Report of the Department of Health of the Panama Canal

MISSING IMAGE

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:
May 1915
Publication Date:
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 applicable rights reserved by the source institution and holding location.
Resource Identifier:
oclc - 642828894
ocn642828894
sobekcm - AA00006090_00030
System ID:
AA00006090:00030

Related Items

Preceded by:
Report of the Department of Sanitation of the Isthmian Canal Commission.

Full Text







































PAINAMA UAINAL


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-. FOR THE


MONTH OF MAY, 1915


CHAS. F. MASON

Lieut, Qolonel, Medical Corpq, United States Army
Chief Health Officer, Balboa Heights, Canal Zone




















WASHINGTON '

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S Pald Seco Leper 4sylum................. ............. .............
SSato Tomas ospital... .......... ............................
SDistrict Dispensaries --................--------......................
Sanitary division:
Canal Zone...... ............. ......................... ........
Panam.... ............................ .......... I...............
SColon..... ................ .......................................
Quarantine division:
Panama ............ ....-------.. ...............................
C Oolon.............................-...........;.....................
S Statistical tables:
ii..' ; Table I. Admission, deaths, and nonpffective rates for employees; deaths
of residents of Panama, Colon, and the Canal Zone.........
i. II. Deaths by age, color, and sex............................
III. Deaths by nationality..............................................
T ... IV. Deaths of white Americans.................................
V: Causes of deaths of employees.................................
VI. Causes of deaths of employees and civil population and places
Aw- Where chargeable............................................
VII. Admissions and deaths in the hospitals of the Panama Canal..
IIIn. Consolidated hospital report...................................
IX. Consolidated dispensary and admission report.................
X. Employees: Constantly sick and noneffective rates per 1,000...
XI. Employees: Days' treatment per admission, hospitals, and
quarters. ...................... ... .......................
I'. Financial statement..........................................
'IIXI. Anaon Hospital...............................................
;-; XIV. Colon HosPital ..................................-...........
io XS Palo Seo Leper Asylum.....................................
intono Tomas Hoipital............................... ......
VI. 8 anitary work .done in Canal Zone, Panama sad Coloni.......
:;:: XVIt Quarantine transactions....,....-.......-.....................
=XpI ;10X. of uinine. ,.......... ...............................
XX. : Personnereport..... .................. ................

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|:ias Lab.46aw rTlLlr SJW T V W UUkv hDV tj L aA U Ut U JLVLLV A *'StF Mf JV UW T. __ WW
tibns of the department of health for the month of May, 1915.
:i. ery respectfully,.
SWM-. F. MASON,
l:Chief Health Officer.
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I: GENERAL REMARKS.
No ases of yellow fever, smallpox, or plague have originated on
aor. were brought to the Isthmus during the month.
VITAL STATISTICS.
EMPLOYEES.
~. T: : he health of the employees remained good during the month.
:,,'The T slumberr of names on the rolls for the preceding month was
: h-'.o" total number of admissions to hospitals and quarters was 886,
f s rate of 307.28 per thousand, as compared with 282.02 for the pre-
e4ii month and 407.92 for the corresponding month of last year.
T:li;i i total number of deaths from all causes was 13; of these 7 died
i.om disease, or ..43 per thousand, as compared with 1.76 for the
$ipe': cding month and 5.74 for the corresponding month of last year.
:'-Aei. cstantly. noneffactive rate was 9.95, compared with 9.8,.
r~:i~i:~~; ding month and 11.6l for the corresponding month of
Sflwt:al missionn rate for malaria, hospitals and quarters, was
'"ii spared i.th 28.48 for last month, and the total noneffective
l ;cpiared, with: 0.95 for last month; each of- these rates
VthN fo' the same month last year. The diseases, next
-iicsa.g the highest admission rates,. in the order of their
.iiinits e, w-ere: Venereal diseaes, diseases of the
r t*a, nervous system, and nonyaereal diseases otthe
anea ''. These five clase of disease caused 50


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ii .-lJ pnumcpai causes o. aeamn anowng an increase as compare
wiit':;:i h April were: Pellagra, 2, as against none for the preceding
!' "onthi and pneumonia, 2, compared with 1 last month.
.::: hete were 65'birth@ reported, giving a rate of 26.59 per thou-
i!'i: send. The infant mortality wab 200 per thousand. The percent-
.: age of stillbirths to total births was 6.
.. HOSPITAL DIVISION.

ANCON HOEITAL.
il:. During the month the average number of patients constantly
Sin hospital was 460.25. The per capital cost of patients in hospital,
p.., roper, was $1.94 gross, and $0.897 net. The per capital cost of
: patients in the insane asylum was $0.465.
BOARD OF HEALTH LABORATORY.
S The following work in addition to routine was performed by the
B' Board of Health Laboratory during the month.
S::: T" :'he only work of an investigative nature completed iq May
1: was a study of tuberculosis in the inhabitants of the Panama
:' 0anal Zone, bearing chiefly on its incidence, duration, and type
of distribution in the negro race. A synopsis of the. findings
.:. follOw : ,
; A review of the pathological records at the Ancon Board of
i: healthth Laboratories covering the period of time beginning Decem-
ber 11, 1909, and ending May 6, 1915, reveals 452 protocols on
l'. ta cases of tuberculosis; 163 protocols in ,which tuberculosis
ii: a coincident factor and 88 specimens of surgical tissue which
: contain, ed a tuberculous process. Six of the individuals from
I who:::' the surgical specimens were taken were later included in
the autopsy lists.
:L,-< jThe percentage of fatal cases of tuberculosis in this study was
,: 4i$,l: while in the anatomical lists preceding this period of time
I~'i f epree ted by 8.20. In spite of the fact that variations in
!:i:te ;distribution of the zone population have favored the receipt
I .. or casee :t this laboratory during the.later period of time,
I i *e not explain the great increase in the number of cases here
:;il.e.. noted, for the hospital in the city of Panama has also shared
ii .li.. reeipt of these cases.
Iti w d appear that tuberculosis is increasing among the negroes
,iip hl K.chiefly among: those whose stay on the Isthmus has covered


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; r:1.IDet ttite statistics are shown in Table XIII.

COLON HOSPITAL.

I.. The average number ..of employees constantly sick was 21.66.
SThe average number of days' treatment per employee was 9.70.
The per capital cost of patients,was $2.70 gross and $1.88 net.
S Detailed statistics are shown in Table XIV.


PALO SECO LEPER ASYLUM.


