@prefix ns0: . @prefix edm: . @prefix dcterms: . @prefix dc: . @prefix skos: . ns0:identifierAIP "b8bd5e6b-6227-40d9-b077-5a303e835dfc"@en ; edm:dataProvider "CONTENTdm"@en ; dcterms:alternative "BOARD OF HEALTH REPORT, 1930-31."@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 "2016-03-14"@en, "[1932]"@en ; edm:aggregatedCHO "https://open.library.ubc.ca/collections/bcsessional/items/1.0300633/source.json"@en ; dc:format "application/pdf"@en ; skos:note """ PROVINCE OF BRITISH COLUMBIA THIRTY-FIFTH REPORT OF THE PROVINCIAL BOARD OF HEALTH INCLUDING TWENTIETH REPORT OF MEDICAL INSPECTION OF SCHOOLS, YEAR ENDED JUNE 30th, 1931 PRINTED by authority of the legislative assembly. VICTORIA, B.C. : Printed by Charles F. Banfielo, Printer to tbe King's Most Excellent Majesty. 1931. Provincial Board of Health, Victoria, B.C., December 1st, 1931. To His Honour J. W. Fordham Johnson, 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, 1931. S. L. HOWE, Provincial Secretary. REPORT of the PROVINCIAL BOARD OF HEALTH. Provincial Board of Health, Victoria, B.C., December 1st, 1931. The Honourable S. L. Howe, Provincial Secretary, Victoria, B.C. Sir,—I have the honour to submit the Thirty-fifth Annual Report of the Provincial Board ot Health for the year ended June 30th, 1931. The increase in the work of the different subdivisions of the Department will lead us to change the date of the issuance of our Report. The school-year begins in September and ends In June the following year, and we have been issuing our Annual Report for the Department to conform with these dates. Consequently our Epidemiologist's report is dealing with a divided year, and our purpose is next year to issue a separate report in regard to the Medical Inspection of Schools, which would appear as our Reports are now, following the closing of the schools in June, and we will revert to our old plan of making the general report for the Department as issuable at the end of the calendar year. We are already issuing the Report of our Vital Statistics Branch to conform to the calendar year, and, taking it all in all, we will be able to conform with reports of other Provinces and produce figures dealing with concurrent dates. The past year has been a notable one in the life of our Province and in that of the Dominion of Canada. We have been forced to deal with an economic condition, described briefly as a " depression," which has been remarkable in its world-wide extent, affecting Governments, corporations, civic bodies, and the lives of individuals. The effect has been world-wide and the outcome as to time is problematical.' Such a depression and such an upsetting of the ordinary routine of life must have repercussion, and one would expect that, under the circumstances, there would have been an enormous increase in the commoner diseases owing to the lowered standard of living, the absence of employment, and the dire effect which such circumstances must have on the mental attitude of the people. British Columbia has been no exception to the rule in feeling the effects of the depression and has bent every effort to meet conditions as they present themselves. Unfortunately we are at the end of the line, with a mild winter climate compared to the other Provinces, and as a result we have received and are receiving hundreds and thousands of people who have been migrating back and forth during the past summer, but, attracted by the climatic conditions, are planting themselves in British Columbia, and on a population per capita basis we are doing far more than any of the other Provinces. Every effort has been made to meet these conditions. Provision for shelter and food for thousands of men has had to be made, in addition to which direct relief must be given to our own residents and their families who require it. Some 200 camps have been built and the intention is to employ all of the men in as far as we can in public works, for which they will be remunerated, in order that some return for the money will be received. The camps were begun at the end of August, 1931, and have been added to until there are over 200 now built. Men are moved into them as quickly as possible. From the health point of view we have been very agreeably surprised. There has been one case of infectious disease—scarlet fever—reported in the three months in which the work has been carried out. The men are in excellent condition; medical supervision has been provided; there are first-aid men and first-aid kits in each camp and a small first-aid building; and all the hospitals adjacent to any of these camps are being utilized for cases which require hospitalization. Many problems are presenting themselves, but through our organization these have been met and adjusted. Our Sanitary Inspector's report, which is published in this volume, will give some idea of the work that is being carried out. The care of these camps has added greatly to the work of the Department, but we have been able to meet the demand without any material increase in our staff. Local medical men adjacent to the camps have been employed at a monthly rate for general supervision and for care of such cases as may be necessary to forward to the hospitals. Ample attention has been paid to the kitchens and to the dieting, and there has been a universal expression of approval of the means used from the men themselves. P 6 , BRITISH COLUMBIA. LABORATORIES. Previous to the Great War, the Provincial Board of Health established a Public Health Laboratory Service for the Province, with headquarters at Victoria, with the idea of establishing other laboratories at strategic points in the Province. The war intervened and qualified men could not be obtained to carry on, and in order to meet the demand for laboratory service an arrangement was entered into by which the City of Vancouver and other municipalities made grants to the Provincial Board of Health, which latter negotiated with the Vancouver General Hospital and the Jubilee Hospital in Victoria for joint laboratories, the Province going with the hospital laboratory, .already established, for one year. 1920 was the one year of this union agreed to, but the arrangement continued thereafter without change of grants, despite great increase as to the work done. Following this adjustment, a laboratory was opened at Kamloops and one at Kelowna, both of these in conjunction with the local hospitals, the establishment of these two offices relieving in a large measure the pressure of work at the Vancouver General Hospital Laboratory. But it was found that towards the end of the first decade the increase in both hospital and public-health work at the Vancouver General Hospital Laboratory had reached a point where no available space for further expansion could be secured. This lack of space prevented the needed accession of further staff, in spite of two and even three shifts of workers, because the demand for work was heaviest during the morning hours, and equable distribution of the work during the twenty-four hours was not a satisfactory solution. Additional space was asked for and blue-prints were actually prepared for a new and adequate laboratory building. Financial difficulties prevented these adjustments and it became increasingly evident that an impasse would soon be reached. The expected crisis was reached in 1930. Both hospital-work and public-health work had to be restricted from the sheer inability of the existing staff to handle it and the absence of space for additional staff. Friendly negotiations between the hospital, the city, and the Province resulted in the unanimous decision to accept the only obvious solution—namely, to separate the hospital and public-health work—the latter to be removed to new quarters. The hospital-work would then become possible by the expansion into the space vacated by the public-health staff, and the public-health work would be possible in the new space provided for it. Negotiations to establish the public-health work in a building of its own, to be erected on or near the University Campus, progressed favourably, but the financial depression interfered with their immediate development. As a present, if temporary, expedient, residences owned by the Province at 761 and 763 Hornby Street, Vancouver, were taken over, remodelled, and equipped for laboratory purposes. On Saturday, August 22nd, 1931, the public-health staff completed the day's work at the Vancouver General Hospital Laboratories, and on Monday, August 24th, 1931, at 8 a.m., commenced the day's work at 763 Hornby Street. Notices and pamphlets concerning the change have been published in the Vancouver Medical Association Bulletin and distributed to the profession throughout British Columbia. The new laboratories are wholly under the direction of the Provincial Board of Health, but naturally do a great deal of work for the City of Vancouver and other municipalities, which municipalities pay to the Provincial Board of Health on a pro rata basis certain contributions towards the maintenance of the laboratories. The work thus financed is free to the public. It is restricted to diagnostic, preventive work, such as the examination of diphtheria cultures, tuberculous sputum, etc., and the examination of milk, water, etc. It exists to facilitate, in British Columbia, the control and prevention of infectious diseases and the promotion of health. The arrangements made with the Jubilee Hospital in Victoria are to continue as they were, as also the work at the laboratories at Kamloops and Kelowna. The City of Nelson, in the eastern part of the Province, is moving in the matter of having a laboratory established in their hospital, and when we have accomplished this we will have laboratories then at strategic points which will enable us to deal with the whole of the southern part of the Province. Later, for the northern part, a laboratory will be established at Prince Rupert. In connection with the laboratory-work, vaccines and antitoxins are sent out free on request, and for the year ended June 30th, 1931, the following have been furnished: 6,223 points smallpox vaccine, 6,570,000 units diphtheria antitoxin, 3,074 doses diphtheria toxoid, 57 packages BOARD OF HEALTH REPORT, 1930-31. P 7 Schick test for diphtheria, 722 packages 2 cc. (prophylactic) scarlet fever antitoxin, 203 packages 15 cc. (curative) scarlet fever antitoxin, 47 packages Dick test for scarlet fever, 257 doses scarlet fever toxin (for active immunization), 535 doses typhoid vaccine, 175,000 units tetanus antitoxin, 365 packages 20 ce. anti-meningococcus serum, and 118 doses pertussis (whooping- cough) vaccine. VENEREAL CLINICS. Our venereal clinics are carrying on the work quietly, thoroughly, and efficiently. During the past year Inter-Provincial Conferences of V.D. Clinicians have been carried on. The questions of incidence of the disease, the effect of the treatment, standardization of treatment, and education of the public were thoroughly discussed. The present situation is well described in the report issued from the meetings, and the following is an excerpt:— " Although there is no definite proof as to an increase in V.D. incidence, neither is there reliable evidence of any decrease. " The marked increased attendance of free V.D. clinics is not altogether to be taken as evidence of increased incidence in the disease, but rather as evidence of increased confidence on the part of the public as regards the services rendered by these clinics. Unfortunately, however, this increasing confidence in clinic.service is largely due to the advertising of the ex-clinic patient, who as a 'satisfied customer' is (in this instance, through his own bitter experience) able to advise his friend where to go for help in his dire need. It is still more unfortunate that at this time very little is being done either by means of public education or by more practical means to promote prevention of V.D. infection. '- Hospital statistics show a decrease in cases of congenital syphilis among infants and also in adults of terminal stages of neuro and cardiovascular syphilis, while there is some increase in cases of the primary and latent stages. " In neither instance, however, can the decreases indicated above be attributed to a decrease in incidence of the disease, but rather to earlier and more efficient treatment, due largely to the better education of the public. This also accounts for the increase in the number of patients reporting for treatment while the disease is still in the primary stage. " Undoubtedly in late years our position as regards the control of syphilis has improved, but just as undoubtedly still further efforts on the part of the profession must be made before the weight of public opinion will be enlisted in the progressive movement; i.e., the public must be still further educated as to the prevalence, treacherousness, and the far-reaching results of the disease and the need for early and prolonged treatment before public opinion will demand the rending of that ' Hush Hush ' curtain behind which syphilis has for so long thrived; the adoption of some such slogan as ' Eradication iOf syphilis in our time,' and not only permit but demand that the highest efficiency of medical science be brought to bear on this disease. " In view of the progress, or rather the lack of it, made in more than 2,000 years in regard to controlling the source of V.D., that is promiscuous intercourse, and the unchanging fundamentals in human nature, the immediate future would not seem to hold any bright prospects for successfully attacking the problem at its source. On account of the moral issue involved public opinion will not endorse the teaching of prophylaxis at this time. Therefore some other methods must be employed, such as early post-exposure treatment and an increased effort along the lines of popular education." INFECTIOUS DISEASES. In regard to infectious diseases, the situation, not only in British Columbia but throughout the Dominion and the different States to the south of us, has been remarkable in the paucity of the cases reported. Why such conditions should exist, especially in view of the economic conditions, is hard to understand. One would think that, with almost unlimited lack of employment, the resisting-powers of our people would be very much lowered, but fortunately the trend has been exactly the opposite of our expectations. The number of cases of smallpox reported has decreased from 738 in 1928-29 to 37 in 1930-31. Diphtheria has fallen from 667 in 1929-30 to 286 in 1930-31, and in this connection I may say that it is particularly gratifying to receive the continued reports in regard to the immunization against diphtheria which is being carried out. For some unknown reason, our anti-vaccinationist friends do not object to the chidren being immunized. There were 37 cases P 8 BRITISH COLUMBIA. of poliomyelitis in 1930-31, as against 116 in 1928-29. The 37 cases were scattered in widely separated points and there never was the slightest suggestion of an epidemic. PUBLIC-HEALTH NURSING. In my last Report, which covered the period of the last six months of 1929 and the first six months of 1930, I reported that we had thirty-two Public Health Nurses, in addition to which there were thirty School Nurses. To-day, we have some seventy-three all told. A class of eighteen graduated last year and we placed nine of them immediately, and there is the same number in the present year class. The people are educated to the benefits of the establishment of a Public Health Nurse in the community, and we are doing our best, under the present depression, to hold on to what we have. If it had not been for this depression our advance during this year would have been remarkable. HEALTH UNITS. Our health units are well established, demonstrating their usefulness. They are saving money, which makes a direct appeal to our local authorities, and, what is more, the school reports show a change in the classes, mentally and physically, that is almost miraculous. TUBERCULOSIS. British Columbia has been labouring under an accusation of the increased rate of deaths from tuberculosis. The census which has just been completed puts a different complexion on this. We have been giving our figures based on an estimated population of about 570,000, whereas the census shows we should have based our percentages and rates on a population of 673,000. So that for the year 1930 the tuberculosis death-rate should be 92 per 100.000, instead of 104, as reported under the old population estimate. The same applies to cancer. Under the new figures, the cancer death-rate is 105 per 100,000. as against 118 under the estimated population. Next year the reports will show that British Columbia is probably leading from a population point of view, in having the most favourable rates of any of the Provinces. Our suggestion in our last year's Report as to the extension of our educational programme in regard to tuberculosis was well received, both by the Government and the public, but unfortunately we will be unable to make a beginning in this on account of the financial depression. The report of Dr. Lamb, our Tuberculosis Officer, appears later in this Report and makes very interesting reading. SANITATION. There is a full report from our Sanitary Inspector, whose report on existing conditions is very gratifying. We have the co-operation of the Provincial Police and the local authorities throughout the Province, and are particularly pleased with the co-operation that we receive from the mining, lumbering, and fruit companies in their endeavour to comply with our regulations. We append an account of approvals for sanitary works:— Cemetery-sites approved.