2
Cost of each suc¬
cessful vaccination-
Statement No. II.
5. The average cost of each successful vaccination works out at Re. 0-5-1
against Re. 0-4-9 in the preceding year. If, however, the sum of Rs. 50,859-11-0
which has been credited to Government on account of the sale of vaccine is
deducted from the total expenditure the average cost is reduced to Re. 0-4-3, as
against 0-4-0 in the preceding year. The districts in which the cost of each
successful vaccination was the highest were Hissar (0-8-0) and Ambala (0-6-5)
and the districts showing the lowest cost of each successful vaccination were
Gurgaon, (0-2-9) ; Kangra (0-2-2) ; Dera Ghazi Khan (0-2-2) and Muzaffargarh
(0-1-10). The increase in the cost of a successful case is ascribable partly to a
decrease in the number of successful vaccinations and partly to the causes in-
dicated in the preceding paragraph.
Total operations
done by all estab-
lishments—State-
ment No. I.
6. The total number of operations reported to have been performed by
all establishments during the year under report was 1,242,090 as compared with
1,217,375 in the previous year.
Of the total number of operations,
720,328 were recorded as primary vaccinations and 521,762 as re-vaccination
as against 747,162 and 470,213 in the preceding year. There was thus a
decrease of 26,834 in the case of primary and an increase of 51,549 in the case
of re-vaccinations. The decrease in the number of primary vaccinations per-
formed during the year is attributable to (1) a decreased number of births in
certain districts, (2) the absence of a widespread epidemic of small-pox, (3) high
infantile mortality and (4) the indifferent and apathetic attitude of the people,
more especially in the Simla Hill States, towards vaccination. The increased
number of re-vaccinations is due to the fact that a special effort was made to
re-vaccinate school children.
House to house
vaccination.
7. A total of 12,803 operations was performed under the house
to house system in the towns of Hissar, Karnal, Panipat, Shahabad,
Simla, Hoshiarpur, Lahore, Batala, Sialkot, Gujranwala, and in the districts
of Ludhiana and Ferozepore as against 16,955 during the previous year.
It will not be possible to extend this system until the vaccination staff of muni-
cipal towns has been increased.
District
Staff-
Statement No. I.
8. The total number of operations performed by the district staff
was 1,144,641 as against 1,123,532 in the previous year. Of the total
number of operations, 697,464 were primary vaccinations and 447,177 were
re-vaccinations as compared with 702,818 and 420,714, respectively, in the
preceding year. Thirteen districts reported an excess of primary vaccinations
over the figure for the preceding year, the most conspicuous being Dera
Ghazi Khan (4,340), Kangra (3,363), Lyallpur (3,337), Lahore (3,139),
and Jhelum (2,410). In other districts the increase varied from 1,737 in
Jhang to 226 in Simla. On the other hand, 16 districts reported a decrease, the
most conspicuous being Ferozepore (4,905), Hissar (3,327), Rohtak (3,015),
Karnal (2,897), Ambala (2,255), and Gurgaon (2,224). In respect of re-
vaccination the districts showing an appreciable increase were Dera Ghazi Khan
(38,507), Muzaffargarh (8,424), Gurgaon (8,378), Kangra (7,471), Karnal
(6,963), Ambala (5,374) and Rohtak (4,580).
Percentage of suc-
cessful operations by
all establishments.
9. The percentage of success of primary operations performed by all
establishments during the year was 97.79 as compared with 96.54 in the previous
year, while in the case of re-vaccination the figures were 71.57 in 1926-27, as
compared with 70.95 in the year 1925-26.
District Staff per¬
centage of success¬
Statement No. I.
10. The percentage of success in primary vaccination carried out by
the District Staff was 97.82 as against 96.56 in the previous year, while in
the case of re-vaccination it was 71.24 as compared with 70.57. The number
of vaccinations of which the results were not known comprised 6.68 per cent.
of the total number of operations in the case of primary vaccination and 19.92
per cent. in the case of re-vaccination, as compared with 6.95 per cent. and
19.76 per cent. respectively, in the preceding year.
Ratio of persons
successfully vacci-
nated by the District
Vaccination Staff-
Statement No. I.
11. The ratio of persons successfully vaccinated by the District Staff
was 43.44 per mille of population as against 42.37 per mille in the previous
year. Dera Ghazi Khan District stood first with a ratio of 89.65 per mille,
the next in order being Muzaffargarh (76.82); Kangra (72.16), Gurgaon
(63.68) and Mianwali (59.47).