Front Cover
        Front Cover 1
        Front Cover 2
    Title Page
        Page 1
        Page 2
    Table of Contents
        Page 3
        Page 4
    Main
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    Back Cover
        Back Cover 1
        Back Cover 2

:.... .; ..







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REPOF


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:MBER, 1916


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CONTENTS.


Page.
fte r or f transmittal. ...................................................... 5
b remarks .................. ........................................ 5
i statistics. .... .... ..... ......................... ... .............. 6



Huapi;Ai division:
~4con Hospital-----------------------8
'aici. Hospitalo..........................................................
.p; oard of health laboratory ......................................... 8
X':: :1 sdtnsane of d rtment ............................................... 8
SChraenic *Aid... o ..................................... .................. 9
Board of health laboratory---------------.-..---.--..-----.----. -8
bIesxe dopytrnent---------------------------.------------..... 8
Ironic w~rd-------------------------------------------...... 9
iton- H ospital......................................................... 9
ST Seco Leper Asylum............................................. 9
7 B'ito Tomas Hospital.................................................. 9
Strict dispensaries.................... .......................... 9
UflB.ary division:
Zone ................ ........................................... 10
;11............................................................... .......... 11
iiff division:
tJ1iboa-Panama...................................................... 12
o ba l ......................................................... 12
cN tables:
Ib I. Admissions, deaths, and noneffective rates for employees;

Deaths by nationality........................................... 15
4i [b fIV. rDeaths of white Americans.................................. 15
S::: Causes of deaths of employees............................... 16
VI. Causes of deaths of civil population (employees and nonem-
p1_rWs es) and military and places where hargeable.......... 16
SDs and deaths the hospitals of the anama Canal... 20
VII. Consbli ated hospital rept................................... 32
SIord- apslte4 dispensary and admission report................. 34
liR i Employees: Constantly sick and noneffective rates............ 36
XI.Employees: Days' treatment per admission, hospital and
quarters............................. ................ ....... 36
f I S Financial statement........................................... 37
Xin.. Afconm Hospital............................. ................... 38
XIV. ColonHospital................................................ 45
XV. Palo Beco Leper Asylum...................................... 46
,i Banto Tomas Hospital........................................ 46
3I. Sanitary work done in the Canal Zone, Panama, and Colon... 49
!VIIIn .Quarantine transactions...................................... 51
.I.; .Issues of quinine ................... ..................... .. 52
XX Personnef report.............................................. 53











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THE PANAMA CANAL,
CANAL ZONE HEALTH DEPARTMENT,
Balboa Heights, Canal Zone, December 9, 1916.
:;: :ieut. Col. CHESTER HARDING,
Acting Governor, The Panama Canal,
:: Balboa Heights, Canal Zone.
BSm: I have the honor to submit the following report of the opera-
tions of the department of health for the month of November, 1916.
Very respectfully,
D. C. HOWARD.
Chief Health Officer

S'.GENERAL REMARKS.

The general health of employees and nonemployees in the Canal
Z:: one and terminal cities has continued good.
: ..: .. A case of smallpox was admitted to Ancon Hospital on November
2,: 1916, from Panama City, in a West Indian sailor who was dis-
charged from the British steamship Coya on October 18, 1916.
The: disease was contracted before his arrival on the Isthmus.
This ship had called at Peruvian ports on her trip north, and took
an original bill of health at Salaverry, Peru; she sailed from that
Sort on October 11, 1916; called at Eten, Peru, and sailed on Octo-
er 13, 1916. The patient was isolated in Ancon Hospital and is
now convalescent. All known contacts were immediately vacci-
nated and isolated, and other usual precautions taken. The adult
contacts had been protected by vaccination, but there were three
C young children contacts who had never been vaccinated. The
first vaccinations were unsuccessful. On November 21 the second
c se appeared in a child "contact "-daughter of the first patient
..admitted. On November 23, a third case appeared in an infant
co:'" ': ntaort, living in an adjoining room of the same house. No
: further cases have developed. Of the three cases treated in Ancon
hospital, the first two are now convalescent, and the third (6
weeks old infant) died November 30. Previous to the above the
ast case of this disease brought to the Isthmus was in February,
S 1915; the last case originating on the Isthmus was in 1907.
.: :: ...:. The annual physical examination of gold employees was com-
S: enced during :the month. This year these examinations have
been made by a permanent personnel of physicians, clerks, and

; action to another as the work'requires. Formerly the examina-
S:ton were made by the district physicians in connection with their
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qpd 47.40 for whites for last month, and 17.41 for blacks and
whites for the corresponding month of last year.
as one death among American employees during the
giving a rate of 2.84, as compared with 2.85 for last month,
.i. for the month of November of last year.
....::-;:::, ..... ..
DEPORTATIONS.
~:ee were seven deportations accomplished during the month,
saployees (for injury 1, for disease 4) and two nonemployees.
CANAL ZONE.
.: EMPLOYEES AND NONEMPLOYEES.
hie population of the Canal Zone, according to the last police
ia taken in June, 1916, is 31,048. This includes employees,
a employees, and military garrisons residing or stationed within
lQanal Zone. Among this population there were 24 deaths
doetthe month of. November, 20 of which were from disease,
iu1 a death rate of 7.73, as compared with 9.66 for the preceding
and 11.14 for the corresponding month of last year.
l the total deaths from disease the percentage under 5 years
.ag was 20, as compared with 32 for last month.
ffiere were'54 births reported, giving a rate of 20.87; of these 14
Miliite and 40 colored.
I'here were three deaths of children under 1 year of age, all
'$i,: giving an infant mortality rate, based upon the number
A i s reported for the month, of 0 for white and 75 for colored
IliEi. 'with a general average of 56.
!tei percentage of stillbirths to total births was 7.
PANAMA CITY.
EMPLOYEES AND NONEMPLOYEES.
pe.i population of the city is 60,778, among whom there were
i-it.as during the month of November; of these 176 deaths were
k: isase, giving a rate of 34.75, as compared with 29.62 for the
4ing month and 27.63 for the corresponding month of last

:4the total deaths from disease the percentage under 5 years
was 52, as against 47 for last month.
ppncipal causes of death as compared with last month were


Novem
October. Noem-
her

(various organs).......................... 31 28
iadanteritis (uner 2 years)...................... 24
...1 tOWlamnia. ...'............................. 16 17
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gthe month there were 21 admissions, 7 deaths, 11 dis-
iand -no transfers. The daily per capital cost for October
. ed statistics are shown in Table XIII.
-ihvard.-During the month there were 10 admissions, no
and 3 discharges. The average number of patients con-
:ly eared for was 21.77. The daily per capital cost for October

; COLON HOSPITAL.
.. Average number of patients constantly in hospital was
ed i ith 38 for the preceding month and 23 for the cor-
-Iifonth of last year. The average number of days'
.n pner employee was 9.25. The daily per capital cost per
agent icr October was'$2.27 gross.
;i~e4 d statistics are shown in Table XIV.

. PALO SECO LEPER ASYLUM.
i Thie average number of patients constantly cared for during the
iitl ias.68.56, as compared with 67.67 for the preceding month
.!l44t for the corresponding month of last year. During No-
S r there was one admission and no deaths or discharges. The
i ,i capita cost per patient for October was $0.75 gross.
J- iliWflbd statistics are shown in Table XV.

