4
Inoculation.
16. The Civil Surgeon, Gujrat, reports that a Mullah from the
village of Sanawan (Janmu State) visited the village of Shah Jahani and in-
oculated about 50 persons there by " desi " methods.
Diagram.
17. A diagram showing the death rate from smallpox per 10,000 of
population during 1917-18, the average rate of mortality from smallpox for
the five years ending 1916-17, the proportion of successful vaccinations in
l917-18 and for the preceding six years in each district of the Punjab is
attached to the report.
Punjab Vaccine In¬
stitute.
18. The exportation and manufacture of medicinal glycerine having
been practically stopped in consequence of the war it has become necessary to
find some reliable substitute for the glycerinated chloroformed lymph issued
as standard lymph from the Punjab Vaccine Institute. As Major W. H. 0.
Forster's experiments in this connection had led him to believe that chloral
hydrate gives as good a bacterial purification of the lymph as glycerine and
choloroform, and is as satisfactory if not superior to glycerine, as a dilluent and
preservative, Government sanction was accorded to the use of this drug as
an experimental measure. The new lymph was used in the whole of Lahore
Tahsil, from December to March, by a small body of the Provincial Vaccina-
tion Staff and a report on the results obtained is under preparation.
As usual chloroformed glycerinated vaccine was supplied by the Punjab
Vaccine Institute during the year. It has been reported that the supply was
regular and of good quality.
The total number of tubes issued was 49,087 as compared with 42,438 in
the previous year as detailed below :—
To Whom supplied.
Civil Surgeons in the Punjab ... ...
North-West Frontier Province
...
... ...
Special Staff, Punjab
... ... ... ...
Native States, Punjab ... ... ... ...
North-Western Railway
...
...
...
...
Military Department in India
...
... ...
Out of the Punjab
...
...
...
...
Total
1916-17.
21,679
3,489
731
2,526
...
1,764
12,249
42,438
1917-18.
19,958
3,053
693
2,335
114
2,686
20,298
49,087
Of the 20,298 tubes sent out of the Punjab 13,236 tubes or 1,058,880
doses of vaccine were supplied for the overseas Forces.
Out of the 49,087 tubes issued during 1917-18 results were received in
the case of 23,649 tubes, showing that 722,459 primary and 168,672 re-vaccina-
tions were performed with an insertion success of 97.33 per cent., in primary and
73.91 per cent. in re-vaccination as against 93.98 and 67.53, respectively, in
the pevious year.
Training of vaccina¬
tion staff.
19. Eight classes each lasting a fortnight, which were attended by 52
vaccinators were held at Lahore from November to March and instruction
was given in the technique of vaccination, principles of elementary hygiene,
duties of vaccinators, upkeep of registers and returns, checking of birth and
death registers, etc.
To make up for the absence of men of the District Staff, trained vaccina-
tors of the Special Staff were deputed from the Hill States.
In addition to the classes for vaccinators, a special class for the train-
ing of the Superintendents of Vaccination of Lahore, Muzaffargarh, Dera
Ghazi Khan, Jhang and Sialkot Districts was also conducted during the year.
I have the honour to be,
SIR,
Your most obedient servant,
H. HENDLEY, COLONEL, I.M.S.,
Sanitary Commissioner, Punjab.