3

out of the seven vaccinators this year being quite new to the work. The diminu-
tion in the Mianwali district is accounted for by the transfer of the Leiah tahsil to
the Muzaffargarh district.

There was also an increase of 45,370 re-vaccinations as compared with the
previous year's work in 17 districts and decrease of 37,974 in 12 districts.
The largest fall was in the Kangra district where re-vaccinations numbered as
high as 20,061 in the previous year and the same number could not be expected
every year.

The people on the whole are well disposed towards primary vaccination,
but it is still a matter of some difficulty to persuade parents to have their girls
re-vaccinated.

District Staff. Percentage
of success. Statement No. I.

9. The number of primary vaccinations performed by the District Staff
was 507,492 with a percentage of success of 97.63 as com-
pared with 500,775 and 98.49 in the previous year. The
re-vaccinations amounted to 127,724 and the ratio of success to 75.12 per cent.
as against 120,228 and 77.79 respectively in 1908-09. The slight decrease in per-
centages is due to the vaccine operations having been started with glycerinated
lymph obtained from the Punjab Vaccine Institute in some districts in October
and early in November when the temperature was high. The percentages are cal-
culated by excluding from the total those operations of which the results are
not known. In the case of primary and re-vaccinations the percentage of un-
known cases was 3.10 and 14.40 as compared with 2.44 and 15.36 in the
year preceding.

Ratio of persons success-
fully vaccinated per 1,000
of population. Statement
No. I.

10. The number of persons successfully vaccinated by the District Staff
during the year was at the rate of 27.93 per mille of popu-
lation as against 27.83 in 1908-09.

Special Staff. Statement
No. I and its appendix.

11. The special staff vaccinators performed 28,778 operations, of this
number 16,870 were primary and 11,908 re-vaccinations,
showing a decrease of 1,778 and 11,478, respectively, as
compared with last year. The diminution is attributed to (a) the large number of
re-vaccinations done in Rampur Bashahr, Bilaspur, and Mandi States during the
previous year compared with that under report, and to the number of cases
available for re-vaccination being consequently much less in 1909-10; (b)
operations being entirely confined to the hills where the number of children
available for vaccination is much less than in the plains; (c) to two vaccinators
of the Special Staff, Punjab, remaining on leave during the year and no sub-
stitutes having been entertained in their place.

Percentage of successful
cases.

12. The percentage of success of operations performed by the Special
Staff was 95.92 in primary and 65.09 in re-vaccinations
as against 96.55 and 72.94 in 1908-09.

Cantonment Staff. State-
ment No. I and its appen-
dix.

13. In ten cantonments which entertain their own vaccinators there was
an increase of 24 primary operations and of 479 re-vacci-
nations over those of the previous year. The percentage of
success in primary operations was 98.58 and in re-vacci-
nation 71.77 against 99.17 and 73.42 in 1908-09. The percentage of unknown
cases to total cases was 1.81 in primary and 11.41 in re-vaccination compared
with 1.2 and 9.27 in 1908-09 and 3.35 and 12.55 in 1907-08 respectively.

Dispensary Staff. State-
ment No. III.

14. There was an increase of 297 primary and a decrease of 119 re-
vaccinations in the work done by the Dispensary Staff.
The percentage of success amounted to 97.42 in primary

and 85.47 in re-vaccination compared with 98.27 and 52.60 respectively in the

year preceding.

Inspection work. State-
ment No. V.

15, Lieutenant-Colonel C. J. Bamber, I. M. S., Sanitary Commissioner,
inspected 942 primary operations and 62 re-vaccinations,
and the ratio of success found by him was 94.48 in
primary and 24.19 in re-vaccination. Major Perry, Officiating Deputy Sanitary
Commissioner, inspected 587 primary operations and 353 re-vaccinations with a
percentage of success of 96.93 in the former and 54.96 in the latter. The
percentages of success found by Civil Surgeons were 96.50 in primary and