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

KR I M h II


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CONTENTS.


Page.
S Letter of transmittal.............------------------------------------ 5
General rem arks............................................................ 5
Vital statistics:
Health of employees...............................................----------------------------------------- 5
Health of residents of Canal Zone ...................................... 6
* Health of residents of the city of Panama................. ........... 6
Health of residents of the city of Colon ................................. 7
*Hspital division:
S .Ancon Hospital ... ............ ................................. 7
Board of Health Laboratory................................---------------------------------. 7
Farm for disabled .............................................---------------------------------------- 9
SInsane department.................................................... 9
Chronic warden ....................................................... 9
Colon Hospital......................................................--------------------------------------------- 9
Palo Seco Leper Asylum ............................................... 9
Santo Tomas Hospital ................................ ............. 9
District dispensaries ............. -...................-............... 10
Sanitary division:
SCanal Zone. ....................................... ................... 10
Panama ... ............................................................. 10
Colon..----------------.......----...---....... 11
Dtc Colon- s-- ----- --------------------------------- 1


Panama. ... ----......-........-- ......................-...............-- 11
Colon .-..--..................-..-.................-...........-........ 11
Statistical tables:
Table I. Admissions, deaths, and noneffective rates for employees;
deaths of residents of Panama, Colon, and the Canal Zone.... 12
II. Deaths by age, color, and sex .................................. 13 .
III. Deaths by nationality...----...- ......- ...-.......----..---..- 14
IV. Deaths of white Americans-......-...-------------............-...---.........----------.. 14
V. Causes of deaths of employees............ .................... 15
VI. Causes of deaths of employees and civil population and places
where chargeable............................................ 15
VII. Admissions and deaths in the hospitals of the Panama Canal.. 18
VIII. Consolidated hospital report................................... 30
IX. Consolidated dispensary and admission report--.... ----.......... 32
X. Employees: Constantly sick and noneffective rates per 1,000... 33
XI. Employees: Days' treatment per admission, hospitals and
quarters ...............-.......--------..........-.. --- ----34
XII. Financial statement........................................... 34
XIII. Ancon Hospital .................................. ............ 36
XIV. Colon Hospital....-..-......-..-.........-.................... 41
XV. Palo Seco Leper Asylum..................--------------------........-.......----------42
XV. Santo Tomas Hospital.............----.....................---------- 42
S XVII. Sanitary work done in Canal Zone, Panama, and Colon........ 45
XVIII. Quarantine transactions.. --....-.......--- ............---- ---. 47
XIX. Issues of quinmne.............................. -.............. 48
SXX Personnefreport.............................................. 48

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LETTER OF TRANSMITTAL.


THE PANAMA CANAL ZONE,
DEPARTMENT OF HEALTH,
Balboa Heights, May 12, 1915.
il. CHESTER. HARDING,
g Governor of the Panama Canal,
Balboa Heights, Canal Zone.
have the honor to submit the following report of the oper-
the department of health for the month of April, 1915.
ry respectfully,
P. M. ASHBURN,
Acting Chief Health Officer.


GENERAL REMARKS.

No cases of yellow fever, smallpox, or plague have originated
on or were brought to the Isthmus during the month.

VITAL STATISTICS.


EMPLOYEES.


'ThJbhealth of the employees remained good during the month.
.The number of names on the rolls for the preceding month was
34,125.
The total number of admissions to hospitals and quarters was
802, a rate of 282.02 per thousand, as compared with 312.82 for the
preceding month, and 350.59 for the corresponding month of last
year. *
The total number of deaths from all causes was 8; of these 5 died
from disease, or 1.76 per thousand, as compared with 4.91 for the
;i .: preceding month, and 5.53 for the corresponding month of last year.
:i: The constantly noneffective rate was 9.85, compared with 10.26
: for the preceding month, and 12.07 for the corresponding month
., t last year.
.The total admission rate for malaria, hospitals and quarters, was
28.48, compared with 46.99 for last month, and the total noneffective
s : te 0.95, compared with 1.11 for last month; each of these rates
; being lower than for the same month last year. The diseases next
:: to malaria causing the highest admission rates, in the order of their
;' ..a'inmeical importance were: Diseases of the digestive system,
, vi'i nerealdiseases, diseases of the skin and cellular tissue, and of

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The population of the city is 29,331, among whom there were
54 deaths; of these 48 deaths were from disease, giving a rate of
19.64, as compared with 18 for the preceding month, and 21.95
:for the corresponding month of last year. Of the total deaths from
disease the percentage under 5 years was 52 compared with 32
last month.
The principal causes of death showing an increase as compared
with March were: Bright's disease, 9, compared with 5 last month;
and malnutrition, 8, as against none for the preceding month.
There were 44 births reported, giving a rate of 17.86 per thousand.
The infant mortality was 386 per thousand. The percentage of
stillbirths to total births was 8.
1


HOSPITAL DIVISION.
ANCON HOSPITAL.


During the month the average number of patients constantly in
hospital was 449.27. The per capital cost of patients in hospital
proper was $2.017 gross and $0.83 net. The per capital cost of
patients in the insane asyluin was $0.536.


BOARD OF HEALTH LABORATORY.


The following work in addition to routine was performed by the
board of health laboratory during the month.
A study of the placental blood film, in cases where there is the
possibility of estivoautumnal malaria being associated with preg-
nancy and the puerperium, was completed. A synopsis of the
findings follows:
It is believed that the placental blood film made from the
maternal surface of the placenta immediately after labor and
stained with a polychrome stain does possess important diagnostic
value because the placenta from the third month on becomes an
even better harbor for the localization of this parasite than the
peripheral blood, and will in many cases reveal the presence of
parasites when the latter will not. The parasites are far more
numerous and larger, and the phagocytosis of pigment is much
more in evidence.
|t In the late stages of pregnancy the placenta corresponds more or
: less closely to the spleen and bone marrow in some of its intricate
.. vascular peculiarities, and it therefore offers about the same favor-
S able features for the localization and development of parasites as
V is found in those systems.
This film examination will frequently aid in differentiating
puerpeal sepsis from malaria in the puerperium. The test seems
worthy of a, routine practical application in tropical obstetrics, and
in other regions where estivoautumnal malaria is found.
Other points of interest which appeared in this study, together
with a review of the pathological records, are as follows:
SThe pregnant state seems to encourage otubreaks of latent mala-
ria, as a rule late in the course of pregnancy, and also predisposes





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The net per capital cost was $0.359, as compared with $0.561 for
last month.
Durmg the month work was continued grading the grounds and
excavating for walks and a road at the asylum.

INSANE DEPARTMENT.

Eight patients were admitted for mental observation during the
ionth, this being the lowest number entered in any single month
in the history of the institution since its removal from Miraflores
:-in 1907.
Three women patients, natives of Dominica and St. Lucia, were
deported.
The final transfer of the asylum from Ancon to Corozal was
accomplished on the 9th instant, when 112 women were removed
Sto the new site and quartered in buildings which had been made
ready for their accommodation about two days previously.
Work by the males has been going on steadily, and considerable
progress has been made in grading the grounds and excavating for
walks and a road.


CHRONIC WARD.


There were 27.43 chronic and incurable patients constantly cared
for during the month. The cost per patient per day was $0.261.
Detailed statistics are shown in Table XIII.

COLON HOSPITAL.

The average number of employees constantly sick was 24.60.
The average number of days' treatment per employee was 9.62.
The per capital cost of patients was $2.45 gross and $1.64 net.
Detailed statistics are shown in Table XIV.

PALO SECO LEPER ASYLUM.


The number of patients under treatment at the end of the month
was'51, as against 50 for the preceding month. The per capital cost
per. patient was $0.87.
Detailed statistics are shown in Table XV.

