Report of the Health Department of the Panama Canal

MISSING IMAGE

Material Information

Title:
Report of the Health Department of the Panama Canal
Physical Description:
v. : ; 20 cm.
Language:
English
Creator:
Canal Zone -- Health Dept
Isthmian Canal Commission (U.S.)
Publisher:
Govt. print. off. etc.
Place of Publication:
Washington etc.
Creation Date:
January 1919
Frequency:
quarterly[1918-mar. 1919]
monthly[ former -1917]
quarterly
regular

Subjects

Subjects / Keywords:
Public health -- Periodicals -- Panama -- Canal Zone   ( lcsh )
Genre:
government publication (state, provincial, terriorial, dependent)   ( marcgt )
periodical   ( marcgt )
serial   ( sobekcm )

Notes

Issuing Body:
Reports for <Nov. 1904>-Mar. 1914 issued by the Isthmian Canal Commission.

Record Information

Source Institution:
University of Florida
Rights Management:
All applicable rights reserved by the source institution and holding location.
Resource Identifier:
oclc - 29940569
ocm29940569
System ID:
AA00006091:00002

Full Text
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t- ciity of Panama....
i:c eity of Colon......
0.ij" Canal Zone.. .


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'ha., deaths, and nonefFective rates for employees........ .....
it employees by eaune, color, age, and length of residence on Isthmus
"a of presidents of the. cities of Panama, Colon, and the Canal Zone...
tils.#of eivil population (employees and rnmemp!oyees), by cause, sex,


g.:Dige, and place of residence.......
cti,:- of nonresidents.. .......... ..
IWIut by nationality or, nativity........
Shcs re American employees and their
:il and. bfrth rates in the Canal Zone
n, ... ..
ft.northility rate.in the Canal Zone


fam ilies ......-..... ..
and the cities of Panama and
.and the ci*iesof Panama and*
and the cities of Panama and


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h. of infants by cause, sex, color, ge, and place of residence........
i.lassified by birthplace Of .parents. ..-......, .-...........
ira .-s and deaths in the hospitals of The Panma Canal,, by. cause,


-.'a:' .. .t. .- ,. -. .
date d ho..p.. rep........ .. ... ... .. .......... ..... .,.
'iil*idated dispensary report .,. i ........ .....,....
ml tiat< a"dmi"sioi .report, hospitals and quiarters. .r ....
h.e.. of employees con~stanly sick in hospitals and qures....
ze: tllu i&oif daiy in hopital or quarters for each admission of
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fIF .d.yu hospital treatment i.trnished varins clam eof. patie
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cin ear departments.; ..,. .:.


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THE


.PAAN AMA


CANAL.


.HEALuR DEPART NT,I ,
Balboa Heights, April 29, 1919


Panama Canal
Panama Canal)


Heights, C. Z.


:ihe.honor to submit the following report of the opera-
lealth Department for the quarter January, February.


McCormack, Chief Health Officer,


23, 1919, by War Department


tia,'; Superintende
Je Health Officer, pen
ippintedd Chief Healt
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nt of AI
ding the
h Officer,


Respectfully,


orders, and


Maj.


ncon Hospital, was made
arrival of.the undersigned,
effective March 31, 1919.


SC. FISHR, i
Chief Helth Officer.


IONNELt.


a> s -4. ..


...p have occurred in the organization o the dleiart-


the quarter. When the Superifateddtent of Ancon
Sde Acting Chief Health Officer, Jantuary 24, 1919, the
medical Ctinic, IDr. IR... C. Contoar, was made Acting


iSMloairoe,
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and the


Assistant
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was. designated


Chi


ef of .th


Acting


Chie


Medical Climct
f 'of theMedic


ye.beena :Aftlaws
Y7 aw EiarClnic :Was: fijreliev


e. and Ear Clinic,,was relevi
s ritk lrf I oChief an itaity Insp
.E Q cer's &de$ :directi n a
to' uly with tl
.,iRC., C*iW f X.ir.-
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:. Ca"t G.G. M rshall,. M.i C.
1. .


Erit
~cto

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y Lieut.A. F. Ryan,
ir was vaaited by tie
D. P. Cu.f ".
Eye and RaBChI;
nin4, was iet f ,by .
SMc- W.


a a
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H-


was relieved


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rauwatuwP ien um'sa;, ptnese,., U were irom asease,
.**eae alone; .as -compared with a rate of
r. 4thze months and 5."4 far t-he corresponding
.... iH .
.. ':'.." : :
Shfitighest .admission rates to hospi tls, in the
i..... .mp tance, were (1) malaria, (2) .venereal
:, diseasess of tbeyyes and their annexa, and
.. o the, heart. These .five diseases. caused 28 per
... i... '.
to hospitals, malaria alone causing 12 p cent.
*xeae' S8per cent of total admissions. .
rate fr malari, hospitals and quarters., for the
a. .gMarch 31,--was 35,36., as compared with a rate
Si.receding three months, and 16.79 for the corre-
the of last year. The. constantly noaeffective
for the .quarter year ending- March 31, was 520,
.4 *. .. ." -," a a : l !
.. a rate of:.08 for the preceding three months and
...r' spending three.months of last year,1
.d dsease only, the. admission rate to hospitals and
*fr wite employees were 227.60 and ft88, respectively,
$h22.Os .and 4. 52 for the precedi.ng three .moatbe and
Srf- the-corresp.onding three months of'last year.. For
fordisease only, the admission rate. to hospital
iatbwere 185.92 and 7:20, respectively, as compared
'F y8O for- the preceding three months and 4
e orrebpoiding thrree monthsof last year..
'4itliyeaFective rates were 16 for whites and 16.90
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H~6if nt0 eto hospitals and quarter f.o malariata 15?2
52 for colored employees, as compared with 9.92
.. t:O for colored. employees for -the preceding three.
49for white and 23.6.7 for colored emptirioye:sfor the
hc itintb di last year.
"... ..... ..' .. ..*y *.


CAi!iA


ZONE.
*4


'. based. ...
on f ;the Canal Zone,. based an thpcli
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2030, 191is "70' .iFrmnt tThis.popiua-
btrig,..th .I wnnths' peiod ea ln
..g l : .. g .I .": .
rwer fom deas, g..z 7
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SOxtober-
December,
1918.


Janoarjy-
Math1.
1919.


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occurred


amar


-mor:ality rate,


rths reported,


DIVISION
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ZONE


Its


we


1919


re reported during the
, giving a rate of 28.68.


ng children under 1 year of age,.
based ,on the .num ner of births re-:


9 per cent were,stillbirths.


SANITATION.


SANITATION.


cItivities.in Zone sanitation, consisting largely of anti-
'k, have been vigorously pursued during the quarter.
tile and stone drains have been installed in-the Pedro


.district, on the east side of the Pedro M igyel rier
n. the hillsides east of the main line. of the Panama


ar iso. 'This work has been: almost entirely withinn
f the ..Cattle Industry, and has had.for its .object
of anopheles breeding areas which were being punched
tei:. The edges of the lakes about 'Pedro .Mijgaeland
re:: cle red: and cleaned .on. account of the anopheles


Sh. was found at these places; for some reason,; which was
yiderstood, these areas had not given mucK trouble until
Shad bieen.. found in a few isolated:areas, but n n so.
-a.'!.'& = "" ,, .. a" ", ..d;


4d as' during this quarter.. :At Areseit ths is
and grass hitting g .bot 'waterline.. .: -
-ozal district 'qnsiderable anamount of w work
sistinig 'of,:'straing tenie tihe stran- wch. ruis
,gadci:iits course bveen t new road. and.
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I 1:cn~krt n~nivv.a uf~.~n. .


:and eighty-seven birtd
'ernod ending March 31,


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tena. ces.n.tu ..r., tc.-pt :fstraig
roek Led strea" ms in" "the old draf
-.. :* *-.. ...


a- -


type, for


-ectg gta


raner axtente-sy em rains nas- DC@e
ablyimprCved thfs Iarge switrp and wh. d
anopheles Hfight into Gatun.. .. .
'^L^. ** i .. i .


In ad&tion to the .above considerable tinke-hh
r


Division of Zone Sanitation in prophylactic .wo
The villages of Arraija, Escobal, Newrovidea
El Vigia (all points of ready access to the Qani
in spected :anid. about 1,000 p Icpee vaccinated..
S


smallpox
EscobaML


The


ft


quarter by locality and





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r


ees on


wuith e
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employ


Fronm-


Regularly eaitated.dis-
tiact m i onea..
lfte Aador, .,....
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Pedro .Migue.....
m; ** -:.*


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Viigwhm .


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.From paatti* c
and$ianutabns:


*Carftao. ....
Cauidenase. ..


*aff


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Miflores:... ..

