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 SECOND ANNUAL REPORT
ON   THE
Medical Inspection of Public schools
OF  THE
PROVINCE OF BRITISH COLUMBIA
FOR THE YEAR ENDING JUNE 30TH
1913
THE GOVERNMENT OF
THE PROUINCE OF BRITISH COHIIBA.
PRINTED BY
AUTHORITY OP THE LEGISLATIVE ASSEMBLY.
VICTORIA, B.C.:
Trinted by William H.  Cullin, Printer to the King's Most Excellent Majesty.
1913.  MEDICAL INSPECTION OF PUBLIC SCHOOLS.
Provincial Board of Health,
Victoria, B.C., August 9th, 1913.
The Honourable Henry Esson Young, M.D., LL.D.,
Provincial Secretary, Victoria, B.C.
Sir,—I beg to report upon the Medical Inspection of Schools of the Province for the
year ended June 30th, 1913.
During the past year this branch of work has made considerable progress in the matter
of organization, so that it may be said that medical inspection of schools is now an accomplished
fact in this Province.
At the meeting of the Canadian Medical Association held in London, Ontario, June 24th
to 28th of this year, in the Public Health Section the Committee on Medical Inspection of
Schools reported that the work along these lines was further advanced in British Columbia
than in any other Province of the Dominion. It was encouraging to hear this from the
representatives of other Provinces, even though the organization here is not yet perfect.
The first Annual Report on Medical Inspection embraced the whole year of 1911. The
present report embraces the school-year, September 1st, 1912, to June 30th, 1913. With your
concurrence no report has been published for the six months from January 1st to June 30th,
1912. Though routine examinations were made in municipal schools for this period, very little
was done in many rural assisted schools.
Commencing the school-year 1912-13, some new principles were adopted for the management of medical inspection in the rural assisted schools. Provision was made by an Order in
Council, dated September 18th, 1912, by which Medical Inspectors in the unorganized districts
were to be paid by the Provincial Board of Health at the rate t>f 50 cents for each pupil
examined, and travelling expenses to the school at the rate of 50 cents per mile. A regular
annual inspection was to be made, and, where necessary, further inspections were to be made
and paid for at the same rate.
Many Inspectors have complained of the small allowance made for travelling expenses,
and insist that the same allowance be made to apply both to and from the school. At
least one doctor has refused to act on account of the allowance made for distance.
As authorized by section 5 of the " Schools Health Inspection Act," this Department has
appointed Medical Inspectors of rural assisted schools wherever doctors lived within reasonable distances. This year, by Order in Council, doctors were appointed for the rural assisted
schools, and all appointments were made for the school-year only. This will require a new list
to be made each year, thus ensuring its being kept up to date. It is hoped, also, that better
work and more careful inspections will result. A small booklet, " Guide for the Use of
Teachers and Medical Inspectors of Rural and Assisted Schools," has been compiled and sent
to all teachers and Medical Inspectors of rural and assisted schools. A pamphlet has been
prepared, " Instructions to Parents regarding the Care of the Teeth." Instructions were given
that each child was to be given a copy of the pamphlet at his annual inspection. S 4 Medical Inspection of Public Schools. 1913
So much time has been directed to the inspection of schools in unorganized districts that
but little attention has been directed to municipalities. However, it is gratifying to note the
excellence of some of the work done in the cities. The reports from New Westminster, South
Vancouver, Vancouver, and Victoria show a true appreciation of the value of careful medical
inspection. These four municipalities have school nurses to assist in the medical inspection,
and their work is most efficient.
In the annual appropriations for this Department provision has been made for the
remuneration of one school nurse for rural assisted schools. I beg to suggest that the time is
propitious for this appointment.
Perusal of the tabulated form published in this report directs attention to the number of
scrofulous conditions present. The number while not great as compared to Eastern centres,
is still to be deplored, and it is probable that for every child showing some defect at
least three, children must be in a predefective condition. Such conditions may eventually lead
to tubercular or kindred maladies. It has been stated that upon careful examination of all
school-children 20 per cent, reveal some sign of tuberculosis.
Prevention is the basis of all public health laws. As a matter of fact, the most important
time of a person's life is the period of growth from infancy to adult life. During this stage
the child should be properly nourished and given a maximum of fresh air and sunlight. Proper
food is available to the vast majority of the children of this Province. Presh air is also available, but instead of using it children are kept in small school-rooms not only for the best part
of the day, but for the greater part of the year. Even though ventilation be efficient in these
school-rooms, yet the air of any room cannot be compared to the fresh air of out-of-doors.
Surely no medical practitioner of the present day would begin to treat a case of tuberculosis,
indoors, no matter how efficient the ventilation might be, but, instead, he insists that his
patient stays out in the fresh air the whole time.
In this connection, I would respectfully urge the formation of out-of-door classes and the
establishment of out-of-door schools. Nature-study on the school curriculum has done much to
further these ends, but it has not yet reached its logical conclusions. Wherever open-air schools
have been tried it has been found that weaklings tend to become strong, well children keep
healthy, and the mentality of all is so much improved that pupils are able to maintain their
grade with less study, and isi most instances it has been found possible to dispense with all
home-work.
Por ordinary studies in winter weather in these schools heavy clothing has to be provided,
heavy hoods and mittens and blanket bags for sitting in. By being out in all seasons the
child soon learns to appreciate all kinds of weather, colds become uncommon or disappear, and
the growth increases more rapidly. Pale, anaemic children become rosy and full-blooded,
children with tubercular tendencies become robust and strong, and nervous, excitable children,
as their physical condition improves, become calm and steady.
The principle of the preventorium or open-air school should be extended so as to include
all schools. Movement should not be restricted, but encouraged by providing training in
various trades. This training should develop both mind and body, and, I will venture to
state, encourage a higher mental development than that of the present commonly prescribed
course of school studies.
In nearly all schools the teachers have readily given every assistance to the Medical
Inspector and exercised great care in keeping the forms and records of each child in the schoolroom.    In a few schools, however, the teachers have not given the same intelligent co-operation,. 3 Geo. 5 Medical Inspection of Public Schools. S 5
and Dr. E. C. Hart, of Victoria, suggests in his report that at least two lectures as to the
needs of school inspection and the methods and duties of teachers be made a part of the
Normal School training.
Whereas at first many parents were opposed to the examination of their children, now
they render active assistance. Dr. T. V. Hunter, of South Vancouver, remarks that it is the
rarest exception to have any objection made by either parent or pupil.
A report on 29,774 children shows that 16,774 are not vaccinated. Surely comment on
these figures is unnecessary. The lessons of small-pox are quickly forgotten. A virulent
epidemic with its great mortality and resulting business stagnation will again some day awake
the public to the blessings of Jenner's vaccination.
For detailed information I beg to call your attention to the enclosed tables.
We are also publishing letters from a few districts showing how medical inspection is
carried on by some of the Inspectors.
I have the honour to be,
Sir,
Your obedient servant,
C. J. PAGAN,
Secretary. S 6
AIedical Inspection of Public Schools.
1913
RURAL AND
Medical Inspector.
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Dr. T. A. Swift	
21
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57
20
28
32
32
21
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35
35
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Dr. T. A. Swift	
,,              „        3	
12
12
10
2
2
1
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Dr. W H. Wood	
46
16
12
95
21
12
12
88
24
12
10
69
2
4
1
2
1
1
2
1
1
14
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3
14
6
24
9
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23
8
6
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Atlin	
6
3
2
12
10
35
10
25
9
24
1
7
1
3
5
12
6
11
11
14
11
14
10
12
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3
1
3
Bella Coola, Lower	
Dr. A. G. Price	
40
25
37
17
36
18
2
3
2
3
2
5
Dr. M. G. Archibald	
Dr. W. J. Knox	
58
53
47
8
5
4
6
Boundary Falls	
Dr. G. H. Worthington	
16
16
6
14
10
10
3
4
2
2
1
3
1
Dr. W. Dudley	
27
20
22
13
23
16
12
20
13
20
13
12
18
8
20
1
12
1
2
7
4
2
Dr. M. G. Archibald   ....
6
8
1
Dr. W. H. Wood...
8
33
7
30
7
29
1
3
2
1
4
1
"2
10
8
10
2
3
4
Dr. J. M. MacMillan    .
13
12
11
2
4
4
i
9
Dr. L. J. Obrien	
Dr. L. J. Obrien	
Dr. L. J. Obrien	
Dr. W. Scatchard..
80
36
51
3
1
4
11
Dr. D. S. Dixon	
21
19
19
1
1
2
2
161
134
87
3
6
40
13
7
29
24
Dr. D. McCaffery	
Drs. Thom & Coghlin .
25
15
43
19
10
27
19
10
32
4
4
2
2
1
2
10
5
4
Drs. Thom & Coghlin	
Dr. E. C. Hart
2
Dr. E. C. Foot
44
34
40
34
40
30
1
6
1
1
1
21
27
20
1
1
1
1
6 3 Geo. 5
Medical Inspection of Public Schools,
S 7
ASSISTED SCHOOLS.
Attention but not
from School.
Conditions requiring Children to be excluded
from School until Cured.
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Acute Fevers
(specify).
Other
Infections
(specify).
Other
Conditions
(specify.)
Closets.
19
18
18
18
6
15
11
6
46
5
3
12
7
13
3
28
4
2
7
8
4
4
3
4
5
10
2
10
15
1
116
6
2
5
5
6
2
9
17
14
6
6
5
6
42
4
ii
3
12
11
12
13
4
6
8
8
16
10
16
2
23
6
2
21
18
18
13
8
39
29
14
Good.
Good	
Good	
Good	
Good	
Good	
Fair	
Sanitary....
Fair	
Log	
1	
Good.
•
Good.
No report.
No appointment.
No report.
No report.
1
No report.
No appointment.
2.
No appointment.
Pits.
Measles, 2	
No appointment.
No report.
No report.
1 boy with stiff right elbow
from injury 4 years ago.
1 bad.
2.
No appointment.
Good	
Frame	
1 school....
Good	
Good	
2.           [ing.
No appointment.
No appointment.
No appointment.
1
1
4.
2 good.
Good.
No appointment.
No appointment.
No report.
No report.
No appointment.
No appointment.
No appointment.