SANTO TOMAS HOSPITAL.

During the month a total of 1,400 patients was treated, 63 less than
for the preceding month. The daily average of patients in hospital
,. 462, as compared with 468 for March, and the total number of
J ital days was 13,860, as compared with 14,537 for the preceding
1 month. Sixty-three deaths have occurred, with tuberculosis,
nehritis, and organic diseases of the heart the chief causes, in the
!j-: ,,4:order named.
'Detailed statistics are shown in Table XVI.
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:Obinese gardens. A more detailed description will be given.of
this house as the subject of a future report.
Detailed statistics are shown in Table XVII.


SANITATION-COLON.


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Detailed statistics are shown in Table XVII.

QUARANTINE SERVICE.

S'One violation of quarantine occurred-ship arriving at Balboa,
;:Aptil 21, 1915, without bill of health. The master was fined $25
:in the district court.
V:Y: essels generally are carrying out the regulations with regard to
;:. beastimg off, use of rat guards, etc., to a better degree than formerly.
k Attenti is being called to rat proofing of chicken coops, potato
Rh-," etc., and to general cleanliness on board ships.
The plague situation in South America, west coast, has shown no
~ t~povement. Quayaquil reported 310 dases of plague, with 119
Sdth, for the period November 1, 1914, to January 31, 1915.
:. :herae were 1,770 more departures than arrivals from foreign
r The immigration from coast towns shows an increase of
U7 for the month. During the month 133 United States troops
40ted for Canal Zone garrisons.
i quarantinable diseases have appeared at the ports during the

detailed statistics are shown in Table XVIII.


. All spleens from the different groups of cattle slaughtered by the
supply department were sent to Ancon Laboratory for examination,
and found negative, except that the spleens of three steers that had
died before the time set for slaughtering showed anthrax. These
three steers were burned by the health office scavengers.
The necessary connections to oil tank No. 2 at Mount Hope were
made, from which oil will be furnished for this division. This
arrangement is much more satisfactory than the small tank pre-
viously used.
Four stables were condemned during the month, and the owners
given to May 30 to start improvements.
Allchicken coops in the public market have been condemned
and replaced by the new model sanitary coops.
,An area of 28,610 square yards, and approximately 41 feet deep,
of swamp No. 3 have been filled at Mount Hope by suction dredge.
Fire swept over Colon on April 30, destroying an area of 22 blocks,
and affecting about 10,000 people, many of whom were left quite
Destitute.
There were 3,158 persons examined, of whom 4 received vacci-
nation.
The following communicable diseases were reported during the
month:
easles............................. 1 Tuberculosis ....................... 2
M mps............................ 13 Infectious diseases of the eyes...... 1
Dphtheria ............-....... .. 3 Whooping cough .................. 1
anal fever ...................... 1 Trachoma ........................ 2


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TABLE I.-ADMISSIONS, DEATHS, AND NONEFFECTIVE RATES FOR
1" EMPLOYEES: DEATHS OF RESIDENTS OF PANAMA, COLON, AND
THE CANAL ZONE-Continued.

DEATHS OF RESIDENTS OF THE CITIES OF PANAMA, COLON, AND THE CANAL ZONE.


Place.


April, 1915.

Panama ...........
Colon...............
Canal Zone..........

.Total.........

March, 1915.

Panama............
Colon.............
Canal Zone........

Total.........

April, 1914.

Panama ............
Colon.............
Canal Zone........

Total....-....


Popula-
tion.


60,373
29,331
33,652


Deaths.


Total. Disease.


Ex-
ternal
causes.


Annual average per
1,000.


Total. Disease.


26.43
22.09
6.42


25.44
19.64
5.71


Ex-
ternal
causes.


0.99
2.45
.71


123,356 205 192 13 19.13 17.87 1.26


60,373 175 168 7 34.78 33.39 1.39
29,331 47 44 3 19.23 18.00 1.23
33,519 25 23 2 8.95 8.23 .72

123,223 247 235 12 24.05 22.88 1.17


47,172 129
20,232 37
55,147 62

122,551 228


125
37
51

213


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11

15


32.82
21.95
13.49

22.33


31.80
21.95
11.10

20.86


1.02

* 2.39

1.47


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


Age.


Under 1 year..........
I to 4 years.............
5 to 10 years.............
11 to 20 years..........
21 to 30 years ...........
31 to 40 years...........
41 to 50 years...........
61 to 60 years...........
01 to 70 years...........
71 to 80 years...........
Not stated..............
Ittal .............


White.


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Yellow.


189 ........ ...


Total.


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13
15
14
9
6
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22
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"K~~:, 9Dsbial aur ~al, i~~ 'Ji44 'i,:
l44'm -44
.. .,-:,. :i -.









: ' .:"T 'A
Mi"."i










IL: ZjAi '4.&
: r. ..+...: :;~ ~~._ l~: l. __.. . -- ...;.:." : ., ~ <........... i. ,,,: :'.l,; :~i, :


















K 'K ". rJ', "" "4:""":"":"" "- '
A:. -. ., E i :;'L .. .. ...". ..7

J h k ". ".:...';.. ? 4 ,.. ,.....














7~; K
o... "_ _- .- r. .- ,.,.~ .. ...li~i .
:.sl ;i"+ i : .,; .+ : ...,....... .
", ,- ""':.;iP~ .t -: :. . '.ii .":.-::...7 i . :;. ....
















: :
. -66 " '; .. .. ... ... .. "I
;: ...... .:;"!;..i:::r :: J ;.,, :'. .. ,r.....; t :!'i " I; i . 'd ,.... ...+..:















I ;. ; ` I :; Q M7.1 .i .l
KJ r..
; > : r :, ". I"..r .. '










.... ...: .. ..... .. '.. .. F'.N O I-T.'A
. : ], : Ii: :-::::!: .. ., .... . . ..
,,; .' ;; "' ~i.. 1 ~:j: . .. . .




















0 i.i
-:8:
"::' .:: :' ': ... ,,, :. ::., _:... ,_,. .....t ~ ~;~3i'%. :,: '' -;"3W ;.,I>ii'.: "




















...... : w ." ..,.." ...,'"t...... ."" """
... ....,.l' Iil:~~~~~i~~~~~~~, ...,:": .... :,"'.E.i.;,. ,..'!:E ".". .,,, i,

.,. . :

:, :`,',1:; ,:, i ';;!' Z : "" ::'+ ....... + "' "" : ..... " ;i ~ ~
-- ir-. "'; "-":'2 ;i .. ... ".. ..... r< ... ... ' ::















.i!r;; .` ,-.:; .. .'I; :,. : .
;9 ;i... l . .. . .. ..... .,. _. ... ,'Tli .. ... .... .. . . ... .. .. .

,. ~(l~i;A . .. ';;;"I ,.;p -:~. ",' .#' ... .
"b., . I..' j: . .'.'i : .:..'": . : .l .

















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








15

TAn ".V.-CAUSES OF DEATHS OF EMPLOYEES OF THE PANAMA
CANAL AND PANAMA RAILROAD.

I Causes of death. White. Colored. Total.


S D Cancer and other malignant tumors of
the peritoneum, intestines, rectum..... 1 ............ 1
CaJrbuncle.............................. 1 ............ 1
Cerebral hemorrhage.................... ............ 1
S Lobar pneumonia....................... ............ 1 1
SSoftenimg of the brain................... ............ 1 1
External causes:
Homicide by cutting or piercing instru-
Sments................................. ............ 1 1
Traumatism by fall..................... 1 ............1
Traumatism by machines............... ............ 1 1
' Total................................. 4 4 8


TABLE VL.-CAUSES OF DEATHS OF EMPLOYEES AND CIVIL POP-
ULATION AND PLACES WHERE CHARGEABLE.


