NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
No. 712 (Home—Medl. & Sany.).
FROM
THE HON'BLE MR. H. P. TOLLINTON, I.C.S.,
Revenue Secretary to Government,
Punjab and its Dependencies,
TO
THE SECRETARY TO THE GOVERNMENT OF INDIA,
EDUCATION DEPARTMENT.
Dated Lahore, 27th July 1912.
Home.
Medical & Sanitary.
SIR,
I AM directed to forward, for the information of the Government of India,
a copy of the notes on vaccination in the Punjab for the year 1911-12. During
the year to which the notes relate small-pox was largely prevalent in the Punjab,
the two important towns of Lahore and Delhi being principally affected. As a
result doubtless of the prevalence of the disease, the total number of operations
performed during the year rose from 765,075 to 892,289, being an increase of
127,214 operations, while the number of persons vaccinated was 882,844 as
compared with 760,472 in the previous year.
2. In view of the facts recorded, Sir Louis Dane regrets that he must
agree with the views of the Sanitary Commissioner that the experiment of house-
to-house vaccination should only be continued in places where there is a distinct
demand for it, and where either it can be carried out without any increase to the
ordinary establishment or the local authority is prepared to meet the extra
expenditure.
3. Vaccination increases in popularity in the Native States, especially
in Patiála and Baháwalpur, while a most satisfactory feature of the year is the
increase, in towns in which the Vaccination Act is in force, in the percentage
of children under one year of age and available for operation successfully vacci-
nated This percentage was as high as 86 as against a percentage of 72 in
the previous year. The corresponding figures for towns in which the Act was
not in force were 64 and 62 respectively.
4. His Honour trusts that the new Vaccine Institute, now in the course
of construction, will be able adequately to meet the increased demand for vaccine
lymph, which has been a feature of the year. The Institute is called on to sup-
ply rot only the Province and the Native States under its control, but the North-
West Frontier Province, Baluchistán, Kashmir, Nepál, Afghánistán, as well as
Military Medical Officers both in and out of the Punjab. The demand is a
large one, and it is a matter for congratulation that the Local Government has
been able to provide the necessary funds for the establishment of the new In-
stitute, which will enable lymph to be prepared in greater quantity, and under
the latest and most approved methods.
I have the honour to be,
SIR,
Your most obedient Servant,
H. P. TOLLINTON,
Revenue Secretary to Government, Punjab.
Punjab Government Press, Lahore-27-7-12-989—320—K. C. M.
A.—VACCINE DEPARTMENT.
STATEMENT No. I.—SHOWING PARTICULARS OF VACCINATION IN THE
PUNJAB PROVINCE DURING THE YEAR 1911-12.
vi
B.-DISPENSARY VACCINATION.
STATEMENT No. III—SHOWING DISPENSARY VACCINATIONS IN THE PUNJAB PROVINCE DURING THE YEAR 1911-12.
1
No.
1
1
2
3
4
5
2
DISTRICTS.
2
Gurgaon
...
...
...
...
Lahore
...
...
...
...
Gurdaspur
...
...
...
...
Gujrat
...
...
...
...
Shahpur
...
...
...
...
Total ...
3
Number of dispensaries in each district in
which a vaccinator is attached.
3
...
...
...
...
...
...
4
Average number of vaccinators attached to
dispensaries daring the year.
4
...
...
...
...
...
...
5
Total number of persons vaccinated.
5
25
798
321
97
345
1,586
6
Average number of persons vaccinated by
each vaccinator.
6
...
...
...
...
...
...
7
PRIMARY VACCINATION.
Total.
Males.
7
9
173
164
41
136
523
Females.
8
2
136
150
26
86
400
(a)
Successful.
Under one year.
9
...
207
150
15
62
434
One year and under
six years.
10
2
44
146
23
48
263
Six years and over six
years.
11
4
8
8
26
39
85
Total of all ages.
12
6
259
304
64
149
782
Un k n o wn .
13
3
25
5
2
66
101
8
RE-VACCINATION.
Total.
Males.
14
12
333
6
22
111
484
Females.
15
2
156
5
8
12
183
Successful.
16
6
206
10
25
34
281
Unknown.
17
6
143
...
...
62
211
9
PERCENTAGE
OF SUCCESSUFUL
CASES IN WHICH
THE RESULTS
WERE KNOWN.
Primary.
18
75.00
91.20
98.38
98.46
95.51
95.13
Re-vaccination.
