PROVINCE OF BRITISH COLUMBIA DIVISION OF TUBERCULOSIS CONTROL of the Health Branch Department of Health and Welfare ANNUAL REPORT For the Year 1956 VICTORIA, B.C. Printed by Don McDiarmid, Printer to the Queen's Most Excellent Majesty 1957 . Victoria, B.C., June 3rd, 1956. To His Honour Frank Mackenzie Ross, C.M.G., M.C., Lieutenant-Governor of the Province of British Columbia. May it please Your Honour: The undersigned has the honour to present the Report on Tuberculosis in the Province of British Columbia for the year 1956. ERIC MARTIN, Minister of Health and Welfare. Department of Health and Welfare, Health Branch, Victoria, B.C., June 3rd, 1956. The Honourable E. C. Martin, Minister of Health and Welfare, Victoria, B.C. Sir,—I beg to submit the Annual Report on the work of the Division of Tuberculosis Control of the Department of Health and Welfare for the year January 1st to December 31st, 1956. All of which is respectfully submitted. 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 Tuberculosis Control, 2647 Willow Street, Vancouver 9, B.C., June 3rd, 1956. G. F. Amyot, Esq., M.D., D.P.H., Deputy Minister of Health, Victoria, B.C. Sir,—I beg to submit the Annual Report on the work of the Division of Tuberculosis Control of the Department of Health and Welfare for the year January 1st to December 31st, 1956. All of which is respectfully submitted. I have the honour to be, Sir, Your obedient servant, G. F. KINCADE, M.D., Director, Division of Tuberculosis Control. TABLE OF CONTENTS Page Letter of Transmittal 3 Letters of Transmittal 4 List of Tables 7 List of Charts 10 Organization of the Division of Tuberculosis Control 11 Report of the Director of the Division of Tuberculosis Control 13 Statistical Section 21 (a) Clinics 23 (b) New Cases Examined by Clinics 30 (c) General Summaries 3 7 (d) Institutions 40 (e) B.C.G. Vaccinations 56 (/) Known Cases of Tuberculosis 58 (g) Notifications of Tuberculosis 63 (/z) Tuberculosis Mortality 78 4 INDEX LIST OF TABLES Clinics Paob Table 1.—Clinics Held in British Columbia, Showing Time Spent at Each Centre and Number of Persons Examined by Mobile Unit, 1956 24 Table 2.—Persons Examined at Diagnostic and Treatment Clinics, 1956 27 Table 3.—Treatment and Tests at Diagnostic and Treatment Clinics, 1956 27 Table 4.—Report of Survey Clinics, 1956 28 New Cases Examined by Clinics Table 5.—New Examinations and Re-examinations in the Units Operated by This Division, 1952-56 (Excluding Indians) 30 Table 6.—New Diagnoses Other than Negative in Persons Examined by Diagnostic Clinics, by Diagnosis, Sex, and Age-group, 1956 (Excluding Indians) 31 Table 7.—New Cases of Pulmonary Tuberculosis Examined by Clinics, by Infection and Condition, 1956 (Excluding Indians) 33 Table 8.—Number of X-ray examinations (Chest and Other) Made by Institutions, Stationary Clinics, Travelling Clinics, Mobile Survey Clinics, and General Hospital Units, 1947-56 34 General Summaries Table 9.—X-ray Report for Stationary Clinics and Institutions, 1956 37 Table 10.—Laboratory Report, 1956 38 Table 11.—Dental Report, 1956 39 Table 12.—Eye, Ear, Nose, and Throat Report, 1956 39 Institutions—Summaries Table 13.—Institutions—General Summaries, 1956 40 Table 14.—Number of Pneumothoraces (Initial and Refill) Given by Institutions, Stationary Clinics, and Travelling Clinics, 1947-56 41 ■ Institutions—Admissions Table 15.—Total Admissions by Age and Percentage of Total Admissions in Each Age-group, 1952-56 41 Table 16.—Total Admissions by Diagnosis, Sex, and Age, 1956 43 Table 17.—Total Admissions by Diagnosis, Sex, and Racial Origin, 1956 45 Table 18.—Total Admissions by Diagnosis, Sex, and Type of Case, 1956 45 Table 19.—Total Admissions by Institutions and Diagnosis, 1956 47 Table 20.—Total Admissions by Diagnosis (Percentage Distribution), 1952-56 47 Table 21.—First Admissions by Institutions and Diagnosis, 1956 47 Table 22.—First Admissions by Diagnosis (Percentage Distribution), 1952-56 48 Table 23.—Readmissions by Institutions and Diagnosis, 1956 48 Table 24.—Readmissions by Diagnosis (Percentage Distribution), 1952-56 48 Table 25.—Review Admissions by Institutions and Diagnosis, 1956 49 Table 26.—Review Admissions by Diagnosis (Percentage Distribution), 1952-56.... 49 Table 27.—Discharges from Institutions by Condition on Discharge, 1952-56 50 Table 28.—Discharges from Institutions of First Admissions, by Condition on Discharge, Sex, and Length of Stay, 1956 50 Table 29.—Discharges from Institutions by Diagnosis upon Admission for Total Admissions, Sex, and Length of Stay, 1956 52 7 F 8 DEPARTMENT OF HEALTH AND WELFARE Page Table 30.—Discharges from Institutions by Diagnosis upon Admission for First Admissions, Sex, and Length of Stay, 1956 52 Table 31.—Discharges from Institutions, by Diagnosis upon Admission for Readmissions, Sex, and Length of Stay, 1956 53 Table 32.—Discharges from Institutions, by Types of Discharge, Sex, and Length of Stay, 1956 , 53 Table 33.—Discharges from Institutions by Condition on Discharge, Sex, and Length of Stay, 1956 54 Table 34.—Discharges from Institutions by Type of Discharge, Condition on Discharge, and Sex, 1956 55 B.C.G. Vaccinations Table 35.—B.C.G. Vaccinations Completed according to Group Listed, 1956 57 Table 36.—B.C.G. Vaccinations Completed according to Age-group, 1956 57 Known Cases of Tuberculosis Table 37.—Known Cases of Tuberculosis among the Total Population of British Columbia, by Statistical Area, as at December 31st, 1952-56 58 Table 38.—Known Cases of Tuberculosis among the Other-than-Indian Population of British Columbia, by Statistical Area, as at December 31st, 1952-56 58 Table 39.—Known cases of Tuberculosis among the Indian Population of British Columbia, by Statistical Area, as at December 31st, 1952-56 58 Table 40.—Known Cases of Tuberculosis by Health Unit and School District of Residence and Sex, 1956 (Excluding Indians) 59 Table 41.—Known Cases of Tuberculosis by Health Unit and School District of Residence and Sex, 1956 (Indians Only) 60 Table 42.—Known Cases of Tuberculosis by Type of Infection, Condition, and Age- group, 1956 (Excluding Indians) 61 Table 43.—Known Cases of Tuberculosis by Type of Infection, Condition, and Age- group, 1956 (Indians Only) 62 Table 44.—Ratio of Known Cases of Tuberculosis to Deaths from Tuberculosis among the Total Population of British Columbia, the Other-than-Indian Population, and the Indian Population, 1947-56 63 Notifications of Tuberculosis Table 45.—New Cases of Tuberculosis among the Total Population of British Columbia by Statistical Area, 1952-56 63 Table 46.—New Cases of Tuberculosis among the Other-than-Indian Population of British Columbia by Statistical Area, 1952-56 64 Table 47.—New Cases of Tuberculosis among the Indian Population of British Columbia by Statistical Area, 1952-56 64 Table 48.—Incidence per 1,000 Population of New Cases by Statistical Area, by Place of Residence, British Columbia, 1956 64 Table 49.—Notifications of Tuberculosis by Health Unit and School District of Residence and Sex, 1956 (Excluding Indians) 65 Table 50.—Notifications of Tuberculosis by Health Unit and School District of Residence and Sex, 1956 (Indians Only) 67 Table 51.—Notifications of Tuberculosis in British Columbia by Racial Groups (Including Dead Cases Reported for the First Time), 1947-56 68 Table 52.—Notifications of Tuberculosis by Type of Infection, Condition, and Age- .'" group, 1956 (Excluding Indians).— _ 70 TUBERCULOSIS CONTROL REPORT, 1956 F 9 Page Table 53.—Notifications of Tuberculosis by Type of Infection, Condition, and Age- group, 1956 (Indians Only) 71 Table 54.—Notifications of Tuberculosis in British Columbia by Age-group, Sex, and Diagnosis, 1956 (Excluding Indians) 72 Table 55.—Notifications of Tuberculosis in British Columbia by Age-group, Sex, and Diagnosis, 1956 (Indians Only) 73 Table 56.—Tuberculosis Notifications by Age-groups and Sex for British Columbia, 1942-56, Rates per 100,000 Population (Excluding Indians) 75 Table 57.—Ratio of New Cases of Tuberculosis to Deaths from Tuberculosis in British Columbia, 1952-56 78 Tuberculosis Mortality Table 58.—Tuberculosis Mortality and Rate per 100,000 Population for the Total Population of British Columbia by Statistical Area, 1952-56 78 Table 59.—Tuberculosis Mortality and Rate per 100,000 Population for the Other- than-Indian Population of British Columbia by Statistical Area, 1952-56 79 Table 60.—Tuberculosis Mortality and Rate per 100,000 Population for the Indian Population of British Columbia by Statistical Area, 1952-56 79 Table 61.—Tuberculosis Mortality by Statistical Area and City of Residence and Sex, 1956 (Excluding Indians) 80 Table 62.—Tuberculosis Mortality by Statistical Area and City of Residence and Sex, 1956 (Indians Only) 80 Table 63.—Tuberculosis Mortality by Diagnosis and Age-group, 1956 81 Table 64.—Tuberculosis Mortality and Rate per 100,000 Population for the Total Population of British Columbia, the Indian, Chinese, and Japanese Populations, and the Population Excluding Indians and Orientals, 1947-56 82 Table 65.—Male Tuberculosis Mortality for the Total Population of British Columbia by Age-group, 1952-56 84 Table 66.—Female Tuberculosis Mortality for the Total Population of British Columbia by Age-group, 1952-56 84 Table 67.—Tuberculosis Mortality for the Total Population of British Columbia by Age-group, 1952-56 84 Table 68.—Male Tuberculosis Mortality Rates for the Total Population of British Columbia by Age-group, 1952-56 85 Table 69.—Female Tuberculosis Mortality Rates for the Total Population of British Columbia by Age-group, 1952-56 86 Table 70.—Tuberculosis Mortality for the Other-than-Indian Population by Length of Residence in British Columbia and Place of Death, 1956 88 F 10 DEPARTMENT OF HEALTH AND WELFARE LIST OF CHARTS Page Chart 1.—Organization of the Division of Tuberculosis Control 11 Chart 2.—New Examinations and Re-examinations by Stationary Clinics, 1947-56 (Excluding Indians) 29 Chart 3.—New Examinations and Re-examinations by Travelling Clinics, 1947-56 (Excluding Indians) 30 Chart 4.—X-ray Examinations (Chest and Other) Made by Institutions, Stationary Clinics, Travelling Clinics, Mobile Units, and General Hospitals, 1947-56 35 Chart 5.—X-ray Examinations Made by Institutions, Diagnostic and Treatment Clinics, Stationary Clinics, Travelling Clinics, Mobile Units, and General Hospitals, 1947-56 36 Chart 6.—Percentage Distribution of Admissions to Institutions by Age-group, 1952-56 42 Chart 7.—Admissions to Institutions by Diagnosis and Age on Admission, 1956 44 Chart 8.—First Admissions to Institutions by Diagnosis (Percentage Distribution), 1947-56 46 Chart 9.—Percentage Distribution of Discharges from Institutions according to Condition on Discharge, 1947-56 51 Chart 10.—Notifications of Tuberculosis in British Columbia by Racial Groups (Including Dead Cases Reported for the First Time), 1947-56 69 Chart 11.—Notifications of Tuberculosis in British Columbia by Diagnosis, 1956 74 Chart 12.—Notifications of Tuberculosis in British Columbia by Age-group and Sex, 1941-56, Rates per 100,000 Population (Excluding Indians)___ 76 Chart 13.—Tuberculosis Mortality Rates per 100,000 Population for the Total Population of British Columbia, the Indian, Chinese, and Japanese Populations, and the Population Excluding Indians and Orientals, 1947-56 83 Chart 14.—Male Tuberculosis Mortality Rates for the Total Population of British Columbia by Age-group, 1952-56 85 Chart 15.—Female Tuberculosis Mortality Rates for the Total Population of British Columbia by Age-group, 1952-56 86 Chart 16.—Tuberculosis Mortality for the Other-than-Indian Population of British Columbia by Place of Death, 1956 87 TUBERCULOSIS CONTROL REPORT, 1956 F 11 i-i o H Z o U OJ cn O i-l £ O « w n D H Bh o Oi z o O cn > 1- P u W UI tc fc o a z o hH H < | z 5 o Pi O 1 r g G) OX o < 3 . o 2 " o (9 azo o s o < — IA4- « 5 .EaS & Ig|lis s = -S»zox > o w H ± :s > - « 3 C wZ n .S,r u c™ oi" 0. ns ra '»■§ > <AQ-B. mX c ? 3 2. _X 3 < xo (A O z >. z = do Jul Interior Coast Island Kootenay Fraser Valle •< a _J - Report of the Division of Tuberculosis Control, 1956 Dr. G. F. Kincade, Director INTRODUCTION This is the Twenty-first Report of the Division of Tuberculosis Control, and it covers the calendar year January 1st to December 31st, 1956. The Report is divided into six major sections of statistical tables showing the general summaries of the clinics of the Division, institutional admission and discharge summaries, B.C.G. summaries, tables on known cases and new cases of tuberculosis, and tuberculosis mortality. Certain amendments have been made to existing tables with a view to improving their usefulness. Brief narrative comments have been made as a guide to the more important features of these statistics, and graphs have been included with some of the tables to assist the reader in following time trends. In reviewing the tuberculosis problem to-day one cannot help but be impressed by the encouraging results that have been achieved in the past ten years. However, these results have been mostly confined to one phase of the tuberculosis programme—namely, treatment. The reduction in deaths from tuberculosis and the saving of lives are well known, and, of course, to those suffering from tuberculosis and their families nothing could be of more importance. Still, even in treatment, the greatest benefits from improved methods have accrued chiefly to the younger age-groups. Prevention, case-finding, and rehabilitation have never at any time in tuberculosis- control work deserved more attention than they do to-day. We cannot assume, because of the spectacular results of treatment, that tuberculosis is rapidly on its way out and is no longer a major health problem. The incidence of tuberculosis as shown by the new cases found is only slowly decreasing. The need for education was never more evident, and our efforts in vocational rehabilitation are as yet only in their developmental stages. The rapidly changing picture in tuberculosis-control to-day underlines the need for finding those undetected individuals in our population who are suffering from tuberculosis and, being unrecognized, are the source of spread of tuberculosis to those susceptible individuals with whom they associate. Once discovered, tuberculosis is readily treated and the spread of disease can be prevented. When it is unrecognized, we are incapable of doing anything about it. This, of course, is not a new concept, but from past experience we are now better able to mobilize our forces to bring these unknown cases to light. These unknown cases constitute the reservoir which will continue to produce new tuberculosis, and unless they are detected the eradication of the disease cannot become a possibility. Intensive case-finding, therefore, is clearly indicated. Moreover, compared to sanatorium treatment, case-finding is a relatively inexpensive procedure, and the money saved in operating even a small institution would more than pay for the most elaborate case-finding programme that would be necessary for this Province. CASE-FINDING PROGRAMME The tempo of the case-finding programme was continued at a high level during 1956. Chest X-rays totalled 386,465 during the year, which represent a slight decrease over the previous year. Three hundred and eight thousand one hundred and forty-nine were taken on miniature films in hospitals, survey clinics of the Division, health units, and by the mobile units. Seventy-nine thousand and eighteen standard-size X-rays were taken by the diagnostic clinics of the Division, the hospital admission X-ray programme, and through referred X-rays from outlying centres, which are paid for by the Division. The following is an analysis of these figures:— 13 F 14 DEPARTMENT OF HEALTH AND WELFARE Standard-size X-rays— Diagnostic clinics ...... 37,859 Referred films 11,678 General hospital admissions. . 29,481 Total 79,018 Survey (miniature)— General Hospitals— Admissions 87,236 Out-patients 26,647 Total 113,883 Mobile— Provincial 37,881 Metropolitan Vancouver 64,267 Total 102,148 Other surveys— Willow Chest Centre 28,539 Vancouver Island Chest Centre 10,598 New Westminster Clinic 9,621 Metropolitan Health Committee (stationary units) 41,382 Health unit at Courtenay. 