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PROVINCE OF BRITISH COLUMBIA TWENTY-EIGHTH REPORT OF THE PROVINCIAL BOARD OF HEALTH INCLUDING THIRTEENTH REPORT OF MEDICAL INSPECTION OF SCHOOLS, YEAR ENDED JUNE 30TH, 1924, AND THE FIFTY-SECOND REPORT OF VITAL STATISTICS DEPARTMENT, BEING A SUMMARY REPORT FOR THE YEAR 1923 - UBC Library Open Collections
PROVINCE OF BRITISH COLUMBIA TWENTY-EIGHTH REPORT OF...
PROVINCE OF BRITISH COLUMBIA TWENTY-EIGHTH REPORT OF THE PROVINCIAL BOARD OF HEALTH INCLUDING THIRTEENTH… British Columbia. Legislative Assembly 1924
Title PROVINCE OF BRITISH COLUMBIA TWENTY-EIGHTH REPORT OF THE PROVINCIAL BOARD OF HEALTH INCLUDING THIRTEENTH REPORT OF MEDICAL INSPECTION OF SCHOOLS, YEAR ENDED JUNE 30TH, 1924, AND THE FIFTY-SECOND REPORT OF VITAL STATISTICS DEPARTMENT, BEING A SUMMARY REPORT FOR THE YEAR 1923
1924_Q1_Q63
DOI 10.14288/1.0226068
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THIRTEENTH REPORT OF MEDICAL INSPECTION OF SCHOOLS, YEAR ENDED
JUNE 30TH, 1924, AND THE FIFTY-SECOND REPORT OF VITAL
REPORT FOR THE YEAR 1923
1924.  Provincial Board of Health,
Victoria, B.C., June 30th, 1924.
The undersigned has the honour to present the Beport of the Provincial Board
of Health for the year ended June 30th, 1924.
Sir,—I have the honour to submit the Twenty-eighth Annual Report of the Provincial Board
The reports that have been submitted during the past six years have shown that the work
of the Department has extended greatly in scope, and has changed from an annual report concerning itself only with the management of epidemics to the higher plane of prevention of
Health-work has proceeded through different stages, beginning with:—
The first period, one of general sanitation, when the Department was chiefly concerned
with water-supplies, sewage-disposal, street-cleaning.
The second period was of quarantine enforcement.
Then there was the third period of applied bacteriology. This period showed the beginning
of the work in the prevention of disease.
The fourth, and we may say the present, period is concerned with the social analysis of
disease, that of personal hygiene and education.
The foundation of this latest phase of Health Department work is the idea of prevention
of disease as distinctive from its cure. With the emphasis placed more on the preservation of
health and less on the cure of the disease, the public is coming to realize how essential to health
is " the futility of treating the disease and tolerating the cause."
We have endeavoured to show in our reports that the Health Board is appreciative of the
changes that have taken place in regard to the management of health matters. The essential
change is that " The old public health was concerned with the environment, the new is concerned with the individual; the old sought the sources of infectious diseases in the surroundings
of man, the new finds them in man himself."
What we are endeavouring to da is to present our problems to the public in such a way that
they will recognize their practical application to every-day life, and we have made progress
that, while the results are not spectacular, yet they are such as to assure us that the foundation
has been laid which will bring within appreciable reach the goal for which we are striving.
The awakening of the public conscience and securing the encouragement of an intelligent
public opinion to bring through the practical application of our health laws the increased length
of life, increased productive capacity of the human asset, decreased sickness and misery, and
bring about the culmination of national prosperity produced by happy, healthy, contented people.
We are at the beginning of an era where a great advance will be made by following up the
impression that has been madS. Health authorities can only go just a little bit faster than
the public will admit, but there has been a reversal in this attitude, and the public are now
demanding that they shall be told what to do, and this opens up the opportunity for the Public
Health Nurse's work.
Health-teaching by Public Health Officers, including visiting nurses, has made in the last
few years a great impression upon the communities where it has been carried on. Such health
education is going to be recognized as of fundamental importance.
It is the recognition of these facts that has been the incentive of the Board in establishing
the Public Health Nursing Service of British Columbia.
Our service has been in operation now for three years and the progress made has exceeded
The training of the nurses in public-health work has been carried on in the University of
British Columbia and the nurses graduating from this course are, as far as possible, placed
in positions which are open, the number of which is increasing as the people are realizing the
beneficial effects that are accruing to the public as a whole.
An outline of the way in which our work is carried on was published in our report last
year, and I consider it of such importance that I am repeating it. Q G British Columbia. 1924
" Saanich Municipality.—Square miles, 55; population, 12,000; schools, 16 ; class-rooms, 5S;
school-children, 2,000.
" Nursing Service.—Superintendent Nurse, one School Nurse, and two District Nurses.
" Well-baby Clinic.—Two each month; 624 babies registered to date.
outbreak of communicable disease, when the nurse makes a daily examination of the pupils
until the danger of communication is passed. The teachers are instructed in observing signs
and symptoms and reporting to the Health Centre.
" Pupils are weighed and measured once in the school-year; subsequent months the children
are encouraged to weigh themselves and record the result under the supervision of the nurse.
Underweights are weighed every month.   Charts are placed in every class-room for this purpose.
personal cleanliness, care of the teeth, etc.; the talks are made suitable to the grade. Toothbrush and handkerchief drills are given to each primary class. Rolls of honour being given each
year to pupils who observe health rules.
Dental Work.—The dentist works at the Centre three hours, from 9 a.m. to 12 every school-
day.    In this way twenty-five pupils approximately have dental care weekly.
" Tonsil Clinics.—The last Friday of each month at least four tonsil operations are done.
The children are put to bed and cared for, and remain fi'om six to thirty-six hours, until quite
" Infant-welfare.—All babies born in Saanich are followed up, We aim to visit each baby
once a month.    All through the pre-school period supervision is maintained.
" Addresses on various phases of public-health nursing, childj-welfare, etc., are given as part
At the Health Centre six beds are utilized for a certain type of patient, such as malnutrition,
tonsilectomy cases, etc.
" Extension of Work.—We are organizing pre-natal, pre-school, and eye and ear clinics,
this latter being a vital necessity for the school-children. The work has increased with surprising rapidity during the past year, as the following figures will show, which includes individual attention to cases, nursing, school, welfare, etc."
I am adding to this a statement written at my request by Mrs. Lucas, Nurse Superintendent
of the Saanich Health Centre, reviewing the work for the past year:—
"The Saanich Health Centre is the main Public Health Nursing Station in British Columbia
aud the most highly developed type we have in Canada to-day.
" During the past year we have been told by a competent authority that we are doing the
best piece of Public Health Nursing being done anywhere in Canada or the United States.   We 15 Geo. 5 Board of Health. Q 7
were happy to have our own opinion verified by one whose opinion is based upon actual experience. This has renewed the courage of the nurses and spurned them to further effort. We have
every reason to feel immensely proud of our work and its results at this time. Many signs
point to the awakening of the public conscience to the value of the Public Health Nurse7 i.e.,
requests for nurses in the outlying districts, requests for qualified speakers from the Department, literature, posters, etc.
" The Public Health Nurses are all of great value to the Department, but of greater value
still to the public, whom they instruct; adult patients come for health advice, mothers with
their babies, and the school-child's health is carefully watched and his health chores are
assiduously impressed upon him. Of course, patients who are sick are also attended to, but
only under the direction of a medical practitioner; it is very necessary that this be clearly
" The Public Health Nurses of to-day, with their assured professional status and their
standardized training, may well hope to take their full part in the work of preventive medicine,
which is educational in that its main object is to give to each citizen that sure knowledge of
the laws of health which those who teach him, themselves possess. When every boy and girl
in the land leaves school educated in a thorough knowledge of health, so that as citizens they
demand the conditions of good health from the State in which they dwell, it is then, and only
then, that we may hope to see the reward of our present labours; this is slowly but surely
" In comparing this with reports of previous years, we are impressed with the phenomenal
growth of the work, which is due to many factors, but mainly to our method of educating the
mothers and children. Only two years have passed since this branch of our work was organized,
but its results are a sure proof of the value of the spoken word if it be spoken in season. We
no longer have to rush after parents at the last moment for permission to take the child to the
dental clinic which has been previously denied us—our appointments are booked up weeks
ahead of time. This also applies to tonsil and other clinics. The improvement of the health
of the child who has been treated is so apparent to the parents and the neighbours that it would
appear all our difficulties in the matter of dealing with ignorance of the people is at an end
if a child in that particular part of a community happens to have attended our clinic.
" We have advanced in our child-welfare very considerably. Our aim is to have a complete
health record of the child from the time of its birth until he leaves school. We can look forward
to the time when post-school health records will be compulsory and every individual will have
to submit to a medical examination each year. For the purpose of carrying out this programme
we have the co-operation of the Vital Statistics Department, which sends us each mouth a list
of the babies born in Saanich. Each baby is then visited monthly and a record-card is kept
for this purpose until he is 2 years old, after which another record-card is used which lasts
until the child is 6 years. Upon entering school a third card is made out which lasts through
the years of school-life. In this way we hope in course of time to have these telling history-
cards to back up our arguments. in favour of preventive methods, for there will always be
people to educate. A boy or girl who has been properly looked after with regard to the simple
•defects, such as teeth, tonsils, sight, and hearing, during childhood will be our most effective
teacher in the days to come, more particularly if there is an available official record.
" Much attention has been given by the School Nurse to toothbrush drill, each child being
provided with a toothbrush at a nominal rate. This drill is not theoretically taught, as some
people appear to think; on the contrary, the nurse stands in front of a class, each child has
the toothbrush, the nurse instructs them by actual practical demonstration, placing the brush
in her mouth, brushing on all aspects with an up-and-down movement, taking two minutes.
The children have several practices at this game and are then examined. We attach great
importance to what we call the " rules of the health game," and children who come up to
standard are presented with honour-roll certificates at the end of the year.
" The Normal students have shown great enterprise in making health posters, the Department giving prizes for the best. Over 200 were put out for our inspection this year, all good,
not perhaps from a drawing or artistic point of view, but to the public-health mind it is encouraging to note the trend of thought of the present-day youth along health lines, and for this we
have first of all to thank our pioneer Public Health Nurses, and, secondly, the teachers, without
whose co-operation we could not advance very far. Q 8 British Columbia. 1924
" Since our last report we have taken photographs of man}7 phases of our work, which the
Department has had made into slides. These are a valuable asset iu giving an address to the
public. We have an additional nurse on the staff this year and hope to purchase another Ford
" The pre-school clinic is just in formation and we hope during the coming year to organize
" Many visitors from all parts of Canada and the States have called to see the Health
Centre during the past year and their remarks have been very gratifying.
