DEPARTMENT OF PROVINCIAL SECRETARY THIED ANNUAL EEPOET OF THE TRANQUILLE SANATORIUM OF the province of BRITISH COLUMBIA FOR THE FISCAL YEAR ENDED MARCH 31ST, 1924 PRINTED by AUTHORITY OF THE LEGISLATIVE ASSEMBLY. -VICTORIA, B.C.: Printed by Charles F. Baneield, Printer to the King's Blost Excellent Majesty. 1924. To His Honour Walter Cameron Nichol, Lieutenant-Governor of the Province of British Columbia. May it please Your Honour : The undersigned respectfully submits herewith the Annual Report of the Medical Superintendent of the Tranquilh Sanatorium for the fiscal year ended March 31st, 1924. j. d. Maclean, Provincial Secretary. Provincial Secretary's Office. DEPARTMENT OF THE PROVINCIAL SECRETARY. Hon. De. J. D. MacLean, Provincial Secretary. J. L. White, Deputy Provincial Secretary. TRANQUILLE SANATORIUM STAFF. Medical Staff: • A. D. Lapp, M.B., Medical Superintendent. A. S. Lamb, M.D., Assistant Physician. H. G. Chisholm, M.D., Assistant Physician. P. J. Carroll, M.D., Assistant Physician. W. G. Thurston, M.D., Assistant Physician. Wm. Mobeis, M.D., Assistant Physician. W. G. Lothian, X-ray Technician. W. M. McLean, Dentist. Miss M. Hodgetts, Matron. Consulting Surgeons: Dr. J. S. Bueeis, Kamloops, B.C. Dr. R. W. Ibving, Kamloops, B.C. Administrative Staff: A. Whiteceoss, Bursar. Miss G. Forbes, Clerk and Stenographer. A. N. Low, Storekeeper. Miss L. C. Buckley, Dietitian. J. P. Bolton, Chief Engineer. J. Tbevoes, Laundry Manager. Rev. E. D. McLaeen, Chaplain. Sanatorium Farm Staff: D. W. Steachan, Farm Superintendent. Miss L. D. Kelly, Book-keeper. TRANQUILLE SANATORIUM. REPORT OF THE MEDICAL SUPERINTENDENT. Teanquille, B.C., April 1st, 1924. The Honourable J. D. MacLean, M.D., Provincial Secretary, Victoria, B.C. Sie,—I have the honour to submit herewith the Third Annual Report of Tranquille Sanatorium, covering the fiscal year April 1st, 1923, to March 31st, 1924. A larger number of patients received treatment this year than in any year since the Sanatorium was established, there being 425 in all, an increase of fifty-three over the previous year. There were 245 available beds and the highest population was 237. The admissions totalled 202 and the discharges 199, showing an increase of three in the patient-population at the end of the year. In examining the statistical table on discharges it will be noted that over SO per cent, were classed as moderately advanced, or far advanced, on admission. When this high percentage of advanced cases is taken into consideration the results are quite satisfactory, there being eighteen apparently arrested, ninety quiescent, and twenty-two improved, on discharge. Many of the cases who are able to go out and earn a living must be classed as quiescent for years owing to the persistence of physical signs in the chest. A few years ago early cases only were welcome in a sanatorium, but in recent years ideas have changed, and statistics on discharges show that it is well worth while treating the far advanced, many of whom are sufficiently restored to health to lead useful lives for many years. Another great good which results from treating advanced cases is the isolation secured, which helps to limit the spread of infection. While fairly satisfactory results may be obtained in treating advanced cases, it must not be forgotten that the earlier in the disease that treatment is instituted the greater the chance for recovery and in much shorter time. It is to be hoped that, as the public becomes better informed regarding the disease, there will be a decline in the phthisiphobia which is still quite prevalent, and that it will not be so difficult to persuade patients to take treatment while they still feel well. Dental Service. The work in this department was interrupted temporarily by the sudden death of Dr. H. C. Cowan, who had been in charge of the clinic here ever since it was established. Much good work has been done during the year and this service continues to be a very valuable adjunct to the treatment. Laboeatoey. Although provision was made in the estimates, a laboratory technician has not yet been appointed, as the position is being held for an ex-patient who is taking special training which will fit him for it. A great deal of routine work has been accomplished and the laboratory was used as