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VITAL STATISTICS OF THE PROVINCE OF BRITISH COLUMBIA ONE HUNDRED AND SIXTH REPORT FOR THE YEAR 1977 British Columbia. Legislative Assembly 1981

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 VITAL STATISTICS
OF THE PROVINCE OF BRITISH COLUMBIA
ONE HUNDRED AND SIXTH
REPORT
FOR THE YEAR
1977
  Victoria, B.C., Mai
e Your Honour:
 I have the honour tc
Sir,
Your obedien
 TABLE OF CONTENTS
Introduction	
Map Showing Regional Districts, British Columbia....
Administration of the Vital Statist
Volume of Registrations....
Registratio:
Registo
Regist,
Registrati
Registrati
Registrati
n of Births.
n of Deaths	
n of Stillbirths	
n of Marriages	
n of Adoption Orders
n of Divorces	
n of the Change of Name A
Administration of the Marriage Act	
Registry of Wills Notices	
Microfilm and Photographic Services
BlOSTATISTICAL SERVICES—
Computerization	
Health Surveillance Registry
Perinatal Morbidity and Mortality	
Record Linkage	
Mental Health
Dental Health
Tuberculosis Control	
Anti-smoking and Asthma Evaluation	
Vital Statistics
Other Services
Tables
Table 1—Registration Districts, Location of Offices, and Designation of
Appointees, as at December 31, 1977	
Table 2—Summary of Registrations, British Columbia, 1936-77	
Table 3—Volume of Searches Performed; Volume of Incoming Mail, Division
of Vital Statistics British Columbia, 1968-77	
Table 4—Revenue-producing Certifications Issued by the Central Office,
Division of Vital Statistics, British Columbia, 1968-77	
Table 5—Revenue Collected by the Division of Vital Statistics, British Columbia, 1968-77  	
 Table 6—Change of Name Applications Granted, by Marital Status and Sex of
Applicant, and Total Number of Persons Affected, British Columbia,
1941-77	
Table 7—Ministers and Clergymen Registered Under the Marriage Act and
Registrations Cancelled, British Columbia, 1977	
Table 8—Ministers and Clergymen on Register at End of 1977 by Religious
Denomination, British Columbia  	
Graphs
Graph A—Summary of Volume of Registrations, Showing Total Received,
and Live Births, Deaths, and Marriages, British Columbia, 1921-77
Graph B—Crude Live Birth, Death, and Marriage Rates, British Columbia,
1921-77	
Prominent Features, 1977	
Long-term Trends of Population and Vital Events
Table 9—Population by Sex and Age-group, British Columbia, 1901-77	
Table 10—Numbers of Live Births, Deaths, and Marriages, and Corresponding Crude Rates, Including the Standardized Death Rate, British Columbia, 1921-77	
Table 11—Live Births, Deaths, and Natural Increase, British Columbia,
1921-77 (Including Registered Indians, Excluding Registered Indians,
and Registered Indians Only)	
Trends of Live Births and Stillbirths
Table 12—Legitimate Live Births by Age of Mother, British Columbia,
1931-77 (Including Registered Indians, Excluding Registered Indians,
and Registered Indians Only)	
Table 13—Illegitimate Live Births by Age of Mother, British Columbia,
1931-77 (Including Registered Indians, Excluding Registered Indians,
and Registered Indians Only)	
Table 14—Live Births, by Age of Mother and Total Birth Order, British
Columbia, 1973-77	
Table 15—Stillbirth Numbers and Rates, British Columbia, 1921-77	
Trends of General Mortality
Table 16—Age-Sex Specific Death Rates, British Columbia, 1921-77	
Table 17a—Deaths From 10 Main Causes, British Columbia, 1968-77	
Table 1 7b—Deaths From 10 Main Causes Among Registered Indians, British
Columbia, 1968-77
Table 18—Deaths From Major Cardiovascular-Renal Diseases, British Columbia, 1973-77	
Table 19—Deaths From Malignant Neoplasms by Site and Sex, British
Columbia, 1973-77
 Trends of Infant and Maternal Mortality
Table 21—Perinatal, Neonatal, Infant, and Maternal Death Rates, British
Columbia, 1968-77 (Total, Excluding Registered Indians, and Registered Indians OnlynR:     32
Table 22—Infant Deaths by Cause, British Columbia, 1973-77 (Total, and
Registered Indians Only)     33
Table23—Infant Deaths by Age at Death and Sex, British Columbia, 1921-77    34
Main Causes of Death by Age-groups
Trends of Marriages, Adoptions, and Divorces
Table 25—Marriages Solemnized According to Type, British Columbia,
1968-77     37
Table 26—Adoption Orders FiSftth the Division of Vital Statistics From
1973-77, by Legitimacy and Sex of Child, Showing Year of Court Order
for 1977 Filings, British Columbia     37
Table 27—Decrees of Dissolution and Nullity Filed with the Division of Vital
Statistics From 1973 to 1977 by Sex of PetitiaSshowing Year of Court
Order for 1977 Filings, British Columbia     38
Table 28—Decrees of Dissolution and Nullity Filed With the Division of Vital
Statistics by Duration of Marriage, British Columbia, 1968-77     39
PART III—DETAILED STATISTICAL TABLES, 1977
Table 29—General Summary of Live Births, Deaths, Natural Increase, and
Marriages, for Regional Districts and Municipalities, British Columbia,
Infant Mortality
Table 30—Infant Deaths, Total and in Hospital, by Places of Occurrence and
Residence for Regional Districts and Municipalities, British Columbia,
General Mortality
Table 32—Deaths, by cIsBcpntermediate List), Sex, and Regional District,
British Columbia, 1977
Table 33—Non-transport Accidental Deaths by Place of Occurence, External
Cause, and Sex, British Columbia, 1977	
 Marriages
Table 34—Marriages Solemnized by Marital Status of Bridegroom and of
Bride, British Columbia, 1977     60
Table 35—Marriages Solemnized by Religious Denomination of Bridegroom
and of Bride, British Columbia, 1977     61
Table 36—Marriages Authorized by Banns or Licence, According to Religious Denomination of Officiating Minister, British Columbia, 1977    62
Registered Indian Statistics
Table 38—General Summary of Deaths Among Registered Indians for Regional Districts, British Columbia, 1977	
Table 39—Infant Deaths of Registered Indians, by Cause, Sex, and Age,
British Columbia, 1977  	
Table 40—Deaths of Registered Indians, by Cause, Sex, and Age, British
Columbia, 1977
Health Jurisdiction Statistics
 VITAL STATISTICS REPORT, 1977
INTRODUCTION
This Report is divided into three parts. Part I is an administrative report of the
activities of the Division, covering both registration and statistical functions, in the
year under review. Part II presents summarized serial tables, showing trends over
periods of varying lengths, usually accompanied by rates or percentages. Part III
presents further detailed analysis of the current year's data.
