PROVINCE OF BRITISH COLUMBIA Thirty-sixth and Thirty-seventh Reports of the Medical Inspection of Schools For the Years ended June 30th, 1947 and 1948 VICTORIA, B.C. : Printed by Don McDiahmid, Printer to the King's Most Excellent Majesty. 1950. Department of Health and Welfare, Victoria, B.C., January 23rd, 1950. To His Honour C. A. Banks, Lieutenant-Governor of the Province of British Columbia. May it please Your Honour : The undersigned has the honour to present the Reports of the Medical Inspection of Schools for the years ended June 30th, 1947 and 1948. GEO. S. PEARSON, Minister of Health and Welfare. Department of Health and Welfare, Victoria, B.C., January 23rd, 1950. The Honourable Geo. S. Pearson, Minister of Health and Welfare, Victoria, B.C. Sir,—I have the honour to submit the Thirty-sixth and Thirty-seventh Reports of the Medical Inspection of Schools for the years ended June 30th, 1947 and 1948. I have the honour to be, Sir, Your obedient servant, G. F. AMYOT, M.D., D.P.H, Deputy Minister of Health. REPORT ON SCHOOL HEALTH SERVICES. This report on the school health services presents information and statistics on this phase of the public health services for the years ended June 30th, 1947, and June 30th, 1948. THE SCHOOL AND THE HEALTH SERVICES. For many years, school medical inspections have been recognized as an essential part of a public health programme. As a matter of fact, the public health programme in British Columbia had its origin in a school medical service which dealt only with immediate school problems, utilizing school nurses and part-time School Medical Inspectors employed directly by the School Boards. It was gradually recognized, however, that the health of the school-child cannot be separated from the general health conditions of the community in which he lives, and that factors influencing the physical and mental health of the pupil have their beginnings in his earlier infant and preschool existence. The best possible school health programme will only produce results in improving the health of the pupils in so far as it is complemented by a well-integrated and administered health service for the community as a whole. In recent years there has been some question as to what constitutes a good school health service. The routine physical examination and attempted control of communicable diseases constituted the past programme in which emphasis was concentrated upon the physical side of the problem of the school-child. Both health and educational authorities have become disturbed at the number of behaviour defects, attitude changes, social and emotional problems apparent in school-children. Observations of the effects of these on the development of the pupil have led to the impression that these require as much consideration and attention in the school health programme as the physical problems. The good school health programme should add to the community health. It should pervade the whole life of the school and the whole life of each child, so that its concepts will be carried beyond the school into the community. An educated person is expected to possess sound information concerning health and disease, and to work toward the protection and improvement of his own health and that of his family and community. Opportunities are numerous in the school to promote the health of pupils. The conditions of the environment in which children are called upon to live, their efforts to solve their individual and collective health problems, their learning of the facts and the principles of personal and public health lead them to acquire habits and social attitudes that assure better living in better health in all its aspects—moral, social, emotional, mental, and physical. If these principles are accepted as the tenets of a good school health programme, it becomes a field enlisting the support of both educational and health authorities. The effectiveness and success of the programme will become dependent upon co-operation between teachers, parents, children, family physician, public health nurse, and School Medical Inspector. Each has a responsibility to BB 6 BRITISH COLUMBIA. assume in ensuring the development and maintenance of optimum health by school-children, in which health is denned as " a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity." The school medical service is more directly concerned with the medical and preventive health aspects of the school health programme, including the mental, emotional, physical, nutritional, and immunization status of the school- child. In this the classroom teacher and the public health nurse serve as the spearheads of a service in which intimate collaboration is essential. The teacher, by her day-to-day observation of the children, is able to detect early disease symptoms, behaviour problems, attitude changes, and emotional tensions requiring immediate investigation. These observations are imparted to the public health nurse, who can correlate them with her knowledge of the case-history of the child. The teacher-nurse conference may provide sufficient information leading to satisfactory treatment, but in other instances the support of parents, family physicians, or others will be required. The functions of this service have been stated to be:— (1) Recognition of the problems in a school-child, that