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TUBERCULOSIS CONTROL REPORT, 1951
Sessional Papers of the Province of British Columbia
British Columbia. Legislative Assembly
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PROVINCE OF BRITISH COLUMBIA DIVISION OF TUBERCULOSIS CONTROL of the Public Health Branch Department of Health and Welfare ANNUAL REPORT For the Year 1951 VICTORIA, B.C. Printed by Don McDiarmid, Printer to the Queen's Most Excellent Majesty 1952 Department of Health and Welfare, Public Health Branch, Victoria, B.C., May 15th, 1952. The Honourable A. D. Turnbull, Minister of Health and Welfare, Victoria, B.C. Sir,—I beg to submit the Annual Report on the work of the Division of Tuberculosis Control of the Department of Health and Welfare for the year January 1st to December 31st, 1951. All of which is respectfully submitted. I have the honour to be, Sir, Your obedient servant, G. F. AMYOT, M.D, D.P.H., Deputy Minister of Health. Department of Health and Welfare, Public Health Branch, Division of Tuberculosis Control, 2647 Willow Street, Vancouver, B.C., May 15th, 1952. G. F. Amyot, Esq., M.D., D.P.H., Deputy Minister of Health, Victoria, B.C. Sir,—I beg to submit the Annual Report on the work of the Division of Tuberculosis Control of the Department of Health and Welfare for the year January 1st to December 31st, 1951. All of which is respectfully submitted. I have the honour to be, Sir, Your obedient servant, G. F. KINCADE, M.D., Director, Division of Tuberculosis Control. TABLE OF CONTENTS Letter of Transmittal Letter of Transmittal List of Tables Page 3 . 4 . 7 List of Charts : 9 Organization of the Division of Tuberculosis Control 11 Introduction 13 (a) X-ray Programme 14 (b) Federal Health Grants 15 (c) Staff 16 (d) Nursing 16 (e) New Cases 17 (/) Clinics and Institutions 17 (g) Social Service r 18 (h) Conclusions 18 Statistical Section '. 21 (a) Clinics i 23 (b) New Cases Examined by Clinics 31 (c) General Summaries 37 (d) Institutions 41 (e) Tuberculin Testing i 56 (/) Known Cases of Tuberculosis., 59 (g) Notifications of Tuberculosis ■. 64 (h) Tuberculosis Mortality 76 INDEX LIST OF TABLES Clinics Page Table 1.—Clinics Held in British Columbia, Showing Time Spent at Each Centre, 1951 _ 24 Table 2.—Diagnostic and Treatment Clinic Report, 1951 26 Table 3.—Report of Survey Clinics, 1951 28 Table 4.—New Examinations and Re-examinations during the Years 1947 to 1951 (Excluding Indians) 29 Table 5.—Clinic Examinations by Diagnosis, 1951 (Excluding Indians) 31 Table 6.—New Cases Other than Negative Examined by Diagnostic Clinics, by Diagnosis, Sex, and Age-groups, 1951 (Excluding Indians) 32 Table 7.—New Cases of Pulmonary Tuberculosis Examined by Clinics, by Infection and Condition, 1951 3 3 Table 8.—Number of X-ray Examinations (Chest and Other) Made by Institutions, Stationary Clinics, and Travelling Clinics, 1942-51 34 General Summaries Table 9.—X-ray Report for Stationary Clinics and Institutions, 1951 37 Table 10.—Laboratory Report, 1951 , 38 Table 11.—Number of Bronchoscopies by Institutions and Clinics, 1942-51 39 Table 12.—Dental Report, 1951 39 Table 13.—Eye, Ear," Nose, and Throat Report, 1951 40 Institutions—Summaries Table 14.—Institutions—General Summary, 1951 41 Table 15.—Number of Pneumothoraces (Initial and Refill) Given by Institutions, Stationary Clinics, and Travelling Clinics, 1942-51 41 Table 16.—Institutions—Patient Status, 1951 42 Table 17.—Admissions by Age and Percentage of Total Admissions in Each Age- group, 1947-51 43 Table 18.—Admissions by Diagnosis, Sex, and Age, 1951 44 Table 19.—Admissions by Diagnosis, Sex, and Racial Origin, 1951 46 Table 20.—Admissions by Diagnosis, Sex, and Type of Case, 1951 47 Table 21.—First Admissions by Institution and Diagnosis, 1951 47 Table 22.—First Admissions by Diagnosis (Percentage Distribution), 1947-51 48 Table 23.—First Admissions by Diagnosis, Sex, and Time between Application and Admission, 1951 50 Table 24.—Institutional Patient-days of the Division of Tuberculosis Control, 1942-51 50 Institutions—Discharges Table 25.—Discharges from Institutions by Condition on Discharge, 1947-51 52 Table 26.—Discharges from Institutions by Condition on Discharge, Sex, and Length of Treatment during Previous Admissions, 1951 54 Table 27.—Discharges from Institutions by Condition on Discharge, Sex, and Length of Last Stay in Institution, 1951 54 Table 28.—Discharges from Institutions by Condition on Discharge, Sex, and Home Condition, 1951 55 D 8 DEPARTMENT OF HEALTH AND WELFARE Tuberculin Testing Page Table 29.—Tuberculin Testing Results by Racial Origin and Age-groups, 1951 56 Table 30.—Tuberculin Testing Results by Type of Survey, 1951 57 Table 31.—Tuberculin Testing Results by Age-group and Diagnosis, 1951 58 Known Cases of Tuberculosis Table 32.—Known Cases of Tuberculosis among the Total Population of British Columbia by Statistical Area, as at December 31st, 1947-51 59 Table 33.—Known Cases of Tuberculosis among the Other-than-Indian Population of British Columbia by Statistical Area, as at December 31st, 1947-51 59 Table 34.—Known Cases of Tuberculosis among the Indian Population of British Columbia by Statistical Area, as at December 31st, 1947-51 59 Table 35.—Known Cases of Tuberculosis by Area and City of Residence and Sex, 1951 (Excluding Indians) 60 Table 36.—Known Cases of Tuberculosis by Area and City of Residence and Sex, 1951 (Indians Only) 61 Table 37.—Rate per 100,000 Population of Known Cases of Tuberculosis in British Columbia by Age-groups and Sex, 1951 (Excluding Indians) 61 Table 38.—Known Cases of Tuberculosis by Type of Infection, Present Condition, and Age-group, 1951 (Excluding Indians) 63 Table 39.—Ratio of Known Cases of Tuberculosis to Deaths from Tuberculosis among the Total Population of British Columbia, the Other-than- Indian Population, and the Indian Population, 1942-51 64 Notifications of Tuberculosis (Form T.B. 1) Table 40.—New Cases of Tuberculosis among the Total Population of British Columbia by Statistical Area, 1947-51 64 Table 41.—New Cases of Tuberculosis among the Other-than-Indian Population of British Columbia by Statistical Area, 1947-51 65 Table 42.—New Cases of Tuberculosis among the Indian Population of British Columbia by Statistical Area, 1947-51 65 Table 43.—Incidence per 1,000 Population of New Cases of Tuberculosis among the Total Population of British Columbia, the Other-than-Indian Population, and the Indian Population, 1951 65 Table 44.—Notifications of Tuberculosis by Statistical Area and City of Residence and Sex, 1951 (Excluding Indians) 66 Table 45.—Notifications of Tuberculosis by Statistical Area and City of Residence and Sex, 1951 (Indians Only) 68 Table 46.—Notifications of Tuberculosis in British Columbia by Racial Groups (Including Dead Cases Reported for the First Time), 1942-51 69 Table 47.—Notifications of Tuberculosis in British Columbia by Age-groups, Sex, and Racial Groups (Including Dead Cases Reported for the First Time), 1951 r 71 Table 48.—Notifications of Tuberculosis in British Columbia by Diagnosis, 1951 72 Table 49.—Notifications of Tuberculosis in British Columbia by Age-groups, Sex, and Diagnosis, 1951 (Excluding Indians) 73 Table 50.—Notifications of Tuberculosis in British Columbia by Age-groups, Sex, and Diagnosis, 1951 (Indians Only) _J 74 Table 51.—Notifications of Tuberculosis in British Columbia by Diagnosis and Year of Arrival in British Columbia, 1951 (Excluding Indians) 75 Table 52.—Ratio of New Cases of Tuberculosis to Deaths from Tuberculosis in British Columbia, 1947-51 - 75 TUBERCULOSIS CONTROL REPORT, 1951 D 9 Tuberculosis Mortality Page Table 53.—Tuberculosis Mortality and Rate per 100,000 Population for the Total Population of British Columbia by Statistical Area, 1947-51 76 Table 54.—Tuberculosis Mortality and Rate per 100,000 Population for the Other- than-Indian Population of British Columbia by Statistical Area, 1947-51 76 Table 55.—Tuberculosis Mortality and Rate per 100,000 Population for the Indian Population of British Columbia by Statistical Area, 1947-51 77 Table 56.—Tuberculosis Mortality by Statistical Area and City of Residence and Sex, 1951 (Excluding Indians) 77 Table 57.—Tuberculosis Mortality by Statistical Area and City of Residence and Sex, 1951 (Indians Only) 78 Table 58.—Tuberculosis Mortality by Diagnosis and Age-group, 1951 (Excluding Indians) 79 Table 59.—Tuberculosis Mortality and Rate per 100,000 Population for the Total Population of British Columbia, the Indian, Chinese, and Japanese Populations, and the Population Excluding Indians and Orientals, 1942-51 - 80 Table 60.—Male Tuberculosis Mortality for the Total Population of British Columbia by Age-groups, 1947-51 83 Table 61.—Female Tuberculosis Mortality for the Total Population of British Columbia by Age-groups, 1947-51 83 Table 62.—Tuberculosis Mortality for the Total Population of British Columbia by Age-groups, 1947-51 83 Table 63.—Male Tuberculosis Mortality Rates for the Total Population of British Columbia by Age-groups, 1947-51 84 Table 64.—Female Tuberculosis Mortality Rates for the Total Population of British Columbia by Age-groups, 1947-51 __ ... 85 Table 65.—Tuberculosis Mortality for the Other-than-Indian Population by Length of Residence in British Columbia and Place of Death, 1951 86 LIST OF CHARTS Chart 1.—Organization of the Division of Tuberculosis Control 11 Chart 2.—New Examinations and Re-examinations by Stationary Clinics, 1942-51 (Excluding Indians) 30 Chart 3.—New Examinations and Re-examinations by Travelling Clinics, 1942-51 (Excluding Indians) . .1 31 Chart 4.—X-ray Examinations (Chest and Other) Made by Institutions, Stationary Clinics, Travelling Clinics, Mobile Units, and General Hospitals, 1942-51 --... .. ._ 35 Chart 5.—X-ray Examinations Made by Institutions, Diagnostic and Treatment Clinics, Survey Clinics, Mobile Units, and General Hospitals, 1942-51 36 Chart 6.—Percentage Distribution of Admissions to Institutions by Age-groups, 1947-51 _____ 43 Chart 7.—Admissions to Institutions by Diagnosis and Age on Admission, 1951 45 Chart 8.—First Admissions to Institutions by Institution and Diagnosis, 1951 48 Chart 9.—First Admissions to Institutions by Diagnosis (Percentage Distribution), 1947-51 49 Chart 10.—Institutional Patient-days of the Division of Tuberculosis Control, 1942-51 - 51 D 10 DEPARTMENT OF HEALTH AND WELFARE • Page Chart 11.—Percentage Distribution of Discharges from Institutions According to Condition on Discharge, 1942-51 53 Chart 12.—Rate per 100,000 Population of Known Cases of Tuberculosis in British Columbia by Age-groups and Sex, 1951 (Excluding Indians) 62 Chart 13.—Notifications of Tuberculosis in British Columbia by Racial Groups (Including Dead Cases Reported for the First Time), 1942-51 70 Chart 14.—Notifications of Tuberculosis in British Columbia by Diagnosis, 1951 72 Chart 15.—Tuberculosis Mortality Rates per 100,000 Population for the Total Population of British Columbia, the Indian, Chinese, and Japanese Populations, and the Population Excluding Indians and Orientals, 1942-51 81 Chart 16.—Tuberculosis Mortality for the Other-than-Indian Population and the Indian Population of British Columbia by Place of Death, 1951 82 Chart 17.—Male Tuberculosis Mortality Rates for the Total Population of British Columbia by Age-groups, 1947-51 84 Chart 18.—Female Tuberculosis Mortality Rates for the Total Population of British Columbia by Age-groups, 1947-51 85 TUBERCULOSIS CONTROL REPORT, 1951 D 11 r ►4 O P. H Z o U H < X u < n t <U in o ™— n O nj c > j - - ■ — 5 n «'y £ o ™ £:> = > •p>— o cn </) O J 3 O a. w M D H K O U Z o o > 1- Q u w 111 H ct: B. O Q Z O H < N z 3 O « o r (9 z «, r-«Q tQu 5zo o<Z H S o < c c £>t c c z st Cen., eh, Van Orient., lion, V a, Vict. u *. 2 E o 3 1- Q <3 V, > — 5 £ 1- w -c w x ^ "C Z Tranqu Willow Jericho St. Jose Jubilee Vernon £ 3 z — V) _t__ Ifl z ,= a! r! -. = o c 5! isJtSli as o=.sSg3j = ~»zox > STATIONARY DIAGNOSTIC AND TREATMENT CLINICS Tranquille Vancouver Victoria New Westminster V 3 B «iZ "I 8,8* 1/1 UJ Z 3 «J*.= (Q 5 u-g> 5 (AO.Q. o u »iS _l c ra-r- 3 w O < £5 3 o _l ZO K .2 " >"" c '55 *_■ « ".2:= _* 013O 2 !?3 g «■§ a" Si o- zjj >, Skills £z 1-0 -< s>- L_ Report of the Division of Tuberculosis Control, 1951 G. F. Kincade, Director INTRODUCTION In 1951 a significant change in the administration of the Division of Tuberculosis Control was the appointment of a full-time Director. Dr. W. H. Hatfield, who had been part-time Director for sixteen years, resigned, and Dr. G. F. Kincade, formerly Medical Superintendent, Willow Chest Centre, became full-time Director of the Division. Dr. Hatfield will continue to act on a part-time basis in an advisory capacity to.the Deputy Minister on matters relating to tuberculosis and other diseases of the chest. Another major advance has been the construction of the new sanatorium in Vancouver. This has been named the Pearson Tuberculosis Hospital, in honour of G. S. Pearson, M.L.A., formerly Minister of Health and Welfare, Minister of Labour, and Provincial Secretary. Started early in the spring of 1951, excellent progress has been made, and this institution, housing 264 beds, will be opened within a year from the beginning of construction. This will provide modern sanatorium facilities for the treatment of tuberculosis cases, and, being situated in the Lower Mainland of British Columbia, it will provide beds in this rapidly growing area where they are most needed. Although the opening of these 264 beds will meet the present situation, it is apparent that the construction of the total complement of 528 beds for this institution should be continued as soon as possible. The present plan is that, after the Pearson Hospital is opened, the tuberculosis patients housed in the Infectious Disease Hospital and St. Joseph's Oriental Hospital will be transferred there. These patients, plus the present Provincial waiting-list, will almost completely fill the 264 beds. With the construction programme of the Vancouver General Hospital proceeding toward the erection of a large acute hospital, this Division's tenure of the temporary building at the Willow Chest Centre is seriously threatened, and it may be necessary to move from this building before next summer. Recent alterations at Tranquille should compensate for the loss of these beds. However, it will not be possible to occupy the extra beds at Tranquille until such time as the proposed tunnel, elevator, and laundry have been completed. At present we visualize the eventual bed facilities of the Division of Tuberculosis Control as being 528 beds at the Pearson Tuberculosis Hospital, 400 beds at Tranquille Sanatorium, the Willow Chest Centre reduced to approximately 115 beds for surgical and diagnostic cases, and the facilities in Victoria providing approximately the same number of beds as at present. It was with considerable satisfaction that in 1950 we attained the lowest death rate yet recorded in British Columbia. This rate of 21.7 for the other-than-Indian population and 27.2 for the total population followed the trend of decline in other parts of the country. Whatever its cause, it represents a reduction of approximately 50 per cent in a five-year period and, in actual number, a reduction from 576 deaths to 310—this in spite of an increase in population. We are pleased to report that this low rate has been maintained in 1951, with 292 deaths in the total population, which gives a rate of 25.1 per 100,000. There were 212 deaths in the other-than-Indian population or 18.7 deaths per 100,000. 