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

KL1-L.K 1
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OF THE


SARTMENT OF HEALTH
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PANAMA CANAL


FOR THE *


MONTH OF JANUARY,.1915


p,". CHAS. F. MASON

Lieut. Colonel, Medical Corps, United States Army
F.:... .:. . "
SClglef Health Officer, Balboa Heights, Canal Zone



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C CONTENTS.


Page.
:ti transmittal ..:................................................ 5
S* em arks -............ ..................... ......................... 5
V.l Lstatistics:
:.: Health of employees....... .............. .. ........................ 5
S: 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
.. :..i:;; Hospital Division:
Ancon Hospital......--.---...--....... --........--.. ................. 7
SBoard of Health Laboratory ........................--------------- 7
Farm for Disabled-..--....................-........................ 8
';:: Insane Department--...... .................... ...-.......... 8
S" Chronic ward ...................... .. .................... .. ...... 9
: : : tolon Hospital. -...........-.....-- .............-...-..... ........- 9
::: Palo 8eco Leper Asylum -...-............-....... .................... 9
.' .: Santo Tomas Hospital-.......-.....-..........-...-.....................- 9
S:District djspensaries.....--...--. .............---------.......--..---. .. 10
Sanitary Division:
SCanal Zone -.... -........-.................. ..............-............. 10
Panama..--------------------......----------................---------...............-----------.......... 10
S.Colon ........ ... ....................................................... 12
Q:: :: rantine Division:
: Panama...--.......--.........- ....-- ...-...-- .. ...........-...... -. 12
; : Colon .............---...........................-..........-.. 12
Statistical tables:
:'iTable 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
mII. Deaths by nationality..--....-----..-...--- --. ------..------------........ 15
IV. Deaths of white Americans..-..-----....---.--------......-.....----.. 15
V. Causes of deaths of employees ... ............................ 16
SVI. 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..---.. 47
i XVIII. Quarantine transactions...................................... 49
:: XIX. Issues of quinine.............................................. 51
XX. Personnel report............................................... 51

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...I V. Casesof eats ofempoyes an ciil opuatio, ad pace





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LETTER OF TRANSMITTAL.
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TI:E PANAMA CANAL, CANAL ZONE,
DEPARTMENT OF HEALTH,
Balboa Heights, February 12, 1915.
C. ol. GEORGE W. GOETHALS,
Governor of the Panama Canal,
Balboa Heights, Canal Zone.
SSia: I have the honor to submit the following report of the
operations.of the department of health for the month of January,

Very respectfully,
SCHAS. F. MASON,
Chief Health Officer.


GENERAL REMARKS..


No cases of yellow fever, smallpox, or plague originated on or
:iere 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
35,618.
The total number of admissions to hospitals and quarters was
988, a rate of 332.87 per thousand, as compared with 331.27 for the
preceding month and 519.62 for the corresponding month of last
year.
The total number of deaths from all causes was 17. Of these 13
died from disease, or 4.38 per thousand, as compared with 3.64 for
the preceding month and 4.87 for the corresponding month of last
year.
There were three deaths from malaria, as compared with one
death for January of 1914. Of these deaths, one was a feeble old
:m: an of 68 years, who had been 23 years on the Isthmus and who
S.:i ,ad a complication of fatal diseases, of which malaria was only one
: element; another was a young woman who died of rupture of the
:: ; pleen-a very rare accident in malarial cases; the third was a
man 'who had been ill eight days without reporting for treatment
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S 1a death of white and 12 deaths of colored children under
:'i :iE: ai age, giving an infant mortality per thousand of 53 for
e a 324 for colored children, with a general average of 232.
iTh ieentage of stillbirths to total births was 5.

7' p:! ::" . PANAMA CITY.
.. .. . ..

Tiih population of the city is 60,373, among whom there were
* 3ot,;:L ::i of 169 deaths; of these, 166 deaths were from disease, giving
::: ra i:i~ of ~36 per thousand, as compared with .39 for the preceding
Mouth and 35.62 for the corresponding month of last year. Of the
i't'.:::l: ; i deaths from disease the percentage under 5 years of age was
:' compared with 55 last month. The principal causes of death
'* showing an -increase as compared with December were: Pellagra,
.., ,7as compared with 6 for the previous month; bronchitis, acute
;;'::'-a:aid.-chronic, 10, as against 4 for last month; nephritis, 14, as
a'g: : 'ainst 13 for December.
T: hre were 302 births reported, giving a rate of 60.03 per thousand.
T 'he'-fEant mortality was 245 per thousand. The percentage of
s tillbirths to total births was 4.

: COLON.

:The population of the city is 29,331, among whom there were
56"deaths; of these, 52 were from disease, giving a rate of 21.27 per
:i thousand as compared with 21.69 for the preceding month and 18.39
Sfor the corresponding month of last year. Of the total deaths from
ipiease the percentage under 5 years of age was 52, compared with
S.4 last month.
The principal causes of death showing an increase as compared
with December were: Broncho-pneumonia, 4, as against none for
S last month; diarrhea and enteritis (under 2 years), 6, as compared
With 2 for tht preceding month, and cancer, 1, as against none in
December.
There were 114 births reported, giving a rate of 46.64 per thou-
mad.. The infant mortality was 132 per thousand. The percent-
.e of stillbirths to total births was 7.
HOSPITAL DIVISION.

ANCON HOSPITAL.

During the month the average number of patients constantly
in:hospital was 515. The per capital cost of patients in hospital
proper was $1.84 gross and 84 net. The per capital cost of patients
S i the insane asylum was 53 cents.

. BOARD OF HEALTH LABORATORY.

: # The following work, in addition to routine, was performed:
The study of emulsions of crude carbolic acid was continued
withf special reference to their bactericidal action.



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X,:4:o, L'Nemtt, 1; San Salvador Island, 1; St. Lucia, 1; and the United
r:ih 1::i The:rection of the new asylum at Corozal is being pushed rap-
.,.:: ...1. .ithe constructing quartermaster's department, and all of
;: %Ai I. ldings to accommodate the males, when they are transferred
..iithat place on or about March 1, have been removed to the new
i.d'"" a their interiors are being suitably rearranged.
'' e insane working force at the farm are still being employed on
.. i.::. munds of the new site, dairy barn, and piggery.
A : ;i.: addition to the general sewing and mending being done at the
sti," tuti.on sewing room, the female patients are daily engaged in
;... epjring certain surgical dressings for use in the operating room
: nd.,' various wards of the hospital proper.
CHRONIC WARD.
:.;i:... :iThere were 24.81 chronic and incurable patients constantly cared
: or during the month. The cost per patient per day was $0.289.
:: detailed statistics are shown in Table XIII.
COLON HOPITrAL.
T: The highest number of patients treated on any one day during
t e month was 48, the lowest number 28, the daily average being
36.74. The average number of employees constantly sick was
23.67.; The average number of days' treatment per employee was
S 10.12. The per capital cost of patients was $2.56 gross and $1.60 net.
Detailed statistics are shown in Table XIV.
;. PALO SECO LEPER AsYLUM.