is, the screening and assessing of school pupils in the various grades. (2) Referral by the teacher to nurse, by the nurse to parents, parents to family physician, family physician to specialists, laboratories, etc. (3) Clinical evaluation of the unsatisfactory child. (4) Adequate treatment of the child. (5) Follow-up of the treatment—usually done by a combination of parent, teacher, nurse, and physician. The public health nurse serves to link up the school with the health and welfare of the community. She is vitally interested in the health education of all members of the community. In the school, however, the health instruction is the province of the teacher. This does not mean simply formal instruction, but implies healthful living conditions in home and school, knowledge of the normal child and his development, intelligent observation of deviation from normal, the health of the teacher, a happy, helpful relationship between teacher and pupils, and an appreciation of school health as a part of the life of the community. Possessed of sound health information, the teacher can influence attitudes, form habits, impart knowledge, and develop skills in her pupils. Health education, aimed at this group of society, by whom it can be assimilated, should yield results in improved school and community health. ROUTINE MEDICAL EXAMINATIONS VERSUS SCREENING METHODS. Investigation of the results obtainable through the routine medical examination has been continued during the past two years. This is prompted mainly by a desire for a reorganization of the school medical inspection to deal with the nutritional, mental, and emotional, as well as the physical, aspects of the pupil's health. There is continued questioning and searching for the most efficient methods to provide the greatest service to the maximum number of pupils, while giving more individual attention to those needing it most. One method, suggested in the last Report, hinged upon the use of the public health MEDICAL INSPECTION OF SCHOOLS, 1947-48. BB 7 nurse and the teacher in some form of screening and referral system, whereby the nurse conducts a preliminary examination and, in consultation with the teacher, refers to the School Medical Inspector selected children for more thorough examination and investigation. This method has been tried and proven effective, and has been studied further during the past two years. It is recommended as a definitely superior method over the former casual routine examination of all the pupils. Early in 1947 our attention was directed to a new method of assessing the physical status of children on the basis of height and weight measurements related to chronological age, plotted on a special chart known as the " Wetzel Grid." As heights are plotted against weights, the child is automatically categorized into one of nine physique types or specific body builds which he is expected to maintain with fidelity throughout his growing years. If, as a result of subsequent measurements, the plottings show a deviation from this preferred channel of growth, it is argued that something must be wrong— physically, nutritionally, or emotionally—and the child should be thoroughly investigated. In addition to this physique categorization, a time-table or schedule of development is presented on the basis of the height-weight plottings in relation to chronological age. Just as each child has a preferential physique channel, he also elects his own schedule of development—slow, fast, or average—but, again, he must adhere to his own rate constantly, or there is a deviation in his curve, indicating impending grief. It would appear from a study of the grid that it would be possible to divide children into two main groups: Satisfactory—those who maintained their individual normal growth and development; unsatisfactory—those who deviated from their anticipated growth and development patterns. In other words, the grid might serve as a screening tool to select the children requiring special attention by the school health personnel. In this vein it was proposed that a study of the Wetzel Grid in the school health service of the Province be set up, and in September, 1947, a survey was organized as a collaborative effort on the part of Federal, Provincial, and local health departments. The Department of National Health and Welfare supplied the necessary grids and seconded their pediatric specialist from their Division of Child and Maternal Health to act as director of the survey study. The Provincial Department of Health indicated the area for study, provided consultative services of nutritionists and physicians, and supported the project with funds necessary for employment of clerical staff. The Central Vancouver Island Health Unit provided staff of two public health physicians and twelve public health nurses. The area envelops the central portion of Vancouver Island and includes six large school districts, involving sixty schools with a school population of approximately 8,000 children. A preliminary report on this study was presented in May, 1948, in which it was stated that the grid served as a finer screen than did the subjective clinical examination, accentuating the previous studies, to show that approximately only one-third of the school population required concentrated attention. Further, the