NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
No. 21507 (H.—Medl.)
FROM
A. LATIFI, ESQ., O.B.E., I.O.S.,
Secretary to Government, Punjab,
Transferred Departments,
To
THE DIRECTOR OF PUBLIC HEALTH, PUNJAB.
Dated Lahore, the 22nd September 1924.
Home.
Medical.
SIR,
I AM directed by the Punjab Government (Ministry of Education) to
acknowledge the receipt of your letter No. 3383, dated the 21st of August
1924, forwrding a copy of the " Notes on Vaccination in the Punjab " for the
year 1923-24.
2. The total number of vaccinations and re-vaccinations performed
by all establishments during the year under review was 943.263 as against
902,431 in the previous year. The Punjab Government (Ministry of Education)
agree that the increase of 40,832 is satisfactory, and accept your suggestion that
in future the figures for municipalities in which Medical Officers of Health
have been entertained should be shown separately from the district figures.
3. The attitude of Municipal and Notified Area Committees towards
vaccination as described in paragraph 13 of the " Notes " is disappointing,
and this Government will be glad to be informed of the result of the special
efforts which you propose to make to ensure interest in the subject.
4. In conclusion, I am to convey to you and to the staff under your
control the thanks of the Punjab Government for the vaccination work done
during the year under review.
I have, etc.,
A. LATIFI,
Secretary to Government, Punjab,
Transferred Departments.
702 CS—305—24-9-24-SGPP Lahore.
PUBLIC HEALTH DEPARTMENT, PUNJAB.
Errata.
ANNUAL VACCINATION REPORT OF THE PUNJAB FOR 1928-24.
1. Statement No. I.—Against grand total in columns 5 and 26 for
" 211 " and " 0.32 " read " 311 " and " 0.33 " respectively.
2. Appendix to Statement No. I.—Against Nalagarh State in column 7
for " 204" read " 1204 "
3. Statement No. II.—Against Muzaffargarh and Dera Ghazi Khan in
column 20 for " 416-12-6 " and " 479-1-8 " read " 4160-12-6 " and " 4792-1-8 "
respectively.
25 DofPH—413—4-10-24—SGPP Lahore.
No. 3174.
FROM
LIEUT.-COLONEL C. A, GILL, D.P.H., D.T.M. & H., I.M.S.,
Offg. Director of Public Health, Punjab,
To
THE SECRETARY TO GOVERNMENT, PUNJAB,
TRANSFERRED DEPARTMENTS.
Dated Lahore, the5th August 1924.
SUBJECT :—Annual Vaccination Report.
SIR,
I HAVE the honour to submit for the information of the Punjab
Government (Ministry of Education) the Annual Vaccination Statements for
the period April 1st, 1923, to March 31st, 1924, and to make the following
report in regard to the progress of Vaccination during the year under
review :—
Administration.
2. Vaccination operations were conducted under the general super-
vision of the Director of Public Health. The post was held throughout the
year by Lieutenant-Colonel W. H. C. Forster, D.P.H., I.M.S.
In accordance with the re-organisation scheme of the Public Health
Department which came into force on 1st April 1923, the Province was
divided for administrative purposes into three circles in charge of the Assist-
ant Directors of Public Health of Lahore, Ambala and Rawalpindi circles,
respectively. These posts were filled from October 15th, 1923, to the end of
the period under review as follows : —
(1) Lahore Circle —
(a) Lieutenant-Colonel C. A. Gill, D.P.H., also Assistant Director of
Public Health (Technical), Epidemiology.
(b) Khan Bahadur Dr. Abdur Rahman, D.P.H., also Assistant
Director of Public Health (Technical), Vaccination.
(2) Ambala Circle.— Captain R. C. Malhotra, D.P.H., O.B.E., I.M.S.
(3) Rawalpindi Circle.—Not filled. Post held temporarily by Khan
Bahadur Dr. Abdur Rahman, D.P.H.
The supervision of vaccination in districts which hitherto formed part
of the duties of the Civil Surgeons were on April 30th, 1923, transferred to the
charge of Medical Officers of Health of the Punjab Health Department, and
from this date vaccination was carried out in municipal towns and rural areas
under the supervision of the following officers :—
(a) Lahore ... ... ...
Amritsar ... ... ...
Multan ... ... ...
Jullundur ... ... ...
Sialkot ... ... ...