extensively as possible under existing conditions. Surgical. A higher percentage of our cases than usual have had lesions suitable for treatment by collapsing one lung, either by means of artificial pneumothorax or by thoracoplastic methods. At the beginning of the year we had ten cases taking artificial pneumothorax, and during the year the treatment was attempted in forty-nine new cases. In thirty-three of these we were able to induce pneumothorax, and of these thirty-three the treatment had to be discontinued in four for various reasons. In the remaining twenty-nine cases the treatment has been continued with very satisfactory results. Of the sixteen cases in which pneumothorax could not be induced, live were selected as suitable for thoracoplastic collapse, and the necessary operations were performed by Dr. H. L. Burris and Dr. J. S. Burris, of Kamloops. The results have been excellent with the exception of one case, and in this case a bronchopneumonia followed the first operation. These cases make a total of seven which have had collapse produced by this method, W 6 Tranquille Sanatorium. 1924 and as marked improvement has followed in all but the one case mentioned, the results must be considered as most encouraging. Besides these, several of our patients have required the attention of our consulting surgeons, either for consultation or treatment. X-BAY DepABTMENT. We have used this department more extensively than ever before. We now have stereoscopic films made of the chest of each new employee, and in this way have a record which is very valuable in the event of an employee breaking down with the disease, as there can be no doubt about whether it originated before or after they were employed. As our one Sun lamp was not sufficient for our needs, we added another one to our equipment at the end of the year. The results of this treatment are good in certain types of cases. Laundey Depaetment. As our average number of patients has been higher this year, the laundry has had more work, having put through a monthly average of over 28,500 pieces. The seamstress and sewing- room are now in the laundry, and we are able to have all linen mended before it leaves the laundry and save handling and wrinkling it afterwards. This is a well-equipped and efficiently managed department. I Financial. This report shows a reduction in the net per capita cost, and, when everything is considered, is very satisfactory. Our gross per capita cost was higher, due to a fairly heavy depreciation being charged to this year's maintenance, besides many large items, including a trestle on the railway spur, which in former years would have been chargeable to capital expenditures. The bill for repairs and renewals continues high, and is likely to be so for three or four years more, as some of the buildings are getting old. There has been a great improvement in the condition of both buildings and grounds since the .Sanatorium was taken over by the Government. Sanj^toeium Faem. i The farm is essential for the production of milk for the Sanatorium. No other dairy in the Interior, where we could procure milk in sufficient quantity, is equipped to produce it under the sanitary conditions which prevail on our own farm. The difficulty of transporting milk during the hot weather makes it necessary to have our source of supply close at hand. We have a pure-bred herd of dairy cattle free from disease, with a production record equal to that of any herd in the Dominion. The quality of our range stock is gradually being improved, and for the past year stall-fed young steers from this stock have formed the beef-supply of the Sanatorium. A flock of sheep was purchased at the end of the year, and as the size of this flock is increased it is hoped that the farm will be able to supply enough lamb and mutton to meet the needs of the Sanatorium. The Cooney Ranch is gradually being made more productive, and when all of our land is in good condition the revenue from the farm should be much greater. : Building Opekjvtions. The building which contains a workshop for patients on occupational therapy, as well as our own carpenter and paint shops, and which was under construction at the beginning of the year, is now completed and has been occupied for some time. Five new cure cottages to house