2
Total
operations
done by all establish-
ments.
Statement
No. I.
6. The total number of operations performed by all establishments
during the triennium under report was 2,812,605; during the preceding
triennium 2,104,509. Of the increase, 395,746 were primary and 312,350
re-vaccinations. The increase was general throughout the Province, but was
most marked in the districts of Dera Ghazi Khan (53,498), Lahore (47,723),
Gujranwala (45,139), Amritsar (41,181), Rohtak (34,361), Muzaffargarh
(32,942) and Gurgaon (30,194). The principal reason for the increase in
primary vaccination is that early in the preceding triennium the Province
suffered terribly from malaria which enormously reduced vaccination.
The increase in primary vaccinations in the triennium under report was
shared by all districts. In Lahore the increase was 32,383, in Rohtak 28,688,
and in Amritsar 25,212.
An important contributary factor in the increase of re-vaccinations was
the severe epidemic of small-pox in 1912-13. In 1913 14 this factor was absent,
and hence in that year there was a great fa ling-off in re-vaccinations. Except
in Hoshiarpur and Karnal which showed slight decreases, the increase in re-
vaccinations during the triennium under report was shared by all districts.
In Dera Ghazi Khan the increase was 35,561, in Gujranwala 30,729, and in
Kangra 16,520. The vaccinations in each year were as follows : —
1911-12 ... ...
1912-13 ... ...
1913-14 ... ...
Primary vacci-
--tions.
701,700
710,994
671,183
Re-vacci-
nations.
190,589
321,853
216,286
The decrease in primary vaccinations in 1913-14 was shared by all dis-
tricts, with the exception of Hissar, Rohtak, Gurgaon, Simla, Kargra, Ludhiana,
Ferozepore, Lahore, Gujrat and Rawalpindi, each of which showed a slight
increase.
The decrease in re-vaccinations in 1913-14 was shared by 19 districts,
Kangra showing a decrease of over 20,000 and Dera Ghazi Khan a decrease
of over 19,000. Both these districts had shown a great excess of re-vaccina-
tions in 1912-13. Excluding cantonments, the percentage of successful primary
vaccination of children under one year of age to the total number available for
such purpose in the triennium under report was 75.06 ; in the preceding trien-
nium 72.28; from which we may assume that vaccination is holding its
ground.
District staff.
Statement No. I.
7. The number of persons vaccinated by the district staff in the
triennium under report was 2,588,886 ; in preceding triennium 1,985,075 ; an
increase of 603,811.
District
Staff.
Percentage of suc-
cess. Annual State-
ment No. I.
8. The percentage of success returned by the district staff was as
follows :—
1911-12 ... ...
1912-13
...
...
1913-14 ... ...
Primary vacci-
nations.
Per cent
95.15
98.04
97.41
Re-vacci-
nations.
Per cent.
72.69
73.44
70.36
In 4 per cent. of primary vaccinations and 18 per cent. of re-vaccinations
the results were unknown.
Ratio of persons
successfully vacci-
nated per 1,000 of
population. State-
ment No. I.
House-to-house vacci-
nation.
9. The ratio of persons successfully vaccinated per 1,000 of
population was 36.22 in 1911-12, 40.94 in 1912-13, and 36.45 in 1913-14.
10. This is never a success outside the very large towns, and moreover
large numbers of cases returned by vaccinators as house-to-house vaccinations
are not such. The Civil Surgeon of Ferozepore reported that 22,627 operations
were performed in this manner, but on my asking whether this number was
correct, he forwarded to me, in original, a long statement by the Superintendent
of Vaccination, pointing out that the unpopularity, the disadvantages and the
difficulties of the system were great and that it was practically impossible to
carry it out at all in the Ferozepore District. Apparently all cases had been
returned as house-to-house vaccinations, in which the vaccinator had operated
at the children's own village.
Re-veccination dur-
ing the triennium
11. The number of re-vaccinations performed in the triennium under
review was 622,002 as against 366,628 in the preceding triennium.