Citation
Report of the Department of Health of the Panama Canal

Material Information

Title:
Report of the Department of Health of the Panama Canal
Alternate Title:
Report of the Health Department of the Panama Canal
Creator:
Canal Zone -- Board of Health
Mason, Charles F
Place of Publication:
Washington, DC
Publisher:
U.S. G.P.O.
Creation Date:
September 1916
Publication Date:
Frequency:
Monthly
regular
Language:
English
Physical Description:
v. : ill. ; 20 cm.

Subjects

Subjects / Keywords:
Public health -- Panama -- Canal Zone ( lcsh )
Panama Canal (Panama) -- Sanitary affairs ( lcsh )
Genre:
serial ( sobekcm )
federal government publication ( marcgt )
periodical ( marcgt )

Notes

Dates or Sequential Designation:
Began with: Apr. 1914; Ceased with: Dec. 1917.

Record Information

Source Institution:
University of Florida
Rights Management:
This item is a work of the U.S. federal government and not protected by copyright pursuant to 17 U.S.C. §105.
Resource Identifier:
642828894 ( OCLC )
025402441 ( ALEPH )
AA00006090_00009 ( sobekcm )
Classification:
W 79. 12/5 ( sudocs )
RA192.I875 ( lcc )

Related Items

Preceded by:
Report of the Department of Sanitation of the Isthmian Canal Commission.

Downloads

This item has the following downloads:


Full Text






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:.--t- -.uttal..-- ---- -- -- 5-- -
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li ployees. ......:... .................................... ..5-.
idents ftheCanaZ ....................... ...6
iiidents of the city of Panama .......................... .. 7
jiiiidesnts. of the city of Colon...................... ......... 7


lghtialith laboratbry.---------.....------...-----....---................---..----------- 8 ,
Sidbfartmnent. ------------------------------................................................
nil -wa -...- ..........- ....... .....- ..---.. ..--......------- 8
pital.....---------------------------------------------................................................... 9
Sbeper Asylum...---............................................ 9
ds Hospital.. ....... .. .............................. .9
ospitar ...-......-........ --.--------- ---------------- 9
* ei .'.'. "--*- ---- **- ------------ ------ 1


.......... ................................................ 12
.... .... .............. .... 10
disenanes-- ---------------------- 7---- 9 ------ ------- 91

12
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Adt i-stons, deaths and noneffective rates for.employees;
t:dbaths ofTesidents.of Panama, Colon, and the Canal Zone... 13
;DatI. by age, color and sex-...............-....---.........-. 15
A .byoynationolity. ............................--------- 15
Sof white American .............................. 16
nuses ofdeatbh-of employees.............................. 16
ainese. of deaths of evil population (employees and nonem-
piloyees) aaid military, and places where chargeable ........ 17
Wmissions and deaths in thehospitals of he Panama Canal.. 20
dtedospital repor- ........... ------------------------- 32
ii d dispeniary and admission report................. 34
'jp oyees. Constantly sick and noneffective rates per 1,tX0 .. 35
i lpl~ye.D. ys' treatment- per" admission, hospital" and'
--- -------------------.. .6
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L.L. fdr ce ercespoading3pel i
cligativ P *. syvstn.(2) maalri,.a3 vene.
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th : erf thei g admeiO :l .frtyphaideV nc rd:
S e tegivga rate of 0.72 as compane~ith 0. 'e fris'i

irate of .72;as co wth. f
There were no admissions of eployeesfor tji
ber, 1915.. '
E EPTS O8 RACE. .
*The admission rate to hospital and the deathate
for black employees Were 69.94 ahd 2.89, -respectivI
with 99.,8 and .31- for laet monh. a 126.28.aid5.
spending month last year.' For white emplpye I
rate to hospital and. the death rate from disease W
7. 94, respectively, as 'compared- -wit ...28.79: anndj
ceding inanth and :283.85 and 0.00 for the coriespof
t" ,ye :
The constantly.. nneffectivee rates were 13.68 fr
fot mblacl s.. -: p ... :"
The admission tate to. hospitai ad quar4eTr
f rlaicks and 26AT for whites, as compared with a0ic
aeke ~ind 55:23 for whites fo last mt&ifihand, 3J
S 117.18 for whites for the con d.spoindig moMn*lFi
-There were two deaths among AerPla icln
Smooth, one Ufi disease and ondfromi external
ob 1273, as compared with 263 for last innonads
of-.Septemiber;lat.t yea,. : :
AThe admission rate t. hospitals from die
m. A.mericans,.as compete tr i" .1..A Ji
Sthe corresponding o _th Pf iit .ar
S "' .. : : ; .E o

There were two deportatioirs aecorp 1 d d
one employee anid one no nepre ii, *T:



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:ao wiin repor:ieaS giving a rare o zuw.wu; 0 IMese II

e 14 deaths of children under year of age, ei
]: iu,:iEnit iortlit rate, 'baaed, upon the number
d' during the month, of. 0.00 for white and 424 for c61-
,tt. with a general avarage of 269. -
ientage .bf stillbiiths toto.tal births was 4.
: PANAMA. CITY. .
: :: *' : .. .. : ':" .

EMviOYEES AND NONEPIrLOYERS.

puilaticn of the city is 60,778, aznong whom there were 160
Eitg he :month of September; of these 152 deaths. were
g i:'gr ang a rate of 30:01, as compared ith 28.43 for the
iOiith dand 32.79 for the corresponding month.of last year.
ia:i deaths from disease the percentage, under 5 yeas
.%.a. against 61 for last :ionth.
pwl causes of death as compared with last month we



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, August -Auus p. m-

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i::2; 7 birsrepted, giving a ate of 54.61.
:.: ...,n., et t year of age giving: an. infant m._pl.y
hetfeof birtls reported for the month
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S wer 62 ca& niUlei-dmitted to mi
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awnt two for llea month;1ie aority
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SA MI LAJ, nnJ.P J JLJl..LfJjLA A U A. L i ..L .J L. J,.fYLs
ae- umber of patients constantly cared for during the
830, as. compared with 67.58 for the preceding month,
t4I i6C were two admissons, no deaths, and no discharges.
ipre capital cost per patient for August was $0.83 gross.
aatin, of -the new water supply has been, completed,
biesupply of good quality has beeui obtained.
wArd. building is practically completed, The constr-.
ditional ward has been authorized and work will be
fs:taistics are shown in Table XV.

SAiNT TOMAs HOSPITAL.
i "id 'three hundred 'and eighty-two patients were
h:e hFspital .during the month of September, as com-
:1,4:'9- fq the-preceding month, and 1,351 for the corre-
niEtlkof last.year.'. .The daily average number of patients
Sa4io, as compared with 440 for last month and 454 for the
gtember -las tear. The total number of days' .teat-
418, as. compa-ed with 13,717 for the preceding mont:b
EJCs'a deaths wais .0, with tuberculosis, organic disease
*. do genital ebiit; thIe chief: causes in. th ard.er
Stee.( e eof dye ntery weretreated: ith no deao a,
Spn one death. No caesof typhoid
i t....h : e month. ... .
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S6 0. 015..

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SThe activities of the health department hae ei
1 ua lines during the month witgratifyi results
S;i gads the incidence of .. maa i, The .xtensiv.
in connection with the filling d swamps-both hyrS
dry fill---will render it practicable tolimit the breedi
toes in *the. future. .
The following communiicable diseases were report
month:...:
.i:kenpox......- .."- "..-........ 1 .eases... ... ."..
Piphtheri'.a:................. 8 P: Fueioia.,......
Dysentey..:....................... 1 Typhidf lever-. ......
Malarial fver- --................... 14 -

.- UARANTINE SERVICE.

:On tie Pacific side the number of arivale jnrtjt
Suifected ports; has shown an increase i ig:t&
increase in the nutinber of fumigatioins ezaMd4 suppBe~
tiona was also a notable feature. Plague and
tions along the west coast of. Soith America ihavsh
Smett during themont ;:h. 'h
SOn te Athlantic sid e flpa en .e x
York 'ity wei'e closely'obseryed dy fgaiii
arrival, and temperatures taken twie d Lt o
utility of poiomiyelitis ganimiga entrance t
ifbur suspects were detailed at the q3Zaratibeotat
d' ni the mon itth* all spring ..gatror.
An increased number of mispectaons 6 ) owsqt)
S erB lhal been mader itn rder to icablevitdmit
dew and, to .nalte. irovisi.^on fpr'
toere' 'd '*rn ..': .
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SIONS. D1EA., TS,IAND NONEFBFECflVE RATES FOR
o sDEATh S O0 REIIIEWATS OF PANAMA, COLON, AND
O: : E .


A
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ABSOLUTE NUMBERS.


Admissions to
S.spitals.


0.
El




1001
2911


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84
JGm


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16
82


Deaths.


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1,860
.067


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62.01f
235.57


. 33,52 3M8 25.3- 98 13 10 3- 8,:927 7.- 48



4,563 109 87 22 1 1 2,5 88
,29,046 317 242 75 9 8 1 26262.138

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Di ease .. .. ...... ...............................
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Totalnumber of AmeS cans o te Canal Zne including
hsoldieBhrs and their miieI (1i,479>:
D1it ese..... -. ..... ... ...._......-.-.-. -........






S.AN L AND 'PAN AMA RAILROAD C








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'Diseaye. *

Tuberculosis of the lungs.................
.Lobarpneumonia...... ....;.....
Cerebral apoplexy.....,..... ...::'....-........
Pyaemia;, sre tococic ..: .. .-. ... .......-.
Sarcoma of left hi ad other structures......
STyphoid.feverl... ......'..-- ,-...- .. ;.,;..-.; .....,.:-

SExternal causer..

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li r3 i { "" ::!: ..n'E'i..E E.:.:.:.::::E..
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C..R E. ....:..'.i .

-s
. :: *- ..' :. *.. .. :'" ::.; .... : .-. '. :: "

ne n a u qulified....... .. ... .. "1 ,;








obar pne monia.--..--.... ........... ..: .;::.. ": .
Pnlmcmary congestion, pulmonary apo-
plexy.. .....-.- .... .. .... .............: .-





... .AbS.ess of lungs-. :.... ... ... ... ..- ... .... K;n .: .


S .Diseases of the esophagus4: ... ...;: .... .,.. ..:,
Othef diseases of the stomach, caneer ex-
S.. .. ep ed -.. .... .... ..... .. .'... I ..
fliarrhea and enteritis (under 2 years)...-. 17 9 3 '1
Colit .......... 1 : : ..:..
Dianheaadenteritis(2yearsandover). i.....- 1..-.
I. t.. st. nal obsti-action..... .., ... 1 ..I .-.. ... ..
Other diseases of the inttine. 1








Ck. r hos sof the.liver- --......-... ...---. --.-- ..- ..... ".
Simple pe itoniis onpuerperal)....... 2 ... ..
.. .. :" "* ,. '. .'.; ": ', "



















No-senenmeraldiwzesftif the renito-srtmny
asten ancd sanne..
Acutenaphrit. 2 1 1... ...
Brighes disease (chon icnephrtis)...- 4 .
SOth.er diseases: of kidney and an. n a.- ..-. ...






Diseases of the blad er.---.;,--.-.-. -...-,. 1 .. .....1 .


.. Puerperal hemo age-...- ...,..- .....-... .. 1 1 ..I .
DOte diseseaes ef the es and oftMeog s-of







comoetiof^.
Diseases of the 'ones tuberculosiss ex-
Frpm_ atureb teritis (-.-der 2-y-rs----1.





iSts--l obst-uc. f ...n....----.--.; --. I.
OthrDise iies of .the intea t.. .







r hosis.ftur thei .. .. ..... ..... .....





nge itiaail. th .:... ou ...... ..
.*Aute n ritis.C.. -4.. ... .. 2.. :
O t aresaesecaliri n so ...... 2 .
.. ..... .. ... .. ... .





;e...| isones ..bere osi".,
Tet:
Ca ` ,... A



2W:: k .. ..






U!.." : :H.,A:KA "': : "". .= Ei:"














...;.::... n ': '5.. S ; .. ...A ... .. ,AAs a rJJ
[[:::. ".: '. I I. .: .'. .: ." '


&i .:-, .. ... : : ,. .' .: .. ..," .." ." ."
.* ....


2;. .Dia.e .. .....: .. ,
r .::.: :'::~ : I : .. .


f'^ -l: : .: ," : .. .'* .
::,:::;:. .. ': *"; ..
....: : !' ... ..: '"' .. ..'.. ..


;a, f- .... ...................
-'bytblhr crushings (vehi-
s, eO.--. .---...-....: ..-..
143 .mn :,, ..... .... .....
oter means. ...............
d. olenbe...-..............

Jeffsed diseaawse

it:,taspecified brill defined.

...... ............. .
.. .. ....".... ..........


