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The average number of operations returned by the vaccinators of this
district during the year is 43,960, being an increase of 7,432 over the number
vaccinated in the previous year. There were 43,532 primary cases returned as
successful against 36,049 in the previous year, and the percentage of success
99.11 as compared with 98.76, being an increase of 0.35. The number of re-vac-
cinations was 38 against 28 of previous year. The number successfully vaccinated
per mille of population was 43.02 against 35.60 in the preceding year ; increase
7.42. The aggregate cost amounted to Rs. 2,745 as compared with Rs. 2,627,
an increase of Rs. 118, and each successful case cost Re. 0-1-1, equal to that of
last year.

Two thousand one hundred and thirty-six primary vaccinations were
inspected by the Civil Surgeon, of which 2,119 were found to be successful, the ratio
of success being 99.20 per cent.

Before commencing vaccine operations in October 1883 each of the
vaccinators was furnished with a copy of the rules for the guidance of the
vaccination staff in vernacular signed by the Civil Surgeon, and they were
told that the names of those deserving of special notice would be reported
to the Sanitary Commissioner, and that such reports would be determined
not so much by the number of children vaccinated as by the results of the
vaccination. The work was begun in one tahsíl, and the vaccinators divided
into three sets, each of which was placed under one of the head vaccinators.
The whole tahsíl was divided into as many circles as there were zails, and to
each set of vaccinators a certain number of zails was allotted, the whole of the
work being placed under the supervision of the native supervisor. The vaccin-
ators worked from village to village, but in some places where small villages
were close together the children were collected in one village at a site previous-
ly fixed, and there they were vaccinated from vaccinifers brought to meet them.
When one tahsíl was finished operations were commenced in the next tahsíl in
the villages adjoining.

Two tubes of lymph were received from the Deputy Sanitary Commis-
sioner on the 27th September 1883, and on the 1st October 3 children were
vaccinated with one tube in the village of Pul Bajá in the Bajwát iláka,
tahsíl Siálkot, situated on the other side (from Siálkot city) of the river Chenab.
In the same iláka two children were vaccinated with the other tube in the
village of Sokhyái: in both cases the lymph took very good effect. On the 3rd
October a fresh supply of lymph in three tubes was received, and on the 4th
idem 6 more children were vaccinated in the village of Jhang, iláka Bajwát.
The third supply of lymph was a failure. From the three vaccinifers at Pul
Bajú about 50 children were vaccinated on the 7 th October, and from the two
at Sokhyái 30 children were vaccinated on the 9th, and from the three at Jhang
95 children on the 11th idem. From these sources the whole of the Bajwát
iláka, consisting of three zails, was vaccinated by the 23rd October. The
Bajwát iláka was selected as it is traversed by numerous natural and artificial
channels, and was consequently at that season of the year much colder than any
of the others.

From the Bajwát iláka a good supply of lymph was stored in glass
slides and operations commenced on the Siálkot side of the Chenab from three
centres of vaccination, namely, one at Chaprár in charge of 4 vaccinators, a second
at Gondal in charge of 5 vaccinators, and a third at the Sadr town of Siálkot
in charge of 6 vaccinators. In this way the whole of the Siálkot tahsíl was
finished by the end of November 1883. The work was then commenced in
the Daska, Pasrúr, Raya and Zafarwál tahsíls successively. A portion of the
Jummoo territory and the Siálkot cantonment were also overhauled during
the season. The number of towns and villages vaccinated was 2,270. In
June 1883 the Deputy Commissioner, under instructions from Government,
appointed a sub-committee of the Siálkot Municipal Committee to fix upon
convenient localities in the city to bring the children together for vaccination
purposes in the following season. The Committee selected ten places, and
operations were commenced in the town on the 20th October. Assistant
Surgeon Fatteh Singh, then in charge of the dispensary, reports as follows :—