..SANTO TOMAS HOSPITAL.
S.G Q thousand three hundred and seventy-one patients were
in the hospital during the month of November as compared
.1,4 14 for the preceding month and 1,388 for the corresponding
lat year. The daily average number of patients treated
*i/t9 as.compared with 440 for last month and 453 for the month
iyvember last year. The total number of days treatment wasE
;asI.& compared with 13,657 for last month.
iuimber .of deaths was 97, with tuberculosis of the lungs,
and enteritis (under 2 years), and congenital debility
causes in the order named.
ve cases of dysentery were treated during the month., with
S10 cases of pneumonia, with 1 death. There were no
for typhoid fever during the month.
i~tlil&d sttistics are shown in Table XVI.

DISTRICT DISPENSARIES.
ipenary .having the highest admission rate for malaria
with a anvetage weekly percentage of 0.11. There
,,admissions for malaria among the employees. of. the
: a pire district during the month.
Statistics are shown in Table IX.





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,The, 'ne
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In a glve I
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mbsq larvar. NaVembe,
been ahn'04'fT 174ili'
mleaaures, emp*loyedl b` Yr,, t h,
very -avy-,rAw, wilfc1l JIM& -out
-other breeding, pJqc_6ft,, Abst "the",-k"
are present, at a time'iln a th xic
placea h the, diA" t- la_
m ebxjqid of, --h6aith U -6omtofy _Zifl to t
dica we aye-
Vresent., These-',repOrta m de' diA I
'"EL4- the IAM.O of '"ieh*rll y,,d
(if (thilis px
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gen) mid, i A N, vul ab -,to
of attack.'
A recent "d very Somprbhensive,'publio-
(The Mosquitoes, 'of
Indices by n6ward 0
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fit -V
leeld, Ab w'fue tA)
the essary oxygenfromlhv'waterllly
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Eat
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There have been 4 cases of diphtheria reported during the month
S with 1 death. The same routine was employed as heretofore,
including hospitalization of cases, the taking of throat cultures
-from all contacts, their restriction for 10 days following expo*
sure, etc.
Two cases of typhoid fever were reported during the month
with no deaths. Both cases were in West Indians residing in the
section of the city known as Guachapali, but no connection could
be traced between them. In both cases the source of infection
was undetermined.
. A bureau of child hygiene was inaugurated under the direction
of this office during the month. One registered nurse was assigned
to the work and Santo Tomas Hospital was made a central head-
quarters for the time being. The plan is to take a certain number
., of infants from birth and by instruction of the mothers as to proper
'feeding, bathing, clothing, and general care trace them for an
indeterminate period. Visits are made to homes and one afternoon
per week an opportunity for consulting a hospital physician is
afforded. The goal sought is the lowering of the infant mortality
rate in this city which has for years been excessive.
The following is taken from the report of the registered nurse
in charge:
From the 11th, when the work commenced, to the end of the
month 61 babies' histories were taken and appropriate instruction
covering feeding, care of mouth, eyes, and general hygiene was
given to the mothers who in the main evinced considerable interest.
The first four days the attending nurse worked exclusively at the
station (Santo Tomas Hospital) but beginning on November 15
she began visits in the city in the follow-up campaign and from
then until November 30, 37 babies were visited in their homes.
On the weekly day for physician's inspection, 17 babies were
brought in; 2 it was deemed necessary to treat. Two infants who
were being artificially milk fed were returned to the breast.
Although in its beginning, the future outlook in this work is
encouraging.
SThe following communicable diseases were reported during the
month:
Beri-beri........................... 3 Smallpox ........................... 3
o: Cgickepox........................ 4 Syphilis............................. 7
S Diphteria......................... 4 Scarlet fever ...................... 1
S Dysentery-.......................... 2 Typhoid........................... 2-
M::. alaria.......................... 22 Tuberculosis....................... 28
S: easles ............................. 9 Tetanus............................. 2
::: nis.gitis........................ 3 Whooping cough.................... 3
Sll, agra............................. 1

COLON.
7.' : :7 ?
,';i. The activities of the health department have been along the
usual lines during the month. Good progress has been made in the
; permanent antimosquito work that has been under way in the
i:: s:: tobal and Mount Hope districts. Several large swamp areas
I:have been filled and the drainage facilities improved by laying tile
i:....and cementing ditches.


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. .-ADMIBSIONS, DEATHS, AND NONEFFECTIVE RATES FOR
.PFOYEES; DEATHS OF RESIDENTS OF PANAMA, COLON, AND
EI ONE.
:: ABSOLUTE NUMBERS.
.; "'.o **. '_________ ________


..r, 1916.

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




::: i .a.................

.. Ne41c 1915.
o l."... ...........



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Num-
ber
of
em-
ploy-
ees.


4,703
30,328


Admissions to
hospitals.


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Deaths.







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Noneffec-
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2,459
5,945


81.98
198.15


35,031 376 264 112 13 9 4 8,404280.13


4,538 151 136 15 4 2 2 2 ,125 68.55
28,734 245 160 85 15 14 1 6, 292202.96

33,272 396 296 100 19 16 3 8,417271.51



4,593 140 119 21 2 0 2 2,362 78.72
29,631 329 234 95 21 17 4 7,692256.39


34,224


10,054


335:11


PROPORTIONATE NUMBERS.1


i mber, 1916.

................... 4,703298.53
:................ 30,328102.48


S. ................

;Ocinoer, 1916.

J.. ................
..............
i. ..'..............



Muvember,' 1915.

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


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


250.05
65.68


48.48
36.79


2.55
4.75


17.43
6.53


35,031128.80 90.43 38.37 4.45.3.081.37 ...... 8.00



4,538399.29359.63 39.66 10.585.295.2 ...... 15.10
28,734102.32 66.82 35.50 6.265.84 .42...... 7.A0

33,272142.82106.76 36.06 6.855.771.08...... 8.16



4,59 365.77310.91 54.86 5.23 .... 5.23 ...... 17.14
29,631133.23 94.76 38.47 8.506.881.62...... 8.65


34,224


164.44


123.77 40.67


5.9612.10


9.79


1 Annual average per 1,000.


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Male.


,Antilles....... ........
Antigua ....... ........
Barbados....... 6
China........... ........
Colombia........ ........
Costa Rica..............
Demarara....... ........
Ecuador.............
England....... ........
Greece......... ........
Grenada....... ........
Guadeloupe...........
Hayti.......... ..1
HolIand......... ........
Italy............ ........
Jamaica......... 3
Martinique ...... 1
Montserrat..............
Nicaragua....... .....
Portugal........ ........
Panama......... ......
St. Kitts........ ........
St. Lucia........ ........
Spain........... ........
Russia......... ........
Trinidad........ 1
United States... 1
West Indies..... ........
Unknown....... ........
Peru............ ....


Total......


loyees.


Female.


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

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13 ..........


Nonemployees.


Male.


1
2
19
7
9


1
1




1
3
38
3
1


33
1
2
6
1
1
4
1

3


Female.


..........
2
11
1
13
1
3
........i..
1
1


1


28
" .........i"
..........

28
2
..........
1





..........
35

1
2

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


Male.


1
2
25
7
9



1


1
1


41
4
1


33
1
2
6
1
2
5
1

3


TABLE IV.-DEATH RATE AMONG AMERICANS ON THE ISTHMUS
CONNECTED WITH THE PANAMA CANAL.


Number Annual
of average
deaths. per 1,000.


l ;., White employees from the United States (4,221): External
::. .auses................................ ..................

ii': White women and children from the United.States (3,918)...

