Peter Bryce and The White Plague

Mar29

According to the World Health Organization, World Tuberculosis Day is marked every March 24, on the day in 1882 when Dr. Robert Koch announced that he had found the cause of tuberculosis, the TB Bacillus. According to the WHO site, at the time “TB was raging through Europe and the Americas, causing the death of one out of seven people.”

Once I saw that statistic, I understood more clearly why Peter H. Bryce had decided to pursue public health over neurology. He had studied in Paris with some of the pioneers of neurology, but then he came home to Canada and went into the civil service in order to work on public health issues, including TB. Public health held none of the prestige (not to mention compensation) of neurology and I had always wondered why he chose it.

But when I think of one in seven people, I think of a class of 27 students I teach at the moment. In that class, about four people would die of tuberculosis if this were the late 19^th century. In 1882, the same year Koch identified the bacillus, Bryce joined the civil service in Ontario and started working on the first public health code in Canada – a document designed to reduce such death tolls.

When Peter Bryce reported on the appalling health conditions in the Indian Residential School system in 1907, most of the deaths were caused by TB. By then, in most of Canada the death rate due to tuberculosis had been reduced dramatically. But in the IRS system nearly one-quarter of all children would die or were dying of TB. When the story broke in the Ottawa Citizen on November 15, 1907, the headline was Schools Aid White Plague – white plague being a popular description of tuberculosis at the time.

Tuberculosis impacted Peter Bryce throughout his life. A note in my family tree says that Peter’s sister Katherine died of TB in 1876 at the age of 17. Further, Bryce’s son Henderson died of TB on December 31, 1931 at the age of 42. Henderson was the only one of Peter Bryce’s six children who went into medicine. After graduating from the University of Toronto with his medical degree, Henderson went to Haida Gwaii and worked as a doctor in Port Clemons and later at Stave Falls in the Lower Mainland where a huge hydroelectric dam was being built. Later, he did a residency in surgery at the University of Chicago and became the head of surgery at Vancouver General Hospital before discovering he had TB.

Dr. Henderson Bryce, ca. 1914

This is where the story gets personal for me, because Henderson was my grandfather and this is my family’s story. Granddad found out that he had TB sometime after my Aunt Helen was born in 1916. At the time, wisdom was that he would have a better chance of surviving if he moved to a drier part of the world, and so Henderson took a locum assignment in Princeton B.C., where my father was born, before settling in Kelowna in 1920. It seems Henderson was in remission for much of this time, because he worked at Kelowna General Hospital for a few years, but by the late 1920s, the TB had re-emerged, and he was dying.

Grandmother Jessie, Aunt Helen, my father Bill and Grandfather Henderson Bryce, 1927

A few years ago my Aunt Helen (who was 15 in 1931) told me she remembered taking the ferry up Okanagan Lake to meet her Uncle Bill, who had been sent by Peter Bryce (my Aunt called him “the old man”) to be with his brother, and to take the body back to Ottawa for burial. Shortly after my grandfather died on New Year’s Eve 1931, Uncle Bill transported his body back to Ottawa by train, arriving in time to hold a funeral service on January 9^th.

A few days later Peter Bryce came home and told his family he was leaving to take a trip to the West Indies the next day. On January 12, he got on the Empress of Australia at New York City, and two days later on January 14, 1932, Peter H. Bryce died in his cabin, alone.

It is a tragedy that a man who did so much for so many, died alone at sea with the knowledge that the very disease he had spent his life fighting, had killed his son. But for me the real tragedy is that my father lost his father at the age of 13, and moreover watched his father die so slowly and painfully. The ravages of TB have the power to reach across generations, as so many in the Indigenous community know all too well.

A 15-year-old Canadian girl died of tuberculosis in January this year. Her name was Ileen Kooneeliusie and she was from the hamlet of Qikiqtarjuag in Nunavut. Andre Picard in the Globe and Mail writes about her death and the high prevalence of TB in the territory (in the interests of giving credit where it is due, the story was first told by Nick Murray of the CBC). In Canada, 4.7 people out of every 100,000 die of tuberculosis. In Nunavut, the rate is 229.6 per 100,000. It’s a disease that can be stopped, but early detection is a key, and Picard notes that this child’s death was caused by cultural and language differences

The mother of Ileen Kooneeliusie said that the principal barrier to getting care for her daughter was an inability to communicate the severity of her condition – because none of the nurses at the clinic spoke Inuktitut. She was not taken seriously. The language gap, and the condescension of health workers from away, have consistently been identified as an impediment to care in Nunavut and other Indigenous communities.

