@prefix ns0: . @prefix edm: . @prefix dcterms: . @prefix dc: . @prefix skos: . ns0:identifierAIP "6d2950f0-d2a8-430d-9374-be620f5e5e38"@en ; edm:dataProvider "CONTENTdm"@en ; dcterms:alternative "BOARD OF HEALTH REPORT, 1928-29."@en ; dcterms:isReferencedBy "http://resolve.library.ubc.ca/cgi-bin/catsearch?bid=1198198"@en ; dcterms:isPartOf "Sessional Papers of the Province of British Columbia"@en ; dcterms:creator "British Columbia. Legislative Assembly"@en ; dcterms:issued "2016-03-08"@en, "[1930]"@en ; edm:aggregatedCHO "https://open.library.ubc.ca/collections/bcsessional/items/1.0300606/source.json"@en ; dc:format "application/pdf"@en ; skos:note """ PROVINCE OF BRITISH COLUMBIA THIRTY-THIRD REPORT OF THE PROVINCIAL BOARD OF HEALTH INCLUDING EIGHTEENTH REPORT OF MEDICAL INSPECTION OF SCHOOLS, YEAR ENDED JUNE 30th, 1929 PRINTED BY AUTHORITY OF THE LEGISLATIVE ASSEMBLY. VICTORIA, B.C. : Printed by Chaih.es F. Banfield, Printer to the King's Most Excellent Majesty. 1930. Provincial Board of Health, Victoria, B.C., November 30th, 1929. To His Honour Robert Randolph Bruce, Lieutenant-Governor of the Province of British Columbia. May it please Your Honour: The undersigned has the honour to present the Report of the Provincial Board of Health for the year ended June 30th, 1929. S. L. HOWE, Provincial Secretary. REPORT of the PROVINCIAL BOARD OF HEALTH. Provincial Board of Health, Victoria, B.C., November 30th, 1929. The Honourable S. L. Howe, Provincial Secretary, Victoria, B.C. Sir,—I have the honour to submit the Thirty-third Annual Report of the Provincial Board of Health for the year ended June 30th, 1929. In the reports issued by the Provincial Board of Health during the past eight years we have commented on the establishment of various branches of the Department to meet the advances in the application of the principles of prevention as applied to health-work, and have been able, from time to time, to report advances as shown by results which we have described. While we recognize that this was evidence of close application to the principles, yet the story as a whole lacked that co-ordination of the different branches of our work at which we were aiming. This year we feel that we can submit such evidence as will have justified all expenditures and effort that has been made. The success of the work, as we have always recognized and said, must depend upon an awakened public mind. To all who are engaged in health-work, I need not say that public education is the haMest, most onerous, and, at times, most discouraging aspect of our efforts. We can only in the practical application of our teachings keep just a step or two ahead of public opinion, and unless we can continue to stimulate this and to adduce convincing arguments, progress is slow, but we have reached the point now where we can show such results as to convince even a doubting Thomas. We have had occasion during the past year to meet in conference the governing bodies of local organizations, particularly amongst the women, and also met the school trustees assembled in annual convention. The results were such as to convince us that we have made not only solid but remarkable progress. To the school trustees we were able to demonstrate the saving in money, which to these gentlemen who are spending the taxes is the crucial and only argument that carries weight. We were very much struck indeed in addressing the different meetings with the attention that was paid to us, and particularly gratified with the fact that, after closing the address and throwing the meeting open to discussion, we were bombarded with questions which showed on the part of the questioners every evidence that they had studied the subject and were not only alive to its importance, but determined that the work should be extended as rapidly as possible. There will be included in this Report reports from medical officers and nurses outlining the plan of their work and giving the results obtained. The general work of the Provincial Board of Health envisages the health of the community as a whole, the allocation of affections to particular causes, and a determination of the means of prevention. Each one of the departments seems to be of major importance, and the difficulty is very often to prevent the attention of the staff from being focused on some particular interest to the apparent neglect of the object to be obtained by a thorough eo-operation as between all branches. We have to demonstrate results in all these branches in order to ensure the attention of the public and to demonstrate to them the fact that our general plan is not to cure particular diseases, but to so regulate the conduct of the people as to convince them that many of the ills, for. which they are vainly seeking cures, can be prevented. As we have progressed, we have in our teachings iterated and reiterated to the public the basic idea of prevention. While expression from the medical profession on this point has been delayed, yet advances being made now and given effect to in our universities show that the profession are recognizing their common interest with the health authorities, and both are now less interested in cures than in maintaining the general health of the community. Full and free co-operation as between the health authorities and the medical profession would serve the common ends of humanity, and it is becoming more apparent as we dig deeper and deeper into the problems of public health that there is a great lack of knowledge which only the medical profession could remedy. There remains much to be learned, and, when it has been learned, much to be applied. U 6 BRITISH COLUMBIA. TUBERCULOSIS. Press dispatches have shown that the death-rate in British Columbia from tuberculosis is the second highest in the Dominion of Canada. The news item as reported in the lay press places us, on the face of it, in an unenviable position, but we would beg leave to point out that, while British Columbia has a death-rate of 108.2 per 100,000 population for 1928, 35.2 per cent, of this is due to North American Indians. The Province is not responsible for their care or supervision, and the balance of the population, including the Chinese, Japanese, and East Indians with a tuberculosis death-rate of twice that of the whites, has a death-rate per 100,000 population of 70 in round numbers. Therefore it compares fairly well with the average for Canada. In addition to being obliged to include the deaths from tuberculosis amongst the Indians, we have also to face the fact that many cases are sent to British Columbia on account of climatic conditions. In addition to which, you must add the fact that in the Tranquille Sanatorium 400 cases of returned men, who demobilized in British Columbia, were treated, not one of them originating in British Columbia. The Province is not responsible for the care of the Indian population, and it is becoming more and more evident that the Federal Department of Indian Affairs w-ill have to devote particular attention to the tuberculosis conditions amongst the Indians in British Columbia. While the Federal Indian Department is devoting much time and money to the care of sickness amongst the Indians, they have not as yet considered nor adopted means whereby preventive . measures may be instituted. The Provincial Government, on the other hand, is endeavouring to deal with the question in as practical a way as possible. An additional wing of 100 beds has been added to the Tranquille Sanatorium, making a total of 346 beds, and there are in the Cities of Vancouver and Victoria beds provided for 124 cases. Institutional care we consider as decidedly helpful and an economic procedure in so far as the State is concerned. In a recent pamphlet issued by the Canadian Tuberculosis Association figures are given for the different Provinces, and the question as to the efficiency in results as between State institutions and those under Provincial committee control does not prove predominate benefit from either one. It is hardly fair to compare the results as between British Columbia and Saskatchewan when you take into consideration the fact that British Columbia has not developed the number of tuberculosis cases that has been developed in Saskatchewan. Saskatchewan is not considered a health resort; British Columbia is. In British Columbia not only the deaths amongst the Indians, over whom we have no control, are charged against us, but we have to add to this the large number of cases that come to British Columbia, as is evidenced by the figures mentioned above in connection with the returned men. We are carrying on an active campaign under our Tuberculosis Officer, and through the Public Health Nursing Service, in an endeavour to discover the incipient cases, which brings us to a realization that more beds will have to be provided for tuberculosis cases. On the other hand, Provincial control provides for removing from the population as a whole, with a consequent decrease in infective foci, all people who are not financially able to procure treatment. In a recent criticism by one competent to speak on the subject, the statement is made that the rate of deaths has been increasing since 1922. The official figures published do not bear out this statement. For six years, including 1922, the highest point was 0.96 per thousand, the lowest 0.93. In 1928 it was 1.08, and this increase was due to a larger death-rate amongst the Indians. VENEREAL CLINICS. Our venereal clinics are carrying on their work in a most satisfactory manner. Their real purport is being better understood by the public, and without very much effort on our part the attendance is increasing and we are working our clinics to capacity. We have had to enlarge the accommodation in the clinic in Vancouver three different times. Educational work is also being carried on through different agencies, and we are satisfied that there has been an appreciable control of the disease established—that is, on the curative side—and these results are being shown by the decrease in the number of patients in our mental hospitals due to this cause since the inception of our work. The preventive side is a problem which requires very earnest work to bring about appreciable results. The control of the infected person, especially in our cities, is a problem to which BOARD OF HEALTH REPORT, 1928-29. U 7 no satisfactory solution has been offered, other than the hope, by education through meetings and literature, of impressing upon the rising generation the real dangers of venereal disease. One striking result, as we gather from our reports, is the account given by the drug trade of the great decrease in requests for " quack" remedies and the increase in the demand for prophylactic packages. We take it that this is one of the best indications of advance in the education of the public. LABORATORIES. I have to report increased activity in our laboratories, and this brings us to a consideration of a question which will have to be faced in the not-far future, of the establishment of a Provincial Laboratory. We already have the nucleus of such in Victoria. This has not been used owing to the adoption of the policy of subsidizing existing laboratories in the larger centres, but with the increase in our work, necessitating larger grants, we are coming to the point where there must necessarily be demanded of the laboratories subsidized an increase in space and an increase in personnel. The increase in the laboratory-work is not confined to the public-health side. The clinical side is, through the medical profession and hospital authorities, demanding greater consideration. We are going through a period of change that has come to other Provinces and States, where it is difficult to preserve a balance. The amount of work per capita carried on in our laboratories is amongst the highest on the continent. There is at present sitting a Commission to investigate our largest hospital, and on receipt of their report we expect that this question will be dealt with. While we cannot forecast, still we feel that the representations made will show the difficulties that we are contending with, and possibly the recommendation will be for the establishment of a Provincial Laboratory dealing purely with the public-health work. We will recommend this, and we feel that the question of the cost will have to be faced within the next year. The work as carried on is efficient, but the public demand, more especially in regard to the question of water, milk, and foods, is difficult to meet under present conditions. In connection with the laboratory-work, vaccines and antitoxins are sent out free on request, and for the year ended June 30th, 3929, the following have been furnished: 16,171 points smallpox vaccine, 9,936,000 units diphtheria antitoxin, 1,212 doses diphtheria toxoid, 4 packages Schick test for diphtheria, 234 packages 2 cc. (prophylactic) scarlet fever antitoxin, 262 packages 15 cc. (curative) scarlet fever antitoxin, 10 packages Dick test for scarlet fever, 12 doses scarlet fever toxin (for active immunization), 347 doses typhoid vaccine, 38,000 units tetanus antitoxin, 12 packages pertussis (whooping-cough) serum, and 95 packages 20 cc anti-meningococcus serum. SANITATION. Under the general head of sanitation, we are concerned with the larger problems in regard to water-supplies, sewerage, transportation, public buildings, and more especially with the logging and mining camps and the inspection of fruit and fish canneries. The work in regard to the conservation of water-supplies in our two principal cities is being carried out in a remarkable manner. The conservation of the water-supply is being provided for, and the present plans, which have been given effect to, will provide water-supplies under any climatic conditions far in excess of the needs of the population to be served. These water-supplies are under constant supervision. No one is allowed on the watersheds, which have been reserved from all other uses, unless they are subjected to tests to show the absence of possibility of contamination. Nature has been very kind to British Columbia in this respect, and we have, fortunately, in charge of these departments men who have realized their obligations and have proved themselves to be peculiarly situated, both from temperament and knowledge, to handle this very important question. We have not, in British Columbia, been obliged to install a chlorinating plant. The majority of the supplies are obtained from mountain streams which are tapped at points above possible contamination, and the future in this respect is assured. Cemetery-sites approved.—Peachland (extension), Campbell River, Swift Creek, near Armstrong (private), Longbeach, and Fort St. John. U 8 BRITISH COLUMBIA. Sewage-disposal Systems approved.—South Vancouver (extensions), Delta Municipality, Nelson (extension), Prince Rupert (extensions), North Vancouver City (extension), Vernon (remodelling disposal-works and extensions), Vancouver (extension), and Chilliwack Municipality (extension). Water-supply Systems approved.—Burnaby Municipality (extension), South Vancouver (extensions), New Westminster District (Amiens Farm, Soldier Settlement Board), Summer- land (renewal), Saanich Municipality (extension), Trail (new reservoir and renewals), Prince Rupert (extensions), Courtenay (extension), Richmond Municipality (renewals), Vancouver (extensions), Delta Municipality (renewals), Cranbrook (extensions), Vernon (replacements and extensions), Revelstoke (renewals), and Rossland (renewals). Water-supplies approved for Mineral-trading Purposes.—Ainsworth Hot Springs. PUBLIC-HEALTH NURSING. The advances made in this department of the Board have been most gratifying. In my opening remarks I referred to some meetings which had been held in connection with voluntary organizations and pointed out the great interest that is being taken in the work. I have also stressed the fact that the success of our work depends upon educating the public to an understanding of our policy and of demonstrating to them from its application that the claims we make are justified. We have succeeded in doing this to an extent that we find difficulty in meeting the request for trained Public Health Nurses. The one great advance that has occurred, in the public mind, is the fact that they are considering our nurses as teachers—teachers of health—and not bedside nurses, and they are realizing that the responsibility of providing for the people proper methods of teaching and the instillation of ideas that would tend to prevent disease and conserve health is the basic principle upon which they must work. Our progress along these lines is shown by the fact that we have adopted the ideas that are now recommended highly by such men as President Hoover of the United States and Sir Henry Thornton of the Canadian National Railway, and illustrates the fact that the public are being educated. In an article by Sir Henry Thornton, appearing in the press over his own signature, amongst other things he says :— " Man-power—that's the secret of industrial success. Electricity, in its elemental qualities, is an absolutely standard thing, but companies succeed or go broke in the way they serve it to the public. My greatest concern and my greatest asset in my job has been my men. Yet that angle has been neglected by industry more than any other element. " For instance, in the railroad business we creosote ties and paint bridges and oil engines. They are materials. We conserve them : the successful business is the one that does the same for its men. It is an unlimited field because it is so fallow. Nine months ago, for instance, the Canadian National started a clinic, operating among 10,000 employees. The actual saving in dollars for that time was $15,400, which was saved in fees. We cannot estimate what the saving will be in arrested diseases, time that might otherwise have been lost, increased efficiency, and happiness. Nobody knows, for instance, how much headaches cost a big company, until he finds the work stepping up in a certain department because a few persons procured glasses. Nobody likes to be ill, but many persons draw sick benefits when they would be happier and more prosperous at work. " I admit to an obsession in that regard—to apply the same rules to human materials as to inanimate ones; if a tie can be given longer life by creosote, then a human piece of material can be enhanced the same way by diagnosis, by justice, by a feeling of equality, and by industrial and personal happiness." President Hoover, in speaking on the subject of the nation's health, a Federal matter, says:— " The advance in scientific discovery as to disease and health imposes new considerations upon us. The nation as a whole is vitally interested in the health of all the people; in protection from spread of contagious diseases; in the relation of physical and mental disabilities to criminality and in the economic and moral advancement which is fundamentally associated with sound body and mind. The organization of preventive measures and health education in its personal application is the province of public-health service. Such organization should be as universal as public education. Its support is a proper burden upon the taxpayer. It cannot be BOARD OF HEALTH REPORT, 1928-29. U 9 organized with success either in its sanitary or educational phases except under public authority. It should be based upon local and State responsibility, but I consider that the Federal Government has an obligation of contribution to the establishment of such agencies. In the practical working-out of organization, exhaustive experiment and trial have demonstrated that the base should be competent