"(Signed)    C. A. Lucas, R.N.,
Nurse Superintendent."
The policy adopted by the Provincial Government in the establishment of Provincial Laboratories has been more than justified by the results. The work is increasing by leaps and bounds,
and in a return made to a questionnaire we find that during the past year there were 107,004
examinations made, which is far in excess of many of the other figures quoted from other
points, and as far as population is concerned the highest on the per capita basis of any of the
offices reported.
The municipalities are appreciating the work and are more and more availing themselves
of the free service offered through these Provincial laboratories. 'The work has been confined
to the laboratories at Victoria and Vancouver, but with the growth of the work, the original
proposal, which I recommended two or three years ago, for the division of the Province into
districts with local laboratories is bearing fruit and a laboratory is being established in Kamloops. The laboratory is furnished and everything is ready to begin as soon as a man in charge
is installed. This laboratory will serve a very large territory, including the Tranquille Sanatorium, in the Interior of the Province, and we are reaching forward aud hoping to establish
next year another at Prince Rupert for the northern part of the Province.
In connection with laboratory-work, vaccines and antitoxins are sent out on request. There
were sent out 794 doses of typhoid vaccine, 16,930 points of smallpox vaccine, 4,666,000 units
of diphtheria antitoxin, 25 doses of toxin antitoxin, 22 packages Schick test, 18,000 units anti-
tetanic serum, 3 doses antimeningitis serum, 3 doses tuberculin serum, and 16 doses anti-
streptococcus serum, all distributed free.
I have to report in regard to the work carried on that it has been increasing from month
to month, and in the two clinics established we are receiving an average of about 200 new cases
a month. The work in connection with the education of the people has not been carried on to
the same extent as previously owing to the fact that our clinics are practically working to
their limit, but we have in addition made provision to general practitioners for treatment of
indigent cases in any part of the Province. We furnish the laboratory-work free, also furnish
the medicines to all physicians who .report their cases, whether the patients are indigent or not.
Our physicians in charge of the clinics are reporting that there is undoubtedly a diminution'
of the number of cases of venereal disease, more particularly syphilitic, and the actual benefits
will begin to show in a very few years when we are able to check the number of cases admitted
to our Insane Asylum in comparison with what they were at the time we began the treatment.
During the past year we have extended our tuberculosis campaign and as a result we are
able to report a continued improvement in the mortality list.
The Sanatorium at Tranquille has been taken over entirely by the Government and an
endeavour made to limit as far as possible the patients entering to those in which there is some
hope of at least an arrest of the disease. Provision is made for the care of tuberculosis patients
in local hospitals, which are obliged to provide 10 per cent, of their bed accommodation for
such cases. Our Public Health Nurses are trained in tuberculosis-work and are especially
instructed to report all suspected cases.
Axi appointment was made of a Travelling Diagnostician in Tuberculosis, who co-operates
with the members of the medical profession and addresses public bodies in all parts of the 15 Geo. 5 Board of Health. Q 9
Province, and also co-operates with the nurses and receives information from them in reference
to suspected cases which they have found.
In connection with the Inspector, arrangements were made for X-ray service and a portable
machine under the .charge of a technician from the Sanatorium was used. The results from
this have been very satisfactory. The Department has been commended both by the medical
profession and by the public for the steps that have been taken, and we are publishing in this
report a report from Dr. Lamb, our Inspector, which deals more specifically with his work.
We have to report a very satisfactory condition of affairs in this respect, more especially
as regards smallpox.
A year ago we were threatened with an epidemic owing to the fact that smallpox appeared
amongst the Indians. These people during the summer season are travelling up and down the
Coast engaged in berry-picking, hop-picking, and fishing, and a large number of cases developed.
This resulted in a great deal of trouble and expense, and we have during the past year carried
out a more drastic measure as regards vaccination of the Indians. It is their custom to hold
tribal meetings once or twice a year and we have attended these meetings with medical men
and insisted upon vaccinating them. The result has been that during the summer there has
been only one case of smallpox reported amongst the Indians.
Sporadic cases have appeared amongst the whites, but the type has been mild, with the
exception of two cases which caused us a great deal of worry, and they were both of a very
severe htemorrhoidic type and both died.
A table of infectious diseases reported during the year is incorporated in this report, and
in addition epidemics were reported as follows:—
Chicken-pox—Esquimalt Municipality, Trail,  and Trail District.
Influenza—Field, North Cowichan Municipality, and Shawnigan District.
Measles—Alberni District, Burnaby, Creston District, Cumberland, Enderby. Giscombe,
Matsqui Municipality, Michel, Nelson, New Denver' and District, Newlands, Penticton, Prince
George District, Salmon Arm, Saltspring Island, Sandon, Sooke and District, Trail, Trail District, Vancouver, Vancouver North Municipality, and Williams Lake.
Scarlet fever—Alberni District and Vancouver.
Smallpox—Vancouver.
Whooping-cough—Chilliwack, Creston District, North Cowichan Municipality, and Prince
George District.   .
Under the general work of the Department, we are concerned with the larger problems of
sanitation in regard to water-supplies, sewage-disposal systems, transportation, public buildings,
and more especially with logging and mining camps and the inspection of fish and fruit canneries. The report of the Chief Sanitary Inspector is encouraging with regard to this work.
There has been a marked improvement in the sanitation iu respect to the motor traffic.
The tourist traffic has nearly doubled over the previous year, but we have not had any
complaints of moment. The auto camps established are working very satisfactorily, and in
addition to these there have been established by the Forestry Department of the Government,
summer camping-places along the roads where provision is made for the casual "camper by a
camp-site being cleared, wood provided, fireplace built, aud proper sanitary conveniences installed.
These have not only lessened the possibility of forest fires from this source, but have added
greatly to the sanitary conditions where casual camps had been formed.
I would recommend that the Government continue to impress upon the municipalities and
individuals in charge of camps that our regulations must be observed to the letter, more
especially as the activity of the publicity groups throughout the Province is encouraging the
motor traffic, and the increase in this traffic has been remarkable.
There is included with this report the report of the medical inspection of the school-children
We are continuing to receive from the voluntary organizations an increased interest in the
work, more particularly from the AVomen's Institutes. This noble band of women seem to have
grasped the idea of prevention aud are insisting upon all the Acts administered by this Department being carried out to the letter. Q 10 British Columbia. 1924
They have, in addition to the work in connection with this Department, established a
Crippled Children's Fund, and we are pleased to say that during the past year thirty crippled
children who had been condemned to a lifelong handicap have been cured. They have managed
from small contributions to pay for all of this work, and in addition have set aside a substantial
sum of money as a nucleus for a Preventorium. Our climate lends itself more particularly for
the treatment of children suffering from tuberculosis, and British Columbia is to be congratulated upon the sound, earnest, helpful work that the women are doing. This is the greatest
evidence that we have of the fact that the education in health is being carried to the people
and that they are willingly learning.
The continued drop in the deaths of children under 1 year of age is extremely satisfactory.
British Columbia is the lowest amongst the Provinces and is one of the lowest in the world in
the rate of deaths per thousand.
Cemetery-sites approved:   Vancouver Masonic Cemetery and Grey Creek Cemetery.
Water-supplies approved: Duncan, Allenby and Copper Mountain, District of West Vancouver Extension, Grand Forks Extension, Rossland (repair and maintenance), and Vancouver
Sewage-disposal systems approved: "Trail Extension and Vancouver Extension.
The report of the Vital Statistics Branch-is appended, and the figures given show a very
satisfactory evidence of the satisfactory conditions of the general health of the people.
We have had an extremely busy year in the Vital Statistics Branch owing to the enforcement
of the " Chinese Immigration Act " and the enforced registration of all Chinese in the country.
In addition to this, the United States immigration laws have imposed conditions upon people
entering the United States which necessitates production of birth certificates for all.
We have been able to do all this work without any addition to our staff, and I would like
to take this opportunity of calling to your attention the earnest co-operation which I have
received from every individual employed on the staff. They are much interested in their work,
and the fact that we are continually up to date in all branches of the Department, in spite of
the great increase in the volume of business this year, is indicative of their whole-hearted cooperation.    •
I also wish, on behalf of the staff and myself, to express our feeling of great satisfaction
in the encouragement which we have received from yourself, as Minister of the Department.
H. E. Young, M.D., CM.,
Provincial Health Officer. 15 Geo. 5
TABLE SHOWING RETURNS OP CASES OP CONTAGIOUS DISEASES IN THE PROVINCE.
■§.£
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TABLE  SHOWING RETURNS  OF  CASES OF CONTAGIOUS DISEASES IN  THE
PROVINCE—Continued.
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Vancouver, North (Municipality) ....
Vancouver, North (District)
' 15 Geo. 5 Board of Health. Q 13
fl. E. Young, M.D., CM., LL.D.,
Sir,—I have the honour to submit herewith my Fourteenth Annual Report on Sanitary
The work of this branch of your Department is chiefly centred in the inspection of watershed
areas, industrial camps, food-canneries, and unincorporated towns.
The sanitary protection of watersheds supplying more than half of the total population of
British Columbia has thus far been accomplished through the drastic regulations formulated by
your Board, and enforced by resident Inspectors under the supervision of the writer and the.
valuable and active co-operation of Dr. F. T. Underhill, F.R.C.S., D.P.H., F.R.S.I., M.O.H for
the City of Vancouver. Every one acknowledges that the power of the Empire is in " the
silent navy," but few people are aware that locally our future is in the sustained purity of
our water-supplies, silently though' zealously guarded by our Health Officers.
During the year just closing we have been called upon to take protective action regarding
water sources at Williams Lake, Gambier Island, Valdes Island, and several summer resorts.
The past year has been a busy one in suppressing nuisances. Whilst in no case have we
been compelled to resort to the Courts, many complicated problems have been dealt with and
a few are still under consideration. The most serious have been in connection with slaughterhouses and fertilizing-factories. In nearly every instance it has been brought into existence
through ignorance of the fact that it is necessary to obtain an approval permit from the Provincial Board of Health for the location of any obnoxious trade plant or factory.
Industrial Camps.
In the matter of sanitary camps for our industrial workers in unorganized parts of our
Province, British Columbia stands pre-eminently the best on this continent, if not in the world.
