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DLOC PCANAL



Report of the Department of Sanitation of the Isthmian Canal Commission for the year ...
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 Material Information
Title: Report of the Department of Sanitation of the Isthmian Canal Commission for the year ...
Distinctive title: Annual report of the Department of Sanitation of the Isthmian Canal Commission for the year..
Physical Description: 7 v. : ; 20 cm.
Language: English
Creator: Isthmian Canal Commission (U.S.)
Gorgas, William Crawford, 1854-1920
Isthmian Canal Commission (U.S.) -- Dept. of Sanitation
Publisher: G.P.O.
Place of Publication: Washington
Creation Date: 1910
Publication Date: 1908-1914
Frequency: annual
regular
 Subjects
Subjects / Keywords: Public health -- Statistics -- Panama -- Canal Zone   ( lcsh )
Genre: federal government publication   ( marcgt )
statistics   ( marcgt )
serial   ( sobekcm )
 Notes
Dates or Sequential Designation: 1907-1913.
General Note: Submitted by W.C. Gorgas.
 Record Information
Source Institution: University of Florida
Rights Management: All rights reserved by the source institution and holding location.
Resource Identifier: oclc - 20906175
System ID: AA00000356:00004

Table of Contents
    Front Cover
        Page i
        Page ii
    Front Matter
        Page iii
        Page iv
    Title Page
        Page 1
        Page 2
    Table of Contents
        Page 3
        Page 4
    Letter of transmittal
        Page 5
        Page 6
        Page 7
        Page 8
    Main
        Page 9
        Page 10
        Page 11
        Page 12
        Page 13
        Page 14
        Page 15
        Page 16
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        Page 29
        Page 30
        Page 31
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    Back Cover
        Page 55
        Page 56
Full Text
REPORT
OF THE
DEPARTMENT
OF
SANITATION
OF THE
ISTHMIAN CANAL COMMISSION
FOR THE
YEAR
1910
W. C. GORGAS
Colonel, Medical Corps, U. S. Army Chief Sanitary Officer, Ancon, Canal Zone
.0386
WASHINGTON �
GOVERNMENT PRINTING OFFICE
1911




Digitized by the Internet Archive
in 2010 with funding from Lyrasis Members and Sloan Foundation
http://www.archive.org/details/annualreportofisthmOOisth




REPORT
OP THE
DEPARTMENT
OF
SANITATION
OF THE
ISTHMIAN CANAL COMMISSION
FOR THE
YEAR
1910
f
o
o
1 a
J o
Wt C. CORQAS
Colorn^ MeJicrl Corns! V. 5.'Array Chief Sanitary Officer, Ancon, Canal Zone
WASHINGTON
GOVERNMENT PRINTING OFFICE
1911




CONTENTS.
Page.
Letter of transmittal...................................... 5
Vital statistics:
Deaths of employees of the Isthmian Canal Commission
and Panama Railroad............................... 9
Deaths in the cities of Panama and Colon and the Canal
Zone.............................................. 9
Deaths by age, color, and sex......................... 10
Deaths by nationality................................ 10
Causes of deaths of employees of the Isthmian Canal
Commission and Panama Railroad Co............... 11
Deaths of white employees of the Isthmian Canal Commission and the Panama Railroad Co................. 14
Deaths of white women and children from the United
States............................................. 15
Death rate among Americans on the Isthmus........... 17
Causes and places of deaths of employees and civil population.................................................. 17
Discharges and deaths of employees in hospitals of the commission............................................... 22
Consolidated hospital report.............................. 27
Consolidated sick camp report............................ 28
Consolidated report of employees sick in quarters.......... 29
Consolidated hospital, sick camp, and sick-in-quarters
report................................................. 29
Consolidated dispensary report........................---- 30
Average number of employees constantly sick ii* hospitals,
sick camps, and quarters......................_____----- 30
Average number of days' treatment per employee in hospitals,
sick camps, and quarters............................... 31
Subsistence and operating expenses........................ 32
Outside patients treated in hospitals, and amounts collected
for their treatment..................................... 33
Surgical operations performed in hospitals.................. 33
Operations and work performed in eye, ear, nose, and throat
clinics................................................. 35
Consolidated ward laboratory report of all hospitals......... 37
Report of:
Ancon Hospital...................................... 38
Colon Hospital....................................... 39
Culebra Hospital..................................... 40
Palo Seco Leper Asylum.............................. 41
Taboga Sanitarium.................................. 42
Santo Tomas Hospital................................. 43
Board of health laboratory............................ 44
Issues of quinine..................................... 45
(3)


4
Sanitation: PaS*
Panama.............................................. " 46
Colon (including Cristobal, Mount Hope, and Toro
Point)............................................ 47
Quarantine service:
Panama-A neon and Colon-Cristobal................... 48
Bocas del Toro....................................... 49
Personnel report......................................... 49
Hospital cases of malaria among employees................. 50


LETTER OF TRANSMITTAL.
Isthmian Canal Commission,
Department of Sanitation, Ancon, Canal Zone, January 25, 1911.
Chairman and Chief Engineer,
Isthmian Canal Commission,
Culebra, Canal Zone.
Sir: I have the honor to submit the following report of the department of sanitation for the calendar year 1910.
The improved health conditions shown in the report for 1909 continue, as is shown by the following table:
* Number of employees. Deaths. � Rate �
1904............................... 6, 213 82 13. 26
1905............................... 16,512 427 25. 86
1906............................... 26, 547 1,105 41. 73
1907............................... 39, 238 1,131 28. 74
1908............................... y 43, 891 571 1 13. 01
1909............................... 47,167 502 10. 64
1910............................... 50,802 ! 558 j 10. 98
The slight increase in the death rate over that of 1909 is due to the increased number of deaths from external violence, the death rate from disease being less than that of 1909.
The death rate among our white employees from the United States from disease was 2.63 per thousand. If we include American women and children, it will raise the death rate of Americans from disease to 3.64 per thousand. This shows an improvement over the year 1909, when the death rate for the above was 3.88 and 4.32 per thousand, respectively.
Taking special diseases, the deaths from typhoid fever among our employees have been:
Deaths.
1905....................................................... 12
1906....................................................... 42
1907....................................................... 98
1908....................................................... 19
1909....................................................... 13
1910....................................................... 13
(5)


6
Considering dysentery, we have had among our employees from
this disease the following deaths:
1905
1906 1907 1908 1909 1910
Deaths.
.. 14
69 .. 48 .. 16 .. 8
21
Among our 13,021 white employees we had only 1 death from this disease.
Considering pneumonia, we have had among our employees from this disease the following deaths:
1905 1906 1907
1908 1909 1910
Deaths.
.. 95 .. 413 .. 328
93 .. 70
73
Considering deaths from malaria among employees, we see the
following figures:
1905
1906 1907 1908 1909 1910
Deaths.
86 233 .. 154 .. 73 52 50
This is the'smallesfnumber ofMeaths we have had from malaria, and there is a marked improvement in the admission rate to our hospitals, as shown by the following table:
Per thousand.
1904 1905
1906 1907
1908 1909 1910
125 514 821 424 282 215 187
Deaths from the other principal diseases were as follows: Abscess of the liver, 9; nephritis, acute and chronic, 39; and from all forms of tuberculosis, 74; leaving 102 deaths among employees from all other diseases and 177 deaths from external violence.
Considering the death rate of the total population, including the cities of Panama and Colon and the Canal Zone, we find the rates for the different years to be as follows:
vii' \ � �V'/ .' . Rate.
1905..................................................... 49.94
1906..................................................... 48.37
1907..................................................... 33.63
1908..................................................... 24.83
1909....................................................... 18.19
1910..................................................... 21.18


7
r One death from yellow fever, in the person of a young Englishman, occurred at Ancon Hospital on January 24, 1910. The deceased arrived in Panama on the 6th of the month and was taken ill on the 8th. Information was received that he left the ship while in the harbor of Cartagena and visited the native town, and it was there that he undoubtedly got his infection.
With this exception no cases of yellow fever, plague, or smallpox occurred on the Isthmus during the year.
Very respectfully,
W. C Gorgas, Chief Sanitary Officer.
78431�11-2




ANNUAL REPORT
op the
DEPARTMENT OF HEALTH, ISTHMIAN CANAL COMMISSION,
FOR THE YEAR 1910.
VITAL STATISTICS.
Deaths of Employees of the Isthmian Canal Commission
and Panama Railroad Co.
Color. Average number of employees. Total number of deaths from� Annual death rate per 1,000 from�
Disease. Vio- All lence. | causes. Disease. Violence. All causes.
White.............. Colored............. Total......... 13,021 37,7*1 64 317 55 | 119 122 j 439 4.92 8.39 4.22 3.23 9.14 11.62
50,802 381 177 558 7.50 3.48 10.98
Deaths in the Cities of Panama and Colon, and the Canal
Zone. �
Annual
� Places. Population. Deaths. average per
1,000.
Panama...................... 45, 591 1,446 31. 72
Colon........................ 19,535 514 26. 31
Canal Zone................... 86,465 1,251 14.47
Total................... 151, 591 3,211 21.18
Note.�The figures relating to the number of employees are compiled from the pay rolls of the different months of the year. The population and deaths as given for the cities of Panama, Colon, and the Canal Zone include employees and civil population.
Total admissions of employees to hospitals and sick camps,
including those sick in quarters......................... 45, 965
Average per thousand of admissions of employees to hospitals and sick camps, including those sick in quarters.. 905
(9)


Age.
41
91
Total
10
Deaths by Age, Color, and Sex
Under 1 year..
I to 4 years____
5 to 10 years...
II to 20 years.. 21 to 30 years.. 31 to 40 years..
to 50 years.. 51 to 60 years.. 61 to 70 years.. 71 to 80 years.. 81 to 90 years..
to 100 years. 101 to 110 years Unknown.....
White.
93 16 6 12
75 72
51 30 5 3 2
2
367
F
59 21 4
15 17 18 8 4 2 2
4
154
Colored.
459 109 26 108 403 228 173 81 30 18 6 1 1 44
1,687
F
352 118 20 61 168 95 56 36 24 8 3 1
7
949
Yellow.
2 2
1
15 12 4
6 4 2
2
50
Deaths by Nationality.
F.
2 2
4
Total.
F.
554 413
127 141
32 24
121 61
493 183
312 112
228 74
117 44
39 28
23 . 10
8 5
1 1
1
48 11
2,104 1,107
Nations.
Africa..........
Antigua........
Argentina......
Australia.......
Austria........
Bahama Islands
Barbados......
Brazil..........
Bulgaria Canada.
China.....
Colombia.. Costa Rica
Cuba.....
Curacao. . Demerara.
Denmark............
Dominican Republic Dutch West Indies.. Ecuador............
England...........
Finland.............
Fortune Island
France........
Germany.....
Greece.......
Grenada......
Employees.
1
1
3
163 1 1
16 2 2
2
1 1
10
9 15
Nonemploy-ees.
1 11 1
1 1
188
2 52 136 9 7 2 5 3 1 1 6 9 1
12
4 1 21
Total
2 19 1 1 1 4
351 1 1 2 52
152 11 9 2 7
3 1 1
7 10
1 10 12
4
10
36


