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:
February 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_00032
System ID:
AA00006090:00032

Related Items

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

Full Text










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REPORT







iii APARTMENT OF







... 2 PANAMA CA
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CHAS. F. MASON, ..
i. FOR THE












1 MONTH OF FEBRUAI
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Lieut. Colonel, Medical Corps, United


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HEALTH


NAL


RY, 1915


States Army
Canal Zone


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CONTENTS.


Page.
Letter or transmittal................ .... ............... ................... 5
General remarks....................... ....................... 5
Vital statistics:
Health of employees.................................................... 5
Health of residents of Canal Zone ................- ........-............ 6
Health of residents of the city of Panama................................ 7
Health of residents of the city of.Colon................................. 7
Hospital division:
Ancon Hospital..-................ .................................... 7
: 'Board of Health Laboratory........................................ 7
Farm for Disabled.................................................. 8
Insane Department................................................. 8
Chronic ward ...-................................................. 9
Colon Hospital......................................................... 9
Palo Seco Leper Asylum............................................... 9
Santo Tomas Hospital.......................................... ...... 9
istrict dispensaaries:------------------------ ---------- ---------9
District dispensaries ................................... ............e... 9
Sanifary division:
Canal Zone.................... ........................................-... 10
Panama ............................ ....................... ---------------------------------10
Colon.................................................................. 12
Colon---------- ---------...... 12
Quarantine division:
Panama........................-....................................... 12
Colon...... ........- ...................... ... ....................... -12
Statistical tables:
Table I. Admissions, deaths, and noneffective rates- for employees;
deaths of residents of Panama, Colon, and the Canal Zone... 13
"II. Deaths by age, color, and sex................................. 14
II. Deaths by nationality ........................................ 15
IV. Deaths of white Americans................................. 15
V. Causes of deaths of employees.................................. 16
VI. Causes of deaths of employees and civil population and places
where chargeable...............;......................-...... 16
VII. Admissions and deaths in' the hospitals of the Panama Canal.. 20
VIII. Consolidated hospital report................................... 32
IX. Consolidated dispensary and admission report................. 34
X. Employees: Constantly sick and noneffective rates per 1,000... 36
XI. Employees: Days' treatment per admission, hospitals and
quarters............ ........................................ 36
XII. Financial statement....... ....................... ........... 37
XIII. Ancon Hospital............................................... 38
XIV. Colon Hospital ............................................... 44
XV. Palo Seco Leper Asylum ..................................... 45
XVI. Santo Tomas Hospital ....................................... 45
XVII. Sanitary work done in Canal Zone, Panama, and Colon........ 48
XVIII. Quarantine tranaoons..... .....................-............ 50
XIX. Issues of quinine............................................ 51
,XX. Personnel report ............................................. 52
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Maj. Gen. GEORGE W. GOETHALS,
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LETTER OF TRANSMITTAL













CHAS. F. MASON,
Governor of the Panama Canal,
SBalboa Heights, Canal Zone.
Sra: I have the honor to submit the following report of the
operations of the department of health for the month of February,
1915.
Very respectfully, M. A,
CHASE. F. MASON,
Chief Health Officer.


GENERAL REMARKS.
One case of smallpox occurred on the steamship Panama, which
arrived at Cristobal on February 3. The patient was taken sick
on the 7th and removed from the ship on the 10th. The disease
was contracted prior to his arrival on the Isthmus. No other cases
have occurred. With this exception no cases of yellow fever,
smaillpx, or plague have originated on or were brought to the
Isthmus during the month.
Instruction in regard to mosquito-borne diseases has been made
a part of the course in the white public schools in the fifth, sixth,
Seventh, and eighth grades; instruction is based upon a pamphlet
on the subject prepared by Maj. Ashburn, general inspector, and
issued by the health department, and is exciting a great deal of
interest among the school children. The corresois made as prac-
Stica\ as possible and the actual disease-carrying insects in their
various stages are exhibited to the classes.

VITAL STATISTICS.

EMPLOYEES.

The health of the employees remained good during the month.
SThe number of names on the rolls for the preceding month was
34,266.
The total number of admissions to hospitals and quarters was
840, a rate of 294.17 per thousand, as compared with 332.87 for the
preceding month and 437.70 for the corresponding month of last
year,
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-EFFECT9, OF IRACR.,

The`"acunmsion, tAto', to h&pital an&&Ab*6
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Sphere were 39 births reported, giving a rate of 14.65 per thousand.
f these births 12 were of white and 27 of colored children. There
S were no deaths of white and 4 deaths of colored children under 1
year obf.age, giving an infant mortality per thousand of 148 for col-
14: d. ed children, with a general average of 103. The percentage of
i: illbirths to total births was 9.

iN:I. PANAMA CITY.
: The population of the city is 60,373, among whom there were a
Total of 130 deaths; of these 127 deaths were from disease, giving
aii,:: rate of 25.24 per thousand, as compared with 33 for the preceding
i month and 3.1.80 for the corresponding month of last year. Of the
:; total deaths from disease the percentage under 5 years of age was 60,
AM4 compared with 55 last month. The principal causes of death show-
ing an increase as compared with January were: Cancer 5, as com-
paref with 2 last month, and diarrhea and enteritis (under 2 years)
31, as against 25 for the preceding month.
There were 304 births reported, giving a rate of 60.42 per thousand.
w: The infant mortality was 201 per thousand. The percentage of
; stillbirths to total births was 3.

COLON.

: The population of the city is 29,331, among whom there were 48
'deaths; of these 43 deaths were from disease, giving a rate of 17.59
; per: thousand as compared with 21.27 for the preceding month, and
: 21 5 for the corresponding month of last year. Of the total deaths
i, from disease the percentage under 5 years of age was 51, compared
with 52 of last month.
S;,.. The principal causes of death showing an increase as compared
with January were: Organic disease of heart 3, compared with 1
last month, and chronic nephritis 5, as against 4 for last month.
There were 82 births reported giving a rate of 33.55 per thousand.
:: The infant mortality was 220 per thousand. The percentage of
i illbifths to total births was'4.

HOSPITAL DIVISION.
I. ANCON HOSPITAL.
During the month the average number of patients constantly in
h hospital was. 482.t4. The. per capital cost of patients in hospital
Sprqper was $2.08 gross and $1.06 net. The per capital cost of pa-
RJients in the insane asylum was $0.539.

BOARD OF HEALTH LABORATORY.
The following work in addition to routine was performed by the
~ord of Health laboratory during the month,
lager number of dogs than usual has been kept under observa-
it: n during the past few months; the animals having bitten various





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SThe number of patients under treatment at the end of the month
was 50, as against 49 for the preceding month. The per capita
cost per patient was $0.87.
Detaied statistics are shown in Table XV.

SANTO TOMAS HOSPITAL.

