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MEDICAL INSPECTION OF PUBLIC SCHOOLS.
Sessional Papers of the Province of British Columbia
British Columbia. Legislative Assembly
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THIRD ANNUAL REPORT ON THE MEDICAL INSPECTION OF PUBLIC SCHOOLS OF THE PROVINCE OF BRITISH COLUMBIA FOR THE YEAR ENDING JUNE 30TH 1914. THE GOVERNMENT OF THE PROVINCE OF BRITISH COLUHBIfl. PRINTED BY AUTHORITY OF THE LEGISLATIVE ASSEMBLY. VICTORIA, B.C.: Printed by William H. Cl-llin, Printer to the King's Most Excellent Majesty. 1914. To His Honour Thomas Wilson Paterson, Lieutenant-Governor of the Province of British Columbia. May it please Youe Honour : The undersigned has the honour to present the Third Annual Report of the Department •of Medical Inspection of Public Schools for the year ending June 30th, 1914. All of which is respectfully submitted. HENRY ESSON YOUNG, Provincial Secretary. Victoria, B.C., July, 1911^. MEDICAL INSPECTION OF PUBLIC SCHOOLS. Provincial Board of Health, Victoria, B.C., July, 1914. The Honourable Henry Esson Young, M.D., LL.D., Provincial Secretary, Victoria, B.C. Sir,—This is the second year in which examination of school-children in the Province has been carried out systematically, and the results are most encouraging. The returns in this report compare favourably with those of last year, but the greatest value of the work is not shown in figures alone. It must be remembered that the greatest number of defects occur in the junior children, and a new lot of young children not previously examined come into the schools every year. Medical inspection should therefore commence at infancy and not merely after the child enters school. From a public-health point of view medical inspection of school-children is only a part of the whole, the whole being the care of the child from the cradle to adult life. A number of private schools exist in our cities. For the greater part children attending these private schools come from the so-called better families, but physical defects are found among these even as in public schools, and these children are just as much entitled to the advantages of medical inspection. I beg to recommend that medical inspection be enforced in these schools, the inspection to be carried out by the regular Medical Inspector of that district. The work of the Medical Inspectors has, in most cases, been very satisfactory. Where their work has been supplemented by that of a school nurse, results have been most gratifying. The appointment of a School Nurse to this Department has been a valuable acquisition. Miss Swan has already proved herself capable in visiting outlying schools, keeping track of the school records and in other ways aiding the work of the Medical Inspector. Sufficient work is available for a large staff of nurses. They would also be able to give talks on personal hygiene, the elementary laws of health, etc. For this purpose I wish to obtain a set of moving- picture films dealing with these subjects in a simple manner, so that the youngest child can readily understand. By having their minds continually on health subjects the nurses will be able to point out many things that might easily escape the notice of a teacher whose whole mind frequently is filled with her own special work. I beg to direct your attention to the enclosed tables, particularly to the summary of 1914 as compared with that of 1913. Every assistance is now given by parents in carrying out this work. Where formerly opposition was encountered, I am now informed that these parents give their whole-hearted support. I beg to append letters from some of the Medical Inspectors and school nurses to show the enthusiasm with which they carry out their duties. In the report from Dr. Brydone-Jack, Vancouver, he describes the open-air class-rooms there in use. In Miss Swan's report she also mentions some teachers holding their classes out-of-doors. As pointed out last year, these open- air classes have been most successful in other places, so I should like to see more of them in British Columbia. P 6 Medical Inspection of Public Schools. 1914 The necessity for dentists in the rural districts is emphasized in some of the enclosed reports and by examining the tables. Some provision will have to be made for dental treatment in the future. I am at present considering this subject. I have the honour to be, Sir, Your obedient servant, WALTER BAPTY, Acting-Secretary. REPORT OF SCHOOL NURSE. Victoria, B.C., June 27th, 1914. Dr. W. Bapty, Acting-Secretary, Provincicd Board of Health, Victoria, B. C. Sir,—I have the honour to submit the following report on School Health Inspection carried on by me since assuming the duties of Provincial School Nurse on May 1st. Commencing with the schools adjacent to Victoria, a preliminary inspection has been made of all the rural schools on Vancouver Island as far north as those in the vicinity of Nanaimo, and the following conditions ascertained :— Adenoids and Tonsils.—In one or two districts this trouble is very prevalent, but in the remainder very few cases are found, some schools showing an entire absence of this condition. In most cases where parents have been notified they have had them properly treated. Vision.—As there seems to have been some misunderstanding as to whose duty it is to test the pupils' eyesight, this important matter has apparently been more or less neglected. In the greater number of schools visited the eye-testing cards were found to be missing. In such cases new cards have been forwarded to replace the missing ones. In addition to this, each teacher was supplied with a copy of " Instructions to Teachers and Medical Inspectors.' I also requested the teachers, commencing with the next term, to test the eyes of their pupils, and to refer those found with defective vision to the Medical Inspector when he makes his inspection. This would mean a saving of time for both teacher and Inspector, as the teacher can do this at her own convenience. In these cases, also, when parents have been notified, they have as a general rule had the defect corrected. Teeth.—The teeth are badly neglected. Nothing is being done to provide the proper treatment for the preservation of the teeth of children in outlying districts where dental attention is not available. Conditions are found in children which are caused by defective teeth, and parents have had to use money to pay for medical treatment which should never have been necessary if proper attention had been given to the teeth at the right time. It has been pointed out by a number of parents that the expense of bringing the children to the cities in railway fare, hotel board, time, and other costs and inconveniences to the parents, besides the extra time lost to the children from school, makes the securing of treatment impossible. 4 Geo. 5 Medical Inspection of Public Schools. P 7 In some of our cities the problem has been successfully solved through the medium of the school dentist, and it does not seem unreasonable to expect that the conditions existing in rural school districts might be handled by a somewhat similar method. It has been suggested that the attention of the Dental Society be drawn to the needs of these districts. While this, no doubt, might be helpful in a measure, it would not bring the necessary pressure to bear on careless parents, whose children might sorely require dental treatment. Another suggestion is that an experienced dentist be guaranteed sufficient practice and be sent by the Government to the different rural schools to co-operate with the Medical Inspector and the School Nurse. Arrangements could be made previously with the trustees for accommodation convenient to the school. This latter suggestion should prove effective through the School Nurse consulting with the parents, and obtaining their consent to have all children needing it come under the attention of the dentist. Such an arrangement should also make it possible to keep the cost of treatment at a rate that would not be prohibitive to any that might require it. Physical Drill.—In schools where physical drill is practised regularly the pupils' condition is above the average of those where it is not so carried on. In schools where but little attention is given to this matter the pupils show need of physical training. Condition of School Buildings.—Many of the schools visited are modern buildings, built to the plan adopted by the Government. The remainder of the schools cover all classes of building's, some of which, for various reasons, are in poor .condition from the standpoint of the health of the pupils. A number of these buildings are being replaced by modern structures. Too much importance cannot be attached to the necessity of sunlight in the school. Some of these schools are so situated that but very little sunlight enters the class-room during school- hours. These school-rooms were found to be dull during the summer season, and must surely be much more so during the dark, short days of winter. This should be a consideration in the building of schools. Ventilation.—Ventilation depends for the most part on the opening of doors and windows. Some newer schools have ventilators in the ceiling. Even during the warm weather in some of the schools the windows were found closed, and as a consequence the air in the room was very bad. It is not hard to imagine what the air in these rooms must be like during the winter months. Some teachers, failing to appreciate the importance of proper ventilation, sacrifice the good health of those in the school-room to what they believe to be personal comfort. • Advice on this matter was given, which it is hoped will be acted upon. There are, however, happy exceptions. In one instance the teacher carries on as much class-work as is convenient out-of-doors. A certain amount of work cannot be done without the desks and blackboards, which are fixtures in the school. Another teacher whose desks were not made fast moved them out of-doors when weather permitted, and conducted the classes in the open air. It is an established fact that, even though ventilation be up to the standard in the class-room, the mental and physical condition of the pupils improve under outdoor study. There seems no reason why outdoor classes cannot be largely carried on at least during the dry season. Cleanliness.—In most of the schools the floors are rough and very dusty. After being swept, this dust settles on the books and furniture, which, if dusted at all, are seldom carefully done, and as a consequence constitutes a menace to the health of the pupils. As a general rule the sweeping and dusting of the class-room is left to the teachers or pupils. The practice of allowing the pupils to sweep the schools is a detriment to the health of all concerned, as a child of nine or ten (children of this age were seen doing this work) is not capable of carefully performing this task. Epidemics could readily be caused by this practice. The scrubbing of P 8 Medical Inspection of Public Schools. 1914 the class-rooms is arranged for by the trustees. This is done in most cases not more often than three times a year, and in some cases only once. Conditions existing in schools where floors have been oiled, are a notable exception to those where this has not been done, and the adoption of the system of oiling the floors in all the schools would undoubtedly prove beneficial and satisfactory to all concerned. Appreciation of improved conditions brought about by the oiling of the floors was expressed without exception by the teachers and trustees where this has already been done. Cards.—It was found that, owing probably to frequent changes of the teaching staff, the physical records in many schools had been lost. In these schools new cards were made out each time the Medical Inspector made his visits, in which case the object of the physical record card was entirely lost. Many teachers had come from outside the Province and did not understand the necessity of the preservation of these. In this connection it might be suggested that some form of file be arranged by which these cards could be kept in order. In the schools where there are a few cards a large envelope would be sufficient. On the outside of this should be a printed direction explaining their use and importance. This would doubtless be of great assistance to both teachers and Medical Inspectors. In conclusion, I wish to express grateful acknowledgment to Medical Inspectors, trustees, and teachers for kind assistance and consideration given, and also to parents for interest and appreciation. Yours faithfully, Blanche Swan, Provincial School Nurse. PERCENTAGE OF DEFECTS IN CHILDREN EXAMINED. d ij s § n 33 13 *2i > C 03.2 if 0>rg ;g S a of Vtt C3 c 3 fl SB 3* s° a r5 S fi a a a a fl H 26,606 11,212 1.7 0.37 3.44 1.55 1 17 2.87 11.18 31.96 3.95 0.54 Rural Municipality 2.11 0.54 0.07 1.51 3.88 4 61 11.47 34.18 6.82 1.69 7,498 996 1.7 1.2 0.8 4.91 6.82 0.12 1.00 3.78 1.9 5.27 1.4 17.32 5.72 34.02 26.6 5.61 3.01 2.4 3.11 Grand totals 46,312 1.79 0.47 4.38 1.51 2.26 3.87 12.13 32.72 4.89 1.18 Percentage of Children examined of those enrolled. Graded City 95.8 Rural Municipal 88.9 Rural and Assisted 84.0 4 Geo. 5 Medical Inspection of Public Schools. P 9 SUMMARY, 1914. Schools. f £ rU C H-l ° O d to rr rt O 03 6 fl o a a Oj;fl S- rt $« ■gs a fl o 03 n ci a > os '223 13 o K ,£ 0) a m si o cu a "o 03 < 03 fl bco -fl [=3 ■a a) °, a T3 .rr A b£0 3 H o s. '3 O 144 133 1 3 1/2 34 6 be $ a 30 p b£ Graded City, totals 27,578 26,606 454 98 917 413 311 766 2,975 8,505 1,052 no Rural Municipality, totals.. 