Peter Bryce would not be surprised.

At the Bryce family plot in Beechwood cemetery

The documentary film Finding Peter Bryce is currently in post-production but it needs funding to be completed. If you are interested in contributing, you can give through our partners, the Canadian Public Health Association and receive a tax receipt in return. Go to How to donate to the Film to find out more. Click here to see the promotional trailer. If you have other questions, suggestions or thoughts, please contact me at andyj.bryce@gmail.com

Peter Bryce and the Six Nations Reserve

Feb26

“So let’s go see the downtown,” said Peter Campbell, the director of Finding Peter Bryce. We were driving down Mount Pleasant Road just south of Brantford, and we were coming up to a four way stop. There was a house on one corner, a bistro on another, and across the street a market with a windmill on top and on the other corner, a cemetery.

“This is it,” I told him. “This is all there is to Mount Pleasant.”

Peter wanted a downtown to shoot some incidental scenes, and he had imagined Mount Pleasant to be a classic Ontario downtown with brick buildings and lamp posts and the like (the next day we shot in Port Hope, which was just the kind of place Peter was imagining). Mount Pleasant is more like a collection of houses – hardly noticeable as a community anymore. But 160 years ago, this village represented opportunity for settlers. The land was fertile, and Mount Pleasant was beside the Grand River which emptied into Lake Erie and gave access to markets across the lake in the U.S. It was an important transportation route in the days before railroads or even basic roads. Mount Pleasant had location, location, location.

Mount Pleasant is also remarkable because it was the first plot of land leased out to settlers by Six Nations Chief Joseph Brant. The Six Nations are made up of the six Iroquois bands which supported the British in the American Revolutionary War. To reward their Indigenous allies (who were also facing punishment and perhaps death in the U.S.A.), the British offered them the Haldimand tract in what is now Ontario. It was an enormous grant – 10 miles on either side of the Grand River from Lake Erie to what is now Mount Forest. But Chief Joseph Brant started leasing out land to settlers. He figured the land would bring in money, and encourage the settlers and Indigenous to work together. He didn’t see the Indigenous lifestyle of hunting and trapping in the future and wanted his people to adopt the agricultural lifestyle. At least, that’s the history that we have inherited as the descendants of the settlers. As I have found on this journey more than once, Indigenous history and Settler history are different in their interpretations. My next piece of research will be to flesh out how the Indigenous view their relationship with Europeans at that time. This should help to answer a question that is core to Peter Bryce’s story; Did he have regular contact with Indigenous people while growing up?

“Peter Bryce had acquired a sensitivity to the Aboriginal population,” says historian Bill Darfleur. “I’m sure that’s because Six Nations is on the other side of the town line. “

It’s not the first time I have heard this interpretation; my cousin Kevin Best had talked to me about this more than a year before. Kevin knows more about the Indigenous world, than any other non-Indigenous person I have met. Well before Kevin knew about his ancestor’s advocacy of Indigenous people, he had developed a deep appreciation for Indigenous culture and spirituality. At a ceremony in Toronto in 2015, Kevin offered me his eagle feather as support when I was about to give a thank you speech on behalf of the family. It was a generous and personal offering and I was touched.

“There was definitely contact in the early days,” says Kevin. “The Haudenosawne (Iroquois confederacy) had a real problem at Six Nations because so many of their men had been killed fighting for the British. On the other hand many of the settlers around Mount Pleasant were officers from the British military who were single. There was a lot of intermarriage.”

It’s easy to find the results of this intermarriage. We were hosted in Mount Pleasant by Linda Guest, who ran a B&B and is a descendant of Joseph Brant’s assistant, Epaphras Phelps. He was from the Mohawk valley of upper New York state and he moved to the area and married a Mohawk woman named Esther Hill in 1798. Despite some rocky moments during the war of 1812 when Epaphras predicted the Americans would win and was charged with treason for his comments, the Phelps family has many descendants living in the Mount Pleasant area.

But all of this happened well before George and Catherine Bryce (Peter’s parents) arrived in 1843. According to the book The Work of their Hands, by the 1840s Mount Pleasant was well established as a commercial centre, and the fertile land and active farming community was bringing money in for the merchants and tradesmen of the village.