13 D 14 DEPARTMENT OF HEALTH AND WELFARE X-RAY PROGRAMME During the past year we have been very much interested in the development of the miniature X-ray programme throughout the Province, and have been endeavouring to concentrate on hospital-admission X-rays as a case-finding method so that the programme could be applied effectively. In the reorganization of the X-ray programme utilizing miniature X-ray equipment in hospitals, a very definite endeavour has been made to co-ordinate it entirely within the community health services provided through the local health units. Thus the appointments and organization of the time schedules are the responsibility of local health services which have co-ordinated the programme with each local hospital. All patients are referred through the health unit, which assumes some responsibility for continuity of referral and follow-up where necessary. In addition to the admission X-ray of all hospital patients, arrangements are provided whereby some out-patients referred by the practising physicians or the public health staff can be accommodated. It has been disappointing to note that some hospitals are falling down very badly in carrying out this programme, whereas others are most energetic in trying to obtain complete coverage of the patients admitted. In spite of the poor showing in some hospitals, the work done has represented 40 per cent of the admissions X-rayed in the hospitals where installations have been made, and it does represent 71,410 examinations in 1951. While this does not reach the goal set and eventually hoped for in this work, it does represent a good contribution to the case-finding programme. It also shows a changing emphasis in that fewer examinations will be done by the travelling clinics, while in the geographical areas covered by these clinics there will be a greater number of people X-rayed. This is the result desired, and the clinics will be freed from a great deal of routine contact examinations, which were screened in the past, and will devote more time to the important work of examining and advising known cases of tuberculosis or cases who are referred because of suspicious X-rays. For example, in 1951 the Kootenay Travelling Clinic took 2,525 X-rays as compared with 3,427 in 1950. During 1951 there were 17,377 miniature films taken in general hospitals in the Kootenay area, making a total of 19,902 films. During 1950 there were 228,753 X-ray examinations in the clinics of the Division, general hospitals, and health units. During 1951 this increased to 278,734 films taken. With thirty-four miniature X-ray machines operating in hospitals and health units .outside the Division during the past year, there have been no new installations of photo- roentgen equipment. At the present time we are preparing to install this type of equipment in the new Burnaby Hospital, in the University of British Columbia Health Service, and at Mission Memorial Hospital. We are also considering withdrawal of the equipment from one hospital, where it is not being used satisfactorily, and in another community the transfer of the equipment from the hospital to the health unit, where it will serve the needs of the community to greater advantage. Installations for other areas will be considered as the communities expand and local conditions appear to justify its placement. In the development of the hospital-admission X-ray programme, we have been actively supported by the British Columbia Hospital Association and the British Columbia Registered Nurses' Association. During the past six months our mobile photoroentgen unit has been travelling throughout the Interior of the Province and on Vancouver Island, visiting smaller communities where X-ray services were not available. This has been a difficult and costly ■enterprise, and at the present time we are not certain that the results warrant the continuation of this work in subsequent years. The 1951 schedule was completed early in December, and the results of the work will be critically analysed to see if it is justified. TUBERCULOSIS CONTROL REPORT, 1951 D 15 The Division is watching with interest an experiment that is being carried out in Chilliwack at the present time. Realizing that the mere presence of an X-ray machine in a local community to provide free X-rays does not necessarily assure a good case-finding programme in that community, the British Columbia Tuberculosis Society has gone forward with a plan to promote an educational campaign in Chilliwack as an experiment. The idea behind this was that a properly qualified person would visit the community to publicize the services that were available and to organize local groups to canvass citizens so that a continuing community survey might be carried out. If successful at Chilliwack, this could be applied throughout the Province, using local facilities. FEDERAL HEALTH GRANTS From the projects already submitted, it appears that the Tuberculosis Control Grant will be totally expended for the present year if delivery of equipment is obtained before the expiry date of the grant. The total tuberculosis grant for British Columbia in 1951-52 was $368,315, and this has all been allocated. Certain new projects and extensions of previous projects have been set up during the year. For example, the art-therapy project has been extended to the Victoria unit, a pneumothorax clinic has been approved for Metropolitan Health Unit No. 1, a physiotherapist has been obtained for the Willow Chest Centre, a Department of Respiratory Physiology is being set up in Vancouver, and a large amount of equipment has been obtained for the Pearson Tuberculosis Hospital. Three nurses, one laboratory technician, one hospital administrator, and four physicians are receiving training under the grants. The Medical Records Section has also been made possible from Federal health grants. The following is the list of projects in the tuberculosis-control field for the present year:— Continuing projects— Occupational therapy. X-ray pool— Photoroentgen equipment for University of British Columbia Health Service. Burnaby Hospital. Mission Memorial Hospital. Medical library. Home-care service. Nursemaids for Vancouver Preventorium. Rehabilitation. Payment for admission X-rays. Administration of streptomycin in homes. Postgraduate training (short courses). Nursing personnel—Three nurses at University of British Columbia. Equipment for community survey work. Staff and equipment— Tranquille Sanatorium— Two physicians. Undelivered equipment from 1950-51. Willow Chest Centre— Bacteriologist. Senior intern. Assistant instructor of nursing. Executive nurse, surgical. Physician. Art therapy. D 16 DEPARTMENT OF HEALTH AND WELFARE Continuing projects—Continued Staff and equipment—Continued Willow Chest Centre—Continued Planigraph. Physiotherapist. Out-patient Pneumothorax Clinic, Metropolitan Health Committee. P.A.S. and streptomycin. Additional graduate nurse, New Westminster. Postgraduate training for two physicians. Training in surgical nursing and techniques. Additional stenographers— New Westminster Clinic. Kootenay Travelling Clinic. Interior Travelling Clinic. Postgraduate training for laboratory technician. Hospital-administration training. Expansion of education programme, T.B. nursing. Art therapy, Victoria. Equipment for new sanatorium. New projects— Postgraduate training for one physician. Medical Records Section, Division of Tuberculosis Control. STAFF In reviewing the staffing of our clinics and institutions, it is pleasing to report that at the present time the Division appears to be in a very good position. The medical staff throughout the Division is at full strength, and it is a source of satisfaction to report that well-trained medical men are being attached to the service. At the present time there are five physicians under training leading to specialists' certification. It should be pointed out that a pathology service is being developed at Tranquille, and in the Willow Chest Centre a well-trained pulmonary physiologist is proving most valuable in the carrying-out of respiratory function tests, mostly in connection with pre- and post-operative cases. However, it is hoped that some attention can be paid to research in this field. It is possible, in the future, that the Division may be able to add others to the staff with special interests, such as bacteriology. NURSING The nursing service gives a great deal of pride to the Division because it is recognized that throughout the Division the nursing standards are of the highest order. Having assembled an able group of nursing administrators, a sound programme of student and graduate teaching is the basis of the nursing services in our clinics and institutions. As a result of this, tuberculosis nursing has been elevated to the status of a specialty, and the nurse takes an important place in the education and physical rehabilitation of the patient. Although the stage has not yet been reached where there is an abundance of nurses available, the Division is attracting a fair share of an excellent type of well- trained nurses into the service. During 1951 the nursing service was maintained to provide for a full complement of patients in all of the institutions during the past year, and the staff in the stationary clinics was stable. Increased student quotas and expanded activities were evident in all sections of the educational programme, for example:— (1) Affiliation Course for Student Nurses.—(a) Three hundred and twenty- five students affiliated at the Vancouver centre, an increase of seventy over TUBERCULOSIS CONTROL REPORT, 1951 D 17 1950. The Jericho Beach unit and New Westminster Stationary Clinic were used for placement of students in addition to the Willow Chest Centre. (b) Seventy-four students affiliated in Victoria. Students from the two Victoria schools started in November to come to Vancouver for the lecture series in the first week of the course, thus providing a uniform content of instruction for all students prior to placement on the wards. (2) Supervised Experience for Practical Nurse Students from the Vocational School.—Fifty-five students completed one month each of ward experience at the Jericho Beach unit, an increase of fifteen over last year. Indications are favourable that progress will be made this coming year toward implementation of the objectives outlined in the study on staff quotas and nursing-care requirements, completed for the three main institutions more than a year ago. Organization of the ward routine to the team nursing plan is suggested as a basic factor in providing more personalized care for the patients. Two objectives urged for the coming year in both the service and educational fields are directed toward the same target—better nursing care for the patient through implementation of a team nursing plan on the wards and better experience in nursing practice for the students. NEW CASES The number of new cases discovered during the year amounted to 1,688, which is a slight decrease from last year's figure. This, broken down into racial groups, shows the following: Indians, 356; other than Indians, 1,332; and into age-groups:— 0- 4_ Indians 54 Other than Indians 0- 4 5- 9 10-14 : 5? 5- 9 65 74 10-14_ 46 26 15-19 _ ___._ 46 15-19 20-24 25-29 30-39 ; 40-49 50-59 60-69 „__ 70-79 80 and over Not stated 39 20-24 __ 26 104 25-29__ 32 173 30-39__ 23 771 40-49._ 16 204 50-59. 23 192 60-69 . 10 191 70-79_ _„_ 13 86 80 and over Not stated 2 16 4 The sources of reporting of new cases during the year were as follows: — Stationary clinics: Tranquille, 13; Vancouver, 513; Victoria, 79; and New Westminster, 114. Travelling clinics: Interior, 64; Coast, 72; Island, 33; and Kootenay, 119. Reported from outside the Division of Tuberculosis Control, 681. CLINICS AND INSTITUTIONS With the major efforts being the construction of the Pearson Tuberculosis Hospital in Vancouver and the renovation of the Tranquille Sanatorium, there have been few physical changes other than those within the institutions. The Kootenay Travelling Clinic in Nelson found it necessary to change its location from the Kootenay Lake General Hospital to a down-town location in that city, and new quarters have been obtained. This is proving to be a more satisfactory situation than before. D 18 DEPARTMENT OF HEALTH AND WELFARE The staff situation has been relatively stable over the year, but it is anticipated there will be a great many transfers in all units within the Division in staffing the new sanatorium. In making the key appointments, the Medical Superintendent of Tranquille is being transferred to the Pearson Tuberculosis Hospital, while he is being replaced at Tranquille by the transfer of the Medical Superintendent of the Victoria unit. To facilitate the handling of the problem of transfers and new appointments, a personnel assistant has been appointed to the central office of the Division. This should provide a more direct line of communication to the Civil Service Commission and expedite the handling of personnel problems. Aside from the Kootenay Travelling Clinic in Nelson, which is becoming more and more a stationary clinic, and the work in the Fraser Valley, which is carried out by the New Westminster Stationary Clinic, all the travelling clinics are being operated from the sanatoria, with headquarters in the Victoria unit, Willow Chest Centre, and Tranquille Sanatorium. Various members of the medical staff of these institutions take responsibility for covering the medical services provided by these clinics. There have been no significant changes in the medical or surgical treatment in the institutions during the year. In the preventive programme, B.C.G. vaccination is being carried out in selected