5
Very little or no attempt appears to have been made to induce people
to accept revaccination in any Native State except Patiala.
Vaccination in Municipal towns.—Ap-
pendix A.
18. It will be seen by adding together the figures given in Appendix
A that the number of children under one year
of age available for vaccination amounted to
61.604 in the year under report and of this num-
ber 84 per cent. were successfully vaccinated in towns in which the Vaccina-
tion Act is compulsory and 59 per cent. in those in which it is not, compared
with 84 per cent. and 66 per cent. in 1915-16 and 79 and 67 in 1914-15.
The total number of children available for vaccination in the towns in
which the Vaccination Act is in force during the triennium was 112,615 of
which 82 per cent. were successfully vaccinated as against 103,549 and 82 in
1911-14 and 92,131 and 77 in 1908—11.
The Act was introduced in 20 towns during the triennial period, in 14
of which it was introduced during the year under report, namely, Ballabgarh,
Chunian, Kasur, Khemkarn, Dinanagar, Pathankot, Sharakpur, Kunjah,
Dinga, Sahiwal, Bhakkar, Montgomery, Gojra and Dera Ghazi Khan.
It is reported that in the towns of Bhera, Miani (Shahpur District),
Multan and Shujahabad where the Act is in force a large number of children
available for vaccination were left unprotected, probably because the provisions
of the Act were not very rigidly enforced. The Civil Surgeons of the res-
pective districts advise the adoption of the Vaccination Act by the towns of
Khudian and Pattoki in the Lahore District and towns and villages of Hodal,
Firozpur Jhirka, Faridabad, Gurgaon, Badshahpur, Jharsa, Shahjehanpur, Nuh
and Hattin in the Gurgaon District, while the Deputy Commissioner, Hissar,
states that as the popular opposition in Hansi is as great as ever he cannot
recommend the extension of the Act to that town. It is gratifying to note
that the municipalities of Panipat, Jampur, Dajal and Rajanpur have asked to
have the Act extended to their towns.
A diagram showing the death rate from small-pox per 10,000 of
population during 1916-17, the average rate of mortality from small-pox for
the five years ending 1915-16, the proportion of successful vaccinations in
1916-17 and for the preceding six years in each district of the Punjab is
attached to the report.
Punjab Vaccine Institute.
19. There was no change in the manufacture of the vaccine ; chloro-
formed glycerinated vaccine was supplied by
the Punjab Vaccine Institute as usual. With a
few exceptions Civil Surgeons have reported that the supply was regular and
of good quality. The 1st issue which as already stated suffered from excessive
action of the chloroform constituent made it necessary in the Muzaffargarh
District to perform the operations a second time in 556 cases.
The following table shows the quantity of vaccine in tubes issued to
various bodies during the triennial period 1914-17:—
To whom supplied.
Civil Surgeons in the Punjab ... ...
Military Department ... ... ...
North-West Frontier Province ... ...
Special Staff, Punjab ... ... ...
Native States, Punjab ... ... ...
Out of the Punjab ... ... ...
Total ...
1914-15.
20,187
627
3,403
1,012
2,559
3,938
31,726
1915-16.
21,364
895
3,193
637
2,634
5,171
33,894
1916-17.
21,679
1,764
3,489
731
2,523
12,249
42,438
The increased issues are thus mainly due to the demands of the Indian
Expeditionary Force "D" to whom 5,946 tubes were supplied.
Out of the 42,438 tubes issued results were received in the case of
27,190, showing that 856,350 primary and 198,270 revaccinations were per-
formed with an insertion success of 93.98 per cent. in primary and 67.53 per cent.
in revaccination as against 96.06 and 68.97 in 1915-16 and 96.10 and 63.44 in
1914-15.