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:
April 1917
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:
AA00006091:00005

Full Text


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ions deaths,,an.d noneffective rates for employees; deaths
sideits of Panana,. Colon, and the Canl Zone-.............
of deaths of iniantsby sex, colorfage, and place of residence-
a ,..a o.lty .,....:.... ............................ ....
s ^white Ametricas co-nected- with the Panama Cana.. -
rfiltd4* Iif rtf sllnons .


of 'deaths. of civil population (employees and nonempIoy-
a. .fi i- by sex, :color age, and place of residence...
Sa de:B j:n the hospitals o the: Panana.Canal......
.. rerp.r t...... --- .. -.. ..- -. -
S- MO...- ........ ... ..-*-......-........

l e Co-an C ntlys.ick and noneffecttve rates per 1,000;...

S.. a' trea eant per admission,hapitalsand quarters
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PANAMA


Balboa Heights,


HARDING,
pfirfr 1 ^U6frr
anaTna CTiarnal,
si~Hi fhli Sn


CANAL, OCANA ZONE,
HEALTH DEPARTMErr,


Canal Zone,


Canal Zone.


honor to submit the following report of the opera-
Department for the month of April, 1917.
.4 a m amm


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D 0; HowAD,

,Chkief BHealE Officer.


I'IKGEKr AL REMA RKS


see and nonem


in the Canal Zone and


i tiesa b ontinu ed a -agooth
4&asi appeared in Pedro Mel district during the
pess Awert sent to Ancan Hospital. : The infection was
.':.." .::- *": .f ." ,
Ud itnu ienza of a moJder tely se ere typeO have

'A ,, :" .. ". .. .


te month.


hric'~i.p;5 .I ; -w.:
XH *** .?I H -


Hr HS: ... .1 .
S .117 'H
H *.II ~
~~,i~~H; "'


e origated on Or were brought to


S \


1 SATITI.. 08.
T] A JSTT OAtiSTrES.
A- &"A. lB :l S


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p.alboa eg ts,


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. **. :e*a *. .* i.
oat yeare.d f .. ...
Thidde
'...
corr nred 0t ...........
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( dcoi comp.icatio. ..g...... .......


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Only one employee: was admitted for tyhi
muonthasd co5apazed witlisone)o "r the .
for the corrapon1ding pionthof lat .
mBy race.-Fo disases .a...ly the iin i"ffe
.. ... .. ... .. a

*" : =t =


death tewfr white


were 24-


I an4 Q H^( i0a
w95, MiW,


compared wih 21?0 aind 1. l fbr the precedkI ^
and .28 for ith cor on month t HAiii
.. ." I 4 .. ," g *. .. .. .
ploy.es ,i disease oly, the admission ite
,j *. M ". .. "* ". .' ": h d m_ *an .: t e -,'"
death ra e'were 7.73 aid. 2,38, respetively aa Gcbii
and 379 foir th recedintnonh ,nd O4Wndt6


... .1 t .. .'.. ... .. *.... : .:
. .spon me mon.h of as ea .' '. .. .. ".. .'".' .l
The constantly..alu fftive tea re 16. 50for w
for colored em loyees.. -. ..
Thet adia.....at. -I o.as. and q.a.ri
17.50 fo6r wMtes .and 1.- fo blacks.. ...
S32..50 wire.: NtleS aaid 4.1 blacs tlie.
s2.22. hr. wlituiapd &34 fit blak q lnp
f l. ..l .. .. .. .- .
periodicc: .a .. ye ,.. ... .. .... .
. .* ". ". ," *. .* :.. .. ... .. "s ** '
-.odets crr eoed among Armnivap uxmI
as comparedwithtwo forte preeedI g :
-po iding pes-d or last. r --.-
,. :. 1 1. :. ". ". .. "- ... ..... :..:
i.,' "~ ,I .Q'l ,." 5.." .' *" "'- : ..E ..""" ".i'. .1' :'.'
s .i* i n -t v t .- L *.O sf ** *..*... H, .: *. k *.. ***..* :*. ....**.. : *,,.:... ..: ,, .,
.. .. .i ** ** .. s s :* .. f *.i M. : :**Auf .* *. W
** s... .* .**., *.. ..*... ,.

,. .... .. .* .... ... -..... *.....- -. ... ........*....

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"*.ua ti 1 tJihel ... .. ,o i.:.. .,. *y.


N. hfrP


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* .


employees


of the


aths iecuired during


aiaei of 23.30, as comn-
and ...24.48 for the corre-


-r .
C..... ;.s.. i *4 :r


Scent occurred in children under

per- cent for last month.


as compared with last month,


were


I.


H***H* lil'~:
x/...H"
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..:6I
~yt:~5-


d I.