Whooping-
[cough
Wood	
Frame	
Good	
Good	
Wood ..
2.
8 bacterial.
2.
2 good.
No appointment.
Whooping-
[cough, 5
Good.
Impediment in speech 1;
No appointment.
Good.
No report.
Scarlet fever
[and mumps
Whooping-
[cough
2 dry.
No report.
No report.
No report.
No appointment.
2.
No appointment.
Cardiac    disturbance,   2;
arch palate, 3; nervous,
3; imbecile, 1.
l
Small-pox,   1;
scarlet fever,
1;   measles,
l;whooping-
cough, 28...
Chorea, 16	
Good	
[ted
To be erec-
1	
Good.
No report.
2.
2.
Poor.
No appointment.
2.
2.
No appointment.
Slight lateral curvature of
Good	
Good. S 8
Medical Inspection of Public Schools.
1913
Rural and Assisted
Medical Inspector.
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excluding Children
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34
35
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3
4
7
3
15
2
9
Dr. L. E. Borden	
28
138
17
25
144
15
21
99
10
2
2
5
6
6
4
1
1
17
2
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4
12
Dr. H. W. Keith	
14
12
12
12
12
10
4
i
1
4
2
Dr. A. J. Stuart	
25
18
18
1
6
4
Dr. A. C. Frost	
49
11
16
15
18
21
42
8
16
9
17
15
41
8
13
9
16
15
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1
1
4
3
5
1
4
1
1
....
10
6
1
6
11
7
Dr. M. G. Archibald	
Dr. L. E. Borden	
Dr. J. E. H. Kelso	
Dr. M. G. Archibald	
3
3
1
1
Dr Hugh Watt    .
44
37
30
14
Dr. A. H. Huyche	
34
20
18
33
100
30
19
18
•21
95
24
18
16
21
89
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4
2
4
4
2
12
9
3
5
1
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....
5
4
9
20
50
Erie	
Dr. G. E. Rehberger	
Dr. W. H. Keith .   .
Dr. J. E. H. Kelso	
13
12
11
1
i
5
Dr. P. D. Van-Kleek	
13
9
8
1
1
1
i
2
2
2
1
Field	
Dr. B. J. Gordon	
24
14
14
3
3
8
Fife
Dr. J. E. H. Kelso	
15
24
25
38
10
14
25
38
6
13
20
30
1
4
9
3
1
11
13
1
1
1
2
1
7
2
1
1
4
2
5
6
Dr. H. A. Lash	
Dr. H. A. Christie	
13
27
76
28
13
17
5
20
59
23
13
13
5
20
46
20
12
12
10
20
4
12
20
1
1
2
3
7
24
18
3
5
Dr. S. E. Beech	
16
2
5
1
1
2
"i
Dr. M. G. Archibald	
Drs. Thom & Coghlin	
Dr. W. F. Drysdale	
Dr. W. F. Drysdale	
8
5
5
9
9
8
1
1
l
6
Dr. T. P. Devlin	
Gill .,	
36
33
26
i
2
3
10
Gillis Bay	
37
35
29
3
5
5
Dr. C. M. Rolston	
18
18
15
i
Dr. J. N. Taylor	
Dr. E. C. Hart	
16
25
20
11
17
18
12
8
16
2
8
2
7
2
2
5
1
2
i
Granite Siding	
Dr. L. E. Borden	
Dr. H. P. Millard	
Dr. H. W. Keith	
26
22
17
1
4
i
3
Dr. L. J. Obrien	
Dr. G. Hartin	
Dr. A. J. Stuart	
11
23
9
18
9
18
1
I
3
10
Dr. H. C. Wrinch	
1 3 Geo. 5
Medical Inspection of Public Schools.
S 9
Schools.—Continued.
Attention but not
from School.
Conditions requiring Children to be excluded
from School until Cured.
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(specify).
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Acute Fevers
(specify).
Other
Infections
(specif}').
Other
Conditions
(specify).
Closets.
Glands due to carious teeth,
3
28
3
38
12
17
23
86
Good	
1	
Frame	
Frame	
Frame ...
Fair	
Log	
Good	
Good	
1 room	
Log	
Good	
Log, poor...
New frame .
Frame	
1	
Good.
1
1
4.
2.
No appointment.
2
52
Bad.
No appointment.
No report.
No appointment.
12
5
3
6
2
2.
7
15
36
6
No report.
No report.
No appointment.
1
Fair.
JNo appointment.
2.
3
4
4
18
19
9
2
6
80
2
6
8
4
3
4
8
6
11
11
19
11
11
14
15
15
4
3
6
6
11
21
30
5
10
20
6
9
5
4
4
20
13
[1.
2 have had
[small-pox
No report.
No report.
2.   .
Goitre,  1; mitral systolie
2
2.
Ohorea, 5 ; very slight.
No report.
Good	
1	
No report.
1.
No report.
No appointment.
JVIitral regurgitation, 2.
No appointment.
Inferior ....
1	
1.
2.
Tubercular hip
[joint, 2.
Fair	
Fair	
Log	
Fair	
Wood
Hip-joint disease(recoverd)
1.
Good.
No report.
2
10
39
17
4
8
1
5
10
15
5
Good.
2
Measles, 3	
No appointment.
No appointment.
2.
No appointment.
2
No report.
3
Fair	
Fair	
Wood	
Frame	
Log	
Bad	
Too small...
Clean.
No report.
10 tank.
No appointment.
2 of 4 seats.
No report.
Fair.
8
14
2.
No report.
13
8
9
1
11
2
No appointment.
No appointment.
No appointment.
No report.
No appointment.
No report.
Fair.
	
Only 1. S 10
Medical Inspection of Public Schools.
1913
Rural and Assisted
Medical Inspector.
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excluding Children
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Dr. M. D. McEwen	
43
43
38
2
4
15
20
12
14
12
15
4
2
1
1
2
2
7
Dr. A. C. Nash	
2
3
124
75
200
120
44
200
100
53
175
2
1
10
5
33
10
12
'26'
2
2
3
1
2
42
10
7
Dr. G. H. Worthington	
Dr. L. E. Borden	
20
40
16
33
4
32
3
2
Dr. J. H. M. Bell	
Dr. R. B. White              	
2
2
1
Dr. J. E. Sehon	
Dr. S. A. Ross	
Dr. W. J. Knox	
24
11
10
39
16
9
7
10
39
14
8
10
10
24
12
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1
"2
8
3
3
3
3
1
6
1
3
1
2
1
1
1
Killarney	
Dr. A. J. Schilistra	
Dr. W. Truax	
13
16
11
16
11
15
2
4
Dr. C. Rolston	
Dr. J. M. McMillan	
14
15
9
14
10
12
2
3
2
9
....
1
i
5
Dr. H. A. Christie	
28
26
20
1
....
1
....
17
1
17
Dr. Howell
Dr. M. G. Archibald	
20
22
45
15
37
14
23
16
13
35
12
37
14
23
13
13
40
11
34
13
20
1
5
1
4
1
3
3
2
7
2
11
2
6
8
5
5
2
3
8
1
2
3
1
i
5
7
18
4
17
6
6
Dr. M. G. Archibald	
Dr. A. 0. Nash	
Dr. A. O.Nash	
51
25
26
18
41
28
9
30
47
18
15
15
14
26
9
23
45
18
11
14
16
21
8
24
i
1
1
1
2
1
1
10
5
1
4
3
6
3
1
3
5
1
1
1
3
1
30
1
2
Dr. H. W. Keith	
Dr. M. G. Archibald	
Dr. J. H. M. Bell .
3
1
1
10
2
3
1
Dr. E. C. Hart	
Dr. R. C. Weldon	
ii
23
23
16
ii
23
13
14
9
20
12
10
1
3
1
5
2
10
3
2
2
"2
1
6
6
1
Dr. W. J. Knox	
Dr. M. G. Archibald	
Dr. S. E. Beech	
Dr. J. H. M. Bell	
54
27
40
2
1
1
1
1
Myncaster	
E. D. King (Teacher)	
"is"
9
8
1
1
1
1
Nakusp	
61
61
51
2
9
3
8
Dr. L. J. Obrien	
Dr. L. J. Obrien	
Dr. F. W. Andrew	
Dr. J. E. H. Kelso	
Dr. G. H. Tutill	
Dr. G. H. Tutill	
56
19
54
33
18
44
12
46
21
13
36
10
46
20
12
3
6
6
2
2
1
3
i
35
6
8
10
8.
4
7
2
9
3
1
7
4
1 3 Geo. 5
Medical Inspection of Public Schools.
S 11
Schools.—Continued.
Attention but not
from School.
Conditions requiring Children to be excluded
from School until Cured.
-a
CO
tt
o
1
i
s
1
Building.
Other Conditions
(specify).
tt
B
v
>
r/5
0)
1
V
6
©
0
B
u
o
p
be
G
tf
Acute Fevers
(specify).
Other
Infections
(specify).
Other
Conditions
(specify).
Closets.
No report.
Mumps, 2	
Whooping-
[cough, 6
31
12
Fair	
Wood
Good	
Good	
Good	
Frame	
Log	
New	
2-room	
[tilated.
Poorly ven-
Frame	
Good	
Log	
Frame	
Log	
Healthy....
Good	
Log	
Good	
Wood
Splendid....
Good	
Good	
Log	
Small	
Good	
Fair	
Poor	
Good	
Good	
Good	
Fair	
1	
2.
No report.
4
65
24
65
4
17
1
3
17
6
4
7
5
5
10
55
20
55
12
16
4
22
8
7
9
4
9
26
13
13
29
3
10
12
42
9
10
12
9
23
No appointment.
No appointment.
No report.                   [tis, 1
Limp from old poliomyeli-
Scarlet fever, 1
Good.
Urticaria   	
Good.
Scarlet fever, 1
Good.
No report.
No appointment.
2.
4
4.
No report.
Whooping-
[cough, 2
2.
Good.
Otitis media, 1;  rheumatism affecting heart, 1...
Good.
Ansemia, 1	
No report.
No appointment.
Bad.
2.
No appointment.
No appointment.
No report.
3
1.
6
9
27
2
5
9
5
3
5
3
Good.
Threatened spine curva-
Curvature of spine, 1; cardiac disturbance, 1.
No appointment.
Chorea, 3 ; carditis, 1; de-
1.