During the month a total of 1,353 patients were treated, 187 less
than for the preceding month. The daily average of patients in
. hospital was 444, as compared with 467 for January, and the total
number of hospital days was 12,449, as compared with 14,508 for
the preceding month. Fifty-one deaths have occurred with tuber-
culosis, pneumonia, and pellagra as the chief causes, in the order
named.
Detailed statistics are shown in Table XVI.

DISTRICT DISPENSARIES.


: he dispensary having the highest admission rate fqr malaria
V: _Pedro Miguel, with an average weekly percentage of 0.75;
t hat having the lowest was Cristobal with a percentage of 0.01.
::.. : With the abandonment of Culebra Dispensary on February 28,
the whole of the west side of the canal, from Bas Obiapo to Paraiso,
:: has been turned over to the military authorities except that a
small sanitary gang is maintained in the negro'vilages where em-
plpy': ees live, to keep them in healthful condition.
: Detailed statistics are shown in Table IX.







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The general work done by inmates on the hospital farm, in the
sewing.room, laundry, etc., continues satisfactory, and it is thought
hat hen the entire insane population is removed to Corozal at
least 75 per cent of the patients may be profitably and healthfully
employed, as every effort will be made to find suitable tasks for
practically all of both sexes.

CHRONIC WARD.

There were 27.64 chronic and incurable patients constantly cared
for during the month. The cost per patient per day was $0.267.
Detailed statistics are shown in Table XIII.

COLON HOSPITAL.

The highest number of patients treated on any one day during
the month was 40; the lowest number 24, the daily average being
32.89. The average number of employees constantly sick was
21.28. The average number of days treatment per employee was
6,08.
The per capital cost of patients was $2.74 gross and $1.64 net.
Detailed statistics are shown in Table XIV.

PALO SECO LEPER ASYLUM.































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Only 1,424 vaccinations were performed during the month,
bring the total now to 16,151. T.he newly made board of
health vaccine has been used and is proving very effective.

MosQUITo, RAT, AND FLY WORK.

Mosquitoes.-Extensive breeding of anopheles mosquitoes was
found occurring in the Curundu River, at points north of the old
Corozal road. This was controlled by cleaning and training the
edges of the stream, and placing large oil drips.
The number of stegomyia breeding places discovered in the city
amounted to 78, which is slightly lower than that of last month.
Two hundred and twenty-seven deposits of mosquito larvae were
found in. the sanitary districts.
Flies.-It was not found necessary to make use of the large flytraps
'during the past month and the number of fly larvae deposits found
and treated with larvacide only amounted to 264, which is quite
low'compared with previous months.
Rats.-Seven hundred and eighty-seven rats were taken in
various parts of the city for examination for plague, with negative
results. In performing repairs to a small feed room connected
with one of the city stables, when the wooden floor was removed
54 rats were discovered and destroyed.

PURE-FOOD INSPECTIONS.

It was found necessary to impose fines on several owners of
bakeries and cook shops in which insanitary conditions prevailed
after due warning.
The sale of water taken from various springs and wells and trans-
ported throughout the city in carts was abolished during the
month. There were seven such water carts plying this trade, all
of which had their licenses revoked, thus eliminating a source of
danger to the public.

GARBAGE COLLECTION.


The public market was supplied with new garbage cans and
: stands with self-closing covers.
The conditions at the public dump are generally satisfactory,
Largely due to the lessened amount of rainfall, which permits of
S better cremation of material collected.
S Manure is being sent from the city to CorozalFarm to the amount
S:of two carloads per week, for use as fertilizer, the greater part of
.:. this being derived from the Ancon Corral, and supplemented by
some of the city stables. This lessens the work at the public
: crematory very considerably.


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Feb., 1914.
White.....
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IF. Jaa., 1915.
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: Feb., 1914.







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Total....
Fea., 1916.
White........



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Total....

W ; F3., 1915.




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13


MISSIONS DEATHS AND NpNEFFECTIVE RATES FOR
ES: DEATHS OF RESIDENTS OF PANAMA, COLON, AND
LL ZONE.

ABSOLUTE NUMBERS.
I


0

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4 629
29,637


Admissions to hos-
pitals.


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162
361


" 127
271


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Deaths.


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Noneffective
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2,923 104.38
7,114 254.07


34, 266 523 398 125 19 9 10 10,037 358. 45



4,903 183 155 28 2 2 ....... 3,057 98.62
30,715 423 327 96 15 11 4 8,107 261.50

3, 618 6P6 482 124 17 13 4 11,164 360.12


7,592
41,867

49,459


420
690

1,110


350
476

826


70
214

284


2
28

30


22

22


2
6

8


6,478
12,553

19, 031


231k35
448.33

679.68


PROPORTIONATE NUMBERS.I


4,629 419.951 329.22
29,637 146. 17 109. 73


34,266


183.15 139.38


90.73
36.44

43.77


7.78
6.48

6.65


2.59
3.24

3.15


5.19 .......
3.24 .......

3.50 .......


22.55
8.58

10.46


4,903 447.89 379.36 68.53 4.89 4.89....... ....... 20.11
30,715 165.25 127.75 37.50 5.86 4.30 1.56....... 8.51

35,618 204.17 162.39 41.78 5.73 4.38 1.35 ....... 10.11



7,592 663.86 553.21 110.65 3.16....... 3.16....... 30.47
41,867 197.77 136.43 61.34 8.03 6.31 1.72....... 10.71
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49,459


269.32


200.40


68.92


7.28


1.941.......


13.74


1 Annual average per 1,000.


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TABLE I.--DEATHS BY NATIONALITY.


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Nations. Employees. Nonem- Total.
ployees.


Barbados.................................... 5 17 22
JEast lndies................................... 2 ....... ... 2
ingland -----..---------..-----.....--...-.......................---------------------- 1 1
'Colombia ................................................-- 3 3
CostaRica.......-............-............................ 1 1
ba............................ ....... ..... ....... 1 1

ance.-.. -.. .... .... .... ........ ........ .. ..- ..... ...... 1 1
Trance------------------------------------- ------------ 11
Greece---...--.....-- ...-- ..----------... ............ ....... 1 1
Grenada---.. ---.. --....------...... ----------1 4 5
Italy--...........--------......---- ........... ... ........ 2 2
Jamaica.....---- ---.....-.......------------.....--..-- ..-- 4 27 31
Martinique ................................... 1 4 5
Panama .....................-..- ...............----....... 99 99
ain--------------------------------------- 1 1
iThom. ---....-... -----------.... ------ ---------......... 1
t. IMlca ..................................... 1 5 6

St. Vincent ..-.............................. 1 .............
Trinidad------ ----------- ---..... ---...-.-----... ....-.--- 2 2
UnitedStates................................. 3 3 6
Venezuela ................... ............. .. .t... .......-- 2 2
Unkno -....--.---....-- ........---------.. .. --- ...-------. 1 1