12,613 11,212 237 61 682 178 436 517 1,287 3,833 705 190 77 20 70 34 Rural and Assisted, totals.. 8,688 7,498 128 60 372 94 284 415 1,299 2,551 421 183 30 5 13 13 1,692 996 12 68 16 19 14 57 260 30 2,208 31 548 240 59 113 1 50,571 46,312 831 219 2,039 701 1,050 1,712 5,618 15,155 164 SUMMARY, 1913. Graded City, totals Rural Municipality, totals Rural and Assisted, totals. High Schools, totals Grand totals . ,_r •3 fl '5-fl c o a 'o fl 'A ■a b a> o &CH _-3 SJS fl o j3 — fl o'E > rt offi r4 03 03 \2 03 .gH o _H 03 d _bp 03 p be as "o fe r% 514 < m m a a a > 285 GO 70 19 51 p- 22,412 779 3,143 1,734 1,028 340 8,437 8,720 9,804 247 447 1,383 308 389 158 2,957 115 21 92 25 2,291 4,589 05 280 755 244 243 77 1,180 16 17 2 10 1,850 786 9 13 21 11 16 5 64 1 169 37,591 835 1,509 5,302 2,357 1,070 580 12,044 316 108 114 86 13,030 12,480 1,905 2,260 99 16,744 SCHOOLS INSPECTED. Rural and Assisted Schools. Last year 224 schools were inspected, at a cost of $3,500.25. This year 302 schools were inspected, at a cost of $4,965.65. Last year there was 4,589 children inspected ; this year 7,498, or an increase of 2,909. Last year there were 224 schools examined; this year there were 302, making a total of 78 more schools inspected this year. The 95 not inspected are accounted for as follows : 48 had no Inspectors appointed, as the distance was too great; 9 schools were closed before the Inspectors arrived; in 38 schools Inspectors did not report, having moved or left the country. Rural Municipal Schools. There are 26 rural municipalities. This year schools in 20 were inspected, the 6 not inspected being accounted for as follows: In 3 cases—Salmon Arm Township, Vancouver West, and Mission—no appointment was made ; and in 3 cases—Coldstream, Langley, and Fraser Mills—the doctors did not report. Last year 9,804 children were inspected; this year 11,212, or an increase of 1,408. P 10 Medical Inspection of Public Schools. 1914 Graded City Schools. There are 33 cities. This year schools in 28 cities were inspected, the 5 not inspected being accounted for as follows : In 2 cases—Ladysmith and Salmon Arm—no appointments were made for this year; and in 3 cases—Armstrong, Fernie, and Slocan—the Inspectors failed to report. Last year 22,412 children were inspected in the city schools; this year 26,606, or an increase of 4,194 over last year. High Schools. There are 29 schools. Last year 786 children were inspected ; this year 996, or an increase of 210. Grand Total. Last year 37,591 children were inspected ; this year 46,312 children inspected, an increase of 8,721. NO REPORTS RECEIVED. No reports were.received from the following :— Graded City Schools. Name of City. Medical Inspector. Armstrong Dr. P. D. van Kleek. Fernie Dr. H. Anderson. Slocan Dr. W. O. Rose. Salmon Arm No appointment. Ladysmith No appointment. Rural Municipal Schools. Name of Municipality. Medical Inspector. Coldstream Dr. Arbuckle. Langley Dr. B. Marr. Fraser Mills Dr. Scott. Salmon Arm No appointment. Vancouver West No appointment. Mission Rural and Assisted Schools Reports were not received from the following Medical Inspectors for rural and assisted schools, due in many cases to the doctor having left the locality, or to the schools having been closed :— Name ot Doctor. Name of School. Dr. Archibald Heffly Creek. Dr. J. M. Bell Wattsburg (school closed). Dr. G. R. Baker Dragon Lake. Dr. K. E. Crompton No. 7 Mine. n Headquarters (closed). Dr. J. W. Coffin Patterson (closed). Dr- H. A. Christie Lillooet. Dr. T. C. Campbell Voigts Camp. ii Coalmont (closed). ii Five-mile (not open). ii Granite Creek (not open). Dr. W. Dykes Cobble Hill (appointment made too late). 4 Geo. 5 Medical Inspection of Public Schools. P 11 Name of Doctor. Name of School. Dr. Doherty . . . . Richardson. Dr. A. R. Gilchrist Little Fort. .... Lund. Dr. G. Hartin ... Harrop. Dr. W. H. Keith .... Glenemma. Dr. G. H. Kearney .... .... Savona. Dr. R. W. Large .... Georgetown. Porcher Island. Dr. A. H. Lash (left) . . Flagstone. Dr. T. MacPherson Big Eddy. Dr. J. D. MacLean Rock Creek, Lower. Dr. C. McLean Bamfield. Dr. 0. Morris . . . Sunnyside. Dr. A. C. Nash Blue Springs. Hatzic Prairie. Barnes Creek. Dr. W. Truax Fife. Berrydale. Dr. P. D. van Kleek .. . Salmon River. M . . II . . Salmon Valley. Falkland. Dr. R. C. Weldon.... Elk Prairie. Michel. Dr. W. H. Wood (left). Arrowhead. M II Beaton. II II Camborne. II II it II II II Hall's Landing. Dr. A. H. Wallace Trout Lake. Dr. D. McEwen NO APPOINTMENTS MADE. The following are the schools for which no appointments have been made owing to distance from doctor :— Albert Canyon. Empire Valley. Popcum. Alexandria. Foster' j Bar. Pine Grove. Anarchist Mountain. Fairview. Poosville. Appledale. Galena Bay. Robson. Big Creek. Harpei 's Camp. Renata. Black Pines. Jordan River. Syringa Creek. Brilliant. Lac La Hache. Stewart. Curzon. Morris Valley. Squamish, Lower. Copper Creek. Myers Flat. Spences Bridge. Campbell Creek, South. Michel, New. Sloan. Cape Scott. Malakwa. Sicamous. Chasm. North Thompson. Shuswap. Chinook. Nikraj St. Elmo. Commonage. Oyama Williams Lake. Deward. Ocean Falls. Winn. Deer Park. Port Kusan. Winlaw. Yale. P 12 Medical Inspection of Public Schools. 1914 1 RURAL ANT Name of School. Medical Inspector. School Nurse. •6 03 a a ft d 03 _a 3 X 'a fi o d c o |S 'C c H r% 2 2 ~3 02 O o 0} 03 ft 2 c" o 03 > r^ 03 ft 4 1 be a rt B 03 > 03 03 ft 1 rr bC i = rt S= *! o ft 4 2 "5 ■a «! 4 Abbotsford Ainsworth Alert Bay Alexandria Alice Siding Anaconda Anarchist Mountain Annable Appledale Arrowhead Arrow Park, East Arrow Park*, West Ashcroft Ashton Creek Athalmer Atlin Balmoral Bamfield Barriere River Barnes Creek Barnston Island Beaufort Dr. T. A. Swift 132 32 29 10 26 10 21 13 122 21 28 7 22 22 26 9 20 11 13 19 22 28 43 14 9 01 10 10 14 18 10 135 17 11 39 28 21 26 12 17 16 34 23 10 30 30 40 13 34 86 68 18 10 101 28 29 16 23 8 22 10 105 9 25 6 22 21 13 6 18 11 12 17 22 23 43 14 9 49 6 9 10 13 8 121 14 10 33 23 14 22 12 15 16 32 18 9 28 30 39 13 33 80 64 13 10 Dr. T. P. Devlin No appointment. No report. No report. Dr. G. B. Henderson.... No report. Dr. J. B. Thorn 1 1 2 3 2 2 2 1 1 1 1 "i' No report. No report. Dr. J. S. McPherson Dr. H. W. Keith 1 2 2 Dr. T. P. Devlin Dr. W. Scatchard No report. Dr. M. G. Archihald 5 3 No report. No report. No report. 1 1 2 1 1 1 Beaver Creek Begbie Belford Bella Coola, Lower Bench No report. Dr. L. E. Borden Dr. W. E. Bavis Dr. A. G. Price 4 i l 2 "s 1 1 1 1 1 1 1 4 M. G. Archibald .... 1 1 1 5 Big Bar Creek Big Bar, Upper Big Eddy Black Mountain Blind Bay No appointment. Dr. W. J. Knox No report. 1 1 4 Boswell 4 1 3 1 l i 1 1 Bo-wen Island Brechin Dr. L. J. Obrien 5 No appointment. Dr. W. Dudley Britannia Beach Bull River Dr. W. Dudley 1 1 1 1 l 2 7 Burtondale Dr. J. S. McPherson 4 2 1 No report. No appointment. Dr. M. G. Archibald .... Campbell Creek, South Campbells Creek 1 4 3 l 2 2 1 1 Canyon City Cape Scott Carlin Siding Carson Cascade < Castlegar No appointment. Dr. W. Traux Dr. W. Traux 2 2 1 2 1 l Dr. L. J. Obrien Cedar, South Chasm Chase Chase River Dr. L. J. Obrien 1 2 l No appointment. Dr. W. Scatchard Dr. L. J. Obrien Dr. A. C. Nash 1 2 3 l l 1 4 1 3 Chinook Chu Chua No appointment. Dr. M. G. Archibald 4 Geo. 5 Medical Inspection of Public Schools. P 13 ASSISTED SCHOOLS. g o H *d fee u 5 g a) EH 0 > o ft 79 11 8 5 1 4 13 7 14 8 fl ■3 fl rt 3 XS 03 be rt "fl H 1 3 ai Ir "3 O 4 Other Conditions, specify (Nervous, Pulmonary, Cardiac Disease, etc.). _a £ 03 ri <l3 1 to 6 ID ft s O bo g P3 Acute Fevers which have occurred during the Past Year. Condition of Building. State if crowded, poorly ventilated, pooriy heated, etc. Closets. State if clean and adequate. 32 Typhoid, 1 Fair Fair Crowded Good First class Good All satisfactory. . Heat'g inadequate Good Yes. 6 Yes. 3 3 Yes. 1 Yes. 1 Yes. 9 8 4 Yes. 2 Influenza [2 Chicken-pox, mild, Yes. 6 2 Yes. 3 Good Good Good condition ... Good Yes. 2 Yes. 6 3 6 9 "i 1 Measles, 1 Yes. 6 3 2 Satisfactory Frame Satisfactory Good Satisfactory Good See Form C Good Good Bad O.K. 2 6 1 10 2 privies. O.K. 4 1 Good. 4 Defective left limb ; result of infantile Paralysis Yes. 7 2 Mumps, 1 Yes. 6 10 37 2 1 2 Yes. 2 7 6 2 2 3 1 38 1 6 24 13 2 10 4 5 2 13 1 4 10 16 15 3 11 48 30 6 5 8 1 1 1 Mumps, 8 Yes. Good Good Yes. 1 1 1 7 18 1 Measles, 2 Yes. <-> Poorly ventilated . Building excellent, ventilation good Good Good Good 3 Requires attention Yes. Yes. Yes. Good Yes. io ll Yes. 9 Frame All satisfactory ... Good Rather poor Satisfactory Good 1 5 Dry eczema, 1 ; incontinence of urine, 1 Influenza Yes. 2 Yes. 2 Mumps Yes. Yes. "2' 8 11 1 4 Good Yes. Measles, 2 8 Good; seating poor Wooden ; good ... Wooden ; good ... Good quate. Clean, but inade 1 1 1 2 quate. 2 Yes. ' r Good Yes. Yes. 3 Fair. P 14 Medical Inspection of Public Schools 1914 Rural and Assistee Name of School. Medical Inspector. School Nurse. ■a 03 -p a 03 d t3 03 a '1 3 y. a o d a o a 23 ~3 "a 03 rrt 03 O 03 01 ft a 0 > > O 03 03 ft _c rt 01 a > 0 0 — be rt _E ii'si ^i rt 02 £ 'S r^> O 03 a x\ '5 a 03 Clayoquot 17 44 205 27 19 11 51 20 37 9 80 15 52 17 31 37 128 18 27 23 18 15 54 29 33 54 25 15 18 15 18 19 31 32 22 23 9 104 20 16 17 18 13 11 44 165 23 9 10 48 17 35 8 75 10 52 17 27 32 120 15 23 23 16 15 54 25 27 42 23 14 15 15 17 10 30 32 15 21 8 92 20 13 IB 12 12 3 1 1 24 1 1 1 10 6 8 2 Closed. Closed. Dr. E. 0. Hart Cobble Hill Dr. A. B. Thorn Dr. J. B. Thorn 1 1 9 3 Dr. E. C. Foot... No report. No appointment. No report. Dr. S. E. Beech 1 1 1 'Y 3 1 1 1 2 6 No appointment. Dr. C. B Marlatt Cowichan Lake Dr. W. F. Luton 1 4 is' Dr. A. G. Price . .. 1 i i 3 1 3 2 16 Dr. T. P. Devlin ... 1 15 2 1 1 2 9 4 1 Dr. L. E. Borden Dr. J. C. Henderson .... No appointment. 1 Dr. H. W. Keith i 1 1 1 1 No appointment. 1 1 Dr. L. J. Obrien No appointment. 9 6 9 7 Dr. A. C. Frost. . l i 2 2 2 3 2 Closed. No report. Dr. M. G. Archibald Dr. L. E. Borden Dr. J. E. H. Kelso 1 1 1 1 3 1 11 1 Dr. M. G. Archibald Dr. M. G. Archibald Eholt l 2 1 I 1 1 1 2 2 2 5 "3' 3 3 1 1 2 1 Elko Dr. J. S. McCallum No report. Dr. A. H. Huycke No appointment. Dr H. W. Keith Dr. G. B. Henderson ... Dr. G. E. Rehberger Dr. A. C. Frost.. .. 1 2 3 4 1 2 1 1 3 7 1 3 3 1 1 Erie No appointment. No report. Dr. G. K. McNaughtOn.. Dr. J. E. H. Kelso ., . No report. Field Fife Inspector cannot get to school except in winter. Dr. J. E. H. Kelso Closed. Dr. J. S. MoCnllnm.. 4 Geo. 5 Medical Inspection of Public Schools. P 15 Schools.—Continued. 0 H XS 03 bo ft. rt *a a 2 32 1 4 1 11 17 1 19 "ie 2 8 9 34 4 1 3 4 10 3 4 7 7 6 i 3 3 3Z 03 03 H 03 > +3 03 03 03 ft rt 3 X2 bi Fr "c al "o Ss Other Conditions, specify (Nervous, Pulmonary, Cardiac Disease, etc.). c 1 03 > 03 O 02 d _bp V ft J a u o p fee q Acute Fevers wyhich have occurred during the Past Year. Condition of Building. State if crowded, poor!}' ventilated, poorly heated, etc. Closets. State if clean and adequate. 4 10 18 3 5 5 5 6 23 2 27 1 2 5 3 5 34 2 2 8 7 19 27 12 10 34 6 1 6 6 9 1 boy, mitral valvular murmur; this boy had chorea for six weeks lately; 1 girl rather narrow chest, but otherwise healthy Whooping - cough, 3 ; measles 2 ; mumps 1 not crowded ; well ventilated, well heated, clean. Good Heating poor Fair Good Good Good Good Overcrowded ; poorly ventilated, wellheated Good Good Good Good Frame Bad Good O.K Good Good Good Good School-room well heated and ventilated ; area of building affords ample cubic airspace Excellent Fair Good New wooden building, well ventilated, well heated Good Fair; heating fair. Heated hy stoves as furnace is useless Good Good. Vent, defective... Closets adequate and clean, but cesspits unsatisfactory. Inadequate. Yes. Very good. Yes. O.K. Two. Good. 2 filthy. O.K. Yes. Yes. Yes. 2 privies. Bad. Good. Yes. Clean. Yes. Yes. Yes. 1 earth closet clean but recommend separate closets for boys and girls. Yes. Bad. Yes. Yes. 2 clean and adequate. Good. Clean, but anothe wanted. Yes. Yes. Yes. Fair. Yes. Yes. Good. Yes. Yes. Yes. Yes. Clean; another required. Yes. 2 Scarlet fever, 1 ... i 3 9 Typhoid, 2 7 2 1 Chicken-pox, 3 ... 