Report of the Department of Sanitation of the Isthmian Canal Commission for the year ...

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REPORT
OF THE
DEPARTMENT OF SANITATION
OF THE
ISTHMIAN CANAL COMMISSION
FOR THE
YEAR 1912
W. C. GORGAS
Colonel, Medical Corps, United States Army Chief Sanitary Officer, Ancon, Canal Zone
WASHINGTON
1913

REPORT
OF THE
EPARTMENT
OF
SANITATION
OF THE
STHMIAN
CANAL
COMMISSION
FOR THE
YEAR
912
W. C. GORGAS
Colonel, Medical Corps, United States Army Chief Sanitary Officer, Ancon, Canal Zone
'1
4 O
WASHINGTON
1913

CONTEXTS.
I 'age.
ttor of transmittal ital statistics:
Deaths of employees of the Isthmian Canal Commission and Panama
Railroad
Deaths, by age. color, and sex.. Deaths by nationality..........
Causes of deaths of employees of the Isthmian Canal Commission and
Panama Railroad Co
I Average number of employees constantly sick in hospitals, sick camps, and
quarters.
� Average number of days' treatment per employee in hospitals, sick camps,
I and quarters...................................................-..........
Subsistence and operating expenses........................................
[ Outside patients treated in hospitals, and amounts collected for their treat-
ment
Ancon Hospital Colon Hospital.
Culebra Hospital........
Palo Seco Leper Asylum Taboga Sanitarium......
Santo Tomas Hospital......
Board of Health Laboratory Issues of quinine............
Sanitation: Panama.
Canal Zone..
Quarantine Service:
Panama-Ancon and Colon-Cristobal..
Bocas del Toro
1034
5
7
Deaths in the cities of Panama and Colon and the Canal Zone........... 7
8 8
9
Deaths of white employees of the Isthmian Canal Commission and the
Panama Railroad Co. from the United States......................... 11
Deaths of white women and children from the United States............ 12
Death rate among Americans on the Isthmus........................... 13
Causes and places of deaths of employees, and civil population.............. 14
Discharges and deaths of employees in hospitals of the Commission......... 18
Consolidated hospital report................................................ 23
.......................... 24
.......................... 25
Consolidated sick-camp report..............................................
Consolidated report of employees sick in quarters...........................
Consolidated hospital, sick-camp, and sick-in-quarters report............... 25
Consolidated dispensary report............................................. 26
26
27 28
28 28
Surgical operations performed in hospitals..................................
Operations and work performed in eye, ear, nose, and throat clinics......... 31
Consolidated ward laboratory report of all hospitals......................... 32
Report of:
33 34 35 36 36 37 38 39
39
Colon (including Cristobal, Mount Hope, and Toro Point).............. 40
41
41 42
| Personnel report............................................................ 42
Hospital cases of malaria amonfr employees................................. 43
(3)

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LETTER OF TRANSMITTAL.
Isthmian Canal Commission,
Department of Sanitation, Ancon, Canal Zone, January 18y 1913.
'To the Chairman and Chief Engineer,
Isthmian Canal Commission,
Culebra, Canal Zone.
I Sir: I have the honor to submit the following report of the department of sanitation for the calendar year 1912. j Statistics as to the death rate among employees of the Isthmian ICanal Commission and Panama Railroad Co. for the calendar year [just closed, compared with similar figures for previous years since 1904. are as follows:
Number of employees. Deaths. 1 Rate.
6,213 82 13.26
16,512 j 427 25.86
26,547 J 1,105 41.73
39,238 1,131 28.74
43,891 j 571 13.01
47,167 i 502 10.64
50,802 558 10.9s
48,876 539 11.02
50.893 467 9.18
The death rate among our white employees from the United States
from disease was 3.25 per thousand, while the total death rate for
the year for this class of employees was 5.52, as against 5.14 per
Thousand in 1911. If we include American women and children,
it will raise the death rate of Americans from disease to 4.22.
Including in the above figures the officers and men of the United
States Army and Marine Corps stationed on the (/anal Zone and
their families, the death rate from disease is lowered to 3.86 per
thousand. The death rate from disease in our Army for the calen-
dar year 1911 was 2.66 per thousand.
Taking special diseases, the deaths among our employees have been:
1905 1906 1907 190S 1909 1910 1911 1912
Typhoid fever................ 12 42 98 19 13 13 10 4
Dysentery.................... 14 i 69 48 16 8 21 13 7
Pneumonia................... 95 i 413 328 93 70 73 94 57
Malaria....................... 86 233 154 73 52 50 47 1 20
5

6
The improved conditions as regards deaths from malaria among our employees continue, and the same is true of the admission rate to hospitals, as is shown by the following table:
1904
1905 1906 1907
190s 1909 1910 1911 1912
Per 1,000.
...... 125
......514
......821
...... 424
...... 282
...... 215
...... 187
...... 184
...... 110
Deaths among our employees from the other principal disease-were as follows: Abscess of liver, 4; nephritis, acute and chronic. 36; from all forms of tuberculosis, 70; leaving 126 deaths amoni: employees from all other diseases, and 143 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 rate-for the different years to be as follows:
Rate per 1,000.
1905........................................................................ 49.94
L906........................................................................ 48.37
L907 ........................................................................ 33.63
190S........................................................................ 24.83
1909........................................................................ IS.
1910........................................................................ 21. In
1911........................................................................ 21.4*1
1912........................................................................ 20.41*
One case of yellow fever, on a ship from Guayaquil, Ecuador, was isolated in Santo Tomas Hospital, and died there on July 14.
With this exception, no cases of yellow fever, plague, or smallpox occurred on the Isthmus during the year.
Appended hereto is a chart showing the percentage of malarial cases admitted to hospitals for each month since November, 1905.
Very respectfully,
W. ( \ GORGARj
Chief Sanitary Officer.

�
>> ^ S X to ^
^ ^ P *o
^ CO o>
^ CO ^
^ O ^ ^ ^
^ ^ CO o
^> ^ Co O
1905 1906 1907 1908 1909 1910 1911 19 12 i
sow n�13. (To face page 6.)
cr> cx < u ^ ^ Xn 6 ^ Q>

ANNUAL REPORT OF THE DEPARTMENT OF SANITATION,
ISTHMIAN CANAL COMMISSION,
FOR THE YEAR 1912.
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�
Disease. Violence. All causes. Disease. Violence. All causes.
White............... 12,553 38,340 58 266 43 100 101 366 ' 4.62 6.94 3.43 2.61 8.05 9.55
Colored.............
Total..........
50,893 324 143 467 6.37 2.81 9.18

DEATHS IN THE CITIES OF PANAMA AND COLON AND THE CANAL
ZONE.
Annual
Place. Population. Deaths. average
per 1,000.
Panama................................... 47,057 1,380 29.33
Colon..................................... 20,174 493 24.44
Canal Zone................................ 79,279 1,129 14.24
Total............................... 146,510 3,002 1 20.49 i
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.......................................................... 36,995
Average per thousand of admissions of employees to hospitals and sick camps, including those sick in quarters.................................. 727
(7)
80615-13-2

8
DEATHS BY AGE, COLOR, AND SEX.
White. Colored. Yellow.
A &f*
1
^^^^^^^^ F. Total. M. F. 1 Total. M. F. Total. M.
Under 1 year___ 55 137 449 336 785 2 2 533
1 to 4 years..... 21 14 35 114 102 216 i 1 135
5 to 10 years____ 5 2 7 25 2rt 51 * � m m i 1 30
11 to 20 years... 9 5 14 73 45 118 2 .... 2 84
21 to 30 years... 69 18 S7 359 151 510 8 9 436
31 to 40 years. 50 18 68 21S 111 329 6 6 274
41 to 50 years... 44 9, 53 175| 63 23S 4 4 223
51 to 60 years. 26 35 75 35 110 4 4 105
61 to 70 years... 12 4 16 35 23 58 2 2 49
71 to 80 years... 7 1 8 1 11 17 28 1 1 19
81 to 90 years... 1 2 3 4 3 7 5
91 to 100 years 2 2
101 to 110 years 1 1
Unknown...... 8 2 10; 38 6 44 46

Total 334 139 473 1,576 921 2,497 29 3 32 1,939
Total.
F.
391 117 29 50 170 129 72 44 27 18 5! 2 1 8
1.063
Total
924 251' 59 134 606 403 295 149 76 37
2 1
54
3,002
DEATHS BY NATIONALITY.
Nations.
Antigua........
Austria........
Bahama Islands
Barbados......
Bavaria........
Bolivia.........
Chile............
China..........
Colombia.......
Costa Rica......
Cuba............
Curacao.........
Demerara.......
Denmark.......
Dominica.......
Ecuador........
England........
Finland.........
Fortune Islands.
France.........
Germany.......
Greece..........
Grenada........
(iuadeloupo.....
Guiana, British.
Grand Cayman. Haiti.....'.......
Holland.........
Honduras.......
India...........
Ireland..........
Italy............
Jamaica.........
Japan...........
Martinique......
Mexico..........
Montscrrat......
Employees.
12 1 2 101
9
o 1 1
"i ]
7 1 1
6 lfi
6
3
"3 1 1 5
113
*22 1
5
Non-employees.
Total.
15 1
272 I 1
3 28 117
8
10
1
7
1
6
9
"i 10
2
5
it
3 1
10 2 2 1 1
9
512 1
59 4 12
27
373 1 1
28 126
8
10 1
12 1
2 6 10 1
8 11
3 11
39
20 6 1
13 3 3 6 1
15 625 1 81 5 17

0
DEATHS BY NATIONALITY-Continued.
Nations.
Nassau.......
Nevis........
Nicaragua� Norway......
Panama......
Peru.........
Porto Rico...
Portugal.....
Saba.........
Salvador.....
St. Croix.....
St. Kitts.....
St. Lucia.....
St. Thomas..
St. Vincent..
Spain........
Trinidad.....
Turks Island.
Turkey......
United States
Venezuela____
West Indies..
Unknown____
Total
Employees. Non-employees. Tolal.
5 1 6
2 2 4
4 4
1 1
13 1,167 1,180
1 11 12
| 1 3
i 1
1 1
l 3 4
l 1
3 4 7
10 45 55
1 3 4
I 6 10 16
41 41 82
11 13 24
2 2
1 1
35 49 84
1 12
1 1 3 4
1 13
467 2,535 3,002
CAUSES OF DEATH OF EMPLOYEES OF THE ISTHMIAN CANAL
COMMISSION AND PANAMA RAILROAD.
Causes of death.
diseases.
Alcoholism, acute and chronic....................
Anemia..........................................
Aneurysm........................................
Apoplexy........................................
Appendicitis.....................................
Bilharziosis, intestinal...........................
Brain, softening of...............................
Brain, tumor of..................................
Calculi of urinary passages.......................
Cancer of intestines..............................
�ancer and other malignant tumors of stomach and liver...........................................
Colitis............................................
Dysentery.......................................
Dysentery:
Entamoebic..................................
Unclassified..................................
Bacillarv.....................................
Embolism and thrombosis.......................
E
White.
pyema...................
Encephalitis.................
Endocarditis, acute..........
Epilepsy.....................
Fever:
Hemoglobin uric..........
Malaria..................
Malaria, estivo autumnal
Typhoid.................
4
1 1
3
2
1 1
1
5
6 1
Colored.
2
3 5
1 1 1 1 1
2
1
2 4 1 3 1 1
1
1 1
7
3
Total.
4 2
4
6
3 1 3 1 1 1
3 1 1
2 4
1 3 1 1 1 1
6 1 13 4