Bad.
2.
2.
Good.
Hysteria, 1; deflected na-
10 bad.
2.
Goitre,  2;  cardiac arrhy-
2.
No appointment.
No report.
No appointment.
No report.
No appointment.
Strahissimus, 1; goitre, 1;
defec. nasal breathing, 1.
2
9
Good.
13
6
17
9
48
24
3
19
24
9
8
10
No appointment.
No appointment.
No appointment.
Good.
No appointment.
Pneumonia, 1.
1.
No appointment.
13
20
9
27
9
4
10 tank.
No appointment.
No report.
No report.
1
*
o
[cough
Whooping-
Ditto.
7.
1	
2. S 12
Medical Inspection of Public Schools.
1913
Ruhal and Assisted
Medical Inspector.
3
tD
tn
'P.
£
O
6
rr
•d
o>
3.9
rr rj
'o
O
t
d
o
3
rf
tj
3
<
&
rf
>
Conditions requiring Medical
excluding Children
Name of School.
3*
3
rf
"1
'0
3
0
■d
<!
2
r-fg
il 3
buo
SH
~3
w
2
3
■si
1,2.
IF
H
a)
si
.3
> rf
5ft
a)
fl
Jslj
£>
4
2
Dr. A. J. Stuart	
20
20
15
12
15
14
Dr. A. J. Stuart	
Nob Hill
16
55
16
26
14
30
ii'
Dr. S. A. Boss	
4
1
Notch Hill
50
31
32
10
7
Okanagan	
Dr. A. H. Huyche	
34
10
30
9
30
9
2
3
1
2
9
Dr. J. G. McNaughton	
Dr. R. B White       .          	
Okanagan Falls (see page 24)	
26
21
22
2
1
16
19
23
36
36
19
16
28
36
17
18
18
18
6
3
Dr. E. C. Hart...
2
5
Dr. A. C. Frost	
1
1
Dr. A. C. Frost	
43
26
22
40
24
11
39
19
15
1
3
1
3
1
10
3
Dr. S. E. Beech	
1
119
67
119
67
94
62
"l
10
8
15
26
'  S
8
1
2
10
1
22
12
17
12
77
9   .
11
10
17
11
49
8
18
10
13
10
50
9
2
1
1
3
3
3
3
1
2
20
7
Dr. S. E. Beech	
1
2
1
4
Dr. H. P. Cox	
Dr. J. T. Wright	
i
1
4
1
"2
Dr. G. E. Baker	
Dr. A. C. Nash	
\
Dr. A. C. Nash	
7
2
6
1
1
Dr. E. C. Hart	
13
9
ii
1
1
i
9
14
8
13
8
15
1
"2
2
1
1
Eose Hill.	
7
35
22
10
13
7
35
17
8
12
7
32
14
7
12
2
1
1
5
16
3
4
1
5
"2
2
2
1
5
17
4
3
Dr. G. E. Eehberger	
Dr. P. D. Van-Kleek	
Dr. P. D. Van-Kleek	
Dr. J. T. Wright	
Dr. W. Dykes	
15
8
8
1
5
8
8
6
2
4
24
32
20
23
20
12
17
30
17
23
19
10
17
25
17
20
17
10
"i'
....
1
6
5
1
1
3
2
2
16
"2
2
2
16
1
2
1
Dr. T. Wright	
Dr. E. Felton.  .
28
25
20
1
■1 3 Geo. 5
Medical Inspection of' Public Schools.
S 13
Schools.—Continued.
Attention but not
from School.
Conditions requiring Children to be excluded
from School until Cured.
■d
d?
4?
rf
3
'o
rf
>
•a
49
rf
'o
o
rf
o
tt
Building.
Other Conditions
(specify).
.5
1
tu
I
Tfl
6
s
1
S
tu
3
H
Acute Fevers
(specify).
Other
Infections
(specify).
Other
Conditions
(specify).
Closets.
15
12
Too small...
Good	
Wood
Fair	
Wood
Wood
Small	
Good	
1	
1	
Poor	
Good	
Good	
1	
Good	
Fair.
Whooping-
[cough
Fair.
No appointment.
....
0
3
18
4
10
1
20
29
12
6
11
18
No appointment.
No appointment.
2
2 pits.
2.
No appointment.
No report.
2
Scarlet fever, 1
2.
No report.
No report.
17
Good.
Good.
12
11
7
14
8
18
32
10
11
9
27
4
6
9
2
38
2 good.
Measles, 1	
Whooping-
[cough, 3
Whooping-
cough
No appointment.
2 bad.
2.
No appointment.
No report.
No appointment.
4
3
110
40
7
4
8
9
11
Good.
No report.
Scarlet fever, 3
Bad.
Fair.
2.
Good.
9    Wood	
No appointment.
No appointment.
1
1
Wood
Wood
Good	
Frame	
1	
2.
No appointment.
No appointment.
No appointment.
No appointment.
2 fair.
No appointment.
4
2
4
11
Fair.
No appointment.
No appointment.
No appointment.
Scarlet fever..
2.
11
5
3
6
3
9
8
4
12
14
18
13
3
9
1.
1	
1.
Good	
Wood ......
Good	
Good	
1	
Good.
No appointment.
No appointment
No appointment.
No report.
No appointment.
No appointment.
4
5
16
2
7
7
16
Clean.
No appointment.
Fair.
Good.
Spinal  menin-
Good.
Mitral regurgitant mur-
Incipient    tuberculosis, 2
o
'
Frame	
[newed.
To be re-
2 pits.
No appointment.
No appointment.
[newed.
To be re-
No appointment.
No appointment.
No appointment.
No appointment. S 14
Medical Inspection of Public Schools.
1913
Rural and Assisted
Medical Inspector.
T3
O
a
—
■3.
3
£
O
6
5
xi
a)
2.9
'3,5
&$
*- a)
"o
6
t
3
rf
■3
3
m
1
<
Conditions requiring Medical
excluding Children
Name of School.
3
0
"C
~3
_B
"rf
s
'0
3
3
$1
HO
f
■si
3
W
r,   3
o>
OK
■s
0
3
> a
-43 a)
P
<"4
O
7
7
5
2
2
Dr. A. K.Connolly	
41
31
25
8
15
2
12
12
11
2
Dr. J. M. MacMillan	
39
37
25
3
11
15
21
14
14
13
1
1
2
Dr. W. H. Wood	
19
45
13
18
48
16
38
11
14
27
16
40
10
10
29
5
4
1
2
8
3
5
2
3
3
4
2
22
4
5
22
Dr. A. W. McCordick	
Dr. H. A. Lash	
Waldo	
Dr. J. H. M. Bell	
40
30
32
1
4
1
1
1
Dr. W. Scatchard	
15
8
8
3
5
Dr. L. J. Ohrien	
Dr. L. J. Obrien	
40
31
25
Dr. J. E. H. Kelso	
45
23
25
4
2
5
4
Dr. L. E. Borden   	
16
13
9
14
8
4
14
6
8
2
2
3
2
1
1
2
1
1
7
3
3
12
12
12
1
2
2
1
1
9
Wolfson Bay	
Dr. J. G. McNaughton	
Dr. J. H. M. Bell	
31
39
26
34
26
35
"l
1
1
6
2
1
3
2
1
1
1
31
31
28
1
1
15
10
1
17
Yale	
GRADED CITY
Chilliwack I Dr. L. A, Patten.
1
Cranbrook  Dr. J. H. M. Bell
Duncan.
Enderby	
Fernie	
Grand Forks	
Greenwood	
Kamloops, Div. 1.
n   2 .
,,   3.
1, 1,    4.
11 ii    5.
11    6.
..    7.
Kaslo, Div. 1 .
Kelowna.
Dr. W. Dykes.
Dr. H. W. Keith ....
Dr. H. Anderson	
Dr. W. Traux	
Dr. J. D. MacLean ..
Dr. M. G. Archibald
Dr. T. Patterson Devlin .
Dr. A. H. Huyche..
300
300
240
28
30
21
3
6
3
41
454
425
360
5
1
31
15
3
16
142
142
102
20
45
9
18
3
34
199
199
131
1
2
21
29
49
359
359
290
2
15
40
75
16
185
39
37
30
3
6
12
9
5
7
40
35
27
4
6
8
11
7
12
38
37
31
9
7
2
5
14
40
34
30
7
10
5
3
22
45
45
40
1
8
16
2
7
1
29
44
42
40
1
14
18
1
7
25
37
37
29
1
12
16
4
9
24
62
62
45
12
22
6
10
1
32
68
53
60
16
25
1
7
1
31
37
32
30
3
9
7
1
11
47
40
32
3
15
3
6
2
23
31
35
30
4
13
2
2
1
14
45
41
41
2
10
4
5
2
21
315
315
265
2
24
43
3
16
4
23 3 Geo. 5
Medical Inspection of Public Schools.
S 15
Schools.—Concluded.
Attention but not
from School.
Conditions requiring Children to be excluded
prom School until Cured.
3
*S
o
ei
>
T3
OJ
a
'3
eg
>
■43
O
Building.
Other Conditions
(specify).
d
1
>
rO
6
ba
-i3
<v
1
s
o
p
bD
a
u
Acute Fevers
(specify).
Other
Infections
(specify).
Other
Conditions
(specify).
Closets.
No appointment.
6
6
2
23
4
5
1
25
10
14
10
11
Good	
Good	
1	
Frame	
Wood	
Good	
Good	
Frame	
Frame	
Bad	
Wood
Wood	
Inferior ....
Frame	
Frame	
Frame	
Frame	
Wood
Good	
Frame	
2.
No report.
No appointment.
50 per cent, have goitre...
No appointment.
No appointment.
Good.
2.
No appointment.
2 dry.
No appointment.
No appointment.
>
2.
No report.
Good.
3
2
18
9
8
12
30
21
8
26
21
2.
2
No appointment.
2.
No appointment.
lpit.
No report.
No report.
5
2
No appointment.
Epileptic, 1; curvature of
Very bad.
2.
No report.
4
4
4
7
15
12
29
Pits.
Pits.
No appointment
1
1
5
11
3
2
2 pits.
8.
Three glands were cases of
Good.
No appointment.
Mumps	
Pulmonary
tuherculosis
No appointment.