—Sandwick, Campbell River, Bridesville, Doe Creek, Trail, Galiano Island, Hardy (private) near Kelowna, Ashcroft, Yarrow (Mennonite). Alert Bay. Hornby Island, and Tulameen. Sewage-disposal Systems approved.—Burnaby Municipality (extensions), North Vancouver City (extensions), Oak Bay Municipality (extensions), New Westminster (extensions). Trail (extensions), Prince Rupert (extensions), Vernon (extensions), Kelowna (extensions). Ruskin, Nanaimo (extensions), Port Hammond (extensions), Kamloops (extensions), Cultus Lake Park, Revelstoke (extensions), and Vancouver (extensions). Water-supply Systems approved.—Port Hammond. Rossland (repairs and replacements). Cultus Lake Park, West Vancouver Municipality (alterations), Port Alberni (replacements), North Vancouver City (renewals), North Vancouver Municipality (extensions and replacements), Port Moody (reservoir), Revelstoke (extensions), Vancouver (extensions), Kelowna (extensions), Prince George (extensions), Merritt (extensions), Salmon Arm City (reservoir), Trail (extensions), Cranberry District near Powell River, Coquitlam Municipality (extensions)! and Vernon (renewals and extensions). BOARD OF HEALTH REPORT, 1930-31. P 9 EDUCATIONAL. We are making real advances in health-work in British Columbia. We have always kept before us the idea of prevention and have worked on the basis that in order to give effect to the methods of prevention we must be backed by an educated public opinion. Through the efforts of our Nursing Service and through the contacts which we are making in other directions with the local organizations in all parts of the Province, we have established the Provincial Board of Health in a very different position to what it was five years ago. We are accepted now, as presenting to the public policies that have been demonstrated to such an extent that there is no doubt in the minds of the public of the benefits that will accrue provided they follow out the directions of the Provincial Board, and back us up in our endeavour to procure further encouragement from the powers-that-be in the different municipalities and outlying districts. We are constantly distributing literature, and during the past year have distributed from this office 217,000 bulletins and pamphlets. These have been sent to different parts of the Province, but mainly through the Women's Institutes, and I have to record again our great appreciation of the work which is being done by the Women's Institutes in British Columbia in their making the health programme one of the most important branches of their work. From the very beginning they have been to the Department a tower of strength, and it is pleasing to acknowledge that the interest they have taken has never waned. We are constantly receiving encouragement from the institutes, but our greatest encouragement lies in the fact that they are giving, through their institutes and in the schools, effect to the policies of the Department. There follows in this Report the account of the year's work for the Epidemiologist, the Sanitary Inspector, and the Tuberculosis Officer, and also the report on the Medical Inspection of the Schools. In British Columbia we have a magnificent body of men known as the Provincial Police, who are stationed at different parts of the Province, and who, in addition to their numerous other duties, act as Sanitary Inspectors in the camps and mines throughout the Province. At no time has their interest failed and a request for co-operation, through the Commissioner, meets with instant attention. These men are interested in their profession, and I would like to express, for myself and staff, our keen appreciation of the courtesies that we are constantly receiving at their hands. I would like, Sir, to express for myself and staff appreciation of the co-operation which we receive from yourself and to say that we appreciate the active interest you are taking in our work. Such interest lends greatly to our success, and we feel that, backed by your help and encouragement, we will make continued progress. I have the honour to be, Sir. Your obedient servant, H. E. YOUNG, Provincial Health Officer. P 10 BRITISH COLUMBIA. GENERAL REPORTS. SANITARY INSPECTION. Sanitary Inspector's Office, Victoria, B.C., September 30th, 1931. H. E. Young, M.D.r CM., LL.D., Provincial Health Officer, Victoria, B.C. Sir,—I have the honour to present my Twenty-first Annual Report on general sanitary conditions for the Province of British Columbia. FISHING INDUSTRY. The year 1931 promises to be under normal for canned salmon, due to world market instability. Approximately only one-third of British Columbia fish-canneries were operated. The fish caught and canned ranked the very best in years. Hundreds of tons were placed in cold storage for local markets and export. The regulations governing sanitary operation of canneries were strictly observed, visitors and tourists being highly complimentary in their remarks on the cleanliness of our canneries. FRUIT- AND VEGETABLE-CANNING ESTABLISHMENTS. The larger portion of these establishments are located in the sunny Okanagan. Crops are both bountiful and beautiful. Operators are keenly alive to the possibilities of development, and already the glaring and preserving of fruit in dainty and healthful processes have reached an export stage. Train-loads of most delicious fruit are being shipped to Canadian and European markets, the result of hard work, care in selecting, wrapping, and shipping, together with a most desirable climate. Our departmental regulations are strictly observed, both inside and out, at the canning and packing establishments. LOGGING AND MINING CAMPS. The logging and mining camps in British Columbia compare most favourably with any throughout the world. This Department does not assume the credit for this condition, which was brought about by the gradual co-operation of operators and employees. Good clean shelter, the best of food, laundry and bathing facilities are provided, and, in the larger camps, reading and recreation halls, outside tennis and ball grounds. All camps have a first-aid man, and the larger ones have a fully equipped hospital with resident physician and trained nurses. NUISANCES. With increasing industrial development come offensive trades which sometimes embarrass Sanitary Inspectors when it is found necessary to interfere or stop an industry giving employment to many men. Another nuisance of increasing frequency is the fox-farm. Some of our best citizens become interested in fox-breeding, probably with one pair. After a few seasons they find themselves disliked by neighbours, and Health Officers are compelled to take steps to ensure greater isolation. These are what may be termed " growing pains " in the development of British Columbia. We have several under advisement at this writing. WATERSHEDS. Watershed areas supplying water to our cities are now declared health areas under special rigid sanitary regulations, enforced by this Department with gratifying results. The cities thus protected have no water-borne disease traceable to their water-supply. House-boats have been prohibited from Cowichan Lake as a protective measure for the City of Duncan, which derives its supply indirectly from the lake. BOARD OF HEALTH REPORT, 1930-31. P 11 UNEMPLOYMENT RELIEF CAMPS. The prevailing world depression has brought about in British Columbia an unemployment relief system which adds much work to this Department. The work has just been launched, and a preliminary survey shows the Public Works Department erecting camps with such speed that transforms.a jungle-like stillness to a humming village in a few days. Herewith is a copy of first report on the camps during construction :— " Sanitary Inspector's Office, Victoria, B.C., September 28th, 1931. " Dr. H. E. Young, Provincial Health Officer, Victoria, B.C. " Preliminary Survey of Unemployment Relief Camps. " Sir,—Pursuant to instructions, I beg to report on trip with Dr. Maxwell S. Inglis to the unemployment relief camps in operation and under construction by the Public Works Department on the Lower Mainland and the Interior as far as Kamloops. " Special care is given in the selection of camp-sites for water-supply and drainage. The buildings are all built to standard, well lighted and ventilated. The bunk-houses are all 12 to 20 inches off the ground, fitted with steel cots and vermin-proof mattresses. A minimum of 380 cubic feet of air per man is maintained in all these camps. Portable electric-light plants are provided in the majority of camps. Ample washing and laundry facilities are provided. The dining-rooms are large and tables are covered with sanitary oilcloth. The kitchens are equipped in a sanitary manner. The food supplied is the very best and prepared by professional white chefs. Ample sanitary, fly-proof toilet facilities are provided at every camp. A first-aid man is at every camp with an outfit supplied by the Provincial Board of Health, replenished as often as needed. " For every group of three or more camps, a headquarters camp is being established and sites cleared for emergency hospital (Dr. Inglis selected several during the past week). The size of these hospitals will depend upon the location and nature of work. The work on the Hope-Princeton Road will be very hazardous through the Coquihalla Pass. A twenty-bed hospital is being constructed at Camp 7 and a convalescent hospital at Hope is anticipated. " At this writing there are two camps near AVhite Rock and one near Langley. On the section between Deroche and Harrison River there are four camps, and four more to be built. In the Coquihalla Pass there are three, with six more to.be constructed. Between Hope and Kamloops some twenty-five camps are being built, some already completed. North and east of Kamloops seventeen camps are under way. " All the camps now in operation have been supplied by this Department with disinfectants and flea-powder, with sprayers and blowers, and further supplies are now en route to the Resident Engineers for the camps under construction. These supplies will be replenished as needed. " These camps could very well be known as welfare camps. They are all well built and nothing seems to be omitted which will add to the camp-life comfort of the men. During the past twenty-five years the writer has officially visited thousands of industrial camps, but I have never seen better camps nor have I met with such friendliness. Seventy-five per cent, appear to be Canadian or British, 20 per cent, foreign, and 5 per cent. Red. I was surprised to notice the activity of the men; none appeared to be in the drone class. " All the camps being new, no complaints are yet heard of lice invasion, but those in charge are on the alert and have the remedy and preventives on hand. " The camps are all located at a minimum isolation distance of 3 miles and have 100 to 140 men. They look like small villages and the speed of construction amazes the local settler. " I did not visit the Allco Camp at Port Haney, locally known as ' Camp de les Invalides,' but it will be needed for the many cases of hernia, piles, etc., which render many of the relief- camp men unfit for hard manual labour. A few could be used as night-watchmen or fire wardens for camps. At this moment the Camp Engineers are at a loss to know what to do with such cases and will be glad to hear from you. " Copies of our Sanitary Regulations for Camps and also a special form issued by Committee of Executive Council on Unemployment Relief are posted on bunk-house or office doors. " Our work in locating and visiting camps was made easier by the courteous co-operation of the District Engineers and Foremen of the camps, and any suggestion, request, or advice for sanitary safety was invited and acted upon immediately. " I have, etc, "(Sgd.) F. DeGrey, Chief Sanitary Officer." First-aid supplies and disinfectants are being sent to every camp upon completion or request, and a constant sanitary inspection patrol will be made by local Provincial police and officers from this Department. Up to this time a number of men have suffered by accident, but there has been no outbreak of an infectious nature, nor complaints of any kind from the men. I have, etc, Frank DeGrey, Chief Sanitary Officer. BOARD OF HEALTH REPORT, 1930-31. P 13 COMBINED REPORT OP TRAVELLING MEDICAL HEALTH OFFICER AND INSPECTOR OF HOSPITALS. Provincial Board of Health, Victoria, B.C., July 31st, 1931. H. E. Young, M.D., CM., LL.D., Provincial Health Officer, Victoria, B.C Sir,—I have the honour to submit my Eighth Annual Report as Travelling Medical Health Officer and Inspector of Hospitals for the Province. As in other years, there is always some event of outstanding importance occurring. This year differs only in that there are two such—namely, the visit of about fifty British T.B. Officers to Canada in connection with the British Medical Association, and their meeting with the Canadian Tuberculosis Association for a week-end at Ninette Sanatorium at Ninette, Man., under the chairmanship of our worthy President, Dr. D. A. Stewart. There were no set papers except the presidential address, but round-table discussions on a variety of topics; all of which were very helpful to us and, we hope, to our British confreres. The great regret of the British Columbia delegates was that their itinerary did not include a visit to British Columbia and the other Western Provinces of Saskatchewan and Alberta. As in the case of our trip to Great Britain and the Continent in 1928, this was a scholarship tour, the same being partially financed by the Sun Life Insurance Company of Canada. The second event of importance was the meeting of the Canadian Tuberculosis Association in British Columbia this year in conjunction with the Canadian Medical Association. This meeting took place at Tranquille Sanatorium on the week-end before the meeting in Vancouver. Dr. A. D. Lapp, Superintendent of Tranquille, acted as host to the delegates, and a very good time was had by all. The number of delegates from the Eastern Provinces was not large, but this was compensated for by the enthusiasm of those attending and by the large attendance from our own Province. Among the latter were several men whose T.B. work is only incidental to their other practice. The presence of the Hon. S. L. Howe and his attendance at all our discussions was much appreciated. Here the meetings were mostly round-table discussions and were voted much the most interesting and valuable form. Among the many subjects discussed most of Saturday afternoon and part of the following morning was the consideration of Dr. Lapp's suggestion, in report of last year, of dealing with the T.B. situation, and I cannot do better, in summing up the conclusions of this discussion, than to quote the resolution passed at that meeting:— " Moved, seconded, and Resolved, That the Canadian Tuberculosis Association, assembled in annual convention at Tranquille, B.C., having had reports from all Provinces of Canada, and having discussed from all angles the various present-day phases of the campaign against tuberculosis, wish to place before the people of Canada the following unanimous conclusions:— " In almost every part of Canada beds for the treatment and isolation of tuberculous people are far too few. Waiting-lists for the admission of tuberculous patients are larger than ever before in the history of Canada, and the tuberculosis death-rate increased during 1930. " This' Association unanimously reaffirms its firm belief in the absolute basal necessity in the campaign against tuberculosis of ample sanatorium and hospital beds for the treatment and isolation of patients. " Any means, such as clinics, for the finding of cases makes the need of beds not less, but greater. " In some parts of the country the need is so very great that Provincial Governments are urged to find means for the increase of beds immediately. " We are strongly of the opinion that in all general hospitals all kinds of patients on admission should have an examination of sputum for tubercle bacilli as much a routine as examination of the urine, and that, if possible, a single X-ray chest-plate should be made of all patients admitted. " These measures we consider necessary because tuberculosis is not infrequently an uncom- plained-of, unrecognized, and undiagnosed background to more active disease, and as such is a dangerous source of infection, especially to young pupil nurses. " We further recommend the routine examination of pupil nurses at the beginning of their training in general hospitals, and as necessary during their training, the examination to include tuberculin tests and stereo X-ray plates. " This routine might very well be applied to medical internes also. " The portion of the motion referring to undergraduate nurses in general hospitals was adopted as a result of reports received of clinical examinations revealing a much higher incidence of tuberculosis developing in these nurses than in nurses of a similar age and nursing experience serving in tuberculosis sanatoria." CLINICAL WORK. Our clinical work has been carried on as in the last few years, practically all being done in the various hospitals, with occasional visits to private homes to examine patients in consultation with doctors, on account of inability of patients to come to hospital. We are thus able to make