11
Deaths by Nationality�Continued.
Nations.
Guadeloupe. . . Guiana, British
Haiti...........
India...........
Italy.......
Jamaica... Martinique
Mexico----
Montserrat.
Nevia.....
Nicaragua____
Norway......
Panama......
Peru.........
_ 0
Porto Rico... Portugal.....
Russia.......
San Salvador St. Domingo.
St. Kitts.....
St. Lucia____
St. Martins.. St. Thomas.. St. Vincent..
Spain........
Sweden......
Syria.........
Trinidad.....
Turks Island United States Venezuela�
West Indies, British Unknown...........
Total
1 1
14 2
1
1 6 11 1 1
4
51
8 1
35 1
1
Nonemploy-
ees.
11
3
3 3
10
520 06 6 8
3 1
1,329
3 1
1
2 1
4
68
2 4
44 2 2
18
1
42 2 1
17
Total
28 4
5
4
21 634 92
7 16
1
4 2
1,343
5 1 1 1 2 2 10 79 1 3 8 95 2 2
26 2
77 3 1
18
3,211
Causes of Deaths of Employees of the Isthmian Canal Commission and Panama Railroad.
Causes of death. White. Colored. Total.
Disease.
Alcoholism acute and chronic 2 2
i 1
Aneurism........................ 1 1 i 2
Apoplexy......................... 1 3 1 2 ' 5


12
Causes of Deaths of Employees of the Isthmian Canal Commission and Panama Railroad�Continued.
Causes of death.
D isease�Cont inued.
Appendiciti Brain:
Softening of
Tumor of
Cancer of intestines, peritoneum,
White.
and rectum
Cancer and other malignant tumors of buccal cavity
Cancer of organs not specified Cerebrospinal fever
Cholangitis superative----
Colitis, acute and chronic Congestion and hemorrhage of the
brain.................
Diabetes................
Dementia prsecox Dysentery
Amoebic Clinical.
Emphysema, pulmonary Empyema
Encephalomalacia, acute Diarrhea and enteritis..
Epilepsy................
Fever:
Hemoglobinuric____
Malaria..................
Malaria, estivo-autumnal
Typhoid................
Heart:
Acute rupture of. Organic disease of
Hemorrhage, gastric.........
Infection of unknown origin
Intestinal obstruction.......
Liver:
Abscess of........
Hydatid tumor of
Lungs:
Abscess of.. Gangrene of
Meningitis:
Pneumococcus Tuberculous..
Simple. Myomalacia
Colored.
1
1
1 1
1
1
5 2 8 1
1
4 1
1
!
Total.
1
1
1
1
1
1 1
12 2 6 2 1 1 1 1
1
19 15 12
1
10 1 10
3
5
2
1
3 1
3
1
1
1
1
1 1 1 1 1
1 1 1
13 2 6 2 1 1 1 1
6
21 23 13-
1 11
1 10
3
9 1
1
2
1
3
2 3


13
Causes of Deaths of Employees of the Isthmian Canal Commission and Panama Railroad�Continued.
Causes of death.
Disease�Continued.
Nephritis:
Acute
Chronic
Other tumors (lymphoma)
Pellagra
Peritonitis, simple Pneumonia.......
Pyaemia.........................
Pyaemia and septicaemia, pneumo-
coccic____
Senility----
Septicaemia
Septicaemia, purulent infection....
Splenic anemia
Syphilis
Tetanus......
Tuberculosis:
General.
Pulmonary...
Miliary......
Abdominal...
Disseminated Ulcer, duodenal.. Undiagnosed.....
Violence.
Accidental traumatisms, various...
.Burns and scalds.................
Drowning, accidental.............
Dynamite explosions.............
Electric shock.....................
Homicides........................
Railroad accidents.................
Suicides.........................
Poisoning by food.................
Other acute poisonings. Other external violence
Total
2 2 1 2
1
3
11
3 1
3
3 29 3
1 1
119
5
30 1 1
5 63
4
2 1 1
3
2
9 37 4 4
16
2 3
30 1
17
Total
5 34 1
2 5 73 6
2 1
3
5 1
2 2
10 40 4 4 16 2 3
41 1
20 1
9 9
88 3 1 2 2
558


14
White Employees from the United States during 1910.
JANUARY.
Name. Division. Time on Isthmus. Age. Cause of death.
Brown. John E Engineering... .....do........ .....do........ 7 months 26 29 29 Railroad traumatism. Cerebral hemorrhage. Suicide (firearms).
Bork, Fred A....... Thorne, Charles L.. 33 months. 4 years____
FEBRUARY
Obdrett, Ernest. Turner, Robert..
Engineering.. ----do.......
2 years____
MARCH.
30 38
Accidental traumatisi Accidental trauma (dyna mite).
Cole, W. R.........
Gardner, George____
McGurn, H. D.....
[cKenna, L. F.....
Cottrell, R.. Fake, L. E. Geary, L. D
Hart, F. W.
Barry, John
Clark, James F...
Healy, Anna.....
Howard, Robert E
Engineering..
.....do.......
.....do.......
Examinati on of accounts.
32 months.
4 years____
32* months. 6 months..
APRIL.
39 51 25 24
Suicide (firearms). Dysentery, amoebic. Electric shock. Tuberculosis, pulmonary.
Engineering.. Mechanical... Engineering..
4 years.. 1 month.
5 years.. 3 years..
30 31
53 38
Tuberculosis, pulmonary. Accidental traumatism. Septicaemia.
Liver, abscess of, amoebic.
MAY.
Civil administration.
Panama R. R Examination of accounts.
2\ years..
30 months
1 year____
16 months
41
24 35 28
Organic disease of heart
Railroad traumatis Organic disease of heart Railroad traumatism.
Ames, Lamont
Jackson, John... Ridley, Arthur G
Tinsley, Elias C... Tafel, Harry.......
JULY.
AUGUST.
Bright's disease
Hobart, Joseph..... Engineering
do do
7 weeks...
Panama R. R ....do.......
13 months. 4 years, 2 | months.
4 years____
4 months..
42
13
38
46 24
Accidental trauma (dynamite). Railroad traumatism.
Fall from cement wall.
Railroad traumatism. Poisoning by acid.


15
Deaths op White Employees from ihe United States during 1910�Continued.
SEPTEMBER.
Name. Division. % Time on Isthmus. Age. Cause of death.
Coit, John J........ Transportation department. Mechanical department. Atlantic division. 36 33 27 Railroad traumatism.
Haven, Fred B... . Sieple, William 5 years____ 7 months.. Syphilis of cerebellum. Traumatism by machines. �
OCTOBER.
Halstead, w. S Lynch, James...... Schaberle, John A.. Chairman's office. Pacific division. Chairman's office. 4 years____ 6 months.. 2 years____ 28 38 33 ! � Amoebic abscess of liver. � Acute alcoholism. Homicide by firearms.
NOVEMBER.
Tate, Dexter....... Quartermaster's department. 5 years____ , 43 Suicide by firearms.
DECEMBER.
Brady, Walter h.h. Crawford, John.. . Dabbs, John S...... Evans, J. d........ Murphy, A. R...... Sanitary department. Mechanical division. Atlantic division. Panama R. R. Mechanical division. 5 years, 7 months. 5 years____ 16 months. 18 months. 4J years... 32 51 21 23 56 Traumatism by fall. Chronic nephritis. Staphylococcus septicaemia. Splenic anaemia. Sarcoma of right parotid gland.
Deaths of White Women and Children from the United States during 1910. JANUARY.
Name. Time on Isthmus. Age. Cause of death.
Collins, Mrs. h. S....... Fox. Mrs. B. J.......... Tucker, Richard B...... Walker, John........... 18 months. 3 months.. 21 years... 23 years... 3 months.. 7 years____ Sept Entx Men icaemia, puerperal. Do. >ro-colitis. ingitis, tuberculosis.

---1 ' � 78431 11 3


16
Deaths of White Women and Children from the United
States During 1910�Continued.
FEBRUARY
Name. I Time on Isthmus. Age. Cause of death.
Met calf, Betty.......... Wood (infant)........... 22 months. 3 days..... 22 months. 3 days... Paralysis, cerebral. Hemorrhage, cerebral.
MARCH.
Claybom (infant)....... Stewart, Agnes Georgia . 1 day...... 17 months. 1 day...... 47 years... Asthenia. Convulsions of unknown origin
MAY.
Graham, Mrs. S. E...... Patterson, Mrs. J. A..... � 18 months. 9 months.. 74 years... 45 years... Nephritis, chronic, j Carcinoma of pelvis.
JUNE.
Lloyd, Mrs. H. M Russell (infant)..
Septicaemia. Malnutrition
JULY.
Arthur, Guy Everard...
Monley, Solomon........
Reidman, Karl..........
Thompson (infant)......
19 months 3 months.. 18 months 1 day......
19 months. 3 months..
3 years____
1 day......
Malaria. Dysentery.
Diphtheria and nephritis Premature birth.
AUGUST.
Albright, Marion Ruth.. Murwin, Mrs. W. H..... 16 months. 19 months. 26 years... Pneumonia. Burns; explosion of alcohol lamp.

SEPTEMBER.
Scribner, L. May........ 3 years____ 38 years... General peritonitis.

OCTOBER.
Harbinson, J............ 10 months. | 34 years..., Acute infectious jaundice.
NOVEMBER.
Butz (infant)............ 1 hour..... 1 hour..... Atelectasis, congenital. Asphyxiation (accidental).
4 years____ 31 years...
DECEMBER.
Woodburn, Mrs. Effie... 3 years____ 6 months. 32 years... 42 years... Burns. Acute nephritis.


