DEPARTMENT OF PROVINCIAL SECEETAEY FOURTEENTH ANNUAL REPORT THE TRANQUILLE SANATORIUM OF THE PROVINCE OP BRITISH COLUMBIA FOR THE FISCAL YEAE ENDED MAECH 31ST, 1935 PRINTED BY AUTHORITY OF THE LEGISLATIVE ASSEMBLY. VICTORIA, B.C. : Printed by Charles F. Banfield, Printer to the King's Most Excellent Majesty. 1935. To His Honour J. W. Fordham Johnson, Lieutenant-Governor of the Province of British Columbia. May it please Your Honour : The undersigned respectfully submits herewith the Annual Report of the Medical Superintendent of Tranquille Sanatorium for the fiscal year ended March 31st, 1935. G. M. WEIR, Provincial Secretary. Provincial Secretary's Office. DEPARTMENT OF THE PROVINCIAL SECRETARY. HON. DR. G. M. WEIR, Provincial Secretary. P. WALKER, Deputy Provincial Secretary. TRANQUILLE SANATORIUM HEADQUARTERS STAFF. A. D. Lapp, M.B., Medical Superintendent. H. Jefferis, Bursar. H. G. Chisholm, M.D., Assistant Medical Superintendent. H. A. Jones, M.D., Physician. A. Hakstian, M.B., Physician. G. F. Kincade, M.D., Physician. F. Parslow, Laboratory Technician. Miss B. Bibby, Matron. Miss L. Wright, Dietitian. Miss M. Haycroft, Stenographer. Miss I. Cover, Occupational Therapist. R. L. Davis, Farm Manager. Miss D. Creech, Book-keeper (Farm). A. N. Low, Steward. J. Trevors, Laundry Manager. J. L. Stephenson, Chief Engineer. Dr. E. D. McLaren, Chaplain. DEPARTMENT OF PUBLIC WORKS. J. MATHIESON, Clerk of Works. TRANQUILLE SANATORIUM. REPORT OF THE MEDICAL SUPERINTENDENT. Tranquille, B.C., March 31st, 1935. The Honourable G. M. Weir, Provincial Secretary, Victoria, B.C. Sir,—I have the honour to present herewith the Fourteenth Annual Report of Tranquille Sanatorium, covering the year April 1st, 1934, to March 31st, 1935. Owing to the large number of advanced cases, not suitable for active treatment, in residence, it has not been possible to show any greater number treated than during the previous year. The percentage applying for admission in the far-advanced stages remains exceedingly high. This will continue until a much more active case-finding campaign is instituted. Present indications are that we may get a Province-wide organization functioning in the near future, with resulting co-ordination of all anti-tuberculous work under one direction. At the departmental conference held in Vancouver in November last, tuberculosis was given a very prominent place in the discussions and the feeling seemed to be that special efforts should be made to launch a more active campaign during the coming year. The Sanatorium has done its best under existing conditions, but it could benefit many more people if the clinic and social-service work was adequate. Although the number treated was the same, the work of the medical staff was increased on account of a greater number of special treatments being given, and also through a freer use of our clinic facilities. The surgical treatment of pulmonary tuberculosis was carried out to a considerably greater extent than in previous years. Fewer cases were treated by phrenicotomy, or interruption of the phrenic nerve. I think this is true of all treatment centres. The writer visited most of the larger treatment centres in Canada, and some in the United States, during the year reported on. The object of these visits was to study particularly their methods of surgical treatment. The Assistant Superintendent was sent on a similar tour of the Western States for the same purpose. During the past year the major surgical procedure known as thorocoplasty was performed on eleven patients. There were two deaths, three much improved, and six good results. Phrenicotomy was performed on nine patients. The following table shows the amount of pneumothorax work performed on in-patients, and in addition several out-patients were coming in regularly for this treatment:— Number of Cases receiving Pneumothorax Treatment, Fiscal Year, April 1st, 1934, to March 31st, 1935. Month. Total Cases. Bi-laterals. April 109 17 May 111 15 June 108 15 July 111 16 August 106 15 September 107 17 October 110 16 November 107 15 December 106 14 January 107 17 February 101 15 March . 