The number of patients under treatment at the end of the month
'was 5), the same as for the preceding month. The per capital cost
:per patient was $0.83.
Detailed statistics are shown in Table XV.


SANTO TOMAS HOSPITAL.


SDuring the month a total of 1,381 patients was treated, 19 less
than for the preceding month. The daily average of patients in
hospital was 456, as compared with 462 for April, and the total
number of hospital days was 14,147, as compared with 13,860 for
the preceding month. Fifty-four deaths have occurred, with
tuberculosis, organic disease of the heart, and pneumonia the chief
causes in the order named.
SDetailed statistics are shown in Table XVI.

DISTRICT DISPENSARIES.


:::The dispensary having the highest admission rate
Swas Gatun, with an average weekly percentage of 0.16;


for malaria
that having -


i., ,. .he lowest was Culebra, with a percentage of 0.04.
:;,:Detailed statistics are shown in Table IX.

SSANITATION-CANAL ZONE.

: ,'The employees' malaria rate in the zone was the lowest in the
atry. of the canal, despite the establishment of the rainy season.
General sanitary conditions are good practically everywhere in
thei one except in the negro localities about Paraiso, viz: Rio
S::ra ide, lamilton Hill, Jamaica Town, and Spanish Town. These
;" places a occupied mainly by negroes employed by the dredging
tiy^vison, and as the dredging is apt to continue for a long time, and
i':: tie.town of La Boca has proved such a success, recommendation
i~ :has be ..n madu that a similar "silver" town be built near Paraiso,
S:.i d: b.t .'.neanitary places named be eliminated.






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m.iue I,. U. .ALLLUJaILuca g ufta uy uIL WUtr WUJli tp w u i U Lu m1.
:.The floor consisted of the concrete sidewalk and the water drained
i o:-~t the street storm, sewer, the water supply being obtained from
the fire plugs.
: Latrines.-The first three days pit closets were used. In the
:meantime flush tank closets were connected to fire plugs and the
sewage flushed.into the storm sewer, the house being built similar
to the bathhouse. The storm sewer does not extend to the dis-
- strict where the box tars are located and pit closets are in use, these
; being surrounded by zinc houses, and covered by box seats.
S Water supply.-The corner fire plugs were tapped and water
p pipe d to the tents and box cars.
...:. Policing of camp.-Dr. Baylis and nine hospital corps men
ij.from the Army have been in charge of policing the camp. Each
m i:an was: given a section of the camp over which he had entire
,: control, and authority to make arrests for sanitary nuisances.
;, special Foreman Braden and nine men have charge of the sanita-
tion. The closets are oiled daily and all sanitary defects remedied.
Dispenrary.-A dispensary was opened the first day and is still
inS: operation. Fortunately the camp has" been singularly free
l.ftm disease, no serious illness has occurred, and no illness what-
e:. ver due'to the condition of the camp itself.
"".Red Cross relief work.-Sixteen thousand rations were issued by
thb e Red Cross during the month under the direction of Dr. Hearne.
Employment, rooms, and help generally were obtained for many
dttitute families by the efforts of Mrs. Murphy, ofAncon. Besides
--p~iing rations the Red Cross has furnished -many destitute women
.ith laundry outfits, first payments on sewing machines, etc.
;:leaning up Colon.-The Panama Railroad extended tracks over
S burnt area and in three weeks had the debris hauled away and
steia. cleaned.. .
ai,'bre.ing.-There was considerable fly breeding over the
..t .& and 'flies were greatly increased for a short period.
rwe,, since the area has. been cleaned and sprayed with
ide~ th4e number of flies has greatly decreased.
SuitW: .eeding.-The number of adult anopheles mosquitoes
i.ithe number of breeding places found has increased oter
rof last month. This is.due to the change to the wet
The: hydraulic fill at Mount Hope caused the water to
-~ i the. ditches above the fill and consequently more
iplcs wer&efoind. Inspector Becker has taken, on 10
ig to kei the situation upder control. The increase in
n .be.nin proportiato. increased number of anopheles



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:' : red....... 29,
":. a Total... 34, "










p. A r., 6. 191.
'; "White ....... 4,










STotal. 34,
HinM, 1914.
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SWhite......... 7,
i; .,


S Color..... 40,



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!+,: White..., .... 7,1

'.. Colore.......2,.


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ABSOLUTE NiMBS.,


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Admissions to hos-
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350


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7,727


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342

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321

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329

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317
641

958


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235

333



253
419

672


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222

286


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7,523

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4,917 158.61
12,432 401.03

S17,349 559.64


PROPORTIONATE NUMBERS.'


.May, 1916.

White........ 4,922 394.96 307.19 87.77 4.88....... 4.88....... 19.29
olored..*'.... 29, 678 141.52 102.70 38.82 4.45 2.83 1.62 ....... 8.39

Total. 34,600 177.57 131.78 45.79 4.51 2.43 2.08 ....... 9.95

Apr.,m 196.

White4... 34,883 314.56 240.84 73.72 9.83 7.37 2.46 ....... 17.49
C0I61 ....... 29,242 135.01 96.44 38,57 1.64 .82 .82 ...... 8.57

Tot l... 34,125 160.70 117.10 43.60 2.81 1.76 1. 05 ....... 9.85

AMY, 1914.

S 7718 492.87 393.36 99.51 15.54 4.66 10.88 ....." 20.55
ToareL 40,321 190.77 14.70 66.07 8.63 5.95 2.68 ....... 9.94

S Total.,--. 48,039 289.30 167.86 71.44 9.74 5.74 4.00 ....... 11.65
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TOW4..I~j 96 210
Ap,, 195
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S.................... ................ 8 21 29
t a ..a 5....... .......................... ............ 5
n O is : c mn.................................... .......... 1

Ecuadr:-------------------------------- ------------ 1 1
Fi O: naar...a... ........................... ............ 1
. I ............................... ... ........... 1 1
Sna........................................ ----------------------------1 1 2
J Pmaeio...................................... 2 39 41............
, Nsa evis..Br.....-................................. ....... 1 1
itiguS...... ................N...................... 2 2
N e art.niqa e.............. .. ...... .... ..1 ... ............ 1
M ico......---------------....-....--- -........ ............ 1 1
P neaico.. ..... ..................................... 1 1
anMaxc ------------------------------------ ------------ 10
id panam .......................................... ............ 1 1

: Peanu........................................ ............ 2 2
T$. utd ........... .......... ................. .. .. .. .. ........ 1 1
Luca ------------------------------------- ------------ 2 2
-Trinidad----------------.................................... 1 1
United States................-..............-.............. 4 -4
Venezuela ................-.................. I............ 2 2
;/.".:Unknown------------------------------2 2
Unko wn ............................... .... ............ 2 2

Total..........-..-.---... ........... .... 13 202 215


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


S Number Annual
of deaths. average
;. f per 1,000.


