4
year being 72 and 62 per cent. Similar percentages of successfully vaccinated
children were in Delhi 85, Amritsar 70, and Multan 74 as compared with 66,
55 and 70 respectively in 1910-11. In Lahore after deducting infantile deaths
from births the number of children available was 5,506 while those successfully
vaccinated were 7,674 : this, no doubt, includes children born elsewhere but
residing within the limits of the municipality at the time of vaccination.
The municipal towns of Ferozepore, Fazilka, Muktsar, Zira and Dharmkot in
the Ferozepore district and Kalabagh in the Mianwali district came under the
provisions of the Vaccination Act during the year and a proposal to extend the
Act to the town of "Wazirabad in the Gujranwala district is under consideration.
The Civil Surgeon of Multan reports that " a man was given two weeks'
simple imprisonment for continued disobedience to the orders of the court to
get his child vaccinated."
Result of chloroformed glycerinated vaccine.
18. The amount of chloroformed glycerinated vaccine issued from the
Punjab Vaccine Institute during the
year, as well as that issued in the
previous year, is shown below:—
Civil Surgeons
...
...
...
Military Medical Officers ... ...
Native State ... ...
North-West Frontier Province ... ...
Special staff ... ... ...
Out of the Punjab ... ... ...
Total number of tubes ...
1910 11.
15,730
587
703
3,059
526
857
21,462
1911-12.
19,879
833
1,740
3,631
768
2,620
28,971
The Institute supplied vaccine lymph to all the districts in the Punjab and
27 Native States. In addition vaccine lymph was supplied to the North-West
Frontier Province, Baluchistan, Kashmir, Nepal and Afghanistan, to Military
Medical Officers in the Punjab and elsewhere, and to private persons. The
total number of tubes, 28,971, issued represents a vaccine supply sufficient for
1,448,550 persons with 4 insertions each as against 21,462 and 858,480 res-
pectively, in the previous year. This shows an increase of 7,509 tubes in the
year under consideration.
Of the 28,971 tubes issued results were received for those of 23,960. Of
the balance 5,011 of which no result was received, 82 were " reported " broken
and 791 were "not accepted" or returned.
From the returns it will be noticed that 797,947 primary and 195,016
re-vaccination operations were performed with an average case success of
90.09 per cent. and an insertion success of 91.52 per cent. in primary oper-
ations and a case success of 71.76 per cent. and insertion success of 66.87 per
cent. in re-vaccination as compared with 94.29 and 94.12 per cent. in the
former and 75.31 and 64.72 per cent. in the latter in the year preceding.
The vaccine lymph is tested before issue bacteriologically for bacillary
contamination and clinically for " potency " : a final clinical test 14 days after
preparation is made to " check " results of vaccination in the case where bad
results are returned.
The Deputy Sanitary Commissioner considers the decline in the per-
centage of success in primary vaccination to be chiefly due to faulty technique
on the part of the Vaccinators and in re-vaccination to the spread of primary
vaccination. While these conditions may have had such effects I am inclined
to think that the decline in the percentage of success in both primary and re-
vaccination is partly due to certain difficulties which have been recently
experienced in the preparation of lymph at the Vaccine Institute. Both these
causes require and are receiving attention.
Punjab Vaccine Institute.
19. The old Thaggi Jail buildings in which the Punjab Vaccine Institute
was located are being demolished and a
new Institute is being built on the site.
During the hot weather the preparation of vaccine was as usual carried
out at " Hilton," Murree.
I have the honour to be,
SIR,
Your most obedient servant,
E. WILKINSON, LIEUT.-COLONEL, I.M.S.,
Sanitary Commissioner, Punjab.