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The series consists of a photograph album created in 1932 by the Provincial Board of Health to document the 1932 outbreak of smallpox in Vancouver. The album contains 47 b&w photographs taken of patients at the Vancouver General Hospital. The photographs are nude shots of 17 individuals, male and female, both adult and children, who either survived or died of smallpox. Strips of paper have been pasted over the eyes and the patients have been identified by initials only in order to provide some privacy. The photographs were taken over several days and show the progress of the disease in several individuals. They are accompanied by case histories of each patient which includes the patient's initials, age, symptoms, vaccination history, history of disease in patient and whether they lived or died. The album also contains two studio portraits of three siblings who did not contract the disease because they had been vaccinated.
The photographs were taken at the Vancouver General Hospital under the direction of A.K. Haywood, M.D., General Superintendent. Copies were sent to Dr. H.E. Young, Provincial Health Officer who had multiple copies of the album made up and sent to Health Officers across Canada and the United States.

The Health Act of 1893 (SBC 1893, c. 15) established a system by which the government would review and approve public water supplies, and systems of sewerage, that are contemplated by municipalities and incorporated companies, and, in later health act revisions, individuals. The series contains engineering plans from ca. 1920 to 1989.

The records consist of copies of engineering plans submitted to the government by third parties and approved by government in accordance with the Health Act. The plans are of various scale and sizes. They government stamped the plans to show the date of the approval. The plans are numbered sequentially from 1 to 18171. Each number represents an application. There are also plans at the end of the series that are numbered from 12-001 to 14-002. Most applications consist of one plan though some applications consist of multiple plans. An index to plans 1-18171 are available in GR-3547.

The following government offices were responsible for approving these plans:

Provincial Board of Health 1920-1946
Dept. of Health and Welfare 1946-1959
Dept. of Health Services and Hospital Insurance 1959-1973
Dept. of Health 1973-1976
Ministry of Health 1976-1979
Ministry of Environment 1979-1989

The records have been classified as 32900-30 in the Health Safety and Protection Operational Records Classification System.