organization of the municipality or other local unit." I will not enter into the detail of our public-health nursing here, but later on in this Report, under the section dealing with the schools, I will publish reports which will give in detail the plans of our work. HEALTH UNITS. The suggestion offered by President Hoover, in regard to a competent organization of the municipality or other local unit, has been demonstrated in British Columbia. The first unit to be established was in the Municipality of Saanich. AVe had begun there with a Nursing Service, consisting of one nurse. We built this up until we had four nurses, and in addition a $25,000 building was put up by the municipality, to be known as the War Memorial Health Centre. Much opposition- was experienced, but perseverance won, and in September, 1927, we established the full-time health unit, with a full-time Medical Health Officer, four Public Health Nurses, Sanitary Inspector, and some clerical assistance. In the school-year of 1925-26 the municipality had paid out for isolation hospital charges to the City of Victoria for infectious cases, $5,600; in the following year this was reduced to $1,100; and in the school-year of 1927-28 the cost had been reduced to $100. In addition to the above saving, the school report for 1928-29 shows in the report of the Municipal Inspector of Schools as follows: " While retardation has cost Saanich over $17,000 in 1927-28, for the last year the cost of repeaters has been kept down to $11,000." In other words, with the saving of isolation hospital charges and the saving in regard to repeaters in the schools, the full-time health unit has saved the municipality $12,000 in two years—an argument that should convince any one without having to appeal to the humanitarian side. A full account of the work done in Saanich will be found in this Report in an article written by Dr. Berman, the Medical Officer in charge. It is well worth reading. In addition to Saanich, we have established, beginning in August, 1929, a full-time health unit in Kelowna, with a full-time Medical Health Officer in charge, together with two Public Health Nurses. We are rapidly following in the steps, in regard to improvement, that has been noted in Saanich, and I am including a full report of the nursing-work under the head of the school-work in the Province. Those who are interested will find that all the arguments we have been advancing for the establishment of the public-health work in British Columbia are fully substantiated in the results we are obtaining in these two health units. There are other units which have full-time men in charge, but have not been rounded out yet in regard to the additions to the staff, but we hope during the next year to have these with a complete personnel. In all of the units the work of immunization against diphtheria has been carried on with surprisingly good results. INFECTIOUS DISEASES. We have not as favourable a report to make in regard to infectious diseases as last year. There have been a large number of cases of measles and mumps. As regards these two affections, the numbers for the past year might be regarded as being a peak-load, and for the next three or four years there will be a great diminution in the number under this head. We regret, however, to record a large increase in our diphtheria cases. We have to report 985 cases, as against 578 for the previous year, an increase of 407. Of these 985 cases, 747 were reported from Greater Vancouver, and it is to be regretted that our commercial capital should be the largest contributor to the infectious diseases. It is to be regretted the more when we consider the fact that a very simple procedure will prevent diphtheria. We are demonstrating in other parts of the Province the effectiveness of this treatment, and when you consider the seriousness of diphtheria as a disease, and particularly as to the after-effects, it would appear to us that those in authority in the cities and municipalities should assume the responsibility of allowing the menace to our children to continue. Diphtheria more than any other infectious disease leaves weakness in its train, particularly in regard to the effects on the heart, and as the deaths from heart-trouble in middle and advanced age are increasing from year to year, to say the least it would be advisable to try and prevent the attacks of diphtheria. In regard to smallpox, we have, as usual, the largest per capita, number of cases of any Province in the Dominion, and the same arguments as regards prevention, as mentioned above in regard to diphtheria, apply to smallpox. There is no reason to have to report, as we have had to in the past two years, increases in the number of cases. It is gradually creeping up; in 1926-27 there were 252 cases; in 1927-28, 368; and in 1928-29, 738. If this increase continues it will mean that other countries will place us under a ban, which means an enormous cost to business in British Columbia. The responsibility of this must rest upon the governing bodies in the cities and municipalities. Under the "Health Act" the officials of these places are the Local Board of Health, and the enforcement of the health rules and regulations rests upon them. During the year we have engaged the services of Dr. Alexander R. Chisholm. His duties are primarily that of an Epidemiologist, which means that he will have charge of all infectious diseases. He is ready to leave at any time an outbreak is reported and co-operate with the local authorities in enforcing the health rules and regulations. Dr. Chisholm is specially trained in this work, having selected public-health work as his specialty, and has a remarkably good record of his work already done. He has had three years' experience in large centres in this work. During the past year it appeared that we might have a serious epidemic of poliomyelitis (infantile paralysis). Poliomyelitis appeared first in epidemic form in 1916 in New York. Previous to that it had been very rare in North America, but since then it has gradually crept over the country, and durng the past year a large number of cases have been reported from the different States, nearly every State in the Union being affected. A very severe epidemic broke out in Manitoba, centring in Winnipeg, and while we have to report 116 cases in British Columbia during the year, yet at no time did it assume an epidemic form, as these cases were distributed throughout the Province. Following the epidemic in the Okanagan in 1927, we collected blood serum from as many cases as we could reach who had survived but who had developed paralytic symptoms, and were in a better position this year with the serum on hand to combat the outbreak. There was an increase in the number of scarlet fever cases, going from 401 the previous year to 600. Our treatment of scarlet fever has improved greatly, and fortunately the epidemic was of a mild character. The use of scarlet fever- antitoxin cuts the cases short, and has been very helpful indeed in preventing the after-effects, which are usually severe, particularly in infections of the kidneys and of the hearing. The following is an account of the location of the epidemics, such as they were, during the past year:— Chicken-pox.—Lytton, Michel and District, Nelson, and Revelstoke. Measles.—Alberni, Burnaby Municipality, Chase, Field, Kamloops, Merritt and District, Nanaimo and District, Oliver, Port Alberni, Saanich Municipality, Summerland, and Woodfibre. Mumps.—Alberni, Cumberland and District, Delta Municipality, Enderby District, Michel and District, Nanaimo and District, Nelson, Port Alberni, Revelstoke, Saanich Municipality, and Trail. Whooping-cough.—Coalmont and District and Ocean Falls. We are carrying out as active a health compaign as we can. We have distributed from this office during the past year 238,815 pamphlets and bulletins on various subjects. We have distributed these at the fall fairs, through various organizations, etc. We are pleased to note that our school-teachers are becoming much more alive to this question of epidemics in their schools. We have had many requests for literature from them. I have to repeat a request made last year; that is, for consideration on your part for increased accommodation for our Department. Each branch of our Department is showing a wonderful growth, and particularly so in the Vital Statistics Branch. We are appending a full report of the Medical Inspection of Schools, and I think any one reading it will find it very interesting in the demonstration that we are able to give of the effectiveness of our plans, and, more especially, interesting in the results we are obtaining. BOARD OF HEALTH REPORT, 1928-29. U 11 The work has grown to such proportions that it is taxing the limits of the staff and emphasizing the necessity for increased accommodations. We can truly say that we have accomplished the main purpose of our work—that is, educating the public—and my request for increased facilities is based on the demands from the public for expansion of our work, and these demands are becoming very insistent. I would like, Sir, to express, for myself and staff, appreciation of the co-operation which we receive from yourself, and I may say that the staff and myself appreciate the active interest you are taking in our work—an interest which is based upon the idea of understanding the policies and details of the Department and lending to our success your help and encouragement. I would particularly like to express my appreciation of the splendid co-operation that I receive from the staff. The fact that we have been able to make such satisfactory progress is due to their co-operation and to the cheerful help that I am receiving from them. I have the honour to be, Sir, Your obedient servant, H. E. YOUNG, M.D., Provincial Health Officer. U 12 BRITISH COLUMBIA. GENERAL REPORTS. SANITARY INSPECTION. Sanitary Inspector's Office, Victoria, B.C., June 30th, 1929. H. E. Young, M.D., CM., LL.D., Provincial Health Officer, Victoria, B.C. Sir,—I have the honour to submit my Nineteenth Annual Report for the Sanitary Division of your Department. With the increasing population and expanding industrial activity more noticeable than ever, comes increasing problems and work for this Department. The year just closed has been the busiest ou record, and yet remarkably free from the necessity of drastically enforcing any of our regulations in order to obtain the desired results. Thus it seems that we are reaping the harvest of patient yet insistent health propaganda covering about a quarter of a century. Our citizens are more than ever showing a spirit of co-operation in conforming to the laws of health and consideration for the general public welfare. The Province is absolutely free from industrial strife or social unrest, due in a great measure to the generally improved living conditions provided for our industrial population, and the captains of industry are certainly entitled to a full measure of credit. Without their cheery co-operation the writer could not make such statements. Of the industrial growth and activity, probably the mining development is dominant, and with marked success. Logging runs a close second. Camp conditions in the logging and mining industries are much alike and conform to the same sanitary laws. The technique of logging and mining has undergone wonderful changes in the last quarter of a century, and the same may be said of the living conditions provided for the employees. The food provided is equal to that of first-class hotels, only more bountiful. The utensils and tableware are just as clean, but not so refined. The sleeping accommodation is also much improved during the past few years. Bathing and laundry facilities are provided, and the larger camps have well-patronized reading and recreation rooms. Every camp has several radio sets, which seem to radiate a better atmosphere among the men, who formerly felt in some ways cut off from the world. Your Inspector is always welcomed to camp by both men and boss. Compare this with a visit twenty years ago, when the men were grouchy about living conditions, and the employers viewed the visiting Inspector as " static " or interference. The work of your Inspector is not all " beer and skittles." Mines are often located in almost inaccessible places, and logging-camp visits often entail several miles rough walking from shoreline or road. The protection of water sources for public use is demanding more attention from this Department, and so far without serious difficulty. Nuisances are becoming more numerous owing to some of our vacant spaces being settled upon for purposes of industrial expansion, sometimes carried out without provision for control of obnoxious odours or gases. These are being attended to and rectification anticipated. Among some of the new forms of nuisances are those from fish-reduction plants. Our coastal waters teem with fish which were formerly considered useless, but now found to contain valuable oil and by-products. The salmon season has been a profitable one for fishermen and canners alike, owing to several late surprise runs. British Columbia shell-fish growers also report expanding business with demand beyond production. The canned salmon put up in British Columbia is absolutely wholesome. The sanitary conditions and methods of canning ensure a pure food product of which every British Columbian may be proud. Mechanical devices in the canneries are being so improved and perfected that the fish is scarcely touched by human hands from the time it leaves the sea until canned and cooked. TY'PICAL SUMMER CAMP, PACIFIC GREAT EASTERN RAILWAY. ii. \\ §mm^MiWi:MM^&:: FISHERMAN DELIVERING HIS CATCH TO CANNERY, ERASER RIVER. BOARD OF HEALTH REPORT, 1928-29. U 13 WATERSHEDS. The " Sanitary Regulations Governing Watersheds" are in force for the protection of municipal water-supply systems, the principal areas being on the north shore of Burrard Inlet, locally known as Capilano, Lynn Creek, and Seymour Creek. These watersheds supply pure water to more than one-half of our population. Each area is protected by full-time resident sanitary officers, supplemented by unannounced visits by the local Medical Health Officers and the writer. A weekly analysis of the water is made and the absence of any water-borne disease is evidence that the regulations are being faithfully observed. It is a remarkable fact that during the past two years the Greater Vancouver Water Board has harnessed lakes, cleaned out lake-beds, bored tunnels, built dams, intake-basins, screen- chambers, employees' residences, and roads in the. Seymour watershed, employing sometimes 300 or 400 men with teams and general contracting machinery ; but so insistent have those responsible been in their demands for sanitary precautions from their employees that at no time has the purity of the water been affected, and thus British Columbia's greatest city is assured of ample and pure water, an asset which cannot be measured in terms of cash. The general public now recognizes the value of water-protection. Your Inspector has travelled thousands of miles in recent years to investigate alleged pollution of water sources. SUMMER RESORTS. British Columbians in general seem to incline towards an open-air life, and our seaside resorts never appear to be quite deserted, but the summer holiday term brings the city dwellers in thousands to all the beaches within reasonable distance. On the Lower Mainland the larger camps or resorts are controlled and operated by responsible parties and transportation companies. The sanitary conditions at these places are ideal, but the smaller camps are often a problem and present a nuisance and often a menace. On the shores of Vancouver Island summer camps are very numerous. Most of them are under experienced management and we have no trouble from them. Others, which include many transient auto tourists, are scattered, and in many cases produce a dangerous menace to the public health. These are the type qf summer visitors which call for extra vigilance on the part of municipal and Provincial sanitary officials. During the year just ended, visits to summer resorts and camps were approximately 90; logging and mining camps inspected, 180; fish-canneries. and fish-reduction works, 65; fruit- canneries and packing-houses, 25; and inspections for nuisance abatements, 50. I could not conclude this report without expressing appreciation for the valuable assistance rendered by Major J. A. Motherwell and his deputies, of the Federal Fisheries Department, and also to the Provincial Police throughout the Province. I have, etc., Frank DeGhey, Chief Sanitary Inspector. U 14 BRITISH COLUMBIA. COMBINED EEPOET OP TRAVELLING MEDICAL HEALTH OFFICER AND INSPECTOR OF HOSPITALS. Provincial Board of Health, Victoria, B.C., July 31st, 1929. H. E. Young, M.D., CM., LL.D., Provincial Health Officer, Victoria, B.C. Sir,—I have the honour to submit herewith my Sixth Annual Report as Travelling Medical Health Officer and Inspector of Hospitals for the Province. While the work is conducted along similar lines from year to year, there is usually one or more outstanding events or occasions that distinguish one year from another. The past year has been no exception to this general rule, 'only in that ,; The Sun Life Assurance Company of Canada Scholarship Tour for Doctors of the Canadian Tuberculosis Association" to Europe seems, to the writer, of such importance, not only to British Columbia but to Canada as a whole, as to call for special consideration in this report. The personnel of this tour consisted of some thirty medical men representative of all the Provinces of Canada, for the most part being Sanatorium Superintendents or Travelling Clinicians, also the President and Secretary of the Canadian Tuberculosis Association; British Columbia being represented by Dr. A. D. Lapp, Superintendent of Tranquille Sanatorium, and the writer. This tour was financed by a stated amount for each member from the Sun Life Assurance Company of Canada and a like or similar amount from our employers; in the case of British Columbia, the Provincial Government. The prime object of the tour was to attend the biennial meeting of " The International Tuberculosis Association " in Rome. This was extended to include a general survey of tuberculous and public-health conditions in other European countries, including Great Britain, France, Switzerland, and Italy. The tour officially began, then, on embarkation at Montreal by White Star Line S.S. " Regina " on Saturday, August 25th, 1928. Beginning Monday and continuing until Friday, daily conferences from 10 a.m. to 12 noon were held on board, a special room being assigned for this purpose. These conferences considered the following subjects, namely: Sanatorium construction, sanatorium costs and administration, travelling clinics, tuberculosis in children; and, fifthly, a review by Dr. Dobbie, of Toronto, of "Antituberculosis measures and progress in Canada." From the time of our arrival in Liverpool on the morning of September 2nd until our departure from London for Paris on the 14th, every facility was placed at our disposal for seeing and studying conditions in England and Wales. Many sanatoria and hospitals for crippled children were visited—these latter being for the most part crippling from the non- pulmonary form of tuberculosis. Different methods of caring for these cases, both in hospital construction and in treatment, were freely shown to us. We found each head of department, who might be carrying out some special treatment, ready and willing to explain his method and to account for the faith that was in him. In some sanatoria we found a tendency to the " work cure " or graduated exercise much more freely used than in this country. In others, however, exercise was confined to graduated walking or light work. All advised careful discrimination in its use. Where work cure was used the economic question seemed to be one of the determining factors. Amongst crippled children's hospitals visited were Leasowe, near Liverpool, the Wingfield Orthopedic Hospital at Oxford, and Lord Mayor Treloar's Hospital at Alton, Hants, with its branch at Hayling Island. The latter institution probably had the greatest interest for Canadians, as Sir Henry Gauvain, the Chief of this institution, was well known to most of us, having toured Canada in 1926 under the auspices of the Canadian Medical Association and Canadian Tuberculosis Association. He is also well known to the medical profession in general for his methods of treatment and for his so-called " college," where patients are taught trades best suited to their disability, and thus become self-supporting. Goods are sold in open market, etc. In England, as well as in Scotland at a later date, we were much impressed with the number of cases of non-pulmonary or surgical form of tuberculosis—especially of bones and joints that account for the crippling—and lupus or skin tuberculosis, in comparison to the number of cases in this country. A large percentage of these cases are of bovine origin, we were ... g^MW. ty?'