use of hospital X-ray developing outfits in developing films taken with our portable X-ray plant. This enables us to complete our examinations at end of each clinic and discuss the entire case, both clinical and X-ray findings, with doctors interested before leaving town. This is much appreciated by the doctors, as often the printed report does not follow for some days afterwards. It has the added advantage that it makes possible the leaving of X-ray films at the hospital, so they are available to the doctors between clinics and are there for comparison if necessary at following clinic. As in every year since this clinic was established, we again have pleasure in reporting a substantial increase in the number of cases examined. This has largely been contributed to. however, by the hearty co-operation of local Medical Health Officers, Public Health Nurses, and the medical fraternity as a whole,.together with the enthusiastic assistance of the Travelling Nurse provided from the Christmas-seal sale funds, upon whom a great deal of the extra work and detail falls. Part of the increase this year has been due to continuance of clinics started last year in New Westminster and the extension of our territory to North Vancouver at the request of the public-health unit recently established there. We have on file a letter of appreciation of this work from the North Vancouver Medical Association. There is a point, however, beyond which increased numbers will not be possible with the present staff, as to accomplish what has been done this year often required late hours and the continuing of clinics over week-ends. The only clinics held at definite stated intervals are those in Victoria. These are held on the week of the first Monday of every alternate month. By arranging the work considerably in advance it has been possible to keep these appointments, and at the same time to cover the Province very thoroughly, the larger centres at least twice, and some of those nearer the Coast three or four times. The total number of examinations made during the year was 2,323. Of these, 1,629 were new cases and 694 re-examinations. The 694 cases returning for re-examination may be classified as follows: Pulmonary and hylar tuberculosis, 280; T.B. bones, 3; suspects, 92; 156 as various non-tuberculous findings (the most important of which are pleurisy, mixed infection, bronchitis, bronchial asthma, bronchiectasis, pneumonia, mediastinitis, empyema, silicosis, anthracosis, cervical adenitis, lung abscess, etc.) ; and 163 as negative. Many negative cases were contacts returning for check-over. The 1,629 new cases may be classed as follows: 247 as positively tuberculosis, of which 207 were pulmonary tuberculosis and 40 non-pulmonary tuberculosis; 137 as suspects; 444 as other chest conditions; 8 non-tuberculous bone conditions; 155 other diagnosis; and 638 negative findings. Of the above 1,629 cases, 250 were examined on account of contact only with open cases of tuberculosis. Of these 250 eases, 20 were classed as positively tuberculosis, of which 13 were pulmonary tuberculosis and 7 non-pulmonary tuberculosis: 40 as suspects; bronchitis, 10; bronchial asthma, 2; pleurisy, 2; mediastinitis, 3: cervical adenitis, 5; mixed infection, 3: other diagnosis, 9: and negative findings, 156. The proportion of definite cases of tuberculosis is about as last year, a total of 20 in 250 cases. Classifying the new positive T.B. cases (pulmonary and hylus T.B. only) according to nationality, making 222 in all, gives us the following: Born in British Columbia, 70, of whom 27 were Indians ; other Canadian Provinces, 39; British Isles, 49 ; other European countries, 43; United States of America, 9; Japan, 3; China, 2; Hindu, 1; Newfoundland, 1; and doubtful, 6. Of the 222 positive cases of T.B. diagnosis, 19, or 9 per cent., had resided in British Columbia less than three years. The origin of these is as follows:— Under 1 year— Other Canadian Provinces 5 British Foreign 5 — 10 From 1 to 2 years— Other Canadian Provinces 3 British 1 Foreign 3 — T . From 2 to 3 years— Other Canadian Provinces 1 British 1 Foreign — 2 Total 19 NURSING AND X-RAY SERVICE. As with the total number of patients, so the total number of X-ray films is markedly increased, the total this year being 1,738. This represents a considerable expense, an amount that is provided out of Christmas-seal sale funds, but we are convinced of its very great value, both as an aid in diagnosis, especially in children, and as an attraction of the people to the clinic. This work is done by Miss J. B. Peters, Travelling Nurse. We have had reason to refer a number of these films to the different X-ray authorities in Vancouver and throughout the Province and they have been very favourably commented upon. Since the services of the nurse have been available, it has been possible, with the aid of a portable typewriter, to make reports more complete than formerly, also our filing system has been brought up to date. Comparative Report. 1928-29. 1929-30. 1930-31. 991 290 701 117 10 95 479 1,779 557 1,222 186 34 137 863 2,323 694 1,629 T.B. other organs 25 Non-tuberculous 1,245 The number of clinics held during the year was 63, as compared with 83 in 1929-30. This is accounted for principally in two ways—the increase in number of cases at clinics requires a longer time for each clinic, and, secondly, the trip up the Coast this last summer did not take place until August, which brings these clinics into next year's report. As in former years, in our classification of diseases of cases examined, there is a large number classed as " suspects," and for the same reason as formerly. Suspects are kept under observation and are returned at intervals for re-examination. As stated last year, "we suspect a great many of them are not T.B. cases." Pleurisies are also followed up very definitely for a time, and it is my intention in the coming year to make a special effort to check up on all pleurisy cases that have been through the clinic for last eight years. A total of 444 non-tuberculous chest conditions amongst our new cases (over 25 per cent, of such cases) shows the determination of the medical men that no cases will escape the proper diagnosis for lack of examination. One event in the development of our work in Victoria deserves special mention, and that is the installation of a complete developing outfit for X-ray films in the Spencer Clinic at the Jubilee Hospital. The work had increased to such an extent that even the developing of our films in the X-ray department of the hospital—we had for some time been taking our own films— was very disturbing to the work there. I reported conditions to Mr. William Spencer and advised him as to what would be necessary to make conditions satisfactory. The result was that a developing plant complete, at a cost in excess of .$500, was installed, the entire cost being paid by David Spencer, Ltd. I would like here to publicly acknowledge this very generous gift and our due appreciation of same. Another improvement in the work in Victoria was the appointment of a Public Health (V.O.N.) Nurse to do T.B. work only. She has actively co-operated with the clinic and is doing valuable work. This is financed- from Christmas-seal sale funds. A very interesting piece of work was done by your Travelling Clinic when we were kindly loaned to the Indian Department to make a complete survey of one of the Indian schools and reserves in the Interior of the Province, a report of which is on file. As a result of this survey an experiment is being tried in this school of segregating infected children, not the active cases, from the balance of the children, giving them special care under nurse's supervision, instead of returning them immediately on diagnosis to their homes to ultimately die in most cases. The latter eventuality was likely to be preceded by extension of infection in the family concerned. We are checking up these infected cases at each clinic in this community, that is twice a year, for the Indian Department. There is still a great lack of bed accommodation for tuberculous cases, both at Tranquille and in Vancouver. There is always a long waiting-list at the Sanatorium and many of the cases diagnosed in the early stages become moderately advanced before admission. However, this latter is scarcely necessary if we can get patients to understand that cure can be taken at any place or in any climate, provided rest is possible of attainment. In the latter case, however, they lose one important part of sanatorium treatment that is very important, and that is the education of the patient in taking care of him or herself and also in prevention of spread of infection to others. As'stated previously, in quoting from resolution of Canadian Tuberculosis Association, the more clinics, the more beds required. Our death-rate, the serious increase in which a few years ago we hoped was only temporary, still remains high, but some slight decrease each year from our peak year, 1928, of 108 per 100,000. While these are difficult times and new expenditures can probably not be undertaken, I believe we should keep ever in mind the necessity lor increased diagnostic and educational facilities in form of travelling clinics, as preventive measures that will ultimately return good dividends; also an increase in bed accommodation for the active cases as a curative measure, but, of much greater importance, the segregation of the open active cases in the early and also late stages and thus prevent infection. THE EDUCATIONAL PART OP THE WORK. As in last report, this part of my duties has been of necessity neglected, due to the great increase in the clinical amount of work which presented itself. Addresses were given to one class of high-school pupils; one Rotary Club; one Women's Institute; one Public Health Nursing class at the University of B.C.; and ten lectures to classes of nurses-in-training. This latter included two lectures to the undergraduate nurses who are taking special courses at Tranquille Sanatorium. HOSPITAL INSPECTION. What has been said with regard to the educational side of the work may also be said in regard to hospital inspection. Lack of time prohibits more thorough inspection of hospitals. BOARD OF HEALTH REPORT, 1930-31. P 17 However, as regards public hospitals, I have made a formal inspection of twenty-five, including a very full and thorough inspection and investigation into the affairs at the Mission Memorial Hospital, Mission City. I also inspected the Boys' Industrial School at Essondale, and we carried out a clinic there at which every student in the school was thoroughly examined, both physically and X-ray examination. Pour meetings were held with full Hospital Boards, two with finance committees, and forty-two more or less extensive interviews were held with committees of Hospital Boards or presidents or other officers. Three interviews with members of Municipal Councils were held re payment of Tranquille accounts. Several interviews with members of Workmen's Compensation re various matters, especially mothers' pension cases, were also held. Two new licences were issued for private hospitals and thirty-nine renewals, making in all forty-one registered at the present time. Thirty-two of these were officially inspected during the year, and some more than once. Seven private hospital licences were refused, or did not make formal application after discussing the matter with the Inspector. No questions of sufficient importance for a formal meeting of the Board of Arbitration were submitted, but some informal discussions took place between the Inspector of Municipalities and myself. 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 would like to make special mention of Dr. Miller, of the Royal Columbian Hospital, New Westminster, who is in a different position from the other X-ray outfits, in that it is owned by him, but he is always ready, at great inconvenience to himself, to give us full opportunity for the use of his developing plant and other equipment. 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 13th, 1931. H. E. Young, M.D., CM., LL.D., Provincial Health Officer, Victoria, B.C Sir,—I have the honour to submit herewith a report of the epidemiological work for the year ended June, 1931. Owing to the unfortunate absence through illness of Dr. A. R. Chisholm, Provincial Epidemiologist, there has been little or no new work carried on through this Department. Other members of the staff, however, have continued the systems already inaugurated, and fortunately for the Province and the Provincial Health Department there have been no serious outbreaks of communicable diseases during the year, so that the staff of the Department has been able to cope with what did occur. The system of reporting communicable diseases by weekly cards from the physicians has continued to work satisfactorily, except that there has been a slight falling-off in the percentage of those returning the cards each week. Whereas there were approximately 90 per cent, report- P 18 BRITISH COLUMBIA. ing regularly during 1929-30, only 86.6 per cent, gave regular returns during the ensuing twelve months. For the most part, however, the plvysicians have been most ready to co-operate in providing the Board of Health with figures from which accurate and useful data regarding disease incidence may be compiled. The graphs and tables which follow have been used to indicate clearly and concisely the seasonal and other variations in the incidence and mortality of infectious diseases during the twelve-month period. Through the co-operation of the Department of Vital Statistics, the fatalities from the various infectious diseases for the corresponding months have been obtained and the fatality rates recorded. It should be mentioned here that any figures given in this report for deaths from infectious diseases during 1930-31 are accurate as far as could be ascertained at present, but are based on preliminary reports only and will be subject to revision when final reports are issued through the Department of Vital Statistics. Figures for venereal diseases have not been included among those given for communicable diseases. MORBIDITY AND MORTALITY. For the year 1930-31 the infectious diseases reported to this Department and the deaths from infectious diseases, together with the morbidity and mortality rates per 100,000 population, are shown in the following table:— Total Cases and Deaths from Infectious Diseases in British Columbia for 1929-30 and 1930-31, with Morbidity and Mortality Rate per 100,000 Population. Diseases. Cases. Deaths. Rate peh 100,000 Population. Morbidity. Mortality. 1929-30. 1930-31. 1929-30. 1930-31. 1929-30. 1930-31. 1929-30. 1930-31. Cerebrospinal meningitis 21 2,214 351 667 57 2 140 181 1,224 23 2,854 46 286 59 2 162 46 1,698 10 12 1 3.55 374.62 59.39 112.86 9.64 0.34 23.69 30.63 207.11 0.00 0.34 362.44 285.62 1.86 3.85 478.06 7.71 47.90 9.88 0.34 27.14 7.71 284.42 0.00 0.17 55.61 182.75 1.34 60.64 6.20 0.34 133.17 23.12 6.20 0.00 0.34 98.32 24.46 0.34 336.35 1.69 0.00 0.00 4.06 0.34 0.67 1.18 0.00 14.89 0.00 0.00 8.03 0.00 0.17 38.24 1.02 2.01 0.17 0.00 2.51 1.01 0.50 1.84 0.00 28.64 0.17 0.00 0.17 0.00 0.00 44.22 1.34 1.17 0.84 0.00 0.00 0.00 0.00 102.85 3.18 0.00 6.87 Diphtheria Dysentery (all forms) — 24 2 4 7 15 6 3 11 88 171 1 2 2,142 1,688 11 1 332 1,091 8 362 37 2 795 138 37 51 1 Mumps.... 1 226 6 264 8 7 5 42 2 616 191 157 1 10 384 70 3 1,701 7.11 0.34 104.23 32.32 26.57 0.17 1.69 64.97 11.84 0.51 287.82 Puerperal septicaemia 8 11 1.35 1.86 0.00 0.17 0.00 104.57 1.69 0.00 2.37 1 2 587 146 2 2,008 618 10 614 19 14 41 Totals 11,877 10,724 1,047 1,179 Estimated population of British Columbia : 1929, 591,000 ; 1930, 597,000. Iii working out the rates for the preceding table, also other rates throughout this report, the estimated population figures of 591,000 for 1929-30 and 597,000 for 1930-31 were used. BOARD OF HEALTH REPORT, 1930-31. P 19 Graphs A and B illustrate the monthly incidence of some of the more common infectious diseases. In the case of whooping-cough, chicken-pox, diphtheria, scarlet fever, and mumps, the greater number of cases occurred during the winter months, mumps maintaining its height until May, then dropping sharply. Measles shows a gradual decline from a peak of the previous year, when 2,142 cases occurred, as compared with 332 this year. JULr AUG SEPT OCT NOV DEC JAN FEB MAR APR MAY JUNE | OFCH ICKEN -POX/ \\ND W HOOPI NG-CC >UGH 500 C :ases / / \\ I / / f. \\ \\ i 1 1 \\ \\ \\ 400 / \\ i \\ ; \\ \\ 1 1 \\ \\ / \\ 1 \\ / \\ / \\ i \\ / \\ i \\ / \\ / \\ 1 \\ \\ \\ / / \\ \\ 300 / / \\ \\ I 1 / / \\ \\ / \\ 1 \\ i i \\ i / \\ \\ i / \\ \\ / \\ \\ i / \\ \\ \\ / i / N / \\ y 200 \\ s . r i / \\ XIV / / / \\^ \\/ \\ y / / \\ / / \\ / / I \\ ' i \\ i l \\ t \\ \\ i i Chicken-pox: Cases, 2854-, Deaths, 1. \\ i i 1 —i "-^ i •—i—c j —&•■ 500 too 300 zoo 100 GRAPH A. It is interesting to note that the three diseases, mumps, chicken-pox, and whooping-cough, provided 5,953 of our total of 10,724 cases of infectious diseases reported. In other words, more than 50 per cent, of all cases were from these three diseases, which, along with measles and rubella, have a tendency to assume epidemic proportions every few years in spite of all ordinary precautions. 