two patients each were erected. These cottages have every convenience for the comfort of the patients, and are just about as economical to build as the modern type of pavilion, and are more economical in operation. We have also found that patients in these quarters take " the cure " more faithfully than in pavilions. The farm boarding-house was completed and is proving most satisfactory. An implement- shed, a blacksmith-shop, a feed-room, two large silos, a piggery for the accommodation of 140 hogs, and a slaughter-house are under construction on the farm and are all badly needed. Recommendations. The Department should keep in mind the problem of providing accommodation for advanced cases, who do not respond well to Sanatorium treatment. During the past winter we had a large number of women applying, whom we could not admit, and it will soon be necessary to build more quarters for patients, either here or at the Coast. Nurses' Home, Tranquille Sanatorium. . -r-'i. ' . Sitting-room, Nurses' Home, Tranquille Sanatorium. 15 Geo. 5 Third Eeport. W 7 The question of a gravity water-supply from Tranquille Creek should be investigated again, as the pumps are taxed to their limit, as well as being expensive to operate. The fire hazard would also be greatly reduced. The approach to the Sanatorium should be improved, as it now presents the poorest appearance of any part of the grounds. It was pointed out last year that the quarters for employees were rather unsatisfactory, and I would again recommend that a suitable building for housing the female employees be erected and their present quarters used for male help. Acknowledgments. We would like to acknowledge with thanks all donations received at Christmas from various organizations and individuals. The military branch of the Y.M.C.A. again made liberal contributions towards amusements and provided an orchestra to play in the infirmaries on Christmas Day. Their kindnesses were greatly appreciated. Many organizations and individuals from Kamloops helped to provide amusements during the winter, and to these our sincere thanks are due, as well as to the visiting committee of the Red Cross, whose visits are always looked forward to with pleasure by the patients. I would like to thank Dr. J. S. Burris and Dr. R. W. Irving, consulting surgeons, for advice and assistance. I wish to express my appreciation of their co-operation to the assistant physicians and to all the various members of the staff. In conclusion, I thank you, sir, for the support and assistance your Department has given me. I have the honour to be, Sir, Your obedient servant, . A. D. LAPP, Medical Superintendent. W 8 Tranquille Sanatorium. 1924 STATISTICAL TABLES. Statistics foe Year ended Maech 31st, 1924. Civil. Military. Female. Total. Number of patients in Sanatorium, Marcli 31st, 1923 Number of patients admitted during year 1923-24 Number of patients discharged during year 1923-24 Number of patients treated during year 1923-24 Number of patients in Sanatorium, March 31st, 1924 89 97 73 186 111 70 41 71 111 42 64 64 55 128 73 223 202 199 425 226 Cases admitted during Year ended Maech 31st, 1924. Males .... Females 138 64 Total 202 Civil state— Married 82 Single 117 Widowed 3 Total 202 Classification— Incipient 36=17.82% Moderately advanced 62=30.68% Far advanced 102=50.49% Suspects 2= 0.99% Total 202 Age Classification of Cases admitted during Yeae ended March 31st, 1924. 1-10 years 11-15 „ 16-20 „ 21-25 „ ! 26-30 „ 31-35 „ 36-40 „ - 41-45 „ 46-50 „ 51-55 „ Over 55 years - Males. Pema 2 9 1 4 7 10 23 17 IS 9 21 6 27 7 20 3 7 2 2 3 10 1 Totals 138 64 Number Patient-days during Year ended Maech 31st, 1924. Total 75,819 Religion of 202 Cases admitted during Year ended Maech 31st, 1924. Church of England 88 Greek Presbyterian 45 Congregational Roman Catholic 27 Scientist Lutheran IS None Methodist 13 Buddhist Baptist 5 Salvation Army 15 Geo. 5 Third Ebport. W 9 Addresses of 202 Cases admitted i Vancouver SS Cloverdale 2 Fort Langley 1 Rosedale 1 Kaslo 1 Blucher Hall 1 Williams Lake 1 Kamloops 12 ueing Yeae ended March 31st, 1924. l Winnipeg McKay .. 