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Division of Venereal Disease Control Department of Health and Welfare ANNUAL REPORT For the Year 1954 British Columbia. Legislative Assembly [1956]

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 PROVINCE OF BRITISH COLUMBIA
Division of
Venereal Disease Control
Department of Health and Welfare
ANNUAL REPORT
For the Year 1954
VICTORIA, B.C.
Printed by Don McDiarmid, Printer to the Queen's Most Excellent Majesty
1955  Victoria, B.C., March 31st, 1955.
To His Honour Clarence Wallace, C.B.E.,
Lieutenant-Governor of the Province of British Columbia.
May it please Your Honour:
The undersigned has the honour to present the Report on Venereal Disease in the
Province of British Columbia for the year 1954.
ERIC MARTIN,
Minister of Health and Welfare. Department of Health and Welfare (Health Branch),
Victoria, B.C., March 31st, 1955.
The Honourable Eric Martin,
Minister of Health and Welfare, Victoria, B.C.
Sir,—I beg to submit the Annual Report on the work of the Division of Venereal
Disease Control of the Department of Health and Welfare for the year January 1st to
December 31st, 1954.
I have the honour to be,
Sir,
Your obedient servant,
G. F. AMYOT, M.D., D.P.H.,
Deputy Minister of Health.
Department of Health and Welfare (Health Branch),
Division of Venereal Disease Control,
2700 Laurel Street,
Vancouver 9, B.C., March 31st, 1955.
G. F. Amyot, Esq., M.D., D.B.H.,
Deputy Minister of Health, Victoria, B.C.
Sir,—I beg to submit the Annual Report on the work of the Division of Venereal
Disease Control of the Department of Health and Welfare for the year January 1st to
December 31st, 1954.
I have the honour to be,
Sir,
Your obedient servant,
W. S. MADDIN, B.A., M.D., CM.,
Director, Division of Venereal Disease Control. TABLE OF CONTENTS
1. List of Tables
     6
2. List of Charts
            6
3. Organization Chart
     7
4. Introduction
            9
5. Treatment
     9
6. Epidemiology
  10
7. Social Service             _            _                       •
             10
8. Education                    _          ______
               __ 11
9. General          _                                     _ __ .
                  ____ 11
10. Statistical Section       ■                                         _   _.
12
■ STATISTICAL SECTION
LIST OF TABLES
Table Page
I. New Notifications of Venereal Infection and Rate per 100,000 Population,
1945-54  13
II. New Notifications of Venereal Infection Classified according to Diagnosis,
Sex, and Source of Reporting of Notification, British Columbia, 1954  15
III. New Notifications of Venereal Infection Classified according to Diagnosis,
Sex, and Age-groups, British Columbia, 1954  17
IV. Rate per 100,000 Population for Total Venereal-disease Notifications, by
Age-groups, British Columbia, 1941-54  19
V. New Cases of Gonorrhoea Reported in British Columbia, by Age-groups and
Marital Status, 1954  20
VI. Patient-visits at All Clinics of the Division of Venereal Disease Control Classified according to Diagnosis, 1945-54  21
VII. New Notifications of Syphilis and Gonorrhoea by Health Units and School
Districts, British Columbia, 1950-54  22
VIII. Places of Meeting Reported as Facilitating the Spread of Venereal Disease,
1950-54  26
IX. Places of Exposure Reported as Facilitating the Spread of Venereal Disease,
1950-54 .  26
X. Contacts to Venereal Infection Classified according to Investigating Agency
and Result of Investigation, British Columbia, 1954 .  27
XI. Contacts to Venereal Infection Classified according to Investigating Agency
and Result of Examination, British Columbia, 1954  28
XII. Report of Laboratory Work Done by the Division of Laboratories Relating to
the Diagnosis and Treatment of Venereal Disease for All Agencies in
British Columbia, 1950-54  29
LIST OF CHARTS
Chart
I. New Notifications of Venereal Infection by Diagnosis, Reported by All Agencies,
British Columbia, 1945-54 (Rate per 100,000 Population)  12
II. New Notifications of Gonorrhoea by Age and Sex, British Columbia, 1954  18
III. New Notifications of Venereal Infection, Rate per 100,000 Population, British
Columbia, 1941-54  19
IV. Patient-visits at All Clinics of the Division of Venereal Disease Control Classi
fied according to Diagnosis, 1945-54  20 : i
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-  DIVISION OF VENEREAL DISEASE CONTROL
ANNUAL REPORT FOR THE YEAR 1954
W. Stuart Maddin, Director
INTRODUCTION
During this past year the total number of veneral-disease cases reported in the
Province showed a decline as compared with previous years. Early syphilis, including
the secondary stage, has continued to be a clinical rarity. Late syphilis and prenatal
syphilis, as reported to this Division, have also shown an appreciable decline. On reviewing the other forms of venereal disease an increase was noted in the total number of
reported cases of chancroid; however, these cases were found to be mainly among
mariners and other persons entering the port of Vancouver.
