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VITAL STATISTICS OF THE PROVINCE OF BRITISH COLUMBIA ONE HUNDRED AND SEVENTH REPORT FOR THE YEAR 1978 British Columbia. Legislative Assembly 1981

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 VITAL STATISTICS
OF THE PROVINCE OF BRITISH COLUMBIA
ONE HUNDRED AND SEVENTH
REPORT
FOR THE YEAR
1978
  t please Your Honour:
it the Report on Vital Statist
 e the honour to be,
PETER BAZOWSKI
Deputy Minister of Health
I have the honour t
 TABLE OF CONTENTS
JTRODUCTION	
Registration Services—
Administration of the Vital Sti
Volume of Regi:
Registr
Registi
Registi
Registi
Registrati
Registi
of Births ...      8
of Deaths 8
of Stillbirths 8
of Marriages  9
of Adoption Orders 9
of Divorces 9
Administration of the Change of Name Act  9
Administration of the Marriage Act  10
Registry of Wills Notices 12
Microfilm and Photographic Services  13
BlOSTATISTICAL SERVICES	
Data Processing 13
Health Surveillance Registry  14
Other Registries       14
Perinatal Morbidity and Mortality 14
Tuberculosis Control  15
Public Health Nursing      15
Public Health Inspection  15
Water Quality Study  15
Lead Poisoning  15
Dental Health 15
Health Program Evaluat ion 15
Ninth Revision of the International Classification of Diseases  16
Vital Statistics      16
Other Services ,.     16
Table 1—Registration Districts, Location of Offices, and Designation of
Appointees, as at December 31, 1978  4
Table 2—Summary of Registrations, British Columbia, 1936-78  5
Table 3—Volume of Searches Performed; Volume of Incoming Mail, Division
of Vital Statistics British Columbia, 1969-78 7
Table 4—Revenue-producing Certifications Issued by the Central Office,
Division of Vital Statistics, British Columbia, 1969-78  7
Table 5—Revenue Collected by the Division of Vital Statistics, British Columbia, 1969-78  7
 Table 6—Change of Name Applications Granted, by Marital Status and Sex of
Applicant, and Total Number of Persons Affected, British Columbia,
1941-78	
Table 7—Ministers and Clergymen Registered Under the Marriage Act and
Registrations Cancelled, British Columbia, 1978	
Table 8—Ministers and Clergymen on Register at End of 1978 by Religious
Denomination, British Columbia	
Graph A—Summary of Volume of Registrations, Showing Total Received,
and Live Births, Deaths, and Marriages, British Columbia, 1921-78      6
Graph B—Crude Live Birth, Death, and Marriage Rates, British Columbia,
1921-78 :!!IZ.     20
PART II—TREND TABLES WITH RATES
(By Place of Residence)
Prominent Features, 1978     17
Long-term Trends of Population and Vital Events
Table 9—Population by Sex and Age-group, British Columbia, 1901-78     18
Table 10—Numbers of Live Births, Deaths, and Marriages, and Corresponding Crude Rates, Including the Standardized Death Rate, British Columbia, 1921-78  19
Table 11—Live Births, Deaths, and Natural Increase, British Columbia,
1921-78 (Including Registered Indians, Excluding Registered Indians,
and Registered Indians Only)       21
Trends of Live Births and Stillbirths
Table 12—Legitimate Live Births by Age of Mother, British Columbia,
1931-78 (Including Registered Indians, Excluding Registered Indians,
and Registered Indians Only) 22
Table 13—Illegitimate Live Births by Age of Mother, British Columbia,
1931-78 (Including Registered Indians, Excluding Registered Indians,
and Registered Indians Only)      23
Table 14—Live Births, by Age of Mother and Total Birth Order, British
Columbia, 1974-78  24
Table 15—Stillbirth Numbers and Rates, British Columbia, 1921-78     25
Trends of General Mortality
Table 16—Age-Sex Specific Death Rates, British Columbia, 1921-78     26
Table 17a—Deaths From 10 Main Causes, British Columbia, 1969-78     27
Table 17b—Deaths From 10 Main Causes Among Registered Indians, British
Columbia, 1969-78  28
Table 18—Deaths From Major Cardiovascular-Renal Diseases, British Columbia, 1974-78      29
Table 19—Deaths From Malignant Neoplasms by Site and Sex, British
Columbia, 1974-78       29
 Trends of Infant and Maternal Mortality
Table 21—Perinatal, Neonatal, Infant, and Maternal Death Rates, British
Columbia, 1969-78 (Total, Excluding Registered Indians, and Registered Indians Only)	
Table 22—Infant Deaths by Cause, British Columbia, 1974-78 (Total, and
Registered Indians Only)	
Table 23—Infant Deaths by Age at Death and Sex, British Columbia, 1921-78
Main Causes of Death by Age-groups
i Each Specified Age-group,
Trends of Marriages, Adoptions, and Divorces
Table 25—Marriages Solemnized According to Type, British Columbia,
1969-78	
Table 26—Adoption Orders Filed With the Division of Vital Statistics From
1974 to 1978, by Legitimacy and Sex of Child, Showing Year of Court
Order for 1978 Filings, British Columbia	
Table 27—Decrees of DislHpon and Nullity Filed with the Division of Vital