Total-......--.............-............ 19 179 198


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


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


White employees from the United States (4,043):
Disease................................. ...............1 2.96
External causes......................................... 2 5.94
All causes ............................ .................. 3 &890
White women and children from the United States (3,490):
Disease .................................................. .. .... ... ..-........
EKtemnal causes.................................................. ..........
Al causes............ ....................................... .... .......
White employees and their families from the United States

sem.................................................. 1 1.59
External causes ................................. ....... 2 3.19
R causes ............. ................................. 3 4.78
Total number of Americans on the Canal Zone (11,589):
Disease ........ ..................................... ..... 2 207
External causes ...................................... 3 3.11
AUjpuses.............................................. 5 518


























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!;~' 'r'`"-T q.;: Mfl:: p N~i*.P~f











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7 N.
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:,. '..,.. .....,





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k;:. .
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;:;, II'i: : : .. "." ". ." .', 1" l; .'l :ir :j:l;i :lb' : ; I ::; ; '. .", ;;' .! ': B; ', ,. ......
"':. :".." .'. ::", ;... :'~i ,J ..h'.: .:;: j(;? lg :i : .T. ...: "; l: .,.." i.: ?...!. i.:;;.'I'~ ~'.' :.j "':".:'i'. :i.' : .': '~i~:
': '. ?. -. S F.. .. ::.: ..
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:" ": ...... : .', ,.' I.;'.,' I i: ; .-',: .',_'- -, e. _-s ,f A.: -" '



.,. .. .. ...1 .. ... .. ..,. .. ...' .:" ....: ,.... :, .-

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ei..
,'E : #..:E :" ..'..,.. ...





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k.. A- ." ..
....:. ... ,. ,:. ... : ;. ,., .. pY~ i.. .: .,...:.. ., ., ... : ...... ., ., : ..~ ,






zi.
i: : '::'::: : :::' !:, :!.' i; 's' ; ; ',.;. .li:j. l ;,I::-"P.:: :;*'; : .:] ,' ; *
ii~~i :i i i i. ii i i i i: i ii i ii : i: iii i i i i i = ii" i i"i i ih ii ii .. .. i i;": iiii ii ii i














SM::
.: : ,-{, .. ... ... -'!.







im V: m: :;; ..
:... : .
.:: ",:.: : .. .. .','. ... ', .' :: :: '. e:: .:E. o .:3 :' r" .. : "!' ~." ". :
:... ...... .... .: .., ..:... ... o...E E." ..: E..El.::":'":':v.. ". ..:.. .,, '. ,r,:::. """. ". ':': .:E !:'..!"" "'..". :... : .... :"' :".%.
tt~: ii :: .. "" .. ";, ,' .. .









i'.. .' .: '" : ., : ;i:!..: :'. ".::' : :::: :L "".:' ;'" '- !E": :.": """ : ".'3.. "."












:t. o i ..... ,., ........r' l ,:.c?*i ;i ~~
F! : !: ,' .':: 'i "i.": : .: .: .: .. ".::".: : L"'E" ,:E ,
... i: :. :. '.. ... :': : : .: .'
% .. : ::.. ::' : : ,, : : : / L '" : : : ... ,
... .; :: ;. ,.: i ; .. :;-.. :..:'








17





ID .s ase:ama. Zone. .




Malignant edocarditis ................. 1
Organic diseases of the heart................... 4 3 2 9
Aneurysm------..------...--------------------------.................... 1 ........ ------....... 1
Arterio-sclerosis -........ ........-.......-... 1 -........-.....- 1
Hemorrhage; other diseases of the circulatory
system ---........................ 1 1 ........ 2
DDiseases of the respiratory system.
S Adute bronchitis......-.......- ................ 2 5 ........ 7
Bronhopeumonia-----------------........................... 8 1 1 10
Pxpeumonia (unqualified).--..................... 4 ........ ........ 4
i Lobar pneumonia....--............... ... 1 ........ ........ 1
Pleurisy..----............ ..........-......... 1 1 ........ 2
S Gangrene of the lungs.......................... 1 ....... ....... 1
::.. Other diseases of the respiratory system (tuber-
culosis excepted)--..........-..- ...--........ ........ 1 ........
;' Diseases of the digestive system.
Acute gastritis.-........-----................-....... 2 ........ 2
Chronic gastritis..---...--.................-.....-.. ..... 1 ... 1
Diarrhea and enteritis (under 2 years).......... 31 2 1 34
Colitis......- ......... .............. ........... 4 ........ ......... 4
Hernia, itestinal obstructions................. ........ ........ 1
i -Cirrhosis of the liver.----....--.......................-. 1 ---- 1
Abscess of liver (unqualified).................. 1 ................ 1
Nonvenereal diseases of the genito-urinary system
l and anneza.
S Acute nephritis.-........-...-- ..---...-......-..- 1 .....-...-...... 1
Bright's disease (chronic nephritis)............. 2 5 ........ 7
:.. Other diseases of the idney and annexa........ 1 ........ ........ 1
I The puerperal state. .
S Accidents of pregnancy...---................. ... ........ 1.. 1
i Diseases of the skin and of the cellular tissue.
Gangrene ........-------------........................ .. 1 ........ ........ 1
t?~ i. 'Malformations.
Congenital malformations (stillbirth not in-
Seluded)................ ................... 1 ........ ........ 1
S 'e Diseases of early infancy.
Sworn child .......... ................... ........ ........ 1 1
,wbrn child.. .. ...
Congenital debility, icters, and sclerqma ....... 1 ........ ........ 1
Pre.m.u.e birth...... ..:................. .... 4 ........ 4
Frmayrebrth--------------------- -------- 4
C tal debility........................ 1 ........ ......
a y................................... 10 2 2 14
Other ca ises peculiar to early infancy (including
: various consequences of labor)................ 1 ........ ......
:'9 7. '0 005--15--- 3
!: .:i".
"" "... :N ~ o n c id. . .
,iX:.; og~~gNdbftylttn, n, l a ... ... .....
.... irt .. .. . .. ..4. ..




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IT
IT
V4, IT
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t, t, T"i,
t A
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f" ft tFvll A t 3 [11
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7:

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j
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Xeq&ntiWio"fn`
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m, machffi&

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_Ulofiiidde b'' t#' initrtm ents'. TL-,,4
-----------




Mise-of deAth, not pleciflo'd or ill defined,,-
mfectio'nsof undete"nined origin ----------------- 1 Lz

'Total. ---------- L--A- -V
----------------

A,,rand W al, ............... ......



IT


+ : 1 IT:


A

IT








IT

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.


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.


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ti V I
4 'i%: AI.P. Q h
.... .. .. ...




it :--IiU AT
.f,.. i-Au:,w
e..a..
AT '.
... "'.
.. %i :
t."'
i i, :,,:.,; ,. ,. ,. ., ;. .,., .,
...... ..:.. .:... ..: n: :/ "'" .... .... : ..
:t J : : I '.. .".F ..: : : : .. :i ;:' ..
~ ~ ~ ~ !i".".'E-...,; :]E' :EE "."".. n:...:.
.::E' ..: : '.. .'"" "' .%%' ... :.,,. i i ;;-:,... :,.. .,. r
"""' ," ,. .E.E' ,:r! ',:" ." r .. j', ~ ~ Js.'. ,,.. ,. ."" ,
: i:.:" ,.:!i.; :i .i .t. .:. ." ... .. :
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; I'-.',,;- :..-


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1 ;l










21


TALKS OF THE PANAMA CANAL FOR THE MONTH OF
1


j1 *








1:r ..
kh













SI.. .