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naa J1 T&P#Iu JJ~ .uw awunu uuv vtJau&u fJucuru 45zgQIJ/j
S. Disease......... .................. .............
external causes. .....................................
Scall ses. .........................." ......... ........
, 'Wlmte women and children from the United States (3,788):
Disease.................................................
Uxter: ~1~- icauses-- ---------------- ---------------
: r. A du eauses.......................................
lm auses ...............................................
l Ito employees and their families from the United States

?Y iUSS...................................................
MI ernIcauses........................................
Al..uses............................ .......
i:itai mber of Americans on the Canal Zone (14,217):

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A" V L'4JAUMSE O- DEATHS OF EMPLOYEES AND CIVIL POPU-
NATION AND PLACES WHERE BHARGEABLE-Continued.

Pan. Canal
Disease. Pa- Colon. Zone Total.
ama. Zon$.


r Diseases of the respiratory system.
l Acute bronchitis..................-..........; 7 2 ........ 9
S Chronic bronchitis......................... .... .......... 1 1...... 1
:' Briochoji aeumonia........................... 15 1 1 17
P aemoiia (unqualified)..................... 5 ........ .. 5
Lobar pneumonia.............. .... ... 2 .... 3
Diseases of the digestive system.
Chronic gastritis.............................. ........ 1 ........ I
Acute indigestion............................. 1 ................ 1
Diarrhea and enteritis (under 2 years).,........ 32 3 1 36
Colitis....................................... 1 ........ 1 2
Diarrhea and enteritis (2 years and over).............. 1 ....... 1
Colitis............................. I .... ... 1 ...... ......... 1
Aeute appendicitis ............................ ........ 1 1 2
Intstinsal obstruction..................................... ...... ..... 1 1
Abscess of liver (unqualified).................... I 1 .... 2
1Zsvenhreao diseases of the genito-urinary system
and annea.
S Acute nephritis............................... 3 ........ 1 4
Bright's disease (chronic nephritis)............ 2 6 1 9
Calculi of the urinary passages.. .............. ........ ........ 1
Cystitis...................................... ........ 1 ........
S Oter diseases of the uterus.................... ................. 1 1
Salpingitis and other diseases of the female geni-
talorgans................................... 1 1 ........ 2
SThe puerperal state.
Puerperal septicaemia......................... 2 1 ........ 3
Eclamsia.................... ........................... 1....... 1
Diseases of the skin and of the cellular tissue.
Furuncle................................................ ......... ...............1

Diseases of the bones and of the organs of
locomotion.
Mastoid abscess............................. 1 ................ 1
Osteomyelitis.......................................... ....... 1 1
Malformations.
Congenital malformations (stillbirth not in-
eluded)......... ........ .................. .............. ........ 1
Diseases of early infancy.
Premature birth..................................... 2 2, 4
Congenital debility ............................ 4 4 3 11
S Malnutrition................................. 1 1 2 4
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II.


/


LI. .4
i ""." "".












uii
hi. '.ii;r





1p ......












71J
Id I
:.i:4i:: .'.









Id "4

IP V g

Vi;; :."



: .: .. .... : .



; ':! : ', *:. .
"" '" E I :



"i:, i..t; .. :? .. "
":E:: .. ::::..': ::." .:" : "; : ..
: :~ ~ ~ ~~~~~; :.:., I..::. ;.: ...


" '




k ny
vL

TAU VI.T**~k8AW~i4 -m
Am U1010t4

KdbwmDets.Amiinik








General afw-.-
T ~ o d k ~ r... .. .. ... .-...
3a m i .. .. ..... ..... .
MA~arii
Estvont mn l ..... 8 9 9_ -- --- 0 1 --- -
Tertan 3 .2 --- --- ---.......
.. .. f
Min m]--------- 4
.. .. .. 1.. -- -
Me sls -- -- --- .. .. 1
W h o iig co g L .. -- -






















:i:


Total.


Employees.



Admis- Deaths.
sons .


idil;
iii'
;:;:
'I


;iI
I

;
ii
i;



I :. ; ;


;:


Colon Vokpital.
onuo pv.L


Employees. Nonemployees.



at- Deaths. S- Deaths.
gipan. sgans.


W. -W. W. W.





P4 A





11...... ...
.. ... ... ... .. ... ... ... ... ... ...

S2 1 8-. ....... 1 1 3 ...--..
3 -'
3 32-2--.-....--... --- --- --- ---
... ... ..... ... .. 3..........

2 -- -1...-... -..
--- --- --- --- .- ---... '..- ... ... .-..



......... .. ... ... .
I.. '. '.. .... ... .." 1 ..- ... ...







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















----- ------*-------
... .. ... ... ... ...... ... ... ..---








S-.. ... ..... .. ..... ... ... ...



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


f *;***--- ---*--.*- -- *-*- -*


S 4... .. ... .. .. ... ...




.. Transferred to

...I'... .. :,
....... ... ,.:i ",.. .
i !:;,:.:., ..: ,


1 ...


Nonemployees.



Ad~njs- Deaths.
11ons.



W. W.


21...
...j...


Ancon Hospital,


10
.1
.--4
4



4


1

.1

n--.


iii:::


Qi

YI~


I


; ;


* : i






|5, ;fml

X
mr


Cae n thrninn


tmwso Ob
an f rm o
.. .. ..|-- -. ... .
Oto !r (uoso
thm wl altlogn
wItd ----------- .... ....
qbakremtI n

















:9. O .. .. '


P*-
......f .D eaths.










II I
S.... 1.
i. .


ospital.


Nonemployees.


Admi- Deaths.
sons.


i I:...E E


w.


Total.


Employees.


Admis- Deaths.
siops. ,Deaths


w.


ii:::


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




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





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

a. ..

., ... 1 ... ... ... .. 2 ...
*: :lp i1
S" :"" .- 1 ... ... .. 2
:.... t .. .. ... ..,i ... .. ... .. ..



I :i' .'- "' : .."

" : : .


7-4
W.



L W
I 0


Nonemployees.


Admis- Deaths.
sons. Dat


w.


il..:


w.






O 0 A
$


i:::


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


'I


,
,i

L;; r ';

; ;
i


si~





I..
Fe.



