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. g 3 to ■p. =3 CM O d fe -6 a-jtt "al P 3 CM £ 'o d fe a! o tt ei XS c < 1° tr to Conditions requiring Medical excluding Children Name of School. a .o +j S3 5 <s 3 '8 s TS < 4 3 tco lH H 1 6 4 3 U s !-* Q 2 1 4 r- rf Q |H a) P 5 9 8 13 Dr. T. A. Swift 21 40 35 57 20 28 32 32 21 30 35 35 ,i ,, 2 Dr. T. A. Swift ,, „ 3 12 12 10 2 2 1 1 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 4 3 14 6 24 9 3 23 8 6 17 1 1 3 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 "l 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. xi G 'B 3 1 al a a o 1 Building. Other Conditions (specify). a 1 > a. 3 ci O 6 rM s B r-i O be tt s 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. 'o u tt a> 1 d tt V rS.I 3 rf r* 0} °o d t a a _rf a a> < o bo rf ir < Conditions requiring Medical excluding Children Name of School. * 1 .2 3 a 'o 3 < r3'B h0O s H •»■§ ~ 3 9 - I3 3 P p 3 SB fl aj.3 Is lH Oi fl 46 40 26 41 37 20 34 35 20 ' i' 2 2 10 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 i" 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 l 3 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 l 4 2 4 4 2 12 9 3 5 1 l .... 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. o ~rf 3 rf 3 'o u rf > o rr Building. Other Conditions (specify). .2 £ a B m 6 bto CU ft a o fe tt 3 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. 0) O St a oj % Cr "o 6 t t-3 ,tl B 11 rZ g o 6 t V § -6 tt V < > ■«, Conditions requiring Medical excluding Children Name of School. o •c 3 a Is p. tK 'o a V TJ < S s boo at* 1 E e 8 <n 0 at ft bo a > tt £« CD n OH O 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 "i" i i 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 S3 — K x} Or A o tt o ~z City Schools. Attention but not excluding Conditions requiring Children to be excluded fro-m School. from School until Cured. tn tr rf fl to §>: 'g f Xi ® <3 .5 'o 1 Other Conditions (specify). 1 > tr. Ul d tp ft | £ 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 'E 0) ,fl A ft s to fl 'ftj= c to O fl j3 5 s rf s to 3 o fl o Ir - 01 u 'o o tn rf oi S c rf *3 fl P HI Is fl S 1 _g eg 1 8 c < ■~ oi rf&fl K • it 4J g "3 a* Ul CO ei 3 01 .fl Q c 'S, w 8 ,/ ST 3* > O t 12 4 i 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 ■a < -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 01 a fl 0.1 fl rf ^ 01 < 01 Sh 1 • fl ' ; (PS i bop tn Is 3 » .. fl I-I to c 01 'ir .£ oi ah 01 O o : c rr t ■< B •> i a st Q A ft 32 24 27 5 1 8 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 J o 01 c _> rf OJ-fl 8$ fl s r= 6 s O o "rf C '3 fl '5 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.
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SECOND ANNUAL REPORT ON THE MEDICAL INSPECTION OF PUBLIC SCHOOLS OF THE PROVINCE OF BRITISH COLUMBIA,… British Columbia. Legislative Assembly 1913
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Title | SECOND ANNUAL REPORT ON THE MEDICAL INSPECTION OF PUBLIC SCHOOLS OF THE PROVINCE OF BRITISH COLUMBIA, FOR THE YEAR ENDING JUNE 30TH, 1913 |
Alternate Title | MEDICAL INSPECTION OF PUBLIC SCHOOLS. |
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British Columbia. Legislative Assembly |
Publisher | Victoria, BC : Government Printer |
Date Issued | [1913] |
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Text |
File Format | application/pdf |
Language | English |
Identifier | J110.L5 S7 1913_S1_S32 |
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Sessional Papers of the Province of British Columbia |
Source | Original Format: Legislative Assembly of British Columbia. Library. Sessional Papers of the Province of British Columbia |
Date Available | 2016-03-21 |
Provider | Vancouver : University of British Columbia Library |
Rights | Images provided for research and reference use only. For permission to publish, copy or otherwise distribute these images please contact the Legislative Library of British Columbia |
Catalogue Record | http://resolve.library.ubc.ca/cgi-bin/catsearch?bid=1198198 |
DOI | 10.14288/1.0059501 |
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