Front Cover
        Front Cover 1
        Front Cover 2
    Title Page
        Page 1
        Page 2
    Table of Contents
        Page 3
        Page 4
    Main
        Page 5
        Page 6
        Page 7
        Page 8
        Page 9
        Page 10
        Page 11
        Page 12
        Page 13
        Page 14
        Page 15
        Page 16
        Page 17
        Page 18
        Page 19
        Page 20
        Page 21
        Page 22
        Page 23
        Page 24
        Page 25
        Page 26
        Page 27
        Page 28
        Page 29
        Page 30
        Page 31
        Page 32
        Page 33
        Page 34
        Page 35
        Page 36
        Page 37
        Page 38
        Page 39
        Page 40
        Page 41
        Page 42
        Page 43
        Page 44
        Page 45
        Page 46
        Page 47
        Page 48
        Page 49
        Page 50
        Page 51
        Page 52
    Back Cover
        Back Cover 1
        Back Cover 2

'bi' p ^ '' '*








".-... ;: ... :... .OF THE



DsEPARTMENT
S..:..". OF THE
.. .. .. ... .








;;':PANAMA
. : '. iii : : . .. ,















FOR THE



.MONTH OF.: .. DECE
,:: : ... .O F ---[ THE


T


OF HEALTH


CANAL


MBER, 1916


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


WASHINGTON
1917


,: :^ .-"





I
,. .






;~ :!!!.::; ..:.

:. ''E::.: "
: ,j: ii: : ". .


*


; "^ ::: "
.:" :i: "*. .
:.: ":@ .';.:..
ii : : ., :








ym



!
mf
mm J
Ir




.: ..'


....:. ....:.... ...... remarks...... .. .. ................ ........ ..... ................ 5
...: ".,, .. .r.. ............... .......-..- .. ............... ...... 6
.;:. ::;: : i'of oyees.-. .......... ...-..... ........ 6
CONTENTS. 't





fj :': f resdlts of the Canal Zone.................................... 7
i::o residents of the city of Panama.................... ........ 7


:'f residents of the city of Colon.................................. 8

; ... '. on Hospital.................................................... 8 -
.Board of health laboratoryhe C ............ ... ... ..... ............. 8


Insane deptnt......... ...........-.......................... 8
S .dens of the city of Cw................. ................................ 8


S:. : -'Colon Hospital............... ........................................ 9
; :. ,:;:oar:.:o Seco Leper Asylum. lo......................................... 9



Santo Tomas Hospital................. .............................. 9
District dispensaries.................................................. 9
.SZarntary division:
., : ,'., Ca snal Zone........... ....... .. .. ................ ... ...... ... ...... ..... 9
-Pianama--pe Aylm-----------------------------------------------10


:;:... : ... i ........ .................... ................................ ... .. 10
... ........ ... .. ....................... .. ........................... ....... 10






ran tine division ........................................................ 11
tatistical tables:
.Table I. Admissions, deaths, and noneffective rates for employees;
deaths of residents of Panama, Colon, and the Canal Zone... 12
:..;.i: :!:. .-eaths by age, color, and sex ................................. 13
;III::. .:: ':: I. Deaths by nationality .......................................... 14
IV. Deaths of white Americans connected with the Panama Canal.. 14
S:i :; : V. Causes of deaths of employees ................................. 15
VI. ih Aes of deaths ot civil population (employees and nonem-.
ployees) and military and places where chargeable.......... 15
VII. Dieharges and deaths in the hospitals of the Panama Canal... 18
VIIL Consolidated hospital report........................ 0
-IX. Consolidated dispensary rep rt32
.Xi;. Employees: Constantlyssic and noneffective rates per 1,000... 34
-: XL Employees: iays' treatment per admission, hospital and
quarters ............. ........................................ 34
XII Financial statement........................................... 35
.: XIII. Ancon Hospital.......................................-....... 36
XIV. Colon Hospital ................................................ 43
S .. XV. Palo Seo Leper Asylum...................................... 44
:iY: :;;I :. Santo Tomas Hospital ................................. ....... 44
:: XVII. Sanitary work done in the Canal Zone, Panama, and Colon... 47
.::XVIII. Quarantine transactions ................................ -- 49
i : XIX. Issues of quinine ............... ............................... 51
XX.. Personnel report ......................-....-................... 51









I *,



:..:' ... ....: .. : . .
'. Q:.. .t.' .
.. ... .... .. ....... ( 3n ...





t ,






lk N
14











Heights, Caal Zoe, Jau....ary 1... .....917.
Si. MO.:RR.
Zh ::: .: .- ynmo : .
^".-": **-.. *" < '. "
; 7 ..:" ." :






:.Aeut. Col. JAY J. MORROW..


Acting Governor, The Panama Canal,
,'; Balboa Heights, Canal Zone.
B : S: I have the honor to submit the following report of the ope
atio~ s of the department of health for the month of Decembe
S 1916.
Very resnectfullv.


D. C. HOWARD,
Chief Health Oficer.


GENERAL REMARKS.

The general health of employees and nonemployees in the Canal
Zone and the terminal cities has continued good.
The two cases of smallpox noted in last month's report were dis-
charged well from Ancon Hospital during the month. No cases
have appeared since November 23 last.
Two mild cases of anterior poliomyelitis appeared on December
19 in the Balboa district. The cases were immediately isolated in
Ancon Hospital, and all contacts held under close observation. To
date no secondary cases have appeared. Both cases occurred in
children of the same family, and as they had not been away from
the Isthmus since February, 1916, it is assumed that the infection
was contracted here. A few sporadic cases of this disease appeared
on the Isthmus in 1912, but the disease did not then assume epi-
demic proportions, and no general outbreak is expected.
The annual physical examination of gold employees was com-
pleted during the month, with the exception of employees absent
on leave, and a few at outlying stations.
No disease of a quarantinable nature originated on or was brought
to the Isthmus during the month.
(5)











p. ...


pr-
r,


~-----.. _;;__r;_;I --E~~:-LICI~LI~:lll


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


"-,- ~ ---------.. 7








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


4 V.
.. . .. ..... .
.. ..... .











. . .. .. ... ..
un L,-
h,

l E Ll fn

m


a4




Wt. ok

-,7

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

g.8 PM MH:

L ti-pi K
-.7 4K
W. ARM
j

'c- Kg:..



iz OL g-,

tu v4



rl vk"e

I-w




M- T
T',
jp

5'










YI:4
-.42

5:: A M




.0... .... .
'Al

Vj

IF 7,T1 s


T e

s7.
... ..... ...... .
tP m
4
WO "Y

.... .. . ... . ... ......
el
rq "-q


..... .. ..



A

fs W.-


E I








M-N ... .. .. .. ......
.. .. ....
..... . .. ...


N.. N

...........








: DEPORTATION.
were two deportations accomplished during the month,
i I ees, and both for disease.
CANAL ZONE.
EMPLOYEES AND NONEMPLOYEES.
ii:q population of the Canal Zone, according to the last police
.na 1aken in June, 1916, is 31,048. This includes employees,
koyees, and military garisons residing or stationed within
i anal Zone. Among this population there were 26 deaths
g the month of December, 21 of which were from disease,
a death rate of 8.12, as compared with 7.73 for the preceding
and 13.29 for the corresponding month of last year.
O:i: the total deaths from disease the percentage under 5 years of
9 29 as compared with 20 for last month.
::eree were 59 births reported, giving a rate of 22.80; of these 19
"we1SWihite and 40 colored.
i ::l eiir were 5 deaths of children under 1 year of age, 1 white
Ad 4i:. colored, giving an infant mortality rate, based upon the
: I' aber of births reported for the month, of 53 for white and 100
lll: x.ored children, with a general average of 85.
i e percentage of stillbirths to total births was 8.

PANAMA CITY.

EMPLOYEES AND NONEMPLOYEES.
..i..::.. ,i population of the city is 60,778, among whom there were
.i....!.:. '.. .. ea.:: : -ths during the month of December; of these 146 deaths were
r iifi:::ease, giving a rate of 28.83, as compared with 34.75 for the
..... n ing month and 31.01 for the corresponding month of last
ith:;:.:e total deaths from disease the percentage under 5 years of
:i:'ii .50, as against 52 for last month.
iTh principal causes of death as compared with last month were
2, followsw:

:": i :::." ..::' November. December.


S(various organs) ........................ 28 23
:,,. i w and enteritis (under 2 years)....................... 24 17
.: : . .:.. .. ...... .
:^-:':;' There were 226 births reported, giving a rate of 44.62. There
,i: ere:::,::: 61 deaths under 1 year of age, giving an infant mortality
e : based on the number of births reported for the month, of 270.
i: e percentage of stillbirths to total births was 12.





:... .. .