Z~1*


A


W:


:: ::... 1


10 1.. ..
I2 ... ...


** ..








all...












M -11W








'M0O 0/tj di"

... ..... .sk









il




4its
























1i Adi:"- .Det Admis-














r': ..
i






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













... ... ... ... ... ... ... ...
"O '"

1..



... ... ... ... ...
hp...


I .



g- --' --
. ... ... ..... ...














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








. ... 2.,. ....
1-..

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




9i "
iik. .



K .. .




..I..








Vi.
::q'A = .




:g!:';' : : I

i:o ;" '. Kr. K = .i :
r It


aths.



r.


I:::


&AOI: Deaths.
. slo s. I


I -
SW-


Ii


Deaths.


Admis-
sions.


2 ---


"1." i
II...


----1 I


W.


I..1 .


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


t.l 3


.21:::- "1 : :1:::- '-


*I






`- i
0100
Ti
4'

'o h f*
!hW fte (" ~
li mt~ ad
DIfteP~y -" I ... -
.I. .. .i. .. .
2 -- 4I





-P !
-- -- --... .
















Ot hospital.


a$ployees. Nonemployees.

A
Adus nAdmis- T A
Deaths. Deaths.
41l. sions. s


W. 'W. W.





.:
...s .-. ..





... ... ... ... ... ... ... ... ... .. ...
*, 5
i.






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

.. ..... ...


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








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




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

.. ... 1............. ... ........
-S-






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


.. I
S. .. 1







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


Y:
i I







W. ... .
... ..2. i "' ".


Total.


Employees. Nonemployees.


d I Deaths. Admis- IDeaths.
ions. sions.


r.




I*4
M p


W.





0~


i~IiiiIii~


W.


- l:iEEE l E I


,
.



.
.


W.


... 1 3
... ... 1


1"i






466

019!

V ,4z itil
Ar|
77; t







..... .... ..








Cyt mdoe =4t of

I -- -- --
OM otb di*-
*legen-
Qi6 b~wt ( lm_




















N. employees.


Employees.


o.Adms- I. Et.hs Aia I Deaths.
8suBs. sions.


Nonemployees.


Admis-
sions.


Deaths.


."..--* -----W 4------I II -- -


.c


ca 0


I F
.. ... ... ... ... 3 3 ..... .. ,

. .<. .. ...... ... 1... ... ... .
. ... ... ... ... ... .. 1. .. ,




.. ij: .:. .. ; .:; .. ,... .. I ...... .



7W'*E:"::" .:... ... .. .. .. .. 'k

p:i *" : ': ." I-" 'i :"
E .*h :.. .1 ... ..
;: ,t.". '.: *';':: :" :" ." .

.: i


". 1...

. 2 ...


\ .


*I










- 1.


w.






ma 0
,o.. =
CO


W.


t. .


I.. .. "...
i


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


a \


if


I .
34'*'


w.






S 0
ti*

pb


A!


--


:;r-i


::"i


rl-lIIl-Il II~~I~II--II
I-lllrlllll-~ll~ll.111111~111111
'rllllllIII~lIIl llrllIIIl


JI.~.I:..


r.






a)






tini


Ir 7


C Dia fI mnS4d
Db bf tp ... ... ... ... ... .
Ul f h A n------I -- ----------
..... ...
Coatgwi a .... ... ..... ... ......
lvgrwmg afi __; .. .... .. ... ... ... ......

Otbr isem f te l|


andane .... -----|

Mass of e bna ad o
Me O~aw f laC
Dk~me of te boA
bwclws xcptd).... ...... ..
Ita~ dabeft -..- -. _.,_..- L. ...... .--- --
Osteo ywits ........ 7
--- -- --- --
Peis a --- --- ,_ 1 1..
.. .. .... .


pumofwl iml





















* MIN Deaths.
' *' ~: f : __


..






*tI Im
-I ---


Admis- n aths. Admis-
sions. iI8108.


W.






mO 0


11-I-I ----I- .=--


Deaths.


Admis- Deaths.
sions.


- I. I *-. -*----I I


w.


j


W.



O !


< M


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




S... ... ...... ...
-- ... .
i. .. ...
,. 1 a:.*: A : 9


w .








31... ......


. ...
. ...


. .'..
2 ...


r.. -


w.

I


w.


2 -...1--


I .


- -


...... 1

o.- ... ...


'.. "2 .'..
... ... 1


... ... 2|
I.]:
.I-


i.,i




P 17


hip


? MOUS,

V-1

















Affatimi produr by oztft,..
=1 tat -Conth""O.
Absorption of delotiwious

Trau3u*Wm by, eutting or
PIMIA U.. 4 .... .... ....
T
Tm wmbymawftes_ ---- ------ ----
Traumatism, byother crush-
-ngo
4sfides, etc.) ........... I_ -1 -- ---- -------
... .... ....
Tramftadm by lan" des -- ---- ---- ---- -- ---
Praclares (MI4 not M)mq-
2
............
Other exteniol v"agoe, 10 7 44 .
Pk&fifid Asivlsa.
Waetiow, of ut&terminod
I -----------
Wo dhwwo- ................ .... .
-- ---------
F4jped diwme --------- ------------ -- ...... ...
Total-,,. '93 281 0



















...



-* sio"w.










1. B.






;-i



:; ::1 -


"u4u1U.


SColon hospitAl.


ployees.


*18-
i.


Deaths.


W.





4 )
-pdp


Nonemployeel.


Adcius- a
Admis- Deaths.
sons.


W.


I 1 1


' Total.


Employees.


Admis-
sions.


w.

j


.'. C:


2 ...


Deaths.


W.



.S
aaoc
H W


111111


Nonemployees.


Deaths.



W.


Admis-
sions.


W.I


-... ...|... ... .. ... ... ... ... ... ... 1 1 ... ... ... ... ... 1 1 ... ... 1

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

: 12 7 69 0 1 01 16 23 33 0 1 3105 57350 0 1 7207172165 2 5 18
011233,01-..
hZ. ...':


i.: .


It.
;i;:... l. I/* < ;
.... ...
.!#: i ::" E


I


W.