102 15 The affiliation with the nurses' training-schools appears to be continuing satisfactorily. Sixty-five students received diplomas during the past year. Since our classes first began in February, 1931, there have been 268 student-nurses complete the course. They represented the various training-schools as follows:— Q 6 BRITISH COLUMBIA. Vancouver General Hospital 68 Kootenay Lake General Hospital, Nelson 28 St. Eugene, Cranbrook 23 Kelowna General, Kelowna 11 Royal Inland, Kamloops 10 St. Paul's, Vancouver * 59 Prince Rupert 25 Revelstoke 17 Royal Jubilee, Victoria 10 Royal Columbian, New Westminster 8 Duncan Hospital, Duncan 5 St. Joseph's, Victoria 4 Total 268 An important event during the past year was the reopening of the Occupational Therapy Department. This is proving a valuable aid in treatment, in providing diversional occupation for a large percentage of our patients. Many intend to continue the crafts learned here, when they return home, as they have found a ready market for their products. This is particularly the case with those who have specialized in the various forms of leather-work. A detailed report of the work done is contained in the report of the Occupational Therapist. For some years I have advocated the employment of a teacher to work in conjunction with the Correspondence Branch of the Department of Education. Both elementary and advanced subjects are available, and many patients would prefer studies to handicrafts. In addition to providing a form of occupational therapy, these studies would make patients better fitted to take their place in the world after their discharge from the Sanatorium. Prospects of this service being provided during the coming year are bright. The Sanatorium library is an important part of the institution, and is ably handled by Mr. J. G. Simmonds, who takes the library to the wards on specially constructed trucks. New books only are accepted, and these are mostly provided through funds from Canteen profits. Our library now contains slightly more than 4,000 volumes, the average weekly circulation being in excess of 500 and the annual circulation over 24,000. The Canteen, while not actually part of the Sanatorium operations, is closely linked up with it. A Board representing the Sanatorium management, the employees, and the patients is in control. A paid staff of ex-patients is in charge. The Bursar carries most of the burden of the business management, and has built it up into a very profitable undertaking. Profits are all returned to the staff and patients in the form of comforts and amusements. Sound- picture equipment with two projection-heads has been installed, new radios have been purchased, library funds have been provided, and the Amusement Club has been financed. In addition, during the past year we have been able to build a new, well-equipped store, all out of profits from a business started on borrowed money in August, 1929. Our per capita cost is slightly higher than for the previous year, due to slightly higher prices for provisions and also to the restoration of some services which were discontinued in 1930. Full details will be found in the Bursar's report. I wish to take this opportunity to tender my sincere thanks to those individuals and organizations who have contributed in any way to the entertainment and welfare of our patients. In this connection I should like to mention particularly the Elks' Club, the Canadian Legion, the Red Cross, the I.O.D.E., and the Kitsilano Boys' Band and their leader, Mr. Delamont. I am very grateful to all members of the staff and employees who have assisted in making the work of the Sanatorium a success. In conclusion, Sir, permit me to thank you and the various members of your Department for the advice and assistance I have received. I have the honour to be, Sir, Your obedient servant, A. D. LAPP, M.B., Medical Superintendent. TRANQUILLE SANATORIUM, 1934-35. Q 7 STATISTICAL TABLES. TABLE No. 1.—GENERAL STATISTICS FOR YEAR 1934-35. Movement of Population. Male. Military. Female. Number of patients in Sanatorium, March 31st, 1934„ Number of patients admitted, 1934—35— Number of patients discharged, 1934-35 Number of patients treated, 1934-35— —— Number of patients in Sanatorium, March 31st, 1935__ Daily average population __ Total number of patient-days — — 145 113 113 258 145 21 34 57 23 148 329 79 213 81 226 227 542 148 316 322 117,620 TABLE No. 2.—CLASSIFICATION OF 213 CASES ADMITTED TO SANATORIUM DURING YEAR 1934-35. Classification. Male. Military. Female. Total. Percentage. 7 27 77 2 1 7 13 8 21 48 2 16 55 138 4 7.5 25.8 64.8 Miscellaneous— - - - 1.9 Totals — 113 21 79 213 100.0 TABLE No. 3.—CLASSIFICATION OF FOUR CASES ADMITTED AS MISCELLANEOUS. Classification. Male. Female. Total. Scoliosis of spine—_ - — — Debility - 1 1 1 1 1 1 1 1 Totals 2 2 4 TABLE No. 4.—SHOWING CIVIL STATE OF PATIENTS ADMITTED FROM APRIL 1st, 1934, TO MARCH 3 1st, 1935. Civil State. Male. Female. Total. 59 70 1 4 32 41 6 91 111 1 10 Totals — 134 79 213 Q 8 BRITISH COLUMBIA. TABLE No. 5.