4
Commissioner inspected 16,269 primary vaccinations (91.7 per cent. successful)
and 4,087 re-vaccinations (41.5 per cent. successful).
The 1st Deputy Sanitary Commissioner, therefore, inspected far two-
few vaccinations and the Additional Deputy Sanitary Commissioner inspected
far too many. It is of great importance that the inspections of vaccination
made by Deputy Sanitary Commissioners should be as detailed and thorough as
possible. I am convinced that the Additional Deputy Sanitary Commissioner,
who has a vast amount of general sanitary inspection to do, could not inspect
over 20,000 vaccinations except in a hurried and cursory manner.
The percentages of success returned by the various inspecting agencies
were as follows:—
Civil Surgeons
...
...
Divisional Inspectors ... ...
Superintendents of Vaccination
...
Vaccinators ... ... ...
Primary
vaccinations.
96.45
95.14
95.89
97.40
Re-vacci-
nations.
69.64
51.74
70.89
71.03
Vaccination
in
large Native States.
16. The work done in large Native States, which maintain their own
establishment, is noted in the vaccination notes annually, but not included in
the returns attached to this report.
The vaccinations, with their respective rates of success, were as
follows :—
Patiala
...
Kapurthala ...
Faridkot ...
Bahawalpur ...
1912-13.
Primary.
53,826 (98.7)
5,026 (99.7)
4,264 (97.8)
16,709 (92.8)
Re-vaccinations.
24,612 (77.9)
1,432 (34.2)
369 (71.3)
1,375 (43.7)
1913-14.
Primary.
52,620 (98.4)
5,480 (98.4)
4,570 (98.3)
13,244 (94.6)
Re-vaccinations.
26,254 (77.1)
644 (36.2)
61 (60.0)
207 (70.5)
In Nabha 277 primary vaccinations (88.4 per cent successful) and
in Jind 10,832 (98.9 per cent. successful) were performed.
Vaccination in
municipal towns.
17. In municipal towns, to which the Vaccination Act applies, out
of 33,620 children under one year of age available for vaccination in 1913-14,
only 26,222 (78 per cent.) were successfully vaccinated.
In the three large municipalities the percentages have been as follows :—
Lahore
...
...
...
Amritsar ... ... ...
Multan ... ... ...
1911-12.
Per cent.
100 (?)
70
74
1912-13.
Per cent.
77
85
71
1913-14.
Per cent.
79
75
56
In Multan in 1913-14 out of 2,868 children available, 1,248 remained
unprotected. The percentages for towns where the Act is in force and for towns
where it is not in force have been as follows : —
Towns with Act ...
Towns without Act
1908-11.
Per cent.
77
62
1911-14.
Per cent.
82
68
1911-12.
Per cent.
86
64
1912-13.
Per cent.
83
70
1913-14.
Per cent.
78
69
Even 82 per cent. is not a high figure for towns in which the Act is in
force, and there is clearly vast room for improvement. Municipal authorities
should realize more fully their responsibilities in connection with vaccina-
tion.
During the year under report the Vaccination Act was extended to the
municipalities of Lyallpur and Karnal.
Punjab
Vaccine
Institute.
18. The vaccine lymph supplied by the Punjab Vaccine Institute was
used for all vaccinations during the triennium, and Civil Surgeons have
reported that the supply was regular and the lymph on the whole of most
excellent quality. Some weak lymphs however were sent out. Shortly
before the Murree Depôt was closed last year two lymphs in succession were
sent out which gave excessively poor results, and in most cases resulted in total
failure. Any slackness on the part of the staff of the Institute is bound to
result sooner or later in a failure of this class, the trouble and harm arising
from which are serious and widespread. In connection with this failure, in the
Muzaffargarh District alone the Civil Surgeon reported that 310 cases had to
be done a second time, as the first operation failed to give any result. Reports