"047cf721-06fe-43f4-a1a9-20c3b3d2dfa3"@en . "CONTENTdm"@en . "PROVINCIAL BOARD OF HEALTH."@en . "http://resolve.library.ubc.ca/cgi-bin/catsearch?bid=1198198"@en . "Sessional Papers of the Province of British Columbia"@en . "British Columbia. Legislative Assembly"@en . "2014-12-10"@en . "[1902]"@en . "https://open.library.ubc.ca/collections/bcsessional/items/1.0064209/source.json"@en . "application/pdf"@en . " 2 Ed. 7 Provincial Board of Health. 773\nREPORT\nOF THE\nPROVINCIAL BOARD OF HEALTH.\nOffice of the Provincial Board of Health,\nVictoria, B. C, 1st January, 1902.\nTo the Honourable D. M. Eberts, K. C,\nA ttorney-General.\nSir,\u00E2\u0080\u0094I have the honour to submit the Fifth Annual Report of the Provincial Board of\nHealth, being for the year 1901.\nAlthough not a time fraught with such danger as that of 1900, yet the year just closed\nhas been an exceedingly busy one, partially from a legacy left from the previous year, and\npartially from the necessity for stricter vigilance in warding off several threatened outbreaks\nof small-pox. It was necessary to be more than ordinarily watchful, from the fact that the\ndisease made its appearance at widely opposite places, it being at different times at Victoria,\nVancouver, Revelstoke, Chilliwack, Sumas, Naas, Skeena, Quesnel, Rossland, Nelson, Kitchener,\nMoyie, Cranbrook, Kimberley, Marysville, Fort Steele, Michel, Fernie, Morrissey Creek,\nSparwood, Phoenix, Grand Forks, Cascade and Fairview.\nAlmost without exception, the source of infection was traced to the American side. The\nepidemic in Nanaimo and Phoenix gained good headway before it was recognised, and it\nrequired energetic and thorough measures to bring it under control; this, however, was soon\naccomplished, and the danger of spreading prevented. In no other place was it allowed to\nmake any material progress.\nI may say that we are ever open to the danger of having this disease upon us, due, I\nregret to say, to the laxity prevailing in certain sections of the United States along the border\nline. As pointed out in my Report for 1900, there are certain towns along the boundary line\nwhere positively no attempt is made to prevent infection, and when the disease makes its\nappearance it is allowed to run its course, spread and propagate. It is in this connection that\nI would draw particular attention to the necessity for a more stringent guard at the places of\nentry from the United States into this Province. As the work of guarding the line has been\ntaken in hand by the Dominion authorities, this matter, I respectfully submit, should be placed\nbefore them in as strong a light as possible. I have many times complained of laxity on the\npart of the Dominion Health authorities, and I regret that there is still cause for complaint.\nThere are some most important points left in charge of laymen, and others are insufficiently\nguarded. It is only to be hoped that there will not, at any time, arise serious cause for blame\non account of neglect.\nIn this connection I would refer to one incident which will indicate the spirit with which\nthe Dominion authorities enter into this, to us, most important matter. The steamer\n\" Mainlander\" runs between Vancouver and Seattle. On December 16th, 1901, a case of smallpox was discovered in Vancouver, and it was found that the patient arrived from Seattle on the\n\" Mainlander \" eight days previously. Again on the 28th another case developed. This, too,\ncame from Seattle on the same boat five days previous to the appearance of the rash. Although\nI understand that in the last case the patient was ill while on the boat, with the usual premonitory symptoms, yet I do not think any blame is to be attached to the local Health Officer,\nfor without minute examination, which is impracticable, he could not have recognised or\nsuspected the trouble. When I had these matters placed before me I notified the Dominion\nauthorities. Both cases were beyond doubt incubating the disease on date of arrival. The 774 Provincial Board of Health. 1902\nquestion in my mind was, in what condition was the boat ? I concluded that it probably was\ninfected, because, although it is doubtful whether the patients at such a stage could infect, yet\nthe probability was their clothes were infected at the time they themselves contracted the\ntrouble. Under such conditions, I considered that the only safe course was to ask the Dominion\nGovernment to disinfect the boat. I did so, and received from Dr. Montizambert, through Dr.