groups. This vaccination is urged for hospital employees and for contacts of known cases of tuberculosis. However, it has not been considered advisable to extend the programme to other groups, such as young adults, until such time as the programme is considered to be effectively applied in the contact group. SOCIAL SERVICE Staff changes continued to hamper the work of the Social Service Section during the year. At the Willow Chest Centre the situation was relieved by two former social workers returning to the staff, but at Tranquille the social-work programme had to be curtailed because no replacement could be found for the social worker who resigned in July. With the exception of Tranquille, case-loads for the workers have remained about the same as the previous year, with an average case-load of ninety-five per worker in the Willow Chest Centre, ninety-nine in the Jericho Beach unit, and ninety-six in the Victoria unit. At Tranquille the case-load averaged 165 per month. In September the Provincial supervisor joined the Royal Canadian Air Force as senior administrative officer in the welfare field, and the case-work supervisor at the Division of Venereal Disease Control was transferred to the Division of Tuberculosis Control. As part of the reorganization of the Tuberculosis Social Service Section at this time, the senior case-worker at the Willow Chest Centre was promoted to case-work supervisor for the Vancouver area. The programme for providing home-maker service on a selective basis to tuberculous patients and their families in the Vancouver metropolitan area has continued during the year under the joint administration of the Metropolitan Health Committee and the Family Welfare Bureau of Vancouver. At the end of the year ten families were in receipt of full-time supervised home-maker service and fourteen families were receiving part- time help from this source. Because the programme was inaugurated as a demonstration project, financed from Federal health grants, the evaluation of the service should yield some significant information about the specific contribution which a properly organized home-maker service can make to the tuberculosis-control programme. Although the basic Social Allowance rate was increased inl951by$5a month, the problem of convalescent care for the tuberculous patient without resources remains chronic. Even with the dietary extras which may be added to the basic Social Allowance granted to a person who is unable to support himself because of tuberculosis, the Social Allowance budget falls below requirements. TUBERCULOSIS CONTROL REPORT, 1951 D 19 CONCLUSIONS Having been faced for many years by an acute shortage of beds for the treatment of tuberculosis, the day is rapidly approaching when this problem will be met and eventually overcome. Having then provided for those cases which have pulmonary tuberculosis, the problem of the non-pulmonary tuberculosis cases will require serious consideration, when sanatorium facilities are adequate to permit their acceptance. It is generally agreed that all forms of tuberculosis, including idiopathic pleurisy with effusion, should be treated in a sanatorium, and this practice is followed in most centres throughout the country. Effective legislation to control recalcitrant patients would be of considerable benefit to the tuberculosis programme in British Columbia. Under present regulations an infectious case of tuberculosis may be placed in a sanatorium, but there are no regulations that will force him to remain there. The lack of adequate authority to deal with the careless and unco-operative case is a real handicap in preventing the dissemination of tuberculosis. The care of the child with tuberculosis is a problem still being met by services outside the Division of Tuberculosis Control. Acute phases of the disease in children are being taken care of in general hospitals, while the Vancouver Preventorium is meeting a most essential need in caring for the sub-acute and chronic cases amongst children. This voluntary group is presently considering plans for the expansion of its facilities that will approximately double the present capacity of the preventorium so as to provide modern medical and nursing care for the more active forms of the disease in children. These services are urgently needed, and the board of directors of the preventorium deserve great credit for their continued assistance to the campaign against tuberculosis in this Province. The British Columbia Tuberculosis Society, which has long played a leading part in tuberculosis work, continues to contribute greatly to augment the services provided through official agencies. Taking a leading part in educational activities and creating interest in tuberculosis work in a large number of communities in the Province through Christmas Seal Committees, the society has also made large monetary contributions to the Christmas Seal Auditorium in Vancouver and in providing a new radio installation for the patients at Tranquille Sanatorium. This assistance has been much appreciated and most valuable. The work of the Division has been greatly facilitated by the close co-operation and cordial relations with other agencies of the Government. STATISTICAL ANALYSIS for the Year January 1st to December 31st, 1951 TUBERCULOSIS CONTROL REPORT, 1951 CLINICS Map of British Columbia Showing Statistical Publication Areas D 23 Province of British Columbia— Population, 1,165,210. Area, 366,255 square miles. Travelling clinics— Kootenay Clinic (Nelson)—Statistical Areas 1 and 2. Interior Clinic (Kamloops)—Statistical Areas 3, 6, 8, 10c, lOd. Coast Clinic (Vancouver)—Statistical Areas 4, 7, 9c, 9d, 9e. Island Clinic (Victoria)—Statistical Area 5. Survey Clinic. D 24 DEPARTMENT OF HEALTH AND WELFARE Table 1.—Clinics Held in British Columbia, Showing Time Spent at Each Centre, 1951 Travelling Clinics Interior Centre Visited Days Allenby 2 Armstrong Burns Lake _ Copper Mountain Dawson Creek . Enderby Fort St. John 3 4 3 3 3 2 Kamloops 19 Kelowna 15 Merritt 2 McBride 1 Nickel Plate Mine 2 Oliver 4 Centre Visited Days Penticton 9 Prince George 11 Princeton 4 Quesnel 7 Revelstoke 6 Salmon Arm 7 Smithers 2 Summerland 2 Vanderhoof 4 Vernon 15 Wells 4 Williams Lake 5 Total (25 centres) 139 Coast Centre Visited Hazelton Marpole Ocean Falls Powell River _____ Days 1 3 1 10 Centre Visited Prince Rupert __ Squamish Terrace Total (7 centres). Fraser Valley Centre Visited Days Centre Visited Abbotsford 10 Lillooet Allco 1 Lytton Ashcroft . 2 Mission Bridge River 1 Chilliwack 23 Days 24 8 10 57 Days 2 2 Total (8 centres) 49 Vancouver Island Centre Visited Campbell River Chemainus Days 8 V4 61/2 Comox 13 Cumberland 6 Duncan 26V_> Ladysmith 12 Centre Visited Lake Cowichan .. Mount St. Mary.. Days 7 3 Nanaimo 42 Port Alberni and Alberni 26i/i Qualicum 4 Total (11 centres) 155 Kootenay Centre Visited Ainsworth Castlegar Cranbrook Creston Emerald Mine .. Fernie Golden Grand Forks — Greenwood Hudson Bay Mine. Invermere Days 3 6 11 11 5 11 2 8 2 1 2 Centre Visited Kaslo Kimberley Michel Days 2 11 5 Nakusp 6 Nelson 48 New Denver : 3 Remac 3 Rossland 9 Salmo 3 Trail 16 Total (21 centres) 168 TUBERCULOSIS CONTROL REPORT, 1951 D 25 Table 1.—Clinics Held in British Columbia, Showing Time Spent at Each Centre, 1951—Continued Mobile Survey Unit Vancouver Island Centre Visited Days Bloedel Camp 3 James Island 1 Jordan River 1 Mansons Landing 2 Port Renfrew 3 Centre Visited Salmon River ___ Saltspring Island Days 3 2 Victoria 19 Whaletown 3 Total (9 centres) 37 Coast and Fraser Valley Centre Visited Abbotsford Arnold Days Britannia Beach 2 Clearbrook 4 Coquitlam 2 Centre Visited Days New Westminster 14 Powell River 1 7 Squamish 2 Woodfibre 2 Total (9 centres) 42 Interior Centre Visited Burns Lake Fort St. James _ Grassy Plains 100-Mile House Lavington Lillooet Lumby Days 2 2 1 1 1 1 2 Centre Visited Nechako Dam .. Quesnel Vanderhoof ._ Wells Williams Lake Days 1 3 2 1 3 Total (12 centres) 20 Kootenay Centre Visited Canal Flats Castlegar Edgewater Elko Field Galloway Mill __. Golden Grand Forks ____. Greenwood Invermere Kaslo Kitchener Days Centre Visited Michel Nakusp Natal New Denver . Salmo Slocan City .__ South Slocan Wardner Whatshan Wynndel Yahk Days 11/2 2 11/2 1 3 1 4 1 1 1 1 Total (23 centres) 46 D 26 DEPARTMENT OF HEALTH AND WELFARE During 1951 patient-visits to diagnostic and treatment clinics totalled 44,962. This is a decrease of 1,883 from the 1950 total. There was also a decrease in the number of visits to travelling clinics, from 13,360 to 11,074 visits. A total of 1,007 new cases of tuberculosis was diagnosed by the Division out of 1,688 new cases found by all agencies. Of those examined, 22.5 per cent were in the 30-39 age-group, 18.8 in the 20-29 age-group, and 16.3 per cent in the 40-49 age-group. There were 11,951 tuberculin tests and 704 B.C.G. vaccinations given in the clinics of the Division. Table 2.—Diagnostic and Treatment Clinic Report, 1951 Item ZB o H Total patient-visits , Total cases examined- X-ray Physical- Specialist consultation.. Type of case - New cases Re-examinations . Reason for examination Referred from survey- Symptoms.. Routine check... Age-groups examined- 0-4 M. 5 9 F. M. 10-14. _ F. M. 15 19 -.- - F. M. 20 24 F. M. 25 29 F. M. 30-39 F. M. 40 49 F. .. M. 50-59 . F. M. 60 69 F. M. 70 and over F. M. Racial origins.. White Indian Breed Chinese.—. Japanese- Other Usual occupations- Clerks. Fishermen _ _ Hospital-workers.. Housewives Labourers— Common Skilled Loggers Miners— Coal ___ - Hard-rock Nurses— Graduate Student Teachers Other professional- 27,560 17,864 4,763 63 17,864 4,683 13,181 17,864 865 2,152 14,847 17,864 171 187 372 279 261 271 234 241 592 860 946 1,248 1,839 2,351 1,788 1,237 1,441 760 1,398 560 605 223 17,864 16,973 45 29 671 88 58 17,864 2,238 120 221 4,204 2,420 1,590 259 19 715 436 150 130 336 1,804 1,804 629 1,804 524 1,280 1,804 248 1,556 1,804 8 9 9 9 6 14 49 100 97 208 123 152 187 261 169 144 108 78 42 22 9 1,804 1,785 1 16 2 1,804 187 574 270 144 143 4 147 2 11 36 6,251 6,251 6,251 2,242 4,009 6,251 686 820 4,745 6,251 268 232 246 206 116 91 112 137 125 254 208 410 576 797 439 419 410 299 442 171 212 81 6,251 5,983 245 1 22 6,251 542 11 102 1,627 749 477 20 116 50 38 220 3,273 3,273 18 3,273 846 2,427 3,273 164 682 2,427 3,273 163 184 105 112 27 59 24 58 70 136 140 194 290 377 256 243 239 107 231 109 113 36 3,273 3,241 8 7 14 3 | 3,273 93 26 29 892 583 104 12 2 7 46 33 14 39 2,340 2,525 2,340 I 2,525 2,770 3,439 49,962 2,340 613 1,727 2,340 21 147 2,172 2,340 27 39 89 62 86 82 56 65 34 99 65 136 191 282 186 165 164 91 207 65 128 21 2,340 2,297 3 18 18 4 2,340 102 9 79 667 2,525 1,131 1,394 2,525 247 62 2,216 2,525 20 13 41 38 32 37 55 48 97 87 101 114 272 254 325 197 221 113 179 78 128 75 2,525 2,471 186 [ 519 109 | 162 24 I 9 49 276 39 9 13 24 2,770 | 3,439 9 45 2,525 145 35 698 2,770 1,059 1,711 2,770 34 2,736 2,770 29 30 84 92 97 121 63 132 46 148 94 210 225 401 231 189 167 110 137 79 66 19 2,770 2,603 10 30 25 102 2,770 | 138 j 3,439 313 3,126 3,439 37 927 47 43 67 313 3,126 3,439 23 20 69 72 56 88 73 115 52 168 114 227 281 558 285 310 230 157 227 86 160 68 3,439 3,296 104 39 3,439 123 4 38 1,256 298 152 324 311 32 | 141 40 2 40 33 30 | 40,266 I 5,410 63 | 40,266 11.411 28,855 40,266 2,017 4,424 33,825 40,266 709 714 1,015 870 681 763 666 896 1,113 1,960 1,791 2,691 3,861 5,281 3,679 2,904 2,980 1,715 2,863 1,170 1,421 523 40,266 38,649 66 84 1,087 259 121 40,266 3,568 170 1,115 10,541 5,051 3,220 501 114 1,001 895 246 303 789 TUBERCULOSIS CONTROL REPORT, 1951 D 27 Table 2.—Diagnostic and Treatment Clinic Report, 1951—Continued Item u > 3 O u S d > £ 3 cr c CJ 1-4 H d 'n o (J > ze d O u rt a <u O O o u a T3 C d "rt O H Usual occupations—Continued Students— 7 165 1,432 3,422 9,756 1,791 207 294 11 10,163 6,551 1,528 513 481 131 10 89 24 7 1 350 33 193 88 36 32 4 3 5 1 9 4 1 2 3 1,015 232 7 24 16 8 409 21 170 128 6 7,964 12 3 54 216 619 31 598 353 31 13 13 1 1 12 10 2 18 4 10 4 420 10 3 682 1,604 6 1,879 3 389 1 307 23 2,048 3,847 160 79 75 27 16 10 1 48 3 30 11 4 4 1 1 1 1 81 17 1 46 2 15 2 1,921 87 10 128 1,168 993 156 9 15 1,180 1,075 196 114 108 25 3 13 5 1 3 83 1 58 17 2 5 6 1 1 2 1 1 82 17 2 1 3 30 4 20 5 1 1,939 19 4 319 738 67 2,239 220 72 68 12 3 8 1 56 16 31 4 3 2 4 1 1 1 | 1 | 148 | 35 | 3 | 1 2 1 36 | 3 1 25 | 43 | 5 I 767 | 2 1 185 359 28 2 63 29 125 25 778 260 119 117 26 18 5 3 91 5 69 9 5 3 2 1 1 141 31 11 24 4 40 13 5 13 1 815 473 380 66 2,321 108 64 62 13 4 8 1 49 4 35 7 3 2 1 1 44 9 1 17 2 15 722 1 2 339 927 15 1,875 53 33 31 12 10 2 19 13 5 1 2 1 1 20 4 16 958 138 188 3,612 8,814 Treatments and tests— Pneumothorax— 6 Refill . 13,275 Oleothorax— Refill Pneumoperitoneum— 3 Refill 2,336 210 B.C G — 704 49 14,018 11,951 173 X-rays referred to the Division— 7,213 2,556 1,007 955 New cases found (tuberculous and non-tuberculous) Change of diagnosis, non-tuberculous to tuber- 247 47 12 5 708 62 439 143 54 10 Other tuberculosis of respiratory system. Tuberculosis, non-pulmonary Intestines and peritoneum 52 4. 4 9 Skin 2 13 11 1 4 4 1,549 Pleurisy — 345 13 38 Silicosis 49 12 588 Other non-pulmonary 45 220 239 Change of diagnosis, tuberculous to non- 15 Previously known cases re-examined 15,506 D 28 DEPARTMENT OF HEALTH AND WELFARE Survey clinic examinations in 1951 totaled 232,107. This was a 72-per-cent increase over the figure for 1950. Examinations in general hospitals contributed to 30.7 per cent of the total, and the total for these hospitals is shown separately this year for the first time. There was a 137-per-cent increase in the number of referrals for all survey clinics and a 71.5-per-cent increase in the number of new cases found. It will be seen below that a considerable proportion of the referrals and new cases found may be attributed to the examinations by the general hospitals. The number referred by mobile clinics was considerably higher this year, being 1,503 as compared to 634 in 1950. An increase from 87 last year to 160 in 1951 was registered in the number of new cases discovered by mobile clinics. Table 3.