad to note that the attitude of the
people towards vaccination is, on the whole, favourable.
The number of vaccinations performed in the agencies,
too, has fallen from 36,217 in 1925 to 33,644 in 1926. The
decrease is most noticeable in the Tochi and Malakand
agencies where, in 1926, there was no such epidemic of
small-pox as in the preceding year.
The average number of persons inoculated by each
vaccinator was 4,952.32 as compared with 5,834.89 in 1925-26.
Hazara District heads the list with the creditable
average of 6,987.14 per head. Dera Ismail Khan, however,
which headed the list last year with an average of 8,337.0 per
head now shows the poorest return, namely 3,317.80. No
satisfactory explanation has been offered for this notable
decrease.
The total expenditure has risen slightly from Rs. 22,839
to Rs. 23,992. The average cost per successful operation has
also risen from one anna nine pies to two annas three pies.
Though this figure compares favourably with that for 1924,
when the average cost was two annas six pies, and 1923,
when the average cost was two annas nine pies, the Chief
Commissioner hopes that it may be possible to keep down
the average cost at the commendably low figure achieved
in 1925.
2
The suggestion, made by the Chief Medical Officer that
the Vaccination Act may be extended to the City of
Peshawar and the Notified Areas of the Peshawar District is
under consideration.
NATHIAGALI :
22nd June 1927.
H. A. P. METCALFE,
Secretary to the Chief Commissioner,
North West Frontier Province.
GP&SO-NWFP—623StoCC—27-7-27—155
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.
ib.
2
ib.
ib.
ib.
ib.
ib.
3
ib.
ib.
4
ib.
5
ib.
ib.
11
ANNUAL FORMS.
Statement No. I.—Showing particulars of vaccination in the
North West Frontier Province during the year 1926-27.
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
1926-27.
Statement No. II.—Showing the cost of the department in the
North West Frontier Province during the year 1926-27.
Statement No. III.—Showing
dispensary vaccinations in the
North West Frontier Province during the year 1926-27.
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-vaccinations performed and the number inspected by
Civil Surgeons 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 1926-27.
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 vaccina-
tions and the annual ratio of deaths from small-pox per
1,000 of population for five years ending 1926-27, district
by district.
Diagram showing the death-rates from small-pox during the
year 1925-26, the average rate of mortality from small-pox
for the five years ending 1925-26 and the proportion of
successful vaccinations during the year 1926-27 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 1926-27.
1. Administration—
Lieutenant-Colonel C. 1. Brierley, I. M. S., held charge
of the Vaccination Department from 1 April to 7 June 1926
and again from 8 September 1926 to 28 March 1927.
Captain W. E. R. Dimond, I. M. S., Assistant Director of
Public Health, held charge of the Department for the
intervening period in addition to his own duties from 9 June
1926 to 7 September 1926.
2. Establishment—
Statement No. 1.—The total number of vaccination staff
remained the same as that of last year, viz. 6 Superintendents
and 37 vaccinators. Two additional temporary vaccinators
were employed in the Dera Ismail Khan District for four
months.
3. Total vaccinations performed—
Statement No. I.—The total number of vaccinations
performed throughout the year was 134,619 primary and
51,338 secondary operations, representing a decrease of
19,667 in the former and 22,280 in the latter as compared
with the figures in the preceding year, The decrease is due
to the fact that the epidemic of small-pox during the year
under review was not as severe as in the preceding year.
There has been a great decrease in figures in the Dera Ismail
Khan District compared with the past year, viz. 20,467.
The decrease is mainly in re-vaccination as, when an epidemic
2
of small-pox abates, people will not come forward for
re-vaccination.
4. Average number vaccinated by each vaccinator—
The average number of persons vaccinated by each
vaccinator was 4,952.32. The vaccinators in the Hazara
District head the list with an average of 6,987.14. Bannu
District is the second with an average of 5,580.33. The
Dera Ismail Khan District shows the smallest amount of
average work done by each vaccinator, viz, 3,317.80.
5. Vaccination according to age-
Out of 168,595 successful primary vaccinations 75,989
were on infants under one year of age and 39,887 on children
of one and under six years of age. The successful vaccina-
tions are at the rate of 51.20 per 1,000 of population ; 39.77
being the average of the preceding five years.
6. Re-vaccinations—
51,338 re-vaccinations were performed during the year
which is 22,280 less than in the preceding year.
7. Vaccinations in Political Agencies—
Appendix to statement No. I.—The total number of
persons vaccinated in the Agencies was 33,644, compared
with 36,217 during the previous year and 16,937 in the year
1924-25. The decrease is in the Tochi and Malakand
agencies. This is due to the fact that small-pox was not
prevalent there during the year, while in the previous year
it was epidemic.