19
75.00
59.54
90.91
83.33
55.74
61.62
10
PERCENTAGE OF
UNKNOWN CASES
TO TOTAL CASES.
Primary.
20
27.27
8.09
1.59
2.99
29.73
10.94
Re-vaccination.
21
42.86
29.24
...
...
50.41
31.63
11
No.
22
1
2
3
4
5
NOTE.—There were no special vaccinator attached to the dispensaries. Vaccinations were performed by Civil Surgeons, Assistant Surgeons, Sub-Assistant Surgeons and Compounders.
(a) Difference between number of operations and number of persons vaccinated
vii
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.
ESTABLISHMENT.
Government ... ... ... ... ...
Municipal ... ... ... ... ...
Local (District and Cantonments) Funds ... ...
Native States
...
...
...
...
...
Dispensaries
...
...
...
...
...
Army.
Europeans
...
...
...
...
...
Natives
...
...
...
...
...
Total ...
PERSONS PRIMARILY VACCINATED.
Average total number.
Avenge number successfully
vaccinated.
Total number.
Number successfully vacci-
nated.
Total number.
Number successfully vacci-
nated.
Total number.
Number successfully vacci-
nated.
Total number.
Number successfully vacci-
nated.
Total number.
Number successfully vacci-
nated.
Total number.
Number successfully vacci-
nated.
Total number.
Number successfully vacci-
nated.
Total number.
Number successfully vacci-
nated.
Total number.
Number successfully vacci-
nated.
Total number.
Number successfully vacci-
nated.
Total number.
N umber successfully vacci-
nated.
YEAR ENDING 31ST MARCH
1867 to 1901.
142,205
335,657
2,515
21,650
...
...
502,027
134,352
316,827
1,958
16,782
...
...
469,919
1902.
55,557
455,428
...
136
...
...
511,121
45,496
434,426
...
111
...
...
480,033
1903.
31,086
551,430
...
110
...
...
582,626
26,730
528,767
...
109
...
...
555,606
1904.
43,132
561,053
...
19
...
...
604,204
39,107
542,095
...
19
...
...
581,221
1905.
44,033
537,705
...
281
...
...
582,019
39,685
519,652
...
269
...
...
559,606
1906.
44,120
593,498
...
792
...
...
638,410
41,107
575,502
...
779
...
...
617,388
1907.
56,057
551,409
...
443
...
...
607,909
56,636
534,882
...
410
...
...
585,927
1908.
48,919
532,976
...
560
...
...
582,455
43,699
515,790
...
534
...
...
560,023
1909.
18,648
504,184
...
255
...
...
523,087
16,339
484,538
...
227
...
...
501,104
1910.
16,855
504,808
...
548
...
...
522.211
14,722
483,410
...
529
...
...
498,661
1911.
12,106
619,684
...
304
...
...
632,094
10,335
585,775
...
300
...
...
596,410
1912.
21,705
679,072
...
923
...
...
701,700
18,271
618,776
...
782
...
...
637,829
NOTE.—The figures from 1867 to 1901 are taken from Annual Vaccination Reports of the Province as constituted during that period.
ix
APPENDIX A.
STATEMENT SHOWING THE NUMBER OF VACCINATIONS PERFORMED
IN MUNICIPAL TOWNS ON CHILDREN UNDER ONE YEAR OF AGE
DURING THE YEAR 1911-12.
TOWNS.
1
HISSAR DISTRICT.
Hissar ... ... ...
Hansi
...
...
...
Bhiwani ... ... ...
Sirsa ... ... ...
Fatehabad ... ... ...
ROHTAK DISTRICT.
Rohtak ... ... ...
Jhajjar ... ... ...
Beri ... ... ...
Gohana ... ... ...
Bahadurgarh ... ... ...
GURGAON DISTRICT.
Rewari ... ... ...
Palwal ... ... ...
Firozpur ... ... ...
Hodal ... ... ...
DELHI DISTRICT.
Delhi ... ... ...
Sonepat ... ... ...
Ballabgarh ... ... ...
Faridabad ... ... ...
KARNAL DISTRICT.
Karnal ... ... ...
Kaithal ... ... ...
Panipat ... ... ...
Shahabad ... ... ...
Thanesár ... ... ...
AMBALA DISTRICT.
Ambala ... ... ...
Jagadhri ... ... ...
Burya ... ... ...
Sadhaura ... ... ...
Rupar ... ... ...
Number of births during the
year.