TREATMENT
This Division continued, as in the past, to overtreat gonorrhoea patients with massive
doses of penicillin, and the results to date have shown that such treatment has been
successful in preventing concomitantly acquired syphilis. Prior to the adoption of this
overtreatment schedule, authorities reported a small percentage (3 per cent) of patients
contracted syphilis along with their gonorrhoea.
A clinical survey is now under way to determine the usefulness of a newer long-
acting form of penicillin; it is hoped that with the addition of this therapeutic modality,
results in the treatment of a sizeable group of promiscuous offenders will be enhanced.
After observing the decrease in the patient case loads in the New Westminster and
Victoria clinics, several changes were made. The facilities of the Victoria clinic, which
was previously set up as a separate treatment unit, were incorporated in July, 1954, into
the Vancouver Island Chest Centre, 2345 Richmond Road, Victoria, B.C. The New
Westminster clinic has now become a part of the Simon Fraser Health Unit programme in
that the unit staff have assumed responsibility for case-holding and treatment of V.D.
patients. The economy effected by these changes has in no way detracted from the
diagnostic or treatment services offered to the public in either of those communities.
In co-operation with the Welfare Branch, the Division has continued to provide
service to the Juvenile Detention Home and the Girls' Industrial School. The number
of clinics at Oakalla Prison Farm has been increased in order to render a more complete and effective screening of the gaol population for venereal disease. Because of
the V.D. problem which prevails both at Prince Rupert and Prince George, clinics have
been continued at the city gaols in both of these centres.
Free drugs are still supplied to all private physicians for the treatment of venereal
disease. A supply of drugs is made available to all health units throughout the Province
in order that drugs can be dispensed locally to the private physician.
This Division has continued to receive excellent co-operation from private physicians
and other agencies within the Province in regard to the matter of reporting clinical cases
of venereal disease. Private physicians are continuing to avail themselves of the consultative services furnished by the Division. F 10 DEPARTMENT OF HEALTH AND WELFARE
EPIDEMIOLOGY
Epidemiological methods employed by the Division continue to be a most important
factor in the suppression of venereal disease. With the further education of the private
physician as to his place and importance in the over-all programme, it is hoped venereal
disease will become a minor problem in the general health programme of the Province.
Epidemiological workers have altered some of their interviewing techniques. Greater
emphasis is being placed on the initial interview, both as a means of educating the patient
with venereal disease and in securing from him sufficient data to enable workers to trace
the contact in the shortest possible time.
The modified programme of speed-zone epidemiology was recently reviewed by
members of this Division and showed that a higher percentage of contacts could be
brought in for investigation and treatment within the first seventy-two hours. This
newer concept has completely revised our older and previously described method.
The Vancouver City Gaol clinic continues to function as a most important part of
our programme. Treatment at this clinic is offered to all patients who present clinical
evidence of disease or who are known to be promiscuous.
The Indian Health Service, Department of National Health and Welfare, reorganized
its staff in the field, which has enabled them to accept increased responsibility toward
their V.D. patients. In the month of June a serologic survey was made among Indians
employed in the Sardis hop-yards, with a member of our staff assisting in this work.
A statistical analysis of this survey will be completed in the near future.
Due to increased case-reporting in certain areas of the Province, this Division has
found it necessary to supply, temporarily, a specially trained epidemiological worker to
augment the existing services at the local health-unit level.