Ly: ',.iWhite employees and their families from the United States
(;:* (8,139): External causes ......... ...........................

l.j:otal number of Americans on the Canal Zone, including
S soldiers and their families (17,203):
,: Disease............ .... .......... ..........
xternal causes.......................... .................

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


1

..........


I. -


Totals.


~






'i "


;;


Female.


..........
2
11
1
13
1
3
..........
1
1


..........
1
28
2

1

35
..........
1
2
..........
1
..........
.......... .

..........


Grand
total.



1
4
36
8
22
1
3
1
2
1
1
1
1
1
4
69
6
1
1
1
68
1
3
8
1
3
5
1
1
3


S259


2.84

..........


_ ~~ ~


15


TABLE III.-DEATHS BY NATIONALITY.






J 14


4- J
......
- .Rnt
imummuuIYlt

t' --

tv '








17

ia nI, VT.-CAUSES OF DEATHS OF CIVIL POPULATION (EM-
P: PLOYEES AND NONEMPLOYEES) AND MILITARY AND PLACES
WHERE CHARGEABLE-Continued.


General diseases-Continued.
.Cancer and other malignant tumors of
; other organs and of organs not speci-
fled-...--...........................
Diabetes ... ........ ".................-
O their general diseases....................
I : Diseass of the nervous system and of the
i. organs of special sense.
: neplhalitis ...........................
Simple meningitis......................
L. ~ oomotor ataxia ............. ....
i'.: Other diseases of the spinal cord..........
Cerebral hemorrhage, apoplexy...........
fEpiepsy............ .......................
nv;:: i lsions of infants (under 5 years)....
Diseases of the circulatory system.
Po.ericarditis................ ..........
Ac,:..:0'pete endocarditis......................
S ganic diseases of the heart.............
Diseases of the arteries, atheroma, aneu-
I is4m, etc...........................
Arteriosclerosis ...........................
S Dfseases of the respiratory system.
'' e bronchitis. ........................
i:''.., anic bronchitis.......................
i-,. Broncho-pneumonia...................
S:,:: wLobar pneumonia .......... .........
i: th'" er diseases of the respiratory system
(tuberculosis excepted)...............
SDiseases of the digestive system.
o ute gastritis..........................
larrhea and enteritis (under 2 years)...
i s. ............................. .....
A, .i endicitis and typhlitis...............
4: i intestinal obstructions............
ii nstinal obstruction....................
: Ea-pl: peritonitis (nonpuerperal).......
i bovenereal diseases of the genito-urinary
system and annexa.
Ac;uifte nebphritis.........................
Snmoui::: n nephritis (Bright's disease)......
tw., lo-nophrosis.........................
.74084-17--3


Pana- Canal
Pa. Colon. Canal Totals.
ma. Zone.


n as l .
X l


3 ....


.... 1 ....... 5
5 2 2 .... 14
. i. .... 1 I....












19


DEATHS OF NONRESIDENTS.


no.--- '*' -----
of Panama.

p eo...........

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

*t6n- del Toro,
B..P.
ftoBelo, R. P.,

. Quilue......
teari of Panama.

SS. S.Charleston.

of Panama.
Toro.....

erfor of Panama.

:, .......

i r of Panama.

irMnla R. P...
sMari, R. P..


Nationality.


Martinique..

Panama...

Barbados ...

Nicaragua..

Panama.....

Chiie.......
Mexico.....

United
States.
Jamaica .....
Panama.....

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

China.......

Panama.....

Colombia...
Panama .....


Color.


Black...

...do....

...do....

...do....

...do....

White...
Black...

White...

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

...do....

Yellow..

Black...

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


Sex.


Male....

...do....

...do....

...do....

...do....

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

...do....

...do....
Female.

Male....

...do....

...do....

...do....
Female.


Age.


44

22

30

75

44

20
40

45

55
29

26

31

39

28
29


Diagnosis.


Pulmonary tuber-
culosis.
Broncho-pneumo-
nia.
Accidental drown-
ing.
SChronic myocardi-
Stis.
I Broncho-pneumo-
nia.
Lobar pneumonia.
SPulmonary tuber-
culosis.
SRailroad trauma-
tism.
SArteriosclerosis.
SPulmonary tuber-
culosis.
Chronic myocardi-
tis.
Estivoa u tumnal
malaria.
Pulmonary tuber-
culosis.
Do.
Chronic nephritis.


a2 r ...


;..... ..









ry
I,'..; ..: .

, .. ...:. o..










B i. -' 5" ,.:::..
..mE: "




"ai': :' :i,.: "
i ,::.:







:I .. !:.ii: =,( ,.


i:...

.:::iE. :.. r~;.~. ;;


L;-" '






Y
TA






TT


IT
210,w, te





B'la
Ameri-,
ns
4,W T!




Ocml* 4sea&x

oidlev-er
uJarw fever' v



----------


4Dghthdria, And TIM OUT)
D' 2,
1 *9 OACL5111 cataTOWO
3

ox-
=d
Wp
IT,

3"Of the
yfab,
Out .. .....
AzuWm erculom,

Tttbog ml
T

7
-T

hft te 3,

p-b"-


PI -4-

2=t,
TI,
Adoi*isbb cr -T., 3
'ant.
lowc iDf' tUO
d' jTjo

40 btW

"alt

1934,01"A
=Oof
-04
rtT
otub





tlj i] : i ,:, "



21


OF THE PANAMA CANAL FOR NOVEMBER, 1916.


SNonemployees. Nonresidents.


Discharges. Deaths. Discharges. Deaths.


White. White.

Black. Black. White. Black. White. Black. ; U
Sol- Oth-eOthers.

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


S .. F. 1. F. M... .. M. F. -M. F. -M. M.. -.








.... .... .... ... .. . ... .. ... - -
4 1 3 2 6 .... ...... ....... ... 1 1 ... ... ... ... ... ... ... 33 ...
S1.. ...... 1 2 ... ............ .... .... .... ... ... ... ... .. . .. 12 ...

S1 2.... .... 1 1 ... ... ....... .... ... ... .. ..... ... ... 4 ...

. . .... ... .... 1 ... ...... ...... ........ ... ...... ... ... ... ... 1 1
.... .... .... 2... .... .... .... ... .... .... .... ... .. . ... ... ... ...
... ....2 1 .... .... .... .... .... .... .... ... ... ... ... ... ... ... 5 ...
....1 2......... 1 .... .......... .... .... ..... ............ .... 14...
.. 1 ......... ....... ... ........ .. .... . ... .. ... ... ... ... ... 1 ..


... ... .... .... ................ .... .... ....... ... ........ ....... .3...
; . .. .... ---- --- 1 1 ............... .. ..... ..... . .. ... ... ... ...


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

.... .... ..... ..1 ........ .... 1 ............ ... ............1 2 1
... ... 1 .. ... 1 .. ... .. .... .. ... ..... .. .... ... ... ... ... ... ... 1
..ii . .... i. .... .... ........... 11.. .n.... 1
... ......... 1............... 1 ........................... 2

.... ............1.......... ........ .... ... ... ... ... ... ... ... 1
.... ............... 1.... ................ .... ... ... ......... ... .. 1 ...
...... .... ... ... ......... .... ..... ... ...... ... .. .. ... ... 33 ..
.... .... 4 ............... .. ... ... ... ... ... ... 24. 1.