1 l 1 McLure - l Harrison's Mills Okanagan Centre Nichol l 2 1 1 New Westminster South Vancouver Chase 5 10 1 4 Saskatchewan 1 Brighouse Invermere Ladysmith 1 1 1 Nanaimo 5 2 Wilson Creek Swift Creek 1 1 Prince Rupert Alberta Sidney 1 2 2 1 North Thompson Mount Olie Keating Cobble Hill - 1 1 1 1 Nelson 1 1 West Summerland Surrey Stewart Calgary Jaffray Revelstoke 1 1 1 1 1 1 1 Courtenay Victoria 1 13 2 Salmon Arm 3 4 1 * Lytton North Wellington Coquitlam Ottawa 1 1 1 1 Tranquille — Coal Creek Moose Jaw Occupations Salesman Farmer School-teacher 2 1 1 of 202 Cases admitted 2 19 4 dueino Yeae ended Maech 31st, 1924. Forester Woodsman Furniture-packer Chauffeur Electrical engineer Insurance agent Storekeeper 2 2 1 1 1 1 1 Miner Accountant Labourer Time-keeper Hotel clerk Clerk 8 2 10 2 2 . 12 Lumberman 2 Bridgeman Baggageman Mechanical engineer Domestic Pipe-fitter Housewife Draper Gardener ....'. ,.... At home Nurse 1 1 1 1 2 21 1 2 11 . 5 Chambermaid Butcher Stenographer Fisherman Policeman 4 3 v 7 1 . 1 Cook Blacksmith 1 2 Teamster Sheet-metal worker Photographer Bar-tender Telephone operator Stone-mason 1 1 1 1 2 1 Secretary Seaman Painter 1 8 3 \ Shoemaker . 3 9 W 10 Tranquille Sanatorium. 1924 Occupations of 202 Cases admitted dubing Year—Continued. School-child 14 Carpenter 6 Artist 1 Piano-tuner 1 Window-trimmer 1 Motorman 1 Student 1 Fireman 1 Conductor 1 Book-keeper 2 Soldier 1 Upholsterer 1 Mechanic 1 Pressman 2 Waiter 1 Shipper Cashier Cleaner and dyer Ship-work Naval man Nationalities of 202 Cases admitted dubing Yeae ended Maech 31st, 1924. Canadian 71 English 52 Swedish 6 Scottish 24 Irish 9 Norwegian 5 Welsh 5 Japan 1 Russian 4 Finlander 3 Australian 4 America, United States of 13 North American Indian 1 French-Canadian 1 Danish 2 Italian 1 Classification of Patients on Dischaege dubing Yeae ended Maech 31st, 1924. Results. Classification on Admission. Apparently arrested. Quiescent. Improved. Unimproved. Died. Incipient 23= 11.55% Moderately advanced 84= 42.21% Far advanced 80= 40.20% Non-tuberculous 12—■ 6.03% 10 S 12 53 25 8 14 10 9 1 5 32 Totals 199—-100% 18 90 22 19 38 Classification of Cases dischabged as Non-tuberculous. For observation Empyema Pneumonia Asthma '. Nephritis Subphrenic abscess Psychoasthenia Neurasthenia 12 Report of Pneumothorax Treatment for Year ended March 31st, 1924. Number of new cases ill which pneumothorax was attempted 49 Number of cases in which it could not be induced 16 Number of injections 337 Pneumothorax treatment has proved to be, on the whole, very beneficial to certain types of the disease. We have had to discontinue the treatment in four cases, the reasons for so doing being varied—namely, asthma, the setting-up of an abscess, partial collapse, and too far advanced disease, etc. There have been five operations for thoracoplasty, and, with one exception, these have proved successful. '■■■ .,.;>, ■■■.■■ ■'• '.- .V. ^ - Mm,-. S;.;^%1 No. 1 Pavilion and Administration Building, Tranquille Sanatorium. Vvy"- « %' Men's Infirmary, Tranquille Sanatorium. 15 Geo. 5 Third Eeport. W 11 Laboratory Report foe Six Months ended March 31st, 1924. The reports for this work are available for six months of the year—namely, from October, 1923, until March 31st, 1924. Prior to October, 1923, we had no one working regularly in the laboratory, and no records were kept beyond the ordinary routine cards for the files. Examination for T.B. in sputum 597 Examination for T.B. in urine 41 Examination for T.B. in fseces 5 Examination for T.B. in ear 1 Urinalysis 591 Diazo reaction 187 Blood-counts 109 Tests for haemoglobin 23 Cerebro-spinal fluid test 5 Outside work (examinations sputum, urine, etc.) 37 X-ray Report foe Year ended March 31st, 1924. Stereoscopic chest-plates, pairs 397 Miscellaneous 52 Dental films, sets 285 Miscellaneous, dental 170 The Alpine Sun lamp has proven to be of such benefit in certain cases that a second quartz lamp has been added to the equipment of the X-ray room. Laundry Report for Year ended Maech 31st, 1924. Total number of pieces put through during year 343,071 Average monthly amount 28,5S9ll/4 METEOEOLOGICAL EEPOET. Summary of Meteorological Observations taken at Tranquille, B.C., Yeae ended Maech 81st, 1924. Month. Maximum Temp. Minimum Temp. Average Temp. Hours of Sunshine. Rain. Average Humidity. Snow. 1923 April May June. July August September Qctober November December 1924. January.... February March Deg. F. 83.0 85.0 90.0 94.0 88.0 82.0 75.0 59.0 52.0 54.0 65.0 57.0 Deg. F. 23.0 32.0 41.0 47.0 49.0 34.0 19.0 24.0 — 15.0 -15.0 26.0 15.0 Deg. F. 52.80 58.40 64.70 70.00 68.83 58.66 48.56 38.28 30.91 24.04 39.31 40.85 225.3 197.9. 