17
Death Rate Among Americans on the Isthmus
Average number of white employees from the United States, 6,079:
D isease.................................................
Violence................................................
Number
of deaths.
All causes
Annual average per 1,000
1G 19
35
Average number of white women and children from United States, 4,097:
D isease.................................................
Violence................................................
All causes
Average number of white employees and their families from the United States, 10,176:
D isease.................................................
Violence................................................
21
3
2.63 3.13
5.76
5.13 .73
24
5.80
All causes
37 22
3.64 2.16
59
5.80
Causes and Places of Death of Employees and Civil
Population.
Diseases.
I. General diseases.
Typhoid fever........
' [alaria...............
[alaria fever:
Estivo-autumnal.
Clinical...........
Cachexia.........
Hemoglobinuric fever
Measles...............
Whooping cough.....
Diphtheria and croup
Influenza.............
Miliary fever.........
Cholera nostras.......
Dysentery... Amoebic Bacillary Clinical..
Yellow fever.
Leprosy
Ancon Hospital.
10
1
46
Colon Hospital.
Panama.
Colon
Zone. Total
s
10
2 j 131
1
12 2
10
1 1
3
8
13
26 1
1
Erysipelas....................
Purulent infection and septi-
caem ia.....................
Pyaemia.....................
Septicaemia..................
Pyaemia and septicaemia,
pneumococcic..............
Tetanus......................
Pellagra......................
Beriberi......................
1
5 5
3 1
5 1 3 8 1 1 1
33
2
4 4
3 5
1
6
12
41
5 56
2
2 1
2 17 1
2
3
3
2
25 200
80 1
6
12 4 9 2 1 1 2
68
10 1
26 1 3 2
1 10
20
3 18
5 41


18
Causes axd Places op Death of Employees and Civil
Population�Continued.
Diseases.
Ancon Hospital.
I. General diseases�Continued.
Tuberculosis of the lungs......
Acute miliary tuberculosis.....
Tuberculous meningitis.......
Abdominal tuberculosis.......
Pott's disease.................
Tuberculosis:
Of bones and joints........
Of the larynx..............
Of other organs............
Disseminated tuberculosis-----
Rickets......................
Syphilis.......................
C. Tertiary...............
D. Hereditary............
Gonorrheal ophthalmia.......
Cancer and other malignant
tumors:
Of the buccal cavity......
Of the stomach and liver.. Of the peritoneum, intestines, rectum...........
Of the female genital organs
Of the breast.............
Other organs and of organs
not specified............
Other tumors (tumors of the female genital organs ex-
cep ted).....................
Acute articular rheumatism.. Chronic rheumatism and gout.
Scurvy.......................
Diabetes.....................
Addison's disease.............
Anemia:
Chlorosis.................
Primary, pernicious......
Alcoholism:
Acute or chronic.........
Acute....................
Alcoholic psychosis...........
II. DlieasfS of the nervous system and of the organs of special sense.
Encephalitis...................
Simple meningitis.............
Cerebrospinal fever...........
Pneumococcus meningitis.....
Lateral sclerosis...............
Otherdiseases of thespinal cord.
Cerebral hemorrhage, apoplexy.
Softening of the brain.........
Paralysis without specified cause........................
Other forms of mental alienation .........................
Epilepsy......................
Convulsions (nonpuerperal)...
Convulsions of infants.........
Hysteria
Colon Hospital.
37
7
5 4
1
46 1
1
1 1
1
1
1
1
2
1 1 1
1
7
2
1 2 1
1
6 1 1
44
3
Panama.
1 1
5
1
1
1
1
1 1
3 2
3 4
Colon.
Zone.
179 1
2 3
2 1
5 5
1 1
2
' 3
7
10
1 5 1 1
1 1
7
2
20
1
2
20
6
1 1 1
27 1 2 2
1
Total
42 1
2
4
2
2
1
1 1
1
2
1
8
7
2
7
2 1
9
329 13 9 12
1
2
51 6 6 2 5 1
3
6
1
8
2
13
2 5 1 1 2
1
3 1
10 4 1
2 27 5 5 1 3
40
5
7
6 7 3 17 1


19
Population�Continued.
Ci\
Diseases.
II. Diseases of the nervous system and of the organs of special sense-� Continued.
Ancon Hospital.
Neuralgia....................
Neuritis......................
Tumor of the brain...........
Other diseases of the nervous
system
III. Diseases of the circulatory
system.
Pericarditis....................j
Acute endocarditis............
Organic disease of the heart...
Angina pectoris...............
Aneurism.....................
Arterio-sclerosis...............
Other diseases of the arteries...
Embolism, thrombosis........
Varices........................
Other diseases of the veins.....
Pupura hemorrhagica.........
Other hemorrhages: other dis- ! easesof thecirculatory system.
IV. Diseases o1 the respiratory
system.
Myiasis of nasal fossae and sinuses........................
Other diseases of nasal fossae.. Other diseases of the larynx..
Acute bronchitis..............
Chronic bronchitis.............
Broncho-pneumonia...........
Pneumonia (unqualified)......
Lobar pneumonia.............
Pleurisy.......................
Empyema.....................
Pulmonary congestion, pulmonary apoplexy...............
Gangrene of the lungs.........
Asthma......................
Pulmonary emphysema.......
Abscess of lungs...............
Other diseases of the respiratory system (tuberculosis excepted).....................
V. Diseases of the digestive system. :
Diseases of the teeth and gums
Stomatitis....................
Other diseases of the mouth
and annexa.................
Acute gastritis................
Chronic gastritis..............
Acute indigestion.............
Other diseases of the stomach
(cancer excepted)...........
Colon Hospital.
1
13
2 1
2
1
1
1
7 1 49
2
1
3
Pan
ama
1 1
l
9
1
2
1
3
33
2
2
1
1
1 1
Colon.
19
43 4 2 7 2 2 1
3
1
48
8 22
49
3
7
18
2 1
1
1
4
4
Zone.
16
3
15
2
9 14
2 3
1
1
3 1
9
1 1 11
1 1
1
9
2
1
5
29
31 16
1
1 1
1
1
1
3 1
Total
1 1 -
1
21 92 7 6 11 2 6 ] 2 3
6
1 1
1 68 10 70 95 103 11
4
20
3
3 2 2
4
1 1
2 10 2 2
4


20
Causes
Population�Continued.
Diseases.
V. Diseases of the digestive system�Continued.
Diarrhea and enteritis (under 2
years).......................
Diarrhea and enteritis (2 years
and over)....................
Ankylostomiasis...............
Ascariasis.....................
Other intestinal parasites......
Appendicitis and typhlitis.....
Hernias,intestinal obstructions.
Inguinal hernia................
Intestinal obstruction.........
Diseases of the anus and fecal
fistulas......................
Other diseases of the intestines.
Duodenal ulcer................
Hydatid tumor of the liver____
Cirrhosis of the liver...........
Abscess of liver (unqualified).. Amebic abscess of the liver----
Jaundice......................
Other diseases of the liver......
Other diseases of the spleen----
Simple peritonitis (nonpuerperal).......................
Other diseases of the digestive system (cancer and tuberculosis excepted)...............
Ancon I Colon Hos- Hos-
pital.
VI. Nonvenereal diseases of the genito-urinary system and annexa.
Acute nephritis...............
Bright's disease (chronic nephritis).....................
Pyelo-nephrosis..............
Diseases of the bladder.......
Cystitis........................
Other diseases of the urethra, urinary abscess, etc..........
Hypertrophy of prostate�
Uterine hemorrhage (nonpuerperal).......................
Uterine tumor (noncancerous).
Cysts and other tumors of the ovaries......................
Salpingitis and other diseases of the female genital organs..
VII. The puerperal state.
Abortion.....................
Puerperal hemorrhage........
Other accidents of labor......
Puerperal septicemia.........
Puerperal albuminuria and convulsions.................
Eclampsia....................
3
1
2
3 1 3 1
S
pital.
3
9
42
4
1
1
1
3
4
2
Pan
ama
2 1
3
1
3
28 2
2
1
Colon.
243
3
i
i i
5 1
10
3
9
3
4
0
G5
2 3
1 1
1 1
2
4
1 1
73
Zone.
2
3
6 10
1
2
2
58
4 6 4 1
3
3
1
10
6 14
3 1
3 1
Total
'386
52
9
4 2
3 5 1
16
3
2
3 1
17 6 9 4
7 1
29
2
31 159
6
2 4
1 1
1
2
1 1
2
8 1 14
4
8


21
Causes and Places of Death of Employees and Civil
Population�Continued.
Diseases.
VIII. Diseases of the skin and
of the cellular tissue.
Gangrene.....................
Furuncle.....................
Carbuncle....................
Acute abscess.................
Ulcerating granuloma of the
pudenda....................
A neon Hospital.
IX. Diseases of the bones and of the organs of locomotion.
Caries (nontuberculous)......
Mastoid abscess...............
Other diseases of the bones (tuberculosis excepted)........
Other diseases of the organs of locomotion.................
X. Malformations.
Congenital malformations (still birth not included).........
XI. Diseases of early infancy.
Congenital debility, icterus,
and sclerema...............
Premature birth..............
Other diseases peculiar to early
infancy.....................
Malnutrition.................
Lack of care..................
Accidents at birth............
XII. Old age.
Senility
XIII. Affections produced by
external causes.
Suicide:
By poisoning..............
B y firearms...............
By cutting or piercing in-
strum ents...............
By jumping from a high
place....................
Poisoning by food.............
Venomous bites and stings....
Other acute poisonings........
Conflagration..................
Burns (conflagrationexcepted).
Absorption of deleterious gases
(conflagration excepted).....
Accidental drowning..........
Traumatism:
By firearms...............
By cutting or piercing instruments...............
Colon
Hospital.
B y fall
1 1
3
3
1 1 1
1
1 1 4
1
Panama.
1
3 2 2 1
1
4
Colon.
2 1 1
2
1
1
9
1 1
1
4
1
2
1
Zone.
Total
1
1
3 3
1
1
2
1
10
2
2
1 1
2
1
28
2
4
2 1 1 1
1
2 1
1
1
2
15 23 20 67
15 7 18 43
9 2 27
23 17 59 102
2 4 14
1 3 6
21
3 6
1
1
2
1
3
1
11
1
31 5
1
9


22
Causes and Places of Death of Employees and Civil
Population�Continued.
Diseases.
XIII. Affections produced by external causes�Continued.
Traumatism�Continued.
In mines and quarries.....
By machines..............
By other crushings (vehicles, railroads, landslides, etc.)..............
Starvation.....................
Electricity (lightning excepted) Homicide:
By firearms...............
By cutting or piercing instruments ...............
Ancon Hospital.
By other means..........
Fractures (cause not specified)
Other external violence.......
Legal execution..............
Colon Hospital.
3 2
23
2
XIV. Ill-defined diseases.
Ill-defined organic diseases____
Sudden death................
Cause of death not specified or
ill-defined.........*........
Infections of undetermined
origin
Total Stillbirths.
6 12
516
3
Panama.
3
22
1
1
1
6
293 6
1
6 1
1
2
38 4
1,356 152
Grand total
519
299
1,508
Colon
1
1
1
2
335 45
380
Zone
12 5
711 109
N2( I
Total
15 10
73 120
2 2
9 9
3 5
5 6
2 3
6
"i" 3
i 1
l 3
2
H 58
22
3,211 315
3,526
Note.�The deaths occurring in Ancon and Colon Hospitals result from sick, injury, or other cases taken from the cities of Panama and Colon, or from the Canal Zone, and in the table of vital statistics are properly credited to either Panama, Colon, or the Canal Zone.
Table Showing Discharges and Deaths of Employees in the Hospitals of the Isthmian Canal Commission, from All Causes, for the Year 1910.
Diseases.
Discharged
I. General diseases.
Typhoid fever...........................
Relapsing fever..........................
Malaria..................................
Malarial fever:
Estivo-autumnal...................
Tertian..............................
Quartan.............................
Mixed...............................
Undetermined.......................
Clinical..............................
Cachexia............................
113
2
249
4,628 952 43 47 202 3,268 20
Died.
12
3(>
1


