Report of the Department of Health of the Panama Canal

REPOF

OF THE

DEPARTMENT
' . .
,...::~OR ;:.. -THE
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,.o

tT

3F HEALTH

* *-. .

CANAL

MONTH OF OCTOBER, 1916

.* "Ol

D. C. HOWARD
Lieut Colonel, Medical Corps, United States Army,
Chief Health Officer, Balboa Heights, Canal Zone

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WASHINGTON
1916

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CONTENTS.
Pages
Letter of transm ittal ............................................ ........... 5
General rem arks............................................................ 5
Vital statistic!
Healtn of employees .........--- ..-.................................... 5
H 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 H ospital......................................................... 8
Board of health laboratory.......................................... 8
Insane department...-------------------.............................------------------................. 8
Chronic ward--...--............................................... 8
Colon H ospital........................................................ 8
Palo Seco Leper Asylum................................................ 9
Santo Tomas Hospital.................................................. 9
District dispensaries ......... .......................................... 9
Sanitary division:
Canal Zone ................................................... ......... 9
' Panam a................................................................ 10
Colon.................................. ....... ....................... 11
Quarantine division:
Balboa-Panama .............................. ......................... 11
Colon-Cristobal......................................................... 11
Statistical tables:
Table I. Admissions, deaths, and noneffective rates for employees;
deaths of residents of Panama, Colon, and the Canal Zone... 12
II. Deaths by age, color, and sex .................................. 13
III. Deaths by nationality......................................... 14
IV. Deaths of white Americans.................................... 14
V. Causes of deaths of employees................................. 15
VI. Causes of deaths of civil population (employees and nonem-
ployees) and military and places where chargeable.......... 15
VII. Discharges and deaths in the hospitals of the Panama Canal... 18
VIII. Consolidated hospital report .................................. 28
IX. Consolidated dispensary and admission report................. 30
X. Employees: Constantly sibk and noneffective rates per 1,000... 31
XI. Employees: Days' treatment per admission, hospital and
quarters ................................. .................. 32
quartrs------------------------------------ 3
XII. Financial statement........................................... 32
XIII. Ancon Hospital......... ..................................... 33
XIV. Colon Hospital................................................ 39
XV. Palo Seco Leper Asylum.............. ..................... 40
XVI. Santo Tomas Hospital........ ............................. 40
XVII. Sanitary work done in the Canal Zone, Panama, and Colon.... 43
XVIII. Quarantine transactions ...................................... 45
XIX. Issues of quinine.............. ................................ 47
XX. Personnel report.............................................. 47

(3)

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to

LETTER OF TRANSMITTAL.

CANAL ZONE,
Balboa Heights, November 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 oper-
ations of the department of health for the month of October, 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.
The outbreak of diphtheria of a mild type, in the terminal cities,
which was noted in last month's report, has subsided. There
were no fatal cases.
No disease of a quarantinable nature originated on or was brought
to the Isthmus during the month.
VITAL STATISTICS.
The following statistics are based upon the number of names
appearing on the rolls for the preceding month, which was 33,272.
The total number of admissions to hospitals and quarters was
784, a rate of 282.76,1 as compared with 261.99 for the preceding
Month and 294.80 for the corresponding month of last year.
The total number of deaths from all causes was 19; of these 16
were from disease, giving a death rate of 5.77, as compared with 3.58
for the preceding month and 5.39 for the corresponding month of
last year.
The constantly noneffective rate was 8.16, as compared with
8.88 for the preceding month and 10.56 for the corresponding month
of last year.
The total admission rate for malaria, hospitals and quarters,
was 13.71, as compared with 13.95 for the preceding month and
34.11 for the month of October last year. The constantly non--
.effective rate for malaria was 0.50, as compared with 0.67 for last
month and 0.86 for the corresponding period of last year.
The diseases causing the highest admission rates hospital, in
the order of their numerical importance, were: (1) Venereal
diseases, (2) malaria, (3) influenza, (4) diseases of the eyes and
= 1 All morbidity and mortality rates are computed as equivalent annual per
1,000.
(5)

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'There were two admiions f4rt
giving an admission rate 'i2, th ie
month. There were 'no admijioioflo ty hoi.
^. .pre . .-.. .. ,... ..S , .: .,* .' .., :;: .
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The5 admission rateto hospital and the deatphr it
for black employees, -were 66.82 and 6.84", repitt
pared with 69.94 and.2,89 for last month ad 9_.g- a'
corresponding month of last -year.. For white employ1I
mission rate to hospital., d the death rate froni djiAe
and 5.29, respectively,..as compared .with 222.33 and.i
preceding month and 272,96 atS 2,57 for the correspoi
of last year.
The constantly noneffectig rates were 1510 'for whL
for' blacks. ,."
-The admission rate to hospitals and qu ters for::
7.93 for blacks and 47.40 for whites, as compared witfi
for.blacks and 26.47 for whites for last month, and J24.
and 95.28 for: whites for the corresponding month: of at
There was one death among American employeesi`
month, giving a rate of 2.85, as compared with 5.73 fori
and 5.74 for the month of October last year. ..
; The admission rate to hospitals for disease was 319.: I
cans, as compared with 180.34 for last mdnth'and 21V
corresponding month of last year. .
DEPORTATIONS.

There was one deportation accomplished during tl
a colored employee,. offering m plmoary pbe
. " . "* ' : : : "
S. *. CANAL ZONE : .:.
S .EMPxlOYE.ES AND: Nom iL n

The population of the anial Zone,. according t&,il
census, taken ini une, 1916, isfl ,04q T imi.
'nonemployees, .dn military ga isos reMdin
the Canal Zone limit. Amog thisi
deaths during the monc t of Octobh 25 6~irfiiWe.
giving a death rate ri efas compared .with 1i8M
Smooth and 13.10 for the eponng moth
Of ethe ttotadeaths fr ee,
age was :2,'a2 compared.witk r lipj
Th.er. e we re: .. tt,
wer.ew.ite O.. .....
o~Te e. C.:.:.:.:"

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PANAMA CITY.

EMPLOYEES AND NONEMPLOYEES.

The population of the city is 60,778, among whom there were 156
deaths during the month of October; of these, 150 deaths were
from disease, giving a rate of 29.62, as compared with 30.01 for the
preceding month and 26.93 for the corresponding month of last
year. .
Of the total deaths from disease the percentage under 5 years of
age was 47, as against 51 for last month.
The principal causes of death, as compared with last month,were
as follows:

Septem- October.
ber.

STuberculosis (various organs) .......... ....................... 25 31
Diarrhea and enteritis (under 2 years)...................... 24 26
Brocho-pneumonia ........................................ 19 16

There were 211 births reported, giving a rate of 41.66. There
were 54 deaths under 1 year of age, giving an infant mortality rate,
based on the number of births reported for the month, of 256.
The percentage of stillbirths to total births was 10.

COLON.

EMPLOYEES AND NONEMPLOYEES.

The population of the city is 24,693, among whom there were 64
deaths during the month of October; of these, 62 deaths were from
disease, giving a rate of 30.13, as compared with 31.10 for the pre-
ceding month and 22.91 for the corresponding month of last year.
Of the total deaths from disease the percentage under 5 years of
age was 43, as compared with 48 for the preceding month.
The principal causes of death, as compared with last month, were
as follows:

Se tem- October.
Ter.

Broncho-pneumonia..................................... 15 12
Tuberculosis (various organs)........................... 8 10
Organic diseases of the heart............ ............. 4 7

There were 54 births reported, giving a rate of 25.83. There
were 20 deaths under 1 year of age, giving an infant mortality
rate, based on the number of births reported for the month, of 370.
The percentage of stillbirths to total births was 11.

.ThI.S.ttauatuee oa wnnael owu wattia:g
.T Fifty-two -ases ma-laria: etodi..,
-j Septeiibr,142 for git ; an. 1 43 dr July ....
SSeptaem.b:r.. Opfugo"
Si.ive .deaths deciried fr om tuberculois, o
-.-- '.. ". : _: .: . ..--.." ,:, .,*.. : i.:.
There were four deAtmjfromipneumonia, aa
Sthe precedingmonthi.., ..
D eta.iled statistic ae f:wt in1 ae XIII.
Board of health laboratory.-urig he moth
. outside of roiine as follows, ws performed a t
S The study of the methods of mbdifyM g petroleum
laricidal value has been continued ..
It has been found thatby a poceusrof idaakiJgJ
properties of the c.ude il may be o hanged s
Increase it efficiency in the destruActio of tlffi
This process maybe carriedotzi byeveral dMji
it wil be the object of further: study to dite~aineu M
the most effective and whether or not ij thi mtho
applied eonwdicaly Cai a large scale. :-
a number of patients contatly cared ot was S ,i
f' 3rtei ispitcd.ngD
01 Ofottprece4jg uitb 'm f4r thab.
of lst year. ... .. :
tan i tz rr... a..yet. ...; .
.Detail"ed.tatiS~tici T4..RO ..
Yhvonic taarj.-Duriug the hnti w
deaths, and 3 discihargei The 1aor
berw 4 -.. .'a -~ IP .M..
S. ... ....

.:tlq ed iv e ja r .he Ai# e t *a

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9

PALO SECO LEPER ASYLUM.

SThe average number of patients constantly cared for during the
month was 67.67, as compared with 69.30 for the preceding month
and 57 for the corresponding month of last year. During October
there were no admissions or discharges; 4 deaths occurred among the
patients of the institution.
The daily per capital cost per patient for September was $1, gross.
Construction work has been continued oq the new ward buildings.
The first building is now completed and work on the second is in
progress.
Detailed statistics are shown in Table XV.
SANTO TOMAS HOSPITAL.

One thousand four hundred and fourteen patients were treated
in the hospital during the month of October, as compared with
1,382 for the preceding month and 1,359 for the corresponding
period of last year. The daily average number of patients treated
was 440, as compared with 447 for the preceding month and 468 for
the month of October last year. The total number of days' treat-
rient was 13,657, as compared with 13,418 for the last month.
The number of deaths was 89, with tuberculosis of the lungs,
congenital debility, and Bright's disease the chief causes, in the
order named.
Thirteen cases of Dysentery were treated with 1 death, and 7
cases of pneumonia with 2 deaths. No typhoid cases were treated
during the month.
The Panama Government has authorized the construction of
an additional hospital ward for tuberculosis patients, for which
plans are now being prepared. This will relieve, in part, unsatis-
factory conditions as to overcrowding and mingling of tubercular
patients with other patients in general wards. Additional quarters
aMso will be constructed for the medical staff,and the building now
occupied by doctors will be remodeled and used for isolation cases.
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 0.175. No
malarial-cases among employees were reported from either the
Paraiso or Culebra-Empire districts during the month.
Detailed statistics are shown in Table IX.

SANITATION.

CANAL ZONE.
October has been a month of unusually heavy rainfall through-
out the Isthmus, the total rainfall on the Pacific side having already
. exceeded the yearly average. The heavy and frequent rains, by
Sflushig out the streams and drainage systems, have practically
S- .70355-16---2

* 'I A*

S 'hydraulic fills aie belii ataide west oti ch w1'
SC diranch of ththana
c ominceworon filing te

detairtnit is bearing a pat of thexpeuiee of the
Mfntioa was'.intide; in-lasft month'e report or: the'(p
. nuniber of cases- of deguea at the military P.st~~
of tje canal, werei tKe prevailing 'opquto is the $r
the qaestia arose i top whether thie wnsonia tnnt
Limited -iumbeeLrsi this area, andit isitherefore pdsiti

he following cntagious and in fectiou diee
During the moiith: t -
hikepor. ..... ..., 5 Malaria.........
Disrrhi &a ..-.. ab r...-.it ... 2- Me aslaMs .. -. "'
Dipht"ifn a... -... .. ; .,..-....~ t 5 Vn oeum a -i.. : .t..
-. u' .. t. .. ..,..... 1 Tthberc- asia .
S the Sinning o th ie tjele or aieaiii
.thea rming from eptiteerembeir 0M
haie ben -dine caseE e oited. . ..