Disease.

IPv
General diseases.
: Malaria fever, estivoautumnal..................
: Dysentery, unclassified.....................
Purulent infection and septicemia ..............
:: t tanus ........................................
: ollegra........................................
STuberoulosis of the lungs.......--....-..------....--------.....
Tibercuous meningitis.......................
SDisseminated tuberculosis ......---....---
Rickets .........................................
Syphilis, tertiary .......... ..................
S j hflis, hereditary...........................
I C: Cicer and other malignant tumors of the
peritoneum, intestines, rectum................
S Camer and other malignant tumors of the
I female genital organs ..........................
Alcoholism, acute ................------------
Alcoholism, chronic................------------
:1 .., 4:- Diseases of the nervous system and of the organs of
special sense.
SCerebral hemorrhage, apoplexy.................
i softening of the brain...........................
p roeral paralysisof the insane. ... ......
.*.l..' sons of infants (unuef S ......
t: ulna of the brain......... ......
Diseases ofte ceu Se it So .
.-. tendoca it..............................
S i dseae the heart...................
S................................
Ai, : t. l .................................

i' C


Pan- Colon. Canal Total
ama. Zone.


3
"""{1
3
17
1





1
1
1



1
1
1




1


.... .--.-
1

3
1
. . .
1


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


1
........


3
1
1
1
3
20
2
1
1
1
2
1
2
1
2



2
2
1
2
1


2
9
2
1














." : : , :. I. .
S .t ... k ... ..... F. .... : ..














. ." . ...... *'.. . ; . .. : . : *:* .; .... .. . .. :. .. . . [. -
1; -x - 46 .
.4, f e m














r i" t ": .. . :... "..": 1:'... ..:.:. :.




: .. . ". .. . *. ..- !... '. '. ,.. . : :
W;.... W :. , : :...:.. .1
A. in s .. .. :...,... ..




.im be dest ..iti s .. ( ,ufr.... y. ..- ......e.)....





-:. 0;IiIt e I.
".* . " l". " : " .. ... ::' . . . : ." I ^ :"


1 .::4. " i e" -: :- ."- "" ". ." "
2\- ..h _ ..







. .' . ...."
t. 4 a
,.": N. . ".. .. ..m ,;.:.. : : ::.: ,. : . .:' ;. .. :::E :E






""* " . ": .. ; : :. .: : : :;x. : '. ...:. :E .: .: ".. .." ; i "." ...0"-:"0:" ,:"f"i.' :. i "m'" i 1""-- ": :"': ..:; .: ": "" .:: .:.















:@i~ ~ ~ ~~~N M,:; ::; : i:2 ; ir .. '
' : '*': S6
:i 9 ,'! ~~~~ ~ ~~~ 7!. ... .. . ;
k i:* ;. ,:. "; .: :.' .. : ::








p 17

S TABLE VI.-CAUSES OF DEATHS OF EMPLOYEES AND CIVIL POP-
ULATION AND PLACES WHERE CHARGEABLE-Continued.


SDisease. Pan- Colon. Canal Total.
vg Dama. Zone.

.. Affections produced by external causes-Contd.
Homicide by firearms....-......---......-------...-..-...... 1 ....... 1 2
Homicide by cutting or piercing instruments... ........ 1 1........
Other;external violence........................ 1 ............... 1
Ill-defined diseases.

Cause of death not specified or ill defined ........ 3 ..----......----........-- 3
S* Total.---............------------------.......-............ 133 54 18 205
Stillbirths..-----------.. ----------............ ----.............----------- 6 4 4 14
Grand total............................... 139 58 22! 219

I. 95867-15--3


4.5'
L :" .

i-, ..



S : :' .. .


4 oft















S. . i, :. : ': : :
.." . . : :" .. .. ,










.. 4' 7,:: : :"::.
S* .. ::











.... .. ,.aut l ......
. ... '"......
-. ." ...






.Yil~n -u mnv
. t .. ... e .. ,,. .. ..




0 1 .-. U ..- ---. ..,--. .


.."" .. . -,. --. '. .. : :, '
*. Y .'" .. ----: :" .". "'..""-"--- :.^ .
*... .. .... .... .. n.:: dre...

...* ...:b .-------
S':::7Lypidlik; .r ::.:, -*':. -N""

1ym.... "n""
,q p '


.:.E
III .. :..:. ;. ..:... ..,
*11^


A.
all.









2 2


41
jR .









4 2
[***.* g j:e '













. :. .
*---.-



-A i 5 ','
:. I A


-P-K2
--.. p-.k-' -.--

^--*..- q


*' ... ; *.: .1


,.1* ---,* '*
4 *J 4 1 **
-*44* + *"**
*..:. --..- -
K.^ ^i t.


r r ..:' I.:.4".
435.




.4,
w'- me. 2.' 'y



'7.. ,.. : '.. .. A
k ."' ." -" t

a.a.o: 7
a S S


-:t Se-
.: :.


-. ,

V it.
a;i r. .,
t.. :, .


1'i





..4
.'"^




x a





















A,
- I *',; ..
* i q** v .' .


*:: :^: *'
..:: . .
1; .


W. ..: ..:::. ..







.. .. :
|| ;; "





dk:
- J. .



. **....
.. .,.


Colon Hospital.


Employees.


SNonemployees.


.Total.


Employees.


A li s DeaA Deaths. D
sions.,'. sions., IsI o .


. . . . -- ... .. .. .. . .T .
...... ......... .. ... 31.. ...
1 ... .. .. ... ... 3 ..


w.



0 g -
as a
o0







2 2 23
3 ... 6
---I ... 2
3 4 28


1:111


... 1

... 5
... 6


w.




0 0
-- Pd


Nonemployees.


A dmis- Deaths.


W. W.
5111.

w---


iil: ::[ittr


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

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

... 2 ............ .
... ... ... -1 ... ... ..
... .. ... ... ... ... ..
... ... 1 I1... ... .


.. 1


19

PITALS OF THE PANAMA CANAL, FOR THE MONTH OF APRIL, 1915.


w.


W.


W.


W.





Fi P 41


..! F.. P..



--- -------


. ..III I
.-. ....


Irlllttittllltrr


ii;


20 ... . ..

















...........a.......... .......:










^*^ Other 0mr tm o:
;.::. : .. M..... .. ... .. .: .
t ism.. ...... ;. ........ :: ,. .'^ " ... ..












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










?'* :" ". .... e..-' .. .." .,. :"'..: :.. :: : ... ''l. .'. :{ .; '." ^':
A a
. . . ..... : .. . S i .: .; :











eCanct and' of there. nailig-
y .. .. g., .-'^: .. 1 *f *. ..c ...*... 1 ... .
"* i "ta as '.a. . . 1- : .." "

;tal genital organs
A...a..' (ste... .. ...... ..-m.o, ..r...... .n. .4.A. -.-, ...,:
O tirtapuirYhtmti4a


.." ..: g .' "-- ..-. . .. ".... 1 .

D 1 1 a . ..;. : .
-:oi fleu ats an











A a e'" "i"e..:,y ,.[ ....e ,..,. I






-. : ...te .. c.: of the rg:ua:i.," :4','".':.
A i.e:, n t: a "., ..:- .m.











..: . ..:.. ". ... . n n:''.' )- '.. '.. :tA,

p..:a. .s y,.,p.a s..... ., .. --; ..


%: ..J ..3 r .*. t ., . . "A













Sa'1. x










. ,: *' .

SHOSPIT





Em)



:* .. W .







































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
























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


'ALS OF THE PANAMA CANAL, MONTH OF APRIL, 1915-Con.


