<%BANNER%>
HIDE
 Front Cover
 Title Page
 Table of Contents
 Main
 Back Cover


PCANAL DLOC



Report of the Department of Health of the Panama Canal
ALL VOLUMES CITATION THUMBNAILS PAGE IMAGE ZOOMABLE
Full Citation
STANDARD VIEW MARC VIEW
Permanent Link: http://ufdc.ufl.edu/AA00006090/00029
 Material Information
Title: Report of the Department of Health of the Panama Canal
Alternate Title: Report of the Health Department of the Panama Canal
Physical Description: v. : ill. ; 20 cm.
Language: English
Creator: Canal Zone -- Board of Health
Mason, Charles F
Publisher: U.S. G.P.O.
Place of Publication: Washington, DC
Creation Date: June 1915
Publication Date: 1914-1917
Frequency: monthly
regular
 Subjects
Subjects / Keywords: Public health -- Panama -- Canal Zone   ( lcsh )
Panama Canal (Panama) -- Sanitary affairs   ( lcsh )
Genre: federal government publication   ( marcgt )
periodical   ( marcgt )
serial   ( sobekcm )
 Notes
Dates or Sequential Designation: Began with: Apr. 1914; Ceased with: Dec. 1917.
 Record Information
Source Institution: University of Florida
Rights Management: All rights reserved by the source institution and holding location.
Resource Identifier: oclc - 642828894
ocn642828894
sobekcm - AA00006090_00029
System ID: AA00006090:00029
 Related Items
Preceded by: Report of the Department of Sanitation of the Isthmian Canal Commission.

Table of Contents
    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
    Back Cover
        Back Cover 1
        Back Cover 2
Full Text









































i, .,i .. .,: i. . '.:.. .. . " . .
M u.. THE
*. .. ... FOR THE
." .. .. ..:.." :* ". ... .. .. .. "
: T: :, : S ::!:i: .: : :: '* :




,- MONTHH OF JUNE, 1915

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








', Co l, Mdical Corps, United State Army








i*Chief Keeft Offi:er,- B"alboa He:ht' Cans. Zone
Limz . :Colon, -': C oi'.':.r . Ut ..Sa s








.:.:. ... .: .. ...
"..:..."0. 4 .

: .... . .

A ..












"Pi: d?: J f.4
: . . .
...










.. . 4 . .
i ....:r.,,.. Y e:... : .,, -. .....
" :"." '; :'k4aO.i:t t ... ......








~ ~ ~ ~ ~ ............. :.... .: .'... ..: .: .


i: .,:. : "i: tjrfi. . .: i :I < ; r.I .... '





::""-., '! " "" : " . . : .. " o ": "" .'"













Ini


A4|




















All





















.COTENTS.



Page.


0 f .................... .........-- - -- ............... 5
Healt of ei o m . .. ................. -. ..... .... ....... 5
Helt of reint of th iyof Panama..----------------_-_----..__. 6
A lh o eident of. h.ct of Colon... ------------------_-_-_-- 7

-no H osp t l ...,et. .... ------------- -- ----------... 7
Insro dep r m n ..... .............. . .. . ................. 8
Chr ni ward. ....... . ........... .... ................ .......... 8
Colo H ospita ............. .. .. . ............................ 8o.


'C na Zon e ... .... .. ........ I. ............................ ........ 8
......anle....................................................8

Col n ..... .............. ...............-- - - - ............ 9
Quratine divbio
P anam ..-. . .. . . . . . . . . . . 10
Co on-. . ..... ......... ----------- ..................... 10

Tae 1.Amissios daths, and noneffective rates for employes
dioaths oreidents of Panama, Colon, and the Canal
Zone _. ... ....... ................................... 10
IT Dathsbyae color, and sex............................. 12
11r Daths bnatinality:.................................... 12
W. Daths ofwht Americans ........................ ..... 13
V. auses ofd ath of employees ............................ 13
VI C ues ofd ath of employees and civil population, and'
places hr chargeable .................. ............ 14
VII Amkis u an deaths in the hospitals of the Panama
Canal_ . ........................................... 16
VII Conolidate hospital report ........ t.................... so
IX Consolidae dipensary and admission report..... ...... 32
.Emloyes Coiitantly sick and noneffective rates per .
000. ............................................$
X.E ploees, Dys" treatment per admission, hospitals
and qa rtr ............ i............ ................... .34
X1 Fiania stteent'...................................... 35
M An o :l s ia .... ......................................... 36
XIV Coo][0itl ............... w. ....m.-. ............... 41
:ML Pal Se 6 Asylilm..... ..... ........ 41
xvI.& t T iasHspital. ...................... 42.
xVU Saia okdnue in Canal Zone, Panama, and: Colon 44'44
XVM:Qaatn tram tions,............... 46
xTX m e o u an .. ........................ ....... ...
X~X esusrp t .. ........,.......... ...... .. ............ 48












4s




4,am 1
imllIli II!


nmI







4m



















; : Balboa Heights, July 12, 1916.
Maj. Gen. GiKORGE W. GOETuALS,
SGovernor of thePanama Canal,
S-: Balboa Heights,, Canal Zone.
W:i : I have the honor to submit the following report of the opera-
i' ;ta,^ the department of heqJth for the month of June, 1915.
Vety respectfully,-- F. MA
S Wx. F. MASON,
SA:. ,... Chief Health Officer.

. GENERAL REMARKS.
.: .,: N o cases of yellow fever, smallpox, or plague have originated on
: o were brought to the Isthmup during the month.
VITAL STATISTICS.
EMPLOYEE ES.
S:.... J t. b4ealth. of the employees remained good during the month.
!it'l::. i ui tbber of names on the rolls for the preceding month was
;" t total number of admissions to hospitals and quarters was
3':i.127, "a rate of 869.87 per thousand, as compared with 367.28 for
.the .i:e pr 4 month, and 381.09 for the corresponding month of
'.li:'. ~h toti nul, r. of deaths from all causes was 14; of these, 11
A;^f4t4:: diasae th.61 per thousand, as compared with 2.43 for
Sii... petiiatg month, awd 3.28 for the corresponding month of last
The constantly noneffctive rate was 10.39, compared with 9.5
i:i; e.. precede monh 11. "or the corresponding mnUith~f
atta ision rtt for malaria, hohPitl aandtBartar, wPa

withfLU97 p r Just Ino nth, -and lA for hue, 1914. The
ecZ :the Wt* o
|gRil

"..." ,: ; .. i "
".F:..p 7.. A

li ~ ~ i i : ,:.. ,,..:,. ,... .:,: :. .:,,. :.,. ,.. ..., ,.:.:;,,r.
..: : Pa .. ; "i "" "F:"a..~r.:EE' :" a " '." : .:";::...'" " .. a .; ::j' E :' .;..





lA


It:Th
ff*hto
fte

67, 4

dw















o BUDiiir lbth to tofa births was.8.
COLON. "
ie ppltion ;~latoof the city is 29,331, among whom there were 48
4n:: s.of these 45 deaths were from disease, gvin a rate of 18.41
opared with 18 for the preceding month and 26.10 for the
S.......din' month of last year. Ofhe total deaths from disease
centage under 5 years was 51 compared with 37 last month.
:'ncIp l causes of death showing an increase as compared
i were:' Dysentery, 1, as against none for May; malarial
a:::: compared with none for the preceding month; pneu-
is ,: .i as comparedwith 2 for last month.
lei'...et.ere 61 births reported, giving a rite of 24.96 per thousand.
i: The ia it mortality was 280 per thousand. The percentage of
i eillbirth to total births was 8.

