THE BUREAU OF CHILD HEALTH
Early Efforts to Help Winnipeg Children
By George Siamandas
On Mar 1, 1916, the City of Winnipeg established the Bureau of Child Health. It marked a big step forward. For years councillors and the general public had avoided grappling with the reality of Winnipeg’s alarmingly high child mortality rates. In the early 1900s it was typhoid that ran rampant revealing Winnipeg as the sickest city in North America or Europe: 23 deaths per thousand in 1904, 138 deaths in 1905. An investigation revealed most deaths in the areas without sewers: the north end around the CPR tracks. Winnipeg medical health Officer Dr Douglas likened conditions in Winnipeg’s north end to those of a medieval European city. He noted the squalor in the north end was beyond the powers of description. Also in 1904, untreated water had been pulled into the water supply system to fight a rash of fires.
WHAT MADE PEOPLE SICK?
A combination of ignorance and poverty was making people and especially children sick leading to the highest mortality rates in North America and Europe. Far too many people were living in slum housing conditions. Parents were ignorant of hygienic practices. Children were malnourished. The water was neither safe nor abundant. The 1912-year saw infant death rates soar again: 126 per thousand in 1912 and 199 per thousand in 1914. Clearly it was time for action.
DR AJ DOUGLAS
Leading the effort was Dr AJ Douglas, Chief Medical Officer from 1900 to 1940. Douglas would face numerous epidemics including typhus, smallpox and influenza. Winnipeg was lucky to have an advocate at the job. Year after year his reports to council recommended action to hire more inspectors, ensure all houses were connected to sewers, and to reduce overcrowding. Douglas was particularly forceful in 1914 recommending that if necessary the city should get into the housing business. He urged that the city do more about the health of less fortunate Winnipeggers and in particular to put a special focus on child health. He got results. In 1913 working out of a house at 31 Martha St, Health Officer Tustin began to report on Child Hygiene.
Three years later the new Bureau of Child Health began to operate from a modern building at the corner of Main and Aberdeen. Nurses provided infant examinations and two doctors were available mornings 6 days a week. Volunteering their time to help the sick were Drs RF Rorke and E Richardson.
One major service was the dispensing of baby’s milk feedings. Over 350,000 bottles were delivered in 1916. The bulk of it given free. That year Douglas requested an automobile to help deliver the milk before it spoiled on hot days. They made 119,730 nurse visits in 1916. Each nurse cared for over 400 infants. They encountered many young unwed mothers who knew nothing about childcare. Child health improved as more and more information was dispensed. The health dept issued Monthly bulletins: simple things about hygiene, yet things mothers did not know.
Working with other agencies like the Margaret Scott Nursing Mission and the All People’s Mission, help arrived for Winnipeg’s immigrant poor. Finally a tradition for social justice was emerging in Winnipeg’s early days.