, ama.
," .;. i., .:

'B
'4 "^l0


Cilair :". ;

1~.;i. i


Canal
Zone.
~'* -- __


Total.


S
a
40


......... ... .... I ... i

S .... .. ....... .. .. .... 1
S ...
3 ..... ... .... .. : .4
.... .. ..1. .... "1 ... 4 1
1.... 1

S. 1. .
..... 3 2 1.... 1 I A.'." 7
*~~~. .__ ^ ^ *


16 .1 48
1 167 1i3

17 165 23


1
27

2188


AB.$ :OF NONRESIDENTS SEPTEMBER, 1916.


W Iationality. 'Color. Sex. Age.


,a- -Colombia. Black... Male.... 25



l .. C le; :-... ., ..do.... 34


Sermany, White -do. -.. 45

aI,. j amaicaS Black.. Female 2

!''" :' -"j: : : .:
a a .a- d. o. .. ale ..., 49

S .T.i. d .,. ....,do .... 0
.. .... d.. .. 26

m ';Biitallu Whtteo.. ....do.:... :43
ma,'
Z A;.
:. ,..


Diagnosis.


Tuberculosis, laryh-
geal and pulmo-
nary,
Pmnonary tuber-
culosis.
Barcoma.of superior.
:In maxilla-and cra-
.. mnil i: .. ..

SDro~ning7,; saci--
mental.
Tubercular m enin.

utmonary br- -
c. ulsis.-" -
eraa of imirg i
Drotiing 0iei-

a io We lier.,


.4F
4.. I
,~ II "~"S a S
S .: M .. ...... ., ..

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Alcoholism (acte oor obren-
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Alcoholism .. .. ....

Dieaset of the Terous op-
t n a'm of Iie organs of
Sspecil sense.


La teral e i... .. .
SSofteriil ngi "the. "ai '. ..
.Paralysis' withBout speii
eause1,
Gneral paralysis of the in-
sane. ." ... ....," ". :.. '". ..















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Neurastheni... ...t n -









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ba

tDem ad bf tie cans of




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aa sto .. ". ....: .
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Swg oureeidents.


:'Death AdmisBons. Deaths.
.. .. .. .. .. . .. ... .. .. -- ... ... -- : .......'-.



S .B. W B., W'' B. .

Others.



f. ,, ,. FN. RM F. F. M. F. M .






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Di:eases


nj
-an---
.- J3I~
i: -";*91


'Mi.. '.s.. '-*. ... '"
.:'. ^::-;' ; ^ '^ ^ ..i, '^ *::


SWhite.


Aniri-
cans.


Euro-
peans.


Black.

I *" i


' ..
T**
'* :


The puerperal state-Contd.

Other aeeidents of lbbor... .......................
Erampsit ........ ....... .... .... .... .... ....... ....
Pperperal diseases of the


.Di eases of the skin ad of
the cdell ar t irste.

.Furtncle-...-.......... ....1 ...... ..... .....
Aente asess.... ...
Phegmcnand cellulft.... 3 ...... 2
Ulcer ofthe stin.... ............ 1 ....
Impetigo contagiosa........ 1
Ingrowing nail........... ... ........ ........... ...
Other diseases of the skin
and annexa.............. .... .... .......... ....

Disemss ofthe bones and of
ths organs of locomotion.

Disease of the bones (tW.
berumilsisexcepted)..,... 1 .. .. -...
Ini. eristit .. .... ......... ... ...
Diseases of the joints(tu- .
berisis and rheuma-
L loti ceo"pted).......... .. .
ArthWis-t:.................. ...... .. ... ..
Oth0 diseases of the organs


S Malforations. .

Congenital walformatos ns
(aWibirth .no ln.laded)....., .

Disease of early it fa:y... .:

S Newbrirn c ild.......... ... .
Prem ature jrti... :,... .... ... ...
I.. fanutrio...... --... .. .

SAffectimo s proiacese by ,ex- "
". .."." .: ." ....i.:i' ., ::.. '(.,, :, 1:.:.


io s .. ...,

I'" ';" b:?'...
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ternal IaaMoContimued.







~Burn (conflhgrationr ti
..Tr.. '. by firearms... .i.














.p er ng.: .. ." .instrum ents.- -; 1 2. ,2.. .... '. ..: ......,
; T r ui- .:..".. .. .. ...ism .. y fall. .-... .... ... ... ... .
.... .., .q rir e s.... :.. ... ..=. .. :.*.. ... 1 .. ..



Tramiatfisabymaehines.... 1 ....- ,. ...



r'rraumlatistfbby other crush-
ings (veshiles, railroads,
: ..l :plidps, t e. ...: ...1 .'". 1.".5'. ...:. .







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... H eat exh t n :...a .. .. : .' ,. :.-. ;.. .. .
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Spr .. .. .... .... ... ..... .. .. ...... .:. 4 .











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(7 poitive forB. Typhosus; positive for str eocsa) 19


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Full Text

PAGE 1

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PAGE 2

-l j ka a -~ ~ %+ + T. V

PAGE 3

REPORT OF THE DEPARTMENT OF HEALTH OF THE PANAMA CANAL FOR THE MONTH OF SEPTEMBER, 1916 D. C. HOWARD Lieut. Colonel, Medical Corps, United States Army, Chief Health Officer, Balboa Heights, Canal Zone WASHINGTON Ii

PAGE 4

.-x 4 x > 8' x -s

PAGE 5

CONTENTS. Page. Letter of transmittal. 5 General remarks. 5 Vital statistics: Health of employees. 5 Health of residents of the Canal Zone. 6 Health of residents of the city of Panama. 7 Health of residents of the city of Colon. 7 Hospital division: Ancon Hospital. 8 Board of health laboratory. 8 Insane department. 8 Chronic ward. '8 Colon Hospital. 9 Palo Seco Leper Asylum. 9 Santo Tomas Hospital. 9 District dispensaries. 9 Sanitary division: Canal Zone. 10 Panama. 10 Colon. 12 Quarantine division: Balboa-Panama. 12 Colon-Cristobal. 12 Statistical tables: Table I. Admissions, deaths and noneffective rates for employees; deaths of residents of Panama, Colon, and the Canal Zone .13 II. Deaths by age, color and sex. 15 III. Deaths by nationality. .15 IV. Deaths of white Americans. 16 V. Causes of deaths of employees. 16 VI. Causes of deaths of civil population (employees and nonemployees) and military, and places where chargeable .17 VII. Admissions and deaths in the hospitals of the Panama Canal. 20 VIII. Consolidated hospital report. 32 IX. Consolidated dispensary and admission report. 34 X. Employees: Constantly sick and noneffective rates per 1,000 .35 XI. Employees: Days' treatment per admission, hospital and quarters. 36 XII. Financial statement. 36 XIII. Ancon Hospital. 38 XIV. Colon Hospital. 44 XV. Palo Seco Leper Asylum. 45 XVI. Santo Tomas Hospital. 45 XVII. Sanitary work done in the Canal Zone, Panama, and Colon. 48 XVIII. Quarantine transactions. 50 XIX. Issues of quinine. 51 XX. Personnel report. 52

PAGE 6

-.-x e x

PAGE 7

LETTER OF TRANSMITTAL. THE PANAMA CANAL, CANAL ZONE, HEALTH DEPARTMENT, Balboa Heights, October 10, 1916. Lieut, Col. CHESTER HARDING, Acting Governor, The Panama Canal, Balboa Heights, Canal Zone. SIR: I have the honor to submit the following report of the operations of the department of health for the month of September, 1916. Very respectfully, D. E. HOWARD, Chief Health Officer. GENERAL REMARKS. The general health of employees and nonemployees in the Canal Zone and the terminal cities has continued good. A few cases of mild diphtheria appeared in the terminal cities, but with early isolation and segregation of contacts the disease has been kept localized, and the number of new cases is decreasing. No disease of a quarantinable nature originated on or was brought to the Isthmus during the month. VITAL STATISTICS. EMPLOYEES. The following statistics are based upon the number of names appearing on the rolls for the preceding month, which was 33,528. The total number of admissions to hospitals and quarters was 732, a rate of 261.99,1 as compared with 282.06 for the preceding month and 307.34 for the corresponding month of-last year. The total number of deaths from all causes was 13; of these 10 were from disease, giving a death rate of 3.58, as compared with 2.86 for the preceding month and 4.82 for the corresponding month of last year. The constantly noneffective rate was 8.88, as compared with 8.06 for the preceding month and 10.35 for the corresponding month of last year. -All morbidity and mortality rates are computed as equivalent annual per 1,000. (5)

PAGE 8

6 The total admission rate for malaria, hospitals and quarters, was 13.95, as compared with 29.99 for the preceding month and 53.41 for the month of September last year. The constantly noneffective rate for malaria was 0.67, as compared with 1.13 for last month and 1.33 for the corresponding period of last year. The diseases causing the highest admission rates to hospital, in the order of their numerical importance, were: (1) Diseases of the digestive system, (2) malaria, (3) venereal diseases, (4) diseases of the respiratory system, and (5) nonvenereal diseases of the genitourinary system. These five classes of diseases caused 45 per cent of all admissions to hospital. Eleven per cent of all admissions to hospital were caused by malaria. There were two admissions for typhoid fever during the month, giving a rate of 0.72, as compared with 0.36 for the month of August. There were no admissions of employees for typhoid during September, 1915. EFFECTS OF RACE. The admission rate to hospital and the death rate from disease for black employees were 69.94 and 2.89, respectively, as compared with 99.98 and 3.31 for last month and 126.28 and 5.56 for the corresponding month of last year. For white employees the admission rate to hospital and the death rate from disease were 222.33 and 7.94, respectively, as compared with 228.79 and 0.00 for the preceding month and 283.85 and 0.00 for the corresponding month of last year. The constantly noneffective rates were 13.68 for whites and 8.12 for blacks. The admission rate to hospitals and quarters for malaria was 12 for blacks and 26.47 for whites, as compared with a rate of 26.03 for blacks and 55.23 for whites for last month, and 43.68 for blacks and 117.18 for whites for the corresponding month of last year. There were two deaths among American employees during the month, one from disease and one from external causes, giving a rate of 5.73, as compared with 2.63 for last month and 0.00 for the month of September last year. The admission rate to hospitals from disease was 180.34 for Americans, as compared with 177.16 for last month and 214.69 for the corresponding month of last year. DEPORTATIONS. There were two deportations accomplished during the month, one employee and one nonemployee, both for disease. CANAL-ZONE. EMPLOYEES AND NONEMPLOYEES. The population of the Canal Zone, according to the last police census taken in June, 1916, is 3-1,048. This includes employees, nonemployees, and military garrisons, residing or stationed within the Canal Zone limits. Among this population there were 34 deaths

PAGE 9

7during the. month of September, 28 of which were from disease, giving a death rate of 10.82, as compared with 8.12 for the preceding month and 12.31 for the corresponding month of last year. Of the total deaths from disease the percentage under 5 years of age was 54, as compared with 48 for last month. There were 52 births reported, giving a rate of 20.10; of these 19 were white and 33 colored. There were 14 deaths of children under 1 year of age, all cojored, giving an infant mortality rate, based upon the number of births reported during the month, of 0.00 for white and 424 for colored children, with a general avarage of 269. The percentage of stillbirths to total births was 4. PANAMA CITY. EMPLOYEES AND NONEMPLOYEES. The population of the city is 60,778, among whom there were 160 deaths during the month of September; of these 152 deaths were from disease, giving a rate of 30.01, as compared with 28.43 for the preceding month and 32.79 for the corresponding month of last year. Of the total deaths from disease the percentage under 5 years of age was 51 as against 61 for last month. The principal causes of death as compared with last month were as follows: August. September. Tuberculosis (all classes). 24 31 Diarrhea and enteritis (under 2 years). 35 26 Broncho-pneumonia. 9 16 There were 277 birthsreported, giving a rate of 54.61. There were 59 deaths under 1 year of age, giving an infant mortality rate, based on the number of births reported for the month, of 213. The percentage of stillbirths to total births was 8. COLON. EMPLOYEES AND NONEMPLOYEES. The population of the city is 24,693, among whom there were 67 deaths during the month of September; of these 64 deaths were from disease, giving a rate of 31.10, as compared with 26.73 for the preceding month and 21.27 for the corresponding month of last year. Of the total deaths from disease the percentage under 5 years of age was 48 as compared with 38 for the preceding month.

