4
before the thanewar system can be brought fully into operation. In the
districts of Gurgaon, Ambala, Kangra, Hoshiarpur, Jullundur, Ferozepore,
Sialkot, Gujrat, Shahpur, Rawalpindi, Montgomery, Lyallpur. Jhang and
Dera Ghazi Khan the number of vaccinators is approximately equal
to the number of thanas, but in Karnal there are only 8 vaccinators and
19 thanas, in Lahore 8 vaccinators and 23 thanas, in Jhelum 8 vaccina-
tors and 12 thanas, in Mianwali 6 vaccinators and 12 thanas and in
Muzaffargarh 8 vaccinators and 18 thanas.
The municipal staff of vaccinators numbered 84 during the year
under review, as compared with 83 in the previous year.
The strength of the special staff of vaccinators, which comprises
2 superintendents and 20 vaccinators, underwent no change.
The average number of persons vaccinated by each vaccinator (all
establishments) during the triennium 1926-29 and during the preced-
ing 3 years was 3,236 and 3,183 respectively, whilst the corresponding
figures for the last three years were —
1926-27 ... ... ... ...
1927-28 ... ... ... ...
1928-29 ... ... ... ...
3,233
3,140
3,334
5. Total Operations by all Establishments (Statement No. I—
Summary). The total number of operations performed by all establish-
ments during the triennial period 1926-29 was 4,039,130, as com-
pared with 3,110,150 during the preceding three years. There was,
therefore, an increase of 919,980 during the triennium under review.
The total number of operations performed by all establishments during
the year 1928-29 was 1,504,656, as compared with 1,292,384 in the year
1927-28 and 1,242,090 in the year 1926-27.
The figures in respect of primary and revaccinations were as
follows : —
Year.
1926-27 ... ... ... ...
1927-28 ... ... ... ...
1928-29 ... ... ... ...
Primary
Vaccina-
tions.
720,328
765,094
858,983
Revaccinations.
521,762
527,290
45,673
Total.
1,242,090
1,292,384
1,504,656
There was, therefore, a total increase of 212,272 operations during
the year 1928-29, as compared with the previous year, the increase in
respect of primary and revaccinations being 93,889 and 118,383 respect-
ively. These satisfactory features are due, partly to the increase in
the number of vaccinators, partly to the extremely high birth-rate and
low infant death-rate, partly to the healthiness of the year, which
enabled close supervision to be exercised over the vaccination staff by
District Medical Officers of Health.
The total number of persons vaccinated, which is always slightly
smaller than the total number of operations (owing to the operation being
occasionally repeated on the same individual) was 1,500,381 during the
year under review. Of this number 891,634 were males and 608,747 were
females, which shows, due allowance being made for the excess of males in
the population, that the female sex is not so thoroughly vaccinated as the
male sex. As male and female infants are presented for vaccination with
equal readiness, it must be assumed that the relatively small number of
operations carried out on females is due to the smaller number of adult
females that present themselves for revaccination. This fact, therefore,
emphasizes the need for women vaccinators, both for towns and for
rural areas.