6...' ..... .........










































"14


)TA
MR,






-00

4 1


ILI










COLON HOSPITAL.

age ..number of patients constantly in hospital was 44 as
with 43 for the preceding month and 39 for the corre-
mmonth of last year. The average number of days' treat-
Wea6h employee admitted was 9.48.
ily per capital cost per patient for November was $2.23
statistics are shown in Table XIV.
.... PALO SECO LEPER ASYLUM.

i average number of patients constantly cared for during the
I wvas 66.51 as compared with 68.56 for the preceding month .
.Ufo5 the month of December last year.
...i agthe month there was 1 admission and 1 death.
i.'::The daily per capital cost foi November was $0.81 gross. Detailed
tistics are shown in Table XV.
SANTOO TOMAS HOSPITAL.
i: :thousand three hundred and eighty patients were treated in
%eisital during the month of December as compared with 1,371
iMVtepreceding month and 1,468 for the corresponding month of
'reasr. The daily-average number of patients treated was 440
d-4040d with 450 for last month and 462 for the corresponding
thlflast year. The total number of days' treatment was 13,637
"sjtlmifpaed with 13,340 for last month.
: : ;nriumber of deaths was 84, with Bright's disease (chronic
..... .), diarrhea and enteritis, and tuberculosis the chief causes
Border named.
!,| Fr (cases of dysentery were treated, with no deaths; 11 cases of
:gM hi onia,. with 1 death; and 1 case of typhoid, with no death.
g;e|tailed statistics are shown in Table XVI.
DISTRICT DISPENSARIES.
i-';.district having the highest admission rate for malaria was
-Empie, with an average weekly percentage of 0.055. That
:a .the lowest was Balboa, with a weekly percentage of 0.01.
I Al d stattics are shown in Table IX.
ZONE SANITATION.
f i .routine work of grase cutting, ditch cleaning, and oiling,
Aij carried on in the. several districts as usual. The transition
| e& ainy to the dry season, with the change of winds incident
as taken place during the month. At this time, extra-
;vigilance as required to prevent mosquito breeding and a
!t risne in the malori admission rate. This has been
"' "' 1

H .. :. .. ... !

..: .. .* '. . Y
.... .. .. ..... .... . .




w,
@
t
X0,











IN,







vo, F

Wv,, ", ic


al,
wl,
a$A, A
4
RAIn''T'AT,

jiig fjfo



W
-MO

M

owmw

A, If tiv
Alfi6ftUftlAte ..,aTa,,
hile 4


4 1,1-, i,; ""t-
-,"'flio wbdr cl ZA
*W444 4











k,: it _,,






M i. .1 :: i:N .

N ik ; .; .!, .:.. ."

..eite work on the sewer from Colon, which was changed from
STl;hi ."iveri to empty into the bay, on account of the building of the
i n: ew eiential section, was completed, and a new pumping
i: U:tIiz n and sump is now being constructed near this new resi-
: Th:;ii e schools in the district were inspected and foimd to be in
Si':tisfacitory condition. All unprotected children were vaccinated,
an'a no epidemic disease interfered with the work of the schools.

QUARANTINE TRANSACTIONS.
SThe quarantine situation in Central and South America'has
shown no.further changes, nor have there been any unusual develop-
'ri- melts with reference to the report of yellow fever from Barbados
ai d Martinique on the Atlantic side. The work of the quarantine
d', *i"isiv.d. during this month has been conducted without special
^^incident.
S."With reference to the cattle industry on the Zone, no cases of
': n t: hrax have occurred. Ante and post-mortem inspections of food
:.animals for December have been as follows: 1,004 cattle ante and
i' po., st-mortem inspected; 20 hogs ante and post-mortem inspected.
Th; e usual system of inspection was continued and microscopic ex-
.. amination made from splenic smear of each animal. Quarantine
: i' j sections were made upon 1,071 cattle received at Cristobal from
oilo =mbia, of which number 997 inspections were for the supply
S Ilepartment. Quarantine inspections were also made on 20 swine
:; receivedved from Colombia. There were 518 cattle and 328 swine
S parantine inspected for shipment from Panama to Colon.



...: .


'i :. :.

















:' '' ::'E "
:S :.ifi,: : .
















4A











* ;i :i '" :. "
0

THBS OF RESIDENTS OF THE CITIES OF PANAMA,
: COLON, AND THE CANAL ZONE.
:e .:: :..:. -... ._________


I j:-,- *.. *. .
YY ::: ., : '; : "*


'.....




.--......
!tt' ........

ri^, 1916.

a".--- -----







S .........

......


Popula-
tion.


60,778
24,693
31,048


Deaths.


Total.


Dis- External
ease. causes.


Annual average per 1,000.


Total. Dis-
Sease,


30.01
28.19
10.05


28.83
25.76
8.12


External
causes.


1.18
2.43
1.93


116,519 236 220 16 24.31 22.66 1.65



S60,778 182 176 6 35.93 34.75 1.18
24,693 53 52 1 25.76 25.27 .49
31,048 24 20 4 9.28 7.73 1.54

116,519 259 248 11 26.67 25.54 1.13



60,373 161 156 5 32.00 31.01 .99
29,331 60 59 1 24.54 24.13 .41
31,598 38 35 3 14.43 13.29 1.14


121,302


25.62


24.73


l ABLs II.-DEATHB BY AGE, COLOR, AND SEX.


r:~;;....:.*..... :







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

...:...........
g .] ..:............





... . .....'.:...:. .
. :.:: .: ..
.:;i .. .: ...
~; i :: :..
.. :....:"..... .
.... .........

I I I,.,. I ., ... ....I II






.. ,-w..... .


;is a .* Ir,'i
i s ,.l.... ........ .


, I

* 4.


White.


Colored.


Yellow.


Totals.


--- -I ----- I---*--I---I---------


7 33 113


s86 I1 4 .. --


86
24
4
9
40
34
18
11
6
2


I 4 I I P I 4--c


143 3


- ;:,... ; . ..


.A.
....: . .!,. . .. .. . ,

' ii i.
:'.i~:' .:;" ,:::". .:.. . .

r . .
_ _. _. It:::.. ... .


..... .. ... ..
S .. .: .. .. ... .. :.
.""" : .."
... V :.:i.: : ....
; ".:::.E .E ::E: E':: p::. .E":..";...' [: :E !.. ". ,:....: .: E":": ... '!E;'E: "; ":: EE i'' i: :"p:i" ::: : i ; r : ::: : ;. : ..


I .


- -


,--


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


i:"L


-..















1z' V












"Not

#A
7T,
-7, '4'
-N '%,'7
t glu


5 Ot,


Gi-
Nk' 2 -
"lit








At'
TiMnia-J,
Fo_


2,-




tV









f F, It7t '14 7i
'4e

ilk
FT

4v







IF,'4 ;C
IF
F.









.: :':::, .1 .5 "

AInE 1V.-CAUSES OF DEATHS OF EMPLOYEES OF THE PANAMA
CANAL AND PANAMA RAILROAD COMPANY.


White. Colored. Total.

... .':.. .. .
.i Disease.

S.:Tuberculosis of the lungs................... ........-... 2 2
Di .isseminated tuberculosis ....................... 1 1 2
L obar pneumonia ............................... .......... 3 3
N"Chronic nephritis................................ ......... 2 2

V ere-bral hem orrhage..---- .--- ...--- .----- .- -.--- ---------. I I
S.l Aeurylsm ................................... ....... 1 2
"Cerebral hemorrhage........f.:.............. ............ 1 1

atricture of urethra........................ ...... ....*. I 1
:'. erf:tiary syphilis.................. ... ..... ....... 1 1
.General paralysis of the insane................ .......... 11 1
Total..................................... 2 15 17

Extrnal causes.

l rowing, accidental...................... .......2 2 4
i.g Traumatism, accidental-........................... ....... 1 1
:' Total ................................... 2 3 5

Grand total ... ........ ...... ... .... ........ 4 18 22


?TABLE VI.-CAUSES OF DEATHS OF CIVIL POPULATION (EM-
PLOYEES AND NONEMPLOYEES) AND MILITARY AND PLACES
.:..WHERE CHARGEABLE.


Pana- Colon. Canal Total.
ma. Zone.
:,: e. 1Grand
::;: e a lee . .--- Itotal.
M. F. M. F. M. F. M. F.
.': ......:i .: ,..














.General diseases.

: M; ::alarial fever, estivoautumnal....... .... .... ..... ....1 .... .... 1
:: Diphitheria and croup................ 1.... ................1 1
P..trl P aent infection and septicemia.... 2 ............ .... 2 .... 2
y ia.............................. .... ................... 1
Tetanus.......................... 2 .... .... .... .... ....2 .... 2
Pellagra ......................... .... 3 .... 2 .... .... .... 5 5
e riberi............ .... ... ........ .... .... .... ..1.. .... .... I
Tuberculosis of the lungs............. 11 11 4 2 3 .... 18 13 31
Tuberculosis meningitis ............ 1 ....................1 ....
': : Disseinated tuberculosis................ ....1 .... 1 .... 2 .... 2
phi tertiary..................... .... .... 1 .... .... 1 1 2
; :yph:lis, hereditary............... .. ... ... ....... .. .. 2 ... 2
Canner and other malignant tumors
f the buccal cavity................ 1 .... .... .... .. .... ....
.: Caer and other malignant tumors
of the female genital organs......... .... .... ........ ........ 1
-Cancer and other malignant tumors
of other organs and of organs not *
speifled ....................... ....... ........ 1... 1
S Alcoholism (acute and chronic)....... .......... .. ..1 .... 1

s c 7 "


'i: : ILGr n


.
