2.
SCHOOLS.
1
12
3
1
Measles	
Measles,    119;
scarlet, 1...
Chicken-pox,
Frame	
Good	
Wood	
Brick	
\
f TH f=
- S3dS
>_rf"
.2 g.a
J    &*
Fair	
Fair	
Modern	
Goitre, 3	
299
155
2
24.
Goitre, 2; defect of spine, 1;
pulmonary tuberculosis,
2
Whooping-
Icough, 5
Good.
24
125
23
16
20
22
19
16
13
25
19
16
9
11
11
206
75
234
14
19
17
12
26
26
24
37
34
16
31
24
11
109
No report.
2
2
3
Good.
No report.
1 3   .
%o$
I&1
1
Pulmonary
tuberculosis, 1
Pulmonary
tuberculosis, 2
Pulmonary
tuberculosis
8
3
r\        "O
Appendicitis (chronic) 1...
S   ^  rf
Thigh amputated, 1	
Goitre,   8;   spinal   curva-
1
Fair.
Flat   chest, 9;   heart,   1;
skin disease, 4 ; throat, 1
9
Good. S 16
Medical Inspection of Public Schools.
1913
Graded City
Name of School.
Ladner, Div. 1	
„ „     2	
ii ii     3	
„ n     4	
Ladysmith	
Merritt	
Nanaimo:
Northward	
Quesnel, Div. 1.
2.
3.
4.
5.
6.
7.
8.
10.
11.
12.
13.
14.
16.
Middle Ward   Div. 1.
South Ward,
Nelson	
New Westminster .
Phoanix .
Port Alberni	
Prince Rupert, Seal Cove	
n Second Avenue.
u King Edward...
Revelstoke, Central..
Selkirk..
Rossland	
Salmon Arm .
Sandon 	
Slocan	
Trail	
Medical Inspector.
Dr. A. A. King
Dr. G. H. Tutill
Dr. W. F. Drysdale .
Dr. Isabel Arthur  .
Dr. E. H. McEwen.
Dr. W. Dickson
Dr. T. G. Harpur .
Dr. N. M. McNeil .
Dr. W. H. Sutherland.
Dr. J. H. C. Coffin...'.
Dr. W. Gomm	
Drs. Thom & Coghtin .
I
40
46
51
55
235
52
38
31
35
33
34
44
41
37
38
50
64
47
47
41
46
48
60
47
105
16
71
269
240
374
20
240'
3 rf
rr  oj
30
36
32
232
46
35
30
34
33
28
43
41
37
36
60
50
42
42
69
40
42
42
44
46
105
12
63
260
230
374
20
22S'
31
28
28
23
44
36
79
32
30
27
40
36
33
33
43
46
43
38
60
42
38
43
44
43
240
215
287
Conditions requiring Medical
excluding Children
25
30
28
36
463
1021
North Vancouver:
Central	
Ridgeway	
Dr. H. Dyer .
Lonsdale.
Dr. H. Dyer .
280
300
200
130
103
103
223
200
250
130 3 Geo. o
Medical Inspection of Public Schools.
S 17
Schools.—Continued.
Attention but not
from School.
Conditions requiring Children to be excluded
from School until Cured.
to
.g
O
>
20
30
26
30
■6
to
Is
a
o
3
o
t
Building.
Other Conditions
(specify).
a
1
c
to
to
d
O
W
d
.tp
a
s
u
o
to
1
s
Acute Fevers
(specify).
Other
Infections
(specify).
Other
Conditions
(specify).
Closets.
Defective nasal breathing-, 3
1
10
5
"2
Wood
Wood
Wood
Wood
2	
Tanks.
Tanks.
No report.
Spinal deformity, 1; dirty,
[15
2
2
6
Wh'ng.-cough,
chicken-pox.
14.
27
23
23
23
17
17
26
24
17
25
20
19
38
17
15
14
14
23
19
19
8
24
18
305
1523
60
53
5
19
12
7
11
16
11
17
17
15
12
16
26
12
34
27
28
45
17
23
23
36
22
28
397
436
56
52
7
Very good..
Concrete ...
Concrete...
Concrete ...
Concrete...
Wood
Concrete ...
Concrete ...
Concrete ...
Wood
Wood
Wood
Wood
Wood
Wood
Wood
Wood
Old	
Good.
Good.
1
Good.
Measles, 2	
Good.
Good.
Scarlet fever, 1
Measles, 4	
Measles, 1 ....
Scarlet   fever,
1; measles, 3
Good.
3
3
1
Good.
Good.
Good.
Good.
Scarlet   fever,
3; Measles,4
Scarlet   fever,
2; measles, 3
Measles, 2....
Measles, 3 ....
Measles, 2 ....
Measles,2 ....
Scarlet   fever,
2; measles, 5
Measles, 2 ... .
Scarlet   fever,
2
Good.
Good.
Good.
Club-foot, 1
Good.
3
1
2
1
4
Mumps, 2;
Good.
Good.
Old	
Club-foot, 1 	
Old	
Wood
Wood
Brick and
[stone.
Good	
Excellent...
Sanitary....
Good	
Bad	
Good	
Good	
Good	
Wood
Brick	
Wood
Stone 	
Brick	
4
2
14
9
Fair.
Scarlet   fever,
2; measles, 7
Measles, 8 ....
Scarlet   fever,
13; varicella,
5;    diphtheria, 6;  measles, 7.
Scarlet   fever,
4;   chicken-
pox, 1; measles, 2	
5
5
i
9
7
Fair.
Rheumatism, 2 ; heart, 2 ;
[Mumps, 24
W'ng cough, 15
Pulmonary
tuberculosis,
1;sore throat,
Eczema, 17 ; bronchitis, 1;
heart trouble, 22 ; defective nasal breathing-, 51;
mentally  deficient,   15;
deformed extremities, 10;
wax in ears, 16;   stammerers, 5; club-foot, 4.
Spinal scoliosis, 11; cardiac
(mitral regurgitation), 3;
goitre, 6; hip (recovered),
1; pulmonary defect, 4 ;
glands     enlarged,     40;
nasal defect, 5.
[flush.
Good.
Tonsillitis, 1..
Appendicitis,
1; gastritis,
1	
3
2
2
Excellent.
14.
Tub. hip, 1 ...
Meningitis,   1.
Good.
1
3
1
Acute bronchitis, 1.
Acute bronchitis, 3 .   scarlet fever, 3.
Spinal curvature, 1
Good.
l
Good.
Cardiac   disturbance,   6;
Good.
No appointment.
2
65
120
200
80
2.
No appointment.
Anaemia, 4 ; heart defects,
6 ;   goitre, 12 ;   deformities,   10 ;     hernias,   4 ;
1
2
2
158
160
100
120
18 flush.
Talipes, 1; heart-disease, 1
Heart-disease, 2; anaemia,
15; goitre, 1; spinal curvature,   1;   poor   mentality, 2.
Heart-disease, 2; goitre, 1;
spinal disease (cured), 1;
poor mentality, 2.
10.
Scarlet   fever,
1; measles, 2
Scarlet   fever,
1; measles, 2
1
10.
10. S 18
Medical Inspection of Public Schools.
1913
Graded City
Name of School.
Victoria:
Boys' Central....
Girls' Central ..
North Ward....
South Park ....
Victoria West ..
George Jay	
Sir Jas. Douglas
Kingston	
Bank	
Hillside	
Fernwood	
Spring Ridge...
Rock Bay	
Medical Inspector.
Dr. H. Wasson.
522
462
642
807
347
452
466
293
197
202
122
138
94
ag
-J s3
508
462
577
305
315
436
486
293
197
211
131
139
97
426
413
496
277
309
388
397
249
167
153
97
119
74
Conditions requiring Medical
excluding Children
a
o
■9
r-t 'ffl
11
r, S
to
c
> 5
o> J3
S
a
^
S<*
OK
JjW
X*
ra
■3
"S
to
a
<!
H
H
a
a
a
16
14
66
58
37
2
239
12
6
41
36
26
1
138
37
16
41
17
33
4
296
22
2
21
9
28
1
107
14
7
43
29
27
4
203
42
10
32
29
31
6
233
39
14
55
55
28
9
197
15
14
60
48
19
6
158
17
12
14
23
4
4
95
14
8
52
39
2
120
13
6
18
19
1
5
72
6
5
28
22
5
72
2
2
17
23
4
50
Vancouver
Name of School.
Aberdeen	
Alexandra	
Beaconsfield	
Central	
Dawson	
Charles Dickens	
Fairview	
Franklin	
Simon Fraser	
General Gordon	
Grandview	
Hastings	
Henry Hudson	
Kitsilano	
Livingstone	
Macdonald	
Model 	
Mt. Pleasant	
Nelson	
Roberts	
Se3Tmour	
Strathcona	
Tennyson	
Florence Nightingale
Cecil Rhodes	
Medical Inspector.
Dr. F.
Dr. A.
Dr. A.
Dr. F.
Dr. F.
Dr. A.
Dr. F.
Dr. F.
Dr. F.
Dr. A.
Dr. A.
Dr. F.
Dr. F.
Dr. F.
\V. Brydone-Jack
W. Hunter	
W. Hunter	
W. Brydone-Jack
W. Brydone-Jack
W. Hunter	
W. Brydone-Jack
W. Hunter	
W. Brydone-Jack
W. Brvdone-Jack
W. Hunter	
W. Brydone-Jack
W. Brj'done-Jack
W. Brydone-Jack
\V. Hunter...
W. Hunter...
"VV. Brydone-Jack
W. Hunter...
W. Hunter...
W. Hunter..,
W. Brydone-Jack
W. Hunter..,
W. Hunter..,
W. Brydone-Jack
W. Brydone-Jack
Grand Total	
t3
g
o
c3
a
■8
at
to
«
P.
