3
number of operations 5,960 was performed at dispensaries in the Gurdaspur
District, Jullundur coming next with 4,935 and Hoshiarpur third with
4,471.
Inspection
work
Statemeat No. V.
13. During the year the Deputy Sanitary Commissioner visited 88
towns and villages and inspected the results of 573 primary and 251 re-vacci-
nations. He found a percentage of success of 98.60 in primary and 74.10 in re-
vaccination. The Additional Deputy Sanitary Commissioner inspected vaccination
in the towns of Shahabad, Panipat, Ballabgarh, Palwal, Jagraon and Kartarpur.
The number of primary vaccinations inspected was 505 giving a success rate of
97.03 per cent. On account of the prevalence of small-pox in most of the
towns in the Province he was unable to inspect vaccination in rural areas. He
visited the towns of Multan, Gujranwala, Muktsar, Ferozepore, Ludhiana,
Jullundur, Hoshiarpur, Amritsar, Batala, Kasur, Gujrat, Sialkot, Hodal and
Sohna in connection with the outbreak of small-pox. Civil Surgeons and
Health Officers made 43.808 inspections of primary vaccination and 21,647
of re-vaccination, Divisional Inspectors 83,423 and 15,535 and Superintendents
of Vaccination 355,583 and 202,919 respectively. The percentage of success
verified by Civil Surgeons and Health Officers was 97.94 in primary and 72.97
in re-vaccination as compared with 96.76 and 61.26 and 97.46 and 77.42 found
by Divisional Inspectors and Superintendents, respectively. The rates of
success reported by vaccinators were 98.64 in primary and 79.72 in re-vaccina
tion as against 98.19 and 76.95 in the year preceding.
Vaccination
in
large Native States.
14. The number of primary vaccinations and re-vaccinations performed
in 1918-19 in those Native States which entertain their own vaccinators was
as follows:—
Patiah 39,616 and 37,759, Bahawalpur 8,613 and 243, Kapurthala
2,911 and 1,300 and Faridkot 2,625 and 121. In Nabha 292 primary vaccin-
ations and in Jind 7,606 were performed. The percentage of successful
primary vaccination was 98.68 in Patiala, 98.13 in Bahawalpur, 97.86 in
Kapurthala, 100.00 in Faridkot, 95.45 in Nabha and 97.69 in Jind. In the
case of re-vaccination the percentage of success was 75.51 in Patiala, 8388 in
Bahawalpur, 82.54 in Kapurthala and 47.93 in Faridkot
Vaccination
in
municipal tosns.
15. One hundred per cent. of the total number of children under one
year of age available for operation were successfully vaccinated in the towns
in which the Vaccination Act is in force as against 68 per cent. in those towns
in which it is not in force, the corresponding rates for the previous year
being 85 and 64 per cent. In the three largest towns of the Province the
percentage of successfully vaccinated children was 197 in Lahore, 95 in
Amritsar and 53 in Multan as compared with 129, 90 and 60 respectively, in
1917.18. In Lahore after deducting infantilo deaths from births the number
of children available was 5,134 and of those successfully vaccinated it was
10,138, this number, no doubt, includes children born elsewhere but residing
within the limits of the municipality at the time of vaccination.
During the year the Vaccination Act, XIII of 1880, was extended to
two towns only, viz., Khangarh and Karor in the Muzaffargarh District. The
law was amended last year to enable the Act to be extended to Notified
Areas, but very few have so far taken advantage of this concession.
Hoshiarpur, Jullundur, Sialkot and Gujranwala are the districts which
should seriously consider the question of extending the Act to their minor
towns.
Inocalation.
16. No instance of small-pox inoculation was reported.
Diagram.
17. A diagram showing the death rate from small pox per 10,000 of
population during 1918-19, the average rate of mortality from small-pox
for the five years ending 1917-18, the proportion of successful vaccinations
in 1918-19 and for the preceding six years in each district of the Punjab is
attached to the report.
Punjab
Vaccine
Institute.
18. During the year the Institute supplied chloroformed glycerinated
vaccine as usual and the statistics attached to this report show the excellent
quality of the lymph manufactured.