HOSPITAL DIVISION,
.:: .. .: .. y :
ANCON HosPITAL.
ii...:i : i ithe month the average number of patients constantly in
i: hospital was 513.26. The per capital cost o patients in hospital,
l.e''..: r, was $1.907 gross, and $0.927 net. The per capital cost of
S patients in the insane asylum was $0.498.
':". INSANE DEPARTMENT.
:: ',There were 18 admissions, including a retransfer from Ancon
:::.:. Hospital, during the month; and 15 discharges, included in the
l aiter being 7 depo4ations to Jamaica and 4 to Barbados.
I: Mae paints continue to be occupied in grading the grounds
i an: til t the tanpoe while quite a few others assist in the upkeep
II theI i. n, g., kitchen, storehouse, ward work, etc.
fl, h, ndrya sewing-room provides employment, as hereto-
fore, for a considerable number of the female patients, and the
rk the do is very satisfactory.
!. 'iT ph:, cal well being of both patients and employees has been
dri. the mont
K U: d .d th e n . -i
ieb: h b4e leaig fromthe Icdtc ea to the female d.
.I sll been,^ l ,pad the roof of some of the building
tI at leaving the competing of the painting, y ad
: teic. ti.o othe nto wind up thework to be done the
.......::i{ '~. ::. : ;. ** ^ j i .: .. i .*.. 4A '" ..... : ..



..................r ... 6 ....4
S E ::E #:":.i. : ;.n;iE:N$ ...:' eE.:: !: :": j:.: ..""." :.5 $"i;::.:: '.. i :" : i "" ": "" ."E ." """.: ,. : :"
.. : ::".E::i:.:EEE::.ii :iu .EE* .'i i 'E 44E r".i L.i.":i.E:... : " . ".": . :: '..







rr-ff`
V7




$DAM OZT,




The-vorg al

The *40&j* ft-1W,
A 0''

r _8*00 ufti

The =na _,p)
o6g, 'w'MU 36 -47
aloft, 0 pm,
Det;W' (d wnvlo xv,

wto TomAs,

tWxfith a toW of .1,362 patieuto iv*
-than for the -protedipg month. Thq,
hospjtisl wus 40, as 6&pare& with 46
ber of hospiW ftya*m 13,M,'aff
pmeding moAth. -,,A WU4 of 79 dpathm A,
cul, diwrhek djoe6m of the'liver,
ME" 14 the m4r-,mmed.
Detailed otafieUcs am shown A VaNe XIVL,



The dispensuty having the highed
AV



19ANITA.TlON"-CAXAL

The fowmmg'Commutftwo &i*

_-------------------------
------ ll* 4U
Chicken-pox....


14
...............


%%,













IB: ekl hospital admission rate for Santo Tomas and Ancon
,giavethe weekly average of 0.01 for this disease. This
..... tO kable in view of the' fact that practically the entire
if the city live in unacreened houses, and also consid-
ile -easonal conditions, the wet season being well inaugu-
eefavorable conditions likewise prevailed during the
Al of.May,
'4": ::Q:i:r.. .of anopheles, breeding for the city and suburbs is
do:. : al.el inhand
I:....:.1t was onmnd necessary during the month to close three bakeries
5i' :*the city, .and the-use of the building for such purpose prohib-
d Owners of; bakeries have beenurged to maintain a higher
dard of cleanliness in their establishments, which is producing
iB. -results( h /
lenders o fruit have been brought under supervision and
ili : ed .against the exposing to dust and flies cut fruits, such as
l. iina es, melons, etc., it being necessary to impose fines in
"veal instances.
i.l In the::: i tty plazs there have been established, for the use of the
:I. public, ef-clsnggarbage cans for the deposit of rubbish, papers,
;Ii :::'able attention was given toward placing in good condi-
t : 'if e.sidewalks throughout the city, and a large amount of work
:: l u :.'ndertaken and is now under way. .
Ih :: following, communicable diseases were reported during the
anth: '





i|. t .iled statistics are shown in Table XVII.

iS ANITATION--COLON.

&r>, .The following conminaicable diseases were reported during the
.., .. ......... .............. ..... ..........
."v". .............. .... .. ..........................................

.ver .......-.............................-..=..... ............. 2"
..ta. a.......r .. ... .le.. . I II.... ......

~.tssaik.sati a &9 w W Table X.V.I"
q K,-K: -. -
S r.:... ,a 4e:" ,w .... ...4. .Ae dur.:i .
S 4~.~! .t ...:. .' r ..: .."'. .. ::' 4 .



Ai
A -.~ ~ i::: A.-u.: :: ,: : : " E: ":::. ." : : .":
iE'::.~ ~ ~ ~ ~ ~ ~ ~ ~~~V VE:!.:" .:: :.. :" .: ..:.. .: ....:. .:.:.;








fll


e liui
ASohl v
imb, lid


T~Rin I."ISOSPAM DM
T" iAAAN9
RPM

COW.m

!j %g
| 47
|J40
-T~t1-- Wh 4 ".(
May,,
WhW, ,2
Askm
4t
! 'I"--
Q40 too

































-..: 4,749
KOlS i1"N 81,815



:-,ef :< ^ itei .., .... 4922
N hiht -. 2..678

|. :....:.../. ., 4 --- ."
| y..::".'.i, :'. " :.. .. .. .: .. 4


ITaUL. 34,200



-W679
9 .. ...... .





~1.6
.:: ..... ..
......... .
i .. .... ... .7













V 12
". ,



.. .. .. ..... ;.











1 :+06, ,6 *





b~~i~


427.04
200. 66


230.06


401.77
152.38


184 77
t7 .


25.27
,48.28

45.29


5.05
,.4.52

4.59


,2.52
3.77

3.61


2.53 ........
.75 ........

.98 ........


21. 78
8.70

10.39


394.96 307.19 87.77 4.88 ... 4.8S ........ 19.29
141.52 102.70 38.82 4.45 2.83 1.62 ........ 8.39

177.57 131.78 45.79 4.51 2.43 2.08 .-...... 9.95


J
436.89
190.27

233.55


Popu-
lation.

"


60,373
9, 331
:34,657


350.66
139. 79

176&80


86.23
50.48

56.75
*1


2.86
5.50

5.04


Deaths.


Total.


Dis-
ease.


Exter-
nal
causes.


*
1.43
3.67


-1.43
1.83


3.28 1.76


18.67
10.20

11.69


Annual averageper 1,000.


Total.




33.99
19.64
14.19


Dis-
ease.


32.80
18.41
13.15


Exter-
nal
causes.


1.19
1.23
1.04


124,361 260 248 12 25.09 23.93 1.16


.60,373 32 127 5 26.23 25.24 .99
29331I 47 44 3 19.23 18.00 .1.23
34,560 36 30 6 12.50 10.41 2.09

129264 215 201 14 20. 6 19.41 1.35


47 172 -156 150 6 .39.68 3-. 10 1. i
2a: 48 44 4 28. 47 26. I0 2.37
51466: 44 42 2 g'6 9.22 .44

..... .. 48 84 1 Z *. 18
209 "248^ 236 12 24.38 ".2 20, r .


.. . ..'
..m.,...



.:". ..v


lAlaverae ppr AAMI
". i ... . .
. .... .


T.: .. : .. . 4. .*:: : : !:
R . .. .. .. .:. ........