The number of patients under treatment at the end of the month
.was 49 as against 50 for the preceding month. The per capital cost
per patient was $0.81.
.. Detailed statistics are shown in Table XV.
SANTO TOMAs HosPrrTA.
During the month a total of 1,540 patients were treated, 28 less
t n. for the preceding month. The daily average of patients in
Ihopital was 467, as compared with 475 for December, and the
tottd number of hospital days was 14,508, as compared with 14,728
r the preceding month.
iSity-three deaths have occurred, with tuberculosis, pneumonia,
.. d pellagra as the chief causes, in the order named.
The hospital has been caring for a great many pellagra cases
recently as compared with former years, and upon investigating.
the records previous to 1911 it is found that this disease did not
occur or went .undiagnosed; the cases are of the severe type, with
weather heavy mortality.
Beriberi, diphtheria, and measles have been incident during
the- month. Beriberi is somewhat less than during the months
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:i lljt*r,. ospinal fever.-The only case of cerebrospinal fever re-
poI, tp roved to be a fatal one.
ts pa:i.-The prevalence of mumps throughout the city is still
i ke: : ed, and-for the month there were 15 cases reported.
S VACCINATIONS .
i 4" the month 1,994 vaccinations were performed, bringing
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stho.tal since April 1 to 14,727.
SMosQuTrro,,RAT, AND FLY WORK.
ii::: <'i The antimalaria work in the vicinity.of the exposition grounds
t as further extended to include the Bella Vista property, at which
p:?'^ lac, residences-are now under construction.
,lM; ; Mosquitoes.-An examination of the street cars at terminal points
aio':utside of the city revealed that anopheles mosquitoes enter and
:;:: :attack persons waiting in the cars. In the car barn after running
h: ,;:.:: em an A. tarsimaculata was discovered hiding behind the con-
':;''iroller box, where he was tubed." This may account for a small
: ii'': umber of cases in the section of the city far removed from the
i ': anopheles districts.
:i:i . lies.-During the month 302 deposits of fly larvae were destroyed,
: ':: . whichh is a slight improvement over the previous months, and the
'ev:.:::: iaevalence of flies in the city is not very marked.
ats.-During the month 1,159 rats were caught and submitted
I.' to laboratoryoy examination for plague, with negative results.
It was observed in a new rat-proof building that a large rat came
romi:': m behind a counter, jumped upon the same, and from thence to
S;.e wall shelves. Continuing, he jumped several feet to a drop-
i ght wire, up which he ran, thence along a 1-inch water pipe,
: i: where 'he disappeared on his way to the second floor. This illus-
:,a.;:: tes the difficulty in preventing rats from entering a building,
;as in this case the rat had evidently come in from some stables
adj : ; ".acent, and made his hurried trip to the second floor in search
i:.., f fbod. It is believed, however, that if this rat was sick with
:pge he would not undertake such a strenuous journey, exposing
S lmselfin his feebleness to the danger of being killed. His very
:er:.ng would make him so cautious as to remain near his burrow
o harbor, even though his food was not immediately plentiful.
GARBAGE.
With the entrance of the dry season the garbage was more satis-
factorily created at Dump No. 1, where great improvement has
Seen made in the approaches. Only 120 quarts of flies were trapped
S oi the public dump during the month.
S . LDINGB.
: : ,.:. .. : 'Bum n s.
,' The repairing of buildings was continued and 49 permits for such
woir.k were granted.during the month.
Detailed statistics are shown in Table XVII.






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;TAe I.-ADMISSIONS, DEATHS, AND NONEFFECTIVE RATES FOR
:;.l.PLIOYEES: DEATHS OF RESIDENTS OF PANAMA, COLON, 'AND
iilER CANAL ZONE.


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ABSOLUTE NUMBERS.


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1 Annual average per 1,000.


.-r;. ---. .- --
Admissions to hos- D ths Noneffective
S" pitals. from sickness.
Num-_
ber of
Ccir. em- Con-
ploy- Dis- Ex- D- Ex- D stantly
ees. Total. ase eternal Total. ternal non-
..ease. ease. treated.
causes. ca-ses. efeo--
tive.


Aas., 1915.

hite........ 4,903 183 155 28 2 2 ....... 3,057 98.62
:';10red....... 30,715 423 327 96 15 11 4 8,107 261.50

Total... 35,618 606 482 124 17 13 4 11,164 360.12

Deq., :114.

White........ 5,513 165 138 27 1 ....... 1 3,281 105.85
olo1red...... 30,711. 440 344 96 18 11 7 8,600 277.43

Total... 36,224 605 482 123 19 11 8 11,881 383.28

SJa., 1914.

hite........ 7,406 468 394 74 4 3 1 8,264 266.58
Odlored....... 41,922 872 627 245 29 17 12 14,966 482.78

Total... 49,328 1,340 1,021 319 33 20 13 23,230 749.36


: PROPORTIONATE NUMBERS.I


*7 J9k., 1915.

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

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

: De;, 914.ll

White....... 5,513 359.15 300.38 58.77 2.18 ....... 2.18 ....... 19.20
Coldred...... 30,711 171.92 134.41 37.51 7.03 4.30 2.73....... 9.03

Total... 36,224 200.42 159.67 40.75 6.29 3.64 2.65 ....... 10.57

Jan., 1914.

White........ 7,40 758.30 638.40 119.90 6.48 4.86 1.62 ....... 36.00
Colored...... 41,922 249.61 179.48 70.13 8.30 4.87 3.43....... .11.51

S Total... 49,328 325.98 248.38 77.60 8.03 4.87 3.16 ....... 15.19




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.. TABLE .--DEATHS BY NATIONALITY.


S'Nati.ons" Em- Nonem-
aployees. pleyees.


arb adp................................... 3 28 31
:,*'. s .. .................................... .......... 3 3
: b; "CirB J............................... ....................
'i.:b;~':. na .. ..................................... ........... 2 2
| C a m ...................................... ............ 1 1
Ou ----c------------------------------- ------------ 11

Son aica................................. ......... 2 2
--l--ia -------------------------------- ------------

Senada ............ ........................... ............ 1 1
1 1

araia...................................... ............2 2
Gadelo.. ae pe............... ............... .......... 1 12
Jamiaeta.......-...--............--.....-....- 10 32 41
i artiniquel.................................... 2 4
i:, :. S. o s ........................................ ......... .. 12
. P anam n ..................................... ........... 1 1
fPatn..-...--.....-...............-...................... 152 152
-------------------------------------------...................... 1 1
S S t.Ti tts -------------........................ -- 2 2
St. Lucia ......-.............................. ............ 4 4
St. Thomas .................................. ............ 2 2



Total....---..-...............-....... 17 247 264


S: TABLs IV.--DEATH RATE AMONG AMERICANS ON THE ISTHMUS
:f;.: CONNECTED WITH THE PANAMA CANAL.