survey emphasized a nutritional and emotional causation of deficiency in addition to the purely pathological. This indicated a need for a BB 8 BRITISH COLUMBIA. reorientation of the school health efforts to include increased emphasis on an improved nutrition while also endeavouring to prevent or compensate for emotional stress on this group of the population. In the final analysis the value of the grid technique will depend upon a consideration of the effects of treatment among the unsatisfactory group. Investigations of these were included in the preliminary survey to show that good recovery, either partial or complete, was obtained in 78.8 per cent, of the cases with the major recovery effects most appreciable, evident in those due to disturbances of the nutritional state. The preliminary report recommended that, as the grid yielded objectively information which is vital, providing information in addition to that obtained by subjective clinical means, it was worthy of further study in the school health services programme. A more intensive investigation into all phases of the grid technique as compared to a routine school health programme was outlined in the terms of reference of the survey which was again set up as a joint effort of Federal, Provincial, and local health services. The study on this occasion was established as a research project under the Federal health grants, to be conducted during the academic year 1948-49, under the direction of the same field director from the Department of National Health and Welfare as in the preliminary study. A report of this final study will be forthcoming in the next Annual Report. SCHOOL ENVIRONMENT REPORTS. A new type of report on the environmental conditions in and around schools was brought out in 1946 and has now had three years of trial. It has provided more definite information on the sanitation of the schools of the Province and is of value in compiling statistical data for special reports on school sanitation. These, however, have limitations, since the conditions may be altered between the time of reporting and the preparation of the data. Probably the greatest value of the report form lies in pointing out the sanitation deficiencies in certain schools to the individual School Boards more directly interested in the schools within their school district. Copies of the reports are forwarded to these Boards through their own local health service each year, to be followed by discussion at a Board meeting when indicated. However, field experience with this report form would indicate that while it has extreme value as an initial report, little is to be gained in repetition each year, since so many of the factors remain constant, such as window area, floor space, ventilation, playground area, etc. It has been suggested a short form be adopted for the annual follow-up report; a committee has been set up to prepare a recommended follow-up report form which can be utilized to present suggested improvements for the guidance of the Board. Incidentally, it is interesting to note the increased number of School Boards that have appointed travelling handy men to visit each school regularly to effect repairs immediately as required. This has promoted an improvement in the rural school sanitation, where long neglected repairs, so common formerly, are becoming less evident. There is, however, still much room for improvement in school sanitation in many areas of the Province before even minimum standards are obtained. Evidence of this can be found in Report No. 1 of the National MEDICAL INSPECTION OF SCHOOLS, 1947-48. BB 9 Committee for School Health Research entitled "A Health Survey of Canadian Schools," which contains data on school environment throughout Canada, Province by Province. MENTAL HYGIENE IN SCHOOL HEALTH. The grid survey revealed a definite need for greater knowledge and understanding of the emotional stresses and tensions among school-children, which interfere with normal growth and development and often create actual mental disease when left untended. There are numerous mental health problems among the school population which have received too little attention in the past but are being given increasing attention by school and health authorities. The first line of attack on dealing with them begins with early recognition of the beginning symptoms, and in this the teacher is the person most likely to notice them. Having interpreted them, the teacher-nurse conference may lead to a derivation of the cause and a suggestion of the proposed remedy to overcome further deterioration mentally. A very definite responsibility rests upon the shoulders of the teacher, who requires some training and guidance in the determination of mental maladjustments. An approach to this has been made during 1948, when three teachers commenced the one-year postgraduate training in mental hygiene at Toronto, to return to city schools to assist and direct other teachers in the handling of mental problems. This is in the nature of a test study, but offers promise for the future, as it is expected more teachers will be given the same opportunity in subsequent years. The experiment is being conducted with the approval of the Department of Education in collaboration with the local School Boards and the National Committee on Mental Hygiene. The