' \Birn .-. i ., .1
Staiiiznit; a .....


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Tertian.


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were found in any of- these places' i
where 14 cases of mild smalpox .weri
illowin .is a tabtlation of7 the malat


Number 'of employees admitted


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S,,ows',,,, thae pricpal source. of, infectia as
...itgil.r sanitated areas. The incidence within the
HSjwfas Ti8.-6 per cent -of the cases reported, with 8L4
:::.L-.: r s. "
Boetuesrfortedh corning from jungle camps or other points
i t g arly anitated areas.
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PAISAMA


HEALTH .OFFICE.


J" .
smallpox reported in the city was bn March 11
total of 37 cases during .this quarter, as compared
the two preceding quarters. All cases were sent


c .. .. ...:* % .
itq rt" 1,316 vaccinations have been made in the
ir house-to-house vaccination is being done; This
t*lble:in that it will, as time goes by,. result in complete
I..f b persons in the city, thereby preventing a recurrence
it'sbreak as that of last summer.
.i.ria rian attached to this office is in every way qualified
kidikk and dairy inspection work, but his time is very muchh
-lth.ineant and cattle inspection, and it will not be possible
S.rhemeat and cattle inspection work or the dairyr and food
H ork, to be done properly. The need of another veterina-


l.td inspection has been turned over temporarily to the dis-
i. inspectors ,I
f6 00 yards of ditches were cleaned in preparation for
lson. A large portion of this work was in the Savanas
mfrre much ditching has been done,. many water holes
*f :t. portion which we have sanitated can be easily con.
li it.-er.
:fioa with the question of sanitation of the Savanas- dis-.
Siehe survey of this .district is necessary in pir:a
b thoroughly sanitated; this should be done on acc ai t
h ber..of people who live there during aboat eei
1$ e '- 'This district is responsible for a large nuber
sieB caa -be easily eliminated in the future. ,
6t manyv ditches, and filled a large amber Wo
.e. that o water holes are left; this policy lis
iseale... tand although our reports show that aing
;L~ rlCmat mcL~frLll: 4-nrwnn




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.. .. ..
i$et a'ndae.at;:fo products at Crjitobal has been
.. .. ...... .i .A. I H. 1H )." T ** *
fl.. usual manner. It was thought advisable to make
m..'"i"specti of aL vieta and.this has necessi-

|? the ,veterinary staff. The post-mortem minspec-
siaerg liaas not been done here according to the Bureau
Epdustry regulations, but with the. increase in the staff

oa' will 'be more thorough than that required by these


r I
prophylactic
enti ued on
t:Colon duri
mnins about


station .which was
January 1I5, 1919. -
ug the -campaign.
the same as it did


established in June,.
About 100 registered
With this exception,
before the campaign


health .nurse of this office made visits as follows:
to.S.: patients, 13; home service instruction, 783; hos-

.56. .business, 56.; She had a total.of 159 patients undir
i:tKheir homes.
itres were imposed as follows: Pertusis, 28; measles, 6;
.I.ckpo.px. diphtheria, 7 sniallpox, 1 -

ary. 18, 1I lectures have. been given by the .publie
S7tQ -the midwives of Colon and -Cristobal, the time of
veng two hours. .. .....
filmnes -were imposed daring this quarter for violation of
.'4ifr af id Regulations.
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, 64 203

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PnOPDETOTMATS NUuMBERS.


Tfl u.rter. 1919:
ite., ......



lutai-..... .-, .

agrth qae 1918:

Colo red,..., .
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241L2S
2I5~S4
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3l7..60
185.82


22 1-81s 13 .1


25~6

146.0

1*64.9


4,573
2.1,663:


26,2361
=41


20. 712

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2&.1A22


HJ '11


365.19
14053
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227.08
128.48


14,


11-es
29.88


28..52


23.52
18.5.

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'Iyphid fvpr.*.. ..,.-.,.,.... .*
M l'ia .ll: .'-.- .,---. .-.-.-.-., .-.
]Malriat vereo
S*r!Estivoautumnal ...........-........
~ Tertian.L. ..... 1

Whooping cough.....................,.
Diphtheria and eroup.-.....-..... o -


Purilent infection and septicemia......
apticenia.... .. .. '.. ... :
PeSara....,- :.-.;......-.......--
PTugrculos of the long. ...... ....... *
Aciu niliary tuhberiuois. ...,. ,.... -
Tulereuloius. men la ti. ............I
Abdominal tibercolosis.. :; ;..... ;.....
White sweling..... .. ..... ...... .
Diasseinated tuberculois..............
Syphilis:.'1 .
STertiaOIBy.............. ......
.. -*Period **ot sta 9- .., a
(onocoeou infection.......... ,...... ..
O saiesr-uld- othenialiguant -tumnors-otL j
the stomach and liver....... .....*.,,..
Cancer and other malignant tumors of
the female genital. organs...4. .......
SCancer and other malignant tumor of
the breast.... ,. ..-. .. .
Cancer another malignant tmnors. of
.other organ au4 oforgans not spe'cifed
Other tumors (tumors o the female gen-
ital organs excepted) .. ..., ..-.......
Diab!etes.. .. ............. ..
SLefemif.. '...... ..
Inedmie, lymphatic .:......,.. ...

Diseases of Me rm1ws aisles and of
.i ? -.
j jge o7ga of sieiial, ma


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Cerebro i fevr. .. -.....,.... 1 a- .
Suaiajde.mennga..... ... -. .. .... 2.j 2


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s ricoele. o.... r.....rator s .....

Diseases of tie respTiralry system.


Acute bronchities..... .
Chronic bronchitis .....
Bronach-pneumonia....
aeumania, unqualified.
Lobar pneumonia... ...


..


* .
* .. ... .


Gangrene of. the lungs....-. .....

Diseases of Lhe digesti qsteu.

Diarra and entetis (under 2 years)..
-( itis.,.;.....i .. .-. ..".. .....,.,
Diarrhea andentis (2 yiers and over)
i olitis.:...... ....,......... "......
.An lotomiasa -.. ...... ........;...

.Acute appendieitib.... .................
HerniaS;intatinat obstrucfao .. .......
Intetimal obstrubtions...............
'Eirrhoeis of the lver.. .*....... ....
. Biliary ealculi...... :.........-...../:...
Abcess of the :lier entamphie.....,,.
S. MAtJo.ecystitns. ...*.. ... ....-- *......
simplee .peritozitip (nonpuaerperal)......

N mnwnral diseap of the genito-urinary
1 system and una.e.


SAeaute ,.phritis.................,.....
S.Bright's disease (chronic iphritis)", ....
-OtheraSdeases of the kidneysandannea...


lo-. .... .,;,... ...,
'Salingiis and other dies.ses of the .e-
mal. 3e6ital oIi_~n .. a .. .. ... ..


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Diseases of early infecg.


. -.


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Congenil debility, icterus, and tleremal
Premature birth,. ................-
ongenital debilit. ..................
Malnutrition .. ....................
Other cause peedliar to early infancy
(inmludin various consequence of
labor);: :,...-..,.......* .. .......


Old'e.


*a* aI


Affections produced by external
': causes.


the adte poiouing.. ...


Burns (enflagration excepted).


Amiden tl, drowning........ .....
Trmat~ismuby cutting or piercing m-
i tmnent... .....................
Tramnatiamby fall:........ .........
Trtmauitism by macines.-.........: ...
Traumatainm by other crshings, (vehi-
- elm railroads, landslides, -etc.).......
tiarvation...... :.......,..... .,...


osmiidde by cutting or picngiinstra-


if mnta.. *. *. a.-


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a S a *


baqtureu (caune not specied)
Other external violence ......


IhdeleMd dinses.


Sase of death not speifed orill-defimed.
VJ eAlitiof indetermined ,ign... i..


- ......


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s t e Byier sp pp i I ..l 1 ..m 4 a mp 4 m. 1,
. .i a-*u -, a -
*. a ." a a a a .e
. aetr tio amidmtal ..............

Cirrhosis of the liver ....... .. .

Chronlil nepritts..;. ..am.- m
SBarnch -pneumonia ..,.. .......... S.., *


a aria.s... a ;. a... 4. .. m-. ..:.
Diarrhea and esteritis. e.....a...a ,...,
Pahnoiry tuberculosis. ..,.....,.....,


-. g"


w- a W p a-.


Other diseases of the kidney and numen......... a:
Congenital malformation. .. .. .. ............ .
Conge. ita debilitya. ... ......... .............


cute. appendiPitsC ... ... .... ... .......
Tij.ury aby anits.i. ...... .. .... ....... .......
Accidental drowni.. ... .. .... .........
BurnaB (onflagaton exceited)..... ....,.....
Oteri expterna iolenei... -........... ,... ..a.,
SInfetions, undetermined origin............. ....
ranat fall... .. ... a *.. .. .....

omancie by eans...... ............