2
795
744
1,395
629
100
934
536
359
274
224
1,026
433
239
262
8,663
544
155
191
1,101
815
1,391
444
155
678
843
232
317
345
Number of deaths amongst
children under one year
during the year.
3
169
179
338
169
23
208
142
100
70
60
246
144
70
79
2,969
155
38
41
272
186
393
132
41
54
116
63
95
66
Number of successful vaccina-
tions on children under one
year during the year ending
March 1912,
4
429
312
1,047
324
42
644
137
225
215
118
542
151
106
55
4,830
294
47
98
506
353
556
167
68
462
353
96
127
240
Date of extension of Vaccination
Act to town.
5
Act is not in force.
22nd July 1890.
24th February 1909.
31st July 1893.
24th February 1909.
28th February 1905.
Act is not in force.
19th September 1896.
24th January 1901.
Act is not in force.
Act is not in force.
16th December 1909.
Act is not in force.
1st October 1895.
7th February 1910.
Act is not in force.
January 1901.
x
APPENDIX A—CONTINUED.
TOWNS.
1
SIMLA DISTRICT.
Simla
...
... ...
KANGRA DISTRICT.
Kangra ... ... ...
Dharmsala ... ... ...
HOSHIARPUR DISTRICT.
Hoshiarpur ... ... ...
Khanpur ... ... ...
Hariana ... ... ...
Garhdiwala ... ... ...
Dasuya ... ... ...
Tanda Urmar ... ... ...
Miani
...
...
...
Mukerian
...
...
...
Una ... ... ...
Anandpur ... ... ...
JULLUNDUR DISTRICT.
Jullundur ... ... ...
Kartarpur
...
...
...
Banga ... ... ...
Rahon ... ... ...
Phillaur ... ... ...
Nurmahal ... ... ...
Nakodar ... ... ...
LUDHIANA DISTRICT.
Lndhiana
...
...
...
Jagraon
...
...
...
Raekot
...
Khanna ... ... ...
Machiwara ... ... ...
FEROZEPORE DISTRICT.
Ferozepore ... ... ...
Zira ... ... ...
Dharmkot ... ... ...
Muktsar ... ... ...
Fazilka ... ... ...
Number of births during the
year.
2
343
144
78
668
113
206
119
202
287
128
123
156
99
2,490
312
184
263
205
348
306
1,797
821
337
145
133
885
187
212
353
462
Number of deaths amongst
children under one year
during the year.
3
134
26
19
154
18
25
21
27
68
18
17
57
14
392
70
48
47
58
31
82
403
145
58
41
32
120
40
56
86
81
Number of successful vaccina-
tions on children under one
year during the year ending
March 1912.
4
326
49
59
517
40
109
60
122
107
135
57
91
46
1,184
58
101
109
70
183
125
1,055
323
165
60
45
371
84
101
260
144
Date of extension of Vaccination
Act to town.
5
7th August 1889.
Act is not in force.
11th November 1893.
Act is not in force.
9th July 1894.
Act is not in force.
25th February 1907.
Act is not in force.
1st November 1911.
xi
APPENDIX A—CONTINUED.
TOWNS.
1
LAHORE DISTRICT.
Lahore
...
...
...
Chunian ... ... ...
Khudian ... ... ...
Kasur ... ... ...
Khem Karn ... ... ...
Patti ... ... ...
AMRITSAR DISTRICT.
Amritsar
...
...
...
Majitha ... ... ...
Jandiala ... ... ...
Tarn Taran
...
...
...
GURDASPUR DISTRICT.
Gurdaspur ... ... ...
Dinanagar ... ... ...
Pathankot ... ... ...
Dalhousie ... ... ...
Batala ... ... ...
Dera Nanak ... ... ...
SIALKOT DISTRICT.
Sialkot ... ... ...
Daska ... ... ...
Jamke ... ... ...
Kila Sobha Singh ... ... ...
Pasrur ... ... ...
Zaffarwal ... ... ...
Narowal ... ... ...
GUJRANWALA DISTRICT.
Gujranwala
...
...
...
Wazirabad ... ... ...
Eminabad
...
...
...
Kila Didar Singh ... ... ...
Akalgarh
...
...
...
Number of births during the year.
2
7,393
353
157
1,158
297
329
6,518
240
329
190
217
175
280
10
1,931
215
2,275
269
174
111
376
150
214
1,153
640
212
77
173
Number of deaths amongst children
under one year during the year.
