Front Cover
        Front Cover 1
        Front Cover 2
    Title Page
        Page 1
        Page 2
    Table of Contents
        Page 3
        Page 4
    Main
        Page 5
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    Back Cover
        Back Cover 1
        Back Cover 2

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REPORT


OF THE


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LRTMENT OF HEALTH
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OF THE


PANAMA CANAL


FOR THE


MONTH OF MARCH, 1915


Lieut. Colonel, Medical Corps, United States Army
dhbef Health Officer, Balboa Heights, Canal Zone

















WASHINGTON
1915-


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


CHAS. F. MASON


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CONTENTS.


Page.
Letter of transmittal:.......................... 5
General remarks.......................... 5
Vital statistics:
: :, .















H lth of residents of Canal Zone....................................... 6
Health of residents of the city of Panama............................... 6
Health of residents of the city of Colon.................................. 7
Chronic ward....................................................... 8




Colon Hospital..oyees.................................................... 8
Palo Seco Leper Asylum of Cana Zone............................................ 8
anto Tomas Hospitalhe city of Panama..................................... 8
District dispensaries of the city of Colon................................................... 8
Sanitary division:
Canal Zone...spital....................---------------........----............--..--------.......------. 9
PanamaChronic ard----------------...-----...----.........................------......--------.--.......--------. 9
Colon Hospital.......--------------------------------........---------....-------.......................................... 10
Quarantine service......................................................... 10
Statistical Tables:
Table I. Admissions, deaths, and noneffective rates for employees:
Deaths of residents of Panama, Colon, and the Canal Zone..... 11
II. Deaths by age color, and sex................................. 12
III. Deaths by nationality ....................................... 13
IV. Deaths of white Americans........... ........-............... 13
V. Causes of deaths of employees................................. 14
VI. Causes of death of employees and civil population and places
where chargeable ............................................ 14
VII. Admissions and deaths in the hospitals of the Panama Canal.. 16
VIII. Consolidated hospital report.................................. 30
IX. Consolidated dispensary and admission report...... .......... 32
X. Employees: Constantly sick and noneffecive rates per 1,000.... 34
XI. Employees: Days' treatment per admission, hospitals and
quarters ...................... ................. ....... 34
XII. Financial statement.......................................... 35
XIII. Ancon Hospital................................................ 36
SXIV. Colon Hospital................................................. 41
XV. Palo Seco Leper Asylum......................................... 42
XVI. Santo Tomas Hospital........................................ 42
XVII. Sanitary work done in Canal Zone, Panama, and Colon....... 45
XVIII. Quarantine transactions ........................ ........... 47
XIX; Issues of quinine ................................ ........... 48
XX. Personnel report ............................................. 49

(3)
XII.Fin ncil sate ent. .. ...... ... ... ................. 3


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LETTER OF TRANSMITTAL.


THE PANAMA CANAL ZONE,
DEPARTMENT OF HEALTH,
Balboa Heights, April 16, 1915.


Maj. Gen. GEORGE W. GOETHALS,
Governor of the Panama Canal,
Balboa Heights, Canal Zone.
SIR: I have the honor to submit the following report of the
operations of the department of health for the month of March,
1915.
Very respectfully,
P. M. ASHBURN,.
Acting Chief Health Oficer.


GENERAL REMARKS.


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

VITAL STATISTICS.

EMPLOYEES.

.. The health of the employees remained good during the month.
The number of names on the rolls for the preceding month was
94,218.
The total number of admissions to hospitals and quarters was
892, a rate of 312.82 per thousand, as compared with 294.17 for the
preceding month and 522.02 for the corresponding month of last
year.
SThe total number of deaths from all causes was 18. Of these, 14
died, from disease, or 4.91 per thousand, as compared with 3.15
S for the preceding month, and 6.18 for the corresponding month of
last year.
: The constantly noneffective rate was 10.26, compared with 10.46
f:: or the preceding month, and 14.81 for the corresponding month of
?: last year.
The total admission rate for malaria, hospital and quarters, was
40.99, compared with47.98 for last month, and the total noneffective
Srate 1.11, compared with 1.17 for last month; each of these rates


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DuVoRTATIGMS*'

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m:: onith and 34.09 for the corresponding month of last year. Of the
: total deaths from disease the percentage under 5 years of age was
53, conipared with 60 last month. The principal causes of death
showing an increase as compared with February were: Malaria,
,' & as compared with 1 last month; tuberculosis of the lungs, 31,
as compared with 10 for the preceding month; and Bright's dis-
ease, 8,. as against 2 for the month of February.
There were 278 births reported, giving a rate of 51.94 per thou-
sand. The infant mortality was 233 per thousand. The percent-
age of stillbirths to total births was 4.5.
COLON.

The population of the city is 29,331, amohg whom there were 47
deaths; of these 44 deaths were from disease, giving a rate of 18 per
thoauand, as compared with 17.59 for the preceding month, and
28.47 for the corresponding month of last year. Of the total deaths
from disease the percentage under 5 years was 32, compared with
51 last month.
The principal cause of death showing an increase as compared
with February was: Tuberculosis of the lungs, 10, compared with
6 last month.
There were 46 births reported, giving a rate of 18.82 per thousand.
The infant mortality was 152 per thousand. The percentage of
stillbirths to total births was 11.5.

a HOSPITAL DIVISION.

ANCON HOSPITAL.

During the month the average number of patients constantly in
Hospital was 472.03. The per capital cost of patients in hospital,
proper, was $1.894 gross and $0.873 net. The per capital cost of
.patients in the insane asylum was $0.527.

FARM FOR DISABLED.

The net'per capital cost was $0.561, as compared with $0.423 for
last month.
SDuring the month the pasture and grounds for the asylum were
cleaned, and the vegetable garden and nursery were cultivated.

INSANE DEPARTMENT.

Eleven patients, two of whom had been in the institution pre-
viously, were admitted during the month. Six patients were dis-
:.. charged as having fully recovered mentally, and five deportations
to the United States and Barbados were accomplished.
SOn March 14 the entire male section, with its staff of nurses,
attendants, etc., under the direction of an assistant physician, was
removed to the new hospital for the insane at Corozal, while the
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': .SANITATION-CANAL ZONE.

T he general sanitary conditions have been good. The malaria
S: e for employees has been lower than for any previous March, the
,Weekly rate averaging 0.01375, as compared with 0.01775 last year,
: .the lowest rate for March in any other year.
S;:, The hydraulic filling neir Corozal, Ancon, and Balboa is still
progressing, but mosquito breeding has been well controlled.
The only sanitary work done by the Panama Canal on the west
S side during the month has been done by one gang and foreman in
negro villages not subject to military control.
The following communicable diseases were reported during the
month:
Measles.-----------------------..-............------------.--.----------.-------- 14
STy h oid fever ------............................................. ........-.... 1
s .........................-.............. ............. ..................... 33
Chiokenpox....- ..............-.......--............ ..........--..-.......... 3
Diphtheria....... ................................... ............. ........... 2
Malarial fever................................................----------------------------------------............... 253
Tuberculosis.. .......................................... ..... ...... ........ 2
Erysipelas.......................................................................... 1
Whooping cough ................. ...... ....... ....... .... ..... .......... 14
Dysentery-----...-----......----..........-----------....................-----------------.............-..-----..........---- 3
Trachoma. ........... .... ............................. ........... ......... .. 1
Detailed statistics are shown in Table XVII.