I W


.. ... .. ...
." .I .I I_. _'


111111


, j8






Ld




n4 MIA




room* Is, I?$




MAMMmRSO,
AM-fk Torl Mill, 04
65 28 a 0"
O"44--s-4A 6 2 in v



J 10'
...........
Pay ...... 13 162'
2 1 2 -3,
4 50
TOW.. ............... 23 2* 3
Gzand toud ............... 107 47 5M lot 03,
77
ragamus rAwai emplay4o ------- g oil ... ..
ohmic w0a.
..........
MOM UOWMLU
OWL_ 4 11 "4
""l'UNCS 4
Panama 2 a
Othorpv *'Ubn%& ............. 4 3, 18 0 12,
Cha* ftS 7 1 4,
Irota ...............
=44=5
7177
77
P
................ 116


OR.A." Tazi4AO
r
gtg
'Pa
'004f All
*'.J
I Lot 11-AN, I
idol





All
Al A






















....... ...........
W MOON HOSPITAL.

Pam pCanal employ-


po .eesi...............
P,.a. Pa pay patients. .
SOther pay patients......
Cfsrity patients.....;.
t Total...-.,......

Imsaae department.

Panama Canal employ-
s I.....................

po1.. pioe...............
Panama Railroad em-

Panama pay patients'..
Other pay patients....
Charity patients.......
S Total. ...........

SGrand total.....

Cbrozal Warm.

i.Panamai Canal employ-
elas....................

Chronic ward.

VIpbarity patients........
COLON HOSPITAL.

i~iiftn Canal employ-
Railroad aem-

ma pay patients...
i..,o, pay atielt ......
pstien ts........

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

LplafQ eECO LEPER

"618i A ... ."".
I; e t. patieltsk.. .
i....#,/: ..
1,.


27.26

'3.19

96.32
5.42


19.68

1.45

32. 35
.97


155.23

59.42
1.00
26.64
31.32


202 17

64.06
1.00
155.31
37.71


324109393 3 1 2135 47276132.19 54.45273.61460.25



S ...... 5 11...... 5.35 10.74 16.09

... ... ... ..4 ... ..... .. 2...... .. 2.00 2.00
... ... 2... ... ... 13160..... 13.00160.61173.61
... ... ... ... ... 5 1 2 3.35 1.00 2.00 6.35
S1... ... 1 4 3 49 4.00 3.00 49.74 56.74

...... 3... 1 2 9 22224 7.35 22.35225.09254.79

324109396 3 2 4144 6500139.54 76.80 498.70715.04



... ... ... ... ... ... ... 9 43..... 9.00 42.74 51.74


... .. 3 .... .. .. .. 27....... ...... 27.13 27.13



10 5 29 2 2 4 1... 11 2.03 1.32 11.03 14.38

2 1 17 1 1 16 1 7 .32 .45 6.51 7.28
.. 1 4 2 4 15...... 1 .09 .54 .80 1.43
14 12 6 1 2 7 9 2 1 4.83 3.70 2.32 10.85
2 1 5 1... 4 1... 1 .61 .22 .80 1.63

28 61 7 9 46 12 3 21 7.881 6.23 21.46 35.57



........ 330...... 3.00 30.00 33.00
... ... ... ... ... 216.... 200 16.00 18.00

.. 5 46..... 46.00 51.00


, 4<,,," : .,, S-" : '
.. .. :. : "



...........

,i:.: .; ; ,
;i l : ~ '} ., .". ... ..
l :..: .E:. '" ";. i ~ p ... .. :.. : .
i:':" 'i~~''' '..:. :>:.L ::: ...:l :.


'f
111




7 m



--4;
F1a
ia
ON +
2 4
7*13 4 1 w 6
m WOV
9k
Nube o elo-e rminnginh~~iam.
mwt ...........m... ..... ....
C'0MV& ......... 4 ..........
T ota --- ---- --- ------ .... ... ... ...
TABI IMCONSIDA~b DSPH"Ri
Rum-Y~sTvFAD i Qu~nzi
Emplars tra~edin qyisxt
Ad-, Dig
'n mted bwod ~ Ld
Ma a
CI
a, -.C ,J










l 'YxS IX,-CO-NSOrdDATED DISPlNSARY REPORT-Continued.
ii.' :'I~ OE TREATED IN QUARTERS, AND ALL CASES TREATED BUT NOT
ZEXCUSED-Continued.


All cases treated but not excused.
p:'. .'* -- -:--..-------------

Employees. Nonemployees. W Total.

W C. nTotal W I C Tntonl WI C. Tntal


Nos Island...
AMoon--.....-
* Balboa........
Caral...-..-.
Pedro Miguel..
Paraiso..-..-..--
Gamboa......
Gatun...-....
Colo .........
Total....


158 1,195 1,353
1,940 3,660 5,600
3,210 3,645 6,855
1,408 1,611 3,019
584 995 1,579
625 1,810 2,435
63 145 208
755 946 1,701
650 1,656 2,306

9,393 15,663 25,056


1,383
499
1,189
621
449
31
935
634


5,741


1,944
319
' 224
222
546
377
495
763


4,890


3,327
818
1,413
843
995
408
1,430
1,397


1.


158
3,323"
3,709
2, 597
1,205
1,074
94
1,690
1,284


1,195
5,604
3,964
1,835
1,217
2,356
522
1,441
2,419


II- ~ I Fl- l- -l I- --


10,631


15,134


20, 553


1,353
8,927
7,673
4,432
2,422
3,430
616
3,131
3,703


35,687


CONSOLIDATED ADMISSION REPORT.

White. Colored.. Total.


Total admissions to hospitals, excluding Corozal
Farm and&chronic ward ........................ 541 515 1,056
Total admissions of employees to quarters......... 329 103 432
Total..................................... 870 618 1,488
Les number of patients transferred between hos-
pitals and- from quarters to hospitals whose ad-
missions are duplicated in above figures ......... 32 68 100,

Net admissions to hospitals and quarters.... 838 550 1,388
Net admissions of employees to hospitals and quar-
ters........ ............-....................... 473 413 886
Annual average per thousand of admissions of em-
ployees .to hospitals and quarters................ 1,153.19 166.99 307.28

CONTAGIOUS AND INFECTIOUS DISEASES REPORTED.


Diseases. Panama. Colon. anal Total.
; Z one.


Felees.... .......................... 2 2 13 44
.yphoid fever......................... ..... 1 .......... 1
annual average per 1,000............ .......... 0. 4 ..................
: ump................................ ..........13 7 20
enpox _.2.Y or )........ ;' ......... 4. 2
............................ 2 .......... .......... 2
iph -.................. ............. ........ 5 1 6
Al*arialMW er.......................... .......... 24 75 103
Vcberotosia (any organ).............. 3 4 15 22
Scogh...................... 2 1 3 6
................................ .......... 1 .......... 1
.. ........... ......... .. 1..



I A ,
...

..'..


ti
h.
?;,, -.