results will be studied with considerable interest, to be reported upon in other Reports. It is a definite step forward in attempting to meet the mental health needs of the school group. ABSENTEEISM IN SCHOOLS. Steady progress has been made in protecting school-children against the serious communicable diseases through immunization, until now somewhere in the neighbourhood of 80 per cent, of the total school population is immunized against smallpox and diphtheria, with a minority group protected against scarlet fever, whooping-cough, and tetanus. Regular annual clinics are conducted in school districts to provide reinforcing doses to maintain the immunity status of each pupil, while the increased attention to this among the pre-school and infant group gradually decreases the amount of service necessary in schools. Smallpox has become practically non-existent, while diphtheria is an extremely rare occurrence. The minor communicable conditions still flourish with a cyclic periodicity as new susceptible groups enter the school. Control measures have proved exceedingly ineffective throughout the continent, since little can be done after the initial few cases appear in a community, and the contact exposures become more numerous. It is anticipated there will always be a degree of absenteeism in school-children due to these minor communicable conditions, such as mumps, chicken-pox, rubella, and rubeola, more definite in cycles of every four to five BB 10 BRITISH COLUMBIA. years. It is recognized that they have certain complications which may leave their after-effects, often preventable by proper medical and nursing attention during their acute phase, but they are not as serious conditions as the major infections. Further studies have been conducted into absenteeism in schools and are embodied in Report No. 3 of the National Committee for School Health Research. Two tables from that report have been combined herewith to show the comparisons in absenteeism in urban and rural schools in British Columbia. Most absenteeism is due to medical reasons, but a surprisingly great amount of time is due to non-medical causes, particularly in the rural schools, where it accounts for 43.9 per cent, of all absences as compared with 24.8 per cent, in urban areas. Respiratory diseases are the most common cause of school absenteeism, the common cold being the greatest single factor, creating slightly more than 26 per cent, of all absences in both rural and urban areas. It is significant that communicable diseases account for not more than 3 per cent, of all absences in rural schools and only 1.8 per cent, in urban schools. On the other hand, it is a sad commentary on the lack of dental care to note that 6.8 per cent, of all absences in urban schools are due to dental conditions, and 4 per cent, in rural areas. Stomach disorders are the second greatest medical cause of absenteeism—10.8 per cent, in urban areas as compared with 3.2 per cent, in rural areas. In the non-medical causes of absenteeism, home help, parental neglect, and weather are the major causes of time lost from school. Strangely enough, parental neglect bulks largest in the rural schools, causing 10.2 per cent, of all school loss as compared to only 2 per cent, in the urban schools in the Province. Incidentally, this cause was higher in rural British Columbia than in any other Province in Canada and lower in the urban than in any other Province. Weather was a greater cause of absenteeism in rural schools than the urban schools—9.4 per cent, to 1.7 per cent. NUTRITION SERVICES. The preliminary Wetzel Grid study served to focus nutrition as one of the major causes of deficiency in growth and development of school-children. During the study, consultants in nutrition were actively enlisted to provide some guidance in assessing the results of that study while preparing recommended lists of dietary changes to promote a recovery programme. The continuation of the grid study will provide further opportunity for an assessment of that tool as an instrument in measuring a school population nutritionally and in testing the effects of altered nutrition in prompting individual changes in grid pictures. In addition to this, consultants in nutrition have provided advice and assistance to local health services in the promotion of improved nutrition for school groups. Much of this has centred around the school lunch, where assistance in the planning and operation of these services in the school has been requested by teachers and Parent-Teacher Associations. Parents have been particularly interested in the brochures issued and prepared by the nutrition service detailing the nutritionally best types of food to include in a school-lunch basket, while allowing for some variation in content from day to day. MEDICAL INSPECTION OF SCHOOLS, 1947-48. BB 11 HEALTH EDUCATION. Mention has already been made of the part that health education must play in the total school and community health services and the very important part that the teacher and public health nurse must play in promoting and guiding the programme, each complementing the other. Health attitudes and habits can be moulded in a very practical manner through a well-integrated school and community health-education programme. The Health Education Division of the Provincial Department