PAGE 10

The principal causes of death as compared with last month were ~afoilows: August. ermBroncho-pneumonia. 4 15 Tuberculosis (all classes). 9 8 Bright's disease (chronic nephritis). 3 4 There were 65 births reported, giving a rate of 31.58. There were 23 deaths under1 year of age, giving an infant mortality rate, based on the number of births reported for the month, of 354. The percentage of stillbirths to total births was 6. DIVISION OF HOSPITALS. ANCON HOSPITAL. The average number of patients constantly in the hospital proper during the month was 470, as compared with 453 for last month and 455 for the corresponding month of last year. The average number of days' treatment per employee was 20.94. The daily per capita cost per patient in the hospital proper was $1.49 gross, for August. The construction work on the new hospital buildings is progressing satisfactorily. -There were 62 cases of malaria admitted to hospital during September as against 124 forAugust and 143 for July. Seventeen cases of dengue were admitted during September as against two for last month, the majority coming from Empire on the west side of the Canal. Detailed statistics are shown in Table XIII. Board of health laboratory.-During the month of September the following work in addition to routine was performed at the laboatory: (1) Continuation of the mosquito census inaugurated last September; (2) study has been continued as to the best method of modifying the physical properties of petroleum -so that its efficiency as a larvacide may be increased. Corozal Hospital (insane).-The average number of patients constantly cared for during the month was 301, as compared with 290 for last month and 252 for the corresponding month of last year. During the month there were 24 admissions, 8 deaths, 5 discharges, and 1 transfer. One patient was deported during the month. The daily per capita cost for August was $0.42 gross. The new concrete addition to the piggery and the new chicken house are nearing completion. Plans are under way for remodeling the hospital kitchen. Chronic ward.-During the month of September there were no admissions, deaths, or discharges; one patient was transferred to the hospital proper for ward treatment. The average number of patients constantly cared for was 19.67. The daily per capita cost per patient for August was $0.30.

PAGE 11

9 COLON HOSPITAL. The-average number of patients constantly in hospital was 33, as compared with 34 for the preceding month and 44 for the corresponding month of last year. The average number of days' treatment per employee was 7.46. The daily per capita cost per patient for August was $2.42 gross. Demolition of the old ward buildings is in progress. The old operating pavilion has been turned over to the Quarantine Station for use as a detention ward for suspects. Detailed statistics are shown in Table XIV. PALO SEcO LEPER AsYLuM. The average number of patients constantly cared for during the month was 69.30, as compared with 67.58 for the preceding month, and 57 for the corresponding month of last year. During September there were two admissions, no deaths, and no discharges. The daily per capita cost per patient for August was $0.83 gross. The installation of the new water supply has been completed, and an ample supply of good quality has been obtained. The new ward building is practically completed. The construction of an additional ward has been authorized and work will be begun soon. Detailed statistics are shown in Table XV. SANTO TOMAS HOSPITAL. One thousand three hundred and eighty-two patients were treated in the hospital during the month of September, as compared with 1,439 for the preceding month, and 1,351 for the corresponding month of last year. The daily average number of patients treated was 447, as compared with 440 for last month and 454 for the month of September last year. The total number of days' treatment was 13,418, as compared with 13,717 for the preceding month. The number of deaths was 80, with tuberculosis, organic disease of the heart, and congeital debility the chief causes in the order named. Thirteen cases of dysentery were treated with no deaths, and 8 cases of pneumonia, with one death. No cases of typhoid were treated during the month. Detailed statistics are shown in Table XVI. DISTRICT DISPENSARIES. The dispensary having the highest admission rate for malaria was Gatun, with an average weekly percentage of 0.33; that having the lowest was Paraiso, with a weekly percentage of 0.015. Detailed statistics are shown in Table IX. 66667-16--2

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10 SANITATION. CANAL ZONE. The several districts of the zone are in good sanitary condition, and the beneficial results of the permanent work-consisting of concreting ditches and installing tile drains--during the past dry season is manifest. The heavy rains have made it possible to determine where additional drains are required, and the laying of tile is in progress in all the districts. HydrAulic fills are being made at Paraiso, and in the flats between Ancon and Corozal. The hydraulic fill immediately north of the Balboa railroad station, which was made two years ago, has given very little trouble from breeding mosquitoes until recently. Experience of past years has been repeated in connection with this fill; with the appearance of vegetation on the fill, both culex and anopheles have been found and the area now requires careful attention. As noted under "Vital Statistics," the malaria rate has been reduced about one-half as compared with last year. A number of cases of dengue have appeared at the military posts on the west side of the canal. In connection with the transmission of dengue by culex fatigans, it is interesting to note in this connection the following figures showing the number of mosquitoes caught in barracks at the several posts during the month. Culex Total caught. number caught. Camp Otis_. 37 5,992 Camp at Empire. 4 743 Camp Gaillard. 29 4,903 The number of anopheles caught are in all cases less than the number of culex, and almost the entire catch at all of these posts consist of mansonia. If the continued appearance of cases of dengue in this vicinity affords an opportunity to do so, it is proposed to take steps to determine whether mansonia are transmitting dengue. The following communicable diseases were reported during the month: Chickenpox. 4 Puerperal septicemia. I Diphtheria. 4 Pneumonia. 2 Dysentery. 2 Tuberculosis (any organ). 6 Malaria. 52 Typhoid fever. 4 Measles. 5 Whooping cough. 4 Mumps. 1 PANAMA. During the month 3 admissions to Ancon Hospital and 16 admissions to Santo Tomas Hospital for malaria were reported from the city of Panama, making a total of 19 cases. During the same month of 1915 there were 21 admissions and during September, 1914,

PAGE 13

.11 168 admissions to both hospitals for this disease. There were no deaths reported due to malaria. During September there were 10 cases of diphtheria reported or discovered by this office, no deaths resulting. In the infected houses extensive culture taking was carried on, which resulted in detection of 4 "carriers," these being isolated. A systematic examination of water from the various wells remaining in and about the city was undertaken. The report from the examining physiologist indicates that many of the wells are contaminated, and steps will have to be taken toward affording a safer water supply for our surburbanites. Where city water supply is available wells are being closed. Seven such wells were closed by construction of concrete tops. Storage of cocabola.-Cocabola is a hardwood capable of taking a bright polish, and is brought to Panama from the interior in billets or slabs and stored. at the various lumber yards. In the past there has been an active market existing for this wood, consequently it did not remain in storage, but was constantly moved and handled, and therefore no nuisances were encountered at these lumber piles, Recently on account of the dullness of the market there has been less demand for this wood, consequently the piles here in the city have remained undisturbed. Inspection showed that active stegomyia breeding was going on in the knot holes and other natural concavities of the wood, which were holding rain water, and it was also discovered that a considerable amount of rat harborage existed under these piles. These conditions are being met by causing the owners of this lumber to erect roofs over their cocabola stock and to place all the billets on reinforced concrete bases having a curtain wall extending 18 inches into the ground. This prevents the collection of water to form mosquito-breeding places, and the burrowing of rats is eliminated by the curtain wall. Garbage service.-The collection of all garbage in the city is now being carried on during daylight hours, the wagoli& starting on Central Avenue and covering the principal streets in the shopping districts during the early morning. The balance of the city is then covered during the rest of the day. The garbage -wagon drivers have been furnished with whistles with which they can warn janitors of buildings of their approach. This prevents the necessity of all garbage cans being placed on th6 sidewalk hours before the approach of the wagons, and reduces this nuisance to a minimum. Every effort is being made to keep all garbage cans covered, except during the short time they are on the sidewalk as the wagons come up. A large number of wooden covers have been made during the past few weeks, and they are being sent out through the city as fast as possible. It is hoped that in the course of a few weeks the garbage service will bye reorganized and on a more satisfactory basis than it has been at any time in the past, as its collection during the daytime tends toward much more efficient work than when done at night'

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12 As a result of this change considerable saving in cost has been effected, and it has been possible to extend the service over parts of the city heretofore not covered. The following infectious diseases were reported to this office dur-' ing the month: Beriberi. 3 Mumps. 2 Chickenpox .18 Pellagra. 2 Diphtheria. 10 Pneumonia. 10 Dysentery. .12 Tuberculosis (any organ). 23 Malarialfever. 19 Whooping cough. 3 Measles. 11 Yaws. 1 Meningitis. 4 COLON. The activities of the health department have been along the usual lines during the month, with gratifying results, especially as regards the incidence of malaria. The extensive work being done in connection with the filling of swamps-both hydraulic fills and dry fills-will render it practicable to limit the breeding of mosquitoes in the future. The following communicable diseases were reported during the month: Chickenpox. 1 Measles. 3 Diphtheria. 8 Pneumonia. 13 Dysentery. 1 Typhoid fever. 1 Malarial fever. 14 QUARANTINE SERVICE. On the Pacific side the number of arrivals, particularly from infected ports, has shown an increase during the month. An increase in the number of fumigations and supplementary inspections was also a notable feature. Plague and yellow fever conditions along the west coast of South America have shown no improvement during the month. On the Atlantic side, all passengers under 16 originating in New York City were closely observed during transit and upon .their arrival, and temperatures taken twice daily, to eliminate the possibility of poliomyelitis gaining an entrance to the Isthmus. Twentyfour suspects were detained at the quarantine station for observation during the month, all proving negative for the disease. An increased number of inspections of crews on outgoing steamers has been made in order to prevent desertion by members of the crew and to make provisions for deportation of deserters when discovered. A number of new wooden floats have been provided for the breasting off of ships from plague ports, and it is thought that the number is now sufficient for all purposes. Supervision has been maintained over the inspection of animals at the abattoir during the month, and condemnations of meat have been made in accordance with Federal meat-inspection regula-

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13 tions. Following is a report concerning anthrax in cattle of the supply department during September: Total number of cattle on hand at close of business Aug. 31. 1,719 Total number of cattle received during September. 1 414 Total number of cattle on hand Sept. 30. 2266 Total number of cattle on pastures during September. ,133 Number of cattle slaughtered at Cristobal abattoir. 841 Number of deaths from anthrax in field. .0 Number of anthrax cases found at abattoir. .0 Number Qf deaths from other causes. 126 TABLE I.-ADMISSIONS DEATHS, -AND NONEFFECTIVE RATES FOR EMPLOYEES; DEATHS OF RESIDENTS OF PANAMA, COLON, AND THE CANAL ZONE. ABSOLUTE NUMBERS. Admision toNoneffecAdmsions to Deaths. tive from sickness. 4-) 48 4) -qA P4 EP 0 September, 1916. White. 4,534 100 84 16 4 3 1 1,860 62.01 Colored .28,9Q04 251 169 82 9 7 2 7,067 235.57 Total .33,528 351 253 98 13 10 3 8,927 297.59 A ugust, 1916. White .4, 563 109 87, 22 1 .1 2, 135 68.88 Colored .29,046 317 242 75 9 8 1 6,266 202.13 Total .33,609 426 329 97 10 8 2 8, 401271. 01 September, 1915. White.28,994 2 169 8 9 7 2,885 96.17 Colored. 30,219 403 318 85 18 14 4 7,929264.29 Total. 34,827 531 427 104 18 14 4 10,814360.46 1f these deaths, 23 were cattle old, emaciated, and unprofitable, slaughtered for hides; 3 injured in transportation.

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14 TABLE L-ADMISSIONS DEATHSAND NONEFFECTIVE RATES FOR EMPLOYERS; DEAThS OF RESIDENTS OF PANAMA, COLON, AND THE CANAL ZONE-Continued. PROPORTONATE NUMBERS. Admission to Noneffechos itals. Deaths. tive from sickness. 0 I U3 X 0 September, 1916. White. .4,534 264.67222.33 42.35 10.59 7.94 2.65 .13.68 Colored. 28,994 103.88 69.94 33. 931 3.72 2.89 .83 .8.12 Total. 33,528125.63 90.55 35.08 4.65 3.58 1.07 .8.88 August, 1916. White. 4,563286.65228.79 57.86 2.63 .2.63. 15.10 Colored. 29,046130.96 99.98 30.98 3.72 3.31 .41.-6.96 Total. 33,609152.10117.47 34.63 3.57 2.86 .71. 8.06 September, 1915. White. 4, 608 333. 33'283. 85 49.48 ...20.87 Colored. 30,219160.03,126.28 33.75 7.14 5.56 1.58 -----8.75 Total. 34,827182.96147.13 35.83 6.20 4.82 1.38 ----10.35 1 Annual average per 1,000. TABLE .-DEATHS OF RESIDENTS OF THE CITIES OF PANAMA COLON, AND THE CANAL ZONE-Continued. Deaths. Annual average per 1,000. PopuPlace. lation. ExterDisExterTotal. Is nal. Total. nal ease. causes. causes. September, 1916. Panama. 60,778 160 152 8 31.59 30.01 1.58 Colon. 24,693 67 64 3 32.56 31.10 1.46 CanalZone. 31,048 34 28 6 13.14 -10.82 2.32 Total. 116,519 261 244 17 26.88 25.13 1.75 August, 1916. Panama. 60,778 148 144 4 29.22 28.43 .79 Colon. 24,693 56 55 1 27.21 26.73 .48 Canal Zone. 31,048 25 21 4 9.66 8.12 1.54 Total. 116,519 229 220 9 23.59 22.66 .93 September, 1915. Panama. 60,373 172 165 7 34.18 32.79 1.39 Colon. 29,331 54 52 2 22.09 21.27 .82 Canal Zone. 30,219 33 31 2 13.10 12.31 .79 Total.119,923 259 248 11 25.92 24.82 1.10