The data on births and deaths in Parts II and III in most cases relate to residents
of the Province and are generally classified by place of residence. Where data by
place of occurrence isJaSEn. *e ta^'e headings make this clear. As marriages
involve the places of residence of two persons, it is the custom to show marriage
data by place of occurrence, a custfifighich is followed in this Report.
In connection with cause of death, comparability between years is affected by
major classification changes introduced in 1950 and 1969. In 1950 a major change in
the death classification system took place with the implementation of the Sixth
Revision of the International Statistical Classification of Diseases, Injuries, and
Causes of Death which was designed for claijg&tion of both mortality and morbidity.
In 1969 a further major change in classification occurred with the implementation of the Eighth Revision. Certain categories such as mental disorders, cardiovascular diseases, perinatal conditions, and syphilis were subject to considerable revision. Also certain categories of external cause of accidents were expanded to
provide more detail. The code numbers of both the Seventh and Eighth Revisions
are presented in Tables 17a and 17b of Part II.
The tables which show cause of death, viz., Tables 17 (a) and (b), 18-20, 22,
24, 31-33,39,40, and the Appendix Table, do not reflect the adjustments resulting
from the querying of original cause of death information by the medical coder,
because these adjustments were inadvertently omitted from the computer data from
which the printed tables were produced. Similar discrepancies arising from the
same cause, are reflected in the 1974, 1975, and 1976 reports. Readers who are
interested in obtaining amended totals for specific diagnostic categories should
contact the Division of Vital Statistics.
Before 1968, vital statistics data for Indians were presented in terms of racial
origin only, but it was found that rates calculated on this basis were unreliable
because of the recognized weakness of available population estimates for racial
Indians. In all tables which present vital statistics rate for Indians, the figures are
now presented in terms of registered Indians, i.e., Indians by legal status, living on
or off reserves. In the reports for the years 1968 to 1973 data were presented
separately for registered and racial Indians in selected tables of Part III.
The Appendix Table presents the cause of death by sex and age according to
the detailed list of the International StatisTjggll Classification. Elsewhere in the
Report, mortality data are generally classified according to the Intermediate List of
the Classification.
In 1971 the 46 censfflHodivisions were replaced by 29 regional districts as the
standard geographical dBSSns of the Provi^SB* census and related purposes, the
new divisions first appeared in selected tables of Part III in the 1971 Report, and are
uniformly adopted in the current Report wherever geographical divisions are
presented, except in the case of the table showing health jurisdiction statistics. For
this table the defined health jurisdiction areas are used.
In the interests of cost and timeliness, a number of tables which are not
extensively used have been eliminated in the current issue.
 MINISTRY OF HEALTH
MAP SHOWING REGIONAL DISTRICTS, BRITISH COLUMBIA
REGIONAL DISTRICTS
No.
Nai
1. Alberni-Clayoquot.
2. Bulkley-Nechako.
3. Capital (Victoria area)
4. Cariboo.
5. Central Coast.
6. Central Fraser Valley.
7. Central Kootenay.
8. Central Okanagan.
9. Columbia-Shuswap.
10. Comox-Strathcona.
11. Cowichan Valley.
12. Dewdney-Alouette.
13. East Kootenay.
14. Fraser-Cheam.
15. Fraser-Fort George.
No.
Nar
16. Greater Vancouver.
17. Kitimat-Stikine.
18. Kootenay Boundary.
19. Mount Waddington.
20. Nanaimo.
21. North Okanagan.
22. Okanagan-Similkameen.
23. Peace River-Liard.
24. Powell River.
25. Skeena-Queen Charlotte.
26. Squamish-Lillooet.
27. Stikine.
28. Sunshine Coast.
29. Thompson-Nicola.
 L STATISTICS REPORT,
Ji^^t—REPORT OF THE ACTIVITIES OF THE
DIVISION, 1977
SUMMARY
The Division of Vital Statistics perggKtwo major functions in the Ministry
registration
of Health. One of these is to administer the Province-wide vital st
system while the other is'tmKide a centralized biostatistical se
divisions of Community Health Services, and to certain voluntary health agencies.
The Division is required to administer the Vital Statistics Act, the Marriage
Act, and the Change of Name Act and to operate a registry of wills notice under the
Wills Act. These vital statistics .registration services are available to the public
through the central office in Victoria and district offices and suboffices located in
the main population centres throughout the Province. These are shown in Table 1 on
In order to carry out its extensive statistical responsibilities, the Division
employs a staff of trained biostatisticians and statistical clerks located in Victoria
and Vancouver, as well as a Data Processing Section which serves both major
functions of the Division.
REGISTRATION SERVICES
Administration of the Vital Statistics Act
A very substantial part of the Division's responsibilities is connected with the
administration of the Vital Statistics Act, which governs the registration of births,
stillbirths, marriages, deaths, adoptions, and divorces, as well as the issuance of
information and certificates based on registrations filed.