of Health and Welfare provides as much practical assistance as possible to encourage a more active health-education programme in schools. Pamphlets, posters, brochures, slides, statistical data, motion pictures, and film-strips are supplied in increasing numbers to school principals and teachers through their local health services. Consultants from the Division are available to meet with teachers and public health personnel to review the school health-teaching programme and to suggest ways of implementing the school programme with the public health programme. The consultants have the advantage of a teaching background themselves, which has served to acquaint them with the teacher's problem in the classroom in contrast with the difficulties of health education in the home from the public health nurse's view-point. Knowledge of the needs in both fields is an aid in drafting suggestions to meet the universal problem of health education for the population as a whole, whom it must finally serve. SCHOOL MEDICAL INSPECTIONS. During 1946-47 there were 137,827 school-children enrolled in 953 schools, but in 1947-48 this had increased to 146,708 children in 965 schools. In the academic year 1946-47 seventy-five School Medical Inspectors submitted medical inspection reports for 34.7 per cent, of the school-children enrolled, while in the following year school reports for 29.8 per cent, of the school-children were received from seventy-eight school physicians. The percentage examined is admittedly low and is in part explained by the fact that figures do not include the schools in Victoria, Vancouver, or Burnaby. It is particularly significant that in both years slightly more than 91 per cent. (91.1 per cent, in 1946-47 and 91.7 per cent, in 1947-48) were in the "A" category, exhibiting satisfactory physical condition clinically. Only approximately 8 per cent. (8.3 per cent, in 1946-47 and 7.8 per cent, in 1947-48) appeared with slightly impaired physical condition, while about 0.5 per cent, in both years (0.6 per cent in 1946-47 and 0.5 per cent, in 1947-48) had major physical impairments. These results show a consistent improvement in physical status year by year ("A" category—86.6 per cent, in 1943-44, 88.3 per cent, in 1944-45, and 90.4 per cent, in 1945-46). So many factors affect physical conditions that it is difficult to determine any accountable reason for such a continuously improved physical status. Further study of the medical inspection reports reveals a slightly better physical status among the children in rural municipalities in contrast with those in urban municipalities ("A" category—92.5 per cent, in rural municipalities, 91.1 per cent, in urban municipalities). In a study of the results by grade it is found that children in the higher grades have an apparent slightly improved BB 12 BRITISH COLUMBIA. physical status over those in the lower grades, although the figures are above 90 per cent, in all grades. The various tables compiled from the medical inspection of school reports are presented statistically. Number of Absences and Days lost for each Cause as a Percentage of all Causes and all Medical or Non-medical Causes, 1946-47. URB.A n Schools. Rural Schools. Causes of Absence. All Absences. Medical or Nonmedical. All Days lost. Medical or Nonmedical. Average Days lost. All Absences. Medical or nonmedical. All Days lost. Medical or Nonmedical. Average Davs lost. 100.0 75.2 24.8 37.3 26.1 44 50 0.4 0.4 0.4 0.6 . 18 0.1 07 0.7 * 0.1 0.2 1.0 0.8 0.2 10.9 10.8 0.1 0.4 0.3 0.1 3.0 0.2 2.6 . 0.2 20.8 2.0 1.3 6.8 0.8 100.0 100.0 49.6 34.6 5.8 6.7 0.5 0.5 0.6 0.8 0.1 2.4 0.1 1.0 0.9 * 0.2 0.2 * 1.4 1.1 0.3 14.5 14.4 0.1 * 0.5 0.3 02 * 3.9 0.3 3.3 * 0.3 27.7 2.4 1.8 9.0 0.4 100.0 79.5 20.5 41.0 25.8 3.9 7.7 0.8 0.8 0.7 1.1 0.2 7.8 0.3 3.5 2.8 0.1 0.6 0.4 0.1 1.5 1.2 0.3 8.0 7.7 0.3 . 2.2 1.1 1.0 0.1 3.3 0.9 1.1 0.1 0.2 15.7 1.4 1.6 4.2 0.5 100.0 100.0 51.6 32.6 4.9 9.6 1.0 1.0 0.9 1.4 0.2 9.8 0.4 4.2 3.6 0.2 0.7 0.5 0.2 1.9 1.5 0.4 10.0 9.7 0.3 2.8 1.4 1.3 0.1 4.1 1.3 2.4 0.1 0.3 19.8 1.8 1.9 5.2 0.7 2.0 2.1 1.6 2.2 8.4 1.4 11.2 2.2 1.5 100.0 56.1 43.9 36.1 26.5 4.3 3.7 05 0.1 0.4 0.4 0.1 3.0 0.1 0.1 1.0 0.1 04 1.2 0.1 1.3 1.1 0.2 3.4 3.2 0.1 0.1 0.6 0.1 0.5 1.7 0.4 1.1 0.2 10.0 1.3 0.7 4.0 0.2 100.0 100.0 64.2 47.3 7.8 6.6 0.9 0.1 0.7 0.7 0.1 5.5 0.2 0.2 1.8 0.1 0.7 2.3 0.2 2.4 1.9 0.5 6.0 5.8 0.1 0.1 1.1 0.2 0.9 3.0 0.7 1.9 0.4 17.8 2.3 1.2 7.1 0.4 100.0 53.4 46.6 27.0 18.3 3.1 3.7 0.5 0.1 0.2 0.3 0.8 9.9 0.4 0.5 2.8 0.1 2.2 3.0 0.9 2.7 2.4 0.3 1.7 1.6 0.1 * 2.9 0.1 2.8 1.9 0.9 0.7 0.2 7.3 1.2 1.0 2.0 0.2 100.0 100.0 50.7 34.3 5.7 7.0 0.8 0.2 0.4 0.6 1.7 18 4 0.8 0.9 5.2 0.3 4.1 5.5 1.6 5.0 4.5 0.5 32 2.9 0.3 . 5.4 0.3 5.1 3.5 1.7 1.4 0.4 13.8 2.3 1.9 3.7 0.5 2.7 2.6 2.9 2.1 Bronchitis Asthma, etc Pneumonia 8.7 Mumps Measles German Measles Quarantine Whooping-cough Skin disorders 5.5 Non-contagious 1.4 Stomach disorder._ Severe intestinal Appendix attack Jaundice._ Operations ____ Head 12.9 Torso. Limbs .. All injuries _ 3.1 Fractures—out of school... Injuries—out of school Fractures—in school Injuries—in school Miscellaneous ____ _. Eye condition 2.0 * Less than 0.1 per cent. MEDICAL INSPECTION OF SCHOOLS, 1947-48. BB 13 Number of Absences and Days lost for each Cause as a Percentage of all Causes and all Medical or Non-medical Causes, 1946-47— Continued. * Less than 0.1 per cent. Note.