K,. "..


i..: .


" I~ I"~"




l4P






i tl

















.elia th office -........ ............
"- i Oie-ospitad........................
;... ard of Health Laboratory I......
SCorozal Farm'......................
"hro t~ ward.......................
C'd on o Hospital.......................
P:o' ISew Leper Asylum...............
t A atoomas Hospital....................
SMedical storehouse....................
S/ BTota ................................
DIstict dentists.. ............................
Dspensaries:
Naos Island..:..._-...................-
albo.......................... ..........
Tivoli..................................
Pedro iguelal. ........... .......
: Pedro Miguel............................
Paraiso...........- ..-........-..........
Oulebra.............................
S Emipire. .............................
Geamboa.................................
a: -tun.......-......-......... .......
Cristobal..............................
Porto Bello........ ................
Margarita Point........................
Toro Point...... ............. ......
Total..........................


April, 1915. March, 1915. April, 1914.
4I .


5570.88.
26,514.68
S1,412.42
3 494.14
219.71
3,551.01
1,828.97
909.18
863.92


S484.01
29,055.31
3,022.10
237.57
3,539.03
2,044.54
629.49
795.22


$2,272.67
39,343.18
............
2,050. 32
232.00
2,124.00
1,182.40
924.00
610,98


38,794.03 39,323.26 46,466.88
'5.88 15.88 ............
124.43 94.39 247.80
933.23 1,076.85. 954.48
............ ............ 742.79
648.96 825.14 727.76
476.86 496.78 407.79
535.88 596.18 595.45
134.51 ............. 745.41
............ ........... 902.87
142.77 138.78 121.45
596.43 551.98 922.16
........................ 987.20
........... ............ .288.59
........................ 109.11
18.20 ............ 242.42
3,617.15 3,795.98 7,995.28


Sanitary division:
S General inspector .............. ...... 50.00 ............ 314.92
Healthoffice, Panama................... 2,959.66 2,908.43 3,275.28
Street cleaning.................... 4, 273.73 4,301.94 4,132.73
Health offioe,.Colon.................. 1 439.21 1,717.07 1,513.69
Street cleaning.............. ... 1,903.5 2,020.39 2,014.65
Zone sanitation-
Anon............................... 757.84 849.36 1,195.98
'Balboa............... ............ 617.47 643.81 1,128.53
; .;.Coroal............................... 1,315.70 900.66 1,320.11
SPedro Miguel............ .... ...... 1,989.80 696.32 2,752.30
Paraiso.............. ........ ;......................... 756.18 1,446.92
r Culebra........................ 357.70 315.45 955.24
', Empire.... 2,019.47
n-Empire.................. ............ ............ 2,019.47
S Frjoles........................... 99.77 111.50 119.30
Giat n Ga ... ....................... 1,165.01 899.31 2,233.23
*.istobal and Mount Hope.......... 1,522.40 1,036.25 2,732.87
R6Toro Point....................... ........................ 62.50
PortoBell...................... .................. 236.33
'' Total....... ... .... ....... 18,451.84 17,156.67 27,454.05

1'mI iie cost of the insane asylum formerly charged to Ancon Hospital is now
ihi aded Z i fires for Corozal Farm.
S )rofi d of Health Laboratory now shown as separate item formerly included
1iefA Smen Hospital fgires.
rNOi Aplr 1, 1915, last available figures.


4:," .. ..: -A.


34W .16 .... .
H m
4H:" mmm~ -




44k
4i i
a4
T~wx
'#6
chm
Aibo .1
6, PAM -
20i
---- ----- ... .... 4,7 7.?
It, A
Mi elh o~t, .. 70 4 o
11sitldviia-------- 3',7403 0
3 1- 4370i6
dliso .....---- 1 46-4 w
in i ~ --- -- --- -- -- 4 .2 w
rwr dt~o --------- qpIM 14 65IMi6
Contru ionAndh~ar t bul~np ....... ..... 0 -6

nube
tretmd
WM.Bwk ttL'















.' : -. Ameri- Other
Total. Ameri- Other Black.
Scan. white.

S The hospital.
Cleass--
Paniama Canal employees...... 6, 267 845 610 4,812
Panama Railroad employees.... 1, 986 99 45 1,842
S Panama Government pay cases. 31 .................... 31
Other pay cases................ 4,815 2,986 1,003 826
'; Charity cases................... 1,169 168 30 971
STotal......................... 14, 268 4,098 1,688 8,482
The asylum:
Panama Canal employeds.-.......... 499 .......... 166 333,,
Panama Raikrad employees....... 62 .................... 62
Panama Government pay cases..... 5,382 .......... 403 4,979
; Other pay cases.................... 197 104 31 62
Charity cases....----............... 1,759 124 93 1,542


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


Grand total............-........


7,899 228 693 6,978
22,167 j 4,326 2,381 15,460


olies-.......-........................ 2,292 2,292 ----... ..-- ...
Chroni-------.... --......... ......----.. 841 ............. 841
Corozal Farm.....--.--..................... 1,604 ......... 279 1,325

Average cost of subsistence per patient per day, $0.24714.
WARD LABORATORY REPORT.
Blood examinations (total number)......-....-- ....-----... ........... .... 792
Estivbautumnal...............-........................................ 77
M ised.,................................ .............. .... ......... 1
*. Quartan ................. .............................................. 3
Tertian........................................ ........... ............. 23
Differentialtcounts ................................................... .. 61
Memoglobein estimations....-..---------................................ 70
Lui iye counts .....%-------------------- -----------9
S' LLeuo~yLte counts......... ..... ......................................... 95
S.. blood counts......................- ................................ 2
: Stool "ain nations (total number)......................................... 391
Ameba-.............................................................. 4
'Asaris lumbroicoides .................................................. 6
Balantidium coli.....--..... ................................ .... 3
S Cercomonas intestinalis-................................................ 1
S Ciliated monads....................................................... 19
Entameba (hystolytica and tetragena).......------------..-.....-...... 3
9 Guaiac tests..- ....;....-........................................... 15
S Pus and blood........----. ....... ........................................ 93
cv Strongl-------------------------------------------------- 2
Ht ongldides........................................... ............... 21
Tricooephals dispar............................................... 36
U* neiaria (ova)....." ...................-......-................... 44

i ............ ....... ..................... ............. ...... 2
.... -.... (.. ...-................ .............. ..... ................ ... 364
S~ : .'.................- ... -.............................................. 134
t .. .. .. ... ....................................... ............. 130
.... :.r als.. .. ............... ................................... .... 1
m----t.------------------------------
Ueknreti--------------- ------------- -1
J i sd6 .d......... .......................................-- 470
/ S: ()e,: 4,;megative, .).......... ............................... 28
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4i : y..: ;. ..... ........................ ......
rsid: .uboUu ;; ..i ........ ..... ............... ......
ii M to ly...........................................
.a Xtpldetomy: I
i c io ........ ........................... ..........
Sin a.i ....,......................... ...........
visoetion, eye.. ...........................................
:Pe um transplanation:
S Double ..................................................
Hitor Ojerations:
Eye. ..... ....... ...... .......... ..... ... ... .... ...
Ear................... ................................
S Throat.................................................

