4
In the Lahore Municipality no less than 10,500 notices were issued to
those who failed to have their children vaccinated. Only 49 cases were sent
to court and out of these 18 were vaccinated by the order of the court and the
cases of 31 are still pending. In the Rawalpindi Municipality 8 persons were
challaned in the courts under the Compulsory Vaccination Act but no fines
were inflicted,
It has been reported that in the towns of Bhera, Miani, Khushab and
Sargodha, the Vaccination Act though in force is not rigidly enforced.
Inoculation.
16. No small-pox inpoulation was reported to have been performed in
any part of the province during the year,
Diagram,
17. A diagram showing the death rate from small-pox per 10,000 of
population during 1920-21, the average rate of mortality from small-pox for the
five years ending 1919-20, the proportion of successful vaccinations in 1920-21
and for the preceding six years in each district of the Punjab is attached to
the report.
Punjab Vaccine In-
stitute.
18. The total number of one gramme tubes of vaccine issued by the,
Punjab Vaccine Institute during the year was 45,687 as compared with 49,507
in the year previous, as detailed below :—
To whom supplied.
Civil Surgeons, etc., in the Punjab
North-West Frontier Province
...
Special Staff, Punjab
...
Native States, Punjab
...
North-Western Railway, etc. ...
Military Department in India ...
Out of the Punjab ...
...
Total
1919-20.
23,843
3,193
1,207
2.935
133
6,263
11,630
49,507
1920-21,
25,041
3,074
1,044
2,865
44
5,258
8,361
45,687
The decrease in the quantity issued during the year under report as
compared with the previous year is chiefly due to a smaller demand of the
lymph from places " out of the Punjab, "
Of the 45,687 tubes despatched in 1920-21 results were received in the.
case of 32,024 showing that 64.0,070 primary and 216,366 re-vaccinations were
performed with an insertion success of 94.94 per cent, in primary and 73.38
per cent. in re-vaccination as against 97.28 and 71.23, respectively, in the
previous year,
With a view to meeting the enhanced cost of production the price of a
gramme of vaccine was raised from annas twelve to one rupee with effect
from 1st April 1920,
During the year under report the Civil Surgeons and Health Officers
were held responsible and declared the distributing agency for the calf lymph
required by the Vaccination Staff under their control to avoid wastage,
They are now under Government orders required to submit monthly indents
for their weekly supplies to the Punjab Vaccine Institute which despatches
the vaccine in bulk to the Civil Surgeons who make the necessary distribution
among the Vaccination Staff according to the latter's requirements. It has
been reported by the Civil Surgeons, Ferozepore, Mianwali, Lyallpur and Jhang
that this method of supplying lymph is unsatisfactory because (1) in certain
cases the Vaccinators are unable to estimate accurately the quantity of vaccine
required for the week and (2)"a good deal of delay occurs in its distribution
in the Civil Surgeon's office from where it is despatched to Vaccinators through
the village Branch Post Offices thus making it possible for the lymph to
deteriorate. In my opinion there is not much ground for this complaint see-
ing that the vaccine supplied throughout India to places situated several hund-
red miles distant from Lahore or Murree reaches its destination safely without
deterioration,