3
1,887
94
27
231
60
47
1,378
72
87
44
60
32
43
8
400
37
210
42
33
18
60
20
34
341
108
33
21
15
Number of successful vaccinations on
children under one year during the
year ending March 1912.
4
7,674
200
53
580
111
158
3,612
106
212
128
105
98
187
...
821
117
1,247
178
83
48
102
83
92
1,056
287
98
14
102
Date of extension of Vaccination
Act to town.
5
10th August 1894.
Act is not in force.
29th March 1887.
Act is not in force.
Act is not in force.
November 1904.
Act is not in force.
Act is not in force.
13th October 1899.
Act is not in force.
xii
APPENDIX A—CONTINUED.
TOWNS.
1
GUJRANWALA DISTRICT—CONCLD.
Ramnagar ... ... ...
Sohdara ... ... ...
Hafizabad ... ... ...
Khangah Dogran ... ... ...
Pindi Bhattian ... ... ...
Sangla ... ... ...
Sharakpur
...
...
...
GUJRAT DISTRICT.
Gujrat ... ... ...
Jalalpur
...
...
...
Kunjah ... ... ...
Dinga ... ... ...
SHAHPUR DISTRICT.
Shahpur
...
...
...
Sahiwal ... ... ...
Bhera ... ... ...
Miani ... ... ...
Khushab ... ... ...
JHELUM DISTRICT.
Jhelum ... ... ...
Pind Dadan Khan ... ... ...
RAWALPINDI DISTRICT.
Rawalpindi ... ... ...
Murree ... ... ...
ATTOCK DISTRICT.
Pindigheb ... ... ...
Hazro ... ... ...
MIANWALI DISTRICT.
Mianwali
...
...
...
Bhakkar ... ... ...
Isa Khel ... ... ...
Kalabagh ... ... ...
MONTGOMERY DISTRICT.
Montgomery ... ... ...
Kamalia ... ... ...
Pakpattan ... ... ...
Number of births daring the
year.
2
218
230
205
33
113
80
209
914
484
293
194
114
440
516
222
609
508
520
1,507
64
410
351
235
277
254
267
229
471
295
Number of deaths amongst
children under one year
during the year.
3
38
27
26
4
22
11
46
176
81
41
27
38
119
112
32
143
112
145
401
10
91
66
50
78
42
82
43
94
64
Number of successful vaccina-
tions on children under one
year during the year ending
March 1912.
4
64
33
95
20
33
41
92
651
369
181
127
217
380
355
200
485
260
279
979
73
177
219
194
190
167
151
218
108
154
Date of extension of Vaccination
Act to town.
5
Act is not in force.
6th June 1901.
27th May 1904.
Act is not in force.
Act is not in force.
3rd April 1908.
Act is not in force.
13th December 1907.
27th April 1897.
5th July 1897.
10th August 1896.
14th December 1893.
Act is not in force.
April 1905.
Act is not in force.
October 1898.
12th February 1912.
Act is not in force.
xiii
APPENDIX A—CONCLUDED.
TOWNS.
1
LYALLPUR DISTRICT.
Lyallpur
... ... ...
JHANG DISTRICT.
Jhang-Maghiana
...
...
Chiniot ... ... ...
MULTAN DISTRICT.
Multan
...
...
...
Shujabad
...
...
...
MUZAFFARGARH DISTRICT.
Muzaffargarh
...
...
...
Khangarh ... ... ...
Alipur ... ... ...
Leiah
...
...
...
Karor
...
...
...
DERA GHAZI KHAN DISTRICT.
Dera Ghazi Khan ... ...
Jampur ... ... ...
Dajal ... ... ...
Rajanpur
...
...
...
Kot Mithau ... ... ...
Number of births during the year.
2
385
1,316
826
3,822
243
147
159
168
285
109
425
264
306
210
124
Number of deaths amongst
children under one year during
the year.
3
134
391
189
993
65
38
36
56
68
18
71
53
84
49
31
Number of successful vaccinations
on children under one year
during the year ending March
1912.
4
335
680
463
2,098
...
79
106
82
170
68
248
190
160
57
71
Date of extension of Vaccination
Act to town.
5
Act is not in force.
20th March 1894.
Act is not in force.
18th January 1897.
Act is not in force.
10th December 1910.
Act is not in force.
January 1899.
Act is not in force.
19th May 1896.
Act is not in force.