SANITATION-PANAMA.

COMMUNICABLE DISEASES.

The prevalence of measles and mumps continues, scattered over
the entire ciy. Many cases were isolated at Santo Tomas Hospital.

MOSQUITO, RAT, AND FLY WORK.

S-. Mosquitoes.-In anticipation of the wet season work was 'under-
taken to placein excellent condition all of the present earth drains.
A concrete ditch was established at the expense of the lot owners
in the San Miguel district, which will eliminate the maintenance of
several hundred feet of ordinary earth ditches.
Work was begun by the Bella Vista Co. toward establishing a cul-
vert for discharging a large body of collected storm water now stand-
ing near their bathing pavilion. This will relieve a large anopheles
breeding area, and marks the*boundary limit of antimalarial work
supervised by this office.
Rats.-Nine hundred and fifty-one rats were caught and sub-
mitted for plague examination, all negative. At an old stable,
Central Avenue and J Street, demolished by the owner, our men
S removed a small concrete platform which constituted the floor of
the feed room, and under this floor were discovered 98 rats, which
:i: were killed. This concrete floor did not extend into the earth, and
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TAC~a 2--ADMISSIONS, DEATHS, AND NONEFFECTIVE RATES FOR
. "I MM YEES: DEATHS OF RESIDENTS OF PANAMA, COLON, AND
THE CANAL ZONE.

ABSOLUTE NUMBERS.


SAdmissions to hos- Dath Noneffective
Spitals. from sickness.


Color. .


a0 .s g4a, ca

Z A N E- A H P ua

XJvfr., 1916.
White........ 4,748 189 163 26 1.... 1 2,919 94.17
Colored....... 29, 470 274 170 104 17 14 3 7,960 256.78

Total... 34,218 463 333 130 18 14 4 10,879 350.79

Feb., 1915.

White........ 4,629 162 127 35 3 1 2 2,923 104.38
Colored....... 29,637 361 271 90 16 8 8 7,114 254.07

Total... 34,266 523 398 125 19 9 10 10,037 358.45

Mar. 1914.

White........ 7,586 541 445 96 7 3 4 7,959 256.75
Colored....... 39,025 626 391 235 27 21 6 13, 453 433.98

Total ... 46,611 1, 167 836 331 34 24 10 21, 412 690.73


PROPORTIONATE NUMBERS.1


-Mar., 1915.

White........ 4,748 477.67 411.96 65.71 2.53...... 2.53 ....... 19.84
Colored....--. 29,470 111.57 69.22 42.35 6.92 5,70 1.22....... 8.72

Total... 34,218 162.37 116.78 45.59 6.31 4.91 1.40 ....... 10.26

Feb., 1916.

White........ 4,629 419.95 329.22 90.73 7.78 2.59 5.19....... 22.55
Colored....... 29,637 146.17 109.73 36.44 6.48 3.24 3.24 ....... 8.58

STotal... 34,266 183.15 139.38 43.77 6.65 3.15 3.50....... 10.46
Mar., 1914.

White........ 7,586 842.60 703.93 151.86 11.07 4.74 6.33 ....... 33.85
Colored....... 39,025 130.99 22.36 72.26 8.30 6.46 1.84 ....... 11.12

Total... 46,611 300.44 215.23 85.22 8.75 6.18 2.57 ....... 14.81


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TABLE III.-DEATHS BY NATIONALITY.


Nations.


Antig ...................................
SAustsralia................................ .
S: Barbados ..................................
'; China. ...........-.......................
Colombia ..................................
Costa Rica.......... .....................
Cuba....................................
Demerera. -.-.-.....-........-........-.----
East Indies.................. ...............
SEngland ........... .....................
Fortune Island..... ................ .....
: Granada-....................................
Guadeloupe................................
tal...o ..................................
Ja ca.......................... .......... ...
SJapan.....................................
Martinique..................................
Panama ....................................
Russia.... ................................

Spain........................ ..............
St. Luciacn.................................
St. Vincent...... ......................
Trinidad.......-..---.-.....---...--......--.
United States................................
-Unknown ......................................

Total -.................--...---...---


Employees.


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

..........
2
1
............
............
8

1




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


Nonem-
ployees.


1
1
13
4
4
2
1
1
1
1
............
3
1
2
46
2
1
126
2
2
1
1
1
10
2


Total.


2
1
17
4
4
2
1
1
1
1
2
4
1
2
54
2
2
126
1
2
2
1
1
11
2


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

Annual
Number Annual
of deaths. average
per 1,000.


White employees from the United States (4362):
S Disease-........................ ................................ ..........
External causes.....-.................................... 1 2.75
All causes............................................... 1 2.75
White women and children from the United States (3777):
Disease.................................................. 4 12.71
External causes.......................... ... .............. ..........
All causes........-.................. ................... 4 12.71
White employees and their families from the United'States
(8139):
Disease-.............................................. ... 4 5.89
External causes...........................-.............. 1 1.48
Allcauses ........................................--.... 5 7.37
Total number of Americans on the Canal Zone (12929):
Disease ................................................. 4 3.71
SExternal causes......................................... 1 .93
SAll causes............................................... 5 4.64








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T 'Ai:;VI.-CAUSES OF DEATHS OF EMPLOYEES AND CIVIL POPU-
:: NATION AND PLACES WHERE CHARGEABLE-Continued.

Pana Colon. Canal
S :: Disease. Colon. Total.
ma. Zone:


Diseases of the circulatory system.
SAcute endocarditis.............................. 3 1 ........ 4
.Malignaft endocarditis ........................ 1 ............... 1
Organic diseases of the heart.................... 4 3 1 8
Arteriosclerosis ................................. 4 ................ 4
Diseases of the respiratory system.
Acute bronchitis-............................... 8 6 ........ 14
Broncho-pneumonia ........................... 13 2 1 16
Pneumonia (unqualified)...................... 6 ........ ........ 6
:*: Lobar pneumonia.............................. 2 ........ 1
Gangrene of the lungs................ ............... ....... 1 1
Diseases of the digestive suslem.


Acute gastritis.................................
Chronic gastritis................................
Diarrhea and enteritis (under 2 years)..........
Colitis.....................................
Diarrhea and enteritis (2 years and over)......
Ankylostomiasis.............................
Intestinal obstruction..........................
Constipation...................................
Cirrhosis of the liver...........................
Abscess of the liver, entamebic..............
Nonvenereal diseases of the genito-urinary system
and annexa.
S Acute nephritis................................
Bright's disease (chronic nephritis)..............
Pyelo-nephrosis..............................
Other diseases of the uterus...................

.. The puerperal state.
Eclampsia-.................................
Malformations.
Congenital malformations (stillbirth not in-
cluded)......................................
Diseases of early infancy.
Congenital debility, icterus, and selerema.......
Premature birth .................................
Congenital debility............................
Malnutrition..................................
Affections produced by external causes.
Suicide by poisoning..........................
Suicide by firearms..............................
Accidental drowning............................
Traumatism by machines.....................
Other external violence........................
II-defined diseases.
Cause of death not specified or ill defined.......