—Tables obtained from "Absenteeism in Canadian Schools,' Health Research. Urban Schools. Rural Schools. Causes of Absence. Medical All Days lost. Medical Aver Medical All Days lost. Medical Aver All Ab or Non or Non age All Ab or non or Non age sences. medi medi Days sences. medi medi Days cal. cal. lost. cal. cal. lost. Miscellaneous—Continued. Doctor's examination 0.9 1.2 0.6 0.8 0.4 0.7 0.2 0.3 Headache 2.8 3.6 0.9 1.2 1.1 2.0 0.3 0.6 Nose-bleed 0.1 0.2 0.1 0.1 2.3 0.3 3.1 0.5 1.4 0.5 1.8 0.7 0.9 0.1 1.7 0.1 1.2 2.2 Nervous disorders Heart conditions * * * * Rheumatic fever . . 0.1 0.1 Anaemia • * 0.2 0.3 0.3 * 0.5 * 1.1 0.3 1.4 0.3 0.1 0.1 * 0.1 Meningitis Rare ailments .__ * * * * 3.7 24.8 5.0 100.0 2.8 20.5 3.5 100.0 1.6 1.2 43.9 22 100.0 1.2 46.6 2.2 100.0 Non-medical causes 2.9 Weather 1.7 6.7 0.9 4.5 9.4 24 10.6 22.8 0.7 2.9 1.8 6.2 0.4 0.9 0.2 0.4 Home help 13.2 53.1 9.6 46.7 14.3 32.6 10.2 21.9 Parental neglect 2.0 8.3 1.1 5.4 10.2 23 2 14.6 31.4 Special days _ 3.1 12.7 2.0 10.0 1.8 4.0 1.8 3.8 Working __ 0.6 2.5 1.0 4.9 1.8 2.9 2.5 5.3 Short absence from home _ 2.0 8.0 3.2 15.4 36 8.8 4.8 9.2 Transportation 0.3 1.1 0.1 0.6 2.1 4.9 1.7 3.7 Miscellaneous 1.2 4.7 1.3 6.3 0.8 1.8 0.7 1.5 Report No. 3, National Committee for School BB 14 BRITISH COLUMBIA. STATISTICAL TABLES. Physical Status of Total Pupils examined in the Schools for the Years ended June 30th, 1943 to 1947. 1942-43. 1943-44. 1944-45. 1945-46. 1946-47. Total pupils enrolled in grades examined 77,844 40,006 51.4 45.3 39.6 0.9 1.9 8.7 0.9 1.9 0.5 0.1 0.2 78,443 34,383 43.8 40.0 41.4 1.9 3.3 8.4 1.6 1.4 0.4 0.1 1.5 75,085 34,621 46.1 41.7 44.2 1.0 1.4 9.1 0.5 1.4 0.4 0.1 0.2 88,588 39,131 44.2 38.8 48.3 0.9 2.4 7.6 0.3 1.1 0.5 0.1 106,311 47,671 44.8 Physical status—percentage of pupils examined— A Ad 36.7 51.8 Ae __ . _. __ . ._ 0.9 Ade 1.7 Bd _ 6.7 Be Bde 0.3 1.3 Cd Ce ... 0.4 Cde 0.2 Physical Status, Organized and Unorganized Territory, 1946-47. Total. Organized. Unorganized. 106,311 47,671 44.8 36.7 51.8 0.9 1.7 6.7 0.3 1.3 0.4 0.2 88,551 34,770 39.3 33.8 54.8 0.9 1.6 6.6 0.3 1.3 0.5 0.2 17,760 12,901 Percentage of pupils enrolled examined Physical status—percentage of pupils examined— A 72.6 44.3 Ad 43.2 Ae 1.1 Ade 2.1 Bd . 7.3 Be Bde 0.3 1 3 Cd Ce Cde __. _. 0.3 0 1 Grade I. 13,341 11,457 85.9 34.0 52.5 0.9 2.1 8.0 0.3 1.6 0.4 0.2 10,557 8,936 84.6 32.9 54.1 0.8 2.0 7.6 0.3 1.8 0.4 0.1 2,784 2,521 90.6 37 9 Physical status—percentage of pupils examined— A Ad . _ __ 46.6 1.3 2.6 9.5 0.4 1.0 0.4 Ae _ .. _. _ Ade Bd Be Bde Cd Ce Cde 0.3 medical inspection of schools, 1947-48. bb 15 Physical Status, Organized and Unorganized Territory, 1946-47— Continued. Grades II-VI. Total. Organized. Unorganized. 52,384 18,196 34.7 35.2 52.6 1.3 2.0 6.8 0.2 1.4 0.3 0.2 42,022 10,862 25.8 30.8 57.4 1.4 1.8 6.4 0.2 1.4 0.4 0.2 10,362 7,334 70.8 41.8 45.7 1.0 2.2 7.3 0.3 1.4 0.2 0.1 Total pupils examined Physical status—percentage of pupils examined— A Ad Ae Ade Bd Be _ ____ Bde Cd -- . _ -__ Ce __ __ Cde _ Grades VII-IX. 25,297 11,477 45.4 37.6 52.3 0.7 1.4 6.0 0.2 1.2 0.6 21,771 9,064 41.6 33.7 56.0 0.6 1.4 6.1 0.2 1.2 0.7 0.1 3,526 2,413 68.4 52.4 37.6 1.0 1.4 5.8 0.3 1.2 0.3 Physical status—percentage of pupils examined— A _ _ -. „ Ad _. Ae Ade Bd . — --. Be -. Bde _ Cd Ce _ _. Cde _ Grades X-XIII. Total pupils enrolled in grades examined _ 15,289 6,541 42.8 43.8 46.8 0.7 0.8 5.7 0.7 0.8 0.6 0.1 14.201 5,908 41.6 41.2 49.4 0.6 0.7 5.9 0.8 0.8 0.5 0.1 1,088 633 58.2 68.1 23.1 0.9 2.1 4.1 0.3 0.8 0.6 Percentage of pupils enrolled examined Physical status—percentage of pupils examined— A - Ad - Ae Ade Bd Be - —- - Bde - Cd Ce Cde BB 16 BRITISH COLUMBIA. Urban and Rural Summaries of Physical Status, 1946-47. Total Pupils examined. Total. Cities. Urban Municipalities. Total, Urban. Rural Municipalities. Unorganized and Villages. Total, Rural. Total pupils enrolled in grades examined Total pupils examined Percentage of pupils en- 106,311 47,626 44.8 36.7 51.7 0.9 1.7 6.8 0.3 1.3 0.4 0.2 60,712 20,427 33.6 33.1 55.5 0.7 1.5 6.6 0.4 1.6 0.5 0.1 12,562 7,108 56.6 26.4 64.0 0.5 0.9 7.3 0.7 0.2 73,274 27,535 37.6 31.3 57.8 0.6 1.4 6.8 0.3 1.4 0.4 10,477 4,427 42.3 44.1 42.1 1.8 1.8 6.7 0.6 1.6 0.6 0.7 22,560 15,664 69.4 43.9 43.7 1.8 2.3 6.8 0.3 1.2 0.4 0.1 33,037 20,091 60.8 Physical status—percentage of pupils examined— A 44.0 Ad Ae 43.3 1.4 Ade Bd ...... Be 2.2 6.7 0.4 Bde. Cd 1.3 0.4 Ce _ _. Cde 03 Grade I. Grades II-VI. Total pupils enrolled in grades examined 13,341 7,091 1,526 8,617 1,386 3,338 4,724 Total pupils examined 11,455 6,014 1,282 7,296 1,115 3,044 4,159 Percentage of pupils en- 85.9 84.8 84.0 84.7 80.4 91.2 88.0 Physical status—percentage of pupils examined— A 34.0 33.3 21.9 31.3 42.8 37.4 38.9 Ad 52.5 0.9 55.3 0.5 60.6 0.2 56.3 0.5 42.2 2.2 47.2 1.4 45.9 Ae __ __ 1.6 Ade ____ 2.1 2.0 1.2 1.9 2.1 2.8 2.6 Bd 8.0 6.3 15.1 7.8 7.7 8.7 8.4 Be 0.3 0.2 0-2 0.6 0.5 0.5 Bde. 1.6 2.1 0.7 1.8 1.4 1.1 1.2 Cd 0.4 0.2 0.3 0.2 0.4 0.7 0.6 Ce Cde 0.2 0.1 0.6 0.2 0.3 Total pupils enrolled in grades examined Total pupils examined Percentage of pupils enrolled examined Physical status—percentage of pupils examined— A Ad Ae Ade Bd Be Bde Cd Ce Cde 52,384 18,189 34.7 35.2 52.6 1.3 2.0 6.8 0.2 1.4 0.3 0.2 27,445 4,785 17.4 30.0 56.9 1.2 1.7 8.0 0.2 1.5 0.4 0.1 6,334 2,953 46.6 