SNumber Annual
.. of average
deaths. per 1,000.
.' ..'. .' :: . - .-------- -

W teei employees from the United States (4,148):
Sismase .................... ........... ............... 2 5.79
i iXternal causes........................................... ....... ....
S .: a A uses............................................... 2 5.79
'i women and children from the United States (3,332):
i:. iSease .................................................. .......... ...........
: .E. x..'. ternal causes ................................... ...................
SAll causes .............. .............................. .......... ..........
.hte. employees and their families from the United States
S(7 480):.
ase........................... ...................... 2 3.21
External causes..................... .. ... ...................
Allcauses.............................................. 2 3.21
STotal number of Americans on the Canal Zone (11,545):
Disease.................................................. 2 2.08
ter a caua ses......................................... ......... ......
A causes ................. ................. .......... 2 2







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L' ACTION AND PLACES WHERE CHARGEABLE-Continued.
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Disease. P Colon. C TotaL
ma. Zone.


:.'.'. Diseases of the nervous system and of the organs
.. of special sense.
EnoAphalitis.................................... ........ ...... 1 1
:eumococcus meningitis.-.................... 3 ........ ........ 3
reral hemorrhage, apoplexy..-: ............... 3 ........ 1 4
oftening of the brain................... ....... 1 ........ ........... 1
i ral.ysis without specified cause. ..... ..... 2 ........ ........ 2
Convulsions of infants (under 5 years of age).... 2 ........ 2 4
Diseases of the ears....--......................... 1 ........ ........ 1


OrgiAnic diseases of the heart......... ......-HE ..RE ....C A 1 R 2
Angina pectoris ............................... 1 ---- - -1
Diseases of the respiratory tsterm.
Abute bronchitis ..............a. ..p----------- 8 7 ........ 15
Chronic bronchitis-..------------..---------.............. --- 2 ............... 2
Broncho-neumonia --.....------------...-...-......- 8 4 ........ 12
Pnieumonia (unqualified).n.........d............ 4 ........ 1 5
i Lobar pneumonia-..-......-...--............... 3 ----... 3





;" gene of the lungs.......................... ........ ........ 1

Diseases of digestive system.

: Other diseases of the stomach (cancer excepted)-. 1 ........ ....... 1
Acute gastritis.................................. 1 ........ ........
Chronic gastritis..u .-. -------........---- ...-- .. --...... 1 ........ 1
i Diarrhe and enteritis (under 2 years)......... 25 6 3 34
Colitis.......................................... 2 ........ ....... 2
S Doa e o.......f t ........................... ........ ........
S.. ppenicitis and typhlitis .................... 1 ........ ........ 1
Hermia, intestinal obstructions.................. 1 ........ 1 2
Other diseases of the intestines t........ ... ....... 1 1
Citrrosis ee of the liver................... ec ..1 1 ........ 2
Choi gatii------------------------


Abscess of liver (unqualified)................... 1 ....... ........ 1
simple peritonits (nonpuerperal).............. 2 ................ 2
S .Aovenereal diseases of the genito-urinary system
and annexa.
S:oute nephritis................................. 5 2 1 8
right's disease (chronic nephrits)............. 9 4 ........ 13
Itisearses of the urethra, urinary abscess, etc............. 1 ........ 1
Stricture of the urethra, nonvenereal .d).....1....... 1.... ........ 1

The puerperal state,
'Fit erprlaHpemorrhage............... ......... ........ 1 ........


.. Aitesabsess.................................... 1 ........ ........
:::' lier diseases of the skin and annexa.......... 1 ........ 1 3


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vf, ., .:, j .
ij lfOrPITALS OF THE PANAMA CANAL FPR THE MONTH OF






". .4. 6- *
1C oloi Hospital. Total.



S.. ...Eployees. N employees. Employees. Nonemployees.











... . .x . ". ... "- -- - --1 . _.
A(1mis Admis- Deaths Admis- Deaths Ai Deaths.

... 1: .. --. ---------- --- ---T--- --- --- -----F .PANMA.CANALF ---MOT

Sw. w. w. w. w. w. w. W.

:0 0 w S









1 * 5 .. n . .. 5 1 .S 1
;"... ...

** r In





.. 1 3.. ----------- ... ... --- 11 5 50 2... 1 25 6 ... ... ..------
2 1 2 ... .. 13 2 3... ..
.;.------1-] 1-- I----- 1.1.....-1----1-'----1 ------1(-.---- I--1.
.. ... .. ... ....... 1 ...- .. -- ------- 91... ... .
... ... -.- ... ----- -- -- -----------1

. .. ..' .' .. .. ..-. ...I-- I- -1- ---- ------ --- --- -- -- .-- ..- --- --- .
S... .. ... ... ----- ... ... i ... ...- .- -- -- --- - --
... ... -------------.. ... ... ... ... ... ... ... -- --
... .. .. ... ... ... .. ... ... ... ... ... ... ... ... ...
... ... ..-- -- -- .-- --- --------------- .. ... ...... ... ..... .
.. .. .. ... ... ... -
. . .- ..-- ------ -- --- --- ---







.. ..1 ... .-- ..- .. ... ... ... ... ... ... 1 ...1 ... ... ... ... ... ... ... ..
.-.1...1.2----------------2-------2-1
1------------ 1----.1---1-1-1-




.. 1 .. .. . .. ... .- .. --- --- -- --
5;1.1.1--.-1-------------65-----I---35 18....-.1..
1..1.-.1I------------------------~"





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




.. ... ... .. ... ... ... ... ... ...----- ... ... --- ---.. ... ... ...
... ... ... .... . ...... .... ... ... 2 3 ". ""
.. .. .. .. ... ... ... ... ... ... ... ... ... .. ... ..... ..
... ... .. .. ... ... ...... ... .. ... ... ... ... ...
S.. .. ... ... ... ... ... ... ... ... ... ...- .. -
,;11 .. .. . ..---
111-(- 111-1 1----------11-(







- - - --... ... ...- ... .. ... ... ... ... .4- --- -.. 1. .
1. ... ... ... 3.... ...
1--.. --- ---1 --- --- -------
.. ... ..... ... ..
A.--------------I-- I--- I--- I--I----I--I----I-------113-------26.............








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

S.. .... ...... ..... ... ... ... ... .. .. .-..... .1... ...
ie, ". ,- i I Illi-------- ----------- - --1 2i. . .
,'" sa ...-.---L-- ..-------- 2.. ...S........ ....


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23


'ALS OF THE PANAMA CANAL FOR THE MONTH OF


C: :'Colon Hospital.






SAdm.s- Deaths Ad



W. W. W. .






l: E^ (W )o







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

S ... ... ... .. ... ... ... ... ... ... 1 mplo
| .As-isD deaths.



















.. ... ...... .-. .. .-.. ... ... n. .