.: sx' ''--- *' :**--t-1* n
. *. "*: sh t-
.. i. ". t.
dar and broucbo). ..
J bj. -1- -
-- t. -,-x *^ -
1 .


------


- -- -


- -. ..


. I *


FPebraryg.


Mareb..


*A-. : 4 .



* i* r
P;^::^1:?^


twenty-vry


e.


births-


were


reported


during the


;PForty-eight deaths occurred in
ring an infant mortality rate,based


ead fr the month, of 215.
7s or cent were stillbirihts.


*i : i l .. -
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Hi i ilJL ** ** *
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Q- on' according. to the cen
^ W b o.er 5,000 employeess of th
.. .. .deaths occurred d ni t
d']ih6^ixiHg.mate.at 17.49 due

Wt1S*tiottht;p.rec.reding m' nt
ggg d aE. a ty .-1 .:* .-:. ^ *.'. 4**


t^llB~4Et~pi'~~nbffie.ME patjfteire'
* Fr a ,, ,<: w : : _, .r- i. .L *;n .H ** l, .: A -s ,
S :..\ i '.
... h **.r .i.. ... i .
IH s^Bge4 ^h431 eth fent for tledi

**- ** A
*:. ..*.:* ***m 5. : ::*:. ...p .*jr l .~d .*t-T &af .. n**" '... *
;!*/. ~ ~ .:S!Bf "!* C:u! f **!'*! 'IEjf~ *! *V iw f' ** **". *, A "/* ..**" ^^^ ", ". : "" -. ...**
4 *::. :.eS6 *: **.3B .:, : .. *:E,: **' *: *:.*"*<:*:*** m. *.r .. .'B : ,: : *: :. ..j h ^ :
S ^ a fll a^I fi..' *e. "ii BL. f *a^ *in -:'i"i asb"*:"^E.C '":* f "u : : f 'SV *** :J. .I* .:: *. *"
::*~n i l i """: .iii' "i!|l :" '.""** I 1 .*"- t:* ... :. : :.. : ._ g. .s "*. ; .:: :: : ... :, ..* ,* : -i, .. ..:.: *
.. ** i diseose,-'-:"lin;insi.*.:!44.p-er : "i.i=i::d..ntqcicwtedi;- -, ::*;,,.,,


u. of December,
e TPanama Canal.
he month,. 6 of


tQ diaeseae alone,


mad 3O73 for their
Y~... :

a children under


. I .
>ecedingmenth.

** ** *
;'* .:. .: ..
i: e.. *'


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...SV.. *-.f
ncr. H:
15~~~~~~~~~; rr E*."1*.:~;'*' ..


"Air"'


.V***H 4~


tatw.r


.... .
-
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-
....


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: i .
.. .... .., ".' *. *. *:_" .: ....:' .' .. .' : ...
. : i.." : .:.* ** .*.. : ?. :. LfI ..] :..5 : **I*: i, : .*: .: -:. : ': :'.
.* .. .- : '. **: *.. .' .* .:'.-. ** ', : : : *"::. "-,.:;: ::'. .,.. *", ::**: --
..* .: ... .. .... .....
* *. .*H f :
..( ... .. .... .. .. .. ........... .......*.............*.*.....

. 1 :* ** : t .. : : .\ .. .. S x ^ :.b
:.: t he .n..h *A .*W..ns ... .W.
S.* t h : "* W ** : :l :i s

S :: *O. .. :
2 '*' *, "S
*^~~~~~~~~~~~~~~~~~~~~~ *js af*-.*.- *.* -- ; ".':^


1 ."1X.: '. 13 af i .. *% : ........... .. ... ...
J 4, e .. I ....- ... *.
:. ... ', t- .. .. .... ...
SectionB th sed lm 0 th..ene hp
pai- n? AiAii... Al aii & -i. .
. to the' new sediti .. .
War 7,8, 9... and 10 (building No. 238). a.. I
buildingg :No 246) were evacuated and tuedi
.divin the ite bh used for new isolation bt
kitchen, dining roOnm, conmay torehouse, b.
Section C at the present time is -vacant. Ward.I.
foreign white males and chronic, while all the coilud
aind sSurgical ati cents re in section F..
TbreG cases of ci i ken pox were admitted g *
were discharged during the month, as against & ini
- agi


February.


'H.'!'t


A'


Five cases of dysentery were admitted duni
1S fadmistinor dysentery reported for'lMarc
case 'after _mire complete -study, lut -beA C:


from food


p poisoning.