..baciHu .iriers w .er discoveredd ,d .aA I
dem anm ed. .ibm one duseho ir.. Tq deIa. h..;.C
S. StrEt ilte:nei n h I itiihei

." ..2.. . .-, . ;.. . . . :.
:":# ses t i. a.. A ." crep.o
t;o l.:y io ae. deCi' tie t*) dit C9a
to 7,sqi-ate
rhe inc of den-i 4 w
montht, .Stt ,

Ancon flo6pita4-IeP -
.a nnt- .. ... ..

" .. thf1 ,7 5 .

a l. lto eii, w 191e ..-
a . *. .
L.a "ea. .emro... m..o ne.ho hi, t ': ed

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11

There are now 31 buildings in the course of erection. During
SOctober 103 permits were granted. Six buildings were condemned
and three buildings were demolished on sanitary grounds.
The registration of midwives is proceeding slowly. To date 10
have reported, been found qualified, and awarded -certificates.
SThis high percentage among applicants thus far is explicable by
their all having had experience over variable lengths of time.
Several of them, indeed, have had hospital training in this subject.
-Our lists show 26 yet to be examined.
The following contagious and infectious diseases were reported
during the month:
Beriberi......................... ... 3 Measles ........... .. ............. 7
Cbickenpox........................ 5 Mumps............................ 1
Diphtheria........... ..... ..... 7 Pellagra............................ 1
,Dilhtheria carriers................. 2 Pneumonia-.....- .........-....... 8
Dysentery......................... 9 Tuberculosis..................... 26
SLeprosy.........-.................. I Typhoid fever.................... 2
Malaria............................ 10

COLON.

The following contagious and infectious diseases were reported
S during the month:
Chickenpors....................... 3 Malaria....-- .......-......... ..... 20
Diphtheria......................... 1 Pneumonia........................ 3
Dysentery -........................ 2 Tuberculosis......-....--.........-. 4

QUARANTINE SERVICE.

The quarantine situation along the west coast of South America
Remains practically unaltered. We have had no reports of cases
of yellow fever at Buenaventura, Colombia, for the past two
months. Advices from Guayaquil, Ecuador, indicate moderate
increase in cases and deaths in both plague and yellow fever.
This is the beginning of the rainy season in that district, however,
and the usual seasonal increase may be expected.
On the-Atlantic side the usual careful precautions were taken
with regard to arrivals from New York with reference to poli-
omyelitis. Eighteen suspects were detained for observation during
the month.
.During the month referred to yellow fever was officially reported
at Barbados and Martinique. Ships 'from either of these islands
rarely reach the Isthmus under six days.
S One shipmaster was convicted and fined for violation of quar-
Santine regulations.
Supervision was maintained over meat inspection at the Cristo-
bal abbatoir. Condemnations were mainly on account of bruises
i. .in cattle recently received from Colombia.
No cases of anthrax were reported- during the month.

I* ".: . .
T.

404

... .e. ......
"SOL4.O

October, 1916.,

White-....................
r Colored..................

Total ................

September, 1916.

White ...........- .........
Colored- ..........-

Total-.
Totsl................

October, 1915.

White ......... .......
( Colored_..-.. ..-........

Total...............

.;s.

P-"1

P
0

4 538
2,734

33,272

Admissions to
hospitals,-":

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e
U)

296.

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rig
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tig
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4
15

4,534 100 84 16 4 3
28,994 251 169 82 7

33,528 351.. -253 98 13 10

4,660 126 106 20 3 1
28,759 318 231 81 17 -14

33,419 444 337 107 20 15
. : "*

sPROoEtiDNATE IfUMBnEaS.

October, 1916.

White.. ..... .......
Colored.. ........ -......

Total'
*--------;-
September, 1916.
" White.-..'..... .:.... -
Colored..............

Total. .- ,...... ..

OcaOdby, i15.

4,5388
28,734
!.7

399.29
102.32

359 63
66.82

39. 66
35.50

A.'
10.58
6.216

5. 2
5841^

33A,27214282110.761 3&L06 6.85I

28,994

264.62
10%.88

22.33
69.94

" l-i

10.59
3.72

33,528125..631 90..:55 35.08 65 5

'- 1

white........ 72
Colored... ....... 36.3

**:.:-Total'. 4.15 .4 1 Ii._ ,...... .. .. 1 4 0

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-TABLE I.-DEATHS OF RESIDENTS OF THE CITIES OF PANAMA,
COLON, AND THE CANAL ZONE-Continued.

Place.

October, 1916.
Panama..........
Colon..............
Canal Zone.........
Total........
September, 1916.
Panama...........
Colon............
Canal Zone.........
Total.......
October, 1915.
Panama..........
Colon...............
Canal Zone.........
Total ....."..

Popula-
tion.

Deaths.

Total.

60,77'8 156
24,693 64
31,048 28
116,519 248

60,778
24,693
31,048

Dis- External
ease. causes.

150 6
62 2
25 3
237 11

Annual average per
1,000.

Total.

30.80
31.10
10.82
25.54

31.59
32.56
13.14

Dis- External
ease. causes.

29.62
30.13
9.66
24.41

30.01
31.10
10.82

1.18
.97
1.62
1.13

1.58
1.46
2.32

116,519 261 244 17 26.88 25.13 1.75

60,373 143 135 8 28.42 26.83 1.59
29,331 58 56 2 23.73 22.91 .82
30, 219 39 33 6 15.48 13.10 2.38

119,923

24.01

22.41

1.60

TABLE II.-DEATHS BY AGE, COLOR, AND SEX.

White. Colored. Yellow. Total.

Srii
.

S [ E-4 E 44 E- r-' E r

Under year............... 9 1 10 38 31 69 .... 1 1 47 33 80
lto4years................ 1 2 3 17 9 26 .... ........ 18 11 29
5 to 10 years.............. ............ 2 2 4 ........ .... 2 2 4
11 to 20 years.............. .... 1 1 3 8 11 .... .., .... 3 9 12
21to 30years......... .... 4 .... 4 18 15 33 .... ........ 22 15 37
31 to 40 years............... 3 3 6 18 10 28 3 ...'* 3 24 13 37
41to 50 years............. 5 1 6 9 5 14 3 .... 3 17 6 23
51 to 60 years.............. 2 1 3 10 5 15 ........... 12 6 18
61 to 70years......... I .... 1 .... 1 1 .... 1 ............ 2 .... 2
71to80 years............... .... .... .... 1 2 3 .... .... ..... 1 2 3
81 to 90 years.................... ... ..... ...1 .... 1 1 .... 1
91 to 100years.... .......... ......... .... 1 1.... .... .... .... 1
Not stated.,................ ............. 1 1 ............ 1 .... 1
Total................ 25 9 34 119 87 206 7 1 8 151 97 248
%:
L ft

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SBara ..-ds.
O.i,..l .. ..
::: -AChnle--.. ......

Colombia.....
Costa Rica....-...
S ubai.... .....-'
Detierara......
Senador.......
A, .rance.. ... ..
Greee..........
Grenad-........
-. -. Guadeloupe....
Guatemsasla. --'
India ........h
Stay. ..-......--
Ja.i. "al ,:.. ...-
Martinique-..x.w.
Mentserrat.....
NeWis.... ......
r Nassau-.........
,. "" Panama.......
Portu al...:.....
St. lueia. ....
St..Vincent,. 1.:-.
pai ..........
TnFiidad.-.-----
nited States-..
Unhkmo .......

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rTABI.E V." -DEATH RATE AMONG AMIRIdANSJ tv
T" CONNECTED WITH THE PA'NAMA .' cr A.
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.j:White wronmen and children front heted Staies (@75h )
?Dsseaae.. ,.i... - t..------------C.--- -y-j-i-l
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a

15.

PABLm V.-CAUBES OF DEATHS OF EMPLOYEES OF THE PANAMA
CANAL AND PANAMA RAILROAD CO.

Disease. I

Estivo-autumnal malaria........................
Hodgkin's disease...............................
Tuberculosis of the lungs.......................
Disseminated tuberculosis........................
Rupture of the aorta..............................
Aortic insufficiency..............................
Organic disease of the heart.................
Chronic nephritis................................
General peritonitis...............................
Lobar pneumonia...... .......................

External causes.

Railroad traumatism, accidental................
Traumatism by other crushings, accidental......

Total ............ ............... .....

White.

........ ..

..........

1

2
.--.-------

Colored.

1
1

2
1

4
1
2

Total.

1
1
1
2
1
1
1
4
1
-3

2
1

TABLE VI.-CAUSES OF DEATHS OF CIVIL POPULATION (EMPLOY-
EES AND NONEMPLOYEES) AND MILITARY, AND PLACES WHERE
CHARGEABLE.

P ..
a".

STyphoid fei
SMalarial fev
Whooping c
Pelagra....

Beriberi....
Tubereulosi
Acute milia
Tuberculosi
: Abdominal
: Disseminat
Byphilis, tel
Syphilis, he
I. Syphilis, pe
Cianer and
S. buccal ca
S "Cancer and
stomach
SCancer and
Speritoneu
Canepr and
othlr orgE
.: Scurvy.....
SHodkm 's d
Alcoholism

"L.. : ..
i .
I : ". E
L :q:: :

Disease.

General diseases.

er............................
er, estivo-autumnal ..........
er, clinical....................
ough.......................
..............................

is of the lungs ...............
ry tuberculosis...............
s meningitis ..................
tuberculosis...... ...........
ed-tuberculosis .............
rtiary........................
ireditary.....--................
riod not stated..............
other malignant tumors of the
vity..........................
other malignant tumors of the
md liver ....................
other malignant tumors of the
m, intestines, rectum........
I other malignant tumors of
ans and of organs not specified.
............................ ....... .
isease......................
.acute.......................

Pana-
ma.

SS

P4r_

Canal
Zone.

Total.

S

S a,
03 (
r (

Colon.

5 4
1i
.... .....
2 ....

... .

1....
"... ....

... '..'.'.

0

3
2

1
3

35
2
1
1

2

1
1

1
1

1
2
1
'1

1

*2
1
1
1

TABLE VI."-p3AUiBSBS OUr J)J JATliH UMr 'a-VMLL rNiablA' 'KU 1
EEBt AD .14BNEMPLOYEES)7A D hUIT' &ARWA1AWtL
CHARGEABtL-Continuedi, .. -
.. , ...... ..... ... .*** . *.." **'_., -- .. *' ........ *:*,J.. '. Si

.orga* P pec

-Epil .. D...i ........... ... ....

cute enocard ............. 2
O diseases of th. t ...- 4

Diseases of the oust system -ad of the
"- organs .of special sense.

Pneumococcps menigi......... ...... ..... 1
their diseases of th spinal cord..........
Cerebral hemorrhage,,apoplexy. --.....-., 1
'Epilepsy..- .:........................ 1
Diseases of the circulatory system.

Acute endbcarditis--.-..-........... 2
Organic diseases of tbhe heat........... .- 4
Diseases of the .arteries, atheroma,
aneurysm, etc 1.... .................

Arnb-neuryom--- ---------------------19
SAneury pno............-----..-..-........-------------
PleArteriorsclerosis .... ............... ......... 1.
Embolism and thrombosis.........................
Hemorrhage,_other diseases of the circu-
latory system........................ 1
Diseases of the diespiratoy system.
Acute bronchitis--.......--............
Chronic bronchitis (u--nde------2 ) .....
Bronchpneumonia...................... 9
Pneum oia (unqualified)...-......... 1
Lobar pnemnonia..-.--................. I
Pleurisy-.----.-------------./.--- 1
SEmpyema......... .......-.. .; ........
Asthmaoles ..-- ....---...-.................. 1
D diseases of the digesti ve system.
Acute ndigesion-----...------.............
S Diarrhba and enteritis underi years) .. .
Ankylostomiasis........-..............-
Hernia, intestinal obstructions.. -......--. 2
Cirrhosistof-he liver-h.....v...ie........ 1
ADbscess of liver (unqualified) U... rt.e-.
Cholecystitis.-.. ......-.. ...... : 1
Simple peritonitis (nonpuerperai).. 1...... '
.Other-diseases of the digtive system
(cancer and tuberculosis excepted)m.... 1
Nonmnerea diseases of the geito-nary
Co ge italdebility nji ne. .in e
SAcute nepritis -...--...-...- ------- 3
right's disease (chronic nepitis).. .i 5W
S Pelo-nephrbsis ..... 1
SStricture of-the urethra;,nonvemivreail.-.
diseases oftheaeMS asdufhclHttlisine.
f ycetom ----.... ...... ..- -, .. :.
other diseases of their skinm and n .