Total....-...-.......--...-.............................
Refractions ...................................................


Number. Died.

8 .........
1 ..........
8 .........


15
6
7

51
111


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

1
...... ....


OUT-PATIENT DEPARTMENT.

ce,. Total New Pay Prescrip-
ib. visits. cases. cases, tions.

Medical clinic............................. 316 200 72 290
S Surgical clinic.......................... 282 195 65 73
S ye and ear................. ........ 610 216 28 244
5 Total............................. 1,208 611 165 607
'-.---r-
REPORT OF VAccINATIONs.
Adults vaccinated..................... ..................................... 110
"Tates"................. ................ ..................... 53
There were no school children vaccinated during the month.
,. REPORT OF BOARD OF HEALTH LABORATORY.
Bacteriological examinations of- Chemical analysis of-Continued:
S Blood cultures....--......-...- 9 Bearing metal................... 1
Throat cultures............... 19 _Beverage.................... 1
S, rines........... .............. 33 Specimens for opium, cocaine,
: Stools......----.............. 25 and their derivatives ........ 4
: Autopsies ................ .... 6 Surgical tissues and neoplasms re-
Pathological fluids, exudats... 11 ported......................... 22
:/: Sputum......................18 Autopsies performed ................ 16
Wassermann reactions............. 289 Animals examined and under obser-
i Preparation of salvarsanized serum vation-...........-..--........... 4
I: for Intraspinous treatment........ 2 Pathological tissues prepared, paraf-
LA gnous vaccines prepared...... 3 fin........... .....-........... 171
'* ntjityphoid vaccination .......... 1
At VlaCeU6points manufactured..... 2,836 'Rats examined:
:i:~alcal analysis of- Mus musculus.................. 206
hospital dairy milk........... 1 Mus norvegicus:.............. 286
: ilk from private dairies sup- Mus alexandrinus.............. 11
S plying .cities of Panama and Mus rattus..................... 167
C. colon................... 6
SMother' milk.................. 5 670
*t:m::' t h contents........... 1
Urin;s".... ..... ......... 7 Bodies embalmed................. 3
Gasot................ .. 2 Cremations......................... 13
:;i rolsne..... ................ 2 Interments........................ 10
't os topsieg ha beenheld over pending result of Wassermann test i one
fit chemical examination of stomach contents in the other.


..........

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t "o lem"jnation'....................... ................................... 2
... n .. ..... .................................... ............ .. ........... .
St:on.G.f..cte c ts......... *. .... -...- .-.- .............-. 6
S;: i'Ab!tmin.. s. ... ..... ......... ....................................... 1
l itiestaial parasites 4
Casti .................................................................. 30
gar.. ....for .e ...al...... parasite......................................... 2
Pt. s and blood. ........................ ................................... 10
a e-- -- .am.tions...- ....................................................... 530

S di~sarge...................................................................
ptu am n atboo s..... ..............----------------------.-----.---- 5
Negative for. tubercle bacilli......------.-----..--..............--..-----.5
*C~B------------------------------------------------3
PE ye d ns charge ...---..--.------... ---...---------.----... --.. ------------- 1

SNegative for gonocooci......................-............................ 1

: STURGICAL OPERATIONS.
Ai Amputations:
SDigits, multiple--...... ......... .... ................... ........... ........ 2
Leg ... .................................... ............................... I
Adenectomy:
T pguinal, single---...........-.-. --.... ... -..--------. -.............-.- 1
Genito-urinary tract:
SCystatomy ....-............................ .......................... 1
SUrethrotomy, external .................................-................ 1
S Curetage uteri..................................... -...... ................ 1
|; Obstetrical:
SHigh forceps.. ---...... ........ ................ ......................-- .. 1
Low forceps----....-................................................----- 2
Perineorrhaphy .........................---.................. ........--.. 1
General:
Excision of surface neoplasma ......................-..-................. 1
SPlastic operation for severe injuries.......-----------................ ..... 5
Laparotomy:
Apendectomy......................... .................... ......... 2
Cholecystostomy....................................................... 1
SSupravginal hysteroetomy............................-------------------------------................. 1
UMinor operations, various------------... -----.------------------........ 21
S' M oroperatio a, vsuiou................................................ 21

TABLE XV.-PALO SECO LEPER ASYLUM.
S' NATIONALITY o PATIENTS.


Number treated. Americans. Others.
Class.
;White. Black. White. Black. White. Black.

SPanama canal employees.......... ........... ........ ........ .................
S Paama Railroad employees. -......... ........ ........ ........ ........ .......
: ycases-................... 3 30 ....-.. ........ 3 3 30
-:OCharit case....-............ 2 16 ........ ....... 2 16
S Total................ 5 46 ............ 5 46

; "o o f subsistenceper patient per day, $0.27.







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w. ...er mn .f mental ..at.o. 1
e t orhrn io .... .....-...................... .............. 1