ST tal....*.................. a.... ....
*


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Yellow fever.. ....,,...,..


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" I .)
". .. .. ". '

AISTICS BE- AMERICAN EMPLOYEES AND


rawF~


R FA2ULIUE;


"*..::i .:



Mr. "


Annual
death rate
per 1,000
< population.


lbfrm the United States:

I... a .: .. .. ..a .
. a *, *.., .a aa.., *......a*


* a *. ., p .- i a a.


* *H.. ** :* .
:E" Ei


. i i a aiel s i *. .. .a P 4 i .dl *ai


n childr~Men from the United States:
v i


B .. '* ; r -
uSe... a a .. .
- -I--!. --- *


Ple.ess from the United.Btstes and their famies:


pa *a**um ..dU.................... ... ...


* ~. **.4*& Ma. **aasa**
h:I


.a* ..s a a****-. .. aaa .-. ... ****


- -


.12,
-o


canochildren born on I.thmus for three months ending March 31. ..
l aA~ meria an children under 1 year of ae.... -......- ..... ..,

.:,* rate among. American children (number of death per 1,000 irths)....
.H*.. .: *1
: .. .":"::* : *
i .i H I iF .* *
::: ;.... ..:: p : : *, *
i ".... .. : *
..... *** : -
yix'." .. ." ..
;S "S^g : ,' .
**".. *. .
C .....a .* "
.: .*
j. i *. .. ..
. i. *:... .*:

'.|... .. .
:: .*.... ::: .

M :l !:.: ...
* .:* ::* *

* '. *
I .. .... -.
".. .
n.. .*.... ... .
n II *.. *. .
:L. ... .
....: :.".
:::-==.- :E .".
-- I *3-
*:l.: **" : ^

H *: i *** .
':H" i .. *
":E:=E .


bsi: S.I
iil*!HHE .. ..
I Hi: .

I .. .
-.'
.. t


it


.1
Iv.-:


. 0


-;
















* C


aW-airBs


Htl
Em %*:
d cC


- .. H Eli
.1i i


Sr hhqu.artr,, 1919:.
Panams.... ...s. -
"S I m .. i .. m..-..
SCanal Zoje.........


i IL .****-


. m 0


gftgifi inart 1018:
.alon.. ........-..

ianal Zon.-... -....


Total.,.......

tpqajjru tSI...
Panama E.. ..,
.*on .
f~aenrsswim....mqe


*aIs


Total.


P -
Po~pula-~
tion.


26,078

2a1,707

'109 I54
KS~. "

IW~lg


26,07&
*21,707

109,154


111,485


Births.~


Total


231


1,00ft


1.037


860
C


,1.,024


~~a.


U,
a~t


.* : ""

...-

'* :..."


". .*'. :
* .


. *... "'*.: *
E
I.rt


" pf


assifl.

"S~t.
,2'1*
-w9.1


nflbal

U a~


__ __ I_ __ _


Ius


27.-fl~
* -rat


37.21


- "
I H* 7


I ::.


I....


Ezluvve f military population.


.IH.J
t;:iE
H.Ht .Hn r
: HH


. *, "
: *** .:: s


-. .~i"
* *~E.H.... *,



E ..N ;fl


--


.1
4


S: r ,.


-I


i


i ~pO~i~~b7~


I;r


,~I~ILICI





u~l~~























::k..

rHe.



S.
*


t~ii ten



.3ai S *!L r
..I' .


b;. ..: .t .
. ,* ,


H.x
t w h a d L:
rr..- S r
..t .
at*S
Ai:ii~t

*4'.. :


pi ..ast Kf .4
AND ,OOZQI.


L ZONE ANDf TECITI.S


I A


i ..C,


- A


Sa .


m. a. p s e ,.
S .I a aI *I

l .. -
*i .e a sa


~Poptrd-


'61,369
'36,078
*21,707

109,154


61,3139
.2 ,0758
24,707

ionaMli


* 3614M
28,078
"MB,I38


111I1485S


Births


Mdal.


282
906
70


426-


II




3as s'


male.


S412


292

101

48S
* *

a aLS


Ml11
8G
86


~t~a


C
AOM-~


I'
025
184
157
%~


Deaths

dhltdren
under 1
year of


Tit~


33


fitz~
raperi
1110Wl
births.


rn-a;J~
'"Sid~


IlS


-tub~
INs E


' 16*3


- :s


Ins~


'RIP:


e of mUilitala pqpubatp.


ii ii :::- -:- : .


-EE:." :':'. .... : "
,: : ... ...
i...:* ..... ..:

... .
.::...:
S...::.. ..
.. ..*..*... .*X ... ....
I I....i. *.. *

.: .:.. ... i .
".. .: .. ,, *.
' *i'.... ih X i'. ": .
.H H.i" ... *..
. ..i* .H"
.* .::" :::*:" : ..
*:.::..:: .


*::. :.::. ..* *
H. :, .
:. *.. .. *.
S *V .. ..** .. ..
:...... ..* ".






I : :::".il E..'= :: .,_. : ,, "", ....;





I


















I


BLE
B ^!:


* .11


-DX2~T
:i j i


'. h


,
mm


.c.


: S.


I C..


m*


SCasuse of death.
Si l .* .


*s a


ag II: 1 IIas1 1 11;I I


Malaria fever, estivoautumnal
. Syphilis.........'. ... .. .-. .
Simple.meningitis. ... ... ...
SA.ute bronchitis..... ..........
Shrnfic bronc s...........
Broncho pnernmonia ......,


*ILobat r pneumonia ... .
Diarrhea and enteritis....
Colitis. '. .. .'... .
Biliary calculi..:.. .....


l .


. S *. *.* i S *


*I S *;


. b~ s S. *. S *'C *.. *
... ... .... .. .. .
S S C S S Sr. ***S***.


S i.. i S .


. i


S .. .. C. S *.. *.*.a


. a I *i s


Acute nephritiss ,.... ...... ..... ... ..
Other diseases of the kidney and annexa ...
Septicemiea. ....... ... -. .. .. .....
kCongenital malformations.............. ...
SNewborn child.,....:, ................. ...
Congenital debility, icterus, and sclerema.....
,- Irexatre ebirtl.. .................. ,. .
ongeniitsl debity,........; ......... .....
Malkutrition... ... ,.... .. .. ... .
lOther causes peculiar to early infancy. ..... .
Other acute poisonings ......... ...........
Burns (conflagration excepted). ...........
Cause of death biot specified .or ill-defined ...


JInfections:of undetermined origin

: T otal......... ........ ..


*4~55~l**


S. .*. .

*. S ..*-


S.....* .


S. bt... *


S... *...


S. **


* *~ ** *S** *** 5


-~~ IC *'* cr


.a:



-
'..
* **I.'
a.,. ~;~4w
.1'**.* :


-i

U..?.ii

ir

I' .14r
... i'
.1..




I

* t..dt''I
*.I .: rlM i
* .. ~:1:.
;hif




I''


.*H.



.I.

.....:':V ..
*iz


nfarit mortality'rate, based on the number of births reported for the,
Percentage of'deaths under 1 year of age to total deaths) for 3 mo


: ,C':
.11
.1 *)gr.


S* .. ...........
i I ....... .. .. ...:..'s:...: .:i
: '*i i .f:
-.. .:.
.*.. .."* V..

S. ** .
*. :. *. ** -* Wg *, '
., :-*...' :'s .:; .

.. ... ;II : ,
S : .*. 5 .
i : ." "* .* *.*

?~~a :. '.:! ::.ai.*. ..*::


. ,:: *,


".....: ..." ?
. .
' *, :


Mal~iyt


,' .* ." .


.a S S S S S S S <. S -. .


s. .S.. S ., S S ... A .
~ ~ ~ ~~~~~~' rr iii I


I


~~---


* I l "

.I J I ---
Sjn"i..
I I .
.*i *I
4W ;


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I


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~*.**fl.
* i'i~':: ,b:. .....


. .r : .::: l .. o. -.... .., -..
. i ": : '* .* .
S...... ". ibgy (by nnte),
i : :* .. .
E. :. *. .* .. .. "' *


.i.:fl .,:.4$..





.:.
.,'







I..


*




1:1



*~ -N
A, 4I *
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5-


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6i-2'


-8


* p. i


AM *


S4'4


10-1111142%


.* .. .


.* U -
* I* .ft


m ..* .


* **.
a. **


- a. *


6


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Vet6 4 5.


i f *-. .: .*
S.... lbirh= .s).. .......... .
i> mild *: :: .*


*ir .. .U

d" I
H:;
.:H. .S.i i '.
? !!. : :*
**HI
H.' t


*gaapspag ** a


Place of residence.