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15 TABLE II.-DEATHS BY AGE, COLOR, AND SEX. White. Colored. Yellow. Total. P -4 EP*E Under 1year. 5 3 8 52 33 85 .2 2 57 38 95 1 to 4 years. 1 3 4 11 14 25 .1 1 12 18 30 5 to 10 years--------1 1 4 1 5 ...4 2 6 11 to 20 years. 2 -.2 5 2 7 ----------7 2 9 21 to 30 years. 7 1 8 18 20 38 2 _. 2 27 21 48 31 to 40 years. 4 .4 13 14 27 -------.17 14 31 41 to 50 years._. 2 1 3 11 9 20 1 .1 14 10 24 51 to 60 years. 3 .3 4 5 9 ...7 5 12 61 to 70 years.2 .2 .2 2 .1 1 2 3 5 71 to 80 years .-1 .1 ...----.-1 .1 Total. 27 9 36 118 100 218 3 4 7 148 113 261 TABLE IIL-DEATHS BY NATIONALITY, SEPTEMBER, 1916. Employees. Nonemployees. Total. Grand Total. Male. Female. Male. Female. Male. Female. Antiga ...2 2 2 2 4 Barbados. 4 .21 16 25 16 41 China--.-. ..3 4 3 4 7 Colombia. 2 .6 3 8 3 11 England. 1 .1 1 France .:. .......1 ....... Grenada. ..5 .5 .5 Guadeloupe. .2 .2 .2 Haiti ..------------------------1 1 .1 Jamaic-. 5 .31 39 36 39 75 Martinique ..-----------.------1 3 1 3 4 Montserrat. ------------. 1 1 1 1 2 Nassau. ..1 1 1 1 2 Panama. ..44 34 44 34 78 Porto Rico. ..1 1 .1 St. Lucia. ..3 4 3 4 7 St. Vincent. ..1 1 1 1 2 Spain. .2 2 2 2 4 Trinidad. ..2 .2 .2 Venezuela. ..1 1 .1 United States. 2 .4 2 6 2 8 Unknown. .2 .2 .2 Total. 13 .-135 113 148 113 261 -I4 6

PAGE 18

16 TABLE IV.-DEATH RATE AMONG AMERICANS ON THE ISTHMUS CONNECTED WITH THE PANAMA CANAL. Number Annual of average deaths. per 1,000. White employees from the United States (4,192): Disease. 1 2.86 External causes. 1 2.86 Total .2 5.72 White women and children from the United States (3,864): Disease. 1 3.11 External causes. 1 3.11 Total. 2 6.22 White employees and their families from the United States (8,056): Disease. 2 2.98 External causes. 2 2.98 Total. 4 5.96 Total number of Americans on the Canal Zone; including soldiers and their families (16,470): Disease. 2 1.46 External causes .5 3.64 Total. 7 5.10 TABLE V.-CAUSES OF DEATHS OF EMPLOYEES OF THE PANAMA CANAL AND PANAMA RAILROAD COMPANY. White. Colored. Total. Disease. Tuberculosis of the lungs. 1 1 2 Lobar pneumonia. 1 2 3 Cerebral apoplexy. 1 Pywmia, streptococcic. 1 1 Sarcoma of left hip and other structures. .I I Typhoid fever. .1 1 External causes. Drowning, accidental ..1 1 Homicide by firearms.1 1 Electric shock. 1 Total .4 8 12

PAGE 19

17 TAB.E VI.-CAUSES OF DEATHS OF CIVIL POPULATION (EMPLOYEES AND NONEMPLOYEES), AND MILITARY AND PLACES WHERE CHARGEABLE. PanColon. Canal Total. aCla. Zone. Disease. General diseases. Typhoid fever. .1 .1 Malarial fever, estivoa-utumnal. ....1 .1 1 Diptheria and croup. .1 ...1 1 Dysentery, entamoebic ......1 .1 Erysipelas.---. ....1 .1 Pryeia a. ..1 .1 septicemia.-. ...1 1 el .3 1 1 1 1 2 5 7 Tuberculosis of the lungs. 11 10 4 2 .2 15 14 29 Acute miliary tuberculosis. 2 .1 ...3 .3 Tuberculosis meningitis. 1 ..1 .1 Disseminated tuberculosis. 3 4 .1 .3 5 8 Syphilis, tertiary. 1 .....1 1 Syphilis, hereditary. 1 .....1 1 Syphilis, period not stated. ...1 ..1 1 Cancer and other malignant tumors of the buccal cavity. 1 ..1 Cancer and other malignant tumors of the stomach and liver. 1 ..1 .1 Cancer and other malignant tumors of the female genital'organs. .1 .1 1 Cancer and other malignant tumors of other organs and of organs not specified. 1 ...1 .2 .2 Acute articular rheumatism. ....1 .1 Diabetes. ..1. 1. 1 Anemia secondary, cause not determined. ....1. 1 Simple meningitis. .1 1 1 Cerebro spinal fever.I ..1. 1 2 Cerebra~lhemorrhage, apoplexy.1 1 1 ..2 1 3 Paralysis without specified cause. ...1 1 Other forms of mental alienation. .....1 1 Convulsions of infants (under 5 years of age). ....1 .1 Other diseases of the nervous system. .....1 .1 1 Tumor of the brain. ....1 1 Diseases.of the circulatory system. Pericarditis. .I ......1 Acute endocarditis. ....1 1 1 1 2 Malignant endocarditis ....I ...I I Organic diseases of the heart. 4 2 2 2 ..6 4 10 Aneurysm. 2. ..2 .2 Arterio sclerosis. ...1 .1 Embolism and thrombosis. ..1 ...1 1 Diseases of the respiratory system. Acute. bronlitis. 2 1. 2 1 1 3 5 8 Chronic bronchitis .|1 .1 .2 .2 Broncho pneumonia .! 9 7 8 7 2 119 15 34 66667-16--3

PAGE 20

18 TABLE VI.-CAUSES OF DEATH OF CIVIL POPULATION (EMPLOYEES AND NONEMPLOYEES), AND MILITARY AND PLACES WHERE CHARGEABLE-Continued. PanColon. Canal Total. ama. Zone. Disease. Pneumonia, unqualified. 1 3 ....1 3 4 Lobar pneumonia. 4 1 3 .1 2 8 3 11 Pulmonary congestion, pulmonary apoplexy. ...1 .1 1 Abscess of lungs. ....1 Diseases of the digestive system. Diseases of the esophagus-. .1. ....1 1 Other diseases of the stomach, cancer excepted. .....1 1 Diarrhea and enteritis (under 2 years)-. 17 9 3 .1 3 21 12 33 Colitis. .1 ..1 1 1 2 3 Diarrhea and enteritis (2 years and over). 1 ..1 ..1 1 2 Intestinal obstruction. 1 .....1 .1 Other diseases of the intestines. 1. ...1 .1 Cirrhosis of the liver. 1 .....1 1 Simple peritonitis nonpuerperal). 2 .....2 2 Nonvenereal diseases of the genito-urinary system and annexa. Acutenephritis. 2 1 1 ...!. 3 1 4 Bright's disease (chronic nephritis). 4 .2 2 1 .7 2 9 Other diseases of the kidney and annexa. 2 ....2 ..2 Diseases of the bladder.1. ....1 .1 The puerperal state. Puerperal hemorrhage. .1 ....1 1 Eclampsia. -. 1 1 ...2 2 Diseases of the bones and of the organs of locomotion. Diseases of the bones (tuberculosis excepted). .I ..... Diseases of early infancy. Premature birth. .1 1. 4 2 6 Congenital debility. .....1 .I Atrophy of infants. ...1 ...1 1 Malnutrition. .3 2 ...2 3 5 Other causes peculiar to early infancy. 2 ....2. 2 Lack of care.1 ..1 .1 Affections produced by external causes. Suicide by hanging or strangulation. ....1 Burns (conflagration excepted). ..1 .1 1 Accidental drowning. 1 3. 7 .7

PAGE 21

19 TABLE VI.-CAUSES OF DEATHS OF CIVIL POPULATION (EMPLOYEES AND NONEMPLOYEES), AND MILITARY AND PLACES WHERE CHARGEABLE-Continued. PanColon. Canal Total. ama. Zone. Disease. Traumatism by fall .1. .1 .1 Traumatism by other crushings (vehicles, railroads, etc.).1. .1 .1 Homicide by firearms. 3 ...1 .4 .4 Homicide by other means. .1. ..1 .1 Other external violence. 1. ..1 1 Ill-defined diseases. Cause of death not specified or ill defined. .3 1 2 .1 1 6 7 Total. 94 66 36 31 18 16 148 113 261 Stillbirths. 13 8 3 1 1 1 17 10 27 Grand total. 107 74 39 32 19 17 165 123 288 DEATHS OF NONRESIDENTS SEPTEMBER, 1916. Residence. Nationality. Color. Sex. Age. Diagnosis. Interior of Panama. Colombia. Black. Male. 25 Tuberculosis, laryngeal and pulmonary. Do. St. Lucia. do. .do. 43 Pulmonary tuberculosis. Do. Chile. do. .do. 34 Sarcoma of superior maxilla and cranium. Steamship GruneGermany. White. do. 45 Drowning, acciwald. dental. Interior of Panama. Iimaica. Black. Female .2 Tubercular meningitis. Do. Panama. .do. Male. 49 Pulmonary tuberculosis. Steamship La Maria S Lucia. .do. .do. 60 Edema of lungs. Steamship Chile. ('bile. .do. .do. 26 Drowning, accidental. Steamship Cetriana E A!gland. White.do. 43 Abscess of the liver.

PAGE 22

20 TABLE VII.-ADMISSIONS AND DEATHS IN HOSPITALS Employees. Admissions. Deaths. Diseases. White. White. Black. Black. AmeriEuroAmeriEurocans. peas. cans. peans. M. F. M. F. M. F. M. F. M. F. M. F. General diseases. Typhoid fever. ....2 .....1 laria.--.-.---.5 1 3 .23 Malarial fever, estivoautumnal -----------------------------3 ...---.--Malarial fever, clinical--.--.---. Malarial fever, cachexia. Measles. fee,------------------------1--. Whooping cough. Diphtheria and croup --------------------1. Influenza.--------------2 .1 .3 --. Dysentery, entemoebic Erysipelas. Dengue. ..-----------------. Ch iic enp x .......---------5 .....; -------. Chickenpox-----------------------------------------------------Yaws. ----------------. -------1 .. Pyeaa--------------------------------------------------~ Pella. Tuberculosis of the lungs----------------4 ------------1---------Acute miliary tuberculosis. Pott's disease -------------. -----. .-. Tuberculosis of bones and joints._._. ...... Tuberculosis of the lymph glands-.-.-.--. ....----. .-----------. Disseminated tuberculosis -------------1-----------------------Syphilis, primary ------------. 1 3. Syphilis, secondary --------------1 .2 Syphilis, tertiary --------------------12 1. Syphilis, hereditary. S hilis, period not stated ------1-----------1 Gonococcis infection. Gonorrhea --------------------------10. Gonorrheal orchitis and eididymitis-----------------------------------------------Gofiorrheal ophthalmia ------------------1. Soft chancre --------------2. Adenitis chancroidal-.-----------------Cancer and other malignant tumors of the female genital organs. Cancer and-other malignant tumors of other organs and of organs not specified--------------------------------. 1. Other tumors (tumors of the female organs excepted)1. I .1

PAGE 23

21 OF THE PANAMA CANAL FOR SEPTEMBERC, 1916. Nonemployees. Nonresidents. Admissions. Deaths. Admissions. Deaths. W. W. B. B. W. B. W. B. ca SolSOthers. SoOhers d'rs-d'rs S--M. M. F. M.F.M. M.F. M.F. M. F.M. F.M.F. M.F.o 3--------------------------------------------------EE ...1. ...1. .......5 S5 3 -7 6 ...-------. ..64 4 2. .4. ..........3. ..............2.2 .-1. ~. ..............2. .2.2 3. .........8. 1. .............1. 1. 3. ...1. ........1 -.--. ---. ---. .--. ---.----. ---. ..--.-. -. ..16. ............18. ...............5 ............. ----------. .....--. .1-. .2. ......1 23 1---.-..+ .1* -7------------* --.1. ..2. .......2.1.2 ............2. 1. ...I ........... *--------------------------------.1 .....I 1 -----1.-.4 2 ---------------------* ----------------------8 14. ...........19 -1. 1 6 .........2 S1 -----....... 2.1.2.!. ........3.--.12 .............4. 0 ............124 1 -----------------------------------.1. ......8. 16 .I -~ ~ -------------------------------* 2. ......2'. -.-. :-:. .:2.:.:-:--+:-:-: S ..............