25.7 68.1 0.4 1.0 3.9 0.7 0.1 0.1 33,779 7,738 22.9 28.4 61.2 0.9 1.5 6.4 0.1 1.2 0.2 0.1 5,830 1,890 32.4 38.0 45.5 2.4 2.5 7.2 0.5 2.4 0.5 1.0 12,775 8,561 67.0 40.9 46.6 1.3 2.3 7.0 0.3 1.3 0.3 0.1 18,605 10,451 56.2 40.3 46.3 1.5 2.4 7.0 0.3 1.5 0.4 0.3 MEDICAL INSPECTION OF SCHOOLS, 1947-48. BB 17 Urban and Rural Summaries of Physical Status, 1946-47—Continued. Grades VII-1X. Total. Cities. Urban Municipalities. Total, Urban. Rural Municipalities. Unorganized and Villages. Total, Rural. Total pupils enrolled in grades examined Total pupils examined Percentage of pupils enrolled examined Physical status—percentage of pupils examined— A 25,297 11,477 45.4 37.6 52.2 0.7 1.4 6.0 0.2 1.2 0.6 0.1 15,117 5,640 37.3 30.5 59.0 0.4 15 6.1 0.3 1.4 0.7 0.1 3,106 1,771 57.0 28.6 61.2 0.5 0.6 7.5 1.1 0.4 0.1 18,223 7,411 40.7 30.0 59.5 0.4 1.3 6.4 0.3 1.3 0.7 0.1 2,351 1,002 42 6 48.5 42.2 0.8 1.0 5.6 0.8 0.8 0.3 4,723 3,064 64.9 52.4 37.9 1.2 1.6 5.2 0.3 1.0 0.4 7,074 4,066 57.5 51.4 Ad 38.9 Ae 1.1 Ade . 1.5 Bd 5.3 Be 0.2 Bde 1.0 Cd 0.5 Ce Cde _ _ .____ 0.1 Grades X-XIII. Total pupils enrolled in grades examined 15,289 11,059 1,596 12,655 910 1,724 2,634 Total pupils examined 6,541 3,988 1,102 5,090 463 988 1,451 Percentage of pupils en rolled examined 42.8 36.1 69.0 40.2 50.9 57.3 55.1 Physical status—percentage of pupils examined— A 43 8 46.8 40.0 49.9 29.4 61.5 37.7 52.6 64.0 28.0 65.8 26.3 65.1 Ad 26.8 Ae __ 0.7 0.8 0.6 0.6 0.9 0.6 0.6 0.6 0.2 0.2 1.0 1.9 0.8 Ade 1.4 Bd 5.7 0.7 0.8 6.0 0.9 1.1 7.0 0.4 6.2 0.7 0.9 4.3 1.9 0.2 3.8 0.2 05 4.0 Be 0.8 Bde 0.4 Cd 0.6 0.7 0.2 0.6 0.4 0.5 0.5 Ce 0.4 0.1 Cde 0.1 0.2 0.1 0.4 0.1 Medical Inspection of School Personnel, Organized and Unorganized Territory, 1946-47. Total. Organized. Unorganized. Total personnel employed in grades examined 4,358 608 14.0 63.1 19.1 1.0 13.3 0.2 3.3 3,546 436 12.3 54.2 21.6 1.1 18.3 0.2 4.6 812 172 Percentage of personnel employed examined Physical status—percentage of personnel examined— A _ 21.2 86 0 Ad _ - 12 8 B 0.6 Bd - 0.6 C -- Cd - BB 18 BRITISH COLUMBIA. Medical Inspection of Rural and Urban School Personnel, 1946-47. Total. Cities. Urban Municipalities. Total, Urban. Rural Municipalities. Unorganized and Villages. Total, Rural. Total personnel employed in grades examined Total personnel examined.— Percentage of personnel employed examined Physical status — percentage of personnel examined— A Ad B Bd 4,359 608 13.9 63.2 19.1 0.9 13.3 0.2 3.3 2,557 271 10.6 49.0 22.5 0.4 20.7 0.4 7.0 457 110 24.1 57.3 19.1 3.6 19.1 0.9 3,014 381 12.6 51.5 21.5 1.3 20.2 0.3 5.2 350 995 227 22.8 82.8 15.0 0.4 1.8 1,345 227 16.9 82.8 15.0 0.4 1.8 C Cd Physical Status of Total Pupils examined in the Schools for the Years ended June 30th, 1944 to 1948. 1943-44. 1944-45. 1945-46. 1946-47. 1947-48. Total pupils enrolled in grades exam- 78,443 34,383 43.8 40.0 41.4 1.9 3.3 8.4 1.6 1.4 0.4 0.1 1.5 75,085 34,621 46.1 41.7 44.2 1.0 1.4 9.1 0.5 1.4 0.4 0.1 0.2 88,588 39,131 44.2 38.8 48.3 0.9 2.4 7.6 0.3 1.1 0.5 0.1 106,311 47,671 44.8 36.7 51.8 0.9 1.7 6.7 0.3 1.3 0.4 0.2 121,542 Total pupils examined Percentage of pupils enrolled examined Physical status—percentage of pupils examined— A Ad _. 43,662 35.9 39.5 49.6 Ae _ 0.9 Ade 1.7 Bd . ...... 6.7 Be _ _. . . 0.2 Bde ■ __ 0.9 Cd 0.3 Ce _ _ Cde _ 0.2 Physical Status, Organized and Unorganized Territory, 1947-48. Total. Organized. Unorganized. Total pupils enrolled in grades examined- 121,542 43,662 35.9 39.5 49.6 0.9 1.7 6.7 0.2 0.9 0.3 0.2 104,072 34,323 33.0 38.0 51.8 0.6 1.4 6.8 0.1 0.8 0.2 0.3 17,470 Total pupils examined _ .__ 9,339 53.5 Percentage of pupils enrolled examined _ ._ Physical status—percentage of pupils examined— A 45 2 Ad 41 4 Ae._...._ 2 2 Ade 2 8 Bd :_ 6 5 Be ... 0 3 Bde 1 2 Cd.__ 0 4 Ce ... ... ... Cde MEDICAL INSPECTION OF SCHOOLS, 1947-48. BB 19 Physical Status, Organized and Unorganized Territory, 1947-48—Continued. Grade I. Total. Organized. Unorganized. Total pupils enrolled in grades examined Total pupils examined 15,443 12,637 81.8 35.8 52.4 1.0 1.4 7.6 0.1 0.7 0.3 0.1 0.6 12,665 10,420 82.3 34.1 54.6 0.8 1.1 7.7 0.1 0.7 0.2 0.7 2,778 2,217 79.8 Physical status—percentage of pupils examined— A _ . _ -_ 43.9 Ad 42.3 Ae .„_„„ 1.8 Ade _ 2.6 Bd__ 7.3 Be 0.4 Bde. 1.1 Cd_ _ . 0.6 Ce._ ... Cde _ . Grades 77-77. Total pupils enrolled in grades examined 60.868 14,609 24.0 40 6 47.2 1.2 2.2 6.9 0.2 1.2 0.3 0.1 0.1 50,715 9,830 19.4 40.2 48.7 0.6 1.7 7.0 0.1 1.2 0.3 0.2 10,153 4,779 Percentage of pupils enrolled examined Physical status—percentage of pupils examined— A _ _. 47.1 41.3 Ad 44.0 Ae ._ 2.3 Ade . 3 3 Bd 6 9 Be . 0.4 Bde .. __ 1.3 Cd . _ 0.4 Ce Cde . __. 0.1 Grades VII-IX. 28,065 10,383 37.0 38.9 50.6 0.9 1.7 6.5 0.2 09 0.3 24,704 8,599 34 8 36 3 53.4 0.7 1.6 6.7 0.2 0.8 0.2 0.1 3,361 1,784 Percentage of pupils enrolled examined Physical status—percentage of pupils examined— A ... „ 53.1 51.3 Ad _ 36.8 Ae 2.5 Ade 2 0 Bd 5.5 Be 0.1 Bde 1.4 Cd . 