23
Table Showing Discharges and Deaths of Employees in the Hospitals of the Isthmian Canal Commission, from All Causes, for the Year 1910�Continued.
Diseases.
I. General diseases�Continued.
Hemoglobinuria fever
Vaccinia..............
Measles...............
Diphtheria and croup
Influenza.............
Dysentery............
Amoebic.........
Bacillary.........
Clinical...........
Leprosy........
Erysipelas......
Chicken pox� German measles Mumps.........
Yaws
Other epidemic diseases.......................................
Purulent infection and septicemia............................
Pyemia.......................................................
Septicemia....................................................
Pyemia and septicemia, pneumococcic.........................
Tetanus.....'.................................................
Pellagra.......................................................
Beriberi.......................................................
Tuberculosis of the lungs......................................
Acute miliary tuberculosis.....................................
Tuberculous meningitis........................................
Abdominal tuberculosis.......................................
Pott's disease..................................................
Tuberculosis:-
Of bones and joints........................................
Of the lymph glands.......................................
Of the genito-urinary organs...............................
Tuberculous abscess...........................................
Tuberculosis of other organs...................................
Disseminated tuberculosis.....................................
Syphilis.......................................................
A. Primary...............................................
B. Secondary.............................................
C. Tertiary.*..............................................
D. Hereditary.............................................
E. Period not stated...................,..................
Soft chancre...................................................
Adenitis chancroidal...........................................
Gonococcus infection..........................................
Gonorrhea.....................................................
Gonorrheal arthritis..........................................
Gonorrheal ophthalmia........................................
Cancer and other malignant tumors:
Of the buccal cavity.......................................
Of the stomach and liver..................................
Of the peritoneum, intestines, rectum......................
Of the skin................................................
Of other organs and of organs not specified.................
Tumor of brain ...............................................
Other tumors (tumors of the female genital organs excepted)...
Acute articular rheumatism...................................
Chronic rheumatism and gout.................................
Arthritis deformans............................................
Muscular rheumatism.......................................
Diabetes.......................................................
Addison's disease..............................................
47
11
15
1
307 10 51 2 126 1 5 4 4 05 3 9 5 1
2 1
134
4 7
8 9 9 6 2 1 1 9 72 120 1 17 231 404
98 331 34 11
1 1 1 3 7 1
31 36 15 2 56 5 1
Died.
0
2
4 1 11
4
5 4 2
2 2
39 4 2 4 1
26
1
1
2
1
1
78431�11
4


24
Table Showing Discharges and Deaths of Employees in the Hospitals of the Isthmian Canal Commission, from all Causes, for the Year 1910�Continued.
Diseases.
I. General diseases�Continued.
Discharged.
Anemia, chlorosis............
Chlorosis....................
Anemia, primary, pernicious
Other general diseases.......
Alcoholism:
Acute or chronic.........
Acute...................
Alcoholic psychosis..........
O ther chronic poisonings____
II. Diseases of the nervous system and of the organs of special sense
Simple meningitis...............
Locomotor ataxia................
Other diseases of the spinal cord. Cerebral hemorrhage, apoplexy..
Softening of the brain............
Paralysis without specified cause General paralysis of the insane... Other forms of mental alienation.
Epilepsy...............................
Hysteria................................
Neuralgia...............................
Neuritis................................
Tumor of the brain.....................
Neurasthenia...........................
Other diseases of the nervous system�
Follicular conjunctivitis................
Trachoma..............................
Other diseases of the eye and its annexa Diseases of the ear......................
III. Diseases of the circulatory system.
Pericarditis...........................
Acute endocarditis...................
Organic disease of the heart..........
Aneurism............................
Arterio-sclerosis......................
Other diseases of the arteries.........,
Hemorrhoids........................
Varices..............................
Varicocele...........................
Phlebitis............................
Other diseases of the veins...........
Lymph adenitis (nonvenereal).......
Other diseases of the lymphatic systei Other hemorrhages; other diseases of the circulatory system
IV. Diseases of the respiratory system.
Adenoid vegetations....................
Inflammation of accessory nasal sinuses
Myiasis of nasal fossae and sinuses.....
Other diseases of nasal fossae...........
Laryngitis.............................
Other diseases of the larynx...........
Diseases of the thyreoid body..........
Acute bronchitis.......................
Chronic bronchitis.....................
66 1
18 4
40
58 13 1
1 1
6 4 1 13 1 30 18 7 33 84
149
68 4 3 710 176
1
6 44
7 21 18 120 17 41
1
7 150 38
10 45 20 184 5 2 2
317
63
Died
1
6
2 6 1
1 1
1
1
11
2
1


25
Table Showing Discharges and Deaths of Employees in the Hospitals of the Isthmian Canal Commission, from All Causes, for the Year 1910�Continued.
Diseases.
Discharged .
IV
Diseases of the respiratory system�Continued.
Broncho-pneumonia.........................
Pneumonia (unqualified)....................
Lobar pneumonia...........................
Pleurisy.....................................
Empyema...................................
Pulmonary congestion, pulmonary apoplexy
Gangrene of the lungs.......................
Asthma.....................................
Pulmonary emphysema......................................
Other diseases of the respiratory system (tuberculosis excepted)
V. Diseases of the digestive system.
Diseases of the teeth and gums.................
Stomatitis......................................
Other diseases of the mouth and annexa........
Pharyngitis....................................
Follicular tonsi litis............................
Other diseases of the pharynx..................
Foreign body in the esophagus.................
Ulcer of the stomach...........................
Acute gastritis.................................
Chronic gastritis................................
Acute indigestion..............................
Other diseases of the stomach (cancer excepted)
Diarrhea and enteritis (2 years and over).......
Ankylostomiasis...............................
Ascariasis......................................
Tapeworm...................................................
Strongyloides................................................
Other intestinal parasites.....................................
Appendicitis and typhlitis...................................
Hernias, intestinal obstructions..............................
Hernia, inguinal..............................................
Other hernias................................................
Intestinal obstruction........................................
Diseases of the anus and fecal fistulas.........................
Other diseases of the intestines...............................
Duodenal ulcer...............................................
Hydatid tumor of the liver...................................
Cirrhosis of the liver..........................................
Biliary calculi................................................
Abscess of the liver (unqualified).............................
Amoebic abscess of the liver..................................
Cholecystitis.................................................
Jaundice.....................................................
Other diseases of the liver....................................
Other diseases of the spleen...................................
Simple peritonitis (nonpuerperal)............................
Other diseases of the digestive system (cancer and tuberculosis
excepted)..................................................
VI. Xonvenereal diseases of the genito-urinary system and annexa.
Acute nephritis........................
Bright's disease (chronic nephritis).....
Movable kidney........................
Pyelo-nephrosis........................
Other diseases of the kidney and annexa
28 10 170
122 11 4
50 20 12
19
6 45 82 85 65
1
9 26
35 76 17 166 56 6 6 5 9 197 15 225 27
45 95 7
40 5 8 5 8 30 18 3 4
4
32 176 2 2 7
Died
4
1
63 2
2
3
3
1 2
1
2 1
1
7
1 1
2
5
29


26
Table Showing Discharges and Deaths of Employees in the Hospitals of the Isthmian Canal Commission, from All Causes, for the Year 1910�Continued.
Diseases.
Discharged.
VI. Xonvenereal diseases of the genito-urinary system and
ann exa�Continued.
Calculi of the urinary passages...........................
Diseases of the bladder..................................
Cystitis.................................................
Stricture of the urethra..................................
Other diseases of the urethra, urinary abscess, etc.......
Acute prostatitis........................................
Chronic prostatitis.......................................
Abscess of the prostate..................................
Other diseases of the prostate............................
Hematocele.............................................
Hydrocele...............................................
Lymph scrotum and varix..............................
Other nonvenereal diseases of the male genital organs----
Uterine hemorrhage (nonpuerperal).....................
Metritis..................................................
Other diseases of the uterus..............................
Cysts and other tumors of the ovaries....................
Salpingitis and other diseases of the female genital organs Nonpuerperal diseases of the breast (cancer excepted)----
Normal labor Abortion____
VII. The puerperal state.
VIII. Diseases of the skin and of the cellular tissue.
Gangrene......
Furuncle......
Carbuncle.....
Acute abscess..
Phlegmon.....
Trichophytosis Scabies........
Other diseases of the skin and annexa
Pemphigus contagiosus ..............
Mycetoma............................
Filaria medinensis....................
Elephantiasis.........................
Myiasis of skin........................
Dhobie itch...........................
Ulcer of the skin......................
Tropical ulcer........................
Ainhum..............................
Impetigo contagiosa
IX. Diseases of the bones and of the organs of locomotion.
Caries (nontuberculous)......................................
Mastoid abscess...............................................
Osteomyelitis.................................................
Periostitis....................................................
Other diseases of the bones (tuberculosis excepted)...........
Ankylosis....................................................
Arthritis......................................................
Svnovit is.....................................................
Other diseases of the joints (tuberculosis and rheumatism excepted).....................................................
Amputations.................................................
Other diseases of the organs of locomotion.....................
14 10
33 89 14 2 4 j
1
2 72 5 173 1 2 5 2 1 1
1 1
1
79 22 164 7
2
335 1 1
3
6 2
26 162 6 2 5
6 9 5
14
2< \
3
89 43
42
161
85
Died
.��.v�-�


27
Table Showing Discharges and Deaths of Employees in the Hospitals of the Isthmian Canal Commission, from All Causes, for the Year 1910�Continued.
Diseases.
X. Malformations. Congenital malformations (still birth not included)
XI. Affections produced by external causes.
Poisoning by food.............................................
Venomous bites and stings.....................................
Snake bites....................................................
Other acute poisonings........................................
Burns (conflagration excepted)................................
Traumatism:
By firearms................................................
By cutting or piercing instruments........................
By fall.....................................................
In mines and quarries.....................................
By machines..............................................
By other crushings (vehicles, railroads, landslides, etc.)____
Overexertion..................................................
Heat exhaustion...............................................
Electricity (lightning excepted)................................
Homicide by firearms..........................................
Dislocations...................................................
Sprains........................................................
Fractures (cause not specified).................................
Other external violence........................................
XII. Ill-defined diseases.
Ill-defined organic diseases..........................
Cause of disease or death not specified or ill-defined
No disease, feigned disease.......................
Infections of undetermined origin...................
Discharged.
Total
Consolidated Hospital Report.
Died.
3
4 7 4
33
2
1
9
404
Re- Re-
maining Admitted. Died. Discharged. Transferred. maining
Hospitals. j Jan . 1. Dec. 31.
W. C. W. C. W. C. W. C. W. C. W. C.
Ancon Hospital.
Employees............ 244 268 8,489 8,351 47 212 5,683 8,037 2,756 76 247 294
Nonemployees........ 54 54 1,954 1,398 39 184 1,807 1,166 79 34 83 68
Insane................ 28 218 47 252 3 31 31 122 10 50 31 267
Total............ 326 540 10,490 10,001 89 427 7,521 9,325 2,845 160 361 629
Colon Hospital.
Employees............ 103 183 3,184' 2,613 32 103 2,603 2,095 569 500 83 98
Nonemployees........ 39 50 706 910 17, 141 682 700 12 50 34 69
Total............ 142 233 3,890 3,523 49 244 3,285 2,795 581 550 117 167


28
Consolidated Hospital Report�Continued.
Re- Re-
Hospitals. maining Adm itted. Died. Discharged . Transferred . maining
Jan . 1. Dec. 31.
W. C. W. C. W. C. W. C. W. C. W. C.
Culebra Hospital.
Employees............ 1 1 3 1 2 1 2 1
Nonemployees......... 4 7 100 262 ---- 2 96 239 6 22 2 6
Total............ 5 8 103 263 2 98 240 8 .23 2 6
Palo Seco Leper
Asylum.
Employees............ 1 1 3 4 1
Nonemployees......... 1 32 11 .... 3 6 1 *34
Total............ 1 33 1 14 3 10 2 34

Taboga Sanitarium. �-
Employees............ 57 3,191 3,164 33 51
Nonemployees......... 5 ... m ^� *^ 761 m ^� 756 2 ... 8 ...
Total............ 62 3,952 3,920 35 59
_ \^ m %S -1.11 mm m
Grand total:
Employees........ 405 453 14,868 10,968 79 315 11,452 10,137 3,360 577 382 392
Nonemployees..... 103 143 3,521 2,581 56 330 3,341 2,111 99 106 128 177
Insane............. 28 218 47 252 3 31 31 122 10 50 31 267
Total............ 536 814 18,436 13,801 138 676 14,824 1' 12,370 3,469 733 541 836
Consolidated Sick Camp Report.
Stations.
Ancon...........
Balboa..........
Corozal..........
Miraflores.......
Pedro Miguel____
Paraiso..........
Culebra.........
Empire..........
Las Cascadas____
Bas Obispo......
Gorgona.........
San Pablo.......
Tabernilla.......
Frijoles..........
Bohio...........
Gatun...........
Cristobal........
Porto Bello......
Nombre de Dios. Toro Point......
Remaining Jan. 1.
w.
8
C.
Admitted
w.
3
C.
463
396
Died.
Discharged
C.




- - - - 2 1
i 3 3 1



...� 1 1 1

2 13
w.
460
C.
382
Transferred.
Remaining
Dec. 31
w.
11
c. w.
17
C.
1
12
3
1
3 2
3
7
2
3
8 4
5
1
5
4
8
12 4 4 2
19
10 4 1
Total
78 689
550 212
503 32t,
569 464
176
4 (IN
544
38
91
1
1,913 309 429 29 103
7,820
150 568 667 355 659 692 462
545 590 533
1,152 302 99
3,120 951 593 159 172
12,165
51 521
397 186 326 265 445 367 138 347 410
1
1,235 211 319
25 90
80
465 524
290 333 545 386 430 455 417 907 236 59 2,068
613 434
150 156
28 167 147
26 171
54 123
98
38 114 129
672
96
113 4
5
5,800 8,936
1,996
64 103 145
65 323 150
74
109
126
122 243 70 42 1,002 338 155 10 13
3,231
3 9
7 7 3 1
'8 10
!0
2 4
2
66
3 5
5
5
3
8
8 6
6
9
7 3 76


29
Consolidated Report op Employees Sick in Quarters.
Stations
Ancon..........
Balboa.........
Corozal.........
Miraflores......
Pedro Miguel...
Paraiso.........
Culebra........
Empire.........
Las Cascadas...
Bas Obispo.....
Gorgona........
San Pablo......
Tabernilla......
Frijoles.........
Boh 10..........
Gatun..........
Cristobal.......
Porto Bello.....
Nombre de Dios Toro Point.....
Total.....
Days excused for quarters.
White.
1, 1,
2,
1, 3,
736 423 466 109 733
710 057 016
835 452
898 233 306 69 26 975 664 479 126 274
17,187
Colored.
45
57 40
8 161 33
3
1
4
73 8 2
3,806
272 242
4,755
New patients ex
cused for quarters.
White.
297 314 254 74
383
251 462 590 301 156 1,422
89 132
28
13 975 1,631 275
76 188
7,911
Colored.
43
42
13 6 83 14 1
1 3 47 6 1
799
130 189
1,378
Consolidated Hospital, Sick Camp, and Sick-in-Quarters
Report.
Hospitals.. Sick camps
Total
Remaining Jan.1. i
Admitted. Died.
W.
C.
w.
c.
536 81418,43613,801 381 91 7,82012,165
W.
138 2
C.
676
Discharged
w
C.
Transferred.
W.
574 905 26,262 25,966 140
14,824 12,370 3,469 13 5,800 8,936: 1,996
C.
689 20,624 21,300
5,405
733 3,231
3,964
Remain
ing Dec. 31
W.
541
66 607
C.
830 76
912
White. Colored. Total.
Total admissions to hospitals and sick camps........ Number of employees sick in quarters............... Total......................................... 26,262 7,911 25,966 1,378 52,228 9,289
34,173 5,405 27,344 3,964 61,517 9,429
Less number of patien ts transferred from sick camps to hospitals, and from hospitals to sanitarium, whose admissions are duplicated in above figures.. Net admissions to hospitals and sick camps, and those sick in quarters...................
28,708 23,380 52,088


30
Consolidated Dispensary Report.
Stations. # Employees. Nonemployees. Total.
White. Colored. White. Colored. White. Colored.
Ancon............. 6,909 11,838 2,207 1,868 9,116 13,706
Balboa............ 12,330 10,394 2,921 1,270 15,251 j 17,664
Corozal............ 8,905 5,809 2,666 508 11,631 6,317
Miraflores......... 9,002 10,955 207 407 9,269 11,422
Pedro Miguel...... 15,285 13,242 2,137 1,26S 17,422 14,510
Paraiso............ 4,858 3,870 2,930 1,283 7,788 5,153
Culebra........... 22,404 19,277 9,352 7,252 31,756 20,529
Empire........... 17,578 20,946 9,146 6,390 26,724 27,330
Las Cascadas...... 11,192 7,623 5,881 3,274 17,073 10,897
Bas Obispo........ 18,707 16,381 3,110 2,146 21,817 18,527
Gorgona........... 25,125 22,807 7,409 4,785 32,534 27,592
San Pablo......... 7,193 0,092 851 1,382 8,044 8,074
Tabernilla......... 7,499 7,415 1,540 1,499 9,039. 8,914
Frijoles............ 1,703 7,109 22 334 1,725 7,443
Bohio............. 372 4,392 106 3,097 478 7,489
Gatun............ 30,790 40,004 3,577 2,263 40.307 48,327
Cristobal.......... 20,182 22,405 6,910 4,189 27,092 26,594
Porto Bello........ 9,223 12,202 242 261 9,405 12,523
Nombre de Dios... 1,163 2,780 31 2,021 1,194 4,801
Toro Point........ 3.854 3,972 117 66 3,971 4,038
Total........ 240,394 202,233 01,362 45,623 301,750 307,850
Average Number of Employees Constantly Sick in Hospitals,
Sick Camps, and Quarters.
Hospitals.
Ancon Hospital...............
Colon Hospital................
Culebra Hospital..............
Palo Seco Leper Asylum......
Taboga Sanitarium...........
Total...................
White. Colored. Total.
316.02 370.37 080.39
117.13 139.73 250.80
.09 .09 .18
.17 .73 .90
66.32 00.32
499.73 510.92 1,010.65
Sick camps � Sick in quarters.
White. Colored. Total. White. Colored. Total.
Ancon............. 3.08 2.47 5.55 2.02 1.16 1.28 2.02 1.28 1.28
Balboa............ .12
Corozal............ .33 .67 1.00
4.22 3.35 7.57 .30 .16 .46
Pedro Miguel...... 5.36 5.81 11.17 2.01 .11 2.12
Paraiso............ 1.91 3.02 4.93 1.95 .02 1.97
Culebra........... 4.27 4.00 8. 27 2.90 . .44 3.34
Empire............ 2.96 5.59 8.55 4.43 .09 4.52
Las Cascadas...... 5.21 4.37 9.58 2.29 .01 2.30
Bas Obispo........ 4.78 0.19 10.97 1.24 1.24


31
Average Number of Employees Constantly Sick in Hospitals,
Sick Camps, and Quarters�Continued.
Gorgona........
San Pablo......
Tabernilla......
Friioles.........
Bonio..........
Gatun..........
Cristobal.......
Porto Bello.....
Xombre de Dios Toro Point.....
Total
Sick camps.
1.34
5.40 4. SO
12.30 2.91 4.25 .19 3.78
07. 27
White. Colored.
5.25 6.45
10.44
1.23 .44
19.04 8.88 4.58 1.21
5.43
98.42
Total.
6.59 11.91 15.30
1.23
.44 31.40 11.79
8.83 1.40 9.21
165.69
Sick in quarters.
White.
7.94
.04
.84 .19 .07 5.41 10.04
1.31 . 35
1.80
48.17
Colored. Total.
.01 . 20 .02
.01
10. 43
.75 1.59
13.96
7.94 .64 .85 .39 .09
5.42
20.47
1.31 1.10
3.39
02.13
Average Number of Employees Constantly Sick.
White. Colored. Total.
Hospitals......................................... 499. 79 510.92 1.010.O5
Sick camps....................................... (37. 27 98. 42 165.09
Sick in quarters................................... 48.17 13.96 02.13
Total....................................... 615.17 623.30 1,238.47
Average Number of Employees Constantly Sick per 1,000.
White. Colored. Total.
Hospitals....... 38.38 13.52 19.89
Sick camps..... 5.16 2.61 3.20
Sick in quarters 3.70 .37 1.22
Total * 47.24 16.50 24.37
Average Number of Days' Treatment per Employee in
Hospitals, Sick Camps, and Quarters.
Hospitals.
White.
Ancon Hospital.........
Colon Hospital..........
Culebra Hospital.......
Palo Seco Leper Asylum Taboga Sanitarium'.....
13.59 13.34
8.00 01.00 7.57
Total
12.25
Colored.
16.24 18.90 16.00 07.75
16.91
Total.
14.90 15.88 10.07 83.00 7.57
14.23