..N
Umr .. .. !:; :. :. : :-*
... : . '.: . ;, ;:." . ; : .. : :. : !
d: :E .= Zi. ..=:= :!= i:.. = : =: === .=. "; :=: Z = .. . =" ,E. .. .. ..
.: "." ":. :".: *:::.T :'E : ... '. ." ..: ..:"..".. : : ':...::" .':'.. .E:"E ::. '.:.: .' C :.' ::.F: .. .: .., .'; :
:. : :m .d .E :. :". :.s:E : .:...... 'E. :. ::.:. .. ...EE" ":E:": ". ":" ." ":" ", ::' : :::' :. .:. .":: :m : !
;m + .:...:L .:. .. .: + + m.. ..: .. .:... ..:.+... .:. ..:. .. ::.. .. .:,.


I I I


I


I


I


j


I










LY











4
711ndo I yM 1 '6 '4#, 1 _17
I

20
30
-42
31 to 40 -yeM
-2,2,
ft % 1:3 4
51 to
60 yea$ 9 41 J,
61-to 70 yesr
71 t 80 yeS,
ye=. ...... 2
7-


18 15 f 39, 131 22Z 4
M


TABLE M.-DEATHS By, NA T]LON



-NatioDs. Igonew,



------------------------- ------
----------- --------

--------------- -------------- ----------
..................... .................
Colp*bb
---------------- ........
Ck6t$ R"_ ..............
-----------
............
Den ----------- ---------
Ecuador-_
France ----------- 4r
-_ --------------- ......
Y ----- .......... ...... ..............
----- -----------
*en"ada --------- '-- ---_ . 1. -
................
..................
------_-------
U*L ............
------------ ---
hidia
----------- ----------- -
IF_17
-----------


------------
p4n
sinto-D ---------- 7 --- I
OmIrgo.


Luc%.
ving ...........
Idad ........
-----------










.. ;". N. o :A ual





N o average
S er per o,0.





i ase. .." ... ... ............. ...................... 3 9.56

All *aeuses.. ......................................... 3d 9.a
wte wIeyens andflr there Unit irete States (4, 175
...... ................................ 3 .





Exte:; ia : ,. l.... eaa." s...................................... I "51
cAllcauses. .............................................. ....... 4 6.04

Total number of Americans on the Canal Zone (14,615):
A : auses.. .






: se ......................... ....... .............. 4 3.2
-. External eauses................................... 1. 6
S is .............................. ...4 6.04




h"." 'TolW number of Americans on the Canal Zone (14,615):
D e,.a.ses: ........................ .... ...............- 4 .
Exter nal cases ....... ................. .64
Al E ases.................... ... ................. 6 4.92


TABLE V*-CAUSES OF DEATHS OF EMPLOYEES OF THE PANAMA
CANAL AND PANAMA RAILROAD.






Asthm s................ . ... ....... ......... .......... I I
DiseCses of the kidneys... h.................... Colored. Tol




:Tuberculsis, abdominal. :................... .......... 1
S'Tlberulos; s of the lngs...........................1.. 1 I



i er deb odenal ohage.................................... 1 1
:A; X ".ternal causes:
LAcidental drowniang....................... .. ..........
Elei:' emonia.............................. .......... 1
diseases trau id .................... ................. 1
: Tu erot ..... ......... ........................... 2 12 14
S'rTuberculosisof thelngs...................... ...........1 1
Iji eternal enuses














2
ft.:.:*-. Accidental drowning..................................... 1
g |.... '. :. Al E m scsoc .tio. ............................................. 1 1


Total... .................................. 2 12 14



















"'54
%.... .....




A,



7m
mmA
9m4m

m
mm'
IW
mO
anmo
m Mefwspoaqo uawo
mpe e-
- - - -

m3
mo e= ba
masyi-ibu pd~deic-----



































: LAbortiion...... .. .... .........................
Puepral albuniinuria and convulsions.........
p. : : "1 . .
Diseases of the skin and of the cellular tiaue.

uPsi phlUB contagiosus.........................
?hr: : :: *
1 Diseases of the bman and. of the organs of loco-
: :. motion.


Diseases of early infancy.

b Newbort child..................................
: Con- genital debilty; iterus, and sclerema.......
Pe:;. mature birth..............................
:t::ig tal debility--------------------..................... i .......
la..i ti..tion ......... ........................
othr:: causes peculiar to early infancy (inlud-
i various consequences oflabor)............

Old age.
4~:g;l :: gir Blity............... ... ................... ..

;:.. : External causes.

te; po s ingn,........................
'I(:,i:;alr:,;' a eOxeptied) ...............
.i A *of deleterious gases (conflagration
.... ..-- -----------.......................--
iby fa ..........................
'.nd im,.at.s...........................
T' r t exoepted)................
ivjiolIandc.....................

I: U fied diseases.

4d1o maa'A ,_or oll defined......,

i .. ....... ................
." '..... ..... :...........
S ,... ....................... ...
'. . . . . i . .:' ....
... ..... ..a .i--- -.-


S *


1
1

. .. .. .


1i
I
2
2


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


1


. .... 3
3


2


.......


1 2 3 .6

171 48 41,
21 6 4 U-PI


192


...::....: ;I. :.. 'f... Y :
: !:. :..' :.:. ':..:.:.,,':'
S:.l: "~:."": .: . L :
*iit4
.. ....., .." .
:nr


. . :. ,T .
.. .... . .. ... .:.... . .

ii] ,e :' :. / ::....: ..:": . :.:. ;; .~: ..... "
i !!i; : !,:: .: ; .: :: :: ...:: ?" .. .:' :: .. .. ..


... :.
A.

N. A : :


1


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


2-90
* *
---- ***










04

I1Iv


| 4mm r

w Q
'Co

im a".
6





II










oTotal.

o es. Nouemploes Epoees. Nonemployees.

Naths. Deaths deaths. Deaths.

W.W. W. W. W.
m4;




-.4 P A~u 0 0M- 4M 0



4 v 20.. ... 1 3 3 ... 15 25108...... 1 29 10 17 1... 2
3 29., .. 3 6 4 .. 8 11 42...-. 14 7 ...
4 4 2G .. 3 14..... .
.. ... . 1 2 1 ... . . 1 ... .. 1 2 1. ...
.... .... .... .... .. 1 ... .... .... 5 ... .... ... 3 12 . ..
/10












....~~~~~~~ 4. . -. .. .. 1 ...... 1... 10 3.1.........
m7







... .... .. ...... ?. .. . .. I... 1 J. ... ... ... . . .. .
.2 .
.2.. -. 1







% . 4. . 41. .
.....mma '4 .
.. . .. . .. . .. . .. . . 1 . . . .
.. . . . . . . . . . . . . . . . . . 1 .
.. . . . . . . . . . . 2 . . .
i . . . . 3 . 6 .. 1 . .

. .|. . . . . . . . . 1 . . 1 . 1 .





......



! ioso teaoa
"1U~k
*ao1floowAa
--- -- -
iiz
tuo vwwo




"01
Men


















1.hT"X ~ h*..* **.*
';':. srs ;I;


)onemplpoye k


Employees.


.Nonemployees.


m Deaths. Admi Deaths. Admi-eths
w. Sl sons. sons.
- I ..._,


iM


W.



atl
;, :j 'g


w.





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



.., . .

X. ::,1
*. '.. .. I





, : i
' .








::. i:.. .
FL.: .. .l. ;


W.


W.


:. K::


W.



1"


... 2
1|-...


a S
w
M.


W.





io o
U2

Ia y


. . i! ... 1 1 2 ..
2. ... . ... ... ... ...

.. ... ... ... ... ... i .. ."
. ... ... ... ... ... ...
1~i-l1


......