2 1 1 1 Mumps, 1 12 1 1 2 1 4 Whooping -cough, 11 3 3 1 1 1 1 Mitral stenosis, 1; slight chorea, 1 10 3 1 5 3 18 2 3 6 1 1 8 3 9 3 4 72 12 1 11 1 4 1 2 Good Good Good 2 3 1 Lobar pneumonia. Excellent Good ; well ventilated and heated Poor seating [lated and heated Poor; poorly venti- [school small 1 Measles, 2 4 1 P 16 Medical Inspection of Public Schools. 1914 Rural and Assisted Name of School. Medical Inspector. School Nurse. a> 'o 3 <D CO d XS 03 fl X 03 'rO- Sl O d a o "S3 •B rJ 3 a "rt % c r ; • • e ? ! B : .2 i ti 3 03 > 3 "§ 1 Q> ) 03 2 ft bb a "E rt 03 a 03 > O 03 03 ft _ bi os a rtSa fc-S CO <u ■%& o 03 ft 03 XS "o fl 03 XS < Floods Fort George Dr. J. E. Elliot 13 85 108 40 42 28 12 10 8 10 17 13 11 36 11 11 36 19 118 12 23 11 17 25 15 30 92 42 45 20 11 18 31 7 11 12 169 73 172 9 9 9 14 20 47 24 9 17 9 22 27 12 21 19 23 7 85 108 37 36 24 10 7 5 10 16 11 8 34 9 11 29 18 118 9 17 11 15 15 12 27 81 36 45 12 10 17 31 7 9 11 121 51 172 9 8 9 12 13 40 16 9 14 8 15 27 9 14 11 17 7 6 10 9 11 3 Dr J. S. McCallum 1 2 r- 3 1 .. 2 4 3 4 Foster's Bar No appointment. Dr. M. G. Archibald Dr. J. B. Thorn Galena No appointment. No report. Galiano Gallowav Gambier Island Ganges Georgetown Dr. J. S. McCallum 1 1 1 1 1 1 2 3 No report. Dr. W. F. Drysdale 1 3 1 1 .. 1 3 2 .... 1 1 1 i 4 Gerrard Gill Gillis Bay Gilpin Dr. W. F. Drysdale Dr. T. P. Devlin Dr. C. R. Marlatt Dr. W. Truax 1 1 3 1 1 Glenora Golden Goldstream Granby Bay Grande Prairie Granite Bay Dr. C. M. Rolston Dr. J. N. Taylor 1 1 .. 20 Dr. E. C. Hart No appointment. Dr. M. G. Archibald 3 2 3 2 Dr. H. H. Planche Miss Morceau 1 1 1 2 1 1 2 1 1 Dr. H. W. Keith ... Dr. W. E. Bavis No report. Dr. E. C. Hart No report. Dr. L. J. Obrien 6 1 1 3 7 1 Harrop No report. No appointment. No report. Dr. H. C. Wrinch Closed for year at time of inspection Dr. M. D. McEwen Hedley 2 1 1 1 4 No report. Dr. E. C. Hart Highlands Hillier Dr. S. E. Beech 1 2 1 3 1 Dr. J. E. Elliot Dr. J. E. Elliot 1 Horse Creek Dr. J. N. Taylor Dr. J. Nay... . 14 i 5 8 6 4 1 .. 1 1 3 2 2 i l 1 3 "z 1 1 15 3 1 1 Dv. L. E. Borden... Dr. R. W. Large Dr. J. D. MacLean Ingram Mountain Dr. J. S. McCallum . 1 .. 2 .. i 2 1 .. 1 1 .. 1 1 2 i 1 i 8 °T "3' 1 No appointment. Dr. R. B. White. Dr. J. E. Schon Dr. S. A. Ross Dr. W. J. Knox. Keremeos Kettle River, North Kettle Valley Dr. W. Truax Dr. J. H. M. Bell L. H. Dockendorff (Teacher) 4 Geo. 5 Medical Inspection of Public Schools. P 17 Schools.—Continued. .'53 & •a OJ IB CD ft ■a a rt 3 XS 03 tf 3 "a H "o SS Other Conditions, specify (Nervous, Pulmonary, Cardiac Disease, etc.). _fl 03 > 03 o w 6 1 So Rj M Acute Fevers which have occurred during the Past Year. Condition of Building. State if crowded, poorly ventilated, poorly heated, etc. Closets. State if clean and adequate. 8 21 Good. is 17 4 12 16 12 3 i 1 9 5 4 18 6 4 16 1 33 5 12 Stuttering, 1; valvular heart- disease, 1 3 Whooping - cough, 1; typhoid, 1 Fair Yes. Yes. 3 Mitral. 1 . Al Yes. 2 privies. Yes. 2 1 1 1 Conditions average Floor has open cracks 2 Yes. 1 2 privies. 4 Chicken-pox, 14... 2 2 1 Satisfactory Good.- O.K. 2 Yes. R 2 is' 13 6 Influenza Building excellent, ventilation good. Good Requires attention. Yes. 15 Good Yes. Bad. 2 6 5 5 12 9 o 40 23 10 1 2 3 28 4 6 4 46 3 19 3 1 8 2 4 24 7 6 5 7 3 1 3 1 1 1 3 2 Good 1 Good [be built Bad ; new school to Good Adequate. 3 3 7 3 5 8 1 case of left limb defective, result of infantile paralysis 2 1 Satisfactory Bad. 8 1 3 [adequate 1 Satisfactory Yes. 0 1 Mumps Yes. 2 Inadequate. Yes. 3 1 2 1 Fair In bad condition . Good Good Excellent Good No. 4 i 13 3 2 Yes. 24 2 cases of mitral regurgitation, both following articular rheumatism 2 Yes. 17 3 Yes. 1 Fair Good Yes. 1 2 Yes. 2 privies. Yes. 1 1 Good Good Good Fair. Good Fair Good Good Not suitable Yes. 1 Yes. o Good. 1 [during winter Whooping -cough Yes. Yes. Fair. 1 Yes. Yes. Unsanitary. P 18 Medical Inspection7 of Public Schools. 1914 Rural and Assistee Name of School. Medical Inspector. School Nurse. xs 03 -p a d 03 3 ri 01 '§. ft -o d r? a © fl oS "rt g 03 03 03 ft a" > 03 Q 03 03 fl bo a 'E rt 03 X p o 03 fl - th g a IS 03 03 -.s« a 03 03 fl XS "o C 03 XS "1 Koksilah Dr. C. M. Rolston 20 14 20 24 21 33 23 16 48 33 17 30 12 25 25 29 45 16 10 33 27 36 58 11 42 13 10 14 48 15 13 87 63 45 80 14 46 18 69 24 29 25 23 21 13 13 64 52 57 30 11 32 28 24 16 21 33 17 10 19 23 19 27 21 13 43 27 17 30 11 21 13 26 26 16 10 28 26 28 45 11 26 10 9 12 44 10 12 79 57 39 63 14 35 11 63 24 23 20 20 20 12 12 49 45 35 30 8 29 24 23 16 16 19 No appointment. Dr. G. H. Worthington . 1 1 1 1 2 "i' 2 1 2 2 Dr. E. C. Hart Dr. E. C. Foot Dr. 11. A. Christie Little Fort Long Lake Louis Creek No report. Dr. M. G. Archibald 1 4 l 1 1 2 4 Dr. M. G. Archibald Dr. A. C. Nash 2 4 1 l 8 1 No report. Dr. S. A. Ross Dr. A. 0. Nash Dr. W. Dykes No appointment. Dr. C. R. Marlatt 1 Dr. H. W. Keith Dr. M. G. Archibald 2 1 i 3 6 2 Marysville Dr. J. H. M. Bell l 2 2 Dr. G. E. Rehberger l 3 4 2 2 4 Dr. E. C. Hart Dr. R. W. Large 1 1 2 l 3 1 1 No appointment. No report. Minto Dr. T. P. Devlin 2 Dr. W. J. Knox 1 3 Dr. M. G. Archibald .... Dr. S. E. Beech No appointment. 1 2 3 1 1 2 1 1 3 1 1 2 1 1 2 1 1 Dr. J. H. M. Bell No appointment. Dr. W. E. Bavis 9 3 Dr. L. J. Obrien 2 1 5 4 1 5 2 2 3 1 1 Dr. L. J. Obrien Nanoose Dr. S. E. Beech 2 5 1 5 1 2 2 1 1 4 4 4 3 1 4 1 1 Dr. J. E. H. Kelso Dr. J. H. Moore W. H. Tuthill Nicola, Lower W. H. Tuthill 1 1 No appointment. No. 8 Mine Nob Hill Dr. E. 0. Foot 1 Northfleld Dr. L. J. Obrien No appointment. Dr. W. Scatchard "i" i 2 1 Notch Hill No appointment. Dr. A. H. Huycke 2 2 1 1 2 2 Dr. R. B. White Dr. W. J. Knox 2 1 Olalla Dr. 0. J. Schistra Dr. E. C. Hart 1 No appointment. 4 4 Geo. 5 Medical Inspection of Public Schools. P 19 Schools.—Continued. o EH G) £? _rt rG H 5 a) CU n ■a a rt 3 XS bo rt H u 201 "3 Other Conditions, specify (Nervous, Pulmonary, Cardiac Disease, etc.). oi t> 03 •3 03 U2 d bo "-£ CD ft S o be Acute Fevers which have occurred during the Past Year. Condition of Building. State if crowded, poorly ventilated, poorly heated, etc. Closets. State if clean and adequate. Good Good. Yes. 2 2 8 2 5 22 11 6 29 23 1 18 0 16 4 3 5 1 2 17 2 10 0 4 4 3 7 1 1 8 48 25 24 40 2 28 5 8 2 12 13 1 2 8 7 36 20 9 4 2 10 16 3 3 2 12 Good. 6 1 6 Good Good Basement bad, heat'g by stoves; otherwise good. Good Adequate, but not clean. Bad. 9 12 13 3 Yes. 3 is "i" 8 1 1 4 Yes. Yes. 7 Measles, 1 Good... Yes. 8 2 Good . 1 Yes. Good Good Good Good Satisfactory Good Good Fair Good Good Good Good Yes. 8 4 2 clean, adequate. 1 2 Yes. 4 Bad. 4 Good. Good. 9 7 3 2 1 1 1 Yes. Yes. 8 1 Whooping-cough,6 Yes. 3 Yes. Tonsilitis, 1 Influenza Poor ventilation .. Satisfactory Good; desks are getting old Good Satisfactory Building excellent; ventilation good Good Good Good Good Poor ventilation ; heating fair. Satisfactory . Frame building, one story; stove heated. Satisfactory Satisfactory Poor Fhir Good Good Old 7 5 Yes. 3 Fairly old. Yes. 2 3 1 6 4 5 6 Yes. 31 5 Slight cardiac, 3; pulmonary quisscent, 1. 1 i Yes. 7 2 adequate. Yes. 1 1 Good. Yes. 3 1 3 9 Yes. Yes. Heart, 2 Fair. 5 9 7 2 Lugs. Yes. Yes. 1 1 1 1 Whooping-cough.. Good. 2. Yes. 4 1 1 "3 1 Good Fair Satisfactory Good Good Good Good Satisfactory Good Yes. 1 Fair. 1 1 Yes. Yes. Yes. 2 Mumps, 2 Yes. Good. Fair. 7 Measles, 3 Yes. P 20 Medical Inspection of Public Schools. 1914 Rural and Assisted Name of School. Oj'ster, East Oyster, North Parksville Patterson Pemberton Range .. Pender Island Pine Grove Pitt Meadows Popoum Porcher Island Port Essington Port Kusam Port Simpson Powell River Princeton Procter Qualicum Beach Qualicum, Little ... Quatsino Queen Charlotte Queenstown Quesnel Reiswig Renata Retreat Cove Richardson Richlands Roberts Creek Robson Rock Bay Rock Creek, Upper. Rock Creek, Lower. Rocky Point Roosville Roseberry Royston Saanich, East Saanich, West.. Saanich, Nurth St. Elmo Sahtlam Salmo Salmon River . Salmon Valley. Sandspit Sandwick Savona Sechelt Seymour Arm. Shoal Bay Shawnigan Shuswap Shuswap Falls... Shuswap, North. Shutty Creek ... Sicamous Silver Creek Silverton Similkameen Sirdar Skidegate Sloan Slocan Junction . Soda Creek Sointula Sooke Medical Inspector. Dr. A. C. Frost Dr. A. C. Frost Dr. S. E. Beech No report. R. W. Irving Dr. A. R. Fraser No appointment. Dr. G. Morse No appointment. Cannot make inspection Dr. R. W. Large No appointment. Dr. R. W. Large Dr. A. Henderson T. C. Campbell Dr. T. P. Devlin Dr. S. E. Beech Dr. S. E. Beech Dr. H. P. Cox Dr. J. T. Wright Dr. C. A. Graves Dr. G. R. Baker Dr. A. C. Nash No appointment. Alan Beech No report. Dr. A. C. Nash Dr. F. Inglis.; No appointment. Dr. H. H. Blanche Dr. J. D. MacLean No report. Dr. E. C. Hart No appointment. Dr. J. E. Browse Dr. G. K. McNaughton.. Dr. W. G. Cumming Dr. W. G. Cumming . Dr. W. G. Cumming . No appointment. Dr. AV. Dykes Dr. G. E. Rehberger . No report. No report. Dr. J. T. Wright.... Dr. K. E. Crompton No report. Dr. F. Inglis Teacher. Dr. H. H. Planche . Dr. W. Dykes Dr. W. Scatchard .. Dr. A. C. Nash No appointment. Dr. T. P. Devlin ... No appointment. Dr. A. K. Connolly Dr. J. E. Browse... Dr. A. J. Schistra.. Dr. G. B. Henderson . Dr. J. T. Wright.. No appointment. Dr. L. E. Borden . Dr. S. E. Hoops... Dr. A. McBurney . Dr. R. FeJton School Nurse, this year. Miss Robertson . Miss Alleyne Miss Hood. XS p g -& tc as o> CD o 'S o s > w 2SS5 03 Ph ft £ > > "in O O O fl g aj g ~3 *a3 'S -3 rrr * hA a ft ft ft ft < 11 11 i 48 33 3 1 4 26 25 1 2 2 20 20 10 16 3 2 33 29 1 2 2 22 21 2 3 29 29 1 2 1 4 79 74 « 2 3 80 56 3 2 <i 3 21 21 1 43 39 1 2 4 20 16 16 13 2 6 i 1 10 9 1 1 9 7 1 1 2 86 48 4 3 3 12 14 13 15 12 14 10 14 1 3 1 1 4 11 10 1 1 1 1 23 9 12 16 8 12 1 1 1 1 17 17 3 2 1 1 80 80 3 1 1 10 10 1 25 10 25 8 1 6 33 32 2 1 6 9 14 13 2 2 34 29 1 9 9 1 3 15 8 1 10 20 12 8 19 11 1 10 12 21 35 10 8 15 29 2 3 2 3 15 21 15 21 1 1 10 10 1 1 19 15 1 20 20 1 52 52 9 5 2 32 18 4 Geo. 5 Medical Inspection of Public Schools. P 21 Schools.—Continued. a o H bjO H o Q 3 CD be Jj "3 H u3 '3 O Other Conditions, specify (Nervous, Pulmonary, Cardiac Disease, etc.). ri 3 0) O o5 6 to QJ o & a Acute Fevers which have occurred during the Past Year. Condition of Building. State if crowded, poorly ventilated, poorly heated, etc. Closets. State if clean and adequate. 7 10 20 5 3 7 19 23 12 8 7 6' 3 1 12 2 6 1 8 5 1 1 2 11 11 3 7 6 6 4 3 7 3 7 11 5 2 3 4 1 5 3 4 13 22 3 Good Good Good Frame building... Yes. IS Yes. 4 3 Bad. Measles, 2 Modern 7 3 2 1 i l 1 20 Yes. 1 Good. 8 Inadequate. Good Very f:.ir Yes. 3 Yes. Clean. 8 i Yes. 2 2 privies. l 3 Yes. Good Yes. 1 Good Yes. 6* i Yes. Diptheria and Chicken-pox Good Fair Yes. 3 Diptheria Yes. 1 i Good 13 Glandular fever, 2; scarlet fever, 2 ; pertussis, 3 ; measles, 2; varicella, 1; pneumonia, 1. Good Good. Yes. Good Yes. 3 Poor & draughty; heating poor. Roomy building; poorly ventilated and heated. Old None. Yes. Yes. 1 i Yes. Yes. 2 Obsolete desks Fair Yes. i 4 Not clean. Yes. 6 Measles, 2 Whooping-cough Measles, 4 ; chicken-pox, l Yes. 1 Only 6 white children in school; 5 Indians have con junctivitis Good condition ... Well ventilated... Good Yes. Yes. Yes. Good. Good Crowded Good Another needed. 12 1 14 Chorea, 3 ; cardiac, 1 3 2 Yes. Chicken-pox confined to In. Res. Yes. P 22 Medical Inspection of Public Schools. 1914 Rural and Assisted Name of School. Medical Inspector. School Nurse. -6 o tn C 0) 'o 6 q 1 ■ri 02 11 fl ft d c 0 3 a S Srt B S CJ > a 03 ft a QJ > 03 ft 1 bb a '£ rt 03 X 03 O 03 03 ft th rt-l to % •r L. a ft 3 "3 fl 03 xs Dr. W. Scatchard 12 7 10 9 8 39 19 57 9 13 12 21 13 C6 12 55 12 17 7 12 40 8 43 6 33 137 65 12 11 19 17 10 18 42 31 17 34 12 7 8 6 S 38 12 51 7 13 11 20 12 48 9 55 11 11 7 12 21 6 43 6 33 123 57 12 11 14 8 9 18 37 28 16 34 No appointment. No appointment. No appointment. Dr. M. G. Archibald Dr. A. K. Connolly Closed. No appointment. Dr. A. K. Connolly Dr. W. Hughes 2 1 1 1 2 2 2 1 2 1 1 2 1 No report. No report. Three Valley No report. Dr. F. W. Andrew No report. D. A. C. McPhail Turtle Valley Dr. W. Scatchard 1 1 Dr. G. K. McNaughton.. 6 1 1 5 2 1 3 5 i 8 3 6 5 Dr. C. R. Marlatt No report Dr. H. R. Fort 1 1 1 3 1 1 2 Dr. J. N. Taylor ... Dr. J. H. M. Bell 1 1 1 9 7 3 4 3 1 3 Dr. J. S. McCallum Dr. J. E. H. Kelso Dr. W. Scatchard Dr. L. J. Obrien 1 2 Dr. L. J. Obrien 1 1 4 1 1 Dr. L. J. Obrien Dr. C. R. Marlatt 1 1 Williams Lake No appointment. Dr. L. E. Borden D. P. Hannington No appointment. No appointment. 