207.5 207.4 263.6 237.4 163.4 41.7 34.3 44.8 83.4 158.0 Inches. 0.46 1.08 1.33 1.35 0.99 0.30 0.48 0.29 0.09 0.22 0.06 66.35 78.00 79.90 75.00 71.43 71.85 79.80 86.61 65.00 70.00 75.27 64.15 Inches. 1.25 9.75 16.75 * Trace. W 12 Tranquille Sanatorium. 1924 DENTAL EEPOET. The Medical Superintendent, Tranquille Sanatorium, Tranquille, B.C. Sir,—I have the honour to submit this report for the year ended March 31st, 1924. Throughout the year there has been performed much intensive dental work by the late Dr. H. Cowan, and I wish to convey to you, with my full appreciation, that the work was well done and full satisfaction given. The present policy of a full-mouth X-ray of all patients is one to be very highly commended and the expense is fully justified. It is of the utmost importance to locate the many vital troubles of focal infection which are a menace to the health of the patients, and the X-ray is the means of locating such infections, which otherwise might be overlooked. I wish to express at this time my sincere thanks for the assistance I have received from the professional staff of the institution. The following is the report of the actual work performed at the dental clinic during the year:— Fillings 614 Miscellaneous treatments 641 Extractions 165 Anaesthetics 158 Inlays 11 Dentures 35 Repairs to dentures 34 Reset dentures 3 Bridges 15 Crowns 34 Prophylaxis 230 X-ray sets 285 Removal of bridges 6 I have, etc., W. M. McLean, Dentist. BUESAE'S EEPOET. Tranquille, B.C., March 3.1st, 1924. The Medical Superintendent, Tranquille Sanatorium, Tranquille, B.C. Sib,—I have the honour herewith to submit the Balance-sheets and Profit and Loss Accounts for the fiscal year ended March 31st, 1924. It is very gratifying to be able to report a reduction of 12 cents per patient-day in our maintenance cost for the year, when it is taken into consideration that our depreciation charges and the whole cost of our railway spur and unloading-trestle are charged against our operating accounts. During the year there has been a decided tendency towards a lower per capita rate and all departments have shown a decrease on the year's work. Our patient-days have increased greatly over the previous year, an average of thirteen patients per day more than last year having been treated. The total number of days' treatment for the year amounts to 75.S19, making an average of 207.15 patients having been treated daily. During the year seven municipalities have paid for the maintenance of fifty-nine patients at the rate of $2.50 per day, while the Department of Soldiers' Civil Re-establishment has paid for 111 military patients at the monthly per capita rate, and thirty-three patients have paid for their own maintenance at varying rates, according to what they could afford. We have carried on the free list 210 patients unable to contribute anything towards their maintenance. We have distributed to those of our patients who were in need 130 suits pyjamas, 60 suits underwear, 45 shirts, 22 bath-robes, 95 pairs socks, 26 pairs slippers, 28 pairs boots, 7 sweaters, 22 suits clothes and a large number of toilet and other necessities. 15 Geo. 5 Third Eeport. W 13 Our new workshops were completed and are now fully occupied. The workrooms allotted to the Occupational Therapy Department have been taken full advantage of by the patients and a large amount of very beautiful and artistic work has been turned out. The new cure cottages, erected to replace the old ones which were in very bad shape, have proven very satisfactory and economical to operate. The fire-fighting equipment is now up to the standard required by the Provincial Fire Marshal, and our fire brigade is now in a position to effectively handle any outbreak that may occur. The coal-unloading trestle has proved of great value in the economical handling of our fuel. In conclusion, I wish to thank my assistants for the faithful services rendered, and also to thank you for the kindness and help you have given me during the year. I have, etc., A. Whiteceoss, Bursar. TRANQUILLE SANATORIUM. Balance-sheet, Maech 31st, 1924. Assets. Land $ 39,711 14 Buildings 