Diagram showing the death-rates from Small-pox per 10,000 of population during the year 1911-12, the average rate of mortality from Small-pox per 10,000 of population for the five years ending 1910-11, and the proportion of successful Vaccinations
during the year 1911-12 and the preceding six years in each District of the Punjab.
NOTES
ON
VACCINATION IN THE PUNJAB
FOR THE YEAR
1912-13
BY
LIEUT.-COL. S. BROWNING SMITH, D.P.H., I.M.S.,
Offg. Sanitary Commissioner, Punjab.
Price Re. 0-6-6 or 7d.
Lahore:
PRINTED AT THE PUNJAB GOVERNMENT PRESS,
1913.
NOTES ON VACCINATION IN THE
PUNJAB FOR 1912-13.
Agents for the sale of Punjab Government Publications.
IN LONDON.
CONSTABLE & Co., 10, Orange Street,
Leicester Square, W. C.
GRINDLAY & Co., 54, Parliament Street,
S. W.
HENRY S. KING & Co., 65, Cornhill, E. C.
P. S. KING & SON, 2 and 4, Great Smith
Street, Westminster, S. W.
KEGAN PAUL, TRENCH, TRÜBNER & Co.,
68-74, Carter Lane, E. C.
B. QUARITCH, 11, Grafton Street, New
Bond Street, W.
T. FISHER UNWIN, I, Adelphi Terrace,
W.C.
W. THACKER & Co., 2, Creed Lane,
London, E. C.
LUZAC & Co., 46, Great Russell Street,
London, W. C.
OLIVER & BOYD, Tweeddale
Court,
Edinburgh.
E. PONSONBY, Limited, 116,
Crafton
Street, Dublin.
ON THE CONTINENT.
FRIEDLANDER & SOHN, 11, Carlstrasse,
Berlin.
OTTO HARRASSOWITZ, Leipzig.
KARL W. HIERSEMANN, Leipzig.
ERNEST LEROUX, 28, Rue Bonaparte, Paris.
MARTINUS NIJHOFF, The Hague.
IN INDIA.
THACKER, SPINK & Co., Calcutta & Simla.
NEWMAN & Co., Calcutta.
R. CAMBRAY & Co., Calcutta.
THACKER & Co., Bombay.
HIGGINBOTHAM & Co., Madras.
T. FISHER UNWIN, Calcutta.
V. KALYANARAM IYER & Co., 189,
Esplanade Row, Madras.
G. A. NATESAN & Co., Madras.
SUPERINTENDENT, AMERICAN
BAPTIST
MISSION PRESS, Rangoon.
A. CHAND & Co., Imperial Book Depôt
Office, Delhi.
GULAB SINGH & SONS, Mufid-i-'Am Press,
Lahore.
MANAGER, Punjab Law Book
Depot,
Anárkali Bazar, Lahore.
S. MUMTAZ ALI & SON, Rafah-i-'Am Press,
Lahore [for Vernacular publications
only].
MESSRS. RAMA KRISHNA AND SONS, Book-
sellers and News Agents, Anarkali
Street, Lahore.
N. B. MATHUR, Superintendent and Pro-
prietor, Nazair Kanun Hind Press,
Allahabad.
D. B. TARAPOREVALA SONS & Co., Bombay.
NOTES
ON
VACCINATION IN THE PUNJAB
FOR THE YEAR
1912-13
BY
LIEUT.-COL. S. BROWNING SMITH, D.P.H., I.M.S.,
Offg. Sanitary Commissioner, Punjab.
Lahore:
PRINTED AT THE PUNJAB GOVERNMENT PRESS,
1913.
(The text of these notes is limited to 4 pages.)
TABLE OF CONTENTS.
Para.
or state-
ments.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
I
II
III
IV
V
A
B
Subject.
Administration ... ... ... ... ...
Strength of vaccination establishment. Statement No. II... ...
The cost of the department. Statement No II ... ...
Cost per successful case. Statement No.II ... ... ...
Total number of operations by all establishments. Statement No. I ...
House-to-house vaccination ... ... ... ...
District staff. Statement No. I ... ... ... ...
Persons successfully vaccinated per 1,000 of population. Statement
No. I.
Special staff. Statement No. I and its appendix
...
...
Cantonment staff. Annual Form No. I and its appendix ... ...
Dispensary staff. Statement No. III ... ... ...
Inspection work. Statement No. V
...
...
...
Vaccination in large Native States
...
... ...
Vaccination work in municipal towns ... ... ...