Rawalpindi ..
...
...
(6) Gurgaon ... ... ...
Rothak ... ... ...
Jullundur ...
...
...
Kangra ... ... ...
(c) Other Districts except Simla ...
(d) Simla District and Simla Hill States
Medical Officers of Health of Municipalities.
District Medical Officers of Health
(excluding the headquarter town).
Assistant Epidemiologists (exclud¬
ing headquarter town).
Special Staff.
3
To summarize, 19 districts showed an increase in primary vaccinations
as compared with 17 districts in the year 1922-23 whilst as regards re-vaccina-
tion the number of districts exhibiting an increase was the same as in the
previous year, viz., 18.
In regard to re-vaccination the following districts showed a marked
increase :—
Hoshiarpur (+ 9,596), Amritsar (+ 9,320), Kangra (+ 8,037), Multan
(+ 6,273), Muzaffargarh (+ 4,602), Gurgaon (+ 4,093) and Dera Ghazi Khan
(+ 4,046).
An increase in both primary and re-vaccinations is a satisfactory
feature which is largely attributable to the energy displayed by Medical
Officers of Health of the Public Health Department in charge of districts,
among whom Dr. Vohra, District Medical Officer of Health, Kangra ; Dr.
Jaimal Singh, Assistant Epidemiologist, in charge of Amritsar, Gurdaspur and
Hoshiarpur Districts ; and Dr. Harnath Singh, Assistant Epidemiologist,
Rawalpindi and Attock Districts, deserve special mention.
The decrease in both primary and re-vaccinations in Lahore District is
attributed to the low birth-rate and to epidemics of malaria and plague, but
I am of opinion that other causes must also be responsible. The small decline
in primary vaccinations in Rohtak and Gujranwala Districts is mainly ascrib¬
able to the prevalence of plague throughout almost the whole of the vaccina-
tion season. This epidemic indeed interfered with vaccination operations in
many districts, and it is not open to doubt that, but for plague, a greatly in-
creased number of vaccinations would have been performed during the year
in many districts.
As a means of judging roughly of the relative thoroughness of vaccin-
ation I propose to utilize the " vaccination index " which represents the
number of primary vaccinations carried out during the year per 100 children
under one year of age less those dying during the first year of life.
The
vaccination indices of the districts of the Punjab for the year 1922-23 and
1923-24 are as follows :—
Hissar ... ...
Rohtak ... ...
Gurgaon ... ...
Karnal ... ...
Ambala ... ...
Simla ... ...
Kangra ... ...
Hoshiarpur ... ...
Jullundur ... ...
Ludhiana ... ...
Ferozepore ... ...
Lahore ... ...
Amritsar ... ...
Gurdaspur ... ...
Sialkot ... ...
Gujranwala ... ...
Sheikhupura ... ...
Gujrat ... ...
Shahpur ... ...
Jhelum ... ...
Rawalpindi ... ...
Attock ... ...
Mianwali ... ...
Montgomery ... ...
Lyallpur ... ...
Jhang
...
...
Multan ... ...
Muzaffargarh ... ...
Dera Ghazi Khan ...
Provincial Vaccination Index
1922-23.
93.6
97.5
82.0
92.6
84.4
56.4.
95.7
71.6.
80.9
86.5
86.9
119.5
84.4
90.5
82.3
99.3
91.5
92.9
101.7
65.3
93.7
90.5
114.9
78.3
82.5
111.5
95.1
121.2
115.1
91.5
1923-24.
89.2
88.6
82.5
91.3
97.0
53.9
102.1
77.9
81.4
97.6
91.4
86.1
93.7
107.7
89.5
79.6
84.1
79.7
85.7
68.8
90.6
88.9
96.6
64.7
85.8
97.9
103.5
107.0
116.2
89.3
Variation in
1923-24.
- 4.4
- 8.9
+ 0.5
- 1.3
+ 12.9
- 2.5
+ 6.4
+ 6.3
+ 0.5
+ 11.1
+ 4.5
- 33.4
+ 9.3
+ 17.2
+ 7.2
- 19.7
- 7.4
- 13.2
- 16.0
+ 3.5
- 3.1
- 1.6
- 18.3
- 13.6
+ 3.3
- 13.6
+ 8.4
- 14.2
+ 1.1
- 2.2
7
Punjab Vaccine
Institute.