This fact accounts in a great measure for the industrial peace in British Columbia during the
There is no comparison between to-day's camps and the conditions prevailing some ten or
twelve years ago. This has been accomplished chiefly by the framing of regulations for the
sanitary control of industrial camps formulated in such an elastic manner as to fit the various
climatic and topographic conditions of this Province. To these have been added the assent
and co-operation of 95 per cent, of employers and employees, with the result that what was
regarded as an idle dream a few years ago is to-day an accomplished fact. In many of our
larger industrial camps the living accommodation for employees is superior to the ordinary
In the matter of canned or preserved food British Columbia is rapidly forging ahead. For
more than a quarter of a century British Columbia salmon has been famous in the greatest
markets of the world for its flavour and general quality. British Columbia fruit now bids --fair
to achieve the same favour in the public eye, and it is predicted that within a few years Vancouver Island will be famed for its loganberry wine, a local product which has leaped into
favour as a beverage and healthful tonic. It is produced under the most hygiene conditions and
the supply at present is said to be under the demand. Q 14 British Columbia. 1924
In no other Canadian Province has Nature been so lavish in its distribution of seaside playgrounds. It is estimated that one-half of our population live in the open for several months
during the summer; in addition to this, an ever-increasing number of visitors from the Prairies
and Southern tourists.
Seaside camps and resorts are nearly all located along the shores of unincorporated territory.
The sanitary supervision of these places occupies an important part of the work of this Department.
To measure the summer camp in its value to health would be an impossible task, and it
is gratifying to be able to report that in every camp visited your officers are met with courtesy
and co-operation in any action to better the general sanitary welfare. The darkest cloud on the
horizon at these places is the matter of water-supply. In many places it is inadequate and very
often its purity is under suspicion; thus the pleasure and peace of mind of parents and guardians
is often spoilt, and we are constantly being asked to investigate.
To make a survey, take samples, and dispatch them to the laboratory means not so much
work as the time involved before the analysis can be made known to the parties vitally interested.
To remedy this it is proposed to have a portable bacteriological water-testing outfit for field
use, so that at every summer camp or village the residents may have definite and frequent firsthand knowledge as to the purity or pollution of their drinking-water. This will give them a
sense of protection not hitherto enjoyed, and for the Department it will enable us to take preventive measures where there are any signs of typhoid or other serious pollution.
The general field of this branch of the Provincial Health Service has been beyond the
average in activity, owing to the prevalence of periodic yet isolated outbreaks of mild smallpox
and other contagious diseases in widely scattered parts of British Columbia.
Fortunately the departmental equipment for the work is better and more complete than ever
before and accounts in a great measure for the absence of any serious or continued contagious
outbreak in our extensive unorganized territory.
The distribution of printed departmental health propaganda is an important factor towards
the excellent health conditions now prevailing.
During the year just closing there have been 283 visits of inspection made to industrial
Nuisances abated      11
Water-supply systems investigated       3
Slaughter-house permits granted        2
Public cemeteries approved of       2
Canning and food-preparing plants visited      32
TRAVELLING MEDICAL HEALTH OFFICER'S REPORT.
Victoria, B.C., July 31st, 1924.
To the Honourable J. D. MacLean, M.D.,
Sir,—I have the honour to submit for your consideration the following report of work done
by me as Travelling Medical Health Officer for the Province. This report will cover my first
Following circular letter seut out by you to all the doctors in the Province with whom I
would come in contact, advising them of my appointment and requesting their hearty co-operation,
I notified each doctor the time of my visit a few days in advance. At the same time I got in
touch with some local organizations, through the secretary, requesting that a_ meeting be arranged
for me, either public or for their members (the former preferred), under the auspices of their
society, at which I might discuss " some of the tubercular problems of the day." 15 Geo. 5 Board of Health. Q 15
As this year my work was more or less preliminary in nature, I thought it best to call on
each doctor personally in order to explain the purposes of our ;work. I also saw any cases
referred to me by the family physician in doctor's office or in the patient's home.
In carrying out this plan I have visited eighty-three different towns and villages and called
on 146 different doctors.
Many of these towns I have visited a second time, such as those in the Okanagan and Fraser
Valley, also Nelson and Cranbrook, in the "Kootenays. In a few instances I have made three
The same applies to visits to doctors. As all my work is done directly through the family
physicians, a second call in a town means a second call on the doctor, and I must say that in
practically every instance I have had the hearty co-operation of the medical men in my work.
In addition to the clinical end, they frequently attended my public meetings, often one acting
as chairman, and in towns where no other organization existed the local Medical Health Officer
would arrange meetings for me.
In nearly every instance in which I visited a town for the second or third time there was
an increase in number of cases referred to me. In Penticton, where I made my headquarters
for the winter months and where I spent most of my week-ends during that time, there were
new cases being continually referred to me. In other towns in the Okanagan as well as in
the Fraser Valley the same condition obtained. This tends to show the possibilities of the
The Educational End of the Work.
In all, I have given eighty addresses, mostly open to the public; but a few for members
of organizations only. Forty-four of these, all public, were under the auspices of the local
Women's Institutes; three, Rotary Club luncheons; four, nurses in training; five, the pupils
of the Entrance and High School classes. The balance, twenty-four in number, under a variety
of auspices, such as the K. of P., I.O.O.F., First-aid and Home-nursing classes, Local Council
of Women, Women's Canadian Clubs, People's Forum, Board of Trade, and in a number of
instances meetings arranged by local doctors, usually the Medical Health Officer for district.
I had some difficulty at first in arranging meetings through Women's Institutes at time
requested until I was asked to meet with the District Conference of Women's Institutes in
Vancouver and Nelson, but after explaining our work to them and asking for their co-operation
this has been a very satisfactory method.
The numbers attending these meetings varied from nine to 200, most meetings ranging from
fifteen to eighty.   The average would probably be about forty.
The meeting at which there were 200 present was a unique experience. It was in a small
inland mining town where I had hardly hoped to have a meeting at all. On arrival I found
that no arrangement had been made for a meeting, but that one of the churches was giving a
concert by local talent in the theatre. I asked and was granted permission to address the
audience at the close of the concert. In spite of the fact that the hour was late and the programme rather lengthy, they permitted me a good half-hour and scarcely anybody left the
At Smithers it was arranged that I should give a talk between films of a picture-show.
In every town where there were nurses in training I either gave a talk specially, or personally interviewed the matron of the hospital and had as many of the student nurses as possible
attend the public meeting. As already mentioned, I gave addresses to four classes of nurses
I have seen and examined 240 persons in consultation with their family physicians. Of
these, I have classed 114 as positively tubercular, thirty-two as suspects, and ninety-four as non-
Of the 114 positive eases, there were conditions varying from the incipient to far advanced.
Some of these cases are already on the cure, while others have been so far restored to health
as to be following their regular vocations. In many of these there was no question of diagnosis,
but advice was sought as to how they should carry on the cure, the amount of rest, exercise, etc.
The thirty-two suspects are largely made up of children of varying ages, many of them
of tubercular parentage, with some suggestive symptoms or signs, but nothing very definite;
others being adults with probably a very suggestive history and symptoms, but no definite
physical signs made out. This is the class of cases in which flouroscopic examination and X-ray plates may be a
great aid in bringing one to a definite conclusion.
The ninety-four classed as non-tubercular represents a variety of conditions, including two
cases, seen within a few days of each other,'of very probable malignant conditions of the chest, a
rather rare condition. The comparatively large number of non-tubercular cases out of the total
is some indication of interest taken in the clinical part of the work by doctors and laity alike.
Although I have not collected any exact data on the matter except in the last two months,
one is struck by the preponderance of cases who developed the disease outside the Province
and came here on account of their condition. This is particularly the case in the Interior of
British Columbia. These cases come mostly from the British Isles and the Eastern or Middle
Western Provinces. Many of these are carrying on very satisfactorily and making good progress
toward an arrested condition if not actual cure. Others, not doing so well, I have had the
pleasure of seeing put on the cure with resultant improvement in their condition. This tends
to strengthen one's belief in the climatic factor in the cure.
There is not as many of the above classes of cases coming to our Province to-day as formerly,
however, especially of advanced cases, due to the more prevalent belief that tuberculosis can
be treated satisfactorily in any climate, and that the worst place is away from home and friends,
especially if financial conditions are not adequate to compensate for loss of these.
Most of the smaller places are, of course, without any X-ray facilities. In the larger towns
the equipment varies from the old type of machine to the most modern, and results attained
in chest-work particularly depend upon a modern type of machine and also on the experience
of the operator. It is highly gratifying to see the doctors working away even while handicapped
in this way, and while the results are rather indifferent in many cases, there will no doubt be
Improvement as experience increases. To give encouragement in this work, and at the same
time to assist me in clearing up some diagnosis, you were good enough to gra.nt me permission
to have Mr. Lothian, X-ray technician from Tranquille, to accompany me on a trip through the
We visited Vernon, Kelowna, and Penticton, taking some X-ray pictures in each place and
going over with the doctors the difficulties they were having. We spent about ten days over
this, which seemed to be much appreciated by the doctors. I think the results were such as
would justify us in continuing the work in the future.
At the instance of your Department I have officially inspected six hospitals. In addition
to that, I visit hospitals in each town, generally going over them in more or less detail.
As far as I am aware—in fact. Dr. Wodehouse so informed me—British Columbia is the only
Province in which travelling clinicians visit the doctors personally. In all other instances the
clinics are held at)hospitals or some other public place arranged for. This latter is the method
I had proposed following after my first year, but present plan has been so satisfactory, both
to the doctors and myself, that I feel that it is best to continue it for the next year at least.
I very frequently hear complaints from the doctors that while we are advocating early
diagnosis and treatment, it is very often impossible to get cases in the Sanatorium when
diagnosed, particularly female patients. While accommodation for that class has been more
than doubled in the last two years, it still seems inadequate to present needs. I make it a
point iu these cases to impress upon the doctors, as well as Hospital Boards, that the General
Hospital is the place where those cases should be sent until they can be received into the
Sanatorium, and that it is the duty of the Public Hospital Board to provide accommodation for
advanced cases, and thus save Sanatorium beds for incipient or less advanced cases in which
there is hope of arrestment or cures.
I should like to see a survey of school-children in the Interior of British Columbia, some
part of the Dry Belt, to see if there is the same proportion of infection among children as in
other parts, such as was done under your direction in South Vancouver last year.
Amongst the greatest difficulties in the extension of preventive measures I believe to be the
dread of the patient being pronounced tubercular, and also the altogether inadequate instruction
by both doctors and nurses to their patients iu the methods of prevention of infection of others.
Allow me to extend my very hearty thanks to the doctors, to the Women's Institutes, and
all other organizations who have in many ways contributed to any success I may have attained.