Panama


9
1
14

.1.
'-3
1
1
1*
4
3
4
15

I
6
.3
2'
S1
21
I *
*~~ .a*. ai *-


122.18
23


Colon.


2.
2
1, *4
.. .


*1.


1

*. *a ** .8 *


lOILDS
**18`


1
I
1
1

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1

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Andtigas.. -...
IBarbadice.. .. .,
Chinas..........
gIosta ica.:.. .
~ p-j
GColombia.......
Guracaei D. W. w.
Dominioa ......
Demara.......
Egypt-. c......
Icuador.... ....
Iance...+.......

Greece..,. ......
Grenadc.. .....
Guadeloupe......
hGermany.......
Ireland ........
Italy.-, 9*..a*
Japa........
Jamaica ......
~artininqe.....
Montetrat......

.DnWBLe ........


RPsi. ..... ..-.
PSaeden ....
St. Andres......
St. Lucia......
Sta Kits......
St. Vincents..'..
Spain. r..::n:.

SUnied Staie ..
Vyeneumela......
Othersm.........


..
*d
. "


* 1


a.. .c

* a 4

* *
* S *



S. *4 *
i.e...

*- a a


S. .a **. ..*
... .. ..


II


* I
13&ThPIS~
C H


. rI -.I ~


-...


I V


.4
F .5..


"" 1 : x ." f =
** ,*.I--. irl


tBrthphae of (sther.


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.k






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. .. :* '" ..:: :'... ": _* '...h 1 "

i nnhplaceonthker--Continited.

~--- V


a:v






Wi )



g:0.


V


I.... 1.
I....
*


m:rma
-
n wrewmm


I. .


a;I.















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SS.~ ..*. *UA Jr.

1V.


* I) *4. i rC *jJ *d'*t


.. *i: a 'n .. .





..


I EU *,


iki CS


4.
....
*" S


- .


.* .


d,* .


.-Et.

4




* .. .


* S -

-. f


U .


a .* *


S. .


SI ____ __ I


S *


"'I


S *


* *


..I ...


SE. s- !..













' .. .


*.


gil


ji


* -


S



* U..


ii -


i *


I). d


nqU


.- .


I ".


I!.

I .


I UP,


e *


I.


, 'H
,E


.* i
. ..*; ",p

.'' :
"" "i .. .

. /, ill. ."
S:i.
4H


. ..r
. .' "It
4.*
3 m


r-.

0


Ir--


.C


* a.*


I.

* S. *

* .


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.
;^


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16



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as 5 .ir :;


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- A


H *. .i.


S .. '
. **.. *
- ,1 1.
X *i *F..... :
... n
..


4i


*.fiBe~a


General diaa ses.


Tpahoid fever............

ParatWphoid fe-er..,., ..

Malaria.. .* ... .*..

Malaria fever:

.athivoutumal......:.
*T rtiaa.....a...a


.. i ..I i.
* .- pI I


a **i *- p.*.


*a ..S*****


yu U a4.*d*4- ::::..: ...::.


.. Clinical. .. .. ........ ....

ehexi. .. a ............ :..
.. Hemoa lolnri fever, malarial.

ainallpor x........ ..... ...,.....
aVaa a*id.. ....... *..... ..

Vacciu .ia.... .... ..i*a....,.


A UM aJ.Sl ........a... .. ...

Diphtheria.and croup.......

Diphtler.,bacillus carrier...

I f u en.........- i... .i .


a *a a ..I


a *..


.. a *


. .. .1 a a a *s *aI !


* I .s.. a C.


. .. S *


4.*.' i .a ..-


* a*


* *.j *

*.. .. **...
S.r a *.


*.... *


' 4 *..


i -*. i **
-" *. .


W mp .... .. .. .. .. ... *
.


Pute..inftiand septiceia,...... ......


*11
V. *':::
':"'H..
- :
H-NI
ri;"


I C.'


i i !iI
H~ i'H-


H.::
' *





WIliaite<


I -







* *

* *b *

i


* *P. p....
. .;

*... S


..t i.
30:

.6
. ..j
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J

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.i *^"s
de.99
" a
."'w is a .


I'.
..a.p 5'

:,e a.,jt>


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r




















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* ':* .i'

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


".::: ':"'T'
.* :.: ? *

. .

.1*3
.. t .a :4


**


H : A **-


entry, enmebie.... : ii... a....


ow frtr.ei ..-.:. .. a..a.... .aa a
rosy *. .. a .... ..
** Y~ -. i


Ken pox33132 ......... a ....a ..u.


S -


titan


Imeasles.. .. a..,... -


* *


I:rlr

I .
:


i,


i.


..




















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- d;:: ": :' .: : "...:



r..rp. .*.x: M.. I t.


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in::









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ibi
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j r
n.j.
ilinni hi .~
i~fl.* H.
-I.
4%.

I

ri
niH. H ii -
..%iii. -
Wi.. ~
...~.



H
~A

-- A
* H
HJ *.*.g

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'as"
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* ... i !. .:...







if..


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








., **. '. *I .






ri *


-- r *



: : : a *
.. .. ...
... .... i n.: .1


Black.


Nonrmeidents.


Discharges.
N.


White.


ItM.


Deaths,


Black. White.


* a

.. a *4 a


-ma .

.. ..h



* .
* a a

Ca s *



- .m


Black.


M. P.


* p .


* .


* S *
.*



*s a


* C
a a.
S.

. *"




C
C...
a .

.. h*
uS* *


*


221
81


1









..


* *


62 -

10 ...








2i....


6. *.





10 '"';


1: K.












-4--


'ea.


Deaths.


White.


[ ]


|



















*
.
I.
.
I.


I
... .
+ .1 4.1.


rR~*.**. .
..:.L ;A 1...: ,
i.wiuac


. 4.


,Thsean.


Gemera .didseases.-Continued.


GonotheaI artlritis..... ......*...
Gonorthea orbditis andiepididynitis.
Soft .dancre...... f... ,.... .....
Adenil9fichanczoidal...... .'...
C(ncde and other aidlignai-t timora


S i.. ..


i'i"i"


cit ii; mw~i


Sgenital organs... .,, ... ........ ... .
Canedr and other malignant tumors of ti4e beast .-.
mC a~hrnd .~thuer mtigant tuntior of other organs
snd~ of organu niot sqt cified.. .....*..:..,..-.....
Other tumorsa (tumwr of: the female: genital drgans


S. .. .


. *". a .I U. *


. .. .*. .... a


a *4 *.


- .


i.d a i i '. *.i i .i .


. a. *.. S


. ..4..


, *i a *


. ,'..


,-. ,*


.r. .** .*
ia, secondaryy, canoe ot ditemined:i...
eenera l disease es, ........ *............


a **.~ .


. .i.


*
~Y'Vk Phs .


Dihsm ea of Ae ntelasa austem: and% of ihe orgaaa
1. -.1 'f peeialezse.. .


... *
' ..V.


C..~ .' .
.;.t: ,


-White.


' *i

2
. 4
e


P.


j r*.

R* -
*. ..


* *."'j j it



II


"I.i


I..



* ..
i-.' *]


M.
SI.


*...n




I..

*1


es cepted): ...........
Aucte artizculr rheinnatism.


Chrod ia rheui.atin uanda got.,

,: ....


Leukharia ypai
HIodg'i^ desae. .
At. e .nima.ltia .
'r~iil vrftcna


." I


:


' ;' ;:.;.:


Irztr~g


;


i


..


E. "


I.


UUIVL











ii'C

...4

,ii.
'~::~ i i~:i~l:,~::iS
E~t4. **** '
~ .;eH ~i

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.I. .' ..I
xr* N flk *: l

ht:,Hi L


A
*
I.,


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nEawtaY.


I"I


-I .. 4..,.. ... -


Er Kr r r .. i" ~I


.' C. .." ... .


.1-


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5: : .' .:-
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: .. ':" : l.:' ." ,


ck.


a i. *


: '


a a i


. :*. .


H .:I -- 4"ln


"''''''


Nonresidents.


Discharges.


WI


a a a


. .


I.I. ~


I



"
h
* ,


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I




*ite. Black.:
















SF. M. F.






















*
*












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.r
.

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I












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I U a

I a I .1

. ... *3*

I *. a .
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S. I















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U I .. "
> .* *j* -1 .;<:
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: ^;







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.write.


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I.

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V


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4
*. i ..* .hIM;













p ". i
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:
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g .. ." "a
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..' '* : I .



*... r :* :
A
A1i:

I
(4
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.' *.*






.



: ..






,~i "
' "*


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Neurasthenia :......................
Diseases of the eyes and their annex.
Follicular conjunctivitis...............


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TasL XI.-DISCHARGES AND -D.ATHS IN 'TH
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Disease.