PAGE 24

22 TABLE VIL-ADMISSIONS AND DEATHS IN HOSPITALS Employees. Admissions. Deaths. Diseases. White. White. Black. Black. AmeriEuroAmeriEurocans. peans. cans. peas. M. F. M. F. M. M. F. M. F. M. F. General diseases-Contd, Scurvy. Purpura hemorrhagica-----------------------------------Alcoholism (acute or chronic).2. Alcoholism acute. Diseases of the nervous system and of the organs of special sense. Encephalitis. .. Lateral sclerosis. .. Softening of the brain. ... Paralysis without specified cause. ....-----1 General paralysis of the insane. Other forms of mental alienation.1. Dementia precox ... Chorea. .. Hysteria. Neuralgia. Neuritis.1. .1 Tumor of the brain1. 1 .. Neurasthenia1. 1 Trachoma.2. Diseases of the circulatory system. Pericarditis. Acute endocarditis. Malignant endocarditis. 1 .1 .1 .1 Embolism and thrombosis. ..1. Diseases of the veins (varices, hemorrhoids, phlebitis, etc.).2. 2 .1. Varices. ... Phlebitis.1. ....I Diseases of the lymphatic system (lymphangitis, etc.). ..2. ... Lymphadenitis (nonvene-.real). .1 .1 .1

PAGE 25

23 OF THE PANAMA CANAL FOR SEPTEMBER, 1916-Continued. Nonemployees. Nonresidents. Admissions. Deaths. Admissions. Deaths. W. W. B. B. W. B. W. B. SolSolOthers. d'rs. d'rs M. M. F. M. F. M. M. F. M. F. M. F. M. F. M. F. M. F. o a EE-4 .1 ........1 1. .........1 4.1. ......7 1. ......1 1. ....... .2 ...........2 .1 ....1. ....11 ..1 1. ..........3. 1 .2 1 5 ....1 ........14 1 2 ..1 1 ......1 ......6 1 .1. .............2 1. ...1. 1. ..............1. 2 .1 ....1 .......5 1 1 ..1 ...............3 .. 4 .1 1 4 .......1 .......16 .. 2 1 ...............---8 ....1 ....1 .......0 ....1 2 1 ...7 1 .1. 4. 16. 4 ......1 ....12-. 3 .......4 4. .1. 1.12. ......4 3. .....1. 3. .......1.

PAGE 26

24 TABLE VII.-APMISSIONS AND DEATHS IN HOSPITALS Employees. Admissions. Deaths. White. White. Black. Black. AmeriEuroAmer!Eurocans. peans. cans. pens. M. F. 4M. F. M. F. M. F. M. F. M. F. Diseases of the respiratory system. Diseases of the nasal fosse. 2 .......... Adenoid vegetations. ........... Diseases of the larynx. ....... Acute bronchitis. 2 ..3 ...... Chronic bronchitis. 1 ........ Broncho-pneumonia. ............ Lobar pneumonia. ....7 ...1 .2 Pleurisy. 1 .... Asthma. .2 .1 .1. .. Other diseases of the respiratory system (tuberculosis excepted). ....... Diseases of the digestive system. Diseases of the teeth and gums. .... Stomatitis .j.i. ..... Diseases of the pharynx. ...2 .... Follicular tonsillitis. 14 .... Diseases of the osophagus ..... Ulcer of the stomach. ......1.-. .. Other diseases of the stomach (cancer excepted). ...1 Acute gastritis. 1 .1 .... Chronic gastritis. 1 ... Acute indigestion. ....1 Diarrhea and enteritis (under 2 years) .... Colitis. .. Diarrhea and enteritis (2 years and over). ... Colitis. ... Ankylostomiasis. ....Ascariasis. ...1 Taeniasis. I ... Appendicitis and typhlitis. .... Acute appendicitis. 2 ..... Chronic appendicitis. ... Hernia, intestinal obstructions .... Inguinal hernia. ...7 Other hernias. 1 .. Intestinal obstruction. .....

PAGE 27

25 OF THE PANAMA CANAL FOR SEPTEMBER, 1916-Continued. Nonemployees. Nonresidents. Admissions. Deaths. Admissions. Deaths. w. W. B. B. W. B. W. B. SolOthes SoOthers. d'r. rs. d'rs c -.14.1 4.) M. M. F. M. F. M M. F. M. F. M. F. M. F. M. F. M. F. E 8 ....................12 1 ......-. .............. 1 .................... 3 5 3 2 3 .............22 2 ......... 2 1 ...2 1 .......* -3 3 1 3 1 ...2 1 .......12 6 2.1.1. ..........8. .1. ........1. .............1. .1. ..........1. .1 ...........4.4 7 5 6. 5 ...28. .......I ........I .1. 1 1 1.4.4. .1. .........3. 3. ........... 1. ...........2.2 1 .2 .1. .....4. .1 2. I ..3 2 ...........2 ............4. ...........1 4 ......6. ... 4. .......6. .2. .. ..............1. .........10 ...........3. .-4.1 66667-16---4

PAGE 28

26 TABLE VI.-ADMISSIONS AND DEATHS IN HOSPITALS Employees. Admissions. Deaths. Diseases. White. White. Black. Black. AmerEuroAmeriEurocans. peans. cans. peas. .F. .F. .F. M. F. M. F. M. F. Diseases of the digestive sys8tern-Continued. Other diseases of the intestines,.-. 2 ....... Constipation. .3. 3 ...... Duodenal ulcer. .......... Cirrhosis of the liver. .......... Other diseases of the liver. 1 ........... Abscess of liver (unqualified). .......... Cholecystitis. ............ Other diseases of the digestive system (cancer and tuberculosis excepted). ............ Nonvenereal diseases of the genito-urinary system and anneZa. Bright's disease (chronic nephritis). ....4 ....... Other diseases of the kidney and annexa. 5 ........... Pyelo-nephrosis. ............ Calculi of the urinary passages-. -. -. ..1 .....--.. Diseases of the ........ Cystitis1. I ...I .....---.----------. -Acute prostatitis. ..........--.. Nonvenereal diseases of the male genital organs.-1. ...-. ..--. -. .. Hydrocele. ....3 ...... Uterine tumor (noncancerous)1. ............ Other diseases of the uterus. .2 .... Cysts and other tumors of the ovary. -. ...------.----. Salpingitis and other diseases of the female genital organs. .1 ....--.--. The puerperal state. Normal labor. .... Accidents of pregnancy ... Extra-uterine pregnancy. .......... Abortion .........

PAGE 29

27, F THE PANAMA CANAL FOR SEPTEMBER, 1916-Continued. Nonemployees. Nonresidents. Admissions. Deaths. Admissions. Deaths. ?o .W. SOthers. S Others. dars d rs -a ------------------------.--------------sm4m M. M. F. F. M. X. F. .F. Y. F.M. F.M. F.M. F. -E.-6. 2. 3 .. 1 2. 1.I.1. S. ...--. ..-..-. ........ ....1 ......2 1 .........1. .2 *.1. ............2. .............1 .-.1. .........-.--7 -2. ..............8. 21. .............. ................ .............1. 7. *. .....---. --.------------..1 .....3. ...--. -. -.. 17 1 .-. 3 7 *,. .1 2. .--.--.-.-.--.-+-.-.---.--a----* --* --I-*9. --1.

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28 TABLE VII.-ADMISSIONS AND DEATHS IN HOSPITALS Employees. Admisolons. Deaths, Diseases. White. White. Black. Black. AmeriEuroAmeriEurocans. peans. cans. peans. M. F. M F. M. F. M. F. M F. M. F. The puerperal state-Contd. Other accidents of labor. ..... Eclampsia. ..... Puerperal diseases of the breast. ... Diseases of the skin and of the cellular tissue. Furuncle. 1 .... Acute abscess. .4. .... Phlegmon and cellulitis. 3 ...2 .. Ulcer of the skin.1 ...... Impetigo contagiosa. 1 ..... 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). 1 .1 .. Inc. periostitis.1. ..... Diseases of the joints (tuberculosis and rheumatism excepted). ....... Arthritis. 1 ...... Amputations. ...4 .. Other diseases of the organs of locomotion. 1 ...1 .... Malformations. Congenital malformations (stillbirth not included). .2. Diseases of early infancy. Newborn child. ..... Premature birth. .... Malnutrition. .... Affections produced by external causes. Poisoning by food. 1 ..2. .. Other acute poisonings. 1 .... Venomous bites and stings. ..1.

PAGE 31

29 OF THE PANAMA CANAL FOR SEPTEMBER, L916-Contffiued. Nonemployees. Nonresidents. Admissions-. Deaths. Admissions. Deaths. W. W. B. B. W. B. W. B. Others. Others. drs. d'rs M. M. F. U. F. M. M. F. M. F. M. F. M. F. M. F. M. F. 00 ..1 .............. .2. 2 .2 2 ................, ..............2 S 1. .7. 6 1. .13. .............. 2. 1 ............2 ............ 2 1 ..1.5 3 1 .......... ....-. ...4. .............4 4. ...8 4. 2 .......8. ...........18 -i ..32 .2. ........2 ....... .I 1. ....1

PAGE 32

30 TABLE VII.-ADMISSIONS AND DEATHS IN HOSPITAL Employees. Admissions. Deaths. Diseases. White. White. Black. Black. AmeriEuroAmer!Eurocans. peans. cans. peans. M. F. M. F. M. F. M. F. M. F. M. F. Affections produced by external causes-Continued. Burns (conflagration excepted). 1 ...3. Traumatism by firearms. 1. Traumatism by cutting or piercing instruments. 1 .2 .4 Traumatism by fall. ....7 --Traumatism in mines and quarries. ..... Traumatism by machines. 1 ..3. Traumatism by other crushings (vehicles, railroads, landslides, etc.). 1 15. Railroad traumatism1. 1 Heat exhaustion. .-Fractures (cause not specified).1 2. 8 .... Dislocations. .1. Sprains. ....... Other external violence. 2. 1 .33. Ill-defined diseases. Ill-defined organic disease. .. Infections of undetermined origin. ...4 .. No disease. ..1 Total. 71 3 26. 249 2 .2. 7.

PAGE 33

31 OF THE PANAMA CANAL FOR SEPTEMBER, 1916-Continued. Nonemployees. Nonresidents. Admissions. Death. Admissions. Deaths. W. W. B. B. W. B. W. B. SOlOthers. o Others. d'rs. d'rs M. M. F. M. F. M. M. F. M. F. M. F. M. F. M. F.M. F. ..1.------1 61 1 1. ...3 2 .....12 1 ..1 ....1 .... ............1 .1. 1 1 -. -.-.1 ....18 .-. -. ..........1 1. ......... 5 1 .1 1 .....1 ..20 ..............1. ............' .4. 9 2 2 ...........50 .1. .....1. 2 ....1 6 ......2 ....-.-..15 12 3 5 1 5 .......27 1-98 53 12 -2-2-822---2-----2-213 64 8153 121 ----j2 2 18 22 2901. ...921 5a

PAGE 34

32 TABLE VIII.-CONSOLIDAThD [A=White Americans. F=Whit Remammg Admitted. Died. Sept. 1. A. F. B. A. F. B. A. F. B. ANCON HOSPITAL. Panama Canal employees .20 11 150 55 15 159 .2 2 Panama Railroad employees. 5 2 64 5 2 34 ..2 Panama pay patients. .....1 ..1 Other pay patients.121 35 68 305 32 129 2 2 25. Charity patients.-. 9 1 34 22 2 19 ..5 Total-.155 49 316 387 51 342 2 4 35 I(ane department. Panama Canal employees. .1 2 ..4. Panama Railroad employees. ..2 ..1. Panama pay patients. 2 26 182 .1 9 ..4 Other pay patients. 2 4 3 3 1 ..1 Charitypatients. 3 8 59 ..5 ..2 Total. 7 39 248 3 2 19 .7 Grand total. 162 88 564 390 53 361 2 4 42 Corozal farm. ~-----Panama Canal employees. .10 51 .2 3. Chronic ward. Charity patients. ..20. COLON HOSPITAL. Panama Canal employees. 3 1 7 10 5 16 ..1 Panama Railroad employees. ..9 4 4 37 ..2 Panama pay patients. ..7 ..2 Other pay patients. 4 21 2 12 11 2 .--. Charity patients.2 5 2 2. Total. 9 3 18 31 22 64. 5 PALO SECO LEPER ASYLUM. Panama pay patients-. .2 38 .2. Charity patients. .2 26. Total. .4 64 .2. GRAND TOTAL. Panama Canal employees. 23 23 210 65 22 182 .2 3 Panama-Railroad employees. 5 2 75 9 6 72 ..4 Panama pay patients .2 28 220 .1 19 ..7 Other pay patients.121 41 73 320 44 131 2 2 26 Charity patients. .14 11 139 27 4 26 ..7 Total. 171 105 717 421 77 430 .2 4 47