1930 - 31. JULY AUG SEPT OCT NOV DEC. JAN FEB MAR APR MAY JUNE CASES OF DIPHTHE ] RIA, MEAS D SEPTIC LES, MUMF SORE TH 'S, 180 no SCARLET r^EVER AN ROAT - Meast -DChhtfi ?S: Cases 33HCOC«Dt-HPI01Cir0^in ©COCOCOiM-tf'tfrH Cl Cl © CO IO •* M CS IO rH -* OWtH CO « Cl tt< "fn" rH tf 1- TrOONCIHt-M a rHt-ini-HMW-HrHrH •# «H N rl n HI eo rHrH c © © o :aa : : © © tf co 10 »o © : iocs : t- ci © r- eo ci : rH , n : co i : \\n : © ; rn : : ; : : rn : ; : ; n n ; a ', h : : ; : ; : : : : : :>h ; ixorH©^-^ : : : ;a : a : !© : : ::; : ico;:: ;::;;:;: ;;©rn :;;; : ;; :: : : : ; : i-h ::;:;::::: : ; : ci : : : : ; : : : : 00 LO '.xeon inn '. i \\n '. n n :h ; : co io :::::: ; rH cc ; ;a ixeo : ; :cocm : ;homci ; : :nn \\ n :;:;;:: ; ; ; : • : ; : ; ; n ; : ; © © 1-1 © : rH ', 10t- rIM : : : eoci : : : eo ; ; cm ■* : oo ci -tf ; : -Hi ;n tf ;lo :Tfi ; .eo©Tt.tfoi ; : :© ;i— ! '.a icocm irH \\ ; ;eooo©© :t- : rH : : \\nn n : : : rn irH \\n : n : rH ; ; rn ■* ; : ; ; : ; :;!**:::: I i : : i i CO IO -tf * j COH : rH :« im : i-t : i-t : : : : : : : : ih : r-t : rH : : cm : : ; ::th: : : : ; rn IO CO eo ; ; ; o ti 4 CP •p r*l IH < ri p 1-5 2 ai 1924-25 1925-26 1926-27 93.08 94.3 93.3 93.5 94.7 94.7 95.5 95.2 89.1 89.7 91.3 91.6 93.9 93.1 93.3 96.3 88.1 90.3 87.2 93.2 92.5 92.9 95.2 85.3 88.7 84.2 89.2 93.3 94.1 95.8 84.3 80.2 78.4 91.2 88.6 87.6 94.6 79.7 77.8 79.9 02.4 90.5 88.3 92.4 76.8 76.7 81.7 92.9 94.01 93.0 02.6 74.7 79.4 77.7 92.8 93.6 93.2 94.4 74.02 76.8 79.2 05.8 00.8 03.2 04.5 74.1 75.9 76.9 92.2 92.9 93.8 91.5 % 81.92 82.98 82.98 1927-28*.. 93.48 1928-29* 92.48 1929-30* 92.40 1930-31* 03.08 1931-32* * Full-time health unit in charge. Last year's school budget was $140,000, and if the attendance were maintained at old levels $21,000 would have been wasted. This sum is $6,000 more than the entire budget for the Health Centre. Throughout the municipality health and freedom from infectious disease has been remarkable. To date only ninety-one cases of infection have occurred, being mainly chicken-pox. I ^ s H-C O > Q a r-, CU r. B. Ki pSc, cj 3 +H o Chicken-pox 1 9 1 10 2 14 1 1 18 21 1 1 19 1 1 1 2 1 2 8 o 3 1 22 7 5 2 2 1 3 121 22 Diphtheria 3 8 Mumps Measles German measles 2 3 4 Totals 11 12 16 18 23 21 6 14 29 7 6 163 The drop in illness is well shown by the number of nursing visits made by the 1926 2 1927 1928 1929 1930 1931 (10 months) staff :- .803 .966 355 853 .959 .266 The cost for isolation has also been negligible, as shown below:— 1925 $2,110.00 1926 5,535.00 1927 1,181.00 1928 140.00 1929 (isolation of diphtheria carrier) 795.00 1930 350.00 1931 235.00 In connection with infectious disease, we have continued to carry on with diphtheria immunization and have not had a single case among those immunized. In fact, nearly all our cases and costs have been contributed to by objectors' families. . Health is taught regularly in all grades of our schools and high schools. Competitions in essays and posters will again be held this year. This year the Health Centre staff is giving regular home-nursing instructions to girls of high-school age and the Medical Officer is giving a course of hygiene and first aid to the boys. The value of such work cannot be overemphasized. The usual work in sanitation and dairy supervision has been carried out as before, with gratifying results. From a careful observation, I have been struck with the neglect of correction of serious defects and the treatment of conditions which endanger the future health of the community and produce such suffering in the present, due to the present curtailment of income in such a large proportion of the population. I am absolutely convinced that during such times it is the height of folly to curtail health services and expenditures on the maintenance of health and treatment of disease. Such economy is disastrous to any community. It is my earnest prayer, Sir, that you use your influence in extending the services and hasten the introduction of health insurance. In conclusion, I wish to express my appreciation for the splendid co-operation given us by the Reeve and Council in carrying out our work. Respectfully submitted. D. Berman, Medical Health Officer. KELOWNA HEALTH CENTRE. Report on Activities, October, 1930, to October, 1931. A review of the work accomplished prior to October, 1930, has been given. Our purpose here is to reaffirm the objectives of the undertaking and to report progress which has been made during the last year. Health Clinics. We have maintained public-health clinics with the purpose of teaching prenatal care to the expectant mother; furnishing instructions to promote infant-welfare and pre-school and school hygiene; supplying information to those who have been exposed to such communicable diseases as tuberculosis and the venereal diseases, and providing prophylaxis against smallpox, diphtheria, and scarlet fever. Notwithstanding the fact that in two towns within a distance of 40 miles from Kelowna scarlet fever was prevailing, there did not occur any cases in Kelowna and district, but three who were not immunized and were infected during visits to the neighbouring towns by visiting patients who were out of quarantine on account of the finishing of the peeling. Several tests in our laboratory convinced us that the finishing of the peeling is not a good diagnosis that the patient is not infectious any more. In 63 per cent, of the cases the hemolytic streptococci in the throat had disappeared at the time the peeling was finished. In 21 per cent, they disappeared earlier and in 16 per cent, they still were present after ceasing of the peeling. A total of 289 children visited our baby clinics, a considerable increase compared to last year. A total of seventeen lectures were held, nine of which were on communicable-disease control. We stressed the idea that " persons are infectious, not things," contrary to the old idea of disinfection. This educational work had the result that when a case of typhoid occurred in a far-away part of the district people asked us to perform blood tests and researches on faeces and urine to locate the carriers. We were very much pleased with the result, and the complaints we received afterwards from some inhabitants that we had not taken enough samples were received very gratefully. It proves how apt people are to new ideas when they are talked over with them. Not always are we met with such a sympathetic support. A milk-dealer, who last year was prohibited to sell unpasteurized milk on account of the presence of a carrier of typhoid in his house, supplied milk to a baby. The child fell ill; the case was treated by the doctor as a case of enteritis until the mother fell ill with typhoid some weeks later. As the family always used canned milk the disease of the child was studied more carefully, and it proved that the child suffered from typhoid, contracted from the milk delivered by the farmer in whose house lived a carrier, and infected the mother. As far as it was possible to state, in our knowledge, this carrier was the source of one death and two cases of typhoid during this year. Our health clinics with the purpose to furnish instructions for the prevention of venereal diseases and sexual enlightenment were so well attended that they had to be repeated. Undulant Fever. On our programme for next year is included a field survey of undulant fever. Many cases of undulant fever in and outside our Health Unit were observed, perhaps due to the fact that a large herd of cows with abortion were sold at a public sale some years ago. The fact that abortion is but a symptom which even may be absent in the animal, that it is a disease which even may occur in virgin animals, is not accepted in general by the farmer, who thinks that when after one or two abortions the cow carries full time, the animal has recovered from the disease. The test we performed with the milk from several cows proved that we know now an easy method to detect if the cow is still infectious. We are continuing our research on undulant fever in human abortion. Trachoma. The fact that we detected some school-children with trachoma made us do a thorough research on this disease in children. Recently we found a teacher with symptoms of conjunctivitis folliculosa. As he is teaching in a school visited by children suffering from trachoma, we are watching this case very carefully as it might be a case of " trachoma " folliculosa. A general survey of the eyes of the school-children for refraction for diseases is very urgent, and when we cannot get the assistance of an eye specialist we intend to hold eye clinics in the schools. Malaria. There was one case of malaria in the district, in a man coming from a malaria-infected part of the U.S.A. The fact that the Mosquito-control Association sprayed all still-water ponds and swamps had the effect that no complaints of mosquitoes were sent in and that no anophyles were found in our surveys during this summer. Health Exhibit. An exhibit on vitamins was held in September in Kelowna. Many outside districts asked for the exhibit, which was sent to many outlying districts and is now changed in a " travelling exhibit, easy to put up." Health Periodical. Exhibits and periodicals speak to the public. They show what work has been done and make them interested in health-work. A periodical was started in April of this year, but had to be discontinued through lack of funds, but will soon be started again. Laboratory Activities. The need of better facilities for the laboratory are very urgent. The floor-space of the laboratory, 15 by 17 feet, does not give much room when we are working there with three people. BOARD OF HEALTH REPORT, 1930-31. P 33 We are much handicapped by the small space, especially now we are making so many autogenous vaccines. The fact that we found a case of tularaemia in British Columbia makes us hope that one day there will be money available for research-work on this disease. # G. A. Ootmar, District and City Health Officer. NORTH VANCOUVER HEALTH UNIT. North Vancouver, B.C., September, 1931. H. E. Young, M.D., CM., LL.D., , Provincial Health Officer, Victoria, B.C. Sir,—I have the honour to submit this the First Annual Report of the North Vancouver Health Unit. The report includes also a detailed statistical account of the many activities of the staff. The year commenced on September 1st, 1930, and ended on August 31st, 1931. Arrangements were completed between the North Vancouver City and District Councils and School Boards during the summer of 1930 to organize and maintain a joint or Union Health Department; this department to be known as the North Vancouver Health Unit and to supply all public-health services for the two municipalities, including a complete school-health programme. Management Committee. The financial and business affairs of the Health Unit are managed by a committee known as the North Vancouver Health Unit Committee. This body consists of ten members, made up as follows: Two from each interested Council and two from each School Board, a secretary (who is also secretary of one of the School Boards), and the Medical Director of the Health Unit. Meetings are held on the fourth Thursday of each month, at which, besides other business, the Medical Director presents a statistical and narrative report covering the month's activities. Finances. Half the total expenses of the Health Unit are met locally and the other half jointly by the Provincial Board of Health and the Rockefeller Foundation. The local share of the expenses is divided between the two municipalities on the basis of school enrolment. With the expenses divided in the above-mentioned manner, the modern full-time health service, with two nurses, transportation, etc., as well as a full-time Health Officer, costs the two Councils less money than they paid the previous year for an untrained part-time service. Office. The Health Unit Office, consisting of two rooms and a toilet, is located on the main floor of the North Vancouver General Hospital. The Hospital is centrally located and a convenient distance from most of the schools. Staff. The staff consists of the Medical Director and two Public Health Nurses. All three are trained in modern public health and preventive medicine and are full time. Transportation. Each of the members of the staff has the use of a car. One. is personally owned and an allowance made for its use. The other two cars are the property of the Health Unit. Area served. As stated elsewhere, the Health Unit serves two municipalities, with the possibility of a third in the future. The City of North Vancouver had in 1928 a population of 8,885 and at present a school population of 1,837. The District of North Vancouver, a sparsely settled or rural area, had a population in 1928 of 5,642 and at present a school enrolment of 720. 3 P 34 BRITISH COLUMBIA. The area extends from West Vancouver on the west to Dollarton and Deep Cove on the east, a distance of about 12 miles. Burrard Inlet is the southern boundary and the northern extends up on to the mountains, about 4 or 5 miles to the limit of the settled part. Objectives of the Health Unit. The control and prevention of communicable disease and the preservation of human health and energy. The programme includes all phases of public-health activities and does not include treatment of the sick. During the past year a great deal of time has necessarily been given to the school programme. In this field it was felt that more headway could be made in a short time with a gradual broadening of the field of activities. Number of Schools. There are in all ten schools served by the Health Unit. This includes the High School. Programme. The following is a brief summary of the programme of the Health Unit during its first year:— Prenatal.—Visits by nurses. Prenatal letters: Supplied by the Provincial Board of Health and distributed by the Health Unit. In this way the mothers are in closer touch with the Health Unit and the nurses; also with the baby clinic. Postnatal and Infant-welfare.—Postnatal letters. Home visits by nurses. AV ell-baby clinic: Held every week. Medical Director attends and in many cases details normal diet. Babies are physically examined. The nurses give general nursing and feeding advice. Pre-school.—Home visits by nurses. Physical examination at baby clinic and office. Large numbers of children entering school in September, 1931, were given a thorough physical examination in the Health Unit Office with the mother present. This was during the summer months. School.—c(l.) Physical examination; parent present by appointment. (2.) Special examinations when required. (3.) Percentage of parents present at examinations for year was 73 per cent. (4.) Class-room inspections by nurse for infection when necessary. (5.) Class-room inspections with health talk by nurses. (6.) Class-room health talks by Medical Director of Health Unit. (7.) Talk, with slides, on fly menace given early in spring in all schools. (8.) Each principal reports daily all those absent two days to the Health Unit Office. In this way communicable diseases are found in their early stages and can be more easily controlled. (9.) Each child absent two days or longer due to illness must report to the Health Unit Office for a certificate to return to school. (10.) Sanitation, lighting, ventilation, and heating of each school are closely watched and advice given where necessary. (11.) Home-school visits are made when and where necessary by the nurses. During these visits many opportunities are presented where they can give advice to the parents and offer encouragement. (12.) Dental defects: To date we have not a dental clinic, but special attention is paid to this aspect of the work by the nurses in class-room inspections and also by the doctor. There is a definite improvement to date. (See " Dental Campaign " later.) (13.) Examinations in office: A^ery often children are sent to the Health Unit Office by their teachers or parents for a special examination. Many children come of their own accord if they think they might have anything contagious. (14.) Crippled children; mentally retarded, undernourished, and subnormal children; deaf children; defective sight: An attempt is made to see that all children in need of special care receive whatever treatment is necessary. This applies to pre-school as well as school. (15.) Co-operation with all school officials is practised by the staff of the Health Unit at all times. (16.) Transportation of children: AAThen children are sick or injured or need transportation to M.D.'s, dentists, or clinics, this is done by the nurses. A Tudor Ford was purchased for this BOARD OF HEALTH REPORT, 1930-31. P 35 purpose, as well to be used by one of the nurses. If necessary, a person can be transported in the recumbent position. The following table shows the increased percentage daily attendance in the City of North Vancouver and the District of North Vancouver, comparing with the last three years:— School-year. City of N.V. District of N.V. Per Cent. Per Cent. 1928-29 92.32 91.40 1929-30 93.58 91.20 1930-31 94.52 92.66 For the two school-years previous to the past year the city had the services of a School Nurse and therefore shows a better percentage than the district for the same years. It is hoped that next year will show another decided gain. Note.—During the first three months of the school-year one of the five schools in the district had an outbreak of diphtheria. This, plus fear, brought the attendance down as low as 58.9 per cent, in October. Communicable Diseases.