PROVINCE OF BRITISH COLUMBIA THIRTY-FIRST REPORT OF THE PROVINCIAL BOARD OF HEALTH INCLUDING SIXTEENTH REPORT OF MEDICAL INSPECTION OF SCHOOLS, YEAR ENDED JUNE 30TH, 1927, AND THE FIFTY-FIFTH REPORT OF VITAL STATISTICS DEPARTMENT, YEAR ENDED DECEMBER 31ST, 1926 PRINTED BY AUTHORITY OF THE LEGISLATIVE ASSEMBLY. VICTORIA, B.C. : Printed by Ciiaiit.es F. Kaxfield, Printer to the King's Most Excellent Majesty. 1027. Provincial Board of Health, Victoria, B.C., November 30th, 1927. To His Honour Robert Randolph Bruce, Lieutenant-Governor of the Province of British Columbia. May it please Your Honour : The undersigned has the honour to present the Report of the Provincial Board of Health for the year ended June 30th, 1927. WILLIAM SLOAN, Provincial Secretary. , ' REPORT of the PROVINCIAL BOARD OF HEALTH. Provincial Board of Health, Victoria, B.C., November 30th, 1927. The Honourable William Sloan, Provincial Secretary, Victoria, B.C. Sir,—I have the honour to submit the Thirty-first Annual Report of the Provincial Board of Health for the year ended June 30th, 1927. Ordinarily, our Report appears in August of the current year, but owing to our arrangement with Ottawa in respect to the vital statistics it has been delayed pending receipt of the tables from the Census Bureau. In 1918 I suggested to the Honourable the Minister a change in the date of the publication of our Report, asking that it be published in midsummer in order to coincide with the completion of the school-year, and also to enable us to present a report on the Vital Statistics Branch a sufficient length of time from the completion of the previous year to enable us to return a complete report. This has been carried out. In the meantime, arrangements which had been pending with the Census Bureau at Ottawa have been given effect to, and all the Provinces make their complete Vital Statistics Report to Ottawa, who tabulate them, but we find now that Ottawa is not able to give us the figures until the end of the present year, and we are just in receipt of these. This delays our general Report, and I beg leave to suggest that we revert to our former procedure; that is, for the Annual Report of the Department to appear in midsummer at the end of the school-year, and that the Vital Statistics Report be issued as a separate report and be published on receipt of the full tables at the end of the year. This will enable us to present both Reports to the Legislature in January of each year as is provided for under present laws. This procedure will coincide with the other Provinces in regard to the issuance of the Vital Statistics Report, and enables comparison to be made as between the Provinces, and also enables the Census Department to publish a complete report coincident with the publication of the Provincial reports. The Annual Report of the Provincial Board of Health is primarily engaged in reporting the statistics of communicable diseases which come within the purview of the Department, and, by comparing the number of cases as reported from year to year, gauge the results of the work of the Board. This is the general conception that the public has of our work, but as we progress we have endeavoured to show the public that the number of cases of infectious diseases reported is more a criticism of, not the Department, but of the conduct of the community itself in regard to their non-observance of the law of the land. Our whole effort has been directed along the lines of the awakening, in the public conscience, of a sense of their responsibility, and that the results from the enforcement of the health laws can only be brought about by co-operation on the part of the public. Governments may make laws, but they can only keep a step or two ahead of what the public desires, and to get at the desires of the public necessitates a long-continued propaganda in an effort to educate them to their responsibilities. I am pleased to say that during the past few years there has been a remarkable awakening of the public conscience in this matter. They are beginning to realize what the individual as regards his relation to the community means, and as regards the efforts he must make individually in the prevention of disease by attention to personal hygiene, the education of himself and others in the idea of the prevention ,f disease as distinct from its cause. The inculcation of this idea has been our aim, and our efforts have been to create a broader outlook by the health-work as carried on by the Government. Formerly it was the highest ambition of public-health workers to show each year a diminished morbidity and mortality rate from certain named diseases. If the Public Health Officer could show that in a brief period of his incumbency he had cut the typhoid death-rate down to one-fifth of its former proportions and had a steadily diminishing rate for scarlet fever or diphtheria, he felt that he had done a great deal. But within the past few years we have had a higher ambition. We have felt that we must deal with more than the negative side of health, and that it was most distinctly within the province of a Health Officer to put forth every effort to raise the vitality of every human unit in his community to the highest point of efficiency. He must no longer be satisfied with the knowledge that from the result of his efforts a number of individuals have survived who might have died from some preventable disease, but he must also feel that he must lay a foundation for the robust citizens of to-morrow, and so our ideals have advanced, taking in not only the previous field of sanitation, but also that of personal hygiene. How to reach the individual, however, has been the problem. Health Officers could not personally supervise the daily life of each individual in the community, and he recognizes, therefore, the necessity for educational measures, directed both to the end of securing better understanding, and hence better support to the Health Department, and also to so educate the individual as to furnish him with the knowledge of how to promote his individual health and with the incentive to put that knowledge into effect. That we are accomplishing our purpose is largely due to the fact that a sufficient number of the citizens have become thoroughly interested, and through them, as individuals, organizations have been reached, and public-health work in British Columbia is able to show milestones of progress from year to year. Our Public Health Nursing Service is probably the best example of the progress that we are making in regard to the education of the public. The Department of Public Health in the University is providing a course for the training of our Public Health Nurses. This is supplemented by a training in our leading Public Health Centres of the actual work as carried out in our different districts, and it is due to the establishment of these nurses that we are able to report still further advances during the past year. Our ambition has been to create self-contained health units in the different municipalities under a full-time Medical Health Officer and with a sufficient number of nurses to give effect to the health laws. There have been, in our two largest cities, full-time Medical Health Officers for some years, but in all of the rest of the Province part-time officers carried on the work. These officers were selected from amongst the local practitioners, and while the Department acknowledges its indebtedness to these men and to their valuable services in time of epidemics, yet it was impossible to embark upon an educational health-work under the supervision of men who were themselves busy practitioners, and our object has been to convince the people of the value of giving specially trained people the special work of educating them to realize that, within natural limits, any community can determine its own death-rate, and also to realize that " prevention is better far than cure." We have established, during the past year, three full-time health units. It is a difficult matter to convince people that they are deriving benefits following certain costs if it cannot be demonstrated to them that there is not an actual monetary return, and in this materialistic age a suggestion to increase taxes without such a monetary return receives very scant attention. But the work carried on by the nurses, the results we have achieved in our schools, the better control of epidemics, all has had its effect, and led to the adoption by three of the districts of full-time men, and I am pleased to record that the results in these districts, in even such a short time, have convinced the people. The men whom we have placed in charge are men who have specialized in health-work; they went into the district with a definite programme and have carried it out, with the result that adjoining districts are making inquiries as to how it was done and what it costs. In inaugurating the first three units, we are indebted to the Rockefeller International Health Board for financial assistance, which is granted for a limited time, but it is the fact that this has been granted that has enabled us to get the people to make the beginning. By the time that this grant is withdrawn these districts will, as they express themselves, willingly go on with the work. The plan carried out is a full health programme, beginning with prenatal work, followed by infant-welfare, pre-school, then school, until,the child leaves the school. This is the basis of the work, and using this as the introduction into the home, the establishment of classes amongst the older people, we are able to bring home to them the real purpose of a co-ordinated plan; that is, the elimination of disease by study, research, and co-operative effort, based upon our knowledge that common contagious diseases are spread chiefly by the direct transfer of excretions from person to person. The establishment of unified health service is the application of the knowledge gathered as a result of investigations by many men in all countries, and its justification is probably best expressed by quoting from Dr. Charles V. Chapin's address on " Science and Public Health " before the American Public Health Association:— " The science which can point to its achievements against smallpox, malaria, yellow fever, diphtheria, typhoid and typhus fevers, tuberculosis, and a score of other diseases, as well as BOARD OF HEALTH REPORT, 1926-27. K 3 to a rapid lengthening of human life, and especially to the saving of vast numbers of infants from early death, need not be ashamed to acknowledge that some experiments have failed; neither should it hesitate to admit that we are still merely picking up pebbles on the shore of the sea of knowledge, and that what is not known about maintaining and perfecting the health of mankind is far greater than what is known. The opportunities for discovery are as great as before the days of Harvey, Pasteur, and Lister." We have endeavoured to show in our reports that the Health Board is appreciative of the changes that have taken place in regard to the management of health matters. The essential change is that " The old public health was concerned with the environment, the new is concerned with the individual; the old sought the sources of infectious diseases in the surroundings of man, the new finds them in the man himself." Our object is the awakening of the public conscience and securing the encouragement of an intelligent public opinion to bring, through the practical application of our health laws, the increased length of life, increased productive capacity of the human asset, decreased sickness and misery, and bring about the culmination of national prosperity produced by happy, healthy, contented people. I will refer briefly to the different branches of the Department. TUBERCULOSIS. The work in regard to tuberculosis is making very satisfactory progress. Dr. A. S. Lamb, our Travelling Diagnostician, is reporting a real increase in the interest which is being manifested by the people in general. He is establishing clinics in different parts of the Province, in co-operation with the local medical men and with the assistance of our Public Health Nurses. He deals with this in his report, which we are publishing. The figures in regard to tuberculosis, which we publish, appear large considering the population, but we must take into account that British Columbia, for climatic reasons, is regarded as a Mecca for tuberculosis cases which come here from all parts of the country. In addition, the number of deaths is swollen by the deaths amongst the Indians, the Chinese, and the Japanese, and Dr. Lamb, in his report, is publishing these figures, which are illuminating. In connection with the Canadian Tuberculosis Association, and through financial assistance of the Federal Indian Department, surveys of the Indians have been carried out during the past two years under the management of Dr. Hill, Professor of Health in the University of- British Columbia and Director of Laboratories, together with Dr. Vrooman, formerly Superintendent of the Tranquille Sanatorium, and Dr. Lamb. The results of their work are embodied in comprehensive reports which will be published in the Annual Report of the Canadian Tuberculosis Association. The work lias been done in a very thorough manner, and is probably the best of its kind that has been undertaken in regard to the Indians in any part of the continent. We believe that the Federal Department has under advisement the establishment of a Tuberculosis Sanatorium for the Indians. The Provincial Government has already under construction a hundred-bed unit at the Provincial Sanatorium at Tranquille, and there has been provided in the CitjT of Vancouver a ninety-bed accommodation for advanced cases, in order to relieve the Sanatorium of the care of these cases and to permit of more cases in the incipient stage being treated. VENEREAL CLINICS. Our venereal clinics are carrying on their work in a most satisfactory manner. Their real purport is being better understood by the public, and without very much effort on our part the attendance is increasing and we are working our clinics to capacity. We have had to enlarge the accommodation in the clinic in Vancouver three different times. Educational work is also being carried on through different agencies, and we are satisfied that there has been an appreciable control of the disease established—that is, on the curative side—and these results are being shown by the decrease in the number of patients in our mental hospitals since the inception of our work. The preventive side is a problem which requires very earnest work to bring about appreciable results. The control of the infected person, especially in our cities^ is a problem to which no satisfactory solution has been offered, other than the hope, by education through meetings and literature, of impressing upon the rising generation the real clangers of venereal disease. K 4 BRITISH COLUMBIA. One striking result, as we gather from our reports, is the account given by the drug trade of the great decrease in requests for " quack " remedies and the increase in the demand for prophylactic packages. We take it that this is one of the best indications of advance in the education of the public. LABORATORIES. The laboratories are probably the best barometer of our work, and the increase in the work in these places us amongst the leaders on the continent; that is, for the work done on a per capita basis. Since the last Report we have opened another laboratory at Kelowna, making four Provincial Laboratories, and we have requests from two other centres in the Province for similar establishments. In the report issued by the American Public Health Association on the laboratory-work in North America, the amount of work done in our laboratories shows that we are in the forefront in regard to our use of these facilities. In addition to this, we are receiving co-operation from the municipalities in a very satisfactory manner, and they are contributing a yearly grant in preference to paying for the work as it arises from time to time. They are satisfied that the control of infectious diseases is much more effective with the help of the laboratory and are recognizing that a yearly contribution is a real economy. In connection with the laboratory-work, vaccines and antitoxins are sent out free on request, and for the year ended June 30th, 1927, the following have been furnished: 12,445 points smallpox vaccine, 3,769,000 units diphtheria antitoxin, 40 doses diphtheria toxoid, 7 packages Schick test for diphtheria, 2,083y2 c.c. scarlet fever antitoxin, 9 packages Dick test for scarlet fever, 623 doses typhoid vaccine, 207,000 units tetanus antitoxin, 7 packages whooping-cough serum, 8 packages anti-meningitis serum, 6 packages anti-streptococci serum, and 1 package haemostatic serum. SANITATION. The report of our Chief Sanitary Inspector is included herewith. Under the general head of sanitation, we are concerned with the larger problems in regard to water-supplies, sewerage, transportation, public buildings, and more especially with the logging and mining camps and the inspection of fruit and fish canneries. This work is carried out in a very systematic manner and the greatly increased problem of the auto tourist is being handled satisfactorily. Following a severe epidemic of typhoid fever in New York, intensive work was carried on by the United States Public Health Service in the regulation of the oyster-beds. We have become, by arrangement, an integral part of this work and our inspection of all our oyster-beds are accepted by the United States Public Health Service, which permits of the export of the oysters to the United States. PUBLIC HEALTH NURSING. I have to report a continued improvement and extension of this work. The University of British Columbia has enlarged the scope of the work, and has so arranged the schedule that more time will be given in the course for the actual work in the field in connection with our existing health centres. One month of the course will be spent by the students under charge of the Supervising Nurses in our health centres, and the nurses will take an active part in the public-health nursing work as carried out in British Columbia. We are very much gratified indeed to report an enlivened interest on the part of the teaching profession, and wish to recognize the co-operation that we are receiving from the Provincial Education Department. It is a splendid evidence of the advance of public opinion in this question that there are usually five or six places waiting for nurses, and, in addition, we are receiving requests from the local School Boards that our nurses be detailed to teach health in the schools. In a former report I mentioned that I preferred to call our nurses public-health " teachers "■ rather than public-health nurses. This idea has been kept uppermost and we are reaping the effects during the present time. INFECTIOUS DISEASES. . On the whole, the past year has been favourable in respect to the occurrence of infectious diseases. We have had two possible threatened epidemics, one of smallpox occurring in the BOARD OF HEALTH REPORT, 1926-27. K 5 Nanaimo District and later in the season for a time it appeared as if we were in for a very serious epidemic of poliomyelitis. The smallpox manifested itself first in one or two cases in the sparsely settled country districts and, being of such a mild type, unfortunately did not alarm the people. While the usual precautions were taken and quarantine established in as far as possible, it was difficult to persuade the people that there might arise from this a serious state of affairs. It continued to spread through the district. Officials from the Board were sent up. Free clinics for vaccination were established which were well patronized, and almost immediately there was a subsidence in the number of the cases. In this connection, I would like to point out, more especially to the authorities of Greater Vancouver, that it is a very great mistake to neglect precautions at any time in regard to smallpox. The experience which Vancouver had in 1925-26, when it was very difficult to persuade the authorities to take any active steps in the prevention of smallpox,, led to the development of an epidemic which brought about a ban placed on the city by the United States authorities. This soon convinced the business element of the necessity of something being done, and we succeeded in vaccinating a great many people, and more especially the schoolchildren. During the past summer season, some cases developed in the suburbs of the city and the enforcement of the regulations as to vaccination of school-children was carried out, until a stop was put to it by the School Board, who, under a technical interpretation of the terms of the regulations, said that they were not lawfully permitted to spend money for vaccinating the school-children by the school doctor in the school offices. This difficulty was met by the City Board of Health offering to assume charge and bear the expense, but they were not allowed the use of the school offices. This action on the part of the School Board is very much to be regretted. The children were accustomed to attending these offices for the regular examinations by the School Medical Inspector and the nurses, and it was no difficulty to carry out the vaccination. Following the action of the School Board, the City Board of Health advertised, free clinics to be established, but they were not patronized to any extent. During the past three weeks there has developed in the schools of South Vancouver a dozen cases, and active measures are being taken to endeavour to nip the possibilities in the bud. Vancouver is a seaport town, open all the year round, and in communication with all ports in the world. The civic authorities must recognize that under present international conditions any city in the position of Vancouver must have a clean bill of health if they expect to carry on business. POLIOMYELITIS. In 1916 a severe epidemic of poliomyelitis existed in New York, over 20,000 cases with over 5,000 deaths. Previous to that, poliomyelitis had been very rare in North America, but since then it has gradually crept over the country, and during the past year large numbers of cases have been reported from the different States, nearly every State in the Union being affected. In July an outbreak occurred in the neighbouring Province of Alberta, and in August cases developed in British Columbia in the middle interior, and there were reported in all 175 casesy but a number of these were reported in carrying out the regulations to treat suspected cases as true cases. The medical profession co-operated in a splendid manner with the Provincial Board of Health, and by October the conditions were well in hand. This was followed, by the end of the month, with a complete subsidence. Our knowledge of poliomyelitis as to causation has been enlarged by the experimental work which has been carried on in the laboratories, and we know that the symptoms are due to the effects from a virus which is so minute that it has not been isolated to be examined, but in the laboratories they have been able to transmit the disease to monkeys. There has not, however, as yet, been brought forward a serum which would act either as a prophylactic or as a curative measure. There has been, however, use made of the serum taken from paralytic cases and the same procedure is carried out with this as in the treatment of measles. Immediately following the outbreak, the medical profession was circularized and the addresses of the patients and information as to the date of attack and the time of development of paralysis was asked for. The medical profession co-operated in this by giving us the K 6 BRITISH COLUMBIA. names and addresses, and a letter was sent to the parents asking for permission to obtain blood. We have had a very good response indeed, and our laboratories are collecting serum which we will have on hand should another outbreak occur within the next year. A table of infectious diseases reported during the year is incorporated in this Report, and the regional report of diseases is as follows:— Chicken-pox.