; Tots
Stillbirths
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THE~ SPPITALS OF THE PANAMA CANAL FOR THE MONTH OF
1 &T'Cutinued.


Colon Hospital. Total.


Employees.


Deaths.



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Nonemployees.


Admis- In +ik


sions.


W.


Employees.


Admis-
sions.


W.


U &



iPC


Deaths.


W.



U
0
<1 M


..::: .::. L-I--: -: 2-1:::! 11:1:


... ..... ......... 14
S- ----- ----- --. -- 7


... ... ... ... .. . ... 1..I ..

.Jl.l.lf~~~.:f


-.. ..
. . ..


.. . ..


. .-.-. ... .-. . '.


... ... 1


*-- - -- ...


Nonemployees.


Admis- Deaths.


1 2
i a


W.




o a
- C

co0


1'...
3--.--

3 ..




2-




II...
11...


.-.. .
Ilr ur
--m ---


--3


Admis-
swfas.


W.





^ H 3


I ... :::.:::... ..--- ... I I
... ...l.... ...|... ... ... ...


I


W.


W.


::ii ::"


... ... ... ... ... ... ...
.. H, ...
... ... ... ... ... ... ...


















'..0. if'.:o UrV ma 4 "KA :V y
T:. .. ... .. . -M
..: .... :' ::A.4.:r.: ,::.. .
,: . : :fi. +:,!P'i'* i ': i'
;.. :.: . ;,: l' J ~u:4;'.
~ ~J'ii I.
M!P. Yc



7, hN Q u
j4 ? .. ..... ..""... .. ,
.n:-: ;... PEE:.. .]+i:i+ ... 9: : : : '!'


"F .. M*.i ... :


A E F. ... ..l





















H,
24 : .... noJ( :Pri






















... j. . .. .:: :.: :; :

SJ.
.:!. .N I , ..
:.. .:'0..... I .. :..: .. .. .. .. :. .:..:... ... .. .... .
.. : A" ! Y Q ! "P"!,-"": E. ...;. :":.


iv L':: t;:' '
/..,~~~~~~~ .; ,. . .; . . :: ... ; i ..r ;li~. r i . ':: ...
": .:.l ...E ":: .".:': : : :: ,":. : ; ; :. ..
... , . : ... .j;; r. !i't ..:..v.. ..: .<..
":" . .. :""" "+".: : *' +' ':
: "." :: " 1.I:... ", ."::. :..::..: i:, ", .i ". .: ,: r s: '::"t 'i:. ::.
. ... .; :. .;." I ..;'i :~ . .. , : ...3: . ; :.. .. .

..A
s'.;i ... ..":~~~ * i s '.. ~, ;..... ,,;:,.'.
....~~~~I ':t. ".':: ".. ;:. .; ., .".:.. : :.. ..:. .. .


r. L'~i 7A. g N.i
+ .. . : !. ".. ... ..;.:::. .+ '" ; : < ; :;.'
.. . .; .,; . .:. .:. .. :" . .

. : i + ........ "
-00:- i '

::v~.:':.A5 .2: :C .:
Ulr

. . 7 ,... : n +
;,,, i,,+ ,
i-.7

.:. Up .N';. "" '
: .: o .: :" :i ::1'F:'T A .
.." : ," 'i ,"; .' ." :W' .+ .. .
S .. .. .. .. . .
U:C . '!.;I. i N :'
" ..: . .' ....'." .... ......

V:
," .: .e, : :: ...

N qiiii
.7.. . .



7:. :: .: ,. ov ,:...
:. :" +" ; ",. "; 1* ".':" J ; i ;:i. "

3-;-
...+: ..... ........,,A .., ...: H
., . 1 :H ", ,,........"
!r4 .. '.v. .44 ..

L!.. .V,. l : ... :,;i !,... I R .W. b.
M.. :::E .::": : .:::. : :
i..; ;; .i. :, .' ..lii







.,.,ia i . ;. ". .. .
;;; ;i:;;~ :iI':;';; :II" 'IT~
.:H.. ~'e* drl
;: i;~..t :i;~-,i~~t j iPA
A,:-~; :jii











19
, ,' . *...

THE HOSPITALS OF THE PANAMA CANAL FOR THE MONTH OF
191-Continued.


Colon Hospital. Total.


Employees.



Admis- Deaths.
.sons.


W. w.


0 CD
,g
5
sH


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


Nonemployees.


Admis- Deaths.
sons.


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


W.


Employees.


Admis-
sions.


W.












2...


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


11...

1 ...
5--..


.......|1 1|...|..... ..... -...
I 1.. I.L. J ...... ... ... ... ... ...


Deaths.



W.

U; aL
U U)

a 5
d f


Nonemployees.


Admis-
sions.


W.


ill
21


2i..
11...


Deaths.



W.


I ...


. :


W.











. -..


I..
: i:
Y"
II:I
;;..;

I.
C.:';;
r.;.":
''


i~'ii;'i
~Ylr ''
'

1~, i. i
rli ;~
';'";'
il..


"i .-.


,-,I ... 1-. ... I I ... ... 1. ... ... ... ... ...
- ... ...- ...I ... il 1 -1I-- I: .l.. I ... I... 1 1...I


"i "i


"""'
""""'


I '






F TR 7 -t*l
Sm


ITT T 1, ll 1, 1, 4,1"
j T* 't i, IF





v lo-


IT
IT
4w 4


it
T,













-f, 4 Alt






Tit
I toMIJIT4*14111of
IT









"ins




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IT,

Iv
Fli


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lot,


+1 A- m T


Tr
IF
X T'




IT'
I


I TI


I it


,,F IF T
114,
l "il li(t
F* IT,









21

E- HOSPITALS OF THE PANAMA CANAL FOR THE MONTH OF
EiS-tontinued.


r.4.


















r .



I.


Colon Hospital.


Employees.


Admis- Deaths.
siuns.


w.


1..1:: l- -. --- --I


9 m
o
03 0


Nonemployees.


Admis-
sions.


Deaths.


1I...


Total.


Employees.


Admis-
sions.


... 1
1 ...


Deaths.


w. I w.


rn cn
g g~
0 0
Sa0


61...-...-...


Nonemployees.


Admis-
Ssions.


Deaths.


w.


ci

o- -
o 4O


Il... ...


w. w. w. w.


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












































ti, :'I



.4.


rlsi


A Ah
Coll


: .. ..
I fi



a,
I
.'.E .,S I-


.i.


q









23



THE HOSPITALS OF THE PANAMA CANAL FOR THE MONTH OF
915--Continued.


Colon Hospital.


Employees.


Admnis- Deaths.
sons.


w.



g
00


W.


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



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




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



... ... ... ... ...
1 ... 4
S- ... ------... ......

.. ... ... ...

::::::. :::

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








A:

:EEE:'!..
1i: .
L:i;:
L I ,
i L' .' :


Nonemployees.


Deaths.


... ... me DI
1 ...I... i... ::Ie


Admis-
sions.


W.






.1
wOrn


11..-1...


... ...................
T ... id I i


Total.