. ... ......



-MAW

Von
.. .......
-7-777-
IM
AW.;




'771
rug:



. . . . . IN

41

n







.20 6q-
K Amu -&::
"Wool .. ... .....
_QW-M,
0 by Ty I

Zli x : 2 >
0-16, ,

WIN, 3--Qdq "Op-OW

.... .. ..... .
:. vAj,
...... .. .....
... ... .. .. .. ...


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

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

Z1.
Ap
..... Fe
M". M,
lig
7,7 .f,
"Now,

QK
a

ze
VMS n
1PRIMMAMsys 20
M.NA:


sway - - Q-T -19

A




-To MY:

...... ....
Wvwx_- MOM"
: -4L:l
.......... "AlluSh




H .r:

v 'V,
45 -










:-i:: Eir-








17

ABLE VI.--CAUSES OF DEATHS OF CIVIL POPULATION, (EM-
PLOYEES AND NONEMPLOYEES) AND MILITARY AND PLACES
..''::* WHERE CHARGEABLE-Continued.

!Pana Colon. Canal 'Total.
ma. Zone.
i. Grand
total.
g|M'W :. F. M. F. M. F. M. F.

N aOld age.
'enility. --..--.. -- .. .. ........ .... ... 1 .. .. .... .... .. 1 1
1Affections produced by external causes.
Suicide by firearms............... 1 .......... .. ....1....
'' Acute poisonings.................. ........ .... .... ....1 1
Burns (conflagration excepted)....... 1 .... ....... I-.. ...... 1 .... 1
Accidental drowning................ .... 1 3 4 .... 4 4
:Tratdnatism by machines............ .... .... .. .... .... 1
Traumatis by other crushings.... 1 ... .... 1 ... 3 ... 3
Railroad traumatism......-......... ..-. .... .. ..- ..-- I 1.... 1
Injuries by animals.................. 1 .... . .... 1 .
Electricity lighting excepted)..... ... 1 .... .... .... .... ....
.:HoTricide by cutting or piercing in-
A st rments .......- -........ ..- 1 .--. .--- 1 .... 1
Other external violence...........-....- ---- .... .. ...... .... 1
.: . Ill-defined .iscass.
:-Case of death not specified or ill-
.i:; : defined--...-- .. ..................-- -. 1 . ... ... .. 1
Total........................... 86 66 35 23 22 4 143 93 236
S..... Stillbirths........................... 20. 10 2 2 3 2 25 14 39

Grand total............. ..... 106 76 37 25 25' 6 1 107 : 275


DEATHS OF NONRESIDENTS.

: :5 Residence. Nationality. Color. Sex.- Age. Cause of death.


:Interior of Panama. St. Lucia.... Black... Male.......... Acute alcoholism.
SUnited States Colombia... ...do........do..... 61 Uremia.
ot America.
Agua Dnlce, R. P.. Panama..... ..do..... ..do..... 45 Chronic nephriti-.
Interior of Panama. ..-.-do....... ...do..... -..do....- 8 Cerebral meningi-
tis.
Do........--------- Jamaica..... do...do...o.. 40 Cardio-ren al dis-
ease.
Do..............do.........do. ...do..... 50 Arterio-sclerosis.
Do.....-.....-. Panamat.... White... Female.. 2 m. Gastroenteritis.
Do............- ....do....... Black... Male-... 2 d. Congenital syphi-
lis.
U. 8. S. Poe........ Un i t e d .White... ...do..... 47 Organic heart dis-
States of ease.
America.
Interior of Panam. Panama..... Black... Female.. 21 Puerperal septice
mia.
Chorrera, R. P..........do..........do..... Male.... 57 Pulmonary tuber-
culosis.
Interior o Panama .....do...... ..do..... ...do.... 66 Chronic nephrits.
Boeas del Toro, Clombia.... ...do........o..... 22 Pur onary tuber-
P. cnlosis.

77829-17----




ease.





W
RZ,
4 .:.";;,, :.






M- p-s
7.
T'. 7 _7
IN, VIP, 0
gg ON IOWA
n
.. .. --7-1-.. 77:7--
7,,
vl
4
k R
a .... .
mv .. ... I~.



tAr 7'
RZ

Rol
,y k7.
..... ..
P::
pgn- XF 2-
'q i OWS UA mop!
01 gglamsup
Now.
An .4


RV "A..
MAI
U1,
NMA
an-R,
N,
IWW v
gF=



'W' LUMP
9Z..
-.2-


30 g; ng
3
ok ,

031, wvs.
7. i:tF R
U
a-my
-7 -Mz uSO
-2't .. 1.1-, Ca, 2 -', q -
M _W.
WA
PON
-v
lot

.W h
M.-

5 1 -0 j
REP, W. V1.0
ET
V2
oil
DIKE
,4-) F '40 d 10 ILI SM
-11 Azi-RO'
.... ... ...
solo.- A
tog 6., A ...
I ks TKA
V3 M7,.
Y


MAN 4.


sw
mnM




Wi.
QVI


'gv,,z.


Y,

SIR










19


OF THERFANAMA CANAL FOR OCTOBER, 1916.


N: Tonemployees.
-: .'..; ,


Deaths.


White.


Sol-ithr
d'rs Others.


F. IM.




2 1...


Nonresidents.


Discharges. Deaths.


Black. White. Black. White. Black.


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


M. F.








.. ...ii



me i


I v ... . -: 1: ::- :::-:: ::::-:::-:: : :::.


M. F.


. |^ ^ :.i..I... .
... ... ...
..... .. . ... : "


M. F.


I .


'~"-"~

....,...


~.I~-...


rrili
I


I

I-








'A, 1-li, 11-T 11


I IT
-T TT






4tT
40


"'ITT

; u l


I TO






Ta











4p


go, PO


brain






Al In R






file' LT.
.1
T4





thii 6m



xt
7
Y4


dise



wi WIZ




i,4







pq












,lt n"









21


-PANAMA CANAL FOR DECEMBER, 1916-Continued.


Nonemployees.


iWhte.


Sol-
5 Others,.


Sl0' :" AM. F.




r; ii !:.' "'

..... ... .... .
:: :" .




i:..:.. .. .... ... 1



1.













.i .. . .
a:: .'1
.,..: .... 1 -




















%N. : .p ".

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













S ......... :.
7.
01 .




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




Y; ::. .


















..;... ...


Deaths.


Nonresidents.


Discharges. Deaths.


I _ *I


White.


Black. Black. White. Black. White.
S1 Others.
dhrsI


I. F.


...I 1
1 1....


M. IF. -M. F.


..:.. .I..


Black.


M. F.


M.IF-IM-I.IM-IF


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






Mom







Igg _MW WA W -




. . . . .
A 5
........... ;1. -0 .. : I l o s t
j







MAN
.. ...... F&9..
.. .......
... ......







4:4;



R. rR. ve

I-3 WS 11 !Volk

x R'2.6



Aw"..
1,10 INN,
N-- Z_ . f 9;1 .: L. A
S 27: u%,!
Mm


WDY

YX k v
. ........
-ygy, nyi
rMW
'. x I P



.7-0.

-MAU
KIM
44., CA


Mu
Fi
vT
colt

'ji







a Itz.


r.A.
top AM

.i ...... .. ... . ..... .
. .. ...
tin.


0 VON.
WN 11

' 2.
... .. ..... .
3- WWmpg
MR .
4Ai i 1 - - - -
H .

RM WN 6 ai


I I ..... ......
ERIS
114j, 05 Oil;










23


S :ANAMA CANAL FOR DECEMBER, 1916-Continued.


Nonemployees. Nonresidents.


i~aN~e1rgs. Deaths. Discharges. Deaths.


White.

Black. Black. White. Black. White. Black. i
SOthers So Others.
tle. d'rs

I aS
S F. F. M. M. F. M. F. M. F. M.F. M. F. MF.

*"r !I



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



.... .... .... ... .... .... .... .... .... ... ... ... ... ... ... ...
9I..


b 1







.. .. .. 1 ... ........ ...... ... . ... ... ... ... ... .3 ... ....
S. ....... ... .......... .. ... ... ... ... ... 2 ...

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

: .... .. i .... .... .... .... .... .... ...... ... ...... ...... 3 ...
-- -- -- --- -- -- ------------ --- --- -- --- -----I-

.. 1 .... .... .... .. .... .... - 1 -
13

2 ...
- - ---- ---- ---- --- ---- ---- --- -- --- --- - -
S .... ..1. ... .... . ... ...... .... ... 3 ... ... ... .. ... ... ... 3 ...

S..... . .. ... .... .. . .1 .
.. .. . .... ... .. .... ....... ... ... ... ... ... .. ....
--- ---- --- --- ------------- --- -------------- ---I
|iS. ...... '....... .'... 3.. m-...--. I--------l ---l------ 2---- 1 -.