... ... . .. ... . ... ... ... ...... .
ie


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




*l .1. 7- .
:- -i: : .. . : ...*** .. ** *
; ...:ii .S " 1 ".. . . . . 1 "...*. .." .


": ', .: ." ." .. ,"" " .."***"" .. Mm A"
... -. ... :' . .. .." .. . 1" 8 . "
prr ISs *L*m m
::.... 2 3 ..... ...... 17 . .... -


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

E: ".E E :. ~i:: ::; :: *::E'"* '' ':: ': ; I: "d E. E'. : 'E ":." : :E ": ' : """ ('." "" ':"" : "
]:i !::, ,; i :,:;, i;, :!i ,:, :: ; :i: ; .,: ,::' :: ::


..*a. .. .


* ls- *--l-* a.






. .. .4,
.,- ... **.*

' .< *. *: "** *-






. ..-.
N '4

1^- -*'.
I jv. .4

#i.41


'1- I~*l-l--IC-l~-ll 1-1 1---111---1 --*1-1-1-1 I -







yzf

5 44 P
IMR




lj/t
Meg"















coloi Ucq~l",tTotal.


monempoyeeg R Nonemployees,


,kdJ& .:"dm&-Deaths. Ad i-Deaths.



W.W W. W. W.








Pk . . .. . . . . .. . .
rd .. I.. . .. r . . . .. 1 1. .








... .. .. 1'... 2 .. 6 2 -- 1111..... -



. 1 .. .. .. ... .. ... .. .. 2 3 1111111111. -







... .1 .....6 4 9......111.



3ii' ... 7... 3 1 4. 111. 2
.. ...... 1 2 . .





... 1 .... 14. 6 . 1.







4







=IA
. ew ,
OL *e
| A ( Ii e q g 4 .; 4


!OE o b
th r

|I
*,. 44























1. ;-. ii-- 4 -I i-4--.L~---l I- I :


-4-





iii,


ii


w







i -


i.!1^ ,-.:. ., *."'...:.


| % *'::*: .***:
,i; : .." ::: ; :' .*'
i:::.: : ; ,. ': ..

ii* :: t :
a.: E ". ":; .,. .
.: : ... .



1(
r;, *.




















... .
ft. ,. .o

















'i", ...
1-




i :. '
f';.. : .:
S" ..; :'.









'" "*
I.. .'. .,


i :.; it.
."s:' -rii ,





i..




: ::!




Sg-Y *:.;
o.! ..

Fl.:'--. . .
;^ -::.'. *"' :... .:.:
?".; *. ^ :
.,:
". ::, :..y.. f


- ;;.. : .r. :.

i; : '" ," ,;,,. .T...
jil i,. ; ":. z
i.:. .. .. .;.


w.


w.

I N


*Iit


w.


.1


-.e....lin.*-- -1 1- *** *I
-
f-l
*--*
1


S. T F . I:
t.F,. -w ..11 --.I'--' -
. wel. *-M -i = :W ** mg -


*.I. .k*-=1


1. 1. EEIEE


: .i.....t....l


il::.l E .I E E


:I':::


*S..


..- a




e..
.*'
- .4...


I. :-..". I .. ... .. .. .. ... .. 1. . .


..: .. . ,.

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


:: :' )* < I: ':,{ '::: i i' ': .. .

..
*... 2. ...... .. .. *. .- .:

..* ** ..
:* **d x"' mee **: : ** m


.


* * l *


**--"""""'
-


I'.,


1. I


I lr
,I
... Y,...


a,:::
2--


;i






JA

, t:T
l4k
tg

60 .-
toti v w04 11

sh ft t















1068 11" AIO FY E PANAMA CANAL-Continued.



lTotal.




ee. Nonem4ployee Employeek Nonjemployees.




deaths DmDateaths.ts Deaths.




~W. W. W. W. W.









Pq M 'o04 0 M 0M








.. . ... ... .. ... 1 4 ... . .. .. .. ... ... ... ..

.. ... .. ... ... . .. 1 ... ... ... .. .. 2 . . ... r


-'A o. -4 i .. . . . . ... s.. .. ... -.. - . .

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





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



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

........ s .2 ... ... ... -- -- -- -- -- - ... ... ... 2 ,




J. . ...-, -. .. 2 . . .. ... ... ... ... ... ...* .. ... ... .
p ... ... ... ... ..~~. ... ... ... .. -- - - .- -- - ... ... .
7;t.' -- --- . .. .. 1 . 1 . .... ... ... .. 2. ... 1 ... ... 1
|1



































~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ... .. ... .t. ..... .. . .





..., . .. .. ......... ... .. ... .. .1 1. .. ..





*** > **- -- - *- *-- -. ... .. ... ... .. . . .. .. 1 . .. .. .
.. .., . . ... . . . . 2 1 5 ... ... ... 4, 2 1. . .


..,w ... .. .. ... ... ... .. -. - ... ... ... .-,. 1 .. 2. L
I.
..[] ..,... ..... --- - - .......
... ... .. .. .. .... 1. .. 2. 1. .. .. 5. .. .. .. ..







17

41
4`
bom4,
;*o*
i 44m,

frgs
NOW
(tuf
Iof






















. . ...

Diles.



WO
T.







-l -


; onem pl yees Employees.


-MAmis-
. sIons,


Deaths. Adms-
sions.


w. IW.


I s
im 0


I ?
1a


- i


Deaths.



W.





C c


Nonemployees.


Admis-
sions.


W.T


S ..




j.'N:* "

'V J* **:
6;;
s^-::.:












4-







1[*; '~ p
:it. ..;i:.. ; *.
I/;-'
|" :::*:


Deaths.



W. I


E..'.





F







i.. : :
9i ,
i*1s. -p.
I






1.4.11
.. .





-e...


S .. ... ...... ... ... ... ... ... .. -. -... ... ... --. ... -
*t I




'". e . m. ..... .. .. ... .. .. .. -. .
....... ...... .. ...
... 1
S ,., ,. ...2....... 1.- 7........ 2



S.. 2 ". .. .. ... .. . 7....... ...
"21 *1
t ..i.. *.. i, I1.|1 . .. -., -- .- 8 ... .. ... --. .. ..
.. %* 1 P A: ': '
4.u..... . 4. : : ,
'.".:. .:; .. .. : " .. .

C L: i-E.4., ... .. :.. ......
;,a. . .. t .. . -
^ *^ ~:'. U; ;i "*"
"..r.; ^ *.: .. ":, .,- :' .; ,




65.. e .!" :""!I :" :"-: : "


... ... 1 4 ...... ... .
". '1' '. I 11 '4' ..... 1 -. .


-.. i. .


.


SI~PL~1- I


S.. i


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


1 ... .. .


S"...







Ar
Ik




9 I

IA 1
mt2
I10










W 55JT4 OF9 THE PAAACANAL-,;*Continued.

Oviesgasptal.Total.

ess. Nonmplyees Em oves. Nonemployees.


enh.A pesfthsA. s Deaths.AmS Deaths.m


W. iir W. W. W. W





T5 pq44A -1 0 mQ o





. 1 . ... .. .. . . . .. . .. . 16 .. .. ... .. .. 1 .. . .

21 .. 2 . ... . .- .- .-.. .. .. .. .. . 4 .. .. .. 2 . ... ...
1.. 1. . . 1 .. .. .. .. 1 2 2 .. .. . 3 1 .. .
.. 2 1 .. - - -- -- 1 4 69 .... ... 4 2 . .. .