O:t'tr :' diseases of the nervous system.. ,J" 6
S.the eyes and .teir......................................... 3
I t.adiseas of ithe heart. ............................................. 20
othe. e v Toav le .h... rrh.......... bi......................----..... 1
h.lird sga es o f th e theervous syst eurysmem, et.. ............................... 6
tha eyes and thleir~annexa;.......................................... 3
fta of the heart.................................................. 20
of the arteries, atheroma, aneurysm, etc ............................. 2
. D s of the veis (varices, hemorrhoids, phlebitis etc.)................. 9
:eesf t the lymphatic system (lymphangitis, etc.) ................., ..... 1
Hmorrhwa e; other diseases of the circulatory system......................... 3
sese s of the nasal fosse.................................................... 1
:i..:' Dies of the larynx.............................................. .......... 2
Chronic bronchitis .......................................................... 20
Broucihtpne inonia......-....... ........................................... 5
:. Pneumoni (tunqualified)--......------............................................------- 9
Pleurisy ...... ........ ................ .... .....................
;'. Asthma. ............... ....... .............. ......................... .....
Diseases of the mouth and annexa ..-......-...-..--...-....................- 3
V Diseases of the pharynx----------------------8.
| Diseases of the pharynx-..... ............................................ .. 8
S Diseases of the stomach (cancer excepted)... .....-......... ............. 3
Diarrhea and enteritis (2 years and over).................................. 35
Ankylostomiasis......................................... ................... 13
Intestine l arasites.........................-................................. 2
SAppendicit and typhlitis................-..--.....-------...... ........-..-. 5
Her~ia, intestinal obstructions...-- .............--..--. ......--....-.......... 10
Diseases of the intestines .................................. ................... 29
Cirrhosis ofthe liver.......... ..... .................. L.... ........... 3
Other diseases of the liver................................................ 4
S impile peritonitis (nonpuerperal) .... ..........- ......--..---..-...-...... 1
Actte nephritis........-:....................-...............--............... 11
hiseAses of the'bladder................................ ...................... 5
Diseases of the urethra, urinary abscess, etc.................................... 15
Ssease oftheprstate ..............................-.......... ................ 2
S Nonvenerel diseases of the male enital organs....... ...................-. 13
Uterine hemorrhage (nonpu era)..........................................
I:, Uterine tumor (noncancerous)................................................ 2
I Othet diseases of the uterus.... ............................................. 14
Balpingitis and other diseases ofthe female genital organs..................... 11
N~ laor------------------ --------------------------9
gNofrma labor..................................................................w- --- ... 92
; Acidknts of pregnany-.........-------......................... ............... 21
i:: Other.aceidentsof labor ................................. .............-... 1
.0. Pueretal septicemia................... ..................................... 8
ii i anle.................................................................... 6
4. cate abscess............................................................... 18
;Otho diseases of the skin and annexa.................. ............. 24
:.ises of the joints (tuberculosis and rheumatism excepted) .........- ..... 3
; her d4 of the organs of locomotion..--.......---.....------................... 3
;n:alformations (stillbirth not included ......-..................... 1
Sl t-bO child............................................................. 84
.l.debility. icteras and solerema ......... ...................... 6
a frearms.... ........ ....................................---- 14
by optting orIierningtstruments............................... 2
( taii .s not 's ed ................. ............ 15
1@ c .. I.... ........... ..................... ............ 22

S .. .... ... ...... .................................. 910







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; Number of permits granted for repairs to old bildings............... 54
S Total number'of permits granted ................ ................ 65
Number of buildings condemned ................................... 17
Nmnimber of buildings demolished ..................................... 3
See 01cleanig:
i: Aveag6'number of square yards cleaned daily........................ 600,000
Av. average number of square yards street sprinkled daily..............' 90,000
Number private properties cleaned during month.......- ..-..... 5
Number of notices served and nuisances abated................... 330
: Vaccinations:
S Nmtiber of vaccinations during month ............................ 2,593
; Total number of vaccinations since Apnl 1, 1914 ...................... 19,086

I! WORK REPORT FOR COLON, CEISTOBAL, AND MOUNT HOPE.
[Health office, Cristobal, May 31, 1915.]
I.:.on ge eral, Colon:
.. Sqaryards street cleaned....--..........-......................... 3,888,434
C' bic feet fumigated .. ---............................. 2,688
i. q ialr' yards alley I intained ......-'...,........-..........-..- 678,700
o' tti er of pri vte properties cleaned.....--.....--..-.......--.. 65
orof rts klled..- .......................................... .. 284
yr: d i garbage handled.. ............ 444
O f sgarbag (3,268 cubic yard ) .. .... ...............-..-..... 67,416
Sin ya a ditae .santa ned................. ........-- 2,970.
S*Parway sad E Steet maintained.
i':.: 'a "Ailedu ...... ............................ 32,370
i of p ted ............-............ 1....... 2,850
:tiu bera ra te, ..... -.. .-.......................... 23,70
.i. er ;es d tYedp .... ................. 66
2bf p: .. ., .dest roed.. ................... ...- 85
: ." ". .':' .' .. .. ... .... .. .....". .. .... 2 2 4
..'" "'.. "". "." ......." ....... ...... 16 4


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and
andf~


;'raft. .................. -..................-...... 2,947
of persons sailing for coast towns on small launches
craft.......................... ............ --........... 1,649
rsase for month from coast towns...................... 1,298
rense for month from foreign ports:
rAnv e GaA QdQ


- teraengoKiarease)------------------------------ 539

Eabd'er of immigrants recommended for deportation ............... 46
tuber of bills of health issued or visded........................... 198
T"i)I nwdber of persons landed............--..-..-..--..---.- 6,518
Les number for Pacifc ports............-- ..........-......... 124
68,394
Total numle of persons sailing............................... 5,630
Total apparent increase for month ...............................


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From- Cabin. Steerage.


Europe................................................. 22 9
lnitta States........-............-........... ........... t,002 492
Jiflaea and West Indies. .............. ............... 73 321
Vanezuela .--......----------------........ .....--.. .. ---..-- 5 7
Golombla....................................- ......--...-.- 93 113
Cuba..........................-.............................. 44 19
Guatemala ............................... .................. 0 31
Cota Rica.............................-..-................... 131 89
B as del Toro.............-................................ 76 438
oast towns....,.-.......................................... 0 202
1,446 1,721

.......... 3,167


"... Men ................... .................................................... 2,260
Woiren....... ............................................................. .... 454
S Children..... ............................................................. 251
nlassified.............-.......... ................... ....................... 202

Total.....----........--------------------..............--------------..................----------................ 3,167
QUARANTINE-BOCAS DEL TORO.
1) umber of vessels inspected and passed..................................... 14
:m" Nmwber of crew inspected and passed...-.........................- ....... 1,139
N u' e ir fpassengerainspectedand passed.......--..-.-.--...........- -.- 190
i Number of passeng in transit inspected and passed..................... 149
SNunmbt of persons held to complete period of incqbstion of plague......... 2
o quarantinable disease has appeared in this port, and the health conditions of
the port an surrounding territory are good.
: ; TABaL XIX.--STATEMENT OF QUININE ISSUED.
S, Kil s.
ui-si-a-hate..... ,.- ......................... 30
Qinlinq suphite tabets. ; ............... 5

; : i .......... ........---------.. -----................ 35
&vals smuwpois n77.1


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UNIVERSITY OF FL
3IImllIuiIE
3 1262 MUM8