402,222 31 Plant and equipment 72,451 98 Furniture and fixtures 17,158 SO Inventories 7,116 14 Treasury advance (for petty expenses) 1,000 00 Accounts receivable 15.66S 46 $555,328 S3 Deficit (cost of operations, 1923-24) 134,137 54 $689,466 37 Liabilities. Government of British Columbia : $689,466 37 Pbofit and Loss Account, Maech 31st, 1924. Depreciation— Buildings $ 20,347 25 Plant and equipment 3,568 92 Furniture and fixtures 903 09 Salaries 99,400 17 Office supplies 1,545 66 Travelling expenses and transportation 1,952 17 Fuel, water, light, and power 50,436 74 Maintenance and repairs 17,767 20 Furniture and fixtures 2,837 67 Provisions 91,407 31 Medical and surgical supplies 8,276 71 Incidentals and unforeseen 13,622 S3 By Donations $ 70,500 00 Receipts from maintenance of patients .• 107,428 18 Balance 134,137 54 $312,065 72 $312,065 72 W 14 Tranquille Sanatorium. 192-4 Expense and Revenue Statement for Year ended March 31st, 1924. Operating Expense Accounts. Expenditure by voucher (less amounts credited to vote for supplies sold) — Salaries— Medical and clerical staff $ 11,646 93 Sundry employees S7,753 24 — $ 99,400 IT Office supplies— Books and journals $ 145 46 Postage and office supplies 1,087 15 Telephone and telegraph 362 26 1,594 87 Travelling expenses and transportation : 2,2S5 06 Fuel, water, light, and power— Fuel $ 44,769 07 Power-house supplies 5,080 41 49,849 48 Maintenance and repairs— Repairs and renewals $ 12.272 23 Janitors' supplies 6,7S9 51 19,061 74 Furniture and fixtures— Bedding » $ 1,486 64 Furniture and fixtures 3,644 37 5,131 01 Provisions— • Groceries $ 33,383 38 Meat 28,006 89 Fish : 3,270 57 Milk and eggs 26,245 75 90,906 59 Medical and surgical supplies— Medicines and drugs $ 4,084 04 X-ray and miscellaneous 3,543 18 . — 7,627 22 Incidentals and unforeseen— Laundry $ 2,038 63 Freight and cartage 2,041 55 Sundries 1,322 02 Clothing 1,024 25 Railway spur 6,071 62 ■ ■ 12,498 07 Total operating expense by voucher $288,354 21 inventories as at March 31st, 1923— Office supplies $ 371 96 Transportation 299 11 Fuel 2,094 38 • Maintenance and repairs 1,593 36 Provisions 2,329 42 Medical and surgical supplies 815 94 Incidentals 484 00 7,988 17 Carried forward $296,342 38 15 Geo. 5 Third Eeport. W 15 Expense and Revenue Statement—Continued. Operating Expense Accounts—Continued. Brought foncard $296,342 38 Depreciation written off— Buildings $ 20,347 25 Plant and equipment 3,568 92 Furniture and fixtures 903 09 24,819 26 $321,161 64 Less inventories as at March 31st, 1924— Office supplies $ 421 17 Transportation 29 00 Fuel, water, light, and power 1,507 12 Maintenance and repairs 2,887 90 Provisions 1,888 70 Medical and surgical supplies 166 45 Incidentals 215 80 7,116 14 $314,045 50 Less equipment transferred to Asset Account 4,642 40 $309,403 10 Add Spur Account transferred from Asset Account 2,602 62 $312,005 72 Add adjustment, Board Account (ward aides) 60 00 Gross cost of maintenance for year $312,065 72 Revenue. By Donations from Greaves Estate $ 70,500 00 Receipts from Department of S.C.R 67,2S6 79 Receipts from municipalities 30,512 50 Receipts from private patients 9,628 89 177,928 18 Net cost of operation for year ended March 31st, 1924 $134,137 54 Summaby of Peofit and Loss Account. Yearly Per Capita. Depreciation $ 24,819 26 $ 119 81 Salaries 99,400 17 479 85 Office supplies 1,545 66 7 46 Transportation and travelling expenses 1.952 17 9 42 Fuel, water, light, and power 50,436 74 243 48 Maintenance and repairs 17,767 20 85 77 Furniture and fixtures 2,S37 67 13 70 Provisions 91,407 31 441 26 Medical and surgical supplies 8,276 71 39 95 Incidentals and unforeseen 13,622 83 65 76 $312,065 72 $1,506 46 Less donations $ 70,500 00 „ revenue (maintenance) 107,428 18 177,928 18 858 93 Net cost to Government for maintenance of patients $134,137 54 $ 647 53 W 16 Tranquille Sanatorium. 