10
C4.USES OF DEATH OF EMPLOYEES OF THE ISTHMIAN CANAL
COMMISSION AND PANAMA RAILROAD�Continued.
Causes of death.
Heart, organic disease of...
Hemorrhages, other........
Infection of unknown origin L i ver:
Abscess of..............
Cirrhosis of.............
Disease of..............
Lungs:
Abscess of..............
Gangrene of............
Measles....................
[eningitis:
Pneumococcus.........
Simple...........................
Nephritis:
Acute............................
Chronic..........................
Other forms of mental alienation.....
Other diseases of the nervous system. Other diseases of the skin and annexa
Pellagra............
Pharynx, disease of Peritonitis, simple. Pneumonia........
Pneumonia, lobar.....................
Pulmonary congestion................
Pyemia...............................
Pyemia and septicemia, pneumococcic
Septicemia............................
Septicemia, purulent infection and----
Spinal cord, disease of.................
Stricture of urethra...................
Sudden death.........................
Syphilis.............
Tetanus.............
Tuberculosis:
Abdominal.....
Disseminated...
Miliary..........
Pulmonary.....
Ulcer of the stomach
Ulcer, duodenal.....
Undiagnosed........
violence.
Absorbtion of deleterious gases.. Accidental traumatisms, various
Burns and scalds................
Drowning, accidental...........
Dynamite explosions............
Electric shock...................
Homicides......................
Poisonings, acute...............
Railroad accidents..............
Suicides........................
Other external violence.........
Total
White.
4
1
2 1 1
2
1
3 3 1
3 1 2
1
1 1
1
2
1
1
9
5 3 1 2 1 18 2 1
101
Colored.
19 1
4
2 1
2 4 2
7
3
2 28
4 50 2 5 0 2
1
1 1 1
3 25 6 32 1 2 1
3 32 2 14 0 2 1
35
2
3
3ti�i
Total.
23 1 5
4
2 1
2 6 2
7 4
5 31 1 1 1 1 1 1
4
53 3 7
6
2
1 1 1 1
2 1
4
27 6
33 1 2 1
4
41
2 19
9 3 3 1 53 4 4
407

11
DEATHS OF WHITE EMPLOYEES FROM THE UNITED STATES
Name.
January, 1912. Grigsby, Frank C
Guillori, Felix�
Horam, J. L
February, 1912
Division.
Central division.....
Panama R. R. Co..
Civil administration
Cole, S. C.........
Colip, E. H........
Ferguson, Howard
March, 1912.
Hagaru John......
Kornfeld, Karl____
Central division ... Panama R. R. Co. Quartermaster's Department.
T ime on Isthmus.
4 years..
6 years.. 2\ years.
Ago.
Cause of death
46
32
23
Heart failure. Softening of the
brain. Malaria fever, E. A.
Longtin, F. R
Sadler, Joseph V.
April, 1912.
Kenison, Nelson. ..
May, 1912.
Golden, John P �
Gould, Charles R... Higley, Charles.....
Kemp, John D
Mahoney, Martin...
June, 1912.
Brenner, Joseph B .
Powers, Ike
Schwartz, Henry... July, 1912.
Riley, Thomas
A ugust, 1912.
Gannon, Margaret E.
Lcckes, Charles F..
Painter, Joseph H..
Strock, James Ransom.
Smith, Alfred......
September, 1912. Fay, Lawrence B
Panama R. R. Co Atlantic division.
Pacific division
Central division
Mechanical division
Pacific division
5 years. 7 years. 2 weeks
54 51 60
7 years 2 years
5J years...
45 42
29
50
Simple meningitis. Abscess of the liver Acute nephritis.
Appendicitis. Organic disease of heart.
Railroad traumatism.
Do.
4 years____ 60
Traumatism by machines.
Civil administration Atlantic division�
Civil administration
"cClintic-Marshall Co.
Panama R. R. commissary. Pacific division.....
Mechanical division
3 years 9 months. 7 months.. 34 years...
7 months..
34
32 43
26
1 vear..... 42
Traumatism in mines and quarries.
Suicide by firearms.
Absorption of deleterious gases.
Accidental drowning.
Traumatism bv fall.
4 years. 6 years.
7 years.
38 56
46
Pacific division
Accidental d r o w n-ing.
Hemoglobinuric fever/
Amoebic abscess of liver.
13 months.
Sanitary department.
Mechanical 1 division.
Atlantic Division..
Mechanical division.
Central division____
4 J- years...
2 years 10 'months.
4 years 4 months.
5 years____
6 years____
25 ! Acute endocarditis.
Chief engineer's office.
29 Acute mania.
35 Acute cardiac failure
36 Other acute poison-I ings.
50 Acute cholangitis.
47 Chronic nephritis.
1 year 8 months.
28 1 Traumatism bv fall

DEATHS OF WHITE EMPLOYEES FROM THE UNITED STATES
Continued.
Name.
September, 1912� Continued.
Hanley, Wm. H..
Ray, Edward.....
October 1912.
Frost, Walter B...
Reed, W. F.......
Stannage, Thomas
November, 1912.
Pur cell, John J____
December, 1912.
May, Duncan.....
Wood, Benj. F_____
Division.
Pacific division.....
McClint ic-Marshall Co.
Engineering and
construction. Pacific division----
Chairman's office...
Mechanical d i v i -sion.
Mechanical division.
Police department..
Time on Isthmus.
5 days
1 year 7 months.
2 years____
1
1
year 10 months, day.....
4 years 10 months.
6 years 1 month.
7 years____
Age.
40
23
29
45
44
32 38
Cause of death.
Railroad trauma
tism. Acute alcoholism.
Tubercular peritonitis.
Acute alcoholism.
Purulent infection and septicemia.
Railroad trauma tism.
Accidental d r o wiling.
Softening of brain.
DEATHS OF WHITE WOMEN AND CHILDREN FROM THE UNITED
STATES.
Name.
January, 1912.
Briggs (infant).. Todt, Mrs. F. M
February, 1912
Sanders, Velma Lee
March, 1912.
Davis (infant).......
Rossener (infant)____
April, 1912
Time on Isthmus.
6 hours 3 years
(j months.
9 hours.. 15 days..
Peterson, Mabel.............. 0 months
May, 1912.
Einermann, Dorothy..
Henter, John..........
Keeling. Mrs. James R McLaughlin, Richard.
Roe, Mrs. Martin......
Willct, Leon E........
5 months 8 months 5 years.. 2J years. i � years.. 5 months
Cause oi death
6 hours____
40 years...
Premature birth Acute nephritis.
6 months.. Pertussis
9 hours.. 15 days..
Premature birth. Broncho-pneumonia
0 months..
03 years, s months 35 years. 2\ years.
35 years. 5 months
Malaria fever, E. A.
Organic heart disease.
(Jastroenleritis. Acute meningitis. Miliaria fever, E. A. Acute pelvic peritonitis.
I Marrhea and enteritis.

13
DEATHS OF WHITE WOMEN AND CHILDREN FROM THE UNITED
STAT ES�Continued.
Name. Time on Isthmus. Age.
June. 1912. f
Reynolds, Thomas.......
July, 1912.
Farley, Thelma..........
Jerry, Carl Nelson, jr____
Reidy, John Vaughn.....
Rohden, Mrs. N..........
Wilson Pearl............
August, 1912.
Duvall, Frederieka.......
Kane, Mrs. Geo. N.......
Shearer, Mrs. S. G........
September, 1912.
Abendroth (infant)......
Allen, Margaret E........
October, 1912.
Clarke (infant)...........
November, 1912.
Lohman, Mrs. Chas. F... Willett (infant)..........
11 months. 11 months
4 years____
3 days.....
7 weeks___
48 years...
1 vear..... 26 years...
�>y
3 days____
7 weeks..
4 years...
2 years... 6 months. 2 years...
2 years. 63 years
2 days.....! 2 days.
15months.: 3 years
9 days...
9 days.....
3 years 5 hours
36 years 5 hours.
For December, 1912, none.
Cause of death.
Diarrhea and enteritis
I hronic nephritis.
Convulsions. Acute indigestion. Embolism. Acute enterocolitis.
Cerebrospinal meningitis, Diabetes.
Extra-uterine pregnancy.
Premature birth. Accidental drowning
Premature birth.
Chronic nephritis. Premature birth.
DEATH RATE AMONG AMERICANS ON THE ISTHMUS
Vverage number of white employees from the United
States.......................
Vverage number of white women and children from the
United States...............
Vverage number of wrhite employees and their families
from the United States......
Total number of Americans on the Canal Zonei.................
Number.
0,159
4,502
10,661
11,923
Cause of death.
Number
of deaths.
D isease.. Violence. All causes D isease.. Violence. All causes Disease.. Violence.
All causes
Disease.. Violence. All causes
Annual
average per 1,000
20 3.25
14 2.27
34 5.52
25 5.55
1 .22
26 5.77
45 4.22
15 1.41
(10 5.63
40 3.86
22 1.84
(58 5.70
II

14
CAUSES AND PLACES OF DEATH OF EMPLOYEES AND CIVIL
POPULATION.
Diseases.
General diseases.
Typhoid fever........
Malaria...............
Malarial fever:
Estivo autumnal.
Tertian...........
Undetermined____
Clinical...........
Cachexia.........
Hemoglobinuric fever.
Measles...............
Whooping cough.....
Diphtheria and croup.
Influenza.............
Cholera nostras.......
Dysentery............
Dysentery:
Entamebic.......
Bacillary.........
Unclassified......
alarial
Leprosy............................
Erysipelas..........................
Chicken pox........................
Purulent infection and septicemia�
Pyemia.............................
Septicemia.........................
Pyemia and septicemia, pneumo-
coccic.............................
Tetanus............................
Pellagra............................
Beriberi............................
Tuberculosis of the lungs...........
Acute miliary tuberculosis..........
Tuberculous meningitis............
Abdominal tuberculosis............
Pott's disease.......................
Tuberculosis of other organs........
Tuberculosis of the larynx..........
Tuberculous abscess................
Disseminated tuberculosis..........
Rickets.............................
Syphilis:
Primary........................
Secondary......................
Tertiary........................
Hereditary.....................
Period not stated...............
Gonorrheal arthritis................
Gonorrheal orchitis and epididymitis Cancer and other malignant tumors
of the buccal cavity...............
Cancer and other malignant tumors
of the stomach and liver..........
Cancer and other malignant tumors
of the peritoneum, intestines, and
rectum...........................
Cancer and other malignant tumors
of the female genital organs.......
Cancer and other malignant tumors
of the breast......................
Cancer and other malignant tumors
of the skin........................
Ancon Hospital.
6 1
26 1
Colon Hospi
tel.
s
2 1
3
1
9 1
2
2 9 4
9 1
6
54
9
3
1
44
2
1
S
3
1
1 1
9 2
2
Pan
ama
2
1 1
4
3 7 1 28 1 2 1
2
3
2
2 1
3
1 1
1
2 78
16
Colon.
1
1
2 2
1
23
1
17
9 9 11
169
6 1
2
2
3 1
1
1
�J
1
24
1
Zone.
Total
3
1
2
1
23
1
1. 1
1
2
1
1
45
20 1 1 3 2 1
7 1
1
1
29
2
1
1
1
3
1
9 149
71 4 1
3
4
8
3 1
7 2 1
34
11 1
5 1 2 1
3
10 27
9 13 24 12
303 10 5
10 1 3 2 2
50 2
7 1
3 12 8 1
2
1
15
1
11 1
2