SOCIAL SERVICE
Counselling on a casework basis continued to be given by the social worker at the
Vancouver clinic, and during the year 778 patients were interviewed as part of their
treatment for a venereal disease. This was a decrease from the previous year in the
number of patients interviewed. Again this year the department was without social-work
staff for a three months' period.
The clinic social worker's evaluation of the capacity of individual patients to modify
promiscuous behaviour showed much the same pattern as in the previous year. Approximately two-thirds of the patients interviewed were people who utilized the discussion with
the social worker to gain some insight into their difficulties. The remainder were patients
with repeated infections whose promiscuity was a reflection of their casual way of life.
In the current year there was an increase in the proportion of patients whose behaviour
was symptomatic of some more basic personality problem, 29 per cent being so classified
this year, as against 22 per cent in the previous year. For those patients the counselling
interview was an opportunity to sort out their problems and make a start at seeking some
solution to them.
In addition to the routine interviewing of patients following treatment, the clinic
social worker participated in a study project undertaken in the Division to investigate the
problem of recidivism in venereal disease. A detailed sociological analysis was made of
the case-histories of seventy-seven patients treated at the Vancouver clinic between February and July, 1953, who came within the definition of a repeater patient. Information
for the case-histories was obtained by the clinic social worker in an interview with each
of the patients included in the study. Although the interview appeared to the patient to
be spontaneous, it had been carefully standardized by the author of the study in co-operation with the clinic social worker and the Provincial Supervisor of the Social Service
Department of the Division, in order to give specific information about the life of the
repeater patient. The social worker experienced very little difficulty in enlisting the
co-operation of the patients in the study project, and each interview lasted about one hour. VENEREAL DISEASE CONTROL REPORT,  1954
F  11
As in previous years, the clinic social worker took part in the training programme in
venereal-disease control, arranged for the student-nurses, public health nursing students,
social-work students, and other professional personnel.
EDUCATION
The policy with regard to public health education has continued to function as in
previous years. On occasion we have been called upon to assist other branches of the
Government in the matter of venereal-disease education.
Lectures by members of the staff of the Division of Venereal Disease Control have
been given to student-nurses at Vancouver General, St. Paul's, Royal Columbian, and
Essondale Hospitals, as well as to the fourth-year medical students at the University of
British Columbia. In addition to this, practical experience is provided by the Vancouver
clinics to undergraduate nurses of the Vancouver General Hospital. A similar and more
concentrated programme is provided for students taking the public health nursing course
at the University of British Columbia. Certain members of the nursing staff of the Indian
Health Service were afforded an orientation period at the Division during the year.
The following articles were written and published during the course of the year:—
(1) " Challenging Trends in Venereal Disease Control," by Drs. Ben Kanee
and A. John Nelson. Published in the American Journal of Syphilis,
Gonorrhoea and Venereal Diseases, September, 1954.
(2) " Observations on the Applied Epidemiology of Gonorrhoea," by Drs.
A. John Nelson and D. O. Anderson. Published in the Canadian Journal
of Public Health, September, 1954.
(3) " Recent Advances in Venereal Disease Control," by Dr. A. John Nelson.
Published in the Canadian Nurse, March, 1954.
(4) " Syphilis Today," by Drs. W. S. Maddin and A. John Nelson. Published
in the Vancouver Medical Association Bulletin, July, 1954.
GENERAL
The Federal Government has continued its grant to this Division. From this grant,
funds were made available to the bio-medical library, University of British Columbia, for
a proportion of the operating costs and the purchase of up-to-date literature on venereal
disease.
Mr. D. O. Anderson, a University of British Columbia medical student, was attached
to the Division during the summer period in the capacity of epidemiology worker.
A research project undertaken by Mr. Anderson at this time was supervised by Dr. A.
John Nelson, Consultant in Epidemiology to the Health Branch. This project was also
used to fulfil the thesis requirements for the degree of Doctor of Medicine at the University. During this period Mr. Anderson collected data dealing with one of the major
venereal-disease control problems, that of the repeater patient. The project was completed in all detail in the spring of 1954, arid the final thesis will serve as a very excellent
guide in the future management of the repeater problem.
Special appreciation should be extended this year to the Ontario Department of
Health, Division of Venereal Disease Control and Central Laboratory, for the services
they have provided this Division in respect to the Treponema pallidum immobilization
test for selected patients.