*;: I "I I RAILWAY LOGGING CAMP, MAPLE RIDGE DISTRICT. LOGGING CAMP, SHOWING DINING-ROOM CREW, COURTENAY DISTRICT. BOARD OF HEALTH REPORT, 1928-29. U 15 told, and is transmitted through milk, unpasteurized, from tuberculous cows. Sir Henry Gauvain, mentioned above, stated that approximately 50 per cent, of spinal and 30 per cent, of hip, knee, and lupus cases were of bovine origin. Nor is this to be wondered at when we know that bovine tuberculosis is very common amongst the dairy herds and a considerable percentage of milk products contain tubercle bacilli. Pasteurization of milk is not compulsory, consequently not subject to inspection. About 90 per cent, of the milk-supply of London was pasteurized by the milk companies, we were told, for economic reasons. The better housing schemes of Great Britain also received attention from us and impressed us greatly. By this system hundreds of thousands of new houses have been built by municipal and city councils, 50 per cent, of the cost of same being advanced from the Central Government. At some places these houses have been built to replace slum areas that have been condemned and torn down, and in others, more urgent where they have been used to relieve the congestion only in these poorer sections and thus improve living conditions. As an illustration,, at the time of our visit Birmingham had constructed 27,000 new houses and had 15,000 more under construction or planned for. In the London area 56,000 new houses have been built; 65 acres of city slums have been cleared and replaced by modern apartment-houses with courtyards. In Great Britain something like 2,000,000 houses have been built in the last ten years. In France, previous to the war, very little of a practical nature had been done in combating tuberculosis, although a great deal of scientific work had been carried on. During the last ten years great strides have been made, especially in provision for care of children in preven- toria and otherwise. Two subjects of special study by us were the placement of children and the B.C.G, vaccine of Calmette-Gueron. Amongst children bom of tubercular parents, when left in these homes, the death-rate has been very high. By this " placement " system children so born are removed by consent from parents and placed with foster-mothers in some of the rural villages near Paris. Many foster-mothers are obtained in one village. A dispensary is established in the village in charge of nurses specially trained for this work at Laennec Hospital in Paris. To this dispensary the foster-mothers must come each morning for their feedings for the child during the day, the feeding being put up in six or more bottles, one for each feeding, all pasteurized, and ready for use except for warming to proper temperature. They are even supplied with two sterile nipples for each day. Children are brought in to the clinic every week for inspection for first three months, and less frequently later. In case the child becomes ill, it is brought into the dispensary for treatment until recovery, also for protection if sickness develops in other members of the family. The physician of the village looks after the medical care of the cases, but has to fit himself for this work by taking a special course in Paris. They are kept by foster-parents until 3 or 4 years old unless the source of infection is sooner removed from the home. There were some 600 babies being cared for in this way at the time of our visit, and about 4,000 had been so cared for since the inception of the system some eight years ago. Amongst these 4,000 children, only one died of tuberculosis, and the death-rate from all causes was only slightly over half that of the general population of the same age. This seems an excellent demonstration of the non-hereditary nature of tuberculosis, but that infection is all-important. The B.C.G. vaccine is produced from a greatly attenuated non-virulent type of bacillus so obtained by repeated culturing over years. It is given by mouth in three doses at two-day intervals in first few days of life, usually the third, fifth, and seventh, or the fifth, seventh, and ninth days. It had been used in some 110,000 cases at that time without any untowTard effects, it was claimed, and had greatly lessened the incidence of tuberculosis amongst these children. It has been used by other countries to a less extent, some having been used in Canada, but without producing the enthusiasm of the French for it. Research-work is still going on, and all that can be said at present is that it gives promise of being very useful amongst exposed children, and that at least it has not yet been condemned as most so-called cures have been. It is not, however, a cure at all, but a preventive. In Switzerland we did not have time to make a study of the general tuberculosis situation, but had the great privilege of visiting Dr. Rollier's clinic at Leysin, where 1,200 beds are provided for the care of surgical or non-pulmonary forms of tuberculosis. Dr. Rollier is the great exponent of heliotherapy, but even he makes the point that it is not a great cure-all, but is a great aid to other means of treatment. It was very noticeable that none of these other aids, such as rest, fixation, etc., were being neglected. Heliotherapy in pulmonary cases is used with great caution. U 16 BRITISH COLUMBIA. At the Grand Hotel Sanatorium, at a height of 4,500 feet, conducted by Dr. Jacquerod, a short distance removed, we were told of his methods of treating pulmonary cases. Dr. Jacquerod is a great exponent of rest (absolute rest) and air and diffuse light baths, in contradistinction to direct sunlight. Italy. This year's meeting of the International Union against Tuberculosis was rather disappointing, but it gave us an opportunity of seeing and meeting many of the outstanding men in the public-health field of the world. Poor arrangement of the programme and the multiplicity of languages was rather confusing. When we learn, however, that Italy has an insurance scheme against tuberculosis and is spending about $15,000,000 annually in combating this disease, one is impressed with the fact that they are alive to its menace. On returning to England we attended meetings of the British National Association for the Prevention of Tuberculosis in London. This meeting' had been postponed for three months for the convenience of the Canadian doctors, and on the programme of which Canadians were given a prominent place. A week spent in Scotland, mostly in Edinburgh and Glasgow, was all too short to absorb all the good things available to us. When I state that Sir Robert Philip was largely responsible for our programme in the former city, medical men at least will appreciate that it was well arranged. The way in which Glasgow is grappling with public-health problems, especially tuberculosis, in the crowded industrial areas was well worth making the trip for. The study of after-care settlement schemes, as demonstrated at Papworth near Cambridge in England and Hairmyres Colony and Industrial School near Glasgow, as well as visits to Oxford and Cambridge, must be passed over, not because unimportant, but that this report must have limitations of space and time. The same must be said of our entertainment throughout our trip, especially in Great Britain. Conferences were again instituted on the return journey, as soon as the elements would permit of more than a quorum being present, at which our impressions of conditions studied were discussed and co-ordinated. In summing up, then, we were very much impressed with the importance attached to public- health programmes in all countries visited and the amount of money being expended on this work. In Britain especially were we impressed with their complete organization, beginning as it does at the National Ministry of Health, controlled from there by the central body. Control is possible because of a contribution of 50 per cent, of the cost from the central organization. The removal of slum areas and provision of better housing- seemed to us to be striking at the root of the matter. The care of the children here, but more particularly in France, seemed to be the first consideration. Education of the public in health matters seemed to be considered of prime importance. While organizations were controlled by Governments, voluntary effort was very much in evidence and is encouraged. Our sanatoria may possibly be said to be of higher type of construction in most cases than those seem abroad. Many of theirs would not be suitable to our conditions. We may learn much from them in organization at least. But it is much easier than in our country of such vast distances. On the whole, it was an inspiration to each of us. The trip was wonderful in its conception, lacked nothing in its execution, and I feel that the Canadian Tuberculosis Association, and probably Canada, owe a hearty vote of thanks to our genial Secretary, Dr. R. E. Wodehouse, who planned it, and to the Sun Life Assurance Company, whose generosity made it possible. NURSING AND X-RAY SERVICE. The appointment of a nurse, Miss J. B. Peters, to assist at the clinics, to co-operate with the Tublic Health Nurses or others in bringing contacts to the clinics, has been of great assistance to me during the last year. This appointment was made by the Tranquille Publishing Society, and was made financially possible through the Christmas-seal sale. Out of similar funds a portable X-ray machine was purchased and this has been a great aid in diagnosis. It has several advantages over using machines provided by hospitals visited. The films are more uniform in type and are thus more easily and more correctly interpreted. The technical part of the X-ray work is done almost entirely by the nurse. She is also of great assistance in making out reports on cases, so that our records must of necessity be much improved over former ones. BOARD OF HEALTH REPORT, 1928-29. U 17 DETAILS OF CLINICAL WORK. Once more I am pleased to report an increase in the number of cases examined, a much greater increase than in other years, as will be seen from the statistical tables following. This fact does not indicate an increased incidence of tuberculosis, but an increased interest in tuberculosis as a problem, not only by the doctors but by the people, as many of these cases come to me through their physicians at their own request. The increased number that have come to the clinics from the School and Public Health Nurses, with the consent of family doctors in most cases so that report of examination can be sent them, is most gratifying. While the total number of examinations far exceeds previous years, the number of new cases of pulmonary tuberculosis was considerably less than last year. The number of cases examined also increases from year to year. From conversations with other travelling clinicians throughout Canada, I believe that my work includes more follow-up of cases that have been diagnosed than most of them, and is not purely a diagnostic service as many others are. This service is very much appreciated by the medical fraternity, as well as by the patients and their families. Due to absence for practically three months in Europe, I have not been able to visit some parts of the Province as often as usual, but have managed to cover the whole Province within the year and to carry on the larger clinics, such as Victoria and Nanaimo, practically on schedule. In addition, two clinics have been held at the Royal Columbian Hospital, New Westminster. This service has in the past been left to be looked after by the Rotary Clinic in Vancouver. It was felt that this was not entirely satisfactory, as, to get free examination, consent of the Health Officer must be obtained. It also served to give an extra service to doctors in the Lower Fraser Valley. This service will be continued as time and circumstances permit. Practically all clinics were held at hospitals this year in place of at individual doctor's offices. This was made necessary on account of the X-ray service, and I would here like to express my appreciation of the hearty co-operation of the hospital staffs in our work. The total number of examinations made during the year was 991. Of these, 701 were new cases and 200 were re-examinations. Out of the total patients examined, 247 have been classified as positively suffering from pulmonary tuberculosis, 11 of tuberculosis of other organs, 152 as suspects, 254 as various non-tuberculous findings (the most important of which are pneumonia, bronchopneumonia, mixed infection, asthma, pleurisy, empyema, emphysema, bronchiectasis, glandular infections, etc.), and 327 as negative. Further classifying the 701 new cases, we have 117 as positively pulmonary tuberculosis, 10 non-pulmonary tuberculosis, 95 as suspects, and 479 as non-tubercular. Classifying the new positive cases according to birthplace, 'both pulmonary and non- pulmonary, making 127 in all, gives us the following: Bom in British Columbia, 42, of whom 24 were white, 1 Japanese, 1 Chinese, and 16 Indians ; other Canadian Provinces, 29 ; Newfoundland, 1; United States of America, 7; British Isles, 34; other European countries, 12; Hindu, 1; and New Zealand, 1. Of the cases examined giving a definite history of contact, there were 248 eases, of which 195 were new cases and 53 were re-examinations. Of the new cases there were 22 of pulmonary tuberculosis, 3 of tuberculosis of other organs, 33 suspects, and 116 negative. Included in the cases re-examined were 5 of pulmonary tuberculosis, 13 suspects, and 25 negative. In addition to these there were 31 cases which were classified as various non-tuberculous findings, including both new cases and re-examinations. The total number of X-ray pictures taken was 447. There were also numerous fluoroscopic examinations, including nurses in training at two hospitals. Of the cases referred to the clinic on account of contact only, 5 positive pulmonary cases were found, 30 suspects, 1 cervical adenitis, and 5 cases of mediastinitis. This illustrates very forcibly the necessity of clinics and followring-up work of contact cases. You will notice both in the above paragraph and in figures above that there is a large number classed as suspects. This is accounted for in many ways. We might say that in a goodly number we " suspect" they are not tubercular. Any case that it was felt should be followed up and returned for future examination was put in this category, to assure that they would not be overlooked. Again most of the cases of pleurisy were so classed. Of these there were a particularly large number, more than the year previous, and in 1928 I made special mention of it. These, with the large number of cases classed as mixed infection, for want of 2 U 18 BRITISH COLUMBIA. a better name, cases which show peribronchial irritation on X-ray films and a history of a good deal of disability extending over long periods of time, seem to be an ever-increasing number. At times it is very difficult to distinguish these cases from tuberculous disease. In 1927 I wras pleased to report a steady decline in our death-rate from tuberculosis over a number of years, especially amongst the white population, the decrease in 1926 in British Columbia differing from that of the other Provinces (except Ontario), where there was a decided increase. In 1928 there was a slight increase in our death-rate both amongst whites and Indians, but not of sufficient extent to attach much importance thereto. This year, however, we have to regretfully report a very marked increase in our mortality rate, similar to the increase of 1926 in some of the other Provinces. A large percentage of this increase, however, is to be found amongst the Indian population, although there was a marked increase also amongst the whites. At the present time, while we may theorize about this, there are no specific facts upon which to base an opinion. It may be a passing phase of a temporary nature. If not, it will provide an opportunity for the Epidemiologist. The following analysis of deaths from tuberculosis is of interest:— Chinese, British Columbia. Year. Deaths from Tuberculosis. Deaths, all Causes. T.B. Rate per Cent., all Deaths. Chinese Population. T.B. Rate per 1,000 Population. 1921 49 64 44 40 44 59 50 45 220 232 228 211 195 224 211 224 22.26 27.58 19.29 18.95 22.56 26.34 23.69 20.08 23,533 23,533 23,533 23,533 23,533 23,533 23,533 23,533 2.08 1922 2.72 1923 1.87 1924 1.70 1925 1.87 1926 2.55 1927 2.12 1928 1.91 British Columbia Indians. Year. Deaths from "Tuberculosis. Deaths, all Causes: T.B. Rate per Cent. all Deaths. Indian Population. T.B. Rate per 1,000 Population. 1921 104 99 133 125 155 145 151 175 364 370 432 457 436 416 524 497 28.57 26.76 30.79 27.35 35.55 34.85 28.81 35.21 25,694 24,744 25,694 25,694 24,316 24,316 24,316 24,316 4.05 1922 1923 1924 4.00 5.18 4.86 1925 6.37 1926 5.96 1927 .. 6.20 1928 7.19 Japanese, British Columbia. Year. Deaths from Tuberculosis. Deaths, all Causes. T.B. Rate pel- Cent. all Deaths. Japanese Population. T.B. Rate per 1,000 Population. 1921 33 22 24 23 33 28 35 27 142 190 158 150 195 161 209 170 23.24 11.58 15.19 15.33 16.92 17.39 16.74 15.88 15,006 15,806 16,004 17,418 18,226 19.048 19.048 19,048 2.19 1922 1.38 1923 1.49 1924 1.32 1925 1.81 1926 1.47 1927 1.83 1928 1.41 Races other than Chinese, Japanese, and British Columbia Indians. Year. Deaths from Tuberculosis. Deaths, all Causes. T.B. Rate per Cent., all Deaths. Population. T.B. Rate per 1,000 Population. 1921 326 322 324 339 306 300 315 386 3,846 4,115 4,179 4,186 4,119 4,673 4,806 5,019 8.47 7.82 7.75 8.09 7.42 6.42 6.55 7.69 460,349 474,917 478,769 486,355 494,925 501,103 508,103 516,103 0.70 1922 0.67 1923 0.67 1924 0.69 1925 0.61 1926 0.59 1927 . 0.61 1928 0.74 British Columbia, all Races included. Year. Deaths from Tuberculosis. Deaths, all Causes. T.B. Rate per Cent., all Deaths. Population. T.B. Rate per 1,000 Population. 