15
CAUSES AND
PLACES OF DEATH OF EMPLOYEES AND CIVIL
POPULATION�Continued.
Diseases.
General diseases�Continued.
Cancer and other malignant tumors of other organs and of organs not specified..........................
Acute articular rheumatism........
Chronic rheumatism and gout.......
Diabetes............................
Anemia:
Chlorosis.......................
Primary, pernicious............
Anemia, secondary, cause not determined ............................
Alcoholism (acute or chronic)........
Alcoholism (acute).................
Diseases of the nervous system and of
the organs of special sense.
A neon Hospital.
Colon Hospital.
2
Encephalitis.....................
Simple, meningitis...............
Ce re b rosp ina 1 fe ver..............
Pneumococcus meningitis.......
Other diseases of the spinal cord.
Acute anterior poliomyelitis.....
Cerebral hemorrhage, apoplexy..
Softening of the brain............
Paralysis without specified cause Other forms of mental alienation.
Epilepsy............................
Convulsions, nonpuerperal (5 years
and over)..........................
Convulsions of infants (under 5 years
of age).............................
Neuritis.............................
Other diseases of the nervous system.
Tumor of the brain..................
Diseases of the circulatory system.
4
1
2
2 7
10 1
6 2
2
Pericarditis.........................
Acute endocarditis..................
[alignant endocarditis.............
Organic diseases of heart............
Angina pectoris.....................
Aneurysm..........................
Arteriosclerosis.....................
Embolism and thrombosis..........
Diseases of the veins (varices hemorrhoids, phlebitis, etc.)..........
Hemorrhage (other diseases of the
circulatory system)...............
1
2
9
1
26
4
2
5
Diseases of the respiratory sysUm.
Diseases of the larynx...
Laryngitis...............
Acute bronchitis.........
Chronic bronchitis.......
Broncho-pneumonia.....
Pneumonia (unqualified)
Lobar pneumonia.......
Pleurisv.................
1
14
60
Empyema
1
80615�13
3
Panama.
Colon
1
1
1
5 1
1 5 2
1
1 1
2
3
1
4 1
12
1
6 3 1
1
1
16
1 1
IS
5
1
2
3
2
39
21 2 3 8
1
9
2 41
5 31 63 I 10
2
1
2
1
1
3
2
1
2 1
4 2 1
1
15
16
6 2
1
1
Zone.
1
4
1 6 1
4 1
2
4 1
8
2
25 1
7
2
31 12
8
Total
8
4 1
2
8
1 9 4
3
31 1
15 4
2
40 5 7
3 9
3
10
4
3 5
3 44
1
81 5 11 10
6
1
17
2 2
59 5
96 82 92 3 3

16
CAUSES AND PLACES OF DEATH OF EMPLOYEES AND CIVIL
POPULATION�Continued.
Diseases.
A neon Hospital.
Diseases of the respiratory system
Continued.
Pulmonary congestion, pulmonary
apoplexy.........................
Gangrene of the lungs..............
Asthma............................
Pulmonary emphysema............
Other diseases of the respiratory
system (tuberculosis excepted)... Abscess of lungs....................
Colon Hospital.
7
Diseases of the digestive system.
1
Diseases of the mouth and annexa...
Stomatitis...........................
Diseases of the pharynx.............
Ulcer of the stomach.................
Acute gastritis.......................
Acute indigestion....................
Diarrhea and enteritis (under 2 years)
Colitis...............................
Diarrhea and enteritis (2 years and
over)..............................
Colitis...............................
Ankylostomiasis.....................
.Intestinal parasites..................
Bilharziosis, intestinal...............
Appendicitis and typhlitis...........
Hernia, intestinal obstructions.......
intestinal obstruction................
Other diseases of the intestines.......
Duodenal ulcer......................
Acute yellow atrophy of the liver�
Cirrhosis of the liver.................
Other diseases of the liver............
Abscess of liver (unqualified)........
Abscess of the liver entamebic.......
Cholecystitis.........................
Abscess of spleen....................
Simple peritonitis (nonpuerperal)�
Other diseases of the digestive system (cancer and tuberculosis excepted)............................
Nonvenereal diseases of the genito-uri-
nary system and annexa.
1 1
S
3 1
1
2 2 2
2
3 1 1
3
1
4
1
Acute nephritis.....................
Bright's disease (chronic nephritis).. Other diseases of the kidney and annexa..............................
Pyelo-nephrosis.....................
Calculi of the urinary passages.......
Kystitis..............................
Stricture of the urethra, nonvenereal.
Vesico-vaginal fistula................
Diseases of the prostate..............
(Chronic prostatis....................
Nonvenereal diseases of the male
6 41
5
1
2
genital organs....................
[f yd rocele..........................
(Oysts and other tumors of the ovary Salpingitis and other diseases of the
female genital organs..............
2
Panama.
Colon. Zone.
Total
14
1 1
1
1
1
4 4
1 17 5 1
1
3
3
5 35
1 1
22 44
2
1 1
2 1
2
1
4
2
1
5
14
1
1
3
2
4
2
11 10
1
1
16 9 1 1
1
1 3 1
4
5 2 313 15
38 5 1 7 1 4
5
9 2 2 1 27 8 6
7 1 1
15
3
49 144
8 2 I 1 2 1 1 2
1
2 1
1

17
CVUSES AND PLACES OF DEATH OF EMPLOYEES AND CIVIL
POPULATION�Continued.
Diseases.
A neon Hospital.
The puerperal state.
Accidents of pregnancy.. Exlra-uterine pregnancy. 11 yperemesis gravidarum
Abortion................
Puerperal hemorrhage... Other accidents of labor. Puerperal septicemia... Eclampsia...............
Diseases of 'he skin and of the cellular
tissue.
Gangrene.....
Furuncle.....
Acute abscess Elephantiasis
Diseases of the bones and of the organs
of locomotion.
Diseases of the bones (tuberculosis excepted)........................
Malformations.
Congenital malformations (stillbirth not included).....................
Diseases of early infancy.
Congenital debility, icterus, and
sclerema..........................
Premature birth....................
Congenital debility.................
Malnutrition........................
Other causes peculiar to early infancy (including various consequences of labor).............................
Lack of care........................
Old age.
Senility
Affections produced by external causes.
Suicide by poisoning.............
Suicide by hanging or strangulation
Suicide by drowning................
Suicide by firearms.................
Suicide by cutting or piercing instruments............................
Other acute poisonings.............
Burns (conflagration excepted).....
Absorption of deleterious gases (conflagration excepted)..............
Accidental drowning...............
Traumatism by firearms............
Traumatism by cutting or piercing
instruments......................
Traumatism by fall.................
Traumatism bv machines...........
1 1
2
Colon Hospital.
1
1
1
1
6 7 8 1
4
2
1
3
8 4
Panama.
1
4 4
1
12
6
2
1
1 1
1
1
7 2
Colon.
1
3
2
3 2
4 1
2
1
2 11
12
36
4
1
2
4 1
2
2
2 1
1
3
Zone.
1
1
2
14
6 6 22
1
4
1
5
1
Total
3
3 2
13 21 9 111
10
s
1 1
4
2
3 2
32 1
8 2
1 1 1
4 4 2 13 15
5 1 2 1
1
2
36 57 5 176
30 2
16
6 2 2 7
1
4
5
4
39 2
2 27
� 8

18
CAUSES AND PLACES OF DEATH OF EMPLOYEES AND CIVIL
POPULATION�Continued.
Diseases.
Ancon Colon Hospi- Hospi-
tal.
Affections produced by external
causes�Continued.
Traumatism by other crushings, (vehicles, railroads, landslides, etc.)........,......................
Railroad traumatism...............
Dynamite traumatism..............
Traumatism by landslides..........
Injuries by animals.................
Electricity (lightning excepted)____
Homicide by firearms...............
Homicide by cutting or piercing instruments........................
Homicide by other means..........
Other external violence.............
Ill-defined diseases.
Ill-defined organic disease............
Sudden death.......................
Cause of death not specified or ill-defined ............................
Infections of undetermined origin____
Total Stillbirths.
Grand total
tal.
3
19
2
10
1 1
4
9
581 2
5S3
1
2
1
1
265 14
279
Pan- Colon. Zone. Total.
ama.
i 2 6
i i 45 76
8 10
2 2
i 1
i 3 4
6 4 10
1 3
1
3 5
2
3 3

24 3 3 36
1 2 12
1,214 284 658 3,002
131 69 117 333
1,345 353 775 3,335
JJote.�The deaths occurring in Ancon and Colon Hospitals resulting from illness, injury, or other cases admitted from the cities of Panama and Colon, or from the Canal Zone, are in the table of vital statistics, credited to the places from whence they were admitted.
TABLE SHOWING DISCHARGES AND DEATHS THE HOSPITALS OF THE ISTHMIAN CANAL ALL CAUSES, FOR THE YEAR 1912.
OF EMPLOYEES IN COMMISSION, FROM
Diseases.
General diseases.
Typhoid fever........................
Malaria...............................
Malaria fever:
Estivo autumnal.................
Tertian...........................
Quartan..........................
M ixed............................
Undetermined....................
Clinical...........................
Cachexia.........................
llemoglobinuric fever, malarial.......
Vaccinia..............................
Measles...............................
Scarlet fever..........................
Diphtheria and croup.................
Influenza.............................
Discharged .
30 1
3/055
760 69 1 23 1,666 6 26
13
58
1
9
254
Died
3
11
2