—SHOWING NATIONALITY OF PATIENTS ADMITTED FROM APRIL 1st, 1934, TO MARCH 31st, 1935. Nationality. Male. Female. Total. 1 1 79 1 1 19 2 ' 1 3 3 1 5 1 10 1 2 1 2 1 1 1 54 11 2 1 1 1 1 1 1 3 1 2 2 133 1 1 30 4 1 1 4 1 3 2 6 1 1 13 1 2 1 Welsh 2 Totals 134 79 213 TABLE No. 6.—SHOWING WHAT DISTRICTS CONTRIBUTED PATIENTS FROM APRIL 1st, 1934, TO MARCH 31st, 1935. Place of Residence. Male. Female. Total. Agassiz - Aldergrove Armstrong — Blubber Bay Bowser _ Bradner - - Burnaby Canal Flats- Caws ton Cedar P.O Chemainus - — Chilliwack — Coalmont - Courtenay Copper Creek _ Deroche- - Duncan - Dawson Creek Eburne Esquimalt - Fanny Bay Fernie — Glade Hazelton : ™ Hope Invermere Kamloops Kaslo Kelowna Carried forward-. 1 1 2 1 1 1 8 1 1 1 3 1 1 1 1 1 1 1 3 4 1 1 1 2 2 1 11 1 6 61 TRANQUILLE SANATORIUM, 1934-35. Q 9 TABLE No. 6.—SHOWING WHAT DISTRICTS CONTRIBUTED PATIENTS- —Continued. Place of Residence. Male. Female. Total. 43 1 2 1 1 1 1 1 1 2 1 2 1 1 2 3 1 1 1 1 1 1 2 2 1 1 1 1 1 3 2 40 2 2 1 1 2 1 1 18 1 1 1 1 1 2 1 7 1 1 1 1 2 1 1 1 1 2 1 1 2 16 2 7 1 1 1 1 1 61 i l 3 1 1 1 1 1 2 2 4 1 3 1 7 1 2 4 Notch Hill 2 Ocean Falls —- - _ -■ 1 1 2 1 1 2 3 2 1 1 Sandwick P.O — ,', - _ 1 1 1 1 1 2 2 2 Trail 3 Tranquille ' 4 56 4 9 1 Webster's Corners - 2 1 2 2 1 1 1 Totals — 134 79 213 Q 10 BRITISH COLUMBIA. TABLE No. 7.—SHOWING THE OCCUPATIONS OF THOSE ADMITTED FROM APRIL 1st, 1934, TO MARCH 31st, 1935. Occupation. Male. Female. Total. 2 1 1 1 1 1 2 1 17 1 2 1 1 1 15 3 1 1. 18 1 8 1 2 1 5 11 1 7 1 1 2 1 1 2 1 1 1 1 2 3 2 1 1 2 1 1 1 1 5 1 1 1 36 3 2 1 10 6 4 1 3 1 2 1 2 1 1 1 1 2 1 22 Constable, R.C.M.P. _._ - 1 Cook - : ' - 2 1 2 1 15 4 1 36 3 1 1 18 1 8 1 2 2 1 5 11 1 1 17 1 6 4 1 2 1 1 2 1 1 1 1 2 3 3 1 1 5 1 1 2 2 1 Totals 134 79 213 TRANQUILLE SANATORIUM, 1934-35. Q 11 TABLE No. 8.—SHOWING THE AGES OF THOSE ADMITTED FROM APRIL 1st, 1934, TO MARCH 31st, 1935. Age. Female. Total. Under 15 to 21 „ 26 „ 31 „ 36 „ 41 „ 46 „ 51 „ 56 „ 61 „ 66 „ Over 15 years- 20 25 30 35 40 45 50 55 60 65 70 70 Totals.. 18 17 21 22 10 16 14 7 5 3 1 134 21 25 39 42 29 29 18 20 17 9 6 3 1 213 TABLE No. 9.—SHOWING ADMISSIONS, DISCHARGES, AND DEATHS FROM APRIL 1st, 1934, TO MARCH 31st, 1935. Month. Admissions. Male. Female. Total. Discharges. Male. I Female. Total. Deaths. Male. Female. Total, April.. May June..: July. August- September- October November- December— January.... February- March 1934. 1935. Totals- 3 19 10 16 10 11 14 11 9 5 18 4 10 8 7 14 4 5 4 3 1 4 15 7 29 18 23 24 15 19 15 12 213 19 9 5 5 7 9 6 11 2 9 15 2 7 9 12 4 4 1 6 11 10 26 18 17 9 11 15 9 11 3 15 26 170 TABLE No. 10.—SHOWING CLASSIFICATION OF 226 DISCHARGES DURING 1934-35. Classification on Admission. Results. Apparently arrested. Quiescent. Improved. Unimproved. Died. Total. Incipient 6 1 5 43 66 1 4 13 11 20 5 51 12 Miscellaneous — - - 11 Totals 7 114 29 20 56 226 Sputum positive on admission or during residence, 158; sputum positive on discharge, 102 (including 56 deaths) 56 became sputum negative as a result of treatment. TABLE No. 11.—AVERAGE LENGTH OF RESIDENCE OF 226 DISCHARGED PATIENTS. Male, 532 days or 17% months; female, 576 days or 19 months. Q 12 BRITISH COLUMBIA. DEPARTMENT OF OCCUPATIONAL THERAPY. The Occupational Therapy Department was reopened at Tranquille Sanatorium in July, 1934. For the first two months occupational therapy was prescribed for about twelve patients in the Infirmary; then a few patients were added in the Main Building. Gradually the work increased, and to-day there is an average of forty-five patients doing work in these two buildings. In October occupational therapy was prescribed for the male up-patients, and in December the women up-patients were started on the work, so that at the present time we have thirty- three patients coming to the workshops. This makes a total of seventy-eight patients doing occupational therapy work. The activities which we have been using for the patients who are confined to bed consist of: Raffia basketry; raffia on canvas; glove-making; simple leather construction; leather tooling and staining; oil-painting on parchment. Each morning the workshop is opened to the patients from 10 to 11.30. Some have a prescription for the full period, others for one hour, and still others for only half an hour. The crafts done in the shop are: Leather tooling and staining; metalwork; reed-work; raffia-work; glove-making; woodwork (this is of the simplest form, due to lack of equipment) ; weaving on looms is another craft we hope to add to our list in the future. On the whole the