Statistics From 1974 to 1978 by Sex of Petitioner, Showing Year of Court
Order for 1978 Filings, British Columbia	
General Summary
Table 29—General Summary of Live Births, Deaths, Natural Increase, and
Marriages, for Regional Districts and Municipalities, British Columbia,
Health Jurisdiction Statistics
Vital Statistics Registration District Statistics
Infant Mortality
Table 32—Infant Deaths, Total and in Hospital, by Places of Occurrence and
Residence for Regional Districts and Municipalities, British Columbia,
 Table 33—Infant Deaths by Selected Cause, Sex, and Age, British Columbia,
General Mortality
Table 34—Deaths, by Cause (Intermediate List), Sex, and Regional District,
British Columbia, 1978	
Table 35—Non-transport Accidental Deaths by Place of Occurence, External
Cause, and Sex, British Columbia, 1978
Marriages
Table 36—Marriages Solemnized by Marital Status of Bridegroom and of
Bride, British Columbia, 1978	
Table 37—Marriages Solemnized by Religious Denomination of Bridegroom
and of Bride, British Columbia, 1978	
Table 38—Marriages Authorized by Banns c
ligious Denomination of Officiating Min
Table 40—General Summary of Deaths Among Registered India
gional Districts, British Columbia, 1978	
Table 41—Infant Deaths of Registered Indians, by Cause, Sex, and Age,
British Columbia, 1978..
, by Cause, Sex, and Age, British
 VITAL STATISTICS REPORT, 1978
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 lengjMfcusually accompanied by rates or percentages. Part III
presents further details 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 are shown, the table headings make this clear. As marriages
■j^BBlthe places of residence of two persons, it is the custom to show marriage
data by place of occurrence, a custom which is followed in this Report.
In connection with cause of death, comparability between years is affected by
major classrtSRn 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
Cause of Death which was designed for classification 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.
Certain of the tables which show cause of death, viz., Tables 17 (a) and (b),
18-20 and 22, do not reflect the adjustments resulting from the querying of original
cause of death information by the medical coder for the years 1974-1977, 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, 1976 and 1977 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 rates 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 Statistical Classification. Elsewhere in the Report,
mortality data are generally classified according to the Intermediate List of the
Classification.
In 1971 the 46 census subdivisions were replaced by 29 regional districts as the
standard geographical divisions of the Province for 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. This latter table was added
commencing with the 1977 report, and in this report a table classified by Vital
Statistics Registration Districts is included.
 ministry of health
MAP SHOWING REGIONAL DISTRICTS, BRITISH COLUMBIA
REGIONAL DISTRICTS
. Alberni-Clayoquot.
I Bulkley-Nechako.
. Capital (Victoria area).
. Cariboo.
. Central Coast.
. Central Fraser Valley.
. Central Kootenay.
. Central Okanagan.
. Columbia-Shuswap.
. Comox-Strathcona.
. Cowichan Valley.
. Dewdney-Alouette.
. East Kootenay.
. Fraser-Cheam.
. Fraser-Fort George.
No.        Name
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.
 VITAL STATISTICS REPORT, 1978
PART I—REPORT OF THE ACTIVITIES OF THE
DIVISION, 1978
The Division of Vital Statistjj^prforms two major functions in the Heath
Ministry. One of these is to admingfflthe Province-wide vital statistics registration
system while the other is to provide a centralized biostatistical service to various
divisions of Cornmunit-ajjgaith Services, and to certain voluntary health agencies.
The Divj|^Kis required to:,iitfflH§lster the Vital Statistics Act, the Marriage
Act, and the Change cfjJwe&Act and to operate a registry of wills notice under the
Wills Act. These vitaJMaaiBS|^altration services are available to the public
through the central office in VictQEfirajid 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 exfjgHSe statistical responsibilities, the Division
employs a staff of trained biostatisticians and statistical clerks located in Victoria
and Vancouver, as well as a Data Processing Sectir^^Bch serves both major
functions of the Division.
REGISTRATION SERVICES
J^jjm>M0NISTRATION OF THE VITAL STATISTICS ACT
A very substantial part of the Division's responsibilities is connected with the
administratiqS^^^K^^tar/jf('c.s Act, which governs the registration of births,
stillbirths, marriages,g^ffis', adoptons, affiMfflRSrces, as well as the issuance of
information and certificates based on regislBnlsSis filed.
The Division recefflegExcellent 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
registrations.