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


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











... ... ... ... .. ...... ... ... ... ... 2 ......
.*J. ... ... ... ... .. ... ...... ... ... ... 1 ...
... ... .. .. ... --. .- ..-- -- .--- - --- ---


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





.... ... ... ... .. ... ... ... ... ... . .
... :..:.. .. ... .. ... : . *
r*** ** ** -* -** ** *** *0* *** ) *** ***







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





















I. ... ... ...... .. ... ... ...... 1
... ... ... .. ... ..... .. ... .. .. ... .... ...
:i .... .. ... .. ... .. .. ... .. .. ..
S. ... ... ... ... .. .... ... .. . ... --







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




1 ..;. .::: "i,:,.. . .. ... 2.: :..... ... ... .
...2










'r.-...'i... .. .....: ... ........ ... ... ............ ...







.4^ \*-- -- -- 1 8
..:.:. ........ .--- -..--- -
*,L.. i.*: i------------------









E: ::., ;': :',.:, .:


Total.


yees.


Deaths.




W.



m &
Z
w ,


-..1--I--


I...!


I..


Admis-
sions.


Nonemployees.


Deaths.


E-- E-- E-


1.---




2--.

4-...




5--.
1...


-111 -- -- i
... ... ......-


11.-.1.--


I -


W.




A-I









41



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14,

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2fllPXPALS OF THE PANAMA CANAL rFOR HE MONTH OF
.::M:. . .... tinted.";; :

Colon Hospital. Total.
lb:: ... --

E.mployees. Nonemployees. Employees. Nonemployees.

:""" "" .i ~ Admis- Admis- Admis-
: A Deats. Adm Deaths. mis-Deaths. A Deaths.
S' n. sons. sians, sios.


w w. w. w. w. w. w. w.



cp s,- 1:. . :.. 1 a a




..." .c..- . ....


S--------... ... .. ... ..... ... ... 1 -- . .......
------- ------1---1'.11)--11111--------------------1..

k ------1.-1---1-1--1--11-1---------1-----
......... .. .,. .-. ... ... ... ... ... ... ... ...
.................. 1. 21- - 1 31 21 --- -'- -


t* ... ... ... ...... .. ...





...... ... .. ...
; ... 2 ... ... .. ...
.i ". --* *** -- *
I-













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

441 e 1... ... ... == **

:. ... .. .. .. .
.."-,-"8 - - -
... .





... ..
, :: .


.f:e.:L..;I:"[. ., . |- . .. .-
":. "" :. ..:.;..- .315"5.--i


... .. ... ...
mesm .II I


I-----....-- I . ..-


i2 i


;;. --
iS


1-..11


-*-I**


I. I.-
C I-


C,;: .:


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in
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ino
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tin
1)14 vfiii~i iii








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;,, ,. ..: .
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. 27


.iHOSPITALS OF THE PANAMA CANAL FOR THE MONTH OF
-oetinued.


it..1


E::^; Employ


.r :. .
1 .. .- .



t.... ;. -- '


6ji"





















i ; :.
sI I












i" 1......




.....i'; .". -
*::". "..






















*,, .


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.. "....... :.
*; i ;: .... .







,'t..4 ...
* '..';; '.. ./ *.


, *.;" ,. : ". "







:( "f .":. .
4. 4

lb:,!


Colon Hospital.


ees. .


NonemployeeS.


Total.


:-: I I


Employees.


Nonemployees.


DeathsAdmis- Deaths. Admis Deaths. Deaths.
sons. sons. sons.
_I I-


w.





-o
| 1


.1...


i ... ...


w..




o 0
IS
a p



... ... ... 2.


--:::


1 ... ... ...




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


-i ... :..:


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


. '. .


II..


o


. ... ...


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t


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i 29


HE HOSPITALS OF THE PANAMA CANAL FOR THE MONTH OF
1a 0-eintinued.


: Colon Hospital. Total.


Employees. Nonemployees. Employees. Nonemployees.


'w. w. w'. W. w. w.

i:..- ..... -- A-d 1- i
.:'. .-. -... Death .-...
..O t AA OR OO.






,' .. ...W. o e.
11 ca a s
Is.". 03 ',l r w Ad)s-




COD u" D.h d i- ) 5. D Dets



; U --- ----- -- ... ... -- -- --- ------ -- --- --





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






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

2 ,. 2 .. .-
c.c"". *: .A :3



















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






. 1 .. ........... ..... ... ... ... ... ... ... ....
~"~... . -.,- .. .--- --- --- --- -- ---,-
1 ...... ......... ... -- -. --
---------------- 1--1 --"-"'





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



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


....... ... ... ... .. .... ... 2 .. 1 ...... .
S .. .............. 2





1.:. ... 4. ... .. ... 1
. . .. . .. . .. .






::. ..

















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







t4, i



lot
21'

flat! ivy
RON -CAIN p A- Non
f,4
is I 'A-'9



14 1













21 50, "alkal4ow-,
JT,!0"




yes
JQ
ja Tq


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IT





01

T i


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









31


IKOaSPITALjS OF THE PANAMA CANAL FOR THE MONTH OF
Ale:.ntinued.


Lii, ,Colon Hospital. Total.
"'... : . .....

I:..:..... Employees. Nonemployees. Employees. Nonemployees.



Deaths. Admis- Deaths. Admis- Deaths. Admis- Deaths.
S.s.io . sions, sons sion s.

aI: w0. W. W. W. W. w.



c as U) a

gN..... .


....................................................... ...........
0::" r










S... ... ... ... ... .. ... 3-.. ..- ... .- ..- .- .. ... ... ... 23 2... ... ..
1-------1'
... ... ... ... .. ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... -- 3
|;| .. ... ... .... ... .. ....i- ... ....I' ... ... ... ... ... ... ... 2 .3 .... .









..:,' ... . 7... ... I.. ... 1 ... ... ... 2 1 17... ... ... 1 2 2 ... ... ..
.g.. :.... .. . .. ... ... ... .. ... ... ... ... ... ... ...... ... .... ......... .. 1 ... ... ..
...... ... ... . . . 1 -- .1 .






.. ... ... ... .. ... ........ ... ...... ... ......... ... ... ......
r:.. 1...-- 41 ... ... ... 23 2.......







... ... ... ... ... ... ... ... ... ... ... ... ... 5 ... ... ... ... ... ... ... ... ..

p ::::.. ... ... .. ..::. ... ..::::. ... 2 ... ..'. ..
--- --- --- -- --- --9 -- -1 6 2- -
S --. ---........--....-- ... --- ......--- -- ...------ ...1 ... ...... -- ...... .

S..... . ... .. ... ... I. ... ... ... 1 1. ... ... ... 3 1. ..... '
1 7 ... ... .. ... 1 1 2 1 17 ... ..... ... 1 2 2........
.............. ..... ... ............ ... ... ... ... ---- .



.. ... ... ... ... .. ... ... ... ... ... ... ... ... 8 ......... .......
... ... ... ....... ..... ...... 1 ... ... ......... ............
11-..- - ......... .....

.. ....... ..... ... ........... .......... ... .. .. ........ .... ... ... ..
SL ... 322.. -----.-------i--- ----- ..-. ----- 1-----. -------
Ij 1

..------i--.m- --.m-.m-w.m---- .m----1----------------
... 1-- ...-... 9 2 31 -... ... -..- 5




-------- -----1----
1 4



..... ... ... 3 20...