—Report of Survey Clinics, 1951 Clinics Mobile Stationary Metropolitan General1 Hospitals Item Vancouver Victoria New Westminster Provincial Metropolitan Total 34,724 1,174 109 8,366 423 3 9,309 177 41 7 1 7 19 4 1 1 1 26,434 686 43 2 1 6 24 4 57,509 404 54 11 5 15 9 7 5 1 1 24,355 413 63 1 17 8 11 6 7 5 71,410 2,839 157 3 17 7 22 61 21 2 11 4 6 1 1 1 232,107 6,116 470 4 New tuberculous cases Minimal— 20 9 14 19 24 2 2 1 13 74 Quiescent , Apparently arrested 1 1 32 76 139 Moderately advanced—■ 67 Quiescent- Apparently arrested 15 15 1 5 1 6 8 Far advanced— 31 Quiescent 1 5 1 6 1 64 4 5 12 16 9 4 6 1 1 2 2 1 25 3 4 1 1 63 71 344 11 6 6 67 152 7 12 29 23 12 2 8 7 2 217 169 223 69,382 773 145 571 15 Minimal— 2 12 32 2 2 25 21 1 2 10 4 15 1 4 9 2 14 120 1 1 231 Moderately advanced— 19 1 9 4 1 19 3 1 57 34 Far advanced— 14 4 1 1 2 2 2 13 12 2 7 40 33 24,033 80 35 4 Cardiac disease 24 101 73 34,109 198 85 7 8 10 8,297 20 21 1 11 8 9,188 40 16 35 27 63 26,072 102 29 4 36 18 57,185 110 31 295 392 428 Negative 228,266 1,323 362 1 Excludes St. Joseph's and Royal Jubilee Hospitals, Victoria. TUBERCULOSIS CONTROL REPORT, 1951 D 29 There was a decrease in the total number of clinic examinations, there being 96,445 in 1950 and 92,665 in 1951. This year 63,439 were re-examined, an increase of 6,707 over those completed in 1950. New examinations showed a decline from 39,713 in 1950 to 29,226 in 1951. During 1951 there were 11,074 examinations conducted by travelling clinics; this was a decrease of 2,286 from the 1950 total of 13,360 examinations. Table 4.—New Examinations and Re-examinations during the Years 1947 to 1951 (Excluding Indians.) Total Examined New Examinations Old Examinations Year Total Stationary1 - Travelling2 Total Stationary Travelling Total Stationary Travelling 1947 _ 1948 1949 79,447 95,237 97,631 96,445 92,665 65,250 81,708 84,042 83,085 81,591 14,197 13,529 13,589 13,360 11,074 37,900 42,800 43,318 39,713 29,226 31,991 36,564 37,553 35,816 26,110 5,909 6,236 5,765 3,897 3,116 41,547 52,437 54,313 56,732 63,439 33,259 45,144 46,489 47,269 55,481 8,288 7,293 7,824 1950 1951 9,463 7,958 1 Includes stationary diagnostic and stationary survey. 2 Does not include mobile buses. Source: Daily Report of Clinics, Form T.B. 71, and Case Examination, Form T.B. 1. D 30 DEPARTMENT OF HEALTH AND WELFARE Chart 2.—New Examinations and Re-examinations by Stationary Clinics, 1942-51 No. of Cases (in 000's) 100 r (Excluding Indians.) t^^^ / / / / / -?_/ £* > r *--«. V \ \ \ / 4 / m. „. • / \ \ — t» r-' / / .- — / «•-• 1942 1943 1944 1945 1946 1947 1948 1949 19-0 1951 TUBERCULOSIS CONTROL REPORT, 1951 D 31 Chart 3.—New Examinations and Re-examinations by Travelling Clinics, 1942-51 (Excluding Indians.) Total Examinations :--.=--- « ^ >Jew Exa Re-exarr minations .-"-"*— -~l ~~~" *-■*?.=. New cases of pulmonary tuberculosis diagnosed in clinics contributed 3.2 per cent of all cases diagnosed, an increase of 1.3 per cent over the percentage for 1950. Cases found normal decreased slightly from the previous year's figure. NEW CASES EXAMINED BY CLINICS Table 5.—Clinic Examinations by Diagnosis, 1951 (Excluding Indians.) Diagnosis Number Per Cent of of Cases Cases Examined 941 3.2 15 0.1 51 0.2 1,034 3.5 516 1.8 26,669 91.2 Pulmonary tuberculosis Tuberculous pleurisy and other .tuberculosis of respiratory system.. Non-pulmonary tuberculosis _.. . Other pulmonary diagnoses- Other (other non-pulmonary diagnoses, undiagnosed and suspect).. Normal Total new cases examined- 100.0 Source: Case Examination, Form T.B. 1. D 32 DEPARTMENT OF HEALTH AND WELFARE to co fc P O M O i W o < Q Z < X w co O z o < CO U CJ t-_ M 3 J < i-1 Q fl o X m < w a > < O w z; z a h M w s H O co W CO < u w ►J CO XBjox Puejo CN cn -«■ r- CN (S cn as cn <N rt \D on ro ■«* r- r- a\ cn cn f CSi (N CM cn t~- fi (N CN O ft m ft Tf oo m rn in cn f - r-i C i_n in 3 O 0) .o 3 a o Z sisotnojsqnj-uoj^ pnox CnNI^'*0C00t-t'<r|-r->^'*O0VMr-l^,O\r-r-r-^lr-r-O'- — ^cNf"^^cNcNcnrnvosC--(N\Cr--oec--cNr--ortcN *— fl ft ft fl IN fl Ov in o in josdsns ,-. ,_,_Hf<,--(NfCN—'tN ,_ (S O oo oo m CN pasouSeipuft NNNi-ih IficnrncNCNOOQOrnosOOsrtintnrtcNrnT-i rH rH^H^_,(vj^_.(ri^,c-li-" - O ft --d- oo cn cn CN CN CN CN «n rt SSSOUSEIQ AjBuouiind-uoM -iaqio (N M>- IHC. I-h^-i | jHTf* tm^WtmHH j ,-( | ! uiajs^s ^Jojeynojio Sill JO S3SE3SJQ -iii ii'- i*'- i r i ! r- >n n XiBuouiinj jaiDO ,tmcOTtO\»M""riOOm«a\MrriKr-coxT)-OOii*)Mm'-i HHHHNr.ninmr.inMOKN'^M'-1 O r- MO (N m cn r- 00 m sisoojns I | i i j^ | h oi* ' H j vi cn j j o\ rt suisEjdoaN i ! i— cn | | f-cn i-i *-t p)H(SMtr_9DiHmm i ft i (N fi 0\ Tf OO m m t- rt cn ■EUI9XdUI3 - Xsijnsitj 1 ;<N !Ti-m»nmr-oosoo\coor-oct-vc^Cf, r-'—'-i i-i mi-inr-^HitH»- ■* >n cN tN CN (N rH B 0 u u 3 H 3 O s 3 & 3 O Z XjBuomind-uojsi l^JOX rt r- CN CN m AjBuouqnd-uoN jsqiO 1 ] || || | | | ; i I-- - | i - i|| f cn rt saSuiuaj^i i i m r |- ■ |— | ! | | (N CN rt umauojjJSd pun S3uijS3]ui jo -g-x iii! - i n - n i j'lM i i ! fi cn rt uiajsAs XjBuun -OJTU30 jo '9'X 1 1 1 j 1 1 1 1 1 ft ft w f c^ ro h | I iii! oo cn rt Os m uisjsAg DrjBqdurXx jo ax TH ,-H j j 1-1 ,-H j j 1-H H(T) llH H |M j t 1 1 1 I 1 1 ORSJO'H'X 1 1 1 I 1 1 1 I I" i 1" 1 1 ! 1 II 1 : 1 .1 1 II Wf, CN SJUIOf pUB sauog jo 'a'X i -• r m - i i- in— i i rt in rt utunjoo jBjq3;j3AJO-g-x m — (JaqiO) uiajs^s XJOjBJidsaH a'X " 1 1 1 1 1 I I 1 II 1 1 II 1 I II 1 1 : : 1 : 1 ~ - uoisnjjg 3noit;tA\. Asunau |'|- | 1 1 ! 1 ! 1 I 1 1 —I'M i '■ ■ >c r- fi"_ uoisnjjH qjrM Asunajj I | I in 1 |rtfinM<irJn | i | ; H cd C O 1 Xjbuouiiu j ibjox r-i-t(SO^tftoooooofon^fOTi-oo»-or-^-(NcscSTf - 1 >n \o CM fi m rt rt Os pajBjs Jon 3dXx 1 II 1 1 1 1 1 1 1 1 1 M 1 M M i I 1 1 1 M rn : ~ sisoDijis qjiM p3DU£ApV -*M © vD in r-i vO sC c OS 3 sC p33UBApV 1V£ j ft i I I I ; imOMHHin»nc\nor.m | j j j pSDUBApV ! cn wn as \C= r- t-' cnOr-Ost--cnir.coir.iN I ft 1 I f> CN t*l f H CS TH f> t- CN OS cn r- rn CN IBUIIUipM m^t^V.X'sfO\OMON\Of*.,tMOr.Of'.(r' " : XJBUIU(J r-0(NO^CCr|i-iHN ft CN | rn r- |H i> \o cn o a i 00 < 2 rt 4 b,s G d,2 J 6 J a r^ J c c 1 c o c sC a r~ J c r- o •3 3 KJ o 00 2 TJ g D V c 2 fe 0 1 & o "3 3 rt 0 TUBERCULOSIS CONTROL REPORT, 1951 D 33 The registration of new cases of pulmonary tuberculosis in 1951 showed a slight increase over the figure of 921 for 1950. Of the new cases found, 483 or 51.4 per cent were classed as active or quiescent pulmonary tuberculosis, which is an increase over the 1950 percentage of 48.2. Of the cases diagnosed, 63.9 per cent had minimal tuberculosis. Table 7.—New Cases of Pulmonary Tuberculosis Examined by Clinics, by Infection and Condition, 1951 Infection and Condition Vancouver Tranquille Victoria New Westminster Coast Kootenay Interior Vancouver Island Total Primary Apparently cured Arrested Apparently arrested.. Quiescent Active improved Active unimproved—. Active not stated Condition not stated Minimal Apparently cured Arrested Apparently arrested. Quiescent Active improved Active unimproved __ Active not stated Condition not stated Moderately advanced.. Apparently cured Arrested Apparently arrested. Quiescent Active improved Active unimproved... Active not stated Condition not stated Far advanced Apparently cured _____ Arrested Apparently arrested Quiescent Active improved Active unimproved._ Active not stated Condition not stated Total pulmonary Apparently cured _.... Arrested Apparently arrested Quiescent.- Active improved Active unimproved.._ Active not stated Condition not stated 43 2 2 10 18 11 282 53 20 61 41 98 9 112 2 4 9 17 1 77 2 43 37 480 55 26 74 72 1 230 22 1 10 2 2 2 1 2 1 2 13 2 2 2 1 4 46 2 12 6 22 21 2 3 11 75 2 14 10 37 1 71 40 15 1 1 10 4 22 4 3 1 100 45 18 2 2 25 19 1 4 6 4 39 19 4 5 3 65 19 6 9 10 1 87 50 4 16 1 3 13 14 1 114 54 4 18 1 3 30 2 43 12 12 11 1 2 3 23 2 1 3 13 62 31 12 2 14 | 1 14 3 4 15 83 3 3 7 18 7 25 20 601 180 70 103 83 7 138 20 190 7 12 19 33 1 109 9 66 1 2 6 56 1 940 191 85 . 131 140 15 328 50 Source: Case Examination, Form T.B. 1. D 34 DEPARTMENT OF HEALTH AND WELFARE The total number of X-ray examinations increased from 228,753 in 1950 to 278,734 in 1951. This indicates that one out of every four persons in British Columbia (excluding Indians) had an X-ray. X-rays taken in general hospitals increased from 45,210 in 1950 to 71,410 in 1951, while slight decreases occurred in both stationary and travelling clinics. Mobile-unit X-rays, which showed a considerable decline in 1950, numbered 108,298 in 1951. Table 8.—Number of X-ray Examinations (Chest and Other) Made by Institutions, Stationary Clinics, Travelling Clinics, Mobile Units, and General-hospital Units, 1942-51. Institutions Stationary Travelling Mobile Stationary Metropolitan General- hospital Units Year Diagnostic Survey Diagnostic Survey Provincial Metropolitan Total 1942 3,692 4.121 20,135 24.199 12,323 13,329 12,124 12,613 11,289 12,996 13,399 13,508 13,360 11,074 2,914 764 763 1,063 91 36,150 1943 4.374 55,868i 89,779i 99,103i 155,6741 127-0811 140,7221 80,686' 26,434 46,023 1944 3.881 1 14.315 1 26173 115,275 1945 3,858 6,667 5,196 6,111 6,432 6,412 6,361 11,075 16,781 20,986 24,144 27,695 28,500 29,192 28,850 45,810 44,196 57,428 56,374 54,585 52,399 146,939 1946 ... 180,413 1947 240,111 1948 _ - ■ 228,254 1949 244,731 1950 i _ts7in 228,753 278,734 1951 57,509 24,355 71,410 1 No breakdown available for mobile units prior to 1951. Source: X-ray Ledger T.B. 73 and Clinic Ledgers T.B. 71 and T.B. 41. TUBERCULOSIS CONTROL REPORT, 1951 D 35 Chart 4.—X-ray Examinations (Chest and Other) Made by Institutions, Stationary Clinics, Travelling Clinics, Mobile Units, and General Hospitals, 1942-51. No. of X-Ray (in 000's) 275 Sjfe 4y _. i /-,_ „. / ±4 4' ^-* ,' 4* / * * ^ tics Institutions 194Z 1943 1944 1945 1946 1947 1948 1949 1950 1951 D 36 DEPARTMENT OF HEALTH AND WELFARE Chart 5.—X-ray Examinations Made by Institutions, Diagnostic and Treatment Clinics, Survey Clinics, Mobile Units, and General Hospitals, 1942-51 1943 1944 1945 1946 1947 1948 1949 TUBERCULOSIS CONTROL REPORT, 1951 D 37 GENERAL SUMMARIES Table 9.—X-ray Report for Stationary Clinics and Institutions, 1951 Vancouver Tranquille Victoria St. Joseph's Oriental Hospital New Westminster Jericho Beach Total X-rays taken Chest X-rays— Flat— 24,064 1,994 17,966 585 42 28 339 279 414 1,551 5 5 89 34 14 45 14 4,041 10,167 197 152 17 194 222 21 54 4,243 1,985 1,849 4 3 59 128 11 2 49 35 23 16 5,618 609 66 4 7 2 7,122 433 6,139 14 16 273 20 39 7 91 2 2 19 20 1 1 1,504 2,250 4 43 1 1 253 198 55 998 51 3,448 3,361 2 17 1,180 68 708 435 216 2 1 5 1 12 1 26 2 7 972 39,838 5,045 29,586 V.D. Division Stereoscopic— 599 64 307 Planograph— 423 319 Other chest— 561 1,671 9 Gastro-intestinal— 7 Bones and joints— 183 91 V.D. Division Other— 14 76 31 Fluoroscope— 13,133 14,257 201 218 21 V.D. Division __ __ Electrocardiogram— In-patient 194 Indian Department examinations... Lipiodol injection— 333 29 57 Source: X-ray Ledger T.B. 73. L D 38 DEPARTMENT OF HEALTH AND WELFARE Table 10.—Laboratory Report, 1951 Vancouver Tranquille Victoria St. Joseph's Oriental Hospital New Westminster Jericho Beach Total Sputum tests— Routine— 7.584 3,581 1 340 646 1,127 15,726 1,743 542 7 467 134 5 566 133 3 481 103 3 447 835 310 65 2,140 355 39 14 170 11 213 741 467 192 71 135 2,872 364 373 20 409 165 1,574 325 750 227 556 79 574 75 572 75 249 691 338 117 3,367 107 13 74 25 404 3 838 6 1,026 1,554 1,363 1 42 106 1 263 2,213 1 260 44 216 40 196 41 198 45 7 15 58 5 255 12 1 ~2 268 583 8 19 4 311 3 15 42 144 19 142 19 50 53 48 21 43 59 1 27 1,800 717 388 40 83 55 79 5 84 6 86 6 50 32 64 23 430 24 1 9 2,582 8,950 6,468 366 Concentrated—■ Stomach washings— 797 799 Guinea-pig inoculation— 410 165 Blood tests— Sedimentations— 3,496 Out-patient V.D. Division Haemoglobin— 20,123 1 2,978 887 V.D. Division Red-blood count— 7 1,368 258 V.D. Division White-blood count— 5 1,473 255 V.D. Division Differential— 3 1,385 Out-patient _ V.D. Division..- 229 3 774 V.D. Division 1,573 V.D. Division Kahn— In-patient 813 210 Urinalysis— Routine— 6,251 498 V.D. Division Quantitative— 53 14 V.D. Division 244 36 621 Cultures— Sputum— 1,012 Out-patient Other- In-patient 1,050 1,038 96 1,174 Source: Daily Laboratory Ledger T.B. 72. TUBERCULOSIS CONTROL REPORT, 1951 D 39 During 1951 the total number of bronchoscopies increased from 652 in 1950 to 723. Both the Vancouver and Victoria clinics accounted for the increases. Table 11.— -Number of Bronchoscopies by Institutions and Clinics , 1942-51 Total Institutions Clinics Year Total Tranquille Vancouver Victoria Total Tranquille Vancouver Victoria Total Tranquille Vancouver Victoria 1942 . . 1943 ___ 1944 206 184 243 285 353 452 700 683 652 721 18 26 31 9 3 72 258 210 146 145 188 157 204 274 334 366 415 437 485 539 1 8 2 16 14 27 36 21 37 148 117 143 127 174 297 552 554 486 513 18 26 30 9 3 72 252 210 146 145 130 90 108 117 160 211 273 308 319 332 1 5 1 11 14 27 36 21 36 58 67 100 158 179 155 148 129 166 208 1 6 58 67 96 157 174 155 142 129 166 207 3 1945 .__ 1946 1947 1948 1 5 1949 1950 195U 1 i Does not include two bronchoscopies done in the Kootenay Travelling Clinic. Source: Institutional Ledger T.B. 70 and Clinic Ledger T.B. 71. Table 12.—Dental Report, 1951 i Includes St. Joseph's Oriental Hospital. Source: Ledger T.B. 74. Vancouver1 Tranquille Victoria Jericho Beach Total Patient-visits— 1,299 436 200 45 62 15 456 114 591 316 82 20 3 6 371 175 4,325 83 1,538 4 94 3 673 5 922 558 1 596 3,850 453 35 164 5 11 1 60 2 228 15 59 58 112 2 852 40 323 67 27 87 67 15 2 199 709 3,613 475 Examinations— 525 50 Consultations— 103 16 Extractions— 1,276 121 Fillings, including cement bases— 1,808 331 Prophylactic treatment— 714 21 Surgical removal, impacted teeth— 63 6 Denture fittings— 1,278 177 X-rays Other 9,736 123 D 40 DEPARTMENT OF HEALTH AND WELFARE Table 13.—Eye, Ear, Nose, and Throat Report, 1951 Vancouver Tranquille Victoria Total Patient-visits— In-patient- Eye Out-patient Examinations— In-patient Out-patient Prescriptions— In-patient Out-patient Refractions— In-patient Out-patient Other treatments— In-patient. Out-patient Consultations— In-patient Out-patient . N/UL-JjailClll.— Ear, nose, and throat- Examinations— In-patient Out-patient._. Treatments— In-patient Out-patient— Consultations— In-patient Out-patient. Surgical procedures 239 42 157 5 78 107 1 3 87 36 19 12 10 2 198 2 35 26 93 22 445 44 291 5 145 190 46 Source: Ledger T.B. 75. TUBERCULOSIS CONTROL REPORT, 1951 INSTITUTIONS D 41 The number of patient-days in tuberculosis institutions remained substantially the same as in 1950. It is interesting to note that there was a considerable decrease in the number of refills both for pneumothorax and pneumoperitoneum. Table 14.— Institutions—General Summary, 1951 Item Vancouver Tranquille Victoria St. Joseph's Or'ental Hospital Jericho Beach Total 78,380 328 343 68 1,890 117,197 353 344 R9 3,622 27,151 132 139 24 637 18,204 60 58 13 382 33,028 55 58 7 238 273,960 Admissions Discharges Treatments— Pneumothoraces— 928 942 201 Refill Oleothorax— 6,769 ___ Refill Pneumoperitoneum— 44 1,487 133 75 58 20 1 1 3 36 1 27 3 332 80 541 163 10 43 2 49 58 39 10 2 1 10 598 46 7 438 15 15 773 7 78 Refill 3,345 259 Thoracoplasties— Stage 1 - 114 Stage 2 68 Stage 3 22 2 I 3 Phrenic— 1 37 1 54 11 145 14 36 29 3 2 1 95 14 296 - 4 2 5 513 405 59 10 8 544 228 23 56 Source: Clinic Ledgers T.B. 71 and T.B. 41 and Institutional Ledger T.B. 70; Admission Form T.B. 78 and Discharge Form T.B. 79. Table 15.