.... ....--- ...--I----- ---- --------- --- ------ --- ------1.4


4 ~~--------------- ---- ----- ----- -------- ------ ------2-9
ii ".. .- -.- .. . .- ...-.... ... . .. --... .....-. .. ..- -. ... ...
; ..V .-.... ....... .. .... .... .... .... .... .... ... ... ... .... . ... ... 1. ...
.... .... ...... . ..... .... ... .. .. ... ... ... ... ... ...




.- ....- 1 .. ... ... .. .... ... .... ...... ...... ...... ... i .
.'.. .. .... ... ... .. .... .... .... .......... ... ... ... . .. '6
.... ... .... 2

.. ... .... ... .. .. .. .
.... .... .... .... .... .... .... .... .. ... ... ... ... ... .
S.... .... .. ... .... .... .... ..... ... ...
.... .... ... .... .... .... ... ... ... .. ...... ...
..... ..... . ... ...,






" ... .. .. ...






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




o'-
Tef
"T,

%j", q4 ;1- 4




7-


IS IWO


jol)

F

Ow



A v

47
Volivfteij, -dWaves' % -' 1 11
off W

f
Acate, uqihntis
(pbjrb


c5 of Th6 Ufimr* *Ls- 7



-Disewes of
Xar
Stri 6f 'the Urtj

7,-
Wonvene
''e" !
orgaw-
7
tekln6 h owil,



TV

lh6oxw
iiild 7 7T


3;l
VIA Kltlp""",

SOO Q T -

MR;
ATP, gq
hot
4
odli
01- A

Mv
-:"4 'A hit.


A, PON








..... . . . . . .










25


RMA CANAL FOR DECEMBER, 1916-Continued.


Nonemployees. Nonresidents.


g. 'Deaths. Discharges. Deaths.


:i: i White.t

Black. Black. White. Black. White. Black. w
Sol- .: :
Otsrs.s Others. ,
.d'rs "
. :'. ....... .


EF. M. F. M. M. F. M. F. M. F. M. F. M. F. M. F.








S -I 4 ....... ... -.... 1 .... ... ... ... .... 10 3
-- ---- --- --- ---- ---- ---- --- -- -- -- --- ---. --- ---. . . . 3 ---
I. ... .... ....... .... .... .... ..... 1 -...
.. .... ... .. .... .... .... .... ... .......... ....


.. 3 ---- ---- ---- ---- ---- ---- ---- ---- --- --- --- --- --- --- --- 4 ..
... .- --. -- 1

n .. .... .... .... .... .... .... .... ... ... ... ... ...... ...
--------- ----- ----- ---- ------ --- ------------- -1


.. .... .... .... .... .... .... .... .... ... ...... ... ... 1 ...
., d 1. ... .. .. .. . ... .... . ...* -. ... .. ** .. .. ...


S .... ..... ........ .... .... ... ... ... -.. .. ...... -.
3







-..2 .... ... ..- ---- ---- .--- --- .-- .--- -..--. .- --- 1- -
S- I I ....i ....i ... ...1 . .... -.... ...-- -- --- -...- 5 -

.... ........ .... .... .... ....... ... ........
L 2 .... 3 .... .... .... .... .... ....... ...... ...... ... ... 5






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






..... ..i .. .
.. ... ....... . ... .. .. .. -". : --mmm.mm..".. 14

4 4 ..... 2 .. .. '. .... .... .... .... .. ... ... ... ... ...... 4 ...






S: : ... : ... 1 ... .... .... ... ....... .. 2 1



. ':" " .. .. : . .. . .: ... ..
77829--l



















. :.. @ ": .' 1:E : .. ... ....... .. .. ... H.
....~ ... E ... ... .,- ., ,, .- :, . .: . .. . ,... .. .... : .. ., ,. -. ., ,, :, ,, .. ,...... .,.. .. .,. ..., ,
" : : " "" : .. .. . ..... ". .'. :" .. .. :.:: .. '..... .:" :. .. ." :. .':) .... :
s:: ... : .;.m.mmI:mmmmmmm: '' 'l' ........m ia,. '.I:" mm'mi m d .m~'mm, .,m,' .. ..... ...

E. "":"EE :i .u :. V :E 1" ..! ii i! ": :i:..: :::!::""i :"'E:."' " k : ". : :"E i= :i"" ': i' " ::Ei' .: :: i!.":. .. .!E::i % ..








t






N "TM




IT

Tit



It
"tT1_1 ta


it"


14'
ti

_FT; 7

-,Tj,


T5
"TtT_


71
7, AT'


_'.4 T.,


4#4 Off
Ti

Wv Al,
-j*oApw L -r


71

T 'Mw

460
T- ,







R-1 T
4, AII




-14 IT
Tt
AI
T7 IV-






ill J
t_tttt,, t,





Tf,









%- ^y *27


i .TH. E PANAMA CANAL FOR DECFBWEB, 1916-Continued.
I a.... _______________


Nonemployees.


S...Dis ares. Deaths.


Black.


,M. F. M.


White.


So- Others.
d'rsl


M. F.


Black.




M. I F.


Nonresidents.


Discharges. Deaths.




White. Black.IWhite. Black.



M.IF. M -F.IM.IF. M.IF.
M. F. M. F. M.F. M.F.


"..'.i ." :"'* , '*..:



'"sf'S::: **' '*"
, . .
...1... .=.: .
p


;liij;:i.: ; .. .
: ?....::.


: r; : .

ir ;,,,,2... ..

, I ..








'BI
.: ..










A," .
i" ; !:. .


: I :::I


4
0
4









1
7
1
6
2

4




4






4
1

6



7


I ...


6 .':


Ij


'E:'ii
,*::L; .] .


S.. . ..
^.; . ,' :" "
;, 0; ; i::.:':.. '. ..


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


..,...,.-.,...,-..,..,

1111-11111-~~


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


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


.28 ...
4 1





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


1 now
0100W: VNV:
S.

NQ
NOT

X-
MA


A D, n

.. ... . ....
W:'
4
AMSOM:
1jW
i% 4_111-!- N'
... .. ...... D _77 7- 7`
p. Zp,
54
p
Sal
Ikib. v
1_0
own
..H
N,
13
roe.
"W.
09. M-N,
W.:i
OR .777
lie
J
FNO . .... ... .
A. C

Pr:':K':'
vi ...... .1 ..... .
DIM,
W
..
lf XPR 00.':W

nip


7_ RM a
S
W ftt
R A DAN*
77 ;.. ' , ' i T:i 0 7:
SHARE
SAW. 00-


UA, MF:...
-0

IN 11
44.
7A
4 ;Lci:
Ow 2e
M-A V
U -1
a ., 2g... .. .......
5
Nk pan ally

own.
A.;h 6, K TA
'-4
.... ... .. ..
A.
..............

IA
1 in







W I low. A W "' .. ... ..... . ..
.... .. . .. .. ....
OMAN

'EH '777,
"m SON 11129

U..
n 1v 'F n;
R..

S
No. W.W
UP _M:W_.W
w- Amm
Ei!

. . . .. ... r .. ..
NOW





. :::" .. ".: .



^ .,. :. -:::
... **. :.. .. .
29.

.: PANAMA CANAL FOR DECEMBER, 1916---Continued.


FI-.'


Nonemployees.


Discharges. .

H White.-

Black.
rSo- Others.
I.rs. d


M. M. F. M. F. I







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


.2 1 .... 4 .
















3l.. 1 4 1 -
. . ...: .. .












2 ..... 9 .1 ....
.....9 65...120 52...105








149 -5 120 52105
...'.. 3










%:i::. ...1 4
iIi':! .. .
F;I:: 19 6510 5 0


Deaths.


W white.


'rs Others.


M. F.


Black.



M. F.
i




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


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


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


2 10


8 23


Nonresidents.


Discharges.




White. Black.



M. F. M. F.


.........
2 ... ...
.... ... I...


Deaths.


White.Black.


M. F.


1 I... 1


i~dv
L'


M. F.


... ...1869


i


I I I I I I I I 1 I I


... .... ....


"'


::1:


...1 14
... 20























i.. y









MU:"

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



... .. ... .




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


m ,MM:

W: .4k
. ... .. .... .... .. .


... ... .....




,ZN




















:=7 7-;
..........

... ........



vQ,

... . . . .







... . .. ......
.. . .. .. ... ..
44

f

F.P
li
llYW yn N-1
.. .... ....








. ... ... .. .. ... .......... .. .
. . . ... i :.
.. ..... .... .
.. ... .. .... .... ........ I :
.... ..... ..




Em rP ..


.. ...... ... . ....
g,

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




h..jg




. ... ... ..... .. . .... ...... .....
.... .... . .... U .
.777 7



. .... . .. ...









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





41'




x.::, A::-!::

zh.




VIM



'A, ...... ...





.. .... ... .

V






u 1.

jig
























171









31


ei tCEPORT.
uigfr B==Nacks.


I I.





" .-. 142
S4- 32
2' -106
22: 23


Transferred.


A. F. B.


Remaining
Dec. 31.

A. IF.1 B.


Average number constantly sick.