1921 512 507 525 527 538 532 551 633 4,572 4,907 4,997 5,004 4,945 5,474 5,750 5,910 11.19 10.33 10.50 10.53 10.87 9.72 9.58 10.79 524,582 539,000 544,000 553,000 561,000 568,000 575,000 583,000 0.97 1922 1923 0.94 0.96 1924 0.95 1925 1926 0.95 0.93 1927 0.95 1928 1.08 THE EDUCATIONAL PART OF THE WORK. This part of the work was carried on more actively than last year. For service organizations and others, our European trip was a talking-point of interest. Addresses were given before three Rotary Clubs; two meetings, Health Bureau of the Board of Trade; two Medical Societies; Nanaimo Public Health Nursing Council; public meeting at Merritt; Women's Benefit Association, Vancouver; one Masonic Lodge ; Doctors and Nursing Staff of the Nanaimo Hospital; Public Health Nursing class at the University; lectures to six classes of nurses in training; and six short talks to entrance and high-school pupils in our schools. HOSPITAL INSPECTION. As Llospital Inspector, I have inspected thirty-two public hospitals and seventeen private ones, in a few cases making several visits. I held meetings with Hospital Boards or committees of same of twenty-four hospitals ; attended sessions of the B.C. Hospital Association; also sessions of Hospital Section of the American College of Surgeons, Pacific North West Division; staff meetings at Jubilee Hospital, Victoria; also interviewed the Mayor and Medical Health Officer of Victoria in regard to the admission of cases to Tranquille; attended the opening of the North Vancouver Hospital; and multiple interviews with Miss Randal, the Registrar of Nurses. Important additions to our hospital accommodation have been made. The extension of the Vancouver General Hospital by new maternity and private-ward wings; new modern and up-to-the-minute sixty-bed hospital in North Vancouver; a new wing to St. Joseph's Hospital, Victoria, of which any institution or community may well be proud; and a new Nurses' Home now under construction. Less pretentious, but no less important additions have been made at Kelowna, Armstrong, and Alberni. A new addition at Campbell River is in course of construction. A new Nurses' Home at the Royal Jubilee Hospital, Victoria; many repairs and minor additions at Vernon ; Penticton is planning a new wing and Princeton a new hospital for next year. Bums Lake hopes to have a new hospital late this year. Smithers is very much in need of a complete new unit and this is being actively discussed. No questions of sufficient importance for a formal meeting of the Board of Arbitration were submitted. U 20 BRITISH COLUMBIA. Once again I would like to express to you my keen appreciation of your cordial co-operation and helpful assistance at all times in this particular line of health-work; also for much timely advice in connection with hospital-work. I would also like to express my sincere thanks to the doctors and nurses, and especially to nursing and clinical staffs of the many hospitals in which clinics were held, for their ever-ready and willing co-operation. I have, etc., A. S. Lamb, M.D., Travelling Medical Health Officer and Hospital Inspector. REPORT OF EPIDEMIOLOGIST. Provincial Board of Health, Victoria, B.C., November 6th, 1929. H. E. Young, M.D., CM., LL.D., Provincial Health Officer, Victoria, B.C. Sir,—I have the honour to submit herewith a tentative programme of the epidemiological work to be followed for the ensuing year. STANDARDIZED REPORTING SYSTEM OF INFECTIOUS DISEASES. Every effort has been made to facilitate the reporting of infectious diseases by the physicians throughout the Province. A card system has been inaugurated, the cards franked, stamped with the return address, and .sent to the physicians of the Province every week. They in turn will enter any infectious diseases experienced in their clientele for the past week and return. Compilation of morbidity rates that will accurately reflect the infectious-disease incidents throughout the Province from these reports can be expected. In this way infectious diseases can be geographically located; so that in the event of any particular disease arriving at such proportions that it would menace the public safety, the Department will be in a position to immediately inaugurate a means of defence. The accurate accumulation of morbidity rates will be constantly aimed for. By the use of graphs and further analysis of these statistics the rise or fall of the infectious-disease incidence, collectively and by individual diseases, can be recorded for every month or year. The seasonal variations will also be shown, and by close association with the Department of Vital Statistics the fatalities of these diseases can be clearly demonstrated. All of which will provide the 'Department with a general view of the health conditions, a numerical valuation of the communicable and associated diseases throughout the Province. INVESTIGATION OF INFECTIOUS DISEASES THAT ASSUME EPIDEMIC PROPORTIONS. The Epidemiologist will be required to investigate such conditions that in the opinion of the Health Officer menace public health, and he will at all times be prepared to leave immediately to conduct such investigations, and while there if necessary establish immunization clinics or conduct such investigations into sanitary conditions of the district that may influence the epidemic. Not long ago there was a slight epidemic of smallpox in a small town in the Interior, and on investigation it was found that thirteen cases of smallpox existed, the first case occurring about three weeks previous to the date of investigation. Vaccination clinics were established in the schools and 209 pupils vaccinated. The common school was reopened for all pupils who were immuned. The high school, however, had been allowed to continue its sessions all through the epidemic. Following these activities the physicians of the district have not reported any new cases of smallpox. With the inauguration of the card system of reporting, it is expected that the morbidity rates for the Province will be of value in estimating the true infectious-disease incidence and providing the Health Department with an instrument that shall enable it to institute an efficient system of control. I have, etc., A. R. Chisholm, M.D., Epidemiologist. BOARD OF HEALTH REPORT, 1928-29. U 21 TABLE SHOWING RETURNS OF CASES OF CONTAGIOUS DISEASES IN THE PROVINCE, JULY, 1928, TO JUNE, 1929. 'rt C j 'Is o "So &a 9 fl a fl at 1 jcj at .fl ft 5 3 ft p il fl =3 Mp o n p 3 p. g o at c ui ■g g 1 p a> at o VX 'a a a> o mm O ft | CQ o o at >t3 a £ HP bo ft . 2 b° 1^ w 1 3 27 11 1 180 10 5 2 200 2 1 1 1 1 1 3 1 17 2 4 15 1 43 14 14 237 12 4 72 6 Blubber Bay , . ..... 8 53 2 3 34 141 4 17 10 1 20 28 5 1 2 6 6 12 1 7 l 1 5 1 2 1 2 1 1 15 4 1 25 31 2 4 16 1 1 5 62 1 1 3 1 8 1 2 1 61 Cobble Hill and District 4 4 20 2 18 3 2 44 12 27 2 28 1 2 3 5 1 3 3 7 1 1 29 1 21 . 1 1 63 4 2 96 57 198 8 1 30 5 29 .t. 18 2 1 3 78 4 5 5 4 12 5 50 16 9 25 S 1 l 0 3 1 2| 1 61 6 2 1 1 ss 9 3 3 1 2 2 1 7 6 21 2 3 2 10 Field 4 1 24 3 1 1 6 1 1 1 1 2 74 3 20 7 12 6 252 54 12 4 2 1 1 I 5 15 11 1 T| BI 1 2 2 1 2 14 1 3 2 9 26 12 50 20 1 1 10 18 2 2 3 5 24 1 24 2i 2 1 . . 2 1 4 3 1 4 40 3 3 6 5 3 35 6 4 15 2 108 3 12 9 1 22 17 75 1 1 2 3 32 3 4 4 75 50 7 5 1 1 1 1 1 12 ...J 2 . ... 1 21 2 47 210 200 2 R 146 200 39 8 24 1 14 2 2 1 14 7 6 97 4 | 2 4 6 20 0 4 | 4 1 1 1 28 4 1 1 31 24 4 4 16 118 12 145 13 5 5 4 4 92 23 10 20 5 4 100 1 7 1 1 ..: | 5 2 | 21 •1 1 63 4 16 1 1 39 14 90 2 141 t 7 11 1 1 1 1 4 i ..1 :::::::::::::::: 1 | Port Coquitlam 1 14| i i 1 81 733 200 lfil 70 1 2247 1983 331 244 6 184 44 22 251 U 22 BRITISH COLUMBIA. TABLE SHOWING RETURNS OF CASES OF CONTAGIOUS DISEASES IN THE PROVINCE, JULY, 1928, TO JUNE, 1929— Continued. "3 If If B £ US o ft S3 2H V A ft a >. H 9) « a d o ft at p tt ft a i o = 8 o 25 02 il a B d l-s to HH 02 U d >> d rH tj a B l-s If < d 1924-23 93.08 94.3 93.3 93.5 94.7 89.1 89.7 91.3 91.6 93.9 88.1 90.3 87.2 93.2 92.5 85.3 88.7 84.2 89.2 93.3 84.3 80.2 78.4 91.2 88.6f 79.7 77.8 79.9 92.4 90.5 76.8 76.7 81.7 92.9 94.-01 74.7 79.4 77.7 92.8 93.6J 74.02 76.8 79.2 95.8 90.8J 74.1 75.9 76.9 92.2 92.9J 81.94 1925-26 83.98 1926-27 82^98 1927-28 (full-time unit) 1928-29 (full-time unit) 93.48 92.48 Flu. t Measles and mumps (other members of family kept Receiving class this year (1929) 40 per cent, less defects * Winter colds, measles, etc. in school). Fifty per cent, of defects corrected of pupils, than any previous Receiving class. {d.) Reduction of retardation and a raising of scholastic achievement as reported by the Municipal Inspector of Schools. " While retardation had cost Saanich over $17,000 in 1928, the last year the cost of ' repeaters ' had been kept down to $11,000." The efforts of the staff directed at education and child-welfare has resulted in a gradual decrease of sickness throughout the community, and the work necessary to accomplish these ends is shown in the following table:— Year. Nursing Visits. Child-welfare Visits. Home School Visits. 1927 2,966 2,325 1,356 1,360 1,979 1,495 148 1928 1,314 1929 (first 8 months) 1,976 The figures for nursing visits show the gradual reduction in the need for such attention, due to the betterment of the municipality's health. While comparisons are odious, it is, however, interesting to compare the incidence of sickness and the amount of educational work done under unified control of health as in Saanich with an area where there is no such control as in the neighbouring city, whose population is three times that of ours. Month of November. Saanich. City. Nursing visits 114 564 Educational visits 675 460 Judging by visits, we have 33 per cent, less sickness, and this is due in great part to giving five times as much attention to education and instruction. The above results mean a considerable saving to the municipality and shows that money wisely and generously spent in health-work will return dividends which at present it is difficult to estimate. D. Berman, M.D., D.P.H., Medical Health Officer, Saanich Municipality. THE FIRST ANNUAL REPORT OF THE PROVINCIAL PUBLIC HEALTH NURSING SERVICE FOR THE KELOWNA RURAL DISTRICT, JULY, 1928, TO JUNE, 1929. I have much pleasure in presenting for the approval of the Kelowna Rural Schools Health Association the First Annual Report of the Provincial Public Health Nursing Service for the Kelowna Rural Districts. U 26 BRITISH COLUMBIA. The report embraces various phases of school-work, child-hygiene, and public-health organization in the Rural Districts of Okanagan Centre, Winfield, Ellison, Rutland, East Kelowna, South-east Kelowna, Okanagan Mission, Mission Creek, Benvoulin, Ewing's Landing, Westbank Ferry, and Westbank Townsite, an area of approximately 100 square miles. Section 1.—School-work. The objects aimed at in school health-work are: (a) Detection and correction of defects; (6) prevention of the spread of communicable diseases; (c) health education. "Twelve rural schools with a registration of 640 children were regularly inspected during the year. Number of visits to schools, 205. Number of examinations of children by School Medical Officer, 1,553. Number of reinspections by School Nurse, 5,334. Number of children weighed and measured, 631. Number of weighings and measurings, 1,716. Number of children 5 to 10 per cent, underweight, 119. Number of children over 10 per cent, underweight, 98 (at end of June, 1929, 58). Number of children gaining in weight, 616. Of the 119 children who were 5 to 10 per cent, underweight, 25 children have now gained their correct weight; 11 children lost weight during the year; 6 children did not gain in weight. The following causes were noted as probable reasons for loss of weight or lack of gain:— 5 children have much-diseased tonsils which should be taken out. 9 children have goitre. 3 children have had mumps. 2 children had measles. 1 child very bad carious teeth. 1 child suffers from a heart condition. 2 children have diabetes. Proper gain in weight and proper weight for age and height is strongly emphasized in health- teaching. The children themselves and many parents are much interested and do their best to carry out instructions given by the Health Nurse. Two examinations to look for defects of nearly every child have been made by Dr. G. A. Ootmar, School Medical Officer, with the School Nurse in attendance; also special inspections at various periods when communicable diseases broke out in the schools. New defects found, 564; old defects improved, 412 ; old defects not improved, 218; children excluded with communicable diseases, 115; children excluded as contacts or suspects, 214; children excluded for skin-disease, 37; exclusions of children suffering from skin-diseases, ringworm, scabies, pediculosis, impetigo, 48. Number of exclusions, 366; referred to Medical Health Officer, skin-diseases, communicable diseases, suspects, contacts, 306; referred to own physician, 148; interviews with teachers and others, 417; home school visits, 309; children and others transported, 83; health talks in schools, 94; notices to parents re defects, etc., 481. In connection with defects found improved, it is interesting and encouraging to note that: 20 children had diseased tonsils removed; 106 children with enlarged tonsils were improved; 128 children under treatment for goitre were improved ; 18 children goitre was cured; 19 children obtained glasses for defective eyesight; 23 children with spinal curvature (scoliosis) were found to be improved after taking corrective exercises; 9 children with small chest-expansion were found to be improved after taking corrective exercises. In connection with physical drill and corrective exercises, excellent work is being done at Rutland, Ellison, and South-east Kelowna Schools. Sixty-four children have received dental care, but there are at least 286 children in the rural schools who have carious teeth. We shall be glad when the dental surgeons have completed a dental survey in the rural schools, so that definite plans may be made for proper care of the children's teeth. BOARD OF HEALTH REPORT, 1928-29. U 27 Report on Communicable Diseases in the Rural Districts.—One hundred and forty-two cases of communicable diseases have been reported by the Rural Health Nurse to the Medical Officer, Dr. G. Ootmar. Disease and Date. District. No. of Cases. School Children affected. Mumps— December, January December, January February, March .... Measles—■ January First outbreak, April, May Second outbreak, May, June April May Westbank Ferry June Winfield Westbank Mission Creek.. East Kelowna.. Okanagan Mission. Rutland Rutland Westbank Town Whooping-cough— February, March .■ Mission Creek February, March Rutland March South Okanagan.. May Benvoulin Scarlet fever— April 6th Westbank 10 27 28 10 22 26 65 58 3 1 4 3 16 12 21 16 4 4 2 1 50 37 11 5 7 7 3 3 2 2 22 17 3 3 To June 24th, 1929. I The spread of infection and numerous cases of mumps in the Mission Creek and East Kelowna Districts were due to a very great extent to a milkman who delivered milk while suffering from the disease. Four outbreaks of measles in different localities were traced to children who had been exposed to the disease in Arancouver, returned to the district, developed the rash of the disease within fourteen days after exposure, and infected other children. The importance of the isolation of children who have been exposed to infection, and who are very infectious to others for at least six days (and probably longer) before they develop the rash of measles, is unfortunately not understood by many parents. If every one understood this danger of infecting others in the pre-eruptive stage and would co-operate with the health authorities in isolating the exposed child, measles would not spread. Especially is it unwise to allow other school-children to visit in the home, a child sick with an undiagnosed complaint. Two separate outbreaks of measles have occurred in Rutland School, but by very careful inspection of school-children, and excellent co-operation with the health authorities by teachers, school trustees, parents, and children, the disease was limited to six families in a school of some 160 children. It has not been possible to obtain this understanding co-operation from all parents in all the districts. Our thanks are due to all physicians, teachers, school trustees, and parents who have co-operated with the health authorities and obeyed the law in immediately reporting any case of communicable disease directly to the health authorities. Only by the sympathetic co-operation of all concerned is it possible in any way to prevent the spread of communicable diseases and protect the children. Section 2.—Child-welfare Clinics. Thirty babies and pre-school children were registered during the year; 108 home visits were made. Many of these children have attended the well-baby and pre-school clinics in the different districts. These free clinics are organized under the auspices of the Women's Institute and Club, in conjunction with the Medical Health Officer and Provincial Health Nurse. The members of the institutes assist in the actual work of the clinics, weighing and measuring the children, taking records, and serving refreshments to all. The babies and pre-school children and others are given a complete physical examination, advice as to feeding and general hygiene, and careful case histories are kept. It is encouraging to note the improvement in some of the U 28 BRITISH COLUMBIA. children. No actual treatment is given, but sick children are referred to their own doctors. We should like to extend this service to include free health examination in the rural districts for any one who wished for advice, and thus detect at an early stage many troubles about which people do not consult their family physician until the disease is well advanced. We would also like to care for the expectant mother in this way, referring her to her own physician, if found necessary, with a record of the findings of the health examination. Well-baby and Pre-school Clinics.—Twenty-one clinics have been held in the Winfield, Rutland, East Kelowna, and Benvoulin Districts. Number of registrations, 90 children; examination of babies (2 years), 59; examination of pre-school children (2 to 6 years), 54; other children examined, 9; total number of attendance, 122. The well-baby and pre-school clinics arranged with the Westbank Women's Institute had to be postponed owing to the prevalence of measles and three cases of scarlet fever in the district. Chest Clinics.—Three chest clinics were held with Dr. Lamb, Government Chest Specialist— 25 attendances. All were subjected to fluoroscopic examination and in addition eight X-ray plates were taken. The condition of the school-child found with incipient T.B. of lungs in April, 1928, was found - to be very much improved. All cases negative as to T.B., but to be watched and return in one year's time or earlier, if necessary, for re-examination. Three active immunization clinics against diphtheria—38 attendances. One Schick test clinic to test for susceptibility to diphtheria—8 attendances. Summary.—Total number of clinics, 28. No. Attendances. Well-baby and pre-school 21 122 Chest 3 25 Active immunization 3 38 Schick test 1 8 Totals 28 193 Section 3.—Public Health Organization. In this phase of the work is included all activities which stimulate interest in the public- health programme, such as attending and addressing public meetings, lectures, letters written, interviews, health exhibits, reception, of visitors from other cities interested in local health measures, etc.; campaigns for vaccination against smallpox; immunization against diphtheria ; development of new phases of health-work in new districts, etc. Meetings addressed. .