—McBride, Parksville and District, Port Essington, and Williams Lake and District. Influenza.—Britannia Beach, Campbell River and District, Clayoquot Sound District, Edge- wood District, Invermere and District, Kimberley, McBride, Oliver and District, Smithers, and Williams Lake and District. Measles.—Ashcroft and District, Burnaby Municipality, Merritt and District, Mission, Parksville and District, Pitt Meadows Municipality, Port Simpson, Vancouver, and Williams Lake and District. Mumps.—Alert Bay. Rubella (German Measles).—Burnaby Municipality, Cranbrook and District, Cumberland, Kamloops, Kimberley, Pitt Meadows Municipality, and Point Grey (University District). Scarlet Fever.—Kamloops and Merritt and District. Smallpox.—Kamloops District and Nanaimo and District. Whooping-cough.—Cranbrook and District, Duncan and District, and Invermere and District. Cemetery-sites approved.—New Westminster District (Jewish), Salmon Arm, Grindrod, and Clo-oose. Sewage-disposal Systems approved.—Point Grey (extensions), Vancouver (extensions), West Burnaby, South Vancouver (extensions), North Vancouver City (extensions), Prince Rupert (extensions), Powell River (extensions), and Trail (extension). Water-supply Systems approved.—Point Grey (extensions), North Vancouver City (Rice Lake storage system), North Vancouver District (Kennedy Lake supply and extension of main), Vernon (extension and alterations), Sechelt (Chapman Creek supply), West Vancouver (Eagle Lake supply), Saanich (extensions and alterations), South Vancouver (extension), Rossland (extensions), Prince George (extensions), and Nelson (renewals). I beg leave to ask, sir, for your consideration for increased accommodation for our Department. Our Vital Statistics Branch is showing a wonderful growth and the work has increased over 100 per cent, in the past four years. A full report of their activities is appended. We a,re also appending a full report of the Medical Inspection of Schools, and I think any one reading it will find it very interesting in the demonstration that we are able to give of the improvements. In asking for further accommodation, I am also asking for an increase in staff. The wrork has grown to such proportions that the lack of a trained staff is militating against the expansion of the Department. We can truly say that we have accomplished the main purpose of our work—that is, educating the public—and the demands from the public for expansion of our work are becoming insistent. I hope that you will please take under careful consideration our request for the addition of an Epidemiologist to the staff. The question of expense should not enter in, as he will save his salary five times over in the checking of infectious diseases and iri the work which he can do along educational lines. I would also like, sir, to express, for myself and staff, appreciation of the co-operation which we receive from yourself, and I would like to take this opportunity of expressing to you my appreciation of the splendid co-operation that I receive from the staff. The increase of our work necessitates them working, on occasion, overtime, and a request for this is always cheerfully complied with. The fact that we have been able to make such satisfactory progress is due to the cheerful help that I am receiving. I may say that the staff and myself appreciate the active interest of yourself in our work—an interest that is based upon the idea of understanding the policies and the details of the Department and lending to our success your help and encouragement. I have the honour to be, Sir, Your obedient servant, H. E. YOUNG, M.D., Provincial Health Officer. BOARD OF HEALTH REPORT, 1926-27. K 7 TABLE SHOWING RETURNS OF CASES OF CONTAGIOUS DISEASES IN THE PROVINCE, JULY, 1926, TO JUNE, 1927. "ci C . 'P..2 si OJ ~ OS X O c OJ oj 5 0J S 0, s >> a oj.2 If o p. ij OJ ci OJ P. § 10 75 0 ci B'o? p: ci cj a) P'3 H= £ ci P QJ OJ ID OJ fc, CU eg CC Mi;; .5 t $t& QJ QJ 02 M O ft Is GO 0 3 QJ H '§ * .-. QJ P,E» ^-. QJ Hfc, 1 to 0 ejj J= P 2 1 1 24 2 7 10 2 50 1 1 12 2 3 197 5 3 44 4 41 670 1 43 33 4 1 79 12 1 21 3 6 3 l 25 1 6 1 11 3 1 6 1 16 18 25 6 104 ii' 3 1 2 33 3 7 2 12 21 1 4 86 32 so 1 2 6 1 1 3 1 2 l 10 30 11 6 3 4 3 1 3 1 12 16 IS 10 10 2 1 2 1 9 2 1 4 4 10 8 9 21 8 2 19 12 60 1 22 17 3 2 7 30 2 32 5 2 2 1 3 30 4 6 Field 2 4 15 5 aisoome aJnd District':::::::::::::::::::'::::' 1 6 7 1 3 6 5 20 2 2 2 10 23 17 21 32 2 18 6 4 "5 84 800 1 4 2 4 16 47 5 1 3 1 46 14 1 22 1 2 4 5 7 1 15 30 2 1 3 16 6 308 5 132 1 28 5 27 4 57 11 1 13 2 2 5 1 2 l l 9 1 11 1 7 3 26 18 ie' so 7 3 45 1 1 247 12 18 1 3 1 22 3 13 19 4 1 3 1 3 2 1 4 2 4 1 46 16 3 3 13 2 36 112 6 9 15 2 1 8 4 9 10 3 1 1 528 7 17 27 6 3 3 80 21 25 12 1 33 "6 1 150 75 412 7 "8 125 263 209 1 2 1 47 31 1 1 2 15 1 2 70 7 5 1 1 120 2 2 20 13 — ^_ 50 1 361 8 495 227 42 41 610 2,982 1,552 574 K S BRITISH COLUMBIA. TABLE SHOWING RETURNS OF CASES OF CONTAGIOUS DISEASES IN THE PROVINCE, JULY, 1926, TO JUNE, 1927—Continued, 13 n . I'l OS o p, 8 HS o s: a. S 8 "oj J>» H 13 OJ _3J 5 g 3S, &1 O P. <u 361 1 4 o ci tt'm S ci aj H3 £ OS 3 S qj SOS > OJ -Hi OJ 'jh Ci O QQ 495 46 3 OJ o 52 ic o 5, s m 227 0 JH •c H 42 ■o '3 sj •S ? >) aj Hfc. 41 ip OH3 O -Ii -C 3 HH CJ Brought forward 3 610 120 2,982 65 6 1 58 1,552 574 10 2 3 65 6 1 15 10 1 17 66 12 2 6 2 2 1* 175 50 2 10 80 4 1 33 20 35 30 5 '4' 20 6 43 58 2 5 28 9 i 2 4 1 3 4 5 6 9 2 1 25 46 9 13 2,383 49 46 1,811 63 4 1 3 11 19 3 1 12 1 4 6 3 1 1 14 10 8 1 2 Sfi Trail City 1 17 1 2 1 122 8 300 20 79 272 5 1 49 62 60 207 fW 1 2 41 37 5 4 43 8 40 49 1 125 250 8 1 1 282 150 10 1 54 67 1 509 13 2 11 477 81 - 1 936 1 252 235 64 Totals 1,599 7,857 1,770 8SW GENERAL REPORTS. SANITARY INSPECTION. Sanitary Inspector's Office, Victoria, B.C., June 30th, 1927. H. E. Young, M.D., CM., LL.D., Provincial Health Officer, Victoria, B.C. Sir,—I have the honour to submit the Seventeenth Annual Report for the Sanitary Branch of your Department. With increasing population, both permanent and transient, the work of this division has increased to such an extent that any thought of holidays has been submerged to the background. New industries to develop our natural resources have called for more field-work along prophylactic lines. Fortunately, the general public is becoming alive to the value of good health through sanitary precaution and a disposition to co-operate with Health Officers and Sanitary Inspectors is far more evident than in pioneer days. Briefly outlining my work alphabetically, I must commence with the new source of anxiety, that of the AUTO TOURIST CAMP. Camps are now provided for visiting autoists by nearly all the municipalities, also as a business by caterers to this class of tourists. These camps are under the inspection and jurisdiction of local sanitary officers and are in the main quite satisfactory. Our greatest concern lies with the indifferent and selfish camper that stops overnight at the first convenient place, usually near a creek, litters the place with all kinds of refuse and insanitary filth, and finally neglects to see that his camp-fire is entirely extinguished. It requires no stretch of imagination to see what a twofold menace to health and property is engendered by such conduct. In view of the increasing number of properly located and operated auto camps on all our main roads, it is proposed that'in future no individual camping on or near roadside will be permitted. BATHING CAMPS. The cities have been deserted by the younger generation in their love for the sea and open spaces. Seaside camps all over the southern portion of British Columbia have been literally swamped, especially at week-ends, when the grown-ups make their periodical visits. One of our largest marine transportation companies has shown vision and far-sightedness in establishing many new camps at seaside points. These camps consist of numerous cottages with modern conveniences, and in several camps the visitors may prefer a fully equipped hotel. At these company-owned camps sanitation is not lost sight of, but unfortunately we have to deal with many places used and rented by private parties where the tenants are transient, and where nothing but the most primitive sanitary conveniences are provided, and very often the drinking- water is of doubtful purity. These places, scattered along a coast-line of several hundred miles, call for frequent visits and enforcement of the Sanitary Regulations. This constant vigilance, coupled with the open-air life, is probably responsible for the freedom from all infectious or contagious disease at our popular seaside resorts. CANNERIES. Our fruit and vegetable canneries, which are mostly located in the .Okanagan country, are operated by men who are, fortunately, versed in the laws of sanitary cleanliness and take a pride in having visitors see every part of their establishment, and co-operating at every turn with inspecting officials. FISH-CANNERIES. Our fish-canneries form probably the leading food-export industry of Canada. The fact that British Columbia canned salmon commands the highest prices in the world's largest market is explained by the fact that in no part of the universe is the catching and canning of salmon brought nearer the peak of perfection in sanitary and expeditious handling than in British Columbia. Every year sees new canning-machines added, so that in many of our newer canneries the fish, is scarcely touched by human hands from the time it leaves the net until canned, cooked, and ready for consumption. Federal Fishery Overseers are on constant patrol to ensure that only seasonable and strictly fresh fish are used, whilst our own regulations are strictly enforced. OYSTER-BEDS. Another important and increasing food product coming under the jurisdiction of this Department is oysters. It is not generally known that an increasing export trade is being built up by our oyster- ground operators. There are more than a score of firms operating oyster-beds on British Columbia coastal foreshore. Many of them are exporting considerable of their products to the United States. Until quite recently this was accomplished without difficulty. During the early part of this year the United States Health authorities at Washington, D.C, formulated new regulations dealing with oysters and the oyster-growing industry. These regulations are applicable to every oyster-bed in the United States, and are also applied to oysters exported to the United States, inasmuch as before oysters can be shipped from Canada to the United States a certificate issued by the local Provincial Board of Health must state that the beds are free from sewage; the buildings, containers, and implements are sanitary ; and the operators and employees clean and free from skin, blood, or contagious disease. Fortunately these regulations do not impede the export of oysters because every oyster-bed in British Columbia is located far from city sewers, and the exporters are all of the type known] as sanitary cranks and only too glad to carry out any suggestions made by your Inspector. The oyster industry here is comparatively in its infancy, but we anticipate no difficulty in protecting the public health from the slightest chance of ill-effect through oysters, in so far as their culture is concerned. The safe and proper handling of oysters after they are in the hands of retailers is now a matter receiving the consideration of this Department. MINING AND LOGGING CAMPS. The mining and logging development in British Columbia is now attracting the world at large. The industries are largely controlled by big corporations with foresight enough to realize the value of sanitation for employees. Nearly all the large industrial camps are now conducted upon sanitary lines which exceed the demands of our regulations, resulting in a better class of work and a contented people. This applies especially to such places as Britannia Mines, Ocean Falls, Kimberley, Powell River, Woodfibre, Port Alice, and Anyox. Our trouble, if any, is with the small individually owned camps. These are subject to periodical visits. NUISANCES. Nuisance complaints this year show an increase, which can be explained as follows :— In a district which up to a few years ago was a wilderness of isolation a firm started a piggery on several acres. The place was conducted along fairly sanitary lines, but of recent years adjacent acreage has been taken up, cultivated, and homes established by most desirable newcomers. In the meantime the piggery flourishes, but the ground is becoming so saturated with the effluent of the septic tank that, in spite of precautions, a strong nauseating odour permeates the vicinity for half a mile distant. This is especially noticeable on evenings following a hot day with low barometric pressure. A new sub-irrigation system is now being considered in an effort to abate this nuisance. This is a fair example of the problems which your sanitary officers are called upon to solve. Another nuisance dealt with was the odour from a fertilizing and fish-oil factory adjoining the residential part of a small city. This was abated by the owners closing down for the summer season. This concern established its plant without a permit from this Department. Other nuisances arise from improper and inadequate disposal of septic-tank effluent. These have-been dealt with. To enumerate all the alleged nuisances wrould consume much time. Some are serious, whilst many are petty, but all have to be investigated and corrective action taken where needed to safeguard public health. 'JlMMlMi ' CRESCENT OYSTER-BEDS, 1927. THIS SHOWS ONE OF THE SUB-FLOATS AND RAFT-FLOATS WHERE THE SORTING-OUT OF MATURED OYSTERS TAKES PLACE. THE VERY SMALL ONES ARE RETURNED TO THE PROPAGATING-GROUNDS. CRESCENT OYSTER-BEDS, SHOWING MOUTH OF SERPENTINE RIVER AT LOW TIDE. WATERSHEDS. The Sanitary Regulations provided especially for watershed areas have been most favourably commented upon by visiting Health Officers and Sanitarians. These regulations were revised during the past year, and are as follows:— Sanitary Regulations governing Watersheds. These regulations shall be applicable to every person entering upon any watershed area above or beyond a municipal intake, reservoir, or dam. 1. (a.) Watershed Sanitary Inspector or Inspectors shall be appointed, subject to the approval of the Provincial Board of Health, by the City or Municipal Council concerned. (6.) Watershed Sanitary Inspectors shall have full authority to enforce these regulations. They must reside upon the area under their supervision. They shall not be absent from the watershed for a period of more than twenty-four hours per week without the sanction of the local Medical Health Officer or Chief Provincial Sanitary Inspector. (c.) The Inspectors shall order the liberal use of quicklime or other disinfectants when and wherever needed. (d.) The Inspector shall send a written report of the watershed conditions under his charge to the Provincial Board of Health and a copy to the local Medical Health Officer not less than every two weeks. (e.) The Provincial Chief Sanitary Inspector shall make periodical visits to see that these regulations are being enforced, and shall have power to change or add to these regulations according to nature of industrial operations and changing conditions or emergencies. Such changes must be subject to the approval of the Provincial Board of Health. (/.) Operators shall provide food and shelter for visiting authorized Inspectors when upon the watershed. 2. All officials and employees of companies operating in the watershed shall produce to the Inspector a certificate from a licensed medical practitioner that they are not affected by any disease which, in his opinion, would pollute the water. 3. (a.) Certificates of health, successful typhoid inoculation, or Widal test certificate must first be produced before any person will be permitted to work for the company, in any capacity, above the city's intake. (6.) Certificate shall state: (1) That he is not suffering now from any communicable disease; (2) that he is not a " carrier " of typhoid fever, diphtheria, or scarlet fever. 4. (a.) All persons entering the watershed, for whatever purpose, other than officials and employees of the company, must first submit themselves to a blood test (Widal) and certificates of health must state: (1) That the blood-test is negative; (2) that he is not suffering from any communicable disease; (3) that he is not a "carrier" of typhoid fever, diphtheria, or scarlet fever. (6.) No person will be permitted to enter the watershed above the intake without first presenting the aforementioned certificate of health to the Inspector in charge. 5. All persons entering upon watershed area must satisfy the Sanitary Inspector in charge that they are provided with the necessary equipment and convenience to safeguard the watershed area from contamination. 6. Instructions and rules on sanitation of camps to be posted in all camp buildings in a conspicuous position. , 7. Camps.—The location of all camps to be subject to the approval of the Provincial Board of Health and the local Medical Health Officer after consultation with the manager of the interested company. Arrangements must be made for safe and thorough disposal of garbage, refuse, tins, etc., or else remove same to an incinerator. All liquid waste, slop-water, etc., from the cookhouses, bathing-houses, laundry, etc., must be run in pipes, or by other means acceptable to the Inspector, into a properly constructed tank and chlorinated or otherwise treated so as to effect sterilization. Every camp shall be equipped with a wash-house and laundry containing a stove, tubs, and facilities for drying; also wash-basins, shower-baths, soap, and all proper sanitary facilities to the approval of the Inspector. Cleanliness, of course, is necessary for the health of the men and it must be insisted upon. Persistently unclean persons will be debarred from the watershed. Bathing or laundry-work in the creeks or streams is absolutely prohibited. All cook-houses, dining-rooms, etc., to be screened to prevent the entrance of flies. Meat-houses and store-rooms must be fly-proof and built to the satisfaction of the Inspector. All bunk-houses must be built with adequate light and ventilation, the interior limewashed or painted and fitted with iron bunks. Plans and specifications of all buildings to be erected to be furnished in duplicate to and approved by the Provincial Board of Health. S. Latrines.—Deep pit not less than 8 feet by 30 inches, lime-treated daily, to be filled in with earth $ or gravel when contents reach within 2 feet of surface ; or a pail system of galvanized-iron pails with covers, which can be easily handled and removed to the incinerator. The location of any latrine must be selected by the Inspector in Charge. Chlorinated or quick lime must be available at all latrines and all latrine cans must have liberal daily allowance when in use. When necessary to install urinals on work away from latrines, soak-aways must be provided and constructed under approval of Inspector in Charge. For all persons engaged or employed above the intake where the work is not convenient to camp latrine, the pail system must be used and removed daily to the incinerator. Any man found not using these pails must be instantly discharged. All roads for rail-cars, trams, trucks, or other vehicles must be constructed and drained in such a manner as not to pollute any watercourse or stream. Maps of the property shall be furnished to the Provincial Board of Health and the municipalities concerned, showing as far as possible the plan of the ground and sites of proposed buildings and roads in their relative positions to any streams or watercourses. . K 12 BRITISH COLUMBIA. The Provincial Board of Health maintains the Board of Health may be appealed to to act as right to alter, revise, or add to these regulations arbitrator. The Provincial Board's decision to be from time to time as deemed necessary for the final. preservation of all domestic water-supply. In cases Sanitary Regulations governing Watersheds ap- of emergency the Inspector may make such tern- proved April 2nd, 1918, and July 6th, 1923, are porary regulations as are necessary, which shall cancelled. hold good until passed upon by the Provincial Provincial Board of Health. Board of Health. In cases of dispute between the municipal author- Approved by the Lieutenant-Governor in Council, ities and the company or individual as to the sitting as the Provincial Board of Health, the 13th interpretation of these regulations, the Provincial day of October, 1926. The observance of these regulations protects the purity of water supplying Fernie, North Vancouver City and District, Greater Vancouver, and Vernon. The regulations are enforced by the municipalities affected. It may be noted, en passant, that no water-borne disease has occurred in these cities since the aforesaid regulations became law. Inspection visits to industrial camps number 200; to canneries, 125 ; visits to investigate nuisances, 55; to watersheds to consult, advise, or relieve Resident Inspectors, 33; visits to oyster-grounds, 20; and miscellaneous visits of inspection and inquiry, 70; making a total of 503 visits during the year. The work, whilst arduous, is made lighter by the courteous and co-operative manner of Provincial and municipal officers throughout the country, and the same can be said for operators and employees throughout British Columbia. I have, etc., Frank DeGrey, Chief Sanitary Inspector. BOARD OF HEALTH REPORT, 1926-27. K 1.3 COMBINED REPORT OP TRAVELLING MEDICAL HEALTH OFFICER AND INSPECTOR OF HOSPITALS. Provincial Board of Health, Victoria, B.C., July 31st, 1927. II. E. Young, M.D., CM., LL.D., Provincial Health Officer, Victoria, B.C. Sir,—I have the honour to submit herewith my Fourth Annual Report as Travelling Medical Health Officer and Inspector of Hospitals for the Province. While my work as Tuberculosis Diagnostician for the last year is very much a reduplication of the previous years, having been carried on under the same guiding principles of co-operation with the family doctors, there has been sufficient variation to still make the work very interesting. There has been a steady yearly increase in the number of cases examined, more marked the last year than previously, showing added interest not only of the medical profession, but of the public at large. The interest of the doctors is further illustrated by the number of inquiries that have come in as to when my next visit would take place. I mentioned in my last annual report that I believed extra clinical service in Victoria would be justified. After endorsation of the plan by the Victoria Medical Society, a clinic has been held here during the second week of every second month. Much of the increase in the total examinations during the year has come from this clinical service. The Provincial Royal Jubilee Hospital Board has very kindly provided room and nursing service as well as X-ray service for this work. The Provincial Red Cross has very generously guaranteed the cost of X-ray films (the Hospital only charging for films and wear and tear of machine) up to $1,500. This amount will be ample for our needs with something left over for next year. Through a bequest of the late David Spencer, a building is in course of construction and nearing completion on the grounds of the Jubilee Hospital as a separate unit to be used as a tubercular clinic. This will assure permanency and will also act as an advertisement to the city that wTork of this nature is being done. The occasional afternoon clinic at the Saanich Health Centre has been continued. St. Joseph's Hospital has been equally generous in placing X-ray and other facilities at our disposal. The regular clinics at Nanaimo have