2 admissions for d
Four caes of t


.. The


:correct


s0


ed rieords f


ry instead of 13 as
fevetrwereadmiitted


El even


caes


2k iv flI, -


pneumonia
.^* .. .


were


aidnn~il


an" : o ** y .
**^nf~'~-^~"A .aax iOf- TitM -iii xpf fi~r~f^ 'if
JLIft/xj.V^.U-t ~dt3UJ l~al~l tJ~?*3Mil*.MB :eKt


Sand:32inFebruay .... ..........bi. .

... ... .' E i i
For co.r.plete statistical C t *, i


S ."" *' ... ... *. ..
...
: **H *. : : .* lillU

u' t:*" '"B&i 'Ari a *..
.. .. ... .-. .


S ,-. .. :" l-. ..,
.. Dnring.April 18 pae.en. 6re; Hi
C--Ied : .K.f I..: JE
.:1
I. H.


. *


-s--...1j,


- -


--














H' H
Tocat
H flH az*


e: at the Pacific end
agres, Pequeni, and


6 .n.h... a t.ken in the bax.w. of the rivers men-
. ..... .


.. cloe dot


apw niDm inese v
f- rieefimis
"dry season."


Were asLtasen as
made in February,


,MALARIAL 'SURVEY VIkAGES.


queain


. r -. ,


Per cent.


* ~ :
e, 21; negatie, 29
6; negative, 10...


1; negative,
negative, 4


2.-- ---
.


.-.. .... 42


- 1-


i4.

w ar L. ... M


-, 2; negative e, t...-
0:- native. e. .-


.4-" a s-


S -


- -- 20..


f the eases were of thetertian type. A few were mixed
tutunial. One quartan= type was foinid. Those
h .Chagres and Pequeni Rivers that. were easily .navi-
yc had: upon whose banks small. villages were built
ls and some, of the catches contained anopheles In
! B',..d eron, where the wafer Was rapid and. hallow


isi
I; z .
.
iIr .4.




Al:..i --::
t. :


Aucon,


oly three or for..mosquitoe were seen
urng a stay of several days and nights


.DOME iSC ANIMAlS.


bCle.~R


.Repblic of


Republic of


Paslnama


P~ans in ual


positive


positive


.1~ A
4.


o Potaanma,


"" H


V


0- poiative for


Erx 4


blic 1. Pa' "a 2; "poive .fr


B...I


"


. I ".


.50,


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-rli .9.~-I~sei


.' f 4 ".. .:.. .. -. ..... .. .-.:'.. .... .- .-.'... ari..' : H
_cattle .t.i.. ad .i.f.g. .bA .
.a he.." c.a..l.. ...ll
eod 'caM ar;hf-
cdneditkh when iled. i'.n h ..h.
.... .H. .


believed I
exce-leut.
"~i~- ap


-.~


thim 0o the disease.


Other domestic animal,.-A lilth
made but gwioiot .iotwoti3,, reriu
cats, 6. and guinea;p, 13. -


V
out


'WinD AEl -AL S AlICE J$XlI~


-I


" ";RI:
-..-1 r


,"
- H Ii: jl:Hr~ ~ .li
];;' ~ ~ H ... '.i:;; i1"
..,j
*~~ .?r. N
A *!~


Buzzards.--Thee bWde were caught in the;
mediate vicinity. Sice they feed ..n d


there are iany in thie
lieved that they might


There af


St me "
-JL0 the. t


(Cathartes at
black-headed
the laborator


two


"redh


barhood


of this hirdnl iiPi


awmd


the


mn niumbteri


(Catharat atratue). Th e:nrhi
included a number of the redit


was. not considered important tc
percentage of some of the aind
noted that only the black-h B
birds.. are therefore divided tto


type and those which we


eU


H .. n 4.


--las'


ic): ~ n .


11"... .... H "- .:* ...
S(re h ea ds an-a ... ..". .. .... .. .i...
S* .* *L -* ;*] *:*.... .*::.
.. ... .. ..

fOund in 26 A. JEs.. ..ptces .O..... I oo
One bird ahibited na.. eXtt.eme..
tion butit twas not iated with
-Thd .i onomd gro. bir.d." ia.
bird the 9.02 tht &were aesuht
39 of thi-..at.h .nd el"bjr.d.u...
a


A 'C-


ii.


:: '


' ."-.1


"


.


tra


''

















if ar sit: tt
H V ,
wile watb r


* -


* guinea


iee~e


itives. The, bird in aize,
i4ant .of North Amierica
iafrk and head, however,
wl, i e the t heronr The


. nests here but. when frightened
. "" ."i.e v
att like the phe ant and quail. Sev-
1y one exhibited blood parasites. A
-..:. *.. ." ." ... V --


Sfnd in spa numbers.