Employees.


Admis-
sions.


Deaths.


W.


Nonemployees.


Admis-
sions.


.W.


11...


-1. T. 1l .I..
... ... 6 10 3


'i :1: :1:1:1:J:l:


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


5...


1 ...


Deaths.


W.


w. I W.


i. ii. i. ... .i .
... ... ... ... ..
i ii ii I n


:::1... ......
31-.. -..1--.


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




'44
A4,
4,
IVA


1 lip


"vivo


4
A, ,,,-41 OWE
P4

14





a-

Cow 014
Q Vol




. . . . . . .


I t im,



er



A, 1,



a PRA . . . . .
PJL,

OAK,







17 1









WAS,
A A
not
ALM






.: r .
i


.... in .... ...

: :,41 :! .,



.; : ":,(;
.


i


=E1tHOSPITALS OF THE PANAMA CANAL FOR THE MONTH OF


Colon Hospital. Total.

Colon Hospital. Total.
F


Employees.


SAdmis-
sions.


W.i



p


* **...





S. .. .


i.:.. :** ",









ji ..7b,


Deaths.


W.




ma
CC


Nonemployees.


Admis-
sions.


W.


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




t-15----



Deaths.


I


21...


Employees.


Admis-
sions.


W. I


Deaths.



W.

0Ia0


Nonemployees.


Admis-
sions.


W.






0 -
nO .


Deaths.


W.


25




















































*B- -ri f '-' -is rf
4 ;....






*"t; .i- uti llf, *!:* :
I~II

k'


';:; ; i:l




r:1 :. "*. F .,: I :.: .







T A at ALB. OF THE PANAMA CANAL FOR THE MONTH OF


Colon Hospital. Total.

lweweeas. Nonemployees. Employees. Nonemployees.

Adm ath Admis- Admis- Admis- Deaths.
lkns. Deaths. sion s. sons. Deaths. sons. eaths.
__________ _______________ _________ _________ _________
__. Nnem _oyes Employees.__ Nonemp_ ____ oyees.__


W;

0 P


-S-..'---






: ,' ,C!, '- C


II .I


i .. .. 1
,:.-:. :. . .




!?':::.' : ::E "

ii ",; : i


W.


-. -Il


W.


......I ...*


W.


W.


i C
-'Pt
a t3


W.

H
I i


w.


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


,.ss.-Ch.
* -.e .ir

6 n~.


I ...


W.

I


CC I* C
I... .


:~::


..1. 1":'1.""I





Tir
I,1Mt


!!D
t. 1 nj
1,iVA A
Iro
M84kI

I 7
B/"
4M
i4.
"Wtmg









29


UO PITALS OF THE PANAMA dAXAL FOR THE MONTH OF










Deaths. s- Deaths. mis- Deaths. Admis- Deaths.
seIs. sons. Da sion.s. sons.








.. ... ... ... a . 1 . . | a . 1 . . : .
:. W. wW. W. W. W. .'. W.













.... .1 ... ... ... ... ... ... ... ... .. ... ... 1 ... ... ... 1 2 ... ... 1 .
one E on
















... ... .. ... ... ... ... ... ... ... ... .. I ... ... ... ... ... A ... ... ... .
.' .. .2 ... ... ... ... ... ... ... ... .. ... ..D1h... ... ... 1. ... ... ... .
S.. ... ... ... ... ...
j I aS
M 14W.:c 0 -r M -e, P- W M 0 M 0 MW




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

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






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



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

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

... ..... ... ... ... ... ... ... ... .... 12 1... ... ..
.. ... ... ... ... ... ...... ... ... .. .. 1 ... .. 14... ... ..... ... .



S. 1.--.... ... 1---1... 1.. ... .. ... ... 2 1-- ...... ..
1 12 ... ... ... 1 2 ... ..... .. 10 16 ... ...... 2 ....... .
--------------------------------8......... ......... ...

..-.-..-.- --... ...--------... ... .. .. .... .. ---f--t-- --- -- -- ----.-- -
-------1---------------------------------------. .2... ....




2 .... .... ... ..-
^ .... . ....... ...... ... ....... ..... ... ... .... ... ... ... ...... 1 ... ... ..-

-... .... 4'.... .. i '
.- -... ... 104 35..

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





S53...... 1 9 19 29 3 3140 374... ..11140223163... 912











.
z . .. . .. . .. . -o. .. ..". 8 .. . . .. .lV!


S 4
. .
. .oo.i r








































































IlE~i ''

~~gs
i..i;
!rlr:I
'S~iiui"'
:.


* j ;




.: F: .: :



31

TABLE VIII.-CONSOLIDATED HOSPITAL REPORT--Continued.


Hospitals.


ANCON HOSPITAL.
Panama Canal employ-
ees.....................
Panama Railroad em-
ployees...............
Panama pay patients...
Other pay patients......
Charity patients........

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

Inane department.
Panama Canal employ-
ees..............
Panama Railroad 'em-
ployees..............
Panama pay patients...
Other pay patients......
Charity patients........

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

Grand total ......

JCorozalfarm.
Panama Canal employ-
ees...................
Chronic ward.

Charity patients........

COLON HOSPITAL.

Panama Canal employ-
ees...............
Panama Railroad em-
ployees..............
SPanama pay patients...
Other pay patients......
Charity patients........
Total............

PALO BECO LEPER
SAYLUM.


Panama pay pi
S Charity patient
STotal...




.* #i '
V. i


itients...
a........


Dis-
charged.



A. F. B.
-1-1-


3711 801423


Trans-
ferred.



A. F. B.


31
I ...



3~~





.. ..


Remain-
ing Mar.
31.


A. F. B.


17182

7 21

45 50
1 35

70288


2... 5 10
1 ...... 2
1... 14164
... 3... 2
... 4 3 53

4 7 22231

91150 92 519


Average number con-
stantly sick.


A.




38.13

2.64

78.13
14.58

133.48


White.


F. B.


12.97

5.84

i30.19
1.64

50.64


...... 5.0UU


3.58
4.52

8.10

141.58


14.77

3.00

22.77

73.41


-II I I -i I 1= 1 I :1 1


3.... ...


1 ...I...I 281......


3.64

.67

2.19
.67


8.29


3.48

.64
1.00
3.41


Total.


183.09234.19

26.90 ?.5.39

40.36 148.68
37.55 53.77
287.90472.03
- 1


10.19 15.19

2.10 2.10
161.90 176.67
2.00 5.58
53.25 60.77

229.44 260.31

517.34 732.34


37.64


45.83


29.74 29.74


10.00

7.70
.45
3.48
.41


17.12

9.03
1.45
9.09
1.09


26 13 57 2 5 17 7 12 22 7.17 8.53 22.04 37.78



..... .. ... .. ... 3 29.... 3.00 26.92 29.22
... ... ... .....2 16 ...... 2.00 16.00 18.00


5 45


5.001 42.92


~=l=|=l l_'=-------- J --


47;22


i..-




rek
jlff
I
't TT
$,Tj

-vF T
"4 Ile i 91 1
f"t"

It,


T te TIt


461,
;tl Tl ) I I It 17
iT
T., tl;
b
oy

I'T It







To it,
1,`-'lTp '14,j 1-,t

kt I
It
It t',
L l Uri '.e

IT
;?