.. .... .... .... ..... .... ............. ... .... ... ... ....... ..... ...
..1... 4... ..... ... ..... .. .... ... .............. ... 1
23 .... .... .... 2 1.... .... .... ..... ... ... ... .. ... .. .... ... ...I I..
S...... .... ................. ........ .......................
S1...l.................... .... .... ......... ... ... .......




... ................ 1 .... ... ....... 1.... ....... ...... ... ... ... 1 1
3 .... .... .... .... .... .... .... .... .... .... ... ... ... ... ... ... ... 9 ...






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






49 9 620 29.... 1 7 6 8 1 ... ............... 17
1........1.... ....................1......... 6 .
2 .... .... .... ... ... .... ..... ..... ... ... ..
s:: "



,;. i ...... .. ...


















V lv-
WXI ggv 7 qv,



V






























CIA





WIRE








St








4w-%










W,








23

PANAMAA CANAL FOR NOVEMBER, 1916-Continued.


C Nonemployees.
fe:;; : '


Deaths.


Nonresidents.


Discharges. I Deaths.


hWhita White.
-". Black. Black. White. Black. White. Black.
Others. d Others.
'':*'" *'


F. I M. M.


M. I F. M.I F. I M.


I .II .I I .. I I III. I .
I.... l . . l ..............l......I.......I......III...


1::::I:::: .... I:::.:1: :.:::[::


f.':. i: :::I::::.I .::::::


2l212 2....2I 2...1


M. F.


----I... .... .... ....I .... ... .. -.. I'-I"


I... I..I..I.E


It-. 1.


I :..
2 1. I


~.I::::I::::


I ...




*o,,7w, 41. `,0 IV,

Ir








41
















F-

77
D*wek 0f Ow rev







tile ftmOV6 I-X

tb,6

cases '00 'au
gufftsv

D-
FOOwow t

W& (caite"Or cx6;iitea)
WS,




en





Ing'a ,m'v
thgr,


17

q', w-





4








25

PANAMA CANAL FOR NOVEMBER, 191-Continued.


':: Nonemployees.
'"..: "i


arges.


Deaths.


Nonresidents.


I- _ _ _


Discharges.


-- I I ______--


Black.


White.

Sol-thn
d'rs Othere.


'W I


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


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












i i
.... 2 4....
2.. 4


.... 1.


Black. IWhite. IBlack.IWhite. Black.


III!l l


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


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


.10
. .;:.." . : : .:.



S .... ..... ... . ... ... ..


Deaths.


--E-.I-'.--
--. ..


... ...I ... ...I...


:. .. ... . q.S::.


-I


..


[:::I-:"




V4

TWO-* W'.
lJ:

/01;

OR
ph
ot
bW m
*Ae 7












i: 7 :.. : 27
. : ,.... ......





r Nonemployees. Nonresidents.



Discharges. Deaths. Discharges. Deaths.



White. White.


SBlack. Black. White. Black. White. Black.

d'r Others. d'r Others. 4







2 .....:.::.. 1 .... .... .... --- --. -- ---- -- - - - - - -- -

MM. F.... F.M. M..F F M. .... .... .... .... ... ... ... .. .. 2n
.... :... ....... .... .... .... .... .... .... .... .... .... ... ... ... ... ... ... ... 2

2 1 4 ....... ........ ............... ... ... ... ... .. 7






:.... .... .... 1 .... .... .... .... .... .... .... ... ... ... ... ... ... ... 3 ...
. .... ... .... ... .... .... .. . .. ... .... .... .... . .. . ... .. ... 2 ...
3 .... .... I ............ ...... .... .... ... ...... .. ... ... ...

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




S. ... ........................... ...... ...... ... ...... 6
............ .................... ................ ... ... ... ... ... .... .. ...

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






2 ..... ........................ ... ... ... ... ... ... ...
S. .. .... .... .... ... .... ...... .... .... ... ... ... ... ... ... ... ...
. .... 9 .... 1 .... .... .... .... .... .... ... ... ... .. . .. ....... 19 ...


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





.... .... .... .... .... .... .... ... ... ..... ... ... 9 ...
S2 .... ........................... ...... ...... .... ...
...- 1 --.... .... .. ... 1 . .... .... . .. . .. ... 1





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



-:.... ..... ....... ............................ 1 ..
............ ............ ... ... ...







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

... ..1 .. .... 1 .... .... .... .... .... .. ... ... ... ... ... ... ... 1 ...
S..... ........... ......... ...
S.... 1 .... .... ...... .. ................ ... ... ... ... ... ...... ...


2 1 1 .... 1 .... .... .... .... .... .... ... ...... ... ... .. 8 ..-
'r ..'





"+. :






















......... .




Si



V




R,

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



61.
WS

.... . . . ..






.... .... ...

'ILL

a,

.... .... .
.. ..... ...
07
. . . . . .
.. . .. .. .......


igg
1 .4 . . ... .. .......
7i:!!:!:.,'.
j .K ..... .
......... ..
... .... .. ..... .


Ir. M, vV
.. ..... ... ...







R., x1n
N
M:., z
... .. . ......
-4
'410



.. .. .... ..
I IF




R
4UR V.4 1
.xi .I::!: N
J.4

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

TM
'Vt'
5M.
Y3,

.... .... ...
....... ... .
-O 'N

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

i M 4,

,U



M .... ... .. .

VIE X 2'Aiko;.
Fi 4 :x


-x6 x

M U:, ilk:
I . ...... .




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

.. ...... ..


W..


MAN:?!

.... .. ....
'k &.
Zd










29


?ANAMA CANAL FOR NOVEMBER, 1916-Continued.


I Nonemployees.
,;... ".. .


::.: .;.. ..



Black.




L.Y. .M. F.






14 . ... ....



1 ... ....


Deaths.


White.

Black.
SOthers.


M. M. F. M. F.


Nonresidents.


Discharges. Deaths.


White.




M. F.


Black. White. Black.


M. F.

-


.... .... .... I .E.. .... ... L ..L ..


M F.


M. F.


e mew*,:; * .' *
.:..... ..





tit':': .: t:itt:';:: t, .i: :' .
...... :....... .. .... ... ... .. .. .. *


10
10 1...


8 ..
1 ...


I ,


I 1....1.


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


::..:'.


....:::: ..::: ::::. .... : !:: ::: :




- t ,, '
mT

mmmwW,
ISO '
111 "l
iJ?



Affdin -pwmel
i!4
sp'3

10MIvooo.. ,3





iii ?'.. :
.r;:





"'i: i
i. ..;
1. ;,;
':'


31


P THE PANAMA CANAL FOR NOVEMBER, 1916-Continued.


..


Ii.f









IY',

C .

11.1











'L~0~ i i




p:;~t.
*4*


o*l *




luwWa y
4151YOX:
4aoa"











... ......
won,
P:
W.M.


ly.. .. XM way.
ww" REEBOK_
,!N% it; WOW.
took sit
13 1 too Aj

... ... .....
&W 41 lowk

'IN


MIS w
;70 .. ...
U P ... ..
Wk, 4
am on 41?
PC yfmn -Ong
#27 F Y!,
. ... .... ......
..........
Wow _VA -
aL ;41-q
...... ... .