17. The total number of 1 gramme tubes of vaccine issued by the
Punjab Vaccine Institute during the year was 41,083 as compared with 41,505
in the previous year. This shows a slight decrease of 422 in the number of
tubes issued which calls for no comment.
The vaccine was disposed of as follows:—
Civil Surgeons, Assistant Epidemiologists
and District Medical Officers of Health
North-West Frontier Province ...
Special Staff, Punjab
... ...
Punjab States ... ... ...
North-Western Railway ... ...
Military Departments in India ...
Out of the Punjab ... ...
Total ...
1922-23.
23,323
3,526
1,346
2,282
57
2,877
8,094
41,505
1923-24.
22,941
3,155
1,156
2,223
56
2,578
8,974
41,083
During the year vaccine lymph was supplied to Persia, Persian Gulf
Arabia, Egypt, Chinese Turkistan, Kashmir and Afghanistan.
Of the 41,083 tubes despatched in 1923-24 result statements were
received in the case of 25,691 tubes which showed that 711,651 primary and
232,431 re-vaccinations were performed with an insertion success of 95.70
per cent. in primary and 70.17 in re-vaccinations as compared with 94.72
and 74.47 respectively in the previous year.
Training of
Vaccination Staff.
18. During the year under report five classes for training of vaccinators
in the technique of vaccination and elementary hygiene were carried out at the
Punjab Vaccine Institute at Lahore. These classes which lasted a fortnight
each were attended by 28 vaccinators from the districts of Rohtak, Gurgaon,
Karnal, Simla, Kangra, Hoshiarpur, Jullundur, Ferozepore, Lahore, Gujran¬
wala, Jhelum, Rawalpindi, Multan, Muzaffargarh, Dera Ghazi Khan and
Delhi Province.
I have the honour to be,
SIR,
Your most obedient servant,
C. A. GILL, LT.-COL., I.M.S.,
Offg. Director of Public Health, Punjab.
1D of P H—280—13-8-24—SGPP Lahore.
A—VACCINE DEPARTMENT.
STATEMENT NO. I.—SHOWING PARTICULARS OF VACCINATION IN THE
PUNJAB PROVINCE DURING THE YEAR 1923-24.
vi
B.—DISPENSARY VACCINATION.
STATEMENT No. III.—SHOWING DISPENSARY VACCINATIONS IN THE PUNJAB PROVINCE DURING THE YEAR 1923-24.
1
No.
1
1
2
3
4
5
6
2
Districts.
2
Gurgaon ... ... ... ...
Ambala
...
... ... ...
Hoshiarpur ... ... ... ...
Ferorepore ... ... ... ...
Gurdaspur
...
...
...
...
Jhang ... ... ... ...
Total ...
3
Number of dispensaries in each district to which
a vaccinator is attached.
3
...
...
...
...
...
...
...
4
Average number of vaccinators attached to dis-
pensaries during the year.
4
...
...
...
...
...
...
...
5
Total number of persons vaccinated.
5
5
18
46
720
52
29
870
6
Average number of persons vaccinated by each
vaccinator.
6
...
...
...
...
...
...
...
7
PRIMARY VACCINATION.
Total.
Males.
7
1
10
8
372
26
16
433
Females.
8
1
...
8
341
26
11
387
Under one year.
9
1
...
2
409
21
3
526
Suecessful
One year and under six
years.
10
1
10
5
104
29
19
168
Six years and over six
years.
11
...
...
8
15
1
5
29
Total of a ages.
12
2
10
15
618
51
27
723
Unknown.
13
...
...
1
77
...
...
78
8
RE-VACCINATION.
Total.
Males.
14
3
...
14
2
...
2
21
Females.
15
...
8
16
5
...
...
29
Successful.
16
...
3
20
5
...
2
30
Unknown.
17
3
2
5
2
...
...
12
9
PERCENTAGE
OF SUCCESSFUL
CASES IS WHICH
THE RESULTS
WERE KNOWN
Primary.
18
l00.00
100.00
100.00
97.17
98.08
100.00
97.44
Re-vaccination.
19
...
50.00
80.00
100.00
...
100.00
78.95
10
PERCENTAGE
OF UNKNOWN
CASES TO
TOTAL
CASES.
Primary.
20
...
...
6.25
10.80
...
...
9.51
Re-vaccination.
