5
like this came from many other districts and from the North-West Frontier
Province.
Details of supply are noted below:—
Civil Surgeons ... ...
Military and Railway Medical
Officers ... ...
Native States ... ...
North-West Frontier Province
Special staff ... ...
Out of the Punjab ...
Total ...
1911-12.
19,379
833
1,740
3,631
768
2,620
28,971
1912-13.
22,725
1,033
2,454
4,070
1,239
3,422
34,942
1913-14.
19,993
588
2,780
3,653
1,094
2,521
33,329
Out of 33,329 tubes issued during 1913-14 results were received in the
case of 29,869 tubes, showing that 965,061 primary and 235,948 re vaccinations
were performed with an insertion success of 95.17 per cent. in primary and 69.01
per cent. in re vaccinations. These percentages closely correspond to those of
the preceding year.
The annual income realised from the sale of lymph now largely exceeds
the total working expenses of the Institute, and, at the present rate, may in
time repay to Government the whole of the capital and maintenance charges
of the Institute.
Improvements in the
Punjab Vaccine In-
stitute.
19. There is need for considerable structural additions to the Institute
and for improvements in the production and storage of lymph. It is hoped that
the half lakh granted by the Government of India will suffice to effect all
these improvements, the plans and estimates for which are being dealt with.
I consider also that there is room for great improvement in the super-
vision and management of the Institute, and am strongly of opinion that the
resident Superintendent, who has very responsible duties, should be an officer
of long service and mature experience.
Improvements in
vaccination opera-
tions.
20. With the quality of lymph supplied it should be possible to attain
to close on 100 per cent. of success in primary vaccinations. Carelessness
and ignorance on the part of vaccinators are certainly responsible for many
failures.
I would strongly urge that every vaccinator should be properly trained
for a period at the Punjab Vaccine Institute.
They would be thoroughly grounded in the technique of vaccination,
the care of lymph, the preparation of all their returns and registers, and the
methods of checking birth and death registers. They would also go through a
simple and practical course of hygiene, including the rudiments of village
sanitation, disinfection and cleansing of wells and methods connected with
cholera, plague and malaria.
The Annual Vaccina-
tion Report.
21. The work of the Deputy Sanitary Commissoner keeps him in very
close touch with vaccination throughout the year. Moreover, a great mass
of vaccination statistics are now recorded in his office and all vaccination
statistics which are recorded in my office have to pass through his hands first.
It appears to me a cumbersome arrangement to record statistics relating to
vaccination in two different offices. I think it would tend to efficiency if
all the statistics were recorded in the Deputy Sanitary Commssioner's office
and if that officer prepared the annual vaccination report and forwarded it
through me to Government: any necessary re-adjustment of the clerical staff
of the two offices will, I anticipate, present no difficulties.
I have the honour to be,
SIR,
Your most obedient Servant,
E. L. PERRY, MAJOR, D. P. H., I. M. S.,
Offg. Sanitary Commissioner, Punjab.