\nMcKechnie, the following reply :\u00E2\u0080\u0094\n\" Case developed after landing. Question as to it and ' Mainlander' are therefore Municipal or Provincial, and not Dominion.\"\nI again applied, reminding them that the two cases came off the boat, and got the same\nanswer. Although the Williams Head appliances were offered to us if we paid all expenses, I\ndid not and do not consider that this was Provincial work. Recognising the importance of\nimmediate action, I asked the agents of the steamship company to get the boat disinfected.\nThey willingly agreed. The \" Mainlander \" was sent to Port Townsend, and on her next trip\ncarried a certificate of disinfection from the United States quarantine station there. I think\nit very unfortunate that the Dominion authorities should take such a stand at such a critical\ntime. They undertake to protect us from outside infection, and are provided with the means\nfor carrying out disinfection of boats; we have no provision for such work. While discussing\nthe point raised, the Province might seriously suffer, and I therefore took the action above\nstated. I regret to see that the \" Director-General of Public Health \" still maintains the\nposition he then adopted.\nThe Board expended during the year the sum of $33,881, a large portion of which was\nspent in precautionary measures. As an example of the necessity and utility of this expenditure under the circumstances, I might say that in 1892, during the small-pox epidemic in\nVictoria, the Municipality spent $59,102 in handling 112 cases, while during the same period,\nwithout any actual cases to look after, the Province spent $13,501 in purely precautionary\nmeasures. I may also say that the expenses of the Board of Health for the Cities of Victoria\nand Vancouver together, during the year 1901, largely exceeded what has been spent by the\nProvincial Board. It will thus be seen that in proportion to the area covered and the circumstances prevailing, the expenditure for the Province has been exceedingly moderate; and\nfurther, I may say that every dollar was necessarily and properly spent. Of course all this\nexpenditure was not due to small-pox alone. All the contagious and infectious diseases claim\nattention; they require active and careful handling at all times, but as the Province advances\nthe measures necessary of course become more comprehensive, and consequently more expensive.\nIn many instances during the past year, whole families were supplied not only with medical\nnecessaries, but with food and clothing.\nI note that the vote for hospitals and charities is considerable, and I beg to say that, in\nmy opinion, such money properly expended is money saved in the end. I would suggest,\nhowever, that so far as the hospitals are concerned, all such institutions as are in receipt of\ngrants of public moneys should be subject to inspection by this Department, under instructions,\nof course, of the Minister having charge of the grants in question.\nOwing to the expense of quarantining suspects and contacts, besides the inconvenience\nand loss of time caused to those so quarantined, the Board adopted a set of regulations providing\nthat any person recently successfully vaccinated should not be subject to quarantine, and that\nupon giving certain assurances he be disinfected and given his liberty. I have written to\nmine managers calling attention to this provision, and I am pleased to say that many of them\nare falling in with the suggestion and are insisting upon all their employees protecting themselves by vaccination.\nThe offices of the Government Agents at various points have been made repositories for\ndisinfectants and disinfecting apparatus, generally for the handling of small-pox. They are\nnow pretty well equipped in that respect.\nWherever possible, the building of isolation hospitals has been carried on in conjunction\nwith the neighbouring municipalities.\nCanneries.