. ....... 5 4
9,;l f
41
R U
Fal, 1-ir

RP4 I "gum
.28;
7":
T:i. -Wopy g, in l k,
o:
m auv ... ... ......... 4 W ..
N

a . .... ...... .
`wX ZU. i WN ly
Ti

q:: W wow lA...::.-..D= i
VA A W. Wnguyl. fgw .... .. ............ .
ANO A
MR.N. r

.11 .. ......... lw 4 _k
n.. i,_
vs, FV t W _':
_xx Y:
tt
U

-MST"
OR
A ... .........



va

W ..... ....


a.n. U.
Qqw,
-Not





y e%:.W ...., .. .....
.... ... ... .. ... ........ .
R

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







... '"





HOSPITAL REPORT.

I Whits foreign; B=Blacks.]


33


?'"'
;":5"

1...
"*;;;..

::~~"


'lumber of employees remaining in hospitals:
W hite.................................................................... O
Black.................................................................... 237

Total................................................................... 306

4! '*;*


I",-






9.I



K...
I-'a!

!r.


Discharged. Transferred. Average number constantly sick.


A. F. B. A. F. B. A. F. B. American. Foreign. Black. Total.




56 19 140 .... .... .... 25 10 113 24.33 13.13 112.87 150.23
.6 4 42 ........ 1 7 3 43 6.20 2.97 38.53 47.70
269 27 93 4 .... 1 84 23 65 103.80 23.17 58.03 185.00
13 3 28 .... 1 10 8 2 26 7.37 1.16 31.24 39.77

344 53 303 4 1 12 124 38 247 141.70 40.43 240.67 422.80.



.6 ........... ......... 6.00 6.00
..... ... 1 .... .... .... ........ 1 ........... ........ 1.17 1.17
... 1 4 ............ 2 34 188 2.00 33.53 188.10 223.63
4 ..... 1 .... .... .... 5 4 2 2.97 4.00 2.76 9.73
..... ..... ..... ............ 3 10 63 3.00 9.97 61.53 74.50

4 1 6 .... ........ 10 48 260 7.97 47.50 259.56 315.03

348 54 309 4 1 12 134 86 507 149.67 87.93 500.23 737. 8



..... ..... 3 ............ .... 10 55 ........... 10.00 52.87 62.87


.......... 1 .... .... 2 .... .... 24 .................... 21.77 21.77


11 2 24 2 1 8 3 2 7 2.36 2.73 9.21 14.30
8 4 24 ........ 9 6 3 12 4.03 1.36 8.71 14.10
1 2 .... .... 5 .... ......... .......... .60 .20 .80
15 15 4 2 1 2 7 6 .... 5.30 5.36 1.50 12.16
3 ..... 1 .... .... 2 2 -..- 1 ........... .80 .43 1.23

37 22 55 4 2 26 18 11 20 11.69 10.85 20.05 42.59


.... ..... ..... .... .... .... .... 2 38 ........... 2.00 40.56 42.56
.... ..... ..... .... .... .... .... 2 24 ........... 2.00 24.00 26.00

... ..... ..... ................ 4 62 ........... 4.00 64.56 68.56


67 21 167 2 1 8 28 22 181 26.69 25.86 180.95 233.50
14 8 67 ........ 10 13 6 56 10.23 4.33 48.41 62.97
... 2 6 ........ 5 2 36 226 2.00 36.13 228.86 266.99
288 42 98 6 1 3 96 33 67 112.07 32.53 62.29 206.89
16 3 30 .... 1 14 13 14 138 10.37 13.93 138.97 163.27

385 76 368 8 3 40 152 111668 161.36 112.78 659.48 933.62
u: __ __ __ ________________ 7





































































t4IM










35


IX.-CONSOLIDATED DISPENSARY REPORT-Continued.
: .CONSOLIDATED ADMISSION REPORT.


White. Black. TotaL


r admissions to hospitals, excluding Corozal
Sand chronic ward ............-............ 468 440 908
t madisions of employees to quarters......... 389 187 576
Total..................................... 857 627 1,484
ab ~ umber of patients transferred between hospi-
Itih and from quarters to hospitals, whose admis-
ons are duplicated in above figures............. 18 40 58

Net admissions to hospitals and quarters.... 839 587 1,426

EM PLOYEES.

I tto admitted to hospitals.................. 117 259 376
1~ptioyees admitted to quarters.................. 389 187 576
Totl--------------------------06 -4---952
total ...................................... 506 446 952
esm number transferred between hospitals and
Eoainquartersto hospitals, whose admissions are
iplicated in above figures...................... 10 20 30
-: Net admissions of employees to hospitals and
S quarters-.......... ....... .. ........... 496 426 922

lunual average per thousand of admissions of em-
:ityees to hospitals and quarters................ 1,265.79 168.55 315.83


ift exIOUS AND INFECTIOUS DISEASES REPORTED DURING THE MONTH OF
..:": NOVEMBER, 1916.


Disease. Panama. Colon. Canal Total.
Panma Col. Zone.


i... 3 ......... ...... 3
l syi o xlengi -----....................... 5 4 1 10
lida....................................... .......... ........ 2 2
a, c ................................... 4 2 4 10
..................................... 2 ........ ........ 2
.meningitia....................... ........ ........ 1
ver................................ 22 10 26 58



....tuberlar ................. .2........... 9 1 12 22
:....e.................................. 1 ........ ........ 1.
.................................. .......3 ... ........ I
.. ................................ 1 ........ ........ 1
I ........ ............................. 3 ........ ........ 3
...................................... 7 ........ ........ 7







Ca.
....e er................................ 2 ........ 1 3



H I :1aB >:;; titt h:.... 4A
H L ...H^ CO ff ..* *^ * ** ** * "uu * *








Wn
i4


iJW
iAi
'T ,'k X




i-


i ~ (Hl ta
ioal



iaior
l~mmm7
iM

I -- - -- - ---












E'.LE XII.-FINANCIAL STATEMENT, DEPARTMENT OF HEALTH.


Oct., 1916. Sept., 1916. Oct., 1915.


' :: .Administration: Chief health office......... $407.18 5817.23 $959.22
Hospital division:
: Ancon Hospital....................... 27,815.06 26,129.16 24,427. 2
Board of health laboratory.......... 2,002.90 2,217.44 1,587.44
S.Corozal Hospital and farm........... 7,422.24 6,475.28 6,876. 07
SChronic ward..................... 209.80 215.26 215. 1E
Colon Hospital..................... 4,569.75 4,496.17 3,304. 1
S: Palo Seco Leper Asylum................. 1,482.59 1,979.55 1,828. 9
Santo Tomas Hospital................ 1,047.00 888.75 1,023. 7
Medical storehouse...................... 637.33 674.21 832. 7
Reserve for new tools.................... 2,159.04 2,095.77 ............

:: Total................................. 47,345.71 45,171.59 40,095.51


: District dentists............................
Dispensaries:
IB.::" boa ..................................
: : Corozal .................................
SPedro Miguel.........................
S Paraiso.................................
Gamboa................................
::: Gatun.................................
Total.................................

I : Sanitary division:
General inspector....................
Health office, Panama.................
Street cleaning, Panama..............
Health office, Colon.....................
Street cleaning, Colon.................

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

S' Zone sanitation:
Ancon .................................
Balboa.................................
SCorozal.............................
Pedro Miguel..........................
i":. Culebra...............................
S. Frijoles................................
Gatun .................................
Cristobal-Mount Hope................
Total ......... ..........................

E;, Quarantine division:
: Chief quarantine office................
S: Balboa-Panama....................
Colon-Cristobal....................
Inspection of cattle.............
Total.............................