SConeniitaldgblaityit .s, an e ol ng. j.-

::: :: O t;hr:;.d :iseasespizar t

..... ..

...... .. .
.. "
" :. :: .'i ,....: " ": . ..: :'' ': 'E. :.:'" .: : : :'
.:,.. ', .,'. "..' '. ,,. .. . ,r ,'. ., ,..:.. ,, ,.' ... ; iij

olan.
O IL.

.
I .

.II

2 1
n.

-1
---A
'a

4.)
~**11
..," ^

-- -r
i

9^ 4
-4a-. .*-'; .*,
--

i &...- .1

*:;;. ^

-: ;' *: .;
; 3

;sr

1
I
1'

I-
'1'

-'':
...

r
1.

. '

S*1^
-1.

L.**..
'-;?""
i **l,

; :" ,,:::, ,,

?

^

'

S. ..TABLE

EES
CHA

: ,

.. Senilit

Affe

: Conflaa
SAcelde
Traum
:. Traum
S.tailro
Railro
Homic
Homic

Cause
rj
i,".... f
Stillbir

.

SJRe

1.-
Bocas

I'' terio
SDo
Coloml
S Interior

:' Do
....., Y .- D o

17

VI.-CAUSES OF DEATHS OF CIVIL POPULATION (EMPLOY-
AND NONEMPLOYEES) AND MILITARY, AND PLACES WHERE
RiGEABLE-Continued.

Disease.

Old age.
y-------...........---- .............
actions produced by external causes.

ration ........... .............
ntal drowning... ................
atism by fall......~....-.-....--
atism-by other cnshings (vehicles,
ads, etc.).............- ...........
td traumatism....................
ide by firearms...................
ide by other means.--..--..........

Ill-defined diseases.

)f death not specified or ill-defined.

total...................-......----
ths ......................-------.

irand total......................

Pana-
ma.

a

Colon.

Canal
Zone.

Total.

I I I--1- 1 1.-1 1 -

2 1...

1

1

97
9

106

o

2

1
2
2
2

3

248
30

278

DEATHS OF NONRESIDENTS, OCTOBER, 1916.

3sidence.

lel Toro.....

r of Panama.
.............
ia .........
r of Panama.

Nationality.

Panama.....

Jamaica...
Panama....
Colombia ....
-..-.do.......

Color.

Black...

...do...
...do.....
...do....
.--do....

............. Panama.... -...do-..-.
---------..... ....I.....do.........do.....

S";"" Do............
Do..........

' : U. S. Charleston.

Interior of Panama.

Do............
Do ...........

... sailor).

,t ; 70355-16-

Jamaica....-- ...do-....
Spain....... White..-

United
States.

Jamaica.....

Panama ....
.....do ......

.....do.......

Sex.

Male....

...do.....
...do.....
Female .
Male_...

Female .
Male....

...do.....
...do.....

-..do..... ...do.....

Black... ...do.....

...do..... ...do.....
- -do..... ...do.....

...do..... ...do.....

Age.

Diagnosis.

Pulmonary tuber-
culosis.
Do.
Do.
Chronic nephritis.
Septicemia caused
by cystitis.
Measles.
Pulmonary tuber-
culosis.
Arteriosclerosis.
Hemoglo b i n u r ic
fever.
Accidental fracture
of skull caused
by explosion of
gasoline vapor.
Pulmonary tuber-
culosis.
Acute nephritis.
Estivo-autu m n a 1
malaria.
Lobar pneumonia.

-s

.: ,, : :* *- .2..-:..:^
,,:. -. :. ..... *. .:... .. :. ... .... ,.^.... A : ....., ;. .-.< *:...,.,.

. ,
. ..:: " ''.. .... .- ... .. ..... ". .. ....- : -., ... .. .
S .. .:.. :.:. .. :,* .: ... :.. "

.T "': ""* -'. ." .A :. "'>*,: .. :: .. S.. .:.: : ,

: ." : l :;' - *:: .. .o.' .. . :." : *; .. : : .. .. '-. :.
" ;" ". : ...' "' : "" o:: " .. : . :";
.. i. .. :. ,,.
:.: Lif '' : i .
.....:.. .,(

,:: ... .. .. :; :... 'i... '~r. l~i -

..
,!; ... ": .. ;. ~. ., " "

,:.. : . .

,.: 1 . .... .. :

-4"'
widta"'"'

i:a PfBiie~; i
.5-

M.JliY

-:, f- :r - .. .W .
General diseases.:
::. "" : ' ": *'*'" '..- *

ITyphoid er... ... -
S- Malarial fever, estivan

,: Malariallfever, tiRtion.-- 1...
Maariaetiever; quartan..- ...-
M' alaial fever, unt.ter-
S mined,..... ........--- ---
Malarial fever, clinic. ----
Mesl -----.------ -------------
it ......... ... ....

D.engp...a -... ... ... .
Chicd- pox.... .....

..* .Pei. agra.-. ..... ...... .

oi nts.. l. -
.Tbereulsis of the y ....
Tabe.cglojsy tiungit-a.---
-iease.. -- .
Tuberculosis of bnes aoid
. ijoints.-.... ..... .... .... ..

:. TilBeliass the ry p ,

. .. R .. ... .
y i hrq.o it:ans ryi -"-""t ...
S isseatedtberc oer.l sisd

ii ry... -,-.... :

Osnert and Otia"iryh$.... --
S. ... ;,....- -- ,- -

.. .A. 1

k:. ....., :: .
a. O#i- f T'

*'...* *

1

----

,--2.-

S :.

. i

-is---

I-*-X,:
..-, c
-"^

;***( *** *

"aw
. '...

---- 4-
.., L I

-.. -. 4

I
4 ... "*- h

... -- -- .- ,

5
1

r-
*4:-- 2',:

1 .. ...*

44;
- -.- 1
.,~. -.3

-'-" .-..,

;
-.- ;.. 1 .:
'* ..n .. .,....

*1 :

I
-'-,: -*.i. ---a
*- *i . *:f
1, --"*?: J*
.-*--- *--*" 9..
S.:..!. ... : . :,

-.-- '. w .... 4at
...,. '.. 11 :: -:

;..-;
-'
...;s c

;N:: " ".-. ".1 : .?t

< 1<%.:iii::. .::. :i ii
i.. i-. ..- . .. ... .. .. . .. .. " '
It 7C I

rl;: ~~~i:. L7~ 5_;*I

". "... "" "' .A

,inmsr1

I L

....

;i
"- ;'s ." :

.r~'
.*. */^
*m
-ril?

C gN
. -

iml

...

** !
.;.* -a

R. *

a

a--? --;
-id. q

.-*-- ,...

I--- -,-

....V

*- i

:-;*- --.

^
11

*.:..* *

-.- 0
. :i .
.., .. .1.

-^
l .t -..;

.*:;:: :.. i-1

- p *

.. ,"
"[-- .

i .-

I

.: :... '
, . .. ......
4. "

V.

- 0]

t
** .

F..
Ii

Ei:
I/".
SI;,:-

19

F THE PANAMA CANAL FOR OCTOBER, 1916.

Nonemployees.

Discharges.

White..

Sl Others.
rIrs.]

4 1 .
3-.-. ..

- .4--

22

3

2
8
1

ii"

1
I @ W
r'i': ,

Black.

.... I -- I ---- 1-4-

Deaths.

White.

dus- Others.
d'rs

Nonresidents.

Dischargs. I Deaths.

Black. I White.IBlack. WhitelBlack.

M. F. M. F.

F.IF. M. F. M. F. M. F.

...I ...

2 3
2 ...
7 ...
12 ...
21i 3
1 ...
5 i...
28 ...

2 1

I '

i

.... I .... .. .... ....
.... .... .... .... ..--

.i.. .... .... .... .... ....
1 .... .... .... .... ....

... Ed ...

. .. T* ....... ^ .

is~"

.'-" ." ". _'A ,: ^i

.7.
", .. -. . ':" .: . .'. .. ;.. .
*:- " ^" '', *. "7 "..'* -: ''?

-- ^is a e .^ ":; .":.:
.'"' -" "

, ,

Diseases of h ,enevous 8sys-
te and of the organs of
special sense.

Pneumococcus meningitis.-
Patalysis withoitrspecified
cause;.--.. -------~. ---
Other forms oftmental alien-
ation...... ....... ..
*Dementia pecox:. ..-----.
Epilepsy-. ...-..... .....
Hystenia....... .........
-, Neualgia... -,....;,.
Neuritisu.-.~- -- .....
Other diseases ofthe-nerv-
oussystem ... *. -...
Neurasthenias .. : - .
Diseases of the eyes 'and
their aznexa, ..... ...-
Diseaseaes ofhe ears.... --

Diseases Qftrrualator

Organi. e diseases of- the
.. .: 'heart:-.:- ..._ ... -.....-. -..

Diseases ofthearteries; ath-
er .m an6~srysm, ett.:-., :
IDiseaiss of the vsms (vsr-
i ces, -hfi orrhoids, pble-
bitis etc.). .-
Hemorrhni.ds,---------.-
Diseases'c% th lyampatic
5 ... :system .: (t nrip n i

S.ete:.); .. im .?_i...i:-'..,;
Lymphailetis e-
.. .... ,... .. : :

r a ...

; :. . ; .a .t.. -
A e u Ri t.v:..ta" ..-., .

;: i. : :t:.. .... L

!2:k" .

7 m. ". 4 .9, . r v : 7 -m':.:::' .

....:., .

-b
li's-n ~

Amei- Euro-h
cans, peas.

Z

'IIs

..
7i

J-J
7....
.;.s '--.

:. '*?
*! ; . :*

:.d&
;...- : *:*!;,

1

-S.

.1.

iis

: ........

"No
Ig
t

~--A---
.ia-.; ..

4..:L A1-
''^

--,X ?-

,'. .>:.. ' wi
* =* '- 4,

S..
:.: . ^l~
*--:;.?:ig
^*i;a

iff
-**V1:i

L.

LI

-

.L

*:: L.: ..
..i"
L : ",;.\ ,::w ***.,

r
1

21

OF THE PANAMA CANAL FOR OCTOBER, 1916-Continued.

Nonemployees.

Discharges.

W.-

B.
So- Others.
d'rs.

. M. F. M. F.

. 1

1

5i

6
7

1

1 ....
6 ....

1 ....

i' :....

Deaths.

W.

Sol-
Or others.
d'rsj

M.M. F.

"i: .... .:!: l..I......

B.

M. F.

Nonresidents.

Discharges.

M. F.

M. F.

Deaths.

W. IB.

M. F.

M. F.

1 -....-.... ...-...-...-...-...-...

16 i...

2 I...

a... .

. ,.

hi
:i: :'<'!i:... : : ..

i~l::::l::::

diseases.
7:
:.. "/- .......- "' ".

. ..

S Diseases of the digestive
system.

Diseases of the teeth and
gums.... -.....-----.-........--
Diseases of the pliarynx. ..
Pharyfigitis ---..............
Follicular tonsillitis..... -.:
Ulcer of the stomach....- ..
SOther diseases of the stom-
Sach (cancer excepted)....
Acute gastritis.............
Chronic gastritis.....-.....
SAcute indigestion .... ....
Diarrhea and- enteritis
(under two years) ......-
Colitis"..,........... ;......
Ankylostomlasis,..........
Intestinal parasits.........
Aseariasis......... ....-..
Route appendicitis...... .
Inguinal.hernia.............-
Otter hernias....- .. .......
Obher diseases of the ihtes-
tines..,.................-..
Constipation ---..... .....
Duodenal ilcer............
Oirrhosis of the lfver. ....
Other.diseyses the liverA.
Absceess ofliver (unquNali
Sfied)......... ..... ....