10
TABLE SHOWING DISCHARGES AND DEATHS OF EMPLOYEES IN THE HOSPITALS OF THE ISTHMIAN CANAL COMMISSION, FROM ALL CAUSES. FOR THE YEAR 1912�Continued.
Diseases.
General diseases�Continued.
Dysentery......
Entainebic.
Baeillary...
Unclassified
Leprosy........
Erysipelas......
Dengue.........
Discharged .
Chicken pox......................
Mumps...........................
Hemoglobinuria fever, unqualified
Yaws.............................
Filariasis................................
Acute infectious jaundice (Weil's disease)
Other epidemic diseases.................
Purulent infection and septicemia.......
Pyemia..................................
Septicemia..............................
Pyemia and septicemia, pneumococcic...
Tetanus.................................
Mycoses.....................................................
Pellagra..............-.....................................-
Tuberculosis of the lungs....................................
Acute miliary tuberculosis...................................
Tuberculous meningitis......................................
Abdominal tuberculosis.....................................
Pott's disease................................................
Tuberculosis of bones and joints.............................
Tuberculosis of other organs.................................
Tuberculosis of the larynx...................................
Tuberculosis of the skin.....................................
Tuberculosis of the lymph glands............................
Tuberculosis of the genito-urinary organs....................
Disseminated tuberculosis...................................
Syphilis:
Primary.................................................
Secondary...............................................
Tertiary.................................................
Period not stated........................................
Gonococcus infection........................................
Gonorrhea.........'..........................................
Gonorrheal arthritis.........................................
Gonorrheal bubo............................................
Gonorrheal orchitis and epididymitis........................
Gonorrheal ophthalmia......................................
Soft chancre.................................................
Adenitis chancroidal.........................................
Cancer and other malignant tumors of buccal cavity.........
Cancer and other malignant tumors of the stomach and liver.. Cancer and other malignant tumors of the peritoneum, intestines, rectum...........................................
Cancer and other malignant tumors of the skin..............
Cancer and other malignant tumors of other organs and of
organs not specified........................................
Other tumors (tumors of the female genital organs excepted).
Acute articular rheumatism.................................
Chronic rheumatism and gout...............................
Gout.....................................
Arthritis deformans......................
Diabetes..................................
Anemia, chlorosis.........................
Anemia, primary, pernicious.............
Anemia, secondary, cause not determined
1
35 2 157 4 4
83 8 6
14
5 7 5 2 27 1 1 2 2 1 7
146
1
9 3 6 7 1 1 7 6 7
41 174
202
126 24 363 41 4 42 8 247 334 1 4
1
1
5 44
31
41 2 2 8
12 3
13
Died.
2 1 4
3 6 1 6 1
1
29 6
4
26
1
4
2

20
TABLE SHOWING DISCHARGES AND DEATHS OF EMPLOYEES IN THE HOSPITALS OF THE ISTHMIAN CANAL COMMISSION, FROM ALL CAUSES, FOR THE YEAR 1912�Continued.
Diseases.
Discharged.
Died
General disease*�Continued.
Other general diseases...............
Alcoholism (acute or chronic)........
Alcoholism, acute...................
Alcoholism, chronic................
Alcoholic psychosis.................
Other chronic occupation poisonings Other chronic poisonings...........
Diseases of the nervous system and of the organs of special
sense.
Simple meningitis...............
Pneumococcus meningitis.......
Locomotor ataxia................
Other diseases of the spinal cord.
Acute anterior polio-myelitis----
Cerebral hemorrhage, apoplexy..
Softening of the brain............
Paralysis without specified cause Other forms of mental alienation.
Dementia precox....................
Epilepsy............................
Hysteria.............................
Neuralgia............................
Neuritis.............................
Other diseases of the nervous system.
Tumor of the brain..................
Neurasthenia........................
Diseases of the eyes and their annexa
Follicular conjunctivitis.............
Trachoma...........................
Diseases of the ears..................
Diseases of the circulatory system.
Pericarditis..................................................
Acute endocarditis..........................................
Organic diseases of the heart.................................
Aneurysm...................................................
Arteriosclerosis..............................................
Embolism and thrombosis...................................
Diseases of the veins (varices hemorrhoids, phlebitis, etc.)...
Hemorrhoids................................................
Varices......................................................
Varicocele...................................................
Phlebitis....................................................
Diseases of the lymphatic system (lymphangitis, etc.).......
Lymphadenitis (nonvenereal)...............................
1 femorrhage; other diseases of the circulatory system........
Diseases of the respiratory system.
Diseases of the nasal fossae........
Adenoid vegetations..............
Myiasis of nasal fossae and sinuses
Diseases of the larynx............
Laryngitis.......................
Diseases of the thyreoid body----
Acute bronchitis.................
Chronic bronchitis...............
Broncho-) >neu monia.............
Lobar pneumonia...............
10
26
66
13 12 4
2
1
4 1 9 1
10
44 11 13 18 31
M 12
1
196
552
4
233
6
3 NT
5 1.')
8 113 13
56
5 47
147
8
272 11
51
7
12
3
395
58 12 210
2 2
4
2
9 2
i
2 1
10 4
1
1
54

21
TABLE SHOWING DISCHARGES AND DEATHS THE HOSPITALS OF THE ISTHMIAN CANAL ALL CAUSES, FOR THE YEAR 1912�Continued.
OF KMPLOYEESIN COMMISSION, FRON
Diseases.
Diseases of the respiratory system� Continued.
Pleurisy.....................................
Empyema...................................
Pulmonary congestion, pulmonary apoplexy
Gangrene of the lungs.......................
Asthma.....................................
Pulmonary emphysema.....................
Other diseases of the respiratory system.....
Abscess of lungs.............................
Diseases of the digestive system
Diseases of the mouth and annexa..............
Diseases of the teeth and gums..................
Stomatitis......................................
Diseases of the pharynx........................
Pharyngitis.....................................
Follicular tonsillitis............................
Diseases of the oesophagus......................
Ulcer of the stomach............................
Other diseases of the stomach (cancer excepted)
Gastrectasis....................................
Acute gastritis..................................
Chronic gastritis................................
Acute indigestion...............................
Diarrhea and enteritis (under 2 years)..........
Diarrhea and enteritis (2 years and over).......
Colitis......................:...................
Ankylostomiasis............................................
Intestinal parasites.........................................
Ascariasis...................................................
Bilharziasis, intestinal......................................
Taeniasis...................................................
Appendicitis and typhlitis..................................
Acute appendicitis.........................................
Chronic appendicitis........................................
Hernia, intestinal obstructions..............................
Inguinal hernia.............................................
Other hernias...............................................
Other diseases of the intestines..............................
Constipation................................................
Duodenal ulcer.............................................
Acute yellow atrophy of the liver...........................
Hydatid tumor of the liver.................................
Cirrhosis of the liver.........-y..............................
Biliary calculi............................................
Other diseases of the liver...................................
Abscess of the liver Cunqualified)...........................
Abscess of the liver (entamoebic)..........................
Cholecystitis..............................................
Diseases of the spleen......................................
Simple neritonitis (nonpuerperal)..........................
Other diseases of the digestive system (cancer and tubercu losis excepted)...........................................
Nonvenereal disease.? of the genito-vrinary system ant annrra
Dis. charged.
Acute nenhritis.........................
Bricht's disease (chronic nenhritis").....
Other diseases of the kidney and annexa
Pyelo-nephrosis........................
"alculi of the urinary passages..........
Diseases of the bladder.................
is
23 6 5
60 231 1 17
85 5 35 98 157 10 179 6 57 21 3 4
3
118
36
27
29 237
24 107
64 8 8 1
19 2
13 9 5
11
7 12
2
35
93 10
3
25 1
Died
i 1
i
I
I
2
i
5 31

22
TABLE SHOWING DISCHARGES AND DEATHS OF EMPLOYEES IN THE HOSPITALS OF THE ISTHMIAN CANAL COMMISSION, FROM ALL CAUSES, FOR THE YEAR 1912�Continued.
Diseases.
Nonvenereal diseases of the genito-urinary system and
annexa�Continued.
Cystitis....................................................
Diseases of the urethra, urinary abscesse, etc....... ........
Stricture of the urethra, nonvenereal........................
Diseases of the prostate.....................................
Acute prostatitis............................................
Chronic prostatitis..........................................
Abscess of the prostate......................................
Hypertrophy of prostate....................................
Nonvenereal diseases of the male genital organs.............
Hematocele................................................
Hydrocele..................................................
Chylocele...................................................
Uterine hemorrhage (nonpuerperal)........................
Uterine tumor (noncancerous)..............................
Other diseases of the uterus.................................
Metritis.....................................................
Cysts and other tumors of the ovary........................
Salpingitis and other diseases of the female genital organs...
The puerperal state. Abortion...................................................
Diseases of the skin and of the cellular tissue.
Gangrene...................................................
Furuncle...................................................
Carbuncle..................................................
Acute abscess...............................................
Phlegmon and cellulitis.....................................
Trichophytosis.............................................
Scabies.....................................................
Chiggers (Pulex penetrans).................................
Red bug....................................................
Pemphigus contagiosus.....................................
Filaria medinensis..........................................
Elephantiasis...............................................
Dhobie itch.................................................
Ulcer of the skin............................................
Tropical ulcer..............................................
Impetigo contagiosa........................................
Urticaria...................................................
ingrowing nail..............................................
Other diseases of the skin and annexa......................
Diseases of the bones and of the organs of locomotion.
Diseases of the bones (tuberculosis excepted)...............
Caries (nontuberculous)....................................
Musi cid abscess................................'.............
Osteomyelitis...............................................
Periostitis..................................................
Diseases of the joints (tuberculosis and rheumatism excepted)
Ankylosis..................................................
Arthritis....................................................
Synovitis...................................................
Amputations...............................................
Other diseases of the organs of locomotion...................
Malformations.
Congenital malformations (still birth not included).........
Died
27
30
65 1 1 4 1 2 112 1 75 1 1
6 4 1 4 4
3
107 24 314 78 1 5
2
2
T i
12 35 136 6 5 5 17 211
24 �t
8 25 29
3
86 45
90 J12
'J
1
1

23
TABLE SHOWING DISCHARGES AND DEATHS OF EMPLOYEES IN THE HOSPITALS OF THE ISTHMIAN CANAL COMMISSION, FROM ALL CAUSES, FOR THE YEAR 1912�Continued.
Diseases
Senility
Old age.
A flections produced by external causes.
Poisoning by food.....................................
Other acute poisonings................................
Burns (contlagrat ion excepted)........................
Absorption of deleterious gases (conflagration excepted)
Traumatism by firearms....................................
Traumatism by cutting or piercing instruments�>�.........
Traumatism by fall..........................................
Traumatism in mines and quarries..........................
Traumatism by machines...................................
Traumatism by other crushings (vehicles, railroads, landslides, etc.).
Railroad traumatism........................................
Dynamite traumatism.........
Traumatism by landslides......
Injuries by animals.............
Effects of heat.................
Heat exhaustion...............
Electricity (lightning excepted) Fractures (cause not specified)..
Dislocations...................
Sprains........................
Other external violence........
Ill-defined diseases.
Ill-defined organic disease.........................
Cause of death or disease not specified or ill defined
Infections of undetermined origin..................
No disease........................................
Feigned disease
Total
4
3
39 68 7
Died
3
10
3 1
24 2
2
1 1
CONSOLIDATED HOSPITAL REPORT.
Hospitals.
Ancon Hospital
Employees......
Xonemployees... Insane...........
Total......
Colon Hospital.
Employees......
Nonemployees...
Total......
Remaining Jan. 1.
W
215 87 30
332
71 37
108
Admitted
C. W.
391 7,056 94! 2,746 262 23
747 9.825
76 3.154 55i 1,270
131 4.424
C.
Died.
W. C.
9,270 1,8001 168'
11.238
1.400 1.514
110
2.914
19
28
47
Discharged.
W.
49| 222 5,288
60 1
222 2,511
27
471
12
7,811
48 2,518 170 1,217
218! 3,735
C.
8,928 1,565 88
10,581
1,346 1,308
2,654
Transferred.
W.
c.
1,723 173 16
1,912
Remaining Dec. 31.
72 33 33
W.
577 23
600
138
13
17
211 89 24
324
4 111
39
150
C
439 74
282 795
78 78
156