X'.
",.

















. L : "
,$. .



























I",:''.. .


,l"


Colon hospital.


S Employees.


r

1~
,3
$
a a


.* .'. ,.








S : .:. ... 1


Deaths.



W.




C) m
I oo


Nonemployees.


Deaths.


Admis-
sions.


W.


S. I1... ... ... ..
. ... .. .. .....


Total.


"Employees.


Admis-
sions.


Deaths.


Nonemployees.


Admis-
sions.


w. w. w.


e n
a 0
0g0


En e

S o
a


<


11... ..


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



9 1







... 1

2



4 2

i "i




2...

5 ...


Deaths.



W.


i a


I


21... ...

































':... ,"::. '.i. ::k3 '.'
... O n .. .., u






.. ...... .
j;!:. 4. 1.
o .......... m h l er,, +,+ ,, *:.i:









'i ,: _. I.
23

8 SiPITALS OF THE PANAMA CANAL FOR THE MONTH OF
It5-Opntinued.


Colon hospital. Total.


Employees. Nonemployees. Employees. Nonemployees.

Admis- Admis- Ad Adms-
i Ads- e Adaths Deaths. Admis- Deaths. s- Deaths.
.. sons. Dear sions. season. sons.
810:. 110DS. OIOS.

W. W. W. W W. W. W. W.



S *:- "" "d ". C




:'... ... 1 ... .. ... ... ... ... ... ... ... 2 ... ... ... 7 1 2 ... ... ..


... ... ... ... ... .. ... ... ... ... ... ... ... ... ... ... ... ... ... 1 ... ..
i ...






.. ... ..... .. ... .. .... .. ... ...... ... 3 6 ... ... ..











:... ... ... ... ... .. ... ... ... ... ... ... ... ... ................... .... .. 3 ... ... ..
----------1------------1------------1---1--- 1---1------1'----------'--- ---








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











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



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

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






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


S .. ... ...... ... ... ... .. .. ... 1... ... .....
..!:: .. .. .. .. ....* 1 ... .. .. ..



-... ... 1 ... .. .. ... ... 1 .. .. .. ... ... 1 ... ... 1 ... .. ..
1-...-...-...-..-. --.. .- -- --..1....--------- 1 ".....










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




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



.r
1------- 1- .

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
















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U. ':; '' :i:

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:i ...... ... :
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4.4 "W:': "; """:::':
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A. .y ,:'~.. ." .::: :, e ,: ":. .. E"", ": %.",, 10 :

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L;,' :. .:.". "... .. .. I."' .. ..:.:.;; ::. : E.,.




i...- .:. '::. ..' .. ...." ....
"::":":""""""..""," .'' .,-" ::. : : '; "i ":' ; ""i:: "" E":i;":
..:j' i .:; "3 .': .' ". ..:'".. ," ': ". ..: :. "




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77 ,....
: "`:.:
.' '. : .: :' i :














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h vollA:.
." ., : ...." ;" : :,. ".." "" '. ", ." : .:f" .
.'; ". : '*." E : ; : .*" "':"" ,4;i.. : :"F IE ':


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.... ..,. ..*; ,: .

.. ....
.,.: .. .. ... .j ". .. ... .: .." .. ;

S::
"": .' "i .,~ ": ." .. ".: : l .. I .. :











r?; :a;;: ; '"mr*

,,': : ;: i i : ; : '-
.... :' ; ;;:i:) i: il':ii i :.

i... E ..,. _





.... .;. .,. ':: .... .. ...
.....I. I ~ ."| .. ..
; :i :
""" ;i'' ., "; .":..
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:1
'6'.'? :*: F : J; L .



N, I ? JK




-i-i^-" -"

L A,
ik C
-- *'; w.!


F.4.i. ti :!.
^ *P-:::!1 ^ .- 4:
t:'^^:!^! '
-,&. a!.s i.:. 4 -i4|!*?




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EN
Er, Al


'4'


4?


ti'





4:


sions.


W.



V .


.:*'* ~ -- *1- -



i ........ ... ..
S. ... ... 2.

... 87005-
1 ::. ." :.: ." "
,..:.


Deaths. IAdis- Deaths.
Io0DS. I


w. w. -


d



o8
rO
W
*I-
^


?.1IILI1111iE


W.
-1


I:::!:: :1::


Admis-
sions.


W.


U W


,41


Deaths.


w.


AW

.- P4


Admis-
sions.


W.


Deaths.


W.


- ... .l ... .l.- ... 1- E --- .-.
... ... 2 ... ... ... ... ... ... ...


1.. I


25


HOSPITALS OF THE PANAMA CANAL FOR THE MONTH OF
1915-Continued.


Colon hospital. Total.


Employees. Nonemployees. Employees. Nonemployees.


I


I 1 II I :;:1:::1:::1:::1:::1:::I 1


---I-"I-


I .







































:.; ",,." "u::f
,: i g;.'..""
. :'
t-1

rt.


i iiu;l-'
.'; ;`',:*:~~rl~


I ~


i:,







.
,,
i~c ~
"l"`'r`~i-
.;.*~
C *C; 'iiitk









: 27


It" PITALS OF THE PANAMA CANAL FOR THE MONTH OF


Colon hospital.


Emp


Admis-
sions.'
Z- W




A 4 .

















MW.
V1i.:': ,"





1....

























..... ......
.. ... .
3 .o




:i-
I~i

;-











p.. JJ .. ,


iloyees.


S


Deaths.


Nonemployees.


Admis-
sions.


w. I W.


en M

0 0
u a
"S f

a


Deaths.


w.


1 ...-...


Total.


Employees.


Admis-
sions.


W.



0 -

- WA


Nonemployees.


Deaths: Admis-
I sons.


w.



so

B W


1 ... ....



2 ... ...




2 ... ...


5 ... ...

1----;--


w.


Deaths.


W.


51 ... ...-- 1


- --I- -





I:I.


A


I


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


























...... .... ....' ....



." ".' .




::. ;. ...i .: : ,.."..i. .








ak,







. ... : '
























..::; .: .. .. .
; I,: ;*:.! : <























1!3
i :<.... ,. ... .
.. .
"'; l '."" ":: E! .. : iii"
.d ." : !. '" : ":. :J .: ;::" : ? .:: ;i:. ; .
..:..: ,.: .,.:. W ...:,,.'?',...:-4.,. r i.. : .,.
.! .. ". ."... :.i; ": i / i :" ... :."
"" ,"' i, .". """ .ll''"". ,:
; .., :. :f > .., ; ,: ..'.,? :.



