Colon Hospital.


ployees.


Deaths.


W.



N A


1 ... ...
1.





1.


Nonemployees.


Admis- Deaths.
sions.


W. W.






wo 0 M 0 ffl


........


... .. ...

..... ...

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


... 1.. ...

... 1 ...


STotal.


Employees.


Admis- Deaths.
sons.


W. W.




f; U


... 1

... ...

... ...

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

... ...

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

... ...

... ...


Nonemployees.


Admis- Deaths.
sons.


W. *W.


rn M
S i $ 3

o0 0 0 -


... .- ... i
1

I . .-


i ... ... -



. ... ... -




6 ... ....


i













r Jf
...' .


4.
... ." ..".*.. ,...'... .^ ;: -:..? --.
".. .'. ,T.h e ae ,.,. e.'.s'.
.' ."!/. -":::** : "," :."
** ...'** :."', :, ...; .. ^ .T .".*.: *: ** *.'
*~ ~ ; "* '; ."."* : ':. '; "F ,*.
* * : ' : ; : *s ' 1. ; ,


"". : : i' ;:; : :"" i .. 1
:~~~~ ~~~ :1. .... .





:. y : :' ' : : **

' * ' : .. i ,'] :. :/ : < : ; ,,



" . . ." : . ... ... "
ftw





4,
.. .. 7
...A


Arterio-er o-- .jos .. .
SDiseses of the veins (vran-
ce".ai hf ...iuids, phiebi-
:-~~~~~~~ Ajueadsrdts-^



Hemorrh ... f
"Va" ridoele..-... ...... --
Diseases of the lymphatic'





ifleases of the resmpigery


Dis eaes of thenasal foss.'
i~seass of thie larynx. --
Ateibrantchiti s.U.
OClrbierbronbchitis ...

Asf lr .... ....






Disease of the moti ad
"A, 00 ...."~.

C .-Y 77 . E r ..a "-




-. : '
.44 ... .


S. . 01. ,


loF


White&



q :*
i ..., .
il."



.I: PI!


.-.., .: .
g. .: .;' i


4hite.


.* .




**. -;-. ki4.44


* 4irs


fl it6>e
'>71



M
sf(



0







W.,
...- .| 1



4...1






.7
* ". !:lt




1. 2







2,
;.;. : .

'..;3 -





HOSPITALS OF THE PANAMA CANAL, MONTH OF APRIL, 1915--Con.


Colon Hospital.


Employees.


Nonemployees.


Total.


Employees.


Nonemployees.


Admis- Deaths. Admis- Deaths Admis- Deaths Admis- Deaths.
sions.. sions. sions. sions.


w. 1 w. i w .


W.

m En

S
c.) 0


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


.. 1







.. I









'.. "2
.. 1



*. ...


w.


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


21... .. ...


w. w.I


:'2 ...... ..


11..-. ... --..


3 ...


w
0


r*

i : : *




r :::'..' :"
!!: :-i. .
'I.


23


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


...1~..1...


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



































^gc -:.. "A*; --: -
rt -..











Ss...... '-



. ...i. o.f th.ei .g... s p -
:.r:. ;. : .. . : ..-. : "-: .2 4 ,












"; ". ..... e. .Cu .. .d ... ... .: b t. ..a:i ...:. .:. : ;: ,.: :::;
,::-.'.:" : -..---" ---- "' '.:' ."..--------" 'l











..'.n ". .. &: r"'I...n.s, 1 .I : "














,Choni ,.. d ..t : -1..... ...
.... .. .. . .. C .. .ti. :......:*.. : 4:.,.. ,.q..3,.:; :.




























Otherisiof tllivr.
O e: ..... iea i i f thq .-i

' .- m .:.... ... . ....r- ,. ,










f ;i*:t -.- AVO
*.. . .. g. .:t .. o .. 4

















4; ;U. -V .


1'.9..lP. *.t.:p.4. "2.. ..:: ": ... ,. .- .. :. .
i v
n u Z -." .. . . . . : . .: : .. : '. : . :

." ... :! .' " .: :' ', t [ ? : " ': .: ., . ; : :,


A.


C:









I . .
It*:'. *g









:4P--- --"




1- ..-'- ----
. ... .* '*:i . *



-., ... ....



.. -




I-,-.- t .




1-ti --

p rfck:h'
4.4.-- --44AW


4Ax
]. *.. 1:




t-s


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a .
..- - .





1 0J
."M.^^





FA'
*--1 ,.'-- f i








..7..I
'-4i




U. .., ii













HOSPITALS OF THE PANAMA CANAL, MONTH OF APRIL, 1915-Con.


Colon Hospital. Total.
i.________________


Employees.


Admis- Deaths.
siOs.


Nonemployees.


Admis-
sions.


:: l. ... li...
1 ... ...1...


Employees.


Deaths. Admis-
sions.


w. I


W.




- |
cO3


Deaths.



W.



A u

coo "


...---..


Nonemployees.


Admis-
sions.


Deaths.


w. w.


en




C ..1
C








5. 2
1 ...

5 4
13
3 1
... 2
1 ...

1 4
... 1


1. ...
1?...


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



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



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


31... ...


ti--
2 1

1 ...


11... ... ...

1 ... ... ...


w. Kw.


.


0 ;


01 C

CO


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


^ "I


1.~.


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


...,-..


-..1...- -.















sn ,a :.
. . .. . ..,. . *..d .. ., : ,*' ." *. ~ '.i i 'K': :':...." .... "Kj a~.. am ." : *M.."'







*^ -*^ -* ^ **-'* -* ..-A^
:. .,. ," '. .: ":: .* ..... '<:""." ','; ::.' A -
:.. " _'.L *. !:.. "* :, : .* *'.": i ". .. :...: ':h* : ; :: ".. : :.**
: . ... : ,: " . ,: . :..[.. ";-^ ,.,- -.,.<__. ^ :>,: ,,.
.J * * ;, i .-: .. ....::. :/ : -: .:- :: .. :.


;. . .. ., ... -.' ,r .'. .;-. ". ". : ^ ., ,:, .'*, **]-
**. ** : : ..: .** : : ..:. *. ..i :. :.i ..
. ." ... " .': .",* .' .: .


* :'-. * ..* .. ... ..,.CBS S S ''.. ... *,. : **..

. . '* :. :: .. ; :: :' y: .:: ,. ::>* \ , .:.: *
.' ; ; *: :. .*:. ,. :. S :..; ; .:.:;...:: ^ :,

'. ... .. :. ... ..: : ..':* : .. :..; : .. !/'.. ... ..
., :: .: .. : "
K!. ::.. 4" .4 :." :.. :. .

. !r ." ..... .:: ":.


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


Non* neS dsese of tim



us) a ...
*' -Otherdisdemasr oeuterus-

l apiniit. an ther. d4
** -gat . . .. .
Nenpetal3diseases at'
.. t r a i ....a c:



1 : ..B<. ".Ak.l. .. .




.. X a . :...
4: : -4 i* : .. '.. l t ,',. :..- -
D n .. x.aoft1:ef*.ft
"< '. '. ' -'. ". .'." .' ": ... :"
,... rg n: p.; .. 'B.^r ..t i,.9 .. .
... .. .z. .: ia .c e lw tu ... ,
*, : .. dr n ......,-.>.---... .<,
U r -t...-u.i .. ..ia. ii.
Othe .b a at tl.r...

....... ". ." ."4* .L ..".hr ..._! .. .. ,.,: .:... ...:.... .:. _.L..4. .. "

. ... "" '" " -~.. ." :


, :: ., .:... :. ,, .. '
ir: ..*::. : <. :::*:.. "."i i .....: : ,;,-,: p


:.4." ,. .. "
A4 Kqq
l :.. :. ,; l n i:iop ', '


Wh$0~.