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






"."


fin'.






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33

STABLE VIII.-CONSOLIDATED HOSPITAL REPORT-Continued.


Average number con-
Dis- Trans- Remain- stantly sick.
charged. ferred. ing Jan.
Hospitals. White.
* 1- B. Total.
A. F. B. A. F. B. A. F. B. A. F.


ncasn Hospital.
Panama Canal em-
ployees................
Pf pnama Railroad em-
S* ployees................
SPanama pay patients...
SOther pay patients.....
Charity patients.........
Total...............
Insane Department.
Panama Canal em-
ployees................
Panama Railroad em-
Sployees................
Panama pay patients ...
Other pay patients......
Charity patients.......
.Total.............
SGrand total.......
COBOZAL FARM.
: Panama Canal em-
Iployees............
CHRONIC WARD.,
SCharity patients ........
SColon Hospita.
Panama Canal em-
ployees..----...........
Panama Railroad em-
ployees...............
Panama pay patients ...
i: ; Other pay patients .....
Charity patients........
,Total............

p' alo eco Leper Asylum.
Panama pay patients ...
Charity patients.........
(. iXY T" Total..............
...::; ..... ......




i~i.;:"":. r.


98 35285 1
13 3 53...
325 60 75-...
29 9 35 ...


21 2 281 14(184


32.03
5.58
113.58
14.48


15.97
5.90
25.33
2.32


180.77228.77
31.77 43.25
44.51 183.42
42.78 59.58


465107448 1 2 5154 43 305 165.67 49.521299.83 515.02



1... 1------... ..------.. 5 13 .23 5.00 12.71 17.94
. ....-... 1 -.. -5 ...... ... ... 5.97 5.97
...2 3.--- ..- 1 15162..... 13.84161.84 175.68
4 ... 1 .. 1 1..... 3.90...... 1.38 5.28
... 1....... 3 6 3 57 6.00 3.06 55.62 64.68
5 3 5 1 ... 6 7 23237 10.13 21.90237.52 269.55
470110 453 2 2 11 161 66 542 175.80 71.42 537.35 784.57



... 2 1 ... .......- 7 36 ...... 7.74 35.58 43.32'


... ... ... ..--..-- ..... 26 ...... ...... 24.81 24.81



18 7 3... 2 6 2... 15 4.00 .61 12.80 17.41
4... 20.-. 1 6 2... 1 1.93 .32 4.00 6.25-
... 1 3...... 5...... ......----...... .51 .51
8 7 7 3 5... 3 5 6 3.87 3.93 3.03 10.83
2-5 6... 1 3 1 1... .70' .67 .32 1.69
32 20 68 3 9 20 8 6 23 10.50 5.53 20.66 36.69



... ... .. .. .. .. 2 29...... 2.00 29.64 31.64
... ...... ... ... ... ... 2 16 ...... 2.00 16.00 18.00
.. .. ... ... .. ... 4 45 ..--. 4.00 45.64 49.64

1 White.


1:i








































I 1t ,







41m








I* :- 35


A....E ..X.--CONSOLIDATED DISPENSARY REPORT-Continued.
;-:; O Y'.x:I O YEJ ES TREATED IN QUARTERS, AND ALL CASES TREATED BUT NOT Ex-
CUSE.D-Continued.

:.All cases treated but not excused.

c Stations. Employees. Nonemployees. Total.

: W. C. Total. W. C. Total. W. C. Total.

Naos Island.. 137 1,347 1,484 ....... ..... ....... 137 1,347 1,484
Ancon.,..- 2,353 2,935 5288 1, 932 1,607 3,539 4,285 4,542 8,827
1- V Balboa. ...... 3,432 3,711 7,143 358 267 625 3,790 .3,978 7,768
I Corozal...... 1,472 1,640 3,112 1,017 177 1,194 2,489 1,817 4,306
oil Pedro iguel. 687 969 1,656 654 174 828 1,341 1,143 2,484
Paraiso..... 1,302 2,294 3,596 649 741 1,390 1,951 3,035 4,986
Culebra...... 320 340 660 310 360 670 630 700 1,330
;; Gamboa..... 73 161 234 12 335 347 85 496 581
S Gatun....... 678 1,210 1,888 1,106 596 1,702 1,784 1,806 3,590
olon........ 792 1,602 2,394 830 827 1,657 1,622 2,429 4,051
; Total.. 11,246 16,209 27,455 6,868 5,084 11,952 18,114 21,293 39,407


CONSOLIDATED ADMISSION REPORT.

White. Colored. Total.

'Total admissions to hospitals, excluding Corozal
f Farm and chronic ward.............. .... .625 591 1,216
S Total admissions of employees to quarters........ 336 96 432

S- Total ............................ ....... 961 687 1,648
Less number of patients transferred between hos-
pitals, and from quarters to hospitals, whose
admissions are duplicated in above figures.... 37 38 75
Iet admissions to hospitals and quarters.......... 924 649 1,573

Net admissions of employees to hospitals and
Quarters ...-..-....... ...-...-..-................ 492 496 988
Annual average per 1,000 of admissions of employ-
ees to hospitals and quarters.................. 1,204.16 193.78 332.87


. : :. '










'J.
I ": :, : :


CONTAGIOUS AND INFECTIOUS DISEASES REPORTED.

Health Health
SDiseases reported by health officers and district office, oe Canal om.
physicians. an- oo Zone. Total.
;:. .ama.

easles.......... ............................. 3 12 3 18
mps ........................................ 15 24 37 76
Cerebrospinal fever ............................. 1 1 1 3
Giken pox (varicella)................. ............ ........ 1 1
(theia (croup).............................. 3.... 3
bOerculosis (of any organ)..................... 1.......... 5 6
4 oh ngcough.............................. .. ...... 6 23 29

jpsea~es report only by district physicisas.

ariafever................................. .... ....... 261 261
try......................... ... ... ......... ... ..... 2 2


W 1P
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I:..: -


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AVOW
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37


XII.-FINANCIAL STATEMENT, DEPARTMENT OF HEALTH.


- __________________________ __________________________ __________________________
q&i *1.1w ~r -


-'NI';^ ^ :



hi health officer....................
I' spits division:
54:. ,v..;.:-. :::c..neonlBospital ...................-......
i rozal Farm.-..........-.......-.
:Chronic ward ....-....... .........
Colon Hospital ........................
:Taboga Sanitarium"........... .........
SEalo Seco Leper Asylum........ ......
: :Janto Tomas Hospital..................
M- medical storehouse.....................
Construction and repair to buildings.. .

STotal ....................'......".....

::. D isp itsres:
'': os Island. ............................
!: : Balboa............. ..................
S- Tivoli................. ..........
:': Corosal............................
SPedro Miguel........ ...........
.;, Paraiso. ....-...............-...-.....
:ulebra ..........................-....
.Empire. ..............................
Las Cascadas............................
Gamboa...............................
SGatsun ..-.............................
Cristobal ...... ........................
iM;:.:. margarita Point.........................
: Toro Point.............................
Porto Bello.................... ...