The Work of Their Hands is an interesting story all on its own. The book was commissioned by a group called Heritage Mount Pleasant. It hired a researcher from the University of Waterloo named Dr. Sharon Jaeger to research and write about Mount Pleasant from 1799 to 1899. Remarkably this book is 296 pages long, and among other things, it outlines how the two Bryce brothers (Peter and George) played major roles in the development of Canada. But the village was also home to Arthur Sturgis Hardy, who went on to become Premier of Ontario. As Premier, Hardy would often lock horns with Dr. Emily Stowe on suffragette issues. Stowe was the first female medical doctor in Canada, and she had been educated in Mount Pleasant.

work-of-hands

In the book, Jaeger quotes local journalist Jean Waldie who in 1854 describes Mount Pleasant as a hub of activity with inns, taverns and stores, a carriage shop and at least one blacksmith. In this era a number of substantial homes were built, and many of them still line Mount Pleasant Road. It was the heyday for Mount Pleasant, and all that economic activity helped the Bryce, Hardy and Stowe children to have influential lives in the new country of Canada.

But history has not been kind to Mount Pleasant. By the end of the 19^th century, much of the industry in Mount Pleasant had moved to nearby Brantford and by the time of the automobile in the 20^th century, Mount Pleasant’s future as a sleepy village was cemented.

What keeps me going on this journey is how I peel back a layer of history, only to find another. In researching Mount Pleasant I found a story about a village with great prospects which got left behind by history. It’s a story that has been repeated dozens of times in Canada. But now I am left wondering about the next layer, and that involves the other people in this story – the people of Six Nations. In researching that story, I suspect I will find yet another layer that will tell me more about this country. Such is the nature of history.

Digging for Peter Bryce’s Spiritual Roots

Jan22

Mount Pleasant Presbyterian Church

Here we were in Ontario in late May and the temperature was over 30 degrees, but inside the church, it was cool. Peter Campbell and I were in Mount Pleasant, Ontario to interview a local historian and get some footage of Peter Bryce’s hometown for the film Finding Peter Bryce, and we were looking for a stained glass window that was tied to the Bryce family.

Peter Bryce grew up in a far different Canada than the one we live in today. In an era without computers, televisions, and radios the church fulfilled not only a spiritual role, but it gave everyone an identity, and in a time when most people lived in small communities the church all but defined who you were.

“The social aspect of the church in those days was enormous,” says local historian Bill Darfleur. “A lot of what we now see as society’s responsibility in social welfare, employment and those sorts of things, those roles were filled by the church. So, your boss would be in the same congregation as you. It was very important.”

“Religion for the average Canadian in the late 19^th century is the centerpiece of their life in a way that we don’t understand today,” says historian Adam Green. “People got their identity from their religion, more than their language, more than ethnicity and to some extent more than their national background.”

Peter Bryce’s parents arrived in Mount Pleasant in 1843, and George and Catherine Bryce took a leading role in the Presbyterian congregation. The book, The Heritage of the Mount Pleasant Presbyterian Church, has a section on the Bryce family.

George Bryce was one of the first and most devoted members of the church. He was the first president of the Board of Managers and was also one of the church trustees who signed the indenture for the purchase of the two lots where the church is located. He was among the faithful who helped build the church.

George Bryce’s commitment rubbed off on his children. His eldest, George Jr., studied theology at Knox College (University of Toronto) and was ordained as a minister of the Presbyterian Church in 1871. He moved to Winnipeg shortly after to establish Knox Presbyterian Church and serve as its minister. He also played a major role in the education system of Manitoba. He founded Manitoba College, and assisted in founding the University of Manitoba. So, while Peter Bryce is known for his work in the mostly secular world of public health, his personal influences included a heavy dose of Protestant religion, along with a classical liberal approach to life.

“The one life lesson that I managed to tease out (from research on Bryce) was this notion that when you encounter somebody that is not like you, you don’t cast them off, you bring them into ‘the circle,’” says Green. “There was this missionary state of mind that your job, being someone who was educated, was to bring that light to the masses. For the time, it is an open-minded way of looking at the world.”