Lice and


Skilled in thelwerd along the bank of the
eveal a single ecto aafe te. Its blood film
ntkv ai y ': ello head. wa -s _


a.Y

V..
. |"p* "" Lac

2 '
*2pn wa veri
PH-^ .a V UJ
Ae
31..:.lOsh r Y).
.. :.*** *i~ lr **.* .* *~i .E
** -. ..* .
ptI Oej

..*H*C* *
1 .. *..... :mn a u*

..g -n *
.... .. *.. .* **
.1-*ra** *: i.. *\ *. ..: :* .' : r'
**B ,: m" u : .. .*," :


. h a. s..yeoww head .was
0 were also ptreaent.
are wfolows.-Pigeons
.1 (pedro mlatcm), 2; gall
a .. .


found


which


doves, 3;
de monte


ies with white face (3) and large black
CV were examined. One of t.e fist


6thf


Rio Boqueren and its blowd film
*C =, J v*** **~


snd a trypnosomie.


*Chlae
* \


didoetyltis


(I:,.


No- ectopar-


~aIkudypus


an enidotrypsuux..
.ee revealed a *.Maog.*-


;1r
mA


I.



roni .t1

lwi:I a ya
flun

a-t


IRK:.Swi
lsffen
t. wbitlh
na Miow .
A A j
Baal) on


Oh


,titi vi


Six


have


been


itic station


thbe were in' the habit of
i ao..riths ld-aee a doc


killed on February 12 and-13,1917,
i'rtiplan p. the" fims made from
y 5c.nt infection. The large pear-

.. ... .....In the
go^Ttop TU&Tt
lS~J~f*H ElZfJ CJHJL ,Jtl ~-; pJ"


rc~i.0 ocriecus damp-Wru
S* *
q ..' ".... d" .. "b I ""h .'. "
f .-. *.. .. ." H. I .. :.
Itpdebfb4'nhliciAdora
M m .:' '*:: ." ." ".*' ... .. ."" i : .
l .*. .. .* *
.4 x '. i. *. .** "i* "
.:ly': ".... : .. .:.l... .k .:.. C .
H I .... 4 J ....L ..,' "1 ..__
: .. .. .. .. .. ... :....


, .. .

Nv
~h0 cana
i'iI-


, .


I.3.. : ..


Cs..


.


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I...... -. :. .. ........ -:.. : : ..:.. .
S* :::- .. H a -h .-- : .t .. ; : ... n : ik !
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., ,. A 1: ...- : : ." EE..:: .: ," "." :,- .. .- .:iP .. .. I.w -, *
......: "' ... .* ;" ....:.:- -. -" -:." .. ....: : .."

.. .. ..
an 0 o... .
I t .. ..

~ H -. ... : -.: -
F. .\ i *. ... :, .^ | *..- .. "-c.. -


Thenu berof patient constantly : card fr HeJ
... .*'. .. ..... .." ,..:. : .v .^; : :".
...... a' "N :I


SI -- .r .. .. ... _


was 64
for the
to the ;
Bail


.,i:, a8 comarea wit1: n.
tcoiresip 4ig .. imnth of b
in* No 23, .atient, q


47 for-t mepr
ast year. One
with no deatL
iarters, isw el


completion and should be ready for occui.pHit
During this month male employees were: la"iif
No. 4, within .tlie idapital grounds,. to quarters oi
reservation. This .arrangement provides for. The .


attendait-S .male and female, in an isolate


to.. patients .quartts -a much. more ..- satsfa t -
Building No. 4, uritil the present time quarteMar
has beeniirenovated and converted into a diesxetnM


building; .two wards, for ma
the care of:sick and more. or


[e and female


less


bed


peneary.servce transferred from the-office build
During the latter part of the month water confl


tary


substation, beyond


Palo


Seco


was


engineering. division; this arrangement: will p
water. from thb Palo Seco plant to, the sutbtaibai
S,.:,4 -


Tahe. patients are. b


to groww gat


S .... : ." ...... .. .. .
S., ., .,. *, ,,, ,

pin.r clispital dulny gA prilo asro wn
Smoh and -. 1 205 or.the... ................. cte
Si ... : .. ,, n ,..." .
i. n3itortl precethhsia ding A:Mpii ^.aii' cohpr i
a geree daily u~ei- .u ~Ctien .a

. i :-" *" .' E:.. .. ". :
la. .e4. -..z et s .


.. ... ... P.Ml-


" 'i'


































Ui"-


'6s:p~~jI:,- -. -'
i~~~~m~~. *i: :: "


~ *..: h,. H.m ,:
.n i)'iiiiiP: nl .. ...: 54 W lflSk. ..
L. C.i ::
H'ih
Hr...


iiH iiHH*::'; '"
i:ACl:i !.~ i.
:i~ Wl ~.~i V i i.i -~






.2; ** -
':7: ci,.: : .
AtJr-.r'r~ -~r~nl




-


C?
J:")iV:


ii:


-.