\nComplaint having been made that the canneries were not carrying out the regulations as\nto the disposal of offal and other refuse in connection with their business, I visited and inspected\nseveral of the Fraser River canneries, 28 in all, during the month of August. They were in\na fairly clean state, and the managers of most of them seemed to be making an honest effort\nto avoid polluting the river. During the coming season I propose to have the regulations\nstrictly carried out, and will at the proper time so notify cannery managers. 2 Ed. 7 Provincial Board of Health. 775\nProvincial Gaol, Victoria.\nIn accordance with your instructions, I visited the Provincial Gaol at Victoria on August\n21st, 1901, and subsequently made a report to you regarding the sanitary conditions there. In\npursuance of this report a septic tank has been constructed, under the superintendence of Mr.\nMohun. It is working well, and the nuisances complained of are now abated. There is at\npresent in this office a complete copy of the plans, and these, with the tank itself, can be used\nas models and for reference in future.\nTURERCULOSIS.\nAs already reported, I attended the Tuberculosis 'Conference held at Ottawa during\nFebruary, 1901. A society was then formed, with very desirable objects in view. Many of\nthe most prominent men in public life attended, and showed practical sympathy with the movement by giving large subscriptions. His Excellency the Governor-General was pleased to be\npresent, and he took an active interest in the promotion of the objects of the Conference. The\noutlook seemed favourable for the success of a highly important undertaking, but, unfortunately,\nchanges were made which, in my opinion, were not justified, and do not appear to have\nadvanced the ends in view. A new Executive was created, and the great results hoped for\nand expected have not matured. I have endeavoured to do my part, and have issued a\npamphlet of instructions to the public in this Province. The Provincial Board have also\nadopted regulations, but I may say that this movement, to be successful, must be national in\nits character and actions.\nSanitoria Treatment of Tuberculosis.\nIn my report to you of the Ottawa Conference, I remarked that the concensus of medical\nand public opinion in both Europe and America is that sanitorium treatment of consumption\nproduces the best results. At the Congress of Berlin in 1899 a resolution indorsing the sanitoria treatment of consumption was adopted. In Germany, where compulsory life insurance\nis in force, where all receiving a wage lower than a certain amount are obliged to be insured,\nthe growth of sanitorium treatment has been remarkable, owing largely to the action of life\ninsurance companies expending much money in the erection and maintenance of sanitoria,\nwhere they send those of their insured who are suffering from consumption; finding that, from\na financial standpoint, this is economy.\nThe Hon. Mr. Ross, Premier of Ontario, when introducing a Bill to aid in the building of\nsanitoria, said\u00E2\u0080\u0094\"The most valuable asset any nation can have is its people; its men and\nwomen; its sons and daughters.\" The Ontario Legislature voted some $280,000 to be divided\namong the municipalities, in such a manner that any municipality building a sanitorium would\nget one-fifth of its cost from the Government, not to exceed $4,000, together with a grant of\n20 cents per head per day.\nFollowing the example of Ontario, I would suggest that the Government consider the\nquestion of assisting in building a sanitorium for the treatment of incipient consumption, and\na hospital for advanced cases. I think these two would be enough, at least for the present. I\nadvise this distinction because it has been found that more can be done for incipient cases, and\nit is very depressing\"and injurious to patients to see many failures, not to say deaths, in an\ninstitution. Besides, advanced cases should not be sent to an inaccessible place, or where it\ncosts much to get to, because critical conditions are liable to arise at any time, when friends\nnaturally wish to be present.\nThe best location for a sanitorium for incipient cases is where the air is pure and free\nfrom dust, where the temperature is not liable to great changes, and where there is no excess\nof moisture, especially fogs; the ground should be dry and porous, and above all there should\nbe a complete freedom from north and north-west winds. The architectural aspect is also\nmost important. The question of cost is, of course, one for consideration by the Government\nin connection with cities and municipalities.