Obm









U,*O,TDAT
T,, 4













tm.*,


It
IT
Tt,,%e;t 'ITI
II't
'WIT

TV

41 *'l






41




I It





'i A .. "



: :::, : 33


A x TA IX.-OONSOLIDATED DISPENSARY REPORT--Continued.

S3Ac: E OYEES TREATED IN QUARTERS, AND ALL CASES TREATED BUT NOT
ExCusED-Continued.

All cases treated, but not excused.

SEmployees. Nonemployees. Total.

S- W. C. Total. W. C. Total. W. C. Total.


Naos Island...
Ancon........
Balboa........
'G(rozal........
Pedro Miguel.
Paiso........
* Gamboa.......
SGatun.........
0 o1 .....-----
Total....


89
2,573
3,636
1,103
662
1,477
59
867
654

11,120


1,406
3,373
3,911
1,792
1,101
2,670
148
1,520
1,650

17,571


1,495
5,946
7,547
2,895
1, 763
4,147
207
2,387
2,304

28,691


1,860
507
1,206
776
715
2
854
610

6,530


I I


1,930
319
148
162
738
421
656
809

5,183


3,790
826
1,354
938
1,453
423
1,510
1,419

11,713


89
4,433
4,143
2,309
1,438
2,192
61
1,721
1,264

17,650


1,406 1,495
5,303 9,736
4,230 8,373
1,940 4,249
1,263 2,701
3,408 5,600
569 630
2,176 3,897
2,459 3,723

22,754 40,404


CONSOLIDATED ADMISSION REPORT.


1tr
J '0'









"i I.


White. Colored. Total.

Total admissions to hospitals, excluding Corozal
farm and chronic ward--........-...-------- ... 553 539 1,092
TWtal admissions of employees to quarters -....--- 280 89 369

Total--------...... ...------.. ..---..........---.... 833 628 1,461
Less number of patients transferred between hos-
pitals, and from quarters to hospitals, whose ad-
missions are duplicated in above figures........ 25 45 70M

Net admissions to hospitals and quarters-----..... 808 583 1,391

Net admissions of employees to hospitals and quar-
ters ----...-----...... ....-........ ..----------- 448 444 892
Annual average per thousand of admissions of em-
ployees to hospitals and quarters-..------.....--. 1, 130. 16 177.40 309. 89.

CONTAGIOUS AND INFECTIOUS DISEASES REPORTED.

Canal
Diseases. Panama. Colon. Zana Total.
Zone.

Measles..,...............-............. 54 6 14 74
,Typhoid fever........................ .. 1 .......... 1 2'
Annual average per 1,000............. 0.20 .......... 0.41 ..........
Mumps.......-..-...................... 3 21 33 57
urebro-spinal fever-.....-.. ......-- .. 1 ..................... 1
bicken pox (varicela).-......-..-....... 2 1 3 6
Di theri (croup) ....................------ -----.......---..........-- 2 2
leparalysis... ..............- ... .......... 1 .......... 1
lfever.....,..................... ........ 1 253 254
eroulosis (of any organ)............ 9 3 2 14
el .......... .................. .......... .......... 1
hopng cough.................... ......... 8 14 22
Dy.a. te y .... .............. .......... .......... -.......... 3 3
.oma..........................- .... 1 2 1 4
*;*: '_ "_ .


V..
- :E: . .

