No.15/2040.
FROM
LT.-COL. C. J. BAMBER, I. M. S.,
Sanitary Commissioner, Punjab,
To
H. P. TOLLINTON, ESQUIRE, B.A., C.S.,
Offg. Secretary to Government, Punjab.
Dated LAHORE, the 1st July 1908.
SIR,
In submitting herewith for the information of His Honour the Lieutenant-
Governor the prescribed vaccination statements for the year 1908-09, I have
the honour to make the following brief notes.
Administration.
2. Major E. Wilkinson, F.R.C.S., I.M.S., held charge of the Vacci-
nation Department throughout the year, the office of
the Deputy Sanitary Commissioner being held by Major
E. L. Perry, I.M.S. Mr. H. C. Phillips, 4th class Military Assistant Surgeon,
who was selected for the appointment of Superintendent of the Punjab Vaccine
Institute, sanctioned by the Government of India, took over charge of the post
on the 15th October 1908.
Strength of the Vacci-
nation
Establishment.
Statement No. II.
3. The strength of the Vaccination Establishment employed during the
year was 5 Divisional Inspectors of Vaccination, 30 Super-
intendents of Vaccination and 264 Vaccinators, or a
decrease of 2 vaccinators compared with the previous year.
The 2 vaccinators of the Special Staff, Punjab, who came under reduction were
absorbed into the district and cantonment staffs to fill up vacancies that had
occurred.
Cost of the Department.
Statement No. II.
4. The total cost of the Department which amounted to Rs. 1,14,761
was Rs. 10,650 in excess of that in the previous year. The
increase is due (a) to the pay of the vaccinators in certain
districts being increased in accordance with the recent orders of Government
directing that vaccinators may be promoted to the next higher grade after a
certain number of years' service in a grade, (b) to the grant of bonus of one
week's pay in some districts and compensation for dearness of provision, and (c) to
contingencies due to the vaccine being supplied on payment instead of free as before.
The increase under the head Special Staff is due (1) to the pay of the Superin-
tendent of the Institute, and (2) to contingencies on account of the output of work
being larger than in previous years.
Cost per successful case.
Statement No. II.
5. The average cost of a successful case this year worked out to annas
three and pie one as against annas two and pies seven
in the year preceding. The increase is accounted for partly
by the fact that vaccine this year was paid for and partly to the lesser number
of operations performed. If, however, the cost of the vaccine sold which amount-
ed to Rs. 12,038 is deducted from the expenditure, the average cost works out
to annas two and pies nine.
Total operations done by
all establishments. State-
ment No. I.
6. There was a decrease in the total number of primary vaccinations,
but a slight increase of 20,583 re-vaccinations. Of the
total number of operations there was a decrease of 38,785.
The decrease is manifestly due to the havoc caused by
the epidemic of malaria and its consequent ill effect on the infantile popu-
lation. The fact that there was a decrease of 10.43 per cent. in the total
number of children available for vaccination, and an increase of 4.76 per
cent. this year in the ratio of successful primary operations to total number
of children available may be regarded as an indication of the Vaccination
Staff having worked fairly satisfactorily. As an improvement house-to-house vacci-
nation might be introduced experimentally in a few places. This has proved a great
success in England in popularising vaccination and is very likely to prove
equally successful in this country. Vaccinators are now provided with vaccine