21
100.00
25.00
16.67
28.57
...
...
24.00
11
Number.
22
1
2
3
4
5
6
NOTE.—There were no special vaccinators attached to the dispensaries. Vaccinatins
were performed by Civil Surgeons, Assistant Surgeons, Sub-Assistans surgons and compounders.
vii
COMPARATIVE STATEMENT No. IV—SHOWING THE NUMBER OF PERSONS PRIMARILY VACCINATED AND THE NUMBER OF THOSE
PERSONS WHO WERE SUCCESSFULLY VACCINATED IN THE PUNJAB IN EACH OF THE UNDERMENTIONED OFFICIAL YEARS.
PERSONS PRIMARILY VACCINATED.
ESTABLISHMENT.
Government ... ... ... ...
Municipal ... ... ......
Local (District and Cantonment) Fund
Native States
...
...
...
Army.
Dispensaries...
...
... ... ...
Europeans ...
...
...
...
...
Indians
...
... ... ... ...
Total ...
Average total number.
Average number successfully
vaccinated.
Total number.
Number successfully vacci-
nated.
Total number.
Number successfully vacci-
nated.
Total number.
Number successfully vacci-
nated.
Total number.
Number successfully vacci¬
nated.
Total number.
Number successfully vacci-
nated.
Total number.
Number successfully vacci-
nated.
Total number.
Number successfully vacci¬
nated.
Total number.
Number successfully vacci-
nated.
Total number.
Number successfully vaccina-
ted.
Total number.
Number successfully vaccina-
ted.
Total number.
Number successfully vacci-
nated.
YEAR ENDING 31ST MARCH.
1867 to 1913.
115,029
393,809
1,873
16,305
...
...
527,016
108,141
373,303
1,458
12,665
...
...
495,567
1914.
21,917
646,862
...
2,404
...
...
671,183
19,708
606,078
...
2,224
...
...
628,010
1915.
23,328
646,553
...
1,380
...
...
671,261
21,387
601,006
...
1,290
...
...
623,683
1916.
28,733
638,986
...
1,517
...
...
669,236
26,302
586,605
...
1,469
...
...
614,376
1917.
38,193
665,680
...
1,465
...
...
705,338
32,399
600,216
...
1,390
...
...
634,005
1918.
38,201
582,169
...
1,280
...
...
621,650
35,049
544,586
...
1,230
...
...
580,865
1919.
19,490
539,342
...
7,230
...
...
566,062
18,078
508,043
...
6,809
...
...
532,900
1920.
25,305
577,901
...
1,937
...
...
605,143
22,397
539,791
...
1,807
...
...
563,995
1921.
23,628
625,884
...
1,426
...
...
650,938
19,230
573,893
...
1,294
...
...
594,417
1922.
21,834
602,081
...
1,164
...
...
625,079
17,634
557,660
...
1,064
...
...
576,358
1923.
22,145
625,957
...
951
...
...
649,053
17,217
570,328
...
841
...
...
588,386
1924.
28,648
644,735
...
820
...
...
674,203
24,633
597,630
...
723
...
...
622,986
NOTE.—The figures from 1867 to 1902 are taken from Annual Vaccination Reports of the Province as constituted during that period.
ix
APPENDIX A.
STATEMENT SHOWING THE NUMBER OF VACCINATIONS PERFORMED
IN MUNICIPAL TOWNS ON CHILDREN UNDER ONE YEAR OF AGE
DURING THE YEAR 1923-24.
Towns.
1
HISSAR DISTRICT.
Hissar
... ... ... ...
Hansi ... ... ... ...
Bhiwani
... ... ... ...
Sirsa
... ... ... ...
Fatehabad ... ... ... ...
ROHTAK DISTRICT.
Rohtak... ... ... ...
Jhajjar... ... ... ...
Beri... ... ... ...
Gohana
... ... ... ...
Bahadurgarh ... ... ... ...
Sonepat... ... ... ...
Mehm... ... ... ...
GURGAON DISTRICT.
Rewari... ... ... ...
Palwal... ... ... ...
Firozpur...
...
...
...
Hodal... ... ... ...
Ballabgarh... ... ...
Faridabad... ... ... ...
KARNAL DISTRICT.
Karnal... ... ... ...
Kaithal... ... ... ...
Panipat ... ... ... ...
Shahabad... ... ... ...