~li~<




w i~


i.-:b:"h;: ": "
N.. af i 8 '"


W' .

o: 1 i~:


ow,


.



















.
hI _-'- ..k L


rt-'4 "*-"


. -1 4





A. U4.








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?'s

^ K
;. haf

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I..,,,l


I* I ',


:..::


J -


I


I 1


I


i i'


"'


[, : .,. h..-".... '. "









27

* HOSPITALS OF THE PANAMA CANAL, MONTH OF APRIL, 1915--Con.


Colon Hospital. Total.


Employees. Nonemployees. Employees. Nonemployees.
Admi.s


Admis-
sions.


W.


Deaths.


W.


Admis-
sions.


W.


Deaths.


W.


bi

rZO
TO 0 Af


Admis-
sions.


1 ... ... .. ... ... ... ... ... ... ...
1c


1 ...... ..1


2...


i... .


51...


3...
... 1


I1 ... .


Deaths.

*
W.


m 52
a s
C) w


Admis-
sions.

W.


Deaths.


W.


11 ...I... ..I


~lttl.tti.t


I... li ---1::! ... I -
... ... ... ... ...l. - - - -


11... .. 1--- 1- -


11.. 1... ..


;h'















MA.,. 41: yi=







': .".:, : :. '.' *' . *, *... .;. .; : . :" .' ";. .V: : ". *'. ,, .' *.: : '.:- f< i, ,,*; "' ... '- ** "*: ::' *.; ** .;** : ."; IM
., 5 5 lg












*; J..:Q :-t Jgii^ &jr ;$24 'Sj, *K & !- .i








.... *:' .. .. . .. ............ P r e.:.r ........ ;i,- ,!.... ... ... 7=.,.,,., ...; .: :, ...,! ,, .,; < ... a .>: .'*- . '
'. -. "*, .: ":.^ ., ",..'**- ^'-- .', *: *:.'" :. ".,...k . ^* .u I -:.. .. :.. ".-". ,-:. *: .... *" ".:. -;- .* : .** : ; ,
.. . *. *. . . . . . : ., .# ..^ . .. . .. . . . .... B -.: - - / !.-- : ... . ,* . *: *. - .!:
S**:,', .. .. *' .; ", ... .. :* ':a l t ," ^ ...'.'.,:v..,, . *. ':".' .*; ,.. -,..,,: "'. . -. ,"-',' :.,.. : [ :. ." :. ,,^: ^

- .. ,. *. :- "' :. ":. "" *^ ,;,: :.; .:', .,C i'::a8 i ^ -'*:' ::." ,,' ,i'".i ::^ ; : .*I^ L '^." :' "u' : ^ n
" * ; . .' .. .. ; '. *'. .. >"S,', ." .'..B.,: "'. ,' .,': '.. "', ..' " ,, : ; ..'*', .. .* **. :; ,'*. ;
.' . ... '.. .. I, .. 3 .. 4 T... .. ......







~ ~ ~ -l i; N.: .* y6 0 10 '^
yAw%4
-:^ ..... . .. ..sr a ..... ... ... : tf .: i-. : .








.... .. .. ..

'V'

Pt '.. ." ". ," .., .. ..". ... . .." " -"..





*... *. .. .. .,.. ..j.-.-a a ~ t s n t ;^ ? f ; ..... .,..., ., ;,: ..... ;...., .. .... ,.., ,. ,.,..^,. ..:,. i; .,,,.. ... ...
,,:.. ........:;.^.^ M p ;^ t K ^ Ig ^^ ... .[1.. . .. :..... .... ,.,. .. ...1 ., ,, ,,..

" " : 1 1,", .:.: :" "." . .:": " : '." :4i p "
I.. M:'.. ... . ., '::,.', ... .... "......... '. l.' , .: ,

: -A J ::J:'













,-1.: ..W.m: .i' .. ntb.y.". W L 4 :, ... 1. .' :.
H. T r. a : i... al tm .. y :...... .i.h..i.ne&... ..: ... .. " .. ,
V,~
-. ., .. ,i ,." : .'














:', ~~~~~~~~~~~~... .. :... ......." ;.: ; .:....:'L. ...
.d r. .t















..4.. :.." ., .. :. :.. ., : .: ': fr..:: . 4 .L f.,
x W,
." ""7 ", . ." '." ",. .. ":': : "A


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a. :*" .... 'I "..,L. .tL."h
04 m


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'7 ;' A . O:U., . .. : . , .
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... ..t . ..' .. 1 1 .. p






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...,.:. ;. ::] ... ., m .:A,

".." ilii" .:.'A"",
,, : , ,. :: :, .,: f :., ;.=. . =& .4 .=.... .. ..=. .

;AK.' ",'4k~;.,;;:


: : : 1 i .t.- V ':-4
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29

PITALS OF THE PANAMA CANAL, MONTH OF APRIL, 1915--Con.


Colon Hospital.


Employees.


mis-
ons.






&


Deaths.


I ...


441.-.. 1 1 19


Nonemployees.


Admis- Deaths.
sons.


W. W.



t E


i i i


1...


"i .'...


1 ...
1 ...

33..-


.. 4


Total.


Employees.


Admis- Deaths.
10S .


w.


M 0
F s
IS OS
4-.M


131... 1 ... ... ..

13 7 41 ... .


96j 32


Nonemployees.


Deaths.


W.


Admis-
sions.


W.





0 Ix


S1:: :1:: ..::::. 17
1... ... ... ... ...


21132163131......


V.;
W. -
,1I~i .
Li


I j


6 ::: ...


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


1


1 1- ... i I 4 -
I1... 4... ... ... -..-


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


1|... ...
5I'... ...

















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. a ..








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W P O e* n employee.
....... %t. a, .....Io
"i. AJ










.. ...











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I


ANCON HOSPITAL.
Panama Canal employ-
ees....................
Panama Railroad em-
ployees................
Panama pay patiefits...
Other pay patients......
Charity patients.........
Total..............
Insane department.
Panama Canal employ-
ees...................,
Panama Railroad em-
ployees................
Panama pay patients.. -
Other pay patients......
Charity patients.........
Total.............
Grand total.......
Corozal farm.
Panama Canal employ-
ees....................
Chronic ward.
Charity patients.........
COLON HOSPITAL.
Panama Canal employ-
ees.................
Panama Railroad em-
ployees................
Panama pay patients...
Other pay patients......
Charity patients.........
Total............---------....
PALO SECO LEPER
'ASYLUM.
Panama pay patients...
Charity patients.........


GRAND TQTAL.
Panama Canal employ-
ees....................
Panama Railroad em-
ployees.......... ...
Panama pay patients...
Other pay patients......
Charity patients.........


Dis-
charged.


Trans-
ferred.


A. F. B. AI F.j B.


321 103 368


1 ...
1 1
... 1
2 2
105370


11 25


Remain-
ing
Apr. 30.

A. F.I B.


11 27


Average number con-
stantly sick.


A.


30.30
4.03
78.23
8.07
120.63


3.27
4.00
7.27
127.90


411......


I... .. 2 ... ... ... 28


1.73
1.36
.2.93
.20
6.22


White.

F. B.


11.86
4.20
32.77
1.13
49.96


To-
tal.