Punjab Vaccine Institute ... ... ... ...
ANNUAL FORMS.
Statement showing particulars of vaccination in the Punjab Province
during the year 1912-13.
Appendix to Statement No. I.—Showing the details of the vaccination
operations performed by the Special and Cantonment Staffs according
to localities during the year 1912-13.
Statement showing the cost of the Department in the Punjab Province
during the year 1912-13.
Statement showing Dispensary vaccinations in the Punjab Province
during the year 1912-13.
Comparative Statement showing the number of persons primarily vacci-
nated and the number of those persons who were successfully vaccinated
in the Punjab in previous years.
Statement showing total number of primary and re-vaccinations perform-
ed and number inspected by Civil Surgeons and Superintendents of
Vaccination or other inspecting officers, the percentages of those inspect-
ed, together with the percentages of cases found successful by them, as
contrasted with the percentages reported by the Vaccinators in each
district of the Punjab during the year 1912-13.
APPENDICES.
Statement showing the number of vaccinations performed in municipal
towns on children under one year of age during the year 1912-13.
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 1912-13.
Diagram showing the death-rates from small-pox during the year 1912-13,
the average rate of mortality from small-pox for the five years ending
1911-12, and the proportion of successful vaccinations during the year
1912-13, and the preceding six years in each district of the Punjab.
Page.
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V
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No. 1598 S. (Home—Medl. & Sany.).
FROM
THE HON'BLE MR. J. P. THOMPSON, I.C.S.,
Revenue Secretary to Government,
Punjab, and its Dependencies,
To
THE SECRETARY TO THE GOVERNMENT OF INDIA,
DEPARTMENT OF EDUCATION.
Dated Simla, 30th July 1913.
Home.
Medical & Sanitary.
SIR,
I AM directed to forward, for the information of the Government of India,
a copy of the notes on vaccination in the Punjab for the year 1912-13.
2. There were over 30,000 deaths from small-pox during the year, the
highest number recorded since 1896. The number of vaccinations performed
was in consequence unusually high being 39 per cent. in excess of the average
for the preceding quinquennium. The increase—69 per cent. in re-vaccinations—
is a striking feature of the year's working. At the same time the figures in
appendix B show that the number of vaccinations in a district does not vary
from year to year directly with the incidence of the disease. In Ferozepore,
where the death-rate was the highest, there was a decline of over 8 per cent. in
vaccinations. Only 4 districts felt the visitation more than Lahore and there
vaccinations decreased by 25 per cent. In Dera Ghazi Khan, on the other
hand which stood eighth on the list of sufferers, there was an increase of over
75 per cent. in vaccinations, but the next largest increase (60 per cent.) was
found in Kangra, the district which had the lowest death-rate in the Province.
The fact that there are these variations from district to district suggests that
the Sanitary Commissioner is perhaps mistaken in thinking that the limit of
what is possible under present conditions has been approached.
3. The continued popularity of house-to-house vaccination in Gurdas¬
pur alone of all the districts in the province is possibly due to the district being
exceptionally fortunate in its staff. Seventy-five per cent. of the operations
were done in this way. In last year's report Hissar and Jullundur were men-
tioned as districts where the house-to-house system was popular, but neither
appears in the list of districts mentioned in this connection this year.
4. The number of operations performed in some of the Hill States is
almost incredible. The highest percentage of population successfully vaccinated
during the year in British territory was 9.2 in Dera Ghazi Khan. In the small
Hill States of Mangal and Kuthar, the percentages reached were 31 and 45,
respectively, while in the larger States of ampur, Bilasp ur and Nalagarh
percentages of 11, 13 and 15 were recorded.
5. The figures which show the percentages vaccinated of children under
one year of age in towns in which the Act is in force and in towns in which
it is not form a striking testimony to the attitude of the people towards vacci-
nation, where it is purely optional.
2
6. The Lieutenant-Governor observes with satisfaction the remarks of
the Sanitary Commissioner in regard to the gratifying results of the improved
conditions under which lymph is prepared in the new Vaccine Institute.
I have the honour to be,
Sir,
Your most obedient servant,
J. P. THOMPSON,
Revenue Secretary to Government, Punjab.
Punjab Government Press, Lahore—12-8-13—1366—265-P. B. S.
A.—VACCINE DEPARTMENT.
STATEMENT No. I.—SHOWING PARTICULARS OF VACCINATION IN THE
PUNJAB PROVINCE DURING THE YEAR 1912-13.