.. .. . .. .. .. .-- . .- .- - . . 1 .. .. .. .. .. .
..~~~~~~~ .. .. .. .. .. .- .. - -. . 3 .. .. .. 2 . 1 . . .
. . . . . .. .. .. -. . .. 1 . 2 . .. 4 11 1 . . .
-i0 002 8354 0 1 1 163 66 532 0 1 12 ;W3 193 223 0 922













J







smaAwfi ooft

jo








44,
cbtwitl pauvAti_ 4 3,,

9 22 W41

oram ...... 144 jW,' W-4 iis,

corozW farm

........ 9,J, 43-__


Monty
tOX SOMTAZ.

md6wpW If*
1 4 4
---- --------
Oth& .9.
pay 1 2, 1
Chrjty pittimts----

---------------------
FAW. MC)o =MR *MUN.
P
Chw*
patwts,. ---------- 7, 7,
Totaf

ra" TOTV-


74IF-11
other
Charjty

_Tow.,. _7


1_1Y





























S ^:j:%.,.Cana!l employ-


... .. : i .. ...* .. .....
s:a Ci~an RMl employ-
."' ee .. .........










JP*1Iha Ra-iroad em-
*.:, peei...- -
',i'& pay patits...
t iP -pay patlents....
bther-pey patients.
imilsity patients......
-A'

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





li..: ,: :t. .... - -



-t:ana Canal employ-
....................


: t, wrpay iptents.....
S '... rityH.patientw -... '"
otal............

.:.: rand Itotal.



ii:I CanaI0 employ-
;. ..............





air t ..rd. -





0 -m
j.E.al y ptients......"


Uft A,.....





-"... .. ... .
. i r".'j" t *%.,....


21 33


31.43

2.47

118.27
3.16


17.27

3.70

28.07
2.66


168.36

60.10
.27
39.40
38.10


217.06

66.27
.27
185.74
43.92


.41110438 2... 4143 53306155.33 51.70306.23513.26




1..-.... ...... 5 10--.... 5.00 10.23 15.23

S ..: ... ... ... ..... ...... .. 2.00 2.00
S.. 1 ... ... 7.. 13164....-----. 13.40163.57 176.97
2... ... 5 1 2 4.60 .73 2.00 7.33
. ...... 4 4 3 44 4.00 3.00 47.07 54.07

2 1 2 ...... 11 9 22222 8.60 22.13224.87255.60

413105540 2... 15152 75528163.93 73.83 531.10768.86




3... ... ...... 9 40 ...... 9.00 40.20 49.20



.. 23 .-. -.. .. ...... 26......... 26.70 26.70




8 13 44 1 1 9 1 3 8 2.00 3.26 9.76 15.02

: 6 4 38..-.. 9..-... 9 1.20 1.20 8.43 10.83
...... .. 1 2 12... .... .06 .-13 .i43 .62
21. 7 8 2 6 6 2 5 6.56 1.83 2.40 10.79
S1 12... .. 4--..--.2 .53 .02 1.16 1.71

S37 2= 101 24 10.358 6.44 22.18 38.97
S=== -- r .= ,


.1.1-.4. .14! I 1- ll - +


i 51


3.00
2.00


28.54
28.66


o5.l 57.20


31.54
30.60-


O62.20


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

f-' ... *. .
...:.. .: :.,, l ,: ....


*i. .r~il
: .. ... . .... : .. ...:., : - . .. .' .
.:.' ." .... [: : .E::" '..! : ." ." . .. i 'F .'~i~~r l. : .i .; i ": ": : " :'
~ ~ ~ ~ ~ ~ ~ i:~9L:'' ....:... .. ........... ... .. :;. -. ; .. ... ....... .. ..... .... ..
,. . _.... ,. .. ........ ...... . . . .... . .. . . .. ... ., . .. .. ... .
.... ~ ~ ~ ~ : ".. :".":.E :. .: : :. ". .. .: ... . : .. "'. .:..". :...* ..::.: ...:.",.'. .r


.

.
.
.
.


'll


i::
?*
: *


-~f.l







Jil?

'1 1

Otto
OTellq*4mlos
vvmit
Trd
TAL
lOn


lA
iL
W 0 W t",,.
Na *a
m2










04LOA TUD -WWS ENARY R EPO RT--Conitin ued.
'1*4LT1M4 jwq'AAD Aim lu 00w, TR'EATECD BUT N OT ESx-


All eases treated but not eixcused,




W. :Total.. W'. Total. W C. TOWa.


Iwsla d.. '168 682: M5 ..... ............... 16 682 850
an :..2,195 3,02M 5,821 1 531 1 'E69 3,506 3,726 5595 0,321
alsn,...2,714 4o421 7,135 1,406 6 2,062, 4)120 5. 07-7 9,197
(3 Ojal' 1,901 1,766 4,667- 1,170 27 1617 3,271 2,013 5,284.
A guelA, 573 1, 00t 1, 577 562 194 7M6 1, 135 1, 198 2, 333
7... 02 tW)6 2 571 547 620 1,167 1:249 % 490 3,738
Gg .. 66 1W8 :254, 25 .357 W8 91 w4 636
stn ... 622 893 1, 515 778 697 1Y 475 1, 400 1, 590 2, 990
14, n..... 2 2,460 32W0 780 688 1,468 1,600 3)148 4y 748
Total-- ,0761 16, 909 26, 670 6' 999- 5, 428 12, 427 16, 760 22, 337 39, 097

CON6OLIDATED ADmissiow REPORT.

White. Colored. Total.


TI adm iss ions to hospitals excluding Coro gal
fatm and chronic war&d.......................... 616 766 1,382
ToWa admissions of employees to quarters__..... 363 109 472
Ttl............... .................. OM9 875 1,854
iMs nvnmber of patients transferred between has-
E Ji#4l8, and from quarters Wo hospitals, whose ad-
WW16ins are dup (!4%d In Sbove figures....,...... 27 75 102
Not admissions to hospitals and quarters .... 952 800 1,752
Met admissions Of emnployees to hospitablsand quar-
t s.............. .. ... .. .. 525 602 1,127
-A=u*l avempg per ofamissions ofem- 398
ployees to hospitals'and quartets ............ 1,1326.50 2.27.06 39.8

CONTAGIOvS AND. INvE OUS DIBEABES 1UEPOTEb.


Diseases Panama. Colon. Total.



... ... .. ... ....... 13 4 6 8
ge ~ ~ 2alo f ----- .0 04 .......... ...... .
....... ------------- 20 .8. 2.
.. .... 70P24 314

.:I -- -- - . ....6 121





I! e

B4
//W
At-
m4,
-------/
'TWI--------9
aw!94m
/ ickmo pqe Mtn
*1 t .--- - -- -- -Z - -
1 kod
Toa. ----------!2 4
/Aea n f-n"em~~
sikPK!W
Wh e-- _---- ------- 1M

































.' . .. G... ........- ..... ............. .



o *. .:... ... .....................

i:.h.. .u. ................ ..........
n A., *.;.. 4 4. .................................
GI r.. g.. ........ ...... ...........



:: ,S t an ..............................
----------------- --------------




i. ...................
e;tPo... ........................
Stab ...............................

fai. '. ',:., i" io -
i .. .... ........... ...... ..


dEi to ...ee tan ... ............
'Mw Am. Ctsont ............ ..
a P........................
,. o ..........................
S................ ......


...." ........... . .
So.............. ..............
-.,.. m ...............
. .......................
o................

. ... t... ....................
riian Mo. nt ... Ho ......
S. ...................


e '......... .. ........



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


6.80


5.88 ..........


