NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
NOTES
ON
VACCINATION IN THE PUNJAB
FOR THE YEAR
1927-28
BY
Lieut.-Col. C. A. GILL, D.P.H., I.M.S.,
Director of Public Health, Punjab.
Lahore :
PRINTED BY THE SUPERINTENDENT, GOVERNMENT PRINTING, PUNJAB.
1929.
Revised List of Agents for the Sale of Punjab Government
Publications.
ON THE CONTINENT AND UNITED KINGDOM.
Publications obtainable either direct from the High Commissioner for
India, 42, Grosvenor Gardens, London, S. W. 1, or through any
bookseller.
IN INDIA.
THE MANAGER, Standard Book Depôt, Lahore.
RAI SAHIB M. GULAB SINGH & SONS, Mufid-i-'Am Press, Lahore.
RAMA KRISHNA & SONS, Booksellers and News Agents, Anar-
kali Street, Lahore.
SECRETARY, Punjab Religious Book Society, Anarkali Street,
Lahore.
MANAGER, Roze Bazar Steam Press, Amritsar.
THE MANAGER, Imperial Book Depôt, Delhi.
THACKER, SPINK & Co., Simla.
THACKER, SPINK & Co., Calcutta.
W. NEWMAN & Co., Limited, Calcutta.
THE PROPRIETOR, The Book Company, Booksellers, 4/4-A., College
Square, Calcutta.
MESSRS. S. K. LAHIRI & Co., Booksellers, Publishers and Printers,
Calcutta.
D. B. TARAPOREWALA, SONS & Co., Bombay.
THE MANAGER, Punjab Law Book Mart, Mohan Lal Road, Lahore.
THE GENERAL MANAGER, " The Qaumi Daler " and the Union Press.
Amritsar.
L. RAM NARAIN LAL, Publisher, Bookseller, etc., Allahabad.
THE MANAGER, The University Book Agency, Kacheri Road, Lahore.
THE MANAGER, The Punjab Law Book Depôt, Lahore.
(The text of these notes is limited to 4 pages.)
TABLE OF CONTENTS.
Para
or state-
ment.
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
I
II
III
IV
V
A
B
Subject.
Administration ... ... ... ... ...
Strength of Vaccination Establishment.—Statement No. II
Total operations done by all establishments.—Statement No. I ...
District and Municipal Staffs.—Statement No. I ... ...
Special Staff.—Statement No I and its appendix ... ...
Cantonment Staff.—Statement No. I and its appendix ...
Dispensary Staff ... ... ... ... ...
Vaccination amongst Railway employees ... ... ...
Success of Vaccination.—Statement No. I ... ...
Cost of Vaccination.—Statement No. II ... ... ...
Cost of each successful Vaccination.—Statement No. II ...
Vaccination in towns ... ... ...
Inspection work.—Statement No. V ... ... ...
Inoculation ... ... ...
Vaccination in the Punjab States ... ...
Diagram ... ... ...
Punjab Vaccine Institute ... ...
Conclusion ... ... ... ... ... ...
ANNUAL FORMS.
Statement showing particulars of vaccination in the Punjab Province
during the year 1927-28 ... ... ... ...
Appendix to Statement No. I—Showing the details of the vaccina-
tion operations performed by the Special and Cantonment Staffs
according to localities during the year 1927-28 ... ...
Statement showing the cost of the Department in the Punjab Pro-
vince during the year 1927-28
Cancelled and incorporated in Statement No. I ... ...
Comprative Statement 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.
Statement showing the total number of primary and re-vaccinations per-
formed and number inspected by Civil Surgeons, District Health
Officers and Superintendents of Vaccination or other inspecting
officers, the percentages of those inspected, together with the per-
centages of cases found successful by them, as contrasted with per-
centages reported by the Vaccinators in each district of the Punjab
during the year 1927-28 ... ... ... ...
APPENDICES.
Statement showing the annual number of successful vaccinations and
the annual ratio of deaths from small-pox per 1,000 of population in
each district of the Punjab for five years ending 1927-28 ...
Statement showing particulars of glycerinated Vaccine supplied from
the Punjab Vaccine Institute during the year 1927-28 ... ...
Pages.
1
ib.
2
ib.
3
ib.
ib.
ib.
ib.
4
ib.
ib.
5
ib.
6
ib.
ib.
ib.
ii
viii
ix
x
xi
xii
xiii
xiv
No. 13786-Public Health.
FROM
ALAN MITCHELL, Esq., I.C.S.,
Offg. Secretary to Government, Punjab,
Transferred Departments,
To
THE DIRECTOR OF PUBLIC HEALTH, PUNJAB.