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


S. .

.. .. .

S,.wo-= i
*. A &.


A. ...:.
* .


- s -. m -


- w. -. m> :

- em~ d -


a.= -- -l ..W a.. '
* *
*, '
.- -. ,-**-- ".*
*. ..*4.
- .J. -*.. *-. -


; I..


- -- i.-.


- .. -


--.- -4 -


sb.er of

A-n.-.;*


.1
-* *

2
Oq
0-
*1'


S..
0
1

3
. 1
2


Average.

weekly


a mm a mm


tO.O


-d w. m -m- -.i ,-
-


- -


k~ -J -. -.


* a .I-
















of .o..r. "& ':';t
. U UUJl. ... iLk l D.: 0 4^ ;. ...:..
d itches i .n~ g*. .: **:.; *o .et...**,, ,,,.. :. ::*awH
.. .:.."*... :*-J
.. ,. "'"-.S. ':' ** '.. .. -.: .. e .... ..:'. *. '.! .

** : *i r : 1 .* .*..:. .. :* .* ..** F .* **** *..9 ". ,j
ui~ formi of 8-iigbi diinen i&n.,.
T ad w o of up","ti.ion of the -i
** : .l i ... ..

0. .. .. ".. .. ......l .
.. .. i I :, .S? I


i. ....ss t.a*.aii. rg
*. 'J. .... *



thein e Panama Ralr o d ity -1b wh-, ...
k f .... .







tion, water 0upply, concrdtri t:loorsetes, are at bon*Tj ..
disinfection fid eair ed on aitthi place. Vato,
solutioniE, vatts for, althgares for dyr.g,. t:4tk re



in the stables, a .nd..the wo now uindet u
.rTI. .
UiJUl.^UV1 S <-AU ll ,,* ,,* ,*'' ,, *'* ."*,* ," *' t '- ^T ^ ^
fnili e~ P 7anama. T/R fiilr~x EioarB tmf tx iy 'lf^ ^civ^*^
U U ,%,, rt U wLrJi ~SVS U ~ L~ 5f^h.s.x!b:4(.^c
*i ,^_^ ,r ,,, ,IH H L P^ ^lH**> ,^ ,,, Hi~-
S.. .* ***_ -M *J B+


office is being carried on effectively


Between 2


and several hundred points of goat and deers e
through the disinfecting plant. .
The nurse in charge of isfant-welftre wbrk


of April as Ifollows':


Station worrk:


~l& .A .-*L-f' !!/.-A


. .. .. .:. ..
*A* -I -r : .r
i i.A
A ..,* .
....
., :. ,, .; '. :r l


Total number -of babies seen. -.
SInstitctions given to mothers,
Treatments given to Inothers.,


Histories taken, tota
Examinations made,


1case as- -
total case


Outside wotk : 1

Total number of visits made,,
uber. of -., cs sot lo c-,ed


'1-


sl ALLK Kf1A tM DJ. J.LJU iLfJtS8Jti -.
Thu niber of caesw moved to (Jol
* ._i ,* *' ** .


.tenearai


Number of breast-fed babieR.


*unb r. nf botle- .a"i "
* ** ..
SNumber of- breast and bottle-*
Total number of babies seen-..


Number.of destitute taes:ghv


SN uam ber of cases


N Imber .t
aNmiibr of ca


Li


.. -. ...


total caes.e
total cages- -


-.-


- i -


i ,,

., ,. ..... .
. . . . ... .. ...
.A ... .

..'.... ... .:.
.. ". *" A ."." i
.H" ^ .' *'. ..h: 3J


\s ... "" ." .. ,:. :/?
.. .
.---..- -- ..
..... .: .:.

:* : ,, ..- -
S* : ..........
.." -" "*

stumd fm e.rior'" ....g
.". "" .:'. : :', : ".

** *- ,, **. :. .. ... *. ,,
e m.4 m .. u 4. .... .. .. *. .
j .. .**... ... .
S .- --= ..
I hV* .
I.. .
.* .

.... .... .. .... .... ............ -..
S. .4, .3!g2,jj
.. ":" ":::. y.
1t ... .. : ii.. ............
--4^ Ai
* K ~a--J ^^^k^ B 7^ H^^^JJ*H *A- ^ A j l- L *AAI
"^"."-r-'C' ," ^^ f "T^ ^^^^ '^^--*-"^ ..^ 'A i '^^ ^ r g


Ii


H -ir y
I' ~* S H
':L~kY~if.


. "i


VW


m
m


iLI



















--- -


"ii i.~


. ." : ". .* *.
E *n ** ^ ** *** -*
..t *..: ',!/:.*. .: .** .A .. .*. *'
. '. ... ...: .<


i~nR:::ii'' i hI~

~Ull H
'H II.,


....:.n .