]c i .- ...
ODr--N e we ealiseuef I the
a.. i-w.i.iy "stem ad,.
S Bri.p-...disease ...(hroic.... .

.Unli of q- i fn i-r.-- --
OQtherdisqases ofthe kida-
,. :......., .:,...Pyelo-uib.t. ii iS-:. -^ ..^.;L.;
.*::;. ; !:". :.." : ....; "; - ;,'I .
4'i issse eetv
KI: *fjA$~* L
tti;cbflA

] .". .: .,. :' t .....,: .:r ..." :: :'; :
,n -."..

". :

W te,:

Amed-. Euio-
cans./ peafts

Black.

' ?;: '::

.- Ii -

cans.

" ] -- I . c.-' i

FN

...

III
:... .i
*.*.. ^i.;
-...; -*

-... : . j
..-.-^ ,,:,
*d. -s-.
I

r,
.r -
S.. 1*.'

,.
* .

'Ha
*.' '
** r- *'- S

*i:i. K""B
;!..<*- < ir a
r.***i.:- ~ ,
"*-* giig
:**ril~

... ..
-.-."- ".-
. ....

.
'*"*
"r ^
-.^ *! )..*.
:\ : '

.i .:~.-. .-i:8|.
.-. ..;
.."'*: ^ ..
*' I.-:; :i;"

.'

: ..:

". ..: ...
`:'..:^.-
:: .;' ;:;.
.S-;.: !-.

li;Ll' :''!'*

Y

r

--.
--
-
~~-
-- -

..~ .

r.
*;-.~

m .'. ." .I: '

i. '. .- "

-4

c"

23

HE PANAMA CANAL FOR OCTOBER, 1916-Continued.

Nonemployees.

Nonresidents.

Discharges. Deaths. Discharges. Deaths.

mW. .W.

Sol- Others.
d'rs.

Isl Others.

B. IW. B.

M.. IF. M. IF. M. M. F. M.jF. JF. MF. MM. F.

.'... .... "1
.... .... 1

M. F.

1 -....I........ ... ......--1..-I.---.....---

1 ...
'I T...."..

1 ....

.... .. ...

2...
2 ...

.. i

I;
i. r

,-.
,.
m:_

.i.- '

.. ... ... ... ...

. .. ... ...
.. . ... ...

'. .. ... :'.; * ' .: :. : ; :.
::9;

.'*""*- ; Diseases. a *:
. . .: .
. '. ':. . :i ." .- ,' .." .

--9.

Noneunerel diseases oft he
g yeno-untnar y-t em..ad
uwuezs-Gatitnued.s

Nonveereal diseases of the
male genital oargs. ......

Uterife tumar. .(noann-

Sdiseases of the uterus.
.Metri is-..-..... iS ..
S .lpingtis adI other dis
eases of the female gental
organs ......... --..--,

Normal labo......-- ....
Aceidenftipregnangy.,...
Extraaiterine preiany.....
flgypwmenhsisgravadarm.. -
Ab....an...... .a. ..

Prierpereal diseases of the'
breast-...........---------

SDiseasesm of tie scin af d f the

.,r *

urin e. i. i .. ,. '
Sarbtnel ... .
Ac de.a.bs." ,.a.m ,...,...:.
Pb. .gme --am --el. tis..--.. -
Bilc: ..i..... :..:.:.

UtOer of th lski.. -.

S...i... ..:.: ..... ....
.. anda... mra, -- n- ,.,

d" . "..m'". '',

:1 Djisneasof the bawai Ctst
'":^,; e" r..... ig.l j!tk,.
: :... ..P. .. .. .
... ...&.M :: ..., ,.,..,

.....: ...*. .......,:?

.-.. .

.^ ; .-.. ... .. 3.E .

Ame.- Eoiw
cans. po s. .1

-.. - ---
I .

1
....^ 1 .:

:, 3 ..... .

2 :.
A' I
... '
"* Y 'L''"I
-*--i 1
S- : -.

,:1,: .- -

-- -f- j.fl

PA. w .
* 3 ai

. . .. ...
.... ,

fi.,A ; bo
. *'..

W*-- 6,-r -

4.
.
.. *'e -r*:>

04W
*I I a

.

- .- ii
fcg

" 1 'E ."

;

25

0. THE PANAMA CANAL FOR OCTOBER, 1916-Continued.

.- k 1

S: f
"N;i .
t;;I.
4;;....

4' ; ~

I;,

3<;~t

w *.

SNonemployees.

Discharges.

W:

o-thers.
ds. F.

. M. IF.

2

.4

8 1

B.

M. IF.

Deaths.

So'I Others.

Nonresidents.

Discharges.

Deaths.

W. I B.

MIM. I F. M. F. I M. IF. M. F. M. F. M.F.

6 I.... .... ........ .. ...
6 -... .... .... .... --. .---

6 ---. .- .--- --- --- --- ...-. --. .

.... l .... .... .... ....

1111..

2 ...
2 ...

~r1

,.. ... '- :. s --. ;.:... ...^

" , .. rl *: .. .
. ." .. . :. .. ',o ". -. *'

", Diseaes.e s

p ..*
Si
,,* ft,

arMazformations.

Congenital malformations
stillbirth not included)..

Diansea of e4aryi isfaMy.

Newborn child.. .........
Congenital debility, icterus,
and sclerema...-.........
Prematur birth...........

SAf'ections wroducetdy eI
: ternl causes.

Poisoning ood..........
Other acut pi soi n.. ...
Venomous bites and stings...
Snake bites.................
Burns (conflagratio ex-
Septed)...-........... .... .
T- raumatism by fireans.....
T raumtsmn'by cutting f or.
piercing instruments....
TraunatiIs by fall.........
Traumatishi n mines and
S quarries.. ....... ... ...
Tm, mr atism by nacines;. .
Traumatism by other cesrh-.
ings (vehicles, railroads,;
l "": landslides, etc.)...J..........
Fractures (cause.not speci-
I.ed ).... ;.-........ ....
Dislaon ..s... ..,-. .
8p ,ji5 .... .... . ......,, .
Oth epras.,., -

.... .. ..

.: . ..' .... ... *. M .
",. .: .i.;. ..'._, .,. " *"3:F : '."
..: . .. *. ...

......S iji. ....... ............. ....
. : ....:. .: .....

* V u rJ
*1 .. *. ;

IS'
.* "..,... .;** .; ; . :' ;:. "

." .. . .
** .... .*

I' . ". '

** '' y -
"- .. ,,,'

" .' ".

,. ,'./ ..
'. :

ack

M:F. IF. M. T.

\.,R, '.1 v:; 1;;' l

..:..i. .: i

"'

i '
'I~

-II'
~II
II-

.... '-

.... '.i:

--.
,.-.,.-s-

-*--- -*-*1
i.-r'... p..

*hn'- -'"i;
I .: *
I .* .: '". ,

.-*^^

.,..^

.-.. .i
.. ::. .-i

'' I':IIwI

A .en- .Tro-
cans. penS..
.. ... % ':

5.

-I------ I I I I I_" I

A
f
'*

J
: il;

I
s
.-;
::'
a

f r. ".
....... .. ... .

.... ,,
... ..

OBF THI

itD

.".. .

2I
. Dis

if'; ----4

----
IW.

.'.. '
S..' .

1" 4 4
1 .
i.... .
i:: , 2 1

27

SPANAMA CANAL FOR OCTOBER, 1916-Continued.

Nonemployees.

charges.

lers.

Deaths.

dSol Others.
d'rsl

Nonresidents.

Discharges.

W. B.

M. F. M.. F. M. F. M. F.

Deaths.

M. F. I M. F.

B.

M. F.

.....I-1----- I ----1... ---
.... .... .... ... ... ...

2 1 .... .... .... .... .... ............ ....... 1 ... .. ... ... ...
.... .... .... .... .... .... .... .... 1 .... .... ... ... ... ... ... ... ...

2 ....
3 ....

9 ...

18 ...

1 1
2 ...

1 ... ... ... ... ... ... 9
... ... ... ... ... ... ... 21

194 40 98 49 104 ....2 2 7 10 21 1 2 ............... 866 35
5_4140 198 149 14 ... 2

I

1 ...1 ....: :. .. ....... . ... .. .

S ....
.... i....

::.'" ::

i

.?
h p y c s .... .. ..... ..... .. ...... .. .. 1 i

TotaL----. 121 . .3 41

S..Panama Canal employees. ... ... "-.,- .- .-... 1 :
Panaa i. employees ................ .

Other pay cases -. -.. ..:.:.... 4 3

GTotalndos,...- ... :..;.l-. .2 36 2M: K
------- -- t t .. . .,.. 10 76 41 2 471

nam (a depaesrtmans. 0

Pn COLON OSlTfAL.

: Panama anial employes; -et --- 1 ... ; 1
* Panama . employees.. ... :. .

S Panm pay cases ...... .... .....2.... 21 27!
.hr --e U"" a --------: ------- --------- x6i0. it.:.i.

SOth.er pay casesy...........-.... 4 5 2 1

T -. ...M.......... .. ....
.Gram a d e... ."". .... : ...416.. 4. -

.aTotL.aemp- .. ............. 10 2

a .--N R D l-wOTAL .. .
.Panama U e-s .e b, E............ s
R:l :.

na .; .';a.. ., M0 I
"-" T.---- --.- Jti A

.. ... .* .:. .- ... ...
4: w .: ..At.. ...- .. -. ..

E .. .....
= .:." he.::.:.-, ." .R. ".- +. .
..-... .. ^ ; . . .
,. . +.;+ +

.:. +...... d;. "' ':l. : I : .n ,...,.:,

:: :.. :..... ..:: ... :. .. ... .. ... .., +. .. ... : .;i- :.- .; i ... .;. :.: .
= ,...:-+.".."."= .... <<........ .:., : ,... ..+ .... :., ... : :. .. : .
... : ":" " ...." "" '< .. .... " : :" ":: "': "': "
.. :. ..:... ; :.. .. ...:.. .. : ... .. ,.. .. .: .:: .. .. # :. ; .....,. . ,, .. +.,..: . ,. .. .. +, . .. .o ..+, .. .. o. ., ..
:.. ~~~~~ ~ ~ ':: .: .: ".:." i :.". : :'".L.,^. E...:...". .:...x.:
: : : :.:,. ::" .', :. :.. :. % :. ... .... ..'. :. :..:: : ": ....:,... #, ".. E ..E::.. ..
.' .,. ,:,... ,. +... ...iS~ iZ~ ,,. ..+ ..... - .... ............ ,,., ... .. ........ .,

HOSPITAL REPORT.

White foreign. B=Blacks.]

; Discharged. Transferred.

A. F.. B. A. F. B.

71 15 149 .... ........
10 1 35 .... .... 1
289 23 98 1 .... 1
14 1 23 -........ 1

........ ..... -8 .... 1
384 40 305 1.... 3

... .. 1 .. ... ....

.. ..... .4 .... 3

14
9

11
3

37

1
4

12

12

15
23
1
6
1

46

.. :.. ... ... ..r .. .... ....
iii.. ... ... .i.i .... .. ii .... ....

. ..-. ..... ..... ----.....

29

Remaining
Oct. 31.

F. B.

Average number constantly sick.

American. Foreign.