—Reporting: The local physicians are very good about reporting communicable diseases and with check on the school absentees gives nearly a perfect knowledge of these diseases. Quarantine Officer: This is done by the nurses and at the same time she instructs the household re isolation and control, etc. I consider that this method is far superior to the usual procedure. Diagnosis: The Medical Director is consulted by the physicians on practically all cases. Laboratory: This service is provided by the Provincial Laboratory in Vancouver. The Health Unit arranges the transportation of all specimens to the laboratory for the physicians. Throat cultures: All cultures for release as well as those taken in the schools are taken by the members of the Health Unit. Chest clinic: Arrangements were made with the Provincial Board of Health to have its Chest Specialist conduct a clinic in the North Vancouver General Hospital about every three months under the auspices of the Health Unit. T.B. follow-up: This is done as far as possible by the Health Unit nurses. Biological products: These are kept in a Frigidaire refrigerator in the Hospital, where the M.D.'s may help themselves. They are distributed free of course. Supervision of Food-handling Establishments.—All restaurants, hot-dog stands, grocery, meat, fish, confectionery, fruit, and candy stores, as well as bakeries, bake-shops, and soda- fountains, are regularly inspected and supervised. Milk, Dairies, and Farms.—These are carefully inspected. The owners are given all advice necessary to produce as pure and safe a milk-supply as possible. Samples are taken frequently for bacterial count. The counts have been very satisfactory on the whole. The dairymen have always been willing to co-operate. Water.—This is produced from a carefully guarded watershed. Sewage.—The many septic tanks give a great deal of trouble, but are attended to whenever reported. An attempt is being made to rid the community of the unsanitary privy as fast as possible. Garbage-dumps.—These places of disposal are closely supervised. Fox-farms.—There are a number of fox and fur farms in the district requiring some supervision. Fly Campaign.—During the spring a Destroy the Fly Campaign was conducted and considerable results obtained. Dental Campaign.—Dr. Harry Thompson, with the help of the local dentists, the Health Unit, and a special committee, conducted a very successful dental survey and campaign. Student Nurses.—From time to time nurses taking the Public Health Courses at the University of British Columbia reported for training in health field-work. Individual Health Talks.—AVhenever the opportunity presents itself a health talk is worked into a conversation. In the course of a month a great deal of information can be given out. Refresher Course for Nurses.—During Easter week the two Health Unit nurses attended the Refresher Course for Public Health Nurses given under the supervision of the Provincial Board of Health. A student nurse relieved during their absence. P 36 BRITISH COLUMBIA. Addresses.—From time to time, when asked, members of the Health Unit staff have given addresses to clubs and organizations on health subjects. Phone.—Through the courtesy of the Hospital Board and an extension phone, the secretary of the Hospital answers the Health Unit phone when the staff are in the field. Co-operation.—All during the year the finest co-operation has been shown by the following: North Vancouver Medical Society; the School Boards; the Councils; the teachers as a whole; the other branches or departments of the City and Municipal Halls; the majority of the parents and the school-children themselves. The voluntary men's and women's organizations have always been willing to help where possible in the supplying of milk to the needy, glasses for children, special treatment when necessary, and even shoes for needy children. Complaints.—An attempt is made to investigate all complaints made, and if not under the jurisdiction of a Health Department they are turned over to the proper person or body. G. F. Amtot, M.D., D.P.H., Medical Director of the North Vancouver Health Unit. Details for the examination for each school follow. I have, etc., H. E. YOUNG, Provincial Health Officer. SCHOOLS INSPECTED. Medical Inspectors: 160. Reports from Medical Inspectors: 158. High Schools. High schools, 1929-30, 67: Reported, 43; not reported, 24. 1930-31, 70: Reported, 53; not reported, 17. Pupils inspected: 1929-30, 10,759 ; 1930-31, 12,046; an increase of 1,287. Junior High Schools. Junior high schools. 1929-30, 5: Reported, 3; not reported, 2. 1930-31, 7: Reported, 6; not reported, 1. Pupils inspected : 1929-30, 4,568 ; 1930-31, 4,919 ; an increase of 351. Graded Citt Schools. Cities. 1929-30, 33: Reported, 32; not reported, 1. 1930-31, 33: Reported, 33; all reported. Pupils inspected: 1929-30, 48,860; 1930-31, 48,585; a decrease of 275. Rural Municipality Schools. Municipalities. 1929-30, 24: Reported, 23; not reported, 1. 1930-31, 24: Reported, 23; not reported, 1. Pupils inspected : 1929-30, 16,925; 1930-31, 17,705 ; an increase of 780. Rural and Assisted Schools. Schools inspected: 1929-30, 663, at a cost of $15,755.40; 1930-31, 708, at a cost of $16,571.45. Schools not inspected : 1929-30, 106; 1930-31, 174. Pupils inspected: 1929-30, 18,391; 1930-31, 19,655 ; an increase of 1,264. Cost of inspection per pupil: 1929-30, 85.6 cents; 1930-31, 85.3 cents. Percentage of defects : 1929-30, 104.24; 1930-31, 101.29; a decrease of 2.95. . P 38 BRITISH COLUMBIA. NORMAL Name of School. Medical Inspector. School Nurse. o =i Ph . .'o c | 5 QEh T3 c- "O cd a e.2 HO g "8 O Vancouver 280 169 289 169 2 1 5 20 8 18 63 2 37 36 52 9 1 SI IS HIGH 78 31 20 19 10 181 309 10 325 11 78 162 56 65 91 84 134 74 22 9 21 125 78 69 99 60 77 496 221 22 417 40 11 70 81 71 30 20 19 10 174 365 10 325 11 62 162 54 60 98 84 134 74 22 9 4 4 3 6 4 1 14 7 1 8 3 8 6 3 6 3 3 48 115 2 163 1 1 11 1 14 3 8 Anyox: Granby Bay Mrs. G. V. Yard.... 10 7 1 1 4 4 12 2 5 13 1 6 3 8 4 6 9 11 3 16 4 Burnaby: 1 10 2 H. Peters 4 22 1 2 3 Copper Mountain 1 19 7 2 2 G. E. L. MacKinnon 11 5 7 3 10 7 5 4 3 G. K. MacNaughton. 6 3 2 7 2 Delta: 4 2 2 3 3 1 1 6 J. S. MoCallum Miss E. Morrison... Miss W. Seymour.. 3 1 2 5 1 5 2 20 3 4 5 9 101 7 1 54 12 4 4 1 L. B. Wrinch 2 21 121 71 69 98 57 74 487 203 22 416 40 8 58 76 4 9 2 3 3 4 2 3 W. J. Knox Miss E. W. Tisdall. 1 1 5 12 6 5 6 26 267 26 65 2 1 6 39 21 2 2 5 D. P. Hanington B. B. Marr Miss J. Worthing- ton 1 G. H. Tutffl MissH. E.Fawcett. Miss M. D. Mac- Dermot 11 205 1 4 60 24 1 12 6 1 4 4 25 3 4 26 11 W. P. Drysdale E. C. Arthur 58 37 New Westminster: D. A. Clark Miss A. Stark 24 2 2 5 20 16 3 P. P. Smyth 6 Port Coquitlam: "7*12 1 4 14 25 6 35 2 3 .. BOARD OF HEALTH REPORT, 1930-31. P 39 SCHOOLS. Other Conditions, specify, (Nervous, Pulmonary, Cardiac Disease, etc.). d 1 > 3 « a CQ 6 fcfj +3 m a B i o E bi 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. Heating, ventilation, and accommoda- good Good 13; diphtheria, 2; typhoid, 2; scarlet fever, 6; mastoid, 5; rheumatism, 3; smallpox, 2; St. Vitus, 1; hernia, 1; infantile paralysis, 2 asthma, 1; rickets (old), 1; acne, 4; amputated forearm, 1; mixed infection chest, 1 SCHOOLS. Good Good. Good Yes. Nil, except 1 case chicken-pox... Yes. O.K. Good Good Yes. vision, 13 Good Yes. vision, 35 Good 3 Whooping-cough, 4; measles, 2.. Building crowded, class-room as well as the laboratory being in the basement; this crowds the basement badly so that pupil's have no proper place for lunch-hour on wet days; ventilation could be improved Good Fair. appendicitis, 1; psoriasis of scalp, 1; nervous conditions, 3 OK Yes. Good Good Good Deviated septum, 2; blepharitis, 3; nasal obstruction, 1 ; skin-disease, 1; wax in ears, 6; orthopaedic, 1; anaemia, 1 -- Good. 4 1 1 O.K O.K. Good Fair - Good. Good Good. Good Good. dysmenorrhea, 4 New school; ade Yes. quate and well kept Good Yes. Yes. Good Yes. 2 2 2 Scarlet fever, 1; chicken-pox, 1; rheumatic fever, 1 Good; ventilation does not appear adequate Well heated; not crowded; rather poorly ventilated Good. Clean; adequate. Orthopaedic, 2; heart, 5; anaemic, 3; nervous, 1; pulmonary, 2 Good Yes. Clean; adequate. 1 Clean; adequate. ; P 40 BRITISH COLUMBIA. HIGH Name of School. Medical Inspector. School Nurse. m 'p. fl rH . - xi O r-t . O 3 . CU 'a °s o 3 Z 3 CO £J 9 S 08 0) tl fl CO 5 '3 % Oh •cd ^ JC 0,5 CO '5 C. H. Hankinson and J. P. Cade Miss M. Osborne.... 204 50 135 150 70 260 113 9 46 28 120 15 28 198 804 416 653 375 436 006 1129 255 746 1099 436 167 190 8 194 48 132 130 54 259 96 9 45 28 112 14 28 198 836 404 670 332 456 753 1146 144 473 1070 436 167 189 8 59 13 1 11 12 11 2 17 33 51 1 70 1 .2 8 7 12 6 1 5 1 5 3 4 6 8 2 17 7 5 15 2 2 fl 5 23 20 2 2 42 G 37 18 2 J. H. Hamilton W. K. Hall Miss A. A. Lee 3 Richmond Municipality: 10 1 2 1 7 11 64 2 9 1 19 2 9 10 E. E. Topliff 1 1 Miss M. Harvey 16 Drs. Beech & Beech. 13 5 2 9 4 N. J. Paul F. D. Sinclair 6 2 Telkwa 2 4 Stanley Mills 5 2 14 Trail F. S. Eaton «i 23 40 29 31 1 3 4 9. 52 166 93 148 75 132 104 349 8 112 287 105 23 2 2 6 4 2 16 2 Vancouver: H. White Miss A. McLelIan__ Miss G. Jeeves Mrs. D. Bellamy.... Miss H. Jukes Miss M. Campbell.. Miss M. Ewart Miss E. Edwards... Miss L. Drysdale... Mrs. D. Bellamy.... Miss I. Smith Miss E. Lowther.... W. Dykes j 32 H. White 1 i 13 2 2 4 4 1 1 2 2 1 2 1 1 1 2 1 1 H. White 56 56 W. Dykes 46 28 8 25 24 2 4 3 Prince of Wales W. Dykes H. White 14 School of Commerce..., G. A. Lamont 11 32 Vancouver, West: Vernon Mrs. S. Martin 2 C G. G. Maclean I JUNIOR HIGH Britannia Mines.. Kamloops Kelowna , Nelson Ocean Falls Vancouver: Fairview Kitsilano Point Grey Templeton J. W. Laing Kingsley Terry.. W. J. Knox.. E. C. Arthur.. P. P. Smyth-. H. White.. W- Dykes.. W. Dykes.. H. White- Miss O. M. Garrood. Miss E. W. Tisdall Mrs. D. Bellamy... Miss M. Campbell. Miss M. Ewart... Miss B. Stevens.. 18 17 3 5 1 2 1 6 335 311 51 28 20 79 13 224 222 o 19 1 2 7 336 34 335 34 40 4 6 2 20 1 1 29 16 90 4 4 3 195 1594 194 1368 4 101 1 47 71 664 12 248 4 1 1 1208 1144 187 67 19 3 1 26 181 3 1354 1294 287 121 8 8 3 62 393 9 6 15 10 81 1 40 103 BOARD OF HEALTH REPORT, 1930-31. P 41 SCHOOLS— Continued. Other Conditions, specify, (Nervous, Pulmonary, Cardiac Disease, etc.). fl 1 r* 2 02 d 9 . cj ■-. £ a OK rt to ^ ■ t. "" CJ +H oj rt on 5 '3 QJ cd < ca - £ ° Kfr CQ CJ J3 Ice CO rt v Qfr cfl a, ■ w3 oi u '3 0 A. R. Wilson Miss M. E. Grierson 1 37BI 375 5 6 3 19 8 4 10 10 10 2 34 23 2 2 2 1 2 10 3 3 37 40 1 113 22 4 4 12 8 9 31 29 5 11 1 5 5 24 105 64 14 5 12 8 9 13 10 14 5 1 5 6 21 1 23 12 4 3 4 1 9 6 20 22 126 63 25 31 50 13 18 172 145 29 13 8 28 103 46 18 26 14 8 36 29 11 20 43 33 43 15 59 77 79 15 43 30 52 38 60 102 55 35 32 135 36 43 180 104 9 5 108 6 2 3 1 175 164 15 13 Port Coquitlam: 170 70 207 306 99 78 468 343 56 26 170 58 207 296 98 78 398 333 44 24 7' 1 4 12 1 3 127 120 6 3 2 13 1 1 3 9 Prince George: C. Ewert Mrs. G. Bond Mrs. G. Bond Mrs. G. Bond Miss M. Osborne.-- Miss M. Osborne-. Miss M. Osborne-. Miss M. Osborne... 8 C. Ewert C. Ewert J. H. Carson, J. P. Cade, W. T. Ker- gin, L. W. Kergin4 and C. H. Han- kin son J. H. Carson, J. P. Cade, W. T. Ker- gin, L. W. Kergin, and C. H. Han- kinson J. P. Cade 4 Prince Rupert: Booth Memorial 19 18 J. P. Cade Revelstoke: J. H- Hamilton J. H. Hamilton E. E. Topliffe 285 283 2D2I 1S9 10 6 38 21 4 67 16 12 27 4 0 13 1 3 14 2 61 60 18 1 1 3 7 Selkirk Rossland: McLean Salmon Arm Trail-Tadanac: 1 489 187 50 883 336 52 393 561 455 142 49 883 336 52 368 542 6 19 32 10 2 71 134 69 80 34 50 114 68 73 122 137 20 68 77 93 124 56 4 1 1 240 28 483 180 16 65 54 50 38 .39 61 209 31 111 46 54 54 104. 52 68 130 57 9 28 42 12 9 5 2 8 4 9 2 1 13 3 4 2 4 1 14 2 14 S. E. & A. Beech 12 25 F. S. Eaton 9 2 1 23 8 3 160 42 Tadanac , Vancouver: F. S, Eaton 4 H. White Misa H. Jukes MissM. Henderson. Miss G. Hilton 15 G. A. Lamont o 5 2 3 2 1 12 417| 447 298[ 357 1 274j 324 1 1 424| 449 1 8961 971 1 1 I 283| 264 1 4691 475 1 651] 634 6771 667 1 233| 210 434| 375 | 374| 358 1 5641 607 1 698| 744 1 [ 420] 428 1 5 Beaconsfield , 2 H. White Miss I. Smith Mi3s E. Bell 16 10 Carleton Edith Cavell G. A. Lamont W. Dykes Miss E. Edwards.- Miss L. Drysdale... Miss B. Stevens Miss H. Jukes Miss M. Henderson. Miss D. Olmstead.. Miss D. Olmstead.. Mrs. M. Schultz— Miss D. Shields Miss G. Hilton Miss O. Kilpatrick. 15 9 6 H. White 7 6 8 3 1 4 7 3 18 6 7 6 36 Dawson H. White '. 49 G. A. Lamont 18 3 8 14 37 38 26 2 1 2 2 1 1 1 19 H. White 6 Simon Fraser and Annex 12 H. White 22 H. White 19 ' 1 BOARD OF HEALTH REPORT, 1930-31. P 45 SCHOOLS—Continued. Other Conditions, specify, (Nervous, Pulmonary, Cardiac Disease, etc.). o a o a X QJ P, to u S F 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. Nervous, 7; heart, 12; limp, 4; scoliosis, 1 Measles, 23; chicken-pox, 4; infantile paralysis, 4 Blepharitis, 9; stye, 1; cardiac, 2 orthopxdic, 2; pulmonary, 1 Nervous, 5; bronchitis, 2; cardiac, 8; pulmonary, 1; anosmia, 1; scoliosis, 1; orthopaedic, 1 Nervous, 6; bronchitis, 8; cardiac, 13 " scoliosis, 1; anaemia, 2 ; orthopaedic 3; acne, 1 Nervous, 1; anaemia, 1; scoliosis, 1.... Nervous, 2; bronchitis, 1; anamiia, 1. Ankylosis, 1„ Cardiac, 3 Anaemia, 2; pulmonary, 1., Cardiac, 3 Cardiac, 7; nervous, 6; pulmonary, 10 Nervous, 3; pulmonary, 2; cardiac, 4. Cardiac, 3 No. vaccinated, 167; cardiac, 3; pulmonary, 1 No. vaccinated, 251; pulmonary, 2..... No. vaccinated, 156; cardiac, 6; puL monary, 1 No. vaccinated, 116 No. vaccinated, 106; cardiac, 1. No. vaccinated, 143; cardiac, 3.— No. vaccinated, 339; cardiac, 10- No. vaccinated, 97; cardiac, 2 No. vaccinated, 334; cardiac, 2; pulmonary, 5 No. vaccinated, 280; cardiac, 1; pulmonary, 2 No. vaccinated, 213; cardiac, 5; pulmonary, 1 No. vaccinated, 58; cardiac, 1 No. vaccinated, 129 No. vaccinated, 162; cardiac, 1.. No. vaccinated, 224; cardiac, 4. No. vaccinated, 321 No. vaccinated, 157; cardiac, 2; pulmonary, 1 Mumps; chicken-pox; whooping- Good- cough Whooping-cough, 8; chicken- pox, 2; scarlet fever, 2. Scarlet fever; chicken-pox.. Mumps; chicken-pox; whooping- cough Two temporary build ings, poorly heated five buildings not adequately heated new 8-room school is being built now Excellent Excellent.- Exceilent.. Good- Mumps; chicken-pox; whooping- cough Mumps; chicken-pox; whooping- cough Diphtheria Scarlet fever- Whooping-cough. . Mumps, 5; measles, 1; chicken- pox, 39; whooping-cough, 1; rubella, 1 Mumps, 1; chicken-pox, 11; scarlet fever, 11 Chicken-pox, 14; scarlet fever, 1 Whooping-cough, 5; scarlet fever, 2 Mumps, 48; chicken-pox, 24; whooping-cough, 1; scarlet fever, 6; diphtheria, 1 Mumps, 4; chicken-pox, 70; diphtheria, 1 Mumps, 8; chicken-pox, 117; whooping-cough, 4; scarlet fever, 2; diphtheria, 9; diphtheria carriers, 6 C h i c k e n-p ox, 28; whooping- cough, 1 Mumps, 11; chicken-pox, 6; scarlet fever, 1 Mumps, 15; chicken-pox, 6; scarlet fever, 3 Mumps, 8; chicken-pox, 8; rubella, 5 Chicken-pox, 5 Mumps, 9; chicken-pox, 9; whooping-cough, 1 Mumps, 5; chicken-pox, 18; scarlet fever, 4 Mumps, 2; chicken-pox, 15 Mumps, 1; chicken-pox, 24: w h o o p i n g-cough, 4 ; scarlet fever, 3; diphtheria, 1 Mumps, 74; chicken-pox, 5; scarlet fever, 6 Good.. Good.. Good.. Good.. Good.. O.K.- Satisfactory.. Satisfactory.. Adequate Clean; adequate. Clean; adequate. Clean; adequate. Excellent. Clean; adequate. Clean; adequate. Clean; adequate. Good. Good. Good. Good. Clean; adequate. Yes. Yes. Yes. Yes. GRADED CITY Name of School. Medical Inspector. School Nurse. fiS f ri ■ss 111 =3 Gf» OK QM ■2-S Vancouver—Continued. Hastings H. White- Henry Hudson.. Kerrisdale Lord Kitchener.. Langara Livingstone- David Lloyd George.... Magee Moberly 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.. Selkirk Sexsmith- Seymour... Strathcona. . Tecumseh.... Tennyson.... W. Dykes.. W. Dykes.. W. Dykes- Mrs. M. Schultz— Miss G. Hilton- Miss G. Jeeves.., Miss G. Jeeves.. W. Dykes- Miss G. Hilton.. W. Dykes G. A. Lamont.. Miss G. Jeeves.. Miss F. Innes... W. Dykes.. W. Dykes- Miss L. Drysdale.. Miss M. Ewart G. A. Lamont.. G. A. Lamont. . G- A. Lamont.. G- A. Lamont.. Miss D. Olmstead. Miss D. Shields- Miss D. Shields- Miss F. Innes.. H. White Mrs. M. Schultz.. I G. A. Lamont Miss F. Innes H. White 'Miss I. Smith.. G. A. Lamont.. G. A. tamoct.. W. Dykes.. H. White.. W. Dykes.. W. Dykes.. W. Dykes G. A. Lamont.. H. White H. White H. White G. A. Lamont.. G. A. Lamont.. H. White H. White G. A. Lamont.. H. White Miss M. Henderson Miss J. Aske.. Miss L. Dry Miss D. Shields... Miss L. Drysdale. Miss G. Jeeves Miss M. Ewart MissM. Henderson. Miss L. Drysdale... Miss H. Jukes Miss O. Kilpatrick. Miss J. Aske Miss F. Bell Miss O. Kilpatrick. Miss A. McLellan. Miss D. Olmstead. Mrs. D. Bellamy.. 847 495 535 707 747 I 591| 585 3311 287 541.. I I 4651 5231 66L 4591 421 76.. 5831 5721 100L 1 I I 644 587 85.. 5431 529 501[ 494| I 4831 513 I 6681 661 479 7871 919 I I 6151 586 634 595 1111 71 64 45 345| 364 471 408 I 264| 260 3241 321 578| 585 790] 739 98]. 951. 94). 170 4 571. [ 1431. [' 1551. 5711 7131 911. 824| 7401 170!.. 3641 358[ 451.. 663 7S4 73 1225 1426 200 731 701 130 787 767 95 60 142 16 19 1 2J 4| .... 23 75 1| 29 122 221 107 61 35 I 151 20 381 261 15| 45! 61 15 29! 33] .-..| 21 531 110 3) 7 63| 58 I 1| 12 I 7| 42 47| 126 [ I I I 21 45| II 20 I 3! 