The Division received excellent co-operation from hospitals in arranging for the
registration of births by mothers during confinement, and in the submission of
monthly returns of births in hospital. Very good co-operation was also received
from physicians, lawyers, funeral directors, ministers of religion, government agencies, and the general public in maintaining the timeliness and quality of registra-
Revised vital statistics registration forms for births, deaths, marriages, and stillbirths were introduced in February 1974. The revisions were based on model forms
developed over several years by the Vital Statistics Council of Canada.
 MINISTRY OF
HEALTH
TABLE 1
—REGISTRATION DISTRICTS, LOCATION OF OFFICES, AND
DESIGNATION OF APPOINTEES
AS AT DECEMBER
31, ,977
Re&™L°„no?omc™
..Government Agent.
Langley	
BURGLARS*.00::
::GovemmentAgent
cmLuwatcZI"
GovemmemAgen.
CLAYOQUOT (b)	
POWELL RIVER ..
...Government Agent.
fernieBY
'   Gc^mmemAgcnt
QUATSINO (h)	
qS'oharlo-
'J'c^^MA^nt
QUESNEL	
haneywc?od..<c.).::::
::::Mu"icipai cle*:
SQUAMISH	
...Government Agent.
HJLOWNaZZ
Svemment^e"!
tSIShN%ri
miEs'skh7
^SiTviSii"
vandIrhoof
...Government Agent.
N^/JMC? MM'
::GovemCmcr„k.Agerit
sz
vT.™.!stegrSonnel
NATAL (0	
....(See Fernie)
WILLIAMS LAKE
 TheTapitalizedn
■mes are the names of le
gaily defined districts, while then
am
sin small letters indicate the
tered by District Regi
■ict Registrar for Fernie
(h) The Qua
■ict Registrar for Rossi
 VITAL STATISTICS REPORT, 1977 5
Volume of Registrations
The number of births, deaths, marriages, and stillbirths in Table 2 are related tc
the year of filing with the Division, hence will not necessarily coincide with those in
Part II or Part III, which are related to the year of occurreSBffii the case ol
adoptions, divorces, and wills notices, all figures in^^^^S|^Hpresented ir
terms of the year of filing with the Division.
TABLE 2
F REGISTRATIONS, BRITISH COLUMBIA, 1
 Jj
MINISTRY OF HEALTH
*APH A—SUMMARY OF VOLUME OF REGISTRATIONS, SHOWING TOTAL1 RECEIVED,
AND LIVE BIRTHS, DEATHS, AND MARRIAGES, BRITISH COLUMBIA, 1921-77
uooj
11
r\-7~
«.,„.... .
1,0 J
.0.0.
.0,000
/
Y
f
/
h
m
5H
/-""'
,0.000
,0.000
B
 VITAL STATISTICS REPORT, 1!
Searches
Year
tSL
H
fSSSL
5HH
II
I
l|
,63;838
221.592
Type ofCer.Mca.ion Issued
,968
,969
,970
,97,.
,972
,973
1974
1975
,976
1977
og"«-
I
I
l
I
I
1:1
l
1:i
£
95 243
Totalccr.Mca.ions	
87.791
96.594
94,867
93,509
103,047
1,4,867
120,398
122,484
135,879
 8 MINISTRY OF HEALTH
Registration of Births
The responsibility for the registration of the birth of a child rests with the
parent. The attending physician is required by law to report the birth within 48
hours of the event, although this reporting does not constitute registration. The
slight increase in birth registrations reflected a similar change in the trend of births
shown in Part II.
Legitimations—Under the Legitimation Act, a child born out of wedlock is
deemed to have been legitimate from birth once its natural parents have intermarried. The Vital Statistics Act provides that under such circumstances a new registration may be substituted for the registration originally filed, the new registration
showing the child to be legitimate. However, satisfactory evidence of paternity must
be first provided.
There were 279 births legitimated n 1977, compared with 298 in 1976.
Alteration to given names—Under section 8 of the Vital Statistics Act, a
change made in a child's given name before the age of 1,2 years may be entered on
the birth registration by means of a notation.
Alterations of given names in 1977 numbered 283, as compared with the 1976
figure of 276.
Delayed registrations cf birth—Special provision is made in the Vital Statistics Act for registration of a birth more than one year after the event. There were 293
delayed registrations of births processed during 1977, compared with 289 in 1976.
Fraudulent and improper registrations—The Vital Statistics Act makes provision for the cancellation of a registration of birth which has been fraudulently or
improperly obtained.
Registrations cancelled numbered 33 in 1977, as compared with 55 in 1976.
The majority of these arose from use of a false name on the original registration.
Registration of Deaths
The physician in attendance at the last illness of a deceased person, or the
Coroner conducting an inquiry into the death of a person, is required to complete
the Medical Certificate of Cause of Death, which forms an important part of the
death registration. The responsibility for filing the completed death registration lies
with the undertaker in charge of the burial, and the registration must be filed before
the necessary burial permit is issued.
Classification of deaths for statistical purposes is made according to the International Statistical Classification of Diseases, Injuries, and Causes of Death, and
this classification is based upon the physician's certification. Where there is doubt as
to the cause to which the physician wishes the death assigned, he is queried through
the local Medical Health Officer.
As indicated in the Introduction, the Eighth Revision of the International
Classification of Diseases was adopted by this Province in 1969, in common with the
other provinces of Canada and a number of other countries.
Registration of Stillbirths
The term "birth" where used in the Vital Statistics Act includes stillbirths, but
separate forms are used for stillbirth registration. These forms combine the essential
features of both birth and death registrations. In the revised Vital Statistics Act of
1962, the definition of a stillbirth reads as follows: "The complete expulsion or
extraction from its mother, after at least twenty weeks' pregnancy, of a product of
conception in which, after such expulsion or extraction, there is no breathing, beat-
 VITAL STATISTICS REPORT, 1977 9
ing of the heart, pulsation of the umbilical cord, or unmistakable movement of
voluntary muscle."
There were 330 stillbirths registrations filed in 1976.