been continued during the year with interest well sustained. The balance of the Province has been covered from one to three times, despite the fact that hospital inspection has taken up an increasing amount of my time. xinother factor that has contributed this year to the increased number of cases examined was the prevalence during the fall and winter months of many cases of influenza. Many chest conditions were left in its wake and presented some difficulties in diagnosis. Particularly is that to be expected when we consider that many latent cases of T.B. become reactivated after such acute chest infections. One of the outstanding events of the T.B. world was the meeting of the International Union against Tuberculosis in Washington, D.C, September 29th to October 2nd, 1926, followed from October 4th to 7th by four days' session of the National Tuberculosis Association, which included United States of America and Canada. In fact, this meeting of the National Association was but a continuation of the International Union. This latter only meets every two years, so it will probably be many years before another meeting is held in America. This meeting brings together most of the greatest minds in the world on tuberculosis-work and every phase of same is discussed. It was my great privilege, along with nearly every Canadian tuberculosis-worker, to attend the sessions of this congress. As the American Hospital Association was meeting at Atlantic City the early part of the same week that the International Congress met, by going East a little early I was able to take in a goodly part of that programme, with much profit. To see the display of hospital equipment alone is well worth a trip across the continent. K 14 BRITISH COLUMBIA. DETAILS OF CLINICAL WORK. The total number of examinations was 518, of which 40 were re-examinations, making 478 cases examined. Two hundred and forty of these I have classified as non-tubercular. Of the balance, 238, 184 are classified as positively tubercular and 54 suspects. Of the 40 re-examinations, many of them were amongst the positive cases and were re-examined to learn of progress of the disease. Others were re-examined in order to more definitely classify case as positive or negative. While my work is essentially diagnostic, every year I am asked to advise more and more as to treatment and disposal of cases. The further classification I have confined to the positive and suspect cases, instead of all cases examined as in previous years. Of the 238 such cases, 118 are males and 120 females. Eighty-nine were born in British Columbia, sixty-two in the other Provinces of Canada, 54 in British Isles, 9 in United States of America, and 24 in other countries. Considerably over half, then, of the cases were born outside of British Columbia. Their length of residence in the Province varies from many years to two months, and while my data are not complete, quite a goodly number have been in the Province less than two years, some coming in after being diagnosed. THE EDUCATIONAL PART OF THE WORK. While there has been an increase in the clinical work, the educational part has not been neglected. Meetings have been addressed as follows : Vernon, under auspices of Women's Institute, also high-school pupils in same town; a joint meeting with Dr. Lapp in Victoria under Tuberculous Veterans' Association auspices, with Dr. Young as chairman; also one under AVomen's Institute of Victoria; Health Bureau, Board of Trade, Vancouver; Public Health Nursing class, University of British Columbia; at Duncan, under Cowichan Public Health Nursing Service; at Chemainus, under Ladies' Hospital Auxiliary; and nurses in training at Nanaimo, Hazelton, Nelson, Cranbrook, Kelowna, and St. Joseph's, Victoria. INDIAN SURVEY. The Indian survey, under the joint auspices of the Federal Department of Indian Affairs and the Canadian Tuberculosis Association, working through a Provincial Advisory Committee of which Dr. Young is chairman, is being continued this year. Having completed the survey of Coast Indians last year, a similar survey is being carried on amongst the Indians of the Interior. As a representative of the Provincial Health Department, I accompanied Drs. Vrooman and Hill on a trip of inspection through the Okanagan, Kamloops, and Nicola Valley Districts. On this trip 359 Indians were examined, including in many cases entire families. While this Interior survey is not complete, indications are that the incidence of tuberculosis amongst them does not materially differ from that found last year amongst Coast Indians. The percentage of cases found amongst Indians compared with the percentage we believe to exist amongst the white population runs in about the same proportion as deaths amongst Indians compared with deaths amongst whites, the latter of which will be seen in tables below. It is often asked, "Is any progress being made in the fight against tuberculosis?" "Is it not a fact that the deaths per 1,000 of population is practically stationary, and, in fact, is higher in British Columbia than in any of the Provinces west of Quebec? " To answer these questions intelligently there are certain facts that have to be taken into consideration. First of these is that out of a total Indian population in the Dominion of 100,000 in round numbers, British Columbia has over 25,000, or one-fourth of the total, and the death-rate amongst these people is eight or nine times that amongst the whites. Again, we are the only Province in which there is any considerable population of Orientals, and the death-rate amongst these is also inordinately high. In order to show this effectually, I asked Mr. H. B. French, of the Vital Statistics Department, to segregate these different classes for the last five years. The tables below set out the results very clearly. It also demonstrates very clearly that amongst the white population during that period there has been a very steady and appreciable decrease in the percentage of tubercular deaths, and leaving out Indians and Orientals, which does not materially affect other Provinces, we have a condition here that we have reason to be proud of. This result is attained without taking into consideration the fact that many people, both civilian and ex-service, come to the Province on account of our climate when overtaken with poor health. BOARD OF HEALTH REPORT, 1926-27. K 15 Chinese, British Columbia. Year. Deaths from Tuberculosis. Deaths, all Causes. T.B. Rate per Cent., all Deaths. Chinese Population. T.B. Rate per 1,000 Population. 1921 .... 49 64 44 40 44 59 220 232 228 211 193 224 22.26 27.5S 19.29 18.95 22.56 26.34 23,533 23,533 23,533 23,533 23,533 23,533 2.08 1922 2.72 1923 1.87 1924 1.70 1925 1.87 1926 .. . 2.55 British Columbia Indians. Year. Deaths from Tuberculosis. Total Deaths, all Causes. Rate per Cent., all Deaths. Indian Population. Rate per 1,000 Population. 1921 104 99 133 125 155 145 364 370 432 457 436 416 28.57 26.76 30.79 27.35 35.55 34.85 25,694 24,744 23,694 25,694 24,316 24,316 4.05 1922 1923 4.00 5.18 1924 4.86 1925 6.37 1926 5.96 Japanese, British Columbia. Year. Deaths from Tuberculosis. Deaths, all Causes. T.B. Rate per Cent., all Deaths. Japanese Population. T.B. Rate per 1,000 Population. 1921 1922 ... O CO O CO 142 190 158 150 195 161 23.24 11.58 15.19 15.33 16.92 17.39 15,006 15,806 16,004 17,418 18,226 19,048 2.19 1.38 1923 1924 1925 1926 24 23 33 28 1.49 1.32 1.81 1.47 Races other than Chinese, Japanese, and British Columbia Indians. Year. Deaths from Tuberculosis. Deaths, all Causes. T.B. Rate per Cent., all Deaths. Population. T.B. Rate per 1.000 Population. 1921 ....[ 1922 ...J 1923 | 1924 | 1925 I 1926 | 326 322 324 339 306 300' 3,846 4,115 4,179 4,186 4,119 4,673 8.47 7.82 7.75 8.09 7.42 '6.42 460,349 474,917 47S.769 486,355 494,925 501,103 0.70 0.67 0.67 0.69 0.61 0.59 British Columbia, all Races included. Year. Deaths from Tuberculosis. Deaths, all Causes. T.B. Rate per Cent., all Deaths. Population. T.B. Rate per 1,000 Population. 1921 512 507 525 527 538 532 4,572 4,907 4,997 5,004 4,945 5,474 11.19 10.33 10.50 10.53 10.87 9.72 524,582 539,000 544,000 553,000 561,000 568,000 0.97 1922 0.94 1923 0 96 1924 0 95 lg-^o 0 95 1926 0 93 K 16 BRITISH COLUMBIA. HOSPITAL INSPECTION. As Hospital Inspector, I have inspected twenty-seven public hospitals and thirteen private hospitals, reports on most of these being made directly to the Provincial Secretary's Department. I visited two towns where the question of establishment of hospitals was being considered, as well as other special investigations. I attended one Hospital Society meeting, at which the elective board was reduced from fifteen to five members, the annual fee cut from ,$5 to $2, and a by-law passed making it illegal for directors to have contracts with hospital boards. I met with eight hospital boards and, where full meetings could not be arranged, have met with some member or members of the executive in twenty cases. I attended sessions of the Provincial Hospitals Association, also, as mentioned before, the American Hospital Association at Atlantic City, and in May the meeting of the Hospital Section of the Pacific North-west Division of the American College of Surgeons at Seattle. There has been great activity throughout the year in planning and completing hospital extensions, including infectious-disease departments, nurses' homes, etc. These extensions were always associated with a request for special grant from the Government and universally received favourable consideration. I have received many expressions of appreciation of the action of the Government in planning extensions at Tranquille. The extra accommodation for tuberculosis provided at the General Hospital, Vancouver, did much to relieve the overcrowding temporarily, as did also the opening of Vernon Villa by St. Joseph's Hospital, Victoria, but the addition is still needed to avoid overcrowding permanently. The 1925 amendment to the " Hospital Act " has done much to assist the hospitals financially, and I believe it has worked no hardship on municipalities, being very fair to them. Most of the hospitals outside of the larger centres are still working on a flat rate, rather than the 70 cents per day per patient. There have been no cases during the year referred to Arbitration Board for decision, which would seem to bear out the opinion expressed above that provisions of Act are fairly satisfactory. In closing, I would like to express my appreciation of the cordial co-operation and valuable advice I have received from you on all occasions; also to the doctors, nurses, and lay organizations throughout the Province; to Miss Randal, of the Graduate Nurses' Association, I extend my sincere thanks. I have, etc., A. S. Lamb, M.D., Travelling Medical Health Officer and Hospital Inspector. REPORT ON MEDICAL INSPECTION OF SCHOOLS. Provincial Board of Health, Victoria, B.C., November 30th, 1927. The Honourable William Sloan, Provincial Secretary, Victoria, B.C. Sir,—Herewith I beg leave to hand you the Sixteenth Annual Report of the Medical Inspection of Schools for the Province of British Columbia. The work of our Department as a whole is making very satisfactory progress, and we have been pleased to call your attention to the advances in respect to the different departments, but I feel that, in reporting as to the work of the medical inspection of the schools, we can show more real advance and more accomplishment, with the result of greater interest being taken by the parents and public in general, than in any other department. Our Nursing Service is increasing and the number of nurses at present connected with our work is upwards of forty, a remarkable increase in the past five years, when we began with one nurse. The soundness of our policy in the establishment of the Nursing Service is borne out by the results as shown in the schools. We are now busy coping with the requests that are coming in for extension of our Service, and it is becoming less and less incumbent upon us to make an effort to induce the people to consider our Service. The improvement of the general health of the children; the improvement in their class-work; the curing of a large number of defects ; the institution of dental clinics ; the carrying-on of classes in health ; and the teaching of health habits to the children; all have been making remarkable progress. In my general article on the progress of the Department I have mentioned more particularly the inclusion of our nurses as teachers of health in the schools. This has been done at the request of the trustees, and on their own initiative, and is, I consider, a most significant procedure on their part as indicating their greater knowledge of the subject and their observation of the results which have been obtained so far. We have increased the number of our dental clinics and have applications from several other points for the establishment of the dental work. The most significant change is the increasing control we have over epidemic diseases. During last summer we had several meetings of the School Medical Officers and Medical Health Officers, and have formulated new regulations in regard to the management of the schools in the event of any infectious disease showing, that are working a very great benefit in regard to the control of such epidemics, but particularly in preventing interruption of school-work. We found that, when children were excluded or the home was quarantined, it was difficult to enforce, as many of these pupils were very anxious to receive the honour roll for perfect attendance from the Education Department. This led to children returning too early, with consequent spread of the disease and also injury to themselves from the fact that they had not recovered sufficient strength to return. Parents and children alike were anxious that they should get the honour roll, and no allowance was made by the Education Department for being absent on account of quarantine. Representation was made to Dr. Willis, the Superintendent of Education, and he very kindly consented to make such arrangements and has written us a letter, which I append :— " British Columbia Department op Education. " Office of the Superintendent, Victoria, B.C., August 18th, 1927. " Dr. H. E. Young, Provincial Health Officer, Victoria, B.C. " Dear De. Young,—In reply to your letter of the 12th instant, I may say that this Department is pleased to approve of your suggestion that honour rolls be granted to every pupil who is absent through illness or quarantine, for one or more days in any year, provided 2 K IS BRITISH COLUMBIA. the actual number of days he is in attendance in the year, increased by the number of days he is absent through illness or quarantine, equals or exceeds the total days' attendance made by the pupil of the school, or class, with the best showing in the matter of punctuality and regularity, and provided also he secures a statement from a School Nurse, Public Health Nurse, School Health Inspector, or other physician, certifying that absence from school was due to illness or quarantine. " Yours very truly, "(Sgd.) S. J. Willis, Superintendent of Education." Last year I had the pleasure of publishing a report made by Dr. Maxwell, Medical Inspector of Schools for Ladysmith, and I am very pleased indeed to supplement that report with a later report which he has given me for the present year. You will note his comment in this of the effect, owing to some local difficulties, of cessation of the dental clinic. The result of this backward step became very noticeable and the clinic is being resumed at that point. I wish to congratulate Dr. Maxwell on the splendid work which he is doing in connection with the schools. " Ladysmith, B.C., July 9th, 1927. " The Board of School Trustees, Ladysmith, B.C. " Dear Sirs,—In presenting to you my fourth report on the examination of the schools, I am glad to say that the satisfactory condition which existed last year is again maintained. " Public School. " Malnutrition,—Last year there were 28 underweight; this year there are only 23. This can, I think, be attributed to the special instruction given by Miss Hewertson and the interest taken by the children in watching their weight. " The other day I met three little children coming out of school and I asked them if they had been having exams. They said, ' Yes.' I said, ' What marks did you get? ' One said, ' I was 72 and last time I was only 68! I have gained 4 lb.! ' and her face was radiant. The other two were equally pleased and all were obviously more enthusiastic over their physical than their mental development. " Defective Vision.—This refers to those cases which have not been corrected by glasses. Last year there were 17; this year only 9. " Adenoids and Tonsils.—Grouping the two together, there were 136 cases last year and this year there are only 52. Very soon there will be no children in Ladysmith with enlarged adenoids and unhealthy tonsils. " Defective Teeth.—Last year there were 67 children with defective teeth; this year there are 173. Of these, 93 are cases where the primary teeth only are affected. " I think it is most instructive that in 1925 there were 153 cases of defective teeth; then in 1926 there was a dental clinic and at the time of my examination there were only 67 cases of defect. The dental clinic was stopped and this year there are 173. " I feel sure that, if a satisfactory arrangement can be made, the starting again of a dental clinic will not only make a material difference to these figures, but will be greatly to the advantage of pupils and parents alike. " Goitre.—There has been a great improvement in this condition since last year, when there were 31 cases of enlarged thyroid. This year there are only 2 bad cases, 8 slight, and 14 very slight. " There were no cases of any infectious or contagious disease. " I would like again to draw the attention of the trustees to our health report. " My annual health report to the Provincial Health Officer commences on July 1st and ends on June 30th. During the last period there was only one case of an infectious disease, coming under the ' Infectious Diseases Act,' and that was a case of erysipelas. This indeed constitutes a record and beats last year's previous record. " This year we had, as you know, a mild epidemic of smallpox in the vicinity. We were fortunate in only having two cases in Ladysmith. " High School. " The only comment on this school which is of interest is again the subject of teeth. Last year there were 52 children with perfect teeth and 16 with defective teeth. This year there are only 47 with perfect teeth and 20 with defective teeth. " Yours, faithfully, "(Sgd.) H. B. Maxwell, Health Inspector." QUEEN ALEXANDRA SOLARIUM. Last year we published the first report issued by the Solarium, which explained fully the objects of the institution. The patients had not been received at the time of this report. I am very pleased indeed to publish the following report of Dr. Cyril AVace, Medical Superintendent, of the progress that has been made since patients have been admitted. The work carried on there is in the very best of hands. Dr. Wace has given up all other work to assume the office of Physician in Charge, and under his able management the results are just what we expected and a description of the work as carried on follows. The following is a full report of the Solarium :— " H. E. Young, M.D., CM., LL.D., Provincial Health Officer, Victoria, B.C. " Dear Sir,—A year ago you very kindly asked me to send you a report on the progress we wyere making in the establishment of the Queen Alexandra Solarium for Crippled Children at Malahat Beach, V.I. " This year I am glad to be able to inform you that the Solarium has been in active operation since March 1st, on which date the first children were admitted for treatment. Sixty-six children have been under treatment and there are to-day (November 30th) thirty-eight patients in the Solarium. Two more will shortly be admitted and twenty-three further application forms for admission have been, received. " We can accommodate forty children through the winter and about forty-five in the summer. " In the annual report which will be submitted to the directors of the Solarium early next year full details of the cases treated will be given. I will, therefore, now only touch on some of the more general and important aspects of this work. " The value of the Solarium in the treatment of the delicate or pre-tubercular child has been amply proved ; fifteen such cases have been or are now under treatment and the results in every case have been most satisfactory. " Nearly one-half of our patients are suffering from tubercular or other infection of bones, joints, spine, or lymph glands, and some of these are of years' standing. Thirteen are cases of old o*r recent infantile paralysis or anterior poliomyelitis. " The outstanding feature of many of these cases (forty-one in all) is the marked deformity that is present, and while this may be very difficult to avoid in certain cases of arthritis or tubercular disease, it cannot be too often emphasized that, although partial or complete paralysis of a limb or limbs or group of muscles is often inevitable, physical deformity need not occur in cases of infantile paralysis. Such deformities are due either to the activity of unaffected muscle groups in the limb overstretching the partially paralysed and unsupported groups, or to the effect of body-weight on a partially or completely paralysed limb which is not sufficiently braced in the correct alignment of the body as a whole. " We have had only two cases of congenital deformity in the sixty-six admitted, which bears out the statement that ' the cripple is made, not born.' " I would call attention to the great value of the regular daily school which is held in the Solarium for all children, wdiether ambulant or bed cases. " It is to me increasingly evident that we must in time develop a scheme of technical training in some trade or handicraft for those boys and girls who can never be physically fit for the K 20 BRITISH COLUMBIA. ordinary routine and work of life. This is the more necessary in view of the marked bodily deformities and extensive paralysis of limbs we are seeing amongst our patients. Our accommodation does not allow of our admitting boys over 12 and girls over 14 years of age; several applications for admission of older children and adults have been received. " Applications for admission have been received from Alberta and Saskatchewan, and I am more than ever of the opinion that the site of the Solarium and climatic conditions at Malahat Beach offer great opportunities in the restoration of health for children from our Prairie and Eastern Provinces. " Our definition of a crippled child does not refer only to the child with a physical deformity, but includes any child of suitable age whose ' normal physical activities ' are restricted by illness, accident, or from birth. Chronic cardiac disease in childhood benefits markedly by the prolonged rest and open-air life at a Solarium. " Thanks to the generous support the Solarium has received, it has been possible to increase our facilities for treatment by the construction of a large sea-water bathing-pool and the installation of the most modern type of violet-ray lamp. " I wish to call attention to the following points in the organization of our work:— " No child suffering from tubercular disease of the lungs can be admitted. No mentally defective child or one suffering from fits can be admitted. Acute cases of illness or children requiring operation are not accepted; such cases are better in our general hospitals, but as soon as the convalescent stage is reached the Solarium is an ideal place for the after-care and treatment. " No child is admitted except at the request of the doctor in charge of the case, and the Medical Superintendent will at all times welcome the advice and co-operation of the family physician. " Our consulting medical and surgical staff are always most