1924 Remarks. Number of patients in residence, March 31st, 1924 226 Daily average population for year ended March 31st, 1924 207.15 Gross maintenance per capita cost, 1 year $1,506.46 Gross maintenance per capita cost, 1 day 4.11 Net maintenance per capita cost, 1 year 647.53 Net maintenance per capita cost, 1 day 1.77 Capital Expenditures. Bungalows and cottages $2,895 45 Workshop and garage 2,878 00 Bakery 1,100 00 Fire-apparatus shed 400 00 Cure cottages 7,428 00 Nurses' Home 250 00 Salaries, Clerk of Works, etc 673 00 FAEM SUPEEINTENDENT'S EEPOET. The Medical Superintendent, Tranquille Sanatorium, Tranquille, B.C. Sie,—I have the honour to submit herewith a report on the Tranquille Sanatorium Farm operations for the year ended March 31st, 1924. The farm crops in nearly every line were good, notwithstanding the large amount of rundown and weedy land brought under cultivation on the Cooney Ranch. This was due in part to the great amount of labour expended in the cultivation and preparation of its soil and also the goodly quantity of manure spread upon it. The season was also favourable, being warm, with plenty of spring and summer showers, especially in the mountains, which kept up the supply of irrigation-water. More ensilage was produced than ever before, consisting of 250 tons of oats, peas, and vetch, 300 tons of corn, and 100 tons of sunflowers. Nearly 30O tons were fed to the beef cattle and weaned range calves with excellent results, as they came through the winter in better condition than ever before. Three fair crops of alfalfa were grown this year on the ranch, 300 tons of which were fed green. Three hundred and fifty tons of cured hay were also grown for the beef stock and horses. It is confidently expected that with the land in preparation for the next year's crop sufficient hay will be grown on the ranch to supply all the needs of the live stock. As large an amount of vegetables as there was suitable land for were grown for the use of the Sanatorium. The dairy herd has enjoyed the best of health during the last year and has given excellent returns per cow. They produced 557,494 lb. of milk during the year, which was sufficient for all the wants of the institution. As was suggested in last year's report, the grade cows were weeded out and replaced by pure-breds. A large percentage of the pedigreed cows produced semi-official records varying from 16,000 to 24,000 lb. of milk in the year. An average-quality flock of grade-bred ewes, fifty in number, were purchased in March from the Calgary stockyards at $12 a head. These will be used for breeding stock. The beef herd, consisting of 425 head, were all turned out on the range in good shape. They are sufficient in number to supply the Sanatorium with all the fresh beef they require. Nine pure-bred Hereford females were purchased to form the nucleus of a pure-bred herd. They are good-type animals and have done well on the range during the past season, and came into winter quarters in a much better condition than did the grades. The Hog Department is always profitable and a very fine crop of young stock was produced again this year. There was at all times a sufficient amount of prime animals on hand to supply all the requirements of the Sanatorium in the way of fresh pork. A modernly equipped hoggery is in the course of erection with accommodation for 140 hogs. This improvement will be a great benefit to the farm in the care and handling of the hogs. -••*..* y :- '"'.,-■'.■ I ;i u,; -;;-; ■ 5; Farm Boarding-house, Tranquille Sanatorium. Dairy-bam, Tranquille Sanatorium. 15 Geo. 5 Third Eeport. W 17 Several other farm buildings greatly needed on the ranch are in the course of erection. A machinery-hall 30 by 120 feet is nearly completed, which will accommodate most of the farm implements and protect them from the sun and wind. A commodious feed-room 30 by 40 feet and two reinforced-concrete silos 17 by 40 feet, inside measurements, are also under construction. These will give the farm ample storage for mill-feed and silage. The new farm boarding-house has been completed and is all that could be desired for the accommodation and comfort of the farm employees. It has been a great benefit in the way of securing a good reliable type of labour. It has been necessary to expend a great deal of money in labour and material for fencing, ditching, fluming, and cleaning the land on the newly purchased ranch. In the irrigation system all the water-gates, ditches, flumes, and dams had to be renewed, replaced, .or repaired. This work, while a heavy expenditure at the present time, will reimburse the farm in years to come and is already showing good results by the way of better crops. All of which is respectfully