:' : i:':.: 8f..:.
:; r: : i cr,


a,,r


6~a~i~ru I*
a

E1*:y .ad"
~iu f---: .*.


! ;; .*** h !.




:* :. .: i* .



."---a- -'-,'*

S'* ..
i .* *'
,** -


I *

4-,










29


S OPIiTALS OF THE PANAMA CANAL FOR THE MONTH OF




SColon hospital. Total.


r Employees. Vonemployees. Employees. Nonemployees.



dmi Deaths.Admis- Deaths. Deaths. Adis Deaths.
sons. sons. esions. sons.


W. W. W. W. W. W. W. W.


M fn &A 02 02 M en te
r1 am o o ..
mCOS as d a3 2
lil o o u c i' o *
"C- C) 0 C) 0

-3 -..
M .









... ... ... ... ... .. ... ... ... ... ... ... ... ... ... ..... ... ... 2 3 ... ... ..



... ... ... ... ... .. ... 5 3 ... ... ... ... ... ... ... ... ... ... 13 5 ... ... ..
'I.. .... .










... ... ... ... ... .. ... ... ... ... ... ... .. ... ... ... ... ... ... .. .. ... ... ..
... ... ... ... .. 1 ... .. ... ... ... ... I ... ... ... ... 6 ... ... ... ..







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










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

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

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

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





.... ------.. ......--- -----1----- 3... .... .....
.. ... ... ... .. ... ... ... ... ... ... ... ... .. ... ... ... ... ... ..
.. ----------------- ... ... ..----- ... ... ... ... 1 .. .. .. ... ..
... - --.. .- .. .. .. ... ... .. .. ..I... 1... ... ... ... ... ... ..... ..
I-




.. ... ... ... ... .. ... ... ... ... ... ... ... ... ... .... .......... .. ......
^ ~ ~ ~ ~ ~ ~ ~ ~ --- --- ---. .. .. .. ... ... .. 3- -. .- -.








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

... ... 2 ... ... .. ... ... ... ... ... 1 1 3 ... ---.. -..-- 2 1 --... .. ... ..
* .1.,....... .. ..



J74', 1:---,-- 1--
S2------------1........
at -
1 i: i .1.1-1.1.1...1.1... ...........


At

































:: ~,i :, sE : W :. ... .. :


.:..: .. .. ..... :. ..
p. t: i tf. b : :b f.:... : : .- 4.., .
S ...: : ':...' ...: .. t. ... ..: :. ..: .'..:: .:



4 4 .


TiN gsyf:... o.:.. .d.. .. .

. .. ..$... .t... .: :%' :... '

ti.. r::: r .~... ......, : '
.. ... .. ... .:.' "


.. ... .. ... :..r. .: :A i, ..
.. : ... ..< .: ... ...:... o. ... ..



':. :..:;.',. .": : :..,,.. :... ::.. :::':. d : i. i. ':i
r: ".':E .. t ", : ",. ,
.....': : *." ,; ...'. '..'.:E :" : "". ... .'.
,v f~g~O. r: :i :" '. : ..
'..]:~ ~ ~ ~ ~ ~ ; .... ............:.


'5 51T Rr: .? ;:: ''.;.:.:::; : i >.::. .:.i ...









F:.i 31
.. .. ;'' ,


O I::: STIALS OF THE PANAMA CANAL FOR THE MONTH OF
:' 915--Continued.


Colon hospital. Total.
r .o.:N.


Em



sion.


W.















Fi









I.:: ,


11.


S4 .. 1




.I


aployees.


is- Dea


W.


ths.


*Nonemployees.


Admis-
sions.


W.


Deaths.


W.


Employees.


Admis-
sions.


w.


rn !f3
s wC
C) W
a 0
<; H


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


Deaths.


w.



o 0

,.{


... .. .


Nonemployees.


Admis-
sions.'


W.


Deaths.


W.


F .4:' "


bP


59 1... 2 1 28 21 ... 2 1 1114 46361 1... 12134172113 1 616


~~'''~~'~~'


:I:::j:::lil:::l:::


2:.. .. ... ...


il:::l:::l::


... .o.......i
'_-, [ .,I l I --,


-I--:::


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





































C .. ... "I .
.i... ', ...:., .: ..:- .* .. .:[E ? .a .













3.'i -f: N
I ':a




















";;:'* 2.:J owp















r .' ...".





., .
....


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


* .: ., :


rlc~l :.?:: ir I;. *'S









33


TABLE VIII.-CONSOLIDATED HOSPITAL REPORT-Continued.


Hospitals.


Dis-
charged.


A. F. B.


I- I I-


ANCON HOSPITAL.
* Panama Canal employees
Panama Railroad em-
ployees .......-------
Panama pay patients...
Other pay patients.....
Charity.patients........
Total.............
Insae department.
Panama Canal employees
Panama Railroad em-
ployees...............
Panama pay patients....
Other pay patients-......
Charity patients........
Total............

SGrand total.......
Corbzal Farm.
Panama Canal employees
Chronic Ward.
Charity patients........
S COLON HOSPITAL.
Panama Canal employees
Panama Railroad em-
ployees..............
Panama pay patients...
Other pay patients.....
Charity patients .......
Total.....-...--
PALO SECO LEPER ASY-
~ LUM.
Pa nlma pay patients....
Charity patients .......
Total.............
S GRAND TOTALS.
SPanama Canal employees
Panama Railtoad em-
S ployees...............
Spanama pay patients...
Other paypatients......
arity,patients........
Total.............


11 4
332 95


... 1
1 1
1 1


1 4

96.385


Trans-
ferred.


A. F. B.


.. .. ... ..81
I .-- 1 81


1 ...
6 --.
4
5 5
12 9

131141


8 1

10 ...
1 6
3 2


21...


-I .. .. ... J.


38286

8 66
3 3
60 62
5 22
114 439


Remain-
ing
Feb. 28.


A. F. B.


101171


Average number con-
stantly sick.


White.

A. F.


38.64

5.08

96. 36
11.25
151.33


16. 08170."82


7.46

23.96
2.46
49.96


I: I: ________ I: I--


1.86
5.89
7.75

159.08


301.....


2.53

.67

3.25
1.14


-29 9 5 1-81 7.59


41.17

5.75

101.47
18.28
166. 67


5.00

14.89

3.00
22.89

72.85

7.86




1.60

.32
1.39
2.17
.03
5.51


2.00
2.00
4.00


37. 351 45.21


30.541231.85


7.78
18.28
26.13
7.49
90. 22


: Number bf employees remaining in hospitals:
White.................................................... 74
Colored................................................................... 276
Total;... '350
;,Total.................................................................. 350


V 1
V, ,,


II.


e..: (


38.21

32.14
40.18
281.35


Total.