A. S. Lamb, M.D. 15 Geo. 5 Board of Health. Q 17
Sir,—Herewith I beg leave to hand you the Thirteenth Annual Report of the Medical
In making my report of the medical inspection of the schools, I am conscious of the fact
that a study of the tables submitted would indicate a condition that was serious if it were hot
that a comparison with other years and with the reports that are being made to the Department
shows that a great advance is being made in the correction of the defects which are found by
the medical inspectors.
I would like to note that from year to year the interest taken by the Medical Inspectors
in their work has increased very markedly, and they are endeavouring to impress upon the
parents the fact that these examinations are not simply carried out in a perfunctory manner,
and that they are endeavouring to have the parents correct the defects that have been found.
The letters that we are receiving from the parents in regard to this work is evidence of
the interest that is being taken, and the people are insisting upon the work being carried out
by the Medical Inspectors in a way that will acquaint them with present conditions, and are
also insisting that means be provided whereby preventive measures can be taken.
This is especially true in regard to the dental branch of our work, and I would like to
acknowledge here the great interest that is being manifested by the dental profession in their
efforts to co-operate with the Department.
The dental defects existing among the children in British Columbia are appalling, and if
it were not for the fact that our reports show such a splendid effort being made to cope with
this trouble the situation would appear hopeless. As it is, we are gradually extending the
establishment of dental clinics in different parts of the Province, more especially where our
Public Health Nurses are established, and we have been able to give financial assistance to
some extent where our nurses reported total inability on the part of the parents to provide
Our nurses are very much alive to the work and are able to demonstrate to the school
authorities that a concerted effort results in the work being done at a very low financial cost.
In fact, where the clinics are established our work is practically on a self-supporting basis, and
we find that the average cost of treatment when the work is carried on in groups is about $3.30
The importance of the work is very great and the results obtained are so marked that once
the work has been started in a district the people insist that it be continued. The first work
is always the greatest, as all the dental defects in the child have to be attended to, but the year
following it is a simple matter to deal with the new cases as they arise.
In addition to the medical inspection, we find that the complaints in regard to the sanitary
conditions are a rarity, whereas in the past we continually were being importuned to impress
Boards of Trustees with an insistence that would necessitate their observing the terms of the
" Public Health Act."
School trustees in British Columbia are very earnest people, and are endeavouring to obtain
information so that they ntay be in a position to give the very best attention they can to the
children, and they are beginning to realize that the enormous cost of education is due to the
fact that the money expended is spent by way of an investment, because it is realized that the
educated citizen is the best citizen, and they recognize also that it is very poor business policy
to spend money on educating a school population, one-third of whom are, reports show, suffering
from physical defects that in after-life will prevent any return on the investment that is made
The people are beginning to realize that it is useless to spend money in educating children
who are physically defective, and we feel that in the progress made in the work of the medical
2 Q 18 British Columbia. 1924
inspection of the school-children of British Columbia we are well to the front, and, what is more
to the point, are achieving results that in the future will mean much to the generation that is
growing up by way of national wealth which a healthy population will be able to produce.
Medical Inspectors: 157.
Reports from Medical Inspectors: 139.
High   Schools.
High Schools.  1922-23, 61:   Reported, 27; not reported, 34.   1923-24, 59:   Reported, 27; not
reported, 32.
Pupils inspected:   1922-23, 4,783; 1923-24, 5,551, an increase of 768.
Cities. 1922-23, 35 : Reported, 26; not reported, 9.  1923-24, 33 :  Reported, 26; not reported, 7.
Pupils inspected:  1922-23, 32,181; 1923-24, 32,475, an increase of 294.
Municipalities.   1922-23, 27;   Reported, 20; not reported, 7.   1923-24, 27:   Reported, 24; not
reported, 3.
Pupils inspected: 1922-23, 21,103; 1923-24, 24,856, an increase of 3,753.
Schools inspected: 1922-23, 540, at a cost of $12,364; 1923-24, 561, at a cost of $12,687.25.
Schools not inspected:   1922-23, 149; 1923-24, 150.
Pupils inspected:   1922-23, 14,080; 1923-24, 14,6S7, an increase of 607.
Cost of inspection per pupil:   1922-23, 87 cents; 1923-24, 86 cents.
Percentage of defects:    1922-23, 110.35; 1923-24, 107.56, a decrease of 2.79.  Q 20
cz   .
Zi  CD
&>.£
CD .iS
CJ £3
CJ T7
oj 'ca
T. A. Swift. ...
G. deB. Watson
M. G. Archibald ...
Miss M. J. Woods .
Vancoaver:
G. E. L. MacKinnon .
7 15 Geo. 5
oj"7:
fc. TJ
Measles, 2; tonsillitis, 1;
endocarditis,   1;    hay
Cardiac,    2;    seborrhcea,   8;
blepharitis, 1
sanitary; otherwise closets
adequate    and
German measles, 1; scarlet fever, 3
Not crowded ; ventilation and heating average
Rooms   overcrowded
Chorea, 1; cardiac, 1; flat feet,
3; anaemia, 3; chronic bronchitis, 2; curvature of spine,
2; sq. eczema, 1
Epidemic of measles and
sanitary;   adequate; efficient.
Measles, 4 ; scarlet fever,
1; whooping-cough, 1
Scarlet fever ;   measles ;
Hand amputated, 1; lame, 1;
stammers,   1;   nervous,   1;
V.D.H., 8 ; irregular heart, 1..
Orthopaedic,  10;   cardiac,  18 ;
pulmonary, 2; anaemia, 2
Modern; O. K
Nervous,   1;   pulmonary,   45 ;
cardiac, 1; orthopaedic, 7.
Pulmonary,   19;   cardiac,   4 ;
Dermatitis, 1; polypus nose, 1
100% inadequate.
Measles, 8; scarlet fever,
2 ; smallpox, 3 ; chicken-pox, 1
Measles, 8 ; scarlet fever,
16; smallpox, 5; chicken-pox, 1
Scarlet fever, 8 ;  smallpox, 1
Measles,4;scarletfever, 5
Vaccinated,  18S ;   cardiac,   1 ;
Measles, 1; scarlet fever, 2
ventilated    and
Adequate;   satisfactory.
Chicken-pox, 2; vaccinations, 21; smallpox, 3;
scarlet fever, 1 ; measles, 4
1 Q 22
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t ti)
(y ™
Miss Jeffares
Miss McClung ....
Miss M. J. Woods.
Drs.   Thorn,   Coghlin,   and
381 15 Geo. 5
Cardiac, 3 ; kyphosis,  3 ; nerv
ous, 3 ; hernia, 1 ; chorea, 1
Chorea, 2; valvular heart, 2.
Pulmonary, 2; cardiac, 4; nerv-
ous, 10; cleft palate, 2; infantile paralysis, 2
Chorea, 5; cardiac, 7; flat feet, 8
anaemia, 21; chr. bronchitis.
18; curvature of spine, 7; de
formed feet, 3; sq. eczema, 7
Cardiac, 4; orthopaedic defects,5
Cough, 1; nervous, 1; ana3mia,4
Symptoms of anemia, 31; spinal
defect, 2; bronchitis, 2; asthma^; bothlegsamputated,l;
lame, 2; serious nervous con
dition, 2; heart defect, 1
cleft palate, 1; tubercular
glands, 1; chronic kidney, 1;
face paralysis, 1
Heart, 1; nervous, 1; dull, 1;
stutters, 1; peculiar walk, 2
ansemia, 4
Asthma, 1; eczema, 1; rheuma
tism, 1; anaemia, 5
Chorea, 1; V.D.H., 4; irregular
V.D. H., 5; intermittent heart, 1
Orthopaedic,  29; cardiac,   35
pulmonary,   8;   anaemia   5
chorea, 4
Orthopa-dic,   21;   cardiac,   19
pulmonary,   4 ;   chorea,   3
anaemia, 3
Orthopaedic,   19;   cardiac, 14
pulmonary, 5; chorea, 3
Orthopaedic,   19;   cardiac,   25
pulmonary,   5;   chorea,   1
Anaemia, 3; blepharitis, 1
Funnel chest, 1 ; deformed elbow, 1; blepharitis, 10; irregular pupil, I; uvula absent, 3
7   Right leg atrophy, 1 .
Cardiac, 1; acne, 3; jaundice, 4
Cardiac, 3; orthopaedic, 5; jaundice, 40
Cardiac, 16; anaemia, 14; cleft
palate, 1; eczema, 4
Diphtheria, scarlet fever,
measles, whooping-
cough, chicken-pox,
Measles, 23
Rooms  fairly well
Satisfactory .,.
Scarlet fever, 8 ; whooping-cough, 3
Measles, 75; scarlet fever,
6 ; whooping-cough, 5 ;
Typhoid, 1; measles, 80;
chicken-pox, 4; scarlet
fever, 9; smallpox, 3;
mumps, 1; whooping-
Measles, 65; chicken-pox,
7; smallpox, 1; whooping-cough, 6
Measles, 29; scarlet fever,
3; whooping-cough, 2
Smallpox, 14; scarlet
fever, 18; chicken-pox,
' 44; typhoid, 2; measles,
Measles  and  whooping-
Scarlet fever and chicken-pox
Scarlet fever and chick-
Measles, 1; scarlet fever,
15; chicken-pox, 6
except awnings
needed on sunny
side of some
Heating   good ;
Heatinggood; ven
tilation fair
Overcrowded; two
classes in attic,
Ventilation poor.
Modern; brick.
Indoor flush ;
sanitary; adequate; efficient.
Adequate; fair.
Modern; good.
Yes. Q 24
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Trail—Continued.
Trail, East
Beaconsfleld
Henry Hudson.,
Livingstone   ...
Drs.   Thorn,    Coghlin,   and
V. B. Stevens...
M. D. Schultz...
M. K. Cruickshank
M. D. Schultz ....
V. B. Stevens..
M. B. Schultz ,
Cardiac, 4 ; anaemia, 4 ; orthopaedic, 7
Vaccinated ,  183;   cardiac,   2 ;
Vaccinated,   264 ;   cardiac, 5 ;
pulmonary, 5
Vaccinated,   161;   cardiac,   1 ;
Vaccinated, 107 ; pulmonary, 2
Vaccinated,  22 ;  pulmonary, 2
Vaccinated,  271;   cardiac,   3;
Vaccinated, 452; pulmonary,
Vaccinated, 147 ; pulmonary, 1
Vaccinated, 124 ; pulmonary, 3
Vaccinated, 122 ; cardiac, 1.
Vaccinated, 182 ; cardiac, 3.
Vaccinated, 270 ; cardiac, 3.
Vaccinated,   229;   cardiac,  1
Vaccinated, 36 ; cardiac, 1.