Dated 10th April 1929.
SUBJECT:—Annual Vaccination Report and Returns for 1927-28.
Medical/Public Health
SIR,
I AM directed by the Punjab Government (Ministry of Local Self-
Government) to acknowledge receipt of your letter No. 16567-G., dated
the 24th November 1928, forwarding a copy of the Annual Vaccination
Report and returns for 1927-28, and to convey the following remarks.
2. The value of vaccination is now so generally accepted through-
out the Punjab that the annual reports now can contain little that is new
and consist ordinarily of a record of steady, if not spectacular, progress.
Opportunities will no doubt present themselves from time to time of mak-
ing small improvements in the machinery of the department and Govern-
ment note with interest the efforts that are being made to persuade dis-
trict boards to increase their vaccination staffs up to the scale of one vac-
cinator per thana. Apart from the actual increase in staff, which this will
involve, there are advantages in having a vaccinator working in a unit so
definite and so well known to the public in general.
3. Your report shows that the well known enthusiasm of the Gur-
gaon district board found scope for its energies in the organization of a
special vaccination campaign, but the tendency of the staff to re-vaccinate
at too early an age shows that even in the matter of vaccination it is
possible for zeal to outrun discretion.
4. Another fact that emerges from the report is that pro-
gress is slower in the smaller municipal towns than in rural areas.
This seems inevitable as the steady improvement of the standard in rural
areas and in the larger municipalities is no doubt largely due to the fact
that these areas are subject to the control of regular Health Officers, district
or municipal, while the smaller towns cannot afford this luxury. It is,
however, satisfactory that the committees of the smaller towns are making
efforts to employ their own vaccinators either singly or in combination
with other towns similarly situated.
5. The number of re-vaccinations performed by the special staff
working directly under the Department of Public Health shows a con-
siderable decline, and Government are inclined to agree with you that the
chief reason for this is the fact that the staff is working mainly in the
somewhat primitive territories of the Hill States. The fact, however,
that the demand for vaccination falls off in years that are free from
epidemics is evidence, not that the people concerned do not believe in
ERRATA.
Annual Vaccination Report of the Punjab for 1927-28.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
Statement No. 1—Ambala division, against Deri town, column 21, for " 2 90 " read " 29.90 ".
Statement No. 1—Jullundur Division, against Ludhiana District, column 18, for " 7 93 " read "7,793,"
Statement No. 1 — Jullundur Division, against Ferozepore District, column 16, for "6 9 " read " 649."
Statement No. 1—Jnllundur Division, against Total, column 16,for "9 2 2 " read " 91,242."
Statement No. 1—Lahore Division, against Sialkot District, column 4, for "8 664 " read " 800,664."
Statement No. 1—Lahore Division, against Amritsar District, column 25, for " 36. 8 ' rend " 36.88."
Statement No. 1—Lahore Division, against Gujranwala District, column 20, for " 71. 4 " read " 71.14."
Statement No. 1— Against Total of Lahore Division, column 23. for " 20. 1 " read " 20.11."
Statement No. 1—Against Total of Districts and Municipal Staffs, column 10, for "30. 0 " read "3,090."
Statement No. V—Against Sialkot District, column 15, for "9 .58 " read " 97.58."
Statement No. V—Against Rawalpindi District, column 15, for "98.17 " read "98.70."
Appendix A—Against Lyallpur District, column 9, for " 4 283 " read " 48,283."
No. 16567-G.
FROM
LT.-COL. C. A. GILL, D.P.H., I.M.S.,
Director of Public Health, Punjab,
To
THE SECRETARY TO GOVERNMENT, PUNJAB,
TRANSFERRED DEPARTMENTS.
Dated Lahore, the 24th November 1928.
Public Health
SIR,
I HAVE the honour to forward for the information of the Punjab Gov-
ernment (Ministry of Local Self-Govornment) the Annual Vaccination State-
ments for the year 1927-28 and to make the following report in regard
to vaccination during the period from April 1st, 1927 to March 31st,
1928.
Administration.
2. During the year under review the office of Director of Public
Health, Punjab, was held by Lieutenant-Colonel W. H. C. Forster, D.P.H.,
I.M.S., from 1st April to 10th November and from the latter date to March
31st, 1928, by Lieutenant Colonel C. A. Gill, D.P.H., I. M.S. The post of
Assistant Director of Public Health (Technical) Vaccination was held by
Khan Bahadur Dr. Abdur Rahman, D. P. H., from April 1st, 1927, to
March 31st, 1928, except for four months (from June 1st to September
30th) during which period Dr. A. H. Butt, D.P.H., Assistant Director of
Public Health, Rawalpindi Circle, held the post as an additional charge. The
post of Superintendent of the Punjab Vaccine Institute was held throughout
the year by Lieutenant H. C. Phillips, I.M.D.