\nI think that all patients should pay, so that each should be on an equal footing. A\ncharitable fund could contribute part or all the fees of poor patients, such charitable fund to be\nmanaged by a committee whose duty it would be to inquire into and deal with deserving cases.\nLaboratory.\nThe Bacteriological Laboratory, I am pleased to say, has been largely taken atl vantage of,\nand your order to examine sputum free of charge seems to be popular. I trust it has been\nfound useful. 776 Provincial Board of Health. 1902\nIn connection with this department of the Board of Health I am pleased to say that it\nhas been of service to the Agricultural Department. Dr. Tolmie, suspecting the presence of\nhog cholera in a herd, brought me a specimen for bacteriological examination. I was able to\nclearly demonstrate the presence of the bacillus, and so, at an earlier date than would otherwise have been possible, he was enabled to take steps to eradicate the disease.\nThe following is a summary of the work done :\u00E2\u0080\u0094\nTyphoid blood 2\nDiphtheria 14\nSputum for tubercle bacillus 21\nPlague 1\nBlood in murder cases 2\nWater 6\nHog cholera 1\nI append copies of regulations adopted by this Board during the year and circulars issued\nby this Board.\nI have the honour to be,\nSir,\nYour obedient servant,\nC. J. FAGAN,\nSecretary.\nPROVINCIAL BOARD OF HEALTH, BRITISH COLUMBIA.\nSupplementary Regulations re Small-pox.\nApproved by His Honodr the Lieutenant-Governor in Council, dated\nNovember 14th, 1901.\nTo Medical Health Officers and others in charge of the Management of Outbreaks of Small-pox :\nUpon discovery of the existence of small-pox, or of persons who have been exposed to\nsmall-pox, act quickly. Investigate at once all rumours or reports of infection.\nThe powers given by the \" Health Act\" are ample in almost any contingency.\nThe duty of the Local Board is to act promptly. No time should be wasted in an\nendeavour to obtain the consent or approval of the Municipal Officers, or of anyone else.\nYour Municipality, or whoever may be responsible, will be obliged to pay all reasonable\ncharges, and the more promptly you act the smaller the bills will be.\nIf any person breaks quarantine, violates the provisions of the health laws, or interferes\nwith the work of the duly appointed officers, have him arrested at once. If infectious, he\nshould be held until he can be disinfected and brought before a magistrate.\nSuspects, or Exposed Persons.\nTrace out, as speedily as possible, every person who has been exposed to the infection of\nsmall-pox. Make a note of the date of exposure. When located, vaccinate every such person\nas soon as possible. Vaccinate, also, all the members of his family, and of the household in\nwhich he lives. 2 Ed. 7 Provincial Board of Health. 777\nAs to the question of quarantining a person who has been exposed to small-pox :\nIf he is a transient, and has not a certificate of recent successful vaccination, keep him\nunder close quarantine.\nIf, on the other hand, he is a permanent resident and trustworthy, and has not had an\nintimate association with an infected case, vaccinate him, disinfect his person and clothing\nand keep him under observation.\nIf, again, any transient can prove to the medical man in charge that he has been successfully vaccinated within the past two years, and can show that such vaccination was successfully effected in not less than three points (three scars), such person, if considered trustworthy,\nmay be disinfected and allowed to proceed, on condition\u00E2\u0080\u0094\n(1.) That he states where he is to reside during the next sixteen days;\n(2.) That he undertakes to consult a doctor, and gives his full history of exposure to\nsmall-pox, on the very first indication of illness.\nPersons who have been exposed to small-pox should be considered under two classes:\u00E2\u0080\u0094\n(1.) Those who have been exposed but once to the infection, and are immediately vaccinated. These should be kept under observation until there are unmistakable\nevidences of the success of the vaccination, when they can be discharged from\nfurther surveillance :\n(2.) Persons who have been exposed to small-pox, and several days (over four) have\nelapsed before vaccination. These should be kept under observation for sixteen days\nfrom their last possible exposure. The wearing of their own possibly-infected\nclothing should be deemed a continuation of exposure.