24
CONSOLIDATED HOSPITAL REPORT�Continued.
Hospitals. Remaining Jan. 1. Adm itted. Died. Discharged. Transferred. Remaining Dec. 31.
W. C. W. C. W. C. w. ; c. W. C. W. c.
Culebra Hospital. Employees........
Xonemployees. . . 2 5 28 168 1 1 t 27 1501 2 13 ---- 3
Total........ Palo Seco Leper Asylum. Employees........ 2 5 28 16S 2 9 1 l ! 27 150 2 3 2 13 3
Xonemployees..... Total........ 2 47 1 - - � - i 1 3 45
2 39 21 47 1 2,380 1,140 11 1 7 5 1 3 34 0
Taboga Sanitarium. Employees........ 1 2,358 1,149 26 3
Xonemployees.....
Total........ i
60 325 149 30 467 201 262 3,520 12.590 5,185 23 1 .... i 3,507 10.164 4,904 12 20 .... 43 356 140 24 517 200 282
grand total. Xonemployees..... Insane............. Total........ 10,672 3,491 168 69 89 1 270 406 27 10,276 3,026 88 2.326 201 16 76 60 33
504 930 17. 798 14,331 159 703 15.0S0 13.390 2.543 169 520 999
CONSOLIDATED SICK-CAMP REPORT.
Stations.
Miraflores.......
I'edro Miguel...
Paraiso.........
Culebra.........
Empire.........
Las Cascadas...
Bas Obispo.....
Gorgona........
Gatun..........
Cristobal........
Porto Bello.....
Toro Point.....
Total.....
Remaining Jan. 1.
W.
2 1
2 2 s
4
2)
C.
3
3
4
5 7
4
s
6 6
3
52
Admit led
W.
541 241
147
4C0 .321
2i; l
224
88 ssi i
142
155 91
C.
3,557
657 471 465 712
975 374 316 867 2,236 981 384
338 8,776
Died.
W.
3 1 1
5
c.
1
I 1 1 1
Discharged.
Trans
ferred
w. C. -' W. C.
262 397 279 260
144 23!) 99 235
84 250 64 218
327 515 128 197
252 724 70 255
225 344 37 35
195 30. i :<7 16
68 611 20 229
531 1,515 360 72s
77 527 65 45(1
116 330 39 57
38 161 57 180
2,319 5,949 1,255 2,869
Remaining Dec. 31.
W.
C.
2
3
2

25
CONSOLIDATED REPORT OF EMPLOYEES SICK IN QUARTERS.
c
Stations.
Naos Island.
A neon.......
Balboa.....'.
Corozal......
Miraflores____
Pedro Miguel
Paraiso......
Culebra......
Empire......
Las Cascadas Bas Obispo..
Goreona.....
Gatun.......
Cristobal____
Porto Bello.. Toro Point..
Total
Days excused for quarters
White.
04 1,030 607 1)25 159
619
559 507 1,733 683 281 3, 788 1,690 2,156 218 72
14,791
Colored.
258 1,661 77
4
3 35 7 6 22 562 95 161
2,891
Total.
322 2,691 684
025 163 019 562 542 1,740 689 303 4,350 1, 785 2,317 218 72
17,682
New patients excused for
quarters.
White.
25
440
294
435 114
326
279
265
779
292
131
1,769
855 1,064
115
50
,233
Colored.
118
249
56
2
1
19 3 1 7 186 4
47
693
Total.
143 689 350 435 116 326 280 284 782 293 138
1,955 859
1,111
115
50
7,926
CONSOLIDATED HOSPITAL, SICK-CAMP, AND SICK-IN-QUARTERS
REPORT.
Remaining Jan.1. Admitted.
W. C. W. j C.
Hospitals Sick camps... Total... 504 24 930 52 17,798 3,557! 14,331 8,776
528 982|21,355 23,107
Died.
W .1 C.
Discharged
W.
C.
Transferred.
Remain-
ing
Dec. 31.
W
C.
W.
159 703
5
164 708
C
15,08013,390 2,5431 169 2,319 5,949t 1,255 2,8691
17,399 19,339 3,798 3,038
520 2
White.
Total admissions to hospitals and sick camps Number of employees sick in quarters.......
21,355 7,233
Total........................................ 28,588
Less number of patients transferred from sick camps to hospitals, and from hospitals to sanitarium, whose admissions are duplicated in above figures..........................
3,798
Net admissions to hospitals and sick camps and those sick in quarters............................ 24,790
Colored.
23,107
693
23,800
3,038
20,762
522
999 5
1,004
Total.
44,462 7,926
52,388
6,836
45,552
' > 3
>
3 >
i
i
� s> *
�
�* �
3 - 3

26
CONSOLIDATED DISPENSARY REPORT.
Employees. Nonemployees. Total.
Stations. Colored. Colored.
White. Total. White.' Total. White. Colored. Total.
Naos Island____ 755 5,424 6,179 9 755 5,433 6,188
Ancon......... 8,532 17,574 26,106 4,186 i 5,222 9,408 : 12,718 22,796 35,514
Balboa......... 14,831 18,738 33,569 2,179 844 3,023 ; 17,010 19,582 36.592
Corozal......... 11,649 8,486 20,135 3,361 I 1,380 4,741 15,010 9,866 24,876
Mira (lores...... 23,715 27,623 51,338 634 463 1,097 1 24,349 28,086 52,435
Pedro Miguel... 15,958 14,495 30,453 2,603 1,991 � 4,594 ; 18,561 10,486 35,047
Paraiso......... 6,971 5,551 12,522 2,976 . 1,588 4,564 9,947 7,139 17,086
Culebra........ 20,382 21,948 42,330 8,456 9,588 18,044 : 28,838 31,536 60,374
Emnire 17,469 I 26,553 44,022 8,854 6,896 15,750 26,323 33,449 59,772
Las Cascadas... 6,699 5,247 11,946 4,903 \ 2,777 7,680 ^^^^^ ^^^^ ^^^^ 1 11,602 8,024 19,626
Bas Obispo____ 13,601 13,681 27,282 3,552 ! 2,621 6,173 17,153 16,302 33,455
Gorgona....... 21,810 22,890 44,700 7,251 6,898 14,149 29,061 29,788 58,849
Gatun.......... 38,511 39,933 78,444 5,317 4,750 10,067 43,828 44,683 88,511
Cristobal....... 14,362 18,538 32,900 6,628 3,455 10,083 20,990 21,993 42,983
Porto Bello_____ 4,102 7,405 11,507 867 1 1,436 2,303 4,969 8,841 13,810
Toro Point 4,428 9,163 13,591 770 487 1,257 5,198 9,650 14,848
Margarita Point 516 1,260 1,776 516 1,260 1,776
Total 224,291 264,509 488, S00 62,537 50,405 1 1 112,942 286,828 314,914 601,742
AVERAGE NUMBER OF EMPLOYEES CONSTANTLY SICK IN
HOSPITALS, SICK CAMPS, AND QUARTERS.
Hospitals.
White.
Ancon Hospital................................... 240.97
Colon Hospital....................................| 108.48
Palo Seco Leper Asylum..........................
Taboga Sanitarium...............................
42.95
Total
392.40
Colored.
Total.
452.49 86.58 .49
693.46
195.00 .49 42.95
539.56
931.96
Total
Sick camps.
White.
Naos Island.
Ancon.......
Balboa......
Corozal......
Miraflores... Pedro Miguel
Paraiso......
Culebra......
Empire......
Las Cascadas Bas Obispo..
Gorgona.....
Gatun.......
Cristobal____
Porto Bcllo.. Toro Point..
2.74
1.71 1.14 4.07 2.51 3.76 2.03
.70 5.76
.S3
1.47
. 55
Colored.
Total.
27.27 |
3.18 2.75 3.35 6.40 6.44 5.94 4.60 7.34 15.74 5.21 4.11 2.07
07.13
5.02 4.46 4.49
10.47 8.95 9.70 6.63 8.04
21.50 6.04 5.58 2.62
I 40
Sick in quarters.
White. Colored.
0.17 2.81
1.66 1.71 .43 1.69
1.35 1.3-4.73 1.86 .77
10.35 4. < .2 5.89 . (>( I
.20 40.4.0
0.71 4.54 .21
Total
.01
.01 .10
.02 .02 .06
1. 51
. 26 .14
7.92
0. 88 7.35 1.87
1.71 .44
1.69 1.54 1.4S 4.75 1.88
.83
11.89 4.88
6.33 .00
.20
4S..32

27
AVERAGE NUMBER OF EMPLOYEES CONSTANTLY SICK.
Hospitals......
Sick camps____
Sick in quarters
Total
White. Colored. Total.
392.40 539.56 931.96
27.27 67.13 94.40
40.40 7.92 48.32
460.07 614.61 1,074.68
.000
A\ hite.
Hospitals......
Sick camps.....
Sick in quarters
Total____
31.26 2.17 3.22
36.65
Colored.
14.07 1.75 .21
16.03
Total.
18.31 1.85 .95
21.11
AVERAGE NUMBER OF DAYS' TREATMENT PER EMPLOYEE IN
HOSPITALS, SICK CAMPS, AND QUARTERS.
Hospitals.
Ancon Hospital.........
Colon Hospital..........
Palo Seco Leper Asylum Taboga Sanitarium......
Total
Total
White. Colored. Total.
12.49 12.75 17.96 22.67 90.00 15.59 15.80 90.00 6.57
6.57

11.44 18.59 14.71
Sick camps.
White.
Colored.
Total.
White
Naos Island.
Ancon.......
Balboa......
Corozal......
Miraflores____
Pedro Miguel
Paraiso......
Culebra......
Empire......
Las Cascadas Bas Obispo..
Gorgona.....
Gatun.......
Cristobal____
Porto Bello.. Toro Point..
1.86 1.77 1.81
2.57 2.13 2.28
2.82 2.62 2.67
3.25 3.29 i 3.27
2.84 2.41 2.52
5.23 5.74 5.53
3.22 5.21 ; 4.37
2.93 3.08 3.07
2.36 2.57 2.51
2.13 1.93 1.95
3.79 1.51 1.81
1.30 1.96 1.77
2.79 2.79 2.79 1
2.56 2.34 2.06 1.44 1.39 1.90 2.00 1.91 2.22 2.34
2.15 2.14 1.98 2.03
1.90 1.44
2.04
Quarters.
Colored
2.20 6.67 1.38
2.00
3.00 1.84 2.33 6.00 3.14 3.02 23.75 3.43
4.17
Total
2.25 3.91
1.95 1.44 1.41 1.90 2.01 1.91 2.23 2.35 2.20 2.23 2.09 2.09 1.90 1.44
2.23