(1.) July, 1928. Ellison ratepayers re school nursing and public-health organization (explanation). (2.) September, 1928. East Kelowna AV omen's Institute re child-welfare, international, national, and local; well-baby clinics. (3.) October, 1928. Rutland School Trustees on methods of school medical examinations (explanation). (4.) January, 1929. Westbank Women's Institute on nutrition in relation to health; also State health insurance. (5.) Kelowna Rural Schools Health Association: Report on nine months' work, March, 1928, to December, 1928. (6.) Rutland Women's Institute, on State health insurance and diet in relation to health. (7.) Kelowna Rural Schools Health Association: Rural dental clinics, especially with reference to local needs. (8.) Winfield Women's Institute: The problem of cancer, its prevention and cure. (9.) Westbank public meeting re organization of Victorian Order of Nurses. (10.) Peachland public meeting re organization of Victorian Order of Nurses. (11.) Kelowna Rural Schools Health Association, first annual meeting: Annual report of all health activities. Instructional consultation with parents, 229; health literature distributed in schools, homes, clinics, and at Fall Fair, 1928, 1,903 pieces; letters and reports re different phases of work, 143. BOARD OF HEALTH REPORT, 1928-29. U 29 Public Health Exhibit at Kelowna Fall Fair. A health exhibit was planned by Miss Frances Lyne, R.N., Kelowna School Nurse, and Mrs. A. F. Grindon, R.N., Public Health Nurse, Kelowna Rural Districts, for the Kelowna Fall Fair. The need for a school dental clinic for Kelowna and surrounding rural districts and active immunization of children against diphtheria were the points especially emphasized. The nurses were in attendance during the fair, answered innumerable questions, and distributed 1,200 pieces of literature dealing with these questions and all phases of hygiene. We are grateful to Kelowna Board of School Trustees, Rutland Women's Institute, and Kelowna Women's Institute, who contributed towards the necessary expenses; also the Metropolitan Life Insurance Company (Calgary Western Division), which supplied, free, splendid literature for distribution. The Provincial Health Officer was much pleased with this effort and' expressed his approval in very appreciative terms. The school dental clinic has not yet materialized and is a pressing need for the surrounding rural districts. Prenatal Hygiene. Cases opened, 9; cases dismissed, 7; cases carried, 2; home visits, 21. Other Activities. Item 1.—The mother's pension was obtained for a mother with five children. Item 2.—In co-operation with a local Women's Institute and Provincial Police Department, it was found possible to place three children with the Children's Aid Society of Vancouver, and also to obtain financial help from the Provincial Department of Child-welfare to help to provide for other small children in the family. Our thanks are due to the Convener of Child-welfare in this institute, who personally interviewed the head of the Department in Victoria on behalf of this family. Item 3.—In co-operation. with the Rutland AVomen's Institute, which generously donated $50 for the purpose, it was found possible to place a child of 10 years, suffering from tubercular glands, in the Queen Alexandra Solarium, Vancouver Island. Our thanks are also due to the C.P.R., which donated a free train ticket; to the Rutland Anglican Church Guild, which donated money for the berth; and to Mrs. Wallace, of Rutland, who very kindly took the child to the Solarium. ArISITORS TO THE DISTRICT. The Provincial Health Officer visited Kelowna in April, 1929, and expressed himself in appreciative terms of the development of public-health work both in the city and the surrounding districts during the past year. My grateful thanks are clue to the Provincial Board of Health and to the executive of the Kelowna Rural Schools Health Association, who consulted together and so kindly provided a new car for the Rural Nursing Service. Miss Evelyn Anderton, student nurse, taking her final year in the Public Health Course at the University of British Columbia, was sent by the Director of Public Health Nursing to study methods employed in health-work iu the Kelowna schools and surrounding rural districts. She stayed with the Provincial Health Nurses for a period of four weeks during the months of March and April, then returned to A^ancouver to graduate for her degree of Bachelor of the Science of Nursing. Miss Hodge, R.N., Director of Junior Red Cross for British Columbia, arrived here, visiting Kelowna and the rural districts, and organized new branches in many of the schools. Miss McMann, AVestern Supervisor of the Victorian Order of Nurses, visited the Peachland and Westbank Districts with the Provincial Health Nurse, in an endeavour to form a local branch of the V.O.N, ion the west side of the lake, with the idea of giving a localized nursing service to the Indians and others in these districts. To conclude, my appreciative thanks are due to the local physicians; to the members of the AATomen's Institutes and Club; to the members and especially to the executive of the Kelowna Rural Schools Health Association; to Dr. G. Ootmar, Medical Health Officer and School Medical U 30 BRITISH COLUMBIA. Officer for the Rural Districts; and to all others who by their good-will and co-operation have helped to promote the growth of public-health nursing in the Kelowna Rural Districts during the first year of organization, July, 1928, to June, 1929. Anne Frances Grindon, R.N., Provincial Health Nurse in Charge, Kcloivna Rural Districts. Much interest is being shown in regard to the dental work. This is a field that has hardly been touched, although we are very much satisfied with the results that we are obtaining. The difficulty is to get the dentists to do the work. Many men in active practice do not wish to leave their offices to undertake the dental care of the school-children; consequently the progress is slower than we would like, but still we are making decided advances. The correction of the defects in the teeth is something that appeals particularly to the child, and also to the parents, and means very much in the after-life of the child. Bad teeth ai'e the cause of more diseases of the system probably than any other agency. AVe hope next year to be able to further extend the work. Details for the examination for each school follow. I have, etc., H. E. YOUNG, Provincial Health Officer. SCHOOLS INSPECTED. Medical Inspectors: 163. Reports from Medical Inspectors: 161. High Schools. High schools. 1927-28, 79: Reported, 53; not reported, 26.' 1928-29, 76: Reported, 48; not reported, 28. Pupils inspected, 1927-28, 11.783; 1928-29, 9,725, a decrease, of 2,058. Junior High Schools. Junior high schools. 1927-28, not segregated. 1928-29, 7: Reported, 5; not reported, 2. Pupils inspected, 1927-28, not segregated; 1928-29, 3,065. Graded City Schools. Cities. 1927-28, 33 : Reported, 33 ; all reported. 1928-29, 33 : Reported, 32; not reported, 1. Pupils inspected, 1927-28, 39,387; 1928-29, 48,898. an increase of 9,511. (City schools now include former Municipalities of Point Grey and South Vancouver schools.) Rural Municipality Schools. Municipalities. 1927-28, 26: Reported, 26. 1928-29, 24: Reported, 23; not reported, 1. Pupils inspected, 1927-28, 29,696; 1928-29, 16,030, a decrease of 13,666. (Former Municipalities of Point Grey and South A'ancouver included in city schools.) Rural and Assisted Schools. Schools inspected : 1927-28. 661, at a cost of $15,396.90; 1928-29, 654, at a cost of $15,255.65. Schools not inspected : 1927-28, 84; 1928-29. 71. Pupils inspected: 1927-28, 18,140; 1928-29, 18,318, an increase of 178. Cost of inspection per pupil: 1927-28, 85 cents; 1928-29, 83 cents. Percentage of defects : 1927-28, 105.47; 1928-29, 103.13, a decrease of 2.34. STATISTICAL TABLES. U 32 BRITISH COLUMBIA. NORMAL Name of School. Medical Inspector. School Nurse. "3. Pi . . o ll '£ O -ti a ° S to 8 o 0 t^ CD OJ p tS-ca aa -3 a to si qj ,_ AM if '3 a a> H G> rA I a r O SB s OH t3 at n: •n tt at fi HO at 0 O 174 150 177 150 1 8 36 1 1 6 8 23 5 18 10 4 11 10 Victoria HIGH 65 65 147 346 267 73 155 50 87 108 94 130 30 72 150 15C 14 25 69 94 23 49 73 209 272 386 29 58 181 150 125 74 95 32 81 168 721 357 670 37S 56 65 137 329 264 66 147 49 70 90 94 130 30 72 140 152 14 25 69 91 20 47 70 200 257 386 29 56 170 145 115 65 82 32 77 168 752 394 639 364 1 9 6 9 12 1 17 1 2 1 5 1 1 1 22 6 3 14 3 6 22 10 5 6 4 6 4 7 7 36 40 107 14 8 13 11 2 3 1 9 6 9 47 5 25 81 7 4 3 6 Miss P. Charlton.. Burnaby: Chilliwack i l 3 G. E. L. McKinnon G. K. MacNaughton. 2 9 3 1 4 1 .... 5 17 Duncan H. P. Swan J. S. McCallum Miss M. Claxton.. Miss E. Morrison.. Miss W. Seymour.. Mrs. EdAvard Yard. 30 1 3 50 7 6 22 5 9 1 3 5 1 31 2 10 4 1 16 13 1 12 9 7 6 4 Fernie D. Corsan 10 5 14 6 3 39 4 2 10 8 8 1 6 8 7 39 24 2 6 27 8 3 1 8 1 1 2 8 11 7 4 Miss 0. M. Garrood. 36 W. J. Knox 1 1 Kitsumgalhim 3 12 8 1 1 5 1 1 H. B. Maxwell B. B. Marr Miss H. Peters 10 6 Matsqui: R. H. Tort 2 7 22 38 76 62 1 5 2 2 6 2 19 6 10 8 13 54 9 7 2 15 23 39 10 2 4 27 9 5 3 14 11 2 79 55 3 44 8 1 10 15 7 1 4 1 9 1 1 32 9 6 1 20 1 2 4 5 4 2 1 5 4 1 12 W. F. Drysdale E. C. Arthur Miss N. Armstrong New Westminster: Duke of Connaught.... Ocean Falls Prince George D. A. Clark Miss A. Stark 3 1 4 52 A. E. H. Bennett C. Ewert 1 1 2 1 6 1 1 12 1 Richmond: W. K. Hall 2 1 2 E. E. Toplifle 1 2 1 S. E. and Alan Beech. F. D. Sinclair 1 6 2 12 8 42 24 12 2 F. S. Eaton 14 162 57 105 106 1 2 3 Vancouver: H. White Miss M. McLellan Miss G. Jeeves Mrs. Bellamy Miss H. Jukes 1 H. White H. White ^ BOARD OF HEALTH REPORT, 1928-29. U 33 SCHOOLS. Other Conditions, specify, (Nervous, Pulmonary, Cardiac Disease, etc.). a I 9 IS a 02 d be a § rH 5 p 1 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. Heating, ventilation, and accommodation good Yes. ma, 1 1 Yes. SCHOOLS. 1 1 2 Building brick and frame; rather difficult to heat and ventilate during the severe weather Good nal curvature, 1; cystic goitre, 1 Good Good Boys' lavatory good; girls' lavatory good, but not adequate. 2 O.K. ... Good Clean; adequate. aritis, 1; anaemia, 2; orthopasdic, 1 Good 1 Clean; adequate. 0 K. 2 1 1 Diphtheria, 1; mumps, 1; pinkeye, 1 O.K Good Good.. Clean; adequate. Clean; adequate. Clean; adequate. 7 5 1 Measles; chicken-pox; scarlet fever Good 36 Excellent; modern.. O.K diac, 2; flat feet, 4 Good Clean; adequate. Clean; adequate. Good Good Good ter to flush. Slight epidemic of measles 1 1 Mumps, 15; chicken-pox, 7; measles, 4; scarlet fever, 1 Good Clean; adequate. 2; cardiac, 1 Good excepting basement of new part, which is unsanitary, due to water- seepa.ge • 2; nervous, 1; pulmonary, 1 Good Clean; adequate. I 2 12 Good anaemia, 2 Diphtheria; mumps; chicken- pox Good Splendid Well heated and ventilated O.K. Good. .. . Clean; adequate. . Good Adequate Diphtheria, 1; diphtheria carriers, 3; smallpox, 2 Measles, 6; mumps, 10; chicken- pox, 2 Scarlet fever, 1; diphtheria, 2; mumps, 1; smallpox, 1 ! 1 ! U 34 BRITISH COLUMBIA. HIGH Name of School. Medical Inspector. School Nurse. "ft 3 ■a . o o g a Tj oS ^ HI Sa HO 'o O Vancouver—Continued. H. White Miss M. Campbell- 319 731 967 288 586 726 390 113 148 396 632 877 167 431 812 2 76 44 28 16 9 3 17 36 4 16 10 82 114 259 25 117 302 1 2 2 1 1 1 1 1 2 4 1 4 124 Miss E. Edwards... Miss M. Ewart Mrs. Bellamy Miss I. Smith .... 30 W. Dykes 34 H. White .. 1 1 13 .. 6 H. Dyer .. . A. 0. Nash 104 148 9 1 6 1 19 2 7 10 H. G. Williams Mrs. S. Martin .. 1 1 Examination not made. JUNIOR HIGH E. 0. Arthur H. White Mrs. Bellamy Miss M. Campbell Miss M. Ewart Miss V. Stevens... 264] 237 1 1 175| 123 131411226 1 1 768| 342 1286|1137 1 35 7 50 30 65 2 13 3 6 24 1 37 15 48 83 31 307 54 426 1 9 6 8 99 Vancouver; 1 2 175 20 205 23 W. Dykes 1 17 1 4 51 H. White 91 GRADED CITY 119 502 390 272 538 14 62 435 433 131 79 549 61 288 299 367 111 502 374 250 518 14 52 428 377 116 79 549 61 286 298 352 1 40 3 4 26 1 2 40 16 30 2 23 2 15 54 32 19 190 69 60 59 6 17 101 68 25 15 76 12 40 73 83 44 234 81 64 33 2 32 301 31 50 452 43 60 55 63 3 41 4 19 Armstrong and Spallumcheen Chilliwack; Miss P. Charlton.. 48 3 1 5 2 2 1 21 2 2 18 1 10 82 53 34 179 68 14 Cranbrook: 11 Kootenay Orchards.... G. E. L. MacKinnon.. 6 22 2 4 1 1 1 1 6 36 8 5 5 16 5 24 2 1 8 11 10 6 7 12 5 10 2 70 27 2 25 70 20 2 55 99 4 1 2 2 1 6 2 155 1 6 20 10 16 43 49 8 II. P. Swan Miss M. Claxton.. H. W. Keith 7 Fernie: Miss W. Seymour. Miss W. Seymour. Miss W. Seymour. 4 75 7 3 Kamloops; Miss O. M. Garrood. Miss-O. M. Garrood 34 41 BOARD OF HEALTH REPORT, 1928-29. U 35 SCHOOLS—Continued. Other Conditions, specify, (Nervous, Pu!monary, Cardiac Disease, etc.). ri 1 a 02 d bO a> ft a I o 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. Diphtheria, 1; diphtheria carriers, 1; mumps, 3 ; chicken- pox, 1; smallpox, 1 bella, 1; mumps, 11; chicken- pox, 2 Diphtheria, 5; diphtheria carriers, 2; mumps, 4 Smallpox, 5; mumps, 2; whooping-cough, 1 1 Good Fair Both. 1 SCHOOLS. Nervous, 1; cardiac, 1; cleft palate 1; asthma, 1 No. vaccinated, 6S No. vaccinated, 762; cardiac, 3 No. vaccinated, 195; cardiac, 5 No. vaccinated, 614; cardiac, 2 , Varicella; parotitis Diphtheria, 1; measles, 4 mumps, 23; smallpox, 1 chicken-pox, 5 Scarlet fever, 2; diphtheria, 7 measles, 1; chicken-pox, 18 mumps, 2; smallpox, 30 Good but crowded.. Good. SCHOOLS. 1 3 2 Good Congenital dislocation of hips, 1; stammering, 2 ; cleft palate, 1; asthma, 2 ; tuberculosis, 2; heart-lesion, 2; hay-fever, 2; operations for appendicitis, 3; fractured patella, 1; fractured arm, 2; fractured septum, 1 11 7 1 17 23 1 2 3 Endocarditis, 1; chorea, 1; chicken-pox, 23; scarlet fever, 2; mumps, 47; whooping- cough, 39; pneumonia, 1 Chicken-pox, 15; mumps, 37.... Well heated and ventilated Poorly ventilated Poor ventilation Excellent. quate. O.K. cardiac, 1 Good Good Clean. 2 2 2 1 4 1 2 6 3 2 3 Measles; chicken-pox; smallpox; mumps; whooping-cough Good vous, 1; blepharitis, 10; cleft palate, 2; stammering, 1; anremia, 35; cardiac, 1; pulmonary, 2 yngitis, 10; enlarged turbinates, 12; fatigue posture, 132 fever, 4 ; mumps, 6; measles, 2; chicken-pox, 34 Good Yes. 3 6 2 9 5 3 1 O.K 0 K. Pinkeye, 45; diphtheria, 9 ; mumps, 13; scarlet fever, 1; chicken-pox, 4 Mumps, 1; measles, 3; diphtheria, 2; pinkeye, 3 O.K 0 K. O.K Building not overcrowded; ventilating system not very good; heating only fairly adequate in cold weather Brick building, good repair; well ventilated and heated D'espine, 2; partial cleft palate, 1 Bronchitis, 3; heart, 2; D'espine, 4; 3 sufficient; they are kept clean and sanitary. endocarditis, 1; lordosis, 1; narrow chests, 2 U 36 BRITISH COLUMBIA. GRADED CITY Name of School. Medical Inspector. School Nurse. . O > i ft H 6 g r?4 (U a o q cu at OS at u a h to £ a la ow at to S§ o +> ai et OP3 n2 '3 a tt ■< tt at Hi ai22 ■2 a a o HH

„' S3 at a 02 '3 O Kaslo 108 770 284 297 22 159 139 607 73 568 178 839 809 512 140 436 341 166 104 214 365 483 304 63 23 297 299 406 187 71 907 322 59 445 561 383 292 102 770 284 277 22 159 137 606 73 551 173 839 809 512 140 436 334 104 102 207 348 471 298 59 21 291 294 365 138 69 907 322 59 478 593 346 323 1 25 8 1 2 6 6 97 6 2 1 9 1 1 3 2 3 3 7 64 27 10 1 16 16 49 3 44 18 19 19 9 2 8 16 2 5 2 2 1 1 7 1 1 1 2 3 1 3 5 1 11 76 8 6 2 17 11 51 10 5 2 8 16 8 4 8 34 11 76 8 6 2 17 11 51 10 4 2 121 125 95 30 77 65 12 6 5 27 63 41 12 2 3 12 23 11 6 20 11 3 3 36 65 94 68 2 19 10 50 6 96 29 156 167 113 34 96 134 48 36 25 52 179 117 23 6 17 27 45 31 14 10 16 4 36 48 10 11 38 686 93 99 2 42 17 250 10 335 106 119 36 12 21 162 94 66 6 3 25 18 122 31 210 64 10 137 124 40 59 6 64 57 3 23 7 31 29 4 2 192 192 133 34 85 7 3 10 107 74 18 i 7 3 8 12 1 14 1 2 76 W. J. Knox Miss F. Lyne Miss H. Peters— 93 Ladysmith: H. B. Maxwell . .. G. H. Tutill 8 10 Nanaimo: Middle Ward W. F. Drysdale .... W. F. Drysdale ... W. F. Drysdale W. F. Drysdale ... W. F. Drysdale E. C. Arthur Miss N. Armstrong. Miss N. Armstrong. Miss N. Armstrong. Miss N. Armstrong. Miss N. Armstrong. 3 8 77 1 Nelson: 146 30 New Westminster: D. A. Clark Miss A. Stark Miss A. Stark Miss A. Stark Miss A. Stark . . Miss A. Stark Miss M. E. Grierson 103 98 75 23 44 27 2 1 3 11 115 95 6 5 4 5 140 26 2 79 122 60 66 2 4 1 83 72 63 11 44 43 D. A. Clark Richard McBride D. A. Clark Herbert Spencer D. A. Clark A. R. Wilson Port Coquitlam: 4 2 4 25 22 1 1 1 1 6 17 103 65 24 3 12 7 7 24 1 80 32 8 17 9 2 3 7 13 6 3 3 16 12 2 2 2 1 2 e 27 25 30 3 3 12 3 3 26 11 3 Prince Rupert: Booth Memorial 12 2 Revelstoke: Rossland: 14 5 206 31 5 12 25 10 7 Trail-Tadanac: F S Eaton Vancouver: H. White Miss H. Jukes Miss D. Shields Miss F. Innes Miss I. Smith W. Dykes | 1 BOARD OF HEALTH REPORT, 1928-29. U 37 SCHOOLS—Continued. Other Conditions, specify, {Nervous, Pulmonary, Cardiac Disease, etc.). 6 i it o & ta n tH rH 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. Ana?mia, 1; paralysis, 1 Nervous, 16; cardiac, 6; pulmonary, 28 T.B., 3; bronchial catarrh, 25; cho rea, 16; curvature of spino1—posture, 11; flat feet, 5 Orthopaedic, 14; cardiac, 5; anaemia.. 3; hernia, 1 Appendicitis, 1; nervous, 1; cardiac, 1; pulmonary, 1; blepharitis, 2 conjunctivitis, 2; hip-disease, 2 Blepharitis, 3; nervous, 1 Erysipelas, 1; eczema, 1; asthma, 2; cardiac, 3; pulmonary, 2; nervous, 1; blepharitis, 3; conjunctivitis, 8; fractures, 3 Eczema, 1; nervous, 1; blepharitis, 1 Cardiac, 1; nervous, 1; leg paralysis, 1 Orthopaedic, 14; cardiac, 13; anEemic, 2; nervous, 2; pulmonary, 1 Orthopaedic, 19; cardiac, 14; anaemic, 3 ; nervous, 3 ; pulmonary, 4 Orthopaedic, 7; cardiac, 4; anaemic, 3; nervous, 1; pulmonary, 1 Orthopaedic, 4; cardiac, 2; anaemic, 2; pulmonary, 1 Orthopaedic, 11; cardiac, 6; anaemic, 2; nervous, 2 Pulmonary, 1; cardiac, 2; renal, 1.... Cardiac, 9 Cai'diac, 6 Cardiac, 2; mumps, 6; infantile paralysis, 2; measles, 24; chicken-pox, 10 Blepharitis, 15 Heart. 32; pulmonary, 4; orthopaedic, 4; kidney, 2; anemia, 12 Heart, 15; kidney, 2; pulmonary, 9; anaemia, 4; orthopedic, 7 Heart, 1 Nervous, 2; heart, 1; orthopaedic, 1. Cardiac, 6; nervous, 2 Orthopaedic, 1; cardiac, 2.. Cardiac, 1; blepharitis, 1.. Cardiac, 4; nervous, 5; pulmonary, 2.. Cardiac, 8; chorea, 2; plant-poisoning, 12; eczema, 8 Cardiac, 1 No. vaccinated, 200; cardiac, 1; pulmonary, 1 No. vaccinated, 224; pulmonary, 1.. No. vaccinated, 170; cardiac, 1 No. vaccinated, 129.. 2 4 I I I Typhoid fever, 1; measles, 56: mumps, 6 0; whooping-cough. 22; pinkeye, 18 Slight epidemic of measles.. Mumps, 9; measles, 1; chicken- pox, 1 Mumps, 38; scarlet fever, 1; measles, 30 Measles, 4 6; chicken-pox, 5; scarlet fever, 1; mumps, 4 6 Measles, 35; chicken-pox, 3; mumps, 118; scarlet fever, 5 Mumps, 31; measles, 15; diphtheria, 1 Varicella; mumps.. Mumps, 97; diphtheria, 4; scarlet-fever, 3; chicken-pox, 18; measles, 48; pertussis, 8 Scarlet fever, 1; measles, 27: rubella, 29; mumps, 31; diphtheria, 3 Measles; chicken-pox . Measles; chicken-pox . Chicken-pox; measles . Chicken-pox; measles . Chicken-pox Chicken-pox; measles.. Mumps; scarlet fever.. Mumps; scarlet fever.. Mumps, 30 Measles; mumps.. Scarlet fever, 1; mumps, 23; chicken-pox, 6; measles, 12 Mumps, 12; measles, 6; chicken- pox, 2 Diphtheria, 1; measles, 22; mumps, 24; chicken-pox, 1; smallpox, 1; poliomyelitis, 1 Chicken-pox, 2 Scarlet fever, 3; measles, 15; mumps, 8; whooping-cough, 10; chicken-pox, 22 Diphtheria, 1; diphtheria carriers, 10; mumps, 1 Excellent; overcrowding being arranged for by new building Good Satisfactory.. Good Good Good Very good.. Good.. Rooms are crowded; without forced ventilation, for which building is piped Building good, but all rooms much overcrowded, excepting Div. 2 Satisfactory.. Satisfactory.. Excellent Good.. Good- Good.. Good- Good.. Good.. Good- Good Satisfactory- Good Adequate.. Adequate.. Adequate.. Clean; well kept; adequate; modern; sanitary. Yes. Yes. Clean; adequate. Clean; adequate. Clean; adequate. Clean; adequate. Clean; adequate. Good. Good. Clean, adequate Clean; Clean; Good. adequate adequate Clean, adequate Good. Good. Good. Good. Good. Good. Good. Clean ; Clean; adequate, adequate. U 38 BRITISH COLUMBIA. GRADED CITY Name of School. Medical Inspector. School Nurse. a Pi . . o 5 a f. at ft a . w tt at .