5

certain restricted areas to have themselves and their children vaccinated on an
outbreak of small-pox. This refusal in a few instances have been traced to bad
examples set by influential men, lambardars and zaildars, who refused to submit
their children for vaccination. Civil Surgeons have been asked to bring such
cases to the notice of the Duputy Commissioner concerned.

Particulars of vaccination per-
formed by various kinds of lymph.

19. During the year under report the only kind of lymph used, was in
the form of glycerinated chloroform lymph obtained
from the Punjab Vaccine Institute. Since its intro-
duction into this Province no trouble has arisen in regard to the quality of the
material supplied and what is more, its use has removed all the friction that
was formerly arising between the Vaccination Staff and villagers who viewed
the supplying of vaccinifers as a distinct hardship.

Attitude of the people towards
vaccination.

20. With few exceptions, the benefits of vaccination are fully recognised
by the inhabitants of the Province. No cases of pre-
judice on religious grounds have been brought to
notice and it is believed that the stoppage of animal lymph has brought about
more friendly relations between the vaccinator and the village folk.

Employment of professional in-
oculators as vaccinators.

21. For the past two years efforts have been made to induce hereditory
inoculators to take up work as regular vaccinators.
So far the results have been negative. In the Bannu
District some inoculators were willing to serve as vaccinators but only for a
small area round their homes. As these men are only known for short dis-
tances from their homes, their employment as vaccinators would be of assistance,
if a large number were employed. If such men could be persuaded to give up
the practice of inoculation and trained as vaccinators, there is reason to believe
that the cause of vaccination, more especially in the agencies, would be consi-
derably improved. Efforts will continue to be made to obtain inoculators as
vaccinators, but it is doubtful whether they will ever become regular paid vacci-
nators subject to discipline and Government control.

Vaccination inspection by Chief
Medical Officer.

22. My predecessor, Lieut.-Col. Duke, inspected 41 children in the
Hazara Distirict and found that all had been success-
fully vaccinated. During my autumn tour in 1910
in the Districts of Dera Ismail Khan, Bannu, and Kohat, I inspected a large
number of children who had been vaccinated. The results were satisfactory.

                                          I have the honour to be,
                                                      SIR,
                                          Your most obedient servant,

                                                W. R. EDWARDS, LIEUT.-COL., I. M. S.,

                                                      Chief Medical Officer,
                                                            North- West Frontier Province.