willing to help us with their experience and advice. " The general health of the children has shown great improvement and a considerable gain in weight has been a marked feature in almost all cases. " I have already referred to the great need of a thorough scheme of technical training for the physically disabled and incurable child to establish him in helpful and remunerative work and save him from a lifetime of dependence on others. No work for the crippled child can be complete or satisfactory that does not recognize an ideal which may be summed up in the words ' get him early and see him through.' " I have, etc., "C. Wace, Secretary and Medical Superintendent, Queen Alexandra Solarium." This is the first report which shows results, and it will, I know, be very pleasing to the members of the Women's Institutes to read this and to find that their efforts are bringing health and happiness to many children who, without this, would have been condemned to a lifelong misery. They are being brought back to that heritage that belongs to all children—health, the right and ability to work—making a marked contrast to the dreary outlook of a helpless cripple, with all hope of enjoyment in life absolutely denied. OPEN-AIR SCHOOLS. " Preventive measures " is the key-note of all our work in connection with the children, and this is being carried on through different agencies, and the results obtained in the open-air schools, which are under the management of Miss Elizabeth Breeze, Head School Nurse of the Vancouver schools, are demonstrating the benefits of the application of natural methods in correcting defects. Last year we published the first report of the open-air schools as carried on in Vancouver, and I am very pleased to supplement that by a report which we have received from Miss Breeze for the work during the past year. Miss Breeze says in her covering note to us that " they do feel that the school is highly beneficial to the pupils and good results are being secured." " Open-air School, Vancouver, B.C. " The open-air school has now been in operation for a year and a half, and we feel it has passed the experimental stage and that the results obtained demonstrate very tellingly its value to the school system and the community. As the number that can be cared for in the school is small, our policy is to return the children to the regular class-rooms as soon as their improved condition warrants it, thus giving opportunity to others. With this in view, all the pupils were given a complete physical examination at the beginning of the year, with the result that twenty- two, almost one-third of the school, were recommended for return to the regular class-room. In addition to these, ten pupils left the city and one entered high school. These vacancies were filled from the children on the waiting-list and thus we started the year with about 50 per cent, new pupils. " The pupils are selected by the School Medical Officer and are children found to be in poor physical condition, severely run down, undernourished, and generally debilitated. No open case of tuberculosis is permitted in the school, though contacts are received. In order that children have every chance, all remediable defects receive treatment before pupils are enrolled; thus all possible handicaps are removed and thejT are free to gain. " The school programme has been followed as originally planned, with a few slight variations. The mid-morning and mid-afternoon nourishment, the hot meal at noon, the supervised rest-hours, the organized play and special physical exercises, and the effort made to secure good home co-operation have all done their part in contributing to the results secured. Special emphasis is placed on health education and its application to daily life. This we feel is most essential if our work is to carry over into adult life. " During the year eighty-nine children attended the school. The following indicates the nationalities from which they were drawn : English, 45 ; Scotch, 13; Irish, 3 ; Canadian, 23; Italian, 1; Swedish, 1; Polish, 1; French, 1; American, 1. " Only two pupils showed a loss of weight during the year. One of these had a heart condition and had been in the school a short time when the report was made. The other child also was in for so short a time that we felt a fair trial was not made. " The following is the term report:— Number of pupils 89 Diagnosis— Malnutrition 41 Ansemia 17 Enlarged glands 1 Family case 5 Pre-tubercular >1 Other causes 21 Number gaining 87 Number losing ;.... 2 Total gain (lb.) .' 514 Total loss (lb.) 4% Average gain (lb.) 5% Largest gain (lb.) 18% Largest loss (lb.) 2% Number physically benefited 89 " Our enthusiasm for our open-air school is still great and we feel that it is doing the work for which it was planned and, though small, is giving to many a chance for a healthy, happy life which would otherwise probably be denied them." The reports of the school medical examination show that there were 8,232 more pupils examined than last year. Details of the examination for each school follow. I have, etc., H. E. Young, Provincial Health Officer. SCHOOLS INSPECTED. Medical Inspectors : 160. Reports from Medical Inspectors : 160. High Schools. High Schools. 1925-26, 71: Reported, 43; not reported, 28. 1926-27, 73: Reported, 50; not reported, 23. Pupils inspected : 1925-26, 7,861; 1926-27, 9,368, an increase of 1,507. Graded City Schools. Cities. 1925-26, 33: Reported, 29; not reported, 4. 1926-27, 33 : Reported, 33 ; all reported. Pupils inspected : 1925-26, 35,653 ; 1926-27, 39,882, an increase of 4,229. Rural Municipality Schools. Municipalities. 1925-26, 26: Reported, 24; not reported, 2. 1926-27, 26: Reported, 25; not reported, 1. Pupils inspected : 1925-26, 26,547; 1926-27, 28,130, an increase of 1,583. Rural and Assisted Schools. Schools inspected : 1925-26, 616, at a cost of $14,120.75 ; 1926-27, 657, at a cost of .$15,245. Schools not inspected : 1925-26, 83 ; 1926-27, 56. Pupils inspected : 1925-26, 16,748 ; 1926-27, 17,661, an increase of 913. Cost of inspection per pupil: 1925-26, 84 cents; 1926-27, 86 cents. Percentage of defects : 1925-26, 100.65 ; 1926-27, 101.97, an increase of 1.32. STATISTICAL TABLES. K 24 BRITISH COLUMBIA. NORMAL Name of School. Medical Inspector. School Nurse. 2 3 . ft, X O t*a 0) V OJ tw o m 0 Sfl 11 © ^ G^ ftp* QK QK -4 Vancouver . Victoria Lacblan Macmillan A. E. McMicking.,. 201 207 3 5 4 5 13 133 133 25 HIGH Abbotsford Burnaby: Burnaby, North Burnaby, South Chilliwack Coalmont.. Courtenav. Cranbrook Cumberland Delta: King George V. Esquimalt Fernie Grand Forks Granby Bay . Kamloops .-.. Kelowna, Kimberley. Ladysmith ... Langley Maple Ridge : Maclean .. Matsqui : Denrrison. Matsqui.. Merritt Mission City . Nelson Nanaimo ... . New Westminster: Duke of Connaught. Ocean Falls Peachland Point Grey: Lord Byng , Magee Prince of Wa'es. Port Coquitlam. Prince George .. Hevelstoke Richmond: Bridgeport. Rossland Salmon Arm T. A. Swift J. G. McCairmon. J. 0. Elliot!]]:!:'. E. Sheffield. J. McKee... G. E. L. MacKinnon G. K. MacNaughton A. A. King J. S. McCallum. W. Truax D. R. Learoyd. M. G. Archibald . W. J. Knox D. P. Hanington H. B. Maxwell. B. B. Marr G. Morse ., . T. A. Swift. G. H. Tutill ... A. .1. Stuart ... E. C. Arthur ... W. F. Drysdale. D. A. Clark A. E. H. Bennett . Wm. Buchanan. W. Dykes W. Saafer C. Ewert J. H. Hamilton. W. K. Hall . J. H. Palmer Alan Beech.. Miss Morrison .... Miss J. Dunbar ... Miss A. J. Duncan Miss J. Campbell.. Miss Hewertson ., MissM. E. Kerr.. Miss A. Stark. Mrs. C. M. Hyde. Miss M. Ewart... 43 37 139 291 229 135 280 232 10 10 67 60 156 44 155 44 71 74 71 74 120 85 32 120 85 32 190 188 116. 110 33 33 76 88 76 64 77 71 17 34 59 65 231 242 14 31 56 57 231 237 357 357 26 26 20 20 241 256 538 516 237 229 45 67 175 43 65 170 90 99 96 90 92 79 1 i 5 4 13 11 1 36 "5 2 3 7 9 18 50 2 4 11 2 8 11 'i' 18 9 2 1 3 2 6 1 .... 3 1 5 5 16 3 2 3 2 13 1 1 3 8 32 5 1 12 2 6 1 2 1 4 2 1 1 2 7 3 5 *? 3 3 5 2 12 4 1 6 28 7 11 1 1 It 6 1 8 1 4 10 28 64 10 14 4 40 2 1 5 1 1 2 5 19 13 32 57 2 2 2 12 19 •' 3 1 2 10 7 i 1 "i 1 5 6 0 "s 7 17 2 2 1 i 1' 1 4 6 BOARD OP HEALTH REPORT, 1926-27. K 25 SCHOOLS. CD > QJ -£! o; 35 QJ . a a C rS h3 oj u "o O Other Conditions, specify (Nervous, Pulmonary, Cardiac Disease, etc.). a w QJ s CJ CC 6 Ml <2 a a g o a Acute Fevers which have occurred during the Past Year. Condition of Building. State if crowded, poorly ventilated, poorly heated, etc. Closets. State if clean and adequate. 3 23 17 Eczema, 8; cardiac, 5; nervous break-downs and chorea, 10 Acne, 2 Good Yes. SCHOOLS. 1 2 4 8 13 29 49 Corrected vision, 8 Corrected vision, 27 Purulent ear, 2 ; closed eustachian, 1; congenital short femur, 1 ; infant paralysis, 1 Adequate. Yes. 36 32 Old building repaired Crowded ; poorly ventilated Good O.K Good Not crowded; well ventilated and heated O.K Good Satisfactory Basement rooms poorly ventilated Excellent Should have a separate janitor Good. i 2 i 26 4 1 3 14 13 1 15 2 23 1 19 37 7 1 1 Chicken-pox, 3; whooping-cough, 3 O.K. 10 Skin-disease, 2 ; nasal obstruction, 2 Clean ; adequate Clean. Clean; adequate O.K. Clean; adequate. 2 German measles, 34 30 6 s Old fractured dislocated lumbar area 34 Mumps, 4 ; German measles Chicken-pox, 4 ; German measles, 8 6 Cardiac, 3; lungs, T. B.; bronchitis, chronic, 2 ; curvature of spine, 1; flat feet, 3 ; chorea, 1; dysmenorrhea, 3 quate; sanitary. Clean; adequate. Yes. 20 3 Good V 4 i "s 6 2 4 3 1 "e" i 1 1 7 6 89 19 69 5 18 4 18 10 21 4 Yes. 9 Satisfactory .... Very satisfactory. S 48 V.D.H., 3 Clean ; adequate. Yes. 114 41 1 Aniemia, 1 ; asthma, 2 ; ca- ■ tarrh, 4 ; postural defects, 5; deviated septum, l ; appendicitis, 2 Orthopaedic, 4 ; heart, 14 ; pulmonary, 1 ; nervous, 1 ; amende, 2 2 Vaccinated, 202; smallpox, 5 Heating fairly good ; no overcrowding; ventilation good Excellent, well ventilated and heated Satisfactory Good Good Crowded Good Adequate; clean. Clean; adequate. 2 40 64 16 Adolescent goitre, 72; cardiac, 14 ; orthopaedic, 11; anaemia, 1 Adolescent goitre, 119; nervous, 1 ; cardiac, 28 ; orthopaedic, 24 ; anaemic, 5 Adolescent goitre, 55 ; cardiac, 12 ; anaemic, 4 ; orthopaedic, 9 1 1 1 3 Diphtheria, 1; German measles, 23 Mumps, 1; German measles, 35 Good. Clean; adequate. 9 Orthopaedic, 1 . 1 Scarlet fever Measles, 5 ; roetheln, 10. Influenza. Excellent. 23 6 Excellent in every way Clean; adequate. K 26 BRITISH COLUMBIA. HIGH Name of School. Medical Inspector. Scliool Nurse. a 3 rH ■ -a <h oj o 6 £ £ QJ Ui ft M OJ ii A aj a © a d > — 'aj 5 03 fit* oj a> oj OS DQ OJ £c O 5J OJ £ oj 3 o c a) GJ aj SI 3 o 23 150 240 767 724 424 464 485 398 830 335 125 140 23 133 240 79S 766 503 426 504 187 833 251 125 134 ii 2 1 4 16 2 9 12 9 2 6 34 31 2 1 2 l 4 Trail Vancouver: H. White Miss M. Campbell. ii Miss E. Edwards.. 1 2 1 2 18 18 2 " School of Commerce 1 e Vancnlver, South : John Oliver G. A. Lam ant H. Dyer 8 G. Williams Mrs. S. Martin GRADED CITY Alberni Armstrong . Chilliwack Court, nay. Cranbrook : Central Kootenay Orchards . South Ward Cumberland Enderby Fernie : Annex Central Fernie, West . Grand Forks Greenwood Kamloops: Lloyd Georg Stuart Wood Kaslo Kelowna Ladysmith . A.D.Morgan 118 Miss P. Charlton. J. C. Henderson . ■L McKee G. E. L. MacKinnon G. K. MacNaughton . H. N. Watson H. W. Keith W. Truax A. Francis M. G. Archibald . D. J. Barclay. W.J. Knox... H. B. Maxwell. Miss I. Jeffares .. Miss J. Dunbar . Miss J. Campbell . Miss Hewertson. 118 547 113 557 1 40 41 7 34 16 3 314 288 334 243 8 2 25 1 24 20 21 3 48 i)6 600 13 55 464 678 13 55 444 105 6 38 1 61 "s 20' is 453 437 36 5 31 3 40 46 161 125 19 6 6 68 660 61 306 68 560 64 306 4 106 2 2 i 1 1 1 32 1 10 1 3 1 1 6 14 3 16 6 14 3 8 80 78 5 1 283 281 52 4 2 3 458 453 108 4 4 2 125 122 2 11 18 18 695 652 36 8 23 6 29 19 329 329 23 1 9 4 6 11 91 5 22 115 8 142 10 30 13 32 49 29 BOARD OP HEALTH REPORT, 1926-27. K 27 SCHOOLS—Continued. S3 0) QJ u "d CJ HO O Other Conditions, specify (Nervous, Pulmonary, Cardiac Disease, etc.). d a a QJ <u Ml H > w M Acute Fevers which have occurred during the Past Year. Condition of Building. State if crowded, poorly ventilated, poorly heated, etc. Closets. State if clean and adequate. 2 13 1 1 6 2 15 23 241 14 204 11 112 9 103 6 155 6 70 5 193 1 33 17 26 60 1 45 1 4 Endocarditis, 1 Cardiac, 3 ; pulmonary, 1... Vaccinated, 495 ; cardiac, 1. Vaccinated, 491; cardiac, 1. Vaccinated, 298 Vaccinated, 286 ; cardiac, 1. Vaccinated, 304 Vaccinated, 106 Vaccinated, 2 ; home visits, 2. Exophthalmic goitre, 2; respiratory disease, 1 Cardiac, 1 Pulmonary, 1 ; cardiac, 1; nervous, 2 Measles, rubella . Scarlet fever, 2 ; measles. 2 ; German measles, 45; chicken-pox, 3 Diphtheria, 1; measles, 10; German measles, 25 Diphtheria, 1 ; measles, 6 ; scarlet fever, 1; German measles, 16 German measles, 27 ; measles, 2 Mumps, 2; measles, 2; German measles, 18 Scarlet fever, 2; German measles, 6 Scarlet fever, 2 ; measles, 4 ; rubella, 48; mumps, 1 No epidemic Influenza 12 ; mastoid, 1 Good Yes. Satisfactory JGood. Good Yes. Heating fair Good Excellent.... Satisfactory. Clean; adequate. Yes. Clean; adequate. SCHOOLS. 47 202 35 107 79 1 10 32S 77 12 150 173 21 33 162 49 33 19 *6 Good. Chorea, 4 ; cardiac, 2 ; Bright's disease, 1 ; toxic goitre, 2 ; congenital deformity of hipbone, 1 ; harelip and cleft palate, 1 8 2 4 Mumps, 20; German measles, 1 Heating and ventilation good; adequate space Good Cardiac, 2 ; orthopaedic, 1 Smallpox, 4 ; measles, 12 Crowded; poorly ventilated Good 183 56 1 2 3 1 18 72 21 45 1 16 Ir 3 6 16 10 211 12 5 62 31 43 109 37 2 Pulmonary, 2; wax in ears, 129 ; nasal catarrh, 48 ; nasal obstruction, 18 ; anaemia, 42 ; nasal infection, 1 ; stammering, 2 ; cleft palate, 3 ; skin- disease, 28 3 9 2 5 Measles, rubella, scarlet fever, chicken-pox Chicken-pox, 15 ; whooping cough, 41 ; scarlet fever, 3 ; diphtheria, 5 ; conjunctivitis, 13 ; rubella, 7 O.K Good 'I Scarlet fever, 1; measles, 3; \ Vdiphtheria, 1; chicken-pox, > )l2 J 2 3 2 1 Diphtheria, 2 Scarlet fever, 20 ; chicken-pox, 5 ; typhoid, 1 ; German measles Scarlet fever, 29 ; chicken-pox, 4 ; typhoid, 1 O.K Good O.K Pulmonary, 2 ; orthopaedic, 2 ; nervous, 2 Asthma, 1; spine, 1; anaemia, 2 ; varicose veins, 1 Chorea, 13 ; cardiac. 7 ; flat feet, 7 ; bronchitis, chronic, 9 ; pulmonary T.B., 3 ; curvature of spine, 5 ; squamous eczema of face, 11 Orthopaedic, 9 ; eczema, 2 ; cardiac, 4; goitre, verv slight, 14 Poorly ventilated. 3 1 Chicken-pox, 28; scarlet fever, 3 ; German measles, 21 Excellent, but most of the classrooms overcrowded Good. Adequate; clean. O.K. Clean. Clean; adequate. Clean; inadequate. Fairly clean; adequate. O.K. Excellent. Yes. Modern ; sanitary ; adequate. K 28 BRITISH COLUMBIA. GRADED CITY ■* a 0 ui 9-i Name of School. Medical Inspector. School Nurse. 3 3 . « oj >. > t; a> > cfl a, fee >o <H OJ fe3 oi 5 a, 3 +3 q *3 ja o © g d * 8s 'V- '■>• "3 S oj oj OJ SS £j 3 £t O) r^ Q^ GS> QK Cm << KH Merritt Nanaimo : Middle Ward . .. North Ward Quennell South Ward .. . Nelson : Central Hume New Westminster: Central Lister-Kelvin Richard McBri le Queensborough. Herbert Spencer, Port Alberni Port Coquitlam : Central James Park ..... Port Moody Prince George Prince Rupert: Booth Memorial Borden Street .. Meal Cove Revelstoke: Central Selkirk Rossland Salmon Arm. ...*.... Slocan Trail: Central East Trail Tadanae G. H. Tutill .... W. F. Drysdale. E. C. Arthur. D. A. Clark. C. T. Hilton. W. Sager C. R. Symmes . C. Ewert II. E. Tremayne . J. H, Hamilton. J. H. Palmer. Alan Beech Wm. E. Gomm , F. S. Eaton. Miss M. E. Kerr. Miss A. Stark. 339 321 2 19 2 6 5 153 152 37 2 31 2 8 7 149 148 16 1 16 ] 5 12 639 639 98 1 61 8 21 37 69 69 13 1 9 1 2 5 696 696 3 3 104 6 14 16 261 261 3 1 49 5 ' 2 4 893 878 149 2 25 2 3 153 670 657 109 30 3 3 113 510 498 80 16 2 2 96 101 496 96 494 14 73 1 1 8 15 i 1 6 16 89 271 238 11 4 32 28 2 172 85 281 170 82 229 11 5 4 "3' 6 2 7 3 2 5 1 12 17 6 17 320 312 3 4 16 9 33 33 415 410 1 10 3 291 64 304 300 282 60 280 290 2 3 4 12 16 12 20 5)3 426 5 2 32 7 11 11 192 62 153 61 23 1 45 7 1 1 11 810 719 206 3 102 21 62 36 240 221 16 4 22 6 14 9 40 30 4 7 1 2 2 143 43 151 111 95 BOARD OF HEALTH REPORT, 1926-27. K 29 SCHOOLS—Continued. Condition of QJ •3 bCJ£ aj Other Conditions, specify (Nervous, Pulmonary, Cardiac Disease, etc.). □* a oj 6 o Acute Fevers which have occurred during the Past Year. Building. State if crowded, poorly ventilated, poorly Closets. State if clean and adequate. £i ft heated, etc. a Qtrl WO O :> M s 99 27 35 4 2 1 Epidemic of measles, fall of 1926, about 300 cases Satisfactory 129 12 6 Marked pallor, 2 ; pyorrhoea, 1; postural defects, 2; cardiac, 1, bronchitis, 1; appendicitis, 2; vaccinated, 137 12 2 11 1 Measles, 14 ; smallpox, 2 ; scarlet fever, 1; chicken-pox, 6; whooping- cough, 1 Heating fairly good; ventilation fair Adequate ; fair. 87 30 5 Marked nervousness, 1; pallor, 2; malocclusion, 3; eczema, 1 ; blepharitis, 8; postural defects, 4 ; vaccinated, 119 2 2 19 2 Smallpox, 1; diphtheria, 1; measles, 6 ; scarlet fever, 2 ; chicken-pox, 1 Heatinggood; ventilation fairly good; no overcrowding 375 73 72 Marked pallor, 11; postural defects, 8; asthma, 1 ; chronic kidney, 2 ; bronchitis, 1; conjunctivitis, 3 ; pyorrhoea, 4 ; eczema, 2; faulty speech, 2 ; St. Vitus, 1; marked nervousness, 5 ; malocclusion, 7 ; vaccinated, 5-4 ; blepharitis, 31 ; rheumatic fever, 1; pneumonia, 2 3 5 57 1 Smallpox, 17; chicken- pox, 11; scarlet fever, 4 ; diphtheria 3; measles, 3 No overcrowding; heating good; fairly good ventilation Adequate ; clean. 61 7 1 Marked pallor, 2; malocclusion, 2; blepharitis, 11; nervous, 2 ; 9 4 7 1 Heating and ventilation good Adequate; excellent. faulty speech, 1; vaccinated, 60 419 4 286 3 3 3 Good Yes. 147 90 1 1 3 All rooms somewhat over crowded 449 96 96 Orthopaedic, 15; heart, 20;^ pulmonary, 4 ; nervous, 2 ; anaemic, 6 315 191 73 Orthopaedic, 17; heart, 10; pulmonary, 1; nervous, 2 ; / Measles, 342 ; mumps, ) anaemic, 3 1 10 ; pertussis, 6 ; scar- 288 160 57 Orthopaedic, 14 ; heart, 8 ;ner- \ vous, 2; anaemic, 2 ; pul- pox, 10; diphtheria, 1; f monarv, 2 ^German measles, 38 60 28 6 Orthopaedic, 1; heart, 1 219 137 47 Orthopaedic, 7; heart, 9 ; nervous, 2 ; anaemic, 1 ; pulmonary, 4 J 48 4 116 Good Yes. 4 ; healed T. 11, 1 29 2 7 Measles, chicken-pox ... Clean; adequate. 28 4 2 11 18 Chicken-pox Measles, 70; whooping- 21 Cardiac, 3 ; chronic T.B. bone, 3 11 2 Good n hip, 2 cough, 2 ; chicken-pox, 146 4 65 Blepharitis, 1 ; conjunctivitis, 1 ; cardiac, 1; ortiiopaedic, 1, nervous, 1 1 Diphthetia, 1 Good, except crowded and poor ventilation in former library- room n 6 21 Scarlet fever, chicken- pox, mumps 3 45 19 5 6 12 59 20 VIeasles, scarlet fever Measles, scarlet fever Good Good. 20 ( 153 Hernia, 1 ; cardiac, 3 ; orthopaedic, 6 66 IS Clean; adequate. 306 320 303 Cardiac, 6 ; chorea, 2 3 2 3 2 Measles, 220 ; pertussis, 2 ; mumps, 12 ; chicken-pox, 02 ; scarlet fever, 2 Yes. 56 2 5 4 2 Mumps, 6; chicken-pox, 13 ; measles, 22 ., ,, 8 1 0 ' „ 3 K 30 BRITISH COLUMBIA. GRADED CITY Name of School Vancouver: Aberdeen Alexandra Bayview Beaconsfield Block 70 Central Dawson Charles Dickens . Fairview Franklin Simon Fraser General Gordon. . Grandview Grenfell Hastings Henry Hudson . . Medical Inspector. School Nurse. at is CO a & % a 3 . '" Q) ^ OJ V 0) W • -a fl fl e3 5 a 5 s £ 5? 6s >a o 2 0) s'l *S 3 »* oi 5 « 53 QJ ^ Qr4 pt> QW QK «| Miss M. Campbell. Miss V. B. Stevens Miss D. Shields ... Miss I. Smith Miss M. D. Schultz Miss A. McLellan . Miss H. Jukes Miss 0. Kilpatrick. Miss D. Bellamy . MissM. D. Schullz Miss O. Kilpatrick Miss D. Shields . iiss L. Drysdale. Miss M. D. Schultz Miss D. Shields . 4SS 499 78 2 6 2 4 656 650 146 5 10 2 8 383 426 71 4 7 1 654 530 103 6 5 110 113 4 1 2 561 , 623 82 10 4 3 4 989 967 198 28 1 1 3 563 626 68 7 1 ' 2 4 529 438 67 6 4 2 404 38S 80 4 2 2 2 609 616 66 9 2 814 828 134 3 1 1 2 610 531 84 4 3 3 137 144 8 9 4 5 985 867 168 6 1 3 7 680 610 121 7 4 1 1 BOARD OF HEALTH REPORT, 1926-27. K 31 SCHOOLS—Continued. Other Conditions, specify (Nervous, Pulmonary, Cardiac Disease, etc.). 6 S c 3 o ft is B ►> CC a Acute Fevers which have occurred during the Past Year. Condition of Building. State If crowded, poorly ventilated, poorly heated, etc. Closets. State if clean and adequate. 130 7 IS 138 3 17 50 1 13 108 1 13 5 2 113 6 25 87 3 55 123 3 11 103 10 59 7 101 2 10 103 23 76 1 20 26 8 145 2 16 120 13 Vaccinated, 241; pulmonary, 1; cardiac, 2 Vaccinated, 297. Vaccinated, 243. Vaccinated, 237 ; pulmonary, 2 Vaccinated, 39 ; cardiac, 1.. Vaccinated, 383; pulmonary, 2 cardiac, 1 Vaccinated, 541 ; cardiac, 4. 11 Vaccinated, 345 ; pulmonary, 1 Vaccinated, 225. Vaccinated, 202. Vaccinated, 322 ; pulmonary, Vaccinated, 510 ; pulmonary, 2 Vaccinated, 270. Vaccinated, 86. Vaccinated, 427 ; pulmonary, 2; cardiac, 1 Vaccinated, 464. Scarlet fever, 1; measles, 37 ; German measles, 76 ; chicken-pox, 5 ; diphtheria, 4; diphtheria carriers, 4 ; whooping-cough, 2 Scarlet fever, 4 ; measles, 90; German measles, 169 ; chicken-pox, t; diphtheria, 2 ; diphtheria carriers, 3 ; whooping-cough, t t Diphtheria, 3; German measles, 96; diphtheria carriers, 1; whooping- cough, 2; me&sles, 55 Scarlet fever, 1; German measles, 102 ; measles, 7 Scarlet fever, 1; German measles 3 ; diphtheria, 1; measles, 8 Scarlet fever, 3; German measles, 31; mumps, 4 ; measles, 30 ; diphtheria, 1; chirken-pox, 7 ; whooping-cough, 4 Scarlet fever, 2 ; German measles, 26; mumps, 3; measles, 158; diphtheria,-^; chicken-pox 4; whooping-cough, ~ii Scarlet fever, 4 ; German measles, 67; mumps, 1; whooping-cough, 9; measles, 21 ; chicken- pox, 59 Seal let fever, 1; German measles, 18; measles, 14 ; mumps, 1; chick en-pox, 15 Scarlet fever, 2 ; German measles, 6; diphtheria carriers, 4; diphtheria, 6; mumps, 1; mea&les. 41; whooping-cough, 1 Scarlet fever, 4; German measles, 76; measles, 77 ; chicken-pox, 7 ; diphtheria, 2 ; whooping-cough, 1 Scarlet fever, 6; German measles, 127 ; mumps, 8; diphtheria carriers, 5 ; measles, 98 ; whooping-cough, 1; chicken- pox. 1 Scarlet fever, 5 ; German measles, 154; measles, 47; diphtheria carriers, 1; whooping-cough, 1 ; chicken-pox, 2; diphtheria, 4 Diphtheria, 1 ; measles, 14; German measles, 52; whooping-cough, 1; Chicken-pox, 10 Chicken-pox, 30 ; measles, 64 ; German measles, 180 ; diphtheria, 5 ; diphtheria carriers, 2 ; mumps, 6 ; whooping- cough, 3 Scarlet fever, 3 ; measles, 23; German measles, 106; whooping-cough, 3 ; mumps, 2 ; chicken- pox, 5 ; diphtheria, 1 K 32 BRITISH COLUMBIA. GRADED CITY so Name of School. Medical Inspector. School Nurse. a Ph ■ 'ft c aj t*i QJ .« ^ oj u > B EQ -3 <H OJ © rti o i» A. OJ °a i" a OJ _ Q3 Ci> jj'g am o 7^ OJ K OP3 o a OJ -a •4 SI "a o Van cou ver—Continued. H. White Miss D. Shields ... 457 475 53 4 i 2 31 Livingstone Miss 0. Kilpatrick 423 439 41 8 i 4 22 Miss D. Bellamy .. 498 615 55 2 2 1 5 18 Miss 0. Kilpatrick 746 763 73 7 1 1 2 26 689 594 85 2 2 1 31 Miss I. Smith 948 955 177 12 4 2 5 26 Florence Nightingale Miss V. B. Stevens 708 685 104 6 2 4 7 29 68 133 2 5 4 1 12 Miss D. Bellamy .. 595 493 91 2 2 5 15 " Miss H. Jukes .... 961 942 213 22 9 57 Miss I. Smith 624 617 101 3 1 3 1 33 Miss L. Drysdale.. 927 793 100 4 1 6 66 1249 1279 141 11 1 3 10 5 Miss D. Bellamy .. Miss M, Campbell. 748 692 98 4 1 4 Junior High Vancouver North: H. Dyer 184 453 571 157 385 435 19 12 1 26 39 6 6 59 80 59 80 59 80 521 519 8 2 42 11 ,3 73 73 BOARD OF HEALTH REPORT, 1926-27. K 33 SCHOOLS—Continued. QJ J . W .£3 M) * QJ CH WC O j Other Conditions, specify (Nervous, Pulmonary, Cardiac Disease, etc.). R c QJ te a .s r* CQ -« tf Acute Fevers which have occurred during the Past Year. Condition of Building. State if crowded, poorly ventilated, poorly heated, etc. Closets. State if clean and adequate. 70 22 88 1 15 149 3 8 161 5 25 132 1 14 207 1. 15 183 18 17 3 31 70 1 17 60 4 21 124 17 202 3 29 271 1 25 118 2 8 60 9 5 22 33 12 19 18 19 9 Vaccinated, 238. Vaccinated, 225 ;pulmonaiy, 2: cardiac, 2 Vaccinated, 362 ; pulmonary, 2 Vaccinated, 357 ; pulmonary, 1 14 Vaccinated, 267. Vaccinated, 421 ; pulmonary, 2: cardiac, 2 Vaccinated. 