* *ding t ction of

d. dining the month for infractions of


aTINE .'f ANSATIONS.


8ittintionx durng the month has developed
* ^ C ~ .- .= J


)ecPal


comment,.


the- work


the division


". .": "- .' : ..
.. .l: .* ., ., .. : : "*
. .Ti. -" 3 .- : :-.
" j. : ":. .. ^. :* .. ..j = "

;nt kortem inspections:
.... ;. .... m X.


- .- Sa. -


~1;61- -


. ? .
., C..


S- *


l m- w m- .w-


dire of inspection was conducted, and no positive

rer"reported. Specimens from the spleen of two

tiuBre No. 20 on April 30, were suspicious by micro-

ns, but were reported as negative for.anthrax by


.. -..


*5: .: *

..- .. :1



Ak ... IH *.



..I.I..

I k

H..........H .

... **~~..* *. -
WE..


~~~r: .
~j(X :i:. ':I".. .
-; .. I;
::4 ..~ll~i -: *
;. ;... .) ., l..
**4.. ... :. ... *
L b I-I;r

.iiii .:::~ x .


y wit"n tutin p. procedure.

di a.nimbalsfor. ihe month of April was as follows:


---- t--


4r


r~C


. ..
.
.


Cr


mm


1


!!!~ ...:


' nr


II*'. rlll*Il



















.i s. ./ Hi: AF :i
; V H -.
*. .:r.< we::"::':


~I. 4 H.
I:al:- '


C ..


. .* l ..


' S


:i' I





Pt,

e

-14

U,


IH -


" "
AdsiaS
" ': .. "?


i-I-..


kwi' ata~s:


nu

i



I ..
cii
@3 a.
0.t
- 14.k


- -.


i n .


-.- -


-- a-L


--e *C a -


.,. ;wt18]r.
U i2

.' .

.* II

HbI 'HI'31
~~..rI!.




I'Hi .1. t


:A..
;E` .1' 'f~A.:H .1*.* .. Sl
.I





-- .;'.:t.c

.1
Hr.
oI:


33,2921


S4,651
29,205


33,856


3 233.. .S76
|. ,i I

n "


PROPORTIOnrE NoTTEBRS.1


..2.t
%Hl.: *I





a i


9..?c:
-I I;
r..-ji~
:I. ~.S...
.1;;.
.t.: *I**


CWhitoe. --
Colored.--


- ,'r" : j

,, ,
- S 'i -m # -m


-'a--.


4.1
, 2610.;64
,,4


3,1 oei~~uo~w


* .


244,


5t-99~

82.91


35.94


- _*- ,-


..I.. ...--.
-. < i.


- ...
** .3 6 ;.;- ,

^*'^M&.i.

^ j~l:<:*> *


.:I


* .. .::
S'. I' *', H


li.
.1.: .*II*
HI* H
II, .j iH.,
*H .aH III


A BLE.-IA.MI





ii
" y.
H. x .
H.


* ".. .'
.. I
'. >
s" 4':, *


-W I. m


.. ,.


Arilfl17.


White.


Colored -


.. a -m -


Total. -..-


March, 19 17.


White. ---
Colored. .....


-Total -


ApriT,1916.


i m1Colored m
Colored. -


Total.


.pri ,1917.


Total- .,....


Ma rc'h, 1917.


I


r
I
I


:I


I


I


rrrk u.~ .I


!I


I


I


I


-E;


*'


,u~ Y1


'I


,,i


I


|



























,,** 4; g ... ......:::x :
S .. .. .. .
*J .H .. E ... ..
" :: :* ... f: *" .:",,

::.. : ... .. ..
'i. ...: l ... ...
:X 1 : .






.
1 :


:. ::*ii x^ *L .. .
.: JE. .: F :- .

.I '# i.V .f -. X

. H r.
, P dL:E r" Tr.-


I ....
tlta& # r r.s L


-
.E H


:: ?.. .
* l. .. .f fSsI

. ::* ., .. "

U :.. :


~~i~kC~~~r~'C'c


r ..
rC~~r.~

;i*`:; ''
~1

ii' "'; ?.i~
Y~::~:x:" 't:
I,

iiL

*ki~lyur

+%14'r


Y'::' :.y
T~t~v:'i~
iy~:~ll
1'~" I'


YI.


liPQ

~t;~


2.1 t


lp
~L1
at~i


Y:::


i~~iiii~:


~11, 77~

paT ~eg
t

/,t 4 In~ nl~r

~ate


~t~~B~
& 11


12`


rg


.C


8
'I? i

u ': .
'"5:'~;

LEPli:: :;;:;
:r i:

..... .

i I~
b

.Ik;
ii.~


:"
:
:a;,n
::I .r... nl
:':"'' : I

:
i,
ii~:i Y:iY'
.:i
; : ""
: : : :
:::~ i


: ." ....