20.87
6.42
107.26
6.06

1-1 --1 -

34 1238

140.61

32 188 2.00
4 3 4.23
9 60 3.00

45 259 9.23

79 1497

149.84

3.10
5.25

4.38
1.13

30.87
4.06
8.10

.43.03

76.06

9.94

1.25
1.06
.09
2.90

13.86 5.30

.......... 4.00 63.67

. 85 18 165 ...- .... 6 26 24 175 23.97 19.58 175.94 219.49
S19 5 59 1 1 6 12 3 56 11.67 2.38 59.00 73.05
S....... 2 .... 1 9 2 35 226 2.00 32.96 227.72 262.68
301 30 104 2 3 6 124 27 57 115.87 29.86 58.43 204.16
17 1 25 ....-.... 61 11 12 136 10.19 10.52 131.69 152.40

422 54 355 3. 5 33 175 101 650 163.70 95.30 652.78 911.78

SNumber of employees remaining in hospitals:
i White............................................................... 65
Black.................................................................... 231
Total................................................................ 296

4-1

8.39
1.32
22.90
.42

33.03

Black.

112.68
46.32
54.94
28.74

242.68

5.26
2.87
187.33
2.10
59.80

257.36

500.04

52.03

1 5Fi

5.97
9.81
1.07
1.39
.22

18.46

39.32
24.35

Total.

141.94
54.06
185.10
35.22

416.32

5.26
2.87
220.20
10.39
70.90

309.62

725.94

61.97

18 58

10.32
16.12
1.16
8.67
1.35

37.62

41.32
26.35

67.67

2.00
2.00

I _

..... ...8 58.. .. R 5.

tion
Ancon 3 89 ...... 85 2

B. 'Balboa. 3 .1 112 7- ..L t2. .. 1*i.5 *
Pedro Mi-
. .. ... .. . ..:..... ... ... : ... .. . ....' m
... Pa ai ... . 7 .. .. ............ ... ...

alboa n .. ... -.. 1 2 ,........ 2 1.: ..

.ColAti.-... 10 22 3 89 ... .... 77 96 .. ....... 1
STotal. 26 312 105... .--...-299 113 12 3 17 15

.. ALL CAE TREATED BUT NOT EXCUSED.
S ." ,s ...

S, Einployees Nonemployees, -
,,,, ,,, - ------------- ,

station... 4 IA...L _'
White.Black. Tottil. Wiit Blk. Tota. Whit

Ancon. ....- 2,681 4,164 6,845 1,916 2,933 4,849 4,597
Balboa--.-.- 3,Q52 3,448 6:600 1,703 907 2 610 4 ,75
Pedro Miguel :905 ..1,257 2,162 965 504 1,459 l
Paraiso..--- '994 2,.685 3,679 826 917. 1,743 18.J
Gamboa- ;-- 58" 191 249 33 367 400 6 1
Colon......... 1,019 3,64 4,383 943 939 1,882 .1 96 .

"' -- COUOIDATED AISSIO REPORT -.-

. . .. .

Total ad8inions to hospitals, excluding Corozal :
farmu anid chronic warid-- ------... 52 :
Total admissions of employee to qnars.
T.::o .ot ., .. ...-- I< -
Sess mbera pat ies trasf.ed.. between .. .....
-pitals andt from quarter to bdspitalsv whose
admissions are dplated in above :fgu-es .o c,
Net admi:sions to hospitals :. .. .
-:-. .- :-..:...

Ymplyee.ad- ttedp M
EmployeMes dintt d. .- e.

wer ibr trasnsfdii
........ .... ",.84 .. ..

A-n. .... t 1 .

".. . .

I.

I;+
x -
A '"

;:.:: X.

i..

L.

!.
cr .

;

;.

r .

E;*f'"!
I
r;i

;'* ;
i

oTA.BLEr IX.-C ONSOLIDATED DISPENSARY REPORT-Continued.

CONTAGIOUS AND INFECTIOUS DISEASES REPORTED DURING THE MONTH OF
OCTOBER, 1916.

Disease. Panama. Colon. CanalTotal.
Zone.

Beriberi ..................................... 3 ........ ........ 3
Chicken pox ................................. 5 3 5 13
Diarrea----------......... ..--------------... .................. 2 2
Diphtheria ................................... 7 1 5 13
Dengue ................................................ ........ 17 17
Dysentery .................................... 9 2 4 15
Influenza .................................... .......... ......-- .. 22 22
Leprosy ......................- ......... ....1...... ..... ........ 1
M laria....................................... 10 20 40 70.
Measles ....................................... 7 ........ 4 11
meUmps ....................................... 1 ........ ........ 1
ellagra........--- ............ ............... 1 ........ ........ 1
Pneumonia-................................... 8 3 4 15
Tuberculosis .................................. 26 4 7 37
Typhoid fever ................................ 2 ........ 1 3
W hoping cough-........................... .......... ........ 2 2

TABLE X.--NUMBER OF EMPLOYEES CONSTANTLY SICK IN
HOSPITALS AND QUARTERS.

White. Colored. Total.

Hospitals:
Aneon Hospital .............................. 37.00 167.13 204.13
Colon -Hospital................................ 10.66 15. 78 26.44

_Total ....................................... 47.66 182.91 230.57

Quarters:
Ancon ......................................... 4.84 1.38 6.22
Balboa. .................-..........w.......... 6.67 .48 7.15
Pedro Miguel ................................ .41 .......... .41
Paraiso ..................................... .58 ......... .58
Gamboa ..................................... .16 .16 .32
Gatun........................................ 1.58 .23 1.81
Colon ........................................ 6.65 1-7.80 24.45

Total ....................................... 20.89 20.05 40.94

Hospi- Quar- Total.
tals. ters.

Average number of employees constantly sick:
White ......................................... 47.66 20.89 68.55
Colored ................................... ...... 182. 91 20.05 202.96

Total ...................................... 230.57 40.94 271.51

.Average number of employees constantly sick per
1,000:
MWhite ....................................... 10.50 4.60 15.10
Colored ................................... 6.36 .70 7.06

Total...... ...... .................... 6.93 1.23 8.16

V.,rl'

:~,i .. tA:. ;. ..... i :

:o .. "; : .. .." ... . ..... .. .. . :
:., .: :. .. ._- . .- . ... .

S-*. TALtXIT.--FINANOIAj^ STATEMENT, DEb R

... ard.. t .- ,o l h .... : .. .laboratory.:: . .- 217.44 .
...... . i.t. ora. zal . m. .... ... .. ..... .... I -. '428, i

M i .ls. or ous :. n...... ,. .....- .. 74.2 1

.ese f e fw to'.~.." .o....". :2 ..". .. '". ":.:.' ." "." ;." ."' ....X'
.District dentists...... ....... .. -.... ... 8 .

-" ," : I en.sries t .. .. "4" .. ,.." " '
:Ba l:: o /.:. :.~..:Of W; ,.: ::;. ,: ,

. Pa s ,e --... .. .. .. .
---- A - ---- ---- .-q -. --

*'.* . ,;' ,, -.. .. ,, .... ..... ... .... .

.' : St ..:."''?.': . .. .. ..
:4. .. .. ... :. :4 4..- ii :

-;_ : -..-.. .. . .. :,. -, w:.. .. .. ... - +. .: 4 p
.- A.. .~ .:... "'.."--': .=r,::

::;s ..... ..j
....V

S, .
: -eu.r.v t.". :, A
7:A: S rwt. 3ois t-.
n.. v:: s~ ;. 2 :.". .;.;:;": 7.I
:' ',,"~~~~~ q:". L""D ''" :.. '":"""::" """: i :"' L.;
I) ssr~~~~~e . . .. .. .. ... ... .. ..
,: : :: IS~ ... .. -. .._.' .! .!; R" Y