Strength of Vacci-
nation Establish¬
ment—Statement
No. II.
3. In order to enable vaccination and revaccination to be carried out
systematically and continuously throughout the vaccination season, District Medi¬
cal Officers of Health were asked to make every endeavour to induce District
Boards to increase their district vaccination staff up to the scale of one vaccinator
per thana. In the districts of Gurgaon, Ambala, Hoshiarpur, Jullundur, Amrit¬
sar, Lyallpur and Jhang, the thane war system was adopted during the year
under report, bat in the districts of Hissar, Rohtak, Karnal, Lahore, Gurdaspur,
Sialkot, Sheikhupura, Gujrat, the system could not be completely carried out
and these districts were therefore divided into vaccination circles, one vacci-
nator being posted to each circle. The thanewar system thus came into partial
or complete operation in fifteen districts, in the remaining fourteen districts
where the system was not introduced, the cause was either shortage of
vaccinators or unsuitable topographic conditions.
The number of Superintendents of Vaccination, of which there is one in
each district (except in Lahore, Amritsar, Montgomery and Multan where
there are two), was 32 as against 31 during last year.
4
were 70.82 per cent., as compared with 71.57 per cent. in the year 1926-27.
The result obtained by the various vaccination establishments was as
follows :—
—
District Staff ... ... ... ...
Municipal Staff
...
... ... ...
Special Staff ... ... ... ...
Cantonment Staff ... ... ... ...
Dispensary Staff
... ... ... ...
Railway Medical Staff ... ... ...
1926-37.
Primary
vaccination.
97.82
97.00
97.80
96.31
99.35
Revaccina¬
tion.
71.24
73.67
57.68
87.89
70.79
1927-28.
Primary
vaccination.
97.85
98.15
96.52
96.77
96.09
Revaccina¬
tion.
71.47
61.25
77.37
67.08
63.59
These figures indicate that the potency of the vaccine lymph was
maintained at a high level and they do not call for further comment.
Cost of vaccina-
tion.—Statement II.
11. The total cost of vaccination (including the cost of Punjab Vaccine
Institute) as detailed in the Statement II amounted to Rs. 3,13,759 as com-
pared with Rs. 3,05,328 in the previous year. The increase of Rs. 8,431 is
chiefly due to the pay of the additional vaccinators entertained by local
bodies and increased expenditure on travelling allowance in connection with
epidemics.
Out of the total cost of Rs. 3,13,759 the expenditure incurred by Govern-
ment amounted to Rs. 96,877 as against Rs. 97,672 in the previous year,
whilst the expenditure incurred by district boards on vaccination (Rs. 1,71,813)
exhibited an increase of Rs. 8,423 during the year under report. The sums
expended out of municipal funds and cantonment funds amounted to
Rs. 43,851 and Rs. 3,218 respectively.
Cost
of
each
successful
vaccina-
tion.—Statement II.
12. The average cost of each successful vaccination works out at
Re. 0-5-0 against Re. 0-5-1 in the preceding year. If, however, the sum of
Rs. 38,184-4-0, which has been credited to Government on account of the
sale of vaccine, is deducted from the total expenditure, the average cost is
reduced to Re. 0-4-5 as against Re. 0-4-3 in the preceding year.
Vaccination
in
towns.
13. Out of the 104 Municipal Towns, 109 Small Towns and 25 Notified
Areas in the province, 94 Municipal Towns, 41 Small Towns and 16 Notified
Areas have already adopted the Vaccination Act and, mainly as the result of
the efforts of the Public Health Department, the Act was extended to the
following towns during the year under review :—
Bhiwani.
Batala.
Sujarjpur.
Pindi Bhattian.
Arifwala.
Khanpur.
Dhariwal.
Srigobindpur.
Phullaiwan.
Chak Jhumra.
Sultanwind.
Fatehgarh.
Narot Jaimal Singh.
Nurpar.
The Act, however, requires to be supplemented by regulations to render
it fully operative and it is to be regretted that no rules have yet been framed
under the Act in about 60 towns.
6
is practiced in remote villages adjoining the Bahawalpur State, but no
instance of small-pox inoculation came to light in Multan or (with the above
exception) in any other district.
Vaccination in the
Punjab States.
16. Reports received from those Punjab States which entertain their
own vaccination establishment are summarized below : —
Name of State.
Patiala
...
...
...
...
...
Kapurthala... ... ... ... ...
Faridkot ... ... ... ... ...