—Number of Pneumothoraces (Initial and Refill) Given by Institutions, Stationary Clinics, and Travelling Clinics, 1942-51 Total Initial Refill Year Total Initial Institutions Stationary Clinics Traveling Clinics Total Refill Institutions Stationary Clinics Traveling Clinics 1942 12,766 14,937 16,828 17,121 21,883 21,919 21,788 22,393 21,139 20,251 299 401 344 327 413 354 339 334 286 207 295 ! 4 392 1 5 337 2 325 | 1 397 [ 5 350 '' 1 336 j 2 328 i 5 279 | 7 201 ! 6 12,467 14,536 16,484 16.794 21,470 21,565 21,449 22,059 20,853 20,044 7,293 9,132 10,375 9,678 12,347 12,698 12,745 11,066 9,174 6,769 5,092 5,255 5,841 6,892 8,799 8,616 8,617 10,873 11,649 13,247 82 1943 _______ 1944 _____ ______ 1945 _ 1946 ____ 1947 4 5 1 11 3 1 1 149 268 224 324 251 1948 ....... 1949 -_ ... 87 120 1950 30 1951 28 Source: Clinic Ledgers T.B. 71 and T.B. 41 and Institutional Ledger T.B. 70. D 42 DEPARTMENT OF HEALTH AND WELFARE Table 16.—Institutions—Patient Status (As of December 31st, 1951.) Item Cases on pneumothorax— In-patients _ Out-patients-. Status of patients in residence— Patients in residence, December 31st, 1951... Cases with effusion with pneumothorax Cases with effusion without pneumothorax __ Cases of tuberculous empyema with pneumothorax : Cases of tuberculous empyema without pneumothorax- Cases with positive sputum with collapse therapy. Cases with positive sputum without collapse therapy. Cases with negative sputum with collapse therapy — Cases with negative sputum without collapse therapy. Cases receiving occupational therapy- Cases supervised by teacher Total Number 187 365 Per Cent 100.0 100.0 Number 736 2 3 132 343 106 151 358 155 Tranquille Number 75 17 Per Cent 40.1 4.7 Number 310 40 167 35 68 140 65 Vancouver1 Number Per Cent 63 276 33.7 75.6 Number 260 2 3 59 81 56 62 147 52 Victoria Number Per Cent 27 72 14.4 19.7 Number 77 15 34 15 46 35 Jericho Beach Number Per Cent 22 11.8 Number 89 18 61 7 6 25 3 i Includes St. Joseph's Oriental Hospital. Source: Clinic Ledgers T.B. 41 and T.B. 71 and Institutional Ledger T.B. 70. Admissions to the five institutions totalled 928 in 1951. Although the greatest number of admissions occurred in the 20-29 and 30-39 age-groups, it is interesting to note that there was an increase in admissions in the age-groups over 40 years of age. Table 17.—Admissions by Age and Percentage of Total Admissions in Each Age-group, 1947-51 1947 1948 1949 1950 1951 Age-group Number Per Cent Number Per Cent Number Per Cent Number Per Cent Number Per Cent 0- 9 -_ 1 53 333 241 120 82 51 17 0.1 5.9 37.1 26.8 13.4 9.1 5.7 1.9 56 287 214 115 68 49 22 3 6.9 35.2 26.3 14.1 8.4 6.0 2.7 0.4 2 56 328 243 157 89 70 25 3 0.2 5.8 33.7 25.0 16.1 9.1 7.2 2.6 0.3 18 61 312 224 131 87 70 25 1.9 6.6 33.7 24.1 14.1 9.4 7.5 2.7 5 42 262 241 151 109 82 36 0.6 10 19 _ 4.5 20 29 28.2 30-39 26.0 40-49 16.3 50-59 11.7 60 69 8.8 70 and over_ Not stated _ 3.9 898 1 100.0 814 100.0 973 100.0 928 100.0 928 1 100.0 Source: Institutions, Admissions, Form T.B. 78. D 44 DEPARTMENT OF HEALTH AND WELFARE The largest group entering sanatoria in 1951 were those with moderately advanced chest lesions, which comprised 43.3 .per cent of total admissions. Of the 143 admissions for males in the far advanced stage, 74 per cent were over 40 years of age, while 55 or 75.8 per cent of the admissions for females in the same stage of infection were under 40 years of age. Substantially the same distribution occurred in both the minimal and moderately advanced stages. Table 18.—Admissions by Diagnosis, Sex, and Age, 1951 Age-group Diagnosis u OJ d u £•5 a .ait !_.« p3a ha. o OQ 0- 4 _._M. 5- 9 ' F. __„M. 10-14 ' F. M. 15-19 F. M. 20-24 F. M. 25-29 F. ____.M. 30-39 " F. ___M. 40-49 F. M. 50-59 _ _ _ F. ___M. 60 69 F. M. F. M. F. M. Totals F. M. Grand totals F. 1 I 2 11 I 1 I 3 2 18 16 36 17 34 24 49 33 9 24 2 12 2 6 134 154 2 6 7 21 36 23 39 39 64 40 22 42 12 31 4 12 1 215 187 402 6 7 7 13 22 30 34 9 29 30 3 13 4 143 66 209 1 5 11 25 43 84 47 152 109 42 95 14 73 9 31 5 502 426 3 2 6 36 127 135 241 151 109 82 36 928 Source: Institutions, Admissions, Form T.B. 78. Chart 7.—Admissions to Institutions by Diagnosis and Age on Admission, 1951 0 20 40 60 80 100 120 140 160 180 Age Group 10-19 yrs 20-29 yrs. 30-39 yrs 40-49 yrs. 50-59 yrs. 70 yrs. & I Minimal 60-69 yrs. | ■ Moderately Advanced I Far Advanced D 46 DEPARTMENT OF HEALTH AND WELFARE Table 19.—Admissions by Diagnosis, Sex, and Racial Origin, 1951 Diagnosis Racial Origin Primary Minimal Moderately Advanced Far Advanced Tbc. Pleurisy with Effusion Tbc. Pleurisy without Effusion Other Diagnoses Total .._____ M. 5 9 79 80 122 86 71 33 2 1 277 F. 211 T. 14 159 208 104 2 1 488 European races ___ M. 1 32 56 42 1 132 F. 1 39 61 19 1 1 2 124 T. 2 71 117 61 1 1 3 256 Chinese M. 9 9 12 1 11 32 F. 10 T. 18 13 11 42 Japanese — .......M. 5 1 5 11 F. 6 8 4 18 T. 11 9 9 29 Hindu M. F. 1 1 1 3 T. 1 1 1 3 Half-breed and Indian . - M. 2 4 2 8 F. 3 14 3 20 T. 5 18 5 28 ... M. 2 5 18 9 1 35 F. 1 17 16 6 1 41 T. 3 22 34 15 2 76 Other M. F. 1 1 1 2 1 4 2 T. _ ____ M. 1 2 3 6 Totals 8 134 215 143 2 502 F. 11 154 187 66 3 1 4 426 Grand totals 19 288 402 209 3 1 6 928 i Includes United States. Source: Institutions. Admissions, T.B. 78. TUBERCULOSIS CONTROL REPORT, 1951 D 47 Table 20.—Admissions by Diagnosis, Sex, and Type of Case, 1951 Diagnosis Type of Case Primary Minimal Moderately Advanced Far Advanced Tbc. Pleurisy with Effusion Tbc. Pleurisy without Effusion Other Diagnoses Total by Sex Total New case M. F. Review M. F. Readmission M. F. 4 7 3 3 1 1 100 103 5 15 29 36 129 85 14 26 72 76 84 22 3 3 56 41 2 1 1 1 3 1 1 318 223 26 48 158 155 541 74 313 Totals M. F. 8 11 134 154 215 187 143 66 3 1 2 4 502 426 Grand totals 19 288 402 209 3 1 6 928 Source: Institutions, Admissions, T.B. 78. During 1951 there were 541 first admissions, of which 47.1 per cent were admitted to Tranquille, 35.5 per cent to Vancouver, and 11.1 per cent to Victoria. Table 21. —First Admissions by Institution and Diagnosis, 1951 Total Institution Diagnosis Tranquille Vancouver1 Victoria Jericho Beach Number Per Cent Number Per Cent Num- Per her Cent Number Per Cent Number Per Cent Primary 11 203 214 106 3 4 2.0 37.5 39.6 19.6 0.6 0.7 7 104 90 48 3 3 2.7 40.8 35.3 18.8 1.2 1.2 3 ] 1.6 67 | 34.9 90 46.9 31 | 16.1 • - 1 1 0.5 1 25 23 11 1.7 41.7 38.3 18.3 7 11 16 20.5 32.4 47.1 Tuberculous pleurisy Totals 541 100.0 255 100.0 192 | 100.0 1 60 100.0 34 100.0 i Includes St. Joseph's Oriental Hospital. Source: Institutions, Admissions, Form T.B. 78. Table 22.—First Admissions by Diagnosis (Percentage Distribution), 1947-51 1947 1948 1949 1950 1951 Diagnosis Number Per Cent Number Per Cent Number Per Cent Number Per Cent Number Per Cent Primary— Minimal— 5 137 241 145 6 0.9 25.1 44.1 26.6 1.1 3 148 226 98 0.6 30.5 46.5 20.2 1 174 242 117 6 0.2 31.8 44.2 21.4 1.1 3 199 208 107 3 6 0.6 37.8 39.6 20.3 0.6 1.1 11 203 214 106 3 4 2.0 37.5 39.6 19.6 4 1 0.8 7 | 1.4 0.6 12 | 2.2 7 [ 1.3 0.7 Totals 546 1 100.0 486 1 100.0 547 1 100.0 526 1 100.0 541 100.0 Source: Institutions, Admissions, Form T.B. 78. d 48 department of health and welfare Chart 8.—First Admissions to Institutions by Institution and Diagnosis, 1951 No. of First Admissions 300 250 200 150 100 TOTAL minimal mod. adv. far adv. other diag. tranquille VANCOUVER VICTORIA TUBERCULOSIS CONTROL REPORT, 1951 D 49 Chart 9.—First Admissions to Institutions by Diagnosis (Percentage Distribution), 1947-51 ^va»«i^i — m * / / V ** ^^j s / m—m ^__«« m ^^^ i X\ ,«%££> a^^^ 1942 1943 1944 1945 1946 1947 1948 1949 1950 D 50 DEPARTMENT OF HEALTH AND WELFARE Of the 106 cases of far advanced tuberculosis, 67 or 63.2 per cent were admitted within one month of application, while of those with moderately advanced tuberculosis, 64 per cent were admitted to sanatoria within two months of application. Table 23.—First Admissions by Diagnosis, Sex, and Time between Application and Admission, 1951 Length of Time between Application and Admission Diagnosis zs us: u 3 ■° £ c3 2% 05 C tN O a cn 0 ca .a c ** o (.2 X a in O 4S \C o i/->S X c tj- 0 NO<5 X c oo O ciS c On O oiS a.__- OS Sea "ca o Primary M. F. 5 1 2 1 1 1 _-_ — 4 7 11 M. 6 10 16 45 20 32 34 9 16 5 5 2 1 1 .... 1 100 103 F. 203 M. 8 7 33 41 25 23 27 9 23 2 8 3 4 1 129 85 F. 214 •. -M. 9 5 43 10- 10 5 12 1 8 1 1 1 — — 84 22 F. 106 Tuberculous pleurisy with effusion M. F. 2 — -- 2 2 Tuberculous pleurisv without effusion M. F. 1 — 1 1 Other diagnoses M. F. M. 1 1 1 1 — — 1 3 4 Totals 24 92 56 75 48 14 5 1 1 2 318 F. 23 104 61 21 8 6 — 223 47 196 117 96 56 20 5 1 1 2 541 Source: Institutions, Admissions, Form T.B. 78. Table 24.—Institutional Patient-days of the Division of Tuberculosis Control, 1942-51 1 As the Jericho Beach unit opened in July, 1947, this figure is for part of the year only. Source: Institutional Summary, 1951. Year Total Tranquille Vancouver Victoria Jericho Beach 1942 223,331 230,561 222,822 226,994 244,264 269,495 305,169 266,894 273,972 273,960 116,823 123,280 122,298 117,866 121,197 118,545 115,819 114,610 116,932 117,197 81,441 79,935 75,562 83,111 96,503 110,584 128,825 92,664 96,695 96,584 25,067 27,346 24,962 26,017 26,564 26,559 27,463 26,993 27,348 27,151 1943 1944 1945 1946 . . 1947 13.8071 1948 1949 33,062 32,627 1950 32,987 1951 33,028 TUBERCULOSIS CONTROL REPORT, 1951 D 51 Days (in 000's) Chart 10.—Institutional Patient-days of the Division of Tuberculosis Control, 1942-51 Total Tranqu1^ r * 0* ~* + m ■" mmm mmam rnmmrn --" >* - +* \ """ ■__________■ ■__» ■_■> MB ^^^ «»*^ Victoria ' N Jericho Beach * i 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 D 52 DEPARTMENT OF HEALTH AND WELFARE Table 25.—Discharges from Institutions by Condition on Discharge, 1947-51 Condition 1947 1948 1949 1950 1951 Number Per Cent Number Per Cent Number Per Cent Number Per Cent Number Per Cent Arrested Apparently arrested Quiescent 28 125 265 79 89 195 29 3.5 15.4 32.7 9.8 11.0 24.0 3.6 20 112 313 106 86 148 31 2.5 13.7 38.4 13.0 10.5 18.1 3.8 26 151 377 114 131 149 33 2.7 15.4 38.4 11.6 13.3 15.2 3.4 23 135 385 125 118 99 18 2.5 15.0 42.6 13.8 13.1 11.0 2.0 19 147 396 121 121 102 36 2.0 15.6 42.0 12.9 Active unimproved Dead 12.9 10.8 Other diagnoses 3.8 Totals . 810 100.0 816 100.0 981 100.0 903 100.0 942 100.0 Source: Institutions, Discharges, Form T.B. 79. TUBERCULOSIS CONTROL REPORT, 1951 D 53 Chart 11.—Percentage Distribution of Discharges from Institutions According to Condition on Discharge, 1942-51 • *m> — > / / m ^» ^— / / / "-- ^_-p * / \ / \ \ & Improved .4* 4* 4* r \ \ \ j __, \ *'^ N?*^**5^ \ / >< «*» ^ v^ i^^^^ted — 1942 1943 1945 1946 1947 194 1949 1950 D 54 DEPARTMENT OF HEALTH AND WELFARE During 1951 there were 942 discharges from institutions. This is an increase of 39 over the 1950 discharges. Of those discharged, 42 per cent were quiescent, 15.6 per cent were apparently arrested, 12.8 per cent were active improved, 12.8 per cent were active unimproved, and 10.8 per cent were deaths. Table 26.—Discharges from Institutions by Condition on Discharge, Sex, and Length of Treatment during Previous Admissions, 1951 irge Length of Treatment during Previous Admissions Condition on Disch Not Under 1 1-4 4-8 8-12 1-2 2-3 3-5 Over 5 Admit Total Total Month Months Months Months Years Years Years Years ted by Sex Before Apparently cured __M. F. 1 1 1 2 3 2 5 Arrested „..M. 1 1 1 1 1 8 13 F. 1 1 4 6 19 Apparently arrested . ...M. 2 10 4 6 2 2 1 51 78 F. 3 6 4 7 5 3 41 69 147. Quiescent __..M. 4 11 12 10 21 7 8 3 95 171 F. 2 6 25 17 23 7 6 1 138 225 396 ___.M. 3 3 5 4 5 3 1 1 5 4 3 ...... 2 26 56 43 78 F. 121 Active unimproved ___.M. 3 5 4 5 11 7 1 34 70 F. 1 4 1 2 10 8 1 24 51 121 Dead M. 2 5 1 2 2 9 6 3 5 4 1 2 1 46 13 73 29 F. 102 Non-pulmonary M 2 3 2 3 F. 5 M. 3 1 3 1 F. 4 Undiagnosed „..M. 2 1 1 1 3 8 F. _.M. 2 1 2 1 .__.__ 8 14 22 Totals 8 26 37 26 50 25 15 9 268 464 F. 6 20 38 28 53 32 " 2 288 478 14 46 75 54 103 57 26 11 556 942 Source: Institutions, Discharges, Form T.B. 79. Table 27.—Discharges from Institutions by Condition on Discharge, Sex, and Length of Last Stay in Institution, 1951 Condition on Discharge Length of Last Stay in Institution Under 1 Month 1-4 Months 4-8 Months 8-12 Months 1-2 Years 2-3 Years 3-5 Years Over 5 Years Not Stated Total by Sex Total Quiescent Apparently cured M. F. Arrested _ _. M. F. Apparently arrested —M. F. _M. F. Active improved M. F. Active unimproved M. F. Dead ____ _ M. F. __M. F. Non-tuberculous M. F. Undiagnosed M. F. Non-pulmonary Totals 10 15 15 32 5 3 10 16 14 7 63 78 2 2 8 6 33 43 9 14 28 9 14 3 2 2 3 2 6 101 85 Grand totals _ 141 186 5 1 26 7 49 52 13 19 15 10 12 2 121 95 2 15 17 25 48 9 16 4 4 7 4 1 1 14 20 35 42 4 22 9 9 13 6 61 91 78 101 20 19 11 7 216 152 39 10 3 2 13 6 78 69 171 225 43 78 70 51 73 29 2 3 3 1 8 14 464 478 19 147 396 121 102 942 Source: Institutions, Discharges, Form T.B. 79. TUBERCULOSIS CONTROL REPORT, 1951 D 55 Table 28.—Discharges from Institutions by Condition on Discharge, Sex, and Home Condition, 1951 Condition on Discharge Active Inactive 3 O 3 Home Condition d a T3 X > +_ £ O w •o DT) c C o o, £ T> T 3 C d "rt E s a __. u £-3 u D O < << <CU Q Z Z 5 H H Satisfactory .. M. 30 52 158 12 74 3 2 3 6 340 F. 73 35 220 6 68 2 3 1 12 420 760 Unsatisfactory M. F. 9 2 13 11 7 3 2 .... 31 16 47 Unknown M 4 5 6 1 2 73 2 93 F. M 3 5 2 1 29 2 42 135 Totals 43 70 171 13 78 3 73 | 2 3 8 464 F. 78 51 225 6 69 2 29 | 3 1 14 478 121 121 396 19 147 5 102 1 5 4 22 942 Source: Institutions, Discharges, Form T.B. 79. D 56 DEPARTMENT OF HEALTH AND WELFARE o H go pq H to ON a. rt D O rt a i w o < z <5 a O u « -1 h U 03 rt w 3 rt pq P H a z H CO W H O K W « _D H o u ►J CQ - „ •a •a B OJ U u Cas Not porl r- so rn «n on I cr. *-4 O On V) | | TJ; ifr «h r- : i : 00 co © m no on co sC NO O cn rn rn no in I d t^drii: i NO Ifin'o ! t-^ rn 00 ci no no CN ON ON a O — D a a<o pj Ih HO T3 z OJ HJ OJ foil O tN rn i-i CJ ! 00 Htnwn ! SO CN ■** cn j j | OS m oo cN \n © >n u-. 00 Tf tt o\ -^ oa OO Tf <U m ^f cn « i-> <n so H Zoo; ~" *J k o> C <o > U * « ,_0 CD m o cn cN cn o On 00 rn on m ! : NO oo on © © r- I CN m © cn in no m © cn <U <n >n no oo m" © \6 <n m' no i> ! ON m m m © no ! 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[_H o w c H S» ca cn H -J D c/3 W rt o z p W H O rt w CO H o a ca < +hTJ O o> p35JOd3"a 50M O c ON © c « ! NO On p3jjoda>[ jo,n; S3SBO jo jsqumM © m 1-H | | cn 1- SO NO OO Tf S3SU3 JO JU93 J3(I NO in On cn ; ; CN On ' ' Tf in ON r- on t- on in no ci r- i-h m ON 9AJJB§3^ sasHO jo jaqumjsi OO NO © rn © ! m OO ON 1-H OO 1-H Tf © Tf ©" 00 Tf so rn rt 00 (U z in 4) H u « & "55 2 o 3s t-i >i oh j.