32
Average Number of Days' Treatment
per Employee in
Hospitals, Sick Camps, and Quarters�Continued.
i
Ancon..........
Balboa.........
Corozal.........
Miraflores......
Pedro Miguel...
Paraiso.........
Culebra.........
Empire.........
Las Cascadas...
Bas Obispo.....
Gorgona........
San Pablo......
Tabernilla......
Frijoles.........
Bohio..........
Gatun..........
Cristobal......
Porto Bello.....
Nombre de Dios Toro Point.....
Total
Sick camps
White.
2.39
1.51
2.24
3.60
3.29 3.14
3.39 3.34 3.75 2.78 4.33 3.29
1.00 2.37 3.40 3.58 2.34 3. 45
3.02
Colored.
2.26
1.64 2.15 3.17
3.09 2.22 2.94 3.44 4.17 3.29 4.37 3.31 1.40 1.58 2.22 3.41
2.83 2.77 2.90
2.83
Total.
2.35
1.00 2.20 3.30 3.17 2.02 3.08 3.39 3.98 3.17 4.35 3.31 1.40 1.58 2.28 3.42
3.15 2.70 3.14
2. 90
2.48 1.35 1.83 1.47 1.91 2.33 2.29 2. 74 2.77 2.90 2.04 2.02 2.32 2.40 2.00 2.03 2.25 1.74 1.00 1.40
2.17
Quarters
White.
Colored.
1.05
1.30 3.08 1.33 1.94 2.36 3.00
1.00 1.33 1.55 1.33 2.00 4.76
2.09 1.52
3.45
Total.
2.48 1.31 1.83 1.43 1.95 2.79 2.23 2.73 2.77
2.90 2.04 2.60
2.30 1.89 1.79 2.02 3.07 1.74 1.93 1.37
2. 30
Subsistence and Operating Expenses.
SUBSISTENCE EXPENSES.
%
Number of days' rations issued to P- patients.............................
Cost of rations issued to patients.....'.
Cost of subsistence per patient per day.
OPEEATING EXPENSES.
Number of days' relief furnished patients...............................
Cost of operation......................
Cost per capita per day...............'.
Cost of operation with amount received
from outside patients deducted......
Cost per capita per day with above
deduction...........................
Cost of dispensaries..................."
Hospitals.
565,124 $145,289.01 $0.257
505,123 $705.550.19
$1.25
$587,278.83
$1.07 $170,270.12
Sick camps.
57,970 $14,114.17 $0.243
57,970 $25,921.33 $0. 45
$25,921.33
$0. 45
Total.
623,099 $159,403.18 $0.255
023,099 $731,471.52
$1.17
$013,200.16
$0.98



33
Outside Patients Treated in Hospitals and Amounts Collected for Their Treatment.
Patients for whom the Republic of Panama pays
75 cents per day..............................
Patients for whom the Canal Zone government pays 30 cents per day.........................
Patients paying 30 cents per day for themselves.
Patients from the Republic of Panama paying other prices...................................
Patients from the Canal Zone paying other prices
Patients from the Canal Zone not paying........
Patients from the Republic of Panama not paying...........................................
Total.....................................
Number of cases treated.
i
Number of days' relief.
Amount
2,372
353 1,944
1,195 2,959 2,672
698
66,875
8,925 20,355
10,622 22,368 53,575
10,572
850,214. 50
2,669. 40 6,106. 50
22,112. 30 31, 367. 75
12,193
193,292 112,470.45
Note.�Patients carried from one month to another are considered as separate cases in above table.
Surgical Operations Performed in Hospitals.
Number. Died.
Amputations: Shoulder.
A rm......
Forearm.
Hand____
Thigh....
I-eg.........................
Foot........................
Digits, multiple............
Thigh, double..............
Leg, double................
Arm and leg................
Operations on bones:
Craniectomy, decompressive Craniectomy, exploratory... Laminectomy..............
Ostiectomy..*...............
Resection of wrist..........
Resection of hip............
Wiring of fractures�
Simple.................
Compound.............
Adenectomy:
Cervical...................
Axiallary...................
Inguinal-Single..................
Double.................
Femoral....................
Herniotomy:
Inguinal�
2
1
8 4 20
28 7
63 1 1 1
18
2
5
29 2
1
36 25
27 13
439 95
99
4 1
1
6
4
1
Single........................
Double.......................
Femoral.........................
Ventral..........................
Combined (any two of the above) Strangulated.....................
168 111
5 27
3 14
1


34
Surgical Operations Performed in Hospitals
Genito-urinary tract:
Nephrotomy................................
Nephrectomy...............................
Nephropexy.................................
Perinephritic abscess, drainage of............
Urethrotomy�
Internal.................................
External................................
Prostatectomy..................................
Variocele, radical cure...........................
Hydrocele�
Single, radical cure......................
Double, radical cure.....................
Orchidectomy...............................
Epididymotomy............................
Vasectomy..................................
Amputation of penis........................
Amputation of penis and scrotum...........
Curettage uteri..............................
Perineoplasty...............................
Trachelorrhaphy............................
Vaginal sections.............................
Vaginal punctures...........................
Obstetrical:
Caesanan section, abdominal................
Accouchement force.........................
High forceps.................................
Low forceps.................................
Version......................................
Perineorrhaphy____..........................
Thorax:
Thoracotomy................................
Thoracoplasty...............................
Excision of breast...........................
Excision of breast and axilla.................
Gunshot wound of chest, operation for.......
Stab wound of chest, operation for...........
Rectum:
Hemorrhoids, radical cure...................
Fistula in anus, excision of..................
General:
Thyroidectomy..............................
Nerve stretching.............................
Aneurismorrhaphy..........................
Varicose veins, excision of...................
Tenorrhaphy................................
Myorrhaphy.................................
Excision of surface neoplasms................
Gunshot wound of soft parts, operation for ..
Stab wound of soft parts, operation for...----
Extensive injuries to soft parts, operation for
Plastic operation for�
Congenital defect.......................
Severe injuries..........................,
Effects of disease.......................
Skin graft..................................�
Laparotomy:
For general peritonitis......................
For tuberculous peritonitis.................
For intestinal obstruction..................
Exploratory................................
Gastrotomy................................
Gastroenterostomy.........................
Enterectomy...............................
Enterorrhaphy.............................


35
Surgical Operations Performed in Hospitals�Continued
Continued.
Laparotomy-
Appendectomy........
Appendectomy with� Local peritonitis... General peritonitis
Caecostomy...........
Colostomy............
Sigmoidopexy..............
Cholecjrstotofny............
Cholecystostomy...........
Cholecystectomy...........
Choledochotomy............
Abscess of liver�
Laparo-hepatotomy for.
Thoraco-hepatotomy for
Splenectomy...............
Pan-hysterectomy..........
Supravaginal hysterectomy.
Hysteromyomectomy.......
Myomectomy...............
Salpingectomy:
Single..................
Double.................
Salpingo-oophorectomy.....
Ovarian cystectomy........
Died
Oophorectomy................................
Suspensio-uteri...............................
Plastic operation for chronic pelvic peritonitis
For ectopic gestation.........................
For trauma:
General peritonitis...........
Hematoperi tone urn..........
Rupture of liver.............
Gunshot wound of abdomen. Stab wound of abdomen.____
Major operations, various other Minor operations, various......
Total
193
25
17 1
8 1
1 1
3
5
6
3 1
1
12 1 4
11 ' 5
1

19
25
9
15

14
14
1
44
36 i
8
1 l
2
3 2
2 1
1
32
3,791 1
6,574 68
Operations and Work Performed in Eye, Ear, Nose, and
Throat Clinics.
Operations.
Number. Died.
Adenectomy...................
Adenectomy and tonsillectomy. Adenectomy and tonsillotomy. Advancement of internal rectus
Amputation of uvulva.........
Advancement of external rectus Cataract:
Discission of................
Needling...................
Curettage of middle ear........
Dacryocystotomy..............
Dilation of lacrimal stricture ... Drainage of�
Frontal sinus...............
Maxillary sinus............
Sphenoid sinus.............
Enucleation....................
16
77 9 2 4 7
8 6 1 3 5
7 10
1 10


36
Operations and Work
Performed in Eye, Ear, Nose, and
Throat Clinics�Continued.
Operations.
Number. Died.
Evisceration...........................
Excision, dermoid, cyst, upper lid......
Expression for�
Follicular conjunctivitis............
Trachoma..........................
Extraction of cataract..................
Grattage of eyelids....................
Holsrath-Kuhnt operation for trachoma
Incision and drainage of�
Abscess, Calvarian.................
Lacrimal sac.......................
Incision of�
Dacryocyst..............
Furuncle, ear...........
Larynx.................
Peritonsillar abscess_____
Postaural abscess........
Retropharyngeal abscess
Iridectomy.................
Lacrimal canaliculus incised
Lacrimal duct probed......
Mastoidotomy:
Simple.................
Radical................
Meato-mastoido tomy.......
Ossiculectomy.............
Osteoplastic, nose..........
Paracentesis of�
Cornea.................
Membrana tympani... ParafFine prosthesis of nose
Plastic:
On ear...............
On eyelid.............
On lip.................
On nose...............
Pharynx..............
Pterygium................
Removal of�
Bullet from ear........
Bullet from jaw.......
Bullet from nose......
Aural polyp...........
Cyst, ear..............
Nasal polyp...........
Nasal spur............
Screw worm from nose
Necrosed bones........
Uvula polyp......................
Sinusotomy, maxillary exploratory... Submucous resection of nasal septum.
Suture, lacerated sclera...............
Tenotomy............................
Tonsillectomy........................
Tonsillotomy.........................
Transplanting operation for pterygium
Turbinectomy.......................
Various other minor operations.......
Total..........
Refractions..........
Outside cases treated
Grand total
11 1
5 6 9 1 1
1
2
2 3 1 1 4 1
21 3
10
8 12
2 4 3
10 25 1
5 19
1 10
1 32
1
3 1 3 2 16 1 1 1 1 1
173 1 7 87 17 24 16 986
18,523