Affeions produced by eztmerna caues.-
Continued.


Burns (conflagration excepted)......... ..........
Traumatism by firearms. .. ...... .........
Traumatism by cutting or piercing instruments...
Traumatism by falJ..............................
Traumatism by machines..........................
Traumatism by other crushing vehicles, landslides,
etc.) .* .. ....* *. .
Railroad traumatism........................ .....
Dynamite traumatism............................
Injuries by animals..............................
Starvation ... ... ... .... ...................


Homicide by cutting or piercing instruments.
Fractures (cause not specified) .............
Dilocations .................... ......... .
Sprains...... ... .......... .......
Other external violence...................


. ... .


Ill-defined diseases.


Ill-defined organic disease...........
Idections of undetermined origin...
No diseasee................. .....


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I &:f


S .


.*. ..* .. U
. .- .. 5


S 8 34


V_277 j s4
====1-


S. .. .


*- -. *.


I.


I
A. 'F.
1"
,Ic 2
- -
S

a
I
t



*1~ :1
Its
2i
1.
~y4I

L
I.
C
F' j~.* -.
I.
* -
1~
*
1. .
:1K.
*
J
4


It 6


..flHr
FUJimnrrBu -~-~---~
v11145rIAII.IJJEE4rtnrt. ~j~j Ii!
.H.A.f
*in -
EUZ~-UYZfltDhIJZCj5EiDIPJ.
..
I hr
hr


* K:.H.
H IH"'

1 ii


-; I




H i.


..Pr

341





'ink


2


-- -




* i


" "\^: !
S.


..

I
- $i*..^: s"
.ne


AeCOn


SaTtaL.....


Grand total.


* OroEFarm (cripple)::
,.E, oy eeM:.,... ..


Chroui wa d:
OCharity patients...


Colon Uosplital
....


.. **
- .. pay prntitndnts...
Otherjiy patIentst...
tehaji P iiin js. .. .


;. """ 5 .
*
_. .', -: ^ ;^ '


.. "'



29 6 '.. ,' i"
H .; :,.:
f lf 11 a 4.. "i:.
W 1 'i' k
.. f 51. 1......i
*... *. .. .
ISA.. .


.. ...408 .




9*. H..


:at


-


_ ..


Hl~i


i


-1


i
]


L


|


|















*.. b.


NC::.


.,,,


C~anS *.,*- *


\
I I
* *:I
* L .. .
mume f -
*. ..


Te s..


lung


.4..::
~ji~A.


432
*3A~


* i 1 .... i
- .~ ~1ir -- -


ww: .. ..-rs :...s
1I


1<


260
451
39
, 35
197

982S


V
* -.
a-







..',


A I
WF -WA,


-fl


Tr

I...

I~eii j~p* ....... '
i::

~~c..



I


'ar

'1-b.. *W Hr


'ait


- *


A noo.


*4!~~ *~P


Stun:. .- -. -.. -
Prdk^mk


TeLB~


'itW.


'iZEJim


Zi~PS~
C.-.. ,.
49407
*lol


aeonE*V~eeL.


* .m


4,763

4,100
4., 6
% s0.


T~o~ti~.


7,813

8.,150
2,41I
MS5t


.I:
'i,


:. ::


. ..--
charge..


. .


..


i


I'~jiij~B


Dj~e~Fi~;


;~Rl~O$i~Ct~















-N.
r..


- .,
- ..-.

M. "H"* ..... C
.. ...


-n ...I~DCQY~I~Y


nu : *r


* *..:


a-c hmnia


a..... *.* I


to iqpartjrir. ...... -


| napi-nl land quarters
1 ^hut trassfeied between hb yi
#iftsi~iaens wNse aaMdmiisions ar
II. ** *e npz..u......... ..........
*ii" .. ".


edal and
e dupli-


,nut0 hspitalsand quarters..........


gi


to hospitals...
to quarkters...


* a. s. .. .. a.. i


hniiou of employees........... .......
i alrdo Be tween hesmpitals and from
HlfstalB, whose admisioas are diuplicaled


...a.a* U a


Sof emplyemsy...................
rate per thousand employees to hospitals


th,&. b


White.



1,683
9g2

2,665


70

2,595


1,273


1.251


1,094.24


Black.


1,897
S9S

2,786


S128

2.68


889


2,151


I 2.079


383.88


Total.






5,451





Kmmm.



! 1,553
1,871

3.426


94

3.33,


5O7.55


rii[i"I
'tV.


'] OF EMPLOYEES CONSTANTLY SICK W HOSPITAl AND
SQUAIEIR& .


.. :" .. *. .

|j J:3. -, .:' *. .
.i.Hi. *
"..::,'.F .,
p. -.. .." "


*. *a a *sa


*;:3wWin rF wi n .. *'* -
jA*. r --. .. .. *
S" : i .. .
S 3 *.u i*::* *a** a
S-S....- .--- .
.&.. g .. -

H~Yfci-F.^11^1'*** L * *w : /*...:." ** :
Ilin~ff* *. ** ** .i
{ iidi**., SS **.. J. **.


...


.*


I

. .. .... ..


S. SWUM


*... *


,s..t. d. E.* e. e o*:. So,
r;.r HP
,t gue asgymer:+I~'nl .ae. es~,*e


'H 7
:.H .. ... :
..., .. .
!**! IH *3|"^*I H
r: E.* ..**:: **
li !*:* ::** :. 1, .r .. .
!Xzy ::v: *:> .X "** *"a
S....:.. ... ....... .
= .. ." .*:
::":!K.:E; :. *4*:. ," qL
. .: i:*! 9.* ***::::.* I V V
HEi" ..i ":""i :.': "" .:


S. .-pa* **


a *.. :..


*a..... ..i ..* .


. H.ii


H ....


White.


I

33.61
6.33

39.4


Rink~E


221.08
37.9.-


25. 501


"Ti~t~lal


%98.g5


Ir I-- _


'6.29
b-H" i

.92
S6.0799
6.07


'~Si;


p.67.

.19
4.98
.. .5

't.1?


12.87
1.11
5.97
67*.S


'us.5


sn


e igure ........................


1111


~?IT


~u


.- .


. ".


I irlr r. I


:: ;


I


I


I


,r


n~i~~CnklFn af~i~

















TaBaU XVI.


TVBR A ..UM
. .M ." "A


*

-a *.s*.


*r~l a b r *


. i


Total (average)...... .., .

A.cn. -
Bsalboa. .... b....p...
Pedro Miuel .............
atim.-..2. ...
Colo 1a*n...*p.S*
O~agem i a gis .i $i2 p i


. d


n N n i


* *s *~i~* Wa .. .a *


S* .,


HI!


g :. A *.. :*
.* *. ..: *
4. E


*
White~.i~
.*
.4. .1'
H
c:~,
*7.44~
*

It .72


BA?4


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


- i




' I..

.-ts~.

A..:


Tar XVIL--NUMBER OF DAYS HOSPITAL TREATMENT FumnIS
CLASSES OF PATIENTS. .."
....... ** i... .


Clams.


Ateon Hospital:
Panama Canal employee.
Army and Navy patients.
Panama Governmentp py
Other pay patients..... ..
Charity patients.........


patients........


a a.* p -


*. us


Total....... .. a .... .. ...


Corosal Hopital (insane):
Panama Canal employees........ .. ..
SArnmy and ,ay patients.... .......
Panam~ir Governmeit pay patienta. .
... Other pay patients.... ... ... ..
Ch. charity patents........ .....a...a


a i.


T. .t........


oral Farm (injured employees): Paaman
. .J M.aId employ eeN .... *............. i., .,
Chromnie ward: Chaity patient. ..............
*. .


Ainerican.


2,)21
7,398


3,595
9560


13,970


. s.d


. ..a.--.*


Foreign


812


2,564
203


3,579


1033

S5.,20
27'0
. ,07


66.i55i


.54
S '
- a 5 a. .


-. i ii. 4t I


S, 1* ...J..

.
-- ".
........ ....


.'.. : .. "
* *,* '* lu ;
,.-f'"


.7i


*: :.' .:i.: Hi:
.............................................................. .*:..... S..hl '


] ONr FiK.
Im, .w D A @., mi1I. ..


Anon Hospitl....
Colon Hospital...


* a .
* aa aa -a e


Total (average).......... .........


I


n


1 I


I


















'Ti






tin.~: i t:'


K...
r!r.ia I.f


I
I


I~s..'.

IAs*bi *
hakea


3I--WAI


(total number)..f...


a *I a 5 a p a a
. a* *af a. *

* .S ,







... .. .. .











a and temara


; .


41i*iiou3 (totl number)



.. -... .. ... ... .
*i.. a:: *.
S *jgj "'J i a .a1*





':..:..:.i "d-. '
S. .....*. 'p a... a ....