patients are becoming educated to the idea of occupational therapy and are realizing its value. However, there are still some who see it only as a means of making money. This is a serious problem and has to be continually guarded against, as it always leads to overexertion. So far, a sale of work has not been necessary, as we have never at any time had many articles on hand. They have been sold or retained by the patients who made them. During the nine months that this department has been operating, 106 patients have received treatment. A total of 1,090 visits have been made to the bed-patients. Our aim in this department is, as Dr. G. L. Bellis, Superintendent of Muirdale Sanatorium, so ably puts it: " To promote recovery from tuberculosis by substituting directed and supervised physical activities for the undirected and unsupervised physical activities destructive of the benefits gained through sanatorium treatment. To promote recovery from tuberculosis by substituting normal mental activities of an industrious life for the normal mental activities of an idle life. To enable the child undergoing treatment to continue school-work under the most hygienic conditions possible, and to enable the convalescent adult to become educationally better qualified to ' carry on ' his former occupations or to take up a line of work entirely new and more adapted to his requirements. To establish morale, simplifying the problems of administration, especially in the matter of discipline, and promoting in no small degree a most wholesome institutional atmosphere." I should like to thank Dr. Lapp, Miss Bibby, and Mr. Jefferis, and their staffs, for the kind co-operation and interest they have given me in the development of this department. Eileen Cover, Occupational Therapist. March 31st, 1935. TRANQUILLE SANATORIUM, 1934-35. Q 13 ARTICLES FINISHED IN OCCUPATIONAL THERAPY DEPARTMENT. Tooled cowhide purses Tooled cowhide book-covers Tooled cowhide bill-folds 55 6 45 Tooled cowhide book-ends, pairs 22 Tooled cowhide key-cases 8 Tooled cowhide writing-cases 7 Tooled cowhide school-bags 2 Tooled cowhide picture-frames 7 Tooled cowhide table-mats Tooled cowhide telephone-directory covers Tooled cowhide blotter-corners Tooled cowhide cribbage-board covers Suede purses Suede change-purses Suede shopping-bags Suede book-covers Suede school-bags Suede writing-cases Suede book-ends, pairs Suede belts Suede tobacco-pouches Suede book-marks 2 3 4 3 26 17 20 8 2 4 6 10 9 4 Suede cushion Suede picture-frames Suede travelling-kit .. Peccary hog gloves Pewter bracelets . Raffia purses 1 2 1 Chamois and kid gloves 5 2 25 2 2 7 3 13 6 13 Raffia shopping-bags Raffia baskets and trays Reed baskets Reed trays Woollen purse on canvas __. Woollen tea-cosy Reed serviette-rings Parchment lamp-shades Parchment writing-folio 2 1 2 14 5 6 3 4 1 Passe-partout picture-frames Wooden buckles and handles . Wooden shelves Wooden picture-frames Wooden rings Chair caned LABORATORY REPORT. Tranquille, B.C., March 31st, 1935. The Medical Superintendent, Tranquille Sanatorium, Tranquille, B.C. Sir,—I have the honour to submit herewith the report of work completed in the Laboratory here during the year ended March 31st, 1935. The figures show an increase in nearly all types of tests performed. Complete " blood- counts " have been resumed as being part of the patients' routine examination, and the test for " blood-sedimentation rate," which was made heretofore only on admission, is now repeated every three months. In our examination of sputa we have inaugurated the " Gaffky " method of recording the number of tubercle bacilli found; this, in conjunction with the " blood-sedimentation rate," which is taken at approximately the same time as the sputum specimen, is, I feel sure, proving to be of great value to the attending doctor in estimating the patients' progress. We are using now far more frequently the method of guinea-pig inoculation in the case of patients who show a consistently negative sputum, and also in the case of patients with albuminuria; so far we have had very gratifying results. Our new animal-house with its all-metal cages and added room makes it possible to keep up the supply of animals required for this purpose. This year has been exceedingly successful; we have been able to do much more blood chemistry, and the Laboratory is now equipped to perform practically any test the doctor may order. In conclusion, I wish to thank you for your interest and encouragement, which has made the work here very enjoyable; also to voice my appreciation of the