& E 3 z upjm © m © cn © © en on cn i-h CN NO no" cn NO NO oC ■8WI © On m QO ! m ! On Tf •3JM0I/I CO cn ! © ! ! | cn ! ! SO ! cn ! ! ^ ! <N '8IM OZ/I CN CN ! © i CN ! cn" ' Tf o CN rn 'SWOOI/I i m i rn > O Ch V H t» o q Eo rt Q l-c 0 «mo ! Tf : m Tf aoadsns : cn : m CN 9AIJE39N NO © © ; ; NO «-l Tf cn oo cn : m Xej-x on Tf Tf m m m no r~ On Tf CN ■oqX punoj saseo 9AIJISOJ JO JU33 J3J CO : : : ) j SO ! P. i ; cn : (N TJ 3 aj o O 3 c w 0(2 /.iEuouiind-uoN r i « XjEuouitnj cn ; ; 1 ] j CN '. Tf c- Tf 3ATJIS0J S3SB3 JO ;U33 J3<J in rn j _> . j J rn so rn rn On ci rn NO 1— oo ^ 3at;isO(J S3SE3 jo J9qiiin]s[ Cl © j | CN Cl no oo in On do so OS u J> O to P-( <D MH go (j u ■0.0 £ 3 Z IPJIM 3 ~ m o ! rn Tf i ON NO •3JMI j m © 1 Tf 00 m CN 'SJMOI/I i-h ; 1 © | j _: 1 r- m cn •SW 03/1 oo oo : ■ ON i NO ON •3JM00I/I : no i SO CN pajsax JaqumjN^ o CN cn" Tf | m cn CO (N so m i-< i- l> m" r- © CN 1 C o X c a > H R 1 £ £ 0 0 X o a c 'E a § CO C c -C u w h O 3 0 o u X 0 X c c X u "rt I Z u cd c >_ Cfl Ih « a o 0 X o 0 V i B 5 c C 0 -3 o TJ q d u 0 D 58 DEPARTMENT OF HEALTH AND WELFARE a. CO o z a < Q Z < Oh P o Pi o ■ o < >. ca cn H ►J 5 03 BJ rt o z H U3 w H i-i D CJ rt w m P H w i-i CO < TJ T3 Ih o l> © Tf in On in cn oo ci nc! so" CN NO On it o m o u «• "S z pit oo r- on r- cn in 00 m i—i in —i On Tf 4) H m m cn i-h *-i SO Zo a! t_ -_ ^ 3 o > 5 a-a -*r C- m in cn o m o U rt M Cm oZ o" i> Os Tf -h" d On > 00 OO 00 C- t- NO 00 r- z 8 8-S m m © oc oo ci oc u EuS oo cn no CN © cn Tf H cn no no cn c- NO ZoZ cn m i-h i-h i-h cn u X cn On cn l> CN ! cn ! Tf 0 *J <u u Cl. NO «H i-h i-h NO C4 o q c V) 00 rt 13 > Tf oo m - ih N Ih rt 00 «n © Tf r- m cn .fl i-h CN i-i CN c— in o z >. d Ih On On t- —■ CN i-h ON >< no ■* i-h m no Tf CN o > Z §5 SH o "55 o 04 U cfl WlTJp ON NO in Tf ON j _> ci ci ci cn ci ' ci Etj H , ■a >» q m An /. q CN CN -h | | | in 7 3 li W o OS B __ ™S_ 5a , D 3 3 q m in cn oo no CN ! Tf c S ^ O 4a 7.U 55 S*H° On cn i-h © oo in m Tf oo on i-h r- ,-H i-h m i-S5(j On Tf © GO f- cn m c- t- cn oo cn CN Tf m oo Os 3 O Z o^ Ih c/1 U (OTJ CN NO On cn l-» © r~- » 2 « OO CN CO OO OC Tf © C ™ tt go? ©^ Tf ©_ C; r; Tf" so" CN i-h* CN lt>H & q O DC "rt OJ 00 - O < > c OJ rt Tf O tJ 1 « 6fl 1 © m c in©£ CN !____( TUBERCULOSIS CONTROL REPORT, 1951 D 59 KNOWN CASES OF TUBERCULOSIS During 1950 an exhaustive check was made of the register of known cases of tuberculosis. Every case appearing in the known-case register was actually verified against the current records of the public health staff in the field. All possible means were employed in attempting to locate cases which had become unknown. At the conclusion of this extensive checking project, 1,411 cases could not be located, and these cases have been deleted from our known-case register. Table 32.—Known Cases of Tuberculosis among the Total Population of British Columbia by Statistical Area, as at December 31st, 1947-51 1947 1948 1949 1950 1951 250 743 739 8,802 2,230 795 302 513 596 63 375 287 768 767 9,399 2,447 832 364 662 719 79 488 313 802 871 10,038 2,641 908 404 822 896 141 647 315 807 913 10,337 2,742 930 430 854 975 153 972 336 Area No. 2 Area No. 3 821 889 10,371 2,768 949 472 942 1,001 160 Area No. 10 Totals 15,408 16,812 18,483 19,428 18,709 Table 33.—Known Cases of Tuberculosis among the Other-than-Indian Population of British Columbia by Statistical Area, as at December 31st, 1947-51 1947 1948 1949 1950 1951 205 739 687 8,385 1,867 516 157 237 231 48 358 239 764 714 8,978 2,018 546 179 285 274 57 474 260 798 799 9,607 2,152 573 179 330 327 76 637 264 802 827 9,887 2,183 584 190 335 374 77 915 275 816 789 9,872 2,167 548 Area No. 5 A rea No. 7 _ 200 355 Area No. 9 304 Not stated 13,430 14,528 15,738 16,438 15,404 Table 34.—Known Cases of Tuberculosis among the Indian Population of British Columbia by Statistical Area, as at December 3 1st, 1947-51 19471 19481 1 19491 | 1950i 1 19511 45 4 52 417 363 279 145 276 365 15 17 48 4 53 421 429 286 185 377 445 22 14 53 4 72 431 489 335 225 492 569 65 10 51 5 86 450 559 346 240 519 601 76 57 61 6 100 499 601 401 271 587 697 82 Area No. 4 -__ Area No. 5 —_ Area No. 9 _ - Totals 1,978 2,284 2,745 2,990 3,305 1 These figures include: 1947, 141 Indians of white status; 1948, 84 Indians of white status; white status; 1950, 160 Indians of white status; 1951, 127 Indians of white status. 1949, 93 Indians of D 60 DEPARTMENT OF HEALTH AND WELFARE Table 35.—Known Cases of Tuberculosis by Area and City of Residence and Sex, 1951 (Excluding Indians.) Place of Residence Male Female Total Place of Residence Male Female Total Area No. 1 142 1 25 34 2 23 57 433 9 21 10 3 107 33 25 25 15 4 7 80 94 393 11 3 4 22 4 91 13 9 3 49 3 20 55 106 5,470 21 231 40 60 247 22 3 19 10 14 69 64 19 16 16 318 141 23 6 17 9 72 6 4 133 2 38 25 22 46 383 8 24 6 4 96 29 18 44 4 4 5 66 75 396 9 4 2 25 5 90 16 11 3 56 1 18 71 85 4,402 30 234 55 82 186 28 4 11 7 9 41 35 13 28 15 285 116 11 7 20 12 73 4 3 275 3 63 59 2 45 103 816 17 45 16 7 203 62 43 69 19 8 12 146 169 789 20 3 8 2 47 9 181 29 20 6 105 4 38 126 191 9,872 51 465 95 . 142 433 50 7 30 17 23 110 99 32 44 31 603 257 34 13 37 21 145 10 7 Area No. 4—Continued Surrey Vancouver 175 3,687 65 96 1,187 18 6 7 1 7 19 13 29 41 20 8 85 14 73 6 49 6 178 3 389 215 286 106 6 8 6 20 14 126 111 1 11 99 191 10 6 43 25 4 8 12 83 181 121 3 20 37 34 12 3 4 15 138 2,819 56 80 980 32 7 11 3 6 17 16 38 39 24 11 71 17 45 3 50 3 125 2 292 168 262 109 5 2 9 19 19 3 96 89 2 6 81 164 11 6 34 21 17 8 13 54 123 78 1 19 25 44 19 5 2 18 313 6,506 121 176 Area No. 5 Alberni .„ Alert Bay 2,167 50 13 18 4 Kaslo Kinn aird _ Nelson Comox _ Courtenay Cumberland- _ Duncan ' Esquimalt 13 36 29 67 80 44 19 156 31 Trail - Oak Bay 118 9 99 9 303 Enderby 5 681 383 Greenwood Kelowna Oliver _ Osoyoos Area No. 6 Kamloops Lillooet Lytton Merritt 548 215 11 2 17 25 Spallumcheen _ Salmon Arm City. 39 17 Unorganized parts 222 Area No. 7 200 3 Abbotsford Westview 17 180 Chilliwack City Area No. 8 355 21 McBride Prince George 12 Delta 77 Quesnel Smithers — Vanderhoof 46 21 16 Kent 25 Unorganized parts 137 Maple Ridge - Matsqui 304 Prince Rupert Stewart 199 4 Terrace 39 Unorganized parts 62 Area No. 10 78 31 Fort St. John 8 6 Unorganized parts 33 Totals for Province 8,428 6,976 15,404 Source: Case Examination, Form T.B. 1. TUBERCULOSIS CONTROL REPORT, 1951 D 61 Table 36.—Known Cases of Tuberculosis by Area and City of Residence and Sex, 1951 (Indians only.1) 1 These figures include 127 Indians of white status. Source: Case Examination, Form T.B. 1. Place of Residence Male Female Total Place of Residence Male Female Total Area No. 1 31 8 23 6 4 1 1 58 11 1 1 10 13 22 241 2 11 28 2 4 3 2 38 4 3 3 2 26 2 3 3 3 23 1 78 280 22 35 3 30 10 20 42 9 1 1 6 6 19 258 6 19 7 1 2 5 38 6 5 1 1 3 40 6 2 1 5 1 21 2 86 321 18 38 3 61 18 43 6 4 1 1 100 20 2 2 16 19 41 499 2 17 47 9 5 5 7 76 10 8 1 4 5 66 8 5 4 8 1 44 3 164 601 40 73 6 Area No. 5—Continued 6 3 21 4 3 1 6 6 7 10 4 1 148 194 17 9 18 4 8 1 137 127 127 272 1 1 3 12 255 335 10 1 324 46 6 40 2 3 23 3 10 11 1 9 10 1 189 207 21 11 20 13 10 132 144 144 315 4 3 11 297" 362 12 3 347 36 3 33 8 6 Duncan Esquimalt — Ladysmith Lake Cowichan____ Nanaimo . 44 Creston New Denver 4 3 4 Area No. 3 _ _ 16 17 • 8 Saanich Tofino _ - Victoria — __ 19 Penticton __ 14 2 337 Area No. 4 ___ Area No. 6_ Kamloops 401 38 Chilliwack City. 20 Lytton _ _ Merritt- _ 38 17 Delta. 18 1 269 Kent __ Langley Maple Ridge Area No. 7 271 271 Area No. 8 _ 587 4 1 Quesnel Vanderhoof 4 3 23 552 Squamish _. Area No. 9 ____ — 697 22 4 671 82 Fort St. John 9 73 Alberni.____ _.... 1,590 1,715 3,305 Table 37.—Rate per 100,000 Population of Known Cases of Tuberculosis in British Columbia by Age-groups and Sex, 1951 (Excluding Indians.) Population 0-4 Years 5-9 Years 10-14 Years 15-19 Years 20-24 Years 25-29 Years 30-39 Years 40-49 Years 50-59 Years 60-69 Years 70-79 Years 80 and Over Total Total 83.3 77.0 90.0 283.9 300.4 267.1 361.1 363.0 359.2 411.5 381.4 440.8 882.5 751.3 1,005.3 1,603.9 1,445.1 1,750.3 2,138.5 1,918.3 2,352.5 2,185.2 2,257.4 2,106.5 1,882.4 2,304.5 1,402.0 • 1,924.1 2,448.9 1,259.6 1,594.5 1,991.6 1,069.1 1,304.0 1,693.8 849.8 1,337.9 Male Female 1,427.5 1,243.7 D 62 DEPARTMENT OF HEALTH AND WELFARE Chart 12.—Rate per 100,000 Population of Known Cases of Tuberculosis in British Columbia by Age-groups and Sex, 1951 (Excluding Indians.) RATE MALE 2,500 2,000 1,500 1,000 500 AGE-GROUP 0 0 FEMALE RATE 500 1,000 1,500 2,000 2,500 • 1 ■ ■ ■ ... ,., •'■" 15-19 1 ■ ■ 20-24 25-29 30-39 40-49 50-59 60-69 ■ a^^^m^MBHBBwwPP^H^^Py 70 & Over '^TgsjffljgjjBal^ 2,500 2,000 1,500 1,000 500 500 1,000 1,500 2,000 2,500 TUBERCULOSIS CONTROL REPORT, 1951 D 63 The majority of the other-than-Indian known cases were found in the minimal stage, where 54.0 per cent of all cases were registered. This was followed by the moderately advanced group (24.3 per cent), the far advanced group (7.9 per cent), and the non-pulmonary group (7.6 per cent). For the minimal cases the largest group was in the apparently cured and arrested conditions, 36.2 per cent and 31.8 per cent respectively. For the moderately advanced cases, the largest number were in arrested condition, 29.3 per cent, while for the far advanced stage the largest group was in an active unimproved condition, 29.2 per cent, and arrested, 19.2 per cent. Table 38.—Known Cases of Tuberculosis by Type of Infection, Present Condition, and Age-group, 1951 (Excluding Indians.) Diagnosis Primary — Apparently cured- Arrested- Apparently arrested- Quiescent- Active improved Active unimproved Active not stated Condition not stated- Minimal- Apparently cured. Arrested .. Apparently arrested- Quiescent- Active improved Active unimproved- Active not stated Condition not stated- Moderately advanced— Apparently cured Arrested _ Apparently arrested— Quiescent __ Active improved Active unimproved-— Active not stated Condition not stated _ Far advanced- Apparently cured .. Arrested Apparently arrested Quiescent Active improved- — Active unimproved Active not stated Condition not stated Pulmonary tuberculosis (type not stated) Pleurisy with effusion Pleurisy without effusion-— Far advanced tuberculosis with silicosis — Non-pulmonary— Totals- Age-group 196 21 54 40 30 7 17 27 11 37 162 22 54 20 17 3 25 21 22 5 5 2 60 254 [ 263 70 12 33 9 4 2 2 100 6 21 20 16 2 21 1 13 44 7 7 8 1 15 "6 \ 15 1 I 11 351 42 93 76 63 17 46 1 13 195 1 29 49 51 5 48 2 10 48 3 2 9 1 2 10 1 5 3 17 2 1 4 4 3 2 2 2 4 15 1 2 1 61 | 87 298 | 761 I 50 3 27 4 10 792 177 279 160 75 16 60 1 24 368 17 85 110 70 19 61 5 104 2 14 18 22 6 35 1 6 4 23 5 146 39 9 8 3 1 1 1,492 17 2,113 696 685 351 153 71 88 1 68 966 88 288 222 187 41 117 1 22 316 38 57 50 57 27 79 1 7 11 31 7 254 3,737 4 1,705 719 528 221 88 44 50 1 54 740 114 242 125 109 29 96 25 291 36 61 43 46 10 82 13 13 15 6 1 210 2,989 1 1,312 544 455 135 61 23 45 1 48 571 87 171 102 90 21 78 3 19 186 28 43 15 29 8 55 24 10 1 6 124 2,242 1 2 1,233 533 382 135 57 40 35 1 50 522 61 168 73 93 17 22 150 11 34 13 28 24 6 2 7 92 2,042 509 225 155 57 27 6 15 1 23 244 30 80 29 40 6 41 1 17 74 7 20 9 9 2 25 4 39 887 118 48 33 20 5 1 2 9 51 5 20 6 O d zx 1 28 | 31 216 128 688 87 223 107 62 25 66 117 8,327 3,011 2,648 1,196 551 223 369 10 319 3,741 404 1,097 730 659 142 559 10 140 1,223 126 235 160 205 68 357 5 67 96 109 25 19 1,176 Source: Case Examination, Form T.B. 1. D 64 DEPARTMENT OF HEALTH AND WELFARE Table 39. — Ratio of Known Cases of Tuberculosis to Deaths from Tuberculosis among the Total Population of British Columbia, the Other- than-Indian Population, and the Indian Population, 1942-51. Year Total Known Cases Deaths Ratio Other than Indians Known Cases Deaths Ratio Indians Known Cases1 Deaths2 1942.. 1943_. 1944.. 1945„ 1946- 1947__ 1948„ 1949- 1950. 1951- 8,511 10,260 11,469 13,116 14,069 15,408 16,812 18,483 19,428 18,709 558 613 517 525 576 536 442 406 313 292 15.2 16.7 22.2 25.0: 24.4 28.7 38.0 45.5 62.1 64.1 7,597 8,914 9,861 11,212 12,254 13,430 14,528 15,738 16,438 15,404 388 405 346 363 369 362 286 295 239 212 I 19.6:1 22.0:1 28.5:1 30.9:1 33.2:1 37.1:1 50.8:1 53.3:1 68.8:1 72.7:1 914 1,346 1,608 1,904 1,815 1,978 2,284 2,745 2,990 3,305 170 208 171 162 207 174 156 111 74 80 5.4 6.5 9.4 11.8 8.8 11.4 14.6 24.7: 40.4 41.3 1 These figures include: 1947, 141 Indians of white status; 1948, 84 Indians of white status; 1949, 93 Indians of white status; 1950, 160 Indians of white status; 1951, 127 Indians of white status. 2 These figures include deaths of: 1947, 9 Indians of white status; 1948, 12 Indians of white status; 1949, 8 Indians of white status; 1950, 4 Indians of white status; 1951, 10 Indians of white status. NOTIFICATIONS OF TUBERCULOSIS There were 1,688 new cases of tuberculosis this year, compared with 1,699 in 1950. There was a slight decline in the Indian new cases, there being 356 in 1951 compared to 383 in 1950. New cases for Chinese and lapanese racial groups showed slight increases this year. Table 40.—New Cases of Tuberculosis among the Total Population of British Columbia by Statistical Area, 1947-51 1947 1948 1949 1950 1951 43 44 39 27 48 163 78 62 71 94 192 71 125 83 80 1,087 988 1,019 889 852 416 382 298 259 198 168 93 95 69 71 71 74 69 41 56 175 179 210 88 133 201 139 191 120 121 34 35 75 34 17 10 7 1 3 5 56 18 18 15 13 2,616 2,108 2,202 1,699 1,688 Area No. 1 _ Area No. 2 — Area No. 3 Area No. 4_ Area No. 5.— Area No. 6— Area No. 7 _._.__-. Area No. 8~ Area No. 9 — Area No. 10... Not stated ___ Ex-Province- Totals- TUBERCULOSIS CONTROL REPORT, 1951 D 65 Table 41.—New Cases of Tuberculosis among the Other-than-Indian Population of British Columbia by Statistical Area, 1947-51 1947 1948 1949 1950 1951 Area No. 1 __ 34 40 30 27 38 Area No. 2 162 78 61 71 94 Area No. 3 _ 171 58 102 64 67 Area No. 4 989 913 988 853 816 Area No. 5 327 276 219 144 151 Area No. 6 83 50 41 27 29 Area No. 7 30 24 19 18 19 Area No. 8 50 50 62 35 58 Area No. 9 45 36 57 54 36 Area No. 10 _ __ _ _ 16 14 27 15 6 10 3 1 3 5 54 13 17 15 13 Totals — 1,971 1,555 1,624 1,326 1,332 Table 42.—New Cases of Tuberculosis among the Indian Population of British Columbia by Statistical Area, 1947-51 19471 19481 19491 19501 195l1 Area No. 1 9 1 21 98 89 85 41 125 156 18 2 4 13 75 106 43 50 129 103 21 4 5 9 1 23 31 79 54 50 148 134 48 1 19 36 115 42 23 53 66 19 10 13 Area No. 4 36 47 Area No. 6 Area No. 7— 42 37 75 Area No. 9 — Area No. 10 85 11 645 553 578 373 356 1 Includes notifications of: 1947, 21 Indians of white status; 1948, 27 Indians of white status; white status; 1950, 10 Indians of white status; 1951, 21 Indians of white status. 1949, 34 Indians of Table 43.