~ a 8 J to at a p a a "c3 at t. ■3 § OS at > 1 a at,° n bi lit to ?% '£'£ at at *& u OH '3 a 02 t2 H tt 11 a o 01 at r2 at ® OH tt at „• BO '3 Vancouver—Continued. Miss I. Smith Miss E. Bell 103 448 952 293 462 780 688 239 463 401 586 766 461 16 866 553 704 539 310 444 459 594 73 359 797 363 480 743 692 199 405 466 565 691 478 51 773 486 729 598 274 443 436 537 i 10 55 241 23 '65 152 126 62 167 71 83 117 51 2 143 88 43 38 39 26 78 23 i i 3 3 3 49 1 2 2 11 24 9 1 1 1 2 6 5 2 19 51 2 10 5 15 17 25 12 7 3 4 2 29 7 4 2 2 4 9 9 8 92 92 21 73 84 72 27 54 48 72 36 68 14 116 50 46 40 30 23 57 49 7 100 162 77 113 157 113 48 112 96 71 70 87 8 117 101 80 85 53 41 57 121 1 10 13 5 12 5 1 4 5 10 14 6 1 1 25 6 13 13 5 7 12 2 4 5 23 20 47 19 13 Miss E. Edwards... Miss M. Ewart Miss V. Stevens- Miss H. Jukes Miss D. Shields- Miss D. Olmstead.. Miss D. Olmstead.. 9 58 32 H White 33 44 10 1 8 16 22 24 44 7 26 5 26 26 o 16 17 26 2 4 2 2 3 5 4 2 1 1 6 1 7 9 FL White 10 Miss L. Drysdale.... Miss F. Innes Miss 0. Kilpatrick. 34 15 H. White 18 Grenfell H. White 6 H. White 13 W. Dykes 16 W- Dykes Miss G. Jeeves Miss G. Jeeves Miss F. Innes Miss G- Jeeves Miss L. Drysdale... Miss M. Ewart 23 W. Dykes 27 W. Dykes 8 W. Dykes 8 8 W. Dykes 17 BOARD OF HEALTH REPORT, 1928-29. U 39 SCHOOLS—Continued. Other Conditions, specify, (Nervous, Pulmonary, Cardiac Disease, etc.). d s fl 0) s a 3 ft 3 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. No. vaccinated, 26- No. vaccinated, 100; cardiac, 2; pulmonary, 2 No. vaccinated, 229; cardiac, 6 No. vaccinated, 121; cardiac, 8- No. vaccinated, 311; cardiac, 4.. No. vaccinated, 221; cardiac, 3; pulmonary, 3 No. vaccinated, 309; cardiac, 1., No. vaccinated, 44; cardiac, 3.. No. vaccinated, 111; cardiac, 1.. No. vaccinated, 207; pulmonary, 2.. No. vaccinated, 298; cardiac, 8- No. vaccinated, 334; pulmonary, 1— No. vaccinated, 189; pulmonary, 2_. No. vaccinated, 38 No. vaccinated, 332; cardiac, 2; pulmonary, 8 No. vaccinated, 269; cardiac, 3; pulmonary, 3 No. vaccinated, 34 6; cardiac, 4; pulmonary, 3 No. vaccinated, 191; cardiac, 9; pulmonary, 3 No. vaccinated, 193 No. vaccinated, 192; cardiac, 1; pulmonary. 1 No. vaccinated, 216; cardiac, 1; pulmonary, 2 No. vaccinated, 247; cardiac, 3; pulmonary, 2 Scarlet fever, 2 ; chicken-pox, 4 ; measles, 7; mumps, 1; smallpox, 1; whooping-cough, 2; diphtheria, 1 Diphtheria, 5; diphtheria carriers, 3; measles, 30; mumps, 119; chicken-pox, 4 Scarlet fever, 1; diphtheria, 3; measles, 23; diphtheria carriers, 1; rubella, 1; mumps, 69; chicken-pox, 1; smallpox, 1 Diphtheria, 20; diphtheria carriers, 4; measles, 53; rubella, 1; mumps, 12 Scarlet fever, 1; diphtheria, 6; measles, 4; diphtheria carriers, 5; mumps, 42; chicken- pox, 4 Scarlet fever, 2; diphtheria, 1; measles, 25; diphtheria carriers, 1; mumps, 86; whooping-cough, 8; chicken-pox, 3; smallpox, 1 Scarlet fever, 1; diphtheria, 2; measles, 34; mumps, 1; smallpox, 2 Measles, 18; mumps, 5; rubella, 1 Diphtheria, 11; measles, 18; diphtheria carriers, 14; rubella, 2; mumps, 34; chicken- pox, 8; smallpox, 2 Scarlet fever, 1; measles, 22; diphtheria, 4; diphtheria carriers, 3, rubella, 1; mumps, 53; chicken-pox, 1; smallpox, 1 Scarlet fever, 1; measles, 28; ■diphtheria, 24; diphtheria carriers, 25; mumps. 21; chicken-pox, 34; smallpox, 6 Scarlet fever, 3; measles, 5; diphtheria, 7; diphtheria carriers, 6; mumps, 12; chicken- pox, 70 Scarlet fever, 2; measles, 22; diphtheria, 5; diphtheria carriers, 1; mumps, 1; whooping-cough, 2; chicken-pox, 73 Measles, 1 Scarlet fever, 4; measles, 18; diphtheria, 10; diphtheria carriers, 8; rubella, 1; mumps, 7; chicken-pox, 49; whooping-cough, 1; smallpox, 2 Scarlet fever, 2; diphtheria, 1; measles, 6; mumps, 11; whooping-cough, 3; chicken- . pox, 10 Scarlet fever, 3; mumps, 88; measles, 59; whooping-cough, 2; chicken-pox, 28; smallpox, 1 Scarlet feyer, 1; mumps, 17; measles, 25; chicken-pox, 17 Scarlet fever, 2; mumps, 21; measles, 3; chicken-pox, 2 Scarlet fever, 2; measles, 6; diphtheria, 1; diphtheria carriers, 2; mumps, 10; chicken- pox, 15 Scarlet fever, 3; diphtheria, 2; diphtheria carriers, 2; measles, 3 7 ; mumps, 7; whoop ing-cough, 1; chicken-pox, 1 Scarlet fever, 1; diphtheria, 4 measles, 11; rubella, 1; chicken-pox, 3; mumps, 110 U 40 BRITISH COLUMBIA. GRADED CITY Name of School. Medical Inspector. School Nurse. 2? H oa ot> OK 11 a o KH at t> o A at Jj tit at at q, Oh tt a> .2 t. tt at fl aS HO 24 61 11 98 81 6 31 98 ' 4 48 112 5 63 122 9 84 95 10 111 147 7 39 162 12 52 108 11 110 144 10 8 11 5 7 19 8 17 33 3 33 81 14 13 21 2 10 72 3 41 100 3 52 166 7 51 130 199 151 21 43 68 111 117 3 105 237 11 Vancouver—Continued. Magee Moberley and Annex.. Model Mount Pleasant McBride Macdonald Mackenzie Nelson Florence Nightingale.. NorQuay and Annex... Oak Street Open Air Prince of Wales, Queen Mary Quilchena Renfrew Cecil Rhodes Lord Roberts Laura Secord Lord Selkirk Sexsmith - Seymour Strathcona W. Dykes.. G. Lamont.. G. Lamont.. G. Lamont.. G. Lamont.. W. Dykes Miss M. Ewart Miss M. Ewart.. Miss D. Olmstead.. Miss L. Drysdale... Miss L. Drysdale... Miss D. Olmstead.. Mrs. Schultz Miss E. Bell- Miss I. Smith.. Miss D. Shields.. Miss E. Edwards... H. White Miss D. Shields.. W. Dykes Miss M. Ewart... W. Dykes.. W. Dykes.... G. Lamont.. II. White.. II. White- Miss G. Jeeves.. Miss M. Ewart.. Miss I. Smith- Mrs. Bellamy... Miss H. Jukes.. Miss O. Kilpatrick Miss E. Edwards... Miss E. Bell- Miss O. Kilpatrick. Miss M. McLellan. 534 529 025 676 395 511 604 527 106 95 142 180 105 623 54 355 681 295| 215 300 329 579 850 889 1232 510 755 630 351 98 157 193 74 156 24 29 05 38 34 11 33 13 14 29 •I 4 70 13 30 44 22 2 15 19 43 BOARD OF HEALTH REPORT, 1928-29. TJ 41 SCHOOLS—Continued. Other Conditions, specify, (Nervous, Pulmonary, Cardiac Disease, etc.). 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- No. vaccinated, 221; cardiac, 5; pulmonary, 2 No. vaccinated, 90; cardiac, 2.. No. vaccinated, 304 No. vaccinated, 285; pulmonary, 1., No. vaccinated, 97; cardiac, 3.. No. vaccinated, 277; cardiac, 2; pulmonary, 1 No. vaccinated, 191; cardiac, 2.. No. vaccinated, 354; pulmonary, 2.. No. vaccinated, No. vaccinated, 156; cardiac, 2.. No. vaccinated, 55; cardiac, 1; pulmonary, 1 No. vaccinated, 21; pulmonary, 6 No. vaccinated, 144; cardiac, 37 No. vaccinated, 242; cardiac, 9- No. vaccinated, 86; cardiac, 5.. No. vaccinated, 134 , No. vaccinated, 281 No. vaccinated, 448; cardiac, 1; pulmonary, 2 No. vaccinated, 250; pulmonary, 4.. No. vaccinated, 151; cardiac, 4.. No. vaccinated, 168; cardiac, 1; pulmonary, 1 No. vaccinated, 544; cardiac, 1; pulmonary, 2 No. vaccinated, 1,096; pulmonary, 2 Diphtheria, 1; measles, 101 mumps, 57; whooping-cough 12; chicken-pox, 2; small pox, 2 Scarlet fever, 1; diphtheria, 4 measles, 25; whooping-cough 2; mumps, 6; chicken-pox, 3 smallpox, 18 Scarlet fever, 1; diphtheria, 1 measles, 32; chicken-pox, 3 mumps, 73 Scarlet fever, 3; diphtheria, 4 diphtheria carriers, 1; measles, 37; mumps, 10; chicken- pox, 7; smallpox, 6 Diphtheria, 6; diphtheria carriers, 2; measles, 35; mumps, 37; whooping-cough, 2; smallpox, 1 Diphtheria, 1; diphtheria carriers, 4; measles, 6; mumps, 45; chicken-pox, 9; smallpox, 5 Scarlet fever, 1; diphtheria, 4; diphtheria carriers, 2; measles, 76; mumps, 27; whooping-cough, 2; chicken-pox, 33 Scarlet fever, 2; diphtheria, 5; measles, 47; whooping-cough, 5; rubella, 1; mumps, 5; chicken-pox, 33; smallpox, 4; poliomyelitis, 1 Scarlet fever, 1; diphtheria, 2; diphtheria carriers, 2; measles, 13; mumps, 3; chicken- pox, 1 Diphtheria, 14; diphtheria carriers, 10; mumps, 54; meas les, 75; chicken-pox, 28 small-pox, 4 Measles, 20; mumps, 9; chicken- pox, 4 Diphtheria, 1; measles, 25; mumps, 8 ; whooping-cough, 2 ; chicken-pox, 36 Scarlet fever, 3 ; diphtheria, 1; measles, 4 ; mumps, 2; chicken-pox, 32 Scarlet fever, 4; measles, .40; mumps, 3; chicken-pox, 1 Scarlet fever, 1; diphtheria, 8; diphtheria carriers, 10; measles, 2 ; whooping-cough, 14; chicken-pox, 3 Scarlet fever, 2; mumps, 22; chicken-pox, 19 ; smallpox, 3 Scarlet fever, 2; diphtheria, 1; measles, 24; mumps, 132; chicken-pox, 17; poliomyelitis, 1 Diphtheria, 7; diphtheria carriers, 1; measles, 26; mumps, 1; chicken-pox, 10; smallpox, 7 Scarlet fever, 2; diphtheria, 9; diphtheria carriers, 2; measles, 49; mumps, 24; chicken- pox, 40; smallpox, 3 Diphtheria, 2; diphtheria carriers, 1; mumps, 69; measles, 62; chicken-pox, 5; smallpox, 5 Scarlet fever, 1; diphtheria, 9; diphtheria carriers, 4; measles, 11; mumps, 30; chicken- pox, 24; smallpox, 2 Diphtheria, 12; diphtheria carriers, 5; measles, 33; mumps, 73; chicken-pox, 13; poliomyelitis, 1 U 42 BRITISH COLUMBIA. GRADED CITY Name of School. Medical Inspector. School Nurse. fit* OK ■3 fl s o HH Vancouver—Continued. Teeumseh Tennyson Van Home Wolfe Vancouver, North: Lonsdale Queen Mary Ridgeway Vernon: Central Victoria: Bank Street Beacon Hill Boys' Central Burnside Sir James Douglas.... George Jay Girls' Central Margaret Jenkins King's Road Kingston Street North Ward Oaklands Quadra Street Quadra Primary Railway Street South Park Spring Ridge Victoria West G. Lamont I* White G. Lamont G. Lamont H. Dyer II. Dyer H. Dyer H. G. Williams. D. Donald D. Donald D. Donald D. Donald D. Donald D. Donald D. Donald D. Donald D. Donald D. Donald D. Donald D. Donald D. Donald D. Donald D. Donald D. Donald D. Donald D. Donald Miss D. Olmstead. Mrs. Bellamy Miss E. Bell Miss E. Bell Miss E. Lowther.. Miss E. Lowther.. Miss E. Lowther.. Mrs. S. Martin.... Miss E. J. Herbert Miss I. E. Adams- Miss E. J. Herbert Miss C. Mowbray... Miss E. J. Herbert. Miss I. E. Adams- Miss E. J. Herbert. Miss E. J. Herbert Miss C Miss I. Miss C. Miss C. Miss C. Miss C. Miss C Miss I. Miss I. Mowbray.. . E. Adams.. Mowbray... Mowbray... Mowbray... Mowbray... Mowbray... E. Adams.. E. Adams.. 417 634 407 492 Miss I. E. Adams.. 153 367 229 455 47S 350 332 44 152 377 542 250 219 47 322 158 318 418 501 153 367 229 455 476 350 44 152 377 542 250 219 47 322 158 84 130 34 39 19 71 49 72 120 128 90 115 RURAL MUNICIPAL Burnaby: 48 36 237 207 630 713 22 187 43 36 228 197 608 673 22 182 1 1 3 24 21 77 79 1 17 21 23 122 92 311 335 11 87 6 1 41 27 71 91 1 21 1 Capitol Hill 1 6 6 15 27 1 9 1 3 2 7 5 11 12 8 10 17 18 5 2 1 1 1 Hamilton Kyad 1 "i 4 1 BOARD OF HEALTH REPORT, 1928-29. U 43 SCHOOLS—Continued. Other Conditions, specify, (Nervous, Pulmonary, Cardiac Disease, etc.). a 1 cd u m d a 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. Diphtheria, 5; diphtheria carriers, 6; measles, 21; mumps, 42; chicken-pox, 19 Scarlet fever, 1; diphtheria, 7; diphtheria carriers, 3; measles, 32; rubella, 1; mumps, 40; whooping-cough, 1; chicken-pox, 5 Diphtheria, 17; diphtheria carriers, 18; mumps, 16; measles, 41; chicken-pox, 1 Scarlet fever, 1; diphtheria, 2; diphtheria carriers, 3; measles, 6 5 ; rubella, 1; mumps, 27; chicken-pox, 7; smallpox, 2 Smallpox, 22; whooping-cough, 5; measles, 46; mumps, 20 Smallpox, 12; whooping-cough, 3; measles, 35; mumps, 30; chicken-pox, 3 Smallpox, 2; chicken-pox, 4; measles, 5; mumps, 13 Pneumonia, 9; whooping-cough, 28; mumps, 138; chicken- pox, 3; scarlet fever, 6; rubella, 24; influenza, 10 Chicken-pox, 1; mumps, 6; scarlet fever, 1; measles, 4 Mumps, 9; scarlet fever, 1; measles, 18 Mumps, 15; measles, 3; whooping-cough, 3 Measles, 4; mumps, 15; scarlet fever, 1; smallpox, 3 Chicken-pox, 42; mumps, 45; measles, 11 Mumps, 20; measles, 6; scarlet fever, 1; chicken-pox, 1 Chicken-pox, 3; mumps, 23; diphtheria, 1; measles, 4 ; scarlet fever, 1 Chicken-pox, 1; diphtheria, 1; mumps, 7; measles, 4 monary, 1 No. vaccinated, 386; cardiac, 2; pulmonary, 1 Cardiac, 14; nervous, 2; respiratory, 6 Cardiac, 20; nervous, 4; respiratory, 5; orthopaedic, 1 Cardiac, 13; nervous, 1; respiratory, 4; orthopaedic, 2 Cleft palate, 1; asthma, 1; stammering, 2; cardiac, 2 2 3 6 2 2 1 2 4 4 1 2 3 1 8 11 10 17 11 15 5 i 7 2 20 14 5 4 10 Good Good. Good 1 Good Good Good 3 Good Good Good 4 5 9 8 4 3 5 Scarlet fever, 1; measles, 15; mumps, 26; chicken-pox, 1 Measles, 98; mumps, 34; scarlet fever, 1 Measles, 5; scarlet fever, 1; diphtheria, 1; smallpox, 1 Measles, 30; scarlet fever, 1; mumps, 50; chicken-pox, 1 psedic, 1 Good Adequate. Adequate. 1 3 10 10 1 1 2 Mumps, 19; measles, 8; scarlet fever, 2; chicken-pox, 1 Mumps, 20; scarlet fever, 4; measles, 43; diphtheria, 1 Adequate. SCHOOLS. Corrected vision, 1 Good Yes. Orthopaedic, 1; corrected vision, 2.... 1 Good Orthopaedic, 1; corrected vision, 4 1 Good Good Yes. Heart, 1; orthopaedic, 1; stammer, 1; 5 2 2 1 1 Good corrected vision, 26 Good Good Yes. rected vision, 3 U 44 BRITISH COLUMBIA. RURAL MUNICIPAL Name of School. Medical Inspector. School Nurse. 1 '3. ■ . o •?* *H at 'a f, at c o 'a o"eS Sa at 01 oa * at .2 fit* 02 . ■i, oi 2n a £ a a> at OK d to si S3 O HI at at at f. on .-a 'S a 0J ■a H Is g o at tr at 2i at m OH H ti at a ai. BO ai 'o Burnaby—Continued. Kingsway, West 608 283 453 91 36 89 28 120 47 249 99 23 68 83 56 17 84 27 158 194 15 214 55 51 16 85 29 40 72 20 125 9 160 33 17 13 19 27 274 25 16 62 52 24 26 531 157 34 52 32 72 23 39 22 86 138 66 109 121 65 20 583 266 431 89 34 88 28 115 44 236 99 22 68 83 56 17 84 27 157 193 15 212 55 51 15 82 28 33 65 19 116 9 156 33 17 13 15 24 248 20 13 52 50 20 26 531 140 33 50 30 64 23 26 22 81 129 66 90 120 64 19 4 i 11 12 12 5 1 8 1 1 1 n 5 12 1 1 3 1 14 9 19 1 1 1 2 53 28 61 • 4 6 13 5 12 4 25 33 9 6 10 3 4 31 12 19 30 8 24 9 5 4 6 3 2 14 299 140 199 37 18 52 14 67 25 111 16 3 7 12 12 3 4 8 16 39 4 45 12 9 2 6 2 4 3 22 2 60 15 7 3 5 13 15 8 6 8 11 2 10 81 15 5 14 6 10 72 40 53 7 17 1 15 3 39 1 2 1 15 4 10 Schou Street 1 1 3 1 4 7 Sperling Avenue 1 3 20 4 3 2 2 15 7 10 16 5 15 3 2 2 1 2 1 2 7 10 24 7 4 7 4 2 21 9 12 22 5 19 4 4 2 6 3 2 3 4 7 6 3 Chilliwack: Atchelitz Camp Slough W. E. Henderson W. E. Henderson W. E. Henderson W. E. Henderson W. E. Henderson W. E. Henderson W. E. Henderson W. E. Henderson W. E. Henderson W. E. Henderson W. E. Henderson W. E. Henderson W. E. Henderson W. E. Henderson W. E. Henderson Miss W. Green Miss \\V. Green Miss W. Green Miss W. Green Miss \\V. Green Miss W. Green Miss W. Green Miss "W. Green Miss W. Green Miss W. Green Miss W. Green Miss W. Green Miss W. Green Miss W. Green Miss AV. g-reen 3 1 2 8 2 2 2 4 2 9 2 2 3 1 2 5 2 3 2 2 8 6 1 1 1 2 12 1 2 1 2 1 Fairfield Island Mennonite 5 1 2 2 3 14 4 2 7 3 3 2 3 6 Coldstream: Coldstream Lavington Coquitlam: 1 1 1 2 1 1 1 1 1 2 16 5 3 S. G. Baldwin 2 Maillardville 3 1 16 1 Cowichan, North: H. B. Rogers Miss A. Xates Miss A. Yates Miss A. Yates 11 4 11 11 2 1 o 1 6 3 3 3 3 1 11 25 80 19 5 9 1 1 5 4 6 22 4 4 5 7 1 12 31 80 19 1 59 9 6 8 4 10 53 5 5 98 18 2 16 85 80 19 o 3 5 1 2 1 1 3 1 Delta: 2 2 3 7 2 1 12 1 2 11 3 1 3 1 5 8 2 10 3 o 1 11 5 3 1 3 4 10 2 1 1 3 2 2 3 1 15 1 6 17 2 1 2 6 2 Esquimalt: J. S. McCallum Miss E. Morrison... 4 Kent: 26 5 3 Langley: Belmont 1 1 2 Glen Valley 1 Glenwood 6 o 13 23 11 15 18 11 2 B. B. Marr 2 o 3 9 9 4 9 10 10 3 2 B. B Marr . 1 1 1 5 1 1 1 Otter 1 o Otter, South B. B. Marr BOARD OF HEALTH REPORT, 1928-29. U 45 SCHOOLS—Continued. Other Conditions, specify, (Nervous, Pulmonary, Cardiac Disease, etc.). 1 OJ > 2 6 at ft a tt U 3 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. 2 1 Good Yes. 1 4 Good Good Good Good 1 Good Yes, 4 Yes. 2 Good Good Yes. 3 1 Good Yes. 3 i Mumps, 4; measles, 1; chicken- pox, 19 Good Good Good. Pulmonary, 1; orthopaedic, 1 3 1 1 1 i i Mumps, 2; chicken-pox, 4 Mumps, 2; chicken-pox, 12 Good Good. Good Fair. Septic throats, 2 Good Good. 4 3 3 4 1 1 Good Good. Pulmonary, 2 ; corrected vision, 1 4 Good. 16 2 Good Good. Fair; ventilation poor Good Good. Nervous, 1; stammering, 1; corrected vision, 1 3 2 2 1 1 1 Mumps, 2; chicken-pox, 3 Fair Fair. Good 2 1 Mumps, 36 One room crowded... Good Yes. Yes. 1 New school building.. Clean; adequate. impediment, 1 2 Mumps, IS; diphtheria, 2; chicken-pox, 1 disease of heart, 1; pigeon-chest, 1 Clean; adequate. Clean; adequate. 1 Satisfactory Good repair; not crowded; poorly heated Satisfactory Satisfactory No drinking-water Good Cardiac, 9; nervous, 1; pulmonary, 1 1 3 Measles, 2; mumps, 2; varicella, 1 Clean; adequate. 1 2 2 German measles, 1 Clean; adequate. Good. Good Good. Meningitis, 1; mumps, 105; measles, 32 Good Good. Good Good Good. Good Good. 3 6 Good. Good Good. 1 4 3 Good Good. Cardiac, 3; infantile paralysis, 1; kyphosis, 1; diabetic, 1 Mumps, 20; measles, 12; epidemic catarrhal cold, 200 Good Good. Good. Good to flush toilets. Good Good Good Mumps, 4 Good Good Good; poor ventilation Good Good... Good; east room dark Good Eight; flush. Eight; flush. 1 U 46 BRITISH COLUMBIA. RURAL MUNICIPAL Name of School. Medical Inspector. School Nurse. 'S ■SJJ . o ;z;g ft s . nttl 6 g to at ri a s eg 02 '•§ s at .n fit* 01 ■" %! a> H at at OK at to * .5 +33 at at oa '3 a ti Ti 13 .A baS Is WH at O n ft Oh tt M A In -u 03 fl = .2 B9 ai 'o O Langley—Continued. B. B. Marr 35 33 1 1 1 2 3 2 8 6 9 5 3 8 4 1 4 3 28 18 123 11 4 11 5 7 35 54 10 104 46 57 37 2 3 10 1 34 54 23 9 16 13 33 4 3 31 6 11 31 73 87 5 6 4 7 4 7 3 3 13 3 1 B. B. Marr 38 37 B. B. Marr 23 47 67 05 32 21 151 60 32 42 54 03 42 374 25 18 31 11 11 318 276 06 617 133 435 503 32 23 114 17 155 261 102 49 09 70 145 80 36 88 36 57 107 288 299 18 43 05 03 31 19 137 56 32 39 54 59 40 361 19 17 30 10 10 293 258 64 617 125 409 450 25 19 109 13 141 253 93 45 67 66 137 83 37 80 32 49 100 2S2 286 Matsqui: R. H. Port 0 6 1 1 o R. H. Port 1 • 1 R. H. Port 1 1 1 2 R. H. Port 1 R. H. Port 1 3 6 1 4 1 9 3 89 3 5 1 1 1 R. H. Port 14 R. H. Port 2 1 2 R. H. Port R. H. Port 5 5 10 11 65 6 4 9 1 4 21 16 6 100 78 27 81 15 6 50 8 1 9 3 3 4 1 36 57 1 10 10 8 48 3 1 1 1 3 6 1 1 1 3 3 17 2 3 2 1 10 7 111 8 2 7 5 7 21 18 , 1 3 10 7 111 11 2 7 5 7 12 15 1 60 4 25 30 6 5 Mission: AV. H. Mclntyre W. H. Mclntyre AV. H. Mclntyre 2 4 4 1 5 2 3 17 9 6 34 25 15" 9 29 8 3 7 Oak Bay: J. N. Taylor Miss Bradshaw 14 Peachland: 52 62 29 9 3 Penticton: 25 12 Pitt Meadows: Richmond: AV. K. Hall 10 10 1 2 AV. K. Hall AV. K. Hall 2 2 1 7 9 3 3 2 1 6 6 10 4 49 89 24 4 9 25 59 5 8 19 8 18 22 103 92 5 1 1 10 1 36 72 20 13 15 23 36 5 Trites AV. K. Hall Saanich: Cedar Hill Miss E. Naden Miss E. Naden Miss E. Naden .... Miss E. Naden Miss E. Naden Miss E. Naden 1 11 2 2 2 7 3 17 7 1 11 2 6 3 0 7 12 27 4 5 18 3 2 1 Gordon Head D. Berman D. Berman Keating 4 3 2 Lake Hill D. Berman 1 18 Model School J. P. Vye D. Berman Miss M. Harvey Miss E. Naden Miss E. Naden Miss E. Naden. Miss E. Naden Miss E. Naden Miss E. Naden Miss E. Naden Prospect Lake 3 1 2 3 1 2 13 2 2 2 3 4 16 20 15 21 7 14 30 62 71 8 15 4 4 20 31 29 Royal Oak D. Berman 4 2 4 6 2 7 5 1 11 10 4 Saanichton D. Berman. 1 Strawberry Vale D. Berman 3 5 3 1 Tolmie BOARD OF HEALTH REPORT, 1928-29. U 47 SCHOOLS—Continued. Other Conditions, specify, (Nervous, Pulmonary, Cardiac Disease, etc.). .9 CD 03 a d ! a 3 8 bn fl 3 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 Two; Two; Two; Yes. Yes. Yes. Yes. Yes. Yes. Yes. Yes. Yes. Yes. Yes. Yes. Yes. Yes. Yes. Yes. Yes. Yes. Clean Clean Clean Clean Yes. O.K. O.K. O.K. O.K. O.K. O.K. earth; poor, earth; poor. Chicken-pox, 10; mumps, 4 Good 5 4 i 2 6 V.D.H., 1 Measles; mumps; whooping- cough Measles; mumps; whooping- cough AA'ell heated and ventilated ATell heated and ventilated adequate, adequate. adequate, adequate. 