mm mm


dzmrrslsverag~pe~


;


: :""", Y'::


i~~t4nr~il

~sU~g~s,
I~:1~9


easa


EHte~n~


~'6itSI~.


~tsrl;


i~ls.

36


e~n~
A`~


LfJ


so,-~~.

4iiZ BBa~




I31LiPg


~Q.~LP
~1;6&


1~9


;124


~soj P28


~3~ ~81~





















.. imit

. 1 .. :
* -
. .


:: : J*:


...4 I*


.4. nl H.

**;: :v ~. i vi"
~..lrf


- I -
:'tt.. *..u'
.. .: lT
.. j


:. :.. .


. a did .


'I


S .. ..
I .4.-..


~eE~~8 trb~jii~-~l, ~.4


.. -


." *. ." .


Unbubeonrus ii rningtis -...- -

- Acatea Mrebmispinaalm^.

Pienmoo aeniaitis- ;

Acu ~-Ute bocitisitj -L --."


S ..


Saidi enteritis.~...... -.


tr


Colitis.., : .--...---.. --.--..,p -.-,
~ -;. *! -- .-


yI iEternsi etc.-


Premature birth --d _.... -

M u. tion/ n... fle* e-*

Asphyxiation and other sau


infanay... ...;....-


~ot~a2,;;.....-I.. ...


kr~.


~4uua4--..
'I-n~


*~ a......
i4





P~~~~...'.........
I ..
A; I



-. I I~'i *1

________


..-.


-... -


* ...I '4


I N'
.4.

* .'':
wit. I~








-S...






'IAI



.~~ Vf I. .1)


da a-.


ID:
.-. :* -
* *


-. .*. (randtotal.* t .15i..] -r| 3711 6TI 8les -
Inft mortality rate, base on-numbEt of trthse-

Peaentage oafdeths imdwr yearof age to total iu t~te1flat
..A. '* "* ."
.." ..*


i:igM




.
*Aa -

"h~:~.



*i? ..
II! A
;i~c:*..

.31..









ia






I*


I....


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



. ..*. .. ..
" ...
.4 ,. .


S.......H l


.** J* .**, -** g
. ..,^ < .. *"..
. 4. ..4lf j "~
." ..... ...


i yellow.;


: :. : : .5 : .
: ....:


S.. .: .. *
:. : H '


.. A .* ..
..* .. ..

* .. .


S* .:


..:
., .. .. .. NIH
.. .. *.
.... .* *. *,*i ; :
-- a u K
*.. *N *. : .. .. t'3
S. *
.. .* : ..'*. **.. ..
.. .. .. i
S. *. .
... *......... .... .. .. ....... .. .. .. :
S. ...: : .* *
.' *' .* .. ,, ,* *. :* :* :

i ** *. ... .. :: : 3 .... ..
*** :. .. ** : *.. .. .:...
*' *.11 ".. .... .. .r .. .S:: :

... u....L.. |
S. .". : .. ." ".* ** X :* ..
r. ..4. :. y .. :" ... ,.** :" : .
S ... : .* .. : .* .

\ ** .. .. ." *... i^ ..l. j i" ..
.. ..a* "** *' ** .. "*' S ... .. .
*.l .. .. .a a a ". ** aa
.. I a, a., a .aa, a, ... '. aaaa aI U_


p.
*** **, *.. s


Broach

Pnieun

Io bar I


2Izi~zg~suts -w- ~~e .k


0S~r


to early


..


*J<
**





I .s


hi




















-H ~8~?~i~



r 4* ~*.C a

..H 4 I ra'*


V1L


I~ti
iqJ










I.,.
*

.1.1....
-"""


$~*1..
1:S:


H:..
*










.-1'



4.r
*1.

*I C -


tarn---'

u.~YS


SI


*: 4


-,L


...4. 4
4.;" 4I
* :: !


.."* ." ____ *


S *. .
i .!. .
A:F

lb .* ... "*


I: ... .




* "

L 9


- -.- a -










- e .


-* ...

S~mo
---ma -- al


i-Ia


S 31
* .. *
-C--.-
S* tla'.*


.'.


10-11
I
4


r*5*


momen
--* a
* -. .
-m-m. -


.1 I



xI-lI


11-12














*2





2
S*-

..- .
- -5-C-




2


3 *. 6

-.-.--. .---


a e




. S .. *


M~isc%


Residence.


.Panfr
a5~.


1
I
2
1
2
1
3
3
*3




.1




.5
3


64
2kB
.39
H


SColon.






m0-. .i. -I










-- -- -l-


.3







*34
I-mua----


Zone.


II
I 1



'-----a





~.1
1
I 4"