1,276 Total 91,416 Total miniature X-rays 307,447 Total all X-rays 386,465 There were 307,447 miniature X-rays taken, in comparison with 307,090 the previous year, an increase of 357. As it is in most fatal diseases, the mortality rate for many years was the chief index of progress in the fight against tuberculosis. With the low death rates that have now been achieved, this index has become less useful and we are thinking more in terms of the incidence of tuberculosis as shown by the new cases found each year, particularly the new active cases. The incidence rate for "other than Indians" has dropped from 211.1 per 100,000 in 1946 to 114.3 in 1951 and reached its lowest point in 1956 with a rate of 80.8. The total number of cases reported in 1954 was 1,450, and in 1955 there was a drop to 1,403 cases. These included 646 active cases in 1954 and 587 active cases in 1955. A total of 1,311 new cases of tuberculosis were reported during 1956, of which 668 were active cases. The active cases, of course, are the most significant because of their need for treatment and the danger of infection from them. It is interesting to note that over half of the cases notified each year are in a healed condition. The basic concepts of case-finding have not changed, and it will always be necessary that people be X-rayed to establish a diagnosis of tuberculosis. Principles of control in tuberculosis do not differ from those used in epidemic diseases, although its insidious nature requires modified techniques. Our problem is to direct our efforts to those individuals and groups who are most likely to be suffering from tuberculosis. Fortunately, over the years a good deal of experience and a considerable volume of statistics have been accumulated which shed a good deal of light on the problem. Naturally, further information will be required so that our efforts may be refined and pin-pointed. TUBERCULOSIS CONTROL REPORT, 1956 F 15 So as to direct our case-finding efforts along productive lines, a survey planning committee was formed and has been in operation during the past year. This group represents the clinical, epidemiological, statistical, and organizing experience of those concerned in tuberculosis-control. Its endeavour has been to determine the high incidence areas throughout British Columbia and to mobilize our resources for concentrated efforts in these areas. The plan already in operation is to carry out total population X-ray surveys in those communities and to repeat these surveys a short intervals until such time as the findings indicate that the development of new cases has been reduced to a Provincial average. As an integral part of the organization of the X-ray survey, a pre-registration of the population is carried out so that those who do not participate in the survey can be known and later canvassed in a further effort to have them submit to a chest X-ray examination. In this way it is hoped that most of the hard core of these non-participants will eventually be broken down. As would be expected, case-finding is more productive in some centres than others, and the following table shows the case-finding rates of active cases found in selected operations:— Operation Examinations Active Tuberculosis Found New Previously Diagnosed Total Oakalla Prison Farm- Metropolitan Unit No. 1 (Vancouver). General hospitals, out-patients... Metropolitan Unit No. 4 (Vancouver). Courtenay Health Unit Willow Chest Centre— General hospitals, admissions- Provincial Mobile New Westminster Clinic Pacific National Exhibition- Vancouver Island Chest Centre- Metropolitan Mobile (Vancouver Industries). University of British Columbia 5,222 20,214 28,135 7,618 1,603 30,072 83,852 41,759 10,362 11,232 9,644 63,941 4,668 4 22 6 4 1 13 26 22 5 4 4 18 1 16 3 13 1 5 24 2 ~1 6 20(1 25 (1 19 (1 5(1 1(1 18 (1 50(1 24(1 5(1 5(1 4(1 24(1 1(1 in 261) in 808) in 1,481) in 1,524) in 1,603) in 1,671) in 1,677) in 1,740) in 2,072) in 2,246) in 2,411) in 2,664) in 4,668) The programme to provide a chest X-ray for all patients admitted to hospital in British Columbia continues to expand, and four additional miniature X-ray machines have been put in operation. These were in the hospitals at Quesnel, White Rock, Oliver, and Revelstoke. The total number of hospitals so equipped now numbers forty-two, and there are also thirty-seven hospitals doing a routine chest X-ray admission programme using their own equipment and standard-size X-ray films. The total number of admission X-rays taken in 1956 was 131,062, an increase of 10,543 over the previous year, when 120,519 chest X-rays were taken. The percentage of admissions X-rayed has increased from 40 per cent in 1951 to 61 per cent for the first nine months of 1956 in those hospitals provided with miniature equipment, while in hospitals using their own equipment the increase has been from 40.9 per cent when this programme was first initiated to 57.6 per cent in the first nine months of 1956. Many hospitals are doing an excellent job on this programme, and of the forty-two with miniature equipment, eighteen hospitals are X-raying from 50 to 70 per cent of their admissions. In hospitals using their own equipment, fourteen out of thirty-seven are X-raying over 70 per cent of their admissions and another nine are doing 50 to 70 per cent of their admissions. While realizing that it is almost impossible to have a chest X-ray for everybody admitted to a general hospital on account of the acute nature of some of the conditions for which they are admitted and the fact that many people have frequent admissions and, therefore, do not need repeated X-rays on every admission, every effort is still being made to stimulate the hospitals to do as complete a programme as possible. The benefits of this programme are well recognized, in the earlier detection F 16 DEPARTMENT OF HEALTH AND WELFARE of tuberculosis and in the protection of staff against unrecognized cases. There has been a marked reduction in the incidence of tuberculosis amongst hospital employees in recent years, and a great part of this reduction can be attributed to the admission chest X-ray programme. Analysis of Hospital Admission Chest X-ray Programme Hospitals with Equipment for Taking Miniature Films Hospitals Taking Standard Films Only Total Admission X-rays Year Number of Miniature X-rays Number of Standard- size X-rays Percentage of Admissions Examined Active TB. Found Number of X-rays Percentage of Admissions Examined New Old 1951. 1953 1955- •"' 1956 52,919 62,492 83,852 91,466 C1) 6,757 14,068 16,909 40.0 54.5 62.4 61.5 23 23 26 23 19 15 24 23 11,077 22,599 22,689 40.9 55.7 57.4 52,919 80,326 120,502 131,062 1 Not known. MORTALITY FROM TUBERCULOSIS Much comment has been made on the reduction of deaths in tuberculosis since the beginning of the streptomycin era in 1946. It has previously been recorded that the death rates declined from 57.4 per 100,000 at the beginning of this era to 9.7 per 100,000 in 1954. In 1955 there was an increase in death rates to 10.5 per 100,000 and in total deaths from 123 in 1954 to 137 in 1955. Preliminary figures recorded for 1956 show 109 deaths from tuberculosis for a rate of 7.8 per 100,000 population, the lowest yet recorded. Of the 109 deaths that occurred, only thirty-one were under 50 years of age and only three of these were under 20 years of age. All three were Indians. There were ho deaths under 5 years of age. It is not too long since that children under 5 years of age were particularly prone to develop acute tuberculous conditions, such as meningitis, and many deaths used to be recorded in this age-group. Seventy-eight deaths occurred in persons over 50 years of age, sixty-five being male and thirteen female. Of these deaths, forty-four were in persons over 70 years of age, thirty-eight being male and six female. The economic implications to the Province in this saving of lives and restoration to health of the younger age-group is of the greatest importance. This represents a tremendous saving in man-power and money, not to mention the alleviation of suffering and saving of the family unit, so often disrupted when young parents are afflicted with chronically disabling diseases such as tuberculosis. BED OCCUPANCY The decline in bed occupancy throughout the Division of Tuberculosis Control, which has been apparent over the last three years, continues its downward trend at an almost constant rate, with only a few upward fluctuations. At the end of 1954 the seasonal increase caused a rise in occupancy of 47 beds, but the downward trend continued in the spring, summer, and fall of 1955, with an increase of only 27 beds in the first three months of 1956. Since then the trend has continued to be downward, with no apparent rise this fall. The bed occupancy was 866 in January, 1954; 757 in January, 1955; 603 in January, 1956; and 536 in November of 1956. This shows a decrease of 330 persons in the beds operated by the Division of Tuberculosis Control in a three-year period. During this time Jericho Beach Hospital was closed, the tuberculosis beds at St. Joseph's Villa were converted to other uses, and at Tranquille the Main Building and East Pavilion are no longer in use. TUBERCULOSIS CONTROL REPORT, 1956 F 17 In 1954 provision was made for the operation of 935 beds within the Division, while at the present time provision is made for the operation of 672 beds, and this will be decreased to 571 beds at the beginning of the next fiscal year, an over-all reduction of 364 beds in slightly over three years. This is a reduction of 38.9 per cent. During the year all of the tuberculosis patients have been cleared from Shaughnessy Chest Unit, and all those tuberculosis patients who are the responsibility of the Department of Veterans' Affairs are now being taken care of by the Division of Tuberculosis Control. ... Bed Occupancy Beds Bed Operating Occupancy January, 1954 935 866 January, 1955 788 755 January, 1956 680 602 January, 1957 . 672 499 Budgeted for 1957- -58 571 The reduction in bed occupancy at Tranquille Sanatorium has been particularly apparent. There were 341 patients in Tranquille Sanatorium in January, 1954, and in November, 1956, there were 188 patients. The decline in occupancy in that institution has been gradually downward for three years, except in the early part of 1955, when, due to the seasonal increase and the transfer of many patients from Jericho when it closed, there was a definite up-trend. However, at the present time it is almost impossible to persuade patients from the metropolitan centres of the Coast to go to the Interior for treatment, so that Tranquille is used mainly for patients from the Interior of the Province. With the decreasing numbers of patients in the Interior needing treatment, the occupancy of the institution declines and will apparently continue to do so. The decreasing bed complement at Tranquille has created an administrative problem in staffing the institution. Every endeavour has been made to avoid partially occupied wards and to transfer patients so that wards could be closed and the staff reduced as quickly as possible. In spite of this and because of the impossibility of making much reduction in the maintenance and general upkeep services, the per diem rate has increased. However, there has been a marked reduction in the total budget for the institution. The ageing of the population of the sanatorium has for some time been apparent, and again this year the percentage of persons in sanatoria over 50 years of age continues to increase. While the total bed occupancy decreased rather rapidly during the past year from 615 to 533 patients, those beds occupied by persons over 50 are showing very little decrease, with the decline being only from 251 to 241. At the present time 241 of the 533 patients or 45.2 per cent are over 50 years of age. This has increased from 40.8 per cent in 1955 and from 32.2 per cent in 1952. Only thirty of the 241 patients over 50 years of age are female, representing a ratio of 7 to 1 of males to females. This has decreased slightly from 8 to 1 a year ago, and, in fact, there has been a slight increase in the female patients over age 50 from twenty-eight to thirty in numbers. Tranquille Sanatorium has the highest percentage of these older people, with 93 out of 188 patients or 49.4 per cent, while Pearson Hospital has 101 out of 233 patients or 43.4 per cent. Recently a spot check was made of the patients in our institutions to determine how many no longer need institutional treatment for tuberculosis and would normally be discharged if accommodation were available. It was felt that many of the older patients, although they had some tuberculosis, were suffering from other diseases and conditions that were of much more significance than their tuberculosis and required more care and attention. Having been diagnosed as tuberculosis and being very difficult to manage, they were not acceptable to general hospitals and nursing homes so had been admitted to sanatorium because of a need for medical and nursing care. Of 536 patients in sanatoria at the time of the survey, it was found that thirty-six patients fall into this category. These people were of the older age-group and practically F 18 DEPARTMENT OF HEALTH AND WELFARE all males. They ranged in age from 58 to 94, and twenty-five of them were 70 years of age and over. Thirteen had positive sputum tests, and twenty-three were considered to be negative. It was felt that ten of these people could be discharged to boarding homes, but that twenty-six of them would require nursing-home care. Out of the 101 older persons at Pearson Hospital, it was found that only twenty- seven had been in the institution over a year. There were 100 of the older age-group in Pearson Hospital one year before, and of these, thirteen had died. This indicates that sixty others had been discharged from the hospital during the year. Actually there is a considerable turnover in the older-age patients in our institutions, and every effort is being made to treat them and restore these patients to their normal activities and surroundings, with considerable success. The increasing number of these cases in our institutions is due to the fact that tuberculosis is now recognized as a serious problem in the older person, with more attention being paid to this group and more cases being found which need sanatorium care. COMMITTALS TO SANATORIUM The power of the Deputy Minister of Health to commit to sanatorium patients who are infectious and refusing treatment for tuberculosis has been enforced now for three years. In all, seventeen patients have been committed to our sanatoria, but the order was only used on four occasions in 1956. In one instance the patient made a hasty exit from the Province before the order could be served. Of the sixteen actual committals, six have been discharged and ten remain in our institutions. Three of the discharges followed successful resectional surgery. One has been discharged to his home on probation when arrangements satisfactory to the local Health Officer had been provided for the man. Two of the patients who were admitted with very far advanced disease in 1955 died in 1956. At the present time there are seven patients under committal at Tranquille, two in Victoria, and one in Pearson Tuberculosis Hospital. Two of the patients at Tranquille Sanatorium are of necessity confined in a restraining area because of the fact that they will not co-operate and in the past have shown a defiance to the committal order and have left sanatorium without permission. For the most part, the other patients are reasonably co-operative and have not shown themselves to be a security problem. The regulations for the committal of patients have been responsible for many others taking treatment who did not wish to do so. The order is only used as a last resort, and every method of persuasion is used to convince the patient of the necessity of treatment before recourse is made to actual committal. We have been very fortunate that most of those committed have become co-operative after committal, because within the Division there is very little accommodation available to handle patients of this type when they become hostile. There are several patients who are infectious and refusing treatment who would create a real problem in handling if it were not for the fact that they are the criminal element who are no sooner out of a penal institution than they commit another offence and are soon apprehended. This group is completely anti-social and impossible to handle in our sanatoria. NATIONAL HEALTH GRANTS The total amount of the Federal health grant for tuberculosis-control in British Columbia is slightly less for the fiscal year 1956-57, being $360,190, as compared with $366,070 in the previous year. In 1955-56 projects were submitted and approved in the amount of $313,070 or 85.5 per cent of the grant. Actual expenditures, however, amounted to $282,738 or 77.2 per cent of the grant. This was due to the