4; pulmonary, 4; nervous, 3 2 1; cardiac, 1; orthopaedic, 1 16 37 Measles, 188; mumps, 204; chicken-pox, 22 Measles, 4 ; mumps, 2 ; chicken- pox, 1; whooping-cough, 3; infanile paralysis, 1 Measles, 3; mumps, 1; chicken- pox, 9; smallpox, 2 Fair; rather crowded Measles, 15 Cardiac, 2 ; scoliosis, 1; conjunctivitis, 3 1 4 3 5 Mumps, 45; scarlet fever, 3 Smallpox, 5; scarlet fever, 8; mumps, 84; measles, 12; whooping-cough, 1; diphtheria, 5; chicken-pox, 14 Scarlet fever, 1; measles, 21; mumps, 2; chicken-pox, 6 Mumps, 2; whooping-cough, 4.. Cardiac, 8; pulmonary, 6; scoliosis, 4; Good. Impro Good. Good. Good. Good. No con sarj Good. Good. Good. Good. Good. Good. Good. ■ stammering, 1; conjunctivitis, 8 Cardiac, 1; umbilical hernia, 1 5 1 4 1 1 1 1 2 Greatly improved Good perly located. Cardiac, 2; scoliosis, 1; umbilical her nia, 1 scoliosis, 2; strabismus, 1 Congenital lues, 2; pulmonary, 2; car Measles, 2; mumps, 2; chicken- pox, 2 diac, 7; scoliosis, 3; cong. dislocation of hips, 1; umbilical hernia, 2 No comment necessary mient neces- 1 2 osis, 1; stammering, 1 Scarlet fever, 4; mumps, 1 Scarlet fever, 1; measles, 7; mumps, 1 Chicken-pox, 21; measles, 1.... Chicken-pox, 1; measles, 13; mumps, 2 Measles, 47; mumps, 21; rubella, 1 Chicken-pox, 2; measles, 27; rubella, 2; mumps, 59 umbilical hernia, 1 3 1 1 1; strabismus, 1; xeroderma, 1 Somewhat overcrowded Good Pulmonary, 9 ; cardiac, 14; strabismus, 3 2 1 4 4 4 ; nervous, 1; blepharitis, 1; umbilical hernia, 1; conjunctivitis 3 Cardiac, 12; anaemia, 1; pulmonary, 5 ; inflam. rheumatism, 1; epilepsy, 1; scoliosis, 5 ; strabismus, 3 ; umbilical hernia, 3; conjunctivitis, 2 Good U 48 BRITISH COLUMBIA. RURAL MUNICIPAL Name of School. Medical Inspector. School Nurse. ft rH . ft fl . — a °E to S ri o 'in 3 fl It tf«3 « a "o3 at as at u a ot .ES 0> If || BK :2 at Oh S a '££ ot +J "cB SI oa <3 '3 c tt TJ at .2 oo2S il IS P " .fl' at 5n "S! QJ OS tt at m Si fl.2 BC5 ai *o C5 Salmon Arm: S. E. Beech 31 70 20 27 24 35 33 36 21 306 17 87 224 26 36 25 28 88 23 55 41 46 119 65 41 47 26 52 161 179 37 122 111 287 200 43 7 60 340 380 23 55 20 24 10 33 33 34 19 262 16 80 206 25 35 21 28 82 23 38 40 39 111 51 39 45 22 51 150 161 35 90 91 257 160 35 7 49 323 311 1 1 1 1 1 1 1 2 1 2 2 3 2 5 2 42 2 1 4 4 5 5 2 5 2 44 2 13 6 5 7 8 8 8 2 75 3 6 18 3 3 1 2 5 3 5 4 1 9 6 4 5 4 9 3 21 4 16 5 10 4 8 10 6 2 129 1 3 2 2 3 2 3 69 1 8 3 1 3 4 4 2 7 5 2 23 1 2 1 1 6 5 1 2 87 2 1 2 2 1 16 i i 6 1 4 Salmon Arm, AVest... Sumas: Summerland: Surrey: 4 11 2 2 6 1 1 1 7 1 1 1 1 2 4 F. D. Sinclair 1 2 3 2 3 4 4 3 4 6 1 ' 2 2 5 13 1 2 3 2 1 F. D. Sinclair 5 1 2 6 8 F. D. Sinclair F. D. Sinclair 1 2 2 1 4 2 2 4 F. D. Sinclair 2 1 1 5 3 4 10 14 41 25 7 4 25 146 122 2 1 7 5 3 1 8 6 17 11 1 8 3 8 9 1 1 13 46 45 F. D. Sinclair o 2 3 2 F. D. Sinclair F. D. Sinclair F. D. Sinclair 5 F. I). Sinclair 2 1 4 1 1 10 4 2 5 3 15 9 2 1 1 2 5 4 1 1 5 F. D. Sinclair F. D. Sinclair Vancouver, North: R. V. McCarley 2 1 2 2 8 8 10 14 3 6 8 12 10 3 10 10 27 24 2 2 1 7 4 R. Y. McCarley R. V. McCarley R. AT. McCarley Vancouver, AVest: A. C. Nash A. C. Nash 8 46 67 A. C. Nash 2 5 3 5 1 2 1 1 RURAL AND 224 18 21 15 10 9 49 15 10 24 187 16 20 15 10 8 47 15 10 22 10 14 10 3 4 10 '3 2 34 3 8 24 10 6 6 33 15 1 1 7 It. W. Irving D. J. Barclay 1 3 Miss H. Kelly . 1 1 1 2 7 25 6 1 8 2 P. H. Stringer 1 9 11 5 1 5 11 5 1 5 14 6 G. A. Charter 4 2 1 1 11 2 BOARD OF HEALTH REPORT. 1928-29. U 49 SCHOOLS—Continued. Other Conditions, specify, (Nervous, Pulmonary, Cardiac Disease, etc.). ri a it .0 ei o V2 d ft a s N 0 rk 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. Crowded and poorly ventilated i Anaemia, 4; cardiac, 1; orthopaedic, 1 Chicken-pox; measles; whooping- cough D.A.H., 1 Inadequate Ana;mia, 1; chronic paralysis, 1; en- 3 Good Strabismus, 1; endocarditis, 1; anae mia, 1; bronchitis, 1 Room dark; painting needed Satisfactory; room dingy Impediment in speech, 1; D.A.H., 1; defective palate, 1 2 Satisfactory Good Fair. Endocarditis, 1; pigeon-chest, 1 Fair. Satisfactory , Good Fair. toid operation, 1 1 Dark; needs painting Impediment in speech, 1; congenital Filthy. malformation, 1; D.A.H., 1 Marginal blepharitis, 2; D.A.H., 1.... ing Satisfactory Inadequate Mumps; measles; poliomyelitis- Spinal deformity, 1; thymus, 1; cleft 1 Satisfactory Good palate, 1; D.A.H., 2; strabismus, 1 Endocarditis, 1; spinal deformity, 1; 1 urinal. defective palate, 1; bifid uvula, 1 Satisfactory..... Satisfactory 5 8 6 15 10 2 3 1 Nervous, 1; pulmonary, 1; orthopae- dic, 1 3 Smallpox; diphtheria; poliomyelitis; measles Smallpox; measles; diphtheria.... Satisfactory Satisfactory , Satisfactory Good Clean; adequate. Clean; adequate. Both. Scarlet fever; mumps; measles.. Mumps; measles Mumps; measles Both. 3 2 Good Both. ASSISTED SCHOOLS. Epidemic of measles, mumps, and varicella; scarlet fever, 1; anterior poliomyelitis, 1; epidemic meningitis, 1 AVhooping-cough Good 1; strabismus, 1; asthma, 1; chronic bronchitis, 2; scoliosis, 1; acute tonsillitis, 1 Too small Poor ventilation and hard to heat Fair Lighting poor In good condition Good 3 Good. 1 Mumps, 3 Good. Satisfactory Building not crowded ; heating and ventilation fair ♦ good condition. U 50 BRITISH COLUMBIA. RURAL AND Name of School. Medical Inspector. School Nurse. p . o o £ ft 3 . rHtl at «h a 11 ri o fl ?! M V ?§ % .tt fit* at . II QJ U at ot OK § to at ti > 5 '-3 la CJ Hn at at QiS 3 '3 fl tt H S o CD ll OH tt at „. S3 rt fl 'r d S3 6 .17 23 54 12 15 11 14 19 17 8 12 12 10 96 18 92 24 8 8 10 9 16 32 13 23 10 33 7 12 25 22 15 17 7 13 17 57 24 13 7 46 IS 10 .8 19 20 10 13 9 25 93 14 11 20 30 8 22 ~6 21 20 10 12 17 12 19 20 23 145 15 10 17 21 50 7 11 9 14 16 16 8 11 12 8 94 18 85 24 8 8 19 9 16 32 13 22 7 33 7 12 21 18 15 17 7 13 15 57 23 13 7 42 18 2 8 19 18 9 13 8 14 80 11 10 20 30 8 21 6 1 3 9 1 7 4 5 5 15 1 3 1 i 1 2 1 1 1 4 3 4 R. B. White AV H. Wood 2 1 1 M G. Archibald 1 1 3 5 7 0 3 1 3 2 21 5 23 17 6 2 5 W. Scatchard 5 4 4 3 1 24 3 7 16 2 3 2 4 2 8 1 9 2 4 1 3 1 1 13 o 1 1 3 3 1 Arrow Park, AVest 1 31 3 1 2 2 2 H. AV. Keith F. E. Coy 4 7 9 7 9 2 H. H. Boucher 7 3 1 M. G. Archibald o 1 5 2 10 3 1 5 1 14 2 1 5 13 3 2 5 2 6 15 6 5 2 13 2 2 6 1 ■ 4 0 2 4 Miss M. Claxton.— 2 2 1 1 3 1 3 4 4 2 1 5 o H. A. Christie 3 1 1 5 2 1 Beales Quarries G. E. Darby 1 8 9 10 1 3 10 i 2 2 1 3 3 1 AV. H. AVood 3 Beaver River 1 3 J. H. Hamilton o 1 1 1 7 2 5 18 4 9 4 2 3 3 1 6 3 1 F. T. Stanier Miss M. Claxton.... M. G. Archibald 1 2 ' 1 2 6 4 9 4 J. T. Steele / 3 3 3 1 3 1 2 1 10 1 1 3 1 3 1 11 5 2 57 3 5 1 2 2 3 1 9 2 7 4 2 2 7 5 28 9 2 N. J. Paul 1 1 10 5 1 1 Blakeburn 3 4 9 14 3 53 3 6 1 1 AV. Scatchard R. Elder 2 1 1 1 T. H. Lougheed 2 4 1 1 2 10 1 10 13 2 5 7 4 4 10 39 6 3 1 1 1 7 2 21 16 15 12 6 1 1 1 A. E. Kydd 1 2 AV. H. AA7ood 2 4 1 3 1 7 13 12 17 17 23 118 15 10 2 1 2 3 2 Miss M. Griffin 2 7 2 6 1 3 N. J. Paul 2 5 2 2 2 10 2 2 2 10 2 1 1 1 12 7 1 BOARD OF HEALTH REPORT, 1928-29. U 51 ASSISTED SCHOOLS—Continued. Other Conditions, specify, (Nervous, Pulmonary, Cardiac Disease, etc.). 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. Slight scoliosis, 1 Synovitis of knee, 1 . Cardiac murmur, 1 Tuberculosis, 1 . Bronchitis, 1 ... Partial control, lower limbs, 1„ Cardiac, 2 , Cardiac rheumatic, 1.. Chronic appendicitis Pulmonary T.B., 1. Mitral regurgitation, 1 . Deformed arm, 1.. Eczema, 1; defective speech due to harelip, 1 One inguinal hernia (female), requires operation or at least Cardiac, 1; eczema, 1.. Mumps; chicken-pox Satisfactory.. Good. Good No Satisfactory.. Poor repair... Satisfactory-- Good Good Yes. Clean; adequate. Clean; adequate. Yes. Yes. La grippe and cough of whooping-cough nature Mumps Scarlet fever, 2 Influenza, 12 Good.. Good- Good.. Good- Clean. Good. Clean; Fair. Good. Good. Good. Clean; adequate. idequate. Good Satisfactory Good spacing; heating adequate but very dry; ventilation poor Yes. Clean; adequate. Good.. Satisfactory.. Good. Good. Clean. Chicken-pox; mumps . Minimum cubic space No Good Good Satisfactory O.K Good Good Poor lighting Satisfactory Satisfactory Good Good Good Satisfactory Smallpox, 1 Intestinal flu . Chicken-pox; mumps Influenza; tonsillitis; bronchitis. Measles, 10 Influenza epidemic; whooping- cough Measles, 2; scarlet fever, 6.. Measles Mumps; chicken-pox Chicken-pox Mumps; measles Yes. Yes, Clean. Two; clean. Clean; adequate. Yes. Good. Good. Good. Good. Adequate. Chloride of lime. Good. Clean; adequate. Clean; adequate. Good In.good repair.. Good Crowded Good; adequate Not crowded; well ventilated and heated Good O.K Good Good Good O.K Good....a Satisfactory Good Excellent Satisfactory Good Good Good; adequate- Excellent Poor ventilation; school untidy Good Satisfactory Good Excellent! Room over-seated; seats too near and too far from stove Good Good Good \\ Satisfactory Good; adequate Clean; adequate. Closets in poor condition. Clean; adequate. Clean;" adequate. Clean. Clean; adequate. Good. Fair. Good. Clean; adequate. Two; clean. O.K. Not very clean. Clean. Good. O.K. Satisfactory. Two; clean. Should be changed. Clean. Flush-toilets. Yes. Clean; adequate. Yes. Clean; adequate. Good. Inadequate; unsanitary seats in boys' closet. Fair condition. Good. Clean. Yes. Two; sanitary. U 52 BRITISH COLUMBIA. RURAL AND Name of School. Medical Inspector. School Nurse. & Ph . . o f. at fl . °l tool, o a 2a fl at .2 a> QJ B a §•3 .22 at at QJ ow 'rt at to si '.3 la CJ -f at at 'qj f. aa 'o fl QJ tt at ■ ■^ fl 2t © at "is QJ Q) fit" Ti S>-§ ^ fl fl.2 WO oj 'o 0 12 16 123 17 62 114 19 12 50 12 82 35 8 7 9 11 55 19 18 62 7 15 33 24 16 68 8 05 42 11 49 20 11 19 17 27 18 77 19 05 7 14 14 20 11 9 17 10 17 15 10 40 74 44 27 11 17 49 129 12 11 11 40 78 56 58 n 13 104 16 60 105 19 12 48 12 i 1 1 1 2 11 6 3 6 1 i 56 2 31 38 7 3 28 3 6 7 3 11 20 35 4 1 F. E. Coy 1 5 3 1 3 4 8 3 e l l 3 3 0 1 1 3 10 16 2 2 8 2 12 4 3 3 5 11 3 8 5 12 2 G. H. Tutill 1 1 4 3 1 H. A. Christie E. M. Sutherland 82 31 8 7 8 10 55 10 17 61 5 10 32 24 16 65 8 64 42 9 43 20 11 19 15 27 18 73 13 63 4 13 14 20 11 7 16 9 16 14 10 40 74 44 26 11 14 47 127 11 5 11 40 78 56 50 2 3 6 1 2 10 10 1 8 2 1 6 1 R. Gibson ... Cahilty .... 1 5 1 5 1 1 5 6 3 11 2 4 5 8 6 9 2 1 Campbell Ranch _ 1 6 6 1 3 6 8 1 7 3 ■ 1 1 1 1 7 2 1 16 1 1 1 1 1 1 4 4 6 3 2 2 1 7 26 1 1 1 2 2 6 o 10 12 1 1 4 1 3S 4 15 14 5 4 10 11 8 43 9 16 2 8 2 8 10 34 1 1 4 16 2 9 Miss K. Snowden... 1 2 2 2 2 3 2 10 6 4 1 7 5 20 2 1 3 4 3 20 3 5 1 1 4 2 3 11 1 6 1 2 1 2 1 1 3 4 4 Chase Creek, Lower 2 1 1 1 3 1 3 5 17 2 1 1 4 5 1 4 4 1 5 5 1 1 AV. R. Stone — Chilliwack River 1 Chimney Creek A. K. Connolly 1 1 4 2 2 1 1 9 2 5 AV. H. AVood 1 2 1 1 3 3 4 2 1 1 2 • 1 11 5 13 1 7 1 2 1 20 9 28 7 6 4 8 35 4 1 5 12 10 27 8 1 4 6 5 15 16 22 11 4 9 o 36 1 2 5 28 20 26 20 4 1 3 4 3 8 2 1 4 5 1 Chu Chua S. A. AVallace i R. Gibson 4 2 E. Sheffield Cobble Hill F. T. Stanier Miss M. Claxton.... 1 4 3 2 7 3 4 5 1 J. H. Palmer 1 3 6 4 6 21 1 2 35 4 Miss H. Kelly 3 4 10 3 4 5 8 8 7 4 1 1 1 4 1 1 1 1 1 7 3 6 2 5 18 2 3 9 R. Elliot.... Miss A. Yates Miss M. Claxton.... F. T. Stanier * BOARD OF HEALTH REPORT, 1928-29. U 53 ASSISTED SCHOOLS—Continued. Other Conditions, specify, (Nervous, Pulmonary, Cardiac Disease, etc.). 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. Satisfactory Good Satisfactory Good 1 1 Mumps, 1; anterior poliomyelitis, 1 Measles; scarlet fever; chicken- pox Good tering, 1; entra systole, 1 Satisfactory Good Influenza Satisfactory Good Good. Good Chicken-pox Good Two; clean. O.K 3 O.K. One case infantile paralysis, left leg.... Poor and very damp.. Good Clean; adequate. Yes. Ichthyosis, 1 Good Need new pits. Measles Satisfactory Good Yes. Chicken-pox; mumps; diphtheria Good Good. 1 Good. 2 Bad Good Orthopaedic, 1; nervous, 1 O.K Good Yes. Good Clean. Mumps; measles Good Clean. New and good Yes. Satisfactory Good Clean. Fair. A'ery fair Yes. 6 1 Dukes, 14; scarlet fever, 2; pertussis, 1; measles, 52 Satisfactory Satisfactory Good Clean. Clean. Mumps; measles Clean. O.K Good Yes. Good. One pupil is a dwarf with congenital dislocation of hips Not crowded; well ventilated and heated Good Scarlet fever quate. 1 1 Good Good. Good Bad accommodation.. Good. Two; clean. Measles, 7 Yes. Good Poor. Acute catarrh throat, 1 Not crowded; well heated and ventilated Good Clean; adequate. Clean; adequate. Scarlet fever, 3; mumps, 4; pneumonia, 1 Not crowded; fair heating and ventilation Good Four; fair. Good Good acne, 1; flat foot, 1; Meibomian cyst, 1 2 zema, 1; St. Vitus's dance, 1; V.D.H., 1 Good Good. Not fit for a school building Good Good Measles, 3; mumps, 25; scarlet fever, 3; influenza, 27 Good. .. 1 U 54 BRITISH COLUMBIA. RURAL AND Name of School. Medical Inspector. School Nurse. •3 ft P^ . Ti . o .° a to § "a, fl . fi'g Ut ft °a d § to at ri Is fl > i2 £a 0) QJ oa '■§ ri QJ _0 at .n a> 02 . ■n bo ♦3 fl Qj'£ at at 'at to si at at oa "o a at tt < tt at .2 to ,2 P M oj ' SB TJ QJ .• ^. T3 at a a.3 EO '3 16 27 10 219 7 10 12 11 14 11 11 26 9 19 20 36 9 10 43 11 70 27 19 12 14 12 24 9 7 12 16 15 11 11 16 25 19 32 10 14 13 20 30 20 20 17 9 27 11 54 4 26 20 17 77 13 30 48 8 69 20 12 7 11 12 8 10 58 32 56 13 40 19 48 10 16 27 10 211 7 8 12 10 11 10 11 25 9 19 20 36 9 10 43 11 69 26 19 11 10 10 24 9 6 11 16 12 11 11 16 25 10 32 9 13 13 18 30 20 20 17 9 .23 9 50 4 22 20 17 76 13 30 47 7 66 20 12 7 11 12 8 6 58 32 52 13 33 19 48 10 3 1 1 2 8 8 8 12 J. H. Hamilton - 1 1 n 28 2 2 1 1 3 2 2 5 1 1 3 3 1 17 1 2 1 3 35 4 3 3 1 3 30 4 3 3 2 5 2 6 R. Elliot 1 i 3 1 1 1 J. T. Steele i 3 5 1 4 3 1 7 1 3 R. AV. Irving AV. A. AVatson 7 2 4 2 12 1 3 16 26 12 3 4 2 8 10 2 6 8 10 4 3 11 2 17 14 10 2 1 10 5 4 4 5 9 3 1 5 9 6 2 5 1 9 5 12 15 6 AV. A. AVatson Dawsoij Creek, South W. A. AVatson S. E. M. Hoops 1 3 2 6 2 1 1 2 H. AV. Keith 3 2 2 1 6 3 2 2 3 1 1 2 1 6 3 2 3 1 J. E. H. Kelso 3 R. H. Mason 3 1 1 10 AV. H. Mclntyre 12 2 7 2 2 2 27 H. B. Maxwell Miss H. Peters E. M. Sutherland A. K. Connolly 1 2 2 1 2 1 1 J. A. Howard V. Ardagh 1 4 4 2 2 2 7 1 1 2 2 4 1 2 1 1 H. A. Christie 2 4 o 1 1 1 1 T. A. Briggs 1 1 2 2 2 1 1 S. A. AVallace 3 2 1 2 1 1 1 1 1 3 1 4 E. Buckell F. E. Coy 1 J. E. H. Kelso 2 1 7 1 9 17 3 3 10 3 8 2 17 Edith Lake S. A. Wallace 1 4 1 Elk Bridge G. F. Young 2 Elko 2 2 Ellison Mrs. A. F. Grindon. 7 1 1 2 2 17 3 1 1 3 4 1 8 H. AV. Keith 4 1 5 5 5 1 3 4 7 7 14 1 15 AV. R. Stone F. H. Stringer 12 2 11 2 Miss M. Griffin 5 1 5 6 3 29 4 25 6 9 7 2 39 2 15 13 1 28 6 2 1 7 2 1 4 3 6 13 C. H. Hankiuson 2 3 6 4 1 2 5 1 3 Mrs. A. F. Grindon Miss H. Peters Miss M. Twiddy.... 2 7 3 9 H. B. Maxwell 4 1 G. H. Kearney P. D. Van Kleeck 1 Falkland 5 2 2 1 1 1 1 1 16 2 22 2 11 J. E. H. Kelso Field 7 3 4 1 1 3 4 Fife 3 2 4 M. G. Archibald 1 1 2 1 Foch 2 2 5 2 1 20 2 6 6 8 3 7 2 J. T. Steele 1 1 2 2 1 A. K. Connolly . 1 4 2 4 4 1 2 1 3 2 2 6 7 2 10 2 2 6 6 1 1 2 C. Ewert... 14 22 7 9 5 14 5 2 2 1 2 6 Fort St. John AV. A: AVatson 4 Fort Steele F. AV. Green 1 1 14 [ 1 BOARD OF HEALTH REPORT, 1928-29. U 55 ASSISTED SCHOOLS—Continued. Other Conditions, specify, (Nervous, Pulmonary, Cardiac Disease, etc.). 1 QJ '£ at T/2 6 tan tn a a o tu 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. Measles; chicken-pox Good Good. T.B. knee, 1 Good. Mumps; chicken-pox Good Good Good Good Good. osis, 1 Measles; mumps Good. Good. Crowded Very good Yes. * Yes. Yes. Crowded Yes. Yes. Good Satisfactory Good Good. Mumps; measles quate. Good Good Satisfactory Yes. Yes. Yes. Good. Good Good Satisfactory Good 2 Good Satisfactory Fairly satisfactory.... Good Good Good Yes. Yes. Yes. Satisfactory Good Good Good Good Good 1 Measles; mumps Good. Good. Good. action, 1 1 Yes. Good 3 Yes. sis, 1 Good 1 AVell ventilated and heated but more desks in Division 2 required Good Satisfactory Fair Fair Yes. .... Clean; adequate. 0 K. 0 E Satisfactory Good Clean; adequate. Scarlet fever, 4 Good Good Good Temporary Good U 56 BRITISH COLUMBIA. RURAL AND Name of School. Medical Inspector. School Nurse. & . ^ "2 o -— . o te 3 c 3 . ut a °a 6 g to at ri a 3 fl 'rt a > H. £ fl as at > G) ."2 a> > bi te a OS rt to et Oal > S cj +j qj rt a& tt 'o fl tt < QJ .2 ost% 11 QJ Oh t) at _; S3 rt fl c.2 HO 'o O J. T. Steele 7 14 22 11 44 88 49 10 13 9 14 8 10 22 9 67 14 26 7 59 11 43 9 35 14 13 117 14 6 8. 148 24 8 14 9 10 23 9 19 77 19 42 10 250 20 12 8 29 27 20 31 1G 55 19 6 12 20 10 23 27 12 6 69 16 14 36 18 84 11 8 19 7 14 22 11 39 84 49 9 11 9 13 8 15 20 9 67 13 25 7 58 11 41 9 32 14 13 109 14 6 8 148 21 8 14 9 9 21 9 19 71 18 42 9 249 18 10 6 27 27 19 30 16 53 19 6 11 20 8 23 27 12 6 69 10 14 36 18 84 11 8 18 i i i 2 i - 1 2 2 ? 5 ! 26 9 7 2 2 1 5 2 1 2 1 1 Miss M. Griffin 2 7 6 2 18 8 28 8 4 3 1 1 5 4 1 17 9 11 6 9 4 1 Fruitlands i 1 2 4 20 1 2 Gabriola, East 2 4 1 1 6 o 1 1 Gabriola, North 0. G. Ingham Galena 3 1 Galena Bay Galiano, North E. M. Sutherland 2 2 2 C. H. AVest 2 2 2 2 2 2 2 8 7 9 1 26 is 5 1 Gilford Island 8 Gill 4 Gillies Bay 1 13 13 7 9 3 1 1 2 2 2 8 31 1 15 4 4 9 Glacier Glade 7 4 2 1 1 7 2 3 8 2 14 7 12 3 4 21 2 4 1 3 Miss M. Claxton.... 3 11 Glentanna 1 2 7 ii" 19 4 2 3 2 Golden 4 1 6 1 Goldstream Gowland Harbour R. E. Ziegler .... Graham's Siding J. C. Stuart 1 1 3 12 13 4 3 4 9 1 3 30 1 7 2 43 7 5 22 12 4 8 2 4 11 2 Granby Bay Mrs. Edward Yard. 1 7 1 20 1 1 2 15 Grandview Bench 2 4 5 Granite Bay R. Elder 2 Grasmere 2 3 2 1 Grassy-Plains J. T. Steele 1 Gray Creek 9 Great Central Lake 6 Green Lake 1 2 18 1 ■at 3 2 3 Greenslide Grindrod H. AV. Keith 4 30 6 2 3 95 10 1 1 Hall's Landing Happy Valley .... Miss H. Kelly 1 2 3 1 1 1 3 Hardwicke Island R. Elder Harewood 1 9 2 8 7 1 15 2 36 Harewood, South Harpers Camp Harrogate ■. 1 1 1 2 1 Harrop 4| 1 6 2 6 5 6 12 11 7 5 6 9 5 10 18 4 6 1 5 4 8 5 5 Hatzic Prairie Hazelton L. B. AVrinch 2 2 1 Hazelton, New L. B. Wrinch 3 5 3 7 Headquarters T. A. Briggs 1 1 2 36 Heffley Creek 2 Heflley Creek, Upper Hendon 1 2 5 3 3 2 6 3 4 3 5 2 1 18 8 4 10 3 17 5 1 4 1 4 4 3 10 4 2 15 5 2 8 8 30 3 2 5 2 1 Heriot Bay R. E. Ziegler 2 1 5 3 2 1 Hillcrest H. AV. Keith Hilliers Miss M. Griffin 4 1 Hilltop 1 1 18 1 2 Hilton Hope 5 2 1 2 1 1 3 1 1 4 2 1 Hornby Island Horse Creek Hosmer 3 2 11 3 2 3 3 Houston C H Hankinson 2 2 2 22 2 1 Howe Sound F. Inglis o Hulatt AV. R. Stone 1 Hupel H. AV. Keith Huscroft 1 1 BOARD OF HEALTH REPORT, 1928-29. U 57 ASSISTED SCHOOLS—Continued. Other Conditions, specify, (Nervous, Pulmonary, Cardiac Disease, etc.). 