Jind ... ... ... ... ...
Bahawalpur ... ... ... ... ...
Nabha
...
...
... ... ...
VACCINATION.
Primary.
52,397
8,955
6,177
9,995
21,209
1,776
Revaccina¬
tion.
28,571
1,268
83
70
410
8
SUCCESS RATE.
Primary.
99.34
95.38
98.08
98.22
99.54
87,92
Revaccina¬
tion.
77.21
56.71
40.91
94.12
75.55
100.00
Diagram.
17. A diagram showing the death rate from small-pox per 10,000 of
population during the year 1927-28, the average recorded death from small-pox
for the five years ending 1926-27, the proportion of successful vaccinations
during the year 1927-28 and during the preceding six years per 10,000 of
population in each district of the province, is attached to the report.
Punjab Vaccine Ins¬
titute.
18. Statements prepared by Khan Bahadur Dr. K. A. Rahman on the
work performed in the Punjab Vaccine Institute during the year 1927-28 are
given in Appendix B.
As already stated, the vaccine issued by the Institute maintained its
high reputation for potency, whilst as regards quantity, it will be seen from a
scrutiny of the annexed statements that 55,445 tubes (3,603,925 doses) were
issued during the year as compared with 51,882 (3,372,330 doses) during
the previous year ; the net profit on the sale of lymph was Rs. 18,590-9-8
as compared with Rs. 15,091-13-4 during the preceding year.
During the period from November 1927 to March 1928 four Sanitary
Inspectors, 30 Vaccinators, 8 Health Visitors and 8 private individuals were
trained at the Punjab Vaccine Institute in the technique of vaccination and
in elementary hygiene.
Conclusion.
19. For the smooth and efficient working of the Punjab Vaccine
Institute credit is due to Khan Bahadur Dr. Abdur Rahman, D.P.H., and to
Lt. H. C. Phillips, I.M.D., the Superintendent of the Institute. An acknowledg-
ment must also be made of the efforts made by Assistant Directors of Public
Health and District Medical Officers of Health to put into practice the scheme
for raising the vaccination index of towns and villages. In spite of the fact
that small-pox was less prevalent than it was in the previous year, the total
number of primary vaccinations during the year under review was 44,668 in
excess of the corresponding figures of the preceding year, 21 out of 29
districts showing an increase, which was particularly conspicuous in the case
of Rohtak, ( + 5,092) ; Muzaffargarh, ( + 4,687) ; Amritsar, (+ 4,372) ;
Hoshiarpur, (+3,858) ; Multan (+ 3,685) ; and Sheikhupura, ( + 3,619) ;- a
result which reflects credit upon the District Medical Officers of Health
concerned.
I have the honour to be,
Sir,
Your most obedient servant,
C. A. GILL, LT.-COL., I.M.S.,
Director of Public Health, Punjab.
A—VACCINE DEPARTMENT.
STATEMENT No. I.—SHOWING PARTICULARS OF VACCINATION IN THE PUNJAB
PROVINCE DURING THE YEAR 1927-28.
STATEMENT No. III.
CANCELLED AND INCORPORATED IN STATEMENT NO. I.
xi
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
Indian States ... ... ... ...
Dispensaries ... ... ... ...
Total ...
Average total number.
Average number successfully
vaccinated.
Total number.
Number successfully vaccinated.
Total number.
Number successfully vaccinated.
Total number.
Number successfully vaccinated.
Total number.
Number successfully vaccinated.
Total number.
Number successfully vaccinated.
Total number.
Number successfully vaccinated.
Total number.
Number successfully vaccinated.
Total number.
Number successfully vaccinated.
Total number.
Number successfully vaccinated.
Total number.
Number successfully vaccinated.
Total number.
Number successfully vaccinated.
YEAR ENDING 31ST MARCH.
1867 to 1917.
108,207
413,864
1,726
15,159
538,956
101,616
390,963
1,344
11,797
505,720
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
532,930
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.
21,584
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
1925.
26,184
643,867
...
589
670,640
23,987
597,402
...
573
621,962
1926.
35,201
708,116
...
3,845
747,162
31,475
636,195
...
3,473
671,143
1927.
17,063
701,513
...
1,752
720,328
15,240
640,254
...
1,542
657,036
1928.
16,617
746,488
...
1,989
765,094
14,597
688,803
...
1,769
705,169
NOTE.—The figures from 1867 to 1902 the taken from Annual Vaccination Reports of the Province as constituted during that period
xiv
APPENDIX B.
STATEMENT No. 1.
Statement showing particulars of glycerinated vaccine supplied from the Punjab Vaccine
Institute during the year 1927-28.
To whom supplied.
