2
House to house
vaccination.
7. There was a total of 37,814 operations performed under the house
to house system in 8 districts, viz., Hissar (1,837), Simla (1,049), Ferozepore
(1,922), Lahore 27,500, Shahpur (2,089), Jhelum (51), Montgomery (1,052), and
Jhang (2,314). The Civil Surgeon, Gujrat, reports that house to house vaccin-
ation was not carried out by the staff as it was essential that the work should be
done as expeditiously as possible and this measure was not specially called for
by the people, while the Deputy Commissioner, Karnal, thinks the system a waste
of time. House to house vaccination, however, is of great value in face of an
epidemic, and to my personal knowledge it was resorted to freely both in
Lahore and Amritsar during the epidemic with valuable results.
District
staff.
Statement No. I.
8. The total number of operations performed by the District staff
was 902,370 as against 738,797 in the previous year showing an increase of
163,573. There was a decrease of 42,123 in primary and an increase of
205,696 in re-vaccination. The diminution in primary vaccination is the
result of the Influenza epidemic which was indirectly responsible for a very
high infantile mortality and delayed the commencement of vaccination
operations until the end of November. The increase in re-vaccination is the
measure of the success of the campaign against the epidemic of small-pox.
The measures employed to combat this epidemic were detailed in the Annual
Sanitary Report and need not be repeated here.
In the case of primary vaccination 9 districts record an increase and 19
a decrease. The decrease is most marked in the case of Gurgaon (11,116),
Hissar (9,229) and Rohtak (6,998). These were, incidently, the districts which
suffered most from the Influenza epidemic.
In the case of re-vaccination 5 districts record a decrease and 23 an
increase. The increase is most marked in the case of Kangra (31,852) and
Lahore (21,542). These districts were rather severely affected by the small-pox
epidemic.
The percentage of males and females to total number of re-vaccinations
was 70.25 in the case of males and 29.74 in that of females as against 65.95
and 34.05 in the preceding year. The percentage of success in primary vacci-
nation was 98.66 as against 98.25 in the previous year, while in the case of
re-vaccination it was 79.39 as compared with 77.16. This satisfactory result
may be attributed partly to the excellent quality of the lymph supplied and
partly to the fact that most of the vaccinators have now been trained in
the Punjab Vaccine Institute.The percentage of vaccinations in which results
were not known to the total number in 1918-19 was 4.53 in the case of primary
and 17.82 in that of re-vaccination as compared with 4.80 and 18.71, res-
pectvely, in the year preceding.
Ratio of
persons
successfully vaccinat-
ed per 1,000 of popu-
lation.
Statement No. I.
Special staff.
Statement
No. I and
its Appendix.
9. The ratio of persons successfully vaccinated by the District staff
was 38.37 per mille of population as against 33.09 in the previous year.
10. The vaccinators of the Special staff, Punjab, performed 19,490
primary operations and 33,633 re-vaccinations as compared with 38,201 and
15,032 in the year 1917-18. The percentage of success was 97.92 in the case
of primary operations and 83.98 in that of re-vaccination as against 97.34 and
73.66, respectively, in the previous year.
Cantonment staff
Statement No. I and
its Appendix.
11. The work done in those cantonments which entertain their own
vaccinators amounted to 3,261 primary vaccinations and 14,366 re-vaccinations,
a decrease of 704 in the case of the former and an increase of 7,585 in the latter
over the corresponding figures for last year. The largest number of persons
vaccinated was 6,809 in Lahore, 3.533 in Ambala and 2,828 in Rawalpindi.
The percentage of success was 98.57 in primary and 77.79 in re-vaccination as
against 98.79 and 79.31 in the previous year, and the ratio per cent. of unknown
cases to total cases in the case of primary was 3.56 and re-vaccination 9.71 as
compared with 3.78 and 3.61.
Dispensary
staff
Statement No III.
12. It is gratifying to note that during the year under report in 14
districts vaccination was performed at dispensaries the totals being 7,230
primary and 14,243 in re-vaccinations as against 1,280 and 173 in the previous
year. The percentage of success was 98.77 in primary and 83.21 in re-vacci-
nation as compared with 99.43 and 76.16 in the year preceding. The largest