Registration of Marriages
The responsibility for registering a marriage rests with the person solemnizing
the event, namely, the officiating clergyman or Marriage Commissioner.
Marriage registers are provided free of charge to clergymen and Marriage Com-
,    missioners. These are returned to the Division periodic^Hgi order that they may be
•    checked against the indexes of registrations filed with the Division. If it is thus
ascertained that an event has been unrecorded, steps afMBmptlv taken to obtain a
Registration of Adoption Orders
Copies of all adoption orders made by the Courts in this Province are forwarded to ,t|fflj|8yision by the Court Registrars, as required by the Vital Statistics
Act.
On receipt of an order regarding an adoption by the Division, a marginal
notation showing the child's adoptive name is made on the original registration. All
certificates subsequently issued in respect of the registration bear this name. No
information regarding the natural parents of the child may be released. This same
procedure is followed when an adoption order is recenSlBSoni another province or
state relating to the adoption of a child born in British Columbia.
Inspection of the documents filed regarjaurgfan adoption is only allowed to
officials of the Crown in discharge of their official duties, or to a person authorized
by the Provincial Secretary in writing, or to a person authorized by a Judge of the
Court presiding in Chambers. Thus every effort is made to protect the interest of the
adopted child and his adoptive parents.
Adoption orders filed with the Division in 1977 numbered 1,991, as compared
with 1,794 in 1976.
Registration of Divorces
The Vital Statistics Act also requires that all divorces and nullities granted in
the Province be registered with the Division. The Division is supplied with a
certified copy of each decree ofia^^ralion or nullity by the Supreme Court Regis-
There were 7,965 dissolutions of marriage and 11 nullities registered by this
Division in 1977. The comparable figures for 1976 were 9,019 dissolutions and 18
nullities.
Administration of the Change of Name Act
The Change of Name Act provides a means whereby persons may change
either their given names or their surnames and the names of their minor children
upon meeting certain requirements set forth in the Act. The Act expressly forbids
changes of name which are not made in accordance with its provisions, but exempts
changes of name resulting from marriage, adoption, or legitimation, or changes in
the given name of a child made under the Vital Statistics Act and prior to the child's
12th birthday. Amendments passed in March and September, 1977, provide for the
formal adoption by a married woman of her maiden surname or other surname held
prior to her present marriage.
 10                                                      MINISTRY OF HE ALTH
During 1977, 3,046 change of name applications were effected, a substantial      1
increase over the 2,054 changes in the previous year. Many of these applications      1
covered several members in a single family, so that in total 3,853 individuals were
affected. Twenty-nine per cent of the applications were made by divorced women,      1
while an additional 28 per cent were made by married men, 15 per cent by single      1
men, and 13 per cent by single women.
TABLE 6—CHANGE OF NAME APPLICATIONS GRANTED. BY MARITAL STATUS AND        1
SEX OF APPLICANT, AND TOTAL NUMBER OF PERSONS AFFECTED, BRITISH CO-        1
H&;.
se. .ndM*-! Statu, of Applicant
*is
Single
Married
Widowed
Divorced
Separa.ed
Tola,
M
F
M
F
M
!
**'
F
S
F
M
F
T
IS,
l
|
I
1
1
l
;
1
l
i
l
1
!w::::z:
;»5»	
!3
mi	
||	
ImZZZZZZ.ZZZZ
vmZZZZZZZZZZ
ml
Administration of the Marriage Act
The Marriage Act prescribes the legal requirements which must be observed in
connection with the solemnizing of marriage, the legal qualifications of individuals
to marry, and the authorization of ministers and clergymen and of Marriage Commissioners to perform the marriage ceremony. Under this Act the Division of Vital
Statistics is required to license ministers and clergymen of established religious
denominations who desire the authority to solemnize marriage. It is also the respon
 VITAL STATISTICS REPORT, 1977                                             11
I    sibility of the Division to recommend for appointment Issuers of Marriage Licences
1      throughout the Province and to supervise their work. The actual registration of
■    marriages solemnized and the issuance of marriage certificates are governed by the
I    Vital Statistics Act.
On December 31, 1977, there were 2,960 ministers and clergymen authorized
1       to solemnize marriage. During the year, 350 resident clergymen and ministers were
1     licensed, while 247 licences for those residing in the Province were cancelled due to
1     transfer out of the Province or due to death. In addition, 97 temporary licences were
^BmffigSo nonresiden|Rfflffirsters and clergymen who were ministering in the
1     Province for brief DeriMlonlv. and 94 sugjjjjjgjnces were cancelled.
Forty-eight orders of remarriage were issued under the Marriage Act in 1977.
TABLE 7—MINISTERS AND CLERGYMEN REGISTERED UNDER THE MARRIAGE
ACT AND REGISTRATIONS CANCELLED. BRITISH COLUMBIA, 1977
Permanent
Temporary
Tolal
I  SZ^^tSd^^976.:::::::::
l
I
|
TABLE 8—MINISTERS AND CLERGYMEN ON REGISTER AT END OF 1
BY RELIGIOUS DENOMINATION, BRITISH COLUMBIA
977
Baptist Church (Radio and Missionary Church Crusade)	
SUrcnoi:Ooa'(Srn^)ASS':mbly0f'he	
'2
 12                                                      MINISTRY OF HEALTH
TABLE 8—MINISTERS AND CLERGYMEN ON REGISTER AT END OI
1977
BY RELIGIOUS DENOMINATION, BRITISH COLUMBIA—Continu
d
17
Sikh, Alberni Valley Gudwara Society	
1
Standard Church of America. Incorporated	
3
 VITAL STATISTICS REPORT, l1
Registry of Wills Notice
The Registry of Wills Notice maintained by this Division under the Wills Act
makes it possible for a testator to file with this Division a notice stating that he has
executed a will, and indicating where the will is deposited. The filing of a wills notice
is not mandatory, but provides a convenient means of ensuring that information
which will lead to the discovery of the will should be readily available after death.