8| 16 151 51 531 106 83| 139 I 54| 147 I JI 73 36 49 72 180 91 333 51 114 43 138 BOARD OF HEALTH REPORT, 1930-31. P 47 SCHOOLS—Continued. Other Conditions, specify, (Nervous, Pulmonary, Cardiac Disease, etc.). .S I > 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, 284; cardiac, 5; pulmonary, 2 No. vaccinated, 271; cardiac, 4.. No. vaccinated, 375 No. vaccinated, 235; cardiac, 2.. No. vaccinated, 235; cardiac, 1; pulmonary, 1 No. vaccinated, 228; pulmonary, 1... No. vaccinated, 153; cardiac, 1; pulmonary, 2 No. vaccinated, 221; cardiac, 2 No. vaccinated, 292; pulmonary, 2.. No. vaccinated, 141; cardiac, 4; pulmonary, 1 No. vaccinated, 286 No. vaccinated, 97 No. vaccinated, 149; cardiac, 3.. No. vaccinated, 241; cardiac, 2; pulmonary, 4 No. vaccinated, 207; cardiac, 4; pulmonary, 1 No. vaccinated, 233; cardiac, 5; pulmonary, 2 No. vaccinated, 115; pulmonary, 4.. No. vaccinated, 338; cardiac, 5 No. vaccinated, 36 No. vaccinated, 19 No. vaccinated, 197; cardiac, 2., No. vaccinated, 203; cardiac, 2.. No. vaccinated, No. vaccinated, No. vaccinated, No. vaccinated, monary, 2 No. vaccinated, monary, 3 No. vaccinated, monary, 1 No. vaccinated, No. vaccinated, monary, 13 65; pulmonary, 1 100; cardiac, 1.. 308; cardiac, 2 362; cardiac, 5; pul- 256; cardiac, 1; pul- 195; cardiac, 4; pul- 167; cardiac, 2 468; cardiac, 3; pul- No. vaccinated, pulmonary, 4 1,301; cardiac, 4 L No. vaccinated, 196; cardiac, 3 No. vaccinated, 337; cardiac, 1; pul monary, 1 5 6 5 2 24 5 5 67 20 18 3 3 16 6 10 diphtheria, Mumps, 3; rubella, 1; 15 12; Mumps, 163; chicken-pox, 55; whooping-cough, 1; scarlet fever, 2; diphtheria, 1 Mumps, 1; whooping-cough, 1... C h i c k e n-pox, 5 5; whooping- cough, 6; rubella, 1 Mumps, 1; chicken-pox, 13; whooping-cough, 2; rubella, 5; scarlet fever, 2; diphtheria, 3; diphtheria carriers, 2; poliomyelitis, 1 Chicken-pox, 3; whooping-cough, 4; rubella, 1; scarlet fever, 3 Chicken-pox, 14 , Mumps, 5; chicken-pox, 25; scarlet fever, 1 Mumps, 4; chicken-pox, 83; scarlet fever, 1 Mumps, 7; chicken-pox, 105; whooping-cough, 9; scarlet fever, 1 Mumps, 1; measles, 1; rubella, 1; scarlet fever, 2 Mumps, 1; chicken-pox, 1; scarlet fever, 2 Mumps, 2; chicken-pox, 1 chicken-pox, scarlet fever, 26; diphtheria, 2; diphtheria carriers, 1; poliomyelitis, 1 Mumps, 42; measles, 1; chicken- pox, 21 Mumps, 2; chicken-pox, 24; whooping-cough, 1; scarlet fever, 1; diphtheria, 5; diphtheria carriers, 1; poliomyelitis, 7 Mumps, S3; chicken-pox, 9; whooping-cough, 1; scarlet fever, 2; diphtheria, 2; diphtheria carriers, 1 Mumps, 3; chicken-pox, 31; diphtheria, 1; diphtheria carriers, 2 Mumps, 1; chicken-pox, 3 9; whooping-cough, 2; scarlet fever, 1; diphtheria, 1 Chicken-pox, 19 Mumps, 1 ... Chicken-pox, 1; mumps, 3 Mumps, 1; measles, 1; chicken- pox, 4; whooping-cough, 1; scarlet fever, 2 Chicken-pox, 8; whooping-cough, 5; rubella, 1; scarlet fever, 2 Chicken-pox, 21; whooping- cough, 5 Mumps, 27; chicken-pox, 22 scarlet fever, 1 Mumps, 35; chicken-pox, 68 scarlet fever, 3 Mumps, 73; chicken-pox, 35 whooping-cough, 1; scarlet fever, 2 Mumps, 42; chicken-pox, 3S; scarlet fever, 5; diphtheria, 4; diphtheria carriers, 5 Mumps, 2; measles, 1; chicken- pox, 40 Mumps, 14; chicken-pox, 6; whooping-cough, 7; rubella, 1; scarlet fever, 2 Mumps, 89; chicken-pox, 1; whooping-cough, 2; scarlet fever, 1 Mumps, 31; chicken-pox, 30; whooping-cough, 2; scarlet fever, 2; diphtheria, 4 Mumps, 3; scarlet fever, 2 . P 48 BRITISH COLUMBIA. GRADED CITY Name of School. Medical Inspector. School Nurse. a . o a in xi 0) °f fl co *? > tj a 9 P 9 .2 OJ +35 CO GJ as *c3 ci »» > .5 +3 3 CJ HH c-J O ■a "5 a ■d H 11 liS > aj £ Qfr T3 « _c ■r. T3 ci fl S3 cj "3 O Vancouver—Continued. Miss E. Bell 425 446 414 453 570 858 118 144 304 237 508 432 356 314 22 150 324 507 247 145 51 333 160 294 435 431 300 346 352 840 118 144 304 237 508 432 356 314 22 150 324 507 247 145 51 333 160 294 47 49 10 51 25 8 5 11 5 4 4 3 6 5 5 25 25 20 11 19 12 12 38 33 80 156 76 21 1 5 69 72 170 184 229 40 1 39 95 55 4 19 Wolfe G. A. Lamont G. F. Amyot G. F. Amyot Miss E. Bell. 5 Vancouver, North: 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. Mowbray... Miss I. E. Adams.. Miss C. Mowbray... Miss C. Mowbray... Miss C. Mowbray... Miss C. Mowbray... Miss C. Mowbray... Miss I. E. Adams.. Miss I. E. Adams.. Miss I. E. Adams.. 2 5 8 12 14 16 14 17 17 G. F. Amyot 20 Vernon: 6 Victoria: D. Donald D. Donald D. Donald 2 3 3 7 3 1 4 5 10 1 3 7 8 13 3 5 D. Donald D. Donald D. Donald D. Donald D. Donald 2 1 15 8 3 1 D. Donald D. Donald D. Donald D. Donald D. Donald 1 9 ... 7 2 6 8 4 7 3 8 10 9 North Ward 1 11 3 7 1 South Park D. Donald D. Donald D. Donald 14 11 4 1 1 5 1 3 12 3 5 1 1 l | RURAL MUNICIPAL Burnaby: 1 ! 55| 35! 268| 2221 1 565' 1 7841 25! 1861 6411 311| 1 453| 91! 341 102! 17| 1141 541 811 2571 \\ 113 22| 53 268 220 55S 1 7 8 13 24 1 5 3 11 8 5 2 2 1 1 1 7 4 21 32 1 8 6 23 32 4 5 34 28 72 110 39 23 163 133 347 488 16 126 401 196 296 60 21 56 11 75 29 48 155 56 3 9 0 51 42 80 128 2 37 119 69 29 12 6 14 2 19 7 15 41 5 3 5 1 2 2 2 2 12 1 7S2I 1 10 24 186 641 303 1 1 1 1 1 7 9 16 21 2 2 1 2 1 5 5 16 29 4 2 1 1 2 10 39 4 29 80 58 61 8 6 9 4 11 6 18 30 35 5 1 10 7 446 91 34 102 17 1 1 3 9 Seaforth 1 114 54 81 4 5 1 4 7 3 1 2 1 2 2 6 25 1 1 , " 2 3 Chilliwack: R. McCaffrey R. McCaffrey Miss W. Green Miss W. Green 1 1131 7 9 Camp Slough 22 3 2 BOARD OF HEALTH REPORT, 1930-31. P 49 SCHOOLS—Continued. Other Conditions, specify, (Nervous, Pulmonary, Cardiac Disease, etc.). ri I OJ OJ 1 CJ d a tH o » be fl 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. 4 7 4 Chicken-pox, 2; diphtheria, 3; diphtheria carriers, 1 Chicken-pox, 69; whooping- cough, 4; scarlet fever, 4 Mumps, 1; chicken-pox, 4 Chicken-pox, 52; scarlet fever, 1; whooping-cough, 4 Diphtheria, 1; diphtheria carriers, 1; chicken-pox, 2; scarlet fever, 1; mumps, 4 Scarlet fever, 43; rheumatic fever, 2; rubella, 7; whooping-cough, 6; appendectomy, 5 No. vaccinated, 223; cardiac, 7; pulmonary, 2 Cardiac, 1; nervous, 6; posture, 3; pallor, 4; defective speech, 1 Cardiac, 8; nervous, 8; pallor, 8; chronic bronchitis, 1; posture, 11; pulmonary, 2 Cardiac, 6; nervous, 7; flat-chested, 4; pallor, 7; posture, 3 Harelip and cleft palate, 1; endocarditis, 2; stammering, 1; congenital dislocation of hip, 1; partial Paralysis of one arm, 1 8 10 4 2 4 4 j 1 31 2 Good Good Rl 8 16 2 7 11 16 16 10 Good 23 1 3 14 20 4 Good Building good; well ventilated and heated Good Good Good Good Good Good Good Good. Good. 10 3 2 3 2 Orthopaedic, 1 3 Whooping-cough, 17; chicken- pox, 4 this year. Good. 111 11 7 8 Good 9 9 17 4 6 6 17 Building fair; heating and ventilation good Good Good Good. 13 15 2 1 3 Chicken-pox, 51; whooping- cough, 1 Good. Good. Chicken - pox, 1; whooping- cough, 1 Good. 3 2 2 Good Pair Good Good Chicken-pox, 18; diphtheria, 1.. Chicken - pox, 6; whooping- cough, 3 Good. SCHOOLS. Good Yes. 3 Good Yes. Good Yes. Heart, 1; orthopaedic, 2; corrected vision, 7 Heart, 3; orthopaedic, 3; corrected vision, 22 Heart, 1; orthopaedic, 7; corrected vision, 24 4 5 Good Yes. 2 2 Yes. Good Yes. Good Yes. Good Yes. Orthopaedic, 1; corrected vision, 31— Heart, 1; orthopaedic, 2; corrected vision, 6 Heart, 1; orthopaedic, 2; corrected vision, 22 i 6 1 3 2 Good Yes. Good Yes. Good Yes. Good . .... Yes. Yes. Good Yes. Good Yes. Good Yes. 2 Good Yes. 2 Good Yes. 1 6 4 Good Yes. Corrected vision, 5 ; tonsillectomies, 3 ; teeth corrected, 5 Pulmonary, 1; tonsillectomy, 3 1 1 Whooping-cough, 7; chicken-pox, Good . Good Whooping-cough, 13 4 P 50 BRITISH COLUMBIA. RURAL MUNICIPAL Name of School. Medical Inspector. School Nurse. a "3 Ph . ol . o a 'p. a . rH'T! 0) CM fl °i rT, CD fl _o fl fl cSg OS 9 .2 « . . 2 S Oi 0i OK cd cs 55 .- si +3 jfl 4) cd £ £ on CQ '8 3 CO H T3 II fl o HEh 1 +H . "qj S3 OH ■Sci cd fl 0.3 HO 1 o O Chilliwack—Continued. R. McCaffrey 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 W. Green Miss W. Green Miss W. Green Miss W. Green 61 75 28 14 .27 156 163 14 196 52 73 75 23 93 35 66 25 151 62 24 194 24 15 17 20 29 17 293 29 52 57 21 21 542 178 28 47 28 82 26 68 23 27 137 97 138 55 24 32 28 17 85 61 75 28 14 27 156 163 14 196 52 73 75 23 90 33 58 25 145 57 22 192 23 11 16 18 25 16 282 29 52 52 18 20 498 168 27 46 27 81 23 65 22 24 133 90 130 51 20 28 28 16 79 ! 4 4 2 2 3 8 4 4 5 5 4 6 39 31 5 40 14 16 21 13 4 4 7 13 9 9 ■ 7 51 41 7 46 15 21 44 13 7 8 9 2 12 7 7 14 9 9 7 50 41 7 46 15 21 49 15 7 8 14 2 15 7 4 40 5 2 3 1 5 5 49 9 19 15 2 3 61 79 11 2 5 7 2 6 1 3 16 10 17 8 2 1 1 2 5 12 25 20 22 65 76 8 66 22 24 25 11 4 3 9 5 18 8 3 44 11 4 4 3 6 3 25 9 13 12 1 2 86 26 8 9 1 R. McCaffrey R. McCaffrey R. McCaffrey 1 2 4 5 R. McCaffrey 3 9 9 1 18 6 4 6 10 2 7 3 2 8 10 5 11 2 7 11 3 5 2 4 2 1 R. McCaffrey R. McCaffrey R. McCaffrey o R. McCaffrey r R. McCaffrey R. McCaffrey 4 13 R. McCaffrey R. McCaffrey Coldstream: S. G. Baldwin 4 1 2 1 3 1 2 3 1 S. G. Baldwin- Coauitlam: Glen \\ Bruce Cannon 1 1 1 1 10 1 1 15 Bruce Cannon Bruce Cannon o Cowichan, North: H. B. Rogers Miss L. Servos Miss L. Servos Miss L. Servos ■ 10 2 4 1 14 2 H. B. Rogers H. B. Rogers Delta: A. A. King 1 1 2 1 4 5 31 9 15 8 1 2 2 6 2 1 2 10 A. A. King 1 2 3 19 3 9 7 2 2 4 3 7 A. A. King A. A. King 16 3 1 2 6 A. A. King 2 2 4 5 1 3 1 A. A. King A. A. King 1 2 3 3 2 2 8 4 2 4 1 2 2 1 7 14 14 1 2 1 1 1 3 5 1 3 23 79 11 3 23 79 11 2 3 3 1 5 1 2 6 5 5 4 Esquimalt: J. S. McCallum P. McCaffrey Miss E. Morrison... 10 5 2 21 Kent: P. McCaffrey Langley: B. B. Marr B. B. Marr 3 1 o 1 2 3 1 3 1 3 4 5 2 1 B. B. Marr 6 4 9 5 4 16 15 18 10 4 4 4 4 9 B. B. Marr B. B. Man- 2 1 B. B. Marr B. B. Marr B. B. Marr 1 1 1 1 1 B. B. Marr 1 1 B. B. Marr Otter B. B. Marr Otter, South B. B. Marr Patricia B. B. Marr B. B. Marr 1 2 2 B. B. Marr i B. B. Marr . 1 1 BOARD OF HEALTH REPORT, 1930-31 P 51 SCHOOLS—Continued. Other Conditions, specify, (Nervous, Pulmonary, Cardiac Disease, etc.). ri 9 > CO 9 1 o m 6 tB '-3 CJ ft a ! Acute Fevers which have occurred during the g i Past Tear. bl 1 n Condition of Building. State if crowded, poorly ventilated, poorly heated, etc. Closets. State if clean and adequate. Corrected vision, 1; tonsillectomy, 3 12 2 1 1 2 1 4 2 1 Good Good Good Orthopedic, 1; tonsillectomy, 6; corrected vision, 6 Corrected vision, 3; tonsillectomy, 5; orthopaedic, 2; pulmonary, 3 Mumps, 1; measles, 1; whooping-cough, 11 Chicken-pox, 10; whooping- cough, 16 Good. 5 1 Good Good Orthopaedic, 2; cardiac, 2; asthma, 1; appendix, 2; corrected vision, 11; tonsillectomy, 6 Pulmonary, 3; tonsillectomy, 5; diabetes, 1 Pulmonary, 2; cleft palate, 1; corrected vision, 3; tonsillectomy, 2 Corrected vision, 7; pulmonary, 3; tonsillectomy, 1 * 1 2 1 1 7 3 6 Measles, 39; whooping-cough, 15 Good Good. Good Inadequate. Very poor. Good Yes. Granular lids, 1; disabled hand, 1; impediment in speech, 1; mitral regurgitation, 1; Meibomian cyst; lordosis from hip-disease, 1 1 Clean; adequate. Clean; adequate; require disinfectant. Repair of toilet and basement Additional room required 1 1 1 Pigeon-chested, 2; styes, 1; impediment in speech, 1; granular lids, 1 clean. lack of water. Clean; adequate; require disinfectant. Clean; adequate. Clean; adequate. Clean; adequate. Not crowded; ventilation and heating good Not crowded; ventilation and heating fair Not crowded; ventilation and heating good Good Infantile paralysis, 1; dumb, 1 2 1 Clean p. 4 3 Clean 4 Good Mumps, 3 Clean. ' Good condition Good Clean 2 4 12 Diphtheria, 1 Clean; adequate. Good No Good i Good Good :. Good Good Yes. Good.. . Good Good Yes. Yes. Good Good Good Good Good Good Good 1 i 1 . Chicken-pox; whooping-cough Yes. I 1 Good Yes. 1 r 52 BRITISH COLUMBIA. RURAL MUNICIPAL Name of School. Medical Inspector. School Nurse. Ph - C " 5| O Oi CW Maple Ridge: Albion Alexander Robinson.. Hammond.. Haney Maple Ridge.. Ruskin Webster's Corners.. Whonnock Yennadon (S. Lillooet Mission: Cedar "Valley Hatzic Mission Public Silverdale Silverhill Stave Falls Stave Gardens:. Steelhead Oak Bay: Monterey J. N. Taylor.. I. N. Taylor- Pea chland.. Penticton... Wm. Buchanan.. H. McGregor Pitt Meadows .G. Morse Richmond: Bridgeport Lord Byng.. W. K. Hall.. W. K. Hall- General Currie W. K. Hall- English .'\\V. K. Hall- Mitchell W. K. Hall.. Saanich: Cedar Hill ;D. Bernian... Cloverdale D. Berman.. Craigftower D. Berman.. Gordon Head D. Berman.. Keating D. Berman.. Lake Hill...- D. Berman.. MeKenzie Avenue D. Berman.. Model School... Prospect Lake- Royal Oak Saanichton Saanich, West- Strawberry Vale.. Tillicum Tolmie Salmon Arm: Broadview Canoe, North Canoe, South Glenden Larch Hill Mount Ida Salmon Ann, West.. Sumas: Huntingdon Kilgard Jas. P. Vye.. D. Berman.. D. Berman... D. Berman.. Miss M. Harvey- Miss C. Rose Miss M. Harvey.. D. Berman Miss M. Harvey.. D. Berman Miss E. Naden... Miss H. Fawcett.. Miss H. Fawcett.. Miss H. Miss H. Miss H. Miss H. Miss H. Miss H. Miss H. Miss H. Fawcett-. Fawcett- Fawcett.. Fawcett- Fawcett.. Fawcett- Fawcett- Fawcett.. Miss H. Fawcett.. Miss H. Fawcett.. Miss H. Fawcett.. Miss H. Fawcett.. Miss H. Fawcett.. Miss H. Fawcett.. Miss H. Fawcett.. Miss Bradshaw.... Miss Bradshaw.. Miss M. A. Twiddy Miss M. Harvey.. Miss M. Harvey.. Miss C. Rose Miss M. Harvey- Miss M. Harvey- Miss M. Harvey.. Miss C. Rose Drs. Beech & Beech. Drs. Beech & Beech. Drs. Beech & Beech. Drs. Beech & Beech. Drs. Beech & Beech. Drs. Beech & Beech. Drs. Beech & Beech. J. M. McDiarmid- J. M. McDiarmid.. Miss E. Naden.. Miss C. Rose Miss C. Rose.. 19 159 208 273 83 102 70 407 34 27 30 16 18 49 64 0 179 430 600 28 27 102 171 284 19 149 204 264 82 31 80 101 20 65 70 407 33 27 29 16 18 44 640 174 420 500 20 23 95 170 274 115 110 55 55 60 59 156 64 63 92 27 59 59 57 151 64 59 101 25 52 300 298 58 256 23 22 66 59 28 26 21 21 31 27 38 30 54 30 70 70 85 80 20 45 49 12 9 11 13 6 19 14 69 14 4 7 7 2 34 14 154 21 185 15 10 7 9 10 13 153 42 50 110 5 5 6 BOARD OF HEALTH REPORT, 1930-31. P 53 SCHOOLS—Continued. Other Conditions, specify, (Nervous, Pulmonary, Cardiac Disease, etc.). ri 1 9 3 ifl at 6 SO 0J ft a M 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. 1 2 3 2 1 3 3 3 1 Satisfactory One room poorly lighted; two rooms rather crowded Good 4 3 Smallpox, 5; scarlet fever, 7 Chicken-pox; whooping-cough Diphtheria, 1; scarlet fever; whooping-cough Chicken-pox, 2; whooping-cough- Good. Good Good. Good Good. 2 Water-supply unsatisfactory Good Smallpox; whooping-cough Whooping-cough; chicken-pox ment. 3 Water-supply unsatisfactory Yes. 3 1 8 4 1 One room poorly lighted Good Yes. 1 3 3 3 Scarlet fever; whooping-cough; chicken-pox Chicken-pox; whooping-cough Chicken-pox, 3 for improvement Fair . Good 1 Good Good. . 2 1 Fair; some of seats and desks .poor Well heated and ventilated; no overcrowding Well heated and ventilated ; no overcrowding Chicken-pox; mumps; measles Clean; adequate. Clean; adequate. asthma, 1; acne, 1; cleft palate, 1 Clean; adequate. 11 6 5 3 Scarlet fever, 8; mumps, 1; whooping-cough, 8; smallpox, 3; chicken-pox Clean; adequate. orthopaedic, 3 Good Good. 1; orthopaedic, 1 Measles, 1; smallpox, 1; chicken- pox, 1 Infantile paralysis, 2; whooping- cough, 25 Crowded Good Fair. 2 Good. Good Good. Fair Good Fair. Good. 1 9 1 Posture, 2; cardiac, 11; stammering, 2 ; pulmonary, 4 1 1 3 1 ary, 2 Cardiac, 5; nephritis, 1; pulmonary, 1 Chicken-pox, 18; scarlet fever, 1 3 6 Pulmonary, 3; cardiac, 1; congenital dislocation of hips, 1 Whooping-cough, 1; diphtheria, 1; conjunctivitis, 2 Otitis media, 1; pertussis, 2 Good Yes. 1 o 3 umbilical hernia, 1 Conjunctivitis, 3; measles, 1; mumps, 1 Chicken-pox, 16; conjunctivitis, 1 Chicken - pox, 2 8 ; whooping- cough, 1 Chicken-pox, 8; diphtheria, 1; scarlet fever, 1 1 1 7 8 3 1 1 Cardiac, 10; pulmonary, 5; strabismus, 3; posture, 1 Cardiac, 6; pulmonary, 5; strabismus, 2 1 OK Yes. O.K.... Yes. O.K Yes. O.K Yes. O.K Yes. O.K Yes. O.K Yes. Good Good. better water-supply, and sanitary drinking-cups P 54 BRITISH COLUMBIA. RURAL MUNICIPAL Medical Inspector. School Nurse. 0> "■§ ri w . .3 fl a -r. a cd QJ Cj OK cd cd ii OJ Cd 'V M aa .19 fl ■a -H T3 !l Riri P CJ jfl ail £ aj Qfr ■a * ., 1- TJ cd fl fa «0 Name of School. a . o li ft fl . rH •& rT, CB c o s 0 "cd P, OS t9 'o Sumas—Continued. 26 139 315 24 82 195 22 29 23 26 15 102 25 59 35 44 101 79 59 72 33 58 166 150 34 130 46 99 282 185 • 52 373 331 1 23 130 308 24 75 189 22 26 22 24 14 101 25 57 35 37 94 77 56 71 29 52 159 146 34 129 46 98 282 180 48 340 310 1 5 56 1 6 18 2 3 13 12 3 13 41 2 19 99 2 6 8 2 1 3 11 165 6 82 1 15 56 F. W. Andrew Surrey: Anniedale F. D. Sinclair 5 5 1 3 8 1 2 1 1 7 10 Cloverdale F. D. Sinclair 6 1 Colebrook F. D. Sinclair - Crescent F. D. Sinclair I 5 4 4 1 5 3 3 3 Elgin F. D. Sinclair 3 1 1 Grandview Heights F. D. Sinclair 1 1 11 2 12 5 2 1 5 5 11 2 7 5 ll 2 1 1 1 2 1 Green Timbers... F. D. Sinclair.. 2 4 Hall's Prairie....'. Hjorth Road F. D. Sinclair.. F. D. Sinclair 1 3 1 1 4 1 4 6 2 2 2 Johnston Road F. D. Sinclair 5 2 3 i 6 5 3 2 2 3 1 7 10 21 8 Kensington, East F. D. Sinclair..:.:::.;. 2 Kensington Prairie F. D. Sinclair 1 F. D. Sinclair". _:_•- L 444— 1 2 1 2 3 2 5 4 3 4 2 2 2 1 1 9 1 Port kells.....:. __.„ F. D: Sinclair 2 Port Mann F. D- Sinclair Strawberry Hill F. D. Sinclair F. D. Sinclair 1 TyneHead Westminster, South.... F. D. Sinclair 4 6 17 6 7 27 18 2 1 4 4 3 12 3 2 5 9 4 26 11 30 66 44 11 16 46 White Rock F. D. Sinclair Woodward's Hill F. D. Sinclair Vancouver, North i G. F. Amyot.. Miss N.Armstrong. Miss N. Armstrong. Miss N. Armstrong. MissN. Armstrong. Miss N. Armstrong. 