( 3 )

Appendix A..—Vaccination work in Municipal towns
and Notified Areas.

15. As usual the number of vaccinations done in the Peshawar City on
children under one year of age consider-
ably exceeds the registered number of
births during the year. The reason is
obvious; the births are not all registered, and many children belonging to the
floating population are vaccinated in Peshawar. To a lesser degree the same
remark is applicable to some of the other and smaller Municipal towns.

In the Peshawar City and in the Lakki Notified Area the Vaccination Act
is not in force. Before introducing or strictly enforcing the Vaccination Act it
would be well to insist on more accurate registration of births. If this were done,
it would be possible to arrive at the percentage of children vaccinated per hundred
births with some amount of accuracy and to form an opinion if the introduction
of the Act or its stringent enforcement was necessary.

The Act was made applicable to the Kohat City in 1904, and since that
date the number of children vaccinated each year per hundred of births regis-
tered has been as follows:—

Appendix B.—Successful vaccinations with annual
ratios of deaths from small-pox.

16. Appendix B shows success-
ful vaccination work and ratio of deaths
from small-pox during the past five
years.
Particulars of vaccinations performed by various kinds
of lymph.

17. The lymph used during the year has been supplied by the Punjab
Central Vaccine Institute. The results
have been excellent and the supply
always procurable. The percentage of
success has been 99.01 primary and 88.88 re-vaccinations.

Attitude of the people towards vaccination.

18. I have again to remark that the people are in no way hostile to
vaccination. It involves a certain
amount of trouble, and there is laziness
and apathy, but not distrust. Nearly every Civil Surgeon remarks on the
demand for vaccinators when small-pox is feared.

                                                  I have the honour to be,

                                                                 SIR,

                                             Your most obedient Servant,

                                   T. W. IRVINE, LIEUT.-COLONEL, I. M. S.,

                                                            Offg. Chief Medical Officer,

                                                                 North-West Frontier Province.