3
In 1912-13 vaccination, and in particular re-vaccination, was greatly
stimulated by the severe epidemic of small-pox which then prevailed. This
stimulus was absent in the year under report; hence the decrease.
Great opposition to re-vaccination is still experienced in all parts of the
Province. The Civil Surgeon of Karnal reports that the
master of a private
school at Panipat, who had all his pupils, over 100 in number, re-vaccinated
lost his appintment in consequence.
In the review on last year's report it was pointed out that the increase
in vaccination in 1912-13, though attributed to the presence of small-pox, showed
district by district little or no relation to the intensity of the epidemic. A
principal factor accounting for this is the difference in the attitude of the people
of a locality towards epidemic diseases in general. We know from long ex-
perience that the people of the hills as compared with those of the plains
regard visitations of infectious diseases, such as plague, cholera and small-pox,
with the greatest apprehension and take extraordinarily active measures to
limit their spread. The people of the plains, on the other hand, are only too
often regrettably indifferent and apathetic in the presence of such outbreaks.
The tact and industry of the district vaccination staffs have, however, a very
great deal to do with such variations in the amount of work.
Special staff. State-
ment No. I and its
appendix.
12. The work of the special staff was as follows :—
1908-11 ... ...
1911-14 ... ...
1911-12 ... ...
1912-13 ... ...
1913-14 ... ...
Primary
vaccinations.
47,678
80,619
21,705
36,997
21,917
Re-vacci-
nations.
42,622
85,771
16,068
36,817
32,886
A gravely unsatisfactory feature of the work of the special staff is that
the number of re-vaccinations actually exceeds the number of primary vaccina-
tions performed by them.
In 1913-14 the percentage of success returned by the special staff was
96.88 per cent. in primary and 74.77 in re vaccinations.
Cantonment staff-
Annual Form No. I
and its appendix.
13. The work in cantonments which entertain their own vaccinators was
as follows :—
1908-11 ... ...
1911-14 ... ...
1911-12 ... ...
1912-13
...
...
1913-14 ... ...
Primary
vaccinations.
10,219
13,759
4,913
4,861
3,985
Re- vacci-
nations.
5,764
13,195
5,839
5,788
1,568
In 1913-14, 99.11 per cent. of primary and 72.17 per cent. of re-vaccina-
tions were returned as successful, whilst the results were unknown in only
1.38 per cent. of primary and 6.06 per cent. of re vaccinations.
Dispensary
staff.
Statement No, III.
14. Vaccinations performed at dispensaries were as follows :—
1908-11
1911-14
...
...
...
...
...
...
...
...
2,475
15,311
Over 10,000 vaccinations were performed in 1912-13, the year of the
small-pox epidemic, satisfactory evidence that the provision of facilities for
vaccination at dispensaries serves a very useful purpose.
In 1913-14, 96.24 per cent of primary and 80.67 of re vaccinations were
returned as successful.
Inspection
work,
Statement No. V.
15. Lieutenant-Colonel S. Browning Smith inspected vaccination in 67
villages in the Kangra District and in 10 villages in the Gurdaspur District and
in the towns of Pathankot and Gurdaspur. The total number of primary
operations inspected by him was 1,697 ; the percentage of success he found in
primary vaccination was 79.58 in Gurdaspur and 84.37 in Kangra. He also
saw 233 re-vaccinations, out of which 178 were successful, yielding a ratio of
76.39 per cent.
The Deputy Sanitary Commissioner (Captain R. T. Wells, I.M.S.)
inspected 901 primary vaccinations (89.9 per cent. successful) and 581 re-
vaccinations (46.6 per cent. successful).
The Additional Deputy Sanitary