3a a a' m a .* .


** *. a
*. *. a ***.:- -


Sa


***y :* ..* : .* *
S. I
*.. a a a a a


i. .A *. -


~. .. ..... ...
.ir^ *s .*
wk.any *... p *a. .a.*
m ma- S a a a *
S. a" ...
irtfal counts.
idm nludate

a o .( total

La .I a S *

hm ihricnes.


)RATlORl~


Ancon
. Hospital.


1,861


.. ..p
a......



* au a *s a a









a..a*..
a.......












amm mlg # l


W, mM~Wla
*. ~














- .---.-,.
a a a .

a a a



........
a.......










g-gammeal
*gei ).
. a..



*.*aa
* a *a a


* a a *a a 1

a

a~. a..





*. a.


'a...,...
S .


57
26
40
59
91
4
171
350
2



*a *


5.073.
1,366

S854

S17
1,072
24
8
68
1,831
854
.. *..






I I a


K -1,455
117


Colon
Hospital .


213'
12 .

.. ... .... .-..
7


b** *6-* *, **


99
1Z




mmanr-mag-
aapaa* *.aa*a
*







a .. ......


a w. *

.a ..*...J....




115
*. a


81







59
lS
a a .. 7 .




a *. t i .. *




* a S .* s a
-j
*. **a .
**

36
t*23.
8
4


santen


Haspital.


Sa a aai
S


527
,12T


68

US



. 12
1.963
15


113
6

a a a *. N
S.
*.-








14
17
14
1,384
318
. .....* j ....
281





I6,
* *t ega S*g*-a *a
...i....... a
* aa**a-aa


129
",
18




* 1" s"a....**a


102


S


. 4 u


*. a- a S




tesi
.
.Wa@B
Ia a
teeth


istoalytii


H


I



















. A:


*1
*j'. *~:. .. *tw*~
.4
%hSRfl~g
.4
~' .1-


" "..
' -" '


~t~'~ -.


-'": : -


:. :"". -" n ..:* : ...; -, ., ..n: .: ^ : :' EE:
S. *: .. .. .....* ...: ..: : .. (
.., '. .... .':. F:' .":.: .:i:*. i-
."". "^ ^.. ..a.
.. .. ~ 1......


:"* *: ...:* .*. .: ." "
'. r fip if illin:^"**." ':'* 'w. Igilk* "f d


A


.H.
C :


Y.12


* ..


:. ...
- I..


Sieat ahminatiusm (ttotal nmater)....

I i htEral a p *.. a *.. ..*:b.a. .* .


.. *...a


q .


Spinal fl c. ..............................
.- -



SEye ... .. ...-. .. ...... ..... ,

Functional kidniey ~taeat ...--..

' Pcsitivefar gonococdi. -...,.....-..... ....

Pouitivefor B. .Koh-W :........*. ..


Positive for Ipieumo.o.........

S fo-etive forleitasye ..,.. ...

Positive ofor diphtheria. ... .. ......

UeFas'ernnn reactions (totha hzmber).....

Positive....... ......... .*,.**


.-.* **g a


* a. .. .


. "a* '.


1. ee USVS UuWIrs&..*.. ..laa *sc.


Wida s .reimtion .a.. a.......'.. .**a*. a
______________________________________


3 i::'.1 .


piita::


2 1~





103.


i I i m m mllij



........ ... i


*SbS SW


aS....


a*


1:i .: i:::i: i

A. ri .


*i -
Cl94 : : .
gA. Zr
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K-t -

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I... Af..
i. .~'"S.
H .***"*&i~


S.... ..
| h *
'*^ :",,


*' ..* *1
~ :.


..


. .. '* /..:.. .g
. .* ...,. ;.. *q;;' F'L *!!


i::" lhlC ...
.. :"***xMJ *
.,.."; : '.::"::::".
-i
.. .: .....



.: .. ,


: .* **I .i
..... .... :..... .::.... .
*. : .::.










*m: 5*


"* ':: :.... :1

_. y ... "
S. i".. .


S. .. -. ..... .. is
* **: H.* **
IH*.I : .. : I


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" ) H ii "H I11


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e':. ......




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K X : *'
l ii ::xi' .." : *
H" .. :. .









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M:. ............ *.
.. .,, E I
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Slp. *. ... ....



.. S:".; a* .. .* .
. ......... .........
.... .. .....*......









.:a. "a *S a. *. .
* *m *


: .,hr... *. j *. .* j* : : :: I : : l l :



m p*z* .... ... 1I

S I l 1 *
i i ** ~* .ti* ....... a .. ..... ,


S. *






S .
*.--













.* ..a. *
,p ..... .............









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K31:,,ad.ialgcmre.g.ge.:-.-.am.
... ........... ...
.*. .



......a
I. ....S...A........













..*.. *. .
.t *






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


-A-fl-- -


.. Anon.

Hospital.


Num- Died.

her. Died


* .

a...


* a i

2



27

.3




"* *

al
*r. .
I.
i ~"



.* tj ..*s' .. 2
I .: RE: "


I












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Colonpitl.

HoEpital.l


Num-

her.


. S *



....



.. .. .
.* ... .* *. 4








I


'. *^ .;-*


Did .


Ii
r. L


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H:,
IA

V
:.::::ili C'


I
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I:


ama...


*






.* ..

A










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5
I
n











: *

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S.' "


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sr


19








a
25
. .










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r


























B :i";: ^^ -:- .'.:. **." .;"= f *-. .* \ /i : ** *
)'.' "**. "'::. *" "
r1:- f. .. :.,. I 1 -
::.. .. .** .

ri: ;:. : *"
: *.: ...*.. L. .. .. .*
.i:* T a.w:.H:... '4..I: GON





,, o.. .
~. Li


*i.i aB *, .0. *.. of *...a.....a..


*::~ ~ .. ..
C S:C .



smuq, p...e foratio and drainage....



Anti ftudnf eaanance n amr
.* I .:.* I e", *
.I. 1t I


I. .
a
.C
*
i.
S..*
ge a eae'g a a e g a e *e g


*mpa m p a

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* *..* **. *


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I


.


S..
* ..... p


.. .' ... .. ... .. .. ..... .......
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:::S** ** pi* i S a p *.* S S. is
S........ .................. .



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**



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*1 *a *i o f-4........ .. ... .. .. ...*.. .. .. .. .. ..... .... ...
S.. .

..fSZaJ A WAlSfl a. *a S* *. a a s* a a. .* a* ** S .. ... : .
:2'drum.
^ ^^. ,... s .. ,-..J .. .
^f|| (B ia g~ a *.. i.a.a.a. .. .......aa. *S. e. ...pp....*.... ..









L a S < S a p* a *< p g a. a* p .* h a ** p a.. *
............. -----.---..-.---.----.<-.---.,.----

*i ...*. :.. *.a* S *


i*** **S C p 4 P 5 S S S S S S P S a S P i S Pd 'i t
...* ...: :, -. _
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:Hp. ~. .:.
H i
."...*..." .. .
i. r: *.. ~
"*. i.:.... .. "..**

a:**.p ::4. .,.. .
*.. .. .*.**

,.............i.*.4.: *. ": *a l o T He ,"
..' .=!i : I ": i .1= _.(

.. .. ....W TMBBBRL
::. ***.:. ...*.... .a*
*p;:.. ......:...- -
*i'cm ,,EcEcc" ,::: :"i : *


..

a -
'*

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I
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74
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p.... Al
A
A
i 2

2



I '.. ... 4''




.1
....
9r~


,12


* 13

.1

- 3
* S
. 2


- 10

*. 124-
inr


* 5 5 P P
. ...


yI I r 051 2 .*.. Sb- .... a...** S.**.** S*- *is. -.;......a
i .e.,iPS., ..- ... ... ......... .....: ... ...


.. .it. ftP S3 *f S N U P. C P 5
...' ": .". ... ." S* .S .* S S *
.,!t,,... ...- .-..-.... --.-..-...
* EE*l ., ,. .... .. ..



a ..1
A
C P *..s :p a & i n s
:^?' :;3a..' ': *:ll. I i. "*I: ,I I i I III I I 1"I I i I


1 -'i li: -sr'a*"* se as i,, ,...... .n m ...,i aa p.w e.. ;.me. --..M


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a p..-,; .S C C *
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a *, r



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....*.*.f.


