Appointed medical inspector, the writer compiles annual inspections and statistics documenting widespread tuberculosis and high child mortality among Indigenous children in residential schools between 1904 and 1921. Findings show infection originating in homes, pervasive disease across ages, and unusually high deaths among pupils, and lead to recommendations for expanded local schools with farm training, government-managed oversight, provincial curricula, medical inspection, and fresh-air treatment for tuberculosis. Despite corroboration from medical authorities, officials resisted or suppressed action. The account serves as a factual record and an appeal for accountability and improved public-health measures for the affected communities.