\nVaccination.\nIn the vaccination of persons who have been exposed to small-pox \"time is money.\" The\nfailure to effect prompt vaccination sometimes costs individuals and municipalities much money.\nPrompt vaccination is required for the exposed person, so that the vaccination may get\nahead of the small-pox and modify it or prevent it entirely, and for the persons housed or\nassociated with him the aim should be the speediest possible \"takes,\" so that these persons\nmay be fully protected if the person already exposed develops small-pox.\nIf, after reasoning with them, suspects refuse to be vaccinated, apply an absolute quarantine just as long as may be necessary.\nQuarantine.\nThe Quarantine.\u00E2\u0080\u0094The quarantine of every small-pox patient should be prompt and\nabsolute. A guard should be placed over every infected house day and night, and special\nvisits should be made at unexpected hours to see whether the guards are doing their duty.\nNurses.\u00E2\u0080\u0094When it is known that persons have been exposed to small-pox, officers should\npromptly arrange for the worst. Facilities for quarantine and treatment should be considered\nNurses and medical attendants should be arranged for, and, if possible, conditionally engaged.\nFor nurses, have persons who have had small-pox, or who are thoroughly protected by recent\nsuccessful vaccination (three or four scars).\nHospitals and Camps.\nWhen small-pox breaks out the question will often arise whether the sick shall be kept\nand cared for in their own houses or removed to other quarters. When at all practicable to\ndo so their removal should be ordered, and the house from which they are taken should be\ndisinfected without delay.\nWhen a house is not available as a hospital, a temporary camp or shed may quickly be\nbuilt. During the summer months a tent, or a number of tents, will answer the purpose.\nPersons who have been exposed to small-pox, and persons who show uncertain symptoms,\nshould not be confined with small-pox patients.\nDisinfection.\u00E2\u0080\u0094The disinfection of infected houses or rooms should be left to experts, or\nelse done under the direct supervision of a doctor.\nFormaldehyde is the surest and least objectionable disinfectant. Compared with sulphur\nit is a more efficient germicide, it is not poisonous, it does not escape from rooms so rapidly, it does not injure articles of furniture, &c, and it has greater power of penetration. The more\ntightly the rooms are made to prevent the escape of the gas, the more penetrating will be the\npower of the formaldehyde. (For further information on disinfection, see circular).\nBrief Points for Non-medical Members of Local Boards.\nThe period of incubation of small-pox, namely, time from entry of disease into the system\nto the first symptom, is twelve to fourteen days. It may be longer or shorter. In from about\n48 to 60 hours more the eruption begins to show as small red specks and then as pimples or\npapules, at first on the forehead and wrists, gradually extending over the body so that the\neruption becomes general in about 24 hours. From the second to the fifth days of disease\n(counting from the first symptoms) the eruption is papular and the characteristic \" shotty\"\nsensation is obtained by passing the fingers over the skin. During the next 24 hours the\npapules become vesicles. Vesicles are watery blisters containing clear fluid on their summits.\nThe next change is that the vesicles become pustules by becoming yellow, they now contain\npus or \" matter.\" The pustules often present a slight depression in the centre, that is, they\nare \" umbilicated.\" The fever having declined when this eruption first appeared, now rises\nagain. Severe pain in the small of the back is somewhat characteristic of small-pox.\nIn modified small-pox, or in mild epidemics, the eruption aborts at various stages or passes\nrapidly to the pustular stage and very mild constitutional symptoms are present.\nSmall-pox is intensely infectious at all periods of the disease, but less so at the early\nstages than when the scabs are peeling.