37 .
Consolidated Ward Laboratory Report of All Hospitals.
Blood examinations...................................... 23,269
Estivo autumnal..................................... 6, 634
Tertian�
Single.......................................... 1,741
Double........................................ 164
Mixed tertian and estivo autumnal................... 280
Quartan............................................ 223
Lepra bacilli........................................ 2
Differential blood counts............................. 1, 520
Leucocyte counts................................... 2, 700
Red blood counts................................... 329
Red and white blood counts......................... 11
Hemoglobin estimations............................ 547
Filaria.............................................. 29
Spirilla obermeieri................................. 3
Crescents.........................-................ 3
Guaiac and turpentine tests for invisible blood........ 71
Stool examinations..................................... 10,218
Ascaris lumbricoides................................. 574
Uncinaria ova...................................... 1> 380
Uncinaria worms.................................... 163
Tricocephalus dispar................................ 1, 065
Strongyloides intestinalis........................... 393
Tenia.............................................. 16
Tenia saginata..................................... 2
Ameba............................................. 361
Ameba coli......................................... 26
Ameba dysenteria.................................. 1
Ciliated monads..................................... 374
Bilharzia............................................ 10
Pus and blood...................................... 789
Pus and epithelial cells............................. 53
Balantidium coli.................................... 12
Tubercular bacilli.................................. 22
Lepra bacilli........................................ 2
Bacilli coli.......................................... 1
Oxyuris vermicularis............................... 1
Entomaoba, hystolitica............................. 5
Thymol treatments................................. 26
"Urine examinations..................................... 33,354
Albumen.......................................... 9, 357
Albumen and casts.................................. 5, 853
Sugar............................................... 123
Pus and blood...................................... 812
Gonococci......................................... 15
Hemoglobin........................................ 12
Bile............................................... o3
Diazo reactions...................................... 35
Microscopical examinations.......................... 782
Urea estimations.................................... 117
Dyslococci.......................................... 2
Tubercle bacilli.................................... 10
Hemin crystals...................................... 30


38
Urine examinations�Continued.
Guaiac test.......................................... 75
Glucose............................................. 3
Red blood cells...................................... 4
Sputum examinations.................................. 2, 615
Tubercular bacilli.................................. 288
Pneumococci....................................... 6
Miscellaneous:
Examinations of�
Pleural effusions............................... 1
Spinal fluid.................................... 27
Vaginal and urethral discharges.................. 44
Pus, blood, and tissue.......................... 324
Various smears and discharges.................. 133
Gastric analysis..................................... 45
ANCON HOSPITAL.
Class. Remaining Jan. 1. Admitted. Died. Discharged. ! Transferred. Remaining Dec. 31.
w. C. c. � W. C. W. C. W. c. W. C.
Isthmian Canal Commission employees........ Panama R. R. employees Pay patients............. Charity patients......... Insane patients.......... ' Total.............. 244 "49 0 '28 197 71 34 20 218 8,120 369 1,727 227 47 0,537 1.814 850 548 252 43 4 31 8 3 166 40 79 105 31 5,445 238 1,008 199 31 0.270 1,701 754 412 122 2,037 119 73 6 10 03 13 10 18 50 239 8 04 19 31 229 65 35 33 267
326 540 10.. 490 10,001 89 427 7,521 9,325 2,845 100 361 629
Average number of days' treatment per employee for the
year:
White.............................................. 13.59
Colored............................................ 16.24
Total........................................... 14.90
Average number of employees constantly sick during the year: ' ,
White.............................................. 316.02
Colored............................................ 370.37
Total........................................... 686.39
Number of days' relief furnished patients.................. 394, 703
Cost of subsistence per patient per day.................. $0. 225


39
Nationality.
Class.
Isthmian Canal Commission employees
Panama R. R. employees Pay patients.............
Charity patients Insane patients.
Total
Number
Americans.
Other nations.
treated. White. Colored. | White. Colored.
15, 098 2, 254 2, 660 800 545 3, 446 179 1,070 160 9 16 4, 808 140 599 111 51 6, 828 1, 935 991 528 485

1

21,357 4, 864 17 5, 709 10, 767
Operations. (See report of all surgical operations.)
Laboratory Report. (See consolidated ward laboratory report.)
COLON HOSPITAL.
Class.
Re-ain-ing Jan.1.
Isthmian Canal Commission
employees................
Panama R. R. employees...
Private pay................
Municipal pay..............
Zone charity...............
W.
89 14 25
C.
14
Total................. 142
Admitted.
Died.
W.
121
62
10 7
33
2,661 523 533 9
164
C.
W.
1,792 821
479 43 388
C.
Discharged .
W. C.
29 3
13 1 3
70 2,198 1,464 33 405 631
Transferred.
Remain
ing Dec.
31.
W.
233 3,890
3,523 49
54 517
10 8 77 157
449
C. W.
c
3161
414
28 258
120184
4
244 3,285,2,795
8
4
74
9 24
581
46
10
550; 117
63 35 17 12 40
167
Average number of days' treatment per employee during the vear:
White..............................................
Colored............................................
Total...........................................
13. 34 18. 90
15. 88
Average number of employees constantly sick during the year:
White..............................................
............................................. 117.13
Colored............................................ 139. 73
Total........................................... 256.86
Number of days' relief furnished patients Cost of subsistence per patient per day...
125, 503 $0. 266


40
Nationality.
Class.
Isthmian Canal Commission
employees................
Panama R. R. employees...
Private pay................
Municipal pay...............
Zone charity................
Total.................
Number treated.
4, 663 1,420 1,047 59 599
Americans.
White
7,788
1,278 287 309 1 70
1,945
Colored.
Other nations
White.
7 1
1
1,339 193 223 5 98
Colored.
2, 039 939 515 53 430
9 1,858 3,976
Operations. (See report of all surgical operations.)
Laboratory Report. (See consolidated ward laboratory report.)
CULEBRA HOSPITAL
Class. Remaining Jan. 1. Admitted. Died. Discharged. ; Transferred. Remaining Dec. 31.
W. C. w. c. W. C. W. W. C. W. C.
Emnlovees. . 1 4 1 7 3 100 1 2G2 2 96 1 239 2 6 1 22
Nonemployees........... Total.............. 2 2 6
5 8 103 263 2 98 210- 8 23 2 6
Average number of days' treatment for employee for the year:
White.............................................
............................................ 8.00
Colored........................................... 16.00
Total............................................ 10.67
Average number of employees constantly 6ick during the year: ' 1
White.............................................
Colored
. 09 . 09
Total
. 18
Number of days' relief furnished patients................. 3, 647
Cost of subsistence per patient per day...................$0. 261


41
Nationality.
Class. Number treated. Americans. Other Nations.
White. Colored White. Colored.
Kinplovees................. I � 373 2 18 2 84 2 267
Nonemployees.............. Total.................. 4
379 20 4 86 269
Operations.
(See report of all surgical operations.)
Laboratory Report.
(See consolidated ward laboratory report.)
PALO SECO LEPER ASYLUM
Class
Remaining Jan. 1.
Admitted.
W
Employees.....
Pay patients... Charity patients
Total.....
1
C. W
1
21 11
1
Died.
Discharged.
C. W.
----
1
33
1
3 6 5
14
C.
3
3
W.
C.
4 2 4
10
Transferred.
W.
Remaining Dec. 31.
C.
W.
c
1 1
22 12
34
Average number of days', treatment per employee for the year: �>] ;' ,1 , i >'}/, - White...............................................
.............................................. 61.00
Colored............................................. 67.75
Total............................................ 83.00
Average number of employees constantly sick during the year:
White...............................................
Colored.............................................
0.17 .73
Total
90
Number of days' relief furnished patients................. 12, 302
Cost of subsistence per patient per day................... $0. 337


42
Nationality.
Class.
Employees.....
Pay patients. .. Charity patients
Total.....
Number treated.
Americans.
White
5 28 16
1
i -
49
1
Colored
Other nations
White.
1
1
Colored.
4
27 16
47
TABOGA SANITARIUM.
Class. Remaining Jan. 1. Admitted. Died. Discharged. Transferred. Remaining Dec. 31.
W. C. W. C. W. C. W. C. W. C. W. C.
Employees........ 57 5 3,191 761 3,164 756 33 2 � 51 8 � � -
Families of employees .......... �
Totals.......
62 3,952 3,920 35 59 . - .

Average number of days' treatment per employee for the
year
7. 57
Average number of employees constantly sick during the
year.................................................. 66. 32
Number of days' relief furnished patients................. 28, 968
�ost of subsistence per patient per day................... $0. 625
Nationality.
Class. Number treated. Americans. Other nations.
Employees........................... 3, 248 766 2, 036 743 1,212 23
Families of employees................. Total...........................
4,014 2, 779 1, 235

Note.�No colored patients treated at Taboga Sanitarium.


43
SANTO TOM AS HOSPITAL.
Class
Pay patients____
Charity patients
Total
Remaining Jan. 1. Admitted. Died. Discharged. Transferred . Remaining Dec. 31.
14 220 1,227 5,014 19 390 1,200 4,007 22 237
234 6,241 409 5,807 259
Average number of days' treatment per patient........... 15. 22
Average number of patients constantly sick............... 259.13
Number of days' relief furnished patients................. 94, 581
Cost of subsistence per patient per day................... �0. 314
Nationality.
Class.
Pay patients... Charity patients
Total
Number treated.
Americans.
Other nations
1,241 5,234
6, 475
White.
Colored
White.
298 935
Colored.
1,233
943
4, 299
5, 242
Operations.
Major.......
Minor......
Total
Dispensary.
Class. White. Colored. Total.
Natives........................... 275 707 982
Foreigners........................ 139 225 364
Total....................... 414 932 1,346


44
BOARD OF HEALTH LABORATORY
Bacteriological examinations:
Municipal water supplies.......
Water from�
Streams and springs.........
Condensers.................
Reservoirs, creeks and rivers
Filters.....................
% Cultures from pustules of arm----
Blood cultures..................
Cultures from autopsies
Cultures from eye.............
Stools.........................
Urine........................
Sputum.......................
Pus...........................
Testicle......................
Hydrocele fluid..............
Kneejoint fluid...............
Gall-bladder fluid............
Spinal fluid...................
Various smears and specimens
Milk for tubercular bacilli-----
Soil for bacilli coli............
Pleural fluid.................
Cultures from nose and mouth Quinine tonic (new formula).
Blood........................�
Treponema palladium........
Scrapings from hands........
Joint fluid..................
Ulcers on buttock, etc........
Cultures from operating room.
Fluid from patellar bursa.....
Determinations:
Chlorine content in water----
Specific gravity of metal.....
Specific gravity of sea water..
Examinations:
Leper suspects..............
Mosquitoes, identification of..
Post-mortems�
Calves...................
Cows...................
Horses..................
Mules....................
Rats and fleas............
Dogs... a.................
Yaws suspect.................
Sections....................
99
27 210 8 13
1
333
Throat cultures (diphtheria suspects).............. 193
__________................ Ill
6
382 359 13 15
1
2
11
3 7 81 13 12
1 14
1 1
2 1 1 2 6 1
15 1 1
47
2
1 5 1 2 2 4 2 14


