3
House -to-house
vaccination.
7. A total of 16,955 operations were performed under the house-
to-house system during 1925-26 in the towns of Hissar, Panipat, Karnal,
Shahabad, Simla, Hoshiarpur, Ludhiana, Jagraon, Raikot, Khanna, Lahore,
Amritsar, Sialkot, Wazirabad, Akalgarh, Ramnagar, Qilla Didar Singh,
Multan, Shujaabad, Khanewal and Muzaffargarh as against 9,918 in the
previous year. In some towns this system has been reported to be imprac-
ticable owing to the inadequacy of the vaccination staff available.
District
Staff.
Statement No. I.
8. The total number of operations performed by the district staff
during the triennial period under report amounted to 2,893,786 as
against 2,478,763 during the preceding triennium. Of the total number
of operations 1,981,9
were primary and
911,855 re-vaccinations,
showing an increase of 140,782 in the former and of 274,241 in the
latter as compared with the triennium 1920-23. Compared with the previous
triennium the increase in primary vaccination was shared by all the districts
except Rohtak, Karnal, Lahore, Sialkot, Gujranwala, Lyallpur, Jhang
and Muzaffargarh, while that in re-vaccination was recorded in all the
districts except Karnal, Gurdaspur, Gujranwala, Montgomery and Jhang.
The increase in primary vaccination was most marked in Gurgaon
(15,495) ; Ambala (13,089) ; Multan (12,828) ; Attock (11,316) and
Kangra (10,066) while that in re-vaccinations in Kangra (47,099) ;
Hoshiarpur (24,131) ; Gurgaon (20,829); Amritsar (20,329); Jullundur
(19,174); Muzaffargarh (18,384); Multan (17,794) Dera Ghazi Khan
(17,469) ; Lahore ( 17,103) ; Hissar (16,782) and Ludhiana (16,414).
When compared with the previous year the increase in the number of
primary vaccinations and re-vaccinations performed during the year 1925-26
amounted to 63,613 and 181,082 respectively.
The reasons for this
increase are stated in paragraph 6 of this report. Twenty-five districts showed
an increase in numbers primarily vaccinated while 26 districts recorded an
excess in re-vaccination. The increase in primary vaccinations was most
marked in
Dera
Ghazi
Khan
(6,107) ; Montgomery (5,973) ;
Ferozepore (5,444) and Lyallpur (5,021) and that in
re-vaccinations
in
Lahore (21,088); Kangra ( 19,475) ; Muzaffargarh (18,009) ; Multan
(14,297); Sialkot (13,094) and Rawalpindi (10,993).
Total number of
persons vaccinated by
District Staff. State-
ment No. I.
9. The number of persons vaccinated by the district staff in the
triennium under report was 2,888,063 as against
2,470,156 in the
preceding triennial period, showing an increase of 417,607. During the
year under report the persons vaccinated amounted to 1,118,641 as
compared with 878,603 in 1924-25, an increase of 210,038.
Percentage
of
successful operations
by all
establish -
ment.
10. The percentage of success of the operations performed by all
establishment in 1925-26 was 96.54 in primary vaccinations and 70.95 in
re-vaccinations against 98.19 and 72.52 in 1924-25 and 97.78 and 70.62 re-
spectively, in 1923-24. The reduced success rate in 1925-26 was due to the
following circumstances : —
(1) A return to the discredited practice of starting vaccination
operations on the 1st of October. As far back as 1903 it was
shown by Captain Harvey, I.M.S., that it is a waste of
time and lymph to begin systematic vaccination before 1st
November. In October the temperatures are too high for
successful vaccination and for the previous 20 years the 1st
of November had been the date of starting systematic vaccina-
tion.
(2) The great increase of sporadic vaccination, on account of the
prevailing epidemic, during the hot weather. From 1st April
to 30th October vaccination in the Punjab plains is always
a gamble against air temperatures with a correspondingly low
success rate.
11. The percentage of success returned by the district staff was as
follows :—
District
Staff
Percentage of success
Statement No. I.
1923-24
1924-25
1925-26
Primary Vaccinations
97.78
98.25
96.56
Re-vaccinations.
70.62
72.93
70.57