Vaccinated, 243
Vaccinated, 313 ; cardiac, 2.
Vaccinated, 195 ; cardiac, 1.
Vaccinated, 142 ; pulmonary, 2
Vaccinated, 123; cardiac, 1.
Measles, 54; scarlet fever,
12 ; chicken -pox, 2 ;
diphtheria, 3
Measles, 59; scarlet fever,
21; smallpox, 4; diphtheria, 2;chicken-pox,5
Measles, 81; scarlet fever,
10; chicken-pox, 2 ;
Measles, 23; scarlet fever,
20;diphtheria, 20;
diphtheria carriers, 16;
smallpox, 1; chicken-
pox, 2 ; whooping-
Measles, 2; scarlet fever, 4
Measles, 76; scarlet fever,
8 ; diphtheria, 7 ; diphtheria carriers, 9;
smallpox, 2 ; chicken-
pox, 21
Measles, 49; scarlet fever,
52 ; smallpox, 2 ; diphtheria, 8 ; diphtheria
carriers, 7 ; chicken-
pox, 13 ; whooping-
cough, 4 ; mumps, 2
Measles, 32; scarlet fever,
7 ; smallpox, 3; diphtheria, 5 ; diphtheria
carriers, 7; chicken-
14 ; smallpox, 4 ; diphtheria, 1 ; diphtheria
carriers, 3; chicken-
pox, 1 ; whooping-
Measles, 15; scarlet fever,
6; smallpox, 1; diphtheria, 2;chicken-pox,5
Measles, 82;scarlet fever,
9 ; smallpox, 2 ; diphtheria, 5 ; diphtheria
carriers, 2 ; chicken-
pox, 12
Measles, 135; scarlet fever, 26 ; diphtheria, 4;
Measles, 60; scarlet fever,
14; diphtheria, 3; diphtheria carrier, 1
Diphtheria, 2
Measles, 67; scarlet fever,
43; smallpox, 5; diphtheria, 1; chicken-pox,
Measles, 91; scarlet fever,
29; smallpox, 7; chicken-pox, 6 ; whooping-
cough, 5 ; mumps, 3
Measles, 64; scarlet fever,
11 ; smallpox, 1; diphtheria, 1; chicken-pox,
21; whooping-cough, 1;
mumps, 8
Measles, 30; scarlet fever,
2 ; smallpox, 1 ; diphtheria, 2; chicken-pox,
2; whooping-cough, 9
3 ; smallpox, 1 ; diphtheria, 1 ; diphtheria
carrier, 1 ; chicken-
pox, 6 Q 26
iS  CD
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-   HH
Vancouver—Co ntinued.
Florence Nightingale .     ,
M. A. McLellan...
E. J. Herbert    ,
20 15 Geo. 5
Vaccinated,   267 ;   cardiac,  3;
Vaccinated, 186 ; cardiac, 1.
Vaccinated,  342;   cardiac,   4
Vaccinated,   294;  cardiac,   4
Vaccinated, 188 ; pulmonary, 1
Vaccinated, 498 ; pulmonary, 5
Vaccinated, 163 ; cardiac, 2.
Vaccinated,  343;   cardiac,   1
pulmonary, 10
Vaccinated,   829;   cardiac,
Vaccinated,   200;   cardiac,   3
Heart murmur, 8.
Asthma, 1; nervous, 3 .
Cardiac, 2; dwarf, 1; infantile
Cardiac, 2 ; pulmonary, 1; impediment in speech, 2; club
foot, 1; curvature of chest, 1;
Cardiac, 1; infantile paralysis, 1
Nervous, 1; pigeon breast, 1;
protuberance, 1
Depressed sternum, 1
Malformation of right ear, 1;
strabismus, 1; abscess of
middle ear, 1
Nervous, 2 ; cardiac, 2 ; ortho-
iffldic, 1; conjunctivitis, 1
Cardiac, 1; infantile paralysis,
1; paraplegia, 1; flat chest, 1
Measles, 56; scarlet fever,
10 ; smallpox, 4 ; diphtheria, 1; diphtheria
pox, 3 ; whooping-
Measles, 19; scarlet fever,
15 ; smallpox, 10; diphtheria, 2; chicken-pox,
Measles, 77; scarletfever,
25; whooping-cough, 1;
diphtheria, 2; diphtheria carriers, 2
Measles, 46; scarlet fever,
7; mumps, 2 ; diphtheria, 18 ; diphtheria
carriers, 27; chicken'
pox, 3 ; whooping
Measles, 63; scarlet fever.
12 ; smallpox, 2 ; diph
theria, 6 ; chicken
pox, 7
Measles, 139 ; scarlet fever, 28; chicken-pox, 11;
mumps, 1; diphtheria,
6; diphtheria carriers
2; whooping-cough, 6
8 ; whooping-cough, 1
Measles, 92; scarlet fever,
13 ; smallpox, 2; diph'
theria, 2; diphtheria
carriers, 2
Measles, 88; scarlet fever,
2 ; smallpox, 1; diphtheria, 8 ; diphtheria
carriers, 4 ; chicken-
pox, 1; mumps, 1
Measles, 89; scarlet fever.
4 ; smallpox, 1 ; chick
en-pox, 2 ; mumps, 1
Scarletfever, 3; measles, 1
Scarletfever, 5; measles, 2
Scarletfever, 5
Scarlet fever, 8; measles,
Scarletfever, 2; measles, 4
Scarlet fever, 3 .
Scarlet fever, 1 .
For an old building fairly satisfactory
An old school but
An old building;
heating good but
ventilation not
Clean; adequate. Q 28
^■6
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qj   -_
RURAL  MUNICIPAL
Edmonds Street   ..
Gilmore Avenue .
Inman Avenue..
Kingsway, East.
Kingsway, West ..
Nelson Avenue ...
Riverway, East...
Schou Street ..
Sperling Avenue..
East Chilliwack...
Fairfield Island ...
Parson's Hill .   ...
Promontory Flats
G. de B. Watsou .
0. de B. Watson .
G. de B. Watson .
R. McCaffrey .
R. McCaffrey ....
*C. Henderson .
W. Arhuckle
tt} ua
Cardiac, 2 ; deformed chest, 4 ;
paraplegia, 1; pulmonary, 3
Paraplegia, 2
Pulmonary, 2; cardiac, 3
Nervous, 1; cardiac, 2 ; orthopaedic, 1
Deformed ribs, 1; ottis media, 1
Cardiac, 1;  nervous, 1; chest,
1; deformed arm, 1
Scarletfever, 5; measles, 9
Scarletfever, 1; measles, 2
Scarlet fever, 10
Scarletfever,10; measles,
dull and not too
cheerful; heating and ventilation good
heating and ventilation fair
Wax in ears, 1.
Cardiac, 2; rhinitis, 4; seborrhea, 5
Unclean lin ess, 2 ; bronchial
catarrh, 1; wax in ears, 2
Seborrhea, 1; uncleanliness, 2;
bronchial catarrh, 3; heart
trouble, 5; strabismus, 6;
discharging ears, 1; wax in
ears, 3; rhinitis, 2; thickened
nasal septum, 1
Cardiac, 8; rhinitis, 9; anaemia,
2; seborrhea, 24 ; blepharitis,
Rhinitis, 2
Cardiac, 2; nervous, 3; rhinitis,
2 ; seborrhoea, 1; deformities,
3; alopecia, 1
Heart trouble, 1;  discharging
ears,   1;    wax   in   ears,   3;
rhinitis, 1;  thickened nasal
Cardiac,   6;    seborrhea,   13;
Bronchial catarrh, 1; rhinitis, 1
Uncleanliness, 1; bronchial
catarrh, 1; strabismus, 1 ;
rhinitis, 1
Cardiac, 1; seborrhea, 3
Blepharitis, 2 ; asthma, 1
Uncleanliness, i; pulmonary, 1;
strabismus, 1; cleft palate, 1
Blepharitis, 1; rhinitis, 1
Smallpox, 1; mumps, 10.
Chicken-pox, 1; measles,
96 ; scarlet fever, 7;
diphtheria, 6
Scarlet fever, 7; mumps,
6; diphtheria, 5; smallpox,  12;   epidemic of
Scarlet fever,  2;   diphtheria, 2; mumps, 4
Measles, 12; scarletfever,
3; mumps, 1
Scarlet fever, 1; mumps,
-   10; measles epidemic
Chicken-pox, 2; measles,
40; scarlet fever, 6
Mumps, 40
Mumps, 2; scarletfever, 1
Measles,6; scarletfever, 2
Measles, 27; chicken-
pox, 8
Measles, 20; chicken-
Four clean.
Two clean. Q 30
0) fe.
+4<2
y* qj
a>'£
*QJ qj
Coquitlam—Continued.
Coquitlam, East...
Lampson Street ...
Glenmore .
Lang-ley :
Belmont    .
Langley, West
jYlilner
Alex. Robinson ....
Webster's Corners .
Mount Lehman....
Stave River Gardens .
Monterey Avenue...
H. B. Rogers.
J. S. McCallum.
P. S. McCaffrey,
G. Morse .
R. H. Port .
.1. N. Taylor.
Miss I. Jeffares .
Miss Morrison .
Miss McClung .
43 15 Geo. 5                                           Board ob7 Health.
SCHOOLS—Continued^
t> ja
poorly ventilated,    poorly
heated,  etc.
Clean ; adequate,
Good; sanitary.
Needs repairing ..
Not crowded; good
ventilation Seating satisfactory
Cardiac, 2 ; infantile paralysis,
1; Erb's palsy, 1
Amputated  leg,  1;   dwarf, 1;
chr. bronchitis, 2; anjemia, 4
Chicken-pox, 15; scarlet
Remarkably   free    from
Crowded ; poor...
Measles, 4; chicken-pox, 5
Neurasthenic, 1; bronchitis, 1.
Influenza, 2; measles, 2;
Crowded; poor
Excellent; no overcrowd! ng; ventilation   is good
are left open, but
had when   they
are closed. Heating satisfactory
Smallpox ; scarlet fever;
• Q 32
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i4   QJ
QJ   --
Oak Bay—Continued.
Peaehland:
Penticton :
Ellis and Senator Shatford
Lord Kitchener   .
Prince of W7ales Annex
Tolmie Primary
Sumas, Upper
H. MacGregor   .
G. Morse ..
W. Dykes .
J. P. Vye.
A. E. McMicking..
F. W. Andrew.
Miss J. Hardy .
a       Acute Fevers which
if  crowded,      Closets.    State
QJ    •
|          during the Past
poorly venti-         lf <;lean fnd
lated, poorly     |      adequate.