\nThe United States Marine Hospital Service have issued the following maxims which you\nwould do well to bear in mind:\u00E2\u0080\u0094\n\" Small-pox cannot be suppressed without the expenditure of money.\"\n\" The more promptly you act the less it will cost.\"\n\"When in doubt act on the safe side.\"\nAnd, finally, isolate, vaccinate, disinfect.\nCHARLES J. FAGAN,\nSecretary.\nPROVINCIAL BOARD OF HEALTH, BRITISH COLUMBIA.\nRe Tuberculosis.\nRegulations of the Provincial Board of Health, Approved by His Honour the\nLieutenant-Governor in Council, dated November 14th, 1901.\nWhereas tuberculosis is now proved to be infectious, and is at the present time existing\nin many parts of the Province, the Provincial Board of Health enacts the following regulations :\u00E2\u0080\u0094\nNotification.\n1. Whenever any physician knows or suspects that any person whom he is called upon to\nvisit is infected with or has died of tuberculosis, he shall immediately notify the Medicial\nHealth Officer, and give an account of the condition of patient and state what precautions are\nbeing taken to prevent infection. 2 Ed. 7 Provincial Board of Health. 779\n2. Whenever any householder knows or suspects that any person within his family or\nhousehold has tuberculosis, he shall immediately give notice to the Medical Health Officer.\n3. Whenever any teacher in any school has reason to suspect that any pupil is suffering\nfrom tuberculosis, he shall notify the Medical Health Officer immediately, and may prevent\nthe attendance of such pupil until medical evidence is produced that such pupil is not suffering\nfrom tuberculosis, or any form likely to be infectious.\n4. Whenever any Superintendent, or person in charge of any hospital\u00E2\u0080\u0094public or private\n\u00E2\u0080\u0094asylum, gaol, orphanage, \" home,\" convent, or private school, knows or suspects that any\ninmate of such hospital, asylum, gaol, orphanage, \" home,\" convent, or private school, is\nsuffering from tuberculosis in any form, he shall immediately notify the Medical Health\nOfficer.\n5. In Municipalities or Districts where no Medical Health Officer has been appointed,\nnotification should be sent to the Secretary of the Provincial Board of Health.\nMedical Health Officer.\n6. \" Medical Health Officer\" shall mean and include the Medical Health Officer appointed\nunder the provisions of the \" Health Act,\" to act within the limits of the jurisdiction of any\nLocal Board of Health or Health District.\n7. The Medical Health Officer shall within forty-eight hours, give notice in writing to\nthe Secretary of the Provincial Board of Health of every case of tuberculosis reported to him,\nand shall state as nearly as possible the condition of patient, and what precautions are being\ntaken to prevent infection.\n8. In case the Medical Health Officer is not satisfied with the report of the physician in\ncharge, he may demand a fuller report, and in the event of his still being dissatisfied he shall\nvisit the patient and satisfy himself that all necessary precautions are being carried out.\n9. In case where the Medical Health Officer and attending physician disagree as to precautionary measures, the matter shall be referred to the Provincial Board of Health for final\nsettlement.\n10. Whenever a case is reported as not being under the charge of a physician the Medical\nHealth Officer shall forthwith visit such case and instruct the patient as to necessary precautions against general and self infection.\n11. Whenever the Medical Health Officer or the physician in charge considers that a\nhouse, or any part of a house, is infected with tuberculosis, he shall order said house, or part\nof a house, to be disinfected, in accordance with instructions issued by the Provincial Board\nof Health.\n12. In all cases of death from tuberculosis the rooms or house occupied by deceased shall\nbe disinfected to the satisfaction of the Medical Health Officer, or the Secretary of the Provincial Board of Health or his deputy.\n13. Whenever a case of tuberculosis is reported from a hotel or boarding-house, the\nMedical Health Officer shall visit the patient while residing in said hotel or boarding-house\nonce a week, or as often as the Secretary of the Provincial Board of Health may direct.\nSpitting in Public.