It is our wish to express appreciation for the services and co-operation of the Division
of Laboratories, Division of Vital Statistics, and Division of Public Health Education.
In addition, the Division is most appreciative of the co-operation extended by the
Vancouver City Police, the Royal Canadian Mounted Police, the British Columbia Hotels
Association, the Liquor Control Board, Indian Affairs Branch of the Department of
Citizenship and Immigration, the Armed Forces Disciplinary Control Board of the United
States, 13th Naval District, and the American Social Hygiene Association. F 12
DEPARTMENT OF HEALTH AND WELFARE
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<_r- F 14 DEPARTMENT OF HEALTH AND WELFARE
A downward trend in the total number of reported venereal-disease cases since the
peak year of 1946 has continued throughout 1954. Table I shows a 10-per-cent decrease
in 1954 as compared with 1953. The rate per 100,000 population has continued to decline, and it is now well below the pre-war (1939) rate of 329.9 per 100,000 population.
Gonorrhoea has continued to be the main venereal-disease problem, as it accounted
for 92 per cent of all cases reported during the year.
The most striking conquest in the control of venereal disease in this Province has
been with syphilis. During the period 1946-54 there has been a 91-per-cent reduction
in the number of reported cases. In 1946 there were 2,126 cases of syphilis reported,
whereas in 1954 there were only 188 cases reported, of which only 17 could be classified
as early or infectious syphilis. VENEREAL DISEASE CONTROL REPORT,  1954
F 15
TABLE IL—NEW NOTIFICATIONS OF VENEREAL INFECTION CLASSIFIED
ACCORDING TO DIAGNOSIS, SEX, AND SOURCE OF REPORTING OF
NOTIFICATION, BRITISH COLUMBIA, 1954.
Source of Referral
Gonorrhcea
Syphilis
Acquired
Prenatal
Totals                - .          	
  T.
M.
F.
 —T.
M.
F.
  T.
M.
F.
  T.
M.
F.
 T.
M.
F.
Oakalla     	
 T.
M.
F.
Girls' Industrial School and Juvenile Detention Home  T.
M.
F.
Metropolitan Health Committee Clinics_..T.
M.
F.
Other sources
Private physicians
Indian Health Services
Department of National Defence .
Hospitals
Other
_-T.
M.
F.
_T.
M.
F.
...T.
M.
F.
...T.
M.
F.
__T.
M.
F.
__T,
M.
F.
2,892
2,248
644
1,272
890
382
996
727
269
59
43
16
9
7
2
45
17
28
154
95
59
1,620
1,358
262
1,364
1,143
221
34
29
5
104
101
3
12
106
77
29
2,668
2,096
572
1,179
816
363
916
662
254
53
38
15
9
7
153
95
58
1,489
1,280
209
1,260
1,085
175
33
29
4
101
98
3
6
3
20
10
10
667
579
1,941
1,479
462
1,119
778
341
893
645
248
45
34
11
7
5
2
35
9
26
133
85
48
822
701
121
706
594
112
11
7
4
85
84
1
2
1
1
18
15
3
36
32
34
30
4
34
30
4 F 16
DEPARTMENT OF HEALTH AND WELFARE
In 1954 the Vancouver clinic and private physicians reported 367 fewer cases in
that year as compared with 1953. The three other main reporting agencies—Metropolitan
Health Committee, Department of National Defence, and Indian Health Services—
reported more cases in 1954 as compared with the year previous. The Metropolitan
Health Committee reported 51 per cent more during the past year compared with 1953.
The private physician was responsible for reporting 47 per cent of all new notifications for gonorrhoea and the clinics were responsible for 44 per cent of new notifications
of this disease during 1954.
The private physician reported 54 per cent of the reported cases of syphilis; 152 or
81 per cent were either latent or late symptomatic syphilis. Of these, 55 per cent were
reported by private physician and 30 per cent by the clinics.