1 6 Wolfsohn Bay 1 1 i 2 1 1 Wycliffe Dr. J. H. M. Bell... 1 1 1 1 1 1 3 1 1 5 No appointment. Yale GRADED CITY Alberni Armstrong Chilliwack Cranbrook City: South Ward School Big School Cumberland Dr. A. D. Morgan. No report. Dr. L. A. Patten.. Dr. J. H. M. Bell. Dr. J. H. M. Bell. Dr. G. K. McNaughton. 80 75 4 1 3 1 7 7 301 301 10 8 12 4 20 19 100 383 94 373 3 3 1 2 3 10 'si 5 5 5 5 359 295 59 44 20 37 71 52 4 Geo. 5 Medical Inspection of Public Schools. P 23 Schools.—Concluded. c o H •a 03 be "fl s JOS 03 H 03 '222 02 03 03 ft c rt 3 XS 03 bo u d "3 Other Conditions, specify (Nervous, Pulmonary, Cardiac Disease, etc.). 1 c CD > 0) 6 _bjD Eh O c Acute Fevers which have occurred during the Past Year. Condition of Building. State if crowded, poorly ventilated, poorly heated, etc. Closets. State if clean and adequate. 6 1 Gnnd_ Yes. 1 Yes. 4 5 1 10 29 6 1 6 3 2 38 1 10 1 3 3 4 2 Good Yes. 2 2 15 Good. 4 Not very clean. Yes. 4 Good Good Poor Good 13 18 14 1 Adequate, but not clean. Good. 2 Yes. 1 Whoop'g-coiigh, 9 Good Good Poor Satisfactory Good Frame Frame Good Good Good Average Poor heating and ventilation Fair Good 1 good, 1 bad Good Overcrowded ; too small Good Good 21 1 2 Yes. 18 Mumps Mumps 1 quate Yes. S Satisfactory. 2 privies. 2 privies. Adequate. Yes. 2 fl 3 1 4 3 1 3 Epidemic of w'ng- cough now on ; 25 cases. - 2 3 3 3 10 65 18 6 3 3 1 1 1 Yes. 4 1 2 Slight Chorea, 1; fits petit mal, 1 ; curvature of spine and torticollis, 1. Yes. 1 Yes. 3 2 9 1 3 Tonsillitis, 1 12 8 Yes. 2 Inadequate. Good. fl 3 2 2 Yes. 1 Very fair 3 Dirty. 6 16 3 Crowded Yes. 5 Good. 5 8 18 1 2 Good Good Yes. 8 Chorea, 1; mitral insufficiency, 1. Mumps, 8 ; tonsillitis, 3 ; appendicitis, 1 Yes. SCHOOLS. 20 38 23 8 216 4 2 Crowded Rather crowded .. Just right O.K. Yes. Good. Yes. Clean, but quate. 23 4 2 4 Scarlatina, 6; chicken-pox, 13 Whoop'g-cough, 32 Measles, 1 ; chicken-pox, 8; wb'ng cough, 32 2 14 93 137 1 3 Infantile paralysis, 2 Cardiac, 11; pulmonary, 19; nervous, 7 ; skin, 30 ; catarrh, 26; wax in ears, 34; anaemia, 7 2 14 2 1 inade- P 24 Medical Inspection of Public Schools. 1914 Graded City Name of School. Medical Instructor. School Nurse. o -p C "ft o 6 fe CJ 1 y, 03 "ft ft O 6 fl o '& is a a ~3 s$i ~3 a S 03 > 0 03 03 ft a > 03 > O ft 17 23 8 5 32 9 4 16 1 "l 2 i 2 1 1 3 3 2 "4 2 2 3 2 1 '37 32 1 5 1 5 3 9 14 4 2 2 147 5 1 20 3 20 11 9 12 16 10 b» _c 'Er rt 03 X 03 49 03 03 ft 2 1 2 1 5 3 2 i 2 42 1 i "3 5 1 2 2 14 3 11 3 20 20 8 r-. tH rt a fe .1 gj 0 03 ft 5 7 7 12 4 9 1 5 11 15 3 6 2 10 2 1 6 16 5 32 "3 a XS ■< 26 1 6 4 59 7 34 2 1 2 2 2 1 2 1 2 2 2 "2'. 1 1 "2' "2' 5 2 1 18 236 28 3 1 6 10 10 6 5 32 3 4 12 Dr. W. Dykes 165 231 380 121 413 168 418 276 48 48 47 45 49 50 63 50 46 43 47 49 56 51 47 42 40 37 44 47 46 40 51 804 2271 130 117 12 58 97 165 357 74 31 33 623 503 23 260 355 558 167 139 548 617 290 163 174 379 102 387 156 418 259 45 47 45 43 49 48 61 49 44 43 45 48 53 48 47 42 38 37 42 43 43 40 48 756 2030 124 109 12 49 92 165 349 74 31 33 605 503 23 246 341 582 168 122 622 627 298 7 2 1 .... "i 2 "i "2' 1 "i' T 4 35 1 1 1 6 1 8 2 1 1 12 6 2 2 2 1 2 1 22 i Fernie Dr. H. W. Keith ... No report. Dr. M. G. Archibald. No appointment. W H Tuthill. Nanaimo: South Ward 1 „ 2 Middle Ward 1 „ 2 „ 3 ■ ,, 4 Central, Div. 16 „ ,. 13 „ ,, 14 „ ,i 11 „ „ 12 ,. 10 II ,1 2 3 n „ 4 i, „ 5 ,, ii 6 i, ,, 7 n „ 8 ii .. 15 Port Coquitlam: Central, Senior and Junior.. Prince Rupert: Dr. N. McNeill Rossland, Central and Cook Ave. Dr. J. W. Coffin No appointment. Dr. W. E. Gomm .. No report. Drs. Thorn and Coghlan. Dr. Brydone-Jack Dr. A. W. Hunter Vancouver: Dr. A. W. Hunter Dr. A. W. Hunter 4 Geo. 5 Medical Inspection of Public Schools. P 25 Schools.—Contimted. a o EH TJ OJ rt fl H 03 03 H 03 O OJ ft 48 100 103 258 77 14 174 28 25 28 29 30 37 43 29 27 29 25 32 34 33 12 13 14 13 21 23 22 24 36 479 420 25 5 5 18 26 12 115 23 11 11 134 40 96 95 144 40 25 182 227 76 a rt 3 XS 03 be .B -fl H 20 3 81 8 9 5 113 3 02 Sr "o O Other Conditions, specify (Nervous, Pulmonary, Cardiac Disease, etc.). _fl 03 > 03 t en 6 OJ iO*. s Eh O bn fl 6 Acute Fevers which have occurred during the Past Year. Condition of Building. State if crowded, poorly ventilated, poorly heated, etc. Closets. State if clean and adequate. 65 5 Cardiac disturbance, 2 ; asthma, 1; rickets, 1; deformed spine, 1; elephantiasis, 1. Varicella, 40 ; Measles, 10 Good Good Yes. 38 60 1 2 Scarlet fever, 12 ; diphtheria, 3 Measles, 2 Chicken-pox, 1 ... Chicken-pox, 23; measles, 1 Yes 3 3 35 2 10 Good Fair Modern Satisfactory Good. Yes. 92 Acne, 1; eczema of face, 1; nasal polypus, 1; infantile paralysis in left leg, 1; webbed flngers,l Pneumonia, 1 ; cardiac, 1; rheumatism, 1. 1 1 3 Yes. 51 Yes 36 Not sanitary. 69 Scarlet fever, 12 ; whooping-cough, 10 ; measles, 2 ; Diphtheria, 7 5 3 5 4 2 1 2 2 2 3 1 5 3 2 3 3 Good Good Yes 13 2 2 Yes 7 10 i 1 Poor Poor 6 Poor 17 Poor Good Poor 13 6 2 10 Club-foot, 1 Good .. Good 8 Good G..od Good Good Good 10 Good 8 Paralysed arm, 1 1 1 11 Good. 6 Good Good Good Good 7 3 1 3 Yes 9 Yes. 3 1 Yes. 9 Good Good Good Good Good Yes. 16 4 1 21 Yes 8 1 1 8 23 Yes 17 6 3 1 16 1 65 476 3 Asthma, 1; heart, 2 ; chorea, 1; Infantile paralysis, 2 ; rheumatism, 1; tub. hip, 1. 10 6 1 Chicken-pox, 4 ... Scarlet fever, 3 ; diphtheria, 4 Good Good Yes. 50 5 3 5 18 18 5 1 Scoliosis, 15 ; defective palate, 1; flat-foot, 1; cardiac, 4. Yes. 12 O.K. . 1 Good Good Good Good .. Yes. Yes. 12 5 Yes. 9 6 1 2 1 3 2 37 24 6 Yes 16 Diphtheria, 3 Good Crowded Ventilation bad. .. Verv good Good. Good. 9 95 9 10 7 26 1 2 3 17 38 5 9 Yes. 8 6 1 13 i 1 1 i' Scarlet fever, 10 .. Yes. 14 Good 12 Deformed, 3 ; hernia, 5; heart, 3. 2 12 11 7 3 14 11 12 1 O.K. 69 C'k'n-pox, mumps, diphtheria C'k'n-pox, measles Heating and ventilation are fairly good in all the b'dings; schools are not overcrowded. 35 i3 2 1 and adequate in 15 16 C'ken-pox, whooping-cough C'k'n-pox, measles, Ditto [mumps Chicken-pox, diphtheria 69 4 1 2 2 80 20 P 26 Medical Inspection of Public Schools. 1914 Graded City Name of School. Fairview Franklin Simon Fraser.... General Gordon . Grandview Hastings Henry Hudson... Kitsilano Livingstone MacDonald Model Mt. Pleasant Lord Nelson Flor. Nightingale. Cecil Rhodes Lord Roberts. Laura Secord Seymour Strathcona Tennyson Vancouver, North : Central Ridgway Lonsdale Vernon Victoria : Girls' Central Boys' Central Moss Street Bank Street Hollywood Spring Ridge Fernwood George Jay Oaklands Hillside Quadra North Ward Burnside Rock Bay Victoria West Kingston South Park Medical Inspector. Dr. Brydone-Jack . Dr. A. W. Hunter . Dr. Brydone-Jack . Dr. A. W. Hunter ', Dr. Brydone-Jack . Dr. A. W. Hunter Dr. Brydone-Jack , Dr. A. W. Hunter , Dr. Brydone-Jack . Dr. A. W. Hunter Dr. H. Dyer Dr. O. Morris Dr. H. J. Wasson . School Nurse. A. Jeffers A. Jeffers M. Ewart M. A. McLellan. A. Jeffers M. A. McLellan. M. A. McLellan. M. Ewart A. Jeffers M. Ewart A. Jeffers. M. A. McLellan. E. G. Breeze . .. M. A. McLellan. ■a o 0 rP tH fl rt fl c _ bu 03 03 "§ rt fl "g. o s > X feS 03 03 ft ft £ ,rl '■re. XS O "o 3 fl a O 023 o a fl fe fe a ft ft ft a < 496 461 4 12 11 8 3 141 139 3 5 2 468 501 6 13 12 8 3 468 447 1 10 10 7 468 478 4 34 15 3 1 361 363 14 1 14 7 9 389 427 1 5 9 1 390 414 6 8 17 3 243 270 16 3 1 348 358 8 12 9 1 484 508 1 20 8 3 2 587 494 1 1 13 12 6 542 542 4 6 7 612 627 17 1 24 11 10 356 373 14 4 3 635 618 1 8 14 253 276 2 5 3 642 673 4 5 12 13 6 619 625 6 7 3 459 450 3 0 6 2 309 196 2 1 3 2 31 318 189 1 7 2 21 243 542 178 510 1 8 5 15 487 481 12 19 2 6 495 495 25 14 3 3 452 442 25 10 4 7 159 153 12 1 1 3 67 65 3 1 1 1 176 150 9 1 1 1 54 375 58 375 18 2 1 20 8 275 260 12 2 1 5 182 158 6 4 2 79 371 78 359 3 24 3 2 14 2 227 216 12 1 89 86 3 1 4 393 325 11 2 3 4 285 285 15 1 5 3 326 316 8 10 1 HIGH Armstrong Bridgeport Chilliwack Cumberland Duncan Enderby Fernie Grand Forks Kamloops Kaslo Kelowna Ladner Merritt Mission Nanaimo Nelson New Westminster, Peachland Penticton Point Grey Prince Rupert Revelstoke Rossland Salmon Arm Summerland No report. No report. Dr. L. A. Patten Dr. G. K. McNaughton.. Dr. W. Dykes Included in other report. No report. Dr. W. Truax Dr. M. G. Archibald .... Dr. T. P. Devlin Included in City Schools. Dr. A. A. King No appointment. No appointment. Dr. W. F. Drysdale Dr. I. Arthur Included in City Schools. Dr. W. Buchanan Dr. H. McGregor Dr. Lowrie Dr. N. McNeil Included in City Schools. Dr. J. W. Coffin No appointment. Dr. F. W. Andrew 83 25 26 83 23 24 1 4 3 1 5 1 3 1 1 1 26 56 30 19 52 27 2 2 4 3 2 41 39 3 3 1 5 52 75 50 61 1 2 i 1 2 9 27 29 16 28 5 27 29 15 28 2 5 1 4 1 26 19 7 l 4 Geo. 5 Medical Inspection of Public Schools. P 27 Schools.—Concluded. A H O TS 03 rz 03 W ft 8 47 149 15 11 40 1 58 159 10 48 103 28 37 128 2 45 109 25 68 133 37 42 120 19 19 69 6 24 114 2 32 134 4 38 71 2 29 162 1 78 176 34 29 112 1'2 24 141 7 34 69 14 96 231 27 49 218 (i 29 141 14 15 9 20 8 14 12 20 25 22 183 10 27 206 19 21 185 29 15 68 11 « 21 3 23 71 15 6 31 6 189 7 19 135 13 23 83 22 12 32 10 11 203 6 12 103 16 4 42 0 27 171 8 23 127 13 9 115 Other Conditions, specify (Nervous, Pulmonary, Cardiac Disease, etc.). Cardiac, Cardiac, Cardiac, Cardiac, Cardiac, Cardiac, Cardiac, Cardiac, Cardiac, Cardiac, Cardiac, Cardiac, Cardiac, Cardiac, Cardiac, Cardiac, Cardiac, Cardiac, Cardiac, Cardiac, 7 ; lungs, 3 . 3 ; lungs, 3 . 10 9 ; lungs, 1 . 3 ; lungs, 3 . 7 ; lungs, 3 . 8 ; lungs, 1 . 5 5 5 6 5; 5; 5; 10 3; 4; 3; 9; lungs, 1 .. lungs, 5 .. lungs, 1 .. ; lungs, 1.. lungs, 3 ,. lungs, 4 .. lungs, 1 .. lungs, 1 .. Cardiac, 2. Chorea, 2.. Acute Fevers. which have occurred during the Past Year. C'k'n-pox, measles, Ditto [mumps C'k'n-pox, mumps, C'k'n-pox, mumps, C'k'n-pox, mumps, Ditto. Mumps, c'ken-pox Scarlet fever, 2 diphtheria, 2 Scarlet fever, 2... 7 'Scarletfever, 2. Scarlet fever, 3. Scarlet fever, 3.... Diphtheria, 1; Sear- [let fever, 1 Chicken-pox, 10 Scarlet fever, i Mumps, 30 ... Condition of Building. State if crowded, poorly ventilated, poorly heated, etc. wh'ng-cough, diph wh'ng-cough, meas wh'ng-cough, scar Satisfactory Yes. Very good Yes. Very good Yes. well ventilated Yes. and heated. Good O.K Closets. State if clean and adequate. Good. Good. Good. Good. Good. Good. Good. Good. Good. Good. Good. Good. Good. Good. Good. Good. O.K. O.K. O.K. O.K. O.K. O.K. O.K. O.K. Poor. O.K. O.K. O.K. O.K. O.K. O.K. O.K. SCHOOLS. 4 14 1 2 20 5 4 16 66 6 1 ' 2 [measles Some cases of Good Excellent Good Yes. Good. Cardiac disturbance, 2 Yes. Good Fair Yes. 6 13 Yes. Good Good Yes. 1 Yes. Yes. 4 3 2 2 1 1 Yes. Excellent. 1 1 Very good Good...! Good. Yes. 2 9 4 1 Good Good. P 28 Medical Inspection of Public Schools. 1914 High Name of School. Vancouver, South Vancouver: Britannia King Edward. Vernon Medical Inspector. Dr. T. V. Hunter Dr. A. W. Hunter Included in City Schools School Nurse. Helen Bone.. . A. Jeffers M. A. McMillan TJ o 8 *j s» c X 3 q 3 a rr be ■p_ o £ > X fe^l <u © 03 Si rH Oh M > •M "M O o a 8 o to to S a ft 15 ft 4 fl 12 «. 123 126 265 183 1 8 2 755 167 10 4 RURAL MUNICIPALITY Burnaby: Gilmour Avenue Edwards Street ... Kingsway, W7est Nelson Avenue Inman Avenue Kingsway, West River Way, East Schon Street Howard Avenue Hamilton Street Second Street Armstrong Avenue Sperling Avenue Barnet Douglas Road Chilliwack: Atchelitz ... Strathcona Sardis Vedder Fairfield Parson's Hill Lotbiniere Promontory Sardis, temporary roomabove Royal Bank Sumas Rosedale Camp Slough Chilliwack, East Cheam Coldstream Coquitlam: Blue Mountain Millside Glen School Cowichan, North: Quamichan Maple Ray Somenos Somenos Station Chemainus Landing Crof ton Westholme Delta : Anniville Sunbury East Delta Inverholm . Boundary Bay Westhain Island Canoe Pass Crescent Island Ladner Esquimalt, Lampson Street Fraser Mills Kent: McBride Harrison Mills Harrison Hot Springs Dr. G. de B. Watson . J. C. Henderson. Dr. J. E. Elliott . No report. Dr. A. G. Sutherland. Dr. W. Dykes ... Dr. W. T. Ewing. ii Dr. A. A. King .. Dr. H. B. Rogers.. No report. Dr. R. Elliott. 284 263 245 146 63 61 55 34 33 31 28 23 73 42 57 16 19 13 29 25 28 14 97 48 50 54 32 46 15 18 10 31 22 61 17 13 28 11 20 11 22 20 40 22 109 390 42 40 17 165 135 74 62 60 25 21 32 31 23 22 20 18 40 54 15 19 11 26 24 12 97 48 50 54 28 41 14 18 10 31 22 58 17 11 15 11 IS 10 36 21 109 370 33 38 16 4 Geo. 5 Medical Inspection of Public Schools. P 29 Schools.—Concluded. p o H ■O <o be QJ OJ H > OJ fl V, 3 O t) OJ bo h r^ "fl r^ '0 0 Other Conditions, specify (Nervous, Pulmonary, Cardiac Disease, etc.). 0) 02 6 Ph S 0 & be fl 'tf Acute Fevers which have occurred during the Past Year. Condition of Building. State if crowded, poorly ventilated, poorly heated, etc. Closets. State if clean and adequate. 