fact that it is impossible to estimate accurately the amounts that will be spent in our larger projects, TUBERCULOSIS CONTROL REPORT, 1956 F 19 such as payment for admission chest X-rays. We are pleased to report that the under- expenditure was not due to delay in delivery of approved equipment. This year, projects have been submitted and approved in the amount of $319,992 or 88.6 per cent of. the amount available. Under the Tuberculosis Grant there are eighteen projects, with the largest being the hospital admission X-ray programme, which covers, for the most part, payments for X-ray examinations and provides free chest X-rays for all persons admitted to hospitals in the Province. The total amount of this project is $101,750, of which $90,000 is for the payment of chest X-rays. This fiscal year only one new miniature X-ray machine has been provided, that being in Smithers. Under National health grants, throughout the years over a quarter of a million dollars has been spent on the provision of forty-two miniature X-ray machines in hospitals and health centres. All hospitals with over 2,000 admissions a year have been provided with these machines, so that this phase of tuberculosis-control is considered to be practically complete. Other large projects are: $48,000 for the provision of antimicrobials for the treatment of tuberculosis, $34,068 for community X-ray surveys, $41,962 for the provision of staff and equipment at the Willow Chest Centre, and $19,599 for the rehabilitation project. All the projects during the current year have been continuations of projects from previous years, there having been no new projects initiated. Through an extension of the project for staff and equipment for the Willow Chest Centre, it has been possible to extend the services of the Respiratory Physiology Department. When this work was first initiated, the investigations were confined to the patients of the Division of Tuberculosis Control. The importance of this work was recognized and requests were obtained from general hospitals for investigation of their patients, and some were accepted. In view of the fact that this is a highly specialized department, which requires the services of a specially trained physician as well as specially trained technicians, and with the need for this work increasing in Vancouver, it was felt that the services of this laboratory should be extended to any patient who needed this type of investigation. Moreover, it would not be justifiable to duplicate these services in Vancouver. It has therefore been arranged that non-tuberculous patients from other hospitals in Vancouver and, in fact, throughout the Province, as well as out-patients, will be investigated by this department, provided that this investigation will assist in the diagnosis or treatment of their conditions. Of the total budget, $94,839 has been allocated for salaries of personnel, all within the Division of Tuberculosis Control, except for two nursemaids at the Vancouver Preventorium and four X-ray technicians with the Metropolitan Health Committee. Under the Professional Training Grant, four nurses were given postgraduate training during the past year and five short-term postgraduate training courses were provided— four for the medical staff and one in the rehabilitation department. We would again thank all those groups and agencies that have helped so much in carrying on the various phases of activities throughout the Division. Much is contributed in time, money, and effort on the part of innumerable people throughout the Province. Many groups contribute to the comfort and entertainment of patients in all of our institutions. Others assist in the organization and operation of our X-ray surveys, and, indeed, the surveys could not be carried on successfully without them. In the voluntary agencies the British Columbia Tuberculosis Society gives strong support in all our endeavours and meets many needs that could not otherwise be taken care of. The Vancouver Preventorium Society provides the only hospital accommodation for the treatment of children suffering from pulmonary tuberculosis. The Canadian Red Cross Society contributes greatly, not only in the blood that is so vital in such large quantities for the type of chest surgery that we are doing, but also in comfort and entertainment to the patients in our institutions. F 20 DEPARTMENT OF HEALTH AND WELFARE Many of the official agencies contribute to the operation of this Division, and our relationships with them have been of the highest order. Mention should be made of the close co-operation that exists between this Division and the Federal Department of National Health and Welfare through its Indian Health Service, which co-operates so closely and provides such an excellent service in tuberculosis for their wards. The keen and enthusiastic support and the high level of service that is exhibited by the staff of the Division of Tuberculosis Control is also recorded and much appreciated. STATISTICAL ANALYSIS for the Year January 1st to December 31st, 1956 TUBERCULOSIS CONTROL REPORT, 1956 CLINICS Map of British Columbia Showing Statistical Publication Areas F 23 Province of British Columbia— Population, 1,398,500. Area, 366,255 square miles. Travelling clinics— Kootenay Clinic (Nelson)—Statistical Areas 1 and 2. Interior Clinic (Kamloops)—Statistical Areas 3, 6, 8, 10c, lOd. Coast Clinic (Vancouver)—Statistical Areas 4, 7, 9c, 9d, 9e (excluding Fraser Valley). Island Clinic (Victoria)—Statistical Area 5. Fraser Valley Clinic (New Westminster)—Statistical Area 4 (excluding Lytton and Lillooet). Mobile clinics. Stationary clinics— Victoria. Vancouver. New Westminster. Tranquille. F 24 DEPARTMENT OF HEALTH AND WELFARE Table 1.—Clinics Held in British Columbia, Showing Time Spent at Each Centre and Number of Persons Examined by Mobile Unit, 1956 Centre Visited Armstrong Burns Lake Dawson Creek .. Enderby Fort St. John Kamloops Kelowna Merritt Oliver Penticton Travelling Diagnostic Clinics Interior Days 1 Centre Visited Princeton Days 3 3 Quesnel _ _ ._ 8 4 2 Revelstoke Salmon Arm . 3 4 2 3V2 12 Summerland . Vanderhoof Vernon 2 2 5Vi 1 Williams Lake ... 4 AV-2. Total (19 centres) — 6 781/2 Prince George Coast Centre Visited Alert Bay Hazelton Powell River Prince Rupert Squamish Days IVl 3 IVi 18 4 Terrace (including 2 days at Home for Aged) Centre Visited Smithers Queen Charlotte City Vancouver (Marpole Infirmary) Total (9 centres) Days 4 1 2 50 Centre Visited Abbotsford Agassiz Chilliwack Haney (including mary 1 day at Allco Infir- Fraser Valley Days 6 3 18 Centre Visited Hope Mission Total (6 centres) Days 3 1 33 Island Centre Visited Days Campbell River 12 Courtenay 14 Chemainus 6 Duncan 12 Ganges 2 Ladysmith 5Vz Centre Visited Lake Cowichan Nanaimo Port Alberni Qualicum Total (10 centres) Days 8 22 16 2 991/2 Kootenay Centre Visited Castlegar Cranbrook Creston Fernie Golden Grand Forks Greenwood Invermere Kaslo Days 5Vi 8 3V2 5 1-Vi 8 2 1 2 Centre Visited Kimberley Michel Nakusp Nelson New Denver Rossland Trail Total (16 centres) Days 5 6 4 60 4 4i/4 10 130 TUBERCULOSIS CONTROL REPORT, 1956 F 25 Table 1.—Clinics Held in British Columbia, Showing Time Spent at Each Centre and Number of Persons Examined by Mobile Unit, 1956—Continued Mobile Survey Clinics Unattached School District Centre Visited Bamfield Chamis Bay Gold River Mahatta River .. Nitinat Sarita River Tahsis Zeballos Days 1 1 1 2 2 1 2 1 Totals (8 centres) 11 X-rays 117 50 101 18 58 128 435 114 1,021 School District No. 32 Centre Visited Boston Bar Hope North Bend Days X-rays 2 104 2 840 1 108 Totals (3 centres) 5 School District No. 33 Centre Visited Wells Days m 1,052 X-rays 186 School District No. 14 School District No. 35 Centre Visited Okanagan Falls Oliver Osoyoos Days 1 Totals (3 centres) 14 School District No. 16 Centre Visited Hedley Keremeos Days 1 3 Totals (2 centres) 4 School District No. 17 Centre Visited Copper Mountain Princeton Days 1 4 Totals (2 centres) 5 School District No. 19 Centre Visited Revelstoke Days 7 School District No. 24 Centre Visited Chase Kamloops Totals (2 centres). Days 1 6 School District No. 28 Centre Visited Macalister Quesnel X-rays 142 2,095 991 3,228 X-rays 102 600 702 X-rays 139 483 622 X-rays 2,241 X-rays 175 403 578 Totals (2 centres) 12 2,882 Centre Visited Langley Days 5 School District No. 36 Centre Visited Cloverdale Whalley White Rock _..._. Days 5 4 5 Totals (3 centres) 14 School District No. 40 Centre Visited Days New Westminster (commercial and industrial) 39 School District No. 52 Centre Visited Port Edward Prince Rupert _. Days 4 11 ■ Totals (2 centres) 15 School District No. 53 Centre Visited Terrace Hazelton Cedarville Totals (3 centres) 11 School District No. 54 X-rays 1,469 X-rays 1,372 1,154 1,180 3,706 X-rays 5,964 X-rays 283 1,893 2,176 Days X-rays 5 938 5 276 1 56 1,270 Centre Visited Days X-rays Days X-rays Smithers .. .... 2 450 1 117 Houston 1 298 11 2,765 Telkwa 2 170 Totals (3 centres) 5 918 F 26 DEPARTMENT OF HEALTH AND WELFARE Table 1.—Clinics Held in British Columbia, Showing Time Spent at Each Centre and Number of Persons Examined by Mobile Unit, 1956—Continued Mobile Survey Clinics—Continued School District No. 55 Centre Visited Burns Lake Decker Lake _. Grassy Plains _ Pendleton Bay Days 5 1 1 1 Totals (4 centres) 8 School District No. 56 Centre Visited Vanderhoof Days 3 School District No. 57 Centre Visited Summit Lake Red Rocky Creek Days 1 1 Totals (2 centres) 2 School District No. 61 Centre Visited Victoria Days 7 Chinatown, 278; Colquitz, 699; industry, 145. School District No. 65 X-rays 476 106 170 235 987 X-rays 392 X-rays 134 85 219 X-rays 1,222 Centre Visited Days Bamberton 2 Duncan 2 Hillcrest 2 Totals (3 centres) 6 School District No. 66 Centre Visited Gordon River Honeymoon Bay Days 1 3 Lake Cowichan 2 Youbou 1 Totals (4 centres) 7 X-rays 187 560 315 1,062 X-rays 50 410 291 552 1,303 School District No. 67 Centre Visited Days Chemainus 3 Ladysmith 2 Centre Visited Nanaimo Totals (2 centres) 5 School District No. 68 Days School District No. 69 Centre Visited Qualicum Days 1 School District No. 73 Centre Visited Beaver Cove Englewood Port McNeill .... Sointula Days 1 1 1 2 Totals (4 centres) 5 School District No. 74 Centre Visited Coal Harbour _ Holberg Jeune Landing Port Alice Port Hardy Winter Harbour Quatsino Total (7 centres) 9 School District No. 79 Centre Visited Tofino Ucluelet Days 2 2 Total (2 centres) 4 X-rays 617 384 1,001 X-rays 1,399 X-rays 265 X-rays 62 108 204 320 694 ays X-rays 1 31 2 215 1 47 2 427 1 317 1 27 1 36 1,100 X-rays 66 256 322 Grand totals (69 centres)_...220V£ 37,881 TUBERCULOSIS CONTROL REPORT, 1956 F 27 Table 2.—Persons Examined at Diagnostic and Treatment Clinics, 1956 Stationary Travelling Item Willow Chest Centre Tranquille Victoria New Westminster Coast Kootenay Interior Island Fraser Valley Total 24,608 15,330 4,157 9,465 1,478 1,047 431 319 5,462 3,938 1,311 5,141 4,182 2,340 479 551 1,323 1,176 147 287 4,071 2,368 1,708 536 262 909 2,294 1,893 401 1,315 3,853 2,279 1,781 478 1,167 2,371 722 543 163 16 474 44,716 Type of case— 29,756 8,103 Physicians' interview Referred X-rays, large films.. 18,523 11,678 Table 3.—Treatment and Tests at Diagnostic and Treatment Clinics, 1956 Stationary Travelling Item Willow Chest Centre Tranquille Victoria New Westminster Coast Kootenay Interior Island Fraser Valley Total 5,398 383 85 718 175 11 252 33 21 26 2,296 160 1,107 101 8 82 29 64 9,117 677 114 826 175 9 49 F 28 DEPARTMENT OF HEALTH AND WELFARE The number of examinations carried out in the survey clinics showed a slight, but significant, increase, while the number of new tuberculous cases found in survey clinics dropped from 381 to 328. The new active cases dropped from 126 to 102, and there was a drop in those classified as " activity undetermined " from 92 to 89. Table 4.—Report of Survey Clinics, 1956 Clinics Mobile Stationary Metropolitan Health Unit, Courtenay General Hospitals Willow Chest Centre Victoria New Westminster Provincial Metropolitan Outpatients Admissions Total 28,539 44 2 30 7 9 14 5 1 3 1 6 4 1 10,598 9 8 4 2 1 1 9,621 6 1 3 3 2 ~ 1 1 37,881 56 46 16 15 3 12 10 5 3 2 64,267 22 16 5 5 1 5 6 2 2 2 72 49 41,382 60 2 36 10 13 3 10 20 12 6 2 2 2 99 53 1,276 1 1 1 1 26,647 34 27 5 7 15 4 2 2 " I 2 1 88 2 60 2 2 7 49 24 1 2 7 14 2 1 87,236 96 65 10 14 3 38 21 10 6 1 4 5 3 1 1 5 408 4 237 7 11 46 173 132 8 7 46 71 27 8 1 10 8 8 133 186 84 695 84,212 1,422 307,447 328 5 232 58 63 12 99 69 33 23 4 Inactive 9 16 Active . . 11 3 8 4 2 2 4 4 1 1 31 24 2 4 18 6 4 2 1 1 48 40 12 11 27,951 402 2 6 128 2 95 8 6 27 54 25 1 835 |j 1 1 9 38 17 5 12 4 4 2 60 49 12 20 63,733 299 5 3 11 34 32 5 3 13 11 10 3 1 3 3 4 96 63 14 15 40,593 442 1 2 ~~I 1,264 7 23 25 107 368 Moderately advanced- 240 15 16 11 13 5 2 2 1 1 31 40 8 25 37,401 192 86 123 49 14 5 7 6 9,568 29 2 1 ~ 2 34 41 18 196 25,881 353 17 3 95 12 18 10,269 184 16 17 410 523 160 987 300,872 Other 3,330 Does not include 795 miniature films taken at Pearson Hospital. TUBERCULOSIS CONTROL REPORT, 1956 F 29 Chart 2.—New Examinations and Re-examinations by Stationary Clinics, 1947-56 (Excluding Indians) No. OF CASES (In 000's) 90 80 TOTAL 1 XAMINATIO MS 70 60 50 J<", "*** "^ \ •s v / / / / RE-EX/ M|NATIONS / ^^» / 30 20 I 10 0 ■ ^ ^ NEW EXAM V \ \ NATIONS \ \ \ :>-:' ,--- s s 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 F 30 DEPARTMENT OF HEALTH AND WELFARE Chart 3.—New Examinations and Re-examinations by Travelling Clinics, 1947-56 (Excluding Indians) No. OF CASES (In 000's) 20 10 **^^ TOTAL EXAMINATIONS "-"ft* ft^ ^ RE-EXAMIN ATIONS..— --- ""-..„ NEW EXAMINATIONS !■»_■» ««Ma —— - 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 NEW CASES EXAMINED BY CLINICS While the total number of examinations in stationary clinics appears about the same, there has been a considerable drop in the number of new examinations, which is offset by an equal rise in the number of re-examinations. This is probably because of the more frequent examinations of known cases on antimicrobial therapy. Table 5.—New Examinations and Re-examinations in the Units Operated by This Division, 1952-56 (Excluding Indians) Total Examinations Stationary Clinics Travelling Clinics Mobile Year New Examinations Reexaminations New Examinations Reexaminations Survey Clinics 19"!?, 99,836 127,757 128,805 127,937 124,317 21,603 25,159 25,173 28,505 21,709 59,205 56,928 51,291 48,157 56,857 3,170 2,462 2,059 2,000 1,725 8,204 7,698 7,841 7,516 7,121 7,654 1QS1 35,510 1954. . . .. 42,441 1955 41,759 1956 36,905 TUBERCULOSIS CONTROL REPORT, 1956 F 31 O S5 pa ■J 0 H W O 2 O < pq O w g 3^ » (< s O O •§ S3 « S Bi o ft-1 S<1 E < w o H ■< X H « W tn H o tn M O § ■< Q w % w IEJOX PUEJO cs ts cS tn SS m m tn ■* t m t- ir- as Os --* cn fS m T-t r-* S5 cn en m m vo oo cn cs Ov tn r-l m Tf es cn cn r- oo ^ »-4 CS Os rn cn en ts: O 3 u t) -O C O snoinoiaqnj-uoj^ iejox 00 oo OO i-( co Tf as m ts tn cs vp tn rf m m so sa 0\ OS VO OV so m VO Tf es es m tn 00 »-< cs cs r* vo cn r- m rH Ov vo cn rn 00 Tf 3" Sisoinojsqnj-UOM joadsns M li j ! i 1 ! 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II II uoisnjjg jnoqjtAi Xsun9i<j 1 i I i ! i i 1 1 I rt 1 1 1 i i i i 1 ! 1 1 i noisnjjg qjiM Xs;jn3i,j i 1 * i CS j CS cs N | sort ; Tf tn | j ; rt | J ~- & a c o E 3 0, XjEuominj iejox Tf tn •* ft* •* ON V) 00 t- as CS CS rt rt ts r-i rH fS oo m es tn a\ cs O TS vo es oo as P3JEJS lOJsJ adXx II II II II II II II II II II"! sisodijis q-|iM pSDUEAp-y J-B^J 1 1 1 1 1 i I 1 1 1 1 1 I 1 1 I i i I i 1 1 * i i p33UBApy JE.J 1 1 1 I i i I I N 1 ^- en en t* cn *n en Tf 00 rt en cn pSDUBApy XpjEiapoi^ 1 1 | j Ith ~ cs VO OS CJs Ov OS vo 1—4 rH VO rH Tf O CS rH «n r- ts cs ^ IBUIIUIJ^ 1 I 1 1 ! M cn \o as o i-h cs i-i m cn cn OV OO m vo rl OV m Tf Tf 00 tn cn oo r~ •n rn Tf r- tn i-h XJEUIUJ Tf cn Tf "tf ■--* \D " I CS I i j j ! i i i i | 1 - ; : n B rt a> >. "tf i 1 OS 1 m | 5 j i as % '. 