The ratio of male to female cases reported by clinics and private physicians has
increased from 2.97 to 3.49 for all cases of venereal disease reported. This compares
with a ratio of 2.33 reported by Divisional clinics and 5.17 for private physicians. As
pointed out in previous Reports, these sex differentials indicate that females are not being
brought to treatment in the number that they should, a fact that probably explains the
continuing high incidence of gonorrhoea in the Province. The Division, in an attempt to
bring more female contacts to treatment speedily, has continued to implement speed-zone
epidemiology. This Division is also attempting to obtain special interviewing techniques
which will further reduce this problem. TABLE III.—NEW NOTIFICATIONS OF VENEREAL INFECTION CLASSIFIED ACCORDING TO DIAGNOSIS, SEX, AND AGE-GROUPS, BRITISH
COLUMBIA, 1954.
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Totals     .       —T.
M.
F.
Under 1 year   -T.
M.
F.
1- 4 years    —T.
M.
F.
5- 9     „       T.
2,892
2,248
644
6
6
5
2,668
2,096
572
6
6
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727
617
110
1
1,941
1,479
462
6
6
4
188
120
68
2
2
11
7
4
16
12
4
14
8
6
14
5
9
16
10
6
20
11
9
39
26
13
35
23
12
16
12
4
1
1
4
3
1
14
13
1
2
2
5
5
3
3
3
3
1
1
11
5
6
3
1
2
2
1
1
3
1
2
1
92
48
44
2
2
8
6
2
8
5
3
8
1
7
7
3
4
10
4
6
18
10
8
22
13
9
8
6
2
1
1
20
15
5
1
1
2
2
2
2
6
4
2
4
3
1
2
2
1
1
2
2
40
32
8
1
1
4
3
1
3
1
2
6
4
2
12
11
1
8
6
2
6
6
1
1
5
1
4
2
2
36
32
4
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1
1
2
1
1
1
1
F.
10-14    „       _ T.
M.
F.
15-19     „         T.
M.
P.
20-24    „       - T.
M.
F.
25-29     „     T.
M.
F.
5
5
1
4
210
109
101
768
585
183
609
496
113
427
344
83
220
175
45
166
140
26
117
95
22
122
100
22
78
63
15
20
16
4
1
1
138
123
15
5
5
1
4
208
107
101
748
572
177
585
476
109
408
332
76
204
168
36
147
127
20
92
80
12
82
73
9
41
38
3
3
3
	
1
2
1
1
61
38
23
215
184
31
141
126
15
98
83
15
59
48
11
43
41
2
27
21
6
21
20
1
14
14
1
1
4
3
3
147
69
78
533
387
146
444
350
94
310
249
61
145
120
25
104
86
18
65
59
6
61
53
8
27
24
3
2
2
9
7
2
8
8
30-34     „            T.
M.
P.
35-39     „                            T
M.
	
1
1
5
4
1
2
7
F.
40-44     „                                                 T
M.
F.
45-49     „                                            T
M.
2
2
1
1
1
1
1
1
1
1
1
—
—
1
3
3
5
4
F.
50-59     „                                         T
M.
1
1
1
1
1
1
1
F.
60-69     „                                                   T
1
1
1
..__
1
M.
F.
70-79     „                                            T
	
2
1
M.
1
F.
	
	
1
1
	
	
80 years and over                           T
M.
134
120
14
	
44
40
4
90
80
10
F.
Not stated                            T
	
M.
F.
—
17 F 18
DEPARTMENT OF HEALTH AND WELFARE
The relative proportion of male and female cases reported during the year was very
similar to the figures obtained in previous years.
Sixty-eight per cent of all cases of gonorrhoea of females reported to this Division
occurred between the ages of 15 and 29 years of age. Sixty-six per cent of all cases of
gonorrhoea of males reported to this Division occurred between the ages of 20 and 34
years of age.
Eighty-one per cent of all syphilis reported to this Division was diagnosed as late
latent or late symptomatic syphilis. However, 127 cases or 68 per cent of syphilis
reported to this Division occurred in the age-group over 40 years.
CHART IL—NEW NOTIFICATIONS OF GONORRHCEA BY AGE
AND SEX, BRITISH COLUMBIA, 1954
0-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70. VENEREAL DISEASE CONTROL REPORT,  1954
F 19
CHART III.—NEW NOTIFICATIONS OF VENEREAL INFECTION, RATES
PER 100,000 POPULATION, BRITISH COLUMBIA, 1940-54
\total
T*
	
_. -
*™* ■"*"
S
^
^
^"^,
SVPH-U5
1941 1942 1943 1944 1945 1946
!