Thanesar... ... ... ...
AMBALA DISTRICT.
Ambala... ... ... ...
Jagadhri... ... ... ...
B u r y a . . .
...
...
...
Sadhaura ... ... ... ...
Rupar... ... ... ...
SIMLA DISTRICT.
Simla
... ...
...
...
Number of births during the year.
2
823
709
1,514
505
92
1,105
541
346.
202
306
675
325
1,094
526
264
328
215
157
881
769
1,494
485
121
1,005
532
141
420
380
594
Number of deaths among
child¬
ren under one year during
3
245.
174
439
271
54
226
128
80
95
85
175
60
203
128
48
73
43
56
283
251
392
111
28
369
156
42
124
138
105
Number of successful vaccinations
on children under one year
during the year ending March
1924.
4
498
529
1,180
340
16
834
334
76
78
210
306
64
555
256
77
208
68
120
556
466
920
293
40
557
316
51
134
154
386
Date of extension of Vaccination
Act to town.
5
Act is not in force.
28th August 1917.
Act is not in force.
4th April 1891.
24th February 1909.
22nd May 1894.
24th February 1909.
7th November 1900.
17th May 1900.
16th July 1904.
15th June 1915.
Act is not in force.
19th February 1917.
1st September 1920.
23rd March 1914.
16th December 1909.
14th August 1917.
23rd February 1920.
Act is not in force.
7th May 1890.
7th February 1910.
Act is not in force.
12th June 1900.
3rd October 1887.
x
APPENDIX A—CONTINUED.
Towns.
1
KANGRA DISTRICT.
Kangra ... ... ... ...
Dharmsala ... ... ... ...
Palampur ... ... ... ...
HOSHIARPUH DISTRICT.
Hoshiarpur ... ... ... ...
Khanpur ... ... ... ...
Hariana ... ... ... ...
Garhdiwala ... ... ... ...
Dasuya ... ... ... ...
Tanda Urmar ... ... ... ...
Miani ... ... ... ...
Mukerian ... ... ... ...
Una ... ... ... ...
Anandpur
...
...
... ...
JULLUNDUR DISTRICT.
Jullundur ... ... ... ...
Kartarpur ... ... ... ...
Bungah ... ... ... ...
Rahon ... ... ... ...
Phillaur ... ... ... ...
Nurmahal
...
...
...
...
Nakodar ... ... ... ...
LUDHIANA DISTRICT.
Ludhiana ... ... ... ...
Jagraon ... ... ... ...
Raekot ... ... ... ...
Khanna ... ... ... ...
FEROZEPORE DISTRICT.
Ferozepore ... ... ... ...
Zira ... ... ... ...
Dharmkot ... ... ... ...
Muktsar ... ... ... ...
Fazilka ... ... ... ...
Moga
... ... ... ...
Abohar ... ... ... ...
Gidarbaha ... ... ... ...
LAHORE DISTRICT.
Lahore ... ... ... ...
Chunian
... ... ... ...
Khudian ... ... ... ...
Number of births during the year.
2
114
85
4
886
114
167
136
213
404
216
116
161
124
2,915
405
189
252
193
331
364
1,920
876
496
131
1,035
212
276
348
496
312
241
85
9,369
359
142
Number of deaths amongst child-
ren under one year during the
year.
3
25
8
1
200
26
31
20
68
86
43
29
45
20
588
100
20
50
59
81
69
344
183
67
30
219
40
70
107
142
45
53
12
2,272
119
60
Number of successful vaccinations
on children under one year dur-
ing the year ending March
1924.
4
53
3
...
366
19
45
61
99
94
50
63
40
45
1,681
97
61
67
53
154
151
1,387
518
197
80
652
85
161
237
273
140
181
44
8,537
148
64
Date of extension of Vaccination
Act to town.
5
19th July 1920.
11th November 1893.
19th July 1920.
22nd March 1920.
Act is not in force.
17th May 1920.
Act is not in force.
13th September 1893.
Act is not in force.
18th November 1919.
Act is not in force.
25th February 1907.
23rd May 1917.
22nd March 1920.
Act is not in force.
1st November 1911.
30th May 1919.
23rd April 1919.
8th May 1919.
25th November 1892.
13th October 1916.
16th April 1920.
xi
APPENDIX A—CONTINUED.
TOWNS.