Revised vital stafSSBffl^^fflforms 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
 VITAL STATISTICS REPORT, 1978 5
Volume of Registrations
The number of birthsTIEKIphs. marriages, and stillbirths in Table 2 are
elated to the year of filing wMmaflgSSffi, hence will not necessarily coincide
HHnraffllPart II or Part III, which are related to the year of occurrence. In the
;ase of adoptions, divorces, and wills notices, all figures in this Report are
presented in tetmsfflBKei year of filing with the Division.
TABLE 2—5
OF REGISTRATIONS, B
H COLUMBIA, 1936-78
 MINISTRY OF HEALTH
1
LEGENC
DEATHS            	
. i
.
wt
/
M
Wsm
 raillWllWATISTirs REPORT, 1978
TABLE 3—VOLUME OF SEARCHES PERFORMED; VOLUME OF
DIVISION OF VITAL STATISTICS, BRITISH COLUMBIA
NCOMING M
1969-78
Searches
Year
,23.
s||
s2i
g|
■976::::::::::
Hi
I
il
II
TABLE 5—REVENUE COLLECTED BY THE DIVISION OF VITAL STATISTICS,
BRITISH COLUMBIA, 1969-78
Vear
TO,,, Revenue
"^SSft
JB1I
fl
Hi
StS??
III
 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
number of birth registrations was virtually unchanged from 1977.
Legitimations—Under the Legitimacy 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 250 births legitimated in 1978, compared with 279 in 1977.
Alteration to given names—Under section 8 of the Vital Statistics Act, a
change made in a child's name before the age of 12 years may be entered on the birth
registration by means of a notation.
Alterations of given names in 1978 numbered 322, as compared with the 1977
figure of 283.
Delayed registrations of birth—Special provision is made in the Vital Statistics Act for registration of a birth more than one year after the event. There were 296
delayed registrations of births processed during 1978, compared with 293 in 1977.
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 72 in 1978, as compared with 34 in 1977.
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 ir
the other provinces of Canada and a number of other cr
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,
beating of the heart, pulsation of the umbilical cord, or unmistakable rr
voluntary muscle."
There were 317 stillbirths registrations filed in 1978.
 VITAL STATISTICS REPORT, 1978 9
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
Commissioners. These are returned to the Division-periodically in 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 are promptly taken to
obtain a registration.
Registration of Adoption Orders
Copies of all adoption orders made by the Courts in this Province are forwarded to this Division by the Court Registrars, as required by the Vital Statistics
Act.
On receipt of an order regarding an adoption by the Division, a marginal
^^BatSi 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 received from another province or
state relating to the adoption of a child born in British Columbia.
Inspection of the documents filed regarding an 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 1978 numbered 1,520, as compared
with 1,991 in 1977.
Registration of Divorces
The Vital Statistics Act also requires that all divorces and nullities granted in
the Province be filed with the Division. The Division is supplied with a certified
copy of each decree of dissolution or nullity by the Supreme Court Registrars.
There were 9,165 dissolutions of marriage and 34 nullities registered by this
Division in 1978. The comparable figures for 1977 were 7,965 dissolutions and 11
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.
During 1978, 3,594 change of name applications were effected, a substantial
increase over the 3,046 changes in the previous year. Many of these applications
covered several members in a single family, so that in total 4,449 individuals were
affected. Thirty-four per cent of the applications were made by divorced women,
while an additional 23 per cent were made by married men, 12 per cent by single
men, and 11 per cent by married women.
 ministry of health
table 6—change
JTO
name applications granted, by marital status and
lal number of persons affected, british columbia, 194
-78
S« and M.*! S1MUS of Applican,
Year
Single
Mamed
Widowed
Divorced
Sealed
Tola,
Number
M
F
M
F
M
F
M
F
M
F
F
T
Aftaed
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J
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1
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,l
he Marriage Act
The Marriage Act prescribes the legal requirements which must be observed in
connection with the solemnization 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
responsibility of the Division to recommend for appointment Issuers of Marriage
Licences throughout the Province and to supervise their work. The actual registration of marriages solemnized and the issuance of marriage certificates are governed
by the Vital Statistics Act.
On December 31, 1978, there were 3,029 ministers and clergymen authorized
to solemnize marriage. During the year, 427 resident clergymen and ministers were
1 icensed, while 355 licences for those residing in the Province were cancelled due to
transfer out of the Province or due to death. In addition, 134 temporary licences
were issued to nonresident ministers and clergymen who were ministering in the
Province for brief periods only, and 137 such licences were cancelled.
Forty-one orders of remarriage were issued under the Marriage Act in 1978.