167.07 209.23
37.34 45.57
.60 .60
37.03 148.03
%36.63 45.83
278.671449.26


5.97 10.00 15.97
...... 2.00 2.00
14.00163.30177.30
1.23 2.57 7.07
3.00 51.27 58.27
24.20229.14 260.60
74.16507. 81709.87


9.00 40.40 49.40


2.20
1.00
.80
3.50

7.50


27. 43 27.43


13.16
5.13
1.03
2.43
.50
22.25


17.10
7.50
1.83
8.86
.70
35.99


... ...... ... ......... 3 30 ...... 3.00 29.35 32.35
... ... ......... ...... 2 16...... 2.00 18.00 20.00
.. .. ... ... .. ... 5 46...... 5.00 47.35 52.35


86 29234 3 2 3 31 3235 32.03 29.03230.63291.70
14 8 60 1... 2 4 2 66 5.3 5.20 44.47 55.07
... 3... ... 3 7--... 19201 ......17.80 19428212.08
230 78 84 2 2 3 73 33 30 84.43 37.50 42.03163.96
19 4 45----. 4 11 712J 12.27 6.13133.83152.23


Total............. .[34911221423


1911191 92!6531134.121 95.66'645.24


875.04


Numberof employees remaining in hospitals: White, 68; colored, 301.


31

TABLE VIII.-CONSOLIDATED HOSPITAL REPORT-Continued.


Hospitals.


























o.io. ,.. 0p 6 so 4. *




SGai boa .. ..;-... .
S.Colon .. g:- ..... . .. 1. . 1.










; : ,-a . .. t3.. .. . . u. "* au.I.,. .. 9 .. 2.




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P. T tal. h
S.. : a S 1, 37 .,
I AW ::*. ... ..5. .. .. ... 5 ,800 q P.. .. ni.,I:;.,.











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'n I. ...a





























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TABLE IX.-CONSOLIDATED DISPENSARY REPORT-Continued.

ONTAGIOUS AND INFECTIOUS DISEASES REPORTED DURING THE MONTH OF
APRIL, 1915.


Diseases.


M easles.................................
Typhoid fever..........................
Annual average per 1,000...............
Mumps.................................
Cerebrospinal fever..*...................
Diphtheria (croup).....................
*Leprosy....... ........................
Malarial fever..........................
Tuberculosis (any organ)...............
* Infectious diseases of the eyes...........
Whooping cough......................
Dysentery .............................
Trachoma..............................


Panama.


49
1
.20
3
...........
1
1
..........
7
..........
..........
..........
..........


Colon.


1
..........
13

3

1
2
1

2


Canal
Zone.


21
I
.41
27
1

120
2
1
6
2
- - - -


Total.


71
2

43
1
4
1
121
11
2
7
2
2


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


White. Colored. Total.


Hospitals:
Ancon Hospital......................... 56.36 216.41 272.77
Colon Hospital.......................... 6.29 18.29 24.58
: Total.................................. 62.65 234.70 297.35

Quarters:
Naos Island............................. ............ .03 .03
Ancon ................................ 7.60 .......... 7.60
BElboa................................. 4.53 1.50 6.03
. Corozal................................ 2.93 .23 3.16
Pedro Miguel........................... 1.63 ............ 1.63
Paraiso................................ 1.00 .48 1.48
: Gamboa............................................ .10 .10
:, Gatun .................................... 1.03 .87 1.90
Colon ................................... 4.00 12.86 16.86

Total................................. 22.72 16.07 38.79


Hospitals. Quarters. Totals.


r A> number of employees constantly
White................................... 62.65 22.72 85.37
Colored................................. 234.70 16.07 250.77.
r.. Total.................................... 297.35 38.79 336.14
L- 'Average number of employees constantly
S siCk per 1,000:
White................................... 12.84 4.65 17.49
I" :> Colored ................................. 8.02 .55 8.57
Total.................:................. 8.71 1.14 9.85


gp.
*'
C! :' :
$4!.: "
Ii':: I ;.


- 2


33





















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35


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


March,1915. February, March, 1914.
1915.


Sanitary division:
General inspector.......................
; Health office, Panama.................
Street cleaning......................
Health office, Colon.....................
Street cleaning......................
Zone sanitation:
Ancon..................................
Balboea.................................
Corozal..............................
: Pedro Miguel...........................
Paraiso ..... ........................
Culejra..............................
SEmpire.................................
Frijoles.................................
SGatun ..................................
Cristobal and Mount Hope..............
: Porto Bello............................

STotal...............-................
* Quarantine division:
Chief quarantine office.................
Balboa-Panama .........................
Colon-Cristobal.........................
' Total.................................

Recapitulation.

Chief health office........---................
I Hospital division...........................
isensaries............... ...............
Sanitary division..........................
Quarantine division........................

. Grand total ..........................

Sonstrauction and repair to buildings........


$2,908.43
4,301.94
1,717.07
2,020.39

849.36
643.81
900.66
696.32
756.18
315.45
............
111.50
899.31
1,036.25
--...--------


$2,613.55
4,171.71
1,786.33
1,811.71

1,907.96
557.30
1,677.09
787.83
1,001.18
810.59
............
123.01
819.84
886.29
--..---------


$1,997.92
5,038.98
1,826.67
1,791.59

1,195.98
1,128.53
1,320.11
2,752.30
1,446.92
955.24
2,019.47
119.30
2,233.23
2,156.88
236.33


17,156.67 18,954.39 26,219.45

............ 117.26 ............
1,729.00 1,498.87 ............
2,667.68 2,263.61 ............

4,396.68 3,879.74 4,089.22


484.01 479.44 3,903.38
39,323.26 39,978.65 50,685.92
3,795.98 3,948.14 8,025.54
17,156.67 18,954.39 26,219.45
4,396.68 3,879.74 4,089.22

65,156.60 67,240.36 92,923.51


569.69


3,318.63


2,215.41


March, 1915, last available figures.












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It*:


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.**














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37


TABLE XIII.-ANCON HOSPITAL--Continued.

WARD LABORATORY REPORT.


Blood examinations (total number).........................................
Estivoautum nal........................................................
;: M ixed............................................. ... ...............
Quartan......... .............---- ........ .............................
Tertian.................................................................
Differential counts-......................................................
. Hemoglobin estimations................................................
Leucocyte counts.......................................................
Red blood counts....................................................
Stool examinations (total number).................-.........................
.'I: A m eba .................................................................
Ascaris lumbroicoides...................................................
SBala tidium coli .................. ...-------- ...--...........................
Cercomonas intestinalis.................................................
iCiliated m onads .... .....'............................. ...............
Guaiac tests............................................................
Pus and blood.................. .......................................
Strongloides ............................. .............................
ir Tichocephalus dispar...................................................
Uncinaria (ova) ........................................................
Urine examinations (total number).... ...............................
Album en...............................................................
Bil e....................--................... ..................... .....
Casts ...................................................................
i E pithelia...............................................................
G uaiac tests.................. : .........................................
Indicon.................................................................
Pus and blood...:.............. --- ....................................
Sugar (positive, 5; negative, 14)........................................
Sputum examinations (total number) ......................................
Positive for tubercle bacilli................. ....... ....................
Smear examinations (total number).................-........................
U rethral................................................................
S V aginal...................... ...... ........................ ............
Eye ........... ......................................
Spinal fluid.............................................................
:,' Pleural............................... ........ ......................

f REPORT OF SURGICAL OPERATIONS.


Amputations:
Digits, multiple.........................................
Operations on bones:
S Ostiectomy.............................................
Resection of wrist.......................................
Wiring of fracture-
.Sim ple .............................................
Com pound..........................................
Adenectomy:
:': ICervical................................................
Inguinal-
Single...............................................
: Double.......... .................................
S Fem oral.................. .............................
Herniotomy:
Inguinal-
Single...............................................
Double..............................................
Fem oral.................................................
S Ventral.............................................

f.. |


Number.


Died.