8. Vaccinations in cantonments—
Appendix to statement No. I.—In the cantonments of
Peshawar and Nowshera 3,415 vaccinations were performed
as compared with 13,872 in the last year and 3,002 in the
year 1924-25.
9. Cost of department—
Statement No. II.—The total expenditure during the
year was Rs. 23,992, compared with Rs. 22,839 in the
previous year. The expenditure incurred in the purchase of
3
lymph was Rs. 4,132. The total expenditure was met from
the funds noted below :—
(1) Provincial funds
...
...
...
(2) Municipal Funds ... ... ...
(8) Cantonment Funds ... ...
(4) District Board Funds ... ...
Total ...
Rs.
7,406
2,665
856
13,065
23,992
10. Cost per successful case—
The total number of successful operations was 168,595
out of 185,957 actually performed and the average cost for
each successful case was two annas and three pies as compared
with one anna and nine pies in the previous year and two
annas and six pies in the year 1924-25.
11. Dispensary vaccination—
Statement No. III —As a rule Sub-Assistant Surgeons
in charge of dispensaries only do vaccination work when for
special reason the district vaccinators require assistance : 2,306
persons were vaccinated by the dispensary staff during the
year under report.
12. Inspections made by officers of the department—
Statement No. V.—Including settled districts and
agencies the total number of persons who underwent primary
vaccination was 134,619 and re-vaccination 51,338. The
percentage of success recorded by Civil Surgeons was 97.78
for primary and 87.35 for re-vaccination. Superintendents
of vaccination record a success of 98.19 for primary and
84.07 for re-vaccination. The inspection work done by
Superintendents of Vaccination compared with the previous
year is as follows :—
1925-26
...
...
1926-27
...
...
Primary.
105,717
86,947
Re-vaccination.
45,524
34,111
The percentage of inspections by the Civil Surgeons of
the total number vaccinated was 7.51 primary and 6.22
re-vaccination and those by Superintendents wore 64.59
primary and 66.44 re-vaccination.
4
13. Vaccination in municipal towns—
Appendix A.—Appendix
A shows the number of
children under one year of age who were available for
vaccination in municipal towns and notified areas and the
actual number of vaccinations performed on them during the
year. The excess in vaccinations over births is due to the
fact that many people from across the border, when passing
through, submit their children for vaccination.
14. Case success and annual ratio of deaths from
small-pox—
Appendix B.—In Appendix B are shown the number
of successful vaccinations and the mortality of small-pox per
mille of population during the past year. During the past
five years the average number of deaths from small-pox was
336 and the average mortality per 1,000 of population was
0.15. During the year under report there were 466 deaths,
giving a ratio of 0.21 per 1,000 of population. The reported
number of deaths from this disease in the various districts
during the year 1925-26 and 1926-27 are as follows :—
District
Dera Ismail Khan ... ...
Peshawar ... ... ... ...
Bannu ... ... ... ...
Kohat ... ... ... ...
Hazara ... ... ... ...
Mardan ... ... ... ...
Total ...
1925-26
282
281
149
80
15
9
816
1926-27
285
51
35
40
39
16
466
5
15. Particulars of lymph used—
Throughout the year the lymph used has been glyceri-
nated chloroform lymph procured from the Punjab Vaccine
Institute. The lymph received was of good quality and gave
satisfactory results.
16. Attitude of the people towards vaccination—
The attitude of the people towards vaccination is, on the
whole, favourable.
17. General remarks—
The Assistant Director of Public Health inspected
children along the roads in the outlying districts and was
favourably impressed. The work is being satisfactorily done
and very few septic arms were seen.
The Vaccination Act is not as yet in force in Peshawar
City or in the notified areas of Peshawar District. I would
suggest that the Act be made applicable to Peshawar City,
to the notified areas of Peshawar District, and to Lakki in
the Bannu District. If this be done all the towns in the
North West Frontier Province would have the benefit of the
Act.
The Public Health clerk, L. Devi Chand, deserves credit
for the careful way he has carried out his duties in this
department during the past year.
G. M. MILLAR, LIEUT.-COLONEL, I. M. S.,
Chief Medical Officer,
North West Frontier Province.
NATHIAGALI :
1 June 1927.
GP&SO-NWFP—293CMO—25-7-27—155
Diagram showing the death-rates from small-pox per 10,000 of population during the year 1926-27, the average rate of mortality from small-pox per 10,000 of population
for the five years ending 1925-26, and the proportion of successful vaccinations during the year 1926-27 and the preceding six years
in each district of the North West Frontier Province