30.71
6.68

90.109
9.16


16.16
2.48

18.77
1.36


123.10
47.74
.39
56.36
26.32


Total.



169.97
56.90
.39
165.22
36.84


:T I .... 5 120 34 262 136.64 38.77 253.91 429.32


ii .. i.. ..... .... ... .. .... 6 ........ .---- ..-..... 6.23 6.23
.. ....- . .......... .... 1.00 1.'00
S 1.... ... 1 2 35 188 2.00 34.10 188.90 225.00
... 1 .... .... .... 3 4 2 3.10 4.00 3.61 10.71
S..:.. 1 .... .... 1 3 10 62 3.00 10.00 63.16 76.16

: 5 3 .... .... 2 8 49 259 8.10 48.10 262.90 319.10
-- a~ i -- --'-, -,-.- -- ;- . ----- -
:'W68 300 1 .... 7 128 83 521 144.74 86.87 516.81 748.42


S 4.... ........ .... 10 54 ........... 10.00 54.26 64.26


i ....'. .... I .... .... .... 24 .......... ... ..... 24.00 24.00


22 1 1 4 5 1 8 1.74 2.12 8.55 12.41
:. 4 19 1 .... 10 1 .... 8 4.52 .83 7.81 13.16
1 L1 2 .... 9 .... ...- 1 ........... .2 1.48 1.70
2 2 4 3 5 7 1 7.06 8.00 .71 15.77
2 .... .... 1 ........ 1.083 ..........- .35 1.38
S20 _47 4 6 27. 12 8 18 14.35 11.17 18. 90 44.42


: .. ... .... 2 39 .......... 2.00 38.67 40.67
.... .... .. .. .. .. 1 24 ........... 1.84 24.00 25.84


I .


A

:* .
..lug


168
51
.3
103
26


3 .1: 5


3.84


62.67


---'I = :I: _________ I :1 :1


140 e14 680s


32.45
11.20
2.00
100.25
13.19


159.09


28.28
3.31
36.32
30.77
13.20


111.88


192.14
56.55
229.44
60.68
137. 83


67 664


66.51


252.87
71.06
267.76
191.70
164.22


947.61


. .. .. .: ... .
.*.: .. ... ....





,& .. ... .. ...
1". ....... .. .


L'.: "
,. .,, ,; .' 4 ,, ;i ;= !: : ,. :.', ,'" '',: ",: ". '. :, .:" .. .= ,. ,, " ,,,"'.:;'.;:; ,. E : ."". : : i ; .


: .;

i,


' "


I m -


'


I :84




;N

ip








X
6p
MR,
mo

pill



An

%r
7, 7 f, P.,




i=7 2W's,





*obyebg oy


T otal

7-7,

E24 "465
rWS6
ffft

$3a
18 29",8Z
-3
57
4





Ot










33


:TABLE IX-A.--CONSOLIDATED ADMISSION REPORT.
hr: : : :: : ,


; "', (.,; : i ...

!:i ::. '
::I





Jr::




PtA







4N.4 *










.4c









t :;
: ;"?ii"
















~...... ", .
db :.;::, : "






I';"';' 'H
Li%5-!
" ::" : "


. ... ....i
I2; "-",i .







I,:






4. :.
:'!! :.: ".

ai; ;::'. :" "

ii .: . ".: ,
i: : ., .


u. :"": .
.i ...
r3" :.::.. ':
..'. i: .,,i: .."'.:
r"4.... :


S- White. Black. Total.


Total admissions to hospitals, excluding Corozal
..farm and chronic ward.......................... 477 426 903
':otal admissions of employees to quarters......... 356. 214 570

*. .Total ...................................... 833 640 1,473
Less number of patients transferred between hos-
'pitals and from quarters to hospitals, whose ad-
missions are duplicated in above figures......... 14 40 54

Net admissions to hospitals and quarters.... 819 600 1,419-

S, EMPLOYEES.

Emloyees admitted to hospitals.................. 128 267 395.
EEmployees admitted to quarters................ 356 214 570

Total.............. ........................... 484 481 965
Less number transferred between hospitals and
from quarters to hospitals, whose admissions are
duplicated in above figures...................... 6 21 27

Net admissions of employees to hospitals
and quarters.............................. 478 460 938.

S Annual average per thousand of admissions
of employees to hospitals and quarters..... 1,212.68 186.50 327.91


TABLE IX-B.-CONTAGIOUS AND INFECTIOUS DISEASES REPORTED
DURING THE MONTH.


Disease. Panama. Colon. Canal Total.
Zone.


Beriberi...................................... 1 ........ ........ 1
Chickenpox................................... 7 1 7 15-
Diarrhea .................................... .......... ....... .7 7
Diphtheria ................................... 1 ........ 4 5
Dysentery................................... 4 ........ 3 7
Epidemic cerebrospinal meningitis................... ........ .1 1
talarial fever................................. 19 8 23 50.
easles.................. ................... 2 .... ... ........ 2-
Meningitis................................. 1 ........ ........ 1
ellagra................. .................... 2 ........ ........ 2
iiiumonia ................................ .. 3 2 9
XPliomyelitis-................................. .......... ........ 2 2
ietanus................ ................... 1 ........ ........ 1
Tunberoulosis (various organs)................. 22 5 6 33
phld fever................................ .......... 1 1 2-
Woooping cough.......................... .......... 7 ........ 7


".. .." '
C:.:. i,::"
"':. -.









OhZ








, U .N N-j
A K
... ..... ....
... .... ..





T A
..... .. . ..... .. :
.. .. ..........
V4,
.. . :.::" "

X.6
J.P



ANY.-


777777727
RPM ." -a A. ......
Ar
UIA
g
.. .. .... ...

W-JI,
Mu yap --w



N
MAN QMN



-.. r as.555: Mw
RH M

Sy K

i
u
Pp
-,! -,


... ... ..


'o .24:1 5A 'N Z-;V-5
!kip
.:., 6y.Mf g
.7
WIT, -501644-1-

-vj
u 4m to wan was


L
.. .. .. ..... .. .
.... .. ....
saw
NPI.
1 7 7
... ..... n ",


1 EW A 5 1 A us M ;,"'J, kl Nz

&ks L ]i-
n 777
AziP Z-
.........

K:x
29 "taw--


M
-met no Woman 117





4 N.:..
....... . . . . . . . . . . . . .
wool" is

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

R::


M


i:-. ammm KA-
h R:
qn









.......

.-NANCIAL STATEMENT DEPARTMENT OF HEALTH.
1.-FINANCIAL STATEMENT, DEPARTMENT OF HEALTH.
o, :. --. .____ ________________


... .. ion: Chiefhealth office. -.......
:isioni
tu ospital.......-...............
aigd::' d of health laboratory..........
Corozal farm......................
ronic ward......................
: :olsH hospital. .......................-.
:',:'." loeco Leper Asylum ................
9t0;4tRm.,oas Hlospital ..................
4 1 ~ i s t o re h o u se - - - - - -
....i".'. s : o" e"ioh use...... ..............
i R e for new tools................
ywy al- ------ d --- -- -- -- -- -- ---.
aVla a-on pay.........................
at:.hospital...... .................


P - - - - - - - - - - - - - - ~'^ M -*
tit detists ..........................
:i;' .; ealboa..... ..
::" : O.ro al....... .... .. ...- ..
|^ nPedro Miguel......................
SaCmoras............................
.::. Gtun............................
r,,: ..t at..... .. ...... ........ -.. ....

lIa.taiy7. division:
6'':: tGeeral inspector.......................
!~. H:. healthh office, Panama...............
Street cleaning, Panama............
VH:ealth office, Colon..............
fitteet cleaning, Colon..............
j ^Zgnrsacitation-
i.l. :.c.an................. .........
boa-------...- -........-..-..........
r rozal............................
~ l:dMigue[ ........................
jlIest.... ...... ..............
G.atun. . -......................
Cristobal-Mt. Hope....... .... .....
S Total.i...................... -

division:
p"qaraotire office. ................
boPanama.....................
oon-Cristobal......................
ipection of cattle......-...-.......

T301;----..........-...............
RECAPIULATION.

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

di -vision. ........................
div sion......................
.. ..............................
.-2 :$Ti o P n m -----------------------


;Nov., 1916.


- I


$1,232.84


Oct., 1916. Nov., 1915.


$407.18


$399.31


27,023.94 27,815.06 24,654.26
1,756.06 2,002.90 1,275.89
6,587.30 7,422.24 6,475.76
225.16 209.80 215.99
4,378.52 4,569.75 3,785.58
1,627.35 1,482.59 1,125.30
865.00 1,047.00 1,223.66
698.68 637.33 L,153.70
2,176.75 2, 159.04 ............
2,743.69 ........ --... .. .........