9 36 54 36 10 "2 11 2 Crowded Good Good Ye?. 5 Yes. 2 Chicken-pox, 1; mumps, 2 SCHOOLS. 3 34 69 49 37 19 18 26 8 3 13 13 9 6 4 5 2 1 2 2 1 6 2 Chicken-pox, 5 ; measles, 31 8 11 3 4 3 mumps, 2 Wh'ping-cough, 1. 7 2 1 1 1 diphtheria, 1 Chicken-pox, 34 .. Chicken-pox, 3 .... Wh'ping-cough, 4. 4 3 2 1 2 2 2 1 1 1 1 7 1 3 1 6 11 2 4 1 1 4 4 3 1 2 1 86 40 43 46 6 7 4 6 4 7 2 23 7 2 10 7 2 8 4 0 11 10 32 79 16 32 5 7 3 2 2 1 5 13 6 1 8 5 3 4 Typhoid, 1 6 7 6 5 14 4 5 7 1 9 3 5 1 5 1 4 13 Chicken-pox, 2 ... 4 3 2 11 3 7 3 Chicken-pox, 6 ... 8 9 2 7 3 29 1 1 7 43 67 1 1 11 Scarlet fever, diphtheria, measles 3 Good Good Good Good Good Good Good Good Good Good Good Good Good Good Good Good Good Good Good Good Good Good Good Good Good Class 2 tempo, bad First class First class First class Good Good Good Good Good Good Good Good Fair Good Good Good Good Good Good Good Good Good Good Excellent Crowded Crowded Good Yes. Yes. Yes. Y7es. Yes. Yes. Yes. Yes. Yes. Yes. Yes. Yes. Yes. Yes. Yes. Yes. Yes. Yes. Yes. Yes. Yes. Yes. Yes. Yes. Clean. Yes. Yes. Yes. Yes. Yes. Yes. Yes. Yes. Yes. Yes. Yes. Poor. Good. Yes. Yes. Yes. Yes. Yes. Yes. Yes. Yes. Yes. Yes. Clean. Clean. Clean. P 30 Medical Inspection of Public Schools. 1914 Rural Municipality Name of School. Medical Inspector. School Nurse. XS 03 "o rj c sii o d fe No. of Pupils examined. Malnutrition. Defective Mentality. a o 'oi > 03 O OS °a> ft be a '3 1 X fe > > 0 0 QJ O) a) 0 ft a bh a 03 tf O a aj < Kent.—Concluded. Dr. R. No rep Dr. G. I i Dr. R. Elliott 26 86 21 39 41 26 23 37 45 10 38 42 43 40 37 21 38 IS 16 26 33 41 24 27 8 30 25 26 17 17 28 21 90 230 23 18 17 21 297 154 219 217 198 54 215 36 77 19 48 36 21 26 37 27 25 25 65 100 106 87 144 62 330 23 76 % .... 14 .... 2 23 20 21 17 4 12 2 3 1 3 1 3 1 5 1 5 10 3 4 2 i 3 4 4 >rt. Maple Ridge : 20 45 5 30 15 1 3 1 2 1 .. 1 1 1 2 25 40 1 2 3 4 4 30 15 29 16 16 21 1 .... 30 ST. .... 37 .... 1 19 1 .... 18 3 2 1 2 1 1 2 1 1 Maple Ridge, Senior i "i .. 1 4 2 2 1 .... 1 1 2 2 i Matsqui: H. Port ii 2nd m .. i i 2nd 8 ,, 2nd ti 30 1 .... 24 3 ,, 3rd ir 22 1 . . . . 14 1 .... 15 26 1 .... 16 90 2 1 230 1 1 21 18 17 1 1 1 1 2 4 6 1 1 2nd n No rep Dr. W. Dr. W. Dr. H. Dr. Lo Dr. W. Dr. C. ort. D.Calvert 1 3 .. 2 5 .. 12 Oak Bay: Peachland: ii 2 Penticton: Ellis 19 297 4 .... 151 2 2 218 4 1 217 6 3 196 4 2 44 2 1 215 36 77 19 48 32 20 34 32 1 1 24 24 24 59 .... 1 89 1 .... 96 .... 1 57 127 2 4 51 312 2 3 2 17 17 9 7 8 3 7 2 5 3 9 1 1 1 .... "si 2 4 4 2 1 8 .... 2 1 3 1 6 4 4 0 25 1 4 4 1 2 0 i 2 2 2 .... Point Grey: Richmond: Bridgeport ■. Mitchell J. Hepworth English Lulu ,, 1 i ,. "3' 1 1 4 i .... 1 1 1 2 3 1 ... i 1 1 3 2 3 3 1 1 1 1 1 1 5 6 Saanich: Elk Lake . Royal Oak Saanichton . M Cedar Hill Craigflower Strawberry Vale 4 Geo. 5 Medical Inspection of Public Schools. P 31 Schools.— Continued. a o H -a 03 a H 2 12 7 3 6 9 2 1 8 1 7 4 7 10 4 3 10 3 1 3 4 2 8 2 "i 3 2 03 03 H QJ 03 03 ft 8 32 10 4 10 15 5 3 12 3 18 8 15 20 8 4 15 2 1 2 3 3 2 3 1 1 1 1 2 3 X3 bh oS "a « "o O Other Conditions, specify (Nervous, Pulmonary, Cardiac Disease, etc.). S St r* 3 d .bp OJ ft o bC tf Acute Fevers which have occurred during the Past Year. Condition of Building. State if crowded, poorly ventilated, poorly heated, etc. Closets. State if clean and adequate. Measles & mumps. Measles & mumps. First class First class Clean. Clean. Yes. Yes. Yes. Yes. Yes. Yres. Bad. Bad. Yes. Dirty. Flush. Clean. Clean. Clean. Clean. Clean. Clean. Clean. Clean. Clean. Clean. Clean. Clean. Poor. Poor. Good. Clean. Clean. Clean. Clean. Good. Very good. Yes. Yes. Yes. Yes. Yes. Inadequate. Inadequate. Cesspool defective. Plumb'g defective. Good. Yes. Yes. Yes. Yes. Yes. Not clean. Yes. Yes. Yes. Yes. Yes. Yes. Yes. Not clean. Yes. Yes. Yes. Yes. Yes. 3 2 2 2 3 Measles, 2 1 Measles, 6 Good Temporary 1 1 1 S Diphtheria, 1 1 1 1 Mumps, 5 1 Fair Measles & mumps. Measles & mumps. i Good Good ; crowded... V Good Measles Measles Old Old Good Measles & c'k'n-pox Measles & c'k'n-pox Mumps 9. . Good Good 2 5 12 3 14 33 Good 4 5 1 1 8 Puhno'y, 1; hernia, 1; cleft palate, 1; the condition of the children's teeth is deplorable. A model school... Model building.... Good 3 2 1 1 6 37 15 10 8 17 8 13 3 7 2 5 2 2 2 4 6 2 4 5 10 15 11 10 2 34 2 4 8 116 36 28 23 31 11 172 28 60 16 36 8 7 13 12 10 12 12 29 27 25 10 10 3 71 Good Good 2 41 21 23 13 28 9 21 3 5 2 7 6 1 17 "i 2 1 Temporary tent... 2 Measles, 1 8 3 2 1 Good Chronic mitral regurgitation, 1 1 Measles, 1 Pertussis, 10 Diphtheria, 1 Small building 1 2 Good 3 Good Good Good Good 1 Good Good Good 1 Good 1 Lame from infantile paralysis, 1 Good Good Good Scarlet fever, 1 ... Good Scoliosis, 1 ; infantile paralysis, 2 ; eczema, 1; defect, speech 2 Diphtheria, 2 ; measles, 4 Good ; heating not in order P 32 Medical Inspection of Public Schools. 1914 Rural Municipality Name of School. Salmon Arm Spallumcheen : Bennett Pleasant Valley Otter Lake Larkin HuIIcar Knob Hill Landsdowne Glen Emma Salmon River Sumas : Huntingdon, Senior . ir Junior . Musselwhite Kilgarde Straiton Summerland : Garnett Valley Central Town School Surrey: Crescent Surrey Centre Kensington Prairie .. Mud Bay White Rock Hall's Prairie East Kensington Springdale Clayton Anniedale Brownsville Cloverdale Strawberry Hill Port Mann* Johnston Road Tynehead Hjorth Road Scott Road Vancouver, North : North Star Capilano Lynn Valley Keith Road, East... . Vancouver, South,: Lord Selkirk Tecumseh Carleton General Wolfe General Brock Sir W. Mackenzie ... Walter Moberly Sir W. Van Home ... Sir R. McBride Sexsmith Champlain Connaught Norquay Secord Vancouver, West Medical Inspecton. No appointment. Dr. P. D. van Kleek T. A. Swift . Dr. F. W. Andrew , Dr. F. D. Sinclair. Dr. J. J. Thompson. Dr. T.-V. Hunter. School Nurse. Miss H. Bone . No appointment. j ■d d c fl _ bu O) 03 C i a o rrt > 03 0-. 22S fel3 £ o o > 03 > 03 'o fl fe fe s fl fl fl ft <1 17 8 1 3 18 14 1 1 1 3 20 15 1 1 1 2 15 12 2 1 1 1 3 21 19 2 2 1 1 3 37 32 3 4 1 2 2 6 16 8 1 4 1 16 9 1 1 1 1 1 3 21 21 11 20 2 6 2 5 2 22 22 4 2 5 5 12 8 8 14 12 8 8 12 2 2 3 2 1 140 111 12 1 27 2 10 12 44 31 2 1 7 7 7 9 18 29 29 26 9 17 19 22 23 1 2 3 2 2 2 2 39 33 2 2 2 20 32 16 24 1 3 3 1 24 18 54 18 15 40 3 1 2 1 9 87 80 2 2 o 29 24 1 1 18 23 18 20 1 6 1 38 31 1 16 9 2 2 21 14 2 1 57 49 5 1 2 53 44 2 4 160 110 1 4 2 2 32 29 1 1 2 2 2 666 685 2 1 42 15 32 31 502 479 29 1 33 11 17 17 596 593 10 1 33 19 27 14 406 404 14 27 10 11 9 259 250 5 16 16 14 5 522 544 7 1 28 7 11 6 300 1 13 5 2 2 5 253 246 2 1 13 6 3 4 332 322 5 2 24 6 25 6 140 132 6 6 4 9 4 28 61 22 54 2 2 1 1 168 154 2 1 7 3 G 3 97 82 6 4 1 1 * These children reported in other schools before opening of this new school. 4 Geo. 5 Medical Inspection of Public Schools. P 33 Schools.—Concluded. c o H XS 03 be ce c is H O) 0) ft ■a a 3 XS 03 be 3 a H 03 St "S O Other Conditions, specify (Nervous, Pulmonary, Cardiac Disease, etc.) ^c /a es 03 05 d .be 0) o S be K s Acute Fevers which have occurred during the Past Year. Condition of Building. State if crowded, poorly ventilated, poorly heated, etc. Closets. State if clean and adequate. i 3 4 4 5 7 6 5 4 6 4 9 5 2 3 5 16 6 1 2 3 3 3 3 1 8 1 3 12 25 11 5 9 8 6 10 18 4 5 5 10 13 6 6 8 10 39 16 3 6 6 6 8 2 2 3 1 5 3 1 1 2 i 2 "i" 2 1 1 4 2 4 4 15 3 1 1 1 Good Yes. Yes. Yes. Yes. Yes. Yes. Yes. Yes. Yes. Yes. Yes. Yes. Yes. Yes. Yes. Yes. Yes. Yes. Yes. Bad. Yes. Yes. Yes. Yes. Unsanitary. Unsanitary. Unsanitary. Unsanitary. Yes. Yes. Good Good Measles Good Good Good Good Measles Not crowded; good ventilation. Good ventilation.. Good ventilation.. Good ventilation.. Good ventilation.. Good 4 6 2 2 Chicken-pox, 6 ... Chicken-pox, 22 .. Chicken-pox, 18 .. 2 1 4 1 8 3 Good Fairly good Good 5 6 io' 2 16 "9' 7 9 11 1 1 Diphtheria, 1 Good 2 T i "i 1 Good Cardiac, 1 4 Good Good 1 1 Good Good Good Scarlet fever, 2 ... Scarlatina, 1 Cardiac, 2 ; asthma, 1 4 Good 2 13 1 4 2 2 8 69 57 35 30 24 67 4 15 38 11 4 8 5 4 12 1 4 13 10 46 4 328 222 282 100 133 280 6 112 165 78 14 38 71 29 5 4 1 6 "3' Good Yes. Unsanitary. Unsanitary. Unsanitary. Yes. Yes. Yes. \7es. Urinal inadequate. Yes. Yes. Yes. Unclean. Unclean. Yes. Yes. Yes. Chemical toilet. Yes. Yes. Yes. Yes. Chicken-pox, 12 .. Good 1 4 1 Unsuitable 1 1 1 1 1 1 Healthy 6 3 10 3 2 1 3 65 72 55 16 15 46 9 4 15 5 2 12 3 5 2 5 2 1 1 4 1 1 2 14 39 9 1 3 15 2 2 4 1 1 3 1 1 4 2 4 2 i 1 1 3 11 1 1 1 3 P 34 Medical Inspection of Public Schools. 1914 REPORTS ON CITY SCHOOLS. VANCOUVER SCHOOLS. Dr. W. Bapty, Acting-Secretary, Provincial Board of Health, Victoria, B.C. Sib,—I have much pleasure in submitting to you the report on medical inspection of the Vancouver City schools for the year ending June 30th, 1914. The schools are visited regularly by the doctors—the sixteen-roomed schools twice a month and the eight- or nine-roomed schools once a month. The sixteen-roomed schools are visited by a nurse twice a week and the eight-roomed schools once a week. Smaller schools are visited twice a month. The principal of each school at the beginning of the school-year receives a schedule of visits which his school will receive during the year. His teachers must familiarize themselves with this schedule, so that they may refer special cases for examination at these visits. Children requiring examination between these visits are sent to the School Board Office, where a daily clinic is held from 4 to 5 p.m. During the first few days of each Pall term an inspection is made of the whole school population to pick out children that have contracted unreported cases of infectious disease or who may have become verminous during the long summer vacation. It has not been unusual to find half a dozen children desquamating, after having had scarlet fever during the holidays. Subsequently the nurses inspect each child in the classes below the Fifth Grade once a month. The children in the Fifth Grade are inspected twice a term. These inspections are conducted in the following manner : The nurse dressed in a white uniform and cap—having near her sanitary towels, tongue-blades, and a basin containing antiseptic solution ; has the teacher send into the well-lighted cloak-room, which adjoins the class-room, one-half the girls of the class (usually numbering eight). The children then roll up their sleeves and unloosen the clothes around their necks. They pass in front of the nurse, who stands by the window, in single file. Each child holds her hands out in front of her, turns them palms up and then down; then holds her clothes away from her throat and chest so that the nurse may observe any rash or uncleanliness of the chest. She then opens her mouth wide so that any inflammation of the throat may be observed; she then turns her back to the nurse so that the latter may inspect the head for the various conditions which may exist there, and then passes on. Every precaution is taken to prevent the cause of any child's exclusion being found out by classmates. If it is necessary to exclude any child, the teacher is notified on a special form, and the child is given the exclusion notice in a sealed envelope—after school—if it is not necessary to exclude the child at once. After finishing the first half of the girls the teacher sends in the second half; then the first half of the boys, and finally the last of the boys. On concluding the inspection the nurse returns to the class-room and finds out how many children have been cleaning their teeth regularly, how many lack tooth-brushes, how many have handkerchiefs and clean boots, etc. These numbers are recorded with the results of the class examination, which are forwarded to the School Board Office to be put on file for future reference. The nurse then gives a short talk on personal hygiene, cleanliness, care of teeth, etc., and endeavours to get the co-operation of the class-teacher in keeping the children clean and healthy. During our first year or two of medical inspection hardly more than 10 per cent, of the children were cleaning their teeth. Now we frequently meet classes in which every child has cleaned their teeth daily for weeks without forgetting. This state of perfection, however, has only been reached by getting the active and enthusiastic co-operation of the teachers, many of whom daily remind their pupils as to the necessity of cleanliness. Before leaving the class-room the nurse notes on a special form the temperature, the ventilation, the cleanliness of the floors, windows, ledges, etc. On the same form is recorded, before she leaves the school, the conditions in the toilets and basement in regard to cleanliness, warmth, ventilation, flushing of toilets, urinals, etc., presence of towels (sanitary), and toilet-paper; whether garbage-pails have been emptied and cleaned, etc. All of which information is sent to the Board Office, where it is filed after any defects which have been mentioned in the report have been attended to. The doctors make out similar reports. 