[ ,:,' ..!.. : ..
*1''
'i " ; .'- "
.,= i: ::. .



~~~ ~ r.."' : ..: ..:














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'.. ;r. .. .
-l -1 P...
tit. 4..








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,, .: L., : : ,,...." L::; .'. .. .:: flb:w E" .,,:











g:! ta -A,
A' N, p,. I
i. "i: :.,E, ]. : ;:. :,;. .: i.til; ,.












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...... ~~ ~ ~ :,,.. ':> C-"i: ~
'!1 1ii [' i'1'. "







.1 ,1j.' NiW'.7: I
;" : "..:.; ..,. !;. "'.....2: + .:if~ii
,.:. ..... "t. .I... ,! ..i. 'iR.4 ..;...:: .* sr;,r
::.. .. .: :'": ~l::::.:' h;:.i .;ii!~~:
7-: ;'il;:::i:~;; !?' : . ,:',:il;:: i

Y ';i, -.I" ,i;: i. A...:.' ;


















~-i4 rj2 jL;q.
i'. li':~~c. :jR;
Olss





















io; 41 '
.... ... .... gy. O ':..: ... a,. *
.ii;;..:i , .: .. ,., . ..1 .
i >4:t :::i -... .::'".: :":.::: :": ,; :. : : .!" :"::'. ., !; . . ..: ; .., .:; < ... .. .

.':. : "'.". :. IE".::<' 'i.'":': o "". i ':".A ):' :: :" ":LI ,",."::i
," .." . ,' ".. : '.,','" ",i. .: l i .", i i; :-. ;. -. '" ,
:" "'" i" i:. ., : .:':... "i ".. ...:i. ? ": ..": ." .!.i, ," i. .
.: i..;u; . ;>".' ".:' ".'. : .:. ,,l?. ..<.~i .'.> ;. u ; .'" < <.;t'. ": "~;" .''.:- "

~''; i~i:.:.~ :.';: ... ~::;' : ' " ''.. :..::'. ''';'. : ':E ': .:.:.
> :. : .. .. ., ,, .. ....I . :i ;,







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.;." ; : :, .!" : ... : : :. .,-.



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;1.4 !:i!: 4

V' WA :A*:-- :-':..*
~ ~ ~ ....: ,' ~ ", ;:.:.:! i:''.". :i ? .i :, .!" ...",, .!1.::.,. :,:. ; '!i :,.
T< ..: ." ": i ,", .:;,i :~i :: l,Bi: I' :' ,.. .. ....:..i... . .. ... ...
,>..t '."i"." ; " ". "?'." t "i ". ,:':






:,ri,~: :o :,4, ..N





<. ".. !.i' ... ". ' '
... r ". ~ ;:.' '... :: "." k~1".:. :'"i< .ii... i. .;'i, l. .. ;












M r.., F..... . ,...
.. .:. ..: : "..:. ." ., . : '"~~:..:, ; , ; ... ': !. -;
.. ....... .. :. .,.... .. ..., .. ,.: .~..r i.. ,.. .i,,:.






w~ ww W I 4I
" . . .... ;. :.., :.i:














: lit
M. , ., "




;I~i'";; i' A .. 'Nr~
.:' P: .. : ... .: ;.." .... .'L' :':. .. : ,
. .' :. :: ) i} !, ." :" """ E::.::.' iji ,t: ( ".' :
,t .: ' .. i 1 i "- ": """.. ,. I .. :..
;,, ,." : ..".. .. :. ....,. : ii iii .' : ,' .'. i,:.' ,.. :..'.. I.>,
." ".? < . .,.: "' ': I l '...' : ,:" .'.:' . : .















.. r':.5li~ ..,- . .7]:; .. . . .. . .. . ... . . ..
: ..:. iE:,a:'"'' ':.., :. ,'.:'
.... .. .."..,!; o:: i~&i : .>.. ,, .:: ". .': ..<
' <:'._ !i!'
.." "l "7" ..;:;:!fi ." . .. ,.. ... ..:,,. .- .. .. l.t :,.


v* *". jf'










x:S
~.- .., : S.--. '. .----


.... ... .
.'. ...-": - .. .y .;i; %',

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0. .', i : ... 0 2:., .

:?" :"" ; " : <'" f' :",;,t i
: ... . .. ..; ;.: !.
. , .. :.'.


: .. ..*...


47I,;
















1915. 1915. 1914.
..*: : .. .. .

. o .IN .



35

TASIr XII.--FINANCIAL STATEMENT-DEPARTMENT OF HEALTH.


February, January, February,
1915. 1915. 1914.


Administration:
Chief health office .............---.......
Hospital division:
Ancon Hospital .-...-.......---.--...-........--.--
Corozal farm........................
Chronic ward.----------------.....................
Colon' Hospital ..........--............--
Taboga Sanitarium.....-....-....--.-......----
Palo Seco Leper Asylum ..............
Santo Tomas Hospital-------......---........---..
Medical storehouse..................---
T otal.................................
District dentists .......................
DIispensaries:
Naos Islnd......................--...... --
Balboa ..-...-------.............---....... ------------..
Tivoli...................................
Corozal.-----...........-......----...-............-------
Pedro Miguel.......................----
Paraiso..............................-------
Culebra................................
Empire ...............................--
Gamboa-----------------------................................
Gatun -------------------------.................................
Cristobal ...............................
Porto Bello ..............................
Margarita Point......................--
Toro Point-------..............................
Total.................................

Sanitary division:
General inspector.......................
Health office, Panama ................
Street cleaning......................
Health office, Colon ..................-
Street cleaning ......................
Zone sanitation:
Ancon .............................
Balboa...................... .......
Corozal.............................
Pedro Miguel.............--........
Paraiso..................- .........
Culebra...........................*
Empire...-------......--.--..-......--....-......--
Frijoles............................
Gatun ............................
Cristobal and Mount Hope-.........------
SPorto Bello........................------

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

Quarantine division:
SChief quarantine office ..................
Balboa-Panama........................
Colon-Cristobal..-................------------...---
Total.................................



.. .
Ii: .


L..+


$479.44

32,145.64
1,022.42
214.07
2,920.18

"'1906.95
857.37
912.02

39,978.65
15.72

63.87
1,099.83-
............
578.51
475.65
583.51
457.63
............
136.19
523.38


13.85
3,948.14


2,613.55
4,171.71
1,786.33
1,811.71
1,907.96
557.30
1,677.09
787.83
1,001.18
810.59
............"
123.01
819.84
886.29

18,954.39


$1,114.59

35,336.72
1,197.75
230.94
4,323.79
1,311.559
891.18
723.26

44,015.23
12.00

86.73
1,133.65
640.20
477.05
534.05
457.91
............7
144.67
507.80

44.05
36.40
4,074.51


$3,211.03

43,049.06
973.77
207.35
2,921.83
...--.---.--
1,141.42
1,384.17
2,070.74

51,748.34
9.60

266.64
960.22
682.49
776.72
373.60
395.69
699.63
914.64
.------.--..
1,864.18
1,021.34
323.37
113.35
91.66
8,493.13


_ .1


50.00
3,069.78
4,484.13
1,921.41
1,888.96

2,417.57
1,116.66
2,194.96
984.13
1,093.59
706.83
121.99
1,412.32
1,393.76

22,856.09


.--.--------
2,991.91
4,049.43
2,091.71
1,671.44
1,404.30
1,716.92
1,015.42
1,974.70
1,454.65
883.82
2,313.49
62.92
2,398.91
2,355.24
244.25
26,629.11


117.26 295.45 ............
1,498.87 1,739.56 ...-..-..-..-------...
2,263.61 2,432.92 ............

3,879.74 4,467.93 4,093.73






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TABLE II.-ANCON HOSPITAl-- Continued,
REPORT OF DAYS LOST IN HosPrAL..


Total. Ame- Other Black.
cans. white.



Panama Canal employees....... 7,260 1,182 402 5,676
Panama R. R. employees....--- 1,097 82 181 834
"Panama Government pay cases- ---------. --.------- --...----- -..----..
Other pay cases................ 4,609 2,422 936 1,251
Charity eases................... 1,667 452 51 1,164
Total.------... --------.------ 14,633 4,138 1,570 8,925
Insne Asylum:
Panama Canal employees........... 471 .......... 155 316
Panama R.R. employees.....--..... --65 .......... .......... 65
Paiama Government pay cases.... 5,477 .......... 458 5,019
S Other pay cases---......---------------- 173 111 .......... 62
Charity cases...---.---- ---------.. 1,884 140 93 1,651
Total............................. ------------------------8,070 251 706 7,113
Grand total...................... 22,703 4,389 2,276 16,038
Soldiers...............---------------------------................. 1,699 1,699 ---------- ----
Cronics--------...............-------------..--.......---- 922 .......... .......... 922
Corozal Farm.................-------------------.......... 1,424 ----------.......... 257 1,167

Average cost of subsistence per patient per day, $0.239.


WARD LABORATORY REPORT.
Blood examinations (total number) ........................................
Estivo-autumnal .............. ........................ ...............
M ixed..................................................................
Quartan................................................................
Tertian.. ... ..... .......................... ..................
Differential counts.....................................................
Hemoglobin estimations.'...............................................
Leucocyte counts.......................................................
Red blood counts...............--......--................. ..............
Stool examinations (total number).........................................
Am eba................................................................
Ascaris lumbroicoides..................................................
Ciliated mon ads .......................--........-.......................
Entameba (hystolytica and tetragena)..-----------.....-----....---.............---.--.......
SGuaie tests............................................................
Pus and blood ..........................................................
Strongloides........................................................
Tricocephalus dispar...................................................
IUnpinaria (ova) ........................................................
i Urine examinations (total number).........................................
Albumen...............................................................
Bile-----------------------------------------------------------
af B le...................................................................
ated mon ................................................................
S Citliated monads........................................................
:.*, Epithelia..........--...........................................-..........-
u.. aia tests.......................... .................................
Sm in Y crystals .........................................................
Indica .................................................................
Pe antdblood...................................&......................
8i :: is (positive, 8; negative, 30) ........................................
..... homonas vaginals ..................................................
Spu:tm"- imex nations (total number) ......................................