1 * 2 cs °> 7 m cs 2 Os 2 c*- h 1 Ov 2 Tf Ov 2 | A so g», ! j Ov S F 32 DEPARTMENT OF HEALTH AND WELFARE g Q m u ■j O o H cn O Z « "S3 § » I§ w I o» Oh g O Z p* a o o Q W Z 85 < z x~ 3 w H rt w S H O H cn O Z Irt Q I w hJ pa ■ IBJOX PUEJO tn ov vo cs «n ts tS TS "tf m en vo^ CSrH Tf 1 o 3 O 5 JO 3 CJ O 2 snojnoiaqnj-uoN ibjox oo tn m cs Os VO tn r- ^t en 00 CS^ o 00 o^ co" sisoin3jaqnj-uojv[ loadsns I 1 - 1 N i ts sisoinoraqnx psdsns r- cs Tf rt Os O cn o CO S38uBq3 n^Av-lssqO il M t- 00 m sjnoiunx iBupsEipajv cs cs •" 1 O 00 "tf es CO vo UOTSU9JSip-J3AO XJEUouqn,! CS TM w 1 O Tf 00 rt Tf Os UOI}BJJ[IJUI Diuotunsuj VO rt II O OO XT- rt 00 oo ts sisojqjii XjEUOUiinj pazijEodx en r-t CSrt in Tf t- O m ts r> vo SO cn sisojqijl XjEuouiin,} asnjjya * 1 -1 i m ov oo cS Ttf saSuBqo jBiqauoja vo es CS j oo r- m es m 00 ts saijisuaa Sunq XjBjqos tn ** tn j Os o\ vo cn IX o S38uEq3 lemaia tn cn -- as r- es ri VO tn "tf CO 3 O s o ftft-l u 3 H ta a XjBuouj[nd-uojs[ I«lox I-l *» 1 m cs CS en m XjEuouijnd-uo^ "mo 1 l l i ~ 1 T* a 1 S38UIU3JM jo -ax ll II r w umauojiis,! pus S3UIJS3JUI JO -aX li ll rH rH cs a • rH 3 | 3 a c o Z lusjsXs XjBmm -ojiuso jo ax l l ** l 00 ov r- U13JSXS DijBqduiXq jo ax I i ll VOOs m X 8 npts jo -ax ll ll T^ CS en SJUTOf PUB ssuoa jo ax II ll *n t- cs uumi03 IBjqsjjSA jo -ax i I | j tn tn vo (jaqiO) urajsXs XjOJEJldS3^[ ax ll ll d j ts uoisnjjg jnoqifM Xsunaid ll II CS j ts uojsnua qi;M Xsirnau i i r oo ts o cn u rt C o B 3 XjEuominj ibjox ■n vo >n ■* Tt '"t oo r- Tf CO 00 m oo psjBJS JOK ad-<X li il rH j * SISODIIJS TOM psbuEApV *Vrl li ii ■N | CS PSOUEAPV «j 11"! r- eo cs cs o m H 0 P93UBAPV XisjBJspojv tn rn SS m oo ts so tn Os o Uh ft O CD IBUIIUtpV es m cn cn "tf o ts -so co es Tf m XJBUIIJ(J i i ii in co rt es oo en ! ! 00 < u u > o •o J & o 00 gu. i •a n s ta m O Z i rh 1 o ■a a a w u CA O 4> O •h 5 o w TUBERCULOSIS CONTROL REPORT, 1956 F 33 There has been a slight increase in the number of minimal cases diagnosed by the clinics and a decrease in far advanced, while the moderately advanced remain exactly the same. The total active cases at 351 is very little changed from 349 in the previous year. There was a decrease in the number of primary cases diagnosed from 50 to 38. However, it is most remarkable that there is so little difference in the cases found in 1955 and 1956. Table 7.—New Cases of Pulmonary Tuberculosis Examined by Clinics, by Infection and Condition, 1956 (Excluding Indians) Stationary Travelling Infection and Condition Willow Chest Tranquille Victoria New Westminster North Lawn Coast Kootenay Interior Island Fraser Valley Total Primary 22 1 2 13 6 264 85 26 82 68 3 90 8 12 45 25 28 2 2 21 3 96 42 161 102 3 12 2 1 6 2 1 9 1 8 2 2 2 2 16 2 1 3 3 83 16 18 35 13 1 29 5 2 20 2 4 3 1 21 20 61 16 1 6 2 1 2 1 82 36 7 16 23 17 7 7 3 2 2 45 8 27 27 7 2 4 1 6 4 2 2 2 2 10 3 1 1 17 6 7 4 9 8 1 3 2 1 6 18 6 1 1 17 7 7 3 12 1 7 4 2 2 8 16 8 3 3 41 22 4 10 4 1 10 1 1 6 2 5 2 2 1 25 5 21 7 1 1 1 43 2 10 11 20 11 2 5 4 4 1 3 2 13 20 24 1 ~I 8 7 1 7 1 1 38 3 Arrested . 3 24 Activity undetermined 8 574 Inactive- 185 Arrested 66 Active .. . . 178 Activity undetermined. Not stated 139 6 193 22 18 Moderately advanced Inactive 110 Activity undetermined 43 52 Inactive Arrested 4 3 Active 39 Activity undetermined Total pulmonary— 6 214 90 351 Activity undetermined 196 6 Totals 404 23 119 107 15 30 32 59 59 9 857 F 34 DEPARTMENT OF HEALTH AND WELFARE Table 8.—Number of X-ray Examinations (Chest and Other) Made by Institutions, Stationary Clinics, Travelling Clinics, Mobile Survey Clinics, and General-Hospital Units, 1947-56. Institutions Stationary Travelling Mobile Stationary Metropolitan General- hospital Units Year Diagnostic Survey Diagnostic Survey Provincial Metropolitan Total 1947 5,196 6,111 6,432 6,412 6,361 7,106 8,395 9,297 9,503 8,782 20,986 24,144 27,695 28,500 29,192 27,450 29,001 27,482 27,436 29,013 44,196 57,428 56,374 54,585 52,399 53,380 53,089 48,982 50,856 49,553 12,996 13,399 13,508 13,360 11,074 13,374 10,160 9,900 9,517 8,846 1,063 91 155,674! 127,081* 140,722» 80,6861 26,434 7,654 35,510 42,441 41,759 36,905 57,509 58,579 65,207 53,243 63,941 64,267 24^355 32,182 35,879 35,845 27,722 41,382 45,210 71,410 80,795 95,054 105,860 111,987 113,883 240,111 1948 1949 1950 1951 228,254 244,731 228,753 278,734 1952 281,319 1953 332,295 1954 332,996 1955 1956 342,721 342 631 1 No breakdown available for mobile units prior to 1951. Source: X-ray Ledger TB. 73 and Clinic Ledgers TB. 71 and TB. 41. . TUBERCULOSIS CONTROL REPORT, 1956 F 35 Chart 4.—X-ray Examinations (Chest and Other) Made by Institutions, Stationary Clinics, Travelling Clinics, Mobile Units, and General Hospitals, 1947-56. No. OF EXAMINATIONS (In 000's) 350 325 275 250 225 200 ■V TOTAL 125 100 4 f> . —'"" m m ^^^-^ V" y STATIONS CU1NICS_ f \ • if ■t*M 50 25 A i / i •JSTITUT10N! rRAVELLING CLINICS m — — """ >__. 0 I l 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 'Includes "Stationary Metropolitan" from 1951. F 36 DEPARTMENT OF HEALTH AND WELFARE Chart 5.—X-ray Examinations Made by Institutions, Diagnostic and Treatment Clinics, Stationary Clinics, Mobile Units, and General Hospitals, 1947-56. No. OF EXAMINATIONS (In 000's) ■^S \ \ \ \ >" ** s \ \ \ \ 60^2? *«• —»_ \ \ s / ?/T: ^ .-*"' STATION* BY SURVEY- // / / f ** --- * DIAGNOSTIC AND TREAT *ENT CLINK s ""~ """ NSTITUTION s 1 1947 1948 1949 1950. 1951 1952 1953 1954 1955 1956 •Includes "Stationary Metropolitan" from 1951. TUBERCULOSIS CONTROL REPORT, 1956 F 37 GENERAL SUMMARIES Table 9.—X-ray Report for Stationary Clinics and Institutions, 1956 Willow Chest Centre Tranquille Victoria New Westminster Pearson Total X-rays taken Chest X-rays—■ Flat- In-patient.. Out-patient. V.D. Division- Stereoscopic— In-patient Out-patient Planograph— In-patient Out-patient Other chest— In-patient Out-patient Gastro-intestinal— In-patient Out-patient Bones and joints—■ In-patient- Out-patient .. V.D. Division- Other— In-patient- Out-patient- Fluoroscope— In-patient Out-patient . V.D. Division- Electrocardiogram— In-patient- Out-patient V.D. Division- Indian Department examinations- Lipiodol injection— In-patient- Out-patient.. 24,167 1,751 19,113 240 211 352 601 1,633 13 69 44 1 56 12 29 798 77 210 5 79 37 22 9 3,851 1,571 1,426 356 13 310 17 16 3 79 37 72 45 76 1 7,727 563 5,180 2 1 146 156 157 1,109 13 1 92 223 1 23 25 35 2,820 2,750 42 14 89 2,950 41,515 1,617 5,502 200 28,669 242 5 7 3 532 1,245 3 566 387 1,455 1 2,774 27 69 4 94 334 7 320 2 65 161 37 109 210 933 77 81 367 6 79 72 8 35 9 Source: X-ray Ledger TB. 73. F 38 DEPARTMENT OF HEALTH AND WELFARE It is noted that the volume of work in the Respiratory Physiology Department in the Willows Chest Centre has shown a reduction in practically all phases. This is due to a lesser amount of surgery being done. Table 10.—Laboratory Report, 1956 Willow Chest Centre Tranquille Victoria New Westminster Kootenay Pearson Total, 1956 Sputum tests— Routine , Concentrated Cultures done at institution— 2,867 2,266 725 168 179 52 26 1 5 3 110 3,258 46 124 171 132 133 122 117 91 200 63 211 25 1 10 87 2,613 1,339 272 1,468 432 71 1,027 1,321 620 697 702 571 314 64 2,133 212 10 7,798 751 169 184 328 253 3,461 817 153 12,069 1,739 427 467 438 294 549 1,792 1,626 1 9 331 11 58 345 107 1,833 1,670 597 2 2 1 648 693 742 354 397 411 340 224 1,272 1,411 3 14 89 12 89 85 2,100 1,232 Cultures collected for Provincial Laboratory— 8,189 Gastric Other cultures. - , 1,392 349 648 Blood tests— 16,147 3,934 1,534 1,683 Differential- Collected for Provincial Laboratory V.D.R.L. - - 1,668 1,296 1,287 3,191 5,381 Urinalysis— Quantitive- - 241 33 Spirometry 420 11 70 M.B.C 434 449 107 1,834 95 286 7,680 46 95 Other tests 8,461 Source: Daily Laboratory Ledger TB. 72. tuberculosis control report, 1956 Table 11.—Dental Report, 1956 F 39 ^Centre"168' Tranquille Victoria Pearson Total Patient-visits— In-patient Out-patient Examinations— In-patient- Out-patient.. Consultations— In-patient Out-patient Extractions— In-patient.. Out-patient- Fillings, including cement bases- In-patient- Out-patient_ Prophylactic treatment— In-patient- Out-patient. Surgical removal of impacted teeth— In-patient- Out-patient.. Denture fittings- In-patient- Out-patient X-rays—In-patient- Other 333 233 67 102 60 4 82 20 98 192 182 25 72 10 1,903 5 168 208 1,408 426 426 968 10 1,792 9 210 7 156 22 76 131 6 23 30 2 58 2 320 57 1,202 6 168 181 1 456 522 6 43 10 549 3 1,636 62 3,648 251 559 102 471 5 2,022 20 1,177 204 499 43 2 1,757 40 3,820 138 Source: Ledger TB. 74. Table 12.—Eye, Ear, Nose, and Throat Report, 1956 Willow Chest Centre Victoria Tranquille Pearson Total Patient-visits, E.E.N.T.— In-patient Out-patient Eye- Examinations— In-patient Out-patient Prescriptions— In-patient Out-patient Refractions- In-patient Out-patient- Other treatment— In-patient Out-patient Consultations— In-patient Out-patient- wui-paiiciu Ear, nose, and throat— Examinations— In-patient Out-patient Treatments— In-patient. Out-patient- Consultations— In-patient.. Out-patient- Surgical procedures 43 17 30 6 12 15 2 18 12 10 2 2 1 201 71 60 4 8 37 11 1 ~4 255 170 94 139 22 91 41 505 17 281 6 160 34 150 12 52 1 "24 Source: Ledger TB. 75. F 40 DEPARTMENT OF HEALTH AND WELFARE INSTITUTIONS—SUMMARIES The use of pneumoperitoneum is becoming further restricted, and there were only 11 induced during 1956 as compared to 18 in 1955, with the total number of refills being reduced from 2,604 in 1954 to 181 in 1956. No pneumothoraces were instituted during 1956. Patient-days at Tranquille Sanatorium were reduced during the year by 3,174. The bed occupancy in that institution rose to 255 in April, but dropped to 175 at the end of the year. The other institutions were fairly constant except Victoria, where in the latter part of the year the bed capacity was reduced as it had been decided to close the institution at the end of the fiscal year. The patient-days at Pearson Hospital increased by 19,512. This represents the first full calendar year of operation of North Lawn Tuberculosis Unit on the grounds of the Provincial Mental Hospital, which accommodates approximately 240 patients. It will be noted that the turnover of patients in this institution is not great as compared with Tranquille Sanatorium, which operated about the same number of beds during the year. Table 13.—Institutions—General Summaries, 1956 Item Willow Chest Centre Tranquille Victoria Pearson North Lawn Total, 1955 Patient-days.. Admissions.. Discharges, including deaths- Treatments— Pneumothoraces— Initial Refill.. Pneumoperitoneum— Initial Refill- Chest aspirations.. Blood transfusions Intravenous injections.. Other treatments Examinations—■ Bronchoscopy.. Spinal puncture.. Cystoscopy- Thoracic surgery— Thoracoplasties— Stage 1- Stage 1 with apicolysis— Stage 2- Post-resection.— Special— Plumbage Paulino Schede- Resections— Pneumonectomy Lobectomy Segmental Wedge Multiple wedge — Intra-pleural pneumolysis Extra-pleural pneumothorax.. Phrenic- Other surgery— Major Minor Autopsy 30,233 202 205 1 5 38 60 614 361 96 239 10 2 4 24 5 82 53 37 54 51 13 92,490 240 281 5 63 40 103 31 89 1 2 3 1 9 1 3 12 19 6 1 10 30 9 17,370 105 126 17 13 5 3 2 1 12 1 110,291 372 422 1 80 15 6 20 56 45 10 1 10 26 14 19,281 64 73 11 28 269,665 983 1,107 11 181 132 736 397 214 375 22 3 6 27 1 9 4 94 72 43 1 74 119 37 Source: Clinic Ledgers TB. 71 and TB. 41 and Institutional Ledger TB. 70, Admission Form TB. 78 and Discharge Form TB. 79. TUBERCULOSIS CONTROL REPORT, 1956 F 41 Table 14.—Number of Pneumothoraces (Initial and Refill) Given by Institutions, Stationary Clinics, and Travelling Clinics, 1947-56 Total Initial Refill Year Total Initial Institutions Stationary Clinics Traveling Clinics Total Refill Institutions Stationary Clinics Traveling Clinics 1947 21,919 21,788 22,393 21,139 20,251 15,369 8,345 354 339 334 286 207 125 39 2 350 336 328 279 201 119 39 2 1 2 5 7 6 6 3 1 1 21,565 21,449 22,059 20,853 20,044 15,244 8,306 2,383 427 12,698 12,745 11,066 9,174 6,769 5,031 1,983 254 8,616 8,617 10,873 11,649 13,247 10,160 6,281 2.114 251 1948 87 1949 120 1950 1951 30 28 1952 53 1953 42 1954 2,385 427 116 15 1955 6 1 421 1956 . 116 1 2 1 114 1 Source: Clinic Ledgers TB. 71 and TB. 41 and Institutional Ledger TB. 70. INSTITUTIONS—ADMISSIONS There has been a reduction of approximately 20 per cent in the number of admissions in 1956 as compared with 1955. The admissions in 1955 were high, 1,226, due in great part to the 261 patients admitted to North Lawn Hospital, which was opened during the year. There has been very little change in the number of cases admitted to the other institutions, particularly when the figures are compared with 1954, when there were 1,015 admissions, and 983 in 1956, including 64 admissions to North Lawn. This is a drop of 10 per cent as compared with 1954. Table 15.—Total Admissions by Age and in Each Age-group Percentage , 1952-56 of Total Admissions 1952 1953 1954 1955 1956 Age-group Number Per Cent Number Per Cent Number Per Cent Number Per Cent Number Per Cent 0.3 4.3 9 45 210 225 190 153 112 67 4 0.9 4.4 20.7 22.2 18.7 15.1 11.0 6.6 0.4 10 35 202 252 262 188 160 116 1 0.8 2.9 16.5 20.6 21.3 15.3 13.0 9.5 0.1 18 31 150 198 174 153 147 111 1 9 58 0.9 5.9 3 42 1.8 3.1 10-19 „ 20-29 „ . - 219 245 178 126 95 59 22.1 24.8 18.0 12.7 9.6 6.0 196 243 231 115 94 53 8 19.9 24.7 23.4 11.7 9.5 5.4 0.8 15 3 3(1-39 ■ 40-49 „ sn-59 „ 60-69 „ . 11 3 0 1 Totals 989 100.0 985 100.0 1,015 100.0 1,226 100.0 983 100.0 Source: Institutions, Admissions, Form TB. 78. TUBERCULOSIS CONTROL REPORT, 1956 Table 16.—Total Admissions by Diagnosis, Sex, and Age, 1956 F 43 Age-group Diagnosis •■S"5 fc< s? 5 w o I si HO.W 3^S oS-2 H0.5 O 50 x: c« oo H M. F. 5-9 „ M. F. 10-14 „ M. F. 15-19 „ .. M. F. 20-24 „ M. F. 25-29 „ - -M. F. 30-39 „ - M. F. 40-49 „ ': .. M. F. 50-59 „ M. F. 60-69 „ M. F. M. F. M. F. Totals M. F. Grand totals 10 18 11 17 14 27 33 52 27 24 30 15 32 6 22 14 176 165 341 14 12 36 28 35 22 58 15 57 30 3 239 98 337 10 20 15 35 16 27 4 33 3 33 163 52 215 11 9 20 28 24 52 10 17 26 28 44 52 95 103 106 68 117 36- 125 22 92 19 627 356 983 10 27 54 96 198 174 153 147 111 627 356 983 Source: Institutions, Admissions, Form TB. 78. F 44 DEPARTMENT OF HEALTH AND WELFARE Chart 7.—Admissions to Institutions by Diagnosis and Age on Admission, 1956 0 20 40 60 80 100 120 140 160 180 AGE GROUP 10-19 YRS. r 20-29 YRS. 30-39 YRS. 40-49 YRS. 50-59 YRS. 60-69 YRS. 70 YRS. AND OVER MINIMAL MODERATELY ADVANCED I FAR ADVANCED I MODERATELY ADVANCED FAR ADVANCED MINIMAL I MODERATELY ADVANCED FAR ADVANCED MINIMAL MODERATELY ADVANCED FAR ADVANCED MODERATELY ADVANCED FAR ADVANCED MODERATELY ADVANCED FAR ADVANCED MINIMAL MODERATELY ADVANCED FAR ADVANCED 20 40 60 80 100 120 No. OF ADMISSIONS 140 160 180 TUBERCULOSIS CONTROL REPORT, 1956 F 45 Table 17.—Total Admissions by Diagnosis, Sex, and Racial Origin, 1956 Diagnosis Total by Sex Racial Origin Primary Minimal Moderately Advanced Far Advanced Tuberculous Pleurisy with Effusion Tuberculous Pleurisy without Effusion Other Diagnoses Grand Total White M. 7 144 201 145 9 25 531 F. 5 147 87 43 8 — 23 313 844 25 5 27 4 8 1 — 1 62 9 F. 71 Japanese M. F. 1 4 6 4 3 3 3 z: — 11 13 24 Hindu M. 1 1 1 1 4 F. 1 2 — 3 7 Half-breed and Indian M. 3 3 6 6 1 19 F. 2 6 2 6 1 1 18 37 Totals .. -M. 10 176 239 163 11 28 627 627 F. 8 165 98 52 9 — 24 356 356 Grand totals- 18 341 337 215 20 1 " 983 983 Source: Institutions, \dmissions , Form TB 78. The decrease in the total admissions is for the most part in those cases coming to institution for the first time, although there has been a slight drop also in the readmission cases. Table 18.—Total Admissions by Diagnosis, Sex, and Type of Case, 1956 Diagnosis Total by Sex Type of Case Primary Minimal Moderately Advanced Far Advanced Tuberculous Pleurisy with Effusion Tuberculous Pleurisy without Effusion Other Diagnoses Grand Total First admission M. F. Readmission M. F. 4 2 1 3 2 3 3 141 124 29 33 2 4 4 4 130 56 102 37 3 5 4 61 17 91 28 1 3 1 7 6 10 9 1 — 20 23 5 1 3 366 231 228 99 9 12 7 1 17 13 597 327 F. Continuation of treatment M. F. Transfers .. M. F. 21 8 30 Totals ... M. F. 10 8 176 165 239 98 163 52 11 9 — 28 24 627 356 627 356 Grand totals 18 341 337 215 20 — 52 983 983 Source: Institutions, Admissions, Form TB. 78. F 46 Chart 8. PERCENT 60 department of health and welfare —First Admissions to Institutions by Diagnosis (Percentage Distribution), 1947-56 50 X MODERATELY ADVANCED \ 40 -**- y_ y / v \ 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 TUBERCULOSIS CONTROL REPORT, 1956 F 47 Table 19.—Total Admissions by Institutions and Diagnosis, 1956 Total Willow Tranquille Victoria Pearson North Lawn Diagnosis Num Per Num Per Num Per Num Per Num Per Num Per ber Cent ber Cent ber Cent ber Cent ber Cent ber Cent Primary 18 1.8 15 7.4 1 0.4 2 0.5 Minimal. 341 34.7 55 27.2 76 31.7 41 39.1 139 37.4 30 46.9 Moderately advanced.. 337 34.3 61 30.2 86 35.8 39 37.1 141 37.9 10 15.6 Far advanced 215 21.9 53 26.3 58 24.2 16 15.2 79 21.2 9 14.1 Tuberculous pleurisy- 20 2.0 1 0.5 7 2.9 6 5.7 6 1.6 Other diagnosis 52 5.3 17 8.4 12 5.0 3 2.9 5 1.4 15 23.4 Totals 983 100.0 202 lt100.O 240 100.0 105 100.0 372 100.0 64 100.0 Source: Institutions, Admissions, Form TB. 78. There has been an increase in the percentage of minimal cases admitted, with a further decrease in the number of far advanced cases admitted. Table 20.