'rQ 6 •S at a a s a k 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. Blepharitis, 2; anaemia, 2; otitis media, 1 Pinkeye Anaemia, 2; overweight, 1; cardiac, 2 Deformed ankles, 1.. Orthopaedic, 1; bradycardiac, 1.. Deep sup. clav. fos., 1; tachycardia, 1 Eczema, 3; epilepsy, 1 Anaemia, 2; dysmenorrhosa, 1 Slight tachycardia, 1; kyphosis, 1.. Orthopaedic, 1; warts, 1; squint, 1.. Diabetes, 1; cardiac, 2 Cardiac, 3; anaemia, 1.. Pulmonary systolic murmur, 1; chronic torticollis, 1 Cardiac, 1; anaemia, 1 Tachycardia, 3; tremor, 2 Orthopaedic, 2 Chicken-pox Chicken-pox; scarlet fever- Chicken-pox . Satisfactory Good Good Good Not crowded; well ventilated; cold in winter Good Good Good Good.. Good School too small Good Satisfactory Good; not crowded; well ventilated and heated Good Satisfactory Draughty ventilation; poor lighting Good Satisfactory New building in course of construction Good Good Mumps Smallpox; measles; chicken-pox Mumps.. Chicken-pox; mumps Mumps Mumps; chicken-pox . Scarlet fever; mumps; measles.. Mumps; measles Measles; coryza; tonsillitis- Measles; tonsillitis Diphtheria, 2; measles, 6; appendix, 2 Good Satisfactory. __ Good Good Satisfactory.... Good Satisfactory... Good Good Good Satisfactory- Crowded Hard to heat- Good Good Good Good Good Overcrowded- Good Good Good Good Good Good Good Good Good Good O.K Good.. Good.. A.dequate.. Good.. Chieken-pox Mumps Good Poorly kept; ventilation good Good... Satisfactory Good Good Crowded; poor ventilation Good Good Good Good Clean; adequate. Clean; adequate. Clean. Clean. Clean; adequate. Two; clean. Good. Clean. Clean. Clean. Clean. Good. Yes. Clean; adequate. Clean. Adequate. Good. Good. Satisfactory. Outside toilets in good condition. Good. Not clean. Clean. Clean; adequate. Good. Clean. Fair. O.K. Satisfactory. Yes. Yes. Good. Clean; adequate. Clean; adequate. Fair. Good. Two; sanitary. Good. Yes. Good. Clean. Good. Clean. Clean. Good. Clean. Clean; adequate. Yes. Satisfactory. Satisfactory. Clean; adequate. Yes. Two; clean. Two; clean. O.K. Yes. Inadequate; only one small closet. Clean; adequate. Yes. Good. Clean; adequate. Clean. Two; clean. Good. Clean; adequate. Yes. Yes. Clean; adequate. U 58 BRITISH COLUMBIA. RURAL AND Name of School. Medical Inspector. School Nurse. Jesmond Joe Rich Jordan River Juliet ' Jura Kaleden Kaleva Keefers Kelly Creek Kelowna, East.... Kelowna, South.. Keremeos Kettle Valley.... Kidd Kildonan Killarney Kimberley Kincolith Kingcome Inlet.. Kingfisher Kingsgate Kinnaird Kispiox Kitchener Kitsumgallum.... Kitwanga Kleindale Knutsford Koksilah Krestova Lac la Hache... Lakelse Valley.. Landry Lakes District... Lang Bay Langford Lantzville... LarchwoocL. Lawn Hill... Lazo Lee Creek Lillooet Lister Little Fort... Lone Butte... Long Beach.. Longworth... Longworth, South.. Loos Louis Creek Lower Nicola Lvimberton Lumby Lund Lytton Mable Lake Magna Bay Malakwa Malcolm Island Mamette Lake Manson's Landing.. \\V. E. Laishley.. Ingersoll Mountain Ingram Mountain Inonoaklin Valley loco Irving's Landing Isabella Point Jaffray James Island J. M. Jackson W. II. Wood J. E. II. Kelso C. R. Symmes A. Henderson E. M. Sutherland.. II. A. Christie H. G. Burden R. H. Mason.... G. A. Ootmar... I. B. Hudson.... G. H. Tutill R. S. Manson... R. B. White F. H. Stringer.. A. E. Kydd A. Henderson... G. A. Ootmar... G. A. Ootmar... A. Francis W. H. Wood.... M. F. Lucas A. D. Morgan... R. S. Manson... J. F. Haszard... D. J. McDonald... F. H. Stringer H. W. Keith G. B. Henderson.. J. H. Palmer L. B. Wrinch G. B. Henderson.. R. B. Brummitt... V. Ardagh J. A. Howard S. A. Wallace E. L. Garner H. H. MacKenzie.. A. K. Connolly R. B. Brummitt.... W. A. Watson W. R. Stone A. Henderson I. B. Hudson O. G. Ingham F. W. Green G. A. C. Roberts.. T. A. Briggs W. Scatchard J. 0. Stuart G. B. Henderson... R. W. Irving R. H. Mason H. H. MacKenzie.. W. E. Laishley W. E. Laishley.. M. F. Lucas R. W. Irving G. H. Tutill F. W. Green O. Morris R. E. Ziegier A. E. Kydd O. Morris W. Scatchard J. H. Hamilton... F. H. Stringer M. G. Archibald.. R. E. Ziegler Mrs. A. F. Grindon. Mrs. A. F. Grindon Miss K. Snowden.. Miss B. Mitchell.. Miss H. Kelly.. 14 11 14 113 14 18 28 40 8 14 14 19 12 26 11 12 12 60 22 74 20 12 14 7 515 l.'i 9 6 19 ICO 14 10 11 25 27 10 14 20 9 20 55 29 12 7 14 10 14 113 9 18 23 33 14 14 18 11 13 11 12 12 60 22 74 20 12 14 7 482 12 8 8 13 9 6 19 160 9 10 11 22 22 8 14 20 9 19 53 11 17 1 2 4 4 1 6 5 5 1 21 6 16 13 2 1 1 160 2 1 2 2 4 4 5 78 1 3 1 4 8 3 0 4 1 6 12 7 1 2 23 11 1 4 8 3 3 133 1 2 3 5 4 2 93 6 BOARD OF HEALTH REPORT, 192&-29. U 59 ASSISTED SCHOOLS—Contained. Other Conditions, specify, (Nervous, Pulmonary, Cardiac Disease, etc.). ri 1 at > QJ 3 rt CJ V2 p a a a o & .5 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. Heating and ventilation fair; building not crowded Good Satisfactory Good good condition. Good. Yes. Yes. 4 2 2 Satisfactory 1 2 Chicken-pox Good Good. improved, 1 Good .. . Good ... Good.... Satisfactory Good Yes. No Poor light Poor ventilation 0 K Good. Chicken-pox, 2 O.K. Mumps, 26 3 Yes. Satisfactory Yes. • 1; cleft palate, 1; granulated lids, 3 Satisfactory _ Clean; adequate. Clean; adequate. Satisfactory. 1 Poorly lighted; too much ventilation Too small; poor Fairly good. 2 3 Scarlet fever ■ Cardiac, 1; dysmenorrhcea, 1; back 0 Measles, 2 Scarlet fever; measles ward, 1; enuresis, 1 1 1 Frame building; adequate ventilation, heating, and lighting 1 Clean; adequate. Satisfactory Good Good; sanitary Good Building not crowded ; heating and ventilation fair good condition. Ditto. Clean; adequate. Satisfactory Cardiac, 2 1 Adequate. Poor ventilation O.K. Yes. Infantile paralysis, 2; chicken- pox, 10 Poor posture, 2 U 60 BRITISH COLUMBIA. RURAL AND Name of School. Medical Inspector. School Nurse. a Ph . Ut *S ll c 3 . rt ^ QJ «n S °B o S toot p 3 C 'at 13 £ a ait QJ I O a> '£ c CJ 'a. 'qj qj CK *e3 at to si S e3 OJ u aa '3 a at -3 t) at .2 bog |1 £ o QJ OH ^ ti at a so ai 'o AV. It. Stone 21 13 50 8 21 22 21 21 30 10 11 11 9 8 14 10 7 24 365 45 28 60 8 0 83 17 4 22 "e il 9 14 52 17 7 7 60 17 8 14 0 86 72 14 51 15 71 10 12 10 13 35 17 9 85 46 13 20 168 33 26 38 61 7 17 99 8 11 10 7 21 13 40 8 20 20 21 18 29 17 11 10 9 8 14 8 7 24 353 45 27 50 7 9 83 10 3 14 6 11 9 12 52 16 7 6 59 16 8 12 0 86 71 14 45 15 70 10 12 14 13 33 17 9 84 46 13 16 168 33 26 32 61 7 16 89 6 7 10 i 2 5 2 3 5 2 4 1 6 5 2 18 2 6 5 1 5 6 0 4 3 2 1 14 3 12 3 9 3 1 1 1 H. AV. Keith i i 2 o 5 1 2 AV. R. Stone 2 i J. C. Dunn C. H. AVest 2 1 5 14 10 3 7 4 2 1 Miss A. Yates 1 o Mayook H. A. Christie 2 1 1 2 AV. Scatchard 3 2 1 1 G. A. Charter 1 1 1 1 1 R. E. Ziegler 3 8 8 3 5 4 67 25 3 14 2 4 49 3 3 2 5 138 7 13 38 1 3 28 2 11 14 2 o 2 10 AV. H. Wood 21 Mill Bay F. T. Stanier Miss M. Claxton.-.. 1 1 6 E. R. Hicks 16 D.J. Barclay 3 6 • 1 1 5 Mrs. A. F. Grindon. 13 1 32 2 4 1 4 5 83 3 3 3 o R. AV. Irving 2 2 S. A. Wallace 1 Miss M. Griffin Morrissey Mines 1 1 1 1 3 F. W. Green 1 6 3 4 2 16 11 F. AV. Green 9 6 2 1 27 6 1 1 1 1 AV. H. AVood 7 2 4 5 3 5 5 5 5 3 W H Mclntyre 1 P. Ewert 1 1 2 1 13 19 1 17 3 15 5 3 6 2 16 9 3 9 12 10 7 59 19 6 8 29 2 13 22 2 1 2 2 1 J. T. Steele 3 4 2 4 5 15 10 6 25 17 9 17 Miss M. Griffin Naramata 4 1 3 2 5 1 1 5 ' 2 4 23 1 5 2 5 2 7 5 4 2 6 6 4 12 20 7 10 19 15 15 3 19 1 6 12 2 2 1 5 4 3 2 13 1 6 2 8 4 7 1 8 1 11 1 1 5 11 3 1 3 2 12 2 1 2 6 15 Miss A. Yates 1 A E. Kydd 1 1 2 1 2 4 7 13 Ocean Falls Okanagan Mrs. A. F. Grindon. Mrs. A. F. Grindon. 24 4 4 2 7 2 3 3 1 1 1 2 1 24 5 3 9 10 1 3 6 3 4 13 G. A. Ootmar R. B. White 13 2 4 6 7 Mrs. A. F. Grindon. 37 R. E. Ziegler 2 2 14 36 12 G. H. Kearney A. K. Connolly Miss M. Twiddy 12 3 1 1 1 2 1 15 1 1 7 2 ' 5 1 BOARD OP HEALTH REPORT, 1928-29. U 61 ASSISTED SCHOOLS—Continued. Other Conditions, specify, (Nervous, Pulmonary, Cardiac Disease, etc.). ri 1 QJ > at 6 bD '2n at ft a a p u g (3 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. 1 1 Good Yes. Mumps; measles Excellent Good Good Satisfactory Good Satisfactory Good Fair Good Satisfactory Fair Excellent 3 Clean; adequate. Clean; adequate. Clean; adequate. Clean; adequate. Chicken-pox, 9; mumps, 1 Chicken-pox, 60; mumps, 65— Clean; adequate. 15 7 Lower rooms need more light; crowded 1 Room overcrowded.— Eight dry closets; adequate. Good. Not clean. 1 2 2 Mumps, 22; whooping-cough, 5 Not well cleaned Two; clean. Clean; adequate. Not crowded; well ventilated and heated . .. Chicken-pox; mumps Good Good. Clean. Clean. Clean; adequate. Yes. Fair. Clean; adequate. Eczema, 1; cardiac, 1; pulmonary, 1 Satisfactory Acute bronchitis, 1 1 Smallpox Clean; adequate. Good. Clean. Clean; adequate. Eight; flush ; clean. Yes. Clean; adequate. Clean; adequate. Outside toilets in good condition. Yes. Mumps; measles Not crowded; well heated and ventilated Eczema, 1; impetigo, 1; anaemia, 1„. Q ,- O . Building not crowded ; heating and ventilation fair O.K Yes. Adequate; well heated and ventilated Clean; adequate. Mumps; measles Satisfactory Satisfactory Measles. 3 1. Clean; adequate. Clean; adequate. Clean; adequate. Good - Not well heated and ventilated; church used as a school .1 1 Measles, 1; whooping-cough, 3 . 1 ■ - | O.K Good Good 1 Rheumatic fever, 1 Clean; adequate. Good. |. . | ]. | I | Scarlet fever, 4 !. 1 Satisfactory Clean; adequate. U 62 BRITISH COLUMBIA. RURAL AND Name of School. Medical Inspector. School Nurse. II Q fl . Ph tt at .~ fl °a to 8 fl fl fl S ~£ 'rf Ifl as QJ y o fl at .52 0> QJ *3 .fl £ at QJ QJ *3 to s i at at ■qj ® OP3 "o fl at tt H tt at .2 m22^ AS a 3 QJ > 02 "On tt at tl at • bat" ■n t2 at fl SO 'o 0 G. H. Kearney Miss M. Twiddy.... 12 8 14 26 68 43 8 24 10 9 9 21 85 19 14 21 8 21 56 7 10 25 8 10 11 21 52 17 37 18 19 9 17 38 11 20 472 15 225 10 41 82 20 32 28 6 92 25 11 11 10 25 o 23 17 12 10 16 30 14 33 7 9 10 11 8* 10 12 11 7 n 8 12 24 68 36 S 24 10 6 9 21 82 19 14 21 8 21 56 7 10 24 8 10 11 16 47 17 34 18 19 9 10 20 11 20 400 15 212 14 40 7S 18 30 27 6 84 20 10 10 10 25 2 22 12 12 8 10 30 14 33 6 9 10 11 84 10 12 9 7 1 1 1 2 1 1 1 1 1 3 3 1 19 1 9 1 2 2 o 10 rt 3 o 1 4 7 1 1 1 6 4 24 1 16 7 3 14 33 2 3 10 4 Othello Otter Point 1 4 1 2 1 1 4 AV. Truax 10 H. B. Maxwell T. A. Briggs Miss H. Peters 3 i 2 1 1 Oyster River Oyster, South H. B. Maxwell Miss H. Peters 1 1 1 V. E. R. Ardagh J. T. Steele i 2 1 3 2 2 1 1 2 1 2 4 4 1 Miss M. Griffin 1 1 1 3 1 2 1 i 2 1 1 1 1 R. AV. Irving 3 1 3 13 2 9 9 E. M. Sutherland 4 E. M. Sutherland 1 1 7 1 1 5 9 2 2 2 4 21 14 4 3 3 7 6 5 1 49 3 44 4 9 16 7 13 3 1 7 7 2 1 3 1 1 2 1 1 4 9 1 10 2 5 1 1 8 1 10 2 2 7 4 16 5 1 5 J. C. Stuart 16 4 3 5 8 4 1 4 1 28 6 10 1 10 9 5 17 8 61 2 13 22 17 17 8 20 3 1 2 1 3 1 1 5 6 5 1 10 1 1 5 7 4 1 15 1 17 4 1 6 Pouce Coupe, Central.... Pouce Coupe, East 1 13 1 2 1 2 35 5 4 6 7 0 4 3 32 2 1 1 2 9 1 5 3 Qualicum Beach Miss M. Griffin G. A. Lawson. 1 7 7 2 Queen Charlotte City 3 1 2 5 4 3 4 10 2 1 8 F. E. Coy 1 1 4 5 R. E. Ziegler Red Gap Miss M. Griffin 2 6 13 4 T. O'Hagan J. E. H. Kelso 1 6 2 2 7 3 1 3 2 23 2 6 3 1 18 5 1 3 4 4 4 9 14 2 3 2 4 20 4 5 1 1 7 W. H. Wood 1 2 1 1 1 Roberts Creek, East F. Inglis 1 11 2 1 5 3 4 1 1 J. 1 7 1 4 1 1 J. E. H. Kelso S. G. Mills 1 1 1 1 AV. H. AVood W. H. AVood .. AV. H. AVood 1 1 2 1 5 Rolla. . 16 11 H. A. Christie A. E. Kydd 0 2 5 2 1 2 1 Rose Hill K. Terry 3 5 1 1 BOARD OF HEALTH REPORT, 1928-29. TJ 63 ASSISTED SCHOOLS—Continued. Other Conditions, specify, (Nervous, Pulmonary, Cardiac Disease, etc.). ri o m o" .£? 1 o 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. 1 1 1 Good Good Good Yes. Orthopaedic, 2; anaemia, 2; pityriasis rosea, 1 One boy with loss of arm at right shoulder Yes. Satisfactory Ventilation fair Good Clean; adequate. Good. 2 Conjunctivitis, 1; cardiac, 1 Whooping-cough suspect, 1 Well ventilated not crowded Clean; adequate. New pits required. Clean. Chicken-pox Chicken-pox Poorly ventilated Good ....: 1 2 1 Satisfactory Satisfactory Crowded Diff. impulse, 1; tachycardia, 3 Cardiac, 1 Clean; adequate. Satisfactory Satisfactory .- Satisfactory. Very good Clean; adequate. Clean; adequate. Satisfactory Clean; adequate. Clean; adequate. Clean; adequate. Satisfactory Satisfactory 2 2 2 Crowded Cardiac, 2; nervous, 4; orthopaedic, 3 Cardiac, 1 Scarlet fever Good Clean; adequate. Cardiac, 2 Not crowded; well ventilated and heated Well ventilated; cold in winter Crowded; heating not uniform Clean; adequate. Clean; adequate. Clean; adequate. Measles Anaemia, 2 Very small and crowded Very small and crowded Very small and crowded Not crowded; well ventilated and heated Clean; adequate. Clean; adequate. Clean; adequate. Wooden seats in boys' closets unsanitary. Chicken-pox, 2; tonsillitis, 3 — Pulmonary tuberculosis, 1 I Good |Yes. Anaemia, 1 Good. Clean; adequate. O.K. Yes. Good ! Satisfactory Satisfactory Satisfactory Yes. Yes. Adequate. Two; sanitary. Good; adequate Very good Clean; adequate. Yes. 0 K 1 1 ' * U 64 BRITISH COLUMBIA. RURAL AND Name of School. Medical Inspector. School Nurse. g i-H Ut ^ 0 . :s 1* 33 0) «M a s "S ^ . O 8 S .2 0 as 0 _o 0I> CM 5 qj rt OH Round Lake.. Round Top.. Roy Royston Rutland Saanich, North... Sahtlam Saint Elmo Salmo Salmon Bench.... Salmon River Salmon Valley.-. Sand Creek Sand Creek, Big.. Sandon.. Sandspit.. Sandwick Saskatoon Creek.. Savona Savona Road Sayward Sayward, Upper... Seaford Sechelt Shalalth Shawnigan Lake.. Shelley Sheraton Shirley Shoreacres Shuswap Shuswap Falls.. Shutty Bench... Sicamous Sidney Silver Creek Silverton Sinclair Mills... Sirdar Skidegate.. Slocan Park.... Slocan, South.. Slnithcrs.. Snowshoe.... Soda Creek.. Solsq.ua Sooke Sooke, East Sooke, North Sorenson Sorrento South Bank Spencer Spences Bridge.. Springbend Springhouse Squam Bay Squamish Squirrel Cove Stewart Stillwater Streatham Stuart Stuart Station... Sugar Lake F. V. Agnew.. R. W. Irving— F. H. Stringer.. E. R. Hicks G. A. Ootmar S. E. M. Hoops E. L. Garner... W. E. Henderson... J. H. Palmer P. D. Van Kleeck.. C. Ewert P. D. Van Kleeek.. W. Truax H. A. Christie Mrs. A. F. Grindon Miss A. Yates.. W. Graham.. G. A. C. Roberts.. T. A. Briggs W. A. Watson M. G. Archibald.. K. Terry F. H. Stringer F. H. Stringer R. E. Ziegler F. Inglis J. C. Stuart F. T. Stanier W. E. Laishley.... Mrs. E. M. Walls... Mrs. E. M. Walls.. J. T. Steele I. B. Hudson H. H. MacKenzie.. W. Scatchard O. Morris D. J. Barclay E. Buckell S. E. M. Hoops E. Buckell W. E. Gomm W. E. Laishley G. B. Henderson.. G. A. C. Roberts.. H. H. MacKenzie.. H. H. MacKenzie.. C. H. Ilankinson.. M. F. Lucas A. K. Connolly.. J. H. Hamilton.. I. B. Hudson I. B. Hudson I. B. Hudson W. E. Bavis W, Scatchard.-. J. T. Steele W. Truax G. H. Tutill H. W. Keith A. K. Connolly.. R. W. Irving N. J. Paul R. E. Ziegler H. A. Whillans- A. Henderson— .1. T. Steele W. R. Stone W. R. Stone O. Morris Miss B. Mitchell... 10 9 31 191 101 34 17 37 15 8 11 7 16 9 14 48 7 14 10 18 132 24 77 18 11 12 18 64 10 12 13 16 13 40 14 19 11 25 122 15 60 20 8 11 9 10 9 22 191 93 34 14 37 15 7 10 7 15 9 14 39 6 9 10 12 126 20 75 18 29 27 204 11 11 18 64 10 12 13 16 12 38 14 15 9 22 122 14 50 20 8 11 9 13 BOARD OF HEALTH REPORT, 1928-29. U 65 ASSISTED SCHOOLS—Continued. Other Conditions, specify, (Nervous, Pulmonary, Cardiac Disease, etc.). ri > 3 '2 at V2 p bo P. a a u o fe be a 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. Good Good tion; one good. Good. Good; not crowded. Good 6 8 2 Measles, 15; whooping-cough, 7 adequate. Satisfactory Yes. 2 5 Good. Good Good. Good Good Crowded; poorly ventilated Ample room; very well heated and ventilated Poorly heated; adequate ventilation from building Good Yes. Good 0 K Good , Good Good Satisfactory Satisfactory. Cardiac, 2 1 Building not crowded; heating and ventilation fair Satisfactory Satisfactory Fair Satisfactory good condition. Clean; adequate. Torticollis, 1 Cardiac, 1; eczema, 1 Clean; adequate. Not clean. Satisfactory Yes. Yes. Yes. Clean; adequate. Cardiac, 1 Satisfactory Cardiac, 2 ed; heating and ventilation fair good condition. Clean; adequate. Yes. Clean; adequate. Clean; adequate. Good. Clean; adequate. Good. Good. Unpainted frame building; heating and ventilation adequate Basement room crowded Obscure first sound, 2; tachycardia, 2; 1 tremor, 1 Good Good Greatly improved Mumps Mumps, 2; measles, 1; scarlet fever, 6 Cardiac, 2; backward, 1; anaemia, 3; 1 stammer, 1; kyphosis, 1 Cardiac, 1; dysmenorrhea a, 1 Building unsuitable- Satisfactory Satisfactory Satisfactory Satisfactory Fair. Fair. Clean; adequate. Clean. Clean; adequate. Clean. Yes. Measles, 2 Satisfactory Good Poor Good Good. Two; clean. Good. Chicken-pox; measles Clean; adequate. O.K. Clean; adequate. Yes. Good Not good Good. 1 U 66 BRITISH COLUMBIA. RURAL AND Name of School. Medical Inspector. School Nurse. 3 rU . c § ft 3 . Ut S °a il f, 02 a p a a S 4) >> '■§3 oa at o £ oi.o a> £ to s a OK to at bi S a oi ce a) u aa 'o a at tt H tJ P .a ° an Is OH » HI « a a* HO | o 0 17 13 9 19 9 20 9 9 16 10 36 17 14 G 17 13 8 19 9 20 9 9 13 10 36 11 13 6 i 2 6 4 1 9 2 4 2 3 8 3 1 3 2 5 13 3 3 1 2 3 1 i 2 E. Buckell l 3 1 3 2 1 3 1 3 2 6 1 1 1 W. A. Watson 1 1 1 1 2 1 F. T. Stanier Miss M. Claxton.... 1 1 1 1 2 5 1 1 6 21 1 3 G. A. Charter 2 W. A. Watson J. T. Steele 11 59 19 8 9 51 6 7 7 47 20 27 7 15 10 8 178 12 22 32 27 7 70 60 22 29 23 29 10 125 8 28 15 10 48 40 - 60 54 S 8 73 50 138 13 49 10 11 71 20 10 15 65 5S 9 35 11 56 17 8 9 41 6 7 7 46 18 27 5 14 10 8 171 11 22 31 25 7 69 60 22 29 23 29 1 1 1 2 2 6 1 3 10 3 3 1 10 5 4 2 7 2 1 29 5 2 1 19 3 7 1 21 5 1 2 1 5 1 2 7 2 2 1 1 3 9 1 2 2 6 2 2 1 1 2 3 11 2 J. T. Steele 1 1 1 1 3 9 8 3 3 4 1 2 6 1 4 6 5 3 6 6 1 3 H. W. Keith 1 1 12 1 9 48 3 60 4 3 5 7 2 1 60 9 3 5 7 2 16 11 11 6 3 4 31 7 5 10 4 1 40 30 12 2 13 6 2 68 2 14 5 1 32 10 36 18 3 5 34 12 20 4 8 2 1 E. Sheffield 21 1 5 3 7 2 1 1 13 8 4 1 H. W. Hill Mrs. C.A. Lucas.... 2 2 1 5 6 4 2 10 125 8 28 14 9 44 35 59 52 8 8 49 48 135 13 40 11 70 10 10 15 65 54 9 34 1 1 2 29 3 15 2 15 1 32 1 3 2 5 13 13 20 8 1 3 19 10 19 7 6 2 1 3 2 1 3 2 1 2 10 3 4 H. A. Christie 9 9 7 7 3 2 H. A. Christie 2 1 7 2 1 1 1 1 7 W. R. Stone 1 8 1 5 3 10 4 7 1 1 2 11 10 4 5 1 2 1 8 1 1 2 13 Mrs. A. Grindon... Mis. A. Grindon... 7 Wm. Buchanan W. H. Wood 24 4 2 3 2 5 4 10 1 13 4 5 4 2 R. E. Zeigler E. Buckell 1 1 14 5 2 8 6 2 9 1 2 1 1 2 1 2 2 1 A. K. Connolly 4 2 6 1 Willow Point 3 1 1 1 : School closed on account of measles. BOARD OF HEALTH REPORT, 1928-29. U 67 ASSISTED SCHOOLS—Continued. Other Conditions, specify, (Nervous, Pulmonary, Cardiac Disease, etc.). c a rt > 9 1 m 6 .£? ft a a o p S 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. Good Poor heating Satisfactory Yes. i Good O.K. Fair Yes. i 2 Good Good Satisfactory Satisfactory Not crowded; well ventilated and heated Fair Measles Yes. Good Good Fair Good Good. Clean; adequate. Good ... Ventilation poor 1 Fairly clean and adequate. heated and ventilated Good Good O.K 0 K Good Yes. Good V.D.H., 2; hip-joint disease, 1; anaemic, 2 Good Clean. Fairly clean. 5 Neither Badly kept. Diphtheria Satisfactory , Good; not crowded.. Good O.K. Good condition; hut a little small Satisfactory New frame; ventilation poor Good * 2 Scarlet fever Yes. Not fit for school purposes Satisfactory Satisfactory Satisfactory Good Satisfactory Good Good; adequate Good Good. Orthopaedic, 1 Clean. Yes. Mumps; measles Mumps; measles Good . Mumps; measles Good Good 2 Outbreak of mumps and measles, for which the school was closed for ten days Satisfactory Satisfactory Yes. Fair Good O.K. Two; clean. Good O.K. Satisfactory Fair Poor building; overcrowded Good; adequate Good Yes. O.K. Good. Two; sanitary. Chicken-pox, 3; scarlet fever, 1 U 68 BRITISH COLUMBIA. RURAL AND Name of School. Medical Inspector. School Nurse. "ft Ph . ■gjj . o rt CD "p, 3 . Px-g «. a o-a a $ s f. at d s 3 a % a 'tis ot — ■H P. oj at oa at Ir 0> ■i, bt .3 a S'E £ at at at OK a; d in. at QM 2 o a tt H i'a a o at si at -m at qj OH tt i. tt at a r.O oi B 3 a 28 11 21 21 64 44 11 6 90 18 8 25 50 94 27 33 12 26 11 21 21 64 42 11 6 89 18 7 24 49 83 27 32 12 i 4 2 5 1 3 2 2 2 4 4 7 10 9 2 7 35 20 4 18 4 5 3 13 20 2 27 10 7 F. E. Coy 1 1 2 10 1 i F. E. Coy i 6 1 1 Winfield : Mrs. A. Grindon.... 21 22 4 32 3 1 3 12 2 V. E. R. Ardagh 2 C. G. G. Maclean .... 2 1 2 13 3 1 4 1 8 17 4 3 3 12 13 12 9 6 1 C. Ewert 1 Wycliffe F. W. Green 1 1 3 5 8 1 7 4 3 4 2 2 12 2 6 7 12 3 2 Yahk 2 1 Yale P. S. McCaffrey 9 5 1 W. A. Coburn Miss A. Yates 1 BOARD ~OF HEALTH REPORT, 1928-29. U 69 ASSISTED SCHOOLS—Continued. Other Conditions, specify, (Nervous, Pulmonary, Cardiac Disease, etc. 1. ri 1 > CJ CO d ft a a p bH .5 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. Heating and ventilation fair; building not crowded Good good condition. Yes. Satisfactory Satisfactory Good Clean; adequate. 6 1 Good Satisfactory Good Yes. i Not crowded; well heated and ventilated Good Good Good Good Good Good Good. chest, 1; nervous, 1; undersize, 2 Good VICTORIA, B.C. : Printed by Charles F. Banfield, Printer to the King's" Most Excellent Majesty. 1930. 825-1229-8290"""@en ; edm:hasType "Legislative proceedings"@en ; dcterms:identifier "J110.L5 S7"@en, "1930_V02_10_U1_U69"@en ; edm:isShownAt "10.14288/1.0300606"@en ; dcterms:language "English"@en ; edm:provider "Vancouver : University of British Columbia Library"@en ; dcterms:publisher "Victoria, BC : Government Printer"@en ; dcterms:rights "Images provided for research and reference use only. For permission to publish, copy or otherwise distribute these images please contact the Legislative Library of British Columbia"@en ; dcterms:source "Original Format: Legislative Assembly of British Columbia. Library. Sessional Papers of the Province of British Columbia"@en ; dcterms:title "PROVINCE OF BRITISH COLUMBIA THIRTY-THIRD REPORT OF THE PROVINCIAL BOARD OF HEALTH INCLUDING EIGHTEENTH REPORT OF MEDICAL INSPECTION OF SCHOOLS YEAR ENDED JUNE 30TH, 1929."@en ; dcterms:type "Text"@en ; dcterms:description ""@en .