-MIT,:. .. :.. i..;2..+ ;; :~
. ." . .. . " 7 " ,. . . ". . . ,' .. a T. .'7., '
... -: o: l...-. : .:.. :: ,. <,:,;; - .- ,,u
~~~~~~~~~~~~~~~~~~~?` g:" v.d .... . .;:./Z .: ;; :;

...

,.9

'4iu '

I:'

f

'"4
V'

TABLE XII.-FINANCIAL STATEMENT, DEPARTMENT OF HEALTH-
Continued.

September, August, September,
1916. 1916. 1915.

Zone sanitation:
Ancon................................... $1,960.29 $2,091.89 $2,388.63
Balboa..........-......-.....-......... -1,366.01 1,712.86 1,313.74
Corozal ....-..-.............-......... .. 1,309.32 658.11 1,464.29
Pedro Miguel-------..........- ......... 3,639.33 5,251.26 3,303.90
Culebra......... ................ .... ............. ........... 18.00
Frijoles........................ .... 75.75 76.13 99.33
Gatun................................. 3,933.83 4,057.67 3.012.21
Cristobal-Mount Hope................. 2,107.26 2,290.10 2,852.66

26,910.20 29,296.55 27,621.86

Quarantine division:
Chief quarantine ofice................... 171.39 188.35 341.48
Balboa-Panama..................... 2,041.75 2,041.12 2,001.01
Colon-Cristobal...................... 3,411.81 3,234.99 3,047.92

5,624.95 5,464.46 5,390.41

RECAPITULATION.

Chief health office............. ............ 817.23 567.28 872.74
Hospital di\ision........................... 45171.59 44,322.63 36,592.32
Dispensaries ................................ 3,037. 69 2,935.30 3,686.74
Sanitary division.......................... 26,910.20 29,296.55 27,621.86
Quarantine division....................... 5,624.95 5,464.46 5,390.41

Total.................................. 81,561.66 82,586.22 74,134.07

TABLE XIII.-ANCON HOSPITAL.-
REPORT OF NATIONALITY OF PATIENTS TREATED.

Total American. Other nations.
num-
her
treated. Whtue. Black. White. Black.
*

Hospital:
Panama Canal employees..........
Panama R. R. employees..........
Other pay patients ...............
i'. Charity patients....................

STotal...........................

r Asylum:
Panama Canal employees..........
P: Panama R. R. employees..........
i.. Panama Government cases.........
Other pay patients................
Charity patients...................

Total............................

SGrand total.......................

SBoldiers.............................
Chbronis...............................
-- Farm (cripples) ....................

1,180 535 ........ 76 569

6 ........ .............. 6
3 ........ .... .. ........ 3
226 2 ........ 32 192
14 6 ........ 5 3
74 3 ........ 9 62

323 11 ........ 46 266

1,503 546 ........ 122 835

289
20
65

289

20
53

."1
*r

g

.
-i;l
r~..
...1
;

33

%--

S* ...: .. .; . .

Other py pati-nts ..=*.....5 7 .
Charity patiei~ts. ........ 2: 8 :
-Totaale.. .... .-, 90 ..... 12 .
Asylu m:' -- -.
Pan. m_ Canal 6x.3p o .. ... .-
S. Fanamma R.. R p. ..loyees...... .. 8- .... .....
SPanama Govermen t ases.-...-... 6 :-S-.' '6...'26
Otfier pay patients.. 322 13-1 "
Charityatients ...... ...

G, ind tota.. ... ........ .o .........

-- ---------- r-" -

:," -' -. ; ,. ** ...:.. ". 'i
Soldiers.n -"..... - ... .... .......... 2,7-5 2,7- S ..

Average ost per subsistene per day, to.2867. '.

W- D ABORATORY REPORT
.Blood exa minations (total nimber)...... ..
SE-autu al .. .. .. .. .. ". "..""...:- "-' ".
T ertia .......... ..--e- ... .- --..---..- ---.... ..... ..
D. ifferential- risl ........... -.... ... ;......
L.nreocyteco. ht. .... ........ -..-- .
R-edblood ounts..... ---................. .. --
toolexa ntinati-o- (tot alum- -r).------.... -.. ;-. .
Ameba .-.-.... ................... ... .... .. ..
S A iaris lumbroioides ,....... . .- ... '
S .. Bilharsia...- : ~...-- ...-..... .... -- .. . ..
g iatedi omads..... ." --". ...-- ..-... ...
-, a ijac tests. ...... ...;............ ... .... ....
P St ondlodeu-.-- ..:-...-. --.. ,,-. .:.-
. T u .i .- .......o. a. ....... a
ia n .... ..... ...... .. .. .
* 1" ,. .:p ... a"a".(ov" .. "... -- . .' ". .. .. .' ,:i
'Urinsemination (totalinuimber).,....
.. .Albume -est .. .... .. ...... .. ...... . ...... -.,
Bil :.. .. .L -". ....
-."J ." .. .. ... . ... .. .
:-. ilia tednon .... ..
E .thelia -... .. .- .
Ho.rii, .jstal ..a.

..,--- --- --Wk tb iw:- .4-.l-; ..-- --t -

S4 m,

'*'
~ic~. :
.; .r.
cii"
. :
;
.~- .
'i-i ; ;
`~ . -

::: ~::
1.:il;'

Bi:-

REPORT OF SURGICAL OPERATIONS.

~;.
i;;:;
E
r

~ti

L"
C
"^'
r
:i
r.
i~
I
~~..
;

i...
i;,
i

I

Totar ...................................................

Number. Died.

2 .......
2 .......

Amputations: Digits, multiple..................... ..........
Operation. on bones: Ostiectomy. ...........................
Adenectomy:
Inguinal, single.........................................
Femoral........... .....................................
Herniotomy: Ventral........................................
Genito-urinary tract:
Urethrotomy, external ...................................
Prostatectomy............................................
Vatioocele, radical cure.................................
Hydrocele, single, radical cure..........................
Orchidectomy............................................
Epididymotomy.........................................
Curettage uteri......................... ...... .............
Obstetrical: High forceps.......................................
Rectum:
Hemorrhoids, radical cure................................
Fistula in ano, excision of.................................
Laparotomy:
Forintestinal obstruction..................................
Exploratory.............................................
Gastroenterostomy.......................................
Appendectomy.......................................
Appendectomy with local peritonitis....................
Cholecystectomy......................................
Abscess of liver, thoraco-hepatotomy for..................
Pan-hysterectomy.....................................
Supravaginal hysterectomy...............................
Hysteromyomectomy....................................
Salpingectomy, single ....................................
Salpingo-oophorectomy...................................
Suspensio-uteri...........................................
Various other major operations..........................
Various other minor operations...........................

........
........
........

1
........
........
........
........
........
........
........

15
1
1

2
1
1
1
1
1
5
1

12
3

1
3
1
14
4
1
1
1
2
3
2
3
3
3
93

184

REPORT OF OPERATIONS, EYE AND EAR CLINIC.

Tonsillectomy and adenoidectomy.......................................... 24
Adenoidectomy only....................................................... 6
Submuicous resections....................................................... 12
Turbinectomy.............................................................. 6
Pterygium transplantations ................................................ 7
Plastic on nose........... ............................. ...... 2

Total ..................... .......L ................................. 57
Refractions.................................................................. 90

REPORT OF OUT-PATIENT DEPARTMENT.

Clinic Total New Pay Preserip-
visits. cases, cases, tions.

Medical................................ 266 171 18 281
Surgica......................... ... .... 238 110 10 37
Eye and ear.......................... 526 198 0 52

S Total ............................. 1,030 479 28 370

35

TABLE XIIL-ANCON HOSPITAL-Continued.

k

1

2

.
e"

:; .

r. -

El^
^-" .,

" :: .:

It'...
i-1

k C
. '.
a

*

i

S. 7, . .....q. "r : .."r-.":.. "' ... .. '
*No-yaccinations during Otol r. 9

B@AED. OF HflTu tA1Ok r ..o
...... ..*. .. .....** .. ... .. . .... ... . .. :-.a.. .'. : .
o. .1.. .... .. ... . . .. ............M.. ... l:a-

S. odcultu rs ( psit-'. ... B' "yp la .. :... .:. .

tPhrienoleogficienti determination of tBac ...........

Pathological fl uids, dates, oefor t-... ................ ..
:. : .. .e . ioarsgonococcus ....... ....... ......... ... .. .. .. :
"* .". LTeper suspeUts. .. ......... .. i
Sairy milk.from Corozal ...- .- ...... .:...... ....... .:
"assermann re-.. .. .. ........... .......... .

S. Agglutination reactions.. ....... ................... .r.. .
S Autogpious-.vac.ines prepared.............................. ,
ntit yph d u .vacci s. ......... ..... ... .
Animal ioculations.................. ------------------ ...
Dark field exa4nm ations.......------ ................ j: 0
C Chemical examinations de termnao o Bcil -

S" others' milk.. ..................... ... ..
S, t oUrin ........ ..cal ,.......... .,..... ..... ...

.ilk earsr; go dococcu.rtm nt. 2.. ... .... ... ...... ..
C iltures of auto s ....... ... ... ... ....:.............. ..'- -

S epuberasuspi ...:... -. .... .. ........ .......... ..

Powder tit forid vaccine ation.....,....s -.....
.Oil of oedarw pd. a.. ..... .. ........... ........
Chemical examinations of: *. .

SButter form i e ...... ... ... ........ .... :

Testl eals ..... .............. :........... .
Spmal fluids--
SButyrI acid test. ............ ... .... .......

S h wd e forest ....... ... .......... .......
"* *'*' ''-- - -- - - - - -~v -- "------" --.- ? -- .-^
SButye fricditst-----------

S Cooidal gold test.. .-........ ......
Pathologicl tissues prepared paraffinn 434,frozen).. ...
-est meals pathological examination.. --. .... .
S Placerital smea -......... ....... ... ....... ... .:...- -. '
."pinal f id .............. ........ ........ .. .
-Autopsfes performed....-... ........ -:.... ...... .-
S 'm : "A .ialk atopsied.o...n..- ...--- ...-.--.......--..-..- ..... .. :..,,
.. .
F ,ilaria idenii..f .in..... ................ ..... -..... -. -,
S. iog atnderolseroivation ... i;,-.. ..i. .Co.l ,,-.: ...-a..
Rats examined (miusn muscilts, 441; muriorwegio 3,mnsal
3; mus rattus, 171)... ...-.. ........... .. .... ......
Bodies einba ed ..... .......... ..... .
r t ments .. btro .. ....-. .
: T ke Pan ia ............ ......
X .. Tt!
.u ake atuni-.. .. - ... ... .
.. ........ ........... ... ... ........ ...

S .. .p.
41.. , .'f .. .
.W E -. -

. s. .. .N. j P .o , .-A . ... .. .
":il~;: ,C; .i~; :' 4 .::l;ent.ls... -. ....W.-. ..

Sl eQ- .. .. ... ....... ...... .. ..... .
.. . ..... .4..: 5:. :.
, .. .. 0_ ...... "N
Crem tim ... .... .. .. ,. ..... . .... .... ... ......... ....-tic...

:
w if
""" '
?.:,.
r
s.~.*; ` " ~'
5a: P '' '.
i'' .8tatioqs.
c
*' ~F" .
~2~::: :.* .
r.:
... \
;,
C .r
r
-? '*"'-".. .~7
*?

a.;,*'". .-
.. ....-.. ... ...... ...........
O' '........ ......... ..........

-... .. ... -..... ...........
l r airsoad station. .........,. ..:

:i " l-. .. ..." ...... .... .. .....
L ,.... .. .... ........................

; .:. .. -... ..-....- .....--..--.. ---
Py nt.- ... ,...'........,.........
... .. ...............
.... .... ........... .............
.;., .. .... ....-.............

ki -------- ---