Bryce’s religion led him to the Social Gospel, a group of people who felt the church’s role was to help those who were struggling in the new industrial economy of the late 19^th century. From the Social Gospel we get political leaders like J.S. Woodsworth and Tommy Douglas, and it was the Social Gospel which made public health not just a career, but a calling for Peter Bryce.

Photo Courtesy of June Adlam

Peter Campbell and I never did find the correct window on that hot spring afternoon. We had snuck in after another event, and the organizers were waiting to lock the doors and go home. The next day, we missed our connection with June Adlam from the church so we never got a shot of the window. But June and I connected through email, and she sent me a CD with photos of the Bryce window. According to the The Heritage of the Mount Pleasant Presbyterian Church, the window was erected in 1904 to honour Peter Bryce’s parents. The inscription underneath is “Love thy neighbour as thyself,” and the window depicts the story of the Good Samaritan. It seems Peter Bryce’s persistent advocacy for the Indigenous came from a far deeper place than just the science of public health.

Peter Bryce Anticipates the Modern Welfare State

Dec18

Over the last few weeks I have been laying out the history of Peter Bryce’s involvement with residential schools and public health in Canada’s early years. I have made the argument that he is one of the key figures in both of these fields and that he is one of the unknown characters of Canadian history. But on my last post of 2016, I want to advance that argument one step further, to say that Peter Bryce’s actions anticipated Canada’s modern welfare state.

The woman who has said this most clearly is Megan Sproule-Jones. In 1996 she published Crusading for the Forgotten: Dr. Peter Bryce, Public Heath, and Prairie Native Residential Schools in the Canadian Bulletin of Medical History. In this article she outlines the rise of the public health movement and its impact on the Indigenous community through Peter Bryce’s efforts. It turns out Bryce was not alone in his approach to solving the problems of Canadian society in the late 19^th century. He had grown up in a prominent Presbyterian family in Ontario, and was a member of a movement called the Social Gospel which had emerged from the pulpit-driven religion of his father’s generation.

“That movement emerged in response to Canada’s transition from a rural society to an urban one,” says Sproule-Jones. “For those Christians the gospel was a call to action. They felt an obligation to help those in society who may not have been able to help themselves. Those Christians formed organizations like the Young Men’s Christian Association, the YWCA and the Salvation Army. They were all out there working to deal with issues like poverty, hunger, poor sanitation, and poor housing.”

For Peter Bryce, public health brought together his two great personal influences: science and religion. By using the fundamentals of scientific research he could prove how public health measures could result in social change and uphold a sense of morality and justice – good public health is for everyone since no one group in society is totally isolated from the rest. The problem for the public health movement was that the federal government had remained resistant to legislation and public policy surrounding public health. Going to work for the federal government in 1904 would have been an important step for Bryce.

“They were trying to lobby the government for changes in legislation and they believed firmly that government had a role to play in insuring the health and welfare of all Canadians,” says Sproule-Jones. “They were never very successful in convincing the federal government of that so I would imagine that when Peter Bryce had this opportunity to take on the role of Chief Medical Officer, he would have been very excited because he would have been right in there with the people would have been framing public policy and legislation that could have affected change. I’m sure that would have been his hope when he took on that position.”

Perhaps Bryce knew that he would have a difficult path in the federal government. At Queen’s Park he held considerable influence, but in Ottawa he would have to answer to layers of bureaucracy above him, and he would be working for a government whose main focus was economic expansion. It is little wonder that he met resistance, but as Cindy Blackstock says, “Someone had to be first – someone had to blaze that trail, and that person was your great-grandfather.”

“I think Peter Bryce really anticipated the rise of the welfare state in Canada” says Sproule-Jones. “He was a very strong proponent of government intervention. He believed quite firmly that the government did a have a role to play in the health and the well-being of Canadians. He was calling for government intervention in Indigenous health and Indigenous education at a time when many people really still believed in a more ‘fend-for-yourself’ approach – a laissez-faire principle that people should really be able to look after themselves.“

To put this in perspective, when the Social Gospel finally ran out of steam in the 1920s, it left a vacuum filled by the Canadian Commonwealth Federation in 1932. The CCF’s early leadership included figures like J.S. Woodsworth and Tommy Douglas, both of whom had been figures in the Social Gospel just a few years before. The CCF, and later the New Democratic Party would be effective advocates for the modern welfare state, and without them social benefits such as socialized medicine may never have happened.

I will be taking a break over the holidays but will be back with more about Peter Bryce in the new year.