\n14. Inasmuch as spitting is purely a matter of habit, and is offensive to many, and is\noften very harmful and a fruitful means of carrying disease, it is hereby declared unlawful to\nspit in tram-cars, railway cars, or other public conveyance, or on sidewalks, or on floors and\nother parts of public buildings.\nTuberculous Milk.\n15. Inasmuch as tuberculous milk is a most fruitful source of consumption, it is hereby\ndeclared unlawful for any person to sell milk unless he has a certificate, of a date not later\nthan six months, from the Provincial Veterinary Surgeon that the cows from which such milk\ncomes are free from tuberculosis. Such certificate may be demanded by any customer, or\nMedical Health Officer, Sanitary Inspector, Secretary of the Provincial Board of Health or\nhis deputy.\nDisinfection.\n16. Whenever it appears necessary or advisable to the Medical Health Officer to have\nany house, hotel, boarding-house, hall, theatre, car, railway car or other public conveyances\ndisinfected, he may order same to be done and at the expense of the owners. 780 Provincial Board of Health. 1902\nPenalties.\n17. Any person who violates any provision of these regulations shall be liable, upon summary conviction before any Police or Stipendiary Magistrate, or before any two Justices of the\nPeace, for every such offence, to a fine not exceeding one hundred dollars, with or without\ncosts, or to imprisonment, with or without hard labour, for a term not exceeding six months,\nor to both fine and imprisonment in the discretion of the convicting Court.\nCHARLES J. FAGAN,\nSecretary.\nPROVINCIAL BOARD OF HEALTH.\nRegulations for dealing with the Outbreak of Small-pox at the Town of\nFernie, East Kootenay.\nApproved by His Honour the Lieutenant-Governor in Council the 17th day of January, 1902.\nHealth Act.\nOn account of the outbreak of small-pox in the Town of Fernie, it is hereby proclaimed:\u00E2\u0080\u0094\n1. That the Town is in a state of quarantine until further notice.\n2. That no person shall be allowed to leave the Town under any circumstances whatsoever.\n3. That all meetings in churches, lodges and schools and other public gatherings are\nhereby prohibited.\n4. That no person shall under any circumstances hold any conversation whatsoever with\nany person quarantined, and no person under quarantine shall attempt to break same or communicate with any outsider.\n5. Any hotel-keeper, lodging-house keeper or householder suspecting, knowing, or having\ngood reason to believe, that any person residing upon or frequenting his premises is ill or\nsuffering from a rash of any description, shall at once notify the Medical Health Officer, giving\nthe name and occupation of, and other particulars necessary to properly identify, such person.\n6. Any person having a rash on his body shall notify the Medical Health Officer on the\nfirst appearance of same.\n7. Under authority of the \" Health Act,\" it is hereby declared that all and every person\nnot having a certificate of recent successful vaccination dated within one year, and further not\nbeing able to give proof of same to the satisfaction of the Medical Health Officer, shall be at\nonce vaccinated.\n8. After a period of seven (7) days from this date any person refusing to present to any\npublic officer, who may demand it, proof of vaccination, shall be liable to the prescribed\npenalties under the \" Health Act.\"\nPenalties under the \"Health Act.\"\nAny person who violates any of the provisions of this Proclamation is liable to a fine of\n$100 and to six (6) months' imprisonment.\nDated at Victoria this 16th day of January, A. D. 1902.\nCHARLES J. FAGAN,\nSecretary of the Provincial Board of Health.\nBy Command.\nJ. D. PRENTICE,\nActing Provincial Secretary.\nvictoria, b. o.:\nPrinted by Richard Wolfenden, Printer to the King's Most Excellent Majesty.\n1902."@en . "Legislative proceedings"@en . "J110.L5 S7"@en . "1902_14_0773_0780"@en . "10.14288/1.0064209"@en . "English"@en . "Vancouver : University of British Columbia Library"@en . "Victoria, BC : Government Printer"@en . "Images provided for research and reference use only. For permission to publish, copy or otherwise distribute these images please contact the Legislative Library of British Columbia"@en . "Original Format: Legislative Assembly of British Columbia. Library. Sessional Papers of the Province of British Columbia"@en . "REPORT OF THE PROVINCIAL BOARD OF HEALTH."@en . "Text"@en . ""@en .