No. 78/2880.

FROM

                                            LIEUTENANT-COLONEL E. WILKINSON, F.R.C.S., I.M.S.,

                                                                                                        Sanitary Commissioner, Punjab,
TO

                                            E. R. ABBOTT, ESQUIRE, I.C.S.,

                                                                                                        Offg. Revenue Secretary to Government, Punjab.

                                                                                        Dated Lahore, the 1st July 1912.

SIR,

I HAVE the honour to forward, for the information of His Honour the
Lieutenant-Governor of the Punjab, the Annual Vaccination Statements for
the year 1911-12. Annual Statement No. I has been prepared in the form
revised in accordance with letter No. 1511, dated 16th August 1911, from the
Government of India, Education Department, received with Punjab Govern-
ment endorsement No. 724 M. & S., dated 11th September 1911.

Administration.

2. I held charge of the Vaccination Department throughout the year.
The appointment of Deputy Sanitary
Commissioner, Punjab, was held from
April 1st to September 7th and again from January 2nd to March 18th by
Captain C. A. Gill, I.M.S., and from September 8th to January 1st by Major
H. M. Mackenzie, I.M.S., and from March 19th to the end of the year by
Major W. C. H. Forster, I.M.S., who held it in addition to his own duty as
Professor of Pathology in the Medical College, Lahore. Mr. H. C. Phillips,
3rd Class Military Assistant Surgeon held the appointment of Superintendent,
Punjab Vaccine Institute, throughout the year.

Strength of Vaccination establishment—Statement
No.II.

3. The strength of the Vaccination establishment employed during the
year was— 5 Divisional Inspectors of
Vaccination, 30 Superintendents of
Vaccination, the same as last year, and 278 Vaccinators, or 11 more than in the
previous year. The increase was due to the entertainment of additional
Vaccinators, 10 in Lahore, 2 in Ambala and 1 in Lyallpur ; there was a
reduction of one each in the Karnal and Kangra districts to meet the require-
ments of the local bodies concerned.

The cost of the Department—Statement No. II.

4. The total cost of the Department, which amounted to Rs. 1,24,320,
shows an increase of Rs. 3,244 as
compared with last year. The excess is
chiefly under the sub-heads of (a) pay of establishment on account of promotion
of the district vaccination staff under the time-scale and entertainment of
extra vaccinators, (b) contingencies, the increase of which is attributed mainly
to the greater amount of work done in connection with the Punjab Vaccine
Institute, including higher cost of feeding of calves owing to the abnormally
high prices of food stuffs prevalent in Lahore during the year under review.

Cost per successful case—Statement No. II.

5. The average cost of each successful operation during the year was two
annas and eight pies as compared with
two annas ten pies in the previous year.
If, however, the amount of Rs. 12,986 on account of the cost of the vaccine sold,
which has been credited to Government, is deducted from the total expenditure,
the average would work out to two annas and four pies as against two annas and
seven pies in 1910-11. The reduction in the average cost of a successful
operation is due to a larger number of operations being performed during the
year under report.

Total number of operations done by all establishment—
Statement No. I

6. The total number of operations performed by all establishments
during the year amounted to 892,289
compared with 765,075 in 1910-11, show-
ing an increase of 127,214 operations.
Of the total number of operations performed 701,700 were primary vaccina-
tions and 190,589 re-vaccinations, compared with 636,697 and 128,378, res-
pectively, in 1910-11. The number of persons vaccinated amounted to 882,844
as against 760,472, which is a satisfactory increase.
The increase in the number of vaccination operations is mainly attribut-
able to the increased demand for protection against small-pox, which has been