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.. n u ns n n, l m .w ., .. .,. .. ..**:





*ot.b F reigt b dies.e .. [.... ,..,.i... l ,,, ., ** .. n i .ii, ,rI
*e **ecSM .t. C ..C*..C. .. -: ; *.. ). ...*. : AL
m ,,-: ,, 1i
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4 *.ew"- ....... ... .. ..
.i. ti. .. : ...,. -. ..... .. *r.i. ... *i:*
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tw : .j .- i H:
. ....' ":,, .' -. :"" r* ". ": : :1'*, *



ar..gitia .. ... .:. .:! ,

ei'o "l .e *. ., .. ..* '


Adenoidetomy ...........
1To''isilltemy.. ........

Opris *ons:


-Iriet-my................
J 4111


'S


. a .* *.*- a a- s. .a .b.


--. ." ." "
*a*a... a..... ..... .. .I....




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t. ** a
"iigiE. :. : *.. **. .
i ^i h-f! jiL', <-, -


*:cgafs treated ..........................
*ii'* .


-. w-....:- "
$[*_i.il*.2
M.:*."ii:II


AxesL

Honpitalt.


60
101
89
18
a83a
4.


38
14
12
10
31
29







1.
4I













S26
' 21


Santo
Tompiaa.
Hospital.


Hi.
.


S.P** 15


a *





2.
7
6
21
7



i -3

15
B
28

*... ..-....





I

34
5
9

10
H :. a
teegg main


tig--' S C:S:.... ..S
*1 : :: .. ** ** l
-. .. .. .
!=ii : h" :!.": .
S* ix :.:*:.:.. a
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: *.. *.. ..

.. ...
H Ii... I... .... *
.:.. .* a *: .".
|:l.; .:........ ...... *
^ I*: .<:*: : .......*...




* i ....:.:.. *.:i.. *. .* *
i l.:.r: ~".
.a.n.".4 ..* .. a.. .

. : 1:: :. ... .*.
.. .. ,


PICATION OF PLATES USED.


Ancon Hospild.


A 'i *.- -


I* ,-,i t bp a i


ma m I em bw. i ,m ,
* a a a ** .* .
**


.. *
__.- J ^,, f.. '. .,,. ".


H
'H
~
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He. S


*, 140


L


.


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.
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t. J**J*?~'
~~t"A~rtgWtu&uD I
I~~.*A ..


, .; ,


* : :

. .
4


a* T. y c ^. *


P Charity I ........
S, I -: ,


" t i .
I.. ** "*


i S i *I i *


*.*... .:
m m m m m
*., m i


a at..


. I

Remaining
. *Ja..* : "
i ,


29

473-
a m



"*


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* : "**

**** : *.. .- ** '
:Adi iff-
tdd;,'


2,178i


2,4T


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IA:'


.I..


.CIaa


--* .'
PFy wcases ./. ...*

Chainty c ases........


TotalO......


. a* .*


. a. *


*. a. aii ai a


N teabe.

treated.


364
3,564


3.928


A~mec.~


White.


I.%

III..


.
*: :

*i


.. .

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

' :.1


Number, of days relief furnished patients.-............. ..* ....

4Average number of patients constantly sick..........,.......

Average number of daya treatment for each patient admitted.
t of ubistence per.patient, per day........, .........,


DISPENSARY PR


. .." l..^y
... :

E* v C,,rg
,.,


.* .* s..:.f i :X "
'~~ ~ ~ *** *" ***i^:


: .. J&IJ
.* ... .1,f


Clap.


Natives treated.

PNtdigueus treated.


Tota .....


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pr p r -* *. pa


- Ul -. p ***


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.S** *


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., pI
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*... .. .. a .*.. ..* .. :-*.
V ** ~, x.I

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S:e .: ..... .. ..
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~ ta ,........ ,. .. .. ..... '
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.. .... ., ... .. ... .. :. ,.r. .. ...


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SmnaIzinurwunor, me pernoeeum ec....;.................. i

-.-

.tualganmtaior, ,of the organs not epecfied. ..........., ...... 2
i iniof lthe fem.aleogenital organsexcped).......... ....... i 2

: .:"too: t h,..: a .'. .

S .... .. a.... ...... ...... a.. .........,.

g*m'u : *.'- ,. .".. :" -
g. *a* ** 16
-,,,-,,' -
| aiMlr.c^rorb.......-. ... ...-- ... ...--... 23



,,e a, al cs,,t ,on.......... ............................. ......... I
:* *.. .,.. a.se ...... ... . a a a m a.

n tiia .... ... ............................... .. ... 3



f~i^'& eyes and their a.ne.xa.............................'/..., r 13
.. .a .m a r a i
ct*. ..: .. .. ,*- .... .



... ;..i -.. .... ., ., .. ................... ........ .. ... ... ^ ..... -3. -
i tis lhe.nert.,... ,.- ... .............-.. .... ... ., .. .. .. 2
a e e es e a ro.. a ............ ... .. .. ... ... -, ... 8

.a C a Cr .. i *a a a ** .. m .aa. a... 1a

nhErhvao s s y.s '..... ."....... .......... "............ C


esa d,..t h ae .. ... ... a., ... ..... .. 18

gase. o.f.... .e .i.....,.r........................ ..... .......
E i .. .te. .. .. .. .... .. .. ... ., :'. .': 1
II il.l:toi". .* .. .a. .. .. .. .... .. ..a:a. i .

*.r.w :r o-. 2 -.... r .
' ,.. .E ** m .. a .. .. w. .
.."::e*::. ,l .
!a 3i.. ia. .* jS .f* .a. *a* : a*** C a. 4 h 2








iv:e e, atherina_ ..: : .* : : : : a..... ... ..........a:. as,,
.. a C. .. : .
.,a" :f .o.. : : .. .... .. ...
*.. ;. '. 2 *
.ssUem.. .e iraor Ca.tem. *....*.......*.. .a.. .. .... :..: t
et nd g.. ....... .. ...... .. .. ...... ...... .

ugw* ." : .(*,.h d ..nd oe r... .-.-..... ..a*.. .. ** i .. *1
.. .. ... ,



i.- (2..- 7 s o .i. ) .j *. .a ..a m -. m I
l.aFa.*.*a.* *: **. ..**... ** :***...t -
n*g .*.* *. ** p a **a **p.m. *p**.. .4. & .
.....h u e 2 *a .nd .S *s**aam* .. *a. a ...a .... .
a ..* i
a.. -





Ca. (. .. y. ..*) ... .... ** .. *
: ** ,** .. I *. : *
t?"2***. ... an *d**e *).-*k ** a P* *
11..| i** C** S*C .* a .** a a ..S' .a a.. 'a . *.
I .2 :. : .. a..* 5. A*. iA W .*S .a. y*C:C 14.




S. : .. ..... ..***. : .. .. *....
I.- :


C:Ii
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l's

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U ner macasea uor uor.t ... -. ,..........-., .. ,,..
a .. Pp l. -. i: ii :.i :i..il
..... 4. ..
...
C*. i .I .. r. i .* .. .i : i:. .iaI
h. D i f. 0 .-hejia ** ,-: .. .
-.Dise-a-o l the, |to .. ..... ........... -...... ... -




."Am p a"ti s m a ham" ." .".*ee Jiumi i, ii i,,
Othirpdiseases of the organs of locomotion... A..
Conge~ital malformation....
Nu n discharged from hospital. .,........ '.
-Ben ii "..... ... .... ...... ....." ":, "," E
SuDicidei. -. -. .. -. *. + +.. ..n
. Acutie.pomU...i....... .....-...... ...
Poiqnieng byfood..... ........... ........-q-....... ..i

Trauiatism. by cutting or-piercing instruments. =.... ......^;..-.:
r'aumatism C iarparnas... .....-.................* .. -...i.. .^:3|^
Tr at at iasm byorrnhig. .... ..*..... ... .. .,.......... E
islocatioa. .. .. .o u.. .. .. .
S. .. .. *. .1




Spraing....... ........ ......... ................ .
Other external violence..... .... ....................... ..,.'.... .


Disseae nptapecifed 0o iWl-de4ied. -. d ...... .-.. ...... .. ..
NDisease ..............
b .: ,+


Deaths anoug patients.. .......................
Remaining in hoeapitalMdC*o 31, 1919.........a

cttl tested..,....-......................


. .


i ym


. 4..


. .
* 41


a. q S *
...: .. :. 4:.


S.. C a.. ... -


-.


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. Ii.a


a *i .iii .l


.. ... ..
."

a.. .*.. ..
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fjlirt"'
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M4N. 5TATEME
iND DEATHS.


Kam


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- ~rlI:(
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; ,
. i
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* .


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-Improve &


Male.


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1*i ft 4
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.R. I.Pd 4. wrte to-NIudaRU

*.:* :, .. .
...:: .. :.. .. ..- WC


uo1Et ;.iru us


.DISHARGS,

S.COMMITMENTI


-e I'U ei -~


:.1
k !:.::; -.


H(..."i.