■
TABLE IV. —RATE PER 100,000 POPULATION FOR TOTAL VENEREAL-
DISEASE   NOTIFICATIONS   BY   AGE-GRO.UPS,   BRITISH   COLUMBIA,
1941-54.
Age-group
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
25
24
35
231
821
690
552
499
412
271
245
184
149
166
73
24
19
22
326
1,046
770
618
518
375
249
265
134
188
113
83
21
26
24
385
1,134
843
598
543
474
272
218
193
141
80
74
23
17
43
614
1,383
953
619
537
573
337
309
196
183
106
61
30
23
19
629
1,480
1,039
753
699
587
446
305
211
188
169
53
35
25
33
709
2,057
1,547
986
737
565
457
292
232
215
157
83
25
20
9
697
1,923
1,306
689
609
479
439
324
231
207
172
81
16
10
11
533
1,460
1,044
555
481
361
308
240
124
120
101
62
9
8
9
465
1,489
1,021
544
438
371
305
229
156
163
110
64
10
10
33
499
1,376
951
524
420
305
280
220
173
120
109
62
10
6
20
452
1,268
886
574
318
277
230
163
152
101
102
52
7
3
6
327
1,203
783
491
278
243
204
176
85
109
64
56
3
4
6
289
1,088
818
491
274
199
173
129
80
73
51
31
4
5- 9 „   _
4
10-14 „ 	
5
15 19 „ — —
269
20-24 „ -	
1,001
665
452
25-29 „ 	
30-34 „  	
35-39 „ 	
230
40-44 „ 	
189
45-49 „  	
160
50-54 „  	
112
55-59 „  	
92
60-64 „   	
84
65-69 „ 	
63
70 years and over
24
Totals 	
336
392
415
508
553
677
575
419
404
373
329
286
261
228
All age-groups had a lower case rate in 1954 as compared with 1953, except the
age-groups between 55 and 69 years of age. However, the 20-24-year age-group had
the largest percentage decline (8 per cent) in 1954 as compared to 1953.
The rate per 100,000 population of venereal disease for the combined age-groups
has again continued to show a progressive decline over the years. The rate of 228 per
100,000 as compared with 677 per 100,000 in 1946 gives some indication of the real
improvement attained. F 20
DEPARTMENT OF HEALTH AND WELFARE
TABLE V.—NEW CASES OF GONORRHOEA REPORTED IN BRITISH
COLUMBIA, BY AGE-GROUPS AND MARITAL STATUS, 1954
(Age-specific rates per 100,000 population.)
Single
Widowed and Divorced
Married1
Age-group
Male
Female
Male
Female
Male
Female
No.
Rate
No.
Rate
No.
Rate
1
No.   1  Rate
1
No.
Rate
No.
Rate
105
509
621
161
66
29
9
262.5
1,332.5
694.6
177.1
91.8
50.6
31.6
88
117
69
7
1
1
231.6
303.9
71.4
7.5
1.6
1.9
15
13
6
4
2
16.8
14.3
8.3
7.0
7.0
4
9
10
7
1
10.4
9.3
10.8
11.0
4.2
2
59
162
111
52
16
2
5.0
154.5
181.2
122.1
72.3
27.9
7.0
12
54
105
39
9
3
2
31.6
20-24   „   _	
140.3
25-34   „     	
108.6
35-44    „      	
42.0
45-54    „    _	
14.1
55-64    „    _    _
5.7
65-69    „     	
8.4
1 Includes separated.
The major problem, so far as gonorrhoea is concerned, presents itself in the 20-34-
year age-group of single males and to a lesser degree in the single females of a slightly
younger age-group (15-24 years).
CHART IV. — PATIENT-VISITS AT ALL CLINICS OF THE DIVISION OF
VENEREAL DISEASE CONTROL CLASSIFIED ACCORDING TO DIAGNOSIS, 1944-54.
PATIENT VISITS
100,000'
80,000
60,000
40,000
10,000
8,000
6,000
—
—
—
—
TOTAL
—
^~-
-——
SYPHILIS
*^.