332. Vaccinated, 70 ; pulmonary, 2 cardiac, 1 Vaccinated, 315. Vaccinated, 563; pulmonary, 3 Vaccinated, 287 ; pulmonary, 2 Vaccinated, 487 ; cardiac, 1. Vaccinated, 1,136 ; pulmonary, 2 Vaccinated, 402. Vaccinated, 85. Heart, 3 ; bronchitis, 2 Early exophthalmic goitre, 2: heart, 3 ; respiratory disease, 6 Asthma, 1 ; heart, 6; early exophthalmic goitre, 3 Scarlet fever, 3 ; German measles, 81 ; measles, 49; mumps, 3; chicken pox, 7 ; diphtheria, 2 ; diphtheria carriers, 1 Scarlet fever, 15 ; chicken-pox, 11 ; diphtheria, 2 ; whooping-cough, 1 ; measles, 48; German measles, 63 Scarlet fever, 1; measles, 25 ; German measles, 21; chicken-pox, 13 ; diphtheria, 2 ; whooping-cough, 2 ; diphtheria carriers, 1 Scarlet fever, 1; measles, 66; German measles, 72 ; mumps, 16 ; chicken-pox, 9 Scarlet fever, 1 ; measles, 10 ; German measles, 87 ; diphtheria carriers, 2 ; diphtheria, 2 ; chicken-pox, 29 Scarlet fever, 8 ; measles, 47 ; German measles, 260 ; whooping-cough, 2 ; diphtheria carriers, 1 ; mumps, 2 ; chicken- pox, 32 ; diphtheria, 6 Scarlet fever, 1; German measles, 64; measles, 57; diphtheria carriers, 2; mumps, 24; diphtheria, 3; chicken-pox, 3; whooping-cough, 1 Mumps, 9; German measles, 7 ; chicken-pox, 3 ; measles, 1 ; whooping- cough, 1 Scarlet fever, 5 ; German measles, 2 ; mumps, I; measles, 28; chicken- pox, 12 Scarlet fever, 5; German measles, 10; measles, 163; whooping-cough, 20 ; chicken-pox, 107 ; mumps, 18 Scarlet fever, 2 ; German measles, 108 ; measles, 35 ; diphtheria carriers, 2 ; diphtheria, 1; chicken-pox, 2 Scarlet f ever, 2 ; German measles, 101 ; diphtheria, 14; measles, 10; diphtheria carriers, 27 ; mumps, 2 ; chicken- pox, 2 Scarlet fever, 1; German measles, 19; measles, 44; diphtheria carriers, 3 ; whooping-couph, 2 ; diphtheria, 5; chicken- pox, 33 Scarlet fever, 4; German measles, 115; measles, 60; mumps, 3; chicken-pox, 9 German measles, 7 I Measles, chicken-pox, [ rubella llean; adequate. K 34 BRITISH COLUMBIA. GRADED CITY Name of School. Medical Inspector. School Nurse. _ D9 m ft a o £ fl § QJ fe OJ > to oj ti .b B 3 <H OJ c 6 £ d d £ QJ fl OJ " *& 3 oi 5 " fl CJ 0) a3 £ o -fl £ QJ * OS rt> PK GK <4 Vernon Victoria: Bank Street Beacon Hill Boys' Central Burnside Sir James Douglas Girls' Central George Jay Margaret Jenkins. King's Road Kingston Street .. North Ward Oaklands Quadra Street Quadra Primary .. Rock Bay South Park Spring Ridge Victoria West G. Williams.. Mrs. S. Martin Miss E. J. Herbert Miss I. E. Adams.. Miss E. J. Herbert Miss C. Mowbray.. Miss E. J. Herbert Miss I. E. Adams . Miss E. J. Herbert Miss C. Mowbray Miss I. E. Adams Miss C. Mowbray , I. E. Adams . 148 148 318 318 215 215 473 473 381 381 476 476 292 292 80 139 80 139 369 369 546 546 20 311 139 315 20 311 139 315 RURAL MUNICIPAL Burnaby: Armstrong Avenue Barnet Capitol Hill Douglas Road Edmonds Street .. Gilmore Avenue ... Hamilton Road.... Inman Avenue Kingsway, West... Kitchener Street... Nelson Avenue .... Riverway, East.... Riverway, West.... Schou Street Seaforth , Second Street Sperling Avenue.., Windsor Street. ... J. G. McCammon . 56 54 1 1 1 25 20 .. 1 1 237 237 1 7 "3 "e 165 165 6 .... 4 5 665 644 1 2 25 16 23 746 746 2 1 25 19 26 30 203 30 203 3 1 8 4 4 597 594 2 3 18 2 17 21 175 176 3 6 9 422 403 i' '3 14 11 25 81 79 3 4 6 23 23 .. 1 1 93 87 2 3 3 20 20 1 84 84 1 3 36 161 36 161 2 8 7 5 23 69 7 3 12 5 20 BOARD OF HEALTH REPORT, 1926-27. K 35 SCHOOL'S—Continued. w>« Other Conditions, specify (Nervous, Pulmonary, Cardiac Disease, etc.). 1 UI S3 o bo QJ ft fl O to « fl t> DQ ~ s Acute Fevers which have occurred during the Past Year. Condition of Building. State if crowded, poorly ventilated, poorly heated, etc. Closets. State if clean and adequate. Cardiac, 1; blepharitis, 1; stammering, 1 ; seborrhcea, 1 Pulmonary, 1. Deformity of spine, 1 Pulmonary, 1 ; cardiac, 3 ; nervous, 3 ; defect of chest, 1 Cardiac, 1.. One other deformity. Pulmonary, 1; cardiac, 3 ; other deformities, 2 Pulmonary, 1; cleft palate, 1 ; deformity of chest, 1 ; other deformities, 1 Pulmonary, 1 ; cardiac, 1; nervous, 2 Deformity of chest, 1 ; other deformities, 1 ; cleft palate, 1 Nervous, 1; deformity of chest, 1 Nervous, 4 ; deformity of leg, 1 Pulmonary, 1 Cardiac, 4 ; deformity of chest, 1 ; pulmonary, 1 ; other deformities, 1 Pulmonary, 1; other deformities, 1 Pulmonary, 1 ; other deformities. 2 10 Scarlet fever, 3 ; measles, 3 ; typhoid, 2 ; chicken- pox, 1 ; influenza, 28 ; mastoid, 2 Chicken-pox, 19 ; whooping- cough, 21; scarlet fever Measles, 7; whooping- cough, 9 Scarlet fever, 1; measles, 5 ; whooping-cough, 2 ; chicken-pox, 7 Scarlet fever, 1 ; chicken- pox, 17 Scarlet fever, 1 ; measles, 14 ; whooping-cough, 4; chicken-pox, 3 Chicken-pox, 16 ; whooping-cough, 4 ; measles, 10 Scarlet fever, 2 ; measles, 7 ; chicken-pox, 2 Scarlet fever, 3 ; measles, 12; whooping-cough, 1 ; chicken-pox, 1 Measles, 4 ; whooping- cough, 1 Chicken-pox, 1; whooping-cough, 1; measles, 1 Diphtheria, 1; measles, 4 ; chicken-pox, 9 ; whooping-cough, 12 Scarlet fever, 1; mumps, t ; whooping-cough, 1; chicken-pox, 5 Scarlet fever, 1; measles, 32 Chicken-pox, 3; whooping-cough, 1; scarlet fever, 1; measles Chicken-pox, 39; whooping-cough, 2; measles, 27 ; scarlet fever, 2 Scarlet fever, 1; mumps, 1; measles, 2 ; chicken- pox, 1 Good. Good; more lighting wanted Good Rather poor; clean Old building; clean Old building; clean Good. Old building; clean Old building ; newly painted; clean Good Clean; adequate. SCHOOLS. 25 3 24 12 48 55 1 14 52 13 32 4 i 3 3 30 22 1 10 13 3 20 1 Good Yes. 9 102 Orthopaedic, 1; corrected vision, 8 Corrected vision, 5 Orthopaedic, 2 ; corrected vision, 25 Orthopsedic, 1; corrected vision, 27; stammer, 1 3 1 1 1 i .. 76 300 2 ,. 343 14 / 95 1 279 (Jhorea, 1; corrected vision, 27; heart, 2 ,, 75 198 Asthma, 2; corrected vision, 11 ; orthopaedic, 2 38 10 l M .. 39 6 2 8 ,, 12 1( 56 8 2 15 i 83 8 Heart 1; corrected vision, 3.. 1 . K 36 BRITISH COLUMBIA. RURAL MUNICIPAL Name of School. Medical Inspector. School Nurse. Bj ft ^ fl fl . a, x W QJ 'C OJ >i QJ /- 3 QJ £ bo aj be -a o ^ o in <i QJ fl QJ % cj d a 03 £ § «<3 Q> Qh QN •4 Chilliwack: Atchelitz Camp Slough Cheain East Chilliwack . Fairfield Island .. Lotbiniere Parson's Hill Promontory Flat; Robertson Rosedale Sardis Sumas Vedder Yarrow Coldstream: Coldstream Laving'ton Coquitlam: Blue Mountain .. Central Glen Maillardville Silver Valley Victoria Drive ... Cowichan, North: Cbemainus Crofton Westholme Delta: Annacis Island,.. Annieville Boundary Bay... Canoe Pass Delta, East Inverhulme Kennedy Ladner Mosher Siding ... Sunbury Trenant Westham Island . Esquimalt: Esquimalt Kent: Agassiz. Harrison River Langley: Aldergrove .... Belmont County Line... Glen Valley.... Ulenwood Langley, East . Langley Fort. . Langley Prairie Langley, West. Milner . Murrayville Otter' Otter, South... Patricia Sperling isprin^brook . . R. McCaffrey . L. A. Patton . R. McCaffrey . L. A. Patton . R. McCaffrey . S. G. Baldwin . Bruce Cannon, R. McCaffrey . L. A. Patton.. H. B. Rogers. J. S. McCallum. P. McCaffrey Miss Naden. Miss Morrison. 29 55 66 37 24 18 77 116 8 22 66 34 17 114 14 158 26 19 18 21 36 15 26 14 13 56 33 24 159 22 22 58 25 31 14 84 148 72 82 130 52 22 25 29 23 29 65 66 60 37 24 IS 77 116 153 36 S 64 32 34 46 13 107 24 18 17 15 31 14 24 13 29 200 13 51 31 23 134 12 19 54 23 19 14 78 59 78 124 49 19 BOARD OF HEALTH EEPORT, 1926-27 K 37 SCHOOLS—Continued. X QJ ■ bfiOD i-i X to « fl o HO O Other Conditions, specify (Nervous, Pulmonary, Cardiac Disease, etc.). 6 a fl QJ o fl OJ u ■H > m 2 Acute Fevers which have occurred during the Past Year. Condition of Building. State if crowded, poorly ventilated, poorly heated, etc. Closets. State if clean and adequate. 13 9 i' 13 4 13 10 S 6 4 1 5 20 24 4 Good Pretty full; ventilation rather poor One room crowded ; other O.K. Good Good. "0 Scarlet fever Chicken-pox 19 18 Orthopedic, 1 " 6 Good. 9 5 1 Scarlet fever, diphtheria, measles, chicken-pox 42 Excellent Good Bad Good Crowded; poorly ventilated Good Yes. 16 Good. 3 Had. 1 Good. 2 4 3 11 3 1 4 3 4 6 3 15 1 3 "i' Scarlet fever, 3; influenza Bad. 7 Clean; adequate 3 2 Measles " ,, 1 ,, 10 Stammering, 1 ; acne, 2 ; valvular disease, heart, 1; granular lids, 1 Spinal curvature, 1; granular lids, 1 Chicken-pox, mumps, measles Measles, chicken-pox ... 1 2 Poorly lighted ; water-supply from creek Good Satisfactory Good " 47 Nervous, 2 ; cardiac, 3 ; orthopedic, 10 ; aneemia, 1 11 5 4 Clean. 6 3 3 "j' 2 1 2 12 2 German measles, 6 8 5 3 7 German measles, 6 German measles, 49; measles, 15 German measles, 3 German measles, 4 . .. . Chicken-pox, tuberculosis, measles, meningitis, 2 German measles Measles, 8 Scarlet fever, 4 Mumps, 1 Measles, 8 Mumps 10 : measles, 16 First class Poor " 20 ,, 1 13 10 6 3 1 2 1 5 15 3 1 4 3 7 2 Not crowded ; well ventilated and heated Rather crowded.. 97 7 Chorea, 2 ; infantile paralysis, 1 Clean; adequate. Rebuilt. 1 1 5 1 2 Not water enough to flush toilets. 9 2 1 1 1 3 3 4 1 3 1 1 3 1 3 11 2 Poor ; ventilation via windows Eight; flush. Notwaterenough to flush toilets. fi 12 Whooping-cough, 10 ... . 5 1 2 5 2 Two; bucket. 4 Whooping-cough, 3 4 6 in good condition. K 38 BRITISH COLUMBIA. RURAL MUNICIPAL Name of School. Medical Inspector. School Nurse. Maple Ridge: Albion Hammond Haney Lillooet. South Maple Ridge Alex. Robinson Buskin Webster's Corner ... Whonnock Matsqui: Aberdeen Bradner Clayburn Punaeh Gifford Jubilee Matsqui Mount Lehman Peardonville Poplar Ridgedale Mission : Cardinell Cedar Valley Hatzic mission City Silverdale Silverhill Stave Falls Stave River Gardens Steelhead Oak Bay: Monterey Avenue... Willows Peachland: Peachland Trepanier Penticton: Ellis Pitt Meadows: Pitt Meadows Point Grey: Edith Cavell Kerrisdale Lord Kitchener. Langara Lloyd George G. Morse . T. A. Swift. A. J. Stuart . J. N. Taylor. Wm. Buchanan. H. McGregor ... L. Eroe ... W. Dykes. Miss Bradshaw. Miss M. Ewart... Mrs. C. M. Hyde. a a Z fl Ph . X "H CJ o *-• o i« <i QJ 3 . 6 * '£* OJ fl OJ >> "qj OJ QJ J J > b$ a, - > a Ti'M CJ +- 0> en Ui X "o fl 1> § Q^ rZ> Qffl < Miss M. Ewart. 15 138 234 29 71 126 36 83 91 56 71 13 68 22 80 43 46 14 128 343 506 13 118 219 20 62 105 30 79 82 43 12 110 326 BOARD OF HEALTH REPORT, 1926-27 K 39 SCHOOLS—Continued. Other Conditions, specify (Nervous, Pulmonary, Cardiac Disease, etc.). c £ w a 3 QJ 5, fee ca > a Sh Acute Fevers which have occurred during the Past Year. Condition of Building. State if crowded, poorly ventilated, poorly heated, etc. Closets. State if clean and adequate. 9 56 116 9 29 47 13 HO 38 18 13 4 5 2 6 3 1 Double congenital cataract, 1. 3 2 i 3 Tonsillitis, 1. Follicular tonsillitis, 1. Chorea, 1 Parotitis, 1. Asthmatic, 1. Stammering, 1; pulmonary, 7 cardiac, 11; orthopaedic, 5 anaemic, 14 ; nervous, 1 Cardiac. 7 ; anaemic, 12 ; hernia, 1; nervous, 1 ; pulmonary, 1 : cleft palate, 1; speech defective, 1 Nervous, 13 ; cardiac, 7; acne. 28; orthopaedic, 7 Measles, 70 ; chicken-pox, 21 .. Adolescent goitre, 59 ; cardiac, 15 ; orthopaedic, 9 ; anaemia, 2 Adolescent goitre, 88 ; pulmom ary, 2 ; cardiac, 24 ; anaemia, 6 ; orthopaedic, 9 Adolescent goitre, 31; cardiac, 11 ; pulmonary, 3 ; anaemia, 1 ; orthopaedic, 5 Adolescent goitre, 30; cardiac, 3 ; orthopaedic, 2 ; anaemia, 1 Adolescent goitre, 75 ; cardiac, 8 ; pulmonary, S ; anaemia, 9 ; orthopaedic, 8 20 Good. Measles, 6 Scarlet fever, 2; measles 20 Chicken-pox, 1; measles, 2U Measles, whooping- cough, influenza Measles, whooping- cough, influenza Chicken-pox, influenza, measles Scarlet fever, 2 ; measles, 17 ; mumps, 4 ; chicken-pox, 1 ; rubella, 78 Scai let fever, 2 ; measles, 41; whooping-cough, 1; rubella, 125; chicken-pox, 3 Scarlet fever, 1; measles, 45 ; mumps, 1 ; whooping-cough. 4; rubella, 91; chicken-pox, 1; diphtheria, 7 Scarlet fever, 1 ; measles, 43; whooping-cough, 3 ; ruhella, 65 ; chicken-pox, 3 Diphtheria, 2 ; measles, 23; whooping-cough, 9 ; rubella, 57 ; chicken-pox, 13 Water-supply from ditch Difficult school to ventilate, due to construction of windows No water ohtain- able, due to periodic blocking of pipe Fairly good Old building; crowded Somewhat worn. All rooms overcrowded Very good Good Most satisfactorv Good. Excellent; well heated and ven- tilated; no overcrowding Excellent; well heated and ventilated ; no overcrowding Satisfactory Excellent ... Good. Clean; adequate. Excellent. Clean; adequate. Good. K 40 BRITISH COLUMBIA RURAL MUNICIPAL Name of School. Medical Inspector. School Nurse. 3 C r- c 6 g tjj 5" . a si o p "5 aj >. ofi OJ > Pi> 03 > be — K CJ V 9 " % 0> OK "3 0 t» ~ 2 OJ ci <M OJ OJ U '0 a OJ ■a < Si a 0 Point Grey—Continued. Oak Street Prince of Wales Quilchena W. Dykes Miss M. Ewart.... Mrs. C. M. Hyde.. 674 145 473 221 571 420 415 20 32 92 90 21 158 242 92 40 56 45 159 83 28 62 31 47 94 230 279 63 37 15 74 286 16 68 189 38 27 25 22 648 150 521 191 610 400 400 20 30 90 85 18 158 242 92 40 60 45 159 81 28 62 31 47 94 230 279 55 34 14 65 277 15 64 172 35 24 23 22 15 8 15 1 7 10 8 3 io' 2 7 T 2 1 2 21 1 2 3 3 i l "2 2 1 1 2 1 2 1 1 1 5 61 9 38 11 23 15 15 1 2 5 5 2 3 5 3 2 3 6 10 1 1 2 2 3 10 4 2 3 1 41 5 4 2 2 1 4 5 1 1 10 1 2 15 15 7 3 1 3 1 2 2 1 6 20 25 2 1 7 10 2 54 14 19 17 38 30 25 2 1 7 15 2 W. K. Hall Richmond: Lord Byng English Mitchell Trites Saanich: Cedar Hill Cloverdale R. L. Miller Miss M. Griffin.... Miss McRae IT Gordon Head Keating Lake Hill MacKenzie Avenue Model... Prospect Lake Royal Oak " 2 1 1 2 4 4 2 2 2 7 .1. P. Vve K. L. Miller Saanich, West Strawberry Vale 2 2 23 "s 45 1 2 17 13 5 13 58 3 4 11 4 Tolmie Sumas: Huntingdon Kilgard Straiton Sumas, Upper X. A. Swift Surrey: Anniedale F. D. Sinclair 3 8 1 3 Crescent Elgin .... Grand View Heights .... M 1 BOARD OF HEALTH REPORT, 1926-27. K 41 SCHOOLS—Continued. QJ X u ^ OJ QH HO C Other Conditions, specify (Nervous, Pulmonary, Cardiac Disease, etc.). 6 a a QJ aj UI t> m t* Pi Acute Fevers which have occurred during the Past Year. Condition of Building, State if crowded, poorly ventilated, poorly heated, etc. Closets. State if clean and adequate. Adolescent goitre, 72 ; cardiac. 8 ; pulmonary, 4 ; orthopaedic, 19 Adolescent goitre, 24 ; cardiac, 4 ; nervous, 1; pulmonary, 1; orthopaedic, 2 ; anaemia, 1 Adolescent, goitre, 76 ; cardiac, 15 ; nervous, 1; pulmonary, 3 ; orthopaedic, 11 ; anaemia, 3 Adolescent goitre, 24 ; cardiac, 4 ; orthopaidio, 3 Adolescent goitre, 50 ; cardiac, 10 ; anaemia, 1 ; orthopaedic, 8 Vernal catarrh. Chronic arthritis, 1. 4 Corrections, 19., Appendicitis, 1. Pleurisy, 1 Anaemia, 13; acne, 2; cardiac, 2; eczema, 1 Endocarditis, 1; cleft palate, 1 Polv. ant. chronic. 1 ; fct. systolic, 1 impediment in speech, 1; hypothyroid, 1 Infantile paralysis, 1. Scarlet fever, 1 ; measles, 69; whooping-cough, 5 ; rubella, 207 ; diphtheria, 2 Measles, 12 ; rubella, 35 ; chicken-pox, 10 Scarlet fever, 6 ; measles, 26; rubella, 127 ; diphtheria, 3; chicken-pox, 2 Measles, 31; rubella, 25 ; diphtheria, 11; whooping cough,5 Measles, 43; rubella, 82 ; mumps, 1 ; whooping- cough, 2 ; chicken-pox, 16 Diphtheria, 12; scarlet fever, 5; chicken-pox 2 ; mumps, lu ; roe theln, 20; measles, 35 Measles, 5; mumps, 10 Crowded . Chicken-pox, 4 Diphtheria, 2; measles, 5; chicken-pox, 4 Measles, 1 Chicken-pox, 32; measles, 1; typhoid, 1 ; whooping - cough, 1; scarlet fever, 1 Chicken-pox, 1; measles, 1; whooping-couirh, 3 Measles, 2 Chicken-pox, 6; scarlet fever, 1; whooping- cough, 1; measles, 2 Measles, 13; whooping- cough, 1 Chicken-pox, 21; measles, 2 Measles,!; influenza, 1 1: Measles, ?9 Chicken-pox, 6 ; r sles, 1 Measles, 1; mumps, whooping-cough, 2 Chicken-pox, 19 ; mea sles, 17 Chicken-pox, 11; measles, 8 ; mumps, 1 : whooping-cough, 3 Chicken-pox, 10; measles, 3 ; scarlet fever, 7 Crowded . Good. Clean; adequate. O.K. . Good. O.K. Clean; adequate. Roetheln,l; chicken-pox, 2 Measles Measles Chicken-pox, rubella, measles Measles Measles Whooping-cough . Good. Poor Satisfactory. Fair. Good. Require attention. Clean. Poor. Good. Clean. K 42 BRITISH COLUMBIA. RURAL MUNICIPAL Name of School. Medical Inspector. School Nurse. ol 92 a K a M X tfH QJ C £H 0 $° <, QJ 3 . Ph V <H 3 °a d « 'in fl a "5 S3 QJ S QJ IJ OJ £ y *QJ UJ t> a OJ fl DO "S a QJ wA <D g Q>i CC QE QCQ < Surrey — Continued. Hall's Prairie ... Hjortli Road . .. Johnston Road . Kensington, East.. Kensington Prairie Newton Port Mann Spring-dale .... Strawberry Hill Surrey Centre Tynehead Westminster, South . White Rock Woodward's Hill. Vancouver, North: Capilano Keith Lynn ... Lynn Valley... North Star Roche Point ., Vancouver, South: Brock Chainplain . Connaught. Gordon Moherly-Fraser . .. R. McBride Sir A. Mackenzie . John Norquay ... Laura Secord Lord Selkirk Sexsmith.. Tecumseh . F. D. Sinclair. . McOarley. G. A. Lamont. MissE. Bell Miss E. Edwards. Miss E. Edwards. 82 Miss E. Bell Miss E. Edwards. 171 31 102 300 215 38 498 POO 16 60 476 551 719 682 504 217 941 342 718 23 40 129 169 30 102 300 215 38 651 717 682 602 243 342 712 5 9 19 24 J BOARL OF HEALTH REPORT, 192(5-27. K 43 SCHOOLS—Continued. OJ > OJ ti *. QJ OJ oj an -a OJ - u V ■3 3 H3 6 o Other Conditions, specify (Nervous, Pulmonary, Cardiac Disease, etc.). a" I u 0) oi OJ !3 d CJ d o a S a o p OH a s Acute Fevers which have occurred during the Past Year. Condition of Building. State if crowded, poorly ventilated, poorly heated, etc. Closets. State if clean and adequate. 1 i "i' 1 1 i 2 2 1 15 18 43 '26 5 96 178 2 3 92 102 108 161 134 62 135 ■67 96 10 7 5 13 9 8 4 14 5 10 7 20 16 5 7 2 17 16 14 25 1 1 20 8 9 6 7 6 21 3 13 Appendix, 1; defective palate, 1 ; endocarditis, 1; pigeon- chest, 1 5 l i 1 Clean. ii Good. ii Clean; adequate Satisfactory. ii ii ii ii ii ii it ii ii 4 4 'e' i i 2 High-arch palate, 1; anasmia, 1; pigeon-chest, 1 Chronic infantile paralysis, 1; anajmia, 1 Measles, chicken-pox ... Whooping-cough Measles Whooping-cough, measles « Anaemia, 1 ; chorea, 1 ; ant. poly., 1 ; cryptic tonsil, 1; endocarditis, 1 Pvorrhrea. 1 ; D.A.H., 1 2 ,. Measles Marginal blepharitis, 1; facial paralysis, 1 ; deviated septum, 1 ,, 2 2 2 2 3 6 12 8 3 13 21 13 20 26 27 20 7 13 13 8 Bifid uvula, 3 ; foreign body in ear, 2; chorea, 1 ; endocarditis, 1; cleft palate, 1; fct. systolic, 1; pigeon-chest, 1 2 1 Chicken-pox, measles ... 2 7 Asthma, 1; defective speech, 1; heart-disease 3 ; epilepsy, 1 6 8 15 11 1 6 Measles, chicken-pox ... Measles, whooping- cough Measles, scarlet fever, chicken-pox Scarlet fever, 2; meosles, 59; rubella, 103 ; chicken-pox, 8 Scarlet fever, 4; measles, 77 ; diphtheria, 2 ; rubella, 274 ; mumps, 4 ; chicken-pox, 9; whooping-cough, 12 Rubella, 7 ; whooping- ing-cough, 2 Measles, i ; rubella, 8 ; whooping-cough, 3 Scarlet fever, 1 ; measles, 7 ; rubella, 85 ; chicken-pox, 3 ; mumps, 5 ; whooping-cough, 3 Measles, 9 ; rubella, 120 ; whooping-cough, 2 ; chicken-pox, 28 Measles, 30 ; rubella, 99 ; whooping-cough, 7 ; chicken-pox, 10 Rubella, 65; diphtheria, 1; measles, 26; chicken-pox, 2 Scarlet fever, ] ; measles, 17 ; rubella, 67 ; chicken-pox, 10 Measles, 22 ; rubella, 13 ; mumps, 1; chicken- ■ pox, 4 Scarlet fever, 3 ; measles, 20; rubella, 124; chicken-pox, 8 ; diphtheria, 9 ; carriers, 7; mumps, 52 Measles, 12 ; rubella, 64 ; chicken-pox, 3; whooping-cough, 16 Scarlet fever, 3 ; measles, 21 ; rubella, 157 ; diphtheria, 4 ; chicken-pox, 31; mumps, 3 Heart-disease, 1 ; bronchitis, 1; epilepsy, 1 Asthma, 4 ; bronchitis, 1 Conjunctivitis, 2 ; throat cultures, 9; home visits, 26; vaccinations, 31; Conjunctivitis, 3 ; throat cultures. 7 ; home visits, 51; vaccinations, 50 1 16 16 14 6 Vaccinations, 4 ; home visits, 5 Vaccinations, 21; home visits, 34 ; conjunctivitis, 1 Vaccinations, 12 ; home visits, 34 Vaccinations, 30 ; home visits, 89 ; conjunctivitis, 3 ; throat cultures, 1 Vaccinations, 21 ; home visits, 44 ; conjunctivitis, 8 Conjunctivitis, 2; vaccinations, 10 ; home visits, 35 Vaccinations, 6 ; throat cultures, 1; home visits, 5 Conjunctivitis, 7; vaccinations, 41; throat cultures, 123 ; home visits, 139 Conjunctivitis, 5; vaccinations, 15 ; home visits, 6 Conjunctivitis, 12; vaccinations, 20; throat cultures, 21; home visits, 67 1 9 2 4 i 2 4 5 5 2 12 2 7 10 25 14 11 2 20 10 7 3 14 13 7 2 1 3 5 1 K 44 BRITISH COLUMBIA. RURAL MUNICIPAL Name of School. Medical Inspector. School Nurse. "n 1-1 X «H OJ ll a 3 . Cm * ^ OJ <h P s j^i aj o a aj >-. £•- || OS OJ £.2 ■£45 t " sj"£ 'cj oj 93 CJ M «-l QJ OJ £ PPQ ui o a 0) SI G 0 Vancouver, South—Continued. Van Home Miss E. Bell 428 703 5 14 52 365 5 426 703 6 14 62 365 5 58 99 1 7 10 15 1 4 12 12 31 19 56 Vancouver, West: 1 7 3 1 2 17 39 Whytecliffe RURAL AND Abbotsf ord Adelphi ... Ainsworth Albert Canyon Albert Head Albreda Alert Bay Alexander Manson Alexandria, North. Alexis Creek T. A. Swift. Aleza Lake ., Alice Siding Allenby Allen Grove Anarchist Mountain . Anderson Creek Anglemont Annable Appledale Argenta Arrowhead Arrow Park, East. . Arrow Park, West , . Ashcroft Ashnola Ashton Creek .- Athahner-Invermere Atlin Avola Balfour Balmoral Bamfield Barnston Island Barriere River Baynes Lake Beaton Beaver Creek. ... Beaver Cove Beaverdell Beaver Lake Beaver Point Beaver River Beghie Belford Bella Coola Bella Coola, Lower . R. W, Irving .... I). J. Barclay.... J. H. Hamilton.. Irene B. Hudson. Thos. O'Hagan... C. A. Watson. D. B. Lazier.. G. R. Baker.. G. A. Charter. W. E. Laishley. D. R. Learoyd. G. B. Henderson Lee Smith H. McGregor Francis C. J. M Willoughby. W. Scatchard . W. A. Coghlin H. H. MacKenzie... . D. J. Barclay J. H. Hamilton P. J. Emerson R. Gibson . Lee Smith .. H. W. Keith. V. E. Coy.... R. J. Wride M. G. Archibald .. P. J. Barclay W. Scatchard Guy Palmer G. Morse R. W. Irving H. A. Christie..,. J. H. Hamilton... A. D. Morgan C. A. Watson A. Francis P. V. Agnew E. M. Sutherland. J. Sandilands. ... J. H. Hamilton... H. H. MacKenzie . G. E. Bayfield .... Miss H. Kelly. Miss A. J. Duncan. Miss Garrood . 13 11 16 16 13 13 13 13 11 7 52 40 12 12 - 7 11 11 21 48 13 16 11 16 15 12 97 21 78 23 14 17 17 31 16 6 27 15 23 12 18 9 9 12 12 20 48 16 22 14 17 15 31 15 6 26 13 20 12 17 8 9 12 11 20 48 16 BOARD OF HEALTH REPORT, 1926-27. K 45 SCHOOLS—Continued. Other Conditions, specify (Nervous, Pulmonary, Cardiac Disease, etc.). Acute Fevers which have occurred during the Past Year. Condition of Building. State if crowded, poorly ventilated, poorly heated, etc. Closets. State if clean and adequate. 108 122 3 4 7 3 6 23 48 15 30 Conjunctivitis, 3; vaccinations, 23 ; home visits, 34 Conjunctivitis, 15; vaccinations, 33 ; throat cultures, 6 ; home visits, 84 8 4 7 3 12 4 4. 2 8 "i' 2 Cardiac, 1 26 47 Scarlet fever, 1 ; measles, 12; whooping-cough, 3 ; rubella, 67 ; mumps, 1 Diphtheria, 1 ; measles, 75 ; chicken-pox, 7 ; rubella, 142 ; mumps, 4 I Scarlet fever, 3 ; (measles, 63 Satisfactory Satisfactory. ASSISTED SCHOOLS. 6 2 16 1 15 Scoliosis ; curvature of spine, 1 20 Measles, 9; chicken-pox, 12 Good No 2 Good Fairly satisfactory Clean ; fairly well ventilated 4 1 1 1 4 Measles, 2 '. 1 31 Scarlet fever, 1 ; influenza, 1 No Not crowded ; well ventilated and heated Slightly crowded ; ventilation and heating good Satisfactory 15 1 2 i 13 2 1 6 2 6 4 1 4 6 2 20 Chicken-pox, 21 Chicken-pox 2 1 O.K Satisfactory Lighting fair No 3 9 Ofthopasdic, I 9 13 3 1 22 3 3 3' 3 1 2 12 1 1 3 Not crowded; ventilation, light, and heat good Fair Good Furnace not satisfactory in cold weather Poorly heated ... Good No Satisfactory Neither Good 2 17 1 Measles, 26 Scarlet fever, rubella.... 