The Twin Legacies of Peter Bryce come together in the Walkerton Tragedy

Nov27

I first met my cousin Mary Robinson-Ramsay in August 2014 at a family reunion at David Bryce’s cabin. Mary was from Walkerton, a central Ontario village notorious for an outbreak of E coli from a contaminated town well. She told me she had been on Walkerton Council in the years leading up to the outbreak in May 2000, and had brought up concerns regarding the water. As I listened to her in that hot noisy cabin I realized that the legacy of Peter Bryce lives on, and that’s when I decided to do a film on him.

Peter Campbell and I went to Walkerton two years later to interview Mary for the film Finding Peter Bryce. This was the first stop on a five day whirlwind filming trip in southern Ontario. We arrived in Walkerton after a five hour flight and a pleasant drive through miles of farmland. Walkerton is a prosperous small town along the banks of the Saugeen River and it was hard to believe that this had been the site of such a tragedy.

walkerton

Mary had been a witness at the Walkerton Inquiry, and she was mentioned in the report. On page 236 it describes how Walkerton council had received a report from the Ministry of the Environment which expressed concerns about its water purification system and how the report ended up on the council agenda as an information item.

At that meeting, Mary Robinson-Ramsay, a municipal councilor, expressed her concern about the PUC’s non-compliance and the detection of E. coli bacteria. From her standpoint, the solution to these problems was to provide what she termed ‘regular and on-going technical expertise.’ She identified the options of either retaining a consulting engineer to take supervisory responsibility or hiring a municipal director of public works.

Council ignored her. “Their attitude was ‘oh you’re the new kid on the block,’ and I was a new councilor,” she told us. “So their answer was ‘we’ll get the water guys to look at it.’ But I don’t think they understood fully my concerns.”

Mary knew better because she had grown up being conscious of water quality.

“As a General Practitioner in a small town my Dad was also the medical officer of health and the coroner,” says Mary. “One of my Dad’s duties was to test wells in the area, so sometimes that was a conversation piece around the supper table about a well he was concerned with. I was probably more aware of water than most kids were.”

Mary Robinson-Ramsay

Later Mary and her husband worked in South Africa, where clean water is not a given: “In the country you had to be careful, there was Bilharzia and other diseases around and you had to be more aware.”

Most of us in Canada take for granted that we will have safe, clean drinking water. But it wasn’t that long ago that drinking water wasn’t that safe or clean. Devastating outbreaks of water-borne disease were common in the Canada’s early years. It wasn’t until Peter Bryce and the public health movement established clean water standards that the situation began to change. As well, in the 1880s and 1890s Peter Bryce faced pressure from many councils to relax standards. One editorial, written in 1904 when Bryce left the Ontario civil service for the federal government said “Dr. Bryce has always turned a deaf ear to salubrious legislators who came with appeals of this kind and was even willing to gently explain that such a request was unintentionally criminal.”

The results of not meeting standards are devastating, as the Walkerton tragedy so well illustrates. In a town of 5,000 people, there were five deaths, and at least two thousand other people who became seriously ill. The two men responsible for the tragedy were found guilty of a charge of common nuisance. One spent a year in jail, while the other spent five months under house arrest. The town of Walkerton had to replace parts of its water system.

Peter Bryce’s twin legacies come together in Mary Robinson-Ramsay’s story. His legacy to the country is a public health system that has helped it prosper and grow. The legacy to his family can be seen in his descendants – Mary’s father is only one example of a descendant who went into medicine. In another branch of the family is an uninterrupted line of five generations of people in public health. But Mary’s story describes another, more important legacy – and that is one of telling truth to power as she describes in the clip below.

There is one footnote to leave you with – according to Health Canada there are 138 boil water advisories in 93 First Nations communities in Canada outside of British Columbia. It seems the standards of clean water which most of us enjoy, are not being met in Indigenous communities. There is still much work to be done.

The documentary film Finding Peter Bryce is currently in post-production but it needs funding to be completed. If you are interested in contributing, you can give through our partners, the Canadian Public Health Association and receive a tax receipt in return. Go to How to donate to the Film to find out more. Click here to see the promotional trailer. If you have other questions, suggestions or thoughts, please contact me at andyj.bryce@gmail.com

andyjaybryce.com

Media Teacher and Producer

Tag Archives: public health