S 191.33 124.43 260.89
1,278.55 933.23 821.49
S 645,37 648.96 535.40
S 42.72 476.86 417.69
584.12 535.88 612.28
23.77 134.51 660.83
. ........... ............ 703.75
148.02 142.77 131.04
613.38 596.43 664.43
............ ............ 95.29
. ............ ............. 119.84
28.80 18.20 241.57

4,062.86 3,617.15 6,164.50


S 50.00 50.00 50.00
3,694.70 2,959..66 2,985.71
S 4,117.21 4,273.73 4,416.01
3,015.64 1,439.21 2,365.70
2,047.71 1,903.55 1,758.32

1,598.82 757.84 2,258.74
: 1,728.47 617.47 1,266.83
1,030.92 1,315.70 1,410.94
S 4,148.53 1,989.80 1,369.91
. .............. ...... 1,342.42
216.29 357.70 082.41
. .................. 1,887.13
6 7.88 99.77 65.00
. 1,206.30 1,165.01 2; 192.57
. 1,561.16 1,522.40 2,528.56

. 24,483.63 18,451.84 26,980.25


221.20 43.3 ............
92,121.15 1,647.96 ...........
2,884,37, 2,659.55 ............

5,226.72, 4,747.24 4,323.37
. t


t"i ptapIelidt :olsOf board of health laboratory.
0tiol: b Auder supply department in May, 1914.
'" ""!:':. "" ": .. ." ., . .


" :', f. .. : ;:":', ..-, .;. .." . .-
.". .. .,! .. .. ... ..


S.... ;..


i


:~~~~~ ~~~ ,,,.: ..-*:, .











q,


4A,
000 '0

aw 0
ow


4L
00
00;
"WOW

Val 190 14A



'WORT Of, 1q0fMtATJTV- py V


T4%1




'WW employeezOw, -,2,
Panama Railroad empioyoas_.,. 196
panama'Govemment pay C&%A
s ----------- m-- -1 11 ,
C, 671- 4224,-:-4
14 1-
bh
Total
I; U Z
The AWWm; N.
Pan 'IsHroad '19
Other pay, mqft..
50 4
ToW ----------------- 2ft-
Gra
Chronics, I -------------
$2 7W










% -







At




















S Z..isp oan employees;.........
P i: i amain Pailnrad employees.....--
: Pa rama Gowvernmeant pay cases.....
1::::ay. cases ..........;........
'Th.'i : .asres.... .. ..... .......

: ; Total ..... --.... ...............-
Th4 e: gum:
S' Pan:am a Canal employees..........
Panama Railroad employees........
S Panama Government pay cases.....
i Ot::: aer pay cases....................
Charity cases.......................

S Total.. ...... ..... ...........
L ,}:-.:' ..... .
a : ra dl total.......................
;. al rs................................
: :hr ies .......... ...................
Dorezl farm ............................


6,512
1 988
8
5,572
1,318

15,398


943
74

3,548
4-95

4,660


518
111
--
842
80

1,551


5,051
1,803
8
1,182
1,143

9,187


457 .......... 150 307
60 .......... .......... 60
5,309 .......... 402 4,907
220 138 22 60
1,622 120 90 1,412

' 7,668 258 664 6,746


23,066
2,905
801
1,476


4,918
2,965

..........


2,215
.........
270


15,933
..........
801
1,206


: .Average cost of subsistence per patient per day, $0.25252.

WARD LABORATORY REPORT.

i' Bloo examinations, total number......................................... 871
:: ..stivoae tunmal........................... ..... 185
SMixed....... ................. .................. .................. 2
.......... ...................................42
.:" counts-. 49
resntia Counts..................................................... 49
I: .' ~easi globein estimations............................................... 45
Leucocyte counts. .-.............................................. 77
:: i1nl examinsations,'total number..... .................................. 522
A eb-- --.....-------....................... -------------------- 2
AoiiC' a tais braicoides .......... ................------ ................ 9
C:!.: 'i Cili.ated ma nds............. ............................................ 21
: t:am tn eba (hystolytica and tetragena)... ............................. g
:: ists ...............................................................-. 5
S:i and' blood.-.....-..-....-......... ....,............................... 69
j '.. .. *f fi B ' . . .. ..
.....":..,. ........................................................... 16
Ls dpar... ...........-.............. .. .................... 29
U ova)--'"-l----~r-------------------------63""
.' .: an).... .................................................... 63
isils, total number..- .....-................. ........... 1,846
,~i in ....... ,................ ................................... 505
l. .c..... 2 ........... ......... .... ............................ 34
llil ...... ....... . .......... ..... .......... ............... ..... ....... 338
.... ... ........... ..................... ..................... 101
..... .. ...... .. ........ .. ...................... 40
..... ...-- .*.............-...........- ................. 421
ihpti t ndgtS 185). ..................................... 187
i total n.umber...................................... 296
4*MbIPft*W.bS iL ,---..--......................-........ 54
b.-a r .............................................. 36
,. 7 oo ocL),.. ............. .......................... 3
::I; i ..B ..............- 7---------- ------------

... ... ..................... ......... 2
.. .. ... .:: 2,



4 :. "' " ..:. *. .


AN .: . .. .
:: ,: :: :! E,:.;" ,::,.. k: "." : ':;:.N i',:" : ,


.' .
.. !*






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

// 4
mMIUN310
4 67'g AR

llEce mjj0te u-.....
Of----
nwrx-
Thrctm -----
//d=
of//sw3910,R,.
i/11reat
I// tosat
A]
i vr~
CO10" O
















.'ALL. .4 ." ... ... . .... . . . .. . ... .. .. .. . .. .. . . ... . .... .
... .M... ... ..... ............... ..................................

S ... : .. ................................................................. 3
F '.. : : ": . ..
SR aot ............-..-...................-............................. 171
N ',. W -- - - - - - - - -- - - - - - - - 171:** *
O.UT-PATIENT DEPARTMENT.

. ... *
SClin, Total visits. New cases. Pay cases. tios.


Med l cinic........... .. -..... 320 213 65 300
S urgicalclinic ................. 255 '189 26 79
Eye and ear clinic.............. 693 233 19 332
Total.....-............... 1,268 635 110 711
B:..'. . :

REPORT or VACCINATIONS.
i: Number of adults vaccinated.......................... ............... ........ 154
, ,Wimber of,"takes"'........................................ ............. 102
lczn..........s--------------------------------------------10
::; No school children vaccinated during the month.
S : REPORT OF BOARD OF HEALTH LABORATORY.

Bacteriological examinations of- Chemical analysis of-Continued.
W;ood cultures. ................ .13 Beverages......--............... 2
Throat cultures................ 18 Surgical tissues and neoplasms re-
S- Jrines-....... .............-- 21 ported........................... 22
IoStools......---........-.... ...- 11 Autopsied performed 1............ 42
Autopsies-..., -. ......-. 11 Animals examined and under obser-
Pathological flu exudates, ovation ....................... -2
etc -.. .................... 17 Animals autopsied................. 10
I'per suspects......- ....-..... 1 Pathological tissues prepared, pat-
: ''.: pu u .................... 6 aflin.............................. 322
W serm: i reactions.......... 295 Pathological tissues prepared, frozen 6
I ; liCtYiO Pam 1 Evaccines pm--ed..... 23
i vaccinatios ......... 3 Rats examined:
C:iaca aEmBlysis of- M' us musculus.................. 293
aft t dair mnil ..........r 1 Ba norvegicus.............. 324
: I dairies sp u alexandrinus .............. 22
p E1 iP of 'Panama and MiU rattus.......-.. ........ 183
of ..... ................ ..
... .. .1 .. 822
Urines .. ........... ....... 46
iGal ..... : ...... 1. Bodies embalmed ........*......... 8
.a ... ... 2 Intements .......................... 41

~il Ittt.s.i 2, ~ Darothy Henry and James Ellis were held over
~~M pending res fann test in one case and chemical exam-

: t.. ... o.... ... .. o
nEI::.;j.l *. :: :. ,( . .