Adequate identifying information respecting the testator, such as date and place of
birth, must be included in the wills notice.
In 1946, the first complete year in which notices were filed, there were only
441 notices received. The figures for the last six years show the increasing use of the
service by the public. They are as follows: 1972, 23,525; 1973, 27,223; 1974,
34,570; 1975, 37,295; 1976,40,877, and 1977,46,611. Wills notice certifications
numbered 12,334 in 1977, compared to 12,663 in 1976.
Microfilm and Photographic Services
All registrations of births, deaths, marriages, and stillbirths, together with
delayed regisfflKafs and amended registrations, are microfilmed weekly. The film is
forwarded under contract to Statistics Canada, where it is processed and positive
rolls printed for their own use, after which the negative rolls are returned to this
Division. The positive rolls are used by Statistics Canada in the compilation of
national vital statistics and the national indexes of births, deaths, and marriages
In addition, the following documents are filmed on a continuing basis: Physi-
^^K^Kotices of Birth, wills notices, adoption notices, change of name files, and
various supplementary records which the Division is required to file under the Vital
Statistics Act.
Extensive use is also made of the microfilm and photographic unit to provide
photoprints of vital statistics registrations and other documents in connection with
the administration of the Acts. In 1977, 45,095 photographic and copy machine
prints were issued free of charge to government agencies, including a small number
required for use by this office. In addition, 12,607 photographic prints were issued
as certified copies at a charge of $2 per copy, as prescribed in the Vital Statistics Act.
BIOSTATISTICAL SERVICES
The Division's Research Section, in collaboration with the Data Processing
Section, compiles vital statistics from the registrations of births, deaths, marriages,
stillbirths, adoptions, and divorces. Certain of these statistics appear in the Annual
Report of Vital Statistics. In addition, the Division provides a comprehensive
central statistical service to other Divisions of Public Health Programs, to Mental
Health Programs, and to certain voluntary agencies subsidized by the Government.
The Division's main statistical activities during 1977 are outlined below in
terms of subject-matter.
 The task of computerizing the division's complex data processing operation,
previously based on IBM unit record equipment, was virtually complete by the end
of the year. The final stages of the conversion program, commenced in 1974 by
the Computing and Consulting Services Branch, have been taken over by the newly
established B.C. Systems Corporation, which commenced operations on November
1, 1977.
In addition to the dedicated work done by the Systems and Programming staff,
the division's research staff have become increasingly involved as the conversion
program nears completion. They have had to work closely with the systems
analysts in the development of the new specifications, to become conversant with
computer techniques and capabilities, and to familiarize themselves with various
program packages available, so as to save programming time and cost in producing
needed tabulations.
Health Surveillance Registry
The Health Surveillance Registry, located in Vancouver, comprises a general
register of handicapped conditions among children and adults, as well as a distinct
cancer register and a register of congenital anomalies and genetic defects. An
annual report is issued on the operations of the registry as a whole, as well as a
separate statistical report on cancer. The registry is served by four consultants,
in genetics, pediatrics, cancer, and record linkage respectively.
Substantial progress was made during the year in expanding the registry case
load and extending the sources of ongoing ascertainment of new cases. About
2,500 new cases of chronic disabilities were completed from reports submitted by
the Health Division of the Ministry of Human Resources, a source which was
tapped for the first time in 1975. A procedure for continuous registration of cases
through the Canadian National Institute of the Blind was established, and over
1,500 new cases were registered from this source. A similar arrangement is being
worked out with Childrens' Diagnostic Centre and the Vancouver Childrens' Hospital, and has resulted in another 1,400 new registrations. Discussions were held
with the Pacific Region Medical Services Division of Health and Welfare Canada
with a view to increasing the ascertainment of registerable conditions among the
native Indian population.
The Cancer Register, which is a specialized unit of the Health Surveillance
Registry, receives notifications of live cases of malignant neoplasms from hospital
pathology laboratories, from private physicians, and from the Cancer Control
Agency of B.C. Information on neoplasms ascertained at death is derived mainly
from the Vital Statistics registration system.
During the year a committee, including representatives of the Ministry of
Health and of the Cancer Control Agency of B.C., made recommendations for
closer association between the Cancer Register and the Cancer Control Agency
with a view to developing a unified data system which could contribute more effectively to cancer treatment and research in the Province.
Data were supplied to a number of registering agencies, and a wide variety of
departmental and other inquiries for registry statistics were dealt with. Research
officers also provided statistical information and advice to physicians and other
research workers in connection with research projects on specific conditions.
Several research papers utilizing registry data were accepted for publication during
the year.
The registry was host to a number of visitors from other provinces, and from
the United Kingdom, Australia, Japan, and Cuba.
 vital statistics report, 1977 15
Perinatal Morbidity and Mortality
Two research officers, one from each of the Vancouver and Victoria research
office staff, j^ffinued to serve as members of the executive committee of the Perinatal Program of British Columbia which, during the year, became a subcommittee
of the Medical Advisory Committee to the Ministry of Health. Both officers were
active in providing statistical data and advice and assisted in the development of
a package of perinatal records designed for use in British Columbia hospitals.
Record Linkage
Substantial progress was made in the division's computerized record linkage
project, in which the Medical Genetics Department of The University of British
Columbia collaborates. This work was interrupted in November by the sad and
untimely death of Dr. Ben Trimble, consultant in record linkage, who had directed
the work sr^^Rrinception in 1974.
Mental Health
In the field of mental health statistics, the division relinquished the processing
of statistics relating to mental health institutions administered by the Direcor of
Government Health Ins^^Kjns, and those administered by the Ministry of Human
Resources, but continued to assist in the processing of statistics relating to the operation of mental health centres.