28
SUBSISTENCE AND OPERATING EXPENSES.
Subsistence expenses.
Number of days' rations issued to patients..
Cost of rations issued to patients.............
Cost of subsistence per patient per day......
Operating expenses.
Number of days' relief furnished patients----
Cost of operation............................
Cost per capita per day......................
Cost of operation with amount received from outside patients, etc., deducted............
Cost per capita per day with above deduction.......................................
Cost of dispensaries..........................
Sick camps
571p589 8144,181.81 SO.252
34,554 $8,319.38 SO.240
571,5S9 34,554 $707,134.28 I $17,695.35
SI. 24 $551,594.09
80.51
Total
000,143 $152,501.19 $0,251
606,143 $724,829.63
$1.20
80.97 $152,785.99
$17,695.35 $569,289.44
$0.51 $0.94
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. Number of days' relief. Amount. %
2,503 70,702 $53,026.50
440 11,413 3,423.90
3,178 31,971 9.591.30
1,004 14,959 38,627.90
4,590 35,946 44,519.17
2,580 50.061
553 7,402
15,448 222,454 149,188. 77
Not6.�Patients carried from one month to another are considered as separate cases in above table.
SURGICAL OPERATIONS PERFORMED IN HOSPITALS.
Number.
putations: Shoulder.......
Arm............
Forearm........
Fland...........
Hip joint.......
Thigh..........
Leg.............
Foot...........
Digits, multiple Leg, double----
1
7 6 1 1
4
19
6 30
2
Diod.
1
1
1
1

29
SURGICAL OPERATIONS PERFORMED IN IIOSPITALS�Continued.
Operations on bones: Craniectomy:
Decompressive.....................
Exploratory........................
Laminectomy..........................
Ostiectomy............................
Resection of elbow......................
Wiring of fractures:
Simple............................�
Compound.........................
Adenectomy:
Cervical...............................
Axillary...............................
Inguinal:
Single.............................
Double............................
Femoral...............................
Herniotomy: Inguinal:
Single.............................
Double............................
Femoral...............................
Ventral................................
Comb hided (any two of the above)----
Strangulated..........................
Genito-urinary tract:
Nephrotomy..........................
Nephrectomy..........................
Nephropexy...........................
Perinephritic abscess, drainage of......
Ureterotomy..........................
Cystotomy............................
Urethrotomy:
Internal...........................
External..........................
Prostatectomy........................
Varicocele, radical cure................
Hydrocele:
Single, radical cure................
Double, radical cure...............
Orchidectomy.........................
Epididymotomy......................
Vasectomy............................
Amputation of scrotum................
Amputation of penis...................
Amputation of penis and scrotum.....
Cu ret age uteri.........................
Perineoplasty.........................
Trachelorrhaphy......................
Vaginal sections.......................
Vaginal punctures.....................
Obstetrical:
Cesarean section�
Abdominal........................
Vaginal...........................
HUh forceps..........................
Low forceps...........................
Version...............................
Perineorrhaphy.......................
Thorax:
Thoracotomy....................-----
Pneumothorax tomy............'.....
Pericardiotomy......................
Excision of breast and axilla.........
Gunshot wound of chest, operation for Stab wound of chest, operation for �
Number.
Died.
25 3 5
37 3
46 27
19 9
406 107
29
190 124 9 27 1 8
5 2 1 1 4
1
29 54
3
60
72 18 25 83 3
10
5 3
238 51 24 49 S
5 2 6 26 12
73
10
2
1 3 1 1
6
4 1
2
1
2
1
1
1
2

30
SURGICAL OPERATIONS PERFORMED IN HOSPITAL�Continued.
Rectum:
Hemorrhoids, radical cure.....................
Fistula in anus, excision of....................
Prolapsus rectum, radical excision.............
General:
Thyroidectomy...............................
Aneurismorrhaphy...........................
Varicose veins, excision of.....................
Tenorrhaphy..................................
Excision of surface neoplasms................
Gunshot wound of soft parts, operation for----
Extensive injuries to soft parts, operation for..
Plastic operation for congenital defect........
Plastic operation for severe injuries............
Plastic operation for effects of disease.........
Skin graft.....................................
Laparotomy.
For general peritonitis.........................
For tuberculous peritonitis....................
For intestinal obstruction....................
Exploratory...................................
Gastrotomy..................................
Gastroenterostomy..........................
Entero-enterostomy..........................
Enterectomy.................................
Enterorrhaphy...............................
Appendectomy...............................
Appendectomy with local peritonitis.........
Appendectomy with general peritonitis......
Caecostomy..................................
Colostomy...................................
Sigmoidopexy...............................
Cholecystotomy..............................
Cholecystostomy.............................
Cholecystectomy.............................
Abscess of liver, laparo-hepatotomy for.......
Abscess of liver, thoraco-hepatotomy for......
Splenectomy.................................
Panhysterectomy............................
Supravaginal hysterectomy.................
Hysteromyomectomy........................
Myomectomy................................
Salpingectomy, single........................
Salpingectomy, double.......................
Salpinco-oohorectomy........................
Ovarian cystectomy..........................
Oophorectomy...............................
Suspensio-uteri............................
Plastic operation for chronic pelvic perotonitis
For ectopic gestation.........................
For trauma:
General peritonitis...........................
Hema toper itoneum..........................
Rupture of spleen............................
Stab wound of abdomen.....................
Major operations, various other...............
[inor operations, various........................
Totel.......................................
Number. Died.
153
15
1
11
1
29
8
29
6
1
4
42 1
35 1
24
3
2 1
7
40 2
4 2
12 1
2
3 1
4 1
248
21
4
2 2
2 j 2
4
7 i
10 1
2
13 5
17 4
1
24
23
39
13
21
35 2
17 1
6
2
66
60
12
5 2
2 I
3 1
1 1
64 1
3,756 2
6,977 67

31
OPERATIONS AND WORK PERFORMED IN EYE, EAR, NOSE, AND
THROAT CLINICS.
Operations:
Abscess, peritonsillar...................
Adenectomy...........................
Advancement of external rectus.........
Advancement of internal rectus........
Blepbaroplasty for ectrapion (skin graft) Bowman's dilatation of lacrymal duct..
Cataract�
Discission of........................
Number.
Needling...........................................
Cyst, sebaceous, excision...............................
Capsulectomy..........................................
Conjunctival cyst.......................................
Dacryocystot omy......................................
Dilatation of lacrymal sac...............................
Dilatation, esophageal.............................*----
Discission, juvenile cataract............................
Enucleation............................................
Evisceration............................................
Excision of chalazion...................................
Excision of cyst, iris....................................
Excision, Keloid.......................................
Excision, melano sarcoma..............................
Expression for follicular conjunctivitis..................
Expression for trachoma................................
Extraction of cataract..................................
Goldsmith's plastic operation for closure septal perforation .................................................
Holsrath-Kuhnt operation..............................
Incision and drainage of abscess, eyelid.................
Incision and drainage of lacrymal sac...................
Incision of chalazion...................................
Incision of peritonsillar abscess.........................
Inferior turbinate, cauterizations.......................
Iridectomy.............................................
Lacrymal canaliculus incised...........................
Lacrymal duct probed.................................
La Grange operation...................................
Ligature, conjunctival vessel...........................
Lingual tonsil, cauterizations..........................
Mastoidectomy.........................................
Mastoidotomy, simple.................................
Mastoidotomy, radical..................................
Maxillary, sinus........................................
Nasal bones, setting of..........................-.......
Papillimatous growth eyelid resected...................
Paracentesis of cornea..................................
Paracentesis of membrana tympani....................
Paraflfine prosthesis of nose.............................
Phlyctenule, excision...................................
Plastic on ear...........................................
Plastic on eyelid........................................
Plastic, face............................................
Plastic on nose.........................................
Polypoid growth tonsil removed........................
Polypoid growth uvula removed.......................
Pterygium, ablation....................................
Pterygium, transplantation.............................
Removal of aural polyp................................
"Removal of cvst, ear....................................
Removal of nasal polyp................................
Sclerotomy, posterior...................................
Septal spurs............................................
Sinusotomy, maxillary, radical.........................
Subconjunctival cvsts..................................
Submucous resection of nasal septum......,............
1
175 9 8 1
3
6 2 4
5 1 1 1 4
13
8
1 1 1
6 1
28
1
4 1
3 8 1 5
45 5
28 1 1
15 19 10 1 4 2 1 13 16 1 2 1
19 4
16 1 2
38 103 1 1
30 3
21 8 5
215
Died

32
OPERATIONS AND WORK PERFORMED IN EYE, EAR, NOSE, AND
THROAT CLINICS�Continued.
Number.
Operations�Continued.
Subperiosteal abscess----
Suture, lacerated sclera..
Tarsal tumors...........
Tenotomy...............
Tonsillectomy..........
Tonsillotomy............
Turbinectomv...........
Uvulotomy..............
Wolff's graft, eye........
Various minor operations
2 1
25 15 341 5 S6
8 1
1,277
Died
Total..........
Refractions..........
Outside cases treated
Grand total
2.7(H) 3,163 19,045
24,914
CONSOLIDATED WARD LABORATORY REPORT OF ALL HOSPITALS.
Blood examinations....................................................... 20.896
Estivo-autumnal...................................................... 4,361
Tertian, single......................................................... 1.203
Tertian, double........................................................ ' 8
Mixed tertian and estivo-autumnal.................................... 31
quartan............................................................... 105
Differential blood counts.............................................. 2.04s
Leucocyte counts...................................................... 3.032
Red blood counts...................................................... -151
White blood counts................................................... 343
Hemoglobin estimations............................................... 944
Filaria................................................................ 13
Guaiac and turpentine tests for invisible blood......................... 215
Moro test.............................................................. 1
Stool examinations........................................................ 16> 434
Hymenolepsis dimunitis............................................... 1
Monadena............................................................. 5
Ascaris lumbricoides.................................................. 1.104
Uncinaria ova......................................................... � ^tjl
Tricocephalus dispar.................................................. 1> 763
Strongyloides intestinalis.............................................. 638
8 11
148 72
426
74
Tenia.................................................................
Tenia saginata........................................................
Ameba................................................................
Mucus.................................................................
Entameba.............................................................
Ciliated monads.......................................................
Bilhama..............................................................
Pus and blood......................................................... 2.907
........................ 12
......................... 13
....................... 2
.............................. 55
.............................. 18
............................. 33
........................ 49
...................... 3
............................ 6
........................... 29
....................... 1
................... 10
...v.......................... 10
Urine examinations..................................................... '^'Vl
Albumen.............................................................. '
Albumen and casts.................................................... 5,350
Sugar................................................................. 28
Pus and epithelial cells.................
Balantidium coli.......................
Tubercle bacilli.........................
Entameba, tetragena...................
Oxyuris vermicularis...................
Entameba, histolytica..................
Entameba coli.........................
Trichuris triehinura....................
Flagellated monads.....................
Guaiac and turpentine tests for occult blood
Curds..................................
Bismuth crystals.......................
Ankvlostoma worms...................