2 1 1 8 2 9 4 11 38 21 7 6 8 18 15 25 10 29 59 42 11 99 71 90 31 49 230 123 24 174 113 11 3 7 29 19 G. F. Amyot G. F. Amyot— .. North Star Vancouver, West: A. C. Nash A. C. Nash 1 2 1 6 1 2 1 2 1 2 1 6 A. C. Nash RURAL AND 222 11 15 12 12 10 50 210 10 15 11 12 10 48 14 13 27 8 25 36 15 1 19, 18 18 35 5 8 17 4 2 4 1 5 28 1 10 6 4 K. Terry- 1 1 5 2 7 A. L. Jones 4 2 1 1 2 3 7 4 1 2 6 1 5 4 1 6 1 1 1 3 1 2 2 2 1 1 G. R. Baker 2 .1. E. Knipfel 13 27 8 25 36 1 j. T. Steele- | 1 6 6 4 3 6 12 5 1 1 Alice Siding G. B. Henderson 4 1 1 BOARD OP HEALTH REPORT, 1930-31. ri ' IfJfJf.LiM UK'" ii'i P 55 SCHOOLS—Continued. Other Conditions, specify, (Nervous, Pulmonary, Cardiac Disease, etc;.). -, - a J 3 r* 1 6 ft a S o § a Acute Fevers which have occurred during the Past Yeaif \\ Condition of Building. State if crowded, poorly ventilated, ..poorly heated, etc. Closets. State if clean and adequate^ 2 Eczema, 3; acne, 3; ansemia, 6; Frame on concrete; good Crowded; water not fit- to drink Basement damp; no water ;: Needs painting. Good. 4 cardiac, 2; pulmonary, 1; conjunctivitis, 1 Good. 3 4 3 8 Good. Anaemia, 2; pigeon-chest, 1; left inguinal hernia,, 1 1 '" Room dark; water scanty Good Good. 7 1 f Mumps, 3 Good. i Good Tongue-tie, 2; old infantile paralysis, 1; eczema, 1; D.A.H., 1; mitral stynosis, 1 1 Good. , . 1. i i Endocarditis, 2; keloid, 1; defective 1 Scarlet fever, 2 Good Good. palate due to operation, 1 ..:::::.:: 6 .. . Good. Good Basement room crowded; no water Good. 5 Good. 1; impediment in speech, 1 "5 Water-supply uncer- - tain; rooms need painting Crowded; water doubtful impediment in speech, 1 2 1 3 2 3 Manual -.training room inadequate.. -. 2; V.D.A^ 1; cleft palate, 1 ■ due to operation, 1; spinal deformity, 1 Good Fair. 2 Diphtheria, 15; diphtheria carriers, 7; chicken-poy, 2 Good posture, 2; pallor, 3 Good 4 4 Good hernia, 1; pallor, 5 4 2 Scarlet fever, 4; whooping- cough, 3; chicken-pox, 32; conjunctivitis, 1 Mumps, 2; conjunctivitis, 2; German measles, 1 , Good pulmonary, 1; posture, 3; defective speech, 1; hydrocephalis, 1; pallor, 4 1 Good .speech, 4; posture, 1; pallor j 11 ,, Both. Good Good Both. Both. 1 ASSISTED SCHOOLS. Eczema, 1; curvature of spine, 1; bronchitis, 1; cardiac disease, 1 1 No epidemics during the year Good Poor One poor. Fair. Fair Yes. Water-supply bad Poorly ventilated Good Adequate. Good. Good. Influenza Influenza Good Yes. Fairly adequate in every way - Fair Clean; adequate. Satisfactory. No epidemic or other diseases.... Satisfactory Good Yes. of long standing Clean; adequate. P 56 BRITISH COLUMBIA. RURAL AND Name of School. Medical Inspector. School Nurse. 3 . o 53 ft fl . HH fl ° 3 1 fl fl ■ cd 3 r-.-fl 13 © o ait 1 i CO .O '3.3 a> ca . V fl 8 a an "cd cd a si S Ja CO cd *aj £ on "3 H CO cfl cfl co „c tea .3 ed'tfj Th » fl 0 CO Is *3 © CEH ■8- cd fl ■3 J oi '0 0 9 7 8 16 37 17 7 18 9 18 119 23 11 106 26 6 9 12 9 23 10 25 32 13 23 7 12 32 12 9 18 7 8 13 10 10 15 36 21 25 12 10 41 23 10 25 7 18 8 7 7 26 95 14 8 29 61 34 8 24 7 12 24 21 15 12 25 15 16 19 9 7 7 15 34 17 7 18 9 18 117 22 11 104 23 6 9 11 9 22 10 21 32 13 22 7 12 31 12 0 18 6 8 13 10 10 15 35 21 24 12 10 39 23 10 23 4 17 8 7 7 7 21 93 14 8 29 61 34 8 22 7 12 19 21 14 12 25 15 14 19 i i i i 2 4 2 3 3 11 14 4 1 0 2 4 22 8 5 31 5 4 1 5 i 5 1 1 2 3 0 6 40 3 4 13 5 2 1 3 3 3 i 1 2 1 1 1 1 2 1 6 28 2 6 8 i 4 1 5 1 1 6 2 35 5 G H Tutill ' 5 10 2 1 1 13 1 13 6 3 1 1 1 1 1 3 3 2 5 4 1 W. A. Watson 2 1 6 8 1 1 4 .. .. | 1 8 2 10 10 8 14 3 5 17 2 3 7 3 1 5 2 5 1 21 7 1 1 5 1 2 3 4 1 4 3 3 G. R. Baker 3 8 1 2 7 2 2 3 2 3 2 1 M. G. Archibald ....... .. 2 M. G. Archibald 2 2 1 1 1 H. A. Christie 1 3 3 2 R. D. Rush 1 1 2 W. H. Wood . 1 8 5 10 3 12 3 6 H. S. Trefry 4 2 1 Belford 1 7 2 1 3 2 5 1 1 1 20 9 10 Bella Coola 3 3 8 4 24 12 F. T. Stanier 2 4 IS 15 5 2 2 1 R. W. Irving 3 7 2 1 4 18 2 2 2 3 3 2 3 10 14 4 6 1 9 1 2 T. C. Holmes 1 1 17 2 Big Creek Big Eddy 3 Big Lake 3 1 1 2 2 N. J. Paul 6 4 1 3 5 »J 1 3 25 1 2 6 3 2 5 4 2 8 6 1 4 7 1 1 4 1 3 3 11 2 2 1 1 4 4 30 8 3 1 26 2 5 12 2 1 3 10 4 6 10 5 4 4 3 12 10 2 K. Terry 2 3 3 I 1 3 1 2 J. E. Whitworth Blind Bay...- 4 2 1 Bloedel 5 1 3 G. A. Ootmar T. H. Lougheed Mrs. Grindon 10 21 K. Terry 2 2 4 7 4 2 3 1 1 o 2 R. Gibson.— 2 1 2 1 2 ' 4 3 10 5 A. E. Kydd 2 3 2 1 W. H. Wood 1 10 F. Inglis 6 1 1 2 1 2 7 7 1 __... . _ ... BOARD OF HEALTH REPORT, 1930-31. P 5 ASSISTED SCHOOLS—Continued. Other Conditions, specify, (Nervous, Pulmonary, Cardiac Disease, etc.). ' J © > ta © 9 m 6 a a - S M g y o fe to | 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. Sufficient for a number of pupils Satisfactory Good Yes. Satisfactory Yes. Good. Good Good. Good Yes. Good Clean; adequate. Good Good Yes. Yes. Good Good. Not crowded; ventilation and heating satisfactory Excellent; adequate- Good. Good Good. Good Good. Yes. Not crowded; poorly ventilated; well heated Influenza Good Good. Good Yes. Good Good. Good Good. O.K. O.K. Yes. Good Good. Good Yes. Good. O.K O.K. O.K. O.K. Good 2 Good Good Fair. Overcrowded; poorly ventilated and lighted Good Yes. Satisfactory Good Good Good. Good — Two; fair. O.K Yes. 1 2 2 Good.. Good. Satisfactory Good Yes. Good. Good Good. 2 Overcrowded Fair. Yes. Very satisfactory Good Good. Good Good. Good Flush-toilets. Good Good clean. Satisfactory Good Yes. Yes. Good Not crowded; well heated and ventilated Good 1 kept in very good condition. P 58 BRITISH COLUMBIA RURAL J I.ND Name of School. a 3 . o rT, a ft fl . Ph "fl ?! Medical Inspector. School Nurse. fl o HH fl C "cd it "3 £ fl as © J J a> co . '42 fl 9 cd "S CO OK 7a cd (5 si *3ifl 3* 5? " OP3 ■3 "8 fl eo ■fl ■< -fl M.23 11 B § BEH cd fl Cfl HO © "3 0 - ! ' 123 15 20 132 21 71 102 22 19 11 8 14 17 53 29 12 8 6 78 26 58 62 12 25 11 30 23 10 62 9 77 17 24 12 50 19 20 17 26 56 27 97 21 51 13 9 17 12 7 20 10 12 10 62 11 10 44 8 70 42 44 100 15 20 120 21 71 98 22 19 11 6 14 15 50 28 12 8 6 78 25 57 61 12 24 10 30 23 10 61 9 76 17 24 12 49 19 18 17 21 55 24 89 21 51 13 9 17 11 6 17 10 12 8 60 10 10 41 8 70 42 43 4 8 2 3 3 6 2 3 4 25 8 1 IP 2 18 37 11 2 2 2 4 3 24 ,4 7 8 30 6 12 39 5 31 49 13 8 3 4 7 5 42 4 5 3 1 10 12 2 3 2 16 72 13 6 2 6 9 Bridesville J. C. Stuart 3 2 2 J. H. Palmer i 2 2 7 1 4 53 1 I 12 9 1 1 F. E. Coy 2 6 22 2 4 24 P. M. Wilson 1 5 1 1 10 K. Terry G. H. Tutill 1 1 1 1 Brown Creek 2 2 2 1 4 4 2 3 6 4 1 3 26 9 2 Burgoyne Bay R. D. Rush 7 1 2 2 1 3 27 ..1 Burtondale K.Terry 1 1 1 R. W. Irving 1 2 1 2 6 1 i 1 6 2 3 1 6 5 3 10 5 1 6 5 3 11 6 2 4 4 1 3 3 15 4 10 3 4 3 4 6 3 13 6 38 4 14 1 4 5 1 3 7 8 2 5 13 2 3 14 7 5 4 11 1 3 6 7 26 12 "6 6 .... 5 1 T. A. Briggs 3 1 2 3 Canyon 6 H. S. Trefry Carlin Siding Carroll's Landing Carson Carrier E. Buckell... 1 H. F. Tyerman 4 3 4 2 2 2 1 6 ' "7 4 35 1 24 3 9 5 3 6 12 9 8 6 2 52 5 24 6 3 7 1 o 5 2 3 4 15 2 4 6 6 21 in 4 1 2 i W. Truax 1 1 1 t). Pi Hanington Miss J. Worthing- ton 1 2 i 4 l J. H. Palmer 3 1 1 2 2 1 2 1 8 7 1 Castle Rock Cawston G. R. Baker D. McCaffrey Mrs. Thomson 1 i 1 3 3 2 - 2 4 4 V. E. R. Ardagh W. Scatchard Miss F. B. Kemp.. 2 6 J. H. Palmer 1 1 i 3 2 1 2 4 2 4 H. A. W. Brown Chase Creek Chase River Cherry Creek 38 4 13 1 1 3 D. P. Hanington Miss Worthington. 3 1 7 9 3 2 1 Chilco W. Ross Stone 3 3 1 1 2 2 2 Chinook Cove K. Terry .... 1 2 11 4 W. H. Wood Christina Lake- Chu Chua— ■ W. Truax K. Terry 5 7 2 2 2 Clayton : H. A. W. Brown K. Terry 2 2 3 3 3 2 4 2 4 3 12 1 4 2 1 5 2 3 W. E. Bavis Coal Creek 5 2 8 1 1 2 J. E. Whitworth Cobble Hill,—. --—.-.— F. T. Stanier.M Cowichan Health Centre 2 1 21| 2 1 1 - • BOARD OF HEALTH REPORT, 1930-31. P 59 ASSISTED SCHOOLS—Continued. Other Conditions, specify, {Nervous, Pulmonary, Cardiac Disease, etc.). y -1. q 1 CO 9 cd q 0? d to "43 9 Q a a g o i 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. Satisfactory Yes. Clean; adequate. 8 No. 1, crowded; No. 2, screens needed; No. 3,. good; No. 4, old barn ; Nos. 2 and 3, yes. Well ventilated and heated; np,t overcrowded Crowded; well ventilated and heated 0 K Clean; adequate. Clean; adequate. 0 K Tachycardia, 6; vomiting spells, 1; blepharitis, 1; mitral regurgitation, 2 Chicken-pox; scarlet fever; whooping-cough . . Good •* Good; poor lighting Two; poor. Clean; adequate. 3 2 Satisfactory..... 0 K Good All adequate and kept in very good condition. _(- 1 pupil is very much crippled; old infantile paralysis case; very little use of arms or legs Wooden building in good repair, but not well heated; stove unsatisfac- tpry Two; fair repair; clean. Two; clean. Good. Clean; adequate. 3 Clean; adequate. Good. Yes., Clean; adequate. Poor condition. Good Satisfactory Good Satisfactory Clean; adequate. Inadequate. Yes. 1 Fair. Clean. Clean. Clean. Two; O.K. Yes. .. ,. Yes. Good O.K ; 8 Chicken-pox, 12 Satisfactory Satisfactory Satisfactory Yes. Yes. Clean; adequate. Good. Two.; clean. Yes. Good. Very good condition- 1 Good Thyroid, 3; flat chest, 1 Satisfactory Yes. Poor. To be attended to. Clean; adequate. Good Not crowded; well , heated and ventilated Catarrhal throats, 2; cardiac case, 1; defective posture, 2 Influenza No—. O.K. Clean; adequate. Clean; adequate. Four; in good shape. . 1 4 3 Satisfactory Not overcrowded; well ventilated and heated Rheumatic,, 2; scarlet fever, 4... Pneumonia, 1; septic throat, 1.. [ | | 1 1 1 P 60 BRITISH COLUMBIA. cND RURAL A Name of School. Medical Inspector. School- Nurse. co a , o II P. 3 . Ph "fl CO CM fl °1 II fl" o fl s o 13 ,2 fl eo co ait 9 > |J oi .2 a> > bi S fl co-r £ cd CO CO OK "cd cd !5 0, g > .fl '3 A V HH co cd "co £ on 'o a CO cfl H •6 ha cJS fc. " Ii fl o CO > a& Tj 9 —• fc? 73 cd fl aS BO "o Columbia Gardens 12 14 49 171 19 8 26 76 64 47 14 31 149 20 206 14 10 16 13 10 14 13 24 54 10 22 12 14 33 11 32 11 35 10 97 21 14 11 14 23 7 8 14 13 11 10 ii 14 48 168 18 8 26 76 63 36 13 30 144 10 194 12 7 16 13 10 14 13 23 52 10 22 7 13 32 11 30 11 32 10 94 21 14 10 14 22 7 8 14 13 11 10 2 i i 6 9 3 1 3 6 1 7 35 2 2 2 i i 12 2 29 3 50 5 6 2 8 2 9 50 5 6 1 10 20 5 1 3 3 S. Mills 1 1 1 1 1 11 2 i i 2 8 60 18 R. Elliot...-..." 7 11 2 5 12 9 4 D. S. McCaffle L. H. Servos Cowichan Health Centre F. T. Stanier 1 5 10 5 3 7 30 5 9 5 24 4 10 3 3 1 2 Cranberry Lake Crescent Valley 28 1 1 2 4 6 1 25 3 1 3 20 3 23 3 Creston, West.. Criss Creek M. G. Archibald 1 1 1 1 1 1 1 3 4 4 3 1 1 2 1 5 14 2 3 '2 s 3 2 3 3 10 3 29 10 2 Curzon Darlington 1 2 2 4 1 16 26 6 ' 6 6 6 3 7 5 7 3 15 11 4 2 9 20 4 3 7 2 1 2 1 8 7 4 1 6 1 4 1 1 1 Dawson Creek Dawson Creek, North Dawson Creek, South W. A. Watson 2 5 14 2 2 5 1 W. A. Watson W. A. Watson 1 5 T. C. Holmes o 1 3 2 1 Deep Cove S. W. Leiske H. W. Keith Miss G. Grant J. E. H. Kelso 1 1 10 1 15 2 10 2 29 Departure Bay. 4 3 1 W. H. Mclntyre 4 1 7 1 13 3 6 1 22 2 W. H. Mclntyre 6 3 1 1 1 Diamond D. P. Hanington R. D. Rush Miss Worthington. 1 2 3 Donley's Landing C. H., Ployart Miss B. Newbolt.-. Miss F. B. Kemp.. 1 1 4 1 4 3 7 1 V. E. It. Ardagh 2 1 2 3 3 1 H. A. Christie 2 F. V. Agnew..,. R. W. Irving 7 1 Eagle Valley Edgewater Edgewood Edith Lake Egmont Elk Bay. . E. Buckell 31 17 29 9 22 7 13 14 23 45 22 19 21 12 17 8 27 17 29 9 22 7 13 13 22 38 22 19 20 12 17 6 2 2 1 3 2 1 3 11 1 3 9 8 17 4 3 10 5 2 2 4 5 4 1 15 4 8 7 16 24 12 1 7 8 11 2 1 2 2 J. E. H. Kelso 1 1 2 R. W. Irving 2 3 8 1 3 1 Elk Lake Elko 1 4 8 1 1 8 1 1 2 6 5 1 5 5 1 4 3 2 3 4 7 1 6 1 19 H. A. Christie Ellison Mrs. Grindon 6 1 1 1 2 3 H. W. Keith 6 1 Engen Enterprise BOARD OF HEALTH REPORT, 1930-31. P 61 ASSISTED SCHOOLS—Continued. Other Conditions, specify, (Nervous, Pulmonary, Cardiac Disease, etc.). d 1 > Oi 05 O ca 1 ■ S l-H s p . bD 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. Good Yes. Good Good. - - pendicitis, 2 Good Good Good. Good Good Junior room poorly ventilated and poor light Good Yes. 1 Good. 1 Diphtheria, 4 ; whooping-cough, 8. Good Good Good Wooden building in poor repair on a poor site Good Mumps; influenza Good. Satisfactory O.K. Yes. Good Pertussis; scarlet fever Yes. ! Not crowded; well heated and ventilated Good Good Good I Good Condition satisfactory buildings. Well kept Yes. One rooms" occupied at present and one teacher in charge of school; ventilation and heating adequate and satisfactory; not overcrowded Good adequate. Clean. Good Good. Clean and sanitary- heart, 2 boys', fair. Floors should be oiled Good O.K. Satisfactory Good O.K. Fair. O.K Two; O.K. Chicken-pox, 5 Good Yes. Satisfactory Good Good. Good O.K. 2 1 Good Good. Well kept Good Good Yes. 1 Good Good. Yes. Good Satisfactory Good Chicken-pox, 1; scarlet fever, 2 Good Yes. Good , Both. Good Good Yes. Good. Fair P 62 BRITISH COLUMBIA. RURAL ANL Name of School. Medical Inspector. School Nurse. H a Ph . , "^ a 3 . °1 fl" p a "3 *" .1h P £ o co co CO > s i co ,o co .2 O '■G c S U Oi Q an "cd cd si 33 2 CO HH CU cd CO £ osa '3 fl •a ■H T3 Ss IS 3 8 •** Oh fc, "fl cd fl %S WO co' '3 HH CO S OS a> O 49 18 18 11 60 6 46 G2 15 10 63 15 47 17 17 11 58 5 44 62 15 9 62 14 1 3 3 5 5 2 3 Se i 9 6 3 ■2 42 ■1 4 2 1 Errington Miss M. Griffin 1 2 4 1 7 1 2 Mrs. Grindon Miss Worthington. 4 D. P. Hanington 2 3 6 1 1 4 1 1 1 3 2 4 1 ll 7 3 39 13 5 1 1 1 .1 | 3 2 4 2 ! 2 1 7 1 2 1 7 2 10 4 Fife . W. Truax. 2 1 H. A. W. Brown H. A. Christie 9 7 6 8 11 7 10 48 33 64 12 46 28 41 8 12 13 25 12 22 42 118 51 72 9 9 20 12 11 27 18 20 8 54 22 18 11 26 53 12 45 21 8 29 14 15 115 19 10 163 9 7 6 2 9 7 9 48 33 64 12 44 27 38 8 11 11 25 12 22 38 93 50 70 9 9 20 12 10 26 16 17 8 54 22 18 11 26 50 11 42 21 7 | 27 13 12 113 15 10 1 163 1 1 2 1 1 11 2 1 1 2 1 1 3 1 3 1 4 2 1 12 12 24 2 18 7 4 3 5 4 6 2 12 5 12 4 21 4 6 5 2 1 4 2 3 6 5 6 1 1 A. K. Connolly ..- 2 2 4 8 6 18 5 3 H. S. Trefry 1 5 12 6 9 5 8 6 8 7 1 8 16 11 H. S. Trefry 31 3 5 1 1 H. A. W. Brown F. W. Green 1 6 1 2 3 1 1 2 1 1 11 4 5 1 2 2 2 1 4 4 2 2 6 2 3 8 3 H. S. Trefry 1 1 6 1 1 2 3 16 3 8 21 1 4 6 2 3 2 1 2 18 15 4 13 4 3 15 4 3 13 1 6 18 2 60 1 6 6 10 1 3 1 14 Miss M. Griffin 1 1 2 3 3 2 1 3 3 3" 3 9 W. Truax 6 2 1 1 3 1 5 1 1 3 1 1 1 1 1 1 1 2 3 1 R. D. Rush 2 2 C. H. West ... 1 . H. A. Christie R. D. Rush 6 3 2 1 2 2 6 2 9 7 1 1 R. D. Rush... 1 1 2 Gill 11 2 2 6 2 2 6 3 1 21 3 1 41 4 2 J. T. Steele.— 3 3 6 2 2 9 Glade 11 1 2 2 6 6 17 2 2 5 P. S. Tennant 2 ! 2 4 5 7 1 2 28 | Miss B. Jenkins 2 5 3 6 10 13 1 1 P. Ewert 3 4 1 2 1 1 3 1 1 14 8 I. Bastow Hudson.... J. C. Stuart: Miss H. Kelly Lake) Mrs. G. V. Yard... 1 30 31 1 1 1 1 ' 1 BOARD OF HEALTH REPORT, 1930-31. P 63 ASSISTED SCHOOLS—Continued. Other Conditions, specify,- (Nervous, Pulmonary, Cardiac Disease, etc.). a 1 CO .1 ■s d a 1 p. a i rl O & bo S Acute Fever9 which have occurred during the Past Year. Condition of BuildihgJ State if crowded, poorly ventilated, poorly heated, etc. Closets. State if clean and adequate. t> m S Good — Not crowded; well heated and ventilated Good Good. Good: :.. l Good-... .. Yes.- Seats in one school are too close together; alterations recommended Capacity in Junior Divs. I. and II. satisfactory Well kept cardiac disease, 1; paralysis adequate. Yes. 5 Very nervous and excitability marked, 1 O.K Yes. Fair [ Excellent; adequate- Satisfactory Good — Yes. Good. Good Good O.K. Good All adequate and Good kept in very good condition. Good Both. ■* Good Good. 22 3 Good Good. Good Yes. Yes. Yes. Mumps; influenza Good Good. 1 Good O.K. Good I Good- ..... ..... Good Both. Rather crowded Good. Chicken-pox .... Fair Good Yes. Satisfactory Clean; adequate. Chicken-pox Clean. Good Good Good Yes. Good ! Satisfactory Not crowded; well heated and ventilated Satisfactory O.K. ..... 1 Clean; adequate. O.K. Satisfactory Good O.K. mia, 3 Good Good. Good Good. Satisfactory Good Yes. Good Dirty. Good O.K ..... Good kept in very good condition. O.K. Whooping-cough; influenza Lighting and venti Good. lation poor Good . . Adequate. Good | 1 Yes. flat chest, 2; atrophy of right thigh and calf-muscles (result of congenital talipes equinovarus), 1; secondary anaemia, 1 i j i P 04 BRITISH COLUMBIA. RURAL AND Name of School. Medical Inspector. School Nurse. a Ph . _ •=' . 'o 53 <, co '3, fl . firg <« a o"l fl" o fl fl "cd '^7d £ +H £ a OJ CO as co o co .S CO fc ti 33 n % QJ CM *3 Z el co cd *oj £ on '3 fl CO -fl H |1 co > CO £ co 2 Oh -fl co . MS 3,3 BO co" fc, '3 O Grandview Beach H. W. Keith 16 11 7 7 15 28 25 75 16 11 7 7 15 28 23 66 6 3 l 1 10 7 9 5 13 4 15 3 i 4 4 4 5 4 10 3 20 T. C. Holmes 1 2 5 9 1 3 1 4 2 H. W. Keith 4 1 6 6 1 (No examination on account of late arrival) 5 22 37 6 239 17 7 31 18 24 23 27 45 14 12 17 7 16 38 7 80 13 6 18 35 12 80 12 9 11 8 7 25 9 10 9 18 117 23 16 10 21 58 13 7 12 10 13 32 7 12 14 5 22 37 6 217 15 6 30 15 24 22 25 43 10 12 14 7 16 36 76 13 6 17 34 10 80 10 9 11 8 7 24 9 10 9 18 117 18 15 7 7 21 57 13 7 12 10 12 32 7 12 14 1 i 6 3 3 4 2 34 2 1 3 I. B. Hudson Miss H. Kelly 1 2 4 1 1 2 1 2 3 9 23 2 2 12 5 8 12 10 17 10 11 A. K. Connolly 2 i i 1 3 4 2 2 1 2 1 1 1 1 3 2 2 8 1 3 4 5 2 10 1 16 6 14 15 14 27 2 3 4 4 14 2 18 3 1 3 12 4 40 2 1 5 0 2 W. H. Mclntyre 3 W. A. Watson 3 L. B. Wrinch 1 1 2 4 4 11 Heffley Creek 1 P. S. Tennant 2 1 3 1 1 5 2 2 2 2 2 2 2 2 3 5 7 1 20 5 1 1 9 1 P. S. Tennant H. W. Keith 1 Miss M. Griffin 1 1 Hilltop 1 2 1 1 1 1 1 o 20 S 1 2 1 1 3 9 6 2 4 3 15 15 3 2 3 2 2 5 3 2 H. A. W. Brown 2 2 1 1 7 2 4 8 2 1 3 2 15 18 3 1 2 12 15 3 2 3 4 1 5 3 2 3 3 3 2 2 2 3 W. H. Wood 4 2 17 14 1 4 2 9 4 2 5 2 3 1 8 3 1 1 3 4 J E. H. Kelso 1 3 3 1 1 2 1 2 3 4 2 7 10 11 1 24 C. H. Ployart Miss Newholt R. D. Rush H. S. Trefry 2 1 1 11 2 9 2 H. A. Christie 2 2 1 1 2 S. W. Leiske Miss G. Grant.. Mrs. Grindon 5 1 4 1 2 3 1 1 1 1 1 G. H. Tutill R. B. White 1 1 2 2 4 4 1 *> 2 4 7 1 3 Kelly Creek 1 1 2 1 W. A. Watson (Unable to reach school on account of bad roads) Mrs. Grindon Mrs. Grindon 60 11 59 7 14 1 1 3 2 23 4 34 8 1 21 4 BOARD OF HEALTH REPORT, 1930-31. P 65 ASSISTED SCHOOLS—Continued. Other Conditions, specify, (Nervous, Pulmonary, Cardiac Disease, etc.). ri a s > 9 3 W 6 .£? OJ a a E S s fl 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. Yes. Good Good. Satisfactory Good Clean; adequate. O.K. Good Fair. Good - Good. Mumps Good Yes. Yes, I New building Good ,— Good. Yes. Ventilation poor Yes. 2 Good ... Good. 20 Good Good : Good Good Heart 2 Good Mumps; influenza Good Good. Chicken-pox, 6 Good Good. O.K Good Good. Poorly ventilated Not crowded; well heated and ventilated Good. 2 1 1 Good Good. Roomy; heated and ventilated Satisfactory Good- adequate. both sexes. 