—
--n__-l
	
"*^,	
"^
 ^
•*«£■—-____.
NOT YET D1AGNC
SED
—
GONORRHOEA ~~*
—
-
>^
• —
-
^S
-
—
W                  "*»«, VENEREAL DISEASE CONTROL REPORT,  1954
F 21
TABLE VI.—PATIENT-VISITS AT ALL CLINICS OF THE DIVISION OF VENEREAL DISEASE CONTROL CLASSIFIED ACCORDING TO DIAGNOSIS,
1945-54.
Year
Total
All
Clinics
Vancouver
Clinic
Syphilis
All
Clinics
Vancouver
Clinic
Gonorrhoea
All
Clinics
Vancouver
Clinic
Other V.D.
All
Clinics
Vancouver
Clinic
Not Yet
Diagnosed
All
Clinics
Vancouver
Clinic
1945...
1946..
1947...
1948...
1949...
1950...
1951...
1952-.
1953...
1954	
46,898
56,385
51,129
43,897
36,685
31,107
24,315
20,721
18,307
16,792
| 35,657
| 41,856
I 38,180
| 32,495
| 27,970
| 21,976
| 15,943
j 11,798
I 9.732
[ 8,779
26,297
30,047
28,291
24,894
16,425
11,685
8,109 |
5,754 I
4,503 |
3,432 |
20,084
23,158
21,986
19,166
13,139
9,301
6,606
4,314
3,494
2,831
9,692
11,382
9,799
8,480 [
9,102 |
8,548 |
5,904 |
4,511 j
3,551 |
2,279 I
8,065
9,297
8,051
7,014
7,858
7,418
4,964
3,606
2,758
1,848
26 |
44 |
43 |
124 I
125 |
88 I
121 |
I
23
36
31
122
114
88
115
10,909
14,956 |
13,039 |
10,497 |
11,114 |
10,831 |
10,178 j
10,331 |
10,165 I
10,960 |
I
7,508
9,401
8,143
6,292
6,937
5,226
4,251
3,764
3,392
3,985
This table serves to show the steadily decreasing number of patient-visits made to
the Divisional clinics over the past ten years. The decrease is most obvious in the case
of patient-visits made in respect of a syphilis diagnosis. This is due to the marked decline
in the incidence of syphilis over the past few years, and in particular the relatively short
courses of treatment that are possible with the newer types of penicillin.
The figures as reported in this table " not yet diagnosed " continue to remain quite
high, the reason for this being that diagnosis is withheld until smear and culture results
are known. Therefore, the increase as noted for the year 1954 is higher than previous
report years, for the reason just given. F 22
DEPARTMENT OF HEALTH AND WELFARE
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D VENEREAL DISEASE CONTROL REPORT,  1954
F 25
As in previous years, the majority (54 per cent) of new notifications were received
within the Vancouver City area. The two other health jurisdictions which continue to
present control problems are the Cariboo and Skeena Health Unit areas. In summary,
these three areas were responsible for 73 per cent of all new notifications of venereal
disease received in 1954. Because of this continuing high incidence of venereal disease
in the Cariboo Health Unit area, the Division of Venereal Disease Control has already
made arrangements to establish a venereal disease treatment centre in Prince George in
order that more stringent control and treatment measures can be effected. The Skeena
Health Unit area has shown a 34-per-cent decline in the number of new cases reported
during the past year. There is a large reduction in the number of new cases reported to
this Division throughout all the other health-unit areas. F 26
DEPARTMENT OF HEALTH AND WELFARE
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H VENEREAL DISEASE CONTROL REPORT,  1954
F 27
The figures given in Tables VIII and IX represent all places of meeting and exposure
named by persons reporting with a venereal infection. The premises most often named
as facilitating the spread of venereal disease are beer-parlours and hotels and rooms, and
they continue to be responsible for the largest percentage of namings, chiefly in the
Vancouver area. We have attempted to control the facilitation process through such
premises by meeting with their proprietors and managers in an attempt to secure their
co-operation in this phase of the control programme.
TABLE X.—CONTACTS TO VENEREAL INFECTION CLASSIFIED ACCORDING TO INVESTIGATING AGENCY AND RESULT OF INVESTIGATION,
BRITISH COLUMBIA, 1954.