1
LAHORE DISTRICT— CNOCLD.
Kasur ... ... ... ...
Khem Karan ...
... ... ...
Patli ... ... ... ...
Baghbanpura- Bhogiwal ... ... ...
Ichhra
... ... ... ...
Pattoki Mandi ... ... ... ...
AMRITSAR DISTRTCT.
Amritsar ... ... ... ...
Majitha ... ... ... ...
Jandinla
... ... ... ...
Tarn Taran ... ... ... ...
GURDASPUR DISTRICT.
Gurdaspur ... ... ... ...
Dinanagur ... ... ... ...
Pathankot ... ... ... ...
Dalhousie ... ... ... ...
Batala
... ... ... ...
Dera Nanak ... ... ... ...
SIALKOT DISTRICT.
Sialkot ... ... ... ...
Daska ... ... ... ...
Jamke ... ... ... ...
Pasrur ... ... ... ...
Zaffarwal ... ... ... ...
Narowal ... ... ... ...
Sambrial ... ... ... ...
Sahowala ... ... ... ...
Begowala ... ... ... ...
Phopalwala ... ... ... ...
Mitranwali ... ... ... ...
Badomali ... ... ... ...
Kalaswala ... ... ... ...
Daud ... ... ... ...
Chawinda ... ... ... ...
GUJRANWALA DISTRICT.
Gujranwala ... ... ... ...
Wazirabad
...
...
... ...
Eminabad ... ... ... ...
Kila Didar Singh ... ... ... ...
Number of births during the year.
2
1,400
312
473
601
151
184
8,453
208
347
190
234
250
288
18
1,450
207
2,954
377
202
314
161
263
156
184
147
137
219
107
149
108
221
1,623
718
275
122
Number of deaths amongst
children under one year during
the year.
3
291
80
85
170
22
42
1,131
35
91
20
22
50
66
1
283
41
688
62
37
44
42
78
28
71
28
38
50
19
27
16
35
47
12
4
4
Number of successful vaccinations
on children under one year
during the year ending March
1924.
4
911
146
212
212
Nil.
31
6,400
111
273
80
131
161
216
21
814
145
2,178
111
95
120
52
171
39
59
34
84
76
*
75
*
111
909
413
61
40
Date of extension of Vaccination
Act to town.
5
18th January 1917.
13th March 1917.
21 st December 1920.
Act is not in force
23rd February 1920.
17th December 1884.
Act is not in Force.
21st December 1920.
Act is not in force.
2nd June 1917.
15th December 1916.
2nd December 1916.
15 th October 1891.
Act is not in force.
6th November 1920
16 th June 1914.
Act is not in force.
20th February 1920.
Act is not in force.
15th July 1898.
21st. March 1914.
Act. is not in force.
*Vaccination not carried out owing to epidemic prevalence of plague during vaccination season.
xii
APPENDIX A. — CONTINUED.
Towns
1
GUJRANWALA DISTRICT—CONCLD.
Akalgarh ... ... ...
Ramnagar ... ... ...
Sohdra ... ... ... ...
Hafizabad ... ... ... ...
Pindi Bhattian ... ......
SHEIKHUPURA DISTRICT.
Khangah Dogran ... ... ...
Sangla ... ... ... ...
Sharakpur ... ... ... ...
Shahkot ... ... ... ...
Chuharkana Mandi ... ... ...
Nankana Sahib ... ... ...
GUJRAT DISTRICT.
Gujrat ... ... ... ...
Jalalpur ... ... ... ...
Kunjah ... ... ... ...
Dingah ... ... ... ...
SHAHPUR DISTRICT.
Shahpur ... ... ... ...
Sahiwal ... ... ... ...
Bhera ... ... ... ...
Miani ... ... ... ...
Khushab ... ... ... ...
Sargodha ... ... ... ...
JHELUM DISTRICT.
Jhelum ... ... ... ...
Pind Dadan Khan ... ... ...
Chakwal ... ... ... ...
RAWALPINDI DISTRICT.
Rawalpindi ... ... ... ...
Murree ... ... ... ...
ATTOCK DISTRICT.
Pindigheb
... ... ... ...
Hazro ... ... ... ...
Campbellpore ...
...
...
MIANWALI DISTRICT.
Mianwali
...
... ... ...
Bhakkar
...
... ... ...
Isa Khel ... ... ... ...