2 Good tention. Good Yes. i Excellent; adequate- Good Yes. 1, Satisfactory Good Fair Good | Satisfactory kept in very good condition. i i Overcrowded; poorly heated and ventilated Floors should be oiled fused to be examined, all from one family, and are reported mentally deficient and hard cases to handle) kept fairly clean. Club-foot, 1 3 Good Satisfactory Condition satisfactory Clean; adequate. 2 Good; adequate. Good Adequate. Satisfactory Good 3 Clean; adequate. Satisfactory Good Sanitation good Cardiac, 4; scoliosis, 2; anaemic, 1 1 2 Chicken-pox, 1; influenza, 8; German measles, 3 Good Good Good; adequate. 1 P 66 BRITISH COLUMBIA. RURAL AND Name of School. Medical Inspector. School Nurse. a p Ph . ■a SJj . o K co 3, VH fl 6 9 y. 9 fl o fl fl "cd it 2. HH £a QJ 9 ait 9 > CS .23 Qt> Q| cd CO CO ca "cd cd CD % "■3-fl *C0 £ "H '3 c CO T3 H co J &JJ ,2 fl o CO m OH ■8. SS cd fl 11 CO fcH '3 ■ a Dr. McCaffrey W. H. Wood Mrs. Thomson 82 11 11 13 7 528 10 5 8 11 9 8 9 17 144 13 8 8 19 28 7 9 26 9 10 19 19 63 28 12 6 8 8 14 8 64 17 33 21 12 15 27 16 13 7 7 20 38 92 20 24 6 14 14 11 54 58 6 8 15 21 46 10 20 23 21 19 32 20 8 81 11 11 13 i 4 7 3 2 13 6 32 4 7 8 7 Kettle Valley Kidd 3 7 3 120 3 1 1 1 2 1 5 5 3 6 6 9 2 1 50 520 10 3 i 4 1 2 10 43 96 1 Kincolith D. J. Macdonald Kingcome Inlet Kingfisher B. F. Johnson 5 2 H. W. Keith 6 11 4 4 7 14 144 12 8 8 \\ 2 1 1 2 3 35 2 1 3 g 30 3 6 2 2 3 7 2 8 2 2 3 6 9 4 i 1 Kinsol Dr. Garner Miss B. Jenkins Kispiox Kitchener L. B. Wrinch 1 4 2 2 G. B. Henderson 2 3 3 10 1 V. E. R. Ardagh C. H. Ployart Miss F. B. Kemp... i 3 2 2 R. W. Irving Miss B. Jenkins 2 10 11 7 5 4 2 2 9 1 1 20 8 9 25 8 10 17 18 61 27 10 6 8 8 14 8 64 17 29 14 10 15 24 10 10 6 7 20 36 91 20 24 6 12 12 8 52 58 6 8 15 21 45 10 18 22 21 19 30 19 8 5 1 H. W. Hill Mrs. C. A. Lucas... Lac la Hache A. K. Connolly 1 8 2 S. Mills 1 1 5 2 3 4 5 12 4 4 6 W. A. Watson 1 3 2 2 4 2 3 2 i i 3 Langford Miss II. Kelly 4 3 6 F. W. Green 2 2 9 1 3 1 5 2 2 8 1 4 4 5 5 5 4 7 4 4 2 2 1 1 5 1 8 8 1 4 1 6 5 38 4 2 1 1 2 G. A. C. Roberts 1 1 1 3 Lee 1 7 1 1 3 2 2 2 5 4 4 4 1 2 3 2 4 3 2 2 8 1 6 2 9 5 3 9 3 9 10 4 10 1 3 1 3 3 4 3 3 J. T. Steele 3 3 3 4 J. T. Steele 1 2 5 5 7 1 Louis Creek (Upper) K. Terry 1 1 G. H. Tutill 1 1 5 F. W. Green ' 1 2 2 2 2 5 1 J. H. Palmer 1 1 5 1 F. T. Stanier 2 5 2 1 1 1 1 1 1 1 4 4 2 7 1 2 2 3 9 2 7 12 3 2 19 2 4 0 7 9 4 6 8 4 6 18 6 3 Maple Grove Mara 1 1 1 2 3 H. W. Keith 1 4 1 1 3 W. Ross Stone W. Scatchard 1 2 3 1 1 2 J. C. S.Dunn 1 C. H. West 1 2 Miss B. Jenkins 5 2 1 19 1 4 10 3 1 H. A. Christie 1 1 | BOARD OF HEALTH REPORT, 1930-31. P 67 ASSISTED SCHOOLS—Continued. Other Conditions, specify, (Nervous, Pulmonary, Cardiac Disease, etc.). ri 1 CO 9 1 ta d _ba "r> 9 ft a a s P bo a 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. Scarlet fever, 2; smallpox, 2 Good Good. Satisfactory Satisfactory Good Fair .-. In good condition; less crowded; well heated and ventilated Satisfactory Good O.K. ■ i enuresis, 1; blepharitis, 2; hydrocephalus, 1; cleft palate, 1 Good. Good Pertussis, 6; chicken-pox, 6 Dusty location Good O.K. Mumps; influenza Good Good. Good , Good O.K Good Good Good Good Good Fair Good Good. Good Two; good. 3 2 Excellent Good anaemia, 2; orthopaedic, 1; pigmentation, 1 Good Good Fulfils its needs adequately Good Satisfactory Good Good Good Good Good Good Crowded Fair Satisfactory Receptacle should be cleaned. Satisfactory Good Sanitation good Good Satisfactory Satisfactory Good, hut needs interior painting Good . Good Good Good Scabies.- _ Good Satisfactory ., Good Not crowded; well heated and ventilated Fair only Satisfactory Good quate. Clean; adequate. 0 K Clean; adequate. 1 P cs BRITISH COLUMBIA. RURAL AND Name of School. Medical Inspector. School Nurse. Xm w rt ft 'ft £ rH . Xi . o !5§ °a d 3 ^ o3 d S..-2 si co co 1 ri fc tj) '£ c CM Oca 'o fl 9 Xi < X) 9 ■t. Ph Meadowvale Meadow Valley. Medora Creek... Menzinger Metchosin Meldrum Creek. Michel-Natal Midway Milburn Mill Bay Minto Miocene Mirror Lake Mission Creek Mitchell Bay Moberly Monte Lake Montney Montrose Morrissey Mountain Ridge.... Mountain View Mount McPherson. Mount Olie Moyie Mud River Myn caster McAllister McBride MeConnell Creek... MacKenzie McLure McMurdo Nadina River Nakusp.. Nanaimo Bay Nanoose Bay Naramata Needles New Denver Newgate New Hazelton Newlands Newlands, North.. Nickel Plate Nicola Nicomen Nithi River Nixon Creek Noosatsum North Bend Northfleld North Pine North Saanich.. Norwegian Creek- Notch Hill Ocean Falls Okanagan W. Ross Stone.. P. W. Andrew.. 0. Morris G. Rr Baker... 1. Bastow Hudson.. J. E. Knipfel G. F. Young.. W. H. Wood.. G. R. Baker... P. T. Stanier.. E. R. Hicks A. K. Connolly D. J. Barclay G. A. Ootmar B. F. Johnson Paul Ewert K. Terry H. A. W. Brown.. R. D. Nasmyth.. D. Corsan P. Ewert M. F. Lucas A. L. Jones H. L. Burris F. W. Green H. S. Trefry W. H. Wood A. K. Connolly... M. F. Lucas W. H. Mclntyre.. H. A. McLean... K. Terry P. Ewert T. C. Holmes.... H. P. Tyerman.. O. G. Ingham.... R. D. Nasmyth.. F. W. Andrew... J. E. H. Kelso- A. Francis H. A. Christie.. L. B. Wrinch... J. T. Steele J. T. Steele D. McCaffrey G. H. Tutill W. H. Mclntyre- D. B. Lazier E. L. Garner H. A. McLean.... A. E. Kydd O. G. Ingham j H. A. W. Brown I S. W. Leiske Miss G. Grant.. Cowichan Health Centre (School closed). (School closed). Miss B. Jenkins.. W. H. Wood W. Scatchard P. P. Smyth I G. A. Ootmar Mrs. Grindson.. 12| 8] I 13 12 33 362] 371.. I 9 25 74 7 9 75 10 9 16 18 13 10 10 11 9 30 21 10 4 10 64 15 12 7 16 21 3!) 9 23 10 921 551 24 13 19 171 48 13 19 171 43 4 17 3 1 1 I 30 7I 15 1 39 18 1 9 2 3 4 1 BOARD OP HEALTH REPORT, 1930-31. P 69 ASSISTED SCHOOLS—Continued. Other Conditions, specify, (Nervous, Pulmonary, Cardiac Disease, etc.). ri 1 9 9 IS at 9 ta d .5? 9 ft a i—i a M O bo g E 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 Yes. Frame; fair condition Satisfactory Two outhouses; clean. Two; clean. Good Yes. Adequate. mia, -1 Ventilation by door and window; no ante-room; windows, two on each side, low down; poor ventilation 16 cases of scarlet fever (13 of school age) Pidic, 2 Lower room crowded needs more light Good Influenza Good. i 1 i ' 1 i 2 Acne, 2; influenza Good Two; fair. Stye, 1 1 1 Good Good Fair. I 2 .....i Good Good. Good Good Draughty; not well heated Satisfactory Building in bad shape Good Yes. O.K. Dirty. Clean; adequate. Satisfactory Good Good. Yes; Good Yes. Good Good. Satisfactory _ Fair Yes. Satisfactory Very unsuitable building Satisfactory O.K. Fair. 2 O.K. Good Clean; adequate. Good O.K. Good kept in very good condition. Frame; fair condition Well kept Whooping-cough, 6 clean. lung; rickets; septic condition of gums 1 Good Good. Typhoid fever Influenza; sore throat Fair. 1 Log building; clean; well lighted and ventilated door closets; boys' and girls' closets in apposition, with no division by fence, etc. Satisfactory Good Good. Good Old rickets, 2 Good- Yes. Satisfactory Sanitation good Good Excellent Condition satisfactory Satisfactory- Satisfactory Good Good 0 K 1 Chicken-pox 1 1 1 Influenza, 1 Cardiac. 3; scoliosis, 2; anaemic, 2... 3 P 70 BRITISH COLUMBIA. RURAL AND Name of School. Medical Inspector. School Nurse. & 3 rU . . o rr. a. p. 9 . >— ti °s IS ti o is 3 ti it k HJ •2 a i 03 d M P. a a 8 s en ti H 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. Poorly ventilated and heated Satisfactory Building good; light very poor Good Good; adequate. tendant. Septic sore throat with rash, 1; scarlatina Yes. eczema, 3 Good Good O.K. Good Both. Good Good Yes. Satisfactory Fair Satisfactory Good Satisfactory Good O.K Two; O.K. Good O.K. 3 O.K. Good Good Good Good Good. Good Satisfactory Satisfactory Good odorous. O.K. Good. Good Good Satisfactory Good Yes. Good Good. Chicken-pox; influenza Good Good. Poorly lighted and ventilated Good Good. Good Good Good orthopaedic, 4 Good Yes. Not crowded; poor ventilation; heating fair Good Yes. 1; contracted left arm, 1 Good Heart, 1 Good Well ventilated and heated; not overcrowded Influenza Parasites Influenza Fulfils its needs adequately Good Yes. Good building; poor lighting Good Measles Good. Good Good. 1 Poor window righting Good O.K. I . Good. Satisfactory Well kept I Yes. 1 Satisfactory Fair Yes. I |. Good Adequate Yes. 1 Good. P 72 BRITISH COLUMBIA. RURAL AND Name of School. Medical Inspector. School Nurse. n 3 Ph . . "o z& <. Oi 'ti. 3 . fi-S uh a °1 s s a p a Tj S.-H "§ « £a 01 9 OS '•§ a 8.3 ■3 a a •[. £ ri an "3 *| V +H 9 OO "9 9 0« ra '3 a •a H ■2- bs.% .a ° 4) 9 ji 01 S QfrH ■a 9 „• ri ti ■ss 9 "0 O Robson J. E. H. Kelso 36 26 18 33 23 18 1 2 3 4 9 12 8 12 10 7 12 7 1 15 7 Rock Creek W. H. Wood Rock Mountain W. H. Wood Rocky Point I. Bastow Hudson R. Gibson Roe Lake 12 8 17 9 10 9 24 16 12 11 27 260 33 43 8 7 15 7 18 42 12 26 31 15 21 16 11 10 13 13 8 61 20 10 10 51 9 12 13 18 117 22 67 7 12 8 17 9 10 8 18 15 12 9 25 221 31 43 6 7 14 7 17 40 12 25 29 14 18 16 11 10 13 13 7 58 19 10 ID 46 9 11 13 16 2 2 5 Roosville H. A. Christie Rosedale A. E. Kydd 6 1 1 2 8 2 4 1 5 49 19 3 1 3 1 2 10 3 4 9 1 5 Rosebery Rose Hill R. W. Irving 5 1 1 1 T. C. Holmes i 1 6 3 3 2 4 8 143 21 7 3 3 8 3 11 7 2 Rose Prairie H. A. W. Brown Round Lake F. V. Agnew 5 Round Top H. L. Burris 2 2 5 71 2 1 i 2 Roy 2 24 1 1 Royston E. R. Hicks 4 1 11 1 1 1 Mrs. Grindon Miss B. Jenkins i 8 1 19 57 1 3 1 3 1 2 Salmon Bench P. S. Tennant i 1 1 Salmon River H. S. Trefry 1 1 3 3 1 1 Sand Creek W. Truax "~ Sand Creek, Big H. A. Christie 1 9 1 2 2 1 Sandon 13 3 9 8 3 2 4 1 27 23 Sandspit G. A. C. Roberts Sandwick T. A. Briggs 6 9 5 12 17 2 9 4 2 1 4 4 6 29 2 9 Saskatoon Creek W. A. Watson 3 Saturna Island C. H. West Savona M. G. Archibald Savona Road 6 1 11 1 Sayward, Upper B. F. Johnson Mrs. E. M. Walls.. 1 1 Seaford K. Ziegler 1 1 Sealey Lake L. B. Wrinch 2 3 1 5 Sechelt F. Inglis 3 Shalalth J. C. Stuart 2 2 3 8 F. T. Stanier J. T. Steele Cowichan Health Centre 1 5 3 2 2 1 1 2 2 1 2 2 6 2 3 3 7 2 1 6 3 24 1 21 2 Shelley 3 6 Sheraton T. C. Holmes 1 1 Shoreacres 5 3 8 1 23 7 3 5 3 37 2 Shuswap W. Scatchard Shuswap Falls 0. Morris Shutty Bench 1 2 13 1 1 2 6 1 4 1 9 Sicamous E. Buckell Sidney S. W. Leiske Miss G. Grant 6 24 Silver Creek E. Buckell 171 9 1 Silverton 66 7 2 65 49 Simoom Sound B. F. Johnson Sinclair F. E. Coy Sinclair Mills J. T. Steele 16 28 9 9 24 47 196 18 10 28 74 15 11 9 14 12 10 20 15 16 28 9 9 31 47 190 17 10 1 1 3 3 4 1 2 Sirdar Sisters Creek G. R. Baker 1 4 14 8 53 2 5 3 9 5 3 Skidegate G. A. C. Roberts.. .. 1 1 1 1 11 1 3 22 13 93 5 4 8 6 4 1 2 6 9 4 4 2 1 5 66 Slocan Park 7 2 7 2 1 2 8 Slocan, South Smithers. •_... 2 1 11 1 Snowshoe Soda Creek A. K. Connolly Solsqua 1 6 1 3 1 2 1 1 1 3 1 4 2 69 4 I Sooke, East 15 11 9 14 Sooke, North Sorenson W. E. Bavis Sorrento W. Scatchard ... 4 2 1 1 4 5 3 2 8 2 1 2 7 1 1 Southbank T. C. Holmes 121 10] 20' 10 1 2 2 1 1 Spences Bridge G. H. Tntill 1 1 Spring Bend H. W. Keith Springhouse A. K. Connolly 11 1 1 BOARD OF HEALTH REPORT, 1930-31. P 73 ASSISTED SCHOOLS—Continued. Other Conditions, specify, (Nervous, Pulmonary, Cardiac Disease, etc.). Oi > 01 3 9 m d •J HI 1 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. i i Well kept Satisfactory Satisfactory Yes. L ! Whooping-cough Good Good .. Yes. Measles Good Good Yes. 3 Chicken-pox, 45; mumps, 1; septic sore throat, 1 Good Good O.K. Good O.K. ... Recommend jacket for stove O.K Clean. Satisfactory Fulfils its needs adequately Good. . . . 1 Condition of building good; not crowded; well ventilated and heated Wooden building; good repair 1 repair. Good. Good 5 Mumps; influenza Lighting insufficient.. Good. Yes. Fair Good O.K 1 Satisfactory tion Satisfactory...... Good Poor environment Clean; adequate. 1 Fulfils its needs adequately Clean; adequate. Clean; adequate. Clean; adequate. Good. Basement room; crowded Good Influenza; mumps; whooping- cough Satisfactory-„ Two; good. cardiac, 3; orthopedic, 2; dys- menorrhcea, 1 Unsuitable building- Satisfactory Satisfactory Satisfactory Good Adequate. Adequate. Clean; adequate. i | Satisfactory...- Yes ' Two; poor. I P 74 BRITISH COLUMBIA. RURAL AND Name of School. Medical Inspector. School Nurse. 'ft fl Ph . ■ xi ."o a 3 . .. a °S z S a o 3 a "ri '■§3 £ a 9 9 ait 9 > Is q£ 9 . Si? §1 9 9 an 73 ri Z $i CJ HH oi ri lS 9 Q9 ."3 "o a 9 ■a 9 ^ SB is a, ° Slfr 9 g-a' OH S3 ri fl B.2 HO 9 '8 11 18 107 12 64 15 25 8 13 7 15 9 13 15 14 13 26 32 10 16 20 14 12 18 28 19 14 9 27 7 18 31 11 8 8 44 8 49 8 11 18 10 12 9 221 18 12 10 14 49 26 11 78 104 20 33 11 17 20 125 14 27 13 11 10 27 11 17 107 12 64 14 24 8 13 7 13 9 13 15 14 13 25 31 10 15 20 13 11 18 24 19 14 9 26 7 18 3 10 15 2 24 2 7 2 4 2 6 4 2 32 1 2 3 1 6 2 1 6 3 2 3 4 1 2 2 3 10 o 11 4 10 2 11 12 4 2 Squamish N. J. Paul Squirrel Cove H. A. Whillans . 18 7 7 Stuart Island 1 1 Stillwater 7 9 3 3 1 7 7 W. R. Stone 1 1 W. R- Stone 1 4 Sullivan Hill. . 6 3 2 2 18 10 3 5 5 2 5 11 10 1 2 1 7 2 E. Buckell 1 1 1 1 3 1 14 1 3 1 14 5 3 4 3 1 4 17 15 1 5 3 7 5 Sunnyside Cannery 1 1 F. T. Stanier— Cowichan Health Centre 1 3 1 1 1 3 2 H S. Trefry 3 2 8 18 2 4 3 7 2 10 1 4 1 2 13 4 6 3 3 1 1 3 3 3 3 2 2 1 1 3 6 5 2 4 6 4 1 T. C. Holmes 1 7 3 Telegraph Creek 2 o 31 11 8 8 41 8 40 7 11 17 10 12 8 214 17 12 9 14 46 26 11 66 88 20 32 11 16 19 125 14 26 13 10 8 27 1 1 6 3 10 5 8 7 H. S. Trefry 5 3 1 Three Valley 1 4 1 3 1 1 1 2 2 11 2 2 3 1 2 1 79 3 4 1 1 7 5 5 12 1 1 14 6 6 20 6 5 5 T. C. Holmes 1 1 1 2 5 4 2 2 S. A. Wallace Trinity Creek H. W. Keith 1 5 2 53 2 4 2 1 19 11 7 37 9 6 5 5 2 11 1 1 79 3 2 1 1 13 35 3 1 1 7 J. E. Whitworth Tupper Creek 1 1 1 2 4 1 7 5 7 5 2 15 33 1 3 3 2 E. R. Hicks..: 12 6 8 2 1 H. W. Hill Mrs. C. A. Lucas... 1 Usk 2 7 8 7 6 7 3 5 2 28 5 3 1 8 3 7 2 1 1 1 1 1 J. S. Shotten 1 1 1 18 3 8 11 52 5 5 2 4 5 19 6 3 1 9 8 1 R. D. Rush . . 2 2 1 1 R. D. Rush K. Terry 1 3 H. A. Christie 4 5 5 1 BOARD OF HEALTH REPORT, 1930-31. P 75 ASSISTED SCHOOLS—Continued. Other Conditions, specify, (Nervous, Pulmonary, Cardiac Disease, etc.). d 9 > Oi X et 9 ta d Ci g rH a o bo 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. Good Good. Good Good. Good Good. Good Good. One room slightly crowded Good Clean; adequate for the present. Good. Good O.K. Good Yes. Good Yes. Accommodation, ventilation and heating satisfactory Satisfactory Good Clean; adequate. Two; clean. Wooden building in fair repair Satisfactory Good TWo; in poor repair. Yes. 1 Good. Good Good Good. Good Good Two; good. Good Good. Anaemia, 1 Good Clean; adequate. Satisfactory Satisfactory Very good condition; no ante-room Yes. Yes. One; clean. Yes. Good O.K. Yes. Good Yes. Good Good. Fair. Good Poorly lighted and ventilated Good Good. 3 Good. Good O.K. Good Good. Good Good. Two; clean. Yes. Satisfactory Good Two; clean. V.O.H., 1 Good Good. Satisfactory Good Yes. Yes. Not crowded; well heated and ventilated Not crowded; well heated and ventilated Good Good. Good . 1 Chicken-pox, 1; measles, 1; common colds, 14; meningitis, 1 Seating and ventilation require attention Good adequate. Good Good. Cardiac, 1 Roomy and light Orthopaedic, 1 Good Satisfactory Satisfactory Satisfactory Yes. Good. 3 8 0 K. 0 K. Building needs chinking and double floor before winter Satisfactory Clean; adequate. 1 P 76 BRITISH COLUMBIA. RURAL AND Name of School. Medical Inspector. School Nurse. a rH . .'o SS rr. 01 P. a . rH "3 fH 9 a _o 3 a 7a it i3 £ a ait OJ > u oj .2 a> 9 . > tO S| ^'ri* '53 oj CM "ri ri Z SS £2 CJ HH OJ ri *oj £ on 'o a OJ -3 ■3 to ^2 #1 .> oi a "8 1 afr -3 ri C aJ3 SO 0J '3 a R. Gibson 39 9 70 32 10 8 8 52 36 101 9 58 6 7 7 96 35 11 14 8 91 106 36 31 12 13 24 66 42 7 84 9 60 20 80 23 24 9 25 30 9 67 31 10 7 8 52 35 100 8 53 6 7 6 91 34 11 14 8 90 104 36 31 12 13 24 58 37 6 84 9 60 20 1& 21 24 9 20 2 i 2 1 3 1 6 11 3 16 4 3 2 4 7 3 17 3 9 2 4 3 14 21 1 8 2 40 17 3 6 6 12 10 39 8 6 1 2 3 3 10 3 5 o Wanklyn , H. A. Christie. . . 7 7 3 2 2 2 4 5 10 D. P. Hanington Miss Worthington.. 2 i 5 1 2 2 1 1 2 2 2 4 1 6 3 3 1 1 1 6 1 3 D. P. Hanington Miss Worthington. 1 7 3 3 33 W. H. AVood... . 4 1 14 5 1 1 2 1 1 4 . 4 2 4 15 5 1 1 1 1 1 . 1 25 White Lake E. Buckell 1 1 4 4 16 18 8 2 1 2 1 18 13 4 24 5 9 5 10 12 4 2 13 3 2 10 7 4 10 6 7 35 18 3 25 4 16 2 14 3 15 5 1 18 1 2 4 2 2 2 2 2 1 1 1 3 3 J. T. Steele 2 2 4 W. R. Stone F. E. Coy . 1 13 2 1 1 F. E. Coy. Winfield 1 1 3 6 12 3 9 3 3 T. C. Holmes 1 C 1 9 2 9 4 C. G. G- Maclean— 2 18 1 H. S. Trefry 2 1 9 1 10 2 1 Wycliffe F. W. Green 2 Yahk 3 1 1 2 12 10 12 1 Yale P. McCaffrey 2 2 2 3 G. R. Baker 4 4 5 8 ° BOARD OP HEALTH REPORT, 1930-31. P 77 ASSISTED SCHOOLS—Continued. Other Conditions, specify, (Nervous, Pulmonary, Cardiac Disease, etc.). fl 1 9 X a ta d +3 9 ft 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. Good Satisfactory Satisfactory Good Satisfactory Good Yes. Yes. Good 1 Satisfactory Good .-:. Satisfactory Good. Good. Satisfactory Yes. i New building good; old building poor 2 i Poor ventilation Yes. Good. 3 1 Clean; adequate. Good; well ventilated and heated cleaning. Good. Clean; adequate. Clean; adequate. No No Clean; adequate. Yes. cough,4; eczema, 1 VICTORIA, B.C. : Printed by Chaht.es F. Eanfield, Printer to the King's Most Excellent Majesty. 1931. 925-1231-7330"""@en ; edm:hasType "Legislative proceedings"@en ; dcterms:identifier "J110.L5 S7"@en, "1932_V02_08_P1_P77"@en ; edm:isShownAt "10.14288/1.0300633"@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-FIFTH REPORT OF THE PROVINCIAL BOARD OF HEALTH INCLUDING TWENTIETH REPORT OF MEDICAL INSPECTION OF SCHOOLS, YEAR ENDED JUNE 30TH, 1931"@en ; dcterms:type "Text"@en ; dcterms:description ""@en .