33
Urine examinations�Continued.
Pus and blood......................................................... 2,519
Gonococci............................................................. 23
Indican............................................................... 3
Epithelium............................................................ 534
Bile................................................................... 22
Microscopical examinations............................................ 1,076
Trichomonas vaginalis................................................ 4
Flagellated monads.................................................... 5
Diplococci............................................................. 4
Hemin crystals........................................................ 31
Guaiac and turpentine tests for blood.................................. 159
Red blood cells........................................................ 15
White blood cells...................................................... 5
Pus and epithelium................................................... 94
Phosphates............................................................ 1
Ciliated monads....................................................... 1
Bacilli, acid fast....................................................... 1
Filaria................................................................ 6
Mucus................................................................. 6
Chyluria............................................................... 1
Urea estimations...................................................... 13
Sputum examinations..................................................... 2,337
Tubercle bacilli........................................................ 427
Streptococci........................................................... 1
Blood................................................................. 2
Diplococci............................................................. 1
Elastic tissue.......................................................... 2
Pus................................................................... 5
Miscellaneous:
Examinations of pleural effusions...................................... 3
Examinations of various smears and discharges........................ 377
Examinations of spinal fluid____t...................................... 18
Examination of vaginal and urethral discharges....................... 204
Examinations of pus, blood, and tissue................................ 11
Diplococci............................................................. 4
Skin scrapings......................................................... ' 6
Stomach contents..................................................... 6
Gastric analyses....................................................... 107
AXCON HOSPITAL.
Class. Remain-i ing Jan. 1. Admitted. Died. Discharged. Transferred. Ren in Dec tailing !. 1.
w. C. W. C. W. c. w. C. W. C. W. C.
Isthmian Canal Com mission employees____ Panama' R. R. employees____ Pay patients____ Charity patients Insane patients. Total 195 20 83 4 30 288 103 55 -39 262 6,766 290 2,469 277 23 7,728 1,542 1,211 589 168 49 52* � 8 1 171 i 51 107 115 27 5,063 225 2,246' 265 12 7,397 1,531 1,088 477 88 1,654 ! 69 171 2 16 59 13 12 21 33 195 16 83 6 24 389 50 59 15 282
332 747 9,825 11.238 110 1 471 1 7.811 10,581 1,912 138 324 795
White. Colored. Total.
Average number of days' treatment per employee for the vear ................................... 12.49 240.97 17.96 452.49 15.59 693.46 415,009 80.209
Average number of employees constantly sick during the vear_______________......................
Number of days' relief furnished patiem Cost of subsistence per patient per day.

34
NATIONALITY.
|
Class. Number Americans. Other nations.
treated. W. C. W. C.
Isthmian Canal Commission employees............................ 14,977 1,955 3,818 909 483 2,560 177 1,617 147 10 20 1 4.013 151 880 115 29 8,384 1,626 1,321 644 444
Panama Railroad employees......... Pav patients.........................
Charity patients..................... Insane patients...................... 3
Total..........................
22,142 4,511 1 24 5,188 12,419
OPERATIONS.
(See report of all surgical operations.)
LABORATORY REPORT.
(See consolidated ward laboratory report.)
COLON HOSPITAL.
Class.
Isthmian Canal Commission employees ..........
Panama R. R. em-
Remain
ing Jan. 1
\V.
C. AY
ployees.....
Private pay.. Municipal pay Zone charity..
Total
57
14
21 2 14
47 2,634
29
22
13
20
520 1,073 26 171
108 1131 4,424
C.
789
611
1,051 117 346
2,914
Admitted. Died
Discharged
W.
C.
14
5 11 4
13
47
25
23 92 21 57
W.
C.
21S
2,121
397 1,033 23 161
3,735
764
582 930 104 274
2,654
Transferred .
Re-
W.
462
115 21 1 1
600
C.
2
2
4
9
17
n-ing Dec. 31
94
17
29
10
150
c.
45
33 47
5
26
156
Average number of 'lays' treatment per employee for the year....................................
Average number of employees constantly sick during the year...................................
Number of days' relief furnished patients.........
Cost of subsistence per patient per day...........
White.
12.75 108.48
Colored.
22.67 86.58
Total.
15.80
195. 112,527 $0. 297

35
NATIONALITY.
Class.
Isthmian Canal Commission employees............................
Panama R. R. employees...........
Private pay.........................
Municipal pay......................
Zone charity........................
Total
Americans. Other nations.
Number
treated.
W. * C. W. C.
3,527 1,960 605 962
1,174 � 329 152 693
2,167 765 300 1,102
158 4 24 130
551 108 66 377
7,577 3,166 1,147 3,264
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. � 1 W. | c. w. C. W. C. W. C.
Nonemployees............ 2 5 28 168 1 7 27 150 2 13 3

Number of days' relief furnished patients.................................. 2,082
Cost of subsistense per patient per day....................................SO. 223
NATIONALITY.
Class. Number treated. Americans. Other nations.
w. C. W. C.
Nonemployees....................... 1 203 8 3 18 174
OPERATIONS
(See report of all surgical operations.)
LABORATORY REPORT
(See consolidated ward laboratory report.)

3G
PALO SECO LEPER ASYLUM
Class.
Remaining Jan. 1.
W. C
Admit ted.
W. C.
Employees.....
Pay patients... Charity patients
Total.....
1 1
31
16
1
2
2
7
Died.
W.
C.
Discharged.
W.
C.
Trans fcrred
W.
C
2
4
3
2
47
1
3
11
7
5
1
Remain
ing
Dec. 31.
1
W.
2 1
3
C
28 17
45
White
Colored
Average number of days' treatment per employee for the year....................................
Average number of employees constantly sick during the year....................................
Number of days' relief furnished patients.........
Cost of subsistence per patient per day...........
NATIONALITY.
90.00 .49
Total
90.00
.49 17,759 80.327
Class.
Employees......
Pay patients____
Charity patients
Total.....
Number treated.
2 35 24
01
Americans
W.
C.
Other nations
W.
1 1
2
c.
2
S4
23
59
T A BOG A SANITARIUM.
Class. Remaining Jan. 1. Admitted . Died. Discharged. Transferred. Remaining Dec. 31.
Employees..................... Families of employees.......... � 39 21 2,380 1,140 1 2,358 1. 149 26 3 34 9
Total.....................
60 3,520 1 3,507 29 43
Average number of days' treatment per employee for the year............. 8.57
Average number of employees constantly sick during the year............. 42.95
Number of days'relief furnished patients..................................24,212
Cost of subsistence per patient per day.....................................$0.687

37
NATIONALITY.
Class.
Employees...........
Families of employees
Total
Note.�No colored patients treated at Taboga Sanitarium.
SANTO TOM AS HOSPITAL.
Number treated. A mcricans. Other nations.
2,419 1,161 1,711 1,130 708 31
3,580 2,841 739
Class. Remaining Jan. 1. 1 Admitted. Died. Discharged. Transferred. Remaining Dec. 31.
Pav cases............... 29 1,424 1 5,490 23 1,391 5,143 39
Charity cases............ 269 393 223
Total.............. 298 6,914 416 6,534 262

Average number of days1 treatment per patient.......................... 14.44
Average number of patients constantly sick.............................. 274.15
Number of days' relief furnished patients................................. 100,341
Cost of subsistence per patient per day................................... SO. 249
NATIONALITY.
Class. Number treated. Americans. Other nations.
w. a W. C.
Pav cases.......................... 1,453 5,759 440 725 1,013 5,034
Charitv cases........................
Total..........................
7,212 1,165 6,047

OPERATIONS.
4 * * Number. Died.
Major....................................................... 515 278 21
Minor.......................................................
Total..................................................
793 21

DISPENSARY.
White. Colored. Total.
Natives........................................... 1,904 530 3,413 841 5,317 1,371
Foreigners........................................
Total.......................................
2,434 4,254 6,688

38
BOARD OF HEALTH LABORATORY.
Bacteriological examinations of�
Municipal water supplies............................................... 41
Water from springs..................................................... 32
Milk.................................................................... 1
Cultures, various....................................................... 3
Larvaciae test.......................................................... 1
Fluids and exudates.................................................... 53
Blood cultures.......................................................... 368
Throat cultures (diphtheria suspects)................................... 850
Cultures from autopsies................................................. 90
Cultures from eye....................................................... 7
Stools.................................................................. 354
Urine................................................................... 310
Sputum................................................................ 16
Pus........................................:............................ 21
Stomach contents....................................................... 10
Hydrocele fluid......................................................... 4
Knee joint fluid......................................................... 15
Fluid from cyst......................................................... 1
Spinal fluid............................................................. 40
Various smears and specimens.......................................... 105
Pleural fluid............................................................ 8
Cultures from frontal sinuses............................................ 3
Blood.................................................................. 2
Tonsils................................................................. 1
Fluid from sinus in kidney............................................. 1
"Powdelac"............................................................ 1
Fluid from chest....................................................... 2
Culture from abscess on back........................................... 1
Scrapings from left femur............................................... 1
Abdominal fluid........................................................ 1
Cultures from abdominal sinuses........................................ 4
Fluid from hematoma.................................................. 1
Determinations of�
Larvacidal value of commercial disinfectant............................ 2
Quinine in ampules of quinine hydrochloride........................... 1
Examinations of�
Leper suspects.......................................................... 13
Rabies suspects......................................................... 3
Animals................................................................ M
"First aid packets".................................................... 4
Vomitus................................................................ 1
Fluid from hog for anthrax............................................. 1
Plague suspects......................................................... 2
Tuberculin test of hospital dairy herd................................... 81
Chemical examinations of�
Pyrocresol.............................................................. 1
Knife for police department............................................. 1
Coal.................................................................... 1
Rosin................................................................... 1
Blood.................................................................. 1
Stomach contents....................................................... 18
Bismuth subnitrate..................................................... 1
Urine.........................................................'.......... 51
Water.................................................................. 1
Test meal............................................................... 1
Various liquids, fluids, etc.............................................. 31
Various metals......................................................... 8
Earth.................................................................. 1
Pyrethrum............................................................. 1
Santonin powder....................................................... 2
Urinary calculus........................................................ 1
Hydrogen peroxide..................................................... 1
Gastric contents........................................................ 1
Insectide............................................................... 1
Oil, crude.............................................................. 1
Vomitus................................................................ 1
"Powdelac"............................................................ 1
Thymol................................................................ 1
Toxicological examinations (police department)........................ 2
Acetpheuetidin tablets................................................. 1
Bile.................................................................... 1