7 6 17 4 5 1 14 8 10 "9 1 3 1 4 1 i 7 3 3 Satisfactory Good 8 Heart, i H 5 O.K Good Satisfactory New building Good 1 4 ' i 5 11 9 5 4 Orthopaedic, 1 6 10 R Fairly adequate. Two; clean. Yes. Good. Need attention. Clean. Clean; adequate. Clean. Yes. Clean; adequate. Outside toilets in Kood condition. Two outside cans emptied regularly. Clean; adequate. Yes. Good. O.K Clean adequate. Satisfactory. Clean; adequate. Yes. Good. Fair. Clean; adequate. Yes. Clean; adequate. Adequate. Well taken care of Yes. Satisfactory. Yes. O.K. Two; clean. Clean ; adequate. Good. Clean; adequate. O.K. Yes. Not satisfactory. Two; fair. Good. Clean; adequate. Good. K 46 BRITISH COLUMBIA. RURAL AND Name of School. Medical Inspector. School Nurse. a w p, 'a *A a 1-1 X Ph "ti 0) P-. OJ 33 a oj M 03 ■a °'o "a CJ g aj H a — f-1 c" rt a "S S3 V* T fi z s ^ fir^ ct> Qffi 05 ■4 Bench... Bend. ... Beresford Bevan Big Bar Creek Big Bar Mountain. Big Creek Big Eddy Big Lake .... Birch Island. Birken Black Canyon. Black Pines. Blackpool Blakeburn. Blind Bay Blind Channel . Blubber Bay... Blueberry Creek . Blue River Bonaparte Bonchie Bonnington Falls. Boston Bar Boswell Boulder Siding.... Boundary Falls. .. Bowen Island Bowie Bowser Box Lake Brackendale Brechin Bridesville... Bridge Lake . Brilliant Brisco Britannia Beach . Britannia Mine... Brookmere Brown Creek.. Buckleyr Bay.. . Bull River Burgoyne Bay. Burns Lake Burtond de .... Cache Creek... Cahilty Campbell Ranch . Campbell River. Camp No. 3 Canford F. T. Stanier J. Sandilands C. J. M. Willoughby. G. K. MacNaughton - R. II. Mason.., Q. A. Charter.'. J. H. Hamilton .. P. V. Agnew M. G. Archibald . N. J. Paul. R. Gibson . K. W. Irving. H. L. Burris.. E. Sheffield.. .. W. Scatchard.. C. A. Watson. Kingsley Terry J. B. Thorn., . Thos. O'Hagan. R. H. Mason... G. R. Baker H. H. MacKenzie. P. M. Wilson G. B. Henderson.. W. C. Bissett A. Francis. F. Inglis 1. II. Hamilton... L. T. Davis P. J. Emerson.... N. J. Paul T. J. McPhee A. Francis... R,. H. Mason. J. B. Thorn. F. E. Coy A. M. Menzies . J. J. Gillis W. Truax J. C. Dunn H. A. Christie . .. E. M. Sutherland. J. T. Steele P. J. Emerson.. .. R. Gibson R. W. Irving.... M. G. Archibald . It. E. Ziegler. T. A. Briggs . J. J. Gillis... 12 11 20 7 23 8 14 8 23 67 13 11 28 13 16 11 20 20 14 12 14 25 13 15 24 22 139 19 9 121 9 59 22 61 86 10 60 21 15 12 9 29 8 22 67 12 11 28 11 20 20 12 12 13 20 12 15 24 22 130 11 56 66 14 9 58 22 34 10 20 12 BOARD OF HEALTH REPORT, 1926-27. K 47 ASSISTED SCHOOLS—Continued,. > 53+3 +, QJ oj oj OH -a aj . ij; &J Bl c 'o O Other Conditions, specify (Nervous, Pulmonary, Cardiac Disease, etc.). | OJ > fl zc c to o p. a Acute Fevers which have occurred during tbe Fast Year. Condition of Building. State if crowded, poorly venti- hiled, poorly heated, etc. Closets. State if clean and adequate. 6 1 1 17 6 3 Good Yes. Two; fair. Clean. • Clean ; adequate. Unsanitary. Sanitary. Clean ; adequate. Good. Yes. Clean ; adequate. Clean. Clean ; adequate. Clean ; two. Adequate ; door off one. Clean. Satisfactory. Clean ; adequate. Not clean. 2 14 6 1 1 Wax in ears, 2 ; blepharitis, 2 ; skin-disease, 1 ; anemic, 2 ; nasal catarrh, 1 Chicken-pox, measles ... Good O.K Poor; in need of repair Adequate ; good. Not crowded; well ventilated and heated Ventilation not good Good Poor light and ventilation ; overcrowded Good Good ventilation and heating Good Good Building O.K.; should have tap w'ater 1 3 6 4 11 6 19 7 8 21 6 4 2 i 7 1 6 3 21 2 1 2 1 1 6 1 1 4 4 Smallpox, 1 Influenza, 6; tonsillitis, 4 ; scarlet fever, 1 Nervous, 4 ; cardiac, 2 Cardiac, 1 l Clean ; fairly well ventilated Adequate No Good Clean. Sanitary ; need repair. Yes. Excellent. Fairly clean. Clean ; adequate. 4 4 6 11 1 6 1 9 3 7 2 15 17 5 6 61 2 14 13 2 4 1 24 6 12 6 1 I 6 13 1 4 10 15 2 ";' 10 i 10 6 3 4 1 3 13 2 9 4 9 5 O.K Good Very good Good O.K. Yes. Good. Clean ; adequate. Fair. Clean. Yes. O.K. Poor structure and condition. l ... Smallpox, scarlet fever, measles O.K Gcod ; adequate .. 62 5 2 6 "s 14 2 Cardiac, 6 ; eczema eyelids, 1 ; lungs, 2 ; palate, 1 ; mental, 1 Measles, 3 ; scarlatina, 1 Spinal meningitis, l;scar- latina, 1; mumps, 20; Measles, 15 Good Sanitary. Clean ; adequate. Dirty. Fairly clean. Clean; adequate. Satisfactory. Adequate. Fair. Clean; adequate Two; clean. Two closets n repair; dirty and ill-kept. Adequate. Yes. Good. 2 I Satisfactory Poor Good Slight chorea, 1 ; orthopedic, 1 Excellent Satisfactory Fair Well-lighted ; ventilation good ; not overcrowded Good Room should not be used for school purposes ; it is poorly ventilated, inadequately heated, and, in general, unsuitable Excellent Good Srrabismus, 2 3 18 2 3 3 2 2 1 2 1 1 Cardiac, 1 Infantile paralysis, 1; ichthyosis, 1 2 1 K 48 BRITISH COLUMBIA. RURAL AND Name of School. Medical Inspector. School Nurse. „ fl ra « m fl a p, o ^ 0 I* <i OJ 3 . <H P d g fl t> .t: OJ Q "S3 3 OJ OJ ■So oj fcc t- 3 0) fl m X O OJ 13 £5 aj 2 QS ££ na Q.M «! Canyon City Canyon Creek .. Carlin aiding . . . Carrol's Landing. Carson Cartier Cascade Cassidy Castledale Oastlegar Castle Rock Cawston Cedar, East Cedar, North .... Cedar, South .... Cedarvale Cebsta Champion Creek ... Chapman Camp Charlie Lake Chase Chase Creek, Lower; Chase River Chaumox Cheamview Cheracut Cherry Creek. . Chilco Chinook Cove... Christian Valley Christina Lake.. Chu Chua Clayroquot Clearwater . Clinton Coal Creek . Coalmont... Cobble Hill. Cokato Columbia Gardens . Colwood Comox Concord Cooper Creek. ... Copper City Copper Mountain. Corbin Cortes Island Cowichan Lake ... Cowichan Station. Craigellacbie Cranberry Marsh Crawford Bay Crawford Creek Crescent Valley Creston Creston, West Crow's Nest Croydon ... Cultus Lake ... : Darlington Dawson Creek Dawson Creek, North. Dawson Creek, South. Deep Cuve Deep Creek Deer Park. G. B. Henderson C. Ewert E. Buckell P. J. Emerson... VV. Truax J. H. Hamilton VV. Truax T. J. Mcl'hee.... P. Ewert J. B. Thorn G. R. Baker M. D. McEwen . T. J. McPhee.... V. Ardagh VV. Scatchard... . VV. A. Coghlin.. . D. P. Hanington. VV. A. Watson.. . VV. Scatchard.... T. J. McPhee. P. M. Wilson. J. 0. Elliot G. A. charter. Miss P. East. A. D. Morgan W. R. Stone . R. W. Irving . A. Fran Ms... W. Truax .... R. VV. trying . D. S. Dixson . O. J. M. Willoughby. R. H. Mason W Workman. E. Sheffield. . F. T. Stauier . D. Corsan .. ., .1. B. Thorn... I. B. Hudson . T. A. Briggs J. C. Elliot D. J. Barclay... W. N. Turpel... Lee Smith R. Elliot R. Ziegler K. I. Murray.... II. N. Watson .. J. H. Hamilton. E. M. Sutherland . D. J. Barclay. ... J. H. Hamilton ... H. H. MacKenzie . G. B. Henderson .. R. Elliot J. Sandilands.. J.C. Elliot R. W. Irving .. W. A. Watson S. E. M. Hoops . H. W. Keith.... J. E. H. Kelso.. Miss Naden. Miss H. Kelly... •Miss N. Armstrong Miss Jeffares Miss Garrood. 9 20 13 26 38 20 76 8 61 9 22 11 16 20 26 12 108 12 79 6 12 12 18 20 10 8 12 10 47 26 22 10 12 62 77 10 8 10 40 62 15 46 13 29 10 20 214 9 16 12 17 10 23 8 7 10 27 13 20 13 26 37 20 73 6 59 9 21 9 15 18 24 12 99 9 75 5 11 11 17 zO 10 8 12 10 45 10 54 24 20 12 50 75 11 8 10 16 44 66 18 13 27 10 20 201 9 14 12 17 10 23 8 6 8 26 8 6 4 1 6 12 3 3 1 1 .... 3 3 4 7 4 1 .... 4 3 6 2 2 2 2 1 3 2 2 3 1 1 5 1 3 1 6 20 35 1 2 1 2 4 2 1 2 2 4 6 9 1 1 4 2 1 1 1 .... 3 7 2 1 1 1 2 1 2 3 3 3 10 .... 23 23 1 2 10 9 4 1 1 t 1 3 1 1 4 1 1 1 2 2 2 2 4 9 9 13 1 .... 4 4 1 1 ... 2 1 2 1 4 4 4 3 1 1 3 3 1 3 1 1 4 7 3 3 9 7 5 8 16 1 4 5 11 3 ... 1 3 1 .... 3 1 1 12 2 3 4 2 2 3 10 3 3 1 9 9 .. . 1 1 3 1 2 1 5 5 1 3 5 7 1 24 1 13 8 13 13 21 5 .... 1 15 9 3 ... 9 » 12 1 .... 1 1 2 .... 1 8 .... I 7 11 2 1 2 .... 4 7 27 ... 16 29 2 .... 2 2 1 2 6 2 5 4 4 1 1 1 .... 1 2 7 1 .... 5 5 1 .... 1 5 1 6 3 1 1 4 .... 2 2 6 1 1 BOARD OF HEALTH REPORT, 1920-27. K 49 ASSISTED SCHOOLS—Continued. X tSx OJ HO Other Conditions, specify (Nervous, Pulmonary, Cardiac Disease, etc.). d a a "5 s rH > CC 2 Acute Fevers which have occurred during the Past Year. Condition of Building. State if crowded, poorly ventilated, poorly heated, etc. Closets. State if clean and adequate. 8 i 3 "2' 6 2 id' 4 11 1 1 11 1 Good Fair condition Good Clean; adequate. 5 7 2 Fair Defective light ... Adequate Clean ; adequate. Good. 3 3 5 21 i l 7 3 Yes. 2 Whooping-cough Adequate. 24 No Satisfactory Good 7 Chicken-pox epidemic... Smallpox, diphtheria Smallpox 2 13 ,, 7 1 M Fair; frame building One; poor. 5 1 5 2 1 4 5 5 23 2 15 1 :::::::::::::::::::::::: 8 2 Rubella Excellent Good Satisfactory Good Not crowded; well ventilated and heated O.K Good Adequately ventilated and heated ; school-room filled to capacity Good Heating and ventilation good Not overcrowded ; poorly heated by stoves; fair ventilation Old building Good...' 1 TO 14 1 Smallpox 3 Dirty. 3 0 Mentally defective boy (aged 15), is a dwarf, and has congenital dislocation of both hips Clean; adequate. Good. 0 1 1 8 3 5 4 1 5 4 4 3 3 1 2 2 3 3 10 2 1 3 10 2 3 0 3 6 6 4 1 1 25 1 2 3 2 2 O.K. 9 Bronchitis 1; chronic nasal catarrh, 1 1 1 2 2 14 1 Influenza, chicken-pox.. Two; clean. Clean; additional accommodation will soon be required. 19 31 - Cardiac, 4 ; chorea, 1 ; bronchitis, 4 Clean ; adequate. Yes ; need repair. 15 17 Yes. ■j Anaemia, 1; slightly damaged hearts, 4 Clean; adequate. 4 1 4 11 6 4 Round shoulder, 2; nervous, 3; anamila, 3 Eczema, . ; V. D.H. 1 Excellent Good Being improved .. No Fairly good Adequate O.K Good Poorly lighted and ventilated Yes. Improved. 4 19 Adequate. Yes. 9,6 Good. 2 Adequate. O.K. 12 1 Measles, whooping-cough Diphtheria, 5 12 Clean ; adequate. 4 Satisfactory. Yes. Good. 8 No Good 5 Heart, 1 Clean; adequate. 99 Measles 1 Fair Pair Go;d Fair 4 9 1 9 4 4 2 Yes. 1 1 tl 4 tl 8 Good „ 3 M K 50 BRITISH COLUMBIA. RURAL AND Name of School. Medical Inspector. School Nurse. fl & £ ■4-1 OJ . 0 o ^ H . fc-g °1 in "3 a OJ fc*J > V S .Oj .2 OJ tH fl OJ OJ QJ fcfi OJ fl 2 '3 a £5 0) ^ Q^j Q> QW Qffl < - a — a HH Demars, West Denman Island Departure Bay Dewdney Diamond Crossing . Divide Dome Creek Doreen Doriston . Dorr Dove Creek. Driftwood.. Ducks bang Dundon .... Dunster. ... Eagle Valley. Echo Bay ... Edgeyvater .. Edgewood .. Egmont Elk Bridge .. Elko Elk Valley... Ellison ...... Elphinstone Bay Endako Enderby, North . Engeu Erickson Erie Errington Essington Evelyn Ewing's Landing. Fairview.. Falkland .. Fanny Bay Fauquier. .. Field Fife Fire Valley . Firvale Fir Valley .. Fish Lake . Flagstone. Forest Grove . Ford Forks Fort Fraser Fort Fraser, North.. Fort George Fort George, South. Fort St. James Fort St. John Fort St. John, East. Fort Steele Four Mile. Francois, North Francois, South. ... Fraser Lake Fraser Lake, North. French Creek P. J. Emerson ... T. A. Briggs T. J. McPhee A. J. Stuart H. B. Maxwell ... E. M. Sutherland. J. Sandilands V. E. B. Ardagh.. F. Inglis H. A. Christie ... T. A. Briggs C. H. Hankinson . R. W. Irving R. H. Mason F. Inglis W. R. Stone H. W. Keith... VV. R. Stone.. .. G. B. Henderson. J. B. Thorn L. T. Davis R. Large C. H. Hankinson. W. J. Knox .1. Sandilands.. B. Buckell C. A. Watson.. F. E. Coy ... J. E. H. Kelso. F. Inglis F. J. Buckley . H. A. Christie. F. J. Buckleyr. W. J. Knox ... H. B. Maxwell. G. II. Kearney P. D. Van Kleeck.... G. K. MacNaughton . J. E. II. Kelso . . . G. A. Cheeseman. W. Truax J. E. H. Kelso'.... G. E. Bayfield .... VV. J. Knox C. J. M. Willoughby. H. A. Christie. F. V. Agnew... P. Ewert.... R. W. Irving VV. R. Stone C. Ewert. VV. R. W. A. F. W. VV. J. D. B. W. R. L. T.' Stone... Watson. Green Lightburne. Lazier Stone. Davis. Miss Hewertson. Miss Jukes . Miss Hewertson. Miss Jukes , 10 64 10 82 31 18 20 13 26 20 10 12 10 15 11 19 35 16 18 28 7 35 13 17 16 11 50 9 27 36 22 15 12 24 43 63 22 11 11 9 15 11 10 16 41 6 44 62 15 25 10 49 7 12 20 18 10 40 10 50 9 74 31 18 20 13 24 20 10 12 10 11 9 19 35 16 18 19 13 17 15 11 49 9 27 28 22 15 11 23 01 22 10 41 42 59 15 24 9 49 7 12 20 18 10 40 -19 12 BOARD OF HEALTH REPORT, 1926-27. K 51 ASSISTED SCHOOLS—Continued. X OJ fl fl o wo O Other Conditions, specify (Nervous, Pulmonary, Cardiac Disease, etc.). d g fl OJ o 6: n OJ n u fl 3 > DQ a Acute Fevers which have occurred during the Past Year. Condition of Building. State if crowded, poorly ventilated, poorly heated, etc. Closets. State if clean and adequate. 4 i 2 3 3 8 3 2 12 2 5 Cardiac-., 1 ... Good Old Good Poorly built frame shack Satisfactory Good 8 Yes. 2 Clean; adequate. 21 19 7 Not satis factor}7. Two; good. Two; yes. Inadequate; clean. Clean; adequate. Yes. 12 1 6 3 7 "3' 1 2 3 Nasal spur, 1 Small; low ceiling; poor light Satisfactory Good Nervous, 2 ; discharging ear, 1 R door. 6 1 Yes. 7 Clean ; adequate. Sanitary. Yes. 3 1 3 9 3 5 1 10 Clean; adequate. 2 2 3 2 6 8 Orthopajdie, 1; antenna, 1; chronic eczema, 1 Good 9 adequate. Yes. 13 6 1 1 1 1 4 Clean; adequate. 4 1 1 Measles, chicken-pox... 5 Very good Good Too little air Good Efficient Clean; adequate. 24 6 5 5 2 1 "8' 1 3 3 3 2 14 2 1 1 1 Chorea, 1; cardiac, 1 ; eczema, 1 ; lack of bladder control, 1 ; amemia, 2 Cardiac, 2 ; Still's disease, 1; psoriasis, 1 Nil, except flu Yes. 17 adequate. Yes. 4 Clean; adequate. Yes. 7 Impediment in speech, 1 ; ana;- mia, 2 ; headaches. 1 ; nerve disease, 1; nasal catarrh, 3 ; wax in ears, 4 ; skin-disease, 2; blepharitis, 1 28 O.K Fair Fair Good Poorly heated ; building not lined Frame ; in need of repair; windows on wrong side Satisfactory Temporary building Uncompleted. . . Good Good Old frame building in only f tir condition Good Fair Good Satisfactory ... . Good Clean; adequate. Yes. Influenza Scarlet fever, measles... 24 1 Both. 4 1 Pad. 1 Yes. 4 i 4 Good. 3 Curvature of spine, 1 ; anaemia, .1 ; cardiac, 1 3 fl 1 Yes. 1 1 1 1 6 "s. 15 12 3 3 Adequate. Two; clean. Yes. 2 25 Amputated foot, 1 Measles epidemic . .... 1 18 Blepharitis, 2 Clean; adequate. SO 10 10 Yes. Fair. •?, . 3 3 3 11 6 Yes. 5 Measles, chicken-pox.... Very good Clean; adequate. K 52 BRITISH COLUMBIA. RURAL AND Name of School. Medical Inspector. School Nurse. a £ ra a. a 3 2; X tH Ci o 3 0 6 £ 3 . °a (< QJ 'u fl a fl OJ J>. £ c OJ OJ CJ oj .2 V..2 > be o •? cj 2 o be £ a "o a . OJ Z 3 s Q« e^ QK Qra < Fruitlands Fruitvale Galena Bay Galiano, North . Galiano, South.. Gallie Bay.... Ganges Georgetown .. Gibson Creek. Gill Gillies Bay... . Giscome. Glacier . Glade... Glenbank... Glenemma.. Glenora Glenrosa.... Glentauna.. Golden Goldstream. Gowland Harbour. Granby Bay Grandview Bench. Grani.e Bay Grantham Grant Mine Grassmere Gray Creek Great Central Green Bay Green Lake Grcenslide Grey's Oreek Grindrod Hall Hall's Landing . .. Happy Valley Hardvvkjk Island.. Harewood Harrogate H arrop Hatzic Prairie Hazelton Hazelton, New. Headquarters Hedley Heffley Creek Heffley Creek, Upper.. Hendon Heriot Bay Hillcrest Hilliers Hilltop Hilton Hope Hornby Island Horse Creek Hosmer Houston Howe Sound. . .. Hudson's Hope . Huintt Hunter Island. . Hupel Hnscroft Hutton R. W. Irving J. B. Thorn J. H. Hamilton . . . E. M. Sutherland O. II. West R. E. Ziegler E. M. Sutherland. R. G. Large H. H. MacKenzie . A. D. Morgan.... Kingslev Terry. . W. E. Laishley ... J. H. Hamilton... H. H. MacKenzie . P. J. Emerson ... P. I). van Kleeck . H. N. Watson .. .. W. Buchanan 0. H. Hankinson . P. Ewert 1. B. Hudson R. E. Ziegler .. D. R. Learoyd . H. W. Keith C. A. Watson T. A. Briggs T. J. McPhee H. A. Christie .... D. J. Barclay A. D. Morgan. G. E. Bayfield .... R. H. Mason J. H. Hamilton. . C. A. Watson H. W. Keith H. H. MacKenzie . J. H. Hamilton... I. B. Hudson . . .. C. A. Watson T. J. McPhee Paul Ewert H. H. MacKenzie ... A. J. Stuart Wm. J. Lightburne. T. A. Briggs . . M. 1). McKwen R. W. Irving... P. D. van Kleeck . R. E. Ziegler H. VV. Keith b. T. Davis VV. Truax H. G. Williams.... J. C. Elliot T. A. Briggs Paul Ewert D. Corsan . C. H. Hankinson P. Inglis VV. A. Watson . . IV. K. Stone G. A. Roberts ... H. W. Keith G. B Henderson. VV. E. Laishley .. Miss J elf ares. Miss II. Kelly. Miss Gal-rood . Miss H. Kelly. Miss Garrood. 90 48 18 19 67 11 18 22 11 56 6 59 40 12 18 10 6 132 20 10 158 20 6 27 27 10 9 16 17 15 14 10 67 7 13 27 11 31 20 27 27 32 58 S 8 10 12 15 19 14 9 69 12 17 17 105 15 11 7 9 22 27 40 8 18 19 11 18 10 53 40 11 15 10 6 124 16 18 6 27 24 10 8 15 17 15 14 10 63 6 12 24 9 336 10 31 18 27 27 31 8 8 12 15 19 14 9 67 12 11 17 93 15 11 7 9 22 26 1 1 10 5 6 21 22 15 1 2 2 1 3 3 3 2 2 4 1 i 1 3 1 1 3 1 1 4 5 5 3 7 ii' 1 3 2 5 5 6 21 1 10 4 1 22 7 1 3 i 10 1 2 30 4 i l "i 3 6 2 6 2 1 1 2 6 3 9 2 10 2 1 4 2 21 27 10 3 1 2 20 5 1 64 6 1 2 2 3 3 1 3 1 5 2 1 3 1 3 1 1 5 2 2 44 i 2 5 1 9 2 2 2 1 "4' 1 i 1 1 2 2 1 20 1 4 3 4 2 2 20 2 5 11 •y 2 4 1 11 2 4 4 si 1 4 57 8 3 5 1 2 1 "s 1 7 1 11 2 2 3 6 1 1 7 1 4 1 3 1 1 •>, 4 *'''. 2 2 1 1 1 5 7 1 "2 1 2 1 1 3 1 1 5 4 1 19 3 1 1 1 1 4 16 4 5 13 2 24 5 4 3 2 2 2 3 2 1 4 2 4 10 BOARD OF HEALTH REPORT, 1920-27. K 53 ASSISTED SCHOOLS—Continued. Other Conditions, specify (Nervous, Pulmonary, Cardiac Disease, etc.). a o a K c B 60 S IS o H t-i [> cd n Acute Fevers which have occurred during the Past Year. Condition of Building. State if crowded, poorly ventilated, poorly heated, etc. Closets. State if clean and adequate. in 1 3 2 6 2 "o' 4 3 7 6 iri 10 1 13 6 1 4 1 6 17 18 5 15 10 9 9 1 3i Heart cases, 4 ; spinal curvature, 1 13 20 6 3 102 9 l6' 2 77 1 2 24 5 4 Eczema, 5 ; epilepsy, 1 Squint, 2 ; cardiac, 1 ; nervous, 1 Whooping-cough Hernia, 1 ; flat chest, 12 ; acne, 1 ; asthma, 1; bronchitis, 1; spinal curvature, 1 7 . 4 3 3 2 1 8 3 2 2 Cardiac, 1 2 Scarlet fever, 2 4 4 Heart, 1 3 1 23 60 3 4 2 1 1 28 1 10 2 1 1 4 4 73 1 4 2 Smallpox, scarlet fever, diphtheria, measles Whooping-cough Chicken-pox, 14 1 12 3 Heart, 1 ; spinal curvature, 1.. 1 12 8 1 7 Chicken-pox, 5 3 3 2 i Mumps 4 Measles, chicken-pox ... 2 6 4 2 1 10 1 3 6 1 41 3 2 Scarlet fever, whooping- cough Roetheln, 3 16 Anaemia, 1 ; slightly damaged hearts, 6 ; epileptic, 1 2 8 5 Whooping-cough 2 1 "3 2 1 19 Good. Good Satisfactory Well ventilated ; comfortably heated Adequate Satisfactory ... Good Building O.K. ,.. Not crowded ; ventilation and heating good Good Very good. Good Satisfactory .... Fair Good Rather crowded. Adequate... Satisf actor v. Good Light poor . Good Very satisfactory No Good Crowded . Good Fai r.. Good. Excellent. Two ; clean. Good. Satisfactory. Clean; adequate. Adequate. Satisfactory. Clean; adequate. Good. O.K. Outside toilets in fair condition. Good. Poor. Fair. Yes. Clean; adequate. Yes. Adequate. Fair. Adequate. Clean; adequate. Yes. ("lean; adequate. Clean ; adequate. Yes. Good. Inadequate. Good. Clean Fair. Poor. Good. Yes. adequate. Fair Clean ; adequate. Good. Yes. Most satisfactory.. Heating facilities in cold weather inadequa: e Satisfactorv Good Satisfactory Good Poor Good Adequate Good Very good Good.. Fair.. Good. Fair Good Not crowded; ventilation good; heatiny poor Clean. Clean ; adequate. Yes. Two; c.ean. Yes. Adequate. Yes. Clean; adequate. Good. Adequate. Clean; adequate. Yes. Clean ; adequate. Good. K 54 BRITISH COLUMBIA. RURAL AND "a rn B a a o 2 Name of School. Medical Inspector. School Nurse. •3 . Cu "ti '2 a a "S'fl OJ > QJ 0) sc > Ci 09 X 13 o -3 UN SfC o -4-* fl S* 25 © tB.sa &3 <* OJ i<3 Q^ ce> GW QP5 ■4 HH Ingersoll Mountain. Ingram Mountain. loco Irving's Landing... Isabella Point Jaffray James Island Jesmond. Joe Rich . Johnson's Landing. Jordan River Jura Kalcden Kaleva Keefers Kelly Creek.... Kelowna, East Kelowna, South. Keremeos Kerr Creek Kettle River, North , Kettle Valley Kildonan Killarney Kimberley Kincolith Kingcome Inlet. Kingsgate Kinnaird Kispiox Kitchener Kitsumgallum .. Kitwanga. Koksilah Krestova '. Lackenby Lac la Hache .. Lakelse Valley, Lakes District Lang Bay Langford. .... Larchwood .. Lawn Hill Lazo Lee Lee Creek... Lillooet Lindeli Lister Little Fort.., Lone Butte, Long Beach., Long Lake.. Longworth .. Loos .Loos, West.. Louis Creek . Lumberton . Lumby Lund Lytton Mable Lake.. Magna Bay.. Malakwa P. J. Emerson.... A. F'rancis C. R. Symmes A. Henderson .... E. M. Sutherland. H. A. Christie S. E. M. Hoops ... R. H. Mason Malcolm Island . Mapes. W. ,1. Knox. D. J. Barclay. I. B. Hudson . Lee Smith H. McGregor ., C. A. Watson.. P. M. Wilson .. A. Henderson . VV. J. Knox.... M. D. McEwen. A. Francis \V. Truax A. F'rancis A. D. Morgan Lee Smith D. P. Hanington.. D. J. McDonald .. C. A. Watson G. B. Henderson.. J. B. Thorn VV. J. Lightburne. G. B. Henderson . VV. N. Turpel..... V. E. R. Ardagh. H. N. Watson ... H. H. MacKenzie. R. VV. Irving F. V. Agnew W. N. Turpel VV. R. Stone .... A. Henderson .... I. B. Hudson F. W, Green G. H. Bleecker ... T. A. Briggs J. Sandilands 1.... VV. Scatchard A. 0. Nash J. C. Elliot G. B. Henderson . R. VV. Irving R. H. Mason H. H. MacKenzie. R. W. Irving W. E. Laishley . . J. Sandilands. R. W. Irving ... F. W. Green H. G.Williams.. R. E. Ziegler ... P. M. Wilson.... H. G. Williams . VV. Scatchard... J. H. Hamilton. C. A. Watson. W. R. Stone.. Miss P. East. Miss Jeffares. Miss II. Kelly. Miss Garrood. 10 8 9 9 118 112 15 13 12 12 31 29 55 44 9 9 10 10 6 6 9 9 13 13 18 18 13 13 10 10 9 9 70 61 15 13 82 82 12 12 10 10 14 14 . 15 15 8 7 418 415 12 12 8 8 12 12 8 6 11 11 39 39 155 147 13 10 18 13 31 30 15 15 8 7 13 4 11 11 19 17 51 51 10 10 9 9 41 36 9 9 7 7 66 59 27 27 23 22 36 36 17 17 16 16 17 17 24 23 16 16 9 9 12 12 57 56 77 77 30 30 29 28 13 13 15 12 39 36 61 61 12 12 2 6 3 3 9 1 I 6 1 5 2 1 1 1 1 1 3 7 7 16 2 1 2 1 "2 i 1 2 1 2 6 6 2 2 1 2 4 6 3 2 2 3 1 2 8 16 6 3 3 2 2 1 3 3 2 2 7 4 1 4 2 1 6 2 5 2 4 i 7 3 4 4 l 2 2 4 1 2 8 2 8 3 1 1 16 2 12 2 1 2 1 3 6 1 2 6 14 5 1 6 28 1 10 45 1 4 i "3 3 1 2 i 1 2 3 2 i 2 2 3 i 2 1 2 13 3 1 1 6 5 12 3 3 3 3 1 7 1 7 4 1 2 1 6 2 1 4 1 2 2 1 1 '2' 1 1 1 2 1 3 5 7 4 6 2 6 8 8 3 8 8 12 5 4 4 3 "i 1 1 4 14 1 i 2 3 4 3 4 7 2 1 3 6 3 16 6 6 1 8 1 29 7 BOARD OF HEALTH REPORT, 1926-27. K 55 ASSISTED SCHOOLS—Continued,. QJ > ■g OJ QH E5U O Other Conditions, specify (Nervous, Pulmonary, Cardiac Disease, etc.). a" 0> c be o H OJ a r^ CC Ph Acute Fevers which have occurred during the Past Year. Condition of Building. State if crowded, poorly ventilated, poorly heated, etc. Closets. State if clean and adequate. 1 "5' 5 4 3 20 Fair 0. K Excellent Good Satisfactory ... . Go<,A........ ... Fair; log building Good No Satisfactory Good.. O.K. 15 Infantile paralysis, 2 1 3 1 Whooping-cough, 25 .... Whooping-cough Excellent. Good. 6 2 6 Satisfactory. Clean; adequate. 10 2 27 4 2 3 l' 2 4 8 2 7 4 6 4 2 3 1 Antenna, 1 ; curvature of spine, 1 Anasmia, 2 Round shoulder, 1; aneemia, 2; ep.staxis, 1 pair. Sanitary ; adequate. 2 3 5 Improved. Yes. 2 Chicken-pox, influenza.. Influenza, 2 8 Excellent Good Satisfactory O.K O.K Should be two janitors Satisfactory Good Clean; adequate. 2 Good. 10 9 2 2 1 2 10 3 3 Diabetes, 1; chorea, 3 ; curvature of spine, 2 ; cardiac, 2 ; infantile paralysis, 1 ; bronchial catarrh, 2 Rupture, 1; anaemia, 1; curvature of spine, I Clean; fairly adequate. 4 iO Measles, 2 ; scarlet fever, 2 adequate. 1 O.K. 2 1 O.K. 10 25 2 Rubella 2 Satisfactory. Clean; adequate. 6 2l' 1 2 31 1 3 5 4 Satisfactory Good One ; adequate. Clean; adequate. 3 «8 Crypt orchid, eczema, arm vulgaris, chorea 5 Frame building; good condition Good Two ; yes. Clean; adequate. Bad. 6 15 1 17 Good 1 3 1 i 10 Yes. 4 2 2 1 9 5 Round shoulder, 3 ; cardiac, 1; aneemia, 2 ; nasal polyp., 1 Measles, 1; scarlet fever 1 Excellent Good Fair Good Fair Satisfactory. Full Good Conditions good.. Good Building in rather poor shape; not crowded Fair Yes. 0 1 Yes. 7 ii' 1 2 2 2 1 1 1 1 26 Clean; adequate. 18 1 Clean; adequate. 9 Epidemic of scarlet fever Measles epidemic Influenza, German measles 3 5 Adequate. Clean; adequate. 13 6 i 6 1 2 4 9 3 3 12 1 3 2 8 3 fair condition. 6 5 6 Good. 1 Fair Good Adequate. Boys' dirty. in 1 Not good........ Satisfactory7 Good Light poor 4 Satisfactory. Good. 2 Whooping-cough, scarlet fever Influenza, 5 48 Clean; adequate. Yes. 7 K 56 BRITISH COLUMBIA. RURAL AND Name of School. Medical Inspector. School Nurse. fl w a & Be; a i-i Oj O r-t O 6 ^ Ch ^ ^ OJ <h a °fl a OJ >* ^x "Si £a OJ Oj OJ OJ O Tl 0) fcc t* _a 5 .a DQ s a £3 a V>.2 OJ OJ oj tJ £< o ** Q& ut> QK UM <j Mara Marten Lake.... Martin's Prairie. Marysville Masset Mavne Island... Mayo Mayook Meadowbrook . Meadow Spur. Meadow V alley. Medora Creek. Menzies Bay... Merville Metchosin Michel Midway Mill Bay Minto Mirror Lake ... Mission Creek. Moberly Mohun Lake Monte Creek Montrose Morrissey Mines. Mountain Mount McPherson . Moyase Moyie Mud River Myncaster Myrtle Point Macalister McBride McConnell Creek . Mackenzie McLure McMurdo Nakusp Nanaimo Bay Nanoose Bay Naramata Needles New Denver. Newgate Nevvlands .. . New Michel Nickel Plate Mine. Nicola Nicola, Lower Nicomen Nicomen, North .. Nimpkish ... Nob Hill.... Noble Creek Noosatsum .. North Bend.. Northfield North Saanich . .. Norwegian Creek. Notch Hill Ocean Falls Okanagan Okanagan Centre. IT. W. Keith W. R. Stone R. W. Irving I). P. Hanington. J. C. Dunn 0. II. West H. N. Watson H. A. Christie D. P. Hai i lgton.. .. J. D. Thorn F. W. Andrew H. G. Williams 11. Ziegler T. A. Briggs I. B. Hudson F. J. Buckley A. Francis F. T. Stanier G. K. MacNaughton D. J. Barclay- W. J. Knox.. Paul Ewert.. II. F. Ziegler. R. W. Irving L. T. Davis. D Corsan ... T. J. McPhee ... ■J. H. Hamilton. F. W. Green ... C. Ewert . A. Francis A. Henderson .. F. V. Agnew J. Sandilands A. J. Stuart G. E. Bayfield C. J. M. Willoughby Paul Ewert P. J. Emerson T. J. McPhee L. T. Davis F. W. Andrew ■I. E. H. Kelso. Wm. E. Gomna. H. A. Christie. VV. E. Laishley . F. J. Buckley . M. D. McEwen. J. J. Gillis A. J. Stuart C. A. Watson.. T. A. Briggs... R. W. Irving.. G. E. Bayfield.. P. M. Wilson . . T. J. McPhee S. E. M. Hoops ... A. Francis W. Scatchard A. E. H. Bennett . MissJeffares Miss Naden.. 