: ,. ~~:J:". k.




[4;


IO
- -
ni
Ial
iflFeae
Babdsi ----I --------
JaacI--- ---5 -
- - - -






A :' .. :..' . .... .



: : *
*': .\ ". . .
9 ci .. .." * ;", "* 1
.: ..".:.." "; ..:
'5.% I : :


.4


TABL XIV.--COLON -HOSPITAL.
NATIONALITY O6'PATIEN!2.


r i: 4..;:: '. . I: I I
, ;; .
1' - -


II.


White
American.


White
foreigners.


Black.


Total.


ganama Canal employees.....-... ..... 10 17 61 88
RBairoad employees............ 6 4 57 67
.f.aapay-.......................... 1 2 12 15
O ptay: ........- ..................... 35- 10 18 63
S ri ass.....-------......--.......... 2 1 20 23
Total....................... ....---- 54 34 168 256


Coat of subsistence per patient per day, 32 cents.
SB* o LABORATORY REPORT.
Bloodexamination......................................................... 203
Estivo-i tumnal ....................................................... 109
Tertian......................... ........................................... 10
;..Qlg.",artan....... .. ................... ................................. 2
sitoo examinations..................... ..........2.....-...... -........ 10
Amoba ..............................................................----- 1
SU eexamiation -----------------------------------------52
S Album in................................................................ 16
Albumin. --------------..-.........-----..--.--..--.---16
Casts...............--------------------------- -- -------- 9
Jputum examinations..........................................---- .. 3
..... Positive- for tubercle bacli. 1------------------------------------
Positive for tubercle bacilli.. .................. ........................ 1
G. g d T. test for occult blood: Total, 21; positive, 9.
SURGICAL OPERATIONS.
SAmputations:
". "Jeg ............... ............................ .....- .---- .-- - .. -- -.. 1
Digits, m.ultiple................... .......................... ............ 1
Digits, Multiple --------------- --------------- --------- ------ 1
Operations on bones:
S Cranectomy, decompressive....................................--- .. 1
Wiring of fractures, compound.............-----....-.......--.......----......---- 1
Obstetrical:
High forceps.........-............................--.----- ............. ---
Perineorrhaphy ............................. ................---- ...------- 1
General:
Tenorrhaphy .................................-.......-...:....-------.-- 2
Stab wound of soft parts, operation for.............. ......1........
Lapatotomy:
Appendectomy with local peritonitis...........--- -......---- ..-------... 1

TABLE XV1.-PALO SECO LEPER ASYLUM.
SNATIONILrry OF PATIENTS.


Number treated. Americans.


White. IBlack. White. Black.


Others.


White. I Black.


An a eployees.... .......... ........ ........ ........ ................
o........ ....... 3 33 ........... ........ 3 3.....
..-. ....--... ---- 3 33
o emes-------....,... 2 18 .......-- .....-. 2 18

r..... .. .. ..--- ---


S p" patient per day, d2 cents.
.; h .
S.. .: ... ..... : *
;i:.:,.;. :'.;:.,..:: ;; ,.,;.'.. ,: U. . -.
y^ ^,, .. ... *.
: :.i ;" :'ig:"!, .. "" :'. .. .. "E. .. "i. "* .. "


.4


_II _ _II _


''




















4A
Opo









XX
At,





Lj
77
pay 40090-


TOW --------------- ------- -





Clow.
..........
...........................





ot
-Kpw
4om Ou t
----------- .......






An



IN






















i 1. es .of.the ears........................................................... a
e i edi s. ..........---------------------------------------------......... .........
rpa:ied ese s o:fthe heart ..........-.1...-................................ 19

am: i of the arteries, theroma, aneurysm, etc......- .............--........ 3
D e of the veins (varices, hemorrhoids, phlebitis etc.) .................... 7
Diseases of'the lymphatic system (lymphangitis, etc ......................... 16
-' Hemonhge; other diseases of the circulatory system...-.................... 2
Disease of the latynx--.......... -------------------------------------- 8
ou broan it is ......................................................... 8
Broni co-tneumona i ......... ..................... .. ..................... 3
: Pneumaoia (unqualified)-..................................-................. 10
P. tmapy.. ............. ................... ........................... ..... 7
: Asthm a .......................... ................ ....... .............. ..... 3
SOthe: diseses of the respiratory system (tuberculosis excepted).............. 2
D- Aoieases of the pharynx ........ ............................................ 8 -
SOther diseases of the stomach (cancer excepted) ............................. 23
;: Diarrhea and enteritis (under two years).....-.............-.................. 23
A: .akylostomiiasis --..---............. ............--..........................-- 12
S nt: estinal parasites .*...............------ ... .......... ....... 4
Appendicitis and typhlitis .............................-....................- 1
emni i' testinal obstructions .............------........--............--..... 11
S tOiher diseases of the intestines ......................... ....... .....- ......... 8
i ..rli hosis of the liver.....-..........-.. ......... .-........--...- .......... 2
: Other diseases of the liver ................................................. ... 9
S.: im.ple peritonitis (nonpuerperal)............................................. 3
Scute nephritis--...-......-.....-...-- ..-..-..............................-.- 11
L: Brig*t's disease (chronic nephritis) .......................................... 1
Diseases of the bladder..-------......-----..-----....--------..............-..--------.............------.......-- 7
Diiaisbeases of the urethra, urinary abscess, etc....-..........-....-..--.......-- 2
p Naduvenereal diseases of the male genital organs............................... 6
: re tumor (noncancerous) ..-.......---....-............-------- ------....
.'i .'r diseases of the uterus....-..................-........................... 13

*;Uibi.tis and other diseases of the female genital organs ......--...-.... ..- 12
labor........................................ ... .............--.................. 78
4eoidenta of pregnancy...... -----------------------------------------....... ..... 19
P er o eal a ....-.......................................... .......... 9
.." erI ainmuria and convulsions. J.................................... 1
............. ...................................................... 8
..- f of the skin and annexa......................................... 33
of the ones (tuberculosis excepted) -...... ..................-...... 8
'he joints (tuberculosis and rheumatism excepted)................ 3
N ormation (stiklbirth not.included)......-... -....... ......... 5
'S ....... .......... ..... ............................. 7
ebil .. ........................................................... 15
......................... .............................. 6
CO W ). .. .. -------- --- ---- --- ---- --- ---- --- ---- --- 3
e l ......................... .... ..................... 16
ti g o piercin. instruments......... .................. 2
o rgs (vehicles, railroads, landslides, etc.).......... 18
,s:,p, ..................... ....... ................ 11
i. ........... i .................... .................... 24

.... .... a.------------------.... 928


..... .. . . .