628
41
2
3
16
38
68
76
4
447
2
6
0
5
8
5
40
6
15
59
1,431
365
9
216
138
5
36
224
19
200
22
32
15
8
2
3
2


I;il;.:..i


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


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

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























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39

TABLE XIII.-ANCON HOSPITAL-Continued.
OUT-PATIENT DEPARTMENT.


Clinic. Total New Pay Prescrip- Refrac-
visits, cases. cases, tions. tions.

Medical clinic................ 267 174 50 252 ..........
Surgical clinic................ 245 198 20 73 ..........
Eye and ear clinic............ 610 246 23 289 150
Total................... 1,122 618 93 614 150


REPORT OF VACCINATIONS.
Adults vaccinated............................................................ 189
: Takes ......................................................................... 75
Total................................................................... 264
There were no school children vaccinated during the month.

REPORT OF BOARD OF HEALTH LABORATORY.
Bacteriological examinations of-
Blood cultures............................................................ 14
Throat cultures........................................................... 14
Eye culture............................................................... 1
Urines .................................................................... 40
Stools..................................................................... 24
Autopsies................................................................. 1
Pathological fluids, exudates, etc......................................... 16
*i Sputum--------------------------7
Sputum .................................................................. 7
Leper suspects............................................................ 3
* Y aws suspect............................................................. 1
Wassermann reactions........................................................ 233
Preparation of salvarsanized serum for intraspinous treatment................ 1
Autogenous blood serum preparations........................................ 2
I Autogenous vaccines prepared................................................ 3
Fresh meat for B. anthracis.................................................. 35
a Spleens (bovine) for B. anthracis.............................................. 57
Chemical analysis of-
SHospital dairy milk....................................................... 1
Milk from private dairies supplying cities of Panama and Colon........... 16
Mother's m ilk............................................................ 6
Stomach contents......................................................... 2
Gasoline.................................................................. 1
(S Kerosene---------------------------------------1
S ~ Kerosene......................... ...................................... 1
B eer ...................................................................... 1
U rine..................................................................... 4
Surgical tissues and neoplasms reported....................................... 24
Autopsies performed.......................................................... 8
: Autopsy (cow)................................................................ 1
Animals examined and under observation.................................... 4
Pathological tissues prepared, paraffin........................................ 199
i: Pathological tissues prepared, frozen.......................................... 0
-? Examination of table knife for police.......................................... 1
Rats examined:
S" Msu scuulus........................................................ 330
S Mus norvegicus....................................................... 332
8 Mu alezandrinus ..................................................... 20
: rattus............................................................272
4* -- 954
... Bodies embalmed-.. .... -............4
B odies embaled............... ... ............ ........................ 4
Sy. trem nations. ............... ................................................. 7
Interm ents................................................................... 11


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41


TABLE XIV.-COLON HOSPITAL.
: NATIONALITY OF PATIENTS.


American, Foreign, Black. Total.
white. white.

Panama Canal employees............... 13 6 38 57
Panama Railroad employees ............ 7 1 23 31
P!anama pay............................ .......... 8 15 23
,Other pay.............................. 22 19 15 56
Charity cases........................... 1 .......... 8 9
STotal............................. 43 34 99 176

Cost of subsistence per patient per day, $0.32.

* ,COLON HOSPITAL, LABORATORY REPORT.
Blood examinations ......................................................... 56
Estivo-autumnal......................................................... 6
Tertian................................................................... 2
Quartan----------------------------------------------................................................................. 1
Leucocyte counts-........................................................ 4
Stool exam inations........................................................... 2
Negative for ameba....................................................... 2
Urine examinations...--........................................................ 85
Albumin. ........... ..........----------------------------------------------- 5
SCasts ..................................................................... 2
Sugar..................................................................... 3
.. Pus and blood..-------------.......-...-...........................---------------------...-...---..-....-......-------- 6
:: Bile-----------------------------...........................-------------....-------.......................................
B Sputum'examinations........................................................ 1
S Negative for tubercle bacilli............................................... 1
S Urethral discharge........................................................... 2
S Negative for gonococci ....................................................
Positive for gonococci-----------------------------------------..................................................... 1

," u*t" COLON HOSPITAL, SURGICAL OPERATIONS.
Amputations:
SDigits, m ultiple.......................................................... 1
: D igits, single.................. .....................:..................... 2
S Herniotomy: Inguinal, single ................................................. 3
Genito-urinary tract:
S Epididymotomy .......................................................... 1
S"Curetage uteri ............................................ .............. 1
i Obstetrical: Version.......................................................... 1
Rectum: Hemorrhoids, radical cure.......................................... 1
SGeneral: Plastic operation for severe injuries.................................. 2
Laparotomy:
Appendectomy........................................................... 2
Supravaginal hysterectomy............................................... 1
Suspensio-uteri ........................................................... 1
Major operations, various ................................................. 1
Minor operations, various................................................. 10








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43

TABLE XVI.-SANTO TOMAS HOSPITAL--Continued.
DISEASES TREATED.
SMalaria.-----------............--------------.........------..-------............................................... 72
M easles ....................................................................... 52
Diphtheria and croup ........................................................ 1
Influenza....................----................................................. 7
Dysentery----------------------------------.....................................---........-----------...................... 17
Leprosy -----------------------------------------------------...................................................................... 1
E rysipelas .................................................................... 1
Other epidemic diseases........................-------------------------------------.............................. 3
Purulentinfection and septicemia ............................................ 10
Tetanus...........................................................--------------------------------------------------........... 2
Pellagra ..................................................... .............. .. 2
Tuberculosis of the lungs..................................................... 28
Pott's disease..................................................----------------------------------------------............... 1
!,- Syphilis, period not stated.................................................... 28
Gonococcus infection......................................................... 48
Soft chancre----.-------...........---------...........------..---.........-..........--................ 30
t Cancer and other malignant tumors of the skin............................... 2
Other tumors (tumors of the female genital organs excepted)................. 1
Acute particular rheumatism .................................................. 10
Alcoholism (acute or chronic)................................................. 8
Simple meningitis.--------------------------------....................................................... 2
Paralysis without specified cause............................................. 2
Epilepsy ......... ............................................................ 2
Other diseases of the nervous system.......................................... 5
Diseases of the eyes and their annexa......................................... 4
Acute endocarditis ............................................................ 2
Organic diseases of the heart.................................................. 10
Diseases of the arteries, atheroma, aneurysm, etc............................. 4
Diseases of the veins (varices, hemorrhoids, phlebitis, etc.)...-.......-..-------.....------. 12
Disease of the lymphatic system (lymphangitis, etc.)......................... 19
Hemorrhage; other diseases of the circulatory system......................... 7
Diseases of the larynx........................................................ 4
Chronic bronchitis............................................................ 20
Pneumonia (unqualified) ------------------------------------------................................................... 6
Pleurisy-.................---------------------............... ........... ......... ...... ........... 4
Pulmonary congestion, pulmonary apoplexy .................................. 1
Asthma.------......-.........--------....----..-...-.....-------...-.......--..-.......------.........--------..-...... 1
Diseases of the pharynx------------------------------------------...................................................... 5
Other diseases of the stomach (cancer excepted).............................. 2
Diarrhea and enteritis.........................................--------------......-------------........--------------- 5
Ankylostom iasis .............................. .......... ........... ........ 14
Intestinal parasites...............................------------------.....--------------.......------------................ 1
Appendicitis and typhlitis..-....--..--------------..---....---.....------.....-....--.....-............ 6
Hernia, intestinal obstruction................................................. 12
Other diseases of the intestines................................................ ------------------------------------48
Cirrhosis of the liver..............................................-............ 2
I B iliary calculi ................................................................ 1
Either diseases of the liver.-------------.......------.......-----------.....................-.........--....----- 5
Simple peritonitis (nonpuerperal).-------....------....--.--........--------........---......---....---- 2
Acute nephritis-..-..--..-.......-.......-.....---------..--............---------..-.........---------------......... 17
Diseases of the bladder....-....-.........---------------------------------------...... 1
Diseases of the urethra, urinary abscess, etc................................... 8
Diseases of the prostate ....................................................... 1
Nonvenereal diseases of the male genital organs................................ 10
: M, etritis... .............................................................10...... 10
Cysts and tumors of the ovary-............................................... 1
Salpingitis and other diseases of the female genital organs..................... 16
Nonpuerperal diseases of the breast (cancer excepted) ......................... 1
N orm al labor.......... ................... .................................... 85 .
Accidents of pregnancy'....................................................... 20
Puerperal septicemia ......................................................... 4
Gangrene..................................................................... 1
I Furuncle..................................................................... 2
Acute abscess ................................................................. 17
Other diseases of the skin and annexa......................................... 25
SDiseases of the bones (tuberculosis excepted)................................. 1
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45


::i TABLE XVII.-SANITATION.