STotal.................................

Sanitary division;
: General nspector......................
Ha lth office, Panama....................
Street cleaning.........................
Heal th office, Colon ..................
: Street cleaning.......................
Zone sanitation-
Ancon..........-.....................
'Balboa................................
S. Coroal................. ............
: :" Miraftores........................
Pedro Miguel ...................
S..Paraiso..........................
I :: Cnlebra.............................
Empire.. ............ ..............
Las Cascadas.......................
Frijoles ........... .............
SGatun..............................
Cristobal and Mount Hope..........
Toro Point.....................
Porto Bello .........................

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

Sp tme divisin..........................
!! :i;' : "T; ;:,


December, November, December,
1914. 1914. 1913.


$717.74

37,833.44
1,141.28
269.02
3,269.14

1,425.55
820.00
664.66
15,431.05


$591.98

31,567.27
1,039.86
276.74
2,983.79

1,537.55
837.00
602.68
26,931.46


$4,101.16

42,965.75
1,124.28
216.59
3,554.29
2,351.56
1,089.72
779.16
719.48
2,438.30


60,854.14 65,776.35 55,239.13

47.67 59.17 247.52
929.16 953.50 1,091.60
............ ............ 677.07
846.37 752.04 1,043.81
429.14 398.70 472.05
571.54 478.00 521.38
282.48 440.66 795.85
............ ............ 1,015. 7
............ .....268.50
120.08 122.87 121.21
493.64 638.78 1,316.83
............ ............ i1,016.07
113.38 114.91 118.53
67.67 ............ 370.94
353.14
............ ............ 353.14

3,901.13 3,958.63 9,430.28

50.00 50.00 700.00
2,902.52 2,692.09 2,966.59
4,619.70 4,377.90 4,071.59
4,168.72 2,119.00 2,558.42
1,803.07 1,753.94 1,215.79

1,980.37 1,679.49 1,528.15
974.68 1,126.86 1,742.58
1,610.67 1,110.87 1,513.52
............ ............ 819.56
959.80 799.91 1,738.15
785.97 796.79 1,903.32
846.42 858.18 1,232.73
............ ............ 2,702.66
............ ............ 790.75
123.23 102.00 65.00
1,547.21 1,392.41 3,179.48
1,613.61 1,446.25 2,527.60
............ ............ 75.77
............ ............ 241.55

23,885.97 20,305.69 31,573.21


3,980.72


3,562.04


4,512.32


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39

S. TABLE X .---ANCON HOSPITAL-Continued.
REPORT OF DAYS LOST IN HOSPITAL.


Ameri- Other
Total. A r Black.
:cans. white.



Pa;m :ma- Canal employees....... 7,092 993 495 5,604
S : : Panama Railroad employees.... 1,341 173 183 985
I, ?w: Panma Government pay cases ......... ....... ...... .........
Other pay cases......... ...... 5,686 3,521 785 1,380
S' hait patients............... 1,847 449 72 1,326
R' Total....---.................. 15,966 5,136 1,535 9, 2

:.. Inpans asylum:
SPanama Canal employees........... 556 7 155 394
Panama Railroad employees........ 185 .................... 185
Paama Government pay cases.... 5,446 .......... 429 5,017
O er pay cases .................... 164 121 ........ 43
I : arity patients.................... 2,005 186 95 1,724

Ttal -..-....------..-......-....-- 8,356 314 679 7,363
i:.' Grand total....................... 24,322 5,450 2,214 16,658
0oldiers.....--- ..................... 2,603 2,603 ...................-
s.....--------. ---------------- 769 .......... .......... 769
Coral farm --........................ 1,343 ........ 240* 1,103


: Average ost of subsistence per patient per day, 50.249.
WARD LABORATORY REPORT.
S Blood examinations (total number) ....................................... 796
R Estivoautumnal .......................-................................. 120
3Mixed .................................................... ..... 3
rtian--------------..........----------..........--------------.........................----------.............. 30
DLrential counts ...................................................... 47
SHaemoglobein estimations ............................................ 74
Leucocyte counts...................................................... 96
Red blood counts ............................... ...... ............ ... 11
t: ol examinations (total number)......................................... 551
: Ameba................................................................. 3
S' As is lumbroicoides ................................................ 11
i : Balantidium coli ..................................................... 1
Cercomonas Intestinalis................................................ 1
S Ciliated monads .................................... ................. .. 16
Entameba (hystolytica and tetragena).. ............................... 7
Giiaiac tests............................................................ 15
0W Pusand blood ............................. ....... .................. 74
tngloides........................................................... 27
Trcocephalus dispar................................................... 42
:!:. Unmcinaria ova ........................................................... 80
Unenumber)----------------1,417
',iiirm examinations (total number).......................................1,407
I, Albumen ......, ..................................................... 400
Ia e................................................................... 28
B ilase................................................................ 28
E:pithelia-- -- -- -- -- -- --.. .---. ---.-- -----122
S i. aia.: cr.stls ........................ ............................... 32
i S. hk : :::l~ en ..st............................................................ S3
.& sE tesid rts .. ......................................................... 34
iPus acrystalsnd blood............. .......... ......... ................. 34
lPus and blood.. .... 304
8upr (positive, 4 negative, 4) ...................................... 8
i TMchomonas vagialls.....................-...... .................. 1
mmminatans (totalpuzaber).'............ :..,..". ................. 176
'thIve Poaitie mr tubercle bacli ............................................ 13


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REPORT OF OPERATIONS, EYE, EAR, AND NOSE CLINIC.


3 M', r aiana e.xwracwan...................... ..........................
.............................................................
_F9 ni ent internal rectus --------------------------------------
I' I;' IAd:vancementinternal rectus.......-... -..-...........................
.;u.;.:. .. .enatomy................. ..................................
1E.nu leation.............................................................
~t, .: ytvargum transplantation................ ............. ....
M;nlor tye operations.................................................
:.: .:...'." :. *..


astoectomy.............................................................
Drainagebrain abscess............................... ..................
SMinorear operations....................................................

Nose and- throat:
Exeision of endothelioma of nose.......... .........................
H.: Adenoidectomy-.............. ............................................. ......
Tonsillectomy........... ........... .....................................
:: ? T. inectom..... .......... ................ ............. .......
Su.Dnucous rejection ................................... ...............
rentall sinusotomy (Killiam)....... ..................... ........
S Removal nasal polypi..................... ......... ...............
Minor nose and throat operations......................................

S* Total
S" al.d--to. ...--.............--.............--..................--.....
Total number of refractions........... ...................................

OUT-PATIENT DEPARTMENT.


SClinic.


S Medical clinic............ .........
ii:, surgical clinic.........................
: yeo and ear clinic....................