QJ -4-j     rt s
OH |HO
Anaemia, 8; speech defect, 1;
orthopaedic, l
Smallpox; scarletfever;
Excellent; no
crowding; ventilation and heating very satisfactory
Measles, 35
Squint, 3; granulated lids, 3;
stammering, 1; hay fever, 1;
Measles, 188
asthma,   5;    bronchitis,   5;
cardiac,   5 ;   orthopaedic, 9 ;
jaundice,   27;    eczema,   4;
acne, 2 ; alopecia, 1
Pulmonary,   4;    cardiac,   31;
Measles,  53;   whooping-
cough, 5; scarlet fever,
1; chicken-pox, 1
Nervous,    1;   pulmonary,    2;
cardiac, 34 ; orthopaedic, 7 ;
Measles,  80;   whooping-
cough, 9; scarlet fever,
anaemia, 7
14;  chicken-pox, 10;
Cardiac,   20;    orthopaedic,   6;
Measles,   62;   whooping-
cough, 1; scarletfever,
3; chicken-pox, 1
Frame; ventilation
Pulmonary,   3;   cardiac,   28;
orthopaedic, 4 ; anaemia, 10
Measles,  68;   whooping-
cough, 10; diphtheria,
1;   scarlet  fever,   IS;
chicken-pox, 3 ; smallpox, 1
Mumps, 2 ;  measles, 91;
whooping - cough,   17 ;
orthopaedic, 10; anaemia, 8
scarlet fever, 8; diph
theria, 2; chicken-pox,
17; smallpox, 5
Nervous, 1 ; cardiac, 29 ; orthopedic, 6; antenna, 7
Mumps, 14 ; measles, 80 ;
scarlet fever, 6 ; chicken-pox, 1
Cardiac, 14; anaemia, I
Mumps, 1; measles, 34 ..
Frame ; O.K
Pulmonary, 3; cardiac, 55; orthopaedic, 5; anaemia, 7
Mumps, 1 ; measles, 80 ;
whooping - cough,   26 ;
pox, 10 ;  smallpox, 2 ;
Modern ;   crowded
Orthopaedic, 2 ; vaccinated, 25
Measles, 5; chicken -pox, 2
Orthopaedic, 3 ;  vaccinated,   34
Orthopaedic, 3 ; cretin, 1; vaccinated, 4
Chicken-pox, 4; measles,
2 ; scarlet fever, 2
Orthopaedic, 2 ;  vaccinated,  18
Vaccinated, 14
Orthopaedic, 2 ; vaccinated, 54.
Scarlet fever, 1 ,.
Diphtheria, 1; measles, 5;
scarletfever, 1 ; chick
en-pox, 1
Asthma, 1 ; systolic murmer at
Measles, smallpox
apex of heart, 2
Temporary     outhouses.
Nervous, 3; pulmonary, 1; car
Scarletfever ,
Eightrooms; mod
Sixteen; modern.
diac, 6; anaemia, 12
ern ;  frame and
concrete ; steam
heat Q 34
a> fe*
<; a)
CJ 2J
Grand View Heights .
Kensington Prairie ,
Westminster South .
Keith Lynn ..,
Lynn Valley...
Roche Point...
Vancouver, South:
Cham plain .
Connaughfc.
R. McBride.
G. A. Lamont ,
F. D. Sinclair.,
R. V. McCarley,
E. Bell .
136 15 Geo.
j'-ra
diac Disease,  etc.J.
cC  CC
CJ  id
Defective   palate,    1;    ampu
Measles ; scarlet fever ..
tated leg, 1; ptosis, 1
Measles ;  scarlet fever, 3
Measles; scarletfever...
Measles ; scarlet fever...
Defective    speech,    1 ;     hifid
Temporarv.
uvula, 1
Infantile   paralysis,   1 ;   facial
Satisfactory   ..
Deviated septum, 1
T.B., 1; chorea, 1; foreign hody
in ear, 1; systolic murmur, 1;
defective palate, 1; anajmia,
1; bronchitis, I
High arched palate, 1 ; chorea,
1; systolic, 1; conjunctivitis,
1; infantile paralysis, 1; bifid
Bronchitis, 2 ; orthopaedic, 1...
Measles; smallpox
Valv. heartdisease, 1; chorea, 1;
bronchitis, 1 ;   orthopaedic, 1
Measles ;   chicken - pox ;
whooping-congh
Diphtheria, 5; carriers, 7;
Pulmonary, 1; heart, 7; hernia,2
nasal throat swabs, 198;
home visits, 40; whoop
ing-cough, 1;  chicken-
pox, 9 ;   vaccinations,
fe9 ; smallpox, IS ; scar
let fever, 5; measles, 20
Pulmonary, 4; heart, 7; hernia, 7
Diphtheria,   1 ;   measles,
96; nasal throat swabs,
20;   home   visits,   46;
whooxiing - cough,     3 ;
chicken-pox,   4;   vaccinations, IS; smallpox,
1 ; scarlet fever, 20
Diphtheria,  1 ; measles,
15; nasal throat swabs,
Adequate ;   satis
23 ;   home    visits,   4 ;
whooping - cough,    2 ;
Home visits, 4 ; measles,
Diphtheria, 1 ; home visits, 1; mumps, 3 ; scar
Pulmonarv, 2 ; heart, 5
let fever, 1 ; whooping-
cough, 2; measles, 52
Vaccinations,  50 ; pulmonary,
2 ; heart, 2 ; hernia, 3
Diphtheria, 2 ; carrier, 1;
nasal throat swab, 1;
home visits, 16; smallpox, 3; scarlet fever, 1;
measles, 78
Vaccinations, 172; pulmonary,
3 ; heart, 11; hernia, 2
Diphtheria, 1; carrier, 1;
nasal throat swabs, 44;
home visits, 66; whoop
ing-cough, 8; chicken-
pox, 8 ;   smallpox, 14 ;
scarlet fever, 2; mea
sles, 98
Diphtheria, 2; carriers, 4;
nasal throat swabs, 50;
home visits,  39;
cough, 1; chicken-pox,
13 ;   scarlet fever,  8 ;
measles, 97 Q 3G
RURAL   MUNICIPAL
~J rj
QJ  >,
■!•-
o* .i
"3 oj
QJ   bC
~ .jo
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QJ .J.
«   CO
Vancouver, South-— Continued.
E. Edwards ,   ...
VV. Laishley
Vf. 11. Wood
A. L. Boggs   ....
C. S. Williams     .
J 15 Geo. 5
V, oj
OJ   •
Home visits, 19 ; whooping-cough, 4 ; measles,
Nasal throat swabs,  2 ;
home visits,  5 ;. measles, 60
Diphtheria, S; carriers, 8;
nasal   throat swabs,
359 ; home visits,   71;
mumps 1; chicken-pox,
11; smallpox, 1; scarlet
fever, 6 ; measles, 68
Home visits, 3 ; chicken-
pox, 1; vaccinations, 4;
smallpox,   2 ;    scarlet
fever, 3 ; measles, 63
Diphtheria, 1; carriers, 2;
nasal throat swabs, 36;
home visits, 76; whooping-cough, 4 ; chicken-
pox, 14 ; smallpox, 14 ;
scarlet fever, 5; measles, 26
Home visits, 22; chicken-
pox,  2 ;   smallpox,  5 ;
measles, 60
Diphtheria, 24 ; carriers,
16; nasal throat swabs,
696 ; home visits, 111 ;
whooping - cough,   4 ;
scarlet fever, 19; measles, 77
Adequate;   satis
Pulmonary, 2;   heart, 1;
Pu 1 m o n a r y, 2 ;   heart, 5 ;
hernia, 5
Pulmonary, 2 ; heart, 4
Vaccinations, 258 ; heart, 6
Pu 1 m o n a r y,  2 ;   heart, 1;
Adequate;   satis-
Adequate ;   satisfactory.
Heart, 2.    .
Heart, 10 ; nervous, 1
Quinsy, 1; measles, 2 ...
Good    ....
sanitary, otherwise closets ade-
quate and well
Two pits; four
Clean : adequate.
Scarlet fever, 6
Log building ; not
Onepit; two seats.
Chicken-pox, 7; measles,
Cardiac, 2; pulmonary, 2; flat-
chest, 3; anaemia, 6
Clean ; adequate. Q 38
oj t",
"5 "cd
<H   00
QJ   Q)
Q> .00
oj ■?
QJ   OC
OJ  £
C. M. Eaton
H. 11. Murphy
W. R. Stone    .
H. C. McKenzie
Miss Benvie
Miss A. L. Boggs
V. T. Stainer
Ed. Sheffield
p. E. Beech
II. H. Murphy
P. E. Coy
Bulkley, North
Bulkley, South
II. H. MacKenzie
14 15 Geo. 5
u -cc
.if  crowded,
Closets.     State
Impediment in speech, 1.   ...
Flat-chest, 1 ;  amemia, 1 ; car.
diac, 1; digestive, 1
Poor  lighting and
Two pits ; four
Ingoodcondition.
Filth v.
Smallpox ; measles
Div. IV. crowded .
Conjunctivitis, 6
Measles,20; scarlet fever,5
BoneT.B., 1
Cardiac, 1 ; defective speech, 1
Bronchitis, 1; fractured nose, 1
Poor windows ....
Good;  adequate.
Undeveloped organ, 1
Smallpox, 5; measles, 1.5;
Chicken-pox, 14
Excellent Clean ; adequate. Q 40
£■00
-ID   Cd
<S CC
Qi7-
>  Oil
cj -r.
"fH  oj
QJ  U
Cedar, East
Miss Bodenham...
EL H. Murphy
EL II. Murphy
J. B. Thorn
R. Zie'der
H. M. Watson
S E. M. Hoops
H. R. Maxwell
1 15 Geo. 5                                           Board op Health.
*r  QJ
60 >§
Other Conditions,  specify
Ample space ; well
Two flush; ten
One pit; one seat.
Two earth.
Two ; clean.
Measles, 11; chicken-pox,
Measles, 18
Satisfactory,    e x -
cept lighting
Crowded ;   poorly
Not crowded; unevenly   heated ;
Poor heating; ventilation   and
Cardiac,   3 ;   nervous,   3 ;   pulmonary, 1
Frame; good repair
Nervous, 2; anaomia, 1; nystagmus, 1
V.D.H., 1
Crowded at times;
fairly ventilated
Measles, 5
Newbuilding ready
Crowded and poorly ventilated
Chronic bronchitis, 1
Not clean or adequate.
Only one closet.
- Q 42
0)  r>i
o>.2 j cj a;   oj t-
H   OJ
Q^jQW   QM
Edgewater ..