 VITAL STATISTICS REPORT, 1
TABLE 7—MINISTERS AND CLERGYMEN REGISTERED UNDER THE MARRIAGE
ACT AND REGISTRATIONS CANCELLED, BRITISH COLUMBIA, 1978
*nean=„l
Tempos
Tolal
Tb"l "Urnta on reg'Ser ^^m^^lZ^.Z.Z'.Z'. ZZ.'.'.ZZ.'.'. .  ^
2,«5
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'I*
 MINISTRY OF HEALTH
Registry of Wills Notices
The Registry of Wills Notices 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 informa-
 VITAL STATISTICS REPORT, 1978 13
tion 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 ifflhragd 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^Kllows: 1973, 27,223; 1974, 34,570; 1975,
37,295; 1976,40,877; 1977, 46,611, and 1978,46,21 jffils notice certifications
numbered 12,733 in 1978, compared to 12,334 in 1977
Microfilm and Photographic Services
All registrations of births, deaths, marriages, and stillbirths, together with
delayed registrations 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 vitj^Wstics and the national indexes of births, deaths, and marriages.
In addition, the following documents are filmed on a continuing basis: Physician's Notice 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 1978, 50,134 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, 13,621 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 comprises two research offices, one in
toria and the Health Surveillance Registry in Vancouver, which have a combined
staff of 22 persons. These two offices are supported by a 14-member data process-
The 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 1978 are outlined below in
Data Processing
In 1978 the division's dependence upon a centralized computer service for data
processing, provided by British Columbia Systems Corporation, increased when
outdated unit-record equipment was finally set aside at the end of 1977. Considerable difficulty has been encountered in relation to this developmental change to
centralized computer services. Large portions of the eight research officers' time
have been occupied in supporting systems analysts and programmers and in
mastering methods of assessing computerized information from a service which is
 [NISTRY OF HEALTH
not yet fully operational. Nevertheless, it can be stated that the division now  I
possesses the capacity to deal with large segments of vital data and to process some
of these data more efficiently.
o share responsibility for the data processing I
Health Surveillance Registry
The Health Surveillance Registry office in Vancouver has added 12,000 cases
to the registry file, bringing the total cases at year-end to approximately 120,000.
The registry encompasses congenital anomalies, genetic defects, and chronic
handicapping conditions. Annual reports for 1976 and 1977 were published during
the year. Five research papers utilizing registry data were also published. The staff
has collaborated in a study of trends in maternal age-specific incidence rates of
Down Syndrome with the Department of Medical Genetics, The University of
British Columbia, and participated with the same department in a workshop on the
faetal effects of alcohol. It is continuing to co-operate with the Department of
Medical Genetics in the development of a rapid and responsive monitoring system
for congenital anomalies in British Columbia. Initial steps were taken to convert the
medical codes of the entire existing registry files from the Eighth Revision to the
Ninth Revision of the International Classification of Diseases. This task will require
the assistance of computer programmers, a professional consultant, and extra
clerical staff. The need for such a recoding task occurs only once in each decade,
since by international agreement the classification is revised every 10 years.
The Cancer Registry, also maintained by the Vancouver research office, has
benefited from the development of a computerized system for recording data. This
register records newly diagnosed neoplasms from pathology reports submitted by
regional hospital laboratories as well as from reports received from the Cancer
Control Agency of British Columbia and from private physicians. Information
about neoplasms ascertained at death is obtained from the division's own registration system. The registry collaborates with the Western Canada Registry Cancer
Association, made up of the representatives of Cancer Registries in the four western
provinces. A close-working relationship with the Cancer Control Agency of British
Columbia continued during the year.
Registries of infectious diseases, i.e., diphtheria, hepatitis, salmonella infections, streptococcal infections, and meningitis, were maintained. Special registries
of all newly reported cases of malaria and Asiatic parasitic disease were also
Perinatal Morbidity and Mortality
Two research officers of the division continued to serve as members of the
Continuing Advisory Subcommittee on Perinatal Care. They were actively involved
in the development of a new perinatal form for hospitals and physicians and gave
particular attention to improving the quality of statistical data which is available in
relation to perinatal events. Studies which are presently under way are concerned
with cerebral spastic infantile paralysis and the causative factors surrounding
potentially viable stillbirths who have died during labour.
 VITAL STATISTICS REPORT, 1978 15
Tuberculosis Control
The Tuberculosis Control Division received service in the preparation of an
annual report, annual indexes, and monthly file maintenance of records relating to
that disease in^Ms Province. There are now nearly 90,000 records on this master
file. Collaboration was given in a study of tuberculosis deaths among immigrants to
Canada residing in this Province. Another|s«B5t of special study at the present
time is Contacts to New Active Cases of TB.
Public Health Nursing
MonthlvHKstics were prepared for the Home Care Program. Both monthly
and annual statistics were prepared for the Director of Public Health Nursing.
Following the Chilliwack polio outbreak, this program was adjusted to enable the
use of both Salk and Sabine vaccines throughout the Province to be monitored
separately.
Public Health It
Quarterly statistical summaries of the activities of public health inspectors
were supplied to the Division of Public Health Inspection. A sewage-disposal
complaint reporting system was maintained for participating health units.