-RECAPITULATION.

;.::i.E.hlef health office...........................
:'Hospital division...........................
*gDgpensaries................................
b'1WN Sanitary division..........................
quarantinee division........................

S Total................................


27.08 28.39 56.49

1,146.10 1,206.82 989.14
............ ............ 528.77
420.12 423.94 499.64
547.75 552.51 619.63
137.63 151.53 157.44
509.28 674.50 755.40

2,787.96 3,037.69 3,606.51

50.00 50.00 50.00
3,599.92 3,072.29 4,003.29
3,911.03 4,257.84 4.592.46
2,477.25 2,999.06 3,412.47
2,126.02 2,139.22 2,231.78

12,164.22 12,518.41 14,290.00

1,621.77 1,960.29 1,639.57
723.33 1,366.01 1,529.91
1.213.43 1,309.32 1,604.83
2,994.36 3,939.33 3,119.47
1.11
............ ............ 1.11
72.27 75.75 102.98
2,950.03 3,933.83 3,070.17
1,904.65 2.107.26 2,587.62

23,644.06 26,910.20 27,945.66

169.08 171.39 169.34
1,977.76 2,041.75 1,892.06
2,810.30 3,411.81 3,350.52
497.50 ............ ............

5,454.64 5,624.95 5,411.92


407.18 817.23 959.22
47,345.71 45,171.59 40,095.51
2,787.96 3,037.69 3,606.51
23,644.06 26,910.20 27,945.66
5,454.64 5,624.95 5,411.92


79,639.55


81,561.66


78,018.82


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39

TABLE XIII.-ANCON HOSPITAL-Continued.
.:.i: ;:!; ....... ...
WAED LABORATORY REPORT.

ons (total number) ................ ...................... 54

un.........--.......................... .................... 26
: i In .................................................................. 14
])t: ent counts......-............................................... 1
m lobin estimations .. ................................................ 155
Asnl m counts .......................................................
R'o:' blood counts --....... -............ ............................... .. 8
xsfI nations (total number)a......................................... 508
-------------------------------------------------------------- I

i::' ac tests............................................................... 122
Asc'riB lumbricoides ................................................... 5
i: liatd nomads ............................. ........................... 6
S.Entamieba (hystolitica and tetragena) .............................. ...
;'::Tr a tests ............................................................ 92



itcinaria(ova)----------- ---------------------------- 30
Ur'j-Teinexaminuations (total number)......-.-....-....----................... 1,886
*N1u;::. s nil d blood............................ ............................ 427
S:o ?o B;it..o.;.es............................................................ 16
..*...: '' sfas nata disp.... r (ova) ............................................ T2

': iei a lus undspa -...--....--........................................-... 9
ha :::::: (ova) ........................................................ 949


S Gu tests (total number)......................................... 194
He.. crystals---------------------------------------------6



Bi ............................................... ..................... 681
S s and blood.................................................................. 42
.ga nomads......................................................... 11


p::: eai....nt......................... ............................... 34
SPitiv for tubrestse bacilli........................................................ 9433


S ea examination (total ..........number.............................................. 2
.......................... ..................................... 4it

: : t. ..........ite t .......................................................... 461
: t:, ai.r: oex sm.n neg. 35).................................................... 40

:iii. ;" :tF inal-Ui . s........... ........................................... 346
i: sitieor tuberclebaci l ..... ........... ............................ 33






REPORT OF SURGICAL OPERATIONS.
,. ruminations (total mN.................. umber. Died.
ir;: be ral ................................................. 3i












9pera'xou on bones:
.Wrngof iractres, simple2- ................... ........----2..... .

S:;K: ii',: I~exiina ti................... .............................. .3 ........


~ Conical------------------------------------------S.......
'fluid' A ar -------------------------------------------------1-----
oatnnl singear-----------------------------------------------1
' 1.: tin smears~ne.... ............................................ .....
..,-... ea. s .............................................15. ..... ..



: t r: Number. Died.....2







i....gu ...le.................. ............................
^.i. oublei ................................................ .........
stifectom s ... ........................................ 2 ........
V.n g f d ue simple................................ 2 ........

eoal ................................................... 3 ........






urmary tract:
...pbrtomy-.............................................. 1 ........
.. .. ..t..tom I...... .'RaP ---- ------E- ---



.........otom external...................................... 4........
:::, radicalc. re.................................... 1 ........
a ::o'el natiadub e ......................................... 2 ........


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41

STABLE XHI.--ANCON HOSPITAL-Continued.
..MONTlym REPORT OF VAccmATIONS.
a a lts vaccinated ............................................... 522
takes ............................................................ 34
fhool children vaccinated...................................... 30
o takes....... .................. ................................... 6
S . BOARD OF HEALTH LABORATORY.
Examinations of:
B ii ltutures (3 positive for B. typhosus) ............................. 20
c. t cultures (9 positive for B. diphtheriae; new 6, for release 3)..... 97
;kl"Y rm ................................................................. 155
Stiil;. : ............................... ........................... 142
pftuinm................................................................ 6
SFat oloical fluids, exudates, etc....................................... 8
S:,Smiars, goocoous...................................................... 2
iCi:lture of autopsies .............................................. .. 1
S: pe er susp ts .......................................................... 2
from Corozal................................................ 29
rinnetions ...................................................... 750
Its vaccineA prepared ............................................. 4
iftp'hod vaccinations ........... ....... .......... ...................... 1
.. vaccinations----------------------2
Vaccinations ..................................................... 26
iUillo allergin test (positive) ............................................
i l inoculations........................... ............................. 9
lwmination of blood preliminary to a transfusion; number of individuals.. 6
RBh field examinations .........................................----....... 13
ifogii points manufactured ...................... ...................... 2,355
Mitisj" l oe aminations of:
' i Jit ers' niilk .......................................................... 1
Wi' nC-.........---.........-.................................-........ 10
F;. at : determinations of milk from Corozal farm.......................... 4
i .PoiWer for poison ..................................................... 1
S' Sl~ tch contents....................................................... 4
SSto:: iaeh contents for opium...................................-........ 1
,:i onomy brand skim milk............................................ 1
I:'Spinal: fluids-
i::.- Butyric acid test ................................................... 10
:.-i'. :.Ammonium sulphate test........................................... 10
.O iW P. I oltest........... ............... .................................. 10
Colloidal gold test...................-................... .......... 3
l gfte l tissues prepared; paraffn 353; frozen 9......................... 362
tissues reported ................................................... 51
pathological examination....................................... 3
Smears ...........,............................................. 23
performed ...................... ................................. 2
atopsied (hogs 10; rats (complete) 10; calves 9; monkeys 1)........ 30
bodes examined.. .........-----.................................. 2
a mder observation ................................................ 1
mined (mus musculus, 535; mus norwegious, 757; mus alexandrinus,
ttas, 1)........................................................
rmunts at Corozal................................... .......... 10
to anma.......................... ........................... .. ...
to Gt unP .......................-........-...................... 1
en to Mount Hope.................................................. 1
tins.............................................................. 19



















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43

TABLE XIII.-ANCON HOSPITAL-Continued.
MOSQUITOES IDENTIFIED AT THE BOARD OF HEALTH LABORATORY-Continued.