4 Geo. 5 Medical Inspection of Public Schools. P 35 The Method used by the Medical Inspectors in conducting Examinations. • Every year each child receives a separate examination as to its general physical condition, particular attention being given to the eyes, ears, nose, throat, glands, and nutrition. The height and weight are taken and the vision is tested by the teachers. Children showing defects or having complaints when questioned at the annual inspection are re-examined. Children are systematically questioned in regard to the presence of any symptom of ear, eye, nose, and throat trouble, etc. In addition to the general examination, each child in the First Reader, Intermediate A and Senior B classes receives a superficial examination of the heart and lungs, there being therefore three such examinations during the child's elementary school course of seven or eight years. If anything is discovered which would indicate that a more thorough examination is necessary, the child is told to report for a more complete examination at the School Board Office. In conducting these examinations the children are taken to a separate room, in schools so equipped to the medical room, in groups of six or seven—boys and girls separately. In the room the children are taken singly behind a screen, the clothing around the upper part of the chest is loosened sufficiently (boys are usually stripped to the waist), and they receive their examination by the doctor in privacy. A nurse prepares the children for examination and notes on the child's physical record any defects. Notices are sent and home visits made when necessary. In regard to Treatment. All cases of contagious skin-disease, such as ringworm, itch, pediculosis, etc., obtain treatment. As soon as a case is discovered in school the child affected is excluded and the parent and the School Medical Officer are notified. It is the duty of the school nurse to visit these cases promptly and to urge on the parent the necessity for immediate treatment. They are advised to go to the family physican for treatment, but when circumstances are such that this is impossible, then the school nurse will demonstrate the proper method to follow to relieve the child of the disease. The school nurse never suggests any particular doctor, nor does she suggest any particular treatment for any disease, except those specified above. In other conditions, such as bad eyesight, discharging ears, deformities, etc., when the parents are too poor to get treatment, arrangements are made with the doctors, specialists if necessary, to care for them free of charge. The readiness with which our Vancouver doctors have taken charge of these cases is worthy of the highest commendation. This system of visiting results in a very early readmission to school where previously children would remain out for long periods without cause. Comparatively few children receive treatment for enlarged tonsils, though the majority of the worst cases undoubtedly do receive treatment. The parents are always notified when the tonsils are found moderately enlarged, and they are advised to get the advice of their family physician. Only in those cases in which the tonsils are excessively large or diseased does the nurse visit the home to urge treatment. In these cases the home is visited at intervals till treatment is obtained, or until the parent flatly refuses to obtain treatment. A great many so-called hypertrophied tonsils become normal sized after one or two years, without any treatment. Control of Infectious Disease. An effective system of reporting is absolutely necessary in order that any results may be obtained in the control of infectious disease. Our system is very complete, and it is most unusual for a case to go unreported. The teachers are particularly good in reporting. Many is the case that they have reported which the attending physician has forgotten or neglected to report. The teachers report every case of suspected infectious disease to the City Medical Health Officer and to the School Medical Health Officer. Parents notify the School and the City Medical Health Officers. Doctors report to the City Medical Health Officer. The City Medical Health Officer immediately informs the School Medical Health Officer by telephone as soon as any case of scarlet fever, diphtheria, small-pox, etc., occurs in a school- child or in the family to which a school-child belongs. When a teacher has reason to suspect infectious disease all children from that family are excluded from school and the School Medical Officer is notified. The case is visited by one of the school medical staff. If no infectious disease exists, the children are given certificates to return to school. If an infectious disease is present, information is given to the parent as to P 36 Medical Inspection of Public Schools. 1914 when it may be safe for the child to apply for a certificate to return to school, how to prevent *as far as possible any other children in the house or neighbourhood from catching the disease, and the parent is then asked to seek the advice of his family physician as regards diagnosis and treatment. If unable to pay for treatment they are attended by the Assistant City Medical Health Officer. As soon as a case of infectious disease occurring in a family from which children attend school is discovered, the class or classes affected are inspected regularly during the incubation period of the particular disease for which the children have been excluded from school. All desks then are thoroughly washed and disinfected. Rooms are fumigated and text-books, etc., destroyed whenever such a course is indicated. Children that have been absent for two or more days from school are reported systematically to the attendance officers. Children absent from an unknown cause or under suspicious circumstances are visited. Children found suffering from sore throat, rashes, etc., are reported to the School Medical Department, by whom visits are then made. This systematic reporting, home visiting, and class inspection has given us very good results. Scarlet fever and diphtheria have been reduced to a minimum. We do not expfect to have as favourable results, however, in measles, whooping-cough, mumps, and chicken-pox, as these diseases have longer incubation periods, and the children are therefore in school several days in an infective condition before the typical appearance of the disease becomes manifest, and the parents then keep the child at home. Dr. Underhill, the City Medical Health Officer, has, of course, full control of infectious disease, but by special arrangement children that have been out of school for measles, chicken- pox, mumps, tonsillitis, whooping-cough, etc., are personally examined by my medically trained staff (when no doctor has been in attendance) and are readmitted to school. Before my appointment certificates were issued to these children by the clerk in Dr. Underbill's office without any examination; Dr. Underhill being, of course, too busy to do it himself, and the clerk was unable to do so because he had no medical training. By giving this examination we have prevented children returning to school after scarlet fever and diphtheria when only a supposed sore throat or a heat-rash was the cause of the child's absence from school. The Mentally Defective (Auxiliary) Classes. These classes were started in 1911. At the present time there are some twenty-two attending. The following is a short table showing their mental ages as compared to their physical ages and their mental advance during the last year, to Goddard's modification of the Simon and Binet method : The tests were made according No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 l?0 21 22 Name. Gordon. Eva ... Willie.. Irene... Farrell . George . Deborah May Klden .. Hayden Dorothy George . Evelyn . Andrew Smith .. Florence Nathan. Frank .. Mac Alf Glendon Wilfred Physical Age. 14 9- 9- 10 12 13 12 9 8 13 13 13 11 11 17 11 16 15 14 16 10 Mental Age. 7 + 7 + 7 + 7 + 7 + 7 6 6 4 + 3 + 10J iof 10 9i &h 8h 7f 74 7 61- 5i Oi Progress during Past Year. >ne year. ne point. r..ro gain. One point. New. One year. Two points. Two points. No gain. New. No gain. No gain. One year. One year. One and one-half. Half year. One year. Half year. No gain. No gain. No gain. No gain. 4 Geo. 5 Medical Inspection of Public Schools. P 37 In addition to the twenty-two mentioned, there are some forty pupils in our public schools who are so very backward that for their own good, and also for the betterment of their classes, should be placed in special classes for backward children. The parents of these children were all visited, and some thirty of them were delighted to think that an opportunity would be given them to send their backward children to such classes. This was last November, but for some reason or other the class has so far not materialized, though I was assured that the backward class would probably open last February. Of the twenty-two defective children, twenty were examined. These showed the following conditions : Defective vision, 4 • eye-strain, 1 ; squint, 3 ; glasses, 5 ; deafness, 2 ; ears plugged with wax, 1 ; carious permanent teeth, 9 ; hypertrophied tonsils, 2 ; enlarged glands, 1 i pulmonary trouble, 2 ; deformities of spine, 3 ; deformities of chest, 2 ; deformities of extremities, 5 ; defective nutrition, 1 ; chronic rhinities, 1 ; eczema, 2 ; chronic suppurative dacryocystitis, 1 ; marked defects in speech, 2 ; epilepsy, 1 ; marked deviation of nasal septum, 1. Most of the children in these auxiliary classes will be unable to support themselves on leaving school. One boy of nineteen, a strong healthy chap, I was able to send to the Provincial Mental Hospital at Coquitlam, where he is doing very good work. He tried several jobs in Vancouver, but his employers would not keep him, as it required their constant attention to keep him at work. Some of the girls could be made very useful along domestic- science lines if they had constant supervision, and I trust that when the time comes in the near future when they must leave the auxiliary classes, that places may be found for some of them, and for some of the other boys, in our Provincial Mental Hospital, where they could be of much assistance (under supervision), earn their keep, and at the same time they would be under restraint, preventing further propagation, as far as they were concerned, of more defective children, and at the same time keeping them out of our gaols, where most of them would otherwise eventually go. Open-air Class-rooms. Two such class-rooms have been in operation at the Children's Aid School since November, 1913. The children in these classes certainly were healthy and free from colds when I last examined them some weeks ago. The new West Kitsilano School has been furnished throughout with the Whitney window. This window is of the folding type, and a class-room so equipped can in a few moments have one entire side opened out to receive the full benefit of fresh air. Other schools in the course of construction and future schools will be so equipped. Older schools not so well planned will be altered, so that, if the parents in Vancouver desire it, every child may attend an open-window class-room. If good ventilation and lighting are given to school-rooms, it becomes very important that the same conditions should exist in the home and in the buildings erected for offices and industries. If a child is trained and brought up in the open air and then is forced into a stuffy office to obtain a livelihood, he will more easily become a victim of tuberculosis than he would have had his system been trained to resist defective sanitation in his earlier days. To be logical, therefore, good ventilation and sanitation must be the practice in all walks of life, and when the Health Boards of our country are in a position to insist on such requirements a healthier race will be the outcome. School Buildings. During the last two months a member of this Department has been visiting the schools, in the large Eastern cities of Canada and the United States. The report goes that the schools in this city are planned and equipped so well from a sanitary point of view that they should be the envy of the older cities. All plans of school buildings are now submitted to the City Medical Health Officer and myself for examination, in order to reduce as far as possible errors in planning. Several plans submitted by architects proved most defective from a hygienic point of view. Such defect as right-hand lighting, insufficient lighting, very defective ventilation, crowding toilets into small, badly lighted rooms, etc., have been noted more than once. It would be a fine thing if trustees in rural districts and smaller towns could submit their plans to the Provincial Board of Health, where some official with a good training along such lines could examine the plans and be of assistance to trustees in having safe and sanitary buildings erected. P 38 Medical Inspection7 of Public Schools. 