Dental Health
Statistical advice and data processing services were provided to the Division
of Dental Health Services. Further progress was made in the development of a
new dental survey methodology. The results of the Port Alberni mouth rinse
study conducted in local^schpols were analysed and confirmed the beneficial effects
of the program in reducing the incidence of dental caries among students. Results
from a mouth rinse study in the Lower Fraser Valley were also analysed and a
paper co-authored by a member of the Research Section was accepted for publication in the Journal of Community Dentistry and Oral Epidemiology.
Tuberculosis Control
The division's statistical services to the Division of Tuberculosis Control were
maintained. ifflBaing the preparation of tables for the annual report on tuber-
Anti-smoking and Asthma Evaluation
Evaluation of an anti-smoking education program for elementary schoolchildren in the South Okanagan Health Unit was completed during the year. Data
from a sample of over 300 children indicated an increase in knowledge of the effects
of smoking in relation to lung function, and the increased resolve to avoid smoking
in later years. Further progress was made in the evaluation of the community
asthma program initiated in the same health unit in 1976. Results to date confirm
the effectiveness of this program, particularly in the form of decreased absences
from school.
Vital Statistics
Statistics derived from the vital statistics registration system were compiled in
collaboration with Statistics Canada.   A substantial part of the resulting tabulations
appears in the relevant Annual Report of Vital Statistics, while some unpublished
data are available on request.
 MINISTRY OF HEALTH
Other Services
is given to the Division of Aid to the Handicapped in the design
n of a house-to-house survey of handicapping conditions in the New
Westminster area, and in the analysis of the results.
The division collaborated in a study of trichinosis among wild life in the
Kootenay area, and in the preparation of a paper on the results, which was accepted
for publication.
The Victoria research office serves as the division's agent in the dissemination and analysis of demographic data derived from the Vital Statistics registration
system, and also provides biostatistical services to other agencies within and outside
the Ministry.
The Victoria research office also provided data processing services and statistical consultation to the Divisions of Epidemiology, Venereal Disease Control, Environmental Engineering, Public Health Inspection, the G. F. Strong Rehabilitation
Centre, and to several Health Unit Directors; and dealt with a wide variety of
ministerial and other inquiries for statistical data.
 VITAL STATISTICS REPORT, 1977 17
PART II—TREND TABLES WITH RATES
(By Place of Residence)
PROMINENT FEATURES
The population in the Province at the middle of 1977 was estimated as
2,493,800, slightly more than one per cent higher than the 1976 Census figure of
2,466,600. As was noted in the 1976 report, the reader should be aware that rates
for the various events dKHg 1972 to 1975 were recalculated to reflect changes in
population estimates consequent on the final figures produced in the Census. For
the most part such changes were not substantial.
The number of births in 1977 was at its highest point since 1970 and the crude
birth-rate per 1,000 population was up to 14.7 per 1,000 population compared to
the 40 year low of 14.5 recorded in 1976. Illegitimate births were at an all-time high
of 14.0 per cent of live births in the general population and made up fully 66 per cent
of Registered Indian births.
Marriages declined somewhat in 1977 and the crude marriage rate was 8.5 per
1,000 population, approaching the somewhat lower level of the marriage rates in the
1960's.
For the third year in a row deaths declined ir
was 7.5, slightly below the record low of 7.6 for
was a record low of 5.8 per 1,000 population.
Diseases of the heart continue as the leading cause of death but there was a
substantial drop in the death rate in 1977 to 244 per 100,000 population from last
year's figure of 254. Malignant neoplasms (cancer) continue as the second leading
cause, the rate of deaths being up to 163 compared to 159 in 1976. Deaths from
cerebrovascular lesions dropped in 1977 but continue as the third leading cause of
death with a rate of 73 compared to 78 last year.
While the number of deaths from accidents in the Province in 1977 increased
from the 1976 level and the rate of 65 was also up, these figures are well below those
for 1973 and 1974. The rate of suicides increased slightly to 17.6.
The infant mortality rate per 1,000 live births in 1977 was 13.5, the sixth
decline in a row. Neonatal deaths (deaths of infants under one month old) showed a
more substantial decline from 1976 to 1977 than did infant mortality, and the rate
for Indians was down even more substantially. In both cases record low rates were
recorded.
Adoptions in 1977 numbered 1,991 compared to 1,794 the previous year.
Dissolutions and nullities of marriage declined from the 1976 figure, with
7,976 being recorded in 1977.
 18                                                      MINISTRY OF HEALTH
LONG-TERM TRENDS OF POPULATION AND VITAL EVENTS
TABLE 9—POPULATION BY SEX AND AGE-GROUP, BRITISH COLUMBIA, 1901-77
Vear
TO,,
Age-group (Years)
0-4
5-9
10-,4
.5-19
20-29
30-39
40-49
50-59
60-69
70-79
80+
l
l
l
l
l
l
|
2383
|
l
*&
l
Q
M
F
F
M
"f
M
M
F
F
"f
F
¥
M
F
|
- |
¥
^
 VITAL STATISTICS REPORT, 1
IBLEIO—NUMBER O:
ING CRUDE RATES
LUMBIA, 1921-77
 MINISTRY OF HEALTH
—CRUDE LIVE BIRTH, DEATH, AND MARRIAGE RATES, BRITISH COLUMBIA,
I
i;
i
j
<\
]
\ /
1
j/
:
1
i
BI
E
' 7   o
=
ll    \
I
if
1 1
E
j  \
1
 VITAL STATISTICS REPORT, 1977                                             21
TABLE 11—LIVE BIRTHS, DEATHS, AND NATURAL INCREASE,
BRITISH COLUMBIA, 1921-77
A—Including RegisteretS^^^^B
year
U.BH.
■
Nalural Increase
Number
R.,e
Number
Ralc
Number
R.,e
I     AVCraECM993e1o
l
l
I
i|
l
Ii
l
I    ml
B—Excluding Registered Indians
loj
|i
l
ll
I
l
!o
i
1       1974                                     .    .   r.