Fe4
. :.... n
o...'..:. :.' 3
: Stations. I. o

aS h- 0 0 .
as a 0 Z

P oc........ 1 1 1 .

r1e Ancon ................... ............ 2 .... 2....2 ..... .... .... .... 501
S Balboa .............. ................. .... .... 2 ..... ........... ..... 565
Corozal district..-....................... .... .... ....1 .... ........ ...... 75
SCorozal post........................... .... .... .... 3 .... .... .... .... 92
Pedro Miguel. 1 .. ................... .... .... ...... .... .... 280
Pedro Miguel railroad station............... .... .... ...... .... .... ...... 1,230
Paraiso ...... ........................ .... ... .. .... 1 1 1 ........ 237
Red Tank.......2.................-.... .... .... .... .... .... .... 25
Miraflores ............... ............. .... .... .... .... .... .... ..... 5
Rio Grande .......................... .... .... .... .... .... 536
Sr rLio & Cerro ........................... .... .... 1 ....I .... ... .... .... 666
i;Dredges, Culebra cut ................... ... 38 ... .... .... .... 1 .... 923
S Gamboa......... o ......................... .... .... 1 .... .... .... .... 2,654
oGatun.--..-a............................. 3.... .... 5 .... .... .... .... 554
New Gatunl............................ 1 .... ..... 1 .... .... ... .... 461
Frijoles................................ .... .... .... 6 .... .... .... 7,090
MonteLirio ........................... .... .... 1 .... .... .... .... 1,168
barracks, Cristobal..................... .... .... .... 2 .... .... .... .... 3,178
SSilver married quarters ................ .... .... .... 1. .... .... .... 1 1,232
Mount Hope village ................... ..... ..... .... .... .... .... 172
Panama Railroad cars, Cristobal ....... ............... ........ .... 123
S Colon Hospital............................. ............ ........ 1 1,026
Lincoln House, Colon ..................... .... ... .... .... .... .... 466
S: mp Gaillard-- ................ ......... .... .... 78 22 .... .... .... 2,673
Empire................................ ... .... 9 4 .... .... .... 627
Camp Otis .......... ...................... 1 ....... 1 ............ 1 4,328
..; : rt Randolph....................... .. ........................... 17
S b.. rt Sherman..................... .... .... .... ........ ........ 2 1,297
F rt Grant............................. .... 1 238 .... .... .... .... .... 697
Total............................. 10 41 240 116 -27 1 1 4 32,898









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45

TABLE XIV.-COLON HOSPITAL.
NATIONALITY.

White White tl
......... Black Total.
S : American. Foreign. B

ih tnlCa dl employees................. 16 5 39 60
iias.maB. R. employees ................ 14 7 46 67
-pagy.............................. ............ 2 8 10
si er ............................. 24 25 6 55
i~t y ............................ 5 .......... 4 9
:!; Ttal................. ......... 59 39 103 201


LABORATORY REPORT.
: mtiood examinations.................................................. 119
R:-. : Estivo-autumnal..................................................... 7
-:: Whits blood counts ............................................. 16
:. : Henglobin ........... ............. ............... .............. 4
t elentiacounts.............................. ........... ..............
i?;. iaria. ns....................................................... 5
Tricocephalus dispar................................................. 2
i:.ed.bood .... s ............................................. 1
r Pushalus..........pr............................................................... 1
: I idl exainations........... ......................................... 1
S bumen.................................................................. 109
a:Im, tats...I ns ......................................................... 167
S. Pu s.. .............................................................. 1
as Bood...-.........s.......ts.. ................................ 29
S."..................................................................... 4
l o' .................................................................. 29
c utum examinations..................................................... 61
S e' Psitive for tubercle bacilli........................................... 5
S*;miar exaninations................................................... 3
S:: ...ositive for gonorrhea................................................ 2

SURGICAL OPERATIONS.
: s iotomy:
n : L: guinal single........................................................ 2
I.. .t.l double.................... ............................... 1
-l-Tzturumary tract:
e.:: arizoeele, radical cure.; .......................................... 1
::...piddyJloto.my ..................................................... 1
ttage uteri.............................................................. 4
:M .aohelonhaphy ..................................................... 1
ow f6rceps ............................................................ I
.. lersionm................................................................ 1
S.Pr ineerrhaphy.................................................... 1
: Stab wound of chest, operation for............................... 1
2~~I.m: Hemorrhoids, radical cure......... .................... ...... 1
Tenorrhaphy................................. ...................... 3
tomy:
lGastroenterostomy (one for perforative duodenal ulcer, after closure of
loki and drainage).................................................. 2
S ndetomy .................................... ..................... 4
j m.' leutomy ...........................................................
': ari cspJeys tomy, bilateral ...................................... 1
i',...... l sio iteri................................................ 4
Imuior per nations, varous............. ..... ........ ......... 9
r oipeitions, various (disp sry)................................. 145

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47

TABLE XVI.--SANTO TOMAS HOSPITAL--Continued.
DISEASES TREATED.
M alari ..................................................................... 37
SSmalipox---------------------------3
: S. a lep ..................................................................... 1
S scarlet ever...................................................................
Diphtheria and croup ------------------------------------------------------
I, ,D ysuen ate ................................................................... 2
Lepy n ery .................................................................. 1
Dyrseney ----------------------------------------------------------i
Erysipelas.. ................................................................ 2
Other epidemic diseases................................................... 4
.;' Purulent infection and septicemia.......................................... 8
" ellagra.................................................................... 2
I ':- Tuberculosis of the lungs .............. i..................................... 12
K;.. Pott's disease---------------------------2
Pott's disease............................................................... 2
Syphilis .................................................................... 40
Soft chancre................................................................ 23
Gonococcus infection....................................................... 32
Cancer- and other malignant tumors of the breast.......................... 1
', Other tum ors............................................................... 4
Acute alcoholism ........................................................... 5
Other forms of mental alienations........................................... 4
S Epilepsy................................................................... 3
S H hysteria ................................................................... 2
S: Neuralgia and neuritis...................................................... 6
Other diseases of the eyes and their annexa................................. 8
i Organic diseases of the heart................................................ 9
-,, Diseases of the arteries...................................................... 4
Diseases of the veins........................................................ 3
Diseases of the lymphatic system........................................... 9
S Chronic bronchitis.......................................................... 21
Broncho-pneumonia....................................................... 2
I Pneum onia................................................................. 5
h: Pleurisy.................................................................... 4
Asthma-----------.................................................................... 2
Diseases of the pharynx.................................................... 19
I Other diseases of the stomach............................................... 4
Diarrhea and enteritis (under 2 years)...................................... 1
Diarrhea and enteritis (over 2 years)........................................ 6
Ankylostomiasis............................................................ 45
: Intestinal parasites......................................................... 9
Appendicitis and typhlitis.................................................. 11
Hernias, intestinal obstructions............................................. 12
SDiseases of the anus and fecal fistula-.....................-----------.....-......-----........-- 4
Other diseases of the intestines............................................. 10
S Biliary calculi .............................................................. 2
h), Other diseases of the liver.................................................. 2
Diseases of the spleen....................................................... 1
I ple peritonitis .......................................................... 2
.:'. Bright's disease (chronic nephritis)......................................... 34
SDiseases of the bladder..................................................... 2
:,Diseases of the urethra ..................................................... 3
Nonvenereal diseases of the female genital organs........................... 8
t rine hemorrhage........................................................ 2
SUterine tumor.............................................................. 1
ji4: ,:.. X tritis.................................................................... 14
*. Other diseases of the uterus................................................. 9
: Salpingitis and other diseases of the female genital organs................... 11
I" npuerperal diseases of the breast......................................... 1
M:.iI:m::,N labor............................................................... 100
:i:. dents of pregnancy..................................................... 18
Hi r accidents of labor.................................................... 2
: !;n;:: peral diseases of the breast............................................. 1
.&,. pte abscess.............................................................. 10
.rri 'C diseases of the skin and annexa...................................... 31
seases of the bones .......................................................
Dis1e7:6ases of the joints....................................................... 10

























