£
if
o
o
d
d
rr
t
■<
405
335
341
625
554
543
92
70
88
529
482
469
520
490
505
315
296
273
498
454
488
120
100
118
499
467
439
412
384
353
467
411
400
288
274
268
378
351
325
387
351
344
203
190
192
393
353
349
550
533
498
604
512
458
542
494
448
664
609
573
688
633
611
634
574
592
404
873
364
495
466
441
401
323
310
11063
10079
9090
Conditions requiring Medical
Children
ti)
o
1
3
fl
o
'tn
>
to
HT
rH
to
i>
H
1 Adenoids
50    1 Enlarged
to
I
m
to
>
o
to
fl
to
o
fl
>
fl
20
13
7
87
50
20
21
10
101
12
61
13
16
21
162
11
7
42
25
21
18
180
14
6
11
4
71
77
12
18
17
137
13
96
3
16
27
137
36
11
57
24
11
9
96
44
11
24
1
144
48
8
11
4
83
43
22
11
6
120
61
17
16
o
106
16
6
8
2
51
32
7
8
7
124
37
17
17
9
126
44
15
27
10
184
39
11
23
7
186
29
23
18
9
146
104
31
26
30
262
56
29
15
11
215
27
17
12
8
126
95
16
16
9
147
49
12
10
6
76
1215
415
359
225
3175 3 Geo. 5
Medical Inspection of Public Schools.
S 19
Schools.—Concluded.
Attention but not
from School.
Other Conditions
(specify).
Glasses, 23	
Goitre, 24 ; glasses, 30	
Goitre, 8 ; glasses, 22	
Goitre, 9 ; glasses, 18	
Goitre, 5 ; glasses, 15	
Goitre, 10; glasses, 29	
Glasses, 24	
Glasses, 7 	
Glasses, 7	
Goitre, 2	
Glasses, 2 ,	
Goitre, 1	
Oleft palate, 3 ; harelip, 2
paralysis, 1	
Conditions requiring Children to be excluded
from School until Cured.
Acute Fevers
(specify).
Other
Infections
(specify).
Other
Conditions
(specify).
rs
rf
et
O
s>
t
235
273
209
153
285
292
196
109
157
158
213
223
204
282
112
181
74
123
79
132
40
92
47
92
37
60
Building.
Brick.
Brick,
Brick,
Brick,.
Brick..
Brick,
Brick..
Frame
Brick.
Frame
Frame
Frame
Frame
Closets.
■3
tt
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—
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Or
A
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tt
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City Schools.
Attention but not excluding
Conditions requiring Children to be excluded
fro-m School.
from School until Cured.
tn
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1
Other Conditions (specify).
1
>
tr.
Ul
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|
£
to
q
IS
Having previously had
Acute Fevers (specify).
Other   Infections (specify).
Other Conditions (specify).
■6
Circulatory.
Eyes.
Deformities.
0)
03
01
3
01 oi
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12
4
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4
4
3
l
8
3
3
i
302
34
8
228
9
3
1
i
7
2
49
68
337
6
10
i
2
16
1
5
l
17
471
57
17
307
10
2
2
6
94
131
423
1
2
1
2
41
8
24
1
2
2
1
20
50
9
8
5
5
IS
8
3
l
10
1
2
308
45
18
243
8
2
1
3
19
22
71
128
314
13
8
10
5
2
1
22
7
■   6
1
7
5
i
460
255
76
25
28
10
356
158
9
4
3
1
2
4
3
2
6
15
187
30
213
34
306
1
4
i
238
20
13
2
9
X
1
3
370
54
16
284
13
3
4
3
10
86
127
327
6
9
1
1
4
18
1
i
81
369
9
44
6
20
57
293
1
10
2
11
1
5
2
14
8
116
29
123
71
21
2
?,
9
3
345
13
9
1
2
16
4
1
2
288
56
18
265
10
1
3
1
3
1
97
136
284
18
8
2
10
3
1
2
1
300
27
12
253
10
5
1
5
55
85
326
13
7
9
2
2
1
3
5
l
i
7
10
2
l
199
305
22
49
8
17
172
230
5
1
6
2
5
7
6
3
3
6
37
50
46
125
228
6
6
253
12
5
4
3
1
1
1
3
6
1
5
2
1
9
4
i
3
l
343
157
273
52
18
28
10
7
6
259
102
192
10
3
10
3
8
3
1
2
i
18'
5
96
27
37
128
53
85
259
3
124
8
1
l
267
13
12
1
18
2
11
1
417
53
17
287
6
6
13
3
9
136
141
392
4
19
1
12
3
1
6
2
l
420
85
13
271
13
3
1
12
74
143
369
11
7
12
1
l
13
2
1
l
371
61
15
264
17
i
1
3
8
91
148
356
9
12
9
5
29
2
2
l
6
2
514
91
SO
407
15
1
2 ■
2
1
218
251
423
17
18
1
2
21
12
4
27
491
62
23
358
6
9
2
2
22
3
55
162
533
4
17
3
6
14
1
1
5
23
1
i
434
69
21
299
11
2
4
3
24
1
48
105
453
10
6
?.
2
10
5
1
1
5
1
329
54
13
234
9
2
9
7
83
114
290
15
20
9
14
12
?,
10
1
346
52
26
267
12
4
8
1
7
92
83
383
9
4
230
31
2
57
14
289
5
71
5
2
32
16
2
195
27
1
10
8
260
8099
30
1161
13
372
226
6038
7
210
2
53
4
105
56
3
209
30
110
1950
151
190
248
2889
7541 S 20
Medical Inspection of Public Schools.
1913
HIGH
Medical Inspector.
0)
O
fl
to
■ft
ft
O
d
rr
■tl
o
as
fl 3
ft X
to
o
d
t
to
C
rf
T>
fl
to
%
§0
rf
r>
<
Conditions requiring Medical,
excluding Children
Name of School.
c
o
'tr
fl
G
"rf
"fl
'0
R
to
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<
-si
c
•8 3
» rf
G
m
aj
a
to
fl
"3 CJ
a
■ ~ 01
ri o>
0
B. B. Marr	
17
70
16
70
15
68
"2
4
5
4
3
1
1
i
6
4
Dr. L. A. Patten	
Dr. H. W. Keith	
15
6
9
2
Dr W. Truax	
Dr. M. G. Archibald	
Dr. T. Patterson Devlin	
Dr. A. H. Huyche	
14
61
24
34
20
10
46
22
46
15
io
46
18
34
11
3'
1
5
9
4
1
2
3
Dr. A. A. King	
1
3
5
4
3
1
5
Dr. W. F. D. Drysdale	
55
78
69
49
64
49
50
57
47
"3'
1
i
2
6
4
1
6
26
(See City schools for figures....
Dr. W. Buchanan	
Dr. L. M. McNeil	
12
12
12
2
4
1
Dr. C. M. Smith	
18
17
18
...
364
364
332
RURAL MUNICIPALITY
Alberni ...
Burnaby ..
Chilliwack
Coldstream	
Coquitlam	
James Park	
Coquitlam, Senior
Coquitlam, Junior
Blue Mountain ...
Millardville	
Cowichan, North:
Quamichan	
Maple Bay	
Somenos	
Chemainus	
Westholme	
Crofton ■	
Delta:
Westham Island..
Canoe Pass	
Boundary Bay	
Inverholm	
East Delta	
Crescent Island ...
Snnbury 	
Anni ville	
Esquimalt, Div.   1...,
11 ..    2....
.1       1,   a....
A. D. Morgan	
Dr. G. B. Watson ...
Dr. J. C. Henderson
Dr. Arbuckle   	
Dr. Geo. A. Sutherland
it
Dr. W. Dykes 	
ii	
Dr. W. Ewing	
Dr. A. A. King	
Dr. H. Rundle Nelson .,
83
83
68
2
7
14
1
19
866
866
598
115
20
/
255
594*
594*
410*
21
19
18
5
1
14   !
14
12
12
3
5
8
3
10 I
40
30
30
5
11
14
3
1
20   i
38
35
36
7
11
24
4
1
3   I
77
45
40
13
22
31
3
1
31   |
25
23
23
3
6
11
11
4
1
13
48
43
43
2
14
22
20
7
27
21
15
10
2
3
2
3
19
17
13
3
6
1
5
42
31
22
5
12
1
7
70
68
65
7
3
10
6
3
25
18
16
16
1
2
2
2
4
15
26
11
22
10
18
1
4
13
1
10
7
11
5
5
47
40
40
4
19
23
2
6
17
27
18
17
3
8
5
6
2
7   '
17
13
13
2
7
7
1
2
5
28
23
21
6
8
9
3
6
1
6
22
19
15
3
6
6
3
3
7
26
20
16
5
9
9
3
6
11
25
23
19
5
9
11
5
1
8
15
47
12
32
14
35
1
"3'
8
7   !
2
8
55
39
37
2
2
11
1
5
1
12
1 3 Geo. 5
Medical Inspection of Public Schools.
S 21
SCHOOLS.
Attention but not
from School.
Conditions requiring Children to be excluded
from School until Cured.
13
03
■8
c
'3
o
rf
>
■a
to
rf
g
s
>
o
t
Building.
Other Conditions
(specify).
a
1
03
1
6
ft.
5
o
trO
a
Acute Fevers
(specify).
Other
Infections
(specify).
Other
Conditions
(specify).
Closets.
No appointment.
1
12
5
Chicken-pox,
[measles
Good.
No appointment.
No appointment.
4
2
2 box.
No appointment.
Good	
Good	
Cement ....
Brick	
Wood ..	
Good	
34
11
12
11
21.
Goitre, 6 ; cardiac, 1;
Good.
defective nasal breathing, 1
No appointment.
Goitre, 2	
15
34
39
20
15
25
29
Tank.
 %	
Good.
Good.
2.
No appointment.
Good.
No appointment.
No appointment.
No appointment.
Defective nasal breathing, 1
No appointment.
Vault.
Measles	
Good.
SCHOOLS.
Nearly
all.
12
6
11
14
14
7
10
7
6
19
20
31
16
32
Wood	
1	
Filthy.
Obstructed nose, 11; heart
lesions, 30;   poorly developed chest,   12;   retarded mentality, 2.
(*Not included in total.)
Considerable number of enlarged tonsils, adenoids,
decayed teeth,  and defective vision.
2.
1	
1	
1	
2.
2.
Pulmonary
tuberculosis, 1
Pulmonary
tubercolosis, 1
i
1.
Wryneck,with
lateral curvature,   1;
stooped, 1.
1	
1.
1	
2.
i
1	
2.
Good 	
Good
Good
Wood
Wood
Wood
Good.
Good.
Goitre, 3 ;   cardiac disturbance, 1; defective nasal
Good.