—Total Admissions by Diagnosis (Percentage Distribution), 1952-56 1952 1953 1954 1955 1956 Diagnosis Number Per Cent Number Per Cent Number Per Cent Number Per Cent Number Per Cent Primary 50 324 383 209 7 16 5.1 32.8 38.7 21.1 0.7 1.6 4 303 393 262 10 13 0.4 30.8 39.9 26.6 1.0 1.3 12 293 414 239 20 37 1.2 28.9 40.8 23.5 2.0 3.6 14 392 448 296 20 56 1.2 32.0 36.5 24.1 1.6 4.6 18 341 337 215 20 52 1.8 34.7 Moderately advanced Far advanced 34.3 21.9 2.0 5.3 989 100.0 985 100.0 1,015 100.0 1,226 100.0 983 100.0 Source: Institutions, Admissions, Form TB. 78. Table 21.—First Admissions by Institutions and Diagnosis, 1956 Total Willow Tranquille Victoria Pearson North Lawn Diagnosis Number Per Cent Number Per Cent Number Per Cent Number Per Cent Number Per Cent Number Per Cent Primary 6 265 186 78 19 43 1.0 44.4 31.1 13.1 3.2 7.2 3 30 20 11 1 15 3.7 37.5 25.0 13.7 1.3 18.8 1 58 53 22 7 10 0.7 38.4 35.1 14.6 4.6 6.6 38 27 5 5 3 48.7 34.6 6.4 6.4 3.9 2 120 80 35 6 4 0.8 48.6 32.4 14.2 2.4 1.6 19 6 5 11 46.4 Moderately advanced- Far advanced . - Tuberculous pleurisy- Other diagnosis 14.6 12.2 26~!i Totals 597 100.0 80 100.0 151 100.0 78 100.0 247 100.0 41 100 0 Source: Institutions, Admissions, Form TB. 78. f F 48 DEPARTMENT OF HEALTH AND WELFARE The increase in the percentage of minimal cases is more marked in the first admissions than in the total admissions. The moderately advanced group has altered very little, although there has been a slight reduction. There has been a definite drop in the percentage of cases in the far advanced category. Table 22.—First Admissions by Diagnosis (Percentage Distribution), 1952-56 1952 1953 1954 1955 1956 Diagnosis Number Per Cent Number Per Cent Number Per Cent Number Per Cent Number Per Cent Primary 35 236 188 91 4 12 6.2 41.7 33.2 16.1 0.7 2.1 2 217 195 129 5 9 0.4 39.0 35.0 23.1 0.9 1.6 3 222 219 114 19 33 0.5 36.4 35.9 18.7 3.1 5.4 3 315 264 143 18 51 0.4 39.7 33.2 18.0 2.3 6.4 6 265 186 78 19 43 1.0 44.4 Moderately advanced 31.1 13.1 Tuberculous pleurisy Other diagnosis- 3.2 7.2 Totals 566 100.0 557 100.0 610 100.0 794 1 100.0 597 1 100.0 | Source: Institutions, Admissions, Form TB. 78. Table 23.—Readmissions by Institutions and Diagnosis, 1956 Total Willow Tranquille Victoria Pearson North Lawn Diagnosis Number Per Cent Number Per Cent Number Per Cent Number Per Cent Number Per Cent Number Per Cent 1 62 139 119 1 5 0.3 19.0 42.5 36.4 0.3 1.5 1 16 37 31 1.2 18.8 43.5 36.5 16 30 35 1 19.5 36.6 42.7 1.2 3 11 11 1 11.6 42.3 42.3 3.8 17 57 39 15.1 50.4 34.5 10 4 3 4 Minimal . Moderately advanced- Far advanced Tuberculous pleurisy- Other diagnosis 47.7 19.0 14.3 19.0 Totals 327 100.0 85 100.0 82 100.0 26 100.0 113 100.0 21 100.0 Source: Institutions, Admissions, Form TB. 78. Table 24.—Readmissions by Diagnosis (Percentage Distribution), 1952-56 1952 1953 1954 1955 1956 Diagnosis Number Per Cent Number Per Cent Number Per Cent Number Per Cent Number Per Cent Primary... _ . _ 8 74 174 112 2.1 19.9 46.8 30.1 0.3 0.8 67 141 107 21.2 44.8 34.0 1 62 166 117 1 3 0.3 17.7 47.4 33.4 0.3 0.9 68 158 137 2 3 18.5 42.9 37.2 0.5 0.9 1 62 139 119 1 5 0.3 19.0 42.5 36.4 1 3 0.3 1.5 Totals 372 100.0 315 100.0 350 100.0 368 100.0 327 100.0 Source: Institutions, Admissions, Form TB. 78. tuberculosis control report, 1956 f 49 Table 25.—Review Admissions by Institutions and Diagnosis, 1956 Total Willow Tranquille Victoria Pearson North Lawn Diagnosis Number Per Cent Number Per Cent Number Per Cent Number Per Cent Number Per Cent Number Per Cent Primary— 5 6 8 1 1 23.8 28.5 38.1 4.8 4.8 5 4 4 1 35.7 28.6 28.6 7.1 2 3 1 M.3 50.0 16.7 1 100.0 1 Moderately advanced- Tuberculous pleurisy- Other diagnosis Totals 21 100.0 14 100.0 6 100.0 1 100.0 1 Source: Institutions, Admissions, Form TB. 78. Table 26.—Review Admissions by Diagnosis (Percentage Distribution), 1952-56 1952 1953 1954 1955 1956 Diagnosis Number Per Cent Number Per Cent Number Per Cent Number Per Cent Number Per Cent 3 14 19 6 7.2 33.3 45.2 14.3 1 15 48 11 5 3 1.2 18.1 57.8 13.3 6.0 3.6 7 6 24 2 1 17.5 15.0 60.0 5.0 2.5 3 6 11 3 1 12.5 25.0 45.8 12.5 4.2 5 6 8 1 1 23.8 28.5 38.1 4.8 4.8 Totals 42 100.0 83 100.0 40 100.0 24 100.0 21 100.0 Source: Institutions, Admissions, Form TB. 78. There was some decrease in the number of persons dying in tuberculosis institutions, from 95 in 1955 to 88 in 1956. Approximately 40 per cent of those people dying in tuberculosis institutions died of non-tuberculous conditions, although they also had tuberculosis. This is an indication of the large number of older people in institutions who, while confined because of tuberculosis, are chiefly disabled because of other chronic, debilitating diseases. There was considerable increase in the percentage of inactive cases discharged, from 3.2 to 5.3 per cent, and at the same time there was a definite decrease in those discharged in the active categories in spite of the fact that practically all patients are discharged to continue antimicrobial therapy outside of institution. There was an increase from 0.3 per cent in 1955 to 1.7 per cent in 1956 of discharges classified as " other tuberculous diagnosis." These are cases of non-pulmonary tuberculosis. The number of non-tuberculous cases discharged from institution has more than doubled in 1956 as a result of many cases of suspected tuberculosis being brought in for investigation and found to be non-tuberculous. I .. _ Table 27.—Discharges from Institutions by Condition on Discharge, 1952-56 1952 1953 1954 1955 1956 Condition Num Per Num Per Num Per Num Per Num Per ber Cent ber Cent ber Cent ber Cent ber Cent 41 191 4.5 21.4 20 274 1.9 26.7 31 353 2.8 32.4 36 321 3.2 28.5 59 287 5.3 25.9 Arrested Active improved 382 139 42.8 15.6 153 14.9 115 45.1 10.6 541 105 48.1 9.3 514 87 46.4 7.9 Dead— 116 C1) 13.0 44 10 4.3 1.0 45 22 4.1 2.0 61 34 5.4 3.0 53 35 4.8 3.2 Non-tuberculous Other diagnosis— 2 0.2 4 0.4 5 0.5 3 0.3 19 1.7 Non-tuberculous 22 2.5 13 1.3 27 2.5 25 2.2 53 4.8 Totals 890 100.0 1,026 100.0 1,090 100.0 1,126 100.0 1,107 100.0 1 Tuberculous and non-tuberculous breakdown not available for dead cases. Source: Institutions, Admissions, Form TB. 78. The non-pulmonary cases practically all remained in hospital under one year. Table 28.—Discharges from Institutions of First Admissions, by Condition on Discharge, Sex, and Length of Stay, 1956 Length of Stay in Institution Condition on Discharge Under 1 1-3 4-7 8-11 1 2 3-5 Over 5 by Sex Total Month Months Months Months Year Years Years Years Inactive M. 1 1 3 7 4 16 F. — 1 2 11 4 .... — — 18 34 Arrested M. 2 9 31 35 28 4 1 1 111 F. — 8 26 18 13 4 1 — 70 181 7 52 70 41 33 1 3 1 208 F. 7 40 43 28 21 1 140 348 Active unimproved —M. 12 4 8 1 _ 1 _ 26 F. 5 5 2 — — 1 — — 13 39 Non-pulmonary M. 1 4 3 4 1 13 F. 1 2 2 — 1 — — — 6 19 8 7 2 1 18 F. 13 7 1 3 3 — .... — 27 45 Undetermined M. 2 _ 2 F. 1 1 3 Dead— Tuberculous M. 9 6 2 5 1 1 3 4 31 F. 1 - 1 1 1 — — — 4 35 Non-tuberculous M. 3 4 2 3 6 1 1 1 21 F. 2 _.. — — — — — _.. 2 23 Totals M. 43 89 121 96 74 8 8 7 446 F. 29 64 77 61 43 6 1 — 281 727 Grand totals 72 153 198 157 117 14 9 7 727 727 Source: Institutions, D isc harges, Form TB 79. TUBERCULOSIS CONTROL REPORT, 1956 F 51 Chart 9.—Percentage Distribution of Discharges from Institutions according to condition on discharge, 1947-56 PERCENT 55 ■/ ACTIVE IMPROVED / V 7 '*»^/ \ -V / \ 45 4- \ JL / A \ \ y_ / y / V / \ / \ / 20 5 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 F 52 DEPARTMENT OF HEALTH AND WELFARE In 1956 out of 1,107 people discharged, only 191 or 17 per cent had remained in institution over eleven months. Table 29.—Discharges from Institutions by Diagnosis upon Admission for Total Admissions, Sex, and Length of Stay, 1956 Length of Stay in Institution Diagnosis Under 1 Month 1-3 Months 4-7 Months 8-11 Months 1 Year 2 Years 3-5 Years Over 5 Years Total Primary . .. Minimal Moderately advanced . -M. F. M. F. M. F. M. 7 9 17 20 18 12 31 14 3 2 2 8 13 3 7 53 40 53 25 29 8 3 4 4 2 9 7 2 6 53 46 81 28 54 15 3 4 4 2 2 1 3 3 33 29 48 37 34 15 1 6 3 21 13 32 19 39 20 1 1 1 3 1 2 3 9 4 1 2 8 2 3 5 1 15 25 179 148 239 124 209 F. M. 79 10 Other diagnosis— Tuberculous . F. . M. 8 17 F. M. 7 20 F. M. F. 27 Totals 86 70 154 93 199 102 125 87 94 56 12 7 11 2 8 1 689 418 156 247 301 1 212 150 19 13 9 1,107 Source: Institutions, Discharges, Form TB. 79. Out of 727 discharges of first-admission patients, 147 or approximately 20 per cent remained in institution over eleven months. Table 30.—Discharges from Institutions by Diagnosis upon Admission for First Admissions, Sex, and Length of Stay, 1956 Length of Staj in Institution Diagnosis Under 1 Month 1-3 Months 4-7 Months 8-11 Months 1 Year 2 Years 3-5 Years Over 5 Years Total Primary .M. F. 4 5 3 7 1 6 3 3 — - - - 11 21 Minimal M. F. 10 4 39 28 39 41 27 26 21 11 — 136 110 Moderately advanced M. F. 6 1 24 15 49 17 37 23 22 14 2 2 2 2 144 72 . . .M. 11 4 8 1 23 6 22 6 29 14 6 4 6 1 5 110 F. 36 M. 2 3 4 3 4 1 — — — — 9 F. 8 Other diagnosis— M. 2 2 4 2 4 2 6 1 1 — — — 17 F. 7 Non-tuberculous M. F. M. F. 8 13 8 7 2 1 3 1 3 — — — 19 27 Totals 43 29 89 64 121 77 96 61 74 43 8 6 8 1 7 446 281 72 153 198 1 157 117 14 9 7 727 Source: Institutions, Discharges, Form TB. 79. TUBERCULOSIS CONTROL REPORT, 1956 F 53 Table 31.—Discharges from Institutions by Diagnosis upon Admission for Readmissions, Sex, and Length of Stay, 1956 Length of Stay in Institution Diagnosis Under 1 Month 1-3 Months 4-7 Months 8-11 Months 1 Year 2 Years 3-5 Years Over5 Years Total Primary M. F. 3 4 - 1 — .... - — — 4 4 Minimal M. F. 7 16 14 12 14 5 6 3 2 1 1 43 38 Moderately advanced M. F. 12 11 28 10 32 11 11 14 10 5 1 — 1 94 52 Far advanced M. F. 20 10 21 7 31 9 12 9 10 6 3 2 1 1 99 43 Tuberculous pleurisy ~ ~ . _M. 1 1 Other diagnosis— Tuberculous F. . .. M. F. — : — — — — — Non-tuberculous . . . ...M. — 1 — — — — — - 1 F. M. F. Totals 43 41 64 29 78 25 29 26 20 13 4 1 3 1 1 1 242 137 84 93 103 55 33 5 4 2 379 Source: Institutions, Discharges, Form TB. 79. Table 32.—Discharges from Institutions by Types of Discharge, Sex, and Length of Stay, 1956 Length of Stay in Institution Total by Sex Grand Total Type of Discharge Under 1 Month 1-3 Months 4-7 Months 8-11 Months 1 Year 2 Years 3-5 Years OverS Years 21 32 5 5 22 11 5 1 2 13 15 12 3 7 2 23 12 10 4 81 63 19 14 3 5 7 6 ■ 32 7 16 1 118 77 18 14 3 6 4 3 2 18 21 3 3 80 58 9 3 2 1 1 1 7 1 4 26 19 4 6 47 27 5 2 1 1 3 2 7 4 3 3 3 1 1 3 1 3 1 2 3 3 1 1 1 4 1 2 128 94 38 20 354 239 57 34 10 2 13 1 14 15 43 10 32 3 F. Against medical advice . . _M. F. On medical advice to continue antimicrobial treatment — M. F. Against medical advice to continue anti-microbial treatment M. F. To continue anti-microbial treatment (nature of discharge not stated) .M. F. Disciplinary M. F. Transfer M. F. Deaths— Tuberculous M F. Non-tuberculous M. F. 222 58 593 91 12 14 29 53 35 Totals M F. 86 70 154 93 199 102 125 87 94 56 12 7 11 2 8 1 689 418 1,107 156 247 301 212 150 19 13 9 1,107 1,107 Source: Institutions, Discharges, Form TB. 79. F 54 DEPARTMENT OF HEALTH AND WELFARE Table 33.—Discharges from Institutions by Condition on Discharge, Sex, and Length of Stay, 1956 rge Length of Stay in Institution Total by Sex Grand Total Condition on Discha Under 1 Month 1-3 Months 4-7 Months 8-11 Months 1 Year 2 Years 3-5 Years Over 5 Years Inactive M. F. 2 7 4 3 10 3 8 11 4 7 — — — 28 31 59 Arrested M. F. 10 10 34 19 53 33 42 26 32 14 6 4 2 1 1 180 107 287 Active improved F. 21 21 73 54 111 56 55 44 43 29 1 2 3 1 308 206 514 Active unimproved ._ -M. F. 22 12 16 7 14 4 5 2 3 1 1 — 61 26 87 M 1 1 4 2 3 2 4 1 1 13 6 F. 19 M 8 13 8 7 2 1 3 1 3 — — 19 27 F. 46 Undetermined Dead- Tuberculous M. F. M 3 1 12 3 7 2 2 1 7 6 4 3 2 7 1 4 3 2 7 3 1 3 3 1 4 1 2 5 2 43 10 7 F. M. F. M 53 Non-tuberculous 32 3 35 Totals 86 70 154 93 199 102 125 87 94 56 12 7 11 2 8 1 689 418 F. 1,107 Grand totals 156 247 301 212 150 19 13 9 1,107 1,107 Source: Institutions, Discharges, Form TB. 79. TUBERCULOSIS CONTROL REPORT, 1956 F 55 as X w 1/5 Q Z < m o tA < X y Z O z o H 5 z o O a o ta < x u t/3 fc o W fc H >< PQ B5 z o H H H s o ta m tn W o < W ■0- CO w pq < d « ■M OO m 1-t cs rt o\ cn m t~~ fc ts m On On TH CS m m o o «S *n ▼h TH^ OH i ^ 00 ^t CO o Tf 0\ r- tt o cs cn rt rt m no (Sen On 00 £ TS X CS OS cn cs «n tn io cn ts ii ihih ^r i cn 00 rH §| tn cs SO rf ^*' H ifo cn r-i 1 1 so es 00 is ' i ! 1 II II 3 O c3 O o m vo j TH 1 1 •"• I as r» vo t-i CN i : 1 I *** 1 | | TH cs ■<-*• Z o 1 i 1 1 .O 3 & ■ « i c cn -M 1 1 Os rt 1 1 ll I I r< I th i so so cs 5 o 1 i I I cs H ZB 1 ' i 1 1 1 i 1 i 1 ' ci 3 J3 & Q > i o <s tn l-H rt 00 i i II TS \ II ! M ! a ^ T-C CS <S cn cn VO c rt i : 1 1 o C o o 13 cn t- <* «fr o\ m O! N I ts j i-h *-h N 1 o\ c c 00 tn i-t (S oo j On O ON M i i i cs < CJ-O lag so cn tn m r- m th o n i csi o m r- © ^J-cn CS ON iH <D O ! »-i rt l-H TH th cn m > « •rt & li <•- T3 II vo CN as © cn oo cn rt vo cs o\ th cs o\ r i m i m vo ^ ^r cs On tn cn cs ! j TH O cs y a cn o) »n <l r> ft IS ft r> C Ph u s S § 1 i ~ 1 * Is % ft j m % IK ^ ls% ft u o I 8 S a .2 »> 1 1 <a | t 25 o rt u U I S3 (3 o I i E <u 4> 3 6 >. .9 o _ 0 73 H a o S o *■* o 01 « o 0 (p "> 8 *a T rt +3 0 s O c > rt rt a rt u *3 OJ & > "rt w ^ s > g c u I-l 1 . ; ai d S 3 o i f H 0 9 Eg •a i 5 1 L| 8 O s a S 1 3s rt 1 ^H S u Z a M 3 M O c < c < H P H Q F 56 DEPARTMENT OF HEALTH AND WELFARE B.C.G. VACCINATIONS These tables show a marked increase in the number of B.C.G. vaccinations. This indicates better reporting by those doing vaccinations outside the Division of Tuberculosis Control. However, it does not represent all that is being done in British Columbia. The largest group vaccinated is the contacts of tuberculosis, and it is interesting to note that there is an increasing number of non-converters. In 1956 this has increased to 10.3 per cent. Further, it will be noted that the percentage of non-converters following B.C.G. vaccination increased gradually from 5.1 per cent in the 0-4-year age-group to 23.0 per cent in the 25-29-year age-group. TUBERCULOSIS CONTROL REPORT, 1956 F 51 NO ON Q M H cn fc rD O P< O o H O z l-H Q OS o o u < Q w H w i-i fc S o O CO Z o H ■< z HH U U d u si «o CO w pq < •o ■Srt d| "?& "Spsi o «j fc o Z Oi > •°'B dZ u 0 u m psuoda^ iOfs[ S3SE3 JO JU33 J3J pauodan: ION sosbo jo jaqmnN ■SSI's I°zH zzz •3WI •3W0I/I •3W0Z/I 3AIlES3jtsI S3SBO ' JO JU33 J3J 3AJ1B83N S3SE3 jo jaqumN rt >. w o.S'S HI •aw i •8W0I/I •8W 03/1 SpUEIQ 8UI -jjoddns spuEio psgiEjua IE30-T SApiSOJ S3SE3 JO }U33 J3J 3AIJIS0J sasEO jo jaquinN PI •3K T •swoi/i •spmos/i sasBO jo JoquinM rH © tn OO th 00 no j m on m th © vo o vi cn t- © I VO I TH oo © th n tj On cn vd O On* O ** t^ cn no m cn t- tj- in oo cs © oo m m th m rt ts ss c* so th cn th no CS © CS © CS On VO *H CS © ON Tf 1-H m cn oo *H <u o « \s Tv I'll s'■§■■■; " ;: s §§ „ .. kOKUOSZ VO ON fc o a ■ w o < o H O z S rt o u u < Q fc H M -J fc s o u co Z o < Z O U 6 u NO CO pq ►4 pq H T> papodg^ jo^; S3SE3 O; 0\ t> «n »h in h \o m Tf NO to S JO JU33 J3<£ cscSi-HcScncncS'^->ncS es ■is .Srt pa;jod9-a joj^ cs©»ncn©©t^TtNom cs go S3SB3 jo JsquitiM mvocs©oocncscn gz -0*0 4> G £> eg rt-0 +j p B H « -T) Oj Uo P?& srt •8KI oom»n«nooTj-w-jONcn«-" in TH tNfHHH ■swoi/i i-H(S©©vo'-'C^cncni-H On -^ CS CS ts w th Tf CN 3 o^H zzz fc o z ■8JM OJ/I cncn jooNom«ncs : tn i tn ts j in H SAIJESa^ S9SE3 JO JU33 J3<I l-H C^ m t- © tr T-l © NO © | O, vd cn >n © i in HNHN ' m o a 8AI1E83M oooortmaeomrt \tm m 3 S3SE3 jo JsqmnM t-^ i-, rs rf rf ts ts ts i On •£'-3 5« g •8WI oor-oocn'^,»n'^-oo ih oa . U o£ U*«j u O Ah 0-BO III •3W0I/I ©*-HNt>cscn«n*Hfs O Tf Z •sw OZ/I 1 ! i2m i 1^ 1 Jr~ spuEjo Sui ca a p O -jjoddns i 1 1 1 i 1 1 i 1 1 SpUEJQ u paSiBjua 1 1 1 I i 1 I 1 1 : O Ph ca U H a i O U J3DIH 1 I 1 j | 1 IED07 I 9ArjISO(I S3SB3 ©ON-mcsoo«n-m^"»nt~- 3 0 U JO JU93 J3(J vDvoNONOinTtincnrtvo NO mcnoo©ONt^Ttcs>ni-« vor^oooNcscnincs i-h t^ S3SB3 jo JsqiiinjNj « u ca •8JMI «nvor-ON©csr^t^-vo o « cncsrHoot-cscS'-< ta 0 >■" m3° Oh •3W0I/I O in h tud o\ n t l^t NO On 0>'5! o cn th *-c r- z ■8j\t OZ/I ics :r--mvoTj-TtT-Hi-< 1 i CS *H w oo NO TS S3SE3 jo Jsqiunj^ T±»ncscnTj-oooNr--THi-c m cs H ^- cs OS eo ■2 -S U > a i Ih 0 w t o ■a O H & || •<tONTtONTj-O\0\ON S?ta <h tHjsNfo^' s:*4 -tN CN c Tt i^ ts F 58 DEPARTMENT OF HEALTH AND WELFARE KNOWN CASES OF TUBERCULOSIS There has been an increase of 623 known cases of tuberculosis in the Province during 1956, as compared to an increase of 652 in 1955. This represents an increase of 139 in non-Indians and an increase of 484 other than Indians. Table 37.