work of my assistant and her whole-hearted co-operation. I have, etc., Frank E. Parslow, Laboratory Technician. Q 14 BRITISH COLUMBIA. GENERAL WORK DONE IN LABORATORY. Material examined. CO 01 p. < (4 s CJ a 1-5 >> t-3 3 M 3 u S u V X> o o O u a> .a S > o u o 1 o 0) 0. la CO Oi c >"5 XI x\ o u 1 o H Sputum ■ 121 51 70 25 1 1 3 43 4 7 13 5 5 14 13 2 1 3 2 10 16 3 2 1 1 3 4 4 4 4 1 2 52 53 169 71 98 345 1 1 17 18 2 2 2 5 8 24 24 1 3 1 1 32 13 1 2 2 2 S 3 3 1 1 69 88 176 61 115 21 2 2 1 18 18 23 23 22 23 2 2 1 1 5 2 2 1 1 2 5 5 5 1 62 61 157 51 106 35 1 43 43 43 43 22 23 3 1 2 4 15 1 4 4 4 4 4 1 68 80 181 61 120 351 2 24 2 25 25 28 28 20 18 8 1 2 8 9 3 3 5 5 5 1 16 63 66 156 46 110 43 2 23 23 20 20 28 28 2 1 1 1 3 20 9 2 1 1 2 4 4 4 1 19 57 67 180 84 96 48 2 1 12 12 10 10 20 22 4 2 8 9 13 4 4 5 3 3 3 1 49 56 177 59 118 371 1 1 42 24 24 22 22 18 20 4 3 5 3 14 2 2 2 3 3 3 1 90 106 155 71 84 36 5 1 2 2 13 16 2 2 3 12 19 3 1 1 2 2 5 5 5 1 27 60 92 164 77 87 50 1 2 7 1 29 29 28 28 15 18 4 7 3 10 10 3 2 1 12 1 4 4 4 1 14 75 104 188 68 90 370 62 12 12 13 13 2 2 1 10 10 49 48 2 3 2 1 6 2 4 8 4 2 24 65 97 212 72 140 69 18 2 40 40 40 40 46 36 3 1 5 3 13 16 1 5 2 3 6 5 5 5 2 1 14 81 93 2,006 772 T.B. negative.—. 1,234 1,764 5 9 186 62 13 Blood-counts— 235 Haamoglobin - 241 239 Differential , 239 242 243 37 Blood N.P.N 4 2 7 44 33 175 Bacteriological smears 184 15 32 15 T.B. negative. 17 26 12 7 Milk tests— 49 53 49 17 2 1 116 791 963 TRANQUILLE SANATORIUM, 1934-35. Q 15 BURSAR'S REPORT. Tranquille, B.C., March 31st, 1935. The Medical Superintendent, Tranquille Sanatorium, Tranquille, B.C. Sir,—I have the honour to present herewith the balance-sheet and profit and loss accounts covering the fiscal year ended March 31st, 1935. The tables showing number of patients in residence, analysis of gross per capita costs, etc., are also herewith attached. I have, etc., H. Jefferis, Bursar. TRANQUILLE SANATORIUM. Balance-sheet, March 31st, 1935. Assets. Land and improvements $12,684.05 Buildings 543,727.50 Plant and equipment 133,026.00 Bedding, linens, etc. 41,715.30 Inventories 16,166.06 Petty cash 1,500.00 Accounts receivable 2,831.86 $751,650.77 Deficit (net cost of operating, 1934-35) 199,207.32 $950,858.09 Liabilities. Government of British Columbia $950,858.09 Profit and Loss Account for Year ended March 31st, 1935. Disbursements— Salaries $132,800.21 Office supplies 1,946.47 Travel and transportation 3,617.76 Fuel, water, and light 45,727.49 Maintenance and Janitors' supplies 7,468.96 Bedding, linens, etc 6,281.78 Provisions ' 74,106.04 Medical and surgical _ t 13,523.14 Incidentals 5,083.18 $290,555.03 Depreciation : 37,814.03 $328,369.06 Revenue (details) — Dept. of P. and N.H $30,574.85 Municipalities 88,219.80 Patients'collections 10,214.59 Adjusting municipalities, 1933-34 152.50 129,161.74 Operating cost, 1934-35 $199,207.32 Q 16 BRITISH COLUMBIA. Expense and Revenue Statement for Year ended March 31'st, 1935. Operating Expense Accounts. Expenditure by voucher— Salaries— Headquarters staff $19,439.07 Sundry employees 180,256.42 $199,695.49 Office supplies— Books and journals $175.62 Stationery, etc. 1,347.62 Telephones and telegrams 450.30 1,973.54 Travel and transportation— Travelling expenses . $1,596.78 Car and truck expenses 2,058.19 Fuel and light— Fuel $45,555.19 Plant supplies 471.68 Medical and surgical— Medicines and drugs $5,575.80 Consultants' fees 6,405.35 X-ray and dental 2,747.62 Incidentals and contingencies—• Laundry $2,450.59 Freight and express 448.03 Sundry 257.66 Occupational 653.51 Training-school : 2,028.80 Indigent patients 636.80 3,654.97 46,026.87 Maintenance of buildings, grounds, etc.— Janitors' supplies $7,266.53 Equipment renewals 1,571.16 Garden and grounds 219.63 9,057.32 Bedding and linens, etc. 5,982.98 Provisions— Groceries '. $29,684.39 Meats 8,139.07 Fish 1,534.12 Eggs, etc. 3,522.80 42,880.38 14,728.77 6,475.39 Gross expenditure by voucher as per Finance Department Statement $330,475.71 Less deductions for board, etc. $66,795.48 Less sundry credits 2,551.71 Less revenues 129,161.74 198,508.93 $131,966.78 Plus inventory, April 1st, 1934 15,378.23 Carried forward $147,345.01 TRANQUILLE SANATORIUM, 1934-35. Q 17 Expense and Revenue Statement for Year ended March 31st, 1935—Continued. Operating Expense Accounts—Continued. Brought forward $147,345.01 Less inventory, March 31st, 1935 $16,166.06 Less sundry collections 6,960.15 23,126.21 $124,218.80 Farms Contra Account— Purchases from farm $41,983.19 Less sales to farm 4,808.70 ■ 37,174.49 Net cost of operating : $161,393.29 Depreciation . 