Water-Quality Study
A water-quality study was designed to determine the potability of Kootenay-
Columbia River water during periods of low precipitation. A study of coliform
bacteria in 1,100 samples, taken from 29 sampling sites along the river system from
Nelson to Trail over a period of one year, was embarked upon. This division
undertook responsibility for co-ordinating the activities of the West Kootenay
Health Unit with those of the Division of Laboratories in this project. A further
study, relating to the quality of Christina Lake water, was commenced. In this case
bacteriological, nutrient, biological, and chemical characteristics of the water are to
be studied as well as plant growth and sediment deposits.
Lead Poisoning
The division co-operated in yet another study in the West Kootenay area,
related to the risk to young children of environmental lead. Samples of urban dust
and dirt were obtained from Trail, Nelson, and Vancouver. The highest lead
: found to occur in downtown Vancouver at high traffic density
locations.
Dental Health
A report on the mouth rinse study undertaken for the Division of Dental Health
Services in the Port Alberni area was published in the Canadian Journal of Public
Health. It demonstrated that the rinse could help prevent caries and could lead to
very significant saving in that regard.
Health Program Evaluation
Four health program evaluation studies were in progress at the end of the year.
A post-cardiac fitness program, already of three years' duration, is assessing, on the
basis of more than 25 parameters, the effectiveness of the prescribed fitness
 MINISTRY of health
i. Important will be whether the program reduces heart attacks and leads to I
improvements in health or confidence. An antismoking information program for
young children has resulted in a positive preliminary report which will shortly be
concluded. A feasibility study is under way relative to respiratory conditions such
as asthma, bronchitis, emphysema, and lung cancer, to assess the effectiveness of
the services of a respiratory nurse who provides home supervision for patients
suffering from these conditions. It is hoped that this service might reduce hospital
days and physician visits, and retard the progress of the respiratory disability. All of
these studies are being carried out in collaboration with the South Okanagan Health
Unit. A further program evaluation study is commencing in Victoria with regard to i
the use of acupuncture in the treatment of chronic pain.
Ninth Revision of the International Classification of Diseases
Use of the Ninth Revision of the International Classification of Diseases for
morbidity and mortality coding will be instituted in 1979 and considerable attention
has been given to preparations for the changeover.
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.
Other Services
The Division of Venereal Disease Control received monthly statistical reports
compiled on its behalf by the Division of Vital Statistics.
The G. F. Strong Rehabilitation Centre was again provided with annual
tabulations and listings of their patient records.
New forms were developed for a survey undertaken by the Aid to Handicapped
Division in order to determine the need for vocational rehabilitation services among
the injured and disabled in the Vancouver districts of Riley Park and Kitsilano.
Data from the Rheumatic Fever Prophylaxis program were provided to the
Division of Epidemiology. Analysis of Poison Control Reports was provided for the
Drug and Poison Information Centre.
A form was designed for reporting driver-related medical conditions to the
Motor-vehicle Branch. The form was pre-tested with the help of 20 family physicians, and plans were made to refine and improve it over a one-year period.
Vital Statistics data, as well as notifications concerning congenital anomalies,
inheritable diseases, and notifiable diseases, have continued to be supplied to
Statistics Canada in pursuit of long-standing Federal-Provincial arrangements for
exchange of services.
The research office in Victoria has responded to numerous individual inquiries
for vital and population data.
 VITAL STATISTICS REPORT, 1978 17
PART II—TREND TABLES WITH RATES
(By Place of Residence)
- PROMINENT FEATURES
British Columbia's population in 1978 was estimated as 2,530,100, an increase of 36,000 over the 1977 figure, a somewhat greater increase than for the
previous year.
Births continued to increase but the birth rate for the year remained unchanged
at 14.7 per 1,000 population. The proportion of all births which were illegitimate
was 14.0 per cent, the same as in 1977. The proportion for Indians increased to 68
per cent from last year's figure of 66 per cent.
While the number of marriages in 1978 was slightly above the figure for 1977
the marriage rate per 1,000 population was marginally lower at 8.4.
Deaths recorded an increase in number from 1977 to 1978lHjlbwever. the
population increase was sufficient to maintain the death rate per 1,000 population at
the same record low of 7.5 as was registered in 1977. The standardized death rate
per 1,000 population was 5.8, unchanged from 1977.
The leading cause of death, disease of the heart, showed an increase in the rate
per 100,000 population to 248 from last year's low of 244. Cancer, the second
leading cause, resulted in 168 deaths per 100,000 population, an increase over the
previous year's figure of 163. There was a slight increase in the rate of deaths from
cerebrovascular lesions from the 1977 figure of 73 to 74.
The death rate from accidents in 1978 was 60, a decline from last year's rate of
65. The suicide rate increased in 1978 to 18.3 from the 1977 figure of 17.6.
The decline in the infant mortality rate per 1,000 live births continued in 1978
and the rate was at a record low of 12.7.