—Known Cases of Tuberculosis among the Total Population of British Columbia, by Statistical Area, as at December 31st, 1952-56 Area 1952 1953 1954 1955 1956 316 776 862 10,543 2,822 938 458 996 1,045 171 301 698 869 10,776 2,942 1,014 469 1,159 1,157 205 295 675 896 11,096 2,974 1,077 487 1,257 1,235 214 314 655 901 11,418 3,125 1,190 488 1,284 1,255 228 302 648 932 11,717 3,265 1,231 497 1,346 Area 9 Area 10 1,299 244 Tola's 18,927 19,590 20,206 20,858 21,481 Table 38.—Known Cases1 of Tuberculosis among the Other-than-Indian Population of British Columbia, by Statistical Area, as at December 31st, 1952-56 Area 1952 1953 1954 1955 1956 Area 1~ Area 2_ Area 3~ Area 4~ Area 5~ Area 6 Area 7 Area 8—.. Area 9 Area 10.. 258 770 754 10,058 2,181 511 192 359 331 83 247 690 751 10,311 2,277 511 190 390 348 92 237 667 767 10,615 2,265 559 204 404 342 91 Totals.. 15,497 15,807 16,151 254 647 768 10,917 2,403 588 189 403 345 99 16,613 246 639 802 11,204 2,520 597 188 433 362 106 17,097 1 Excludes 2,030 cases of unknown address and 2,008 ex-Province cases. Table 39.—Known Cases1 of Tuberculosis among the Indian Population of British Columbia, by Statistical Area, as at December 31st, 1952-56 Area 1952 1953 1954 1955 19562 Area 1_ Area 2_ Area 3 Area 4 Area 5 Area 6— Area 7 Area 8 Area 9 Area 10~ 58 6 108 485 641 427 266 637 714 54 8 118 465 665 503 279 769 809 113 58 8 129 481 709 518 283 853 893 123 Totals.. 3,430 3,783 4,055 60 8 133 501 722 602 299 881 910 129 4,245 56 9 130 513 745 634 309 913 937 138 4,384 1 Excludes 40 cases of unknown address and 32 ex-Province cases. 2 Includes 221 Indians of white status. TUBERCULOSIS CONTROL REPORT, 1956 F 59 Table 40.—Known Cases of Tuberculosis by Health Unit and School District of Residence and Sex, 1956 (Excluding Indians) Health Unit and School District Male Female Total Health Unit and School District Male Female Total East Kootenay, Cranbrook— School District No. 1 School District No 9 47 40 30 12 28 6 7 88 29 11 25 83 25 8 45 79 6 22 100 26 31 54 9 86 16 196 5 3 21 23 18 31 48 13 17 81 11 13 100 60 94 254 31 100 3,887 33 35 22 7 36 13 8 91 23 14 24 102 16 12 34 67 6 17 107 26 30 34 9 84 6 165 4 6 17 19 14 34 43 9 15 64 4 25 118 54 61 223 38 90 3,090 80 75 52 19 64 19 15 179 52 25 49 185 41 20 79 146 12 39 207 52 61 88 18 170 22 361 9 9 38 42 32 65 91 22 32 145 15 38 218 114 155 477 69 190 6,977 Metropolitan Health Committee, Vancouver—Continued School District No. 41 School District No. 44 School District No. 45 Simon Fraser, New Westminster— School District No. 40 407 251 85 329 294 76 52 10 70 61 57 13 9 132 55 19 37 10 455 231 37 45 23 62 34 29 118 30 68 4 61 25 24 87 29 10 20 24 388 206 78 271 246 56 45 11 66 67 52 16 3 84 37 19 40 16 377 148 31 36 14 58 26 47 81 14 82 5 44 31 22 58 26 9 10 26 795 School District No. 3 School District No. 4 School District No. 5 457 163 600 Selkirk, Nelson— School District No. 6 _ School District No. 7. . School District No. 8 School District No. 43-1 North Fraser, Mission- School District No. 42 .. School District No. 75 School District No. 76- Upper Island, Courtenay— School District No. 47 540 132 97 School District No. 10 21 West Kootenay, Trail— School District No. 9 SchoolDistrictNo.il-. _ School District No. 12- School District No. 13 ... South Okanagan, Kelowna— 136 School District No. 71.... School District No. 72 128 109 Skeena, Prince Rupert— School District No. 50 29 School District No. 51 12 School District No. 15 School District No. 52 216 School District No. 53. 92 School District No. 17 School District No. 23 School District No. 77 .. North Okanagan, Vernon— School District No. 19 School District No. 20 School District No. 54 38 Peace River, Dawson Creek—- School District No. 59 School District No. 60- 77 26 School District No. 81 Victoria-Esquimalt Union Board of Health- School District No. 61 (part)2 Saanich and South Vancouver Island— School District No. 61 (part)' School District No. 62 School District No. 21 School District No. 22 School District No. 78 South Central, Kamloops— School District No. 24 School District No. 25 School District No. 26 School District No. 29. . School District No. 30 School District No. 31 Cariboo, Prince George— 832 379 68 School District No. 63 81 37 Central Vancouver Island, Nanaimo— School District No. 65 120 School District No. 66 School District No. 67 60 School District No. 28 School District No. 55 School District No. 56 76 School District No 68 199 School District No. 69 School District No. 70 44 150 School District No. 58 School District No. 82 Schinl District No, 79 9 School districts not covered by health units— School District No. 46 Upper Fraser Valley, Chilliwack— School District No. 32- 105 School District No. 48 56 School District No. 49 46 Boundary, Cloverdale— School District No. 35 School District No. 61 (part)4 145 School District No. 74. . 19 School District N" «tt 30 Metropolitan Health Committee, Vancouver— Sch""l District Nil. 38 50 Totals .. - 9,302 7,795 17,097 School District No. 39 1 Includes 192 males and 141 females at Mental Health Services, Essondale. 2 Includes Victoria and Esquimalt. ' Excludes Victoria, Esquimalt, and Oak Bay. 4 Includes Oak Bay only. F 60 DEPARTMENT OF HEALTH AND WELFARE Table 41.—Known Cases of Tuberculosis by Health Unit and School District of Residence and Sex, 1956 (Indians only1) Health Unit and School District Male Female Total Health Unit and School District Male Female Total East Kootenay, Cranbrook— School District No. 1 2 17 8 5 1 1 1 2 11 11 13 1 25 1 14 15 38 6 1 43 71 44 86 16 37 94 15 5 22 44 3 4 12 5 2 20 2 9 ~10 2 7 1 4 5 8 11 2 7 1 11 1 12 12 41 5 49 69 37 89 18 41 84 19 6 22 30 8 6 7 2 1 38 4 26 ~~18 7 8 1 1 5 7 19 22 2 20 2 36 2 26 27 79 11 1 92 140 81 173 34 78 178 34 11 44 74 11 10 19 7 3 58 Metropolitan Health Committee, Vancouver—Continued School District No 41 2 35 6 7 3 3 52 9 3 19 67 114 112 196 2 6 51 1 3 14 4 16 1 56 3 29 19 2 33 25 21 48 74 87 12 18 310 4 41 3 1 6 8 6 39 20 5 27 63 124 150 202 5 5 38 5 4 15 3 17 3 65 3 19 14 4 21 32 16 49 87 90 14 23 317 School District No, 7 6 School District No, 3 School District No. 44 .... School District No 45 Simon Fraser, New Westminster— School District No. 40 School District No. 432 North Fraser, Mission— School District No. 42 . .. 76 Schno] District No. 4 3 7 Selkirk.Nelson— School District No. 6 13 11 School District No. 75 9 School District No. 76 Upper Island, Courtenay— School District No 47 91 West Kootenay, Trail— 29 SchoolDistrictNo.il School District No. 71 School District No. 72 8 46 ,Schnol District No 13 Skeena, Prince Rupert— School District No 5(1 South Okanagan, Kelowna— School District No. 14 School District No. 15.. School District No. 16 School District No. 17 School District No. 23. 130 School District No. 51 238 262 School District No. 53 398 School District No. 54 7 Peace River, Dawson Creek— School District No. 59- 11 North Okanagan, Vernon— School District No. 19.. School District No. 20 School District No. 60 School District No. 81 89 6 Victoria-Esquimalt Union Board of Health- School District No. 61 (part) a Saanich and South Vancouver Island— School District No. 61 (part)* School District No. 62 School District No. 22 School District No. 78 South Central Kamloops— School District No. 24 . 7 29 7 School District No. 26 School District No. 29 School District No. 30 .. . School District No. 63 School District No 64 33 4 Central Vancouver Island, Nanaimo— School District No. 65 School District No. 31 Cariboo, Prince George— School District No. 27 School District No. 28- School District No. 55 121 School District No. 66.. School District No. 67 School District No. 68.. School District No. 69 6 48 33 6 School District No. 57 School District No. 58 School District No. 82 . . Upper Fraser Valley, Chilliwack— School District No. 32 School District No. 70 School District No. 79 School districts not covered by health units— School District No. 46 School District No 48 School District No. 49 54 57 37 97 161 Boundary, Cloverdale— School District No. 35- . School District No. 61 (part)5 School District No 73 School District No. 74 School District No. 80.. . 177 26 School District No, 37 41 Metropolitan Health Committee, Vancouver— School District No. 38 School District No. 39 627 Totals 2,159 2,225 4,384 1 Includes 221 Indians of white status. 2 Includes 7 males and 5 females at Mental Health Services, Essondale. 3 Includes Victoria and Esquimalt. * Excludes Victoria, Esquimalt, and Oak Bay. 15 Includes Oak Bay only. This table shows that there were 1,829 known cases other than Indians who were classified as active, as compared to 2,335 in 1955 and 2,657 in 1954. This reduction is partly accounted for by the fact that the clinics reviewed active cases on the register during the year, which resulted in some corrections in the classification of known cases. While there was an increase of 484 known cases, those classified as minimal increased almost 500 and those classified as far advanced decreased by 61. Table 42.—Known Cases of Tuberculosis by Type of Infection, Condition and Age-group, 1956 (Excluding Indians^ Age-group Diagnosis ■ H a u r» i l-H rt U >i io Va H « 2 Efl c rt s r* *T \s rt at "ft* 2 H rt u (S 1 w-t CN S rt S r» OS tn i eg ■u Os 2 ■-■■*■ -u as m Efl Ih rt u r» as 2 ta U rt as r- <A ■-0 5 fc So •a 3 o H 38 4 10 3 20 1 166 79 58 4 16 2 7 5 3 1 1 148 84 37 1 3 9 2 12 16 5 10 1 4 1 1 2 3 104 57 28 4 4 3 2 6 68 21 30 10 2 1 4 30 5 10 4 1 4 1 5 6 2 1 45 19 19 1 1 1 4 269 132 84 14 1 18 9 11 99 25 42 12 2 12 2 4 27 4 8 4 1 7 51 12 26 1 2 1 9 586 332 177 19 7 26 15 10 233 89 88 16 9 21 5 5 75 16 25 10 6 12 3 3 3 2 52 10 22 1 1 1 17 2,239 1,378 623 51 44 52 52 39 930 432 323 52 39 39 30 15 235 75 84 23 21 16 7 9 8 3 20 S 6 1 3 3 1 1 3 1 1 5 2 1 641 275 2 208 10 2 i 14 54 1 852 461 288 18 12 26 27 20 430 no 189 28 23 48 23 9 123 11 55 17 13 21 4 2 18 3 12 225 108 85 7 3 5 7 10 115 33 53 5 7 8 6 3 45 7 15 5 5 7 6 4 2 1 2 61 9 11 2,214 1,432 566 45 38 47 46 40 988 466 360 40 45 41 20 2 1,602 961 480 22 23 34 32 50 684 263 275 26 31 64 14 11 245 65 83 32 21 29 7 8 14 2 7 1,269 766 364 21 15 41 37 25 574 177 250 43 18 54 25 7 184 30 58 27 24 36 5 4 22 5 14 71 9 Ana 331 5 637 15 2 1 4 2 4 25 6 9 2 2 4 1 1 13 2 2 1 1 2 5 2 2,723 210 144 255 228 214 4,112 1,606 1,600 228 1 177 Active (not stated) 296 127 16 78 1,282 301 91 129 33 27 33 6 6 14 461 153 119 1 1 165 32 3 2 3 1 51 86 fi 12 1 46 1 449 318 45 23 61 24 28 1 4 1,895 1,055 127 105 107 91 84 1 1 1 1 979 687 91 58 132 68 37 1 2 586 545 63 48 96 54 34 1 3 1 1 43 27 5 5 10 3 13 2 4 10 3 20 1 82 59 1 4 17 2 7 89 48 1 3 10 2 — 18 83 70 19 5 10 4 17 180 154 31 5 38 11 22 7 1,994 1,063 118 111 123 72 80 5 1,292 848 80 75 127 53 76 1 150 154 17 15 20 13 20 22 Totals, all foregoing types— Inactive „ „ _. 7,826 5,038 601 457 771 398 436 38 172 2 20 171 4 1 47 208 15 62 441 16 3 84 94813,464 3,561 2,551 2,052 1,426 389 106 3 41 15,527 Other- 5 32 1 120 47 8 312 26 6 277 14 5 178 7 2 114 3 78 37 169 Pleurisy without effusion 26 1,375 Totals 431 1941 773 285 544 1,101 3.83113.870 2,748 2,175 1,507 426| 150117.097 1 Includes 55 cases of far advanced tuberculosis with silicosis. F 62 DEPARTMENT OF HEALTH AND WELFARE Table 43.—Known Cases of Tuberculosis by Type of Infection, Condition and Age-group, 1956 (Indians Only1) Age-group Diagnosis ta H a u fc i co Ih rt u i* in CO Ih rt <L> fc --* 2 tn cS u i» i to ta H rt CM cn rt >< m ta cS <u r» Os 2 cn ta H rt u Os 2 -* Ih rt u Os m in cd u fc 3 vo CO Ih rt D as r- <£ 13 s •« cd o So •a o ca 3 64 1 25 1 35 254 37 165 4 1 45 2 7 3 427 164 204 16 9 23 8 3 17 2 8 313 173 123 8 2 2 3 2 89 20 42 3 2 17 5 81 15 42 5 3 13 2 1 26 1 13 2 2 7 1 1 227 142 69 7 5 2 2 153 67 56 7 4 12 6 1 114 14 76 12 2 8 2 58 34 12 4 7 1 2 94 62 24 4 2 1 1 198 104 64 11 4 4 7 4 149 36 67 15 13 14 3 1 54 7 24 12 5 6 2 30 17 10 5 3 1 4 4 — 2 1 1 42 27 13 1 2 2 1,422 603 624 39 20 1 no 2 17 12 4 6 3 2 16 2 277 156 90 10 3 9 9 176 50 87 10 7 15 7 76 7 38 8 16 6 1 3 2 1 177 115 48 5 1 3 4 1 115 40 46 11 1 12 5 36 4 22 2 4 4 10 153 97 41 4 3 6 2 91 27 43 6 3 8 3 1 29 3 10 5 3 7 1 86 50 22 5 7 2 61 18 28 2 3 8 2 18 3 7 2 3 3 1,222 653 393 46 14 3 1 1 1 6 1 17 6 1 1 65 41 40 13 15 2 1 8 1 1 15 3 9 1 1 1 1 2 1 1 10 862 217 420 65 35 1 1 7 1 3 1 2 10 7 1 5 1 97 25 3 11 6 2 1 3 1 1 330 27 5 3 1 1 1 164 47 42 45 4 1 2 10 2 2 209 179 42 24 25 11 7 1 232 225 28 26 31 17 3 1 26 38 172 4 2 50 3 2 167 223 17 9 40 9 5 1 209 220 18 9 39 10 5 2 223 235 38 15 29 9 5 40 34 6 2 11 2 15 15 2 4 1 1 4 4 1 1 1 8 Totals, all foregoing types— 162 117 18 6 19 9 2 131 94 15 6 18 10 3 71 57 9 6 18 4 1,502 1,601 197 1 35 2 111 317 86 Not stated - 32 65 ~To 269 2 2 18 470 12 3 48 510 29 9 50 554 37 5 70 497 26 11 55 562 13 8 60 333 9 1 26 277 3 2 14 165 4 7 95 2 1 38 1 11 1 3,846 138 Other- 41 360 Totals 75 291 533 598 666 589 643 369 296 176 98 39 12 4,385 1 Includes 221 Indians of white status. TUBERCULOSIS CONTROL REPORT, 1956 F 63 Table 44.—Ratio of Known Cases of Tuberculosis to Deaths from Tuberculosis among the Total Population of British Columbia, the Other-than- Indian Population, and the Indian Population, 1947-56. Year Total Known Cases Deaths Ratio Other than Indians Known Cases Deaths Ratio Indians Known Cases1 Deaths2 Ratio 1947... 1948... 1949.. 1950.. 1951... 1952... 1953._ 1954... 1955_ 1956- 15,408 16,812 18,483 19,428 18,709 18,927 19,590 20,206 20,858 21,482 536 442 406 313 292 214 146 123 143 109 28.7 38.0 45.5 62.1 64.1 88.0 134.2 164.3 152.3 197.1 13,430 14,528 15,738 16,438 15,404 15,497 15,807 16,151 16,613 17,097 362 286 295 239 212 179 122 100 120 90 37.1:1 50.8:1 53.3:1 68.8:1 72.7:1 86.1:1 129.6:1 161.5:1 143.2:1 190.0:1 1,978 2,284 2,745 2,990 3,305 3,430 3,783 4,055 4,245 4,385 174 156 HI 74 80 35 24 23 23 19 11.4:1 14.6:1 24.7:1 40.4:1 41.3:1 98.0:1 157.6:1 176.3:1 202.1:1 230.8:1 1 These figures include: 1947, 141 Indians of white status; 1948, 84 Indians of white status; 1949, 93 Indians of white status; 1950, 160 Indians of white status; 1951, 127 Indians of white status; 1952, 159 Indians of white status; 1953, 125 Indians of white status; 1954, 122 Indians of white status; 1955, 15 Indians of white status; 1956, 221 Indians of white status. 2 These figures include deaths of: 1947, 9 Indians of white status; 1948, 12 Indians of white status; 1949, 8 Indians of white status; 1950, 4 Indians of white status; 1951, 10 Indians of white status; 1952, 3 Indians of white status; 1953, 3 Indians of white status; 1954, 3 Indians of white status; 1955, 2 Indians of white status; 1956, 1 Indian of white status. NOTIFICATIONS OF TUBERCULOSIS These tables include all new tuberculous cases diagnosed, both active and inactive. There has been a further reduction in new cases from 1,403 in 1955 to 1,311 in 1956. The reduction is both in the Indian and other-than-Indian population, with the new cases in Indians being reduced from 240 to 208 and the other than Indians from 1,163 to 1,103. Table 45.—New Cases of Tuberculosis among the Total Population of British Columbia by Statistical Area, 1952-56 Area 1952 1953 1954 1955 19561 27 44 53 748 178 72 27 113 92 11 2 15 11 30 48 742 170 76 34 166 155 43 3 23 13 21 52 760 209 63 25 139 131 22 14 1 29 37 44 736 271 95 26 91 49 16 2 7 10 35 48 705 251 57 17 77 70 Ari»s( 10 18 22 Totals 1,382 1,501 1,450 1,403 1,311 1 Includes 32 dead cases. Source: Case Examination, Form TB. 1. F 64 DEPARTMENT OF HEALTH AND WELFARE Table 46.—New Cases of Tuberculosis among the Other-than-Indian populaton of british columbia by statistical area, 1952-56 Area 1952 1953 1954 1955 19561 = 20 43 44 730 10 27 40 720 7 21 38 740 169 27 16 49 41 10 ~13 26 36 39 709 244 19 7 39 23 12 2 7 : 10 Area 2.. . _ Area 3 . . . 34 43 680 134 28 15 39 29 1 2 15 136 29 12 37 • 40 18 .' 3 22 210 22 7 Area 8 ..... 28 37 Area 10 ... _ . ... 9 Unorganized 22 1 Totals 1,100 1,094 1,131 1,163 1,103 1 Includes 26 dead cases. Source: Case Examination, Form TB. 1. Table 47.—New Cases of Tuberculosis among the Indian Population of British Columbia by Statistical Area, 1952-56 Area 1952 1953 1954 1955 19561 Area 1 Area 2 Area 3. . 7 1 9 18 44 44 12 74 63 10 1 3 8 22 34 47 22 129 115 25 1 6 14 20 40 36 9 90 90 12 1 1 3 1 5 27 27 76 19 52 26 4 1 5 25 41 Area 6„ _ Area 7 35 10 49 Area 9 Area 10 33 9 Totals _ 282 407 319 240 208 1 Includes 6 dead cases and 22 Indians of white status. Source: Case Examination, Form TB. 1. There has been a further reduction in the incidence of tuberculosis from 1.1 per thousand to 0.9 per thousand. It is noted that the incidence of new cases in the Indian population is seven times that of the white population. Table 48.—Incidence per 1,000 Population of New Cases by Statistical Area, by Place of Residence, British Columbia, 1956 Population Area 1 Area 2 Area 3 Area 4 Area 5 Area 6 Area 7 Area 8 Area 9 Area 10 Total Total 0.3 0.3 0.5 0.5 10.0 0.6 0.5 3.7 0.9 0.9 7.3 1.0 0.8 5.9 1.1 0.5 6.2 0.8 0.4 3.8 1.2 0.5 8.0 1.8 1.2 5.9 0:9 0.5 12.6 0.9 0.8 6.3 TUBERCULOSIS CONTROL REPORT, 1956 F 65 Table 49.