225.54

50.75

152.46
53.89
482.64


17.68

4.75
175.32
2.89
65.07
265.71

748.35


12.68

4.75
160.43
1.03
56.18
235.07

516.42


27.64

11.00

5.14
1.35
2.10
.14
19.73


29.39
28.00
57.39


27.64

15.13

6.13
2.74
7.52
1.31
32.83


31.39
30.00
61.39

303.56

6L63
209.45
162.87
177.91
915.42


48.10
191.17
35.27
152.14
658.53


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CONSOLIDATED ADMISSION REPORT.


SWhite. Colored. Total.


STotal admissions to hospitals; excluding Corozal
farm and chronic ward.......................... 466 475 941
Total admissions of employees to quart3rs-.. ..-.. 282 57 339

Total .......-..............--............. 748 532 1,280
Less number of patients transferred between hos-
pitals, and from quarters to hospitals, whose
admissions are duplicated in above figures..... 16 44 60

Net admissions to hospitals and quarters...-...... 732 488 1,220

Net admissions of employees to hospitals and
S quarters-...-....-- ..----.------.....-..---..-- 432 408 840
Annual average par thousand of admissions of
employees to hospitals and quarters............. 1,119.90 165.20 294.17


CONTAGIOUS AND INFECTIOUS DISEASES REPORTED DURING THE MONTH OF FEB-
,RUARYY, 1915.


Wk Canal
Diseases. Panama. Colon. al Total.
:Zone.


Measles........ ......................... 19 16 9 44
Typhoid fever......................... 4 () .....
S Annual average per 1,000............... 0.79 .......... ....................
S Scarlet fever .......................... .......... ........... 1 1
: Mumps................................. 14 23 27 64
Chicken-pox (varicella)............... ..........4 1
Mumil fever-----------------3 209 212
S Malalial fever............................ .......... 3 209 212
Tuberculosis (of any organ)............ .......... 3 7 10
Whooping cough............................... .... ..... 15 15
Dysentery.............................. .......... .... .... 3 3
Cancer.................................... .. ........... 1
I : rachoma .............................. .......... 1 .......... 1

One case of typhoid fever taken off S. S. Colon not included.



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: 37


'Taal XII..-FINANCIAL STATEMENT, DEPARTMENT OF HEALTH.


SJanuary, December, January,
1915. 1914. 1914.


Administration:
Chief health office...................... $1,114.59 5717.74 $4,451.99

H sptal division:
SSnCo Hospital ........................ 35,336.72 37,833.44 44,261.79
SCorozaifarm ........................ 1,197.75 1,141.28 1,059.62
Chronic ward....................... 230.94 269.02 217.44
Colon Hospital........... .......'. .. 4,323.79 3,269.14 2,504.79
STaboga Sanitarium............................ ............ 867.39
SPaloSeco Leper Asylum................ 1,311.59 1,425.55 1,130.66
Santo Tomas Hospital................. 891.18 820.00 635.00
Medical storehouse ................... 723.26 664.66 653.40

VI:, Total ................................ 44,015.23 45,423.09 51,330.09

S Dis varies:
SDentists ..................... ......... 12.00............ ............
I Naos Island............ ............. 86.73 47.67 255.75
Balboa................................. 1,133.65 929.16 807.05
Tivoli....................... ......... ... ... ... ......... 747.41
Corozal................................ 640.20 846.37 715.85
Pedro Miguel......................... 477.05 429.14 423.82
Paraiso................................. 534.05 571.54 536.19
Culebra................................. 457.91 282.48 771.90
Empire............... .............................. ........... 867.59
Gamboa.................................... 144.67 120.08 105.00
Gatun................................. 507.80 493.64 1,291.31
,Cristobal...................................... ..... ....... 981.54
Porto Bello........................................ ........... 328.23
Margarita Point ....................... 44.05 113.38 107.14
Toro Point............................. 36.40 67.67 302.52

Total............................... 4,074.51 3,901.13 8,241.30

Sanitary division:
General inspector ..................... 50.00 50.00 700.00
Healthoffice, Panama.................. 3,069.78 2,902.52 4,065.13
Street cleaning..................... 4,484.13 4,619.70 3,831.65
Health office, Colon.................... 1,921.41 4,168.72 1,827.79
Street cleaning..................... 1,888.96 1,803.07 2,044.75
Zone sanitation-
Ancon................. ........... 2,417.57 1,980.37 1,639.54
SBalboa............................. 1,116.66 974.68 1,284.49
Corozal ............................ 2,194.96 1,610.67 1,218.30
SPedroMiguel.................... 984.13 959.80 2,273.54
Paraiso ............. ............ 1,093.59 985.97 1,535.76
S Culebra.......... .............. .. 706.83 846.42 1,171.30
SEmrpre...... ................... .......... .............. 2,989.08
Frijoles ........................... 121.99 123.23 91.00
Gatun .............................. 1,412.32 1,547.21 3,246.64
Cristobal and Mount Hope.......... 1,393.76 1,613.61 2,357.68
PToo t .Poi ................ ....... .........,........ .74.17
P:oto Bello ....... .......... ........... ........ ....... 228.73
Total............................ 22,856.09 23,885.97 30,579.55
i a: larantine division:
Chief quarantine office ................. 295.45 .......................
Balboa Panama....................... 1,739.56 ......... ..........
Colon, ristobal......................... 2,432.92 .......................

Total................................. 4,467.93 3,980.72 4,944.61
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.:TREATED--Continued.
REPORT OF DYS LT IN HOPTAL.
STABLE XIII.-RErORT OF NATIONALITY OF PATIENTS
TREATED-Continued.

"" REPORT OF DAYs LOST nq HOSPiTAL.


S. ; "
I:E : ,,


Blood examinations (total number)......-..............----...............--
Estivoautumnal .......................................................
Mixed...... .. ..................................... ...... ...........
Tertian..................................... .....................
Differential counts........................................ ..............
Hemoglobin estimations ......................... ....................
; Leucocyte counts..................... ....................... .......
Red blood counts....................... ............. .............
SStool examinations (total number)........................................
SAscaris lumbroicoides........................ ..........................
S Cercomonas intestinalis...............................................
Ciliated monads........ ............................................ .....
Entameba (hystolitica and tetragena) .................................
.- Guaiac tests..........................................................
Pus and blood.........................................................=
S. ; Strongloides........................................................
r o Tricocepbalus dispar...................................................
Uncinara ova ........................................................
k!;: rne examinations (total number)......... .............................
Albumen .............................................................
I Bile.....................................................................
'C ateS ...............................................................
. : Ciliated monads................................ ......
S Epithelia............. ...............................................
S Guaiac tests..........................................................
Hemin crystals ..................... ...............................-...
Indicon............... .... ................................
Pus and blood ......... ............. ....................................
utar (positive, 18. negative, 16)........................................
., ieomonas vaginalis ............................. ...... .......




) *A;
I,,'.