REPORT OF BOARD OF
:.Bateriological examinations of-
Blood cultures............... 8
i l: Diphtheria cultures......... 34
U"':' ine cultures....--......... 21
Stool cultures................ 13
if Autopsies ........--- ........ 9
Oys. '..; Osters...................... 1
S'!:. Pathological fluids, exudate,
: etc............... ..... ... 8
f'''' putum...................... 1
SWt;pssermann reactions....... 216
g. glutiation reacti ns ..... 1
iAni genie vaccines prepared. 2
LS*Lper suspect ...-........... 11
S... leparatsons of Salvarzanized
4.. erm forintraspiaops treat-
i it ..- ,.--...---......... --- 3
: itine pointSmnanufactured. 5,238



. : .


2
1
2
1
1
1

13

19
2
1



1
13
19
5
4
1
3
7
53
81
289


Total New Pay Pre-
visits. cases, cases. scriptions.


367 309 50 260
281 233 36 58
713 236 49 355
1.361 778 135 673


HEALTH LABORATORY.
Chemical analysis of-
SHospital dairy milk......... 1
Mother's milk ............... 7
Milk from private dairies sup-
plying the cities of Panama
and Colon.................. 10
Stomach contents ........... 2
Sugar-cane juice.............. 1
Articles of cloth ng.......... 1
Commercial product "Pypo". 1
Quinine hydrochloride....... 1
Stool-............ ............ 1
Examination of urine of em-
ployees..................... 563
Surgical tissues and neoplasms
reported ....................... 24
Autopsies performed (3 medico-
.legal)........................... 28


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SSaniNr or DEAHS, COMMITMENTS AND DTSCHABGEs, INSANE ASYLUM.

ii:.i'. Commitments.
V^ .'4 "* -_________*_______


Male.


Feniale.


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Physical diagnosis
;; : ." .
,i :
i:,,''. ..
".: ": .. E
;. :* ..
a ; ". -.' ;.


Mental diagnosis.


Dementia
praecox.


I, I.


Snephrit. ............................
pnt ry, unclassified..........................
'* :' ./


1 male.........
........... .-...


Psychoses
accompanying
brain or
other nervous
diseases
(cerebral
syphilis).


1 male.


From SCnal Zone on first commitment............. ....... 13 ..........
.From Canal Zone on second commitment.................... 1 ..........
rom Pauams Government on first commitment............ 4 6
;Prom Panama Government on third commitment ........ ........... 1

Total............................. ......... ......... 8 7

Grand total, 15.
1 One returned from hospital.

Discharges.
.. .

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


Antig.........---------------........ --..-------. .--.------.....--........ ...-------...... ....... ------11
Colombia............... ........ ..--..... ......... .......... 1..........

Grenada................. ........ .......... .................. ... ...-. 1
Italy........... ........ ........ .......... ........ .......... i 2 ..........
Jamaica........ ...... ........ 2 ........ .......... ........ ..........
Montserrat.............. 1 .......... .................. ....... 11
Peru-.. -.- .-.................. ........... .........
San Salvador Island..... ....... .......... ........ .......... 1 ..........
Spaim .................... ........ .......... ...... ... ..............."
St. Lueis.....................-.............. ........ .......... 0 i
TTnited States Army..... 3 ....'.............. .......... 13 ..........

Total.............. 5 2 .....8.. 1 8 4

Grand total, 20.
i Deported. Two deported by United States Army.
i One transferred to hospital.
:: Deaths.


te total, S.

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TABLE XV.-PALO SJ

'; NATIONALITY


S-No. tre


White.


Panama Canal employees...... ........
Panama Railroad employees... ........
S Pay cases...................... 2
Charity cases.................. 2
S,, ...


:5


ECO LEPER ASYLUM.

OF PATIENTS.


heated.


Black.




30
16


Americans.


White. Black.


I I---------- ----


Other nations


White. Black.


2
2


30
16


S Cost of subsistence per patient per day, 22 cents.

TABLE XVI.-SANTO TOMAS
k-::. 7: -

Remain- Admit-
.lass. ing Jan. 1. ted.



i, ..Pay cases-................... 50 106
charity cases........- ........ 445 939

STotal ................. 495 1,045


HOSPITAL.


Dis-
charged.


Died.


Remain-
ing Jan.
31.


117 5 34
905 58 421
iiu


1,022


455


Average number of patients constantly sick ............................. 467
Total number of days' treatment ......-................................. 14,503
?: Average number of days' treatment per patient ........................... 9
;.Cost of subsistence, per patient, per day ............................-...... 0. 28

NATIONALITY.


:,: Americans. Other nations.
Class. Number
;:. treated.
S:, White. Colored. White. Colored.


P. Pay cases.................... 156 8 .......... 59 89
:.: .ty cases................ 1,384 8 .......... 164 1,212

S Total.................. 1,540 16 .......... 223 1,301


DISPENSARY REPORT.


Class.


ives..........................................
gners........................................
Total.......................................
;: r. *


White.


I :- -- i


Colored.
S I


Total.
$


34 450 484
51 460 511

85 910 995


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i ther diseasess of the organs of locomotion................................
I O.. nialmalformations (stillbirth not included)..........................
i w:'i orn child ............................ ................. ................
ngienitai debility...................................................
t:.:.,: r acute poisonings....................------------- ..-- ......--.. .............
s 'Bi (conflagration excepted)........ .........................
:;i" an'.:.:rim atism by firearms........................ ...........................
t"ranmatism by cutting or piercing instruments...........................
": Tr..Ti.uimatism by other crushing (vehicles, railroads, landslides, etc.)........
.': ,Starratin- -...-... ---......................... ...........--------------......
; Fra k:" ctures (eause not specified) ..............................................
S :" diseasess not specified........ .............. ................................
N o : disease ........... ........... ................................. ........ ..

..T total ......................... ..... ................................


SURGICAL OPERATIONS.


ii'. Amputations:
Forearm .. ................... ...................... ...
Digits, multiple.......................................
A:denectomy, inguinal:
Single............................ ........ ....... ...... ...
:: Double........................ .... ..... ......... .
Hiii; erniotomy, inguinal, single...-............................!
i:, rethrotomy:
Internal ........... ......... ................. .. .......
S External-..................-............... ...... .......
*I YaricoceeB, radical cure........- .............................
: Hydrocele, single, radical cure.....-..........................
Curettage, uteri.........-...............--...................
': Pieumothoracotomy.......................................
: e o emorrhoids, radical cure....-...............................
P rolapsus rectum, radical excision...........................-
;:. M yorrhaphy .......... ......................................
"Excision of surface neoplasms...............................
S plastic operation for congenital defect-.......................
PI plastic operation for severe injuries...-.......................
Plastic operation for effects of disease........--..........-...
Laparotomy, exploratory.......-...-......-..........-......-
~ pendectom y ......... .. ...................... ..... .....
Sscess of liver, laparo-hepatotomy for......................
P nh sterectom y ............................................
vaginal hysterectomy...............................
eromyomectomy.....................................
ingectom y, single.......... ..............................
,"en-ooophorectomy.....................................
o-rsptwpensio-utp-i---------------------------------
o-utpr i ....... .......................................
operatlons(various other) ...........................
operations (various)...................................
S Total ..................................................
Total -------------------------------------


Numn er.


Died.