Agglutination reactions..................................................... 210
Autopsies................................................................... 638
Bodies embalmed........................................................... 83
Hydrophobia, preventive treatment........................................ 4
Medico-legal postmortems.................................................. 7
Microscopical examinations, bile............................................ 1
Microscopical examinat ions of stomach contents............................ 1
Sec! ions of t issue prepared, frozen........................................... 302
Sections of tissue prepared, para din......................................... 5,859
Standardizations of clinical thermometers................................... 7
Surgical pathological tissue and neoplasms reported......................... 321
Vaccinations, antipest...................................................... 4
Vaccination for plague...................................................... 1
Vaccination, smallpox...................................................... 2
Vaccine inoculations, antityphoid.......................................... 2
Vaccine treatment, autogenous, prepared................................... 72
Vaccine treatment, autogenous, administered............................... 35
Vaccines, mixed............................................................ 3
Water, microscopical examination of........................................ 18
Water, sanitary analyses of................................................. 33
Wasserman reactions....................................................... 2,835
Widal reactions............................................................. 97
ISSUES OF QUININE.
Months.
January...........
February..........
March.............
April..............
May...............
June..............
July...............
August............
September........
October...........
November.........
Decern! >er.........
Total........
Average per month
Kilograms. Pounds, avoirdupois.
19.00 41.89
53.35 117.62
114.00 251.32
184.46 407.10
14.85 32.74
42. 44 93.56
33.00 72.75
39.00 85.98
" 38.70 85.32
57.93 127.71
30.99 68.32
39.40 86.86
667.12 55.59 1,471.17 122.60
SANITATION�CITY <>F PANAMA.
Anopheles brigade:
Linear feet of ditches cleaned....................................... 1,708,571
Linear feet of ditches dug........................................... 8,012
Square feet of weeds and grass cut and removed.................... 4,969,400
Cesspools cleaned................................................... 40
Wells filled......................................................... 16
Cesspools filled..................................................... 30
Cubic yards of earth used in filling cesspools, wells, and holes....... 2,049
Loads of grass removed and burned......v.......................... 3,155
Disinfection brigade:
Houses disinfected and fumigated for diphtheria.................... 30
Houses disinfected and fumigated for tuberculosis................'.. 6
Houses disinfected and fumigated for chickenpox................... 1
Houses disinfected for cerebrospinal meningitis..................... 2
Houses disinfected and fumigated for scarlet fever.................. 1
Houses disinfected and fumigated for leprosy....................... 1
Houses disinfected and fumigated for typhoid fever................. _ 8
Houses disinfected for poliomyelitis................................. 7
Number of cubic feet disinfected and fumigated.................... 914,528
Number of rooms fumigated and disinfected........................ 244
Houses fumigated for yellow fever.................................. 6

40
�
Material used:
Larvacide.......................................................... 4,2M
Destruction of rats:
Number of rats caught and killed................................... 5,775
Average number of rat traps in use................................. 2,232
Inspection of houses and yards:
Houses and yards inspected........................................ 1,284
Persons notified to keep premises in good condition................. 342
Warning notices complied with..................................... 427
Number of letters to alcalde requesting enforcement of sanitary rules
and regulations................................................... 4- *
Number of shacks, stables, and old buildings condemned and demolished......................................................... 57
Number of yards cleaned........................................... 4,902
Loads of refuse removed from the city.............................. 3,874
New buildings:
Number of plans submitted to health oilicer and approved......... 223
Number of permits granted for repairs to old buildings............. 68
SANITATION�COLON, CRISTOBAL, MOUNT HOPE, TORO
POINT, MARGARITA POINT.
Water and sewers:
Number of connections made during the year....................... 156
Total number of connections made to date.......................... 923
Number of outstanding permits.................................... 42"
Number of houses in which extensions were made.................. 60
Bouses:
Plans approved..................................................... 157
Permits to repair issued............................................ 319
Permits to occupy issued........................................... 101
Temporary permits to occupy issued............................... 35
Number of houses in which defective plumbing fixtures were found
and reported to superintendent of public works................... 776
�Sanitation of Colon:
Number of loads of yard garbage removed.......................... �">. 97 i
Average number of cans of garbage removed daily.................. 2,137
Number of acres of vegetation removed............................. L56
Number of acres of streets cleaned.................................. 6,731
Number of private properties cleaned............................... 1,009
Number of square yards of pools oiled.............................. 229,095
Number of mosquito breeding places found......................... 1,186
Number of water receptacles treated................................ 332,093
Number of linear feet of ditches constructed........................ 4,170
Number of linear feet of ditches maintained......................... 207,010
Notice to abate nuisances served.................................... 5,776
Number of nuisances abated........................................ 3,88*
Number of buildings inspected..................................... 56,312
Number of rats killed............................................... _ 62S
Number of square yards of alleys cleaned........................... l.ovyra
Number of square yards of streets sprinkled........................ 1 ? 128,000
Number of fly breeding places found................................ 707
Sanitat ion of Cristobal:
Number of square yards of pools oiled.............................. 45,150
Number of water receptacles treated................................ 51,910
Number of mosquito breeding places found......................... 209
Number of mosquitoes killed in barracks........................... 9,902
Number of fly breeding places found................................ 89
Sanitation of Mount Hope:
Number of square yards of pools oiled.............................. 427,175
Number of water receptacles treated................................ 358, lot)
Number of linear feet of ditches maintained......................... 205,955
Number of mosquito breeding places found......................... l�2S0
Number of linear feet of ditches constructed........................ 30,4�U
Sanitation Toro Point:
Number of square yards of pools oiled..............i............... 415,570
Number of water receptacles treated................................ 101,040
Number of mosquito breeding places found......................... 592
Number of linear feet of ditches constructed........................ 14,127
Number of linear feet of ditches maintained......................... 101,000
Number of crab holes worked....................................... 52,310
Number of doses quinine tonic distributed.......................... 47,4t�8
Number of adult mosquitoes killed................................. 9,0.") *

n
Sanitation of Margarita Point:
Number of square yards of pools oiled.............................. 2,125
Number of water receptacles treated................................ 8,025
Number of mosquito breeding places found......................... I
Number of linear feet of ditches maintained......................... 425
SANITATION�CANAL ZONE.
Work requests on Quartermaster's Department:
G rass cutting....................................................... 800
Screen repairing.................................................... 408
M iscellaneous......,................................................. 558
Work requests on engineering department.............................. 1,001
Work requests on other departments................................... 71
Notice served for abatement of nuisances............................... 2,671
Arrests for violation of sanitary regulations............................. 200
Convictions........................................................'..... 181
Building permits approved............................................. 388
Inspections of closets................................................... 53,782
Inspections of stores.................................................... 9,860
Inspections of restaurants............................................... 2,641
Inspections of shops.................................................... 2,319
Garbage cans emptied.................................................. 2,156,821
Closets disinfected...................................................... 157,608
Houses disinfected...................................................... 78
Houses fumigated...................................................... 7
Rat traps used daily.................................................... 446
Water and sewer connections made..................................... 39
Number of adult anopheles destroyed at houses......................... 328,342
Number of adult culices destroyed at houses............................ 276,664
Number of containers found with Stegomyia larvae.................... 723
Material used:
Larvacide.................................................gallons.. 126,677
Crude oil..................................................gallons.. 672,889
Rats destroyed......................................................... 9,616
QUARANTINE SERVICE.
PORTS OF PANAMA-ANCON AND COLON-CRISTOBAL
Number of vessels inspected and passed.......
Number of vessels detained in quarantine.....
Number of vessels fumigated on arrival........
Number of vessels fumigated prior to departure
Number of crew inspected.....................
Number of passengers inspected...............
Total number of persons inspected
1,364
96
103
44
122,016 71,916 193,932
Number of persons vaccinated at ports of arrival because of compulsory
vaccination law....................................................... 12,941
Number of persons vaccinated at ports of departure or en route because
of compulsory-vaccination law........................................ 12,609
Total number of persons vaccinated.................................... 25,550
Number of persons held in quarantine at the detention stations to complete period of incubation of yellow fever or plague................... 5,322
Number of persons held in quarantine on board vessels to complete
period of incubation of yellow fever or plague......................... 14,480
Total number of persons held in quarantine............................ 19,808
Number of persons landed from foreign ports:
Cabin....................................................... 23,350
Steerage..................................................... 21,298
- 44, (US
Number of persons embarked for foreign ports:
Cabin....................................................... 24,919
Steerage..................................................... 19,911
6 - 44,830
Apparent decrease for the year from foreign ports:
Cabin (decrease)............................................. 1,569
Steerage (increase)........................................... 1,387

42
Number of persons arriving from coast towns on small craft............. 28,261
Number of persons embarked for coast towns on small craft............. 25,518
Apparent increase for the year from coast towns........................ 2,743
Total number of persons landed........................................ 72,909
Total number of persons embarked..................................... 70,348
Excess over number embarked......................................... 2,561
Less number for Pacific ports........................................... 3,421
Total apparent decrease for the year.................................... 860
Number of immigrants recommended for rejection...................... 87
Number of certificates issued to outgoing passengers.................... 588
Number of persons refused certificates because of trachoma............. 94
Number of bills of health viseed........................................ 72:>
Number of pieces of baggage handled and stored........................ 11,466
BOCAS DEL TORO.
Number of vessels inspected and passed................................ ^7.*;
Number of crew inspected and passed.................................. 17,299
Number of passengers inspected and passed............................. 0,737
Number of passengers, in transit, inspected and passed................. 4,027
Number of persons held to complete period of incubation of yellow fever. 173
PERSONNEL REPORT.
[Average number of employees at work during the year.]
Chief sanitary office........................................................ 40
Property division.......................................................... 9
Quarantine service......................................................... 40
Health office, Panama...................................................... 51
Health office, Colon........................................................ 115
Ancon Hospital............................................................ 532
Colon Hospital............................................................. 193
Santo Tomas Hospital...................................................... �>
Taboga Sanitarium......................................................... 24
Palo Seco Leper Asylum................................................... 15
Zone sanitation............................................................. 243
Dispensaries:
Ancon.................................................................. 4
Balboa................................................................. :;
Bas Obispo............................................................. 6
Corozal................................................................. 3
Cristobal...............................-............................... 8
Culebra................................................................ 12
Empire................................................................
Gatun.................................................................. lr>
Gorgona................................................................ 9
Las Cascadas........................................................... �
Margarita Point........................................................ \
Miraflores.............................................................. '
Naos Island............................................................ 2
Paraiso................................................................. 5
Pedro Miguel........................................................... 5
Porto Bello............................................................. 4
Toro Point............................................................. 4
Total................................................................. 1.373

43
HOSPITAL CASES OF MALARIA AMONG EMPLOYEES
Discharged
Months.
January......
February.....
March..*......
April.........
May..........
June.........
July..........
August.......
September...
October......
November.... December____
2.51 2.51 2i )2
127
166 234 449 416 199 1.51 .130 162
Total.........2.738
C
247 2.57 144 109 93 191 585 501 239 149 141 213
,869
Hied.
W.
2 1
3
1
1
s
C
1
1
3 1
1 1
8
Total cases.
Annual average per 1,000 of deaths
Annual average per 1,000 of cases.
Number of employees.
500 0.46 116 ! 51,852
510 .46 117 52,235
346 81 51,095
237 1 .24 56 50,612
259 i 69 49,421
428 1 .73 105 1 49.086
1.037 .74 255 48,714
919 .48 219 50,305
438 103 50,948
301 .24 72 50,103
272 .23 62 52,539
376 .22 84 53,810
5.623 .31 110 50.893

/4, OH^

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WYMSITY OF FLORIDA
3 1262 08229 057 7
SCI-HSSL

	Front Cover
	Front Matter
	Title Page
	Table of Contents
	Letter of transmittal
	Main
	Back Cover

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