69 12 29 21 17 21 12 17 15 17 9 9 13 44 30 165 37 24 43 8 7 11 10 12 61 13 20 66 11 7 18 60 18 11 fl 15 108 94 16 59 9 74 15 14 187 11 13 26 37 33 9 78 55 98 13 23 156 42 10 62 12 29 20 17 18 11 15 15 17 9 9 13 41 30 164 37 22 43 7 55 7 11 10 10 18 60 9 66 16 11 9 13 108 90 16 52 185 11 12 16 34 28 52 95 13 22 148 1 1 2 1 4 1 7 3 4 3 1 3 1 4 18 3 4 1 3 1 1 3 3 3 '37' 1 2 1 6 1 1 3 3 2 10 2 40 1 1 1 5 9 i 1 1 5 2 .... 8 1 1 1 1 1 1 2 2 2 3 1 5 3 4 1 3 2 1 4 4 2 3 1 2 10 6 33 7 3 6 1 7 3 0 fi 3 2 1 7 6 15 1 1 i i 1 4 9 1 '2 T 1 1 13 4 9 2 2 1 2 3 2 18 ■' i 3 4 "2 4 1 1 2 1 2 1 1 2 1 3 .... 2 2 2 4 1 3 2 4 1 4 1 1 2 •1 1 5 6 2 1 2 6 11 0 7 1 12 3 2 4 "l 2 12 11 12 •y 1 14 3 9 4 2 5 7 1 62 7 H' 3 22 7 2 42 3 3 4 16 11 6 ... 3 1 1 3 i3 1 1 "s 1 2 4 2 1 14 4 1 2 1 "3 1 4 7 8 3 2 4 9 6 "4 8 3 2 4 19 20 1 6 4 22 4 BOARD OF HEALTH REPORT, 1926-27. K 57 ASSISTED SCHOOLS—Continued. Qh Other Conditions, specify (Nervous, Pulmonary, Cardiac Disease, etc.). Acute Fevers which have occurred during the Past Year. Condition of Building. State if crowded, poorly ventilated, poorly heated, etc. Closets. State if clean and adequate. •>n 1 3 Good O.K Good Yes. a 3 1 1 1 1 1 4 Not crowded; well ventilated and heated Good Good Clean; adequate. 10 IF 8 5 2 .. 2, M 10 3 1 1 8 4 No Yes. Good. 2 Adequate. Yes. 11 "4 51 37 16 "2' 1 3 1 89 32 1 6 6 1 2 2 Measles, 1; pertussis, 7.. 3 98 8 1 9, O.K Good O.K No O.K. 14 Yes. 25 Skin-disease, 5 ; wax in ears, 7 ; nasal catarrh, 1 1 3 Yes. 11 4 Chorea, 1 ; eczema, 2 ; cardiac, 1; anaunia, 2 German measles, 5 Excellent ........ Adequate Good Sanitary; adequate. Adequate. •>. Should be condemned Good 6 3 1 'i' 9 5 6 7 13 2 2 3 17 1 Yes. Good. 8 14 . R Log building in good condition; lighting and ventilation fair O.K Good Clean; adequate. O.K. 1 3 Yes. 29 1 11 Good Two; good. 2 6 4 "2 6 1 9 i 40 i 2 'l7 4 2 4 1 36 8 Good. 4 Satisfactory Good 2 Whooping-cough 16 No 18 Smallpox, measles 4 Clean; adequate. Yes. 33 10 3 2 2 87 2 2 15 5 i 3 4 21 Anaemia, 3 ; eczema, 4; chorea, 2 Fair Good Clean; adequate. Not crowded; ventilation and heating good 6 78 2 2 good condition. 4 No Yes. 3 Good 6 2 1 1 10 Clean; adequate. Not very clean. Clean; adequate. Yes. 12 Badly contracted nasal passage, 1 Needing many repairs Good 14 2 2 " 6 Good. 34 Chronic bronchitis, 1; aortic insufficient, 1 2 16 Good Yes. 44 O.K Excellent ; well ventilated and heated 11 6 O.K. 16 Whooping-cough, 23; chicken-pox, 3 30 6 1 1 5 3 1 Cardiac, 3 ; hernia, 1; asthma, 1 Clean; adequate. 3 adequate. K 58 BRITISH COLUMBIA. RURAL AND Name of School. Medical Inspector. School Nurse. Ph 'ti M OJ «m a °| II fi OJ OJ CJ 23 54 10 21 83 11 9 15 16 9 6 12 23 63 10 34 11 24 10 9 10 12 79 17 29 17 18 8 22 49 12 15 24 5 9 32 28 15 10 11 13 11 23 17 13 436 12 177 15 52 9 63 ■ 16 21 30 8 89 7 19 12 19 8 7 33 8 18 11 14 11 25 12 28 10 23 49 10 21 81 11 9 11 16 9 6 12 22 62 7 34 9 22 8 9 6 12 78 17 26 16 18 8 22 49 10 15 24 1 3 2 2 3 W. J. Knox 6 1 1 3 8 R. E. Ziegler Miss P. East "t 1 1 22 1 1 17 1 3 4 1 5 4 1 2 W. R. Stone "2 1 2 7 R, G. Large Otter Point 1 3 2 2 4 1 1 1 1 3 H. G. Williams 2 1 2 1 i Miss Hewertson .. H. B. Maxwell Miss Hewertson .. 1 1 1 V. E. R. Ardagh 1 2 J. T. Steele 3 "i' 2 1 7 1 3 3 J. B. Thorn i' 1 2 1 2 1 2 N. J. Paul 2 i 2 2 8 1 2 2 1 2 9 32 28 15 10 9 13 11 23 15 12 432 . 12 172 15 48 9 63 16 21 30 8 89 7 19 8 19 8 7 33 8 17 11 11 8 21 9 27 10 Popcum J. C. Elliot 1 3 3 1 1 2 2 3 J. A. Street 8 C. A. Watson 1 1 1 W. E. Bavis 1 4 1 2 1 1 i 3 3 2 7 2 20 3 2 2 69' 1 8 i 1 2 2 10 3 1 91 W. R. Stone 2 1 8 1 2 4 1 1 1 1 1 1 "i' L. T. Davis J. A. Street 1 2 1 2 10 G. H. Bleecker G. R. Baker 2 i 2 2 2 1 a. C. Paine M. G. Archibald L. T. Davis 1 J. E. H. Kelso "i' '2 . 5 2 1 i "2' 2 i 1 9 R. E. Ziegler 3 3 "i 1 1 1 3 C. J. M. Willoughby J. E. H. Kelso 1 2 1 W.W. Birdsall 1 BOARD OF HEALTH REPORT, 1926-27. K 59 ASSISTED SCHOOLS—Continued. OJ is V-l OJ OJ BJ OB •3 OJ . fcjo m fc. T3 S3 P S3 fc, '0 O Other Conditions, specify (Nervous, Pulmonary, Cardiac Disease, etc.). d a > as 33 a 1 OJ a, a a M o S* bd a M Acute Fevers which have occurred during the Past Year. Condition of Building. State if crowded, poorly ventilated, poorly heated, etc. Closets. State if clean and adequate. 2 4 i»' 5 3 10 11 2 Nervous, 1; acne, 1; aneemia, 2 Threatening chorea, 3; bronchial catarrh, 3 ; diabetes, 1 ; cardiac, 2 ; anaemia, 3 Good Good. Good adequate. Adequate. Yes. 2 Good Psoriasis, 1 ; deformed palate, 1 ; cleft palate, 1 i Acute rheumatic fever, 1 Clean; adequate. Good. Fair.... Good 3 Yes. 3 i 2 4 1 2 1 4 Round shoulder, 1; nervous, 1 Satisfactory Good Yes. 1 1 20 3 3 1 Good .. Efficient . .. 2 Measles, 1 Good ventilation.. 7 need new doors. 2 6 6 11 i Measles, chicken-pox ... Very good Good Good Fair Good Clean; adequate. 3 1 1 1 10 "e' "3 Not i 6 12 3 4 1 1 1 4 Heart, 1. 14 Itch, 1 Good. 17 4 4 3 exa 1 4 Good Yes. 8 Dirty. 2 mined as closed before arrival) 20 Good Fair 10 5 „ 3 8 3 3 's 1 4 5 4 19 2 46 2 13 2 ,, 8 Yes. Good ,, 5 8 Cardiac, 3; orthopaedic. 6; anee- mic, 2 ; pneumonia T.B., 1 ; acne, 1 i Measles, scarlatina Good. Yes. 55 5 ,, 7 Nerve-disease, 1; wax in ears, 3 ; nasal obstruction 1; skin- disease, 1; blepharitis, 2 O.K 14 Measles, chicken-pox ... 5 M 6 Good Yes. 2 7 4 5 No Yes. i' 2 3 Good 4 Good. Yes. 2 2 12 5 11 O.K O.K. Yes. 2 2 Yes. 4 22 7 13 1 O.K O.K. 2 K 60 BRITISH COLUMBIA. RURAL AND Name of School. Medical Inspector. School Nurse. _ Cd a 2 Ph . X <f-f OJ OS o 6 a 2§ 3 . Ph 'ti " OJ im a ?! "E o a "5 OJ t^ oj "t; OJ >• P V 33 a OJ OJ OJ et 09 ■a *o s S Q^d G> oh Qp3 ■4 15 10 9 66 11 11 15 8 17 8 31 158 24 20 6 45 18 9 12 11 12 65 21 51 12 6 9 8 11 10 36 10 48 9 12 8 12 50 14 9 9 20 115 22 71 11 25 13 6 45 17 180 16 25 66 12 16 12 14 7 9 62 10 11 15 6 17 8 28 145 19 20 6 45 16 6 11 11 11 65 21 49 12 6 7 7 11 10 32 9 46 9 12 8 12 35 13 9 8 15 111 18 71 11 24 IS 6 43 17 180 14 25 66 9 15 12 1 "i 3 1 2 1 8 Rock}' Point 1 i 4 1 3 Kolla 10 Kose Hill W. E. Gomm 1 4 1 '3 2 4 13 6 1 1 2 2 3 12 6 2 C. J. M. Willoughby J. T. Steele 3 3 G. C. Paine B. W. Irving "3 11 1 1 3 1 1 1 11 2 "i, 1 "5' W. J. Knox H. N. Watson Miss Jeffares 9 St. Elmo J. C. Elliot 6 J. B. Thorn and W. C. Bissett P. D. Van Kleeck 3 3 "e' 2 10 27 16 C. Ewert I 1 2 1 3 1 1 2 1 3 4 1 1 6 2 8 2 1 2 2 2 6 1 32 G. H. Bleecker 2 3 3 20 4 E. M. Sutherland 1 1 C. J. M. Willoughby 1 2 Sayward Mrs. E. M. Walls.. 1 2 3 2 "1 4 5 2 4 3 2 6 5 5 3 9 Sechelt i 1 "2 1 2 3 2 4 Shalalth J. C. Stuart 1 9 Shelley 6 J. T. Steele 3 Shirley 7 1 1 1 1 2 2 1 2 2 9 2 H. G. Williams E. Buckell 2 1 1 3 1 1 Sidney S. E. M. Hoops "i 2 3 11 1 3 1 3 1 3 4 '2 E. Buckell 7 12 5 Sisters Creek G. R. Baker G. H. Bleecker 2 1 1 3 16 1 6 "i" 1 6 1 '9 "9' 57 *? 2 2 3 2 2 3 2 1 3 1 1 3 2 1 1 10 , W. E. Bavis BOARD OF HEALTH REPORT, 1926-27 K 61 ASSISTED SCHOOLS—Continued. Other Conditions, specify (Nervous, Pulmonary, Cardiac Disease, etc.). Acute Fevers which have occurred during the Past Year. Condition of Building. State if crowded, poorly ventilated, poorly heated, etc. Closets. State if clean and adequate. 5 9 4 1 2 4 O.K Satisfactory Pair log building ; adequate O.K. 4 Pertussis, 7 Yes. 4 15 14 Yes. 5 Good 4 2 2 2 3 i ,, 2 4 3 7 1 3 1 1 1 15 4 1 6 9 1 6 i2 Splinter in brow, 1; anaemia, 1; wax in ears, 2 ; nasal catarrh, 1 Chorea, 3 ; cardiac, 4 ; curvature of spine, 4 ; anaemia, 11; eczema of face, 5; pulmonary T.B., 1; orthopaedic, 3 Primary class in basement poorly lighted 26 Scarlet fever 9 ; chicken- pox, 48 8 Good 14 Clean; poor building. Fair. 10 4 Good Yes. 3 Fair. 5 . Yes. 3 Good. 8 New school; well lighted, ventilated, and heated; sanitary drink- ing-fountains Fair 3? 1 19 New; clean; 3 adequate. Poor. 14 i 3 2 6 7 Good Yes. 2 1 Satisfactory Fair Satisfactory. 2 3 Clean; adequate. 5 ,, 8 Good Poor. 2 1 Adequate. 10 Yes. ? 1 5' 1 4 i' Satisfactory Good Satisfactory. ?1 1 1 Yes. 5 Not crowded; ventilation and heating good Good Outside toilets in 9 fair condition. Adequate. 10 3 "8 1 2 3 13 Nervous, 1; discharging ear, 1; conjunctivitis, 2 Round shoulder, 3 ; cardiac, 2 ; otitis, 1 Heart, 1 No doors. 5 6 Poor. 13 Poor. 1? Satisfactory Good Not clean. 3 Good. 5 5 Excellent Good Yes. 00 ,, 2 Clean; adequate. 8 Not crowded; ventilation and heating good Good Outside toilets in 1 fair condition. Clean; adequate. 1 i 49 4 4 5 3 No Yes. 1 Poor. 12 Good Dirty. 7 Clean; adequate. 61 Pneumonia, 1 ; fractured tibia, 1; herpes, 1 ; colds, 2 ; heart, 1 Yes. 3 Badly overcrowded ; poorly ventilated Bad. 8 8 4 6 1 Round shoulder, 5 ; cardiac, 2 ; asthma, 2 ; nervous, 1 ; anfe- mia, 4 Round shoulder, 4; anaemia, 1 9 Yes. 5 3 Unsatisfactory.... Good Fair. 6 3 Clean; adequate. K 62 BRITISH COLUMBIA. RURAL AND Name of School. Usk Valdes Island. Vananda Vanderhoof. Vaveil by Vesuvius Vesuvius, North . Vinsulla Waldo Walhachin Medical Inspector. School Nurse. S o rrento So uth Bank South View Spencer Spe nees Bridge .. Spillimacheen Springbend , Springhouse Sproat Lake Squam Bay Squamish Squilax Squirrel Cove Stewart Stillwater Stone Creek Streatham Stuart Stuart Station.... Stubbs Island Sugar Lake Sullivan Hill Sullivan Valley ... Sunnyside No. 2 .. Sunnyside Swan Lake, North Swift Creek Sylvania Tabor Greek Tappen Siding Tappen Valley.... Tatla Lake Tatalrose Taylor Flats Tchesinkut Lake.. Telkwa Testalinda Three Forks Three Valley Thrums Thurlow Tintagel Topley Tranquille Tranquille, Upper Trapp Lake Trinity Creek Tulameen ... Turtle Valley. ... Ucluelet Ucluelet, East Uncha Valley Union Bay W. Scatchard... D. B. Lazier A. Henderson .. W. Truax J. J. Gillis Paul Ewert H. VV. Keith.... F. V. Agnew ... J. H. Hamilton. R. W. Irving ... N. J. Paul VV. Scatchard... R. E. Ziegler ... H. A. Whillans . A. Henderson .. C. Ewert D. B. Lazier W. R. Stone.... D. S. Dixson. H. G. Williams... O. P. Hanington R. W. Irving C. R. Symmes ■ . H. G. Williams . W. A. Watson .. T. O'Hagan F. T. Stanier . C. Ewert E. Buckell.... G. H, Charter D. B. Lazier .* . VV. A. Watson J. T. Steele G. C. Paine G. H. Kearney P. H. Paterson J. H. Hamilton ... H. H. MacKenzie . C. A. Watson J. T. Steele C. H. Hankinson , R. W. Irving M. G. Archibald .. C. J. M. Willoughby . H. VV. Keith E. Sheffield W. Scatchard Guy Palmer D. B. Lazier G. K. MacNaughton W. N. Turpel.. R. E. Ziegler .. Kingsley Terry VV. R. Stone M. G. Archibald . E. M. Sutherland . Miss Naden. C. J. M. Willoughby . H. A Christie R. Gibson <s CQ a H & a a . Ph 'ti M OJ 'u a > OJ rD ttf) CO X 0 a o ui •fla <w at a £§ rZ d> \% Q<! PO QK flea < 114 9 14 15 20 8 6 17 27 13 16 7 9 16 12 7 63 19 12 24 12 13 28 12 8 52 32 18 11 10 26 11 11 14 12 6 22 114 15 31 20 5 9 10 8 16 13 15 14 17 24 11 14 7 9 16 12 7 53 19 12 7 42 21 12 33 10 28 12 38 32 BOARD OF HEALTH REPORT, 1926-27. K 63 ASSISTED SCHOOLS—Continued. .5 X OJ ■ WH we 3 Other Conditions, specify (Nervous, Pulmonary, Cardiac Disease, etc.). 6 a a ft OJ o bJQ H > w s Acute Fevers which have occurred during the Past Year. Condition of Building. State if crowded, poorly ventilated, poorly heated, etc. Closets. State if clean and adequate. 5 3 Good 6 2 2 0 4 Good. 5 2 Whooping-cough ,, 5 Yes. 1 2 Needs new pits. Good. . 2 "3' ii' 1 1 4 1 3 2 . 35 5 Lighting and ventilation poor 1 2 Good 1 Good. 5 1 3 Fair condition.... Good 7 Yes. 5 ,, 1 Well-filled ; adequately ventilated and heated Good Good. 3 1 Need cleaning. •> Bad in all respects 3 2 Good School overcrowded Good adequate. 1 2 Yes. 4 Iff 2 Yes. 4 1 2 1 4 Yes. I Good Clean; adequate. i 4 '2' .... 3 6 3 5 6 6 5 Yes. 2 New and good School-room large; well lighted; heated by a stove in room Good vl It 1? ,, Good. 14 14 2 2 Good 7 3 Yes. 4 4 1 2 3 1 2 Fallen arch, 1; spinal curva- ture, 1 . 6 4 1 7 Fair 4 9 Yes. 3 'if 11 24 i 2 4 -8 i 1 2 4 5 2 » Good , 40 12 Nasal obstruction, 1; cardiac, 1; wax in ears, 11; anaemia, 5; nasal catarrh, 2 ; skin-disease, 2 Pigeon-chest; T.B. peritonitis Scarlet fever, measles, chicken-pox O.K Good Clean; adequate. 3 Building O.K 22, Nervous, 2; flat feet, 1 ; cardiac, 1; scoliosis, 1 1 Influenza, 5; tonsillitis, 7 O.K. 35 4 Yes. 4 14 proper position 8 "3 4 3 4 Good Satisfactory Well-lighted; ventilation good ; capacity fully occupied 14 10 K 64 BRITISH COLUMBIA. RURAL AND Name of School. Medical Inspector. School Nurse. M a 3 *<« X «M QJ ° ^ O i° <-* aj to D, 3 . *— OJ «. d °S g| ,t, a) a o "2 3 a S OJ >, is ">4j OJ AS a) > > bn S a CO «1 Bl Z, _ aj bjb CJ +^ 0J Bl V, « GO 0 d QJ -a -1 13 ft" d 0 HH H. A. Christie 53 59 9 9 64 129 17 34 11 42 22 11 14 57 58 34 9 31 19 10 24 11 20 69 55 16 12 61 17 7 69 56 76 25 18 9 47 66 9 9 57 128 14 33 10 42 22 11 13 57 41 32 9 81 19 10 19 10 12 65 52 16 12 60 17 5 67 56 66 21 18 9 10 5 2 10 1 2 18 1 5 2 "9' "i' 1 i 2 1 1 2 3 3 6 4 1 2 3 W. R. Stone 3 G. R. Baker ' 3 8 7 5 8 4 5 16 25 W. J. Knox R 8 2 1 1 1 3 1 12 3 R. E. Ziegler 1 White Lake E. Buckell 1 12 8 1 4 1 "i 1 2 5 4 «0 2 1 1 7 1 1 5 7 16 VVillowford 3 Willow Point "3' 4 1 "5' 12 0 W. E. Stone F. E. Coy 2 2 7 1 2 2 6 4 5 3 2 1 2 F. E. Coy 2 Winfield W. J. Knox 8 13 2 4 8 3 1 9 18 5 V. E. R. Ardagh 2 3 1 1 C. G. G. Maclean 2 2 5 2 27 G. C. Paine Wycliffe C. Ewert 2 F. W. Green 1 2 1 "i' 3 5 5 2 2 1 10 3 12 4 3 12 2 Yahk Yale P. S. McCaffrey 12 W. C. G. Bissett 4 G. R. Baker BOARD OP HEALTH REPORT, 1926-27 K 65 ASSISTED SCHOOLS—Continued. > is v. oj ai oj OH oj * Mj2 U T3 d a ■3 3 BO 01 u 0 Other Conditions, specify (Nervous, Pulmonary, Cardiac Disease, etc.). d a H OJ > DQ OJ m 6 OJ Pi a i r-> o a M Acute Fevers which have occurred during the Past Year. Condition of Building. State if crowded, poorly ventilated, poorly heated, etc. Closets. State if clean and adequate. 30 iis' 2 4 1 Good Clean; adequate. Yes. 18 1 6 16 8 14 2 "8 2 20 2 24 4 4 1 2 4 "i" Smallpox, measles, scarlet fever, mumps 23 Talipes, 1 Toxic goitre, 1; anaemia, 1 ; bronchial catarrh, 1 6 Clean; adequate. 7 O.K 1 O.K. Good 3 Satisfactory Adequate. Yes. 8 2 1 "fV 2 4 14 3 3 Influenza, chicken-pox, measles Crowded Good Yes. 10 Heart, 1 3 Clean; adequate. 4 Temporary quarters in a house Good Not crowded; ventilation andheat- ing good Good 8 9 R good condition. Yes. 0 Measles, 13 ; whooping- cough, 4 Good 5 Yes. 6 "3' 1 4 1 4 27 2 2 Clean; adequate. 13 Bad cleft palate, 1 ; curvature of spine, 3 ; orthopaedic leg, 1 ; cardiac, 3 ; eczema, 3 ; anaemia, 4 German measles, 5 Good 26 6 Thoroughly satisfactory First class in every respect Good 12 2 7 5 1 2 4 14 7 1 4 3 6 No Yes. REGISTRAR'S REPORT UNDER THE VITAL STATISTICS ACT. Office of Registrar, Births, Deaths, and Marriages, Victoria, B.C., November 26th, 1927. H. E. Young, Esq., M.D., CM., LL.D., Secretary, Provincial Board of Health, Victoria, B.C. Sir,—I have the honour to submit the Fifty-fifth Report of Vital Statistics for the year ended December 31st, 1926. POPULATION. The census for the year 1921 gave the population of the Province as 524,582. Estimates of the population for subsequent years as given by the Dominion Bureau of Statistics are as follows:— 1922 535,000 1923 544,000 1924 553,000 1925 561,000 1926 568,000 REGISTRATIONS. The following table shows the total number of registrations, including Indian returns, received in this office for the years 1924, 1925, and 1926:— Divisions. BIRTHS. Deaths. Marriages. 1924. 1925. 1926. 1924. 1925. 1926. 1924. 1925. 1926. 1,366 869 4,507 1,376 285 1,144 659 1,046 408 1,249 819 4,734 1,509 277 1,184 645 1,187 469 1,135 803 4,604 1,627 288 1,045 610 1,227 486 662 300 2,035 617 107 427 220 455 457 650' 309 1,992 679 111 438 232 401 436 731 307 2,215 742 115 522 230 479 383 473 185 1,988 434 80 296 154 335 120 491 175 2,173 451 60 295 153 334 106 510 196 2,237 475 Ashcroft 60 Grand Forks 342 140 365 127 Totals | 11,660 | 12,073 | 11,825 | 5,280 | 5,248 | 5,724 | 4,065 | 4,238 | 4,452 BIRTHS. The total number of living births in the Province, including Indians, for the year 1926 was 10,063, as against 10,342 for the year 1925, giving a rate of 17.7 per 1,000 population, as against 18.4 in the year 1925. That all the births that occur in the Province are not registered as required by the " Vital Statistics Act" is evident from the very large number of delayed registrations which continue to be submitted to the Department from year to year. K 68 BRITISH COLUMBIA. The following table gives an analysis of births for the past five years:- Total Births. Single. Twin. Triplet. Legitimate. Illegitimate. Year and Sex. Born alive. Still-1 horn.1 Born alive. Stillborn. No. Born alive. Stillborn. No. Born alive. Still- horn. ,1922. Male 5,293 4,873 5,184 4,761 109 108 110 1 1 2 5,235 4,800 58 73 Totals.. 10,166 272 9,945 218 .... .... 3 [ .... 10,035 131 1923. Male Female 5,176 4,825 5,056 4,698 135 120 127 1 15 | .... 8 | .... .... 1 .... 1 5,125 .... | .... | 4,752 51 73 Totals.. 10,001 299 9,754 247 23 .... | .... | 9,877 124 1924. Male Female 5,203 4,916 5,119 4,814 146 120 98 S3 103 6 4 1 .... ' .... 1 5,121 .... | 3 | 4,828 82 88 Totals.. 10,119 279 9,933 266 186 10 | .... .... | 3 | 9,949 170 1925. 5,329 5 013 5,241 4,921 143 111 111 95 101 10 1 .... 16 | .... .... j .... | 5,214 .... j .... | 4,921 115 92 Totals.. 10,342 '280 10,162 .254 | 196 26 [ .... .... | .... 10,135 207 1926. 5,168 4,895 311 5,043 4,776 153 125 137 124 117 18 1 .... 15 1 1 .... 5,062 106 2 4,807 88 Totals..! 10,063 9,819 i 241 194 NATURAL INCREASE. The natural increase for the past five years is shown in the following table :■— Male. Female. Both Sexes. Population (estimated). Hate of Natural Increase per 1,000 Population. Year. Births. Deaths. Excess of Births over Deaths. Births. Deaths. Excess of Births over Deaths. Excess of Births over Deaths. 3 922 5,293 5,176 5,203 5,329 5,168 3.052 3,070 3,080 3,047 3,332 1 2,241 1 4,873 2,106 | 4,825 2,123 4,916 2,282 j 5,013 1.836 1 4.895 1,855 1,927 1,924 1.89S 2,142 ■ 3,018 2,898 2,992 3,115 2,753 5,259 5,004 5,115 5,397 4,589 539,000 544,000 553,000 561,000 568,000 9.8 1923 9.2 1924 9 2 1925 9.6 1926 8 0 DEATHS. The total number of deaths in the Province for the year 1926 was 5,474, and of these 3,332 were males and 2,142 females. The rate per 1,000 population was 9.6, as against 8.8 in the year 1925. An analysis of the deaths shows that 2,172 of the decedents were single, 2,411 were married, 875 were widowed, and in 16 instances the condition was not given. The nativity of the decedents was as follows: Canadian, 2,598 ; British, 1,760; United States, 341; other foreign, 717; and 58 not stated. The racial origin of 1,994 decedents is given as English, 588 as Irish, 1,147 as Scotch, 59 as Welsh, 416 as Indian, 224 as Chinese, and 161 as Japanese. The causes of death by sex in cities of 1,000 population and over during the year 1926 is given at the end of this report. BOARD OP HEALTH REPORT, 1926-27. K 69 INFANT MORTALITY. The total number of deaths of children under 1 year of age for the year 1926 was 588, as against 569 for the year 1925, giving a rate per 1,000 living births of 58.4 for the year 1926, as against 55 for the previous year. The principal causes of death among children under 1 year of age is shown below:— „ Cause of Death. 1922. 1923. 1924. 1925. 1926. 154 88 54 75 50 39 35 11 29 17 11 129 190 52 62 36 51 38 26 23 13 10 8 109 158 40 52 38 17 28 34 19 12 7 13 156 158 49 50 39 37 32 20 27 10 14 12 121 183 37 83 26 36 20 32 23 Influenza 15 8 11 114 Totals 692 668 574 569 588 10,166 68.1 10,001 66.8 10,119 56.7 10,342 55.0 10,063 58.4 MATERNAL MORTALITY. 1922. 1923. 1924. 1925. 1926. Accidents of pregnancy: (o.) Abortion (o.) Ectopic gestation (c.) Other accidents of pregnancy Puerperal haemorrhage Other accidents of childbirth : (o.) Caesarean section (o.) Other surgical and instrumental delivery (c.) Others under this title Puerperal septicaemia Phlegmasia alba dolens, embolism, sudden death.... Puerperal albuminuria and convulsions Following childbirth (not otherwise defined) Puerperal diseases of the breast Totals Rate per 1,000 living births 13 13 4 14 3 3 1 2 14 7 13" 6 63 1 4 11 1 2 21 3 15 5 6.3 19 10 3 6 1 60 5.9 15 7 19 3 1 6.4 TUBERCULOSIS. According to the census of 1921, 20.1 per cent, of the total Indian, 59.5 per cent, of the total Chinese, and 94.5 per cent, of the total Japanese population of the whole Dominion were located in the Province of British Columbia. An analysis of the returns of deaths from tuberculosis shows that in the year 1926 these three races alone accounted for 232 deaths out of 532, or 44.6 per cent, of all deaths from tuberculosis in the Province. That the high rate of deaths from tuberculosis among these three races has a marked effect on the rate for the whole Province is evidenced by the following:— Deaths, Rate per 1.000 T.B. Population. Japanese, Chinese, Indians 232 3.70 Other races 300 0.59 Province, all races 532 0.91 K 70 BRITISH COLUMBIA. Bkitish Columbia, all Races included. Year. Deaths from Tuberculosis. Deaths, all Causes. T.B. Rate per Cent, all Deaths. Population. T.B. Rate per 1,000 Population. 1921 512 507 525 4,572 4,907 4,997 5,004 4,945 5,474 11.19 10.33 10.50 10.53 10.87 9.72 524,582 539,000 544,000 553,000 561,000 568,000 0 97 1922 O 94 1923 0 96 1924 1925 527 538 532 0.95 0 95 1926 0.93 Chinese, British Columbia. Year. Deaths from Tuberculosis. Deaths, all Causes. T.B. Rate per Cent. all Deaths. Population. T.B. Rate per 1,000 Population. 1921 1922 1923 1924 1925 1926 49 64 44 40 44 59 _!_ 220 232 228 211 195 224 27.58 19.29 18.95 22.56 26.34 23,533 23,533 23,533 23,533 23,533 23,533 2.08 2.72 1.87 1.70 1.87 2.55 British Columbia Indians. Year. Deaths from Tuberculosis. Deaths,' all Causes. T.B. Rate per Cent. all Deaths. Population. T.B. Rate per 1.000 Population. 1921 1922 1923 1924 1925 1926 104 364 28.57 25,694 4.03 99 370 26.76 24,744 4.00 133 432 30.79 25,694 5.18 125 457 27.35 25,694 4.86 155 436 35.55 24,316 6.37 145 416 34.85 24,316 5.96 Japanese, British Columbia. Year. Deaths from Tuberculosis. Deaths, all Causes. T.B. Rate per Cent., all Deaths. Population. T.B. Rate per 1.000 Population. 1921 33 22 24 23 33 28 142 190 158 150 195 161 23.24 11.58 15.19 15.33 16.92 17.39 15,006 15,806 16.004 17,418 18,226 19,048 2.19 1922 1.38 1923 1.49 1924 1.32 ] 925 1.81 1926 1.47 Races other than Chinese, Japanese, and British Columbia Indians. Year. Deaths from Tuberculosis. Deaths, all Causes. T.B. Rate per Cent, all Deaths. Population. T.B. Rate per 1.000 Population. 1921 1922 1923 .: 1924 326 322 324 339 306 300 3.S46 4,115 4,179 4,186 4,119 4,673 8.47 7.82 7.75 8.09 7.42 6.42 460,349 474,917 478,769 486,355 494,925 501,103 0.70 0.67 0.67 0.69 1925 0.61 1926 0.59 BOARD OF HEALTH REPORT, 1926-27. K 71 Causes of Death, 1922-26. Cause of Death. 1922. 1923. 1924. 1925. 1926. 417 28 24 8 6 11 13 426 35 28 6 1 16 13 439 42 17 10 4 6 9 443 41 14 10 7 8 15 431 44 17 11 Z 14 13 Totals 507 525 '527 538 532 10.3 10.5 10.5 10.8 9.72 0.94 0.96 0.95 0.95 0.93 CANCER. There has been a considerable increase in the number of deaths from cancer during the year 1926, as is shown in the following table:— Cause of Death. 1922. 1923. 1924. 1925. 1926. Buccal cavity Stomach and liver Peritoneum, intestines, rectum , Female genital organs Breast Skin 16 178 70 45 39 8 89 14 180 70 48 33 11 97 18 177 73 53 41 8 87 19 181 73 36 63 7 94 22 202 90 55 44 6 107 Totals 445 453 457 473 526 0.82 0.83 0.82 0.84 0.92 AGES OF DECEDENTS. The following is a comparative statement of the ages of decedents for the years 1922 to 1926. The increases in the age periods from 40 years and upwards are very noticeable. ■a a Vim rgOl fl(H u a CJ CO u o3 OJ Ol to o3 0J CO CJ Cl . to OJ IO(H rH . O JO V 3 03 Ol o ^ Ol* cs CO o y, ^ 03 O CJ COtH OS o t» +j '-. d O CJ ci LO O to "3 o» lOiH OS CD si OS CO* OS O 03 "^ 3 OS 00 o to ^ 53 O <u coH cs Cl O tO ■" 3 o cj OitH 09 U gd *fl o a ,H 03 +j» flT3 cj cj-h < to "3 o H 1922. 