39
16
6
19
28
13
8
18
19
16
20
10
23
27
29
"5'
3
12
5
5
5
4
3
2
8
9
Good.
Orthopaedic   defect,   with
Good.
Fair.
2 box.
2 pit.
2 pit.
2 pit.
2 box.
2 box.
2 box.
Defective spine, 1;  defec-
2 box.
Shingles, 1 ...
i
Scarlatina, 1;
diphtheria, 1.
Varicella, 1;
pertussis, 1. S 22
Medical Inspection of Public Schools.
1913
Rural Municipality
Medical Inspector.
0
5
1
°S
6
t
01
,23.9
11
o
6
t
O
fl
rf
5
to
to
rf
y
01
<
Conditions requiring Medical
excluding Children
Name of School.
a
a
rf
5
'3
fl
0i
tn
oj fl \ to
bcC  !  bo
*          J
fl           fl
w    1st
fl   S 2
3 -Z'S
3   %>
P
bo
01 *£
> rf
I*
.£ 01
m to
lH
ft
12
18
10
12
15
10
16
45
19
12
8
4
5
"i
"3
2
,,           :,     5	
Dr. H. Rundle Nelson	
Dr. R. Elliot	
48
54
65
42
83
43
47
S3
34
24
11
65
31
29
8
7
17
33
28
23*
23
19
20
76
36
30
51
46
45
29
39
32
43
47
53
35
320
34
35
45
46
51
43
43
83
34
24
10
53
20
23
6
6
15
28
22
5*
13
15
15
68
24
25
35
20
40
20
29
25
35
30
40
25
320
33
33
42
39
45
34
45
71
25
IS
8
50
25
23
0
5
15
28
22
18*
18
15
15
68
24
25
35
21
37
23
30
26
35
30
38
25
232
1
1
3
3
"6
2
....
1
1
1
10
7
4
6
4
2
16
5
9
10
14
14
6    ..
32
10    ..
8    ..
1       4
1        2
4       6
2
1 ...
1
2 7
..      2
i
2
1
2
,,           ,,    6	
ii     7	
,i           ,,    8	
„           „     9 	
ii           n   10	
Kent:
.
..
8    ..
Langley:
Fort Langley	
B. B. Marr 	
4
2    ..
1       2
1
1
..
1    ..
1
)(
1
3
3    ..
3    ..
1
1
.,
'26'
1
1
4
4
1
"3
4
5
1
3
1
4
3
4
2
10
1    ..
Glen Valley .    .
.,
1    ..
.,
4    ..
10    ..
3
4
3
6
6
3
6    ..
4    ..
5
2
5
7
17
..      1
4
4       3
2        2
2        4
2       1
..      3
1
2       3
2     15
i
....
1
"4
1
4
7
8
4
3
9
5
3
5
4
2
5
5
..
Maple Ridge:
.,
.
,r
.
,.
,
Dr. R. H. Port	
18
34
32
46
36
44
32
23
20
35
272
122
183
208
218
169
82
61
40
29
23
18
32
30
45
35
43
31
21
16
25
260
112
171
195
197
169
82
61
40
29
23
17
29
29
42
31
36
28
20
14
25
110
165
198
202
140
60
51
23
28
17
"2
2
3
1
5
2
"i
1
7    ..
5    ..
4
7
7    ..
8
5
4
..      1
1
2       2
2       3
2
1    ....
4       1
1        1
T
T
10
20
13
14
19
23
16
13
,,           ,.   2 	
M           ,,    3	
||            .,    4	
it             ti    5	
,.
,i           ,,6 	
Willows, Div. 1	
ii            it     2
Dr. H. MacGregor	
Dr. W. K. Hall 	
2
3
2
1
4
36
5
9
12
13
1
3
3
2
60     3
12
17
15
21
27     1
9
8
4
6
3
0 10
2 7
1 11
3 5
4 15
1     13
5 7
3 ■   4
1 6
4 3
2 1
2
1
3
2
100
23
31
21
36
160
77
68
38
27
21
..
Richmond:
W. G. Hepworth	
..
Mitchell	
	
Dr. T. A. Swift	
Dr. T. A. Swift	
25
24
156
19
22
156
25
22
120
59'
1
8
4
4
37     4
3    	
4 2
0     77
"s
5
8
119
Dr. C. M. Smith	 3 Geo. 5
Medical Inspection of Public Schools.
S 23
Schools.—Continued.
Attention but not
from School.
Other Conditions
(specify).
Jaundice, 1 .
Defective palate, 1	
Defective nasal breathing, 1
Defective speech, 1; para-
lvsis, 1	
Overcrowded.
Overcrowded	
(*Not included in total).
Deaf and dumb boy
Cardiac lesion, 1;   chorea,
1; rheumatism, 3	
No appointment.
Defective nasal breathing, 1
Defective nasal breathing, 1
35 cases of simple goitre in
young girls	
Anaemia, 2	
Blepharitis, 2	
Anaemia, 3; blepharitis, 1.
No appointment.
No report.
Harelip and cleft palate, 1
Bronchitis 2 ; anaemia, 3...
No report.
No report.
Conditions requiring Children to be excluded
from School until cured.
Acute Fevers
(specify).
Scarlatina, 1.
Scarlet and
measles ..
Measles
Chicken-pox, 3
Chicken-pox, 4
Scarlatina, 4.
Measles, 2;
tonsilitis, 1.
Measles, 3;
scarlet-fever,
5;    mumps,
213	
Mumps, 2 ....
Influenza, 3...
Other
Infections
(specify).
Mumps, 1
Mumps, 1 .
Tubercular, 1.
Whooping-
[cough, 1
WThooping-
[cough, 12
Wh'ng-cough2
Wh'ng-cough4
Pertussis..
Pertussis..
Pertussis..
Pertussis..
Other
Conditions
(specify).
T3
rf
_g
■6
01
rf
'6
o
rf
>
o
rf
o
t
34
11
21
14
33
14
16
30
35
16
23
10
18
25
22
61
20
14
12
12
6
5
48
5
18-
11
13
10
3
3
2
4
9
5
19
9
14
X
3
2
7
6
7
8
12
3
42
26
20
10
15
15
19
16
12
10
20
20
9
11
15
15
15
11
15
20
15
15
25
15
15
10
155
12
6
24
8
19
11
20
14
21
14
21
22
19
10
17
4
20
29
20
29
100
162
49
63
80
91
94
101
88
109
89
80
41
41
30
31
20
20
18
11
11
12
14
5
14
8
23
133
Building.
~ ei tt e
V-MrO»;
"C L^ o
■"*! *
js      ->>£
J       tn K 0,0
Frame	
Frame	
Frame	
Frame	
Clean	
Poor .
Temporary
Temporary
Wood	
Wood	
Fair 	
Good 	
Good 	
Good 	
Good 	
Frame
Temporary-
Frame 	
Closets.
20 dry.
12 RedjCross
2 ii
2 ..
2 ,,
Bad.
Good.
Good.
Good.
Good.
Excellent.
Fair.
Poor.
Good.
Good.
W. C. S 24
Medical Inspection of Public Schools.
1913
Rural Municipality
Name of School.
South Saanich:
Royal Oak	
Elk Lake	
West Saanich	
Prospect Lake	
MacKenzie Avenue ..
Tolmie, Div. 1	
ii ii    2	
II M      3	
it     4	
ii     5	
North Dairy, Div. 1..
,.2..
m   3..
Cedar Hill, Div. 1 ...
., ii   2 ...
South Saanich, Div. 1
..   2
Strawberry Vale	
Cadboro Bay	
Gordon Head	
Craigflower	
Vancouver, South	
Capilano	
North Star	
Lynn Valley.	
*Okanagan Falls	
*Kaleden	
*Fairview	
Medical Inspector.
Dr. H. Rundle Nelson .
Dr. T. V. Hunter....
J. J. Thomson, M.B.
Dr. R. B. White .
T3
Conditions requiring Medical
rr
0)
excluding Children
-3
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32
24
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5
1
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18
15
16
..      3
1
8
28
25
26
1    ..
..      8
2
6
23
18
20
..      3
1
11
61
45
53
7
1      11
2
12
35
25
27
1        5
2
8
38
29
28
2    ..
..      7
5
1
14
50
29
45
..      7
4
4
107
39
75
7    ..
..      7
1
5
45
30
34
..      6
4
25
25
23
4
8
29
24
26
3    ..
..      4
1
5
39
34
30
3    ..
..      8
1
3
2
26
12
15
5
1
40
39
38
4    ..
..    11
2
6
24
14
24
2    ..
..      3
4
29
18
20
2    ..
..      3
1
6
42
28
35
1    ..
5
1
25
21
20
2    ..
..      5
?,
1
7
37
30
30
2       3
2
1
5
118
86
100
5
1      7
2
15
4355
3779
4061
36    1(
3   426
63
32
100
1167
30
22
20
1        1
2
4
48
39
39
1       3
4
11
161
102
146
3       6
3
3
34
24
20
20
1       4
1
5
18
14
14
1        1
1
6
15
14
14
..      2
1
4
Rural and Assisted. 3 Geo. 5
Medical Inspection of Public Schools.
S 25
Schools.—Concluded.
Attention but not
from School.
Conditions requiring Children to be excluded
from School until Cured.
«
_c
'5
5
rf
rr
T3
01
"rf
fl
"3
5
rf
o
t
Building'.
Other Conditions
(specify).
>
1
s
SO
d
B
S
o
to
fl
s
Acute Fevers
(specify).
Other
Infections
(specify).
Other
Conditions
(specify.)
Closets.
Measles, 2 ....
8
1
11
2
30
18
19
16
29
17
14
11
24
5
23
11
7
5
11
9
9
15
7
3
12
11
9
9
9
3
3
10
3
11
11
14
18
37
Old	
New	
I 2*&
y   o i*
New     addition     being
made.
New build'g.
Old ..'.'	
Dwell'g-h'e .
Old bl'd ....
ti    	
Healthy....
6 dry.
8 pits.
8         M
Measles, 4 ....
Epidemic
oi measles
hence
large   per
cent, of
absentees.
6     ii
6 cesspits.
6     ii
6     .t
12             !.
12        t.
8      tt
 1	
10 dry.
14
2 dry.
7
11
46
7
12 dry.