H.

anlli









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. .* a *




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+l



._ l **** H
.. .. .. .. n *. .. m* -. :' .. .. .i : ....
..n ".. An ..4 h w e.ars .4 : pe .. *. O .. .. '.. ...... .
.: *" . ... .. .... .. ..*,* ".

.. e s .. .... ;... ; ... .. ... .. .. ...
,*AT *# .i' ,i^ i .pire. C ..- i d-.. -. ...-.. ... ... .
Bl1d ..mears examined for E (.ahe..i..p...... I.....t hc .


B* 'd amunrid.frninMqor a.3ial.taoS^
*tvef....r r r f itive or .... .. ..
.. Sae f i ..... .... ... .. .*. 4....


.t...t.elne I.saear.(..a po s iie.far rt .. *e!i. Ila
*. l ture irom lred. :.... .... .. ..|... .. ......... .. .... .
Da rk id:exain a on for" piroee ts paida..-....... .'n.
:Smeats cemined lr oriier( .pooti or Bleprae) ,. ; .:.- .,' '^S

S net x amined or Rig diseae....... ..... .
.S. m ....mined f:smiat.ed od .2. .a.tPl..... ..S..:.....-...... *, ....
." .m Si. .*.. .. .. .* :. .... ... ..'.'. .-,, '', .*.? *..* :,"
..J. .. *$*r* a *.. a..... .*..... ... .... .a. .. ... -*... i.,, i:.'. .


.... ".... ... .: ... .. ..- ...... ... ... .. .... ..... ...., ,,
S. .tueait~Tr (frxie inmeilear F.i-ent. l).. .. .... .I .,:.. ..
P-. .iined o rl u oredc,-e..." -..:br. .'* : ': """...* *. *i
... olulture polite por -Bs...iivaertyehesuht n........ .....




Skinolesions for.instiea(l p'Mte (Po.. : f rl
*.ii.r. : .. t u d. .* .* i
',ri r,: :: ; j. N






S .. j. o. ei... ). .....fm.. ,.o.e. a.. .... ..... U.. ....
c.u. l .. md ..- .. ..- =, .,. -. ........ .. .*1 ".*
pouitv .oho. -e...r B. diptheriane ...................



SoC. ,troat eangms, efmoiatnod f(r pitnt's.ana (1p o. p ive) ., a .- ..4r.
o o. h o examine o. f oriu p t... *1





jto. freeimesa psitive for .. .t rongloid, 8 postiv for .
Dl o *:e a *. .. *. C *f r A ... .* ..* .:
.. ... ..... .. ,,.


l"I A.i p 3. ..: !. .I ..."':
*- 'l auos lpIest mfre..i.an.... .. ... ......... .... ... ,. .. ,. ....




Th* ot ne fB. dp t.:hrae 1?"3).... *a.
Sthront lsenas euma iined (fo pVoinent' ang a (1.. p...j : ..








.. a l ao
.. l re s t d... ,........... ...








S.* .. .A : ".

.. .. r, ,.. .... .
d a n or : am ed. for lu a ...,f l.l p,. .. .. ., .. ; .. l .,.
IC o] ~ulsrting( eitig.a d Ci ilre..p


:.ua. arI ".. ...". .. *..: .. ... a ... .. .. I.
t. n f .. _. ...


.fl .. .,. .5 2 .*.*jI* .....

13g4L 15 i.3d .- ... "". ** ".: *:.;*'*




-T- 4 '..r ::..


h .iU. .... .. "* s*: .". !..






:::: ::: *.i. *** :.* .. *
S. **... ..: .
:. :1 :E .: : .' : .3 .. ..*: .
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.:n *.....- .. .




... ... '..-. t
...K. .:: ..: i .:. *


gi F: ...." a ** **
Ai ii 'H M" ...t ac.. .
H **:..* .. *. H.*

.. : a.*

s3" r h kate.. i alt-rct...... ..




lEI^Ian hOildren-:-(under-5yer)


.. .- *..: M .




tbey falIL .. ...- .. ... .

. h. ..a.. i i b ... .

Stl brain. a a .

| r. ofu ascedin.g orta.... .......


i.....-. -..-..


*. a


i and enteritis (Imder 2 years)...........
j ... ._.. I. .
. ... .

a pig from Corosal farm, 1 alligatr)....
S~(HMua-muasulus,. 3,223; Mus-Nor egioun,

..... 375)... ...... .... .... *... ..* .*-
is. : ": .. *...


a ......a 5


* a a a a -

rr


'a.... ...a


*
* S -.-

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ha.
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.. :


22; Mus-Alexandrix, 399;
aaa..... a...aa- ..*... .. 4.020


nations. ......... -.-... ... ...........a.U
Amined for anthrax (4 positive)..................... .. ........
Ir blood of native cattle for trypanosomee... ...... .............
tflinjected with blood of native annials for "tick fever"Immunization


io ettle blood or piroplasnata after immuniation (32 positive) ....
i.E"om Army mules.........-..-'........ .-..... ....... .. .. ..:;.
~i(eattle spleen for anthrax (5 poaitive)................... ......
OexamIi ed for anthrax.. .. .......... ....... ..... ....... .....
t iore. and 1 ule)-.... ... .. .... ..
i -oe .


3,078
4
.3


43

L. 43
a" 2


lf'or igar, N.I. 4 Nitrogen.. .aa.............. ..... .,


t 24 liours... ... ............... ... .*................ .e......a. 1


. ia s.......... *..... -. .................. .-a.. ...,... *.....,.. 19
peteanalysi (condensed, 2)..... ....-....
: cojIkpete analyir).... ...... ;..... .... .... 2
.f ~Wa*co.nt ...., + ,, .
..... ia ...... i. ................... .. ... ,..... ... 10



:.,: :i.,:*s....,, ** S a....s.. .., ... d.*a..* ..e.... .
i ~ --- ---is a..... .. ... .....- .. ....a. a.. -.... ..... ....... .. ........ 2

.. l. o.. l -..... ..- -....,- 9

r a .r .** *.a .. s a. a1
H .* .
.iIiC*..*.,,*.. *.: *::*" **. ," .'. ...**, :. .. .
-.. .*.: s. sa a. a. A *** .* *

.. .B. ... *'.t. .-.. a.*t. s.. .. .. : ... i .. 7' .a ...i"
o-. --l t.. mo f ..e A,... ....... ... ..,...,.-...... ..,,. ............... .

S | <: ... *"i : .. *.. .. 2
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S" C oU .. .'. ..-. .J..... ..' "pi1 ...... i "
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t m I f L *
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n n n i . a* i
t..a..I Anep at s:s il.u .. : .. *. ..i


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A ophels alia.ua.....,....... .. ..8..

c. .rA R. i f i r, .-* *q f !... ... ..$ 4. I.*? :-




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1 o. ..u.. ... ....; ..-- -,._.,,. "


fes~el~itiinalp. -::;:
AedP~iefipraied .




Wre~islwga erneop~ifir...


Total .,g.tae. ..,
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Linear yad of new ditches constucted.....-..........
Acres of vegetation temoved.-.... .. ....
Nuiiber of garbage .anw emptied.... .. .. ........
Cubic yard of garbage remo ed ...................
Square yas de of sti eets kept clean...................
Square yards of alleys cleaned daily..........-:......
Pit'closets.inspected during month...................
Closets disinfected during month. ..................
Number of water containers treated..... ...... J .... -
Number of mosquit6-breeding places destroyed........
Mosquitoes destroyed in dwellings:
SAnopeles. ......... ... .........,
a Stegomyia.................. ........ ..-.... ...
Clex.,..... ....i. m i .
Number of fly-breeding places desti oyed. ..........
Number of rats destroyed... ......., .... .-. -. a .
Private properties cleaned... -... ............,. ...
Number of notices served to abate nuisances..... ,......
Convictions for violation of sanitary code............'
Houses diinfected or fumigatd. ............... ...
Square yal ds of pools oiled...................*.....
Buildings inhjected.,....... ; ...... .... .:......:
Buildings, construction and repairs:
Plans for new buildings approved................
Permits issued to reair old buildings,...........
Building condemned. .......... .. .......
Building demolished. ..... ..................
Food inspWeftion:. .
Dairies, milk vendor, etc....... ..............
Bakeries,ice cream parlors, etc. ............ ....
Bottling woikc ealoons, etc...... .. ... .........
Hotels, dlubs, restaurants, etc ........ ...... ..:..
Markets, fruit stands, miscellaneous......-....
Material used during :month:
-Ciude oil................. ...... ......gallo
Larvaeoide. .... a..... ...... ....... ll
KCerosene. ...... -. -gallo


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ial'iical"" rcer's certificate. ., .V1r-.-n-^ h...
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.r tine stations to complete the period of incubation of yellow

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UNIVERSITY OF FLORIDA


3 1262 08896 2211