833
69
2
28
44
62
108
3
422
11
1
4
8
14
45
18
30
45
1,701
514
35
340
5
117
22
1
31
342
34
1


Total. Ameri- Other Black.
cans. white.

Hospital:
Class-
Panama Canal employees ...--. 6,315 1,082 450 4,783
Panama Railroad employees-... 1,421 142 209 1,070.
Panama Government pay cases. .... ............. .........
Other pay cases.......-........ 4, 269 2,698 671 900
Charitycases................... 1,509 315 69 1,125
Total......................... 13,514 4,237 1,399 7,878
Insane asylum:
Parnma Canal employees........... 495 ... ...... 140 ?55
Panama Railroad employees........ 133 .................... 133
Panama Government pay cases.... 4,109 .......... 417 4,492
Other pay cases..................... 81 52 .......... 29
Charity cases....................... 1,822 165 84 1,573
Total ............................ 7,410 217 641 6,582
Grand total....................... 20.954 4,454 2,040 14,460
Soldiers ............. .... .............. .. 2,116 2,116 ....... ... .........
Chronics................................ 774 --.....-............. 774
Corozalfarm ........................... 1,266 .......... 220 1,046

Average cost of subsistence per patient per day, $0.259.

WARD LABORATORY REPORT.


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Clinid. Total New Pay Prescrip-
visits. cases. cases. tions.


Medical clinim........................ 286 202 49 227
Surgical clinic.......................... 258 180 26 52
Eye and ear clinic.................... 752 168 23 283

Total....... ...--....-......--.... 1,296 550 98 562


REPORT OF VACCINATIONS.
Adults vaccinated............................................................ 158
Number of "takes" ................... ...................................... 48
Children vaccinated.............-......-..................... ................ 8
Number of "takes".......................................................... 4

Total vaccinations ....................-................................ 166
Total "takes" ......................................................... 52













*.


4


41


REPORT OF OPERATIONS, EYE AND EAR CuNIC.
Rye:
Cataract extraction.-...........................----............--........ 6
Irideetomy ..........-....-...-.... ............................... ...... 6
Ptergyium .....-..........-................................ ....... ....... 3
Plastic on lowqr lid ............................. ......................... I
~dMinor eye operations.................................................... 18

S34

Ear:
Mastoidectomy ...................-................................ ....... 1
Ear polypt............................................................... 1
Minor ear operations.................................................... .. 2

S4

Nose and throat:
Adenoidectomy .............................--........................... 8
Tonsillectomy............................................................ 8
Submucous resection.........-...... ..................................... 7
Double maxillary sinusotomy ........................................... 2
CaUtery to ulcer of nose....... .......................-...-.............. 1
Fracture of nose ......................... ......................-.......... I
Dilation of lachrymal duct............................................. 1
Minor nose and throat operations......................................... 3

31

Total............... ....................... ..... ........ .............. .. 69
Total number of refractions ............-...-......... .............. .......... 301

OUT-PATIENT DEPARTMENT.


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43


r: m Itaepts-Continued.
S Produce sold to private parties:
16 dozen roses.............. ............. $8.00
6 dozen eggs............... ............. 3.90
6 settings eggs............................. 9.00
8 rose buses.................................. 2.00
S.1 ..ougainvillea................................ .50
:3 ferns...................................... 1.50
4 ferns.fe ................ ................... 1.00
/:..: 30 bunches bananas........ ................ 7.50
200 pounds yams .............................. 6.00
3 hogs.............................................. 5.00
56 loads grass............................ 56.00
Pasturage..................................... 18.10
--- $188.50
$648. 53
Net expenditures.................................................. 536.38
Number of days treatment furnished...... ....... ............ 1,266
Net cost per patient per day ............................................ 0.42368
Wok performed: Cleaning pasture, grounds for the asylum, and cultivated
vegetable garden and nursery.

STATEMENT OF COMMITMENTS, DEATHS, AND DISCHARGES, MONTH OF FEBRUARY,
1915.

S.Commitments.


L,



14;'

'If'..


Male. Female.


From the Canal Zone on first commitment.................. 15 1
From Panama Government on first commitment............ 8 1
From Panama Government on second commitment......... .......... 1
Total---...........-............----.. -----........ .. .. 13 3

I Transferred from hospital.
Grand total, 16.
Discharges.


Well. Improved. Unimproved.
Nationality.
Male. Female. Male. Female. Male. Female.


Barbados.....- ....... 2.......... ........ ............... ..........
Caba...................... ...... 1........... ... ..........
Demoraras............. ............... ................. 11 .........
Jamaica ........................... ....... ........ 21 9 2
Panama... ........ ....... ....... ........ 1....... .......
United States............. ....... ............................... 1 .....

S Total............... 3 .......... ........ 2 11 2


.1.E" lo
Randnd total, 18.


ped.


2 Deported.


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:45

SURGICAL OPERATIONS.
A: Amputations: Leg........... .........................................
Operations on bones: Craniectqmy, decompressive .........................
S:. B Hermotomy: Inguinal, single...............................................
/ Genitt-urinary tract: Curetage uteri........... .................................
: Obstetrical:
?6: Low forreps..............................................................
::' : Perineorrhaphy..................................... ..................
i Thorax: Thoracotomy......................................................
Rectum: Hemorrhoids, radical cure.......................................
Laparotomy:
SAppendectom y....... ..................................... .............
Salpingectomy, single ..............................................:....
Oophorectomy..........................................................
uspensio-uter........................ .. ............................
Minor operations, various.................. ..................................

STABLE XV.-PALO SECO LEPER ASYLUM.
NATIONALITY OF PATIENTS.


Class.




Pai ama Canal employees......
Panama Railroad employees...
S; Pay cases......................
S Charity cases................

T. Total..................


Cost of subsistence per patient

: -TABLE XVI.-



Class.



Pay cases....................
b! a;C rity cases..............

Total................
"": ''-


Number
treated.


White.




2
2


Black.


.........
30
16


Americans.


White.


Black.


Other nations.


-White.



2
2


Black.




30
16


I I I --------


t per day, $0.26.

-SANTO TOMAS HOSPITAL.


Remain- Remain-
Remaing Ad- Dis- Died. ing
Fe mitted. charged. Feb. 28.


34 87 93 1 27
421 811 769 50 413

455 898 862 51 440
_______ S _____________ ______ ______


i Average number of patients constantly sick............................
Total number of days' treatment..........................................
.:: A ge number of days' treatment per patient...........................
: Cost of subsistence per patient per day...................................