—Notifications of Tuberculosis by Health Unit and School District of Residence and Sex, 1956 (Excluding Indians) Health Unit and School District Live Dead Male Female Total Male Female Total East Kootenay, Cranbrook— S-~h"--il District No, 1 2 2 1 1 4 1 4 2 5 2 1 1 2 3 4 2 6 7 2 3 4 3 1 7 1 1 8 7 2 19 13 231 32 10 6 13 13 2 3 1 1 1 i 2 8 2 1 3 1 1 4 2 2 4 2 3 1 ~ 3 1 4 "~2 1 3 3 1 3 2 6 4 5 17 2 6 182 21 15 7 8 15 4 3 3 2 2 1 1 2 ~12 1 2 1 7 1 3 9 4 1 3 6 5 7 3 9 1 11 2 1 2 6 7 3 2 10 1 3 14 11 7 36 2 19 413 53 25 13 21 28 6 6 1 1 1 1 13 1 4 School District No 5 School District No 1 R Selkirk, Nelson— School District No. 6 1 School District No. 7 — School District No. 8 School District No. 10 — West Kootenay, Trail— School District No. 9 School District No. 11 1 School District No. 12 . School District No. 13... South Okanagan, Kelowna— School District No. 14 School District No. 15 — School District No. 16- School District No. 17.. — School District No. 23 . School District No. 77 North Okanagan, Vernon— School District No. 19 School District No. 20 School District No. 71 School District No. 72 School District No. 78— South Central, Kamloops— School District No. 74 School District No. 25 School District No. 26. School District No. 29 ... . . School District No 30 School District No. 31 Cariboo, Prince George— School District No 77 School District No. 28 School District No 55 — School District No. 56 School District No. 57- School District No. 58 — - "Schnnl District Mn S? Upper Fraser Valley, Chilliwack— School District No. 32 School District No. 33 1 School District No. 34 Boundary, Cloverdale— School District No. 35 School District No. 36 - 1 School District No. 37 . ~ . . Metropolitan Health Committee, Vancouver—■ 17 School District No. 44 . .. School District No. 45 Simon Fraser, New Westminster— School District No 41 1 North Fraser, Mission— 1 Includes 8 males and 10 females reported alive from Mental Health Services, Essondale. F 66 DEPARTMENT OF HEALTH AND WELFARE Table 49.—Notifications of Tuberculosis by Health Unit and School District of Residence and Sex, 1956—Continued (Excluding Indians) Health Unit and School District Live Male Female Total Dead Male Female Total Upper Island, Courtenay— School District No. 47— School District No. 71._ School District No. 72— Skeena, Prince Rupert— School District No. 50— School District No. 51 School District No. 52—. School District No. 53 School District No. 54— Peace River, Dawson Creek- School District No. 59— School District No. 60— School District No. 81— Victoria-Esquimalt Union Board of Health— School District No. 61 (part)2 Saanich and South Vancouver Island— School District No. 61 (part)3 School District No. 62 School District No. 63 School District No. 64 Central Vancouver Island, Nanaimo— School District No. 65 School District No. 66 School District No. 67 School District No. 68 School District No. 69 School District No. 70 School District No. 79 School districts covered by health units— School District No. 46 School District No. 48 School District No. 49 School District No. 61 (part)*- School District No. 73 School District No. 74 School District No. 80 Unorganized Ex-Province.. Unknown.. Totals- 1 9 1 1 11 2 1 5 1 33 22 3 7 4 12 9 1 6 1 2 2 5 6 2 9 1 19 1 609 2 2 3 4 4 13 1 2 3 5 16 1 3 1 2 1 6 2 3 39 12 1 4 2 468 72 34 4 11 2 7 12 1 11 3 14 3 1 4 4 7 6 2 12 2 22 1 1,077 20 26 2 Includes Victoria and Esquimalt only. 3 Excludes Victoria, Esquimalt, and Oak Bay. 4 Includes Oak Bay only. TUBERCULOSIS CONTROL REPORT, 1956 F 67 Table 50.—Notifications of Tuberculosis by Health Unit and School District of Residence and Sex, 1956 (Indians Only1) Health Unit and School District Male Female Total Dead Male Female Total East Kootenay, Cranbrook— School District No. 1 School District No. 2 School District No. 3 School District No. 4 School District No. 5 School District No. 18 Selkirk, Nelson— School District No. 6 School District No. 7 School District No. 8 School District No. 10 West Kootenay, Trail— School District No. 9 School District No. 11 School District No. 12 School District No. 13 South Okanagan, Kelowna— School District No. 14 School District No. 15 School District No. 16 School District No. 17 School District No. 23 School District No. 77 North Okanagan, Vernon— School District No. 19 School District No. 20 School District No. 21 School District No. 22 School District No. 78 South Central, Kamloops— School District No. 24 School District No. 25 School District No. 26 School District No. 29 School District No. 30 School District No. 31 Cariboo, Prince George— School District No. 27 School District No. 28 School District No. 55 School District No. 56 School District No. 57 School District No. 58 School District No. 82 Upper Fraser Valley, Chilliwack- School District No. 32 School District No. 33 School District No. 34 Boundary, Cloverdale— School District No. 35 School District No. 36 School District No. 37 Metropolitan Health Committee, Vancouver— School District No. 38 School District No. 39 School District No. 41 School District No. 44 School District No. 45 Simon Fraser, New Westminster— School District No. 40 School District No. 432_ 1 12 2 11 1 3 7 4 1 These figures include 22 Indians of white status. 2 Includes 2 males reported alive from Mental Health Services, Essondale. F 68 DEPARTMENT OF HEALTH AND WELFARE Table 50.—Notifications of Tuberculosis by Health Unit and School District of Residence and Sex, 1956—Continued (Indians Only1) Health Unit and School District Live Male Female Total Dead Male Female Total North Fraser, Mission— School District No. 42— School District No. 75— School District No. 76— Upper Island, Courtenay—- School District No. 47— School District No. 71— School District No. 72..~ Skeena, Prince Rupert— School District No. 50— School District No. 51— School District No. 52— School District No. 53— School District No. 54— Peace River, Dawson Creek- School District No. 59.... School District No. 60— School District No. 81.. Victoria-Esquimalt Union Board of Health- School District No. 61 (part)3- Saanich and South Vancouver Island- School District No. 61 (part)* School District No. 62 School District No. 63 School District No. 64 Central Vancouver Island, Nanaimo— School District No. 65 School District No. 66 School District No. 67 School District No. 68 School District No. 69 School District No. 70 School District No. 79- School districts covered by health units— School District No. 46 School District No. 48- — School District No. 49- School District No. 61 (part) 5- School District No. 73 School District No. 74.. School District No. 80_ Unorganized Ex-Province Unknown Totals . 91 3 4 10 18 6 6 11 26 5 1 1 1 11 16 1 202 1 These figures include 22 Indians of white status. 3 Includes Victoria and Esquimalt only. 1 Excludes Victoria, Esquimalt, and Oak Bay. 5 Includes Oak Bay only. Table 51.—Notifications of Tuberculosis in British Columbia by Racial Groups (Including Dead Cases Reported for the First Time), 1947-56 Racial Origin 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 Total 2,616 1,864 645 81 26 2,108 1,448 553 88 19 2,202 1,525 578 78 21 1,699 1,220 373 86 20 1,688 1,209 356 100 23 1,383 999 282 85 17 1,501 926 407 140 28 1,450 1,040 319 80 11 1,403 1,065 240 92 6 1,311 White Indian1 Chinese Japanese- 1,012 208 71 20 1 Includes notifications of: 1947, 21 Indians of white status; 1948, 27 Indians of white status; 1949, 34 Indians of white status; 1950, 10 Indians of white status; 1951, 21 Indians of white status; 1952, 26 Indians of white status; 1953, 25 Indians of white status; 1954, 22 Indians of white status; 1955, 19 Indians of white status; 1956, 22 Indians of white status. TUBERCULOSIS CONTROL REPORT, 1956 F 69 Chart 10.—Notifications of Tuberculosis in British Columbia by Racial Groups (Including Dead Cases Reported for the First Time), 1947-56 No. OF CASES 5,000 4,000 3,000 2,000 TOTAL .^WHITE 1,000 900 800 700 600 500 ■»»_ ^^ ■ _— — - X ■^INDIAN 400 300 200 100 — — - ■*. "**^ ^ ""-"■.. CHINESE * ->* \ 90 80 70 60 50 40 30 20 10 __ _ —- ~^-. _ _—. * ' N JAPANESE _.--- S^ V \ \ ^ *^ ** \ \ \ \ X / 1 I 1 I t 8 V f 6 V 1 5 4 3 2 1 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 " F 70 DEPARTMENT OF HEALTH AND WELFARE Of the new cases diagnosed, there was an increase in those classified as minimal and a decrease in the moderately and far advanced cases. Of the total 1,103 new cases, 421 were classified as active and 201 activity undetermined, a total of 622 potentially active; 220 were classified as inactive and 91 arrested, Table 52.—Notifications of Tuberculosis by Type of Infection, Condition, and Age-group, 1956 (Excluding Indians) Age-group Diagnosis ta H rt 2 ta \s cS V ta Ih (0 3 ta u rt o ><■ 7 in ra u rt O > . © CN rt V l» o\ ca 1 in ■■N CO H CS o r~ a\ - tn £ H rt u >< a\ "■* 1 o ft*. ca i-i rt a \* £ 03 u - rt - ;* ON \o o ta \s cS V rS as t> i. > o -e a o 00 •o rt o Z 2 o 6 ■ H 22 1 2 16 3 10 1 8 1 u 2 4 5 2 2 70 33 5 22 9 134 45 16 41 30 102 30 14 29 29 96 31 11 25 26 1 78 29 9 21 18 1 — 1 1 4 52 14 7 16 15 7 1 7 3 30 9 1 8 42 6 4 22 9 1 16 3 1 11 1 2 2 1 599 190 4 2 4 3 67 1 193 141 Peart 2 1 23 1 4 16 2 2 42 4 4 25 9 34 6 4 21 3 13 1 1 8 2 1 . 2 36 5 3 25 3 9 1 6 1 1 41 3 2 24 9 3 16 14 1 1 6 1 3 26 12 14 21 if 1 9 1 4 2 2 3 1 2 ' 1 1 2 1 228 22 1 2 1 18 140 45 3 8 1 6 1 16 1 2 9 4 90 4 2 3 58 6 2 1 19 1 35 9 46 12 1 50 22 75 39 4 2 37 19 58 34 1 — 1 14 7 39 30 9 1 Dead 37 14 56 30 2 2 32 11 59 28 5 1 7 4 2 6 4 1 1 1 2 16 3 1 1 10 1 9 5 35 10 Totals, all foregoing types— 1 8 1 3 6 5 220 91 421 Activity undetermined 201 24 1 7 22 10 1 14 2 13 6 60 4 103 10 192 4 149 4 141 1 14 135 1 7 1 100 2 14 11 1 964 Other- 36 1 5 4 3 8 12 18 18 1 7 4 101 Dead, non-pulmonary 2 Totals 23 16 20 22 72 125 214 172 156 144 1fiQ! ^A 16 1,103 1 Includes 2 cases of far advanced tuberculosis with silicosis. TUBERCULOSIS CONTROL REPORT, 1956 F 71 In the new cases diagnosed amongst Indians, 129 were classified as active and 11 actively undetermined, making a total of 140 potentially active out of 208 new cases. Table 53.—Notifications of Tuberculosis by Type of Infection, Condition, and Age-group, 1956 (Indians Only1) Age-group Diagnosis ca u CS u >< £ I-l rt fi *n B ta a rt £ ta ii cS ta fi 7 CA Ih rt ■* o 2 rt O Os in ■■N ca H rt 4> >< o\ 2 cn ta C rt -u Os 3 ft* BO H rt 9 >H in E rt <u >< av vo 1 o 2 rt u Os i U > O •a c ra o oo •a a> rt o Z 3 o H 28 2 26 14 2 12 10 i 6 2 1 6 3 1 1 1 16 1 1 13 1 12 3 4 4 1 1 1 — 7 4 2 1 2 2 6 5 1 3 3 4 3 1 2 ~2 i i 2 2 — 57 1 5 47 3 Denri 1 1 9 3 3 3 6 5 1 5 2 1 2 8 1 1 6 68 7 21 1 6 33 7 Dead 1 4 6 2 2 2 1 1 37 1 1 1 4 6 2 34 1 Dead 2 4 3 2 3 1 1 1 17 2 4 3 2 2 1 1 — 15 TVarf 1 1 2 Dead „ .. 3 3 12 1 1 3 9 2 4 6 1 1 5 4 1 6 1 Totals, all foregoing types- 1 16 2 1 1 2 22 2 3 4 10 1 2 9 2 26 2 14 27 129 11 1 Dead 3 28 16 1 20 3 27 3 18 19 1 1 15 1 2 1 12 1 1 10 7 7 5 2 179 Other- 10 4 1 1 3 2 1 16 Dead, non-pulmonary 3 Totals. . 32 19 26 32 18 211 19 14 12 7 5 3 208 1 Includes 22 Indians of white status. This shows that there was a reduction in the new cases of non-pulmonary tuberculosis as well as in pulmonary tuberculosis. : F 72 DEPARTMENT OF HEALTH AND WELFARE Table 54.—Notifications of Tuberculosis in British Columbia by Age-group, Sex, and Diagnosis, 1956 (Excluding Indians) Age-group Diagnosis on Notification * Ovg 22 7 « 22 2;* r 2 tj ra <Y« n tfi Ov £ in!* Ov £ vc-X ■ov 2 S H a ii So V O rt rt O H 5 6 2 1 3 6 1 2 20 22 6 10 2 2 32 38 13 10 4 4 65 69 23 19 4 8 52 50 20 14 7 5 55 40 26 10 4 4 60 17 30 8 12 2 1 34 18 25 1 8 3 1 1 2 5 3 1 1 4 3 Pulmonary— Primary M. F. M. 1 15 6 4 21 25 327 F. -., j i;».v -j j 1U 270 F. M. 1 1 1 77 43 F. M. 26 2 F. 1 F. Dead1 M. F. M. 2 2 1 1 1 5 7 2 2 1 19 5 7 15 22 6 4 10 5 9 14 5 8 13 28 32 60 51 52 103 94 98 192 80 69 149 86 55 141 108 27 135 76 24 100 8 6 14 7 4 11 561 F. T. M. 403 964 Tuberculous pleurisy— 1 2 2 4 3 1 6 4 1 4 3 1 1 1 1 1 T 20 F. . M. 15 2 Dead1 . - — F. M. F. .M. .... 1 1 2 2 2 4 6 3 1 4 7 4 11 4 4 4 4 1 1 1 1 1 1 2 l l 22 F. T. __M. 15 37 Non-pulmonary— 1 1 F. M. 1 1 2 1 „ 2 1 i 1 2 2 1 3 3 2 2 1 3 . 1 2 1 3 1 F. M. 2 3 F. M. 6 i 2 2 1 2 2 3 2 1 3 F. M. 7 F. .M. 10 Skin 1 E. M. F. M. — 1 2 1 2 Lymphatic system 2 3 1 2 1 1 4 7 1 1 5 2 1 2 _ l 3 7 1 1 1 2 1 15 21 F. M. 16 F. M. z "" ~" 1 1 F. 1 Other non-pulmonary M. F. M. F. M. F. T. ■ M. 1 Dead1 1 1 1 1 Total non-pulmonary 1 1 2 3 5 2 2 4 2 1 3 4 4 8 3 8 11 9 9 18 11 8 19 3 11 14 3 5 8 4 3 7 3 1 4 46 56 102 7 16 23 9 7 16 9 11 20 9 13 22 35 37 72 61 64 125 103 111 214 95 77 172 90 66 156 112 32 144 81 28 109 8 6 14 10 6 16 629 F. T. 474 1,103 1 Dead on notification. Source: Case Examination, Form TB. 1. TUBERCULOSIS CONTROL REPORT, 1956 F 73 Table 55.—Notifications of Tuberculosis in British Columbia by Age-group, Sex, and Diagnosis, 1956 (Indians Only1) Age-group Diagnosis on Notification t/> u •h- ta Ifi H „, ta .A* 2*2 7 rt 22 7 rt * 2 evil* 3 2 7 rt in v Or* OS » Ifi ov g in •* ov £ fa VOi* ov E« t-r* R Ih rt to So •a O ti ZSi rt O H Pulmonary— Primary ... M. F. 14 14 5 9 5 4 l 2 1 1 26 30 Minimal - M. F. 1 2 4 5 11 5 7 5 4 5 4 3 3 3 4 1 1 __ 29 39 Moderately advanced M. F. 1 2 2 3 3 1 1 3 3 3 5 2 2 1 2 1 1 l 17 20 Far advanced M. F. M. 2 3 1 2 1 1 1 2 1 - 11 4 F. —— M. — F. M. Dead2 l 1 F. M. F. T. M. F. 1 „ . 1 2 Total pulmonary 141 5 141 11 28l 16 9 11 20 11 16 27 9 9 18 10 9 19 4 11 15 6 6 12 6 4 10 6 1 7 3 2 5 l l 2 84 95 179 Tuberculous pleurisy— Tuberculous pleurisy with effusion 1 2 1 2 1 1 1 1 5 5 Tuberculous pleurisy without effusion.. M. F. M. F. _ -M. Dead2 Total tuberculous pleurisy . 1 1 2 1 3 2 1 3 — _ 1 1 1 1 1 5 F. T. M. F. 5 10 Non-pulmonary— Meninges 1 1 1 1 Intestines and peritoneum M. F. Vertebral column M. F. 1 1 2 Tuberculoma M. F M. 1 1 Skin F. M. F. Lymphatic system M. F. 3 1 1 1 6 Genito-urinary system M. 1 . ;.: .,-. 1 F. M. F. 1 Miliary 2 . —"- 2 Other respiratory system - .M. F. Other non-pulmonary M. F. 1 1 Dead2 M. F. M. F. T. M. 1 1 — 1 2 1 Total non-pulmonary 1 3 4 1 1 2 3 3 1 1 2 1 1 1 2 it 3 1 1 2 2 1 1 5 14 19 Total notifications 15 17 32 7 12 19 11 15 26 14 18 32 9 9 18 101 5 6! 6 6 1 7 31 7 1 94 F. T. 11 21 14 19 8 14 6 12 I 1 3 114 208 1 Includes 22 Indians of white status. 2 Dead on notification. Source: Case Examination, Form TB. 1. : .... ''.. ■' ■..,. F 74 DEPARTMENT OF HEALTH AND WELFARE Chart 11.—Notifications of Tuberculosis in British Columbia by Diagnosis, 1956 excluding indians DEAD NON-PULMONARY 0.2% INDiANS DEAD NON-PULMONARY \A% DEAD PULMONARY '•4%Tp^^LO^*^ The notification rate has reached a new low of 80.8 per 100,000, having dropped from a peak of 211.1 in ten years. TUBERCULOSIS CONTROL REPORT, 1956 F 75 55 O H < ■-4 P CU o PM o o <p o" o 1—I Pi W tu 03 w H < Pi VO <n I (M Ov m S P j o U UJ S g CQ .2 S3 Is X If ta t3 0.3 z 3 3»EH jsqtunivi 3JEH jdqiunjsi 3JEH J3qum>i 3JBH jsqiunj^ in o ■rn *-« 00 cn n« TS 00 SO CS 00 as T-l CS 17.7 14.3 55.8 17.7 so t- Tf rt CS Tf Tf cs 00 wi O CN tN m © CN VO 00 on r- cn o rtTS \Q 00 00 Cn ISO f; °^^: © cn o\rJo\d v>6 -moo CN m rH CN »n ^O rn tj- i-i cs t^ Tf Tf -+ : tn r- oo vo r- 00 00 as 06 00 HK-.(S. CS CN CN ts so rf so m ts CN Tf |> ■ cn t~^ ' m w w-j in cs r- 00 r- cs cn rt o 00 Tf vo r- CN Ov m r> 0 0 ©\ TJ" cs r- O m 00 00 so rt vo m ts *n SO rf Tf O m so SO rt 0JBW o 00 Tf c*i tn tn 00 CS 00 00 CJ cs JsqiunM CS CS rH rH en 00 vo m vo Tt 3;b^ >O00Mn m m o m tS Tf Tf t- (7s t- 0\« vd vo rn cn TS TS CA TS CS VO "(fTt «n so' m t~- rn o O r- jsquinjsl CS Tf CN t- o;bH ft 00 Tt t"; o" r^ -w-i Tf m \o 00 co ©■Tf rn ts jsqainjsl O VO VO tn r- ci Sl^tf en r-< CN CO vo m »H CS r- m rt © r- 00 tn in tN t— tN © © O O Tf tN Tf nh rs t- O CS O CS jaqiuriN 00 00 r- pq CO ft P o •a; o I w o < >l « M z o H ■< o O 55 o fcj p o Pi w m P H w --) ca H vo vo in cs 00 o s;bh i-h cn 06 © ts in m m cn ov jsquinM Os vo Tf O 00 r- &j«a C\ 00 00" CS m «n *-< ts t~- CN Os 00 0\ r- "-1 TJ Os tN cN tn ts tN C\ 00 m cs Tf ts" tN VD cn t> © rf ts r» Tf cs J9qmnj^[ OO (N so «n TS ^ r-i T-l CS 1 9}E^ m m so r- Tf On tS O ts CS CS Os as d vo 00 cs cs vo 00 t- cs cs cs t- o in** Tf O cn cs r- vo t- m ts ts Tf o f cs 3JEH m r- in d tN »n tS 00 oc c-^ SO Os Os Os tn ts 00 os 00 in in \o OV Tf CS rH cn r» 00 ts O CS o m CS rn J9quin>4 CS CS rH rH ts O ON t-- On VO s;bh 00 CN ts as rH fN tS tS cn cn tn vo Os joquinjsf 00 m o o ts ts a;e>r 00 On ON Tf l-H tS Tf Tf rH ON m os tA m Os r~- O rf Tf cn m x> tA rt r- m cn 00 m cs jaquin^sj «n tj- o m 3JBH t-; r^ cn ts rH as CS rH VO ON *-* Tf ON Tf Tf cs da o m Ov m CS rH rH VO 00 cs d jaqiunjsl a 3 x 0 <u 1 "a w a < ^fe ^fe ^^sfe s* ^fe ^^ Sfe Sfc S* lfe ^^2^ 0 H F 76 DEPARTMENT OF HEALTH AND WELFARE Chart 12.