I-.a~-- --- ---- --- ----_-----
tc 4uiters....................
i. .... .........

..... ...........C ....... .....
S c... ... tob... .. .
i ... ... .... ........ - -
---- -------------------

a .. -s,. -...--.... ... ..... ......
,,, .. ...... ... ..,, .......
&.2..............
t .. ....... ....... ......

. ........ ............. ...

"0
p .I

. p
'0 0
-'3 '3

2
...ii.

.55

19
_1
5

2
1
1
3
134
204
859
141
-26
2
19
11

i 2

3..i

1548i 56 j 2

'a.-
Am..i I ;
;i:" '";C l ": ':: '". ...."",

:.:".:'." .. " ",

%." j4i

A14
.J....

I j:
f; -i -. .'I4. .;
.". .' ... t. ....... .. ..
.. . .... 7.. .F... ..! ,.9,

4 AL: 90.. 'iii; .
NilE:F, ii ." .. "" : i . .': r Y.. : .:" I I

.. . . .. P .' ... .. .. :
I .. . .... .
"* I .:'"""!;i;: .:'. :"" I"Y'. .:. "....I:;~ w .:..... / .., '. .
K VA: -: . ..:. .
. i k. .. ..... .. ..4
,, : i ,? !' !. ,. .]. *
r ..... ,. .. . :" : ., : .:," :. .'", :'. ". :. ; . : . ',. ... ." : '{" .
'!i::i ; :: 4. ::.:::.;"b '". :,=.:,. :. : :. : : :;::.,:. ;; :" .:::.. ..:; ::.i::: ='. i :" ". : : : .. ..
";'F J : J " : ": ... :" ... " .,L .:... :. ": ." . ...' . ..., ..
;,iii..Li; ii",;. ..i. :. :::.. .:.:: .? ,::..o.. ::. ,:...%. .,:. .~ .ii .:..:.:.:4; .: . .... .. .... .

~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I r:. ::.. : : .' ".", =" : " . .'. .j. .. ~ ~ i' i " .. ."" ". .. Z.
...E :::.E:".. EE.. d E... .' .:.. :..":. .. : :. ..... : "::. :j " .: F .gkE " ..::;% ::.: :. .:' :.
:. :. .:..:.: ": ,. : .v .: .. ...: .. .. . ..:. .. ,: :.. ::
:= :I ..# .. .:.'..".::: ." : % : " : :E: : : h::: E ..:, .

,..4C.

O .

F11
91

,204
"33
410
1, 887

1,088
1,046

2,768
'721
471
7,666
1,160
8.

142.
439

1, 108
1311
1596
4 217
1-
1,108

. ...
* "

S : ..
a

C-

. -

'9

.9.

4-

9

- 'I I *i. I

2---

"'

8 .27401

I ~I

..

* ",'.a. .

...... ." .." '"4 1
- -r..... . "" -

V r-

- A noon. ......'. .... .. ... ..... -. .. ..... .. .. .. 176 1
S. B boa . ..- .... ..... .. .-.. -. 40
. ...... ... .. ... ...... .. A

C.. . orozal o .....,..'.." . ..s:. .....-. ::. ... 2 .
F.. aroi,. ..... 6e.. : .. ....- ..,. .. 6 .. ..

".Pedro Miguel, railroad station.: -..-.. .......:- .- 2 .-.:.
.. : .ar is ."- .. ,- ,:, ..-.. : ; ... .... .. ,, .,. .. .
,.... T an.. -.. .. .. . .... ... .... .. .: -...... 1 ....
.: ,i- ..,. .. : .a. ..lo.p -... . .... o i.... .. ..... .... ..... .. ..".... ,

. R io Grand-....-.--.. ." ... -, .,-........ ... ,....
S . iri, d orio. -... .....---..... .......-- ----. 1 ..- -.-

.-:,.- ~~~-- --- F q lB - - -- --- - -*-- -- - 9 . '
g .g', Cu b i C . . "." ....2"4... ." ,. "
:". ".. "... .... ..'" . '.'. . ':. . .:..- ..", . . ...' .. :.. 1:.
- ... .. .' : : ."a "S,- " . ...'"- . .'. .' . ..":'. -"
, :.. ". aNew r at ..... ". . .... .... ....- ... ~. 3 9 -
. .j. o H ." .a g. ".. . - .. .- ., . 2 6"-- - - -. ..I
" : ..- .:: ..'o n ., . .... *.. : .. .. .. .3 . .
.. BariasO ... ---,-,.ristobal.. -. -- -, --- --- -. 14. -..
-- O rn --p i, ed ...r.tr-..: -. ... .... ... .. 5 .. .-.
M ounut g. ..: ..'.. 6 -.*..-. ....-..- 2 .
-Coln ..: ..... ..:.. ... . S ..

O.. is.. ..
Gu... .. .. ..os-. r : ,;i-- ;- . ,. .... . .. .
S lroza i si; t -:.;-......... : ........-; -- -.-

.: eIro MiR.eL ..... L .... R-. -...... .....--a... 1 ,
:* Pedro. Wg e1.rai-roads station ...

.r... .2... .

.' . ..' .. ;... :. :: .-... . ..

;: t .T n k '. T ".

.ansd e a r io -:- ...-. ---'- :.. w
..ewIg s ..bra ... .: -
l. l..--. ... --.------.----:'-:.,.;.-. .--. :...1. ..
,: ...f onte Lrii0;.i^ : *,--..-.. : --,.. .-, :-.. .V-.. -: :. y: ^ ^
..i.as,. ...

- :> "ilvbr mIaied q quarters .- -... .... ....

Ak1
'lolft *v. .. . ...:.. :- ;
M. ou .tfl d ed ag.... . ..,..., .. ...-; -.

nFot he--. ...r" jJi:

r e .... .. .. ... ..
.j `0 n.: : : : Z1 4. k-.
o lran ..... .. 2.5;. ...._4.. .0 :

':ro m au...... : : :, :::::: .:< .
.. -. ... . ... .. ... .... L.. ..... . .
,. .. .... . .

:".... t'". .- L."-:1...........
<.. ::. = .; ; = ....:. . ...>,..

...... ..,,. ..,, ,..... . ,,.. .. .; . .. .. ., ... . .., ,. .
'. :. i. : l .... .....:.. .. : . . ., :. . .
.. .:.. ..: . .. ..:. ... . ..: .:.. . . .. ... .:i~ li .; i~li i.. .. .
:':..' "~ ~ ~ ~ ~ ~ ~~~~ii i..i =. :.::""':.. "ii... "'..' .' " ," ...." ::." i:'. .

_.::.:. ?.i ..... .. .. . .." ." " . "" 1 ? .i:. :.. " # .::, :i.
l"i "i'..,..< ., . . .' = . .... ........ . ;-.. ,,, . , .

We .. .

. .. .al.. .

.. .. ..-... .....
- --- -I.--

Improved

Male. Female.
*.. "

2
","" "-" ""

....
--- -- --

* F...-4,<. .. .r -
.. m red to Ancbni Hospital for surgical treat
..?"9::^..-v .. 7 .-
Z,: DEATHS.

ilest diagnosis.
Mb ;. .* ,.

T .
7 :: ::: ,:- ; :. .

- M-ital diagnosis:

Psychosis undetermined
'Syphil........----.- .
7.- .. .- ..-

"'TAB-LE XV.- COLON HOSPITAWL:r
: :~": "O. iiidO ALIrr.
,. ...". .., . : ....-,," . .

, --, ,-.,4

'tr.,.'T:. ,? ::. .-...

I -" "" "
S 4'. ",

;,Et**. 5b --* *
1^''4 "

White WThte Black. Total
: American. foreign...

'19 A.
ssl -. 11 '
4..........- ..--- .- ...-9-... 1 -
.: ^ ..,.;-." ,, .:. u, <. ,. 8. ,.

:-- - :- .;" - . . -: " ''-- i "- -

.:. ISt. Y' A . "

rig .4. 44
V; E4:.4 ; tr r.L .w;. .-.- - -. --". 1
. *... .. .. ". " . .. '- : P. :.." l .. . : .

,r -R. , .. . - -I... .- ... . ." 3 v

l ." ... ... ... .
', ,~- *.-., .. . .. ..r. r w--, -. 7. p I "

L& .: .'. "' , . T :. .

."'''* .. ".rF ;aC; I'. V .'. ." ".. .. . .: :..
: 'li =. -"'" :1 .m ,.,
". ,,, -:. .. ." ,, . .. . .. ." , . u. . ..
s :..... .. i.,.: i .. . .. .:
". ,, ',, ,:" "..' .. " :.' o ,. : "" ,
: ': @ "."." :. .g :.; ''.' ,. .'. ? " : ..
.- .:: : .- ...- .' .t :P.. . .. '" P~ ... ....;; : ...

' .. >, ', ... .. ":' -

"* e- .2 i..
... .. .; 4" .
,C.

S ... .

.-. ., . ;- "..'
I .

Male. Female. --'

.;... .. 1. : .

1 -. '
..... :. . *".'" ... :" " "
.. . .;. .",.. .

. ,
o ,, .. t "

S,,,
it*s

- ^- *

I

Sguiu, ble. .p. .... ..-.. .. -..-.... ..
: .. . : .. ,
Sl dro usngle, rieare .
.. .* ta uteri ;. .. -... .. .: ....* .. .
SRedtimi: jlenorhxiddaiial rd ce te
Lapa 1OtomIy: <.. ** 4
Appenu ecfomy. ...,., .. ... ..
/ Minor operations, 'va-io ....... .;. .......... ... .
Minor operations, -arious (dispensry)...-. ..... -.. :
. N'l. '. ,- .. - . -, ..- .-- ; ,. .'
TABLE XV.-PALO SECO LEPER ARYLTUWN
ATIO .T OF PATIENT .
S. : . .: NATIONAITY .OF PATIENTS. ''..'-.

-'.4

4..

Paycases.e.. .. ..............-
Charty asses.......-........

o.. Total.---..-;- .---..

Number treated.

'White. Blatk.

2
2

40
'-,w.26

, Americans "
.. .. ,

White. .Black.::

........ ........ .
"- --S--k:-
. .' ..
..-... -.. -...

,, : . .. ' .*'
Cost of subsistence iOer patient per day, -4y 0.2., '

S TABLE. XVI.-SANTO TOMAS HOSPI &X, ":il
S .. -:

R. emain-
v i- 0
*.-." ,, .-.' . V. *- :' . .O .

Pay.cass---.--..-- ---.-. .. 37
... Charity cases.. ........ .... 419

S Total,..... ... -.. 4.

Average, number of patients constantly!
STotal number of days'treatment.. -..,
S , Averge mutabe' of days' ~ reatinent for
-- st ofs istence pe4i ptient.per iday.w.

r< '*N laiss
... .

-k;,,,: .. : .. .6. :
'..... *" : '. . . :. Z <: "." .. I ... . .. .. .,_.- . .' ..W

SrM ""M i4 3
;. ::E" '. : : .. :' ." "": E ": ^ " ".
[ .: :., ..; : ::, .', .,--.".. ::.

.. :.. l.,:. . ..:.:,--- :' : ".. ." v. ""x ":.... :: -u%= .

.1-- >1-- I -

S 63.
* i!

* ... ..

IinP

44-.
cr. ~" 1
- \.'" ": 4^. "A'
". *.*', "- '?!

II-_: 8
80

sick .... 1..... ...
.. .... .. -... : .'... : r .
. .m m. "? .,.:, .. .. ..
"a patients ... .; .".:
. .. ... . .. .. '. '::

... .. : ., _, ':... ,* ,l. ..| :.;

i
: *

"'. .

;4
"% '.

mittd.

-;, ^ ** : .* .. .. .. 8t0-j .. .' :i ,*, s
R _, .* ... ....

S......... ... wn*r .. ." .. ,

NI,

i .....: .. .. ....... . . .
. .. ...... ....... ........ ....... 4.... ..i... i... .,

-.. '., .. .- ...: ... ................................... .

.u...: d : ept.t..i' . "- .. ......... .-- ---- --- --- --- --.-

': and ptice .. . ... ............ ; ........ 7
. :" ... ......................................... ....

. ad.. f.g.f s-... ...- ... ........... ............ .. ..... . .... 1.
:-- a-
Pt --- -- -- -- --- -- -- ----

....... ...:....... ................. ... .

.ii l .. .. : :::: ..:::: :.. ............. ........... .. ...

,ltu ors of the female genital organs.-.-. .- -. 1 -
-,,. -- -, --- .---- ------.---- '-- --'--- -- ,- 1

........- ....an iiiors of the b.reast .
Sligrnt tuiiors di orgps iot speed. ..........i. 1
.'. ... .............

'.. .... ... . ...; .... ... .... ... ......-. -'' "
... .. ..................................... ,
1'..

e,. .. ..4....... .. .... ... ,
'- -- 'l--i-

td-,ai.,_a.,.. .5 ..... ... .... ........ .

'-,,E ^ i 8 o y.stem -. .. -. ... ... X... .. .-. 1. .. ,,
iJ.

.. t ... .. .... .. .. .

a O- .;. . .. .. .. .....

.. .. . . .. . - ":".. '
..... ....... ... _..... ..: .;
-: .. .... .... .. .._.,

. ..... . .. "

......... .... ........" W

v .. ..-. .,. v .. ,, ,.,. ; ..
I l.-- ~~ ~ ~ iX;*;: 2 *. "'. '"'" '.. ...

.. ." o ". :. -. '".. '~~~" :'-. ..' "/ ." . .. .. .. ... . .. .

Other diseases of ever .. ..
SBrights dissease (chromic*ephritis)......; )..- .
diseases ofthe l der ... ....... ... ..... .... .
T -wiseases of th ethra.---.. .. .. ... ..i
Nonvenereal diseases of the female genital organs,.. .. ,- .:.
f-terine tumor. -- .... ............ :..
Mfetritis.-- ---- --.- .- .. ..:: ...... ..... .... ....-..;._.: g
Other diseases of the uterun ... -........-... ..... ...-- :
**, Cysts and tujiors of the ovary- .
Salpingitis-and other diseases of the female genital organ s. ..'-l
Nonpterperal diseases of the breast. -.-..
S Normal labor..... -..(. ..... ....
1-
Accidents of pregnancy.........--.. ......-....--......... -.,
' -. Acite abscess.. ................ ................ ........ ...
Other diseases of the skin and annexa.....- .. ..-...-.... -
riseases of the bones................ .............. ....
diseases of the joints.................................... ...
rise------t---o------------------------------ ---
Other diseases of the organs of locomotion............
Congenital malformation...........-.......-......-.....
Nurslihgs discharged from hospital without disease........... Il
Senility-....---.....-..--- ....----------------------- ............
Posoning by fod ......... ................... ...
'Other acute-poisong....................................
-Burns -.....----........-. .....-------..-- ..-......... .. ....... ..... ..
Traninatism by firearms ..- .......-- ......-.-...... ....""-
Traumatism by cutting or piercing instruments ........--.-. ,
Traumatismn by other crushing ...........................--------
Sprsactus.... ......... ......... .......................
Fractures............................................... .-... .
Other external violence...... ......... .. .. ...
No disease..------.----...- -...--..-..-....--.... ---.....--- -.

Total discharges.... ..- -. ... ............ ..........