415 277 374 294 325 249 318 251 336 252 53 46 58 52 58 26 26 39 29 36 25 31 17 19 31 19 19 20 21 21 15 11 17 11 25 21 23 16 28 19 67 47 71 65 72 65 68 49 63 56 145 88 143 198 129 193 303 184 302 180 299 180 254 160 259 193 402 196 396 203 445 447 201 446 210 443 469 235 482 250 458 254 506 277 550 307 318 247 347 245 355 223 363 259 509 273 152* 130 145 120 169 139 174 119 181 151 26 17 25 17 27 22 31 2S 2 1 4 4 2 17 7 14 5 20 1 34 2 16 2 3,052 1,855 3,070 Female 1923. Female 1924. 102 j 123 142 176 106 j 145 123 | 209 88 | 151 127 1 181 1,927 3,080 1,924 3,047 1,898 3,332 Female 1925. 46 25 68 I 34 42 j 28 52 1 20 233 | 201 379 1 448 190 | 220 470 1 484 Female 1926. Female 54 30 111 165 242 236 2,142 * Year 1922, 80 years and upwards. K 72 BRITISH COLUMBIA. CLASSIFIED DEATHS. The following is a list of classified deaths in British Columbia for the past five years :- Cause of Death. 1922. 1923. 1924. 1925. 1926. General diseases Nervous system Circulatory system ,... Respiratory system Digestive system Non-venereal—genito-urinary system The puerperal state .\ Diseases of the skin and cellular tissue Diseases of the bones and organs of locomotion Malformations Diseases of early infancy '. Old age External causes Ill-defined Totals Rate per 1,000 population 1,577 319 715 551 365 221 63 22 5 55 321 105 512 76 1,597 332 824 370 307 280 63 24 9 69 320 103 636 63 1,654 358 807 335 340 302 69 24 9 60 252 77 614 103 1,538 317 864 353 354 335 60 26 6 56 260 88 595 93 1,701 405 995 441 326 367 65 23 21 58 297 83 639 53 4,907 | 4,997 5,004 4,945 5,474 9.1 9.2 I 9.0 I 8.8 i.O SPECIFIED DISEASES. Deaths from certain specified diseases are given below for the years 1922 to 1926:— Cause of Death. 1922. 1923. 1924. 1925. 1926. 14 2 14 21 23 241 507 445 44 157 284 114 63 92 321 105 60 39 105 36 16 12 11 24 23 32 26 136 525 453 33 116 173 77 63 109 320 103 93 42 118 55 12 15 6 90 19 31 55 109 527 457 16 68 185 71 69 96 252 77 78 56 108 21 22 13 3 4 3 32 28 117 538 473 26 87 179 104 60 56 260 88 89 45 117 15 14 15 3 Measles 10 38 Diphtheria 33 Influenza 197 532 526 31 115 226 58 65 94 Early infancy 297 83 101 60 Drowning, accidental. 104 21 20 MARRIAGES. There were 4,418 marriages in British Columbia during the year 1926, as against 4,223 in 1925, 4,038 in 1924, 3,943 in 1923, and 3,763 in 1922. ORIENTAL RACES. Chinese.—The total number of Chinese births registered during the year ended December 31st, 1926, was 203, as against 234 in the year 1925. Chinese children born and registered in the same period numbered 163, the balance being registrations of children born prior to 1926. The number of Chinese deaths registered during the year ended December 31st, 1926, was 224, as against 195 during the preceding year. Deaths from tuberculosis and cancer numbered 59 and 15 respectively. BOARD OF HEALTH REPORT, 1926-27. K 73 Deaths of children under 1 year of age, 16; still-births, 2. Japanese.—There were 1,170 registrations of births of Japanese children during the year ended December 31st, 1926, as against 1,104 registrations the previous year. The number of Japanese children born and registered in the same period was 756, as against 687 the previous year. Japanese deaths registered in the year 1926 numbered 161—deaths from tuberculosis and cancer numbering 28 and 5 respectively. There were 60 deaths of children under 1 year of age and 25 still-births. INDIAN RETURNS. The total number of registrations of births of Indians for the year ended December 31st, 1926, was 486, and of these 224 were males and 262 females. Children born during the year numbered 415. The birth rate per 1,000 population was 17.6, as against 17.8 the previous year. There were 416 Indian deaths during the year, and of these 193 were males and 223 females. Deaths from tuberculosis numbered 145, or 34.85 per cent, of the total number of Indian deaths. Deaths from cancer numbered 8. The deaths of 70 children under 1 year of age were registered during the year. Marriages registered during the year numbered 127. "ADOPTION ACT." Particulars of birth relating to 124 children adopted under " the Adoption Act" were received and filed in this office during the year 1926. GENERAL REMARKS. The work of the Department continues to increase, as may be gathered in part from the following figures:— 1924. 1925. I 1926. I Letters inward Letters outward Searches Certificates issued Certificates, mothers' pensions Certificates, S.C.R Hospital returns checked Cash receipts Marriage licences 0,475 5,198 3,945 3,783 312 446 295 $3,133.81 315.00 8,198 6,630 5,493 5,450 811 398 578 $4,252.99 455.00 8.9S2 7,349 5,919 5,708 636 512 849 $4,539.09 405.00 That this increase in work has been successfully handled is entirely due to the loyal co-operation of my staff and to the unfailing courtesy and assistance rendered by all officials connected with this Department. I have, etc., Herbert B. French, M.A., Deputy Registrar of Births, Deaths, and Marriages. K 74 BRITISH COLUMBIA. CAUSES OF DEATH BY SEX IN CITIES OF 1,000 a o +j ci o s to 56 CJZ CAUSE OF DEATH. (After the Bertillon Classification Causes of Death, Third International Decennial Revision, Paris, 1920.) CJ 03 G1 O p is 0 03 q 'a a a CJ a s V a 03 CJ a Q '8 u 01 b CO M o a u to' ft O o s CC M a o "as M 1 0 7 8 0 10 11 13 16 21 22 23 24 25 29 31 32 oo 34 35 36 I. Epidemic, Endemic, axd Infectious Diseases. Typhoid fever and paratyphoid : («.) Typhoid fever M. F. (6.) Paratyphoid fever F. Smallpox M. F. Measles M. F. Scarlet fever M. F. Whooping-cough M. F. F. Influenza : (ci.) Sole cause M. F. (6.) With phthisis M. F. (e.) With bronchitis M. F. (d.) With pneumonia M. : F. (e.) With other respiratory diseases M. F. (f.) With pregnancy and parturition 1'. (g.) With other causes M. F. Mumps M. F. Dysentery : (c.) Unspecified or other causes M. F. Erysipelas M. F. Acute anterior poliomyelitis : ...M. Lethargic encephalitis M. F. Meningococcus meningitis M. F. Other epidemic and endemic diseases : (a.) Chicken-pox M. F. Tetanus M. Tuberculosis of respiratory system M. F. Tuberculosis of meninges and central nervous system M. F. Tuberculosis of intestines and peritoneum M. F. Tuberculosis of vertebral column M. ...F. Tuberculosis of joints M. F. Tuberculosis of other organs : (&.) Bones (No. 34 excepted) M. (c.) Lympathie system (No. 33 excepted) M. (d.) Genito-urinary system M. 1 .'. v. 1 2 1 1 1 l 4 1 1 1 l i ::: i i 1 1 1 1 1 1 1 1 1 1 2 1 4 1 1 3 2 1 3 1 1 1 O 1 1 1 2 BOARD OF HEALTH REPORT, 1926-27. K 75 POPULATION AND OVER, BRITISH COLUMBIA, 1926. a OS cs 'C CJ 6 a '3 a Z d o to "cj a CU fl -4-> If u CJ •> 3 +2 CJ X fl o o3 CJ J-l a fl 'o 0 CJ fl o Ch S oj t. E o o •a o o o Ph cj CI t. CS CJ a OJ CJ fl o ft s P3 CJ CJ fl CJ A3 o to "cj 01 & fl 03 Xfl o CJ s5 O CO ft CJ > o CJ fl o3 > d o fl CJ oj o °CJ || 03 — ChCh oi • a. cj fig 3s O SH i l .... 1 1 1 1 4 1 1 1 1 3 2 2 3 1 8 6 1 2 1 8 2 2 1 1 i 3 9 o 1 2 4 1 13 1 1 1 1 1 1 2 1 .... 1 .... :::: 1 1 .... .... .... .... .... .... 2 7 14 8 3 2 2 1 1 1 12 2 2 7 8 4 5 2 25 19 14 10 15 7 8 1 3 2 i 1 3 2 2 1 1 1 1 4 1 1 2 I .... 3 1 1 12 18 1 3 8 1 7 2 i 9 5 2 2 7 48 33 4 4 3 25 1 1 o i 1 .... .... .... 1 1 1 15 1 1 5 6 1 3 2 1 1 10 1 1 1 2 1 36 1 1 1 2 8 10 1 2 3 5 1 1 .... 1 .... .... :::. 1 1 1 1 4 1 1 1 1 O 4 0 1 10 .... 1 2 3 3 75 o 34 108 264 1 1 1 1 ' 1 8 1 1 I | .... | .... | 1 1 2 " 1 .... :::: .... .... i 2 1 1 1 1 1 1 " ! 1 .... 1 4 .... 1 29 11 6 1 4 2 5 1 1 2 1 1 5 4 1 2 o 107 8 6 2 2 2 1 1 1 167 27 17 7 10 5 6 1 1 1 2 9 2 K 76 BRITISH COLUMBIA. CAUSES OF DEATH BY SEX IN CJITIES OF 1,000 S o 38 41 43 44 45 46 47 48 49 50 51 54 56 CAUSE OF DEATH. (After the Bertillon Classification Causes of Death, Third International Decennial Revision, Paris, 1920.) X M a y cd p 0J fl Sj fl a fl a V CJ u G & 60 61 62 63 64 65 66 I. Epidemic, Endemic, and Infectious Diseases—Continued. Disseminated tuberculosis : (a.) Acute ......... M. F. (6.) Chronic or unstated M. ...F. Syphilis : :... M. ......F. Purulent infection, septicaemia M. F. II. General Diseases not included in Class I. Cancer of buccal cavity M. ......F. Cancer of stomach and liver M. F. Cancer of peritoneum, intestines, rectum M. F. Cancer of female genital organs F. Cancer of breast F. Cancer of skin M. F. Cancer of organs not specified ...M. ...F. Benign tumours (not returned as malignant) M. F. Acute rheumatic fever M. F. Chronic rheumatism, osteoarthritis, gout M. ...F. Pellagra M. Kickets M. F. Diabetes mellitus M. ...J .....F. Anaemia, chlorosis : (a.) Pernicious anaemia ....M. =..,... F. (l>.) Other anaemias and chlorosis M. F. Diseases of thyroid gland : (a.) Exophthalmic goitre M. F. (6.) Other diseases of thyroid gland M. F. Diseases of parathyroid glands ..M. : F. Diseases of the thymus M. ... F. Diseases of the adrenals (Addison's disease) M. F. Diseases of the spleen M. Leukaemia andllodgkin's disease: (a.) Leukaemia , M. ...F. (6.) Hodgkin's disease M. Alcoholism : (a.) Delirium tremens : F. (6.) Acute alcoholism M. F. I 1 I BOARD OF HEALTH REPORT, 1926-27. K 77 POPULATION AND OVER, BRITISH COLUMBIA, 1926—Continued,. a ? Bfl c si %ti '3 o fl o o a fl O °5 CD eq it, TJ1 \> E> > t> M04 I --1 I .... I.... I 1 1 J L 1 .... i .... | i 49 17 21 16 19 12 1 1 14 8 12 1 1 14 15 12 6 3 4 4 3 2 15 3 10 9 20 2 135 67 49 41 55 44 5 1 70 37 8 1 4 13 3 4 1 3 3 32 27 24 3 3 3 22 1 K 78 BRITISH COLUMBIA. CAUSES OF DEATH BY SEX IN CITIES OF 1,000 S o CAUSE OF DEATH. (After the Bertillon Classification Causes of Death, Third International Decennial Revision, Paris, 1920.) 66 68 69 70 71 74 75 77 80 81 83 84 85 II. General Diseases not included in Class I.—Continued. Alcoholism—Continued. (c.) Chronic alcoholism M. F. Chronic organic poisoning : (a.) Chronic morphinism F. (c.) Other organic poisoning M. Other general diseases : (a.) Diabetes insipidus F. (6.) Haemophilia M. ...F. (c.) Purpura hemorrhagica M. ...F. (d.) Others under this title ...M. F. III. Diseases of Nervous System and Organs op Special Sense. Encephalitis M. ..'. F. Meningitis : («.) Simple meningitis ...M. F. (6.) Non-epidemic cerebrospinal meningitis F. Tabes dorsalis (locomotor ataxia) ...M. Other diseases of the spinal cord M. F. Cerebral haemorrhage, apoplexy : (a.) Apoplexy M. '.... F. (6.) Cerebral haemorrhage .. M. F. (c.) Cerebral thrombosis and embolism ....M. F. Paralysis without specified cause : (a.) Hemiplegia M. F. (6.) Others under this title M. ...F. General paralysis of the insane M. F. Other forms of mental alienation M. F. Epilepsy ..„..: M. ...F. Infantile convulsions (under 5 years) M. F. Chorea F. Neuralgia and neuritis F. Softening of the brain ...F. Other diseases of the nervous system M. F. Diseases of the eye and annexa F. Diseases of the ear and of the mastoid process : (a.) Diseases of the ear M. : F. (6.) Diseases of the mastoid process M. F. BOARD OF HEALTH REPORT, 1926-27. K 79 POPULATION AND OVER, BRITISH COLUMBIA, 1926—Continued. fl a >-. ci -M cs a *03 fl 03 z o to "cj S5 OJ to fl 1 fe "to 25 &: Eh <D fl rti O "Zj cj u fl O cS OJ o fl "3 p. "3 u 01 fl o Cm a O o ShU >.. ■a o cs O Cm cj M s-i o CJ o CJ CJ 0 £ OS a « CJ CJ fl ai ill © to "cj > CJ ■a fl to O K Oj > .fl O fl o o «J 03 u CJ >• s o CJ fl o3 > fl O fl CJ r* 03 'u o CJ > °cj O (J ■3* cs u PQAh to fl CJ CJ Q.s a > +j o o u HCh .... 1 1 .... .... 5 1 1 4 1 1 5 1 1 1 1 13 1 1 3 1 6 1 .... .... .... i 2 1 1 1 1 2 1 1 1 3 1 1 1 6 1 4 1 2 1 o 3 2 12 4 1 1 i 2 1 3 9 1 3 1 2 7 5 4 l>K 1 1 2, 1 1 4 2 12 2 1 1 1 4 l 2 5 18 1 1 4 4 3 1 1 2 1 4 11 2 2 s 8 26 63 1 i i .... .... i i 1 1 2 .... .... .... .... .... o 1 2 1 .... o 1 .... 2 1 1 .... 1 1 1 z z I z .... 1 1 1 z 1 :::: .... .... .... 1 1 .... .... 1 1 1 1 12 3 1 1 2 2 1 1 7 5 4 2 4 3 1 1 1 10 1 1 1 2 1 4 1 1 1 | 14 2 2 1 2 2 16 2 25 7 8 4 4 2 1 6 5 2 1 48 7 10 4 5 4 IS 4 27 10 10 6 6 2 1 1 o 17 oo 2 S 4 6 7 K SO BRITISH COLUMBIA. CAUSES OF DEATH BY SEX IN CITIES OF 1,000 So CAUSE OF DEATH. (After the Bertillon Classification Causes of Death, Third International Decennial Revision, Paris, 1920.) 87 88 89 90 91 92 93 94 97 98 100 101 102 103 105 106 107 IV. Diseases of the Circulatory System. Pericarditis M. F. Endocarditis and myocarditis : (a.) Acute endocarditis M. F. (6.) Acute myocarditis M. ...F. Angina pectoris M. ...F. Other diseases of heart M. F. Diseases of the arteries : (a.) Aneurism M. F. (b.) Arteriosclerosis M. F. (c.) Other diseases of arteries ...M. F. Embolism and thrombosis M. F. Diseases of the veins M. F. Diseases of the lymphatic system F. V. Diseases of the Respiratory System. Diseases of the nasal fossae and annexa M. Diseases of the larynx : (c.) Croup ...-M. F. Bronchitis : (a.) Acute M. :. f. (6.) Chronic M. F. (c.) Not otherwise defined (under 5 years) M. '. F. (<7.) Not otherwise defined (over 5 years) F. Bronchopneumonia : (a.) Bronchopneumonia M. ...F. (5.) Capillary bronchitis M. Pneumonia : (a.) Lobar M. F. (6.) Not otherwise defined M. F. Pleurisy .. M. F. Congestion and hemorrhagic infarct of lung : M. F. Asthma , M. :F. Pulmonary emphysema M. Other respiratory diseases (tuberculosis excepted) : (a.) Chronic interstitial pneumonia M. (c.) Others under this title M. F. BOARD OF HEALTH REPORT, 1920-27. K 81 POPULATION AND OVER, BRITISH COLUMBIA, 1926—Gontinued. d -w a '3 a a a a II 11 oj ■4-3 M <D CJ fl CJ ft t-i o QJ a oi M t> fl a O Ph O fl o CS < 2 a 0) CD 93 tfl fl +J +j a fl fl fc* o o3 o o o> >S> Ph Ph PhO Ph Ph Ph M I --1 ■-1 15 1 .... | 2 I 10 4 68 73 63 31 18 22 19 13 9 13 10 1 2 2 10 102 64 Od 31 4 4 17 12 16 13 16 14 2 1 4 3 4 1 OJ OJ PS 3 41 11 338 249 21 1 182 113 1 2 4 3 2 1 1 73 53 58 42 11 11 4 K 82 BRITISH COLUMBIA. CAUSES OF DEATH BY SEX IN CITIES OF 1,000 fl o CJ QQ to So CAUSE OF DEATH. (After the Bertillon Classification Causes of Death, Third International Decennial Revision, Paris, 1920.) 01 03 _£ G o o fl a oj 5 fl CJ fl a o fl' oj 01 a a a 01 "3 CJ fc •?3 CS fc fl 03 5 to' a o cs a 03 oi fl a o "cj Ish 108 109 111 112 113 114 117 118 119 122 123 124 125 126 128 129 131 132 133 134 135 136 137 138 139 140 141 VI. Diseases of the Digestive System. Diseases df the mouth and annexa M. F. Diseases of the pharynx and tonsils M. F. Ulcer of the stomach : (a.) Ulcer of the stomach ..M. F. (1>.) Ulcer of the duodenum M. F. Other diseases of the stomach M. F. Diarrhoea and enteritis (under 2 years) M. „ F. Diarrhoea and enteritis (2 years and over) M. F. Appendicitis and typhilitis M. F. Hernia, intestinal obstruction : (a.) Hernia, strangulated inguinal (operation) M. F. (&.) Obstruction, intussusception, volvulus M. F. Other diseases of the intestines M. F. Cirrhosis of the liver : (B.) Not specified as alcoholic M. F. Biliary calculi M. F. Other diseases of the liver ...M. F. Diseases of the pancreas M. F. Peritonitis, without specified cause M. F. VII. Non-venereal Diseases of Genito-urinary System and Annexa. ...F. Chronic nephritis (Bright's disease) M. F. Other diseases of kidneys and annexa ...M. F. Calculi of the urinary passages M. Diseases of the bladder M. F. Diseases of the urethra, urinary abscess, etc.: (a.) Stricture of the urethra M. (6.) Others under this title F. Diseases of the prostate M. Non-venereal diseases of male genital organs M. Cysts and other benign tumours of the ovary F. Salpingitis and pelvic abscess F. Benign tumours of the uterus F. Non-puerperal uterine haemorrhage F. Other diseases of the female genital organs F. 1 1 1 2 1 .... l l l 2 1 3 1 2 1 1 l i I 1 1 1 1 1 1 2 1 1 2 1 1 1 1 1 1 6 2 1 1 1 1 1 1 3 1 1 BOARD OF HEALTH REPORT, 1926-27. K 83 POPULATION AND OVER, BRITISH COLUMBIA, 1926—Continued. fl a CO -a 03 J 4-J H-> "u U CO 6 a a 03 z fl o 01 CJ z CJ to fl a te to zfe fc- fl ■«8 to O 03 Zi> 01 u O a 'o Ph 0 CJ fl u o Ph a 03 *j3 o o PhO •a o o fn O Ph CD bC O 0) O CD O fl rU (H CJ ft 3 PS CJ CJ a fc OJ o tfl o -a fl 60 O Ph CJ t» 3 ■as gc 'S t-i CJ > 3 O CJ fl 03 > fl o fl CJ > .S3 O CJ > °cj 0) o si 31 ci — Ph-Ph to fl 03 ■ CJ CJ Q.a "c3 > *j O o ■-. EhPu l 1 3 1 i 2 3 5 1 1 1 8 6 i 1 1 1 1 2 1 1 4 o 1 1 3 l 1 1 1 1 1 o 2 8 4 11 2 5 o 5 5 4 10 1 2 2 4 4 2 3 1 7 1 3 6 4 5 3 18 8 23 3 14 3 19 15 7 17 31 1 1 3 1 3 1 1 2 1 1 1 1 1 6 10 2 4 5 2 1 2 2 1 5 3 2 4 3 4 1 21 20 7 18 14 4 1 1| 1 1 2 2 1 .... 4 2 2 1 3 1 1 1 2 1 2 11 7 6 4 1 1 1 2 1 1 1 1 1 4 3 1 2 2 2 1 1 2 3 1 2 11 12 2 1 3 7 1 1 1 1 1 1 6 1 1 6 4 22 8 5 5 5 1 7 1 56 1 15 25 145 5 z 3 7 1 1 1 2 2 2 2 0 2 35 6 4 2 3 1 18 1 9 1 1 2 1 7 25 4 1 3 1 3 97 13 7 3 13 1 2 1 40 1 1 2 2 2 1 1 2 1 1 3 3 3 2 1 3 K 84 BRITISH COLUMBIA. CAUSES OF DEATH BY SEX IN CITIES OF 1,000 uz CAUSE OF DEATH. (After the Bertillon Classification Causes of Death, Third International Decennial Revision, Paris, 1920.) X fl cs ci ■a B fl a CJ o u \Xi 143 144 145 146 147 148 149 150 152 153 155 156 159 160 161 162 163 164 165 VIII. The Puerperal State. Accidents of pregnancy : (6.) Ectopic gestation F. (c.) Others under this title F. Puerperal haemorrhage : ...F. Other accidents of labour : (a.) Caesarean section F. (c.) Other surgical operations and instrumental delivery ....F. Puerperal septicaemia F. Puerperal phlegmasia alba dolens embolus, sudden death F. Puerperal albuminuria and convulsions , F. Following childbirth (not otherwise defined) ....'.....F. Puerperal diseases of breast F. IX. Diseases of the Skin and Cellular Tissue. Gangrene M. : ...F. Furuncle ....M. Acute abscess ....M. ...F. Other diseases of the skin and annexa M. F. X. Diseases of Bones and Organs of Locomotion. Diseases of the bones (mastoid and tuberculosis excepted) M. F. Diseases of the joints (tuberculosis and rheumatism excepted) M. XI. Malformations. Congenital malformation (still-births not included) : (a.) Congenital hydrocephalus M. F. (6.) Congenital malformations of heart ...M. F. (c.) Others under this title M. F. XII. Diseases of Early Infancy. Congenital debility, icterus, sclerema M. F. Premature—injury at birth : (a.) Premature M. F. (6.) Injury at birth M. F. Other diseases peculiar to early infancy M. F. Lack of care ...F. XIII. Old Age. Senility : M. F. XIV. Affections produced by External Causes. Suicide hy solid or liquid poisons (non-corrosive) M. F. I -: I BOARD OF HEALTH REPORT, 1926-27. K 85 POPULATION AND OVER, BRITISH COLUMBIA, 1926—Continued. fl a m •0 oi rl u 1 d a 3 a Z a o CJ c z ? CJ to 3 I CJ > 3 fl o ■- a O 3 Zi> CJ o +J fl o '3 fl o a 3 u3 B- C? O O PhO ■a o Q O Ph cj © CJ oj CJ a fc CJ a 3 « CJ CJ a fc cj iA O % > CJ B 3 to to O a aj > fl o ij cj O 3 3 CJ fees CJ fl 3 a o a CO >> 3 o CJ °CJ CJ ZJ B ■32 Rfc to fl 3 „• 01 Cj r^ 01 S 3te o u HPh 1 .... 1 2 o 1 1 1 .... 1 .... 1 1 1 5 1 1 1 1 ' 1 1 1 1 .... .... 1 .... 2 1 1 8 2 3 2 1 1 1 1 2 3 1 5 4 1 1 1 2 4 1 4 2 2 1 3 1 1 2 o 9 5 2 15 7 19 1 4 1 2 5 4 2 14 1 .... 1 .... "i 1 1 1 1 11 1 1 2 1 1 .... .... i z 2 1 1 1 .... z 1 1 1 .... 1 l 1 1 .... - 1 2 2 1 4 o 8 4 3 1 1 1 1 3 3 1 1 11 11 0 4 7 17 6 15 9 21 16 "2 3 .... 5 3 1 2 l 1 2 33 6 41 109 O 1 5 1 2 1 1 1 1 25 4 4 26 4 74 13 1 .... 1 3 1 7 1 1 1 1 1 2 1 1 1 1 1 1 1 2 1 ....' .... z .... :::: i 1 i 1 1 1 3 3 4 5 1 1 1 7 1 1 19 18 1 26 29 1 29 27 1 43 40 10 K 86 BRITISH COLUMBIA. CAUSES OF DEATH BY SEX IN CITIES OF 1.000 2 o UZ CAUSE OF DEATH. (After the Bertillon Classification Causes of Death, Third International Decennial Revision, Paris, 1920.) M > u rO — fl •j3 oi O O 166 167 168 169 170 171 172 174 175 177 178 179 180 181 182 183 185 186 187 188 189 192 193 196 197 198 199 201 202 XIV. Affections produced by External Causes—Continued. Suicide by corrosive substances M. F. Suicide by poisonous gas M. F. Suicide by hanging and strangulation M. F. Suicide by drowning M. F. Suicide by firearms M. F. Suicide hy cutting or piercing instruments M. F. Suicide by jumping from high places M. F. Other suicides M. Poisoning hy food , F. Other acute accidental poisonings M. F. Conflagration M. F. Accidental burns and scalds M. F. Accidental suffocation ...M. F. Accidental absorption of deleterious gas, smoke, etc. M. F. Accidental drowning M. F. Traumatism by firearms -. ..... M. Traumatism by fall M. F. Traumatism in mines and quarries M. Traumatism hy machines M. F. Traumatism hy other crushings : (a.) Railroad M. F. (6.) Street-car M. .....: F. (c.) Automobile M. F. (d.) Aeroplane and balloon M. (e.) Other vehicles M. (f.) Other crushing M. Injuries hy animals M. Starvation M. F. Excessive cold M. Other electrical shocks M. F. Homicide hy firearms ...M. F. Homicide hy cutting and piercing instruments M. F. Homicide by other means M. F. Fractures (cause not specified) : M. F. External violence (cause specified) M. •. F. BOARD OF HEALTH REPORT, 1920-27. K 87 POPULATION AND OVER, BRITISH COLUMBIA, 1926—Continued. I fc*l X CS lJ u CJ cs a 3 fl 3 z a o z CJ fl z& CJ > 3 fl ° +H CJ E o O 3 Z> CJ U O .9 o fc o Co fl «) O fc a +J 3 t. 3" O O fccj -a o g a u o fc cj 6t 3 CJ cs 3 3 a fc CD a fl PS OJ o .5 CJ o *3 fc> O) •a a 3 to to O P3 > fl 3 s O 3 3 CJ > o CJ a 3 > fl o fl CJ > 3 "S o +JJ o °3 oj ej Kfc to fl 3 - cj cj Q.s 3 > ^ O O ti Hfc .... z .... 1 1 1 o 2 1 1 2 1 1 1 11 11 27 1 l :.: 1 2 2 1 1 1 3 1 5 5 4 1 1 4 z 1 2 1 4 1 2 1 .... .... .... z .... .... .... z .... .... 1 1 1 1 '.'.'.'. 1 1 1 o 1 .... 1 i 8 2 1 2 3 1 1 13 1 1 1 1 1 3 1 17 1 2 1 1 1 5 1 9 8 1 5 1 3 72 8 6 30 1 6 1 1 1 1 1 10 13 8 12 11 4 1 5 1 94 10 9 1 6 1 1 1 2 1 1 21 6 5 3 12 5 57 15 1 6 2 2 1 2 1 i 4 10 3 2 2 12 10 1 29 1 21 18 1 46 1 5 2 1 4 1 1 1 2 13 1 5 14 45 1 2 1 1 9 1 1 3 15 1 4 3 2 1 1 i 5 1 46 66 1 1 1 1 3 1 2 1 6 1 1 2 1 1 1 1 .... 1 .... z .... .... 1 1 Z .... .... .... 3 2 2 2 1 1 1 2 1 1 1 1 1 1 2 1 14 1 6 2 4 2 4 2 2 3 18 2 K 88 BRITISH COLUMBIA. CAUSES OF DEATH BY SEX IN CITIES OF 1,000 CAUSE OF DEATH. (After the Bertillon Classification Causes of Death, Third International Decennial Revision, Paris, 1920.) 204 205 XV. Ill-defined Diseases. Sudden death M Cause of death not specified or ill-defined : (a.) Ill-defined ...M. : F, (6.) Not specified or unknown M. F. (c.) Heart-failure M. F. (<2.) Syncope M. Males ..... Females Totals 84 30 I 28 29 112 53 BOARD OF HEALTH REPORT, 1920-27. K 89 POPULATION AND OVER, BRITISH COLUMBIA, 1926—Continued. a y. -5' 3 CJ d a 3 a Z a o to % Z 3 to G a zs 5 C a Z> a o a CJ fl < o a fc- c o o X O o p c o o CD fl Ph a; fl. fl tf ti fl OJ* o 03 CD fl o fc* .fl o a ti o ci c72r- a 3 0 CJ fl o fl 1 °cj' Cj CJ ^ fl 3 > 5.2' 01 oi • O CJ CS 3 te +j o O JH ::: ... ... - z Z 1 z .... .... 1 0 i 2 o 9 9 10 1 1 o 9 9 22 6 1 12 11 11 | 52 9[ 34 69 |138 36 108 32 29 123 48 13 3 s 4 3 | 18 38 | 27 19 12 13 4 84 70 17 957 682 28 10 319 11,110 13,332 204 j 702 [2,142 23 | 20 | S6 |105 1240 | 01 1 1 1 i 1 171 16 12 | 3 1 23 ! ! 57 | 39 1 17 163 42 1,039 38 523 11,812 |5,474 1 1 VICTORIA, B.C. : Printed by Chakles F. Banfield, Printer to the King's Host Excellent Majesty. 1927. 975-1227-930S
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PROVINCE OF BRITISH COLUMBIA THIRTY-FIRST REPORT OF THE PROVINCIAL BOARD OF HEALTH INCLUDING SIXTEENTH… British Columbia. Legislative Assembly [1928]
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Title | PROVINCE OF BRITISH COLUMBIA THIRTY-FIRST REPORT OF THE PROVINCIAL BOARD OF HEALTH INCLUDING SIXTEENTH REPORT OF MEDICAL INSPECTION OF SCHOOLS, YEAR ENDED JUNE 30TH, 1927, AND THE FIFTY-FIFTH REPORT OF VITAL STATISTICS DEPARTMENT, YEAR ENDED DECEMBER 31ST, 1926 |
Alternate Title | BOARD OF HEALTH REPORT, 1926-27. |
Creator |
British Columbia. Legislative Assembly |
Publisher | Victoria, BC : Government Printer |
Date Issued | [1928] |
Genre |
Legislative proceedings |
Type |
Text |
FileFormat | application/pdf |
Language | English |
Identifier | J110.L5 S7 1928_V01_16_K1_K89 |
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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 | 2016-02-29 |
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 | 10.14288/1.0226079 |
AggregatedSourceRepository | CONTENTdm |
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