48,082,45 47,345.71 39,91Q 14

27.08 27.08 3.33
1.173.60 1,146.10 1,167.51
............ ..... 466.41
394.51 420.12 458.42
465.42 547.75 661.72
131.75 137.63 140.16
438.40 509.28 706.16

2,630.76 2,787.96 3,633.71

1 t--- --
50.00 50.00 50.00
3,549.60 3,599.92 4,002.50
3,870.82 3,911.03 4,287.88
2,676.67 2,477.25 3,940.36
2,040.94 2, 126.02 2,057.50
1,186.10 1,621.77 1,726.58
633.93 723.33 1,560.94
S20&.0 1,213, 43 1, 73.92
i2,077.98 2,994. 6 2, 871.18
71.45 72.27 103.06
1 1,242.21 2,950.03 3,452.82
1,596.75 1,904.65 2,618.00

12,150.03 23,644.06 28,044.74

157.53 169.08 382.40
S1,742.07 1,977.76 2,128.02
2,479.64 2,810.30 3,343.94
693.64 497.50 ............

5,.072.88. 5,454.64 5,854.36


1,232.84 408.18 890.31
48 082.45 47,345.71 39,910.14
2 630.76 2, 787. 9 3, 63.71
1 150.03 23,644.06 28,044.74
5,072.88 5,454.64 5,854.36


69,168..96


t99,639.5 -


77,842.26


iig'sharged to construction allotments that had previously been charged to
Situation.+

,: '"
*. .i ..... ...



;C.
; ." ,.." .. .



i :: ':*:'::':i'ia l ;' '" *s" ": '" ..... ?''*" "';.:::' "" "' .. *.:* ;;:.-. ...... .* ... . ': "" ...;.. " a. *: .. . :.

















sq 4i
lolo IVIA
p A
VV

Wu







AY-V


I" 4t' udw os-
Tm'
'lot of




00

it
pgai
1"*Il 4-1 e0l JI,
te



64
-.4





lip
no

vtv













TALBi.E XIII.-ANCON UHOSPITAL-Continued.
WAED LABORATOBr REPORT.
fions (total number)....--..................... ........... 603

... ount..................................................... 1
., a... ........................................................ 7
counts ...................................................... 12
Ip in estimations......................-...................... 209
'Counts............................ : ........................ 78
counts.......................1............................. 19
ins (total number) ..................................... 448
,.......................................... ... ............................. 2
i lunbroincoides -................................................ 4
.od...................... ....................................... 1
ets ....................................................... ...... 22
blood .............. ....-....................................... 35
I i s....o.....- .................... ............... ....... 16
i ,i4 a ta dispar (ova)............................................. 2
S us dispar ................................................... 10
i[,:ova) ........................................................ 19
mi nations (total number) .........-........-...................... 1,836
at .............................................................. 478
:.., t ............ ...... ............... ............ .................. 7
Sjt'nmonads.-.------ --- --,.-.-----------....---.-...---.... -12
................... .......................................... 374
Smonads ........................... ........................ 2
........... ............................................... 1,057
.. ts.... --------------------------------- ------------- 118

------.-------- -'----.---..-------..---------.. ----------------.. 44
blood .......................................................... 200
10U.nd 'o1od ---------------------------------------------- 20
:,iI. J. neg. 135) ................................................. 136
tioi nas vaginalis .............................................. .... 1
xminations (total number)...................................... 262
ve for tubercle bacilli--------------------------------------------- 27
fi;a:jtions (total number)...................................... 2631
e b...................... ...........-....... .--.....-..... ...-. 12
. actions (total number) .......................... ...... ........ 31
Ei.......... ........ ................ .......................... 5
om knee ........-........................ ........................ 1

; REPORT OF SURGICAL OPERATIONS.
...
Number. Died.



utiple.. ............................. 1 ........

;l... ........................................... 3 ........
fractures, single. ................................. 2 ........
cures, o ompound ............................ 2 ........

.....~. ....................--...--............ 3 ........
n1ga]e............................................ 11 ........
S ble................................. ......... 7 ........
........... ...........................................


.le.. ........c...... .......e.... ......... .......
.......... .................................... ........

....... .................... .............. I ........
Cail c e.,........................ ..... ..... 1 ........
i. cure.................. ...... 2 ........


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

S"2.......
:". ...... ::::............ V ............ .. ------- -.
... .. .. .. .......... .............. 2 ..:........

S. ... .... ... .... . ....... ..... .
.0. P ... : 7" i;..;:. ,I ., "h .. ., . : .. . ,. : .. : "" !

















6 e liiiiiii
4, o-I
fe


4, 1 ,


tT, 1




A-1
4*110 A-6 Aw
I _V Tll
44-1
-V, nl-

FW, 7,17,S,7,
T W
't, Va

I lp
14P






T4






]LAOX, pen
Fki
0A, &t0-
10









1A





... ... .....












TABLE XIII.-ANCON HOSPITAL-Continued.
MONTHLY REPORT OF VACCINATIONS.
iumbet of adults vaccinated............................................... 726
I Number of takes........................................................... 199
-Number of school children vaccinated............................-......... 7
Number of takes..................................---- ..........--............----. 2

? BOARD OF HEALTH LABORATORY.
.r ... . ......
Bacteriological examination of-
Blood cultures (2 pos. for B. typhosus; I pos. for B. coli.)..--------------............. 16
-Throat cultures (2 pos. for B. diphtheria, both for release)..------------............ 64
Urines.................. ............................................... 63
Stools........................... ...................................... 68
Sputum ............................................................ 4
i Pathological fluids, exudates, etc-..................................... 15
Sm ears, gonococcus................................. ................... 1
SSmears from a cutaneous sore........................................... 1I
Cultures of autopsies.................................................... 1
yLeper suspects........................................................ 2
Oysters (consignments)................................................. 1
Dairy milk from Corozal.............................................. 30
Dairy milk from Panama............................................ 9
Cheese........................................................................ 1
Wassermann reactions................................................... 753
Agglutination reactions.................................................. 1
Aiti-typhoid vaccinations.......................................... 2
-.8mallpox vaccinations.. ................... ............................... 1
Animal inoculations..................................................... 10
Dark field examinations ................................................... 8
Chemical examinations of:
other's milk.. ...... .............................. ................ 6
Urines................................................................ 8
.. Dairy milk from Panama............................................... 27
Fat determinations of milk from Corozal farm.............................. 4
Skimmed milk (canned)...................... ................. .... 1
Gastric contents......................................................... 1
:'::. Powder for cocaine ................................................... 4
-. "Service Beer" (near beer)............................. ............... 1
R esin................................................................... 1
Gasoline.................................................................... 1
Butter................. .............................................. ..
Cider............. ... .................................... 2
Spinal fluids-
I..... o . Butyric acid test........ ......................................... 9
: Ammonium sulphate test................ ....................... 9
o:i.: 7. 1.Phenol test.......... .................... ................... 9
C.. "olloidal gold test .................................................. 4
Fatogical tissues prepared (paraffin 292, frozen 9).......................... 311
S"SrgiScal tissues reported................................................... 42
P acetal smears....................................... .................. 33
l d film s from horses................ ..................................... 5
ttopies performed .................................................... 36
N-eturs inspections ............. ........................................... 4
l... mm.ls autopsied (cattle 27, hogs 3, guinea pigs 5, cats 2, dogs 1).......... 38
al s under observation (calves 2, dogs 1)................................ 3
i ee embalmed.......................................................... 4
Interments at Corozal................................................ 20
. Taken to f o Panama................................................... 3
Wremations.......................................................... 28

A total of 54 bodies passed through the morgue during the month. Five of
were "still-births." Thirteen bodies were not autopsied (embalming re-
are'in.most of these cases). The percentage autouied for the month was 73.46
W.:. cent.

































.... ... ... A .-

N..

......... .



.. . .... ..





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








. ..... .
Np PA





.... .... .. .. J





Nn
_4


7777777

..... ....



. ....... ...
S
... ... .. .... . .. ... .. ....... ... ... .... .
: E- .:.!: ...,:T ........... .
A
. .... .....
.... ..... .
w.5-4
t-


SIV 0;_

A ... .. ... ...

.. .... ... ..




on


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


!R
oxU
VA.
ka,

.... .. ... ...
P5 El:-Y Cali.

ml ed N.,5
A

.... ....


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










x ... .. ...... .... .. ...

















e-3

... ... .. ..... .
'.4









K


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










41


Ta: ; m Lt-=ANCON HOSPITAL-Continued.

iTS8 IDENTMIFID AT THE BOARD or HEALTH LABORATOBY-Continued.


S.ii:' Stations.





;=( .: :.;**,:: .':: ". ..





I i ti|^:. a u---- ------------------

iliue, w side of lock.-...-.. ....

bra Cut..... .....:..... ..: -.




'E.. _......................
r ais ob al -- -- -- -- -







e. tob l.... ...................
d. ... uarters.-...... ...........





,.]t village - -- - -- --


pitje in Colon, Cristobal district....
.. ..........................
. .. ..............................


S............. .............
O a .............................
.............................
T r_.. ..............................
C ri sbs,. ........
iQa:des ....... ......... -


- 1-1I -- 1- 1 -


a !'