PAGE 35

33 HOSPITAL REPORT, foreign. B=Blacks.] Discharged. Transferred. Reaiing Average number constantly sick. Sept. 30. A. F. B. A. F. B. A. F. B. American. Foreign. Black. Total. 63 13 192 ..2 12 11 113 17.97 12.27 134.06 164.30 7 3 52 ..1 3 1 43 3.47 1.47 53.23 58.17 325 40 120 1 1 1 98'T 'i51 119.20 26.40 66.30 211.90 23 3 17 .4 .27 8.80 .1.16 25.97 35.93 418 60 381 1 1 8 121 36 234 149.44 41.30 279.56 470.30 0 1 1. 5 ..60 3.57 4.17 .......3 ..3.30 3.30 ....1 2 27 186 2.00 26.47 184.50 212.97 1 .....4 5 2 1.36 4.73 2.67 8.76 ..2 ...3 8 60 3.00 8.90 59.50 71.40 1 1 3 ..1 9 40 256 6.36 40.70 253.54 300.60 419 61 384 1 1 9 130 76 490 155.80 82.00 533.10 770.90 2 1 ..2 .10 51 .9.86 49.07 58.93 ....1 ..19 ..19.67 19.67 11 6 12 1 .3 1 .7 2.56 .96 4.41 7.93 2 2 31 ..2 2 2 11 1.33 .56 13.17 15.06 ..2 .2 ..1 ...60 .60 9 2 .2 1 3 2 1 3.07 1.96 1.03 6.06 6 1 ..1 1 1 .1 1.76 .56 .61 2.93 32 18 47 1 3 9 7 4 21 8.72 4.04 19.82 32.58 .......2 40 .2.00 39.30 41.30 ......2 26 .2.00 26.00 28.00 .....4 66 .4.00 65.30 69.30 74 22 206 1 .7 13 21 176 20.53 23.69 191.11 235.33 9 5 83 ..3 5 3 57 4.80 2.03 69.70 76.53 .2 ..3 2 29 227 2.00 28.47 224.40 254.87 889 49 122 1 3 2 105 31 54 123.63 33.09 70.00 226.72 29 4 19 .1 6 12 10 133 13.56 12.62 131.75 157.93 451 80 432 2 4 2113794647 164.52 99.90 8869 951.38 Number of employees remaining in hospitals: whitee .42 Black. 233 Total. 275

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34 TABLE IX.-CONSOLIDATED DISPENSARY REPORT. E mployees treated in quarters, and all cases treated but not excused. EMPLOYEES TREATED IN QUARTERS. RemainAds T Remainig kDied. iTas ing Days lost. Sept. 30. mitted. charged. ferred. Septg yss Station. W. B. W. B. W. B. W. B. W. B. W. B. W. B. Total. Ancon---------86 12 ..81 8 2 1 3 31150 72 222 Balboa. 4 .86 15 ------86 5 1 9 3 1 222 48 270 Pedro Miguel. 2 .10 ...12 31 .31 Paraiso. 1 -. 10 4 ..9 3 2 1 ------26 5 31 Gamboa. ..1 1 ..1 1 ..., .1 1 2 Gatun. ---2 15 4 ..15 6 ----------. 23 19 42 Colon. 7 13 91 71 ..88 62 ..10 22 173 570 743 Total. 14 15 299 107 ..292 85 5 11 16 26 626 715 1,341 ALL CASES TREATED BUT NOT EXCUSED. Employees. Nonemployees. Total. Station. White. Black. Total. White. Black. Total. White. Black. Total. Ancon. 2,666 4,074 6,740 1,954 2,927 4,881 4,620 7,001 11,621 Balboa. 3,383 3,723 7,106 976 858 1,,834 4,359 4, 581 8,940 Pedro Miguel 746 1,123 1,869 855 241 1,096 1,601 1, 364 2, 965 Paraiso. 880 3,036 3,916 697 994 1,691 1,577 4,030 5,607 Gamboa. .63 194 257 41 438 480 105 632 737 Gatun. 298 I 1,340 1,638 595 1, 175 1,770 893 2,515 3,408 Colon. 855 3,363 4,218 914 869 1,783 1,769 4,232 6,001 Total. 8,891 16,853 25, 744 6,033 7,502 13,535 14,924 ;24,355 39,279 CONSOLIDATED ADMISSION REPORT. White. Black. Total. Total admissions to hospitals, excluding Corozal farm and chronic ward. 496 427 923 Total admissions of employees to quarters. .299 107 406 Total. 795 534 1,329 Less number of patients transferred between hospitals and from quarters to hospitals, whose admissions are duplicated in above figures. 11 29 40 Net admissions to hospitals and quarters .784 505 1,289

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35 TABLE IX.-CONSOLIDATED DISPENSARY REPORT-Continued. CONSOLIDATED ADMISSION REPORT-Continued. White. Black. Total. EMPLOYEES. Employees admitted to hospitals. 100 251 351 Employees admitted to quarters. 299 107 406 Total. 399 358 757 Less number transferred between hospitals, and from quarters to hospitals, whose admissions are duplicated in above figures. 6 19 25 Net admissions of employees to hospital and quarters. 393 339 732 Annual average per thousand of admissions of employees to hospitals and quarters. 1,040.14 140.30 261.99 CONTAGIOUS AN)INFECTIOUS DISEASES REPORTED, SEPTEMBER, 1916. Disease. Panama. Colon. an.al Total. Zone. Beriberi .-. .3 ..3 Chicken pox. 18 1 4 23 Diphtheria. 10 8 4 22 Dysentery. 12 1 2 15 Malarial fever. 19 14 52 85 Measles. 11 3 5 19 Meningitis. 4 ..4 Mumps. 2 .1 3 Pellagra. .2 2 ...2 Puerperal septicemia. ..1 1 Pneumonia. ..10 13 2 25 Tuberculosis (any organ) .23 6 29 Typhoid fever ..1 4 5 Whooping cough. 3 .4 7 Yaws.:. 1 TABLE X.-NUMBER OF EMPLOYEES CONSTANTLY SICK IN HOSPITALS AND QUARTERS. White. Colored. Total. Hospitals: Ancon Hospital,. 35.76 194.17 229.93 Colon Hospital. 5.42 17.57 22.99 Total. 41.18 211.74 252.92 Quarters: Ancon .5.00 2.40 7.40 Balboa. 7.40 1.60 9.00 Pedro Miguel." .1.00 .1.00 Paraiso. ....,86 .17 1.03 Gamboa. ....03 .03 .06 Gatun. .77 .63 1.40 Colon. 5.77 19.00 24.77 Total. 20.83 23.83 44.66

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36 TABLE X.-NUMBER OF EMPLOYEES CONSTANLY SICK IN HOSPITALS AND QUARTERS-Continued. HosQuarTotal. pitals. ters. Average number of employees constantly sick: White. 41.18 20.83 62.01 Colored. 211.74 23.83 235.57 Total. 252.92 44.66 297. 58. Average number of employees constantly sick per 1,000: White. 9.08 4.60 13.68 Colored. 7.30 .82 8.12 Total. .7.55 1.33 8.88 TABLE XI.-AVERAGE LENGTH OF STAY IN HOSPITALS OR QUARTERS FOR EACH ADMISSION OF SICK EMPLOYEE. White. Black. Total. Hospitals: Ancon Hospital. 22.26 20.50 20.94 Colon Hospital. 4.95 8.54 7.46 Quarters: Ancon. 1.63 2.78 1.74 Balboa. 2.83 .2.23 2.75 Pedro Miguel. 2.92 .2.92 Paraiso. 2.45 1.25 2.13 Gamboa. 1.00 1.00 1.00 Gatun. 1.53 .35 2.10 Colon. 2.08 11.48 5.97 TABLE XII.-FINANCIAL STATEMENT. August, July, August, 1916. 1916. 1915. Administration: Chief health office. $567.28 $792.97 $873.67 Hospital division: 04 Ancon Hospital. 26,104.63 25,742.20 25 313.83 Board of health laboratory. .1,916.01 1, 440.96 1,687.68 Corozal farm. 6,216.38 6,143.71 5,714.64 Chronic ward. 183.39 202.35 179.53 Colon Hospital .4,292.20 3,803.60 3,785.91 Palo Seco Lper Asylum. 1,665.69 1,691. 10 3,123.82 Santo Tomas Hospital. 1,136.48 866.63 900.28 Medical storehouse. .653.16 930.17 937.73 Reserve for new tools. 2,154. 69 835.80 44,322.63 41,656.52 41,643.42

PAGE 39

37 TABLE XHI.-FINANCIAL STATEMENT-Continued. August, July, August, 1916. 1916. 1915. District dentists. 45.43 91.21 4.05 Ssla d. ..174.92 Balboa. 1,195.21 1, 028.61 1,242.15 Corozal. .626.98 Pedro Miguel. 443.20 500.47 491.73 Paraiso. 587.82 595.63 717.98 Gamboa. 88.50 151.00 161.38 Gatun. 575.14 623.07 792.33 Toro Point. ...9.30 2,935.30 2,989.99 4,220.83 Sanitary division: General inspector. 50.00 50.00 50.00 Health office, Panama. 3,654.55 3,338.25 3,708.90 Street cleaning. 14,290.43 4,254. 49 4,331.17 Health office, Colon. 22,987.65 2,680. 64 2,655.04 Street cleaning. 2,175.90 2,101. 29 2,200.97 13,158.53 12,424. 67 12,946.08 Zone sanitation: Ancon. 2,091.89 2,196.93 242.16 Balboa. 1,712. 86 1,413.51 16& 36 Corozal. 658. 11 2,072.61 1,041.72 Pedro Miguel. 5,251.26 3,965.59 3,983.88 Culebra. .12.00 Frijoles. 76.13 70.01 100.85 Gatun. 4,057.67 4,130.88 2,255.18 Cristobal-Mount Hope. 2,290. 10 2,393.27 2,376. 11 29,296. 55 28,667.47 23,126.34 Quarantine division: Chief quarantine office. 18& 35 170.187 200.33 Balboa-Panama .2,041.12 1,912. 00 1,893.17 Colon-Cristobal. 3,234.99 3,182.57 3,012.95 5,464.46 5,265.44 5,106.45 RECAPITULATION. Chief health office. 567.28 792.97 873.67 Hospital division. 44,322. 63 41,656.52 41,643.42 Dispensaries. 2,935.30 2,989.99 4,220.83 Sanitary division. 29,296.55 28,667.47 23,126.34 Quarantine division. 5,464.46 5,265.44 5,106.45 82,586.22 79,372.39 74,970.71 1 $3,166.67 per month charged to Republic of Panama for garbage disposal and street cleaning. 2 One-half expense of garbage disposal and street cleaning, Colon, charged to Republic of Panama.

PAGE 40

38 TABLE Xm-ANCON HOSPITAL. REPORT OF NATIONALITY OF PATIENTS TREATED. Total American. Other nations. number treated. White. Black. White. Black. -Hospital* Panama Canal employees. 410 75 1 26 308 Panama Railroad employees. 112 10 1 4 97 Panama Government employees. 1 ...1 Other pay patients. 690 426 .67 197 Charity patients. 87 31 -. 3 53 Total. 1,300 542 2 100 656 Asylum: Panama Canal employees 6. .1 5 Panama Railroad employees. 5 ..5 Panama Government employees. 220 2 .27 191 Other pay patients. 13 5 .5 3 Charity patients. 74 3. 9 62 Total. 318 10 .42 266 Grand total.,. 1,618 552 2 142 922 Soldiers. 300 300 ... Chronics. 20 ...20 Farm (cripples). 66 ..12 54 REPORT OF DAYS LOST IN HOsPITAL. Hospital: Panama Canal employees. 4,929 539 .368 4,022 Panama Railroad employees. 1,745 104 .44 1,597 Other pay patients. 6,357 3,576 .792 1,989 Charity patients. 1,078 2641. 35 779 Total. 14,109 4,483 .1,239 8,387 Asylum: Panama Canal employees. 125 ..18 107 Panama Railroad employees. 99 .9. .99 Panama Government employees .6,389 60 .794 5,535 Other pay patients. 263 41 .142 80 Charity patients .2,142 90 .267 1,785 Total. 9,018 191 .1,221 7,606 Grand total. 23,127 4,674 .2,460 15,993 Soldiers. ..2,626 2,626. Chronics.590. .590 Farm (cripples).296 1,472 Average cost per subsistence per day, $0.2722.