'The .following is a summary of sanitary work performed and
I material expefided during the month of April, 1915, in the Canal
Zone:
ork requests on supply department:
S' Gass cutting......................................................... 5
SSeening..----------......---------.......-------....-----..-----..................------------...................... 15
Miscellaneous--------........--.------..-.....................----------------------...................... 15
'Work requests on. engineering department................................ ---------------------------16
S.. Work requests on other departments..................................... 2
Notices served to abate nuisances......................................... ---------------------------------28
Arrests. .-- ---------------.- --------.. ------------------------- 2
Convictions...----..........---------------.........-------..-----....--..............----------------.................. 2
.. Inspections of-
Closets................................................................ 1,475
Stores....--.--....--...---..-..-...----------.............---------..------------........----...---....... 26
Shops.--.-------------.. -------------------------------- 110
SRestaurants......................................----------------------------------------------- 2
Garbage cans emptied.................................................... 105,120
closets disinfected................-----------...------......---------..-...-...-.....------......-..------3,166
Rattraps used daily-----------------------------------------..................................................... 2,770
Adult anopheles destroyed in houses...................................... 10,043
Adult oulices destroyed in houses-........................................ 6,236
SLarvacide used.................................................-----------------------------------gallons.. 335
Crude oil used-.....................................................--------------------------------------do.... 9,469
Kerosene used........-------............... ...........................do.... 131
' Rats destroyed........................................................... 460

SuMMARY OF ROUTINE WORK DONE BY THE HEALTH OFFICE, PANAMA.

Mosquito, rat, and fly work:
L ineal feet of ditches cleaned and maintained.......------------------- 31,652
. Lineal feet of new ditches dug........................................ 642
Number of cubic yards earth used in filling ........................... 0
Gallons larvacide used.----.....--...-.......----------------------...........---.---..-. 791
Gallons crude oil used................................................ 950
Square yards pools oiled .............................................. 120,910
Water containers treated.. ......-.................................. 24,185
1, Mosquito-breeding places found (45 stegomyia).......-------------------............... 267
Fly-breeding places found------.......--......-------..-.....-------.....--.---....-..-......... 304
Flies trapped (13,000 per quart) ...............................quarts.. 6
Number rats caught.--------------.......-........-....--.-----------..-..--..--------.........-...... 719
Number room disinfections.....---.....- -----..-...-..........-------.....-.......---.----... 10
Garbage collections:
Number loads garbage removed to dump............................. 4,396
Number cubic yards garbage removed to dump.........-...--.......---------..-.. 8,156
Total number of cans garbage emptied..-.......--.....-.......-----------.......--------.... 107,858
I Buildings:
Number of buildings inspected....................................... 5,352
S. Number of plans for new buildings approved-----------.......----..-..--...... 18
Number of permits granted for repairs to old buildings................ 44
; Total number of permits g ted..................................... 62
.. Number of buildings condemned..................................... 1
Number of buildings demolished...................................... 3
: streett cleaning:
Average number of square yards cleaned daily........................ 600,000
Average number of square yards street sprinkled daily.............------... 90,000
Number of private properties cleaned during month.................. 0
Number of notices served and nuisances abated....................... 141
i. vaccinations:
Number of vaccinations during month..-...-...--........---............... 325
Total number of vaccinations since Apr. 1, 1914....................... ------------------,493
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,47

i : TABLE I XVIII.--CONSOLIDATED REPORT OF QUARANTINE TRANS-
ACTIONS AT THE PORTS OF BALBOA-PANAMA AND COLON-
...... '.CORISTOBAL.
:! : Vessels inspected and passed....................................... 172
Vessels held in quarantine ..................................... ..... 13 .
'eTotal vessels entered ------------------------------------------185
; Total vessels entered....................-........................... 185
' Vessels fumigated on arrival...........-............................ 9
Vessels fumigated on' departure.....................................- 2
: Total vessels fumigated-........--...........--..-- .................... 11
Crew examined..................................................... 11,032
Passengers examined (including 133 United States troops).-........ 3,605
Total persons examined.............................................. 14,637
Persons vaccinated at ports of arrival because of compulsory vaccina-
tion law .......................................................... 481.
Persons vaccinated at ports of departure or en route because of com-
S pulsory vaccination law................--......--................ 657
STotal persons vaccinated...............-..........-................. -1,138
; Personsheld in quarantine at the detention houses to complete period
': of incubation of yellow fever and plague ............-............ 360
Persons held in quarantine on board vessels to complete period of
; incubation of yellow fever and plague--...-..-. .................... 1,448
S Total persons held under observation ..................................... 1,808
'Total person landed from foreign ports:
Cabin ...........- ............-.... ......................... 1,575
; Steerage..........- ........................................ 981
2,556


Total persons embarked for foreign ports:
S Cabin... ........-...................---.. .............. . 2,886
.. Steerage..........---------....................................... 1,440
.. .- 4 326
Total persons arriving from coast towns on small launches and sailing
craft.......- ..........-...................-...-..................... 2,799
: Total persons sailing for coast towns on small launches and sailing
craft......--- ....... .... ------- --- -----------------.............. 1,726
Apparent increase for month from coast towns ..................... 1,073
Apparent decrease for month from foreign ports:
4, Cabin (decrease)-......-........................................ 1,311
Steerage (decrease).................---......................... 459
I'- -
S Immigrants recommended for deportation.......................... 11
S Bills of health issued or vis6ed................................ 193
i, Total number of persons landed.....-......-................. 5,355
S Less number for Pacific ports................................. 214
'5, 14
Total number of persons sailing.---.......... .........-..... 6,052
STotal apparent decrease for month............................ 911


IUHMTAr~a~rTA~t R~PnnT m~R CAIni.Tw


1,770


s;, *- - * :.------------------------- ---------------
From- Cabin. Steerage.

: E urope-.... ............................................... 48 18
S United States ............................................ 579 22
r!':' ;Jamaica and West Indies.................................. 122 477
M V :enezuela--------------------------10 14
,M~. i : e iezuela................................................. 10 14
MColombia.................................................. 70 97
S .Cuba................................................-..... 19 37
Gi' uatemala........---- ...................--..-...-...... .......... 9
(tosta Rica --............ ..... ..........-............. 135 62
i o cas del Toro ........................................... 100 291
;Coast towns -...................................-......... .......... 172
^: : Total ................................................ 1,083 1,199

F Men......................Total......--------------------------------------1 3 1,310
;' Me.. ....W........... ................................................... 1,310
ildrWom en............... ................................. .................... 241
i ldr n............................. .. 241
1 Un ::' elassifled ............... -...-............................................. 172
S Total ......................................._......................... 2,282
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