There were 1,520 adoptions in 1978, a considerable decline from the 1977
figure of 1,991.
An increase was recorded this year in the number of dissolutions and nullities
in the Province. Close to 9,200 were filed with the Division in 1978 compared to
7,976 last year.
 LONG-TERM TRENDS OF POPULATION AND VITAL EVENTS
TABLE 9—POPULATION BY SEX AND AGE-GROUP, BRITISH CO
3IA,
■g
To.
A^uplYear,,
0-4
|
0-14
5-19
20-29
30-39
40-49
50-59
60-69
70-79
80+
•~ J
'§
I
■
l
l
I
|
l
l
'l
l
l
1573                         T
1
4ii
| l
I
1
 VITAL STATISTICS REPORT, 1978
  VITAL STATISTICS REPORT, 1978                                             21
TABLE 11—LIVE BIRTHS, DEATHS, AND NATURAL INCREASE,
BRITISH COLUMBIA, 1921-78
A—Including Registered Indians
Year
Live Birth,
■
N^llnc^
Nunrter
Ra.e
Number
■
Numbcr
Rale
I P         ■
I
I
i
|
I
l
B-ExCU1D,NgReg.STERED INDIANS
I
i:i
ll
N
iii
l
1  H            ' "W3SS&&
|||
C-REG1STERED INDIANS ONLY
S.z.!.96|zi:::::::
||
SI
l
ll
l
l
|ee
 22                                                      MINISTRY OF HEALTH
TRENDS OF LIVE BIRTHS AND STILLBIRTHS
TABLE 12—LEGITIMATE LIVE BIRTHS BY AGE OF MOTHER,
BRITISH COLUMBIA, 1931-78
pfe
I4w4
|
1
pr
3.34
35-3,
»Jr
&
I
IF
III
l!'987
fP
II
,,|
ll
l
||
|
B-EXCU1D.NGREG.STEREDIND.ANS
il
Pi
I
!m£
||
l
■
[
I
S=
1
I
1
C-REG.STERED1ND.ANSONLY
11:=;==
1
if
js
I
I
l
H
|
1
  MINISTRY OF HEALTH
1
TABLE 14—LIVE BIRTHS, BY AGE OF MOTHER A
BRITISH COLUMBIA, 1974
ND TOTAL BIRTH OR
-*
Orfero.Bir* of Child
M
ffil   1
S
2nd
3.
4,h
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7,
|
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g
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|
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1
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1
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I
1
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46.6
33.2
13.7
4.0
1.4
0.6
0.2
0.1
0.1
0.1
100
 VITAL STATISTICS REPORT, 1978
TABLE 15—STILLBIRTH NUMBERS AND RATES, BRITISH COLUMBIA, 1
Year
SS
OH
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 MINISTRY OF HEALTH
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 L STATISTICS REPORT, 1978
111
iS,
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 [NISTRY OF HEALTH
11
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 VITAL STATISTICS REPORT, 1978
TABLE 18—DEATHS FROM MAJOR CARDIOVASCULAR-RENAL DISEASES,
BRITISH COLUMBIA, 1974-78
InT'Sri
,976
,9,7
«Sm
pfeTirJ
l'Z
i
1
n
p
B-Rat
PER
00,000 Popi
LAT.O
1
Larynx      	
MS
1
208
l
ii>"i
l
18.1
ii
I
J
Tolals
174.2
138.5
180.7
.34.7
,77.2
.40.3
179.7
145.8
190.0
145.6
 30                                                      MINISTRY OF HEALTH
DEATHS FROM ACCIDENTS AND VIOLENCE
In order to obtain as much information as possible regarding deaths from      1
accidents and violence, a dual coding is used. These deaths are classified according
to the external cause and also according to the nature of theWmiry. Statistics
showing both types of classification are presented in the detailed tables in Part HI of     1
this Report.
TABLE 20—RATES OF DEATH FROM ACCIDENTS AND VIOLENCE, BY EXTERNAL CAUSE,
BRITISH COLUMBIA, 1974-78
ii
—
,975
,97,
■ 978
NO.
H
No.
R„=
No.
Ra,e
Ratt
No.
Rao
ii
||§fesn
100
I
!
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l
l
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l
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2.582
108.7
2.452
100.8
2.071
84.0
2,234
89.
2,189
86.5
JUB.taO.05.^^                g„    |
•        ■                            ■   ih-
 VITAL STATISTICS REPORT, 1978
TRENDS OF INFANT AND MATERNAL MORTALITY
 MINISTRY OF HEALTH
1
1
1
;- ;-
:».o-m   :„
E  Sg£
1
~i!l;~™*"
2«g_-
1
ll^Bl
jg
1
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fH
1
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m
1
1
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lill;
1|t
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::
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1
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 VITAL STATISTICS REPORT, 1978                                             33
TABLE 23—INFANT DEATHS, BY AGE AT DEATH AND SEX,
BRITISH COLUMBIA, 1921-78
l
U„fa,Day
im
l.JSSys
„Si
Number
R.,=
Number
—
Number
RaK
Number
R.,=
M
F
M
M
F
F
M
.