1
1
1




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



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

.....-.---










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


S TABLE XVII.-SANITATION.

|NTIhe following is a summary of sanitary work performed
tierial expended during the month of January, 1915, in
D41i Zone.
requests on supply department:
i'. s cutting ..... ............... ......... .......................
-jg ...........................................................
Cellaneous.......................................................


IF ; .:':'-. . .

::' z .,."'


2
1
115
1
10
5
5
3
10
2
13
3
49

1,085


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,04b":ffta, irat, ndgy wo&-`
Jym-par'twt of dit&ftf a;aJiM,=d main
pff" foet 0 -MW dhe
fcuw yara4,c;a13 ---------
Igula 00011 -1 Ism in filtulg
ARNAoibis Limwide 4sM-.
V-449'qz aude -p,ed
yiWas pools'oupd- 1 -444-
r &MudwTs tnuled[
bl I J_ L" I I 7 ----------
(W
g plu totfud
wo ----------------
46i=i

nuiijba, Of tans vgp1rbbqp

for
perMS W&I vm'
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Totpd'gataidnet air pyny *90" tw_
b"Mn ------------
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49

:i citation, general. C6lon-Continued.
S 'Par and E Street maintained.
: Chidcke : es caught alive.-............-...... ............ ........... 14
i:': Dogs caught alive...........--.....--.-.......................... .. 41
D gs killed ........ ............. ..... ............. ................ 40
SSquare yards oiled.................................................. 11,475
S Buildingsist inspected-................................. ............ 3,550
i :Receptacles treated ...........................e..t.... ............. 25,400
SMosquito breeding places destroyed................................. 103
:. Fly breeding places destroyed....----...... ........ ............... 111
,i -Nuisances abated................................................... 259
.Gallons larvacide used.............................................. 103
i i Gallons crude oil used.............-------------........--......... .... 111
S Building, Colon:
:.,1 Plans approved--------....................... ........................ 1
Permits to occupy issued--....--....-..........-......-........- -... 1
VI.. Permits to repair issued..--...........-- ..----.............. ......... 89
Temporary permits to occupy issued....--.. ---.............- -......- 0
'. Bills for work for private parties, sales of garbage cans and stands and
dump.....-----------------.. ........................... ................. 113
el Sewers, Colon:
e C New connections made during month............................... 3
Total connections made to date--............................. ...... 1,169
.... H6~ ses in which extensions were made..........-.....-............ 1
Outstanding permits --.................-..--....-.........-........ 38
Sanitation, Cristobal:
Cans, garbage (635 cubic yards).....-.............-................. 12,968
Loads yard garbage.-...-----....-....-... .............- -........-. 127
Square yards vegetation removed...--.............................. 58,080
Square yards vegetation removed at wireless station ............... 37,930
S Square yards oiled............-........-..........-..........- -...., 3,375
I: Receptacles treated-.........-................. ............... ..... 3,700
Mosquito-breeding places destroyed...--...-...-- ..--- ........ ..---. 17
S -Fly-breeding places destroyed ........--.............--..-............ 15
Buildings inspected.----...--................-....-......... ........ 215
Gallons larvacide used -............................................. 27
Gallons crude oil used....-- ..............-.............--.........--35
Sanitation, Mount Hope:
S Cans garbage (150 cubic yards).........-....-....................... 2,560
Square yards vegetation removed for Union Oil Co -..-........---- 29,260
Square yards oiled ................................................. 47,690
Receptacles treated.......-.....-........-.............-......... .. 16,300
Mosquito-breeding places destroyed.------......-.............---... 47
Mosquitoes caught m barracks--
Anoph................... ...................... ........ ......... 176
Culex ............................... ............................. 1,044
Gallons larvacide used ............................................. 42
.Gallans crude oil used.............................................. 865
mount Hope Cemetery maintained...............................
near yards ditches maintained.....-.......- ...-.... .............. 14,200
Burials during the month .........-.......-...............---... ... 64

AL'E: .XVIII.--CONSOLIDATED REPORT OF QUARANTINE TRAN-
AOCTIONS AT THE PORTS OF BALBOA-PANAMA AND COLON-
!: ERISTOBAL.
..lS inspected and passed............. ........................ 157
i... uelse held in quarantine ............... ......................... 12
: o; Total vessels entered ........................................... 169
ais fntinaiga'ted on arrival........................................ 8
aEamined-........................................... ......... 10,232
enge rs examined (including 320 United States troops).......... 3,887
:!. tsl persons examined ........................................... 14,119






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51

QUARANTINE-BOCAS DEL TORO.
i ,mpected and passed ................................................ 18
'j ii -i i pected and passed.... ...... .....-- .........-. ........... ........--- 1,221
,i i inspected and passed............... ....................... 302
Passenger inspec te n passed ----------------------------------3027
r JPassegers, in transit, inspected and passed.....-.-..- ...................... 275
Pe.. as held to complete period of incubation of yellow fever.........---- .. 1
I: i'o qnrantinable disease has appeared in this port, and the health conditions of
ti he porte'nd surrounding territory are good.
TABLE XIX.-STATEMENT OF QUININE ISSUED.
i9',"K. Kilos.
Quinine sulphate-----......-.....-...-----------......-----...-..---..---.....-------......-...----...-----... ------34
S Q:i s iinu e sulphate tablets.................................................... 6
Toal............................---............----.........------............ 40
i'. ".. : Pounds avoirdupois, 88.18.
TABLE XX.-PERSONNEL REPORT.

S' January, 1915.
.b Decem- January,
i.. Officers Skilled er4 1914,
I" and and 1914, Total.
.and and Total. Total.
em- unskilled
ployees. labor.

Chief health office........... 3 .-.-.- .3 4 20
Medical storehouse........... 5 3 8 8 8
u arantine division.......... 23 19 42 42 38
Health office:
: Panama .................. 20 128 148 152 146
Colon .................... 17 96 113 120 121
S Ancon Hospital.............. 237 111 348 347 486
Colon Hospital............... 23 11 34 23 33
S Santo Tomas Hospital ...... 5 ......... 5 5 5
Palo Seco Leper Asylum..... 10 12 22 17 16
Zone sanitation.............. 19 81 100 97 154
Hospital farm..... ....... 2 38 40 43 46
Dispensaries:
Ancon................... ............... ..... ....... 5
Balboa................... 7 .......... 7 6 6
0i Corozal.. ................ 4 .......... 4 5 6
Cristobal............. ........................................ 6
Culebra................ ... ....... 3 3 5
SEmpire ......- ..... ......-........ .. .............. 6
Gamboa.................. 1 .......... 1 1 ..........
S Gatun..................... 3 .......... 3 4 8
Margarita Point.......... 1 .......... 1 1 1
Naos Island.-......- 1 .......... 1 1 2
Paraso.....-............. 3 ....... 3 4 4
Pedro Miguel ........... 3 .......... 3 3 3
Porto Belld.............. .....' ... .......... .................. 3
Toro Point......... .... ....- ... .............-........... 2
Trotal................... 390 499 889 886 1,130

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