submitted. D. W. Stbachan, Farm Superintendent. SANATORIUM FAEM EEPOET. Tbanqutlle. B.C., March 31st, 1924. The Medical Superintendent, Tranquille Sanatorium, Tranquille, B.C. Sib,—I have the honour to submit herewith the Balance-sheet with Profit and Loss Account for the Sanatorium Farm for the year ended March 31st, 1924. Our expenses have been very heavy during the year, large sums having been spent on improvements, which the farm will reap the benefit of in future years. Over and above the ordinary farm operating expenses we have been renewing and rebuilding our fences, flumes, ditches, and corrals. It has also been necessary to renew and add to our machinery and equipment. The live-stock has been revalued—bringing values down to present market prices—and consequently a heavy loss has been shown in this department. The quantity of milk produced by the dairy herd has been very satisfactory, the Sanatorium having used 490,700 lb. of our total production. The herd has produced an average of 15,541 lb. per animal per year. The largest amount given by any one cow for the year was 23,939 lb. milk, or 060% lb. butter. The largest quantity of milk produced by one animal in one day was 93% lb. The Sanatorium has also been supplied with 29,643 lb. of beef of a high quality, the animals having been stall-fed for three months previous to being slaughtered. Our pork-sales have also been high; 13,839 lb. have been sold, of which the Sanatorium took 4.266 lb. The vegetable-crop has shown good results, 15,112 lb. having been grown and sold to the institution. The field-crops have done remarkably well—the season having been very favourable—650 tons of ensilage having been grown and put up, besides 650 tons of hay, 75 tons of mangels, 12 tons of carrots, and approximately 10 tons of various other roots. I have, etc., A. Whiteceoss, Bursar. W 18 Tranquille Sanatorium. 1924 TRANQUILLE SANATORIUM FARM. Balance-sheet, Maech 31st, 1924. Assets. Buildings and improvements - $ 55,833 72 Equipment Account - : 6,433 70 Land Account 35,500 00 Real estate 137 88 Accounts receivable 1,821 81 Dam Account 421 72 D. W. Strachan (Advance Account) 1,000 00 Inventories 37,609 35 Canadian Bank of Commerce (Trading Account) 1,207 30 Deficit 22,023 05 $161,988 59 Liabilities. = Treasury advance (Petty Account) $ 1,000 00 Treasury advance (Trading Account) 1,500 00 Capital surplus 159,488 59 $161,988 59 Peofit and Loss Account, Maech 31st, 1924. Salaries— Farm Superintendent $ 2,400 00 Book-keeper 660 00 Other employees - - 12,555 81 $ 15,615 81 Provisions 3,S76 60 Fuel, light, and water 2.380 53 Feed 12,064 20 Seeds and fruit-boxes L - 37S 41 Blacksmith and repairs 523 72 Drugs and veterinary supplies - 234 60 Implements, harness, and hardware - - - 3,697 34 Travelling expenses 522 17 Incidentals 1,273 S3 Loss on live stock 3.218 37 Depreciation— Automobile $ 439 00 Farm buildings 1,374 76 Equipment 235 56 2.049 32 $ 45,S34'90 Sale of hides , $ 65 36 Sale of produce 22,450 03 Sale of milk (private parties) - 100 40 Teaming 7 00 Beef-sales (sundry) 1.098 31 Board Account (private parties) 90 75 Deficit for year 1923-24 22,023 05 $ 45,834 90 VICTOHIA, B.C. : Printed by Charles F. Banfield, Printer to the King's Most Excellent Majesty. 1924.
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DEPARTMENT OF PROVINCIAL SECRETARY THIRD ANNUAL REPORT OF THE TRANQUILLE SANATORIUM OF THE PROVINCE OF… British Columbia. Legislative Assembly [1924]
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Title | DEPARTMENT OF PROVINCIAL SECRETARY THIRD ANNUAL REPORT OF THE TRANQUILLE SANATORIUM OF THE PROVINCE OF BRITISH COLUMBIA FOR THE YEAR ENDED MARCH 31ST, 1924 |
Alternate Title | THIRD REPORT. |
Creator |
British Columbia. Legislative Assembly |
Publisher | Victoria, BC : Government Printer |
Date Issued | [1924] |
Genre |
Legislative proceedings |
Type |
Text |
FileFormat | application/pdf |
Language | English |
Identifier | J110.L5 S7 1924_V02_15_W1_W19 |
Collection |
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 | 2016-03-04 |
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 |
CatalogueRecord | http://resolve.library.ubc.ca/cgi-bin/catsearch?bid=1198198 |
DOI | 10.14288/1.0226065 |
AggregatedSourceRepository | CONTENTdm |
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