M
F
M
F
M
F
I    I      --
l
I
I
I
I
'l
1
1
I
l
LO
l
■
S:S
I
l
l
UntofMo^s
UntooMo^
U^EmiSl
M
Number
Rale
Number
Rme
Number
Rale
Number
tfji
F
F
F
F
M
F
M
F
M
F
M
F
||
l
30
J
I
■
l
1
l
l
l
l
n
IS
|
l
SI
 MINISTRY OF HEALTH
MAIN CAUSES OF DEATH BY AGE-GROUPS
TABLE 24— DEATHS FROM FOUR MAIN CAUSES IN EACH SPECIFIED
 VITAL STATISTICS REPORT, 1978
TABLE 24—DEATHS FROM FOUR MAIN CAU
AGE-GROUP, BRITISH COLUMBIA,
978—Con
™ffCI
H
™
DcaUisin
n^SSX
ssld
§1
w
■gn
1
,2lMi
■zM
5S"
393-398,
1. Dise^on^^M^^	
1.771
S
^M
1.545.4
.40-209
;• j^-;*»t|^H^^I
I
Ifl
8
■
393-398,
1. Diseases0FrSrZ0:r^.a,Z6:085	
2.492
41.0
3^
4.666.5
1ST
5  fe ,^?^HMHHJ|
°¥S
"i
"SI
1.870.7
 36                                                      MINISTRY OF HEALTH
TRENDS OF MARRIAGES, ADOPTIONS, AND DIVORCES
TABLE 25—MARRIAGES SOLEMNIZED ACCORDING TO TYPE,
BRITISH COLUMBIA, 1969-78
-^-~.
CMlCeremon,
|
Lieence
Banns
Number
IVrCen.
Number
PfcrCen,
Number
*rCe„,
Number
PerCen.
,'!:?«
it
l
;|
|
El
||
iS
TABLE 26—ADOPTION ORDERS FILED WITH THE DIVISION OF VITAL STATISTICS FROM 1974 TO
1978, BY LEGITIMACY AND SEX OF CHILD, SHOWING ALSO YEAR OF COURT ORDER FOR 1978
FILINGS, BRITISH COLUMBIA
ss
gig
gHS
SK,usNSSe„.r
&     I
Male        ftmale
Tbal
Male
gl
Male
Female
Tba,
'!!—..
|
1
|
l
l
P
|
144
|
IS)
28
§£«%
•tgjjj
36
32
68
mi
192
30
158
255
478
398
389
787
108
255
1,520
 L STATISTICS REPORT, 1978
TABLE 27—DECREES OF DISSOLUTION AND
STATISTICS FROM 1974 TO 1978, BY SEX O
FOR 1978 FILINGS, BRITISH COLUMBIA
 MINISTRY OF HEALTH
1
m$m
I
1
i i    i : i£- i i
: i    i j its i i
i
2222222222
g^wwg
1
ESS
g|lisi|||3
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1
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8gjgj»sa$g
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s
s___
 VITAL STATISTICS REPORT, 1978                                             39
PART in—DETAILED TABLES, 1978
(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, 1978
KSiSS
■
Dealhs
1
g
„
j
■s-
7b.
M
i
i|
ETquimait""1!..::::::::::::::
1
1
i
1
■
I
l
■
^
?,
230
 [NISTRY OF HEALTH
TABLE 29—GENERAL SUMMARY (
MARRIAGES FOR REGIONAL
BIA, 1978—Continued
 VITAL STATISTICS REPORT, 1!
 42 MINISTRY OF HEALTH
TABLE 29—GENERALSUMMARYOFLIVEBIRTHS, DEATHS, NATURAL INCREASE,/
MARRIAGES FOR REGIONAL DISTRICTS AND MUNICIPALITIES, BRITISH COL1
BIA, 1978—Continued
LiveBinbs
dL,
Shs
anfMunicS
|
§1
s
4-
#
4
„
1
i
Hages
i
1
'ii
§
s
"i
1
1
1
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F^Cou"01"5	
=
Scoiora^::::::::::
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Unincorpo^ed	
10
1
S uamish Lillooet
107
U"<£^n	
26
whStoh.:::::::::
|
14
Sunshine Com
„
Th       so   Ncola
751
K^00^	
570
BRUT
|
 VITAL STATISTICS REPORT, 1978                                             43
HEALTH JURISDICTION STATISTICS'
TABLE 30—LIVE BIRTHS, DEATHS, AND STILLBIRTHS, BY HEALTH
JURISDICTION, BRITISH COLUMBIA, 1978
Hellion
Bulbs
Oealbs
Slillbirlhs
5SSS1
2<S,£ks
M
F
M
F
M
F
M
F
I     Briiish Columbia	
19,068
18,145
11.089
7,937
114
105
49
54
!'i
I
l
|
I
B
fs
I
1         TlbST*'	
cSHz'::;;:::::":::::
1         Snfiiser	
j        Cental Vancouver Island'	
1          Ocean Falls Nursing Disuic.	
°slluSr,hArea!