C-RegisteRedInd,ansOnlv
I   ^ge:.'96'^5::::::::::::::::::::::::::::::::::::::
l
l
l
l
1
2^2
 MINISTRY OF HEALTH
TRENDS OF LIVE BIRTHS AND STILLBIRTHS
Age-group (Years)
S
UgUi-
Year
Under
,5-„
20-24
25-29
30-3,
35-39
40-44
<>«
sSSn
JfJ
:  ||=|
I
if
s
|f
w<
I
|
l
S|
||
|
1974
880
I5.,?::::::::::::::::::
Si
 VITAL STATISTICS REPORT, 1977                                             23
TABLE 13—ILLEGITIMATE LIVE BIRTHS' BY AGE OF MOTHER
BRITISH COLUMBIA, 1931-77
A—Including Registered Indians
mM
Age-group (Years)
si
■Ste'
Under
,5-,9
20-24
25-2,
30-34
35-39
40-44
atid
^
:  |||
I
ll
if
I
|
ll
Hi
I
P
Ii
l
■      ]976	
B—Excluding Registered Indians
I      Avenge. 196,-65...
I
I
l
l
|
'il
45
H
I
ll
C—Registered Indians Only
I        Avenge. 1,6,-65...
I
H
|
I
l
l
]
I
 24                                                      MINISTRY OF HEALTH
TABLE 14—LIVE BIRTHS. BY AGE OF MOTHER AND TOTAL BIRTH ORDER',
BRITISH COLUMBIA, 1973-77
jggg
OrderofBirthofChild
1
i
|
2nd
3rd
4.
5.
g
|
|
|
0?er
^
Under 15 Years'"
I
I
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'l
I
l
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fl
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1
1
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,975
l
1
I
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ill
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1
||
1
S
2?
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,976
l
ii
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1
1
3,
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1
20~24ye"FS	
35"e3a4rsa'ndo«;"'
,977
I
ll
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1
I
38
17
10
.'!;
's's™
11
1^3' :: :::::::::::::::::::::::::::
46.1
33.7
13.3
4.3
1.3
0.6
0.3
0.2
0.1
0.1
<2>
100
 VITAL STATISTICS REPORT, 1977                                             25
TABLE 15—STILLBIRTH NUMBERS AND RATES, BRITISH COLUMBIA, 1921-77
Year
Shs
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,RSF
aV~t.-GM.lfa.Mbrf and Over
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1 STATISTICS REPORT, 1977
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 VITAL STATISTICS REPORT, 1!
TAB
LE 18—DEATHS FROM MAJOR CARDIOVASCULAR-RE
BRITISH COLUMBIA, 1973-77
VAL DISEASES
Eighth
CauseofDea*
,973
,974
,9,5
,976
„77
A80
Af     heumatic fever
5.988
hZ
i
l
AA83/A84'
es of the heart
A86
Diseas     111.   .rtme* -irjenolesMnd c^ilta™ —
705
gj
947?3
Rate per 100.000 population	
354.0
 MINISTRY OF HEALTH
TABLE 19—DEATHS FROM MALIGNANT NEOPLASMS, BY SITE AND SEX,
A45        Bucal cavity and phiuynx     44     28     26      17     50      19     44     16     54     26
A53        Skjn .    IZZ 29      16     22     22     27     27     15     21     26     23
A60        Lyrflpahc^rernaaa:nd otte'nVopla^as'of	
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3.9
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A60
jgp^pgg
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8.2
173.4
136.9
174.2
138.5
180.7
134.7
177.2
140.3
179.7
 VITAL STATISTICS REPORT, 1977 31
DEATHS FROM ACCIDENTS AND VIOLENCE
In order to obtain as muchjwSmation as possible regarding deaths from
accidents and violence, a dual coding is used. These deaths are classified according
to the external cause and also according to the nature of the injury. Statistics showing both types of classification are presented in the detailed tables in Part III of this
TABLE
RBvv'on
.terna.CauseofOeath
,973
,974
,975
,976
1,77
Bfli
No.
Rate
No.
Rate
No.
Rate
No.
Rate
No.
Rate
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AE143
AccidentaMjo^nga^ubmj«,on	
n'l
AE149
!SSiSSr"z:::
|
2,420
05.1
2,582
08.7
2,452
00.8
84.0
2.234
 MINISTRY OF HEALTH
TRENDS OF INFANT AND MATERNAL MORTALITY
TABLE 21—PERINATAL1, NEONATAL, INFANT, AND MAT
RATES, BRITISH COLUMBIA, 1968-77
ERNAL DEATH
Item
1968
1969
,970
.971
,972
1973
1974
1975
1976
,977
"death rates per 1,000 tot,,
ii
1
|
50!3
il
307
40!6
33!4
I
15.8
NeObir'th^athra'MP'r,'000''V<:
I°fabirdtrs^ra,<!Si>'rl'000''ve
Ma< Wrth^th n'Kp"1'000 '"*
0.1
 L STATISTICS REPORT, 1'
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 MINISTRY OF HEALTH
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 VITAL STATISTICS REPORT. 1977
MAIN CAUSES OF DEATH BY AGE-GROUPS
.-group     Sailed      |?0rp1l»""nn
 MINISTRY OF HEALTH
FROM FOUR MAIN CAUSES IN EACH SPECIFIED
«
Causeo.Death
Dejatata
Per cent of
S*
Ago-speciflc
,4.209
t||j£Jp|5f?r
I
"
l
578.0
|(b
70-79 Yea.-Deaths. 4.325
*§£?
xffla«!aJ5SS£a=
9,1.8
440-148
4. Diseases of arteries, arterioles, and eapil-
,53 1
80 Years and Over-Dealhs. 5,866
38&S
140-209
3- ^SSS^SE^Szu
1,4677
 VITAL STATISTICS REPORT, 1977
TRENDS OF MARRIAGES, ADOPTIONS, AND DIVORCES
TABLE 25—
MARRIAGES SOLEMNIZED ACCORDING TO TYPE,
BRITISH COLUMBIA, 1968-77
Religious Ceremony
iiS
Year
licence
HSSM
Number
Per Co..