* 1






4
^ ..


10



130r

Sto


Total.


2
I



Il

*- .. *1
2


-.3



~-1


.36


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

*r.. .. A.:


A:::.




.. :.
r~' I.





L.~ ~ ~ j j''4.-: :4 *' .* -. ;.
.

*. *
La A. H *..
S.. .


*
** : "


I
.:i::


y Y


I: I :


iI


'' '


'























JI ..


:~~~ ;~


J .*


.


.lmbxiga.& .... .


Volombiat. -
]can r ... -..

SFortune Island.,


reece.i. -
Grenatdaa. -,


CGuadeloupe


India..- :- .... -

Jamaica..-....

Liberia....---.
:Martinique. -






t .. Lu a,, .. -

St fsmfa .. .
StI'r nun -_


St. Vineiet...




United states.


.Tol.


-.1..-.


I- -
ff<~ *f


-a--,
-up--


n--m* m *-


-. -

* -- -. -
* *


.. pp


.-.- -..


iI Ji.


'I


--^I-
- ..


S:""2'


- i,


S'

1

'.- -


aI


. .


-... a


....r -


SEman 4


* l .


- -


--r~


--a-.


.m. mm


* ... *
* ---l *
r


.....:.I~i I*' mu.. .../ I
*~ rrwl

: ,ii 4.


. e .. ':


- .



* .





, -






2.

1
1

21


1
...'...


-,* -.


a -- In


... I


99


" .. A .a "i
-' *" 4 : *

-P~mal6.
. ." m. "" H
\. *** ; s I, "
. .. .. : *
.H *


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


r'!*:3. -..~r, -*.. rq
.1:
II
"I~i"PA

4:; l~
* A:.kr



.P.


a. 1:'





I '







.k
* ..
I. .:





... i.:


HaC

4ei5


:4.~
n-.




H..
I::~,s




A .




"Cr..,;
H
V. *I


~.1 ~


TABLE


IV.--DEATH RATES
CONNECTED


, .. .-.
M". t" ". -* ."".q

AMONG AMERICANS O ...f

WITH THE PANAMA 'CANAk 7
: ..* -.: B
.: *.* --*
.. ..:
: --.

**: I jui
*.. :.. *. .. : ,'.... .: :

~ .. : *. 4. .*..::E:** ,
"... ":', ." v "".. 'x :: "
.. ,*
~ .*1 I ^ j 'fs

*. *. .: t ..
** "* :- a


White employees from the United States: : .

isease........ ... ..................,...........:...... _..-
External-uses... .. .. ... ..... ...---. ... .--. Ji .,,
T otal,.. -... *-.. -.' H .' .:. l
: .: : .. :". :* .
""* .. .. ~"" ""."-. ** .***.


White women:and children from the United States;a :. ,:
Ss" .*: .
-. ., .: .V" j"


*: .. iri :. .. .. :
.


m p-..oyroees.. .
* a m ,'


* C'


J:


i
'i


ryr~~rr



















i~r..;;:rV ...il~ ~ ..:

Ha... I

:r' .


[*.


*.
~.n..

.r~:...
H rn.'


*ar!I
.lt


.1


::f :r
4. hi~LM.: 1..
* :itU;


H: .


-. .4


---a---


M'. -. M.M -M


-N-.-


I.:


ili---- i


lingo8 jduet.D ecta~plo 'prenlanc*


PB. at:








.-r...* r..


* -A -
----ash

- eg


- -


A M.I ,


- p. p


a--.:.-. -


- fr* -tp


- .In...-~Cr -- p- -


White.


-ii-- m i-


- -p
.1'


manammeadm
I
m
a
m
la


- -I*
r~1


4:.;L


II
, pA....


Colored.


1
I

.1



1


.*








.10


Total.


i1


-1:


i.C;4~C ..- -
*g~ijbwgusr -
.. .


'y
..1G "


u IEj:uli.


T


''


~ia9es..

















ABE ynB
,* .* .. .>, .* I "/'f 1 'qi^ W .* J**
** *." ." *" '*; ." .. I ..* ". *I :i." ..
.1I
I .. .. .. .... .1 g .. ... . .... 4 .. ... .. ....*{ I....". = *"i ,
.* "' ..* : ^ 1 ": .* ." .? .ah. V. .
.: Li .* .. .** .* ... .' .h 1 4 ".'. @*** ,*,d*' *^i* : :- ..


-t4l


Tr I :
. .*.* i


:~'S
-:K


C -


I'


- t .,


. Cause of death.


4

q .