—Incidence per 1,000 Population of New Cases of Tuberculosis among the Total Population of British Columbia, the Other-than-Indian Population, and the Indian Population, 1951. Population Area 1 Area 2 Area 3 Area 4 Area 5 Area 6 Area 7 Area 8 Area 9 Area 10 Total Total Other-than-Indian 1.75 1.40 24.94 1.58 1.58 1.04 0.88 12.28 1.33 1.28 13.28 0.93 0.73 8.98 1.72 0.78 9.84 3.09 1.19 17.49 3.34 1.66 15.05 5.86 2.25 18.26 1.20 0.44 21.70 1.46 1.18 13.68 D 66 DEPARTMENT OF HEALTH AND WELFARE Table 44.—Notifications of Tuberculosis by Statistical Area and City of Residence and Sex, 1951 (Excluding Indians.) Place of Residence Alive Dead Male Female Total Male Female Total Area No. la —_ 4 1 3 7 4 3 9 5 4 1 1 23 1 5 3 8 6 29 3 13 5 1 7 21 1 9 7 4 4 1 2 1 3 3 84 2 2 9 17 1 3 1 4 2 1 1 26 3 1 9 2 362 27 1 11 3 8 1 306 1 4 4 4 6 2 3 1 6 3 3 2 2 17 1 8 1 3 4 22 4 11 2 5 18 8 7 3 11 2 8 1 6 4 2 74 2 5 9 5 1 2 2 2 2 1 19 1 19 4 248 23 8 1 6 204 5 1 8 1 7 13 6 6 1 15 8 7 3 3 40 2 13 4 11 10 51 7 24 7 1 12 39 1 17 14 7 15 2 1 10 2 9 2 158 4 7 18 22 2 5 1 6 4 1 3 1 45 4 1 28 6 610 50 1 19 4 14 1 510 6 5 1 1 2 1 1 1 1 7 3 1 2 1 30 1 1 2 26 1 1 1 1 3 1 1 1 8 8 1 1 Unorganized parts — 1 1 Area No. 2a Castlegar. —__ Rossland Trail — Area No. 3a — — _ _ 3 Kelowna — — Vernon ___ 1 2 Oliver Osoyoos — 1 Grand Forks 1 10 Chilliwack City ■ 1 3 Delta _ Hope — Langley — __ Maple Ridge Matsqui Mission City — 2 1 2 1 38 1 1 2 34 TUBERCULOSIS CONTROL REPORT, 1951 D 67 Table 44.—Notifications of Tuberculosis by Statistical Area and City of Residence and Sex, 1951—Continued (Excluding Indians.) Place of Residence Alive Dead Male Female Total Male Female Total 56 4 2 1 1 6 3 9 23 7 1 1 12 5 7 4 1 3 2 2 3 1 2 8 6 1 1 1 1 1 1 7 7 1 1 7 3 4 10 9 1 3 2 1 7 2 4 1 2 2 3 2 1 1 1 1 53 1 2 3 3 9 1 2 12 18 2 1 1 1 1 13 3 2 3 2 3 1 1 1 1 7 3 4 6 2 1 3 1 1 3 1 2 6 5 1 4 3 1 10 4 4 2 4 4 6 2 3 1 1 1 109 1 6 5 1 4 15 1 5 21 41 9 2 2 13 5 8 17 4 2 3 5 3 3 3 1 1 10 3 1 6 14 8 2 4 10 4 6 16 14 2 7 5 2 17 6 8 3 6 6 9 4 4 2 2 1 1 1 1 1 1 1 1 1 1 3 1 2 1 1 5 Ladysmith __ _ __ ._. Nanaimo ___ _ _ - 1 Oak Bay 4 Unorganized parts 1 1 ] Cumberland. _ __ 1 Kamloops _ — _,_„ Unorganized parts — 1 1 1 Area No. 8b , , .,., Area No. 8d ..,, ___ Quesnel — _— __ Williams Lake _ — 1 1 Area No. 8e _ Area No. 8f Area No. 9b D 68 DEPARTMENT OF HEALTH AND WELFARE Table 44.—Notifications of Tuberculosis by Statistical Area and City of Residence and Sex, 1951—Continued (Excluding Indians.) Place of Residence Alive Dead Male Female Total Male Female Total 22 16 6 1 1 3 10 4 6 1 1 4 4 2 32 20 12 1 1 1 1 4 4 5 1 1 1 1 1 1 Terrace Unorganized parts.. Area No. 10c—- ..— - Area No. lOd • 1 Unorganized parts __ _ 1 703 549 1,252 49 18 67 10 3 13 Table 45.—Notifications of Tuberculosis by Statistical Area and City of Residence and Sex, 1951 (Indians only.1) Place of Residence Alive Male Female Total Dead Male Female Total Area No. la Unorganized parts_. Area No. lb Unorganized parts.. Area No. lc Unorganized parts Area No. 3a Enderby - Vernon Unorganized parts. Area No. 3b _. Unorganized parts Area No. 3c Unorganized parts __. Area No. 4a _— Chilliwhack District. Kent.. Maple Ridge New Westminster Sumas Surrey- Unorganized parts. Area No. 4b North Vancouver City- Richmond Squamish -— Vancouver West Vancouver Unorganized parts.. Area No. 5a Central Saanich _ Duncan Nanaimo ___ North Cowichan.. Victoria Unorganized parts . Area No. 5b Unorganized parts _ Area No. 5d Unorganized parts_ Area No. 5e Unorganized parts . 4 18 3 1 1 13 3 3 1 1 3 3 12 2 1 1 3 1 4 11 1 I 1 1 1 6 1 2 3 3 3 2 2 10 1 2 1 2 1 1 2 21 5 1 1 5 1 8 29 3 1 1 1 1 22 3 3 2 2 4 4 i Includes notifications of 21 Indians of white status. TUBERCULOSIS CONTROL REPORT, 1951 D 69 Table 45.—Notifications of Tuberculosis by Statistical Area and City of Residence and Sex, 1951—Continued (Indians only.1) Place of Residence Alive Male Female Total Male Dead Female Total Area No. 5f__ Alert Bay.. Unorganized parts_ Area No. 6b—_ Salmon Arm District „ Unorganized parts Area No. 6c Kamloops _ Lytton Merritt Unorganized parts.. Area No. 6d Unorganized parts- Area No. 6e Unorganized parts- Area No. 6f Unorganized parts- Area No. 7a Unorganized parts _ Area No. 7b Unorganized parts _ Area No. 8a Unorganized parts _ Area No. 8c —_ Unorganized parts . Area No. 8d Quesnel— Williams Lake Area No. 8e Unorganized parts. Area No. 8f Unorganized parts . Area No. 8g._ Unorganized parts. Area No. 9a Unorganized parts__ Area No. 9b — Unorganized parts- Area No. 9c _ Unorganized parts . Area No. 9d Prince Rupert. Terrace Unorganized parts _ Area No. 9e Unorganized parts _ Area No. 9f Unorganized parts _ Area No. 10b Unorganized parts . Area No. 10c Fort St. John Unorganized parts Totals for Province _ 1 1 11 11 21 3 1 17 12 12 1 1 4 2 2 6 6 1 1 2 2 18 18 1 1 1 1 7 7 1 1 10 10 5 5 14 14 1 1 2 2 5 5 16 1 1 14 10 10 2 2 2 2 2 161 9 4 5 6 1 5 17 1 8 3 5 11 11 2 2 3 3 26 26 9 9 1 1 14 14 4 1 3 15 15 7 7 23 23 1 1 3 3 16 16 37 4 2 31 22 22 3 3 2 2 6 1 5 326 12 30 1 Includes notifications of 21 Indians of white status. Table 46.—Notifications of Tuberculosis in British Columbia by Racial Groups (Including Dead Cases Reported for the First Time), 1942-51 Racial Origin 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 Total 1,451 1,688 2,153 2,079 2,373 2,616 2,108 2,202 1,699 1,688 White _____ 1,016 1,163 1,446 1,519 1,973 1,864 1,448 1,491 1,210 1,209 Indian1— — 327 419 558 417 256 645 553 612 383 356 Chinese 59 62 108 111 120 81 88 78 86 100 Japanese 49 44 41 32 24 26 19 21 20 23 l Includes notifications of: 1947, 21 Indians of white status; 1948, 27 Indians of white status; 1949, 34 Indians of white status; 1950, 10 Indians of white status; 1951, 21 Indians of white status. D 70 department of health and welfare Chart 13.—Notifications of Tuberculosis in British Columbia by Racial Groups (Including Dead Cases Reported for the First Time), 1942-51 No. o£ Cases 4000. ^ota^^^ «^S y ^ «* V / *"^ \ -* S ' V \_ / \ S* y N • Indian / ^^^* • ^ / y Cbingg^^ *% / N ^^^ • N __. «• ^• * ^^^ ^ "^ / / "'"-»» * * *• ^ Japanese H* 1000 900 700 600 1942 1943 1944 1945 1946 1947 1949 1950 TUBERCULOSIS CONTROL REPORT, 1951 D 71 In the total population the highest percentage of new cases occurred in the 30—39 age-group (17.4 per cent). In this age-group it was also highest for the white population (21.2 per cent). Among Indians the highest percentage again occurred in the 5-9 age- group (18.2 per cent), and in the Japanese and Chinese racial groups it was highest in the 60-69 age-group, 21.7 per cent and 29.0 per cent respectively. Table 47.—Notifications of Tuberculosis in British Columbia by Age-groups, Sex, and Racial Groups (Including Dead Cases Reported for the First Time), 1951. White Chinese Jap anese Indian* Total Age and Sex Number Per Cent of Total Number Per Cent of Total Number Per Cent of Total Number Per Cent of Total Number Per Cent of Total M 22 25 3.3 4.6 2 3 2.4 16.6 32 22 17.5 12.7 56 50 5.9 F. 6.7 T. 47 3.9 5 5.0 54 15.2 106 6.3 M 11 9 1.6 1.7 2 1 2.4 5.6 1 10.0 35 30 19.1 17.3 48 41 5.1 F. 5.5 T. 20 1.7 3 3.0 1 4.4 65 18.2 89 5.3 M, 8 15 1.2 2.8 1 1 1.2 5.6 1 10.0 20 26 10.9 15.0 29 43 3.1 F. 5.8 T. 23 1.9 2 2.0 1 4.4 46 12.9 72 4.3 15-19 years M. 11 1.6 2 2.4 1 7.7 23 12.6 37 3.9 F. 23 4.2 1 5.6 1 10.0 23 13.3 48 6.5 T. 34 2.8 3 3.0 2 8.6 46 12.9 85 5.0 20-24 years M 48 52 7.2 9.6 3 3.7 1 10.0 10 16 5.5 9.3 61 69 6.5 F. 9.3 T. 100 8.3 3 3.0 1 4.4 26 7.3 130 7.7 25-29 years .— . M. 43 71 6.5 13.1 4 2 4.9 11.1 1 2 7.7 20.0 10 22 5.5 12.7 58 97 6.1 F. 13.1 T. 114 9.4 6 6.0 3 13.1 32 9.0 155 9.2 30-39 years . M. 116 140 17.4 25.8 6 5 7.3 27.7 3 1 23.1 10.0 9 14 4.9 8.1 134 160 14.2 F. 21.5 T. 256 21.2 11 11.0 4 17.4 23 6.5 294 17.4 M. 121 75 18.1 13.8 5 1 6.1 5.6 1 1 7.7 10.0 9 7 4.9 4.0 136 84 14.4 F. 11.3 T. 196 16.2 6 6.0 2 8.6 16 4.5 220 13.0 -M. 115 56 17.3 10.3 17 3 20.8 16.6 1 10.0 18 5 9.8 2.9 150 65 15.9 F. 8.7 T. 171 14.1 20 20.0 1 4.4 23 6.5 215 12.7 M. 108 49 16.2 9.1 28 1 34.2 5.6 4 1 30.7 10.0 4 6 2.2 3.5 144 57 15.2 F. 7.7 T. 157 13.0 29 29.0 5 21.7 10 2.8 201 11.9 70-79 years __ .M. 53 20 7.9 3.7 11 13.4 2 15.4 11 2 6.0 1.2 77 22 8.1 F. 3.0 T. 73 6.0 11 11.0 2 8.6 13 3.6 99 5.9 80 years and over M. F. 8 6 1.2 1.1 1 1.2 1 7.7 2 1.1 12 6 1.3 0.8 T. 14 1.2 1 1.0 1 4.4 2 0.6 18 1.1 Not stated — M. F. 3 1 0.5 0.2 3 1 0.3 0.1 T. _M. 4 0.3 ^100.0 ~~ 4 0.2 Totals 667 100.0 82 13 100.0 183 100.0 945 100.0 F. s 542 100.0 18 100.0 10 100.0 173 100.0 743 100.0 Grand tota 1,209 100.0 100 100.0 23 100.0 356 100.0 1,688 100.0 i Includes notifications of 21 Indians of white status. Source: Case Examination, Form T.B. 1. D 72 DEPARTMENT OF HEALTH AND WELFARE The situation regarding diagnosis of notifications of tuberculosis is substantially unchanged from that noted last year. However, it is worth noting that there was an increase in the number of cases diagnosed as primary and the number of cases reported at death from pulmonary tuberculosis. Among Indians there was a decrease in the cases diagnosed with far advanced tuberculosis. Chart 14.—Notifications of Tuberculosis in British Columbia by Diagnosis, 1951 INDIANS ONLY Nor STA T£0 ■ 0.3% EXCLUDING INDIANS ££A0 MOM-POt-MONAXY'^r- o.a% n/££ACUi-OUS PlEt/fi/SY /,3% TUBERCULOSIS CONTROL REPORT, 1951 D 73 Table 48.—Notifications of Tuberculosis in British Columbia by Diagnosis, 1951 Diagnosis Excluding Indians Number Per Cent Indians Only Number Per Cent Primary— Minimal Moderately advanced- Far advanced Dead, pulmonary.— Tuberculous pleurisy Dead, tuberculous pleurisy.. Non-pulmonary_ Dead, non-pulmonary- Not stated Total- 93 681 260 103 57 17 95 10 16 1,332 7.0 51.1 19.5 7.7 4.3 1.3 7.1 0.8 1.2 100.0 114 76 51 27 19 21 36 11 1 ^56~ 32.0 21.4 14.3 7.6 5.3 5.9 10.1 3.1 0.3 100.0 D 74 DEPARTMENT OF HEALTH AND WELFARE Table 49.—Notifications of Tuberculosis in British Columbia by Age-groups, Sex, and Diagnosis, 1951 (Excluding Indians.) Diagnosis on Notification Age-group 7 s 6> V d o s Z£ Pulmonary— Primary Minimal Moderately advanced Far advanced Far advanced with silicosis Type not stated — Dead1 _ Total pulmonary Tuberculous pleurisy— Tuberculous pleurisy with effusion Tuberculous pleurisy without effusion Dead1 __ _ _ Total tuberculous pleurisy . Non-pulmonary—■ Meninges Intestines and peritoneum Vertebral column — Bones and joints Skin -- Lymphatic system Genito-urinary system Miliary — — Other respiratory system Other non-pulmonary — Dead1 _ Total non-pulmonary Total notifications _M. F. _M. F. _.M. F. ..M. F. M. F. _M. F. .M. F. -M. F. T. M. F. M. F. _M. F. _M. F. T. M. F. ..M. F. ,M. F. .M. F. _M. F. M. F. M. F. _M. F. .M. F. .M. F. „M. F. M. F. T. M. F. T. 20| 12 23 j 10 II 31 31 6 9| 14 17 j 25 26 39 51 53 104 110 135 245 1 2 22 125 146 271 115 68 183 127 77 204 1| 1 72 39 25 5 17 2 123 48 171 132 60 192 137 47 184 2| 21 140 51 191 661 201 86 1 Dead on notification. Source: Case Examination, Form T.B. 1. 41 52 363 318 155 105 82 21 15 1 46 11 702 508 1.210 9 8 17 5 3 2 6 7 2 7 7 1 3 8 14 16 8 1 1 1 3 3 7 54 105 762 570 1,332 TUBERCULOSIS CONTROL REPORT, 1951 D 75 Table 50.—Notifications of Tuberculosis in British Columbia by Age-groups, Sex, and Diagnosis, 1951 (Indians only.1) Diagnosis on Notification Age-group A> cs ON £ 7 rt ■* 8 CNr* 2 £ T3 ■o > So ZSi *_£! s Pulmonary— Primary Minimal Moderately advanced Far advanced Far advanced with silicosis Type not stated „ Dead2 ._ Total pulmonary Tuberculous pleurisy— Tuberculous pleurisy with effusion- Tuberculous pleurisy without effusion. Dead3 _ Total tuberculous pleurisy- Non-pulmonary— Meninges Intestines and peritoneum Vertebral column __ — Bones and joints Skin Lymphatic system Genito-urinary system Miliary _ Other respiratory system Other non-pulmonary Dead 2 Total non-pulmonary Total notifications -M. F. -M. F. -M. F. ..M. F. _M. F. ...M. F. -M. F. -M. F. T. -M. F. __M. F. __M. F. _M. F. T. -M. F. __M. F. _.M. F. .M. F. „M. F. -M. F. __M. F. _.M. F. __M. F. „M. F. -M. F. ..M. F. T. ..M. F. T. 18| 25| 14| 26| I I H I 21 1 -I- I- ■I - 31 3|. II 1|- 23| 30| 11 16| 27| 24 39| 57| 35 31 ■ 31- 71 6| 41 5| 2| 3f I I I I I I I I 1 _|—|.—| 31 5| 21 H 21 I 1 1 ..| 1. 11 -I - I- 1 18| 181 36| 8 9| 7] 14[ 4 181 121 7| 4 5 261 21[ 14| 18| 9 3L 1|- 4| 1|_ H- -] I- ~2 2 I 1— -I 10| 21- 121 I I ■I H -1 11- H I I I J 1- -| |- -1 I—-I- -I- 1- -■ I- -I I- I 3| 4| 1| 21 3| 2| 1 31 H _ 51 1| I I I- -I I- I I 1 .| 1- .1 1. -I -I- -1- -I 1- .1— ,|. i! i|_— -| l -I i| -| l II 3 -I I—I -I l- ..I-.-I.. 31 2| 5 -I- 1- _l—j—| . i—i -i i| i 21 -— -I |- -I- -I—__| 1- -I I 1- _| 1|„ -I I- 'I-—I 1- 41- 31 7| H 51 35| 20| 30[ 26| 65j 461 I 231 23| 461 I 101 9| 9| 18| 4 22| 14| 7| 5[ 6 32| 23| 16| 23) 10 I I I 1 HI 21. 13 I I 54 60 34 42 26 25 17 10 12 7 _| 144 -I 144 I 288 -I I- -I I —I - -1 11 -1 10 -| 21 I I 28 19 47 183 | 173 | 356 1 Includes notifications of 21 Indians of white status. 2 Dead on notification. Source: Case Examination, Form T.B. 1. D 76 DEPARTMENT OF HEALTH AND WELFARE Table 51.—Notifications of Tuberculosis in British Columbia by Diagnosis and Year of Arrival in British Columbia, 1951 (Excluding Indians.) Diagnosis on Notification Prior to 1939 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 Not Stated Total Primary Minimal 11 264 106 54 6 3 4 34 26 1 5 6 1 1 1 .... 1 8 3 1 1 2 7 5 1 1 4 3 11 7 3 - 1 1 - 1 3 7 3 1 2 1 4 15 4 1 2 1 1 9 7 __ 1 — 3 4 19 4 4 6 8 17 9 4 1 4 5 24 12 1 5 10 24 9 3 1 3 3 26 15 4 2 7 2 3 44 22 10 - - 2 - 34 201 48 16 3 9 1 20 30 93 681 260 103 Far advanced with silicosis 16 Tuberculous pleurisy with effusion Tuberculous pleurisy without effusion Other tuberculosis of respira- 16 1 4 93 Dead 65 Totals 508 17 14 20 27 17 27 23 37 43 47 50 59 81 362 1,332 Source: Case Examination, Form T.B. 1. Table 52.—Ratio of New Cases of Tuberculosis to Deaths from Tuberculosis in British Columbia, 1947-51 Total Other than Indians Indians Year New Cases Deaths Ratio New Cases Deaths Ratio New Cases1 Deaths2 Ratio 1947 2,560 2,090 2,184 1,699 1,688 536 442 406 313 292 4.8 4.7 5.4 5.4 5.8 1 1 1 1 1 1,917 1,542 1,607 1,326 1,332 362 5.3:1 643 548 577 373 356 174 156 111 74 80 3.7 3.5 5.2 5.0 4.5 1 1948 286 1 5.4:1 1 1949____ 1950_ 1951 _ 295 239 212 4.1:1 5.5:1 6.3:1 1 1 1 i Includes notifications of: 1947, 21 Indians of white status; 1948, 27 Indians of white status; 1949, 34 Indians of white status; 1950, 10 Indians of white status; 1951, 21 Indians of white status. 2 Includes deaths of: 1947, 9 Indians of white status; 1948, 12 Indians of white status; 1949, 7 Indians of white status; 1950, 4 Indians of white status; 1951, 10 Indians of white status. TUBERCULOSIS CONTROL REPORT, 1951 TUBERCULOSIS MORTALITY D 77 Table 53.