No. 1790.

FROM

                      LIEUTENANT-COLONEL C. J. BAMBER, I.M.S.,
                                               Sanitary Commissioner, Punjab,

To

                      A. B. KETTLEWELL, ESQUIRE, C.S.,
                                           Secretary to Government, Punjab.

Dated LAHORE, the 1st July 1907.
SIR,

I have the honour to submit, for the information of His Honour the
Officiating Lieutenant-Governor, the prescribed vaccination statements for 1906-07
with the following brief remarks.

Administration.

2. I held charge of the Vaccination Department throughout the year.
The office of Deputy Sanitary Commissioner was held by
Captain W. H. C. Forster, I.M.S., from the 1st April to

the 26th July 1906 and by Captain H. M. Mackenzie, I.M.S., from the 27th

July 1906 to the end of the official year.

Strength of the vaccina
tion establishment. State
ment No. II.

3. The strength of the vaccination establishment was the same as in
the previous year, that is, five Divisional Inspectors, thirty
Superintendents, and two hundred and sixty-six Vacci-
nators.

Cost of the department.
Statement No. II.

4. The total cost of the department amounted to Rs. 99,605, or Rs. 1,903
in excess of the expenditure in the previous year. The
increase occurred mostly under the following heads:—(a)
travelling allowance and miscellaneous expenditure of the special staff who
did more work during the year with chloroformed glycerinated vaccine, (b) pay
and contingent charges of the vaccination establishments of the new districts
of Jhang and Lyallpur in which the staff was maintained for all the twelve
months of the year.

Cost per successful case.
Statement No. II.

5. The average cost of each successful case was two annas and five pies,
or two pies more than in 1905-06. This was due to the
increased expenditure as explained above, and to the smaller

amount of work done in 1906-07 on account of the vaccinating season having

been very unhealthy.

Total operations done by
all establishments. Statement
No. I.

6. The total number of operations performed by all establishments was
705,219, which shows an increase of 7,358 over the average
of the previous five years. The vaccination work in
1906-07 compares favourably with that in each of the first

three years of the preceding quinquennial period, but it was not as satisfactory

as in the last two years.

District Staff. Statement
No. I.

7. District Staff.—Compared with the previous year, the work of the Dis-
trict Staff shows a deficiency of seven per cent. in the case of
primary vaccinations and twenty-one per cent. in re-vaccina-
tions. The decrease is accounted for chiefly by the fact that the vaccinating season
of 1906-07, unlike that of the previous year, was extremely unhealthy. During
the first half of the season, that is, from October to December, malarial fevers
were very prevalent in many districts of the province, and in the second half
from January to March, plague increased to an alarming extent which interfered
seriously with the vaccination work, particularly with the re-vaccination of
grown up children. A full explanation of the unusual decrease or increase in
the amount of work done in different districts will be given in my detailed
triennial report next year. It is gratifying to observe that the total number of
primary vaccinations performed by the District Staff in 1906-07, in spite of the
severest visitation of plague, was about twelve thousand in excess of the average
of the previous five years. The vaccination establishment was kept well under