Kalabagh
...
... ...
Number of births during the year .
2
208
235
317
274
166
79
170
210
64
93
201
1,103
575
378
210
188
267
604
250
516
480
496
457
283
2,439
57
415
418
91
375
256
281
345
Number of deaths amongst
children under one year during
the year.
3
1
4
13
10
4
9
25
40
11
11
43
199
127
73
18
45
48
126
51
73
87
101
72
35
692
9
51
72
14
48
80
44
65
Number of successful vaccinations
on children under one year
during the year ending March
1924.
4
79
39
43
129
51
28
18
71
36
52
56
843
285
100
104
63
144
370
120
417
280
380
220
86
1,186
67
321
104
27
348
178
181
201
Date of extension of Vaccination
Act to town.
5
Act is not in force.
25th June 1923.
Act is not in force.
Act is not in force.
10th October 1916.
Act is not in force.
31st October 1900.
27th May 1904
24th May 1916.
Act is not in force.
22nd May 1918.
3rd April 1908.
21st December 1915.
13th December 1907.
9th February 1916.
26th June 1896.
30th June 1921.
10th August 1896.
10th July 1893.
Act is not in force.
5th October 1904.
11th April 1916.
10th December 1897.
12th February 1912.
xiii
APPENDIX A—CONCLUDED.
Towns
1
MONTGOMERY DISTRICT
Montgomery
... ... ... ...
Kamalia ... ... ... ...
Pakpattan ... ... ... ...
Okara ... ... ... ...
LYALLPUR DISTRICT.
Lyallpur ... ... ... ...
Gojra ... ... ... ...
Samundri ... ... ... ...
JHANG DISTRICT.
Jhang-Maghiana ... ... ...
Chiniot ... ... ... ...
Ahmadpur ... ... ... ...
MULTAN DISTRICT.
Multan ... ... ... ...
Shajabad ... ... ... ...
Jahanian ... ... ... ...
Mian Channu ... ... ... ...
Khanewal ... ... ... ...
MUZAFFARGARH DISTRICT.
Muzaffargarh ... ... ... ...
Khangarh ... ... ... ...
Alipur ... ... ... ...
Leiah ... ... ... ...
Karor
...
... ... ...
Kot Adu ... ... ... ...
DERA GHAZI KHAN DISTRICT.
Dera Ghazi Khan
Jampur
...
...
... ...
Dajal ... ... ... ...
Aajanpur
...
...
...
...
Kot Mithan
...
...
... ...
Number of births
during the year.
2
295
434
308
44
695
232
27
1,449
1,129
189
4,199
335
9
17
48
165
144
173
509
196
128
868
386
840
192
138
Number of deaths amongst
children under one year during
the year.
3
57
73
52
28
121
64
6
418
245
53
1,163
87
...
1
3
53
49
65
82
55
37
190
114
117
52
36
Number of successful vaccina-
tions on children under one
year during the year ending
March 1924.
4
273
124
230
15
478
153
27
513
620
101
2,003
168
11
26
10
147
81
96
197
135
101
586
233
197
134
127
Date of extension of Vaccination Act to town.
5
25th July 1916.
16th June l917.
2nd November l917.
30th June 1921.
18th March 1914.
21st June 1916.
5th November 1921.
2nd October 1893.
19th November 1917.
19th July 1921.
1st February 1896.
24th February 1916.
15th April 1920.
22nd March 1920.
Act is not in force.
10th December 1910.
2nd October 1918.
17th September 1914.
4th November 1895.
22nd October 1918.
22nd March 1920.
18th September 1916.
26th September 1917.
mortality from of successful vaccinations
eceding six years
Diagram showing the death-rates from small-pox per 10,000 of population during the year 1923-24, the average rate of mortality from small-pox per 10,000 of population for the five years ending 1922-23, and the proportion of successful vaccinations
during the year 1923-24, and the preceding six years in each district of the Punjab.
NOTES
ON
VACCINATION IN THE PUNJAB
FOR THE YEAR
1924-25.
BY
Lieut.-Col. C. A. GILL, D.P.H., D.T.M., & H., I.M.S.,
Offg. Director of Public Health, Punjab.
Lahore:
PRINTED BY THE SUPERINTENDENT, GOVERNMENT PRINTING PUNJAB,
1925.
Price : Re. 1-4-0 or 1s. 8d.