Civil Surgeons, District and Municipal Medical Officers of Health in
the Punjab.
North-West Frontier Province ...
Special Staff, Punjab ...
States in the Punjab ...
North-Western Railway ...
Military Department in India ...
Out of the Punjab (detail of localities is given below) ...
Total ...
Total number
of tubes
supplied.
32,758
4,877
1,163
3,227
314
2,953
10,153
55,445
Details of the localities situated outside the Province which were supplied with vaccine
lymph from the Punjab Vaccine Institute during the year 1927-28.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
Persia and Persian Gulf.
Nepal.
Baluchistan.
Waziristan.
Rajputana.
Gilgit Agency.
Hyderabad Sind.
Central India.
Bombay Baroda and Central India Railway.
Seistan.
Kashgarh.
Kabul.
Mewar.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
Indian States.
Bikaner State.
Alwar State.
Bholpur State.
Jammu and Kashmir State.
Kathiawar State.
Poonch State.
Las Bela State.
Amb State.
Bundi State.
Kishangarh State.
Jaipur State.
Gwalior State.
xi
STATEMENT No. II.
Number of tabes remaining from last year ... ...
Number prepared during the year ... ... ...
Total ...
Issued during the year
...
... ... ...
Balance ...
Buffalo calves obtained during the year ... ...
Total ...
Vaccinated during the year ...
... ... ...
Died ... ... ... ... ...
Otherwise disposed of
... ... ... ...
Total ...
Number of cow-calves remaining from last year
...
Purchased during the year ... ... ...
Total ...
Number vaccinated during the year ... ... ...
Number of calves died during the year ... ... ...
Number of pre-operation calves sold ... ... ...
Total ...
Average yield per buffalo calf ... ...
Average yield per cow-calf ... ... ...
Average yield per rabbit
... ... ...
STATEMENT No. III.
Total number of tubes issued during 1927-28 ... ...
Total number of tubes issued free of charge to Special Staff,
Punjab, North-Western Railway, etc. ...
Total number of tubes issued on payment ... ...
Representing an income of
...
...
...
Rs.
Total amount realised and credited to Government during the year
1927-28 ... ... ... ...
Total amount outstanding on 31st March 1927 ...
Total amount outstanding on 31st March 1928 ...
Actual turnover during 1927-28 ... ... ...
4,662
52,177
56,839
55,445
1,394
187
187
177
1
9
187
Nil
17
17
17
Nil
Nil
17
85.4 grm.
19.3 „
0.68 grm.
Rs.
55,445
1,550
53,895
53,895
Rs.
38,184
40,722
38,208
55,202
A.
4
3
1
13
P.
0
0
0
0
The excess of Rs. 1,307-13-0 is due to the cost of the "special packing" in which
lymph is despatched to Kashmir and other States and to the other Military Authorities during
the hot weather. Of the amount outstanding on 31st March 1928, a sum of Rs. 6,872-9-6
was realised up to 31st May 1928 and efforts are being made to recover the balance.
154 DPH—435—24-12-28—SGPP Lahore.
Diagram showing the death-rate from small-pox per 10,000 of population during the year 1927-28, the average rate of mortality from small-pox per 10,000 of population for the five years ending 1926-27. and the proportion of successful vaccinations
during the year 1927-28, and the preceding six years in each district of the Punjab
NOTE.—Red lines indicate death-rates from small-pox per 10,000 of population during the year 1927-28
NOTE.—Blue lines indicate the average rate of mortality from small-pox per 10,000 of population for the previous five years ending 1926-27,
NOTE.—Yellow lines indicate the proportion of successful vaccinations per 10,000 of population during the year 1927-28,
NOTE.—Black lines indicate the proportion of successful vaccinations per 10,000 of population for the six years ending 1926-27
REPORT
ON
VACCINATION IN THE PUNJAB
FOR THE YEAR
1928-29
AND
FOR THE TRIENNIUM
1926-29
BY
Lieut.-Col. C. A. Gill, D.P.H., I.M.S.,
Director of Public Health, Punjab.
Lahore :
PRINTED BY THE SUPERINTENDENT, GOVERNMENT PRINTING, PUNJAB.
1930.
Price : Re. 1-2-0 or 1s. 9d.
REPORT
ON
VACCINATION IN THE PUNJAB
FOR THE YEAR
1928-29
AND
FOR THE TRIENNIUM
1926-29
BY
Lieut.-Col. C. A. Gill, D.P.H., I.M.S.,
Director of Public Health, Punjab.
Lahore :
PRINTED BY THE SUPERINTENDENT, GOVERNMENT PRINTING, PUNJAB.
1929.