37,814.03 $199,207.32 Remarks. Number of days' treatment given during 1934-35 __ Number of patients in residence, March 31st, 1935 — Daily average population for year Gross maintenance per capita cost, 1 year Gross maintenance per capita cost, 1 day Net maintenance per capita cost, 1 year Net maintenance per capita cost, 1 day 117,620 316 322 $902.34 ,2.47 500.91 1.37 FINANCIAL TABLES. Table A.—Showing the Average Number of Patients in Residence each Year, the Total Amounts spent for Maintenance, and the Gross Per Capita Cost. Year. Average Number in Residence. Maintenance Expenses. Per Capita Cost. 1921-22 1922-23 1923-24— 190.04 194.46 207.15 221.21 224.00 223.00 216.00 214.31 293.00 325.00 330.00 329.00 327.00 322.00 $271,730.08 284,019.31 312,065.72 300,350.00 293,980.72 308,194.82 294,674.82 299,621.79 347,939.58 342,120.06 313,213.82 290,826.84 283,366.29 290,555.03 $1,429.85 1,460.55 1,506.46 1924-25 1925-26 1926 27 1,357.75 1,312.44 1,382.04 1927-28— 1,364.24 1928-29 1,400.10 1929-30 - 1,187.51 1930-31 — — 1,052.67 1931-32 949.13 1932-33- 883.97 1933-34 866.56 1934-35 902.34 Q 18 BRITISH COLUMBIA. Table B.—Showing Analysis of Gross Per Capita Cost. Year. CO .CU a m ® Co {C Pi a ri o ZB %.•£ * C o f-| a a - OJ <u « E crj cj c a £« S'g H ~T3 P B B o 'w '> 0 c « g.2 O.r. — GQ B '3 B s o o 1921-22 $439.59 $9.01 $20.56 $225.14 $138.43 133.03 $57.79 $421.96 $28.37 $72.06 28.46 $1,429.86 1922-23 482.22 8.09 11.32 232.81 66.89 472.17 13 07 1,460.65 1923-24 479.85 7.46 9.42 243 48 85 77 13.70 441.26 39 95 65.76 1,506.46 1924-25 437.52 6.01 11.93 211.11 70.55 25.78 288.86 26.17 33.05 1,357.75 1925-26 479.75 8.97 8.09 189.92 68.62 6.62 392.98 34.68 19.31 1,312.44 1926-27 501.57 9.51 14.81 173.22 65.85 33.96 426.23 39.32 12.36 1,382.04 1927-28. 554.98 10.32 11.89 169.48 64.20 34.93 448 96 53.82 15.65 1,364.24 1,400.10 1928-29 603.51 9.67 12.60 190.78 82.77 24.66 421.89 42.95 11.27 1929-30 544.63 10.21 8.78 157.94 62.23 .92 338.82 50.34 13.64 1,187.51 1930-31 484.06 8.09 6.52 132.71 48.92 14.23 297.72 44.93 15.69 1,052.67 1931-32 447.65 6.73 7.64 148.82 33.16 13.32 226.62 41.04 24.15 949.13 1932-33 - 406.95 5.53 5.08 150.71 30.24 19.08 209.44 38.09 18.85 883.97 1933-34 . . ■ 397.67 5.02 7.95 150 35 33 12 15 94 1934-35 412.42 6.04 11.24 142.02 23.19 19.51 230.14 42.00 16.78 902.34 TRANQUILLE SANATORIUM, 1934-35. Q 19 m M H & H OS H OS a Q 2; P Q H CO [H SB H CO Eh SB & © o o <! CO o 1-1 R SB <! o OS p H H Q SB m Oh w H to CO o os a SB o H w o 00 ^ IN r- CM M on to CM ^, CO ©COt-.Ht-Q0COt-US©Q0aOCM© OOllOOOTf^HOOWWffliO rt CCH(OlOCCOt-NM(NHN!ClO t-OOWcj)H®<Cfl)r1 N QO M lO 0 iH -* <M O CO CO tf I1 H 05 CO ffi N N M M N M N CO CO CM CM CM ^S B t-MMHIOHOOlOWWOlt-tCOO Incidenta and Unforesee M^NN^lfiON^HNNt-M ClC0tOi-HCMl£iQ0i-HCl©r-©'ei<00 <» TJ £ — • tDCSrHCOCM©©t--'#t-''S<00[--tf 03 o.S PI •a g 3 ^HOOt-aJr-IOOCOi-ICOrHT-ICOrHi-l HH<DMO(C'*Hffl'#lIiHriM fflT*t-00t-tBNO'^O^«i»N - ^H rH r-l i~l rH i-l Cfi ©t-rH©"*CMW.—l©i-H>-H©CM',tf ffitOM(OCJJlS(OQHH<flWOO Clt-t-SCOOt-MiMCOt-lOH© > i-HCO-tf©©©©CMCMt-t-Cnt-i-H OHiH(0M10(COQ»^W0)'* P-. «■ C/T . M^t-Oit-tDOJODbt-OOlCOQO t-t-CBWQOWOHIOMNTfOlt- CC©CO©oOt-^tit-COCMOr-i-HCO OlOOOt-^lOWNW'O'ONNN OMNlflHt-t-lO Tf "^ tC io !fl Prf m- fa" , Janitors Supplies and Main tenance rt'W Mt-HHtt'Ht-f- CO i1 (fi O) (OWt-t-COTflOMiOMfflCOOM OOtDOtCOOfflHCOffl^^COO cocot-tocoeooot-tNicooioico-^ &3- Is E-t-fc-Ocafc-OCO-tf CO CN US ■** ■"* <A c3 £ 10CMCO©,-HCOOOr-QO©"'*CO"'*t- »-£ o 'oj.^Ph t-N^t-lotOBOONHHlOHb IMlOOOlMKliDO'SMffiOOilO ^'liOTf^tocg'j^ii^^^'* Eh bO m J .S g g ffi(flt-HMlOU:COHMtOCOI>(0 C-OHH!SlOHOOMlD'*ffiai> tCtDNffiiHMCSlOM^^HCOt- C.CMO-'COOOCOUStDlfSOUStOuStD HgP. ■^W^t-'Jt-^MtSOcJiClOCOOSl- HMtecno^tstcotoiOH-*-* oS MN10C100Hai«;Ot-(flHIM!D Ht-^NONNtOOJlMNiM-*^ t-10lOMOrtNOOifflNCO!DO W M- 0) c OOOQOOHrlNlOlO^MKin 60- rHrHr-lT-CiHrHrHi-Ci-HrHi-l o !C CO IM <D rl U3 d N CO O) N Q N CM ■*# 00 CO rH tH a ee- CM CM CM CM )-H h o> t» H M M ■* Ifl NCNICMCMCMCMCMCMCOCOCOCOCOCO HNMM'lOtDC-MffiOHIMN'* NNNNNNNNNCOMMWM o a < o P5 W Ph o H H o & H H Ph w o w EH < w Ph o o GO O kH o W DQ H 05 H Zl 0& WCJ O &- ^ to ©ft, £a X<3 Kft, id £&< 0) « . o a ft E-t-s * > h 2 QJ'h S rrf o * Q P ^iS oj PJ.2H 5 -a d S.SPh -3 £ >> Ph O to . ill oot-t-toto-^rHcnto^cMt-t- MMI>TtlOO)eiH'llHl»MNCC HrtHNNNNMNNHrtHH ■^COCOCOCOCOCOCMCMCMCMCN cnt-,*co":*it5eoo>c73 OO^OMtOr-Mrtffl SD CO Cl OJ O O t- CO to o t- to "* -^ la OOtOt-NN^oC-NCSiMCBN (M<OOU5iHXtOOMlfS'^,COtOO ^TjlOKimMM'fHOQOOOOOl 00 ^ CM r- cq N to US o cT: "* 00 fc- us CT. © 00 CO 00 to CM to o OS IM to c- o r> Cft CO 00 to o en IN CM 00 CO us CM (M CO CO IM CO 0-1 IM CO CO CO &3- o o o o o o in o o o o o in o CM CM US O © C- O Co" "* ©" CM* i-H CM CM © © © © © US o © us © © © i-H ri CO lOHCOriCSHtD^lOfflCDOCOH roONHO^lOt-oiCDlOOOtD© Nt-^COCOCONOlQ^ffiMHH usooo*couscM©us^foo^fcocn© ©t-rHU3t-CMt-CMI>USU3CO©CM CO O (« t-n ^ ■* t- M H lO (C O! rf (C en o io" O H H l> 00 t-' od d cs ci ■*- CO C- t- CO CO CO t- t — I CM i-H rH ■^©U5rHO©©i-H©C.