Deaths ......-.-.....--- ...... .... .. .. -- ..
temaini g....-.h ......;... ... ......................... ..
SRemanng .... ...-.
Total number of patients treated during month.....

BUaGICAI. OPEzAIONS. *
.. -.l.. u ;^

Amputation ofdigits multiple -.... --...-- ...
Ostiectomy..-.......................... ............ ... ...-
Excision of maxilla-........ .......-.......,.- .--.
Adenectomy,- cervical..-..- ......... ..
Adenectomy, inguinal, single .. -.-..- .
Sdenectomy, ingumal, double, ---------..... ,
-Adenectomy, femoral;.... ........
Herniotomy,Jinguinal, singe...e. ........... -
Heriotoy, inguinal doble.. .............. ...
Uethrotoy, ,-interna ......- -.. -
U.,rethrotomy, external, -.. ..- ;. ... ... .. ...-,.
Hydrocele single, radical -...... -.-.......V.. .-.....
Hydiroel, double, radical ce--.................... ...-
S Aiputation of acrotumi.. -.. .. ... ....... ..
Curetage uteri T*'p..........- - - - -
Perineoplasty.-....... -. ;. ....i
T .dn..to..y.. ..............:............. .
1Thracototny. -t---------- --. -It -----
1x- cisin-of 'breast aii&daxiUli.. ....
.. Merudintoids radical-.. .--.----l- -. --- --
e, r l r . .... ... :. ;..
..se eins, e s f . . .

.. .. .... :. '
. .... M. In J
..1 **' . .i:i: ,i.i.ii

.; .. . .
*"" i: ."::'" i :" : '

i"oft parts, oe ation for .... --......-

i7ia;s e-.. .. ... ...... .............. ....
:t< p---- .----------.--.---.--.--

... p. .. ~o ..... .... ... ... ...
-...: ..... ...., .............. ..... .........

wt-eootmy. - :..
Rd :l o.. 2.. ...... ... ... . ..... ..... ..--

Ofty .. to...... .. ......* ... ...... ... ..

Salons ot r-....... - - -......... .........
-it m ... --- .- ---- ... ---- -. : - .. -. .. .. .- ......---

ji :.. ar i..J..' ....;........ ...., -- -...... ...........
N V fl ...............................
'S i .,,. C -- --
; .'>- ------ ----- ----------,. _. .. . .. .

1 o.mbl.. Died..

1
2,4-

1
.1
2
8
4
2.

4

.1
48

167
-,,,

4, ,"
V. .'

, ,.. : :.

--.-----

----r .' ,

. ;....

STOafA OF SANITARY WORK PERFORMED AN.D
:'PE' DUtNG THE ONT N THE

i*E.uppl department:
.. ...-....-: -...................... 21
I. i ;" .. ; ............. ................". . u
S.t nicipal engineering departmentt. ........ ....... 14
t i d pa t ................n................_ 2

..... ~, ............ .,;.. --... 3, .
.. ..,.. ..... .. ... ..- ....... ............. 1 ..

i O .-- ------.-------.-----. ,
"... .................. ............ '0

p.)0 .
.1, .. .. . .. ..... .. ..!. . ..2
. .... ...... .... .. .
i 2iiiif a-.. .. ..r r ... ...... .. .. .. .. .. ... .
A V
...... ..,, ....... . ,.. ... ... ..- ... 3 .

..t L: i "t. ?' 4 ', ~' .'.: . is'

N. .. .
"''''> .., .. ,' .!""' .:. ":"i ," .;<, ."A ...% .,.I... ".."','
't", "i:i, ,,i~ l ,, " : 1 : :, ",, ,, ,::, : =: ," i:, i, ", ,,: :: ,, ,,:i:,"
i'i i i ::,,- ,i," l~i li~~ii> ,: ,, , ,, :i :, ,: ::! i i ," ":ih ,, ," : "l. ' =,i:i":::,i
ii, !!!,TM, r; d li :!c,"i :i',,', ," iii i ,, :: :,: ,:,,: ,: ,':: ,,, i,: :, 1 , ,, :,,,:i
Ir rm....i. ,..i~n a ,. .." ..., ..... ,..,:, ..,. .",., 1,:f,! : ."
:',, ,. .i..rr!!,'r !i : ,,..., < ', .,i": ,',, !J ::., : ..:,. ".. ..,,: . ., ? I,

.C
'"

I

_ .

A

44
--,RFP0RT OF IOvmw JKV
-,WOU-K

Lineai4eet otditches Owned and,
ew
Linear Met of ne a
Number of ed fil
7
Gallons dflarvacide fi3eod
Gallons 6f ctti& oil us6d..,. _.!t ..........
Gallons of kerosene used,-
$quiwo yards of pools oileid.
Water containers treated,
laces a6, - --- - - - - - - - --
Mos tuto-breeding p found (stegomyla 118)
Fly-'roeding pkees found __` ...... ------
Flies trapped (13,000 per quart)...
Number o4 rats killed]., ....... ...... -----------
-_Number 'of 'room dish3iections
Squarer foot of vi*etation removed. ---------
Garbage collection:
Number of loads of ba avred to All Y. -
9xr, 901rem MP
Number of CU.M YaNs of garbage renadved, dump. .....
Total nurbar of C4= garbage emptied..
B-taWings:.,
Number of buildings inspected
Number of plans for now buiklings approved-..,
Number of permits issued for repairs to 91d ......
Total building issued ----------
condemned
Number of b Ugd=i 'gs ........ ...
Number of stables condemned.-...
-----------------------
.-Nui4ber o.f b70dings demdUshed. ...... "..
Street clinnb*:
Average.Aiumber af squM* yards oCstreots el
A dsbf streets sprinkled Mily
Nvera Munber of iquare, yar c
gber. of private properties cleaned durmg month.
Number of.notim served and nuisances abated......
Number of vaccinatlon performed during month..
Total number. of vaccinations siuce A-pr.-I,
%V,

8411af e yards street cle*nM''.
Square yarde alloys maintZW . ........
Number of private properties cleaued ....... ..................
Doses of quhdne issued--' .............
Number of rats caught....
14oads of yard garbage dIWsed-of .. ............. ..........
Number of cans garba& (k-bic yards 2 6$0)
Unear yards of dltelw tr=tPA 0
cans Y461 31M`I*I'_
Acres of vegetation removed--
QuaraA-t* station-a 4-o.4 ........ 1". ....... .
Radio statlon . . .
PaAunO It. R. resarvatiOn,
Square YardS ollod..
Number of weptacles treated.
Number ol mosquitoes caugld in Cqlon,,B
opheles .......
mosquito g places destroyed-
V. mberAfly e, I*s dostroy
pL jBd
Numbexof
NxmibeTvfgallonsWIarV _Jde4L-AdIjUQ*M..,
Number, of ga#owof-, Vil used in Od
-Vumber. of -nuis Abat,4*-,_:-,i,
3B jbg C01011.
umi)Wof building pUns.
Numb6k of to PC
tots to
Number of LiT i9oued*'
XiMber, 01=

T4,

a~iaquitebs caPugt in silver married quarters- '.
...... .2 :
,,...~-. -...-.....-.- .. .. .. ................... 714 .
-714
mosq itoes caught in steanships-
es..3.:..3J-.. ..... ......:;...... ..".. .............. . -S
. ,., .............. ....... .......................... 20
Anwpil tes caught in Mount Hope village- .
g.,S. .i .i'.-'., .............. ... ........ ............. .......... .. -5
q(rixtoes caught in Camp Baird cars--
tIa- :-- .... ...: ...- ....... -....... .................... .
... .-...--, .---- --. -- .-297

.-s .. . '....................... ......... ....
He .i. ... .. ............................. ...... 5,732
ale, i.' .. ....., .................. 5, 732
: ir n es .:-:::.:.. --...1.........................*... 1,.435
htructed... ........................... 1,240
i heiias mI".mtied. .... ... ....., .....,............ 6 90
:.e.ett removed-.. .. --...- 326,055
i: g the m ith......... .. ....... 56' -

kiPOiWQiaALTBD REPORT OIF QUARANTINE THAN iS-
am PR'E FO T OS F BALBOA-PANAMA AND COLON-

r. i. ... ... ...... ..... ..,. ..... ... 109
"':: : f. i It.... in H .a" ra.. i.h' .' ." .. 9 .,
.... .... ..3--[ eu ..0 " -
t. . . . .. . . . ... .'..-.. 4,. , " ..

r .W..-..,- ... P .o '. .
". ... 4 "." .

I. ..; O %2.
:::: : .."" "" ,- ."4 . ,I l
:-* -:.: -''. ,'- '---"' '> :-, -. I0 .
AI :.:. ""....:.:...,.4:. t..,. .:;E. .,: :" : " . t '. %"

320moektal (if uimers "Ir
a. u ...i. '' ..u u L J a afab i.. b.
r e "n t ":'n" .""....s s .o ..... .:. ..

S* In. total number of persons handed f.r ..m.reign-. r -p- *-i
...Cabin.. .. .. ...... ....

'Total number of persons embarked for oasteign portso *
.a d sa ing t .......... ....... ........i:.. ... ..... .S.:

sailing cra.. ".. . ".' ".. "."" .. .. .
.A tent nra monthfrmoast to-n j.. '. '...
Total number of persons arriving from coast iovns-on fgmall ita.
andsailingcraft_ ..:... .......--------- -.-,- -.-.;----
Total number of persons sailing for coast towns on small latnhu"

-Apparent increase for month from foreign ports: -
Sabin .... ...... ..... ...... . ... .................
Steerage. ....................... ..

Number of. clearances issued .......
Number of .bills of health issued or visied. ..,... ,..... ,.
Number of inspections of docks......... .... .. ............. .
Number of inspections of vessels at docks.....m....... ; i. r
SNumber of immigrants rejected and-deprted..... ..
Total number of persons landed........... .. ......
/ Less number for Pa cifio ports... ..... ........ ... ..

T t.. 'n u, ," ,r. s:, ,'. ,:: .numbe .. .
4 "i'.

otpparenl incmbe r of persons eha .. .......i........ .. .. ,..

IMMIGRATION REPORT FOR COLON AND. F -1

SEurope .......... .....a
U united States-...'.-... ..:.. ............
Jamaica and estlndie ... .. -... : .
Venea eia......... ..... ...-. .. ............ ..
Venezuela.. .
Colmbia. ; ...... ... . ..... .. .
Co ta ica .....4.. ., ...-.. . ", ..., ".-.. .i., ,.

Bocas del Tor.. .... ...-
*-C' Goast towns..... ... -; .......... "..., ....^ ;5. --

300... ;. .... .... .. .8 .
0. A.. i,.... ...
S0 L .... . . .
-- d. It 4 ..

vfpa acntrr? :" *
,, ,, d J ,
W::, :

WA-iS .: .LJ LACW..U- LJ' A .- mj"L A L L W ,JLA.J LA JM. Lg J IU JUAJ 'I.Jl

.. ................................
ipo is ... .... ..........* .. .

STALE XX.--PEBONNEL REPORT. .

,..,,,, , ..
-:::. :.... . ...
....

.... .. . .

4olorMoinit
;,*:.: S,: :" ... .. .. .....

: .**'* S -
i..: i',':: . *.

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i ::"-.--, ...-- .,-.,:

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: ;::"!"!]::,:. -, ,:". ~ *.. .: .

October, 1916.

Septem-
ber, 1916

19tobie
[1916.

- - I >1-

Gold
em-
ployees

4
S4
12
12

9
123
15-
6
2
7
2

5W

2
2

Silver
em-
ployees.

34
140
0-

244
26

33
117'
49

-- --- --

Total
em-
poyees.

4
8
46
152

-160
367
41
6
S'35
124
51

S8

19
4

4
.3-

Total
em-
ployees.

5
.8
46
159

166
365
42
6
37
126
6

S
8

4
4
S ",

- I 1 --.

808
:, :

1, 014 j 1,06

4-.

Total
em- -
ployees.

'1

4 ,r
10-
-44
181 -

192
.340
36. -.
6.
25

6

::4

4
; 3 *. d

1,030

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" : : :::. HE: ": ".. ":': "E .L .'i

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***Sbi^-a

IA

LI NI I l D

	Front Cover
	Title Page
	Table of Contents
	Main
	Back Cover

MILLISECOND	CLASS.METHOD	MESSAGE
0	sobekcm_page_globals.constructor
0	sobekcm_page_globals.constructor	Application State validated or built
0	sobekcm_database.verify_item_lookup_object
0	sobekcm_page_globals.constructor	Navigation Object created from URI query string
0	sobekcm_database.verify_item_lookup_object
0	sobekcm_page_globals.display_item	Retrieving item or group information
0	sobekcm_page_globals.get_entire_collection_hierarchy	Retrieving hierarchy information
0	sobekcm_assistant.get_entire_collection_hierarchy
0	cached_data_manager.retrieve_item_aggregation
0	cached_data_manager.retrieve_item_aggregation	Found item aggregation on local cache
0	item_aggregation_builder.get_item_aggregation	Found 'all' item aggregation in cache
0	system.web.ui.page.page_load (ufdc.page_load)
0	sobekcm_page_globals.constructor.on_page_load
0	html_echo_mainwriter.add_style_references	Adding style references to HTML
0	html_echo_mainwriter.add_text_to_page	Reading the text from the file and echoing back to the output stream
131	html_echo_mainwriter.add_text_to_page	Finished reading and writing the file