2
the number of primary operations probably indicates that the limit of what is
possible under present conditions has been approached. The percentage of
success was 97.99 in the case of primary and 73.50 in revaccination as against
95.03 and 71.85 in 1911-12, showing a satisfactory improvement which is
confirmed by other figures to be referred to later.
House - to - house
vaccination.
6. In accordance with the orders contained in paragraph 2 of the
review of the Local Government on the Annual Vaccination Notes for 1911-12,
house-to-house vaccination was only carried out in a few districts as the
system did not prove a success in others. It has been reported that under this
method 40 operations were performed in Simla, 84 in Attock, 102 in Rawalpindi,
143 in Muzaffargarh, 720 in Gurgaon, 817 in Montgomery, 1,201 in Jhelum,
2,415 in Lyallpur, 2,462 in Jhang and 23,428 in the Gurdaspur districts during
the year under report; the Gurdaspur district is the only one in which this
system has proved popular. The Civil Surgeon reports that it is very much
liked by the people, but he gives no reasons, and I confess I am unable to explain
the fact for everywhere else it has been the reverse of successful.
District
staff.
Statement No. I.
7. The total number of operations performed by the district staff in
1912-13 was 937,781 as against 842,174 in 1911-12. Of the total operations,
664,912 were primary operations and 272,869 revaccinations as compared
with 674,159 and 168,015, respectively, in the previous year. An increase
in primary operations was recorded in 17 districts; the excess was most
marked in Dera Ghazi Khan and amounted to 7,481, next to which comes
Rohtak with an increase of 7,242 ; increases of more than 4,000 were recorded
in Jhang and Gurgaon ; in the district of Hoshiarpur the increase amounted to
3,201, in Karnal to 3,139, in Kangra to 2,904, in Amritsar to 2,054, in Multan
to 1,602, and in Ambala to 1,187. On the other hand, there was a decrease in
11 districts, those in which it was most marked being Lahore 9,109, Gujrat 5,851,
Ferozepore 4,348, Lyallpur 4,158, and Hissar districts 3,791; the diminution is
explained as being due to the smaller number of children available for such
operation. The percentage of successful primary vaccination of children under
one year of age to the total number available for such purpose was 74.30 or 2.80
per cent., more than that recorded in the previous five years, which is satisfac-
tory. In regard to revaccination there was an increase in 21 and a decrease in
7 districts, namely, Hissar, Rohtak, Gurgaon, Lahore, Gujrat, Jhelum and
Muzaffargarh. The decrease in Lahore was 6,500 operations, Rohtak and
Hissar districts 2,732 and 1,952, respectively, and in four others it was insigni-
ficant. The increase in the district of Kangra was over 23,000, in Dera Ghazi
Khan more than 18,000,in Amritsar over 10,000, and in Rawalpindi, Ludhiana,
Sialkot, Jullundur, Hoshiapur, Lyallpur and Gujranwala between nine and
five thousand.
The percentage of success in primary vaccination was 98.04 as against
95.15 in the previous year, while in the case of revaccination it was 73.44 in
1912-13 as compared with 72.69 in 1911-12. The percentage of vaccinations in
which results were not known to total number in 1912-13 was 3.66 in the case
of primary vaccination and 17.26 in that of revaccination as compared with
4.27 and 16.04, respectively, in the year preceding.
Persons
success-
fully vaccinated per
1,000 of population.
Statement No. I.
8. The number of persons successfully vaccinated by the district staff
was 40.94 per mille of population as against 36.22 in the previous year. The
rate of 40.94 is the highest on record and slightly in excess of the rate in
1888-89 when it was 40.84.
Special
staff.
Statement. No. I and
its appendix.
9. The special staff vaccinators performed 73,814 operations, of which
36,997 were primary and 36,817 revaccination as against 21,705 and 16,068,
respectively, in the year preceding. This very large increase in vaccination
and more especially in revaccination is doubtless a natural sequence to the
unusual prevalence of small-pox, but is also to be attributed to the fact that
this year vaccinators of the special staff were employed in several districts in
the plains of the Punjab to assist the district staff in combating the spread of
the disease, where there were probably more children available for vaccina-
tion than in the Hill States to which their activities are generally confined
in ordinary times. The percentage of success of operations performed by
the special staff was 97.30 in the case of primary vaccination and 74.68 for
revaccination as against 90.67 and 63.37 in 1911-12.
Cantonment staff.
Annual Form No. I
and its appendix.
10. The total number of operations performed in the cantonments which
entertain their own vaccinators amounted to 4,861 primary and 5,788 revacci-
nations compared with 4,913 and 5,839, respectively, in 1911-12. The largest
number of primary vaccinations performed were 1,845 in Ambala, 750 in
Rawalpindi, and 714 in Ferozepore cantonments.