—Notifications of Tuberculosis in British Columbia by Age-group1 and Sex, 1941-56, Rates per 100,000 Population (Excluding Indians) RATE 0-4 YRS. 300 1 1 1 200 100 0 1 1 ' 1 yCX si-; 1 V* " i^V* 5-9 YRS. 100 1941.42 43 44 45 46 47 48 49 50 51 52 53 54 551956 1941 42 43 44 45 46 47 48 49 50 51 52 53 54 551956 '/ V A*. A W „'/ N| aT\ aT JV? / aSP&W "—X\ RATE 10-14 YRS. 300 200 300 —I— 1 I —I 1 " 1 1 1 200 % \ % 100 \ % % 1 W t 1 \ s\ % 0 1 t ■ i 1 1 * I 1 194142 43 44 45 46 47 48 49 50 51 52 53 54 551956 194142 43 44 45 ih 47 48 49 50 51 52 53 54 551956 400 300 200 100 RATE 20-29 YRS. 1 \ / .// M % \ \ \ % \ s> ■XN.V 0 1 1 i > i 1 1 RATE 30-39 YRS. 1 1 200 y* /" / \ "*% \ '*<^ 100 0 ' i l ' i i ' 1941 42 43 44 45 46 47 48 49 50 51 52 53 54 55 1956 1941 42 43 44 45 46 47 48 49 50 51 52 53 54 55 1956 i Breakdown by sex was not available for the 10-14 and 15-19 age-group from 1941 to 1943. TUBERCULOSIS CONTROL REPORT, 1956 F 77 Chart 12.—Notifications of Tuberculosis in British Columbia by Age-group and Sex, 1941-56, Rates per 100,000 Population—Continued (Excluding Indians) RATE 400 300 200 100 0 ■ 1 1 1 1 ^N ,'-" / / J % \ >/ \ ^Scx. 1 t 1 w- V 1 ' 400 RATE 50-59 YRS. i 1 i i 1 i 300 200 100 / / A. 1 V \ \ A.'' n 1 , ■■ i i i , , , 1941 42 43 44 45 46 47 48 49 50 51 52 53 54 55 1956 1941 42 43 44 45 46 47 48 49 50 51 52 53 54 55 1956 v./.A —^ aT7i 100 1941 42 43 44 45 46 47 48 49 50 51 52 53 54 55 1956 15,4, 42 43 44 45 46 47 48 49 50 51 52 53 54 55 1956 RATE ?0-79 YRS. 1 A t* ** % 1 / t 1 1 1 400 300 RATE 80 YRS. AND OVER 1 200 100 0 \ 1 t 1 t ' 1 4 / imm<r 1 1 A » 1 RATE TOTAL 400 1 1 1 1 1 1 1 *s A* > *•— % y ' 1 , 1 ' \- ' ' 1941 42 43 44 45 46 47 48 49 50 51 52 53 54 55 1956 1941 42 43 44 45 46 47 48 49 50 51 52 53 54 551956 F 78 department of health and welfare Table 57.—Ratio of New Cases of Tuberculosis to Deaths from Tuberculosis in British Columbia, 1952-56 Year Total New Cases Deaths Ratio Other than Indians New Cases Deaths Ratio Indians New Cases1 Deaths3 Ratio 1952_ 1953_ 1954- 1955„ 1956._ 1,383 1,501 1,450 1,501 1,311 215 146 123 143 109 6.4:1 10.3:1 11.8:1 11.0:1 12.0:1 1,101 1,094 1,131 1,261 1,103 180 122 100 120 90 6.1 9.0 11.3 10.9 12.2 282 407 319 240 208 35 24 23 23 19 8.1:1 17.0:1 13.9:1 11.4:1 10.9:1 1 Includes notifications of: 1952, 26 Indians of white status; 1953, 25 Indians of white status; 1954, 22 Indians of white status; 1955, 19 Indians of white status; 1956, 22 Indians of white status. 2 Includes deaths of: 1952, 3 Indians of white status; 1953, 3 Indians of white status; 1954, 3 Indians of white status; 1955, 2 Indians of white status; 1956, 1 Indian of white status. TUBERCULOSIS MORTALITY In 1956 the lowest death rate from tuberculosis at 7.8 per 100,000 is recorded. This was a reduction in total deaths from 143 to 109. Table 58.—Tuberculosis Mortality and Rate per 100,000 Population for the Total Population of British Columbia by Statistical Area, 1952-56 Total Population Area 1 Area 2 Area 3 Area 4 Area 5 Area 6 Area 7 Area Area 9 Area 10 Total Mortality— 1952 1953 1954.. 1955... 1956- Mortality rate per 100,000 population— 1952. 1953_ 1954.. 1955.. 1956.. 10.6 6.9 6.7 9.7 11 6 3 4 6 17.8 9.7 4.6 5.9 9.1 I 10.0 4.9 7.1 3.4 5.9 129 86 72 79 59 19.3 12.5 10.2 10.9 7.7 27 18 12 23 19 12.2 8.2 5.1 9.5 7.4 10 9 23.3 20.0 17.6 10.7 7.4 10.7 4.6 10.1 | 14.7 I 9.5 15 13 17 9 .3 37.4 .6 22.7 .3 | 35.3 7 I 21.4 0 13.4 I 214 146 1231 143 109 17.9 11.9 9.7 11.0 7.8 1 Excludes deaths of 2 ex-Province residents. Preliminary figures for 1956. TUBERCULOSIS CONTROL REPORT, 1956 F 79 This shows that the decrease in deaths from tuberculosis in other than Indians was 6.6 per 100,000, with a reduction from 120 to 90 deaths. Table 59.—Tuberculosis Mortality and Rate per 100,000 Population for the Other-than-Indian Population of British Columbia by Statistical Area, 1952-56. Other-than-Indian Population Area 1 Area 2 Area 3 Area 4 Area 5 Area 6 Area 7 Area Area 9 Area 10 Total Mortality— 1952 1953_ 1954.- 1955.. 1956.. Mortality rate per 100,000 population— 1952 — 1953 1954- 1955. 1956.. 3 11 2 6 2 | 3 2 4 6 10.7 7.0 6.8 6.6 17.8 9.5 4.6 6.0 9.2 8.9 4.9 6.0 3.5 3.6 125 86 70 78 57 18.8 12.6 10.0 10.8 7.4 I 20 15 9 19 14 9.3 6.8 4.0 8.1 5.6 15.7 5.1 5.0 9.6 6.2 5.9 11.4 11.1 6.1 14.0 8.2 10.6 15.4 5.5 12.2 12.0 5.8 11.3 6.3 179 122 | 1001 120 90 15.3 10.2 8.1 9.4 6.6 1 Excludes deaths of 2 ex-Province residents. Preliminary figures for 1956. The Indian death rate shows a drop to 57.6 per 100,000, which, as in the other- than-Indian group, is the lowest recorded. Table 60.—Tuberculosis Mortality and Rate per 100,000 Population for the Indian Population of British Columbia by Statistical Area, 1952-56 Indian Population Area 1 Area 2 Area 3 Area 4 Area 5 Area 6 Area 7 Area 8 Area 9 Area 10 Total Mortality— 19521 19531 19541 1 210.5 — 1 1 2 93.9 88.7 147.5 4 2 1 2 114.4 53.9 24.8 58.2 7 3 3 4 5 120.6 50.1 48.7 64.9 71.7 4 7 6 1 1 83.3 141.5 117.8 19.0 17.7 2 1 1 90.6 41.3 38.4 10 10 4 11 6 180.6 175.2 68.1 181.3 98.5 6 3 7 3 2 115.6 56.1 127.1 52.7 35.8 1 1 1 136.4 132.6 124.5 35 24 1 23 19551 19561 23 19 Mortality rate per 100,000 population— 1952 1953 ... 1954 119.1 79.2 73.7 1955 71.4 1956 57.6 i Includes deaths of: 1952, 3 Indians of white status; 1953, 3 Indians of white status; status; 1955, 2 Indians of white status; 1956, 1 Indian of white status. 1954, 3 Indians of white - F 80 DEPARTMENT OF HEALTH AND WELFARE There were no deaths recorded in Area 1, which includes the four large communities of Kimberley, Cranbrook, Fernie, and Michel. Table 61.—Tuberculosis Mortality by Statistical Area and City of Residence and Sex, 1956 (Excluding Indians) Male Female Total Place of Residence Male Place of Residence Female Total 4 1 3 2 1 1 2 1 1 6 1 1 1 2 1 42 2 31 3 2 1 2 1 5 1 2 2 1 1 1 1 8 6 1 1 5 1 3 1 4 1 3 2 1 1 2 1 1 1 1 7 2 1 1 2 1 50 2 37 4 2 1 3 1 10 1 3 5 1 1 1 1 1 1 1 2 2 2 1 1 1 1 Unorganized Area Nn. 5r. Area No. 5e Area No. 6b Delta Area No. 7c Unorganized- - Area No. 8e Richmond . ._ . Area No. 8f 3 3 Totals 70 20 90 Table 62.— -Tuber CULOSI 5 MORr fALiTY by Statistical Area AND City of Residence and Sex, 1956 (Indians Only1) Place of Residence Male Female Total Place of Residence Male Female Total Area No. 3a Unorganized- Area No. 3b- Unorganized- Area No. 4a Mission City.. Area No. 4b— Vancouver- Area No. 5a.. Unorganized- Area No. 5c. Unorganized.. Area No. Se- Toflno Unorganized- Area No. 6d_ Unorganized- Area No. 7a Unorganized- Area No. 8c Unorganized- Area No. 8e Unorganized- Area No. 8f Unorganized- Area No. 8g Unorganized- Area No. 9d Unorganized- Area No. 9f_ Unorganized- Totals- 11 19 i Includes 1 Indian of white status. TUBERCULOSIS CONTROL REPORT, 1956 F 81 Except for Indians there were no tuberculosis deaths in persons under 25 years of age and there were no Indian deaths under 4 years of age. Eighty-nine per cent of all tuberculous deaths were due to respiratory tuberculosis and there were only 3 deaths from tuberculous meningitis. There were no deaths from bone or lymphatic tuberculosis and there was only 1 death from miliary tuberculosis. Table 63.—Tuberculosis Mortality by Diagnosis and Age-group, 1956 Excluding Indians Diagnosis ■ Age-group o -■fa .2 1 B'l TB.of Intestines and Peritoneum UAjU C ta So H><-> c « "ft-1 vi cn O Vaa HB3° o oag rn^'tri TB.of Genitourinary System HOO Q c£ rt O H Under 1 year 1 6 10 14 16 23 12 7 i 1 — ~ — i ~i l ~l _i — 5- 9 „ 10-14 „ . . 15-19 „ 20-24 , 25-29 „ . ... 1 30-39 „ 8 40-49 „ .. .. 10 50-59 „ 15 60-69 „ 17 70-79 „ _ 26 80 years and over 13 Totals 82 2 1 — — — 4 — l 90 Indians Onlyi 1 1 2 1 2 2 1 1 2 2 1 1 — - ~ — 1 1 — 5- 9 „ 1 10-14 „ _ 1 15-19 „ 1 20-24 „ . 2 25-29 „ 1 30-39 „ 40-49 „ 4 2 50-59 „ 1 60-69 „ 1 70-79 „ 2 3 Totals 15 1 1 — — — — 2 — 19 i Includes 1 Indian of white status. Source: Death Registrations, 1956. F 82 DEPARTMENT OF HEALTH AND WELFARE There were 77 tuberculosis deaths in the group excluding Indians and Orientals for a rate of 5.7 per 100,000 population. This represents a decline of 32 per cent from the previous year. Table 64.—Tuberculosis Mortality and Rate per 100,000 Population for the Total Population of British Columbia, the Indian, Chinese, and Japanese Populations, and the Population Excluding Indians and Orientals, 1947-56. Total Province Indians Excluding Indians Year Number of Deaths Population Rate per 100,000 Number of Deaths Rate Number of Deaths Population Rate Population per 100,000 per 100,000 1947 536 442 406 313 292 214 146 123 143 109 1,044,000 1,082,000 1,114,000 1,138,000 1,165,210 1,198,000 1,230,000 1,266,000 1,305,000 1,398,464 51.3 40.9 36.4 27.5 25.1 17.9 11.9 9.7 11.0 7.8 1741 156i llli 74i 77i 351 24i 231 231 19 27,000 28,000 644.4 557.1 362 286 295 239 215 179 122 100 120 90 1,017,000 1,054,000 1,085,000 1,109,000 1,136,732 1,168,600 1,199,700 1,234,800 1,272,800 1,365,500 35.6 1948 27 1 1949 1950 28,500 29,000 28,478 29,400 30,300 31,200 32,200 33,000 389.5 255.2 270.4 120.7 79.2 73.7 71.4 57.6 27.2 21.6 1951 18.9 195? 15.3 1953 10.2 1954 8.1 1955 9.4 1956 6.6 Chinese Japanese Excluding Indians and Orientals Year Number of Deaths Population Rate per 100.000 Number of Deaths Population Rate per 100.000 Number of Deaths Population Rate per 100.000 1947 40 33 22 24 31 23 17 9 14 12 15,400 15,200 14,900 15,000 15,933 15,900 15,800 15,750 15,750 15,750 359.7 217.1 147.7 160.0 194.6 144.7 107.6 57.1 88.9 76.2 12 8 5 6 4 2 2 2 1 7,000 7,000 7,500 8,000 7,169 7,400 7,450 7,500 7,600 7,600 171.4 114.3 66.7 75.0 55.8 27.0 26.8 26.7 13.2 310 245 268 209 180 154 103 89 106 77 994,600 1,031,800 1,063,100 1,086,000 1,113,630 1,145,400 1,176,450 1,211,550 1,259,450 1,342,150 31.2 1948 23 8 1949 25.2 1950 19.2 1951 16.2 195? 13.4 1953 1954 8.8 7.4 1955 8.4 1956 5.7 1 Includes deaths of: 1947, 9 Indians of white status; 1948, 12 Indians of white status; 1949, 8 Indians of white status; 1950, 4 Indians of white status; 1951, 7 Indians of white status; 1952, 3 Indians of white status; 1953, 3 Indians of white status; 1954, 3 Indians of white status; 1955, 2 Indians of white status; 1956, 1 Indian of white status. Note.—" Indian deaths " includes all deaths of persons of Indian racial origin, whether they were Indians under the meaning of the " Indian Act" or not. Source: Mortality—Annual Reports of Vital Statistics, 1947 to 1955, inclusive (1956 figures preliminary only). TUBERCULOSIS CONTROL REPORT, 1956 F 83 Chaft 13.—Tuberculosis Mortality Rates per 100,000 Population for the Total Population of British Columbia, the Indian, Chinese, and Japanese Populations, and the Population Excluding Indians and Orientals, 1947-56. RATE 400- \ > \ ~ INDIANS \ \ . CH1NKE, 0-*" V N \ \ / ts, .^^ \ ^»» X "\ JAPA NESE" \ s N V * / \ 30 EXCLUDING" ^TOTAL \ ■^ ^^^ •mm . ""■"' ■ mm EXCL INDI/ 1 JDING * «. VNS AND IRIENTALS ^ sZ^s > * ^v *i»*< ^ X ^* A»^ v'^ v> 5 1947 1948 1949 1 "No Tuberculosis Deaths in 1955. >50 1951 1 Tuberculosis Death in 1956. ft ■ . ■ 1954 1955 ■• F 84 DEPARTMENT OF HEALTH AND WELFARE This table shows a decreased male death rate in all age-groups except those 70 years of age and over. Eighty-three per cent of all male deaths were in persons 50 years of age and over. Table 65.—Male Tuberculosis Mortality for the Total Population of British Columbia by Age-group, 1952-56 — Age-group Year 0-4 5-9 10-14 15-19 20-24 25 29 30-39 40-49 Years 50-59 Years 60-69 Years 70-79 Years 80 and Over Total Years Years Years Years Years Years Years 195? 6 4 2 1 2 1 1 1 8 1 3 1 3 4 1 1 1 16 6 3 10 4 12 11 28 16 39 27 18 30 15 27 25 17 22 24 4 5 6 6 14 149 1953 100 1954 1955 1956 1 1 2 1 15 10 6 24 17 12 87 101 78 Preliminary figures for 1956. Source: Annual Reports of Vital Statistics, 1952 to 1955. Table 66.—Female Tuberculosis Mortality for the Total Population of British Columbia by Age-group, 1952-56 Age-group Year 0-4 Years 5-9 Years 10-14 Years 15-19 Years 20-24 Years 25-29 Years 30-39 Years 40-49 Years 50-59 Years 60-69 Years 70-79 Years 80 and Over Total 1952 .. 1 7 3 1 2 1 2 1 1 4 2 10 3 15 8 12 15 8 10 6 4 9 6 5 6 1 7 1 4 3 7 4 2 4 3 4 1 3 2 65 1953 46 1954 4 1 1 1 4 5 1 36 1955 - 1 2 4 5 3 42 1956 31 Preliminary figures for 1956. Source: Annual Reports of Vital Statistics, 1952 to 1955. Table 67.—Tuberculosis Mortality for the Total Population of British Columbia by Age-group, 1952-56 Age-group Year 0-4 Years 5-9 Years 10-14 Years 15-19 Years 20-24 Years 25-29 Years 30-39 Years 40-49 Years 50-59 Years 60-69 Years 70-79 Years 80 and Over Total 195? 7 11 6 1 5 1 1 1 1 3 1 1 1 10 1 1 1 1 7 3 3 2 13 7 5 6 2 31 14 15 25 12 22 17 19 19 12 33 22 25 19 16 46 28 22 35 18 30 32 21 24 28 7 9 7 9 16 214 1953 1954 146 123 1955— 1956 143 109 Preliminary figures for 1956. Source: Annual Reports of Vital Statistics, 1952 to 1955. TUBERCULOSIS CONTROL REPORT, 1956 F 85 to O z o H < 5 a. O CU -J < H O H vo a -N H m On BJ ftf-i o „ s K w H a, o , ? 3 & < « B5 2 O co Sl S3 o su D X U cfl 3 CQ H ai a U VO ■ rt en as m ci o CN o Tt in rn m' ts >r> H Ci l-< — ts ss On rS *, Ph 5 O Is OWNHO rt > O On "ri —" o oQ mm\D\cm 9 00 r-< w o < as M *t rt CO C7\ VO —« © & t- C- rf \D O r^ so rt in so <j ca £ s » 2 Ci CO 00 O -N nJ vd vo m tc" tn 0 so rt tn m a u B £2 H g\ 2 "1 ra c-tnmrfrt 2 il vo vd co vd t--" CQ t -M cn n ts Ch O a Z o 3 o H cisoTscm m tn* oo tm so H a> tM l-H 1— sS i-l 00 D 0. O CU a* 2 tn-^-i os t— rn oc o r-^ vd tn © •*" H —1 TS < H O H a Ci TSCiso Ci K t^ *o ts" tn ci H Fll* Pi O [Ih cn 22 tn CN TS ys H << Pi — >r H 00 •n < H <* rt vo ts m rt r- vd cn --I i-.' o 0 OS CM O m S Os C/5 O —i CO ■2 O ■g i-l D ca O "rt « .ti w > to vd *H p m 0 H H cd 2 | fc! 0 w i-i < 3 >< s So 3 tq a *. i 00 rt VD S U w J Si o < cuvi c e* Tf u- vf in in f] ir fH ON ON On o^ o< F 86 DEPARTMENT OF HEALTH AND WELFARE O Z 2 < Or o Oh . < H O *vo a I fN o rt to W H W 1-3 >H « H O 2 CO 0 •-I 5 u as H H S I? OS 0 1 : R i j 1*1 N l : OS 5 ■ ■ ii > «_ . o CH ■ 1 i * in i •o m U~} m CN in a m ? si I ■ to : tn a <o m in 1 ! NO ■ , I cu CM vo oc vo m CN 0 tA c* m \d ** m £ ** OS i-H PN D ■O L. o BS 9 5« O oo <r, rv| vo © od -^ d ov oO ■*t>-mH w o < Ov SO t"; cn t^ r- Ov © cn cs od m ts tN «H «H <: 3 § 5 ov y o 21 m —i cn — vo ■m- ri cd © 'X u So>- a CO H 2 CQ tN On 00 Tt rf- On © ts rn vo ft. o a z o 3 o Ov « HH H II CM -iH ts © On H T ^■' od tn —- vd <! -J D on < Or o cu On SO 7s vc rj i- © in J vi od cm <n t-^ ■< H o H w S o\ 2 CN?-1 © CO t~- © fN| H Bi vc in Tf r^ cN O ft. CO ft) H *? rt (N cn tN H < ifi -tn t-i ts CN P* * H J ta < Os S3 rf m o> H 3# cn vo d Bi O CO CO O J 3 O OS w pq a H | w u ! ■j rt -U w t 1 1, ON NO j ftl -) 03 < cs c* Tt V vd lr ir m X m H o O 0 o Ov TUBERCULOSIS CONTROL REPORT, 1956 F 87 Chart 16.—Tuberculosis Mortality for the Other-than-Indian Population of British Columbia by Place of Death, 1956 EXCLUDING INDIANS DEATHS IN MENTAL I o 0% .2 DEATHS INSTITUTIONS \22^___± uQfAt i TV* * INDIANS ONLY F 88 DEPARTMENT OF HEALTH AND WELFARE Table 70.—Tuberculosis Mortality for the Other-than-Indian Population by Length of Residence in British Columbia and Place of Death, 1956 Length of Residence in British Columbia Place of Death 1-5 I 6-11 Months, Months 1 Year 2 Years 3 Years 4 Years 5 Years Over 5 Years Not Stated Total 1 1 1 1 1 25 47 2 4 3 1 3 29 Tuberculosis institutions 50 2 6 Other 3 Totals- 1 1 1 2 1 1 1 1 78 7 90 1 Includes 3 cases dead on arrival at hospital, and includes general and private hospitals only. VICTORIA, B.C. Printed by Don McDiarmid, Printer to the Queen's Most Excellent Majesty 1957 235-657-8289
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DIVISION OF TUBERCULOSIS CONTROL of the Health Branch Department of Health and Welfare ANNUAL REPORT… British Columbia. Legislative Assembly [1958]
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Title | DIVISION OF TUBERCULOSIS CONTROL of the Health Branch Department of Health and Welfare ANNUAL REPORT For the Year 1956 |
Alternate Title | TUBERCULOSIS CONTROL REPORT, 1956 |
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British Columbia. Legislative Assembly |
Publisher | Victoria, BC : Government Printer |
Date Issued | [1958] |
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Legislative proceedings |
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Text |
FileFormat | application/pdf |
Language | English |
Identifier | J110.L5 S7 1958_V01_10_F1_F88 |
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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 | 2017-08-01 |
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 | 10.14288/1.0349172 |
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