2

is against rules, as not possessing the necessary training a compounder cannot
be expected to do the work efficiently, and the Assistant Director of Public
Health, Northern Range, has been requested to take up the matter with the
local body concerned.

Similarly in the Karor, Leiah and Alipur municipalities vaccination
work was entrusted to the local Octroi Muharrirs and the attention of the
local bodies concerned has been drawn to the rules on the subject.

Cost of the De-
partment.
Statement No. II.

4. The total cost of the Department (including cost of the Vaccine
Institute) as detailed in statement No. II appended to the report amounted to
Rs. 2,66,881 showing an increase of Rs. 57,479 when compared with the figures
for the last year. The increase in the expenditure is due chiefly to the in-
creased rates of pay of the establishments sanctioned by local bodies and to the
enhanced rates of travelling allowance : also to some extent to the cost of
furniture, typewriters, etc., for the office of the District Medical Officer of
Health, Gurgaon. Of the total cost of Rs. 2,66,881, the sum contributed
by Provincial funds amounted to Rs. 96,836, by local funds Rs. 1,41,919, by
municipal funds Rs. 24,482, and by Cantonment funds Rs. 3,642.

Cost of each suc-
cessful case.
Statement No II.

5. The total number of successful vaccinations and re-vaccinations
amounted to 718,418.

The cost of each successful operation works out to Re. 0-5-11 against Re.
0-4-5, the cost for last year. The increase in the cost per successful vaccination
is due to the reasons stated in the preceding paragraph. If, however, the sum
of Rs. 46,526-8-3, which has been credited to Government on account of cost
of vaccine sold, be deducted from the total expenditure, the average cost comes
to Re. 0-4-11 as against Re. 0-3-7 in the previous year.

Total operations
done by all establish-
ments.

Statement No I.

6. The total number of operations reported to have been performed
by all establishments during the year under report amounted to 852,824,
showing a decrease of 63,176 as compared with the figures (916,000) for the
previous year. Of the total cases 625,079 were recorded as primary vaccina-
tions and 227,715 as re-vaccinations, against 650 938 and 265,062, respectively,
in 1920-21. The decrease in both vaccination and re-vaccination during the
year is attributed to a number of causes, chief of these being (1) the excessive
infantile mortality, (2) the non-co operation movement, and (3) the indifferent
and unsympathetic attitude of the people towards vaccination.

House-to-house
vaccination.

7. A total of 17,090 operations were performed under the vaccination
house-to-house system during the year under report, the districts contributing
this figure being Lahore (10,104), Ferozepore (2,284), Karnal (1,541) Muzaffar-
garh (1,513), Shahpur (722), Montgomery (702) and Simla municipality (224).

In four villages of the Jhajjar and Gohana Tahsils of the Rohtak District
this system was successfully attempted during an epidemic of small-pox, and,
though in a few districts it was resented by the people, this attitude on their
part would seem to be due not so much to the system itself as to the manner
in which the staff proceeded to carry it out. In one district the vaccinator
instead of going from house to house expected the people to come to him with
their children to a central place or village thus defeating the object for which
it was advocated.

District Staff.
Statement No. I.

8. The total number of operations performed by the District Staff was
778,194 as against 864,464 in the previous year, showing a decrease of 86,270.
There was a decrease of 23,854 in primary and of 62,416 in re-vaccination
when compared with the figures for the preceding year. The reasons for the
diminution in both primary and re-vaccination are stated in paragraph 6 of
this report.

In the case of primary vaccination 11 districts record an increase and 18
a decrease. The decrease is most marked in the districts of Hissar (5,727),
Shahpur (3,459), Sialkot (3,216), Montgomery (2,957), Kangra (2,705), Rawal-
pindi (2,548), and Mianwali (2,217).

In the case of re-vaccination 10 districts record an increase, 19 a decrease.
The districts in which the decrease is most marked are Karnal (15,206), Ambala
(10,755) and Gurdaspur (10,035).