Po sitive for tubercle bacilli.............................................
I'. -. . .


795
83
1
1
16
47
87
89
8
534
5
3
14
6
8
66
19
29
59
1,602
421
22
266
1
155
8
2
41
403
38
1
174
17


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39

TABLE XIL.-ANCON HOSPITAL-Continued.


r
i

t",


REPORT OF VACCINATIONS.
Adults vaccinated ..........................................................
I Takes.....................--......... ....--.........--......................
Children vaccinated ........................................................
Takes........................................ ................................
Total vaccinations....................................................
Total "takes"........................................................


REPORT OF BOARD OF HEALTH LABORATORY.
Bacteriological examinations of-
Blood cultures..........................................................
Throat cultures.........................................................
Urines..................................................................
Stools..................................................................
Autopsies..............................................................
Blood, for malaria......................................................
Pathological fluids, exudates...........................................
SSputum ............................ ...................................
Leper suspects.........................................................
Wassermann reactions......................................................
SAgglutination reactions.....................................................
Autogenic vaccines prepared...............................................
Vaccine points manufactured...............................................
Chemical analyses of-
osp ital milk..... ..................- .....-....................
Milo from private dairies supplying cities of Panama and Colon .........
Mother's milk.........................................................
Calculus...............................................................
Potassium bitartrate...................................................
"Sal soda".......... ............................................
Marine engine oil.......................................................
Gasoline...............................................................
Kerosenle...............................................................
Crude petroleum .......................................................
Bo e ...................................................................
Et am salts............................................................
Wrine..... ............................................................
Beer----------------w-ili -I- ------ --I-Il---------!1-1- --------


277
81
7
3
284
84



10
34
34
, 18
2
4
11
3
2
216
1
2
1,378
1
52
5
1
1
1
1
2
3
1
2
1
4


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SREPOn T OPERATIONS, EYE AND EAB CLU C.
dendectomy ............................................................ 3
atarat, senile............................................................. 3
i to ...............................................................
Plastic operation,eyelid................................................... 1
Pl operation, face................................................... 1
Per iu m................................................................. 4
Submiucous rejection ....................................................... 13
Tonsllectomy .............................................................. 10
Minor operations, eye....................................................... 16
Minor operations, throat.................................................... 9
Total................................................................. 61
Total number refractions................................................... 240
OUT-PATIENT DEPARTMENT.


Clinic. Total New Pay Prescrip-
ie. visits, cases. Cases. tions.


Medical clinic.......................... 382 260 53 330
Surgical clinic.......................... 302 248 27 83
Eye and ear clinic...................... 882 743 33 796
Total............................. 1,566 1,251 113 -1,209




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i. TABL XIII.-ANCON HOSPITAL.-Continued.
er of days treatment furnished.................................... 1,424
Sos pepatient per day............................................ $0.56103
Worki performed: Completed foundation for' new chicken house, finished four
obilken yards, cleaned pastures, and cultivated vegetable garden and nursery.
' T.MENT or DEATHS, DISCHARGES, AND COMMITMENTs, ANCON HosPITAL
INSANE ASYLUM.


Commitments.


Male. Female.

From Canal Zone on first commitment......----------......... 2 ..........
From Canal Zone on second commitment.................... 1 ..........
Prom Canal Zone on fifth commitment ..--................. 1 ..........
From Panama Government on first commitment..-.....- ... 2 4
Fromtanama Government on second commitment .....-- ....--... 1
Total....----------.... ......... .............----..--....-- 6 5

Grand total, 11.
Discharges.


Well. Improved. Unimproved.


Male. Female. Male. Female. Male. Female.


Barbados ................ 1..-...-- 1 ...-...- 12 ..........
Panama ...-----.... --------...- .... .... .....-.-- .. .- -...-......
am. --..---........-.. ---........-........ .... ...............
United tates............ 3 .......... ........ .......... 1 .........
'ota--.............. 5 ---- 1 .......... 3 ..........
Total---------------5 1 ---..-..-- 3 ..-......


SGrand total, 10.


IDied.
Deaths.


One female. Mental diagnosis, manio-depres
clinical dysentery, unclassified.
TABLE XIV.-COLON I
i NATIONALITY OF PA

America
white.


Panama Canal employees.........----------...
KKo ' Panama Railroad employees..........
n' gnama pay.......................... .........
Other pay...--------------------.............
b:. -:; cas -...................



S Costof subsitence per patient per day, 0.36.
/4 .L:. ... .


sive psychosis;

HOSPITAL.

TIENTS.


physical diagnosis,


n Foreign Black. Total.
white.


17 9 34 60
2 3 34 39
1 12 13
16 17 13 46
3 ...--.... 7 10
38 30 100 168


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43

TABLE XVI.-SANTO TOMAS HOSPITAL-Continued.
NATIONALITY OF PATIENTS.

Americans. Other nations.
Number
lass. treated.
White. Colored. White. Colored.


Pay cases................... 146 3 .......... 34 109
haritycases ................. 1,317 11 .......... 136 1,170
Total.................. 1,463 14 .......... 170 1,279

DISPENSARY REPORT.

Class. White. Colored. Total.

Natives........................................... 43 689 732
Foreigners ........................................ 68 593 661
Total....................................... 111 1,282 1,393


DISEASES TREATED.
Malaria ..................................................................... 118
easles..................................................................... 42
Influenza................................................................... 11
Dysentery.................................................................. 12
Other epidemic diseases.................................................... 7
Purulent infection and septicemia.......................................... 13
Tetanus..................................................................... 1
Pellagra.....................................................------...-..-..-------------. 3
Beriberi ........................................ ............................ 4
4 Tuberculosis of the lungs................................................... 42
Syphilis.................................................................... 36
Gonococcus infection....................................................... 48
&, -----c-u--i-fection-------------------------------------------4
Soft chancre................................................................ 35
Cancer and other malignant tumors of the buccal cavity.................... l
Cancer and other malignant tumors of other organs and organs not specified. 1
Other tumors (tumors of the female genital organs excepted)................. 1
Acute articular rheumatism................................................ 15
Leuchoremia ..................................................... ......... I
Alcoholism (acute or chronic) .............................................. 11
Other chronic poisonings................................................... 1
Simple meningitis.......................................................... 4
Other forms of mental alienation........................................... 6
Epilepsy................................................................... 3
Other diseases of the nervous system--....................................... 10
Diseases of the eyes and their annexa....................................... 8
Diseases of the ears......................................................... 2
Acute endocarditis......................................................... 3
Organic diseases of the heart................................................ 12
Diseases of the arteries, atheioma, aneurysm, etc........................... 5
:.. Embolism and thrombosis................................................. 1
Diseases qf the veins (varices, hemorrhoids, phlebitis etc.)......-.....-....---.... 3
X:, ,. Diseases d the lymphatic system (lymphangitis, etc.) ....................... 9
Diseases of the larynx...................................................... 1
S Chroni bronchitis........................................................ 16
lV:'..' Pneumonia (unqualified)................................................... 22
Pleurisy.................................................................... 2
S Asthm ................................................................... 2
S Disames of the mouth and annexa .......................................... 1



































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STABLE XVI.-SANTO TOMAS HOSPITAL-Continued.