Defective nasal breathing, 1
5
64
14 W. C.
15
81
9
4
2
.,
6
10
5
14
4
9
Twelve.
Five. S 26
Medical Inspection ov Public Schools.
1913
SUMMARY.
c
•6
u.s
0 fl
r3
P
R
"o
c
rr 'tn
^ c
fc£0
is*
tn
ti
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fl
s
r=
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O
o
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C
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fl
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01
rf
|Zi
22,412
B
<1
m
H
ft
ft
ft
f>
00
19
H
51
>
t
614
779
3,143
1,734
1,028
340
8,437
285
70
8,720
12,480
9,804
4,589
786
247
447
1,383
755
21
368
389
158
2,957
1,186
64
115
21
92
25
2,291
1,906
65
9
280
13
244
11
243
16
77
5
16
316
17
108
2
1
114
10
86
1,850
169
2,260
99
37,591
835
1,509
5,302
2,357
1,676
580
12,644
13,030
16,744
RURAL SCHOOLS.
Victoria, B.C., June 30th, 1913.
C. J. Pagan, M.D.,
Secretary, Provincial Board of Health.
Sir,—I have the honour to enclose my report on certain rural schools. I desire to
commend Otter Point School as being most satisfactory in every way, and the Metchosin for
the satisfactory work of the teacher.
Their appears to be a disposition on the part of certain teachers to regard their work as
an imposition, and to hamper the work of the Inspector. Secretaries of School Boards as a
rule take no interest.
In one school ^Goldstream) all previous records have apparently been lost.
I would like to suggest that at least two lectures as to the needs of School Inspectors and
the methods and duties of teachers be made a part of the Normal School Training.
I am sending under separate cover cards of children who have left school finally which I
have collected from various schools.
Report on proper form and voucher are enclosed.
I have, etc.,
Edward C. Hart, M.D.
VICTORIA.
Victoria, B.C., July 1st, 1913.
C. J. Pagan, M.D.,
Secretary, Provincial Poard of Health, Victoria.
Dear Sir,—I beg to submit the following report on Victoria schools for the year ending
July 1st, 1913 :—
With regard to the answers received to the questions on the medical cards, these answers
would be more satisfactory if filled in by the teacher. The number in the family (living—dead)
is difficult, as we do not know if the parents are included or not.
Tuberculosis is not present in any of the families.
Nutrition is frequently poor and not as good as might be expected in a "small city.
The School Board is endeavouring to deal with the backward-children question.
A large number of children not mentally defective are backward owing to frequent
changes of schools, being kept home frequently for illness, personal or in the family, from
carelessness, etc.
Defective vision when present, as a rule, is due to some cause acting before school-age and
does not increase with school-life. 3 Geo. 5 Medical Inspection of Public Schools. S 21
Teeth are neglected by 90 per cent, of parents, and special efforts should be made to
improve and care for the primary teeth.
Tonsils and adenoids are usually attended to. Cervical glands are enlarged and palpable
in 75 per cent, of young children during cold, damp weather.
I enclose report on infectious diseases. With the exception of scarlet fever and diphtheria,
I do not think the present regulations have any effect in preventing the spread of infection.
Many children, especially girls, suffer from physical defects, such as slight lateral curvature
of the spine, round shoulders, etc. The tendency appears to be present at six or seven years
of age, but is increased by school-life, reading, piano-practice at home, and lack of outdoor
exercise and play.
Defective children and those suffering from diseases such as epilepsy soon drop out of
school, and their lack of education further handicaps them in earning a living later in life.
Yours respectfully,
H. J. Wasson,
Medical Lnspector.
The Board of School, Trustees,
New Westminster, B.C.
NEW WESTMINSTER.
New Westminster, B.C., June 30th, 1913.
Mesdames and Gentlemen,—I beg to submit annual report for school-year ending June,
1913.
In New Westminster we have one medical man and one nurse to do the work of all the
schools (eight in number), and the work is so planned that nearly all the sclipols receive weekly
one visit from the Medical Inspector and two from the nurse (the latter devoting the whole
day to the work—the former the mornings only). New pupils and those returning after
exclusion on account of infectious diseases, etc., are received the first thing in the morning, the
returns being timed for the mornings scheduled for that school. That same morning the
children receive an inspection and a certain number a complete physical examination, the
results of the latter being entered upon the medical card. In case any child requires medical
or dental attention, a notice is sent to the parent or guardian on printed slips supplied for that
purpose. Any infectious case is sent home, as is also any suspicious case. Home calls are made:
(1) when any suspicious case fails to return; (2) when information is received that there is
suspicion of absentee having infectious diseases; (3) when a case appears for the second time
untreated where treatment is recommended.
In this way the cases of sickness have been followed and the general school health has
been greatly benefited. In support of this statement, I would like to point out the course of
infectious trouble in our schools. Firstly, I may say that no epidemic, so far, has been spread
through the schools, with the possible exception of measles and whooping-cough, and these are
beyond our control owing to lack of quarantine regulations. When a child suffering from
these diseases is sent out from school, he, being not confined to his house, straightway, with the
utmost diligence, proceeds to spread the disease to his playmates—his classmates in Sunday-
school, etc. Then new cases appear in School to be looked after. It is more or less farcical
to send such cases out of a school except in this light—to keep the school clean for the ones
who have never taken these diseases ; in short, to make it the safest place to send the children.
If measles and whooping-cough were on the list of quarantine diseases, a great deal of our
troubles would be removed. I would suggest that your Honourable Board take this matter
up with the Provincial Department and see what can be done about it.
Re infectious skin-diseases: The children are all subject to a general inspection once
a month, each school being visited twice weekly by the nurse and once by myself. Any
undoubted case of infection is sent out at once by the nurse (if she be alone) ; any doubtful
case is sent to me for confirmation. In this way any infection is removed before it spreads,
and the results show the wisdom of this course. Anything but skin-troubles has to be seen by
myself before being sent home. Of course, any case not satisfied with the nurse's dismissal has
the privilege of coming to me, either at the school or office, and getting confirmation or otherwise of dismissal. S 28
Medical Inspection of Public Schools.
1913
Exclusions were as follows :
Disease.
1911-12.
1912-13.
18
27
5
19
1
9
7
5
This shows you that, in spite of the fact that this year there have been 400 new pupils,
infectious cases are diminishing. Also, the general standard of cleanliness is reaching a higher
point.
During the past year 1,958 pupils have been examined, as compared with 1,551 last year,
and I would like to point out the steps in advance shown here. The parents are beginning to
pay more attention to reports from this Department. The results are a long way from ideal
as yet, but education takes time.
Cases.
Number.
Treated.
51
181
327
1,021
6
57
56
330
The number of cases reported may appear large, as any defect was noted on our report,
but unless the defect was marked there was no notice sent to the parents. The number of
cases treated since examination last year is very encouraging, as practically all of the above
treatments had been recommended the previous year. This past year has been free from any
trouble with the parents ; apparently they are understanding the necessity of the course
pursued, and I have heard more encomiums than criticism this past year—a great contrast to
the previous year.
Now Re infectious fevers : We have had one severe epidemic which affected the schools
but was not in them. I refer to the scarlet-fever epidemic of last January. As you may
remember, this arose from a milk-infection. The schools were put under a rigid examination
(see previous report), but no case of infection developed or was found in the schools. However,
we made the school what we intended to make it during that epidemic—the safest public-
meeting place in the city. There have been a few sporadic cases since that epidemic—some
thirteen cases in all—but in each case there has been no spread after fumigation had been
attended to.
Only seven cases of measles have been found. We know there are dozens of cases. The
same applies to whooping-cough. As I have previously suggested, these diseases ought to be
placed on the reportable list.
Re diphtheria :    Only six cases during the year.    No spread from any of these.
Re sanitation : This is now largely under the control of Aour Sanitary Inspector and the
improvement is marked. I would like to draw your attention to the cesspool at Richard
McBride School, but I understand that different arrangements will be made when the proper
sewerage is established.
Re heating and ventilation : We received less complaints from the rooms heated by hot
water and steam than from any of the other rooms. No doubt ventilation is poorer, but the
control of the heat by the thermostat seems unsatisfactory. A hot-water heating combined
with fan-driven air for ventilation would, it seems to me, be the most satisfactory solution of
the problem.
In conclusion, I would like to draw your attention to the report of Miss Wright, the
school nurse. This report speaks for itself and the work she has done during the past year.
Her attention has been unremitting and her judgment good, and the improvement shown in
her special department has been marked.
I would also like to thank your Board, the Secretary, the teachers—one and all—and the
pupils and their parents for their sympathy and co-operation.
I have, etc.,
E. H. McEwen 3 Geo. 5 Medical Inspection of Public Schools. S 29
SOUTH   VANCOUVER.
Cedar Cottage, B.C., June 30th, 1913.
C. J. Fagan, M.D.,
Secretary, Provincial Board of Health, Victoria, B.C.
Dear Sir,—In submitting the following report on medical inspection of the South
Vancouver schools, I beg to advise you that our records for the previous year were not sent-
to the Provincial Board of Health because of changes in dates marking the beginning and
ending of the medical school-year. I therefore request permission to incorporate them in my
present report for 1913.
The inception of our department practically dates from February, 1912, since there had
been no attempt at systematic physical examination up to that time. There were then seven,
schools, with an average monthly attendance of 2,965 pupils. We have at present fifteen
schools—twelve occupied and three rapidly nearing completion—with an average monthly
attendance of 4,061 pupils. The Medical Department is under the supervision of a doctor and
one nurse; the former a full-time officer appointed February 1st, 1912, the latter having been
appointed a month later. The scope of our work has increased enormously during the past
year, and, assuming that the rate of increase in school attendance keeps up, it is only fair to
anticipate some new additions to the staff in the very near future.
South Vancouver has an area of fifteen square miles, and the distance between schools,
up to this year, was relatively great. The municipality is new, is growing rapidly, and with
our limited transportion—which I may say is now replaced by an auto service—with the.
frequent changing of street-names and the lack of numbers on many of the houses, it has been
extremely difficult to carry out our home-visitation and also to adhere closely to the schedule
for school office hours. We owe much to the untiring energy and devotion to the work on the
part of the school nurse for the solution of these problems, as well as many other matters of
vital importance to the health and growth of our department.