'CO. : A .
H-"" .: ". -?






jg^ ^ ^^.i..:! ,l .:.:....:.. .. .. *" H,', I"::: :.-.:.: :....". : .
"" : .! : ..." ; .: :: 2 "' . ::
.. : ...... ::.:::.. ... :.i' : .:: :. .: : .. .. i ": ; : .


bC
9O
10


C






310
208
12

7
2
14
136



2,232
3
95
28
4
3
3,692
326
13
65
20
11
102
3
1

24
82


Total.








315.
343.
126
85.
309
1,025-
713
346
38
7
699-
775-
2,728
3,557
424
379-
10,137
1,454
3,756.
328.
31
75.
63
26
3,895.
729
4,023

191
94


36,683-


II............
.. T.-. . .
-'I -- -- - - -


7,393 1106


2 27










4r 4

-TV 9v,




V--j







Ad'
P Afti

2,
"ttit














T)
Guadelck




'Pof


A -001h Aw r4u`
'T
-'so"O' "A A, 6s



'j"




I i r vIlPb%$,
44' ,
ASOMP


Pau,

-Two,
- oft, J
s wit ii-I
Of









j ^ .. ; .: ;: .. .. .,
43

STABLE XIV.--COLON HOSPITAL.
NATIONALITY.


White White Black. Total.
American. foreign.

0r4: .


7,







iiii~
Ei. K.

.........
i:' ?;
"L;'i:,"

lit
: i~i:'


:;.Panama Canal employees................. 11 7 34 52
,Paaim a R. R. employees................. 13 4 38 55
anama pay .......................................... 2 13 15
other apsy............................. 31 22 6 59
SCharity cases............................ 4.......... 3 7
Total..............................59 35 94 188


LABORATORY REPORT.
:Blood h am nations ....................................................... 44
E: tivo-autumnal ....................................................... 7
Tertian..... -.........................-...........-....-................. 2
Haemoglobin estimations ... .......................................... 8
SWhite-blood counts ..................................................... 12
S Red-blood counts .............................................. .-...... 5
; Stool exam nations ......................................................... 25
::Urine exam nations ........................................................ 166
Albumen .......... .....---...........--............-- -................. 46
S Casts. -..... -................. ....................................-.... 38
SBlood cells and pus..................................................... 20
S Sugar and pus .......................................................... 2
Negative for albumen and sugar ....................................... 118
i Sputum examinations .................................. .................... 30

S. SURGICAL OPERATIONS.
:Oplerations on bones:
Ostiectom y ....................... ........ ... ..... ... ................. 2
SH::ierniotomv:
.i . Inguinal, single .................................. ....................... 2
ik.-. Inguinal, double ..................................... ....... ........... 3
!'ai:aito-urinary tract:
:: Varicocele, radical cure .....................-.......................... 1
: y:- ydrocele, single, radical cure.......................................... 1
ArC:, uretage ut eri .......................................................... 7
. '..:. 'rachelorrhaph y ............... .................. ................. .... 2
ifem orrhoids, radical cure.............................................. 2
S E.. Excision of surface neoplasms......... ................................. 1
:Bxtensive injuries to soft parts, operation for........................... 4
atotomy:
S ppendectom y ......................................................... 8
ipendectomy with local peritonitis ...................................
]pingo-oophorectomy.. .............................................. 1
Ovarian eystectomy.................................................... I
(V,:|varian cystectomy------------------------------------ 1
i uspensio-uteri......... ................................................ 2
.ipiture small and large intestine and mesentery....................... 1
4rMnor operations, various.....................--..................... 16
varies .....--------------- -.................--...................-... 1. 4
Cor operations, various (dispensary).................................. 176

'Died.













...... ...





'..rw., 9.




gaw
T33


Ry

Ni


le,
... .. 41,
31

. ... ........ i 'N










M kI .... ... .. ...
..... .. ...


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


;?V7
..... . . .. .

N . ....... .. .... ... .... .



Fe

RA
IR



KV: N, y -11.
".4



.. .. ....
vff wl.K I
z 4 : .., . ... .. ... ..


n 4;-L

...... .... .

w ..... ... ... .
.......... .
... . ........ X






vi

... ..... . .
Nll

.. ......
.... ... ....
MC k 7F,
1 M

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








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

. ..... ..
7-.77-7.7 77777-7777


-WH

;-I. ni
Tm,


. .. . .....















K M.2SY:x
......... .

Ig ik! k.



2


.. ..... . ...








45

5 .TABLE XVI.-SANTO TOMAS HOSPITAL-Continued.
DISEASES TREATED.
lever......................................................... ... 1
a..................................................................... 55
f..ea ..les ............................................................. ...... 2
: t:ierids sease..s... .................................................. 8
,: e s es..- ......... ....................................................... 4
:Tuberculosis of the lugs........----------------------------------------------------..... 1
epidemiiary tuberulosis..................................................
S urlent infection and septicemia ... ................... ......... ............ 9
tanusdisease............................................................... 1
i il:. bercul. osis. of e oa..................................... ....... 4
::;b'a: .. -......-.. .................................................... ....
: f er cesof the lgs...................... ................................ 14
'Acute milnary tuberculosis- --..... .........................-..............- 1
-'Tuberculous meningitis ......................................... ...........
I Pott's disease .....................- ........- ............-...........--...... I
Tii uberculosis of other organs ...........................................-..... 1




4:: D diabetes M................... ................................................ 42
Leuchancreia................................................................. 9
Alnco ccus infection .....ro............................................... 16


9 Paralysis without specified cause........................................... 1
i::: aer ondr mental alinant tumors of the female genital organs.............
5:-I :::: ..:-ancer fidother malignant tumors o other organs and of organs not specified. 2


i: Epibepsy .....- ......... .... ... ................. ............................... 5
i: Follileu lar ...j...tivitis........... ............................................ 1
SNe uralgia and neuritise or chronic).............................................. 1
Other diseasewithout specified nervous system....................................... 1
SOther formdiseases of the entaes and their annexa...... ....................................
'i Diseases of the ear.................... ........................................ 2
rganidiseases conjunctivitis .heart................................................ 1
:' Angina pectoris...and neuritis .......................................... 1
ther dDis eases of the a nervous system......................................... 6
: other diseases of the eyes and their annexa .............................--------------------------------- 10

": Diseases of the eari.... .................................... ........... ..... 2
Organi diseases of the heart ic ...system.................................. ....... 12

gi H emorrhagetos. ..........---...... .................. ........... ........... 1
:7 .Diseases of the nasal fossrters....................................................
ni'" Diseases of the veins bo... ...................... .............. ........ 2
SAcute of the lymphatic system itis................................... .........
ronic bronrhagehitis .......................................................... 1
iseronses hop the nasal fossm .................................................. 1

f .Pneum onia................................................................. 8
PlTeunisy-----------------------------------------------------........ 9
it51:Other diseases of the mouth and annexa.................................... I
fDiseases of the pharynxoid body.................................................. 2
.cute bronchitis ...tomach........................................................
I!i:: her doic bronchitis ........tomach............................................... 11
Ri: eumonia..sis.............................................................. 8

t-eii::V r fisay .... .......... -.......................... ............--........
resseri diseases of the mout a a .................................. 11
l:ieastes of the pharynxuctio .................................................. 22
i.asesof the stomachnus .......fecal ...tula.......................................... 1
diseases of the stomach ............................................ 1
B ffhse and enteritis (under 2 years)...................................... 8
hea and enteritis (2 years and over) .................................--------.. 17
to niasis............................................................ 40
4 parasites....... .................................................... 7
p diiis and typhlitis....-............................................ 11
intestinal obstructions............................................... 18
~ ees:of the anus and fecal fistulal ..el........... ....................... 5
diseases of the intestines ..... ....................................... 4
i diseases of the liver ................................................. 2
peritonitis -.........-.. ................... ...----------------.......- 3
., disease ...................................................... ... ... 17
Serdsees of the kidneys and annexa ................................... 1
es of the bladder .................................................... 3
es of the urethra .....................m.............................. 8
cereal diseases of the female genital organs .................. ........ 18
Stumor. ... ................................ ........................ 1
Diseases of the uterus ................... ............................. 3
itis and other diseases of the female genital organs ................... 12
erperal diseases of the breast.......... ............................... 1









p,






1 =200
i v l .....

New too


cz
L.-g: S




IR 1: a, nvx v 1 Q n
.,,Xv
ko
.. ... ... v i;
.rr A ... .... ... .. C ,
D11 il i., ..
N
ii
Ik

J.,

pvjf Ri% x
.... .....
Y nL Lr
1 -7.
Q f W 1K V4

X*j

Uj- A:

7c
5x:,
--nt-

... .... .. .
Z


5c
1AZ Er Zg.V
WON- T A
# R
3
My M sa 2s. sa- .

ieIrkp Rtl iix
k::::: i..





FEE 'AN, .. . .. ...

-.4


J,

.17 Fy
fy "W-I'M 5

yknF
gh, fj Y
a5F .4.
. . . . . . .
M"



IS 7W E.Z.,
_ON; 12

qw! -sp
!U.

.-i- My g
ate .....