Investigated by—
ss
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Result of Investigation
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2
3
1
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563
80
1
206
1
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123
68
2
26
12
1
10
1
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89
54
18
1
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5
	
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48
227
8
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1
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3
Found to be ex-Province 	
5
5
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1,036
435
1,063
129
	
2
110
2
15
Totals 	
4,550
867
4
472
4
195
197
l
274
1,038
435
1,063 F 28
DEPARTMENT OF HEALTH AND WELFARE
TABLE XI.—CONTACTS TO VENEREAL INFECTION CLASSIFIED ACCORDING TO INVESTIGATING AGENCY AND RESULT OF EXAMINATION,
BRITISH COLUMBIA, 1954.
Result of Examination and
Whether or Not Previously
Diagnosed
Infected with primary syphilis-
Previously diagnosed-
Not previously diagnosed-
Not stated	
Totals	
Infected with secondary syphilis-
Previously diagnosed-
Not previously diagnosed-
Not stated	
Totals -
Infected with other syphilis—
Previously diagnosed	
Not previously diagnosed-
Not stated	
Totals.
Infected with gonorrhcea—
Previously diagnosed	
Not previously diagnosed _
Not stated .___ 	
Totals-
Infected with chancroid—
Previously diagnosed	
Not previously diagnosed..
Not stated. 	
Totals-
Incomplete examination—
Previously diagnosed	
Not previously diagnosed-
Not stated	
Totals __
Negative—
Previously diagnosed	
Not previously diagnosed-
Not stated 	
Totals._
Investigation not indicated—
Previously diagnosed	
Not previously diagnosed.___
Not stated	
Totals-
Infected with non-specific urethritis-
venereal—
Previously diagnosed._
Not previously diagnosed-
Not stated	
Totals..
Not stated—
Previously diagnosed _
Not previously diagnosed-
Not stated  	
Totals-.
Totals—
Previously diagnosed..
Not previously diagnosed-
Not stated  	
Totals-
Investigated by-
§ a
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1,063
J VENEREAL DISEASE CONTROL REPORT,  1954
F 29
These tables represent our efforts to study the efficacy of contact-tracing as a method
of finding new cases of venereal disease. The contact-tracing index in 1954 was increased
to 1.57 to 1, as compared with 1.39 to 1 in 1953. There was a 10-per-cent decrease in
the number of contacts investigated in 1954 as compared with 1953, the reason for this
being that more emphasis was placed during 1954 on the speed-zone technique of
tracing as compared with previous years prior to the introduction of this concept.
Public health and Indian Department personnel investigated 77 per cent of these
contacts, the remainder being investigated by public health or Indian Department workers;
1,056 or 68 per cent were located as compared with previous years prior to the introduction of this concept.
Public health and Indian Department personnel investigated 77 per cent of these
contacts, the remainder being investigated by private physicians or other agencies. Of
those investigated by public health or Indian Department workers, 1,056 or 68 per cent
were located as compared with 61 per cent the previous year.
TABLE XII.—REPORT OF LABORATORY WORK DONE BY THE DIVISION
OF LABORATORIES RELATING TO THE DIAGNOSIS AND TREATMENT
OF VENEREAL DISEASE FOR ALL AGENCIES IN BRITISH COLUMBIA,
1950-54.
Examination
1950
1951
1952
1953
1954
9,179
30,710
378
178,375
6,797
28,510
370
228,547
6,582
28,656
283
232,270
7,080
27,349
257
253,756
8,228
Gonococcus microscopic examinations	
Treponema pallidum microscopic examinations	
26,005
448
211,634
During the past year there was a slight reduction in the number of specimens examined microscopically for N. gonorrhoea by the Division of Laboratories. There was an
increase in the number of examinations of gonococcus cultures and of Treponema
pallidum microscopic examinations as compared with the previous year. There was
a moderate decrease in the number of serologic tests done for syphilis during this past
year. During 1954 the venereal-disease research laboratory serologic test (V.D.R.L.)
replaced the Kahn test as a standard serologic test.
VICTORIA, B.C.
Printed by Don McDiarmid, Printer to the Queen's Most Excellent Majesty
1955
560-655-6087   

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