0.4 Ce ■■ -- Cde BB 20 BRITISH COLUMBIA. Physical Status, Organized and Unorganized Territory, 1947-48—Continued. Grades X-XIII. Total. Organized. Unorganized. Total pupils enrolled in grades examined 17,166 6,033 35.1 46.0 47.6 0.6 0.8 44 0.1 0.4 0.1 15,988 5,474 34.2 44 2 49.5 0.4 0.8 4.5 0.1 0.4 0.1 1,178 559 * Percentage of pupils enrolled examined Physical status—percentage of pupils examined— A 47.5 63.5 Ad 29.5 Ae _ 2.7 Ade 1.1 Bd 2.9 Be _ - Bde 0.3 Cd Ce Cde - Urban and Rural Summaries of Physical Status, 1947-48. Total Pupils examined. Grade I. Total. Cities. Urban Municipalities. Total, Urban. Rural Municipalities. Unorganized and Villages. Total, Rural. Total pupils enrolled in 121,542 43,662 35.9 39.5 49.6 1.0 1.7 6.7 0.2 0.9 0.3 0.2 1 71.786 1 11.768 83,554 26,647 31.9 34.0 55.5 0.5 1.1 7.4 0.1 0.8 0.2 0.1 0.3 14,103 5,514 39.1 55.5 37.5 0.7 1.3 3.8 0.1 0.6 0.3 0.2 23,885 11,501 48.2 44.6 41.6 2.2 3.0 6.5 0.3 1.4 0.4 37,988 Total pupils examined Percentage of pupils enrolled examined Physical status—percentage of pupils examined— A Ad Ae Ade . ___ 22,628 31.5 35.3 54.5 0.5 1.1 7.1 0.1 0.7 0.2 0.6 4,019 34.2 27.0 61.7 0.2 0.9 8.7 0.1 1.1 0.2 0.1 17,015 44.8 48.1 40.2 1.7 2.5 Bd Be Bde Cd 5.6 0.3 1.1 0 3 Ce Cde 0.1 Total pupils enrolled in grades examined Total pupils examined Percentage of pupils enrolled examined Physical status—percentage of pupils examined— A __ Ad Ae Ade Bd Be Bde Cd Ce Cde 15,443 12,637 81.8 35.8 52.4 1.0 1.4 7.6 0.2 0.7 0.3 0.6 8,341 6,649 79.7 30.3 58.2 0.6 0.8 8.2 0.1 0.5 0.2 1.1 1,507 1,465 97.2 24.4 63.9 0.3 0.8 9.6 0.1 0.8 0.1 9,848 8,114 82.4 29.2 59.2 0.5 0.9 8.5 0.1 0.5 0.2 0.9 2,053 1,627 79.2 56.2 35.2 1.4 1.0 4.8 0.2 0.7 0.4 0.1 3,542 2,896 81.8 42.8 43.2 2.0 2.8 6.9 0.3 1.3 0.6 0.1 5,595 4,523 80.8 47.6 40.2 1.8 2.2 6.2 0.3 1.1 0.5 0.1 MEDICAL INSPECTION OF SCHOOLS, 1947-48. BB 21 Urban and Rural Summaries of Physical Status, 1947-48—Continued. Grades 77-77. Urban Total, Urban. Rural Unorgan Total, Rural. Total. Cities. Municipalities. Municipalities. ized and Villages. Total pupils enrolled in 60,868 33,195 6,016 39,211 8,329 13,328 21,657 Total pupils examined 14,609 5,657 1,000 6,657 2,453 5,499 7,952 Percentage of pupils en rolled examined 24.0 17.0 16.6 17.0 40.9 41.3 36.7 Physical status—percentage of pupils examined— A 40.7 37.5 20.4 34.9 53.4 41.7 45.3 Ad. - 47.2 50.8 64.7 52.9 40.3 43.3 42.4 Ae 1.2 0.7 0.2 0.6 0.4 2.2 1.7 Ade... 2.2 1.3 1.4 1.3 1.6 3.6 3.0 Bd 6.9 7.9 10.7 8.3 3.2 6.9 5.8 Be..- 0.2 0.1 0.1 0.1 0.4 0.3 Bde 1.2 0.3 0.1 1.1 0.4 0.2 2.2 0.3 0.1 1.3 0.4 0.2 0.7 0.1 0.2 1.5 0.3 0.1 1.2 Cd • 0.2 Ce . -- Cde 0.1 Grades VII-IX. Grades X-XIII. Total pupils enrolled in grades examined — 28,065 17,666 2,775 20,441 2,628 4,996 7,624 Total pupils examined 10,383 6,089 998 7,087 1,003 2,293 3,296 Percentage of pupils en rolled examined 37.0 34.5 36.0 34.7 38.2 45.9 43.2 Physical status—percentage of pupils examined— A — -- 38.9 50.6 0.9 33.9 56.0 0.6 30.0 60.0 33.2 56.6 0.5 55.3 36.8 0.3 49.2 38.0 2.4 51.0 Ad 37.6 Ae 1.8 Ade 1.7 6.5 1.5 6.8 1.2 7.9 1.5 7.0 1.3 4.8 2.4 6.0 2.1 Bd 5.6 Be 0.2 0.9 0.3 0.2 0.8 0.2 0.9 0.2 0.8 0.2 0.2 0.5 0.4 0.1 1.5 0.4 0.2 Bde 1.2 Cd 0.4 Ce Cde .._„.._ 0.4 0.1 Total pupils enrolled in 17,166 6,033 35.1 46.0 47.6 0.6 0.8 4.4 0.1 0.4 0.1 12,584 4,233 33.6 42.3 50.9 0.4 0.8 5.0 0.1 0.4 0.1 1,470 556 37.8 41.0 54.1 4.7 0.2 14,054 4,789 34.1 42.2 51.3 0.3 0.8 4.9 0.1 0.3 0.1 1,093 431 39.4 65.1 32.0 0.5 1.0 1.2 0.2 2,019 813 40.3 58.6 34.3 2.3 1.2 2.9 0.2 0.5 3,112 Total pupils examined Percentage of pupils en- 1,244 40.0 Physical status—percentage of pupils examined— A —. 60.8 Ad _ 33.5 Ae 1.7 Ade Bd -- 1.1 2.3 Be 0.2 Bde __ Cd - 0.3 Ce -... -- Cde — 0.1 BB 22 BRITISH COLUMBIA. Medical Inspection of School Personnel, Organized and Unorganized Territory, 1947-48. Total. Organized. Unorganized. Total personnel employed in grades examined 4,365 3,635 730 395 9.0 280 7.7 115 Percentage of personnel employed examined _ 15.8 Physical status—percentage of personnel examined— A 85.6 87.5 80.9 Ad 12.9 0.2 12.1 0.4 14.8 B Bd 1.3 4.3 C Cd Medical Inspection of Rural and Urban School Personnel, 1947-48. Urban Rural Unorgan Total. Cities. Municipalities. Urban. Municipalities. ized and Villages. Rural. Total personnel employed in grades examined 4,365 2,646 464 3,110 313 942 1,255 Total personnel examined... 395 221 39 260 3 132 135 Percentage of personnel employed examined 9.0 8.4 8.4 8.4 1.0 14.0 10.8 Physical status — percent age of personnel ex amined— A 85.6 95.5 43.6 87.7 100.0 81.1 81.5 Ad 12.9 4.1 56.4 11.9 15.2 14.8 B 0.2 0.4 0.4 Bd 1.3 3.7 3.7 C Cd VICTORIA, B.C.: Printed by Don McDiarmid, Printer to the King's Most Excellent Majesty. 1950. 795-150-6251
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PROVINCE OF BRITISH COLUMBIA Thirty-sixth and Thirty-seventh Reports of the Medical Inspection of Schools… British Columbia. Legislative Assembly [1950]
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Title | PROVINCE OF BRITISH COLUMBIA Thirty-sixth and Thirty-seventh Reports of the Medical Inspection of Schools For the Years ended June 30th, 1947 and 1948 |
Alternate Title | MEDICAL INSPECTION OF SCHOOLS, 1947-48. |
Creator |
British Columbia. Legislative Assembly |
Publisher | Victoria, BC : Government Printer |
Date Issued | [1950] |
Genre |
Legislative proceedings |
Type |
Text |
FileFormat | application/pdf |
Language | English |
Identifier | J110.L5 S7 1950_V03_08_BB1_BB22 |
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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 | 2017 |
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 | 10.14288/1.0340947 |
AggregatedSourceRepository | CONTENTdm |
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