—Tuberculosis Mortality and Rate per 100,000 Population for the Total Population of British Columbia by Statistical Area, 1947-51 Total Population Area 1 Area 2 Area 3 Area 4 Area 5 Area 6 Area 7 Area 8 Area 9 Area 10 Total Mortality— 1947- ___. 9 22 30 249 65 35 18 56 35 17 536 1948 _ 9 10 20 184 72 30 12 58 33 14 442 1949___ _ _ 2 11 24 207 61 20 12 40 19 10 406 1950 4 11 13 162 44 18 4 33 18 6 313i 1951 3 9 10 138 42 12 10 30 23 11 2882 Mortality rate per 100,000 popula tion— 1947 ___. 35.6 41.3 42.3 41.9 34.6 100.1 123.1 185.0 159.6 153.6 51.3 1948- 37.0 18.9 30.3 29.1 38.5 74.9 85.9 183.3 158.4 107.8 40.9 1949 ___ — 8.3 20.4 33.0 31.7 32.5 52.9 81.7 122.9 86.7 75.4 36.4 1950 _ 16.2 19.9 17.5 24.3 22.8 46.5 26.6 99.3 80.3 44.3 27.5 1951 _ 10.9 15.0 12.9 21.3 19.5 28.7 54.8 74.5 110.3 76.4 24.8 1 Excludes death of 1 ex-Province resident. 2 Excludes deaths of 3 ex-Province residents and 1 area-not-stated resident. 1950 figures subject to revision; preliminary figures for 1951. Table 54.—Tuberculosis Mortality and Rate per 100,000 Population for the Other-than-Indian Population of British Columbia by Statistical Area, 1947-51. Other-than-Indian Population Area 1 Area 2 Area 3 Area 4 Area 5 Area 6 Area 7 Area 8 Area 9 Area 10 Total Mortality— 1947 _ 1948 6 7 1 3 2 24.1 29.3 4.2 12.4 7.4 22 9 11 11 9 41.4 17.0 20.4 20.0 15.0 21 15 12 12 8 30.1 23.1 16.8 16.4 10.5 229 174 196 160 129 38.8 27.7 30.2 24.1 20.0 49 51 40 32 33 26.8 28.0 21.7 17.0 15.8 13 11 13 5 7 42.4 30.9 38.9 14.6 18.9 2 4 1 5 16.5 31.3 7.6 31.7 9 7 6 9 6 34.8 25.9 21.7 31.8 17.2 5 7 6 5 8 30.7 46.8 37.6 30.7 50.8 8 3 6 1 1 77.3 24.5 48.2 7.8 7.2 362 286 1949 295 1950 _____ 1951 Mortality rate per 100,000 population— 1947 — 2391 208 2 35.6 1948 27.1 1949 27.2 1950 ._ 21.5 1951 18.4 i Excludes death of 1 ex-Province resident. 2 Excludes deaths of 3 ex-Province residents and 1 area-not-stated resident. 1950 figures subject to revision; preliminary figures for 1951. D 78 DEPARTMENT OF HEALTH AND WELFARE Table 55.—Tuberculosis Mortality and Rate per 100,000 Population for the Indian Population of British Columbia by Statistical Area, 1947-51 Indian Population Area 1 Mortality— 19471 _ 19481 _ __ 19491 - ____ 19501 - __._-. 19511. _ _ _ __. Mortality rate per 100,000 popula tion— 1947 __ _ 1948 ___ - 1949— ___ 1950 _ 1951 _ 835.7 540.5 266.7 245.1 228.3 Area 2 1315.7 Area 3 Area 4 Area 5 Area 6 9 5 12 3 2 797.2 426.6 | 944.9 | 244.3 1 175.0 20 10 11 2 9 536.4 275.3 301.8 54.0 302.2 16 21 21 12 9 320.3 405.9 400.8 228.4 157.4 22 19 7 13 5 508.1 | 428.1 I 157.3 j 286.7 I 105.9 Area 7 18 10 Area 47 51 34 Area 9 Ar<*a 10 Total 3 24 5 24 1010.1 1062.6 541.7 1092.7 422.2 702.5 155.0 484.8 216.5 440.9 30 26 13 13 15 531.6 443.4 217.8 212.5 294.1 9 11 4 3 10 1262.3 1547.1 490.8 380.7 1801.8 174 156 111 1 74 | 80 644.4 557.1 388.4 1 255.2 j 280.7 i Includes deaths of: 1947, 9 Indians of white status; 1948, 12 Indians of white status; 1949, 8 Indians of white status; 1950, 4 Indians of white status; 1951, 10 Indians of white status. 1950 figures subject to revision; preliminary figures for 1951. Table 56.—Tuberculosis Mortality by Statistical Area and City of Residence and Sex, 1951 (Excluding Indians.) Source: Death registrations, 1951 (preliminary figures). Place of Residence Male Female Total Place of Residence Male Female Total 16 76 71 21 2 2 3 2 2 1 1 3 2 1 2 1 1 9 1 1 " 1 2 1 1 1 1 28 i 26 1 6 2 2 1 1 1 1 7 2 3 1 1 7 4 1 2 1 1 25 1 1 3 1 3 3 2 4 1 5 104 97 27 2 2 3 Area No. 5a—Continued Victoria __ 11 3 2 1 1 3 1 2 1 2 1 1 2 1 1 2 2 1 1 2 1 1 3 2 1 1 1 5 4 1 1 1 1 6 1 1 2 2 2 2 3 3 Cranbrook-— — _ — 17 3 Revelstoke Area No. 5c 3 2 1 Area No. 5d— Cumberland _ 3 Creston ■ — 1 2 Area No. 6a — 1 1 Area No. 6b 2 1 1 2 1 1 2 2 1 1 Harrison Hot Springs _ Langley - - Area No. 7c _ _ 4 2 Westview ,. _ 1 1 3 Prince George _ 2 Surrey 1 Area No. 8d - 3 Area No. 4b _ Quesnel __ _ 2 1 Area No. 9d _ 8 7 Richmond - 1 Area No. lOd ..___ _ 1 1 1 Area No. 5a _ Duncan Nanaimo - 150 59 209 2 1 3 TUBERCULOSIS CONTROL REPORT, 1951 D 79 Table 57.—Tuberculosis Mortality by Statistical Area and City of Residence and Sex, 1951 (Indians only.1) Place of Residence Male Female Total Place of Residence Male Female Total Area No. lb Unorganized parts __ Area No. 3a _ 1 1 5 1 1 3 1 1 3 3 1 1 1 1 3 3 1 1 2 2 1 1 1 1 1 1 2 1 1 3 3 1 1 1 1 I 1 1 1 1 1 1 1 2 2 6 1 1 1 3 3 1 1 1 6 6 1 1 2 2 4 4 1 1 2 2 2 2 1 1 1 1 Area No. 8c 2 2 1 1 3 3 1 1 1 1 1 1 4 4 2 2 1 1 3 3 1 1 4 4 2 1 1 8 8 1 1 1 5 1 4 2 2 1 1 1 1 3 3 6 6 Area No. 8d Quesnel 3 1 1 1 11 Maple Ridge 11 Area No. 8f 1 Area No. 4b_ B urns Lake . 1 2 2 Area No. 9b 1 1 Area No. 9c 1 1 Area No. 9d 9 1 Unorganized parts 8 Area No. 9e 4 4 Area No. 10a 2 2 Area No. 7a Area No. 10b 1 1 Area No. 10c 6 6 Area No. lOd _ 1 1 Area No. 8a 39 41 80 i Includes 10 Indians of white status. Source: Death registrations, 1951 (preliminary figures). D 80 DEPARTMENT OF HEALTH AND WELFARE Table 58.—Tuberculosis Mortality by Diagnosis and Age-group, 1951 Excluding Indians Age-group *. Y* rt O.SC . Q, u CB g|l HS ■ c c ^ Hi So. « 8" O in 0] ffl S-S •On HtnS R cfl ►Jen ■sq £S o u c m n s ^ P35 £J HO aw h'00 ~ rt*_i Under 1 year.. 1— 4 years ___. 5- 9 years _„_ 10-14 years — 15-19 years 20-24 years — 25-29 years — 30-39 years — 40-49 years 50-59 years — 60-69 years 70-79 years 80 years and over Totals 1 3 12 10 37 26 29 57 30 4 2 10 9 34 26 26 52 28 4 212 192 Indians Only1 Under 1 year 1-4 years 5- 9 years 10-14 years 15-19 years — 20-24 years 25-29 years _ 30-39 years 40-49 years 50-59 years 60-69 years- 70-79 years 80 years and over Not stated — Totals ... 5 11 6 5 15 10 4 3 5 5 3 5 2 1 80 1 4 3 4 13 9 4 3 3 3 2 5 2 56 1 Includes deaths of 10 Indians of white status. Source: Death registrations, 1951 (preliminary figures). TUBERCULOSIS CONTROL REPORT, 1951 D 81 A further decline in tuberculosis mortality occurred in British Columbia during 1951. The combined death rate for the total population for 1951 was 25.1, as compared with 27.5 in 1950. In the white population the death rate declined from 21.6 in 1950 to 18.7 in 1951, while for Indians the death rate increased from 255.2 in 1950 to 280.7 in 1951. The death rate for the other-than-Indian population, excluding Chinese and lapanese, declined from 19.2 in 1950 to 15.9 in 1951. Table 59.—Tuberculosis Mortality and Rate per 100,000 Population for the Total Population of British Columbia, the Indian, Chinese, and Japanese Populations, and the Population Excluding Indians and Orientals, 1942-51. Total Province Indians Excluding Indians Year Number of Deaths Population Rate per 100,000 Number of Deaths Population Rate per 100,000 Number of Deaths Population Rate per 100,000 1942 __ 1943_ 1944 558 613 517 525 576 536 442 406 313 292 870,000 900,000 932,000 949,000 1,003,000 1,044,000 1,082,000 1,114,000 1,138,000 1,165,210 64.1 68.1 55.5 55.3 57.4 51.3 40.9 36.4 27.5 25.1 170 208 169 173 207 1741 1561 llU 741 801 24,080 24,522 25,139 25,758 26,400 27,000 28,000 28,500 29,000 28,500 705.9 848.2 672.2 671.6 784.1 644.4 557.1 389.5 255.2 280.7 388 405 348 352 369 362 286 845,920 875,478 906,861 923,242 976,600 1,017,000 1.054.000 45.9 46.3 38.4 1945 1946 1947 1948 38.1 37.8 35.6 27.1 1949— 295 1 1.085.500 27.2 1950 239 212 1,109,000 1,136,710 21.6 1951 18.7 Chinese ■ Japanese Excluding Indians and Orientals Year Number of Deaths Population Rate per 100,000 Number of Deaths Population Rate per 100,000 Number of Deaths Population Rate per 100,000 1942 _. 44 36 41 40 44 40 33 22 24 31 17,767 16,915 16,063 15,848 15,600 15,400 15,200 14,900 15.000 15,000 247.6 212.8 255.2 252.4 282.1 259.7 217.1 147.7 160.0 206.7 24 24 10 16 13 12 8 5 6 4 19,100 16,103 15,610 14,695 7,000 7,000 7,000 7,500 8,000 8,000 125.6 149.0 64.1 108.9 185.7 171.4 114.3 66.7 75.0 50.0 320 345 297 296 312 310 245 268 209 177 809,053 842,460 875,188 892,699 954,000 994,600 1,031,800 1,063,100 1,086,000 1,113,710 39.6 1943.. 41.0 1944 1945 1946 1947 _ 33.9 33.2 32.7 31.2 1948 1949 — 1950 1951 23.8 25.2 19.2 15.9 1 Includes deaths of: 1947, 9 Indians of white status; 1948, 12 Indians of white status; 1949, 8 Indians of white status; 1950, 4 Indians of white status; 1951, 10 Indians of white status. Note.—"Indian deaths" includes all deaths of persons of Indian racial origin, whether they were Indians under the meaning of the "Indian Act" or not, except in 1943 to 1951 deaths, where the term applies only to deaths of Indians under the meaning of the "Indian Act." Source: Mortality—Annual Reports of Vital Statistics, 1942 to 1950, inclusive (1951 death registrations preliminary only). Estimated population (1941 and 1951 census figures): Federal Bureau of Statistics estimates of total population for intervening years. Division of Vital Statistics estimates of Indian, Chinese, and Japanese populations. D 82 DEPARTMENT OF HEALTH AND WELFARE Chart 15.—Tuberculosis Mortality Rates per 100,000 Population for the Total Population of British Columbia, the Indian, Chinese, and Japanese Populations, and the Population Excluding Indians and Orientals, 1942-51. RATE 1,000 900 J^ *^ <* Chinese .^ ^-* >S \ i ** y V \ / / / *■«■ \ \ \ \ \ \ \_ • • • \ / \ \ / > V 4 V \ / \ \ v^ \ / \ *r \ \ "•"•^taj \ \ * s*^ - — -__«. Excluding Inch and Orientals ins ^^^* m Excluding .Indians V ^ » * **.w N > 800 700 100 90 ,1942 1943 1944 1945 1946 1947 1946 1949 1950 1951 TUBERCULOSIS CONTROL REPORT, 1951 D 83 The percentage of other-than-Indian deaths occurring in tuberculosis institutions showed a slight increase over last year, increasing from 33.1 per cent in 1950 to 39.2 per cent in 1951. Deaths during 1951 occurring in mental institutions, general hospitals, and in homes decreased slightly from the 1950 figures. Among Indians the percentage of deaths in hospitals increased from 20.3 per cent in 1950 to 22.5 per cent in 1951, while deaths in homes increased from 27.5'per cent in 1950 to 30.0 per cent in 1951. There was a slight decrease in deaths during 1951 in tuberculosis institutions from the 1950 percentages. Chart 16.—Tuberculosis Mortality for the Other-than-Indian Population and the Indian Population of British Columbia by Place of Death, 1951 INDIANS ONLY D 84 DEPARTMENT OF HEALTH AND WELFARE Table 60.—Male Tuberculosis Mortality for the Total Population of British Columbia by Age-groups, 1947-51 Year 0-4 Years 5-9 Years 10-14 Years 15-19 Years 20-24 Years 25-29 Years 30-39 Years 40-49 Years 50-59 Years 60-69 Years 70-79 Years 80 and Over 1947 1948 1949 27 17 17 10 11 10 12 9 6 5 7 5 5 2 2 16 11 12 5 7 21 21 13 8 8 27 15 6 8 6 38 29 25 17 18 45 42 34 21 20 50 52 45 30 30 62 43 56 49 56 26 27 24 28 24 3 6 7 1950 1951 __.._ 5 3 1950 figures subject to revision; preliminary figures for 1951. Source: Annual Reports of Vital Statistics. Table 61.—Female Tuberculosis Mortality for the Total Population of British Columbia by Age-groups, 1947-51 Year 0-4 5-9 10-14 15-19 20-24 25-29 30-39 40-49 50-59 60-69 70-79 80 and Years Years Years Years Years Years Years Years Years Years Years Over 1947 21 9 11 26 31 25 37 19 7 7 9 2 1948.. 12 12 8 17 22 18 25 16 13 13 4 2 1949 — 11 5 8 8 16 20 36 15 19 11 4 1950 13 6 2 6 11 14 21 23 11 13 1 3 1951 - 8 1 4 11 14 8 22 11 4 4 11 3 1950 figures subject to revision; 1951 figures preliminary only. Source: Annual Reports of Vital Statistics. Table 62.—Tuberculosis Mortality for the Total Population of British Columbia by Age-groups, 1947-51 Year 0-4 5-9 10-14 15-19 20-24 25-29 30-39 40-49 50-59 60-69 70-79 80 and Years Years Years Years Years Years Years Years Years Years Years Over 1947 _. 48 19 18 42 52 52 75 64 57 69 35 5 1948 _ 29 24 13 28 43 33 54 58 65 56 31 8 1949 28 14 13 20 29 26 61 49 64 67 28 7 1950 23 12 4 11 19 22 38 44 41 62 29 8 1951. 19 6 6 18 22 14 40 31 34 60 35 6 1950 figures subject to revision; 1951 figures preliminary only. Source: Annual Reports of Vital Statistics. TUBERCULOSIS CONTROL REPORT, 1951 D 85 t- Os 2- P o PS o I W o n CQ p -J o U cn H PS ffl o z o H < ►J P =- o < H O H w aa H o I/) w H < > H PS O «_ o J p o PS papa P H H < H PS < U a s < U « > § O ■rt cn rt VO CO p ■a B d CO rn VO in ci rf oo co m cn o O © CO ffi 1/3 Ih d H cn in in 0\ «-< 3 PQ 0\ S no r-~ © oo vi © o\ oo oo r- B. r- o z ce !__. g rt H £ oo Tf vi ro t < ON vo 2 vo i-h r- Oi co os P 0. O Ph 2 J rt <c >H as ^ oo m r^ H a\ in ri ©' r-^ vo o co oo r- ti- Tf H 2 w-i PQ a H Ih rt PS fi os vc vo m *n 0 I o Tf vd *-'I od ov i> Ph VO VO Tf CS CS Z ,-H O u-> hh i «S Cfl Ih 5 ^ rt 5 o> on ro Tf t— vo £ "-1 Tf in' a\" o\ © ON TfcocSi-.es o „r co Ph £ o o 5 Ih _-_." o rt O i o w P. o in "* wn m oo ON 2 V> O i-< 00 VI *< w >. (N Oh pq cn (2 w rt < >< cS Tf cn Tf o 0\ cs cs cn o\ ci CO CS CS y-< 2 >H H 3 <c Cfl H Ih rt PS i> ro i> oo oo o O o m' \6 tt § 2 Tf CO (N i-i T-i to En o H-l P o PS w oa p H w j Ih rt < V 2 > 1, rn SO W i_J pa < O OC Tf Tf 0 Tt 5 v^ H OS O" 0 a O in rt rH OJ D 86 DEPARTMENT OF HEALTH AND WELFARE I cn Ph P O PS o I pa o < pa pa 1 P ►a o a 2 pq fe o z o H < p Ph o Ph < H O H w 33 H 05 O in — < id < H PS O cn O ►J P V PS w m P H pa hJ aa HH U < 3 <u > 2 o Tf «n wo ro p ■a VO Tf Os' 00 Q rt co co ro ro O O U 00 s cn 2 rt H u >i Tf © & CO (N PS ON r- l> O1* r~ Tf in CQ Tf -I r- Tf fe c-> o z o Ih d a >* H © CS Tf Tf Tf <: CO © Tf cd od J vo i-1 ro CN CN p © PL, VO o Ph hJ Ih rt < H ^ CS CO — i- _l O OS Tf Tf ito o r-^ H liO — CN CO CN o BJ Vl S3 EH t/3 PS Ih rt o o Ph Jh Tf oo cn oc in Ov Tf co vo Tf in vo z CO (N CN CO 1— o © Tf «"? Ih d Oh „ a CO VI T#■ -H Tf vi © r-i Tf rf Os CO Tf CO Tf (N (N §1 © CO °~§ O PS U5 o o rt OJ pa >H in © r-; rJ cs PS o On (N 1 © © CO CO J-* co VO Tf CO CN CN CS Cfl < rt £ cn <y< ro oo \d >* Os oi m' cn © os in m rs -h t- H © 3 < H PS O Ih rt u VD —> T~- Os VD r* Tf VD VD OO od ro CN — — cn Os 53 © o P u PS pa CQ p H w j <c s rt pa £ Ph ■tf ^o pa h4 pa < t- OC a c — Tf Tf Tf VI u-. H 0^ o o ^ o •c ■- o> 0 o a £ X s v\ < TUBERCULOSIS CONTROL REPORT, 1951 D 87 Table 65.—Tuberculosis Mortality for the Other-than-Indian Population by Length of Residence in British Columbia and Place of Death, 1951 Length of Residence in British Columbia Place of Death Cfl Cfl Ih rt ;* -a X •ft X £ X Xj Efl Cfl Cfl Cfl a o 2 c 0 s a o c o a o O rt rt <u rt rt IH a) > u cn o "rt H CN Cl Tf >n VO - t~s m Tf VI o ►4 Z H 1 3 ? 1 1 1 45 15 9 76 1 1 1 53 77 5 83 :::: :::: 1 1 1 1 10 24 6 5 2 2 20 33 Totals , _ i ___. 1 2 4 3 3 132 48 18 212 Source: Death registrations, 1951. VICTORIA, B.C. Printed by Don McDiarmid, Printer to the Queen's Most Excellent Majesty 1952 395-552-5599
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DIVISION OF TUBERCULOSIS CONTROL of the Public Health Branch Department of Health and Welfare ANNUAL REPORT For the Year 1951
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