45
Chemical examinations:
Bloodstains..................................... 3
Stomach contents................................. 18
Urine........................................... 54
Water, reservoir................................. 8
Various liquids, fluids, etc....................... 90
Water, for determination of dissolved oxygen...... 23
Various metals.................................. 6
Deposit on boiler................................. 1
Agglutination reactions.......................... 240
Autopsies........................................ 712
Bodies embalmed................................ 62
Hydrophobia, preventive treatment............... 4
Medico-legal post-mortems........................ 3
Sections of tissue prepared�
Frozen...................................... 104
Paraffin..................................... 7,345
Surgical pathological tissue and neoplasms reported.......................................... 159
Vaccine inoculations, antityphoid................ 79
Vaccine treatment, autogenous.................... 32
Water-Microscopical examination of................. 69
Sanitary analysis of........................... 122
, Urinemeter calibrated........................... 1
Microscopical examination of lesions on feet...... 1
Wasserman reactions.............................. 158
Note.�Studies in relation to malaria. Preparation of typhoid immune serum. Investigation of cases of illness at Gatun. Sanitary survey of the villages of Chame and Chorrera. Efficiency test of trapo-ratin. Study of an antocthonaus can of oriental sore. Investigation of reported outbreak of smallpox in the towns of
Chitre, Los Santos, and Guarare, Republic of Panama. Report on rats and fleas in their relation to bubonic plague.
ISSUES OF QUININE.
Months.
January.................
February................
March...................
April....................
May.....................
June....................
July.....................
August..................
September...............
October____.............
November...............
December...............
Total..............
Average per month
Kilograms.
61.20 23. 25 38.10
239. 60 29. 50 56. 50
156.10 74. 70 66. 30
204. 00
49. 00 48.50
1,046. 75 87. 23
Pounds avoirdupois.
134. 92 51.26 84. 00 528. 22 65. 03 124.56 344.14 164.68 146.16 449. 74
108. 03 106. 92
2,307. 66 192.31


46
SANITATION�CITY OF PANAMA.
Anopheles brigade:
Linear feet of ditches cleaned.................... 1, 336, 440
Linear feet of ditches dug......................... 5, 300
Square feet of weeds and grass cut and removed... 1, 408, 390
Cesspools cleaned................................ 271
Cesspools filled................................. 63
Loads of refuse removed from the city.............. 7, 584
Wells filled...................................... 8
Cubic yards of earth used in filling cesspools, wells,
and holes...................................... 883
Number of houses on which gutters have been corrected......................................... 331
Linear feet of gutters repaired or punched......... 15, 031
Linear feet of gutters removed..................... 5,118
Disinfection brigade:
Houses disinfected and fumigated for�
Beriberi.................................... 15
Diphtheria................................... 2
Malaria fever................................. 1
Pernicious fever............................. 10
Tuberculosis................................. 50
Chicken pox................................ 8
Mumps...................................... 1
Scarlet fever................................. 2
At request of Panama Government............. 4
Leprosy...................................... 2
Houses disinfected for typhoid fever.............. 1
Houses fumigated for�
Yellow fever................................ 5
Measles...................................... 2
Number of cubic feet disinfected and fumigated... 4, 879, 895
Number of rooms fumigated and disinfected....... 1, 021
Material used:
Crude oil...............................gallons.. 6,180
Larvacide.................................do---- 9, 470
Destruction of rats:
Number of rats caught and killed................. 12, 846
Average number of rattraps in use daily.......... 445
Poisons placed.................................. 3, 300
Inspection of houses and yards:
Houses and yards inspected..................-. -. ], 552
Persons notified to keep premises in good condition. 674
Warning notices complied with................... 581
Number of letters to alcalde requesting enforcement
of sanitary rules and regulations................. 115
Number of shacks, stables, and old buildings condemned and demolished........................ 28
New buildings: Number of plans submitted to health
officer and approved................................ 387


47
SANITATION�COLON, CRISTOBAL, MOUNT HOPE, TORO
POINT. *
Medical inspection:
Number of cases reported by medical inspectors... 94
Number of cases inspected........................... 94
Number of cases sent to hospital................. 94
Water and sewers:
Number of connections made during the year..... 69
Total number of connections made to date........ 615
Number of outstanding permits................... 254
Number of houses in which extensions were made..... 70
Houses:
Plans approved................................... 67
Permits to repair issued.......................... 308
Permits to occupv issued......................... 58
Temporary permits to occupy issued.............. 15
Number of houses in which defective plumbing fixtures were found and reported to the superintendent of public works......................... 1,692
Sanitation of Colon:
Average number of cans of garbage removed daily. 2, 368
Number of�
Loads of yard garbage removed................ 2, 706
Acres of vegetation removed................. 421
Acres of streets cleaned....................... 2, 644
Private properties cleaned.................... 4, 823
Square yards of pools oiled.................... 180,150
Mosquito-breeding places found............... 2, 534
Dogs killed.................................. 5
Water receptacles treated.................... 388, 260
Linear feet of ditches constructed............. 7, 060
Linear feet of ditches maintained............. 206,124
Nuisances abated............................. 6, 833
Buildings inspected.......................... 67, 070
Rats killed.................................. 157
Alleys cleaned.............................. 25,219
Square yards of alleys cleaned................. 133, 325
Acres of streets sprinkled.................... 276
Crab holes worked........................... 38, 200
Notice to abate nuisances served................. 8, 714
Colon and Cristobal garbage disposed of at the Ninth
Street dump. Sanitation of Cristobal (including Beach Island):
Number of�
Square yards of pools oiled.................... 42, 490
Water receptacles treated.................... 58, 840
Mosquito breeding places found............... 398
Crab holes worked............................ 1, 800
Linear feet of ditches constructed............. 11, 383
Linear feet of ditches maintained............. 6, 044
Square yards of vegetation removed.......... 383


48
Sanitation of Mount Hope:
Number of�
Square yards of pools oiled.................... 393, 600
Water receptacles treated.................... 360, 704
Linear feet of ditches maintained............. 244, 948
Crab holes worked........................... 10, 200
Mosquito-breeding places found............... 1, 925
Linear feet of ditches constructed............. 20, 047
Mount Hope cemetery maintained. Sanitation of Toro Point:
Number of�
Square yards of pools oiled.................... 320, 470
Water receptacles treated.................... 52, 213
Mosquito-breeding places found............... 1,110
Linear feet of ditches constructed............. 39, 663
Linear feet of ditches maintained............. 42, 345
Square yards of vegetation removed.......... 1, 325
Crab holes worked........................... 3, 000
Doses of quinine tonic distributed............. 28, 505
Cubic yards of ditches constructed............. 1, 893
QUARANTINE SERVICE. Ports of Panama-Ancon and Colon-Cristobal.
Number of vessels inspected and passed........:......... 1,186
Number of vessels detained in quarantine................ 10
Number of vessels fumigated on arrival (one disinfected).. 65
Number of vessels fumigated prior to departure.......... 27
Number of pieces of baggage disinfected.................. 1, 417
Number of crew inspected.............................. 96, 689
Number of passengers inspected................^........ 58, 796
Total number of persons inspected...................... 155, 485
Number of persons vaccinated at ports of arrival because
of compulsory vaccination law........................ 11, 437
Number of persons vaccinated at ports of departure or
en route because of compulsory vaccination law........ 16, 094
Total number of persons vaccinated..................... 27, 531
Number of persons held in quarantine at the detention
stations to complete period of incubation of yellow
fever or plague...................................... 4, 540
Number of persons held in quarantine on board vessels to
complete period of incubation of yellow fever or plague.. 6, 041
Total number of persons held in quarantine............. 10, 581
Number of persons landed from foreign ports:
Cabin....................................... 19,600
Steerage.................................... 21,851
---41,451
Number of persons embarked for foreign ports:
34,849


49
increase for the year from foreign ports:
Steerage.................................... 4,532
- 6,602
Number of persons arriving from coast t owns on small craft. 31,039
Number of persons embarked for coast towns on small craft. 25,151
Apparent increase for the year from coast towns.......... 5, 888
Total number of persons landed......................... 72, 490
Total number of persons embarked..................... 60, 000
Excess over number embarked.......................... 12, 490
Less number for Pacific ports............................ 2, 404
Total apparent increase for the year..................... 10, 086
Number of immigrants recommended for rejection........ 116
Number of certificates issued to outgoing passengers...... 725
Number of persons refused certificates because of trachoma 74
Number of bills of health viseed........................ 511
Bocas del Toro.
Number of vessels inspected and passed................ 410
Number of crew inspected and passed................. 15, 882
Number of passengers inspected and passed.............. 6, 477
Number of passengers, in transit, inspected and passed.. 2,103 Number of persons held to complete period of incubation
of yellow fever...................................... 1, 874
PERSONNEL REPORT.
[Average number of employees at work during the year.]
Chief sanitary office....................................... 43
Property division........................................ 10
Quarantine service....................................... 39
Health office, Panama................................... 61
Health office, Colon...................................... 118
Aeon hospital............................................ 538
Colon hospital............................................ 171
Santo Tomas hospital.................................... 5
Taboga sanitarium........................................ 24
Palo Seco leper ay slum.................................. 14
Zone sanitation.......................................... 252
Dispensaries:
Ancon............................................... 4
Balboa............................................... 3
Bas Obispo........................................... 8
Bohio................................................ 4
Corozal.............................................. 3
Cristobal............................................. 8
Culebra.............................................. 13
Empire.............................................. 10
Gatun............................................... 18
Gorgona............................................. 8


50
Dispensaries�Continued.
Las Cascadas......................................... 8
Miraflores........................................... 5
Nombre de Dios..................................... 3
Paraiso............................................. 5
Pedro Miguel........................................ 5
Porto Bello.......................................... 5
San Pablo........................................... 4
Tabernilla............................................ 5
Toro Point........................................... 3
Total............................................. 1,397
HOSPITAL CASES OF MALARIA AMONG EMPLOYEES.
Months.
Discharged.
W.
January. February-March ...
April____
May.....
June.....
July.......
August____
September October... November. December.
229 199 263 248 268 629 828 746 476 364 316 305
Total.......; 4,871
C.
247 159 267 189 344 624 919 675 404 253 241 253
4,575
Died.
W.
1
i
5 2 1 2 1
13
C
4
2
i
7 5 1
2
3 3
28
Total
Cases
480 358 532
438 613 1,261 1,757 1,424 883 619 561 561
9,487
Annual average per 1,000 of deaths.
0.96 .00 .47 .22 .23 1.85 2.31 .71 .71 .49 .99 .74
.81
Annual average per 1,000 of cases.
115 85 125 97 139 290 406 337 211 150 139 139
187
Number of employees.
49,961 50,725 51,199 54,293 52,863 51,767 51,871 50,638 50,207 49,460 48,260 48,386
50,S02


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