Speaking in - regard to the general health of the municipality, embracing' the schools, I
may say that the most cordial relations obtain between the Medical Health Officer and the
School Health Inspector. I am notified immediately by 'phone and also in writing of all cases
of highly contagious diseases, making it possible to eliminate these from the school at the
earliest possible moment. I also notify the Medical Health Officer in like manner of any
cases that come under my observation at the schools, in the meantime excluding the child and,
if necessary, arranging with the Health Department for the disinfection of the room. In such
cases a thorough inspection is made of the whole school, and reinspection as occasion demands.
To facilitate matters along this line I have outlined the cardinal symptons of the more highly
infectious diseases, and, encased in a neat glass and frame, have caused them to be posted in
the various class-rooms. By consulting this, the teacher can, in a measure, confirm her suspicions of a doubtful case and report the same without the delay and danger of exposing the
other children. This enables us to maintain the health of the schools at a reasonably high
level, allowing, of course, for the somewhat impaired sanitation, as there are no sewers in the
municipality—a condition prejudicial to the health of the children. There have been two
epidemics—namely, a general epidemic of measles and whooping-cough in the spring of 1812,
and an epidemic of diphtheria, which was localized to Cedar Cottage District in the fall of the
same year. On account of the latter we were obliged to close Lord Selkirk School for a period
of two weeks.
Just here I would like to say that much of the contagion can be traced to families, otherwise good families too, who treat children's diseases altogether too lightly, and often with a
spurious idea that " children must have these things." They will not consult their family
physician, either through fear of being quarantined or because of the expense, and immediately
the rash dissappears (often before) the child returns to school with the report that he has been
sick with a cold, or no report at all if he can get by, so to speak.    The epidemic of diphtheria S 30 Medical Inspection of Public Schools. 1913
was started in just such a manner. The nurse and I found the first two cases in our routine
work at the school. It appears to me that some legislation compelling the people to consult a
physician at least once in all cases of sore throat or rashes would contribute much to the
health of the schools and community at large, and might be the means of saving many lives :
there were four deaths in the recent epidemic at Cedar Cottage.
Before outlining our work in detail, I might say that the usual resistance to examination
on the part of the parents in the beginning has long since been adjusted, and it is the rarest
exception to have any objection made by either parent or pupil.
Briefly speaking, our methods of examination and general scheme of management are as
follows : The first month of each term is devoted to general class-room inspections for rashes,
sore throats, pediculi of the head, etc., after which we proceed to the routine physical
examinations, which are always done in the mornings; the afternoons being reserved for office
hours at the various schools, thus making it possible to visit each school regularly once a week.
The pupils are brought into the teachers' room apart from the class-rooms in groups of ten,
boys and girls separate. A brief inspection is made by the nurse for rashes or pedicuili, etc.,
as each individual is presented. The visions having been taken with the usual Snellen's Test
Card, any abnormality of gait or general appearance is noted, and I proceed to examine the
ears, using the watch test and ear speculum if necessary. The nose is next inspected, using a
speculum which has been dipped into an antiseptic solution and dried on paper towelling. I
often get them to breathe through each nostril separately, holding my finger against the
opposite side and having them close the mouth. Wooden tongue-blades are used in examining
the throat, but I can often get quite as good a view by asking the pupil to open the mouth,
put the tongue away out, and say "ah." This works particularly well in the case of very
young pupils, who are sometimes a little frightened of tongue-blades. To reveal the presence
of adenoids, I ask them to repeat such words or phrases as "name," "town," "ninety-nine,"
" spring is coming," etc. For the teeth I often use the laryngoscope as a mirror to assist me
in detecting cavities. The glands are next palpated, and the case is completed with the
routine examination of the heart and lungs, at the same time giving attention to various
miscellaneous defects as mentation, orthopedic, etc. The usual notices for defects are sent to
the home, and calls are made on all cases of suspected indifference on the part of the parents.
The schools are all provided with screens, and in a sense the examinations are made semi-
private. In cases of defects limited to the eye, ear, nose, and throat, a printed list of all the
certified specialists, with office hours and address, is given to the pupil to guide him in the
choice of a physician and to eliminate the chances of consulting a quack, which so many are
prone to do.
I found the Government Form G a great help in impressing the parents with the
importance of caring for their children's teeth. I believe the appointment of a school dentist
would be a great acquisition to the department, and it is my intention to bring this matter
before the Board.
Appended is a list of contagious diseases, with a resume of defects, covering the entire
period of school inspection. With this I respectfully submit for approval a number of forms
improvised for use in our department in addition to those regularly supplied by the Government, and which I think are self-explanatory. ,
Before concluding this report, I wish to direct your attention to a feature of the work
without which, in my estimation, the entire scheme of medical school inspection is defeated;
I refer to school clinics. It is a well-known fact that this Western country will not tolerate
free clinics, and I concur with the profession in their belief that clinics conducted without
discrimination permit an unfair advantage being taken by those who can afford to pay. But
a school clinic limited to charity cases is quite a different thing. These are non-paying cases,
and if the profession is safeguarded by the School Board in the classification of these cases, it
seems to me that no fair-minded member of the fraternity could offer any objection to the
institution of a clinic. 3 Geo. 5
Medical Inspection of Public Schools.
S 31
Following are statistics of medical inspection from February 1st, 1912, to June 30th,
1913:
Number of Pupils.
Excluded    	
Readmitted	
Inspected 	
Physically examined 	
Homes visited by nurse	
Notices sent	
Pupils examined at office	
Chicken-pox	
Measles	
Scarlet fever	
Mumps	
Diphtheria	
Whooping-cough	
Defective vision	
Squint	
Inflammation of eye	
Deafness	
Discharging ears	
Defective teeth	
Rhinitis	
Defective nasal breathing	
Enlarged and palpable glands	
Enlarged tonsils	
Adenoids	
Enlarged thyroid	
Pediculosis (including reinspections)
Ringworm    	
Unclean ,	
Scabies	
Impetigo	
Eczema	
Alopacia Areata 	
Bronchitis	
Pulmonary tuberculosis	
Anasmia    	
Heart (organic)	
Heart (functional)	
Defect of spine	
Miscellaneous (orthopedic)	
Nutrition	
Defect of mind	
Chorea	
Pigeon-breast	
Rickets	
Asthma    ...
Depressed shoulder	
Keloid	
Harelip	
Adactylia	
Tubercular hip    ...
Ichthyosis	
Scoliosis    	
Polydactylia	
Defect of speech	
Ranula	
Congenital dislocation of hip	
Acne	
Habit spasm	
Talipes varus	
Talipes valgus	
Eunnel-breast	
Infantile paralysis	
Feb. to
June, 1912.
40
26
2,028
2,784
135
1,228
4
1
11
1
5
292
12
11
77
7
649
3
30
63
508*
134
35
174
7
4
3
6
20
19
11
17
15
1
14
2
1
3
June, 1912, to
June, 1913.
186
156
9,202
3,779
346
3,501
1,272
23
12
6
9
15
22
252
12
22
100
14
1,167
2
160
63
426t
106
45
763
9
64
15
81
5
2
34
2
35
11
26
2
23
36
7
4
13
1
1
1
2
2
4
3
4
2
I
9
1
1
12
4
2
1
3
1
'Operations, 133.        t Operations, 107. S 32 Medical Inspection of Public Schools. 191&
Results or Medical Inspection from February,  1912, to June, 1913.
Errors of refraction corrected  127
Operations for tonsils or adenoids      165
Suppurating ears treated      40
Operations on nose  17
Teeth filled (cases)  602
Operation for mastoid disease  1
N.B.—Many of the remaining cases will receive attention during the summer holidays..
The above fifteen cases of diphtheria might be supplemented by eight others who are actually
under quarantine for the disease. Out of a total of over 4,000 children, 2,076 had been,
vaccinated before entering the South Vancouver schools.
Yours faithfully,
T. V. Hunter,
Medical Lnspector of Schools.
SOUTH VANCOUVER.
Cedar Cottage, B.C., June 30th, 1913.
C. J. Fagan, M.D.
Secretary, Provincial Board of Health, Victoria, B. C.
Dear Sir,—I beg to submit the following report on sanitation, grounds, buildings, etc.,.
of the South Vancouver Schools :—
The school-sites in the majority of cases have been tastefully selected. The general contour
of the municipality makes it favourable for drainage by sewers, but with our present system
of septic tanks and box drains there is much to be desired. These, of course, are not permanent,
and I believe there is a scheme on foot at the present time to provide sewers in the very near
future. The drainage-pipes from the toilets converge into one main drain, which empties into
a septic tank of the Cameron variety. From this the effluent is conducted over a rock-pit
and thence to a box drain, which carries it to a considerable distance beyond the grounds.
You can readily see that the end products of a pure effluent are not obtained with this system..
All surface water from roofs and basements is conducted away to the street in storm-water
drains. The school environment is healthy and mostly residential. In this connection it
should be remembered that there are no congested areas in South Vancouver, with the single
possible exception of Cedar Cottage.
In regard to the buildings, there is little to criticize, as, with the exceptions of Mackenzie
and Brock, they are all new, or comparatively new, and thoroughly modern in construction
and equipment. There are eleven new schools of brick superstructure and cement foundation,
all built on the same plan, providing from eight to sixteen class-rooms each. Some features
in respect to lighting and heating require special mention. The window-area does not provide
an adequate amount of light, as it is only 1/22 of the floor-area. The rooms are 25 x 34 x 12
feet. Light is admitted from the left side through four windows measuring 5x7 feet 8 inches.
The hot-air system of heating is used, and artificial ventilation is regulated by fans driven by
electricity. No provision is made for adding moisture to the air, which is a feature very
essential to the health and comfort of the School. I believe these defects are being corrected
in the schools now under construction. The class-rooms have an average seating-capacity of
forty-five, and many of the rooms are supplied with one or two rows' of adjustable seats. All
the schools are liberally supplied with fire-escapes. Four of the new schools have slate roofs,
and slow-burning construction of floors and walls, making them practically fireproof.
Yours faithfully,
T. V. Hunter,
School Medical Lnspector.
VICTORIA, B.C. :
Printed by William H.  Cl-llin,  Printer to tue King's Most Excellent Majesty.
1913.