PAGE 41

39 TABLE XII.-ANCON HOSPITAL. WARD LABORATORY REPORT. Blood examinations (total number). 493 Estivo-autumnal1 .53 Tertian.:. 9 Differential counts. .6 Hemoglobein estimations .170 Leucocyte counts. 57 Red blood counts. 1 Stool examinations (total number) .:. 1,152 Am eba. 2 Ascaris lumbroincoides .3 Cercomonas intestinalis. 2 Ciliated monads. 1 Guaiac tests .5 Pus and blood .21 Strongloides. 4 Tenia saginata dispar (ova). 4 Tricocephalus dispar .9 Uncinaria (ova) .24 Urine examinations (total number). 1,950 Album en. 383 Bile. 21 Casts. 446 Ciliated monads. 3 Epitholia. 1,067 Guaiac tests. 18 Indicon. 106 Pus. 617 Pus and blood. ..172 Sugar (positive 1, negative 130). 131 Acetone vaginalis (positive) ..1 Sputum examinations (total number) .301 Positive for tubercle bacilli. 8 Smear examinations (total number). 12 Urethral. 7 Vaginal. 2 E ye. 3 Spinal fluid .5 Albumin estimations. 9 REPORT OF SURGICAL OPERATIONS. Number. Died. Amputations: Shoulder .1. Leg. 1 Operations on bones: Craniectomy, decompressive. 1 Plating of fractures, simple. 2 Adenectomy: Cervical. 3 Axillary. 1 Inguinal, single. 8 Inguinal, double. 6 Femoral. 2 Herniotomy: Inguinal, single. 8. Inguinal, double. ..1. Femoral. .1. Ventral. .3. Genitourinary tract: Urethrotomy, internal. 1 Urethrotomy, external .1 Varicocele, radical cure. 3

PAGE 42

40 TABLE XIII.-ANCON EOSPITAL-Continued. REPORT OF SURGICAL OPERATIONS-Continued. Number. Died. Genitourinary tract--Continued. Hydrocele, single, radical cure ---------------------------3 Epididymotomy. 16 Curetage uteri.6. Perineoplasty. Vaginal punctures.1. Obstetrical: Cosarian section, abdominal. 3 1 Low forceps. Perineorrhaphy 2. Rectum: Hemorrhoids, radical cure. .12. Fistula in anus, excision of .2. General: Thyreoidectomy.1. Varicose veins, excision of.2. Tenorrhaphy.3. Excision of surface neoplasms. 3 Skin graft .2 Laparotomy: For tuberculous peritonitis. .1 For intestinal obstruction. ..1. Exploratory.1. Appendectomy. .10 Appendectomy with local peritonitis .3. Cholecystectomy. 2 Abscess of liver, laparo-hepatotomy for. I Abscess of liver, thoraco-hepatotomy for. 1 1 Pan-hysterectomy. 1 Supravaginal hysterectomy. Hysteromyomectomy .8 Salpingectomy, single. 2. Salpingectomy, double.1. Salpingo-cophorectomy.2. Ovarian cystectomy.1 Suspensio-uteri. 3 Major operations, various other. 2 1 Minor operations, various other. 115 1 T otal. ....261 4 REPORT OF OPERATIONS, EYE AN) EAR CLINIC. Tonsillectomy. 20 Adenoidectomy. 12 Submucous resections. 12 Turbinectomy.-. 3 Pterygium excisions.-.--2 Minor eye. 1 Total. 50 Refractions.--.---. 98

PAGE 43

41 TABLE XIII.-ANCON .HOSPITAL-Continued. REPORT OF OUT-PATIENT DEPARTMENT. Clinic. Total New Pay Prescripvisits. cases. cases. tions. Medical.-. 278 160 23 293 Surgical. 226 113 9 36 Eye and ear. 558 161 1 50 Total. 1,062 434 33 379 MONTHLY VACCINATION REPORT. No vaccinations during September. BOARD OF HEALTH LABORATORY-MONTHLY REPORT. Bacteriological examinations of: Blood cultures (7 positive for B. Typhosus; 1 positive for streptococcus). 19 Throat cultures. 192 Urines-. .39 Stools-. .38 Sputum .2 Pathological fluids, exudates, etc. 9 Smears, gonococcus. 6 Culture of autopsies. 1 Leper suspects. 2 Dairy milk from Corozal. 27 Miscellaneous. 3 Wassermann reactions. 733 Agglutination reactions. 4 Autogenous vaccines prepared. 3 Anti-typhoid vaccinations. 1 Animal inoculations .5 Blood for malaria. 1 Dark field examinations .14 Smallpox vaccine points manufactured.-. 3,690 Chemical examinations of: Mothers* milk .:. 1 Urine .8 Diesel engine oil. .1 Spots on clothing (suit). 1 Rosin. 1 Lemon soda .1 Bevoe (near beer). 1 Determination of cost of arsenical grass killer. 1 Fat determinations of milk from Corozal Farm. 5 Spinal fluidsButyric acid test. 21 Ammonium sulphate test. 21 Phenol test .21 Colloidal gold test. 14 Pathological tissues prepared; paraffin 287. 287 Surgical tissues reported. .57 Autopsies performed. 33 Animals autopsied.'. 24 Birds autopsied. 1 Tapeworms examined. I Rats examined (mus musculus,608; mus norwegious,784; mus alexandrinus, 6; mus rattus, 171). 1, 569 Bodies embalmed. .5 Interments at Corozal .16 Taken to Panama. 3 Taken to Colon. .2 Cremations. .34

PAGE 44

42 TABLE XII-ANOON HOSPITAL-Continued. MOSQUITOES IDENTIFIED AT THE BOARD OF HEALTH LABORATORY. C 0 0 U 03 a0 0 0 to M W M 00 A ncon .--.........109 85 Balboa. 1 .1 ..11 459 Corozal pos-c..28 .1 ..22 436 Corozal district .4 ....2 102 Pedro Miguel .17 ....19 1,017 Pedro Miguel, railroad station. 15 ....13 3,048 Paraiso.:. 4 ....28 1,142 Red Tank .15 .....625 M iraflores.2 ....2 32 Rio Grande. 1 .-. ....1,607 Lirio and Cerro. ......804 Dredges, Culebra Cut .6 ....207 1,776 Tower R. ......32 Gamboa .12 ...7 3,979 Other places in Pedro Miguel district ......7 28 Gatun. 209 6 .2 .69 551 New Gatun .328 16 .2 1 41 601 Frijoles. .--------.-. 429 5 ----.----.---66 7,579 Monte Lirio. 76 .------1----3 642 Barracks, Cristobal .29 -6 ..314 102 Silver married uarters2. 5 7 ..-----4 Moun Hope il-. 151 104 .3 ---103 276 Colon Hospital. 7 5 ------1 463 444 Panama Railroad cars Cristobal. 61 10 .-. 392 3 Other places in oni-tobal district. -...----------------483 1 1 Camp Gaillard. 1 -----------------29 4,871 Empire. ...----------------------.4 735 i Otis. ...-------------------------------37 5,992 For andolph. 83 68 .-----------8 62 Fort Sherman .24 5 ---1 1 419 4,375 Fort Grant. ....33 ----Total.1,514 232 2 8 3 6,761 41,410

PAGE 45

43 TABLE XIII.-ANCON HOSPITAL-Continued. MOSQUITOES IDENTIFIED AT THE BOARD OF HEALTH LABORATRY-Continued Stations. oaa 0 0 00 4Z Ancon. ..3 2 13 ..212 Balboa. 1 ...473 Corozal post,. 1 ..488, Corozal district. ......1 109 Pedro Miguel. ..1 1,054 Pedro Miguel, railroad station. .......3,076 Paraiso. .......1,174 Red Tank. ..640 Miraflores. ....1 .37 Rio Grande. .......1,608 Lirio and Cerro. .......804 Dredges, Culebra Cut. ..44 ....2,033 Tower R ..t. .....32 Gamboa. ..1. 4,001 Other places in Pedro Miguel district. ....35 Gatun. ...3 ..848 New Gatun. 11 ...9 ..1,009 Frijoles. .1 2 ..10 ..8,092 Monte Lirio. .1 ..722 Barracks, Cristobal. ........3,251 Silver married quarters ...1. ..1,087 Mouni Hope village.13 15. 7 ...672 Colon Hospital ..1 1 ....922 Panama Railroad cars, Cristobal. 2 2 ....470 Other places in Colon-Cristobal district. ..1 ....491 Camp Gaillard. ......2 4,903 Empire. ....4 ..743 Camp Otis. .....6,029 Fort Randolph. 1 ...222 Fort Sherman. .......4,825 Fort Grant. ..369 ..402 Total. 35 8 65 373 47 2 4 50,464 COROZAL HOSPITAL. STATEMENT OF COMMITMENTS, DISCHARGES, AND DEATHS. COMMITMENTS. Male. Female. From Canal Zone, first admission. 11 3 From Panama Government, first admission. 3 7 Total. 14 10 A-9

PAGE 46

44 COROZAL HOSPITAL-Continued. DISCHARGES. Well. Improved. Unimproved. Male. Female. Male. Female. Male. Female. Barbados. 2. 2. France. ...1 ... Panama. ...1 1 -. U. S.A. ...--. --. Total. 2 .1 1 2 I Transferred to Ancon Hospital for surgical treatment. 2 Deported to United States. DEATHS. Medical diagnosis. Mental diagnosis. Male. Female. Broncho-pneumonia; epilepsy; tuEpilepsy. .1 berculosis. Tuberculosis of lungs; tertiary Tertiary syphilis .1 .syphilis; latent malaria. Cerebral sclerosis; arteriosclerosis Psychosis undifferenti-.-1 ated, catatonic. Pellagra. Dementia precox, cata-.1 tonic. Intestinal obstruction. Dementia precox. .1 Perforating ulcer of the esophagus Syphilis, tertiary. (noncancerous). Lobar pneumoma. Arterio sclerotic demen1 tia. 1 Died in Ancon Hospital. TABLE XIV.-COLON HOSPITAL. NATIONALITY. White Wht AmeriWhite Black. Total. can. Foreign. Panama Canal employees. .13 6 23 42 Panama Railroad employees. 4 4 46 54 Panama pay. .7 7 Other pay. .16 13 4 33 Charity cases. 7 2 2 11 Total. 40 25 82 147

PAGE 47

45 TABLE XIV.-COLON HOSPITAL-Continued. LABORATORY REPORT. Blood examinations. 65 Estivo-autumnal. 20 Tertian-. 2 Differential counts. 7 White blood counts. 5 Stool examinations. 3 Ameba. I Urine examinations .100 Albumen. 41 Casts. ..14 Pus. 5 Blood. 3 Sugar. 3 Sputum examinations. 9 Positive for tubercle bacilli. 1 Smear examinations. 2 Positive for gonorrhea. 2 SURGICAL OPERATIONS. .1ernictomy: Inguinal single. .4 Inguindl, double. 2 Genito-urinary tract: Varicocele, radical cure. 1 Rectum: Hemorrhoids, radical cure. 1 'General: Extensive injuries to soft parts, operation for. 1 Laparotomy: Appendectomy .1 Minor operations, various. 5 Minor operations, various (dispensary). 141 TABLE XV.-PALO SECO LEPER ASYLUM. NATIONALITY OF PATIENTS. Number Americans. Others. treated. Class. White. Black. White. Black. White. Black. Pay cases. 2 40 .2 40 Charity cases. 2 26 ..2 26 4 66 .4 66 Cost of subsistence, per patient, per day, $0.225. TABLE XVI.-SANTO TOMAS HOSPITAL. Re-. Cls mAdDisClass.Sep emitted. charged. Died. mining Sept. 1. Sept. 30. Pay cases. 17 91 68 3 37 Charity cases. 426 848 778 77 419 Total. 443 939 846 80 456 Average number of patients constantly sick. 447 Total number of days' treatment. .13,418 Average number of days' treatment for each patient. 6 Cost of subsistence per patient per day .s0.39

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46 TABLE XVI.-SANTO TOMAS HOSPITAL-Continued. NATIONALITY. Americans. Other nations. Number Class. treated. White. Black. White. Black. Pay cases. 108 3 .37 68 Charity cases. 1,274 9 .141 1,124 Total.1,382 12. 178 1,192 DISPENSARY REPORT. Class. White. Black. Total. Natives. 18 748 766 Foreigners. 49 319 368 Total.67 1,067 1,134 DISEASES TREATED. Malarial fever. 60 Diphtheria and croup. 6 Influenza .1Dysentery. 13 Leprosy. 2 Erysipelas. 1 Other epidemic diseases .10 Purulent infection and septicemia. 12 Pellagra. 3 Tuberculosis of the lungs. 17 Rickets. 1 Syphilis. 45 Soft chancre. 10 Gonococcus infection .44 Cancer and other malignant tumors of the female genital organs. 1 Cancer and other malignant tumors of the breast .1 Cancer and other malignant tumors of organs not specified .4 Other tumors. 5 Acute articular rheumatism. 3 Alcoholism, acute or chronic. Other forms of mental alienation. 7 Epilepsy. .4 Hysteria.-. 5 Neuralgia and neuritis. 5 Other diseases of the eyes and their annexa. 9 Acute endocarditis. 1 Organic disease of the heart. 25 Diseases of the arteries .3 Diseases of the veins. .6 Diseases of the lymphatic system. 15 Diseases of the nasal fossae.,. 2 Chronic bronchitis. 21 Broncho-pneumonia. 6 Pneumonia. 3 Pleurisy.-...---.---.-----7 Diseases of the pharynx. -.--.------Diarrhea and enteritis (under 2 years). .----Diarrhea and enteritis (2 years and over). .------.9 Ankylostomiasis. ...50