© ©'© © O 't H N O O ©-CO ©©©©©© ©M'b-i-H-^coto-^cousocic-cM OldONCMNHrlOJCMCOCMCMCM t-Hj-ICMCMCMCMCMCMCMCOCOCOCOCO ©CMUSt-CMCOCO-^©CM00USCO COC-WOCOCOCOcOlOWCDCOrl' coco^^coKiMM'ioioininia HNCC^lOtDt-COOiOHCMM'f CMCMCMCMCMCMCMCMCMCOCOCOCOCO 0^©Cft©©©©©Cl©CSCSO"10 Q 20 BRITISH COLUMBIA. Table E.—Summary of Laundry-work, April 1st, 1934, to March 31st, 1935. Month. Personal. Flat-work. Total. Earnings. 1934. April May June July— - August September. October November- December.. 1935. January February- March Totals.. 18,103 19,170 15,944 18,067 17,610 16,831 20,010 17,252 16,425 19,121 16,533 16,702 211,768 50,566 55,446 52,305 52,539 54,985 50,320 56,417 51,948 51,600 55,089 48,689 52,754 632,658 68,669 74,616 68,249 70,606 72,595 67,151 76,427 69,200 68,025 74,210 65,222 69,456 844,426 $3,702.28 4,060.43 3,582.76 3,789.73 3,782.82 3,526.92 4,007.00 3,601.00 3,467.65 3,908.59 3,431.06 3,568.74 $44,428.98 Personal laundry Flat-work Totals Pieces. 211,768 632,658 844,426 Average per month— Pieces. Personal laundry 17,647 Flat-work 52,721 Totals 70,368 Cash received for cleaning, pressing, and laundry, $191. Earnings. $26,379.55 18,049.43 $44,428.98 Earnings. $2,198.29 1,504.12 $3,702.41 TRANQUILLE SANATORIUM, 1934-35. Q 21 SANATORIUM FARM REPORT. Tranquille, B.C., March 31st, 1935. The Medical Superintendent, Tranquille Sanatorium, Tranquille, B.C. Sir,—I have the honour to submit herewith my report for the operation of the Tranquille Sanatorium Farm for the year ended March 31st, 1935. The crops, in so far as I have been able to determine, were up to the average of previous years, there being sufficient hay, ensilage, and root crops to adequately feed the various herds on these feeds throughout the winter. During the course of the year several head of beef cows were sold to farmers of the Province. These cows did not show the characteristics of the beef breed maintained at the Tranquille Sanatorium Farm, or else were considered not profitable as producing individuals. The elimination of these cattle not only improved the appearance of the range herd, but should make this unit more profitable. Through judicious culling of the dairy herd and a concentration of proved blood-lines within the herd the average production of this unit is being materially improved. The swine herd was permitted to decrease in numbers below that desired. This was caused primarily through the retention of aged animals within the herd. These animals have been replaced by younger and more prolific individuals. I have, etc., R. L. Davis, Farm Manager. BURSAR'S REPORT, TRANQUILLE SANATORIUM FARM. Balance-sheet, March 31st, 1935. Assets. Buildings and improvements $90,462.65 Equipment 3,822.80 Land 70,405.88 Auto-truck 511.10 Dam Account 2,074.80 Petty cash 500.00 Inventories 53,193.76 $220,970.99 Deficit for year 1934-35 23,948.93 $244,919.92 Liabilities. Capital balance $244,919.92 Profit and Loss Account, March 31st, 1935. Disbursements. Salaries $18,911.23 Office . 47.70 Travel and transportation 2,037.76 Fuel . 1,086.71 Maintenance 1,946.16 Feed 10,739.20 Carried forward $34,768.76 Q 22 BRITISH COLUMBIA. Profit and Loss Account, March 31st, 1935—Continued. Disbursements—Continued. Brought forward Provisions Leases Implements and harness Live stock Drugs, etc. Incidentals Boarding-house Depreciation Milk-sales to Sanatorium Garden produce Swine products Deficit for year Receipts. $34,768.76 4,276.60 1,265.00 785.84 11,268.97 29.89 400.50 596.51 $53,392.07 5,356.33 $58,748.40 $29,825.60 252.75 4,721.12 $34,799.47 23,948.93 $58,748.40 Expenditure by Voucher, Vote 130b, 1934-35. Salaries— Staff . Sundry employees Office supplies—■ Stationery Telephone and telegraph Travel and transportation— Travelling Truck and tractors Fuel Maintenance and repairs—■ Equipment renewals Fencing Dams and ditches Garden and grounds Feed Provisions Leases Implements and harness- Implements Harness $3,499.55 25,876.47 $38.35 9.35 $503.21 1,488.04 1,438.31 31.90 110.66 471.25 $383.45 400.38 $29,376.02 47.70 1,991.25 1,086.71 2,052.12 11,995.08 64.41 1,265.00 783.83 Carried forward $48,662.12 TRANQUILLE SANATORIUM, 1934-35. Q 23 Expenditure by