2
Cost of each success-
ful case.
Statement No. II.
5. The average cost of each successful vaccination was Re. 0-4-5 as
compared with Re. 0-3-5 in the previous year. The increase in the cost per
successful vaccination is due to the reasons stated in the preceding paragraph.
If, however, the sum of Rs. 40,300 which has been credited to Government on
account of cost of vaccine sold be deducted from the total expenditure the
average cost works out to Re. 0-3-7 as against Re. 0-2-7 in the previous year.
Total operations done
by all establishments.
Statement No. II.
6 The total number of operations reported to have been performed
by all establishments during the year under report was 916,000 showing a
decrease of 12,822 as compared with the figures (928,822) for the previous
year. Of the total cases 650,938 were recorded as primary vaccinations and
265,062 as re-vaccinations against 605,143 and 323,679 in 1919-20. The
decrease in re-vaccinations is generally attributed partly to the prevalence
of small-pox in a less virulent form during the year and partly in some districts
to the non-co-operation movement.
House to house Vacci-
nation.
7. There was a total of 17,557 operations performed under the house
to house system in 8 districts, viz., Hissar (2,312), Karnal (1,585), Simla Muni-
cipality (53), Ferozepore (2,182), Lahore (9,027), Shahpur (782), Montgomery
(810) and Muzaffargarh (803). In the Gujranwala District, house to house
vaccination was performed in the towns of Akalgarh, Ramnagar, Hafizabad and
Kila Didar Singh. In many districts this form of performing operations was
resented by the people. As has already been pointed out previously house to
house vaccination is of great value in face of an epidemic and it is hoped that
in time the prejudice against it will cease to exist and that before long it will
rather be the rule than the exception.
District Staff.
Statement No. I.
8. The total number of operations performed by the District Staff was
864,464 as against 862,990 in the previous year showing an increase of 1,474.
There was an increase of 47,459 in primary and a decrease of 45,985 in re-vacci-
nations. The diminution in re-vaccination is due to the reasons stated in
paragraph 6 of this report. The decrease in the number of re-vaccinations -in
the Rohtak and Jullundur Districts is attributed to the attitude of the people
who, imbued with ideas of non-co-operation, refused to present older children
for operation thus totally disregarding the advice that the measure was essential
in securing to them immunity against small-pox. In the Jhelum and
Mianwali Districts the decrease in the number of re vaccinations is chiefly due
to most of the people having emigrated to irrigated tracts owing to drought.
In the case of primary vaccinations the number of districts which
recorded an increase was 20 and those recording a decrease 8. The decrease
is most marked in the districts of Ambala (1,733), Karnal (1,589) and Hoshiar-
pur (1,009). In the Ambala and Karnal districts it was due to the low birth
rate during the year while in the Hoshiarpur District the decrease was attribu-
table to the ignorance of the people who do not attach much importance to
vaccination.
In the case of re-vaccination, 9 districts recorded an increase and 19 a
decrease. The increase is most marked in the districts of Gujranwala (12,226),
Rawalpindi (6,005), Ambala (2,822) and Multan (2,579).
The percentage of males and females to total number of re-vaccinations
was 66.61 in the case of males and 33.30 in that of females as against 68.62 and
31.38 in the preceding year. The percentage of success in primary vaccination
was 96.50 as against 90.98 in the previous year, while in the case of re-vaccina-
tion it was 78.24 as compared with 76.10. The percentage of vaccinations in
which results were not known to the total number in 1920-21 was 5.02 in the
case of primary and 16.90 in that of re-vaccination as compared with 4.69 and
17.15, respectively, in the preceding year.
Ratio of persons
successfully vaccina-
ted per 1,000 of po-
pulation Statement
No. I.
9. The ratio of persons successfully vaccinated by the District Staff
was 37.09 per mille of population as against 37.05 in the previous year.
Special Staff.
Statement No. I and
its Appendix.
10. The vaccinators of the Special Staff, Punjab, performed 23,628
primary operations and 20,032 re-vaccinations as compared with 25,305 and
29,161 in the previous year. The percentage of success was 93.13 in the case
of primary operations and 65.08 in that of re-vaccination as against 97.31 and
77.36, respectively, in the preceding year.