Number
PerCen.
Number
PerCen,
Number
PerCe«
1M
!i
l
l
199
|
1
1
100
il
\
ml	
1™
■Includes one m
arriageforwh
chtype was
notslaled.
 MINISTRY OF HEALTH
COURT ORDER FOR 1977 FILIN
aSH COLUMBIA
Dissolution of Marriage
Nullily of Marriage
Year Filed
Sex of Petitioner
p
Sex of Petitioner
Male
ftmale
Male
Female
■bd
U66
Ull
I
\
1
20
'975	
18
"1,67 court orders j	
l
j
.j
|
j'"    ..
2.828
5.119
7.965
1
9
 VITAL STATISTICS REPORT, 1977
8888888888
2|3SS|S2|s
 PART III—DETAILED TABLES, 1977
(Classified by Place of Residence)
GENERAL SUMMARY
TABLE 29—GENERAL SUMMARY OF LIVE BIRTHS, DEATHS, NATURAL INCREASE, AND
MARRIAGES FOR REGIONAL DISTRICTS AND MUNICIPALITIES. BRITISH COLUMBIA, 1977
 VITAL STATISTICS REPORT, 1
Live Bin*
Deal*
BXC«S
a„dM„»,e.p,I,,y
|
|
H
B
I
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l
 42 ■ MINISTRY OF HEALTH
TABLE 29—GENERAL SUMMARY OF LIVE BIRTHS, DEAT
MARRIAGES FOR REGIONAL DISTRICTS AND r
BIA, 1977—Continued
 VITAL STATISTICS REPORT, 1'
uieftnhs
DCHs
&SJ&&- -
|
M
s
J
M
J
H&
H,8eS
PHB	
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455
Hudson* Hope	
.43
(^incorporate   	
K
5S3»~±::
1
^™^™	
5^
15
Su   hine Coast
65
TOo    son Ncola
716
C^eCree'k	
|
 INFANT MORTALITY
TABLE 30—INFANT DE/
AND RESIDENCE, F
LUMBIA, 1977
 VITAL STATISTICS REPORT, 1!
 46 MINISTRY OF HEALTH
TABLE 30—INFANT DEATHS. TOTAL AND IN HOSPITAL, BY PLACES OF OCCURRENCE
AND RESIDENCE, FOR REGIONAL DISTRICTS AND MUNICIPALITIES, BRITISH COLUMBIA, 1977—Continued
 L STATISTICS REPORT, 1
I TABLE 30-
and:
LUMBL
»sssf
Regional District
H
By Residence
■
^
NS.l
Total by
7^
1
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 MINISTRY OF HEALTH
i! f
 VITAL STATISTICS REPORT, 1!
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 MINISTRY OF HEALTH
MARRIAGES
IS OF BRIDEGROOM
Maniages Between-
Total
Bachelors and-
Widowers an
-
Divorced Men and-
Other
Spinsters
Widows
wES*
$£?
Spinsters
Widows
3S2?
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.3,835
184
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3.4
1.994
305
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 MINISTRY OF HEALTH
Banns
Licence
Total
e gious
Number
PerCen,
Number
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Number
Percent
Totals
2 322
100 0
12 439
100 0
14 7623
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Presbyterian.                          .  .          . A. .
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|
 VITAL STATISj^EffEPORT. 1977
REGISTERED INDIAN STATISTICS
LIVE BIRTHS
TABLE 37—GENER
INDIANS FOR
AL SUMMARY OF LIVE BIRTHS AMONG REGISTERED
REGIONAL DISTRICTS, BRITISH COLUMBIA, 1977
Live Births
"ho^I™
Inmate Live
Total
Male
Female
Male
Female
Male
Female
Capital (vfctoria°are'aj: Hljjj
Cohimbia-Shuswap ZZZZZ.'.
EM Kwunav^SHHB
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 (NISTRY OF HEALTH
DEATHS
TABLE 38—GENERAL SUMMARY OF D
FOR REGIONAL DISTRICTS
EATHS AMONG REGISTERED INDIANS
sa
«
Infant Deaths
Regional District
To,,
NeonataUInder
Post-neonatal
M
F
M
F
M
1
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i!
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10
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 VITAL STATISTICS REPORT, 1
tti M\
 MINISTRY OF HEALTH
|=1 II 1|| :
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I   lil'lll   Iiiii
 VITAL STATISTICS REPORT, 1977
  VITAL STATISTICS REPORT, 1!
Ill    i -fl   II     * ll    P
 1
MINISTRY OF HEALTH
! 1 i-litllt 111 Sjl J i fi
11 illi 111 in i j 1
 VITAL STATISTICS REPORT, 1'
 MINISTRY OF HEALTH
HEALTH JURISDICTION STATISTICS
 APPENDIX
   "1
    H
  "1
    ;
  DEATHS BY CAUSE, SEX, AND AGE, ACCORDING TO
THE DETAILED LIST, BRITISH COLUMBIA. 1977
Age-Group (Years)
;
  .
          1
DEATHS BY CAUSE, SEX, AND AGE, ACCORDING TO
THE DETAILED LIST, BRITISH COLUMBIA, 1977
    !:
 J
         ~~l
      J
    DEATHS BY CAUSE, SEX,
THE DETAILED LIST, B
AND AGE, ACCORDING TO
UTISH COLUMBIA, 1977
|     _.__            .
n
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ii
I
glii 1.1 ■
i" TV71
  DEATHS BY CAUSE, SEX, AND AGE, ACCORDING TO
THE DETAILED LIST, BRITISH COLUMBIA, 1977
Age-Group (Years)
"I
 DEATHS BY CAUSE, SEX, AND AGE, ACCORDINC
THE DETAILED LIST, BRITISH COLUMBIA, 19',
 DEATHS BY CAUSE, SEX, AND AGE, ACCORDING TO
THE DETAILED LIST, BRITISH COLUMBIA, 1977
    

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