Voucher, Vote 130b, 1934-35—Continued. Brought forward $48,662.12 New sires—■ Sires $557.93 Other stock 412.00 ■ 969.93 Drugs and veterinary— Drugs $22.14 Veterinary 7.75 Incidentals— Registration fees $66.75 Express 101.69 Miscellaneous 232.06 29.89 400.50 Gross expenditure by voucher as per Comptroller-General's Account $50,062.44 Less perquisite deductions 10,464.79 $39,597.65 Sundry revenue $3,417.95 Accounts receivable, 1934, collected 194.39 3,223.56 $36,374.09 Inventory as at March 31st, 1934 72,586.76 Less inventory as at March 31st, 1935— Live stock— Holstein herd $11,985.00 Hereford herd 8,220.00 Range cattle 19,410.00 Horses 1,985.00 Swine 2,752.23 Slaughter-house merchandise and equipment 621.45 Feed - I 4,540.77 Maintenance supplies 458.21 Produce (garden) 175.00 Travel and transportation 29.81 Implements and harness 3,016.29 $108,960.85 Purchases from Sanatorium— Provisions $4,212.19 Laundry 596.51 53,193.76 $55,767.09 4,808.70 $60,575.79 Depreciation 5,356.33 $65,932.12 By sales to Sanatorium 41,983.19 Deficit for year 1934-35 $23,948.93 Q 24 BRITISH COLUMBIA. Sundries sold to Sanatorium, etc. Beef and beef products, 59,395 lb. at 8% cents $5,197.07 Pork, 11,762 lb. at 12 cents 1,411.44 Bacon, 7,475 lb. at 25% cents 1,878.09 Ham, 11,428 lb. at 20 cents 2,273.60 Ham, 60 lb. at 12 cents 7.20 Sausages, 2,964 lb. at 12 cents 355.68 Lard, 5,409 lb. at 8 cents 432.72 Bakeasy, 109 lb. at 8 cents 8.72 Laundry lard, 2,780 lb. at 6 cents 166.80 Milk, 85,760 gallons at 34.72 cents 29,775.20 Apples, 327 boxes at 50 cents per box 163.50 Pears, 61 boxes at $1 per box 61.00 Vegetable marrow, 370 lb. at $1.50 per 100 5.55 Honey, 550 lb. at 10 cents 55.00 Greengages, 50 lb. at 3 cents 1.50 Potatoes, 8,620 lb. at 5 cents 43.10 Carrots, 1,270 lb. at $1 per 100 . 12.70 Beets, 680 lb. at $1 per 100 6.80 Parsnips, 360 lb. at $1 per 100 3.60 $41,859.27 Sundry sales , 3,223.56 $45,082.83 Milk Production for Fiscal Year 1934-35. 1934. Milk, Lb. April 84,755.7 May 87,446.2 June 83,089.7 July 81,960.7 August 78,283.9 September 80,082.6 October 79,871.0 November 74,515.8 December _- 75,076.2 1935. January 77,552.0 February 70,094.6 March 79,616.7 Total 952,345.1 VICTORIA, B.C. : Printed by Charles F. Banfield, Printer to the King's Most Excellent Majesty. 1935. 500-1135-6500
- Library Home /
- Search Collections /
- Open Collections /
- Browse Collections /
- BC Sessional Papers /
- DEPARTMENT OF PROVINCIAL SECRETARY FOURTEENTH ANNUAL...
Open Collections
BC Sessional Papers
DEPARTMENT OF PROVINCIAL SECRETARY FOURTEENTH ANNUAL REPORT OF THE TRANQUILLE SANATORIUM OF THE PROVINCE… British Columbia. Legislative Assembly [1936]
jpg
Page Metadata
Item Metadata
Title | DEPARTMENT OF PROVINCIAL SECRETARY FOURTEENTH ANNUAL REPORT OF THE TRANQUILLE SANATORIUM OF THE PROVINCE OF BRITISH COLUMBIA FOR THE FISCAL YEAR ENDED MARCH 31ST, 1935 |
Alternate Title | TRANQUILLE SANATORIUM, 1934-35. |
Creator |
British Columbia. Legislative Assembly |
Publisher | Victoria, BC : Government Printer |
Date Issued | [1936] |
Genre |
Legislative proceedings |
Type |
Text |
FileFormat | application/pdf |
Language | English |
Identifier | J110.L5 S7 1936_V02_03_Q1_Q24 |
Collection |
Sessional Papers of the Province of British Columbia |
Source | Original Format: Legislative Assembly of British Columbia. Library. Sessional Papers of the Province of British Columbia |
Date Available | 2016 |
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 | 10.14288/1.0306425 |
AggregatedSourceRepository | CONTENTdm |
Download
- Media
- bcsessional-1.0306425.pdf
- Metadata
- JSON: bcsessional-1.0306425.json
- JSON-LD: bcsessional-1.0306425-ld.json
- RDF/XML (Pretty): bcsessional-1.0306425-rdf.xml
- RDF/JSON: bcsessional-1.0306425-rdf.json
- Turtle: bcsessional-1.0306425-turtle.txt
- N-Triples: bcsessional-1.0306425-rdf-ntriples.txt
- Original Record: bcsessional-1.0306425-source.json
- Full Text
- bcsessional-1.0306425-fulltext.txt
- Citation
- bcsessional-1.0306425.ris
Full Text
Cite
Citation Scheme:
Usage Statistics
Share
Embed
Customize your widget with the following options, then copy and paste the code below into the HTML
of your page to embed this item in your website.
<div id="ubcOpenCollectionsWidgetDisplay">
<script id="ubcOpenCollectionsWidget"
src="{[{embed.src}]}"
data-item="{[{embed.item}]}"
data-collection="{[{embed.collection}]}"
data-metadata="{[{embed.showMetadata}]}"
data-width="{[{embed.width}]}"
data-media="{[{embed.selectedMedia}]}"
async >
</script>
</div>

https://iiif.library.ubc.ca/presentation/cdm.bcsessional.1-0306425/manifest