1914 Re Vaccination. Not more than 30 per cent, of our school population is protected against small-pox. Conditions are getting worse, so that in our receiving (baby) classes not more than 15 per cent. are protected. I endeavoured to have our Board pass a regulation requiring principals to see .that no child in the future was allowed to be entered on the school register without presenting a certificate of successful vaccination, or, failing to do this, to obtain a certificate of exemption from a Magistrate because of conscientious objection. The request was placed on file. If the Provincial Board of Health thought it desirable, the Education Department could assist in seeing that the vaccination regulations were enforced. School Dental Clinic. Last January the Board appointed Dr. R. C. Bamford as school dentist, and fitted up a room in the School Board Building for dental work at a cost of nearly $700. In addition to the appointment of a school dentist, lectures were given under the auspices of the Vancouver Dental Association to school-children, parents, and teachers on the cat-e of the teeth. Too much credit cannot be given to the Vancouver Dental Association for their active work in persuading the Board to appoint a dentist. The following are a few figures obtained from the Dental Clinic :— Number of children treated 123 Number of treatments 413 Hours of work 102 School Nurses. To our School Nursing Department belongs the credit for getting the practical results in our system of medical inspection. Without them our notices for physical defects would be of little avail. They go into practically every home and are received graciously and with pleasure. They have done much to improve hygienic conditions in poor families. Open windows in bedrooms of the less educated are, due to their efforts, becoming the rule. Many mothers have profited by the kindly advice they have been able to give about the little ailments and feeding troubles which are so common with children. By their work many children have been able to return to school, days and in some cases weeks sooner than than they would had they been left to their own resources. In this prevention of the loss of valuable school-time the nurses have saved for the State more than would pay their salaries. In their home visits the nurses come across all kinds of hard luck in money affairs', in health, and in happiness, and by their knowledge have been able to show means of relief to those distressed. Rents have been paid, clothing and food bought, and orphans and badly- used children placed in suitable homes. The teachers of our schools collected a large fund which they placed at the disposal of our nurses to buy food and clothing for those in need. It is needless to say that during the last hard winter the calls were many. We have only four nurses; we want more to multiply their good work. The school nurses, social service nurse, tuberculosis nurse, associated charities nurse, etc., have formed a Public Health Nurses' Association, which meets each month, so that they can effectively correlate their work. Am enclosing a few figures from the reports sent in by the school nurse, which I hope you may see fit to publish :— Number of inspections 61,877 ii exclusions 548 ii readmitted 490 i" home visits 3,519 ii visits for relief of poor 183 ii visits for hospitals and specialists 20 n visits to schools ■ 1,268 ii notices sent 6,834 ii swabs taken 18 n specimens of sputum 4 4 Geo. 5 Medical Inspection of Public Schools. P 39 Infectious Diseases. Number of pupils found with chicken-pox at home 146 H M chicken-pox at school 47 ii ii mumps at home 87 ii n mumps at school 14 n ii whooping-eough at home 48 ii ii whooping-cough at school 2 ii ii measles at home 40 Skin-diseases. Number of pupils with impetigo 78 scabies 43 ringworm 44 pediculosis (old) 1,238 pediculosis (new) 289 found unclean 253 Rules and Regulations. I am forwarding you a copy of the printed rules and regulations governing our schools in Vancouver. These have, of course, been approved by Dr. Young, and those affecting the Medical Department have been seen by you previously. Regulations bearing on the health of school-children are indicated by a X. Respectfully submitted, T. W. Brydone-Jack, M.D., School Medical Officer. VICTORIA SCHOOLS. Victoria, B.C., June 30th, 1914. The Secretary, Provincial Board of Hecdth, Victoria, B.C. Sir,—I beg to submit the following report on the medical inspection of Victoria City schools for the year ending June 30th :— An epidemic of mumps in two class-rooms in Kingston Street School and an epidemic of chicken-pox at Moss Street and Quadra, with a few cases of whooping-cough, scarlet fever, and diphtheria, occurred during the year ; otherwise the health of the children has been most satisfactory. Vaccination is not carried out to any great extent. The attention given to the teeth is still unsatisfactory, and there is great need of a dentist for those who are unable to meet the expense necessary to preserve the teeth. Enlarged tonsils, adenoids, and defective sight receive prompt treatment when parents are notified. Yours respectfully, H. J. Wasson, M.D., Medical Inspector. P 40 Medical Inspection of Public Schools. 1914 NEW WESTMINSTER SCHOOLS. Medical Officer's Annual Report, June, 1914. I beg to submit annual report for year ending June, 1914. The conducting of the work has been very similar to last year, though a few improvements have been made; e.g., in all the schools now the cards are better arranged. Formerly each teacher kept the cards belonging to his or her room ; now all cards are kept in a common room, to which there is access only by teachers and Medical Department. One of the Junior Class teachers who has good business ability is appointed by the principal to look after these cards (Junior Class teachers because they dismiss early and have more time). It is her duty to see that the cards are kept up to the roll of attending pupils. The advantages of this system are obvious :— 1. The number of cards and the roll-call correspond. Formerly, very often a card for the new pupil was forgotten. We lost the time necessary to fill in the teacher's part of the new card. If each pupil has not a card the matter is simply referred to the teacher in charge. Thus we have no delay in recording results of examination. 2. The Department can go to the card-room and at a glance can tell what rooms are examined and what not, the absentees in each room, etc. Formerly each teacher would have to be visited with a loss of time that cannot be computed. 3. Transfer cards are centralized. We have envelopes for the transfer cards. Each pupil when transferring has the card placed in the envelope of the school where such pupil is going. These envelopes are emptied periodically and the cards forwarded. 4. In case of absence from infectious disease the card is easily got at, to record such absence and return. In connection with the filing and care of the cards, a word of praise is due to the pioneers in the working-out of the system practically. The Herbert Spencer School are the pioneers. Mr. Fennell and Miss Peebles gave us the best possible support. The other schools are now in line with one exception—the F. W. Howay—and here there is not a suitable office for filing. We hope that matter will be remedied by next term. Re infectious diseases : Epidemics in this come and go, and a great deal depends on the parents as to the rapidity of cure and the absence of the spread of infection ; e.g., in the case of pediculosis nearly all our trouble this past year has been with two families—cured and reinfected—until they could be persuaded to cut the hair closely. Impetigo was also confined to a select coterie. Exclusions were as follows :— Skin-diseases. 1911-12. 1912-13. 1913-14. 18 27 5 19 1 9 5 16 23 6 6 During the past year 2,023 physical examinations have been made, as compared to 1,958 last year. The advance here is very striking :— Cases. 1912 -13. 1913-14. No. Treated. No. Treated. 181 327 1,021 57 56 330 236 476 420* 1761 182 Enlarged tonsils Defective teeth. ... 195 448 16 t Temporary. 4 Geo. 5 Medical Inspection of Public Schools. P 41 Re tonsils and adenoids : The attention of the parent is drawn to the condition existing in the child's throat in case of enlargement of tonsils, etc., and the parent is advised to consult the family physician regarding it. A great many of the mistakes in treating children come from the fact that attention is never directed towards the seat of trouble. The work of this Department is to direct the attention to the place where expert advice is needed. Sometimes it is a difficult question to decide in the examination in the school just what course it would be advisable to pursue. Sometimes the history of the case is indispensable, and the child is too young to give an accurate history. Sometimes lack of time forbids the extended examination necessary. Sometimes, also, a further examination would frighten the child and the absent parent would get a distorted statement of the facts. Therefore, all that is done is to refer the suspicious cases to the family physician, who can go into the examination at his leisure. No recommendations are made as to treatment, though, of course, these cases would not be referred to the physician unless there was a belief that they might require special treatment. Now, of those cases so referred the percentage of treatments is rising. 1912-13. Per Cent. 231 141 1913-14. Per Cent. 431 29 Of course this percentage is not absolutely correct, as we find it very difficult to find out whether a case has been looked after or not until the examination next year; even then, owing to the frequent changes of medical cards, we have scant chance of comparison with former years. However, it is remarkable how many cases are treated after the notice is sent home, and of the untreated cases some of the parents are opposed to operations, etc., even though it undoubtedly is a case suitable for treatment. Also, a large percentage of cases listed as defective are not deemed severe enough to send notice recommending treatment. But perhaps the most radical improvement is shown in the care of the teeth. Last year we kept no differential record between temporary and permanent teeth. This year, however, special attention has been directed towards the permanent treatment. We have record of more treated than defective cases; i.e., over 50 per cent, of total defective teeth have been treated. In the case of the temporary teeth, this year only the ones that threatened the permanent teeth or required other treatment were put on record ; therefore the total is lower than last year. Another point is, the care which the children are taking of their teeth. Whole classes are gone through sometimes without a notice being required or a criticism re cleanliness given, and that is a great contrast with previous years. Re infectious diseases, etc. :— Disease. Scarlet fever Measles Pertussis ... Diphtheria . Mumps 1912-13. 1913-14. 13 3 7 16 2* 6 4 ..t 2 * Not in school. Excluded after finding out disease, t How many cases not reported. Question as to how many cases not reported. In every disease the number of cases has been lower than last year, and in no instance has there been any spread in the school. Prompt measures have been taken to prevent extension of disease, and in every case have been successful. Let me again draw your attention to the non-reporting of cases of measles, mumps, and whooping-cough. We hear of cases, maybe after they are back in school with an insufficient exclusion period and a consequent spread of infection. It seems a travesty on justice to keep out the child whose parents are P 42 Medical Inspection of Public Schools. 