Report on Vaccination in the North-West Frontier Province
                        for the year 1921-22.

            REVIEW BY THE CHIEF COMMISSIONER.

IN his review on the Vaccination Report for 1920-21 the Chief Commis-
sioner deplored the substantial decrease in the number of vaccinations performed
as compared with the record for the previous year. In view of the improve-
ment then anticipated the results of the past year's work cannot but be regarded as
disappointing. With the same establishment as that maintained in the previous
year—the number of vaccinations performed during the year under review
dropped from 116,167 to 100,219. This falling off is ascribed to increasing
discontent with the rates of pay during the first half of the year; to epidemics
of Cholera and Malarial fever and to a decreased birth-rate.

The pay of the Vaccinators has been increased during the year and is
now considered to be satisfactory. The Chief Commissioner hopes that the
improved conditions may put an end to the frequent resignations in the estab-
lishment, which, with the consequent lack of experienced Vaccinators, has
been largely responsible for deterioration in the work of the Department. He
trusts that the Director of Public Health will insist on close and effective
supervision by Civil Surgeons of the Vaccination staff, whose work should show
early improvement in response to their personal interest and to the special
instructions issued in connection with equipment and tours.

Small-pox did not appear in epidemic form during the   year, and there
were only 352 deaths from the disease in the province, giving a ratio of 0.16
per thousand of the population as compared with average ratio  of 0.36 for the
previous five years.

N .-W. F. P. Govt. Press, Peshawar—159 S. to C. C.—20-7-22—146—M. Y.