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47 TABLE XVI.-SANTO TOMAS HOSPITAL-Continued. DISEASES TREATED-Continued. Intestinal parasites .1 Appendicitis and typhlitis. 2 Hernias, intestinal obstructions. ......----------------------------------12 Diseases of the anus and fecal fistula. 3 Other diseases of the intestines. 1 Biliary calculi.:. 1 Other diseases of the liver. Diseases of the spleen. 3 Bright's disease .-. 27 Diseases of the bladder .2 Diseases of the urethra .1 Nonvenereal diseases of the male genital organs. 11 Uterine hemorrhage .2 Uterine tum or. 6 M etritis. 6 Other diseases of the uterus. 12 Salpingitis and other diseases of the female genital organs. 7 Normal labor. 90 Accidents of pregnancy. 25 Gangrene ..:. 1 Furuncle .1 Acute abscess .19 Other diseases of the skin and annexa. 25 Diseases of the bones .2 Diseases of the joints .1 Other diseases of the organs of locomotion .1 Congenital malformations-.,..-------. 4 Nurslings discharged from hospital without disease-.-. .85 Lack of care .1 Senility. ..1 Other acute poisonings .1 Burns. 3 Traumatism by firearms. 1 Traumatism by cutting or piercing instruments ...-----------------------Traumatism by other crushings ......-----------------------------------3 Sprain. 3 Fractures. ......................11 Other external violence. -. 10 N o disease. 9 Total .*. 846 SURGICAL OPERATIONS. Amputation of leg.-. 2 Amputation of digits, multiple. 2 Adenectomy, cervical. 1 Adenectomy, inguinal, single .3 Herniotomy, inguinal, single. .4. 4 Herniotomy, inguinal, double .1 Herniotomy, ventral. .1 Herniotomy, strangulated.:.: 1 Varicocele, radical cure ..2 Hydrocele, single, radical cure. 2 Curetage uteri. 8 Perineoplasty .1 Fistula m anus, excision of. 3 Skin.graft. 4 Hemorrhoids, radical cure.----. 4 Appendiectomy.-. 2 Appendiectomy, with local peritonitis. 2 Pan hysterectomy .-. 1 Supravaginal hysterectomy. .:. 5 Salpingectomy, single .2 Salpingectomy, double .3 Salpingo-oophorectomy. ..3

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48 TABLE XVI.-SANTO TOMAS HOSPITAL,-Continued. SURGICAL OPERATIONs-Continued. Ovarian cystectomy .-.-. 1 Suspensio-uteri .7 Gunshot wound of abdomen.1 Major operations, various other .4 Minor operations, various other. 63 Total.-. -133 TABLE XVIL-SUMMARY OF SANITARY WORK PERFORMED AND MATERIAL EXPENDED IN THE CANAL ZONE. Work requests on supply department: Grass cutting. 40 Screening. .6 Miscellaneous. 8 Work requests on municipal engineering department .16 Work requests on other departments ..2 Notices served to abate nuisances.-. 1 Arrests and convictions .1 Buildings inspected: For screening. 1,639 For mosquitoes. 5,221 For general sanitation. 2,247 Stores, inspections of .24 Restaurants, inspections of .12 Shops, inspections of .32 Pit closets, inspections of .554 Closets disinfected ...634 Garbage cans emptied .2,862 Houses disinfected and fumigated. 5 Rat traps in use. 471 Rats destroyed. 531 Number of mosquitoes destroyed in dwellings: Anopheles. 1,785 Stegom yia. 96 Culex. .14,822 M ansonia. 16,767 W yeomyia. 23 Number of containers with Stegomyia larvoe found. 1 Fly-breeding places destroyed .5 Material expended: Crude oil, gallons ..17,135 Larvacide, gallons .-. 561 Kerosene, gallons. 653 ROUTINE WORK DONE BY HEALTH OFFICE, PANAMA. General sanitation: Linear feet of ditches cleaned and maintained. 30,740 Linear feet of new ditches dug. 2,242 Number of cubic yards of earth used in filling. 0 Gallons of larvacide used. 300 Gallons of crude oil used. 4,745 Gallons of kerosene used. 224 Square yards of pools oiled. 380,135 Water containers treated. 13,815 Mosquito-breeding places found (stegomyia 134). .281 Fly-breeding places found .41 Flies trapped (13,000 per quart).quarts. 41 Number of rats killed. 1,143 Number of room disinfections made. 13 Square feet of vegetation removed. --. 385,250 Garbage collection: Number of loads of garbage removed to dump.5,563 Number of cubic yards of garbage removed to dump. 9,211 Total number of cans garbage emptied. 42,692

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49 Buildings: Number of buildings inspected .4,561 Number of plans for new buildings approved. 13 Number of permits issued for repairs to old buildings. 101 Total building permits issued. 114 Number of buildings condemned. 31 Number of stables condemned. 1 Number of buildings demolished. 2 Street cleaning: Average number of square yards of streets cleaned daily. 600,000 Average number of square yards of streets sprinkled daily .45,000 Number of private properties cleaned during month. 0 Number of notices served and nuisances abated. 470 Vaccinations: Number of vaccinations performed during month .17 Total number of vaccinations since Apr. 1, 1914. 24,880 MONTHLY WORK REPORT FOR COLON, CRISTOBAL, AND MOUNT HOPE. Sanitation, Colon-Cristobal: Square yards street cleaned. 4,045,752 Square yards alleys maintained. 676,000 Number of private properties cleaned. 762 Cubic feet fumigated. 88,000 Dosesof quinine issued. 5,583 Number of dogs killed. 23 Number of rats caught .398 Loads of yard garbage disposed of. 624 Number of cans of garbage (cubic yards, 2,525). 65,289 Colon dump maintained. Linear yards of ditches constructed (cubic yards, 310j). 1,030 Linear yards of ditches maintained. 1,305 Acres of vegetation removedColon. 4 Cristobal .5 Hotel Washington. 3 Panama Railroad Reservation, Colon (swamp). .35 Parkway and East Street maintained. 0 Square yards oiled. 44,750 Number of receptacles treated. 36,652 Number of mosquitoes caught in Colon Hospital screensAnopheles. 30 Culex. 1,345 Number of mosquito-breeding places destroyed. 2 Number of fly breeding places destroyed. Number of buildings inspected .10,220 Number of gallons of Larvacide used in Colon .123.25 Number of gallons of crude oil used in Colon. 775 Number of nuisances abated. 316 Building Colon: Number of building plans approved. 13 Number of permits to occupy issued. 9 Number of Permits to repair issued. -41 Num ber of bills collected ..149 Sewers, Colon: Number of new connections made during the month. 9 Total nuniber of connections made to date. 1,347 Number of houses on which connections were made. 4 Outstanding permits. 35 Sanitation, Cristobal: Number of cans garbage (cubic yards, 902). 14,245 Loads of yard garbage handled .217 Square yards oiled. 10 125 Number of receptacles treated. 7,500 Number of mosquito breeding places destroyed. 0 Number of fly breeding places destroyed. 0 Gallons of Larvacide used. 10 Gallons of crude oil used. 225 Number of buildings inspected. 1,520 Number of nuisances abated.69

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50 Sanitation, Mount Hope: Number of cans garbage (cubic yards 109). ..-..-963 Square yards oiled .159, 500 Number of doses of quinine issued. 650 Number of receptacles treated. .-.---. 13,650 Number of mosquito places destroyed .209 Number of mosquitoes caught in barracksAnopheles.-. 42 Culex. .-.3,334 Number of mosquitoes caught in silver married quartersAnopheles. 3 Culex-. 1,341 Number of mosquitoes caught in steamships-Culex. 476 Number of mosquitoes caught in Mount Hope villageAnapheles. 578 Culex. 523 Number of mosquitoes caught in Camp Bierd carsAnopheles. 61 Culex. 396 Total anopheles. 684 Total culex. 6,070 Gallons of Larvacide used .100 Gallons of crude oil used. 4,156.54 Mount Hope Cemetery maintained. Linear yards ditches constructed. 3,339 Linear yards ditches maintained .-.-. 9,706 Square yards of vegetation removed .248,170 Number of burials during the mouth. 49 TABLE XVIII.-CONSOLIDATED REPORT OF QUARANTINE TRANSACTIONS AT THE PORTS OF BALBOA-PANAMA AND COLONCRISTOBAL. Number of vessels inspected and passed. 216 Number of vessels held in quarantine. 15 Total nuMber of vessels entered. 231 Number of special inspections made to enforce compliance with antiplague and mosquito-breeding regulations .-.-.105 Number of vessels fumigated on arrival. 16 Number of vessels detained but sailed in quarantine. 6 Number of crew examined. 12,590 Number of passengers examined. 3,887 16,477 Number of supplementary inspections .1,555 Number of persons vaccinated at port of arrival because of compulsory vaccination law. 285 Number of persons vaccinated at port of departure or en route because of compulsory vaccination law.--. 1,037 1,322 Number of persons held in quarantine at the detention houses to complete period of incubation of yellow fever and plague. 270 Number of poliomyelitis suspects detained.-. .24 Number of persons held in quarantine on board vessels. 1,449 S1, 743 Total number of persons landed from foreign ports: Cabin. .1,896 Steerage. 1,245 141

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51 Total number of persons embarked for foreign ports: Cabin. .1,768 Steerage. 1,738 3,506 Total number of persons arriving from coast towns on small launches and sailing craft. 1,757 Total number of persons sailing for coast towns on small launches and sailing craft. 1,638 Apparent increase for month from coast towns. 119 Apparent decrease for month from foreign ports: Cabin (increase). 128 Steerage (decrease).* .493 Number of clearances issued. .64 Number of bills of health issued or viseed. 232 Number of inspections of docks. 10 Number of immigrants rejected and deported. 29 Total number of persons landed. 4,898 Less number for Pacific ports. 239 4,659 Total number of persons sailing. 5,144 Apparent decrease for month. 485 IMMIGRATION REPORT FOR COLON AND CRISTOBAL. FromCabin. Steerage. Europe. 15 14 United States. 768 67 Jamaica and West Indies. 58 162 Venezuela. 14 2 Colombia. 89 113 Cuba. 26 18 Costa Rica. 108 21 Bocas del Toro. 52 119 Coast towns. 0 148 1,130 664 Grand total. 1,794 M en. 819 W omen. 511 Children. 262 United States Navy. 54 Unclassified. 148 1,794 QUARANTINE TRANSACTIONS AT PORT OF BOCAS DEL TORO. Number of vessels inspected and passed. 19 Number of crew inspected and passed. 1,363 Number of passengers inspected and passed. 222 Number of passengers, transit, inspected and passed. 97 No quarantinabl' disease has appeared in this port, and the health conditions of the port and surrounding territory are good. TABLE XIX.-STATEMENT OF QUININE ISSUED. Quinine sulphate (kilos). 31.00 Pounds avoirdupois. 68.34

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52 TABLE XX.-PERSONNEL REPORT. September, 1916.SeptemSepemer,196.1916. ber, 1915. Gold Silver Total Total Total emememem-, employees. ployees. ployees. ployees. ployees. Chief health officer 5 .5 5 4 Medical storehouse., .4 4 8 8 7 Quarantine division. 12 34 46 49 43 Health office, Panama .--. 11 148 159 163 174 Health office, Colon-Mount Hope. 9 157 166 184 187 Ancon Hospital. 123 242 365 375 334 Colon Hospital. 17 25 42 40 37 Santo Tomas Hospital. 6 .6 6 & Palo Seco Leper Asylum .2 35 -37 40 31 Zone sanitation-------------7 119 126 139 185 Hospital farm. 2 63 65 65 50 Dispensaries: Balboa. 5 3 8 8 6 Corozal. .4 Gamboo. 2 .2 2 1 Gatun. 2 2 4 4 4 Naos Island. ....I Paraiso. 2 2 4 4 4 Pedro Miguel. ..2 1 3 4 3 Total. 211 835 1,046 1,096 1,4030 *0 14 *+I

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UNIVERSITY OF FLORIDA 3 1262 08520 1175