1914 honest and report infectious trouble, while those who do not report keep on attending school and spreading the disease. If diseases were made reportable—even if not quarantinable—we would have a great deal more control of infectious disease. Re heating and ventilation: Under the careful and efficient guidance of Engineer McKenzie this system has reached its maximum efficiency. Complaints to our Department are becoming very few indeed. The equipment of the Duke of Connaught High School is excellent. I would like again to draw your attention to the air-intakes. They are too near the ground and not screened, and too much dust is drawn into the rooms. The school nurse, Miss Wright, is now in the East taking up some new work which ought to be very valuable in our curriculum. We will probably see it introduced during the coming year of the schools. Her work during the past year has been carried on with her accustomed energy, and has shown good results. But in order to progress we must be up with the times, and this "Post Graduate" work of Miss Wright's will help the Department of School Nursing more than we can realize at present. It will more than recompense for lost time and harder work entailed by her absence for these past two months. In conclusion, I would like to thank your Board, your Municipal Inspector, and your officers, and especially the Secretary, Mr. Gray, and Engineer J. E. McKenzie, for courtesy and help when needed. (Signed.) E. H. McEwen. REPORTS ON RURAL MUNICIPALITY SCHOOLS. DELTA SCHOOLS. Ladner, B.C., June 30th, 1914. The Board of School Trustees, Municipality of Delta. Gentlemen,—I beg leave to submit my report on the medical inspection of schools for this municipality for the year ending June 30th, 1914. During the year I have made two regular examinations of the children of the various schools of the district, together with the school buildings, water-closets, etc. Besides this, several special visits were made to the following schools : Twice to Boundary Bay, to investigate an outbreak of chicken-pox, in which case it was thought advisable to close the school for two weeks ; once to Anneville, to investigate reported cases of scarlet fever ; these were duly reported to the Medical Health Officer for quarantine, and as no further cases developed the school was kept open; once to Westham Island, to investigate reported cases of whooping-cough, which was found to be severe colds with bronchitis. The children were kept home until coughs had subsided. Such conditions not only disturbed the school, but children with bad colds are not in a fit condition physically to be at school and are better home until cured. Visited graded school to investigate reported cases of scabies (itch), but found the school free from such disease. In all, 607 regular examinations were made during the year; 310 children were examined during the first and 297 at the second examination. Complete examinations were made in each case of the eyes, ear, nose, and throat, also the heart and lungs, as well as the general physical condition of the child. The defects and diseases when found were duly reported to the parents or guardians of the children, with the result that a good many of the children received treatment. There was no opposition, but, on the other hand, every encouragement and support was given by children and parents. 4 Geo. 5 Medical Inspection of Public Schools. P 43 As I stated before, there were 607 examinations made, or an average of about 30.3 children examined. The percentages of defects and diseases as compared with last year are as follows :— Malnutrition ... Adenoids . .. . Enlarged tonsils. Defective vision Decayed teeth .. 1913. 1914. Per Cent. Per Cent. 16.1 13.2 39.9 22.1 50.3 33.3 18.6 16.1 33.5 34.3 Taking these defects and diseased conditions alone as the most common, we find a decided improvement in all except decayed teeth. The Department is now making special effort to draw the parents' attention to the necessity of caring for the teeth by issuing a circular entitled " Care of the Teeth." For the last examination of this year I was provided with a portable screen, which enabled me to conduct the examinations of the heart and lungs to a better advantage. As the result of this examination, I found one child suffering from chronic appendicitis, which was duly reported to the parents along with suggestions for treatment; six cases of weak heart-action, due in all cases to a general anaemic and weakened condition; and two cases of diseases of the eyelids (blepharitis), all of which were reported to the parents. Re sewage and sanitary arrangements, etc. : The school-sites are as a rule comparatively healthy, except Sunbury and Canoe Pass, which are too low and poorly drained, especially during the winter months. Westham Island would also be improved by better drainage. As to sanitary arrangements, these are kept as clean as such systems will allow, but the systems of closets in the rural schools are not good at the best. The cement and brick pits fill up with water and emit a certain amount of odour in spite of every care; while earth pits become foul in warm weather owing to the ground becoming saturated with excreta. Where water for flushing is available, I would strongly recommend the installation of septic tanks and flush closets. I must acknowledge with gratitude the assistance rendered me by your Honourable Board during the past year. I have, etc., A. A. King, School Mediccd Inspector. SOUTH VANCOUVER SCHOOLS. Cedar Cottage, Vancouver, B.C., June 30th, 1914. Walter Bapty, Esq., M.D., Acting-Secretary, Provincial Board of Health, Victoria, B.C. Sir,—In forwarding my report on the sanitation of South Vancouver schools, I beg to state that things have remained pretty much in statu quo during the past year, and I refer you to the report of 1912-13 for details connected with heating, lighting, ventilation, dimensions of rooms, with seating capacity, kind of toilets, drainage, etc. A more liberal provision should be made for drinking-taps or fountains in some of the schools. I would strongly condemn the use of the trough system of toilets which exists at Brock and Mackenzie Schools, as it permits of much contamination, and with infrequent flushing, as every twenty minutes, is decidedly unsanitary. We are using antiseptics and deodorants this year for the first time for cleaning the school furniture and toilets. With the use of a hygrometer and carbonic-acid meter, I have tested the air in the various school-rooms for humidity and organic impurities. The relative humidity ranges from 30 to 48 per cent., which is under the normal and could be rectified by injecting steam into the mixing-chamber. Any defects found in impurity have been corrected by the School Architect. P 44 Medical Inspection of Public Schools. 1914 Our hot-air system of heating, including propulsion by fans, has shown a discrepancy of many degrees above or below normal at different hours of the day throughout the year. Repeatedly I have noted temperatures of 75 to 78 degrees in some rooms, while others in the same building were 55 to 60 degrees. An effort was made to rectify this by regulating the thermostats with some degree of success. Much work has been done in levelling and beautifying the school-grounds with flowerbeds, and I believe it is the intention of the Board to install recreation appliances, as swings, etc., in the very near future. Yours faithfully, T. V. Hunter, School Health Inspector. SOUTH VANCOUVER SCHOOLS. Cedar Cottage, Vancouver, B.C., June 30th, 1914. Walter Bapty, Esq., M.D., Acting-Secretary, Provincial Board of Health, Victoria, B.C. Sir,—I beg to submit the following report on the South Vancouver schools for the year ending July 1st, 1914 :— There has been a steady improvement in the health and general physical condition of the children throughout the year, and results, though not flattering, have been decidedly more encouraging than at any time during our- tenure of office. This to a certain extent is due to the inauguration of a small clinic for handling the specialties in charity cases. The school clinic may justly be termed the complement of medical inspection, and I trust the time will soon come when we will be able to say, as we do of medical inspection, that the clinic has come to stay. During the past year we have experienced a more hearty co-operation on the part of the teachers, which contributes to the efficiency of our work. Enclosed form contains statistics of all contagion and physical defects throughout the year. Yours faithfully, T. V. Hunter, School Health Inspector. REPORTS ON RURAL AND ASSISTED SCHOOLS. NORTH SAANICH SCHOOLS. W. Bapty, Esq., M.D., Acting-Secretary, Provincial Board of Health, Victoria, B.C. Sidney-, June 9th, 1914. Sir,—I beg to report that, following the instructions issued by the Department of Medical Inspection of Public Schools for British Columbia, I have inspected the four schools of this district, and have duly filled in the various papers covering the subject, copies of which are enclosed. With the idea of improving certain conditions which stand greatly in need of attention, I beg to draw the attention of the Board to the difficulties in regard to the care of the children's teeth in the outlying districts ; owing to the loss of time and expense involved in taking them to town to consult a dentist, their teeth are, in the vast majority of cases, given no attention whatsoever, with very disastrous results in many cases. If any occasional attention could be given the schools through the attention of a dentist who might make periodical visits to the different districts, I feel sure that good would accrue. Trusting that my report will be found in order, I have, etc., Wm. Gordon Cumming, Medical Inspector, North Saanich. 4 Geo. 5 Medical Inspection of Public Schools. P 45 RURAL SCHOOLS. Victoria, B.C., June 1st, 1914. The Secretary, Provincial Board of Health, Victoria, B.C. Sir,—I have the honour to report that I have visited the various schools in my district and examined all children attending. The general conditions are fair ; buildings generally in good condition. The new buildings erected in the past year, particularly the one at Colwood, are not satisfactory in the matter of light and ventilation. Water-closets generally are not satisfactory ; the Red Cross model supplied to Happy Valley and Otter Point are a dismal failure, and the boxes at other schools are not satisfactory. I would recommend that in all schools where water-flushing is not possible a bucket system (dry earth) be employed. Cards and records are somewhat better kept, but there is much need for improvement in this respect, particularly in the case of locally trained teachers. I would like to point out the need for compulsory vaccination in the district, the unvacci- nated outnumbering the protected by more than two to one, and one school not having a single vaccinated child attending. Statistical report, duplicate circulars, and voucher are appended. I have etc., Edward C. Hart, School Health Inspector. DENMAN ISLAND SCHOOL. Denman Island, June 24th, 1914. W. Bapty, Esq., M.D., Acting-Secretary, Provincial Board of Health, Victoria, B.C. Sir,—I beg to submit the following report on the medical inspection of Denman Island School:— The school-site is exceptionally situated for health conditions, well lighted, heated, ventilated, and painted. The seats and desks are of the latest pattern and very good. There is ample accommodation in toilets, five being provided for both boys and girls. The water-supply is good and free from any contamination with sewage, and the well has been recently cleaned. The playground is ample and has been enlarged and well fenced. In regard to the general health of the children, there is little to say, except that they are exceptionally healthy, clean, well dressed, and under good home conditions. I can truly say that few schools can show a more healthy lot of children. There have been no cases of infectious disease on the island this year. There has been a great improvement in the matter of care of the teeth, and many of the children have been to a dentist and had the defective teeth removed or filled. The school is now quite full, and a new school should be built, or another one built on the south-west side of the island, to avoid the long distance the children have to walk to school. I have etc., H. Meadows, M.B., School Health Inspector. VICTORIA, B.C. : Printed by William H. Ccllin, Printer to the King's Most Excellent Majesty. 1914.
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Original Format: Legislative Assembly of British Columbia. Library. Sessional Papers of the Province of British Columbia
THIRD ANNUAL REPORT ON THE MEDICAL INSPECTION OF PUBLIC SCHOOLS OF THE PROVINCE OF BRITISH COLUMBIA FOR THE YEAR ENDING JUNE 30TH 1914.
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