S : GICAL OPEATION-Continued.

Number. Died.

V. afyterestomy ........................................... 2 ..........
S' prvaginal hysterectomy ................................. 1 ..........
w toMyomectomy ................................... 4 ..........
o o................................................... 2 ..........

Ovarian cystectomy......---......................--............ I ..........
S O pberectomy.............................................. 4 ..........
Suspension uteri.............................................. 7 ..........
Major operations (various other)-.....----------------........--....-......- 6 ..........
Minor operations (various).................................. 25 ..........
Cataract extractions------------------------------..............................---......... 2 ..........
: otal.................................................. 124 2
.< "Total-----------------------------------------------12

TABLE XVII.-SANITATION.
The following is a summary of sanitary work performed and ma-
terial expended during the month of March, 1915, in the Canal
Zone:
Work requests on supply department:
Grass cutting...................----------------------------------------------................ 6
Sreening--..--..--.......----....-......---------------....--......--..-..-...-......------.----....... 6
Miscellaneous..------------.............------------....--....------................------.---..--.--..... 9
Work requests on engineering department.--............-----....------..----------................ 6
Work requests on other departments..--.........................----------------------.--------.
Notices served to abate nuisances..-...........------------..........-........--..-......-----------------. 33
Arrests..--.-----.--..................------.--..-..-..--...........---..-------.--...........----..---.--.---....... 2
Convictions...-...................................----...------....-----.....--...-------...---......---------------...... 2
inspections of closets----....-..----..--.........................-------------.---------.----.---.................. 1,666
Inspections of stores.......................------------------.--.------.---...........................--------------... 26
Inspitions of shops..-----.----..............................--------------..............------------------- 118
Inspections of restaurants.............-...............-----------------..-....----..-..-.........------------- 3
Garbage cans emptied--------------------................................--------..---.---...---. 72,748
Closets disinfected.....---------------.......----------............--------------.........................----....... 2,761
Rat traps used daily ..................................................... 2,850
Adult anopheles destroyed in houses...........-------------------......................----.---.---... 13,247
Adult culices destroyed in houses------.......-..-............-----------.--------.....-..--........ 6,935
SLarvacide used....---....--...-...-............-------------..-........-...........----------gallons - 329
S rude oil used...................................................... do---...- 7,865
K:ereseneused...................................................... do--.... 334
Keros aen eustoed -----------------------------------------------d- ----- 504
"; : Ratp destroyed............................................................ 508
SuixAnY OF ROUTINE WORK DONE BY THE HEALTH OFFICE, PANAMA.
S=Mosquito, rat and fly work:
linear feet of ditches cleaned and maintained-............-----------...--.........--. 9,550
... Linear feet of new ditches dug....----------.............-------------------1,450
*G llaons larvacide used...-...............--....--------------.---...-..-----------------.................... 746
S:allons crude oil used--------......-....--...-.........-----------...-.....-----.-.......--....------... 531
S. uare yards pools oiled...................--------..-......----.-----................------.. 95,496
water containers treated ............................................ 26,450
.' Mosquto breeding places found (28 stegomyia).....---.................---------. 191
S..Fly-breeding places found.................-..........------............----.-----..-.. 307
Strapped (13,000 per quart)........----....-.................---------. quarts-. 19
S Rats ought...... .....................--........................... 951
Soom disinectlons................................................... 18


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Sanitalmn, Mount Hope:
Cans, garbage (180 cubic yards) ..................................... 1,725
Square yards oiled .................................................. 64,950
Receptacles treated ................................................ 16,000
Mosquito-breeding places destroyed ................................. 58
Mosquitoes caught m barracks-
Anopheles ...................................................... 801
Culices.......-..-----.--.......----...-......-------------....-...................----------.... 510
Gallons larvacide used....... ...................................... 62
Gallons crude oil used .............................................. 1,445
Mount Hope Cemetery maintained.
Linear yards ditches maintained................................... 11,347
Linear yards ditches constructed (open) (194 cubic yards) .......... 680"
Square yards vegetation removed................................... 72,806
Burials during the month.......................................... 46

TABLE XVIII.-CONSOLIDATED REPORT OF QUARANTINE TRANS-
ACTIONS AT THE PORTS OF BALBOA-PANAMA AND COLON-
CRISTOBAL.
Vessels inspected and passed....................................... 205
Vessels held in quarantine.......................................... 8
Total vessels entered................................................ 213
Vessels fumigated on arrival........................................ 7
Vessels fumigated on departure..................................... 2
Total vessels fumigated.............................................. 9
Crew examined..................................................... 12,155
PaSsengers examined (including 1,471 United States troops)......... 6,014
Total persons examined............................................. 18,169
Persons vaccinated at ports of arrival because of compulsory vacci-
nation law........................................................ 569
Persons vaccinated at ports of departure or en route because of com-
pulsory vaccination law.......................................... 1,410
Total persons vaccinated............................................ 1,979
Persons held in quarantine at the detention houses to complete period
of incubation of yellow fever and plague.......................... 379
Persons held in quarantine on board vessels to complete period of
incubation of yellow fever and plague............................. 1,085
Total persons held under observation ................................ 1,464
Total persons landed from foreign ports:
.Cabin .......................................................... 2,258
Steerage........................................................ 2,132
4,390-
Total persons embarked for foreign ports:
Cabin.......................................................... 2,070
Steerage ........................................................ 1,666
3,736,
Total persons arriving from coast towns on small launches and sailing
craft............................................................ 1,875
Total persons sailing for coast towns on small launches and sailing
craft.............................................................. 2,485
". Apparent decrease for month from coast towns..................... 610
a Apparent increase for month from foreign ports:
Cabin (increase)................................................ 188
Steerage (increase).............................................. 466
S- 654
Immigrants recommended for deportation.......................... 11
Bills of health issued or visded...................................... 213
Total number of persons landed.............................. 6,265
Less number for Pacific ports................................. 191
s 6, 074
Total number of persons sailing............................... 6,221
:" Total apparent decrease for month........................... 147
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March, 1915.


Skilled Febru- March,
Officers and un- ary, 1915. 1914.
and em- skilled Total.
,ployees. -labor.


Chef health office ...--..... 3 ... 3 3 19
Mieduial storehouse--.......... 4 4 8 8 8
Quarantine division.......... 19 21 40 42 40
Health office:
Panama ................ 22 136 158 143 151
Colon..-. --.--..--....... 13 102 115 112 120
Anmoo Hospital........-- .... 262 118 380 333 526
Colon Hospital..-............ 25 11 36 33 32
Santo Tomas Hospital....... 6 ........- 6 4 5
PalSI0 o Leper Asylum.... 9 12 21 21 17
Zone sanitation...--.....- ... 18 94 112 114 134
Hopital farm ..-............. 3 49 52 44 41
Dispensaries:
Ancon-...--....-....----- --- ........--- .............. ----.....- .. 5
Balboa...-..----...---..----.,.- 8 ....------- 8 5 6
Corozal.-..---.. ---.-..... 4 ........-. 4 4 6
Cristobal ...............- .-...-..- .--.............. .. ..... 6
Culebra ................. ...-..... ......... ..--.-.... 2 5
Empire ........-------........ ...--...... .................... .......... 6
Gamboa................. 1 -.......... 1 1 -...- ..-
Gatun------------------- 4 ... 4 4 7
Margarita Point...-...-............------- .......... ..--------------------........ 1---------
Naos Island............. 1 .......... 1 1 2
Paraiso-.................. 6 .--....... 6 4 4
Pedro Miguel.----.. --..--- 4 .......... 4 3 3
Porto Belio.--.........-.........- .......-.. ............---------- 3
Toro Point..-....--- ...-- ......------- ........ ........---.......... 2

Total.................. 412 547 959 881 1,149



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49


TABLE XX.-PERSONNEL REPORT.


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