-Lek





.... EA.- n.7-,




NO



Mic
P!Z
jp-
aso Mau

M 7-


NH








47

H i|iBt.-S-UMMARY OF SANITARY WORK PERFORMED AND
RIAL EXPENDED DURING THE MONTH OF NOVEMBER
S E C'lOANAL ZONE.
A: t on supply department:
....... ................................................. 30

l ei ots m nicipal engineering division ........................ 15
Wstson municipal engineering div
Sjrequest on dredging division............................. ........ 1

--S-i--se ein g -- ----------- -- --- ------------.--------- 1,586
t: r a sitoes-...................................................... 5015
0or general sanitation ..................................................... 2y,191
o ns-of.................................................... 24
n ipecia ns of ................ .............................. 14
n inspections of....................................................... 821
,spec tions of.................................................... 2,80. 76
(odxt dsinf1ected-----------------------------.-----.. ----------.... 821
age emns emptied .....----------- ------- 2,804
i s disinfected or fumigated ...................... ................. ... 5
in use.. .............................. ................. ...... 400
t etroyed ........................................................... 357
umbsr of mosquitoes destroyed in dwellings:

SIi :...tgmyia .......................................................... 36
S---heles.8----------------------------------------------106
le ......... .. ... ...... .................................... 4,039
S s nia............................................................. 22,999
iVatetial expended:
L,::: arvac;:de, gllons.................... ................ ............. 264
S::: e oil, gallons................ .................................. 13,148
i,~"n'e:,seae gallons.....................-................................ 569
!:y-ureedig places destroyed............................................ 1
R:;ro EPoT OF ROUTIE WORK DONE BY HEALTH OFFICE, PANAMA.
:.Geieral sanitation:
S::Linealfeet of ditches cleaned and maintained......................... 71,140
I ea;::le:; n t of new ditches dug .................... .. ................ 0
i::: :Number of cubic yards of earth used in filling--..-........---- .....- 0
i G .allone of larvacide used-...-....... ..-..-.................... ....... 440
:.J.: Qa-lons of crude oil used ................................... .......... 4,595
S~:' alolnes of kerosene used....................... ...... ......... 215
Usilons~~~~ ofkrsn ed--- ------------------------------ 21
S: uure yards of pools oiled ........... .. ................. .. 362,150
Water containers treated.-...--..--.... ....................... 13,401
Mofuito breeding places found (Stegomyia 108) ..................... 253
feeding places found............................................ 59
trapped (13,000 per quart) ....................................... 64
of rat kiled............................. ......... 1,145
tiber of room disinfections made....----.....-....-- ..-.-- ...-- ... 15
qare feet of vegetation removed....-..-..................-......... 178,000
collection:
mber of loads of garbage removed to dump---........... ........-. 4,507
ber of cubic yards of garbage removed to dump.................. 9,774
Number of cans of garbage emptied............................. 43,421
btr of buildings inspected -..--....- ......-.... ............. .... 4,847
Aber of plans for new buildings approved......................... 14
ber of permits issued for repairs to old buildings................. 99
'buildmg permits issued.. ................................---. 113
tr of buildings condemned ................................ .... 6
oer of stables condemned..--.---------------------.........--.......-----------... 0
Sof buildings demolished .................................... 1
eage number of square yards of streets cleaned daily .............. 600,000
rage t umlnber of square yards of streets sprinkled daily............ 0
ter of private properties cleaned during month.................. 4
b ulfneance notices setted Tid nuisances abated............. 305
I W o vaccintions performed during month..................... 125
ber f vca ions since April 1, 1914...................... 25,193





.: .......









44,






Ole




Wbl- 0-
Ic
'r W1 'no
lu W, 06A ilwE S,
Y, r At 0 t
w, 11,
"n ov(

K6, W
H 'S
pan'.
%r

00 -MMOPWRTi, M, -Pd"
limbero pt va


d

bbi 6fgW
NumUff'Of 9A bf OndeAdLusod-in.
'77
90 opppr
w oifiiift, t4 &-qpjjs,!,*M,-
otof a
NiAb
eW
Number of "new Piievodns -Mao durihgtht,
il"m1p tj ift* tio",
"TOW connoo 30M

POMW
T
imw


-Chf

Mo


ONE, !1011"*1 'ot'w
A-1 y
cu

I r'b 13 ,-of
khlh r'bf #














r Barrac.k.. ......

!:: :er-married quarters ................................ 1-
: ------------------------------------------
i~ . .- Silver married quarters.......-................... --..I16
*i Steamnshi-----------------------------------------.... 22
Mount Hope village................................... 17
Camp Beird cars...- -.........--..-....--.......---..- -..
STotal-----...---..--.- ---.---..------------------.. --. 4,442
:: Gallons of larvacide used-.......--.--.-------..-.----.------- 200
SGallons of crude oil used................................--...- 90
Mount Hope cemetery maintained.
L. near yards ditches constructed................................ 826
Linear yards ditches maintained ---........................... 3,90
Square yards of vegetation removed.......-----.........----------...----. 170,055
S Number of burials during the month......-..-...... ...----- .... 49

..TABLE XVIII.-CONSOLIDATED REPORT OF QUARANTINE TRANS-
ACTIONS AT THE PORTS OF BALBOA-PANAMA AND COLON-
S'CRISTOBAL.

Number of vessels inspected and passed.....--... --.. --...---------.....-. 214
S iUiber of vessels passed on certificate of medical officer -----..----.---- 3
NKt: ber of vessels held in quarantine..-..........-- .....---..-------------
i:... Total number of vessels entered- .-----.----....-..------------ 230
:'^Nm'ber. of inspections made to enforce compliance with anti-plague regu-
atios.. .............-------------------------------------------------128
iENumber of vessels fumigated on arrival (on departure)----------..------ 20
iiNumber of crew examined----....-------.....----------............-------...--..--...---- 12,423
-'Number of stowaways examined.. .--------------.. ------..-----....---- 2
I m T lber of passengers examined ... ..-- ...................-............. 3,492


; Somber of supplementary examinations..----...-.. ..-... .......--..---... 1,877
II aTer of persons vaccinated at port on arrival.....-----.--.----.....-- -- 218
Nuber of persons vaccinated at port departure or en route------------ 453
"4 '671
a mber of persons held in quarantine at the detention houses to complete
ip dof incubation of yellow fever and bubonic plague.---------------. 332
II beur D of poliomyelitis suspects detained......---............-- ....-- .... 3
r of persons held in quarantine on board vessels--......------------ 1,7


uameber of persons landed from foreign ports:
-------------------------------------------------------------u
ier fpa ssen............................................................... 805
I n '

bl umber of persons embarked for foreign ports:
0'' ------------------------------------------------------------1,4M
OF i. ..,. . .........,.. ... .. 125 19
m gi.e-----" -- .------------------- --*_ -----------1,


umbr of persons arriving from coast towns......--.-------- --...-- 1,4
oumber oferans ailing for et towns. ......... ------------,43
&
.sh it h o

r:iio l rae .
p
i ofperonshel *n qurnie* eadvsesl

.]mmber pes'C add rmfoeg Kmt


*' .:









ot



P












51


TABLE XX.-PERSONNEL REPORT.


December, 1916.
Novem- Decem-
ber, 1916 ber, 1915
(total em- (total em-
Gold em- Silver em- Total em- (total em- (total em-
ployees. ployees. ployees. ployees). ployees).


Iheathoficer........... 3 0 3 3 4
a tl storehouse.......... 4 4 8 8 8
arantine division.......... 12 34 46 46 38
athoffice, Panama....... 12 140 152 164 173
th ffiee, Colon .......... 10 148 158 163 171
~: Hospital.............. 124 246 370 360 350
.aospital................ 17 26 43 42 39
lu.omas Hospital....... 6 0 6 6 6
S eper Asylum..... 2 34 36 41 27
aton............. 6 115 121 124 140
fa ................ 2 66 68 69 55

........... 5 3 8 8 6
................. 1 0 1 1 1
i : ...............\ 2 2 4 4 5
S:aiso.................. 2 2 4 4 4
dro iguel........... 2 1 3 3 3

:Total ................. 210 821 1,031 1,046 1,030
..**:*:".. _


1 '4
... ... ....



;.. ..: ...















ii!:ik-. .. ..... :.. ..
ph










"ii


AS.. ......
a!: : : i:.. .








'o,
R 1 -rI I v _2
"to -1,I Nt Il' I lay,


J IV'


Ws :00

on
or; ,I
tj Ij`l,-f
V ott, I



10 1". 0



o
o
l3
I I 11 I 11 11
It

jr Al f

of
-o
AX,
"Ot

A
two bly,
tgw,
Ao
v ''solo

vo 0 As
,,V, N W IS
A

li

ot`-
o
o
aA VISA;
t QI 't 1*`1--`,4 ft-

14,
t7
"'o
1, wl 4#f



to, o
It. o


If I ff,






o
o lof
A
It 'a




ft"I




o
14 tv,





o"
An -t

I hy


o wl

o-
% It
f Ito


py



Ilk
nil AV&t` I AW
ot" R. SAS
I,
to-ft-
I ol
r
A
.'It
-I-

-atoll

PAN







UNIVERSITY OF FL.F
SUlIIIHI IHiltllHII1IIIIitu