:::':' :' :: t " . . " "


... . .... ... .... 2. R....:.. . ... .:. :;:
l ie WU 'L











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





Mood01,




I toom
01muo U -------
t OporauOu fok

cf- son' dru, 0 UOR rbe-
Flank Ow for ......
Fadn graft ............
L otom ------------
Al
A with 10ml PW464 ------------
A of I
Absom of VIOrsw-hopawtelfty fm --------------
-VAonal
aZPMgO-00Ph4[)r8Ot6MYT
----------
or ectq]Ic gestatiom.....
or operatka* (vvJbw,*tber) ----

TOW ------------------------ ------



Ile folkwlug is a
WtOnal expendpddudhg'h

Work iequeW on supply depwtn*ut-
Grws cutoWg.
sere ------
IW%,k requ6AS OW-U.

r"oVeco mryod t,6 a
ArIOSU -



G' cam etn %*d
Rat traps used
A*M euitim &S
4A vaclat Mod
















S inar feet f ditches cleaned and maintained........................ 41,892
Sitfeet Sf new ditches dug ....................................... 6,671
: Nu lmber of cubic yards earth used in filling........................... 0
G: : gallons larvacide used........................-............ .......... 762
al s crudeoil used ....-...........-............--............. 3,030
lii .w.. f qua~ e yards pools oiled ......----- .......-------------------............... 445,650
i : e.- tr contain treated...................- -.... ............ ...... 30,770
f: osquito-breedSig places found (421 Stegomyia)...................... 310
Sly-reding places found................................ ............ 200
Files trapped (13,000 per quart)......... .....................quarts.. 15
: Number rats caught........................................- ........ 591
Number room distinctions ........................................... 16
Garbage collections: "
Number loads garbage removed to dump ...... ..... ... ....... 4,297
Number cubic yards garbage removed to dump....................... 7,592
Sotfal'number of cans garbage emptied................................ 108048
Buildings:
Number of buildings inspected ...................................... 5,751
S. Number of plans for new buildings approved......................... 13
Number of permits granted for repairs to old buildings................ 62
Total number of permits granted..................................... 75
Number of buildmgs condemned.................................... 12
Number of buildings demolished ...................................... 4
II Streeteleaning:
Average number of square yards cleaned daily........................ 600,000
Average number of square yards street sprinkled daily................ 90,000
SNumber private properties cleaned during month..................... 0
Number of notices served and nuisances abated..... *. ................ 200
Vaccinations:
I:": Number of vaccinations during month................................ 1,749
S Total number of vaccinations since Apr. 1, 1914 ...................... 20,835

S WORKn REPORT FOR COLON, CRISTOBAL, AND MOUNT HOPE.
[Health office, Cristobal, June 30, 1915.]
;::i Sanitation, general, Colon:
Square yards street cleaned........................................ 4,045752
Sfe: : ic et fumigated ................................................ 5,840
sPquare yards alleys maintained................................... 699,400
Number of private properties cleaned......-.................-...... 51
ii: Number of rats killed............................................... 373
: .Loads yard garbage handled. .................................-..... 441
: Number of cans, garbage (2,247 cubic yards)........................ 65,152
Colon dmp maintained................................................
;i, i::iu-in yards ditches m taied.....-..................-............-. 3,452
t, Parkway and E Street maintained................................
SI 8ua::*:-fi' i re ya ids oiled....-........................................... 70,350
.,!' er of buil:dingS2.ed ................. .................. 2,800
ci ber of reeptuildnges treated .......................-........... 300

reIbreogg pbat e s ..Ptro.e................ ........... 116
i ;.a ;, iK r o uito br g places desdetroyed.......................... 116
:, .Nu:ti hr of y-br plad ..destroyed .............................. 073
Ole lrede sed .....--..;....~............................... 467
S oil ed.. ............................................ 741
.4::al ue ....... a.dvgtl t:
I;;:- -, -' ...-...-.. -......... ........... ............ 102
S.. ,,...... ......... ....... ........... 15


.. :.. .....

: . : ': .. : .. ...;..:: &

I~i:; .. . *. .
? .",: ".:: :i, ,.. =. : .. :..,. .. > .., . .













7 1 11'1111, lig 1 11


..........



4; "iff


ft, hg&t



-,T
Nt bar to)
Vw, 11



Squi y*rft 9
rec" M+
Number of wosqlW

Wtimbpr -Ofi0,%dft4ftW MWht lnmlu suo
Anophdos- ........ -------
------ -- ------------------
G&ItDM *ri
GsUons Owe on used, ...... .........
*0-rMtHote Cemetery

LhuAr yarcls diteboa mkUbiad
Square ysm= tbm reinovod- ......
Niimberofb 'during the inoAth.

TABLYi X-VTU.-ONSQLI]DATIEI)",ItBpoltT.,OF Q-V
ACTIMU AT TAB PORTS 0FIRALB0AIPA&
CRISTOBAL,

Nuxoberq amlis alid pawed-
Uu- m 0, -------
UM of

TeW numborot, vwsgs entero&---
Number of visamft fumigWted anirtiVaA,'.
Nixmber o f "sgeU hua%%"d on depalthm,



of 0)iftdiag, or Vies-,

Himber *of pepons VAC, a po# t -

14hbor 10 po %ftpp 'i,
tcail of 6lowimny, *36,0 104

of iii
'r xnVog, ltz
V otiat


TOW

bin




tc





W
il Hill,
I i iii
i: i:: i::,:: i If










'of = Owosielarked for foreign ports:
.................. ............... .. 1 83
.............. . .. .... ...... 1,683

O"Pros arri ving f romo tLOa ,o wnst to smQal1a inches 5 3 2
c a t. .. . .. ................. .. .. 2,216
*vnbe of er-os safling for coast towns ow small launches
wiling... ... .. ..... . ....... 1,748

Vpru n o month froma cost towns.. .................48
-._ i o month fromh foreig-n ports.
Cabi (icre se)........... ...... ....................... ....... 50
ge).(decrease) ....... ........ ....... I ...... 438

brof fiins. recommended for deportation......... 7
-K= of bil of eath issued or vWsded.. ......... ......... 201.
Nubro ins pecin ofd6& .......... ................. ..... 14
M~br of inspcton of vessqls at docks................. ...... 47
Toalnumber ofpros EmdeM............................. 5P 806
fl~r Paif ports ............. q.......... ........ .219'
-5, 587
Total nump of per-sons sailing, -----------................... 5,270

Total apprn increvse for mouth............ .......... ............. 317

ImM~mpATxOw.REPOR.T FOR COLON.


From-7 Cabin. Steerage.


" u o e...... .... ...................................... 32 19
ly~tastates ................................. 1108* 45
I aiaand Wetldies......................,.............. 92 314
V e d u la. .... ...... A....................... ............. 8 1
mb a, ..... ............................ ............ 66 .125
-. .. ............... .......... ............ 27 17
di te ala. . . . . . . . . . . .4 . .
"C i ic u a. ......................................... 88 0'
B m del To o..: .. .... . m . . . .... . .2 5 9
Lo........................................... .......... 235

...al......... ................................ 1,419 1,365


. ...... ........ ........................................ 1,632
'W m n ..... .... ..................................................... 636
fe ..... ........ ........... m ............. ....................... 281
ad .. . . . .............. ...... ................. 281

T tal ... .. ..................... .......... ......................... 2,784

QTTAaANTINE-BOcAis DEL TORO.
vesel isected and pawse................. r.................. 1
-of crwinpted and ................ 1, 436
Of: geruspeced. and pased ................. 224,
of asengrsin transit Wnspected aud passed.................... 212
of ergo hid to qompiete perio of incubatlon of yellow fever ... 2
(9 pnws eld to complete perid of incubation 6f Vlague.... ..... I
A atinbledisease- has appeared kI this port, andthe healthL condition
Ojoxt'nd fif~t inug UMteiory arn good.

'T~LEXr.--STATEMKENT: OP QUININE 1 88UED.
Kilos.
. . .. . . t. . . ........... 5.00
.... ... ...... ............... .._...:.. &.66

.... .p ....................- -- -- L-.;. 13.66













It'
"t 4











3 1