Edgewood,..
Elk Bridge ..
Elk Valley ..
Elko ....'....
Elphinstone Bayr.
Enderby7, North .
Essington .......
Fort Fraser, North
Fort George, South.
Fort Steele........
Galiano, North .   ...
Ganges Harbour....
Gl.nemma
Grandview Bench.
Gray Creek.
Grindrod..,
F. E. Gov
J E. H. Kelso.,
VV. VV. Birdsall
B. C. Weldon. .
Miss O. K. Gawley
H. A. Christie .
W. E. Stone ...
W. J. Knox ...
G. B. Henderson.,
W. E. Henderson .
G. H. Kearney....
P. D. van Kleeck .
J. E. H. Kelso...,
G. A. Cheeseman .
VV. Truax
G. Bayfield
0. J. Willoughbv
F. Vere Agnevv , .
C. J. Willoughbv .
VV. R. Stone... T
\V. R. Stone
W. Laishley
11. H. MacKenzie .
H. N. Watson ....
Wm. Buchanan. ..
Paul VVhelan ,
H. H. Murphy ..
H. H. Keith....
W. W. Birdsall .
T. J. McPhee....
H. W. Keith'..
Miss Jeff ares ,
'  8
40 15 Geo. 5
ASSISTED' SCHOOLS—Continued.
QJ  %
-'.-£
Measles; variola, 1
Defective speech, 1; cardiac, 2
some whooping-cough
Cardiac,  1;   anyemia,  1;   flat-
Measles, 10
Fractured clavicle, 1
Anamiia, 3; growth on tongue, 1
Not   built  properly.
Fair lighting ....
Anamiia, 2; atrophy muscles,
right shoulder, 1; blepharitis,
3; uvula absent, 1
Orthopffidio defect, 1; cretin, 1
Measles and pleurisy
Adequate andgood
Epilepsy, 1; hernia, 1; eczema, 3
Asthma,  1;   markedly underweight, 3
Scarlet fever and measles
Cardiac, 2; pulmonary, 2 ; nervous, 2 ; anamiia, 2 ; acne, 2 ;
catarrh,  3 ;   pharyngitis,  5 ;
enuresis, 2; chronic nephritis,
2; hernia, 1; osteomyelitis,
1; blepharitis, 3
Measles,    13;     chicken-
Satisfactory ■   ....
Measles, 11; scarlet fever,
30 Q 44
Z  CD
cj fc*,
<M  CC
*QJ 3
QJ  «
QJ  t-
t. .-•
Heffley Creek, Upper
J   C. Elliot
H. VV. Keith
G. B. Henderson '....
F. E. Cov
Isabella Point    ....
E. M. Sutherland    ..
Joe Rich Valley
Kelowna, East
Kettle Vallev
G. H. Bleecker
Lackenbv
Lakelse Valley
3 15 Geo. 5
cj ,d
cjcr.
-*-* aj
Q)   QJ
a)   -
cj -i
Clean ; adequate..
Measles, 130; scarlet fever, 42; chicken-pox, 10
Low and somewhat crowded
Anamiic, 1; right arm amputated, 1
Measles, 30 ; scarlet fever,
One  needs   operation,   cannot
talk plainly, due to deafness
Good repair; satis-
Not crowded; ventilation good
Good; need drinking water
Cardiac, 1; rachitis, 1
Mentally defective, case is improving
Furunculosis, 1; stammer, 1 ..
Fairly clean and
ad equate.
Good, clean, sanitary and modern
Poor ;   not overcrowded
Nervousness, 3; chorea, 1; flat
feet, 2 ; cardiac, 1; deformed
feet or hands, 2; curvature
of   spine,   2;   chronic  bronchitis, 3
Epidemic  of   whooping-
cough, measles  and  8
cases scarlet fever
Measles  and fwhooping-
Scarletfever,3; measles,2
Measles and chicken-pox
... 1 Q 46
r^<d
f-l   QJ
cy >.
OJ      Q
"qj  S
4>.2
"5    .
cy cu
QJ  l.
D  .C
cjj i£
C. J. Willoughby ...
Miss Gawlev
I. JeiTares
J. B. Thom.
E. Felton.
R. (J. Weldon
W. .1. Knox
A. C. Nash .
G. Bavfield
T. If. McPhee
CJ    ■
ij, ■'-
Eczema, 1; cardiac, 1; asthma,
1; seborrhea, 1
Two pits ;   seven
Measles and smallpox ...
Overcrowded ;
Measles, whooping-cough
repair  and
Two pits ;   four
Measles, chicken-pox....
Epidemic of impetigo.. ,
Adequate ;  fairly
Unfinished;    temporary
Satisfactory ......
Building   overcrowded; unsafe;
Filthy; adequate.
Defective speech, 1; cardiac, 1,
orthopaedic, 1; blepharitis, 3 ;
dermatitis, 3 ; acute coryza, 1
Cardiac, 3;   acute coryza,   3;
orthopaedic,   3;  anamiia,   1 ;
blepharitis, 2; appendicitis, 1;
eczema, 2; cretin, 1
Influenza, measles, pertussis, pneumonia,
Influenza,  measles,  pertussis, pneumonia,
Orthopedic, 1; cardiac, 1
Chronic bronchitis, 2;   sq. eczema, 3
Adequate; san i-
Frame; poorrepair
Meibomian gland, 1
Frame; new
Measles, 13; pneumonia,
Measles, 27
Tonsillitis, 1; eczema, 1; green
stick fracture, 1; asthma, 1;
acute rheumatism,  1; acne,
1; nervous, 1; rupture, 1
Good;modern
frame ;   ventilation good ; hot-
Good; eight flush
Stammering, 1; orthopaedic, 1;
cardiac, 1;   anaemia,  4;   eczema, 1
Cardiac, 2; nervous, 1; orthopaedic, 1
p. -O
0) >.
r*  —
01   iC
r-l   <,
Nicomen, North..
Okanagan Centre  ..
Okanagan Landing ,
Okanagan, South  .,
Okeover Arm  ..
Ominiea
One-mile Creek.
Orange Valley   .
Otter Point ....
Pachelqua
Park Siding ,
Parksville ...
Pass Creek ,
Pemberton Meadows..
Pender Island ........
Pinantan   ...
Port Alice..
Pouce Coupe, Central.
Princeton, East.
Rendezvous Island.
H. H. Murphy.
G. Bayfield ...
P. jM. Wilson ..
A. E. H. Bennett .
J. E. Harvey .
M. D. McEwen ..
G. H. Kearney., .
G. H. Kearney...
G. Williams ...
0. H. Hankinson
0. J. Willoughby .
A. Henderson . . ,
O. O. Lyons
W. A. Watson   ...
W. R. Stone..
H. C. Wrinch.
Lee Smith....
L. T. Davis ..
0.0. Lyons...
Guy Palmer ..
G. R. Baker"..
G. 0. Paine
.1. E. H. Kelso .
Miss Bodenham. .
2 15 Geo. 5
ASSISTED SGHOOZiS—Continued.
cj jc\
<W  CD
CP     ■
Chorea, 1; chronic bronchitis, 1
Pretty crowded...
Measles,   15;  scarlet
Fairly adequate,
but needs repairs
Chorea, 1; cardiac, 1; chronic
bronchitis, 2 ; eczema, 1; an-
temia, 3
blackboard  too
Fine rales in apex, 1; impacted
wax, 2; foreign body in ear, 1
Chorea, 2 ; cardiac, 1; chronic
bronchitis,  3;   curvature of
Measles,  12;   whooping-
Epidemics of measles and
Chicken-pox, measles...
Rapid heart, 1; cardiac enlargement, 1
Yen tilation not
Fair ; poor seats..
Poor light and ventilation
Nephritis and cardiac, 1
Scarlet fever, 3; chicken-
pox, 7; measles, 15
Poorly ventilated..
O.K. Q 50
;.   CJ
0) fco
£ »»
Roberts Creek, East .
Robin's Range
Rosebery....
Rose Hill....
Rose Lake...
Saint Eugene Mission
Saturna Island. ..
Seton Lake Creek.
Seton Portage ....
Shoreacres ,
Shuswap ..
Shuswap Falls ...
Shuswap, North .
Shutty Bench ,
Slocan Park ..
Slocan, South .
Soda Creek.,.
Sooke, East.,.
D. J. Barclay....
J. E. H. Kelso...
W. W. Birdsall...
Wm. E. Gomm .,
R. W. Irving ..
W. W. Birdsall.
S. E. M. Hoops ..,
R. Felton.
W. Truax ....
E. E. Topliffe.
Guv Palmer
W. A. Watson ...
F. T. Stanier .
W. W. Birdsall ...
D. J. Barclay   ..
S. E. Hoops
Wm. E. Gomm ,
Guy Palmer ....
F. V. Agnew. ..
H. C. McKenzie.
J. H. Hamilton.
Miss Benvie .
Olive Gawley.
30 15 Geo. 5                                         Board of Health.
CJ %
fNervous, Pulmonary, Cardiac Disease,  etc.).
Chicken-pox— May — ac-
countingfor large number of tonsillitis cases
Two clean ;    adequate.
Two  clean ;   adequate.
Clean ; adequate;
Excellent in every
Cardiac, 2; curvature, 3; chorea,
2; nervous, 4 ; chronic bronchitis, 4 ; flat feet, 2; dermatitis, 1
Scarlet fever, 5; few cases
of measles and whooping-cough
Pulmonary, 2; nervous, 2; cardiac, 7; renal, 1
V.D.H.,1
Two pits; eleven
Two pits;   four
100^ inadequate.
Orthopasdic, 1; cardiac, 1; nervous, 1
Nocturnal enuresis, 1; lisp, 1,
Chicken-pox; measles...
Systolic murmur, 1; rupture, 1
Good  ,.   .
Orthopaedic, 1; tachycardia, 1;
nervous, 1; cardiac, 4
Cardiac, 1;   polypus nose,   1;
heart murmur, 1; hypertrophic turbinate, 1; conjunctivitis, 1; macrocephlo, 1
Clean ;   fairly adequate.
Two pits ; f o u r
Nocturnal enuresis, 1; asthma, 1
No playground ...
• Q 52
y< 9
±; be
-1- fl
Squilax ,
Stuart River...
Sullivan Hill....
Sullivan Valley .
Sunnvbrae
Swan Lake, North ..
Sylvania .
Tappen Valley.
Tata Creek   .
Tate Creek..
Tranquille, Upper .
Trinity Creek .
Vesuvius, North .
Waldo ....
Wasa.  ...
Wellington   ..
Wellington, East ..
Wellington, South.