444
12,449
9
$0.28


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f Asylostomiasis......... ....-.-....- .........-....... ......... 11
* _pp edicitis and typhlitis .................................. ............. 8
I Hern:ia, intestinal obstructions ............................................... 5
Seiseases of the intestines ................................................... 46
Or rhosis of the liver............................... ....--------- .....------ ... 3
.Other diseasesofthe liver...-e..t -........--................................- 2
cui te nephritis ................ ............................................... 14
Caleuli of the urinary passages ............................................... 1
S Diseases of the bladder ..-............-...................................... 5
i Diseases of the urethra, urinary abscess, etc................................... 6
S Nonvenereal diseases of the male genital organs............................... 6
Oi:; her diseases of the uterus................................................... 5
Cyss and other tumors of the ovary......-................................... 1
Salpingitis and other diseases of the female genital organs..................... 15
Normal labor................................................................. 81
Accidents of pregnancy ...................................................... 16
Puerperal albuminuria and convulsions.-...................................... 1
Gangre.ne-................................................................... 1
1: uruncle.............................. ....................................... 1
Acute abscess................................................................. 8
Other diseases of the skin and annexa......................................... 26
S Diseases of the bones (tuberculosis excepted)..-.............................. 1
: Other diseases of the organs of locomotion........................... .......... 3
Congenital malformation (stillbirth not included)............................. 1
iTewborn child........................................................... 77
Other acute poisonings ..................................................... 4
Burns (conflagration excepted)................ ................. ........... 3
T raumatism by firearms....-........... ..-------................-............ 18
Traumatism by cutting or piercing instruments.-...............- ..-......... 2
S Traumatism by other crushings (vehicles, railroads, landslides, etc.).......... 6
Fractures (cause not specified)....................................... ........ 11
S Causes of death not specified or ill defined ...............................-..- 5
No disease.................................................................... 41

Total ............................... ............................. ...... 913

: SURGICAL OPERATIONS.


Amputations:
Thigh............................................
Leg.......................... ...... ..... ....... .....
i4e Digits, multiple.......................................
SAdenectomy, inguinal:
S -Single................................................
Double ............................ ............ .......
Herniotomy, inguinal, single...............................
: ephrectomy.................................................
Sitpirethrotomy, internal....................................
... drocele, single, radical cure ......... .... ...........

Smtomy............................................
Estert...............................................
i: sections................. ........................
ermeorrhaphy...............................................
: l ho radical ure.................................
fltla in anus, excision of................................
1 tic~aon of surface neoplasms-........-.... ...................
'unshot wound of soft parts, operation for................
S operation for severe injuries.........................
c operation for effects of disease......................
ecntomy ......... .....................................
inScystotomy.............................................
l hotomy .............................................
0hleehotomy----------------
of river, thoraco-hepatotomy for .....................

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"49

ui;.:'. Buildings:
: Number of buildings inspected.......................-.............. 4,793
Number of plans for new buildings approved........................ 16
Number of permits granted for repairs to old buildings................ 60
Total number of permits granted..................................... 76
Number of buildings condemned .................................... 10
S Number of buildings demolished--....... ............................. 11
S Street cleaning:
V Average number of square yards cleaned daily....................... 600,000
Average number of square yards street sprinkled daily...-............ 90,000
Number of private properties cleaned during month.................. 0
Number of notices served and nuisances abated....................... 226
Vaccinations:
Number of vaccinations during month .............................. 1,424
i' .. Total number of vaccinations since Apr. 1, 1914....................... 16,151

WORK REPORT FOR COLON, CRISTOBAL, AND MOUNT HOPE.

'[Health office, Cristobal, Feb. 28, 1915.]
: Sanitation, general, Colon:
Si.I. Square yards street cleaned......................................... 3,558,622
Cubic feet fumigated (I building) .................................. 3,456
Square yards street sprinkled....................................... 501,000
Square yards alleys maintained..................................... 620,885
SNumber private properties cleaned ................................ 27
Number of rats'killed.....................----...--................. 288
,> Loads of yard garbage handled................................... 382
Number of cans, garbage (1,954 cubic yards).-...................... 60,661
Cir Colon dump maintained................ ......................
E.ir:; Linear yards ditches maintained ...............--............... ... 4,690
Square yards vegetation removed, Colon............................ 96,800
Parkway & "E" Street maintained..........................-....
Number square yards oiled -..-...-.......-................--...... 13,150
Number buildings inspected ...........-........................... 3,380
Number of receptacles treated..-...-........-....-...... ........... 20,300
Number of mosquito-breeding places destroyed ................... 153
Number of nosuisace aae-------- ---------181
*Number of fly-breeding places destroy.ed............................ 86
Number of nuisances abated ........................................ 181
S Gallons larvicide used ............................ .................. 185
Gallons crude oil used.............................................. 86
Building, Colon:
Number of plans approved.....-----....--....----.......--.......- 2
SNumber permits to occupy issued ...........-...................... 2
Number of permits to repair issued ................................ 78
Number of temporary permits to occupy issued .................... 1
I' Number of bills collected...... .................................... 98
Sewers, Colon:
Number new connections made during month...................... 2
Total number connections made to date............................ 1,171
Number of houses in which extentions were made ................. 1'
Outstanding permits..--...-------..--..----.------...---...------------............ 35
S*Sanitation, Cristobal:
SNumber of cans, garbage (591 cubic yards).......................... 12,183
Loads of yard garbage handled -----15
L;: oads of yard garbage handled..................................... 15
.Square yards vegetation removed................................... 9, 20
S Square yards vegetation removed P. R. R. reservation.............. 48,400
Square yards oiled ...........-............-........................ 6,050
Number of receptacles treated ...................................... 280
Number of mosquito-breeding places destroyed..................... 15
S: Number of fly-breeding places destroyed..................-......... 17
'Number buildings inspected........................................ 65
SGallons larvicide used ..............................*............... 24
Gallons crude oil used............................... ................ 190






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IMMIGRATION REPORT FOR COLON.

From- Cabin. Steerage.



amaiica and West Indies............................ ...... 106 311
Venezuela................................................... 8 1
SClombia...---------...--............--------------..-------....--...........-------.... 53 99
--------------------- --.....-------... -- 86 19
Giatemala............................................. 0 4
i *Costa Rica.------------........--------..........--------------.......---.....---............... 127 36
S Bocas del Toro.............................................. 56 112
Coast towns......-.......-..............................-.... 0 194

1,434 804
S.......... 2,238

Men.:-" 1,390
M eii en. ....... ..................-.......................................... 390
S:' men.. ..........--------------------------------------------------------486
Children....................-.............................................. 168
1 Unclassified.............................................................. 194
r Total..-......... ....-..--.....--.....- ..........-............... 2,238

SQUARANTINE-BOCA DEL TORO,
;:" Number of vessels inspected and passed.................................... 14
Number of crew inspected and passed...................................... 1,104
::.9 Number of passengers inspected and passed..................- .... ......... 202
Number of passengers in transit inspected and passed...................... 352
Number of persons held to complete period of incubation of plague......... 2
I No. quarantinable disease has appeared in this port, and the health conditions
S..f the port and surrounding territory are good.

TABLE XIX.-STATEMENT OF QUININE ISSUED.
Kilos.
Quinine sulphate.......................................................... 35 ,
i.Quine sulphate tablets..........................................-.....- .. 7
STotal................................-.................................. 42
S ouids avoirdupois, 92.59.

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