4.670
I
3.839
■
'."..
i3
m
I
 MINISTRY OF HEALTH
VITAL STATISTICS REGISTRATION DISTRICT STATISTICS
-BIRTHS,' DEATHS' AND MARRIAGES,' BY VITAL STATISTICS
REGISTRATION DISTRICT, BRITISH COLUMBIA, 1978
RetfsuauonDls.de.
Birihs
Dealhs
Marriages
Births
Dea.h,
Marriages
Briiish Columbia
36 509
18 957
21.302
QuaKinc-::::::::::::::::
Queen Charlotte	
l
|
ael^SoM:::::::::::::
H
I
l
U49
L
 VITAL STATISTICS REPORT, 1978                                             45
INFANT MORTALITY
TABLE 32—INFANT DEATHS BY PLACE OF RESIDENCE FOR
REGIONAL DISTRICTS, BRITISH COLUMBIA, 1978
—
lnfm Deaths
T„,.l
Neona,.,
nS„
7-27 Days
pjjg|	
1
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 [NISTRY OF HEALTH
I ;  I!   if
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n i ii ii
i Hi
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 VITAL STATISTICS REPORT, 1978
1
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11
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11
 MINISTRY OF HEALTH
MARRIAGES
TABLE 36-
MARRIAGES SOLEMNIZED, BY MARITAL STATUS OF BRIDEGROOM
AND OF BRIDE, BRITISH COLUMBIA, 1978
Tbtil
Bachelors.ad
Wido^and-
Divorced Meuand-
Oihe,
justers
g
it
Spl„sttrs
TOd„ws
il
Splusters
H
DiTn"
SM=d
13.934
,78
1.8,9
1,2
300
2.072
307
2,292
 L STATISTICS REPORT, 1978
1
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 MINISTRY OF HEALTH
TABLE 38—MARRIAGES1 AUTHORIZED BY BANNS OR LICENCE, ACCORDING TO
RELIGIOUS DENOMINATION OF OFFICIATING MINISTER. BRITISH COLUMBIA, 1978
Banns
Llceuee
Tout.
Number
FerCen,
Number
Percent
Number
2.070'
100.0
12.737
100.0
4 808>
100 0
Py^
I
l
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l
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MeSa
li
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1
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0.2
 VITAL STATISTICS REPORT, 1978                                             61
REGISTERED INDIAN STATISTICS
LIVE BIRTHS
TABLE 39—GENERAL SUMMARY OF LIVE BIRTHS AMONG REGISTERED
INDIANS FOR REGIONAL DISTRICTS, BRITISH COLUMBIA, 1978
Be„,
LiHo°pi',h.;in
us
T„,„l
Male
ftmale
Male
*male
lilt-''
I
1
I
j
M
 62                                                      MINISTRY OF HEALTH
DEATHS
TABLE 40—GENERAL SUMMARY OF DEATHS AMONG REGISTERED INDIANS
FOR REGIONAL DISTRICTS, BRITISH COLUMBIA, 1978
Re8,o„a,Dls.e,
II
B
Man, Deaths
To«l
Neo„„
^.-Neonatal
F
M
F
F
itiii
s
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 MINISTRY OF HEALTH
I       I
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111 1 1 i fl
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3
 MINISTRY OF HEALTH
I jaigi till   il
              1
    1
            DEATHS BY CAUSE, SEX, AND AGE, ACCORDING TO
THE DETAILED LIST, BRITISH COLUMBIA, 1978
Age-Group (Years)
 DEATHS BY CAUSE, SEX, AND AGE, ACCORDING TO
THE DETAILED LIST, BRITISH COLUMBIA, 1978
 ~~1
        DEATHS BY CAUSE, SEX, AND AGE, ACCORDING TO
THE DETAILED LIST, BRITISH COLUMBIA, 1978
:    1
1
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          DEATHS BY CAUSE, SEX, AND AGE, ACCORDING TO
THE DETAILED LIST, BRITISH COLUMBIA, 1978
Age-Group (Years)
    3
 D AGE, ACCORDING TO
 DEATHS BY CAU
THE DETAILE
SE, SE
3 LIST
X,
'b
AND AGE, AC(
RITISH COLUM
Age-
OF
Bl
DING
\, 197
l
-
   DEATHS BY CAUSE, 5
.ND AGE, ACCORDING TO
THE DETAILED LIST, BRITISH COLUMBIA, 1978
          

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