Westviewr
Williams Siding .  ..
H. A. Willans
H. G. Williams....
G. Williams....
W. A. Watson .
Thos. O'Hagan.
F. T. Stanier..
E. Buckell.   .
G. C. Paine....
E. E. Topliff...
J. H. Hamilton ..
C. H. Hankinson ,
E. Sheffield. .
G. A. Petrie ..
S. E. Beech....
F. W. Green..
G. L. Campbell   ..
Wm. Buchanan  ..
VV. II. Wood
W. Laishley ,
6 15 Geo. 5
cj JZ\
O  %
QJ    -
Two pits ;  three
Fair lighting; poor
seats dirty.
Good.    .
but pits shallow
Adequate hut
Frame building in
fairly   good   repair; ventilation
Fairly clean ; not
Two  pits;   eight
Cardiac, 2; phthisis, 1; deformed hip-joint, 1
Poorly   heated   at
times ;   window
Scarlet fever, measles...
poor   repair ;
Measles, 12; scarlet fever,
Measles, 14; scarlet fever,
Measles, 13; scarlet fever,
Good; not crowded
Very good. Q 54
fc     .
OJ   t-»
oj a*
tH   fi
Winfleld.       .  ■.
13 15 Geo. 5
ASSISTED SCHOOLS—-Continued.
SJ   fi
Excellent,   except
supply for drinking
Chorea, 1; nervous, 2 ; cardiac,
1; anaemia, 3; chronic bronchitis, 2; curvature of spine, 1
Few cases of measles and
whooping-co ugh
Cardiac, 2; rapid nervous heart,
Measles, 14
Much   overcrowded ; poor ventilation and light
Orthopaedic, 1; cretin, 2; nervous, 1
Potts disease, 1; nervous, 1...
Cardiac, 1; anaemic, 11; orthopaedic, 3
14 Q 56
B. E. Young, Esq., M.D., CM., LL.D.
Sib,—I have the honour to submit the Fifty-second Report of Vital Statistics for the year
ended December 31st, 1923.
An estimate by the Dominion Bureau of Vital Statistics gives the population of the Province,
including Indians (native), for the year 1923 as 553,556, as against 539,000 for the year 1922
and 524,582 for the year 1921 (census). The Annual Report of the Department of Indian
Affairs for the year ended March 31st, 1922, estimates the Indian population of the Province
at 25,694. The above estimates have been used for striking the rates per 1,000 of population
of births, deaths, and marriages.
Registrations 1921, 1922, and 1923 (exclusive op Indians).
The following table shows the total number of registrations of births, deaths, and marriages
in the Province for the years 1921, 1922, and 1923 :—
Registered deaths, less still-born
Population, 527,862.
Registrations by Divisions, 1921, 1922, and 1923 (exclusive of Indian Returns).
The following table shows the number  of registrations  in the different divisions  of the
Province for the years 1921, 1922, and 1923:—
REGISTRATIONS    (INCLUDING   INDIAN   RETURNS).
Indian returns are included in the following table, which shows the total number of registrations of births, deaths, and marriages in the Province foi* the years 1922 and 1023:—
Registrations of hirths
Registrations of births, less still-born.
Registrations of deaths
Registrations of deaths, less still-born
3,960 15 Geo. 5
During the year ended December 31st, 1923, there were 10,777 registrations of births, and
of these 5,664 were registrations of male children and 5,113 of female children.
An analysis of the birth registrations for the years 1922 and 1923 gives the following results:
The number of birth registrations for the year ended December 31st, 1922, was 10,834, and of
these 8,959 were registrations of children born alive and registered during the year 1922. During
the period January 1st to June 30th, 1923, the births of 967 children born alive during the
year 1922 were registered, making a total of 9,926 living births for the year 1922. In the year
ended December 31st, 1923, registrations were received of 8,626 children who were born alive
and registered during the year. During the period January 1st to June 30th, 1924, 959 children
born alive during the year 1923 were registered, thus making a total of 9,585 children born
alive during the year 1923. Assuming that the estimates of the population of the Province as
given by the Dominion Bureau of Statistics are approximately correct, the rates per 1,000 of
population for living births were 19.30 for the year 1922 and 18.15 for the year 1923.
Of a total of 10,777 birth registrations for the year 1923, 4,328, or 40.16 per cent, of all
registrations, show both parents of British origin or nationality, while 7,972 registrations, or
73.97 per cent., show the fathers to be British.
In the following table all registrations of birth received between January 1st, 1914, and
December 31st, 1923, have been segregated and assigned to the actual year in which the births
occurred irrespective of the date of registration. It should be noted that births which occurred
during the year 1923 but which have been registered during the year 1924 are not included in
the total for the year 1923.   The number of these births will in all probability exceed 1,000.
The natural increase—that is, the excess of living births over deaths—for the year ended
December 31st, 1923, was 4,983, as against 5,422 in the year 1922 and 6,392 in the year 1921.
The following table, compiled from the Preliminary Report, Vital Statistics, Canada, 1923,
shows that the decline in the natural increase is by no means peculiar to this Province:—
86,(
57 Q 58
The rate per 1,000 of population for death registrations (exclusive of still-born) for the
year 1923 was 8.71, as against 8.75 for the year 1922 and 8.39 for the year 1921.
There has been a considerable decrease in the number of deaths attributed to respiratory
diseases—477 in 1923, as compared with 625 in 1922.
Deaths arising from external causes numbered 580, or 12.6 per cent, of all deaths.
Of the total number of decedents (still-born excluded), 1,237 males and 721 females were
given as married, 1,199 males and 592 females as single, 270 males and 413 females as widowed,
12 males and 4 females as divorced, and the balance, 149 males and 5 females, as not given;
1,956 males and 1,403 females were described as being of British origin.
The number of registrations of deaths of children under 1 year of age during the year
1923, exclusive of still-born, was 582, or 67.4 per 1,000 of living births (born and registered
during the year 1923), as against 63.16 per 1,000 of living births for the year 1922. Should,
however, the births of children born alive during the year 1923. but whose births were registered
during the first six months of 1924, be included, then the rate per 1,000 of living births would
be 60.7.
The following table, taken from the Preliminary Report, Vital Statistics, Canada, 1923,
issued by the Dominion Bureau of Statistics, is of interest for comparison, and shows that as
regards infant mortality British Columbia need not fear comparison with the other Provinces
of Canada or with other parts of the world.
Infant Deatii-ratb per, 1,000 Births.
The number of deaths from tuberculosis during the year 1923 was 379, or 8.23 per cent,
of all deaths (exclusive of still-born), as against 401, or 8.90 per cent, for the year 1922. The
foregoing figures do not include 133 deaths from tuberculosis received under Indian returns.
Chinese .......
Rate per 1,000 <
The number of deaths from cancer during the year 1923 was 436, or 9.47 per cent, of all
deaths  (exclusive of still-born), as against 424, or 9.41 per cent, in the year 1922. 15 Geo. 5
Ages op Decedents.
The following is a comparative statement re the ages of decedents for the years 1921, 1922,
and 1923:—
Under 1 year (excluding still-born).
Under 1 year (including still-born)..
60 to 70 years •
90 years and upward
Classified Deaths.
The following is a list of classified deaths which have occurred in British Columbia for the
years 1919 to 1923:—
2. Diseases of nervous system and organs of special sense
3. Diseases of tbe circulatory system   ....
5. Diseases of the digestive sys'tem
6. Non-venereal diseases of the genito-urinary system and annexa
7. The puerperal state .'
8. Diseases of the skin and cellular tissue
9. Diseases ui the bones and organs of locomotion
10. Malformations
11. Diseases of early infancy
13. Affections produced by external causes
14. Ill-defined, including executions
1919. 1920. 1921. 1922. 1923.
For purposes of comparison the classified deaths for the year 1923 have been segregated
and assigned to the several mining divisions. " Tuberculosis," " cancer," and " influenza " are
included under " General Diseases." These three items number 866, or 18.8 per cent, of all
Allotiment of all Causes of Death to each Mining Division for the Year 1923.
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British Columbia.                                                 1924
Allotment of all Causes of
Death to each Mining Division foe the Year 1923—Continued.
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The following table of specified diseases  (exclusive of Indian returns)   has been compiled
from returns for the whole Province from the year 1906 to the year 1923:—
Allotment oe Specified Diseases to each Mining Division fob the Yeah 1923.
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142 Q 62
Allotment oe Specified Disej4.ses to each Mining Division fob the Yeab 1923—Continued.
a, ,5
rt r£
§:-§
fc- -S
The number of marriages registered during the year 1923 was 3,856, as against 3,709 in
the year 1922, an increase of 147.
Chinese.—The total number of Chinese registrations of birth during the year 1923 was 337,
including two still-born. Of the above number, 180 Chinese children were born and registered
during the year 1923, the balance being registrations of children born prior to 1923.
The number of Chinese deaths registered during the year 1923 was 259, and of this number
twenty-one were of Chinese children under 1 year of age. There were forty-four deaths from
tuberculosis and ten from cancer during the year 1923.
Japanese.—There were 889 registrations of Japanese births during the year 1923, including
twenty-two still-born. Of this number, 595 were registrations of Japanese children born and
registered during the year 1923, the remaining 294 being born in years prior to 1923.
Death registrations of Japanese during the year 1923 numbered 185, and included in this
total were eighty-one registrations oC death of Japanese children under 1 year of age. The
number of deaths from tuberculosis and cancer among the Japanese for the year 1923 was
twenty-three and five respectively. 15 Geo. 5 Board of Health. Q 63
Indian Ketubns.
The total number of registrations of births of Indians during the year 1923 was 436, and
of this number 299 were actually born and registered in the year 1923.
Registrations of deaths of Indians numbered 432, and of these deaths 133, or 30.79 percent, of all Indian deaths, were attributed to tuberculosis. There were nine deaths from cancer.
The number of deaths of children under 1 year of age was 70.
The number of registrations of marriage was 104.
Particulars of birth relating to eighty-one children adopted under the " Adoption Act" have
been received and filed in this office during the year 1923.
The cash receipts during the year 1923 were as follows: Vital statistics, $2,179.82; marriage
licences, $295.
The number of searches made re vital statistics was 2,594 and the number of certificates
issued was 2,470.
The number of letters inward for the year 1923 was 4,973.
In conclusion, I wish to call attention to the willing and prompt assistance that we have
received on all occasions from all officers connected with this branch of the Health Department.
Heedebt B. Fbench,
Printed by Charles F.  Banfield, Printer to tbe King's Most Excellent Majesty.
http://iiif.library.ubc.ca/presentation/cdm.bcsessional.1-0226068/manifest