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49

EL". XVlH.-SUMMARY OF SANITARY WORK PERFORMED AND
MATERIAL EXPENDED DURING THE MONTH OF NOVEMBER IN
THE CA AL ZONE.
.Work requests on supply department:
Grass cutting......................................................... 40
r, eening.............................................................. 11
S,; ests on municipal engineering department...................... 13
S' orsereening........................................................ 1,622
:..: or mosquitoes........................................................ 5,237
For general sanitation................................................. 2,235
I Stores, inspections of ...................................................... 24
Restaurants, inspections of ................................................ 12
lShop, inspections of ..................................................... 76
: Notices served to abate nuisances.......................................... 2
Houses disinfected and fumigated.......................................... 4
:,. Pit closets inspected....................................................... 582
Closets disinfected......................................................... 665
Garbage cans emptied..................................................... 2,852
: at traps in use........................................................... 400
: ats d royed.................... ................... ..................... 489
; Number of mosquitoes destroyed in dwellings:
Anopheles............................................................. 919
Stegom yia............................................... .............. 40
S Cuex .................................................................. 1,696
I Masonia............... .............................................................. 12,498
Material expended:
Larvacide, gallons.................................................... 544
:rade oil, gallons...................................................... 12,872
Kerosene, gallons...................................................... 633
: Number of containers with stegomyla larva found ....................... 1
P:ly breeding places destroyed............................................. 5
REPORT OF ROUTINE WORK DONE BY HEALTH OFFICE, PANAMA.
I General sanitation:
Linear feet of ditches cleaned and maintained..-.......---.............----- ... ----74,400
: Linear feet of new ditches dug........................................ 115
Number of cubic yards of earth used in filling......................... 0
q;i (Gallons of larvacide used............................................. 935
l Gallons of crude oil used.............................................. 6,040
Gallons of kerosene used.............................................. 173
Square yards of pools oiled.......................................... 471,940
Water containers treated......................................... 10,685
i,:. Mosquito breeding places found (Stegomyia 128) .................... 329
S Fly breeding places found............................................ 54
Flies trapped (13,000 per quart)............................... .... 100
. :Number of rats killed............................................. 927
Number of room disinfections made................................... 25
Square feet of vegetation removed................................... 331,900
.arbage collection:
Number of loads of garbage removed to dump........................ 4,375
Number of cubic yards of garbage removed to dump...-............ 9,366
Total number of cans of garbage emptied............................. 42, 701
i, Sdings:
..Number of buildings inspected................................... 4,504
lu:tnber ol plans for new buildings approved........................ 13
Number of permits issued for repairs to old buildings................. 67
T;:otal building permits issued......................................... 80
'fi timber of buildings condemned..........-......................---. 10
3wamber of stables condemned...................................-------- 0
number of buildings demolished.......---.........................--.. 10
t meaning:
h've-age number of square yards of streets cleaned daily.............. 600,000
Average number of square yards of streets sprinkled daily ............ 0
iN:_aber of private properties cleaned during month.................. 7
WThnmber of nuisance notices served and nuisances abated............. 300
uiatluns:
.-itm ber of vaccinations performed during month ..................... 188
4i? o.falnu:nber of vaccinations since Apr. 1, 1914....................... 25,068














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UI

t Hope-Continued.
b ..tf mosqqitps capght-Continued.
a .....-.................... ........................ 3,190
Bigver married quarters ................................. 1,572
Steam ship ........ ... ..... ... ........................... 1
9,y -m a sU1hip-------------------------------------------- 1I
ii,: Motnt Hope village... ............... 225
... ................................. 131
Total culex;::..U.......................-..... .- 5,119
"S6oE&f lirvabide used................... .............. 50
1 k i-~-lded oil used ......... .- ............... ............. 3,109.9
pe cemetery maintained.
jairs ditches constructed...c..........-................. 0
i .ib m a n ditaihes mnaintained............................... 9,650
s yards of vegetation removed.....--.....---....--.......... 125,200
Ei r of burials during the month ......-.....-.....-........ 40

_VIIL*--CONSOLIDATED REPORT OF QUARANTINE TRANS-
lfB AT THE PORTS OF BALBOA-PANAMA AND COLON
"i.FAL FOR THE MONTH OF NOVEMBER, 1916.
vessels inspected and passed .......................... .......203
Vessels h6ld in quarantine..................................... 16
il!n umber of vessels entered .................................... 219
. f special inspections made to enforce compliance with antiplague
f1i t.fl.to. breeding regulations...................................... 126
i.ivssels fldmigated on arrival .................................. 20
bid Ittessels ftmigated on departure................................ 1
:: ft vqssels detained but sailed in quarantine. .................... 8
eiofetaw examined.......-.. ..................................... 11,909
b.e:Ostowaways examined......... .................................. 5
itoIf passengers examined ........................... ............... 4,526
16,440
bit t supplementary examinations.;................................. 3,141
;'of. persons vaccinated at port of arrival because of compulsory-
i L law....................................... ............. 228
fpersonsvaccinated at port of departure........................ 1,283
S . . .. 1,511
ip persons held in quarantine at the detention houses to complete
O enbation of yellow (ever and.plague......................... 290
f persons held in quarantine on board vessels................... 1,613
1,903
Ibe.f persons landed from foreign ports:
.*-----. *'1,650
... ..... .. .............. 1650

3,620
o f trjmons embarked for foreign ports:
1,517
........ ...................................... 1,511
............ .............................................. 1 511-
3,028

ran sa arnivi from coast towns.................... 1,620
.ef persons sailingor coast towns......................... 1,413
nte.rease for month from coast towns..................... 207





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53

TABLE XX.-PERSONNEL REPORT.


bie health officer .........
edicest storehouse..........
r;ti~ tine division..........
"f ath office, Panama.......
S:talth office, Colon........
: Ancon Hosital............
hi|lon Hospital..............
Santo Tamas Hospital.......
"Pa': o Seco Leper Asylum.....
S.Zone sanitation ...........
; Hbspitiflarm...............
itfp ..es:
91bp4 ----bpf-a.........
S Coroa: ...............
Gamboa................
: Gatun.................
S Paraiso ..........
S Pedro Miguel..........
S Total.................






. . . ..: ...












'it
LIj i 5.ll::.:.; ". ":


Nov., 1916.


Gold em-
ployees.


Silver em-
ployees.


I I i I


3
4
13
13
9
125
16
6
2
7
2

5
1
2
2
2


212 834 1,046


O































S.*..&


Total em-
ployees.


Oct. 1916
(total em-
ployees).


4
8
46
152
160
367
41
6
35
124
51
8
.........
4
4
3

1,014


4
33
151
154
235
26
39
117
67

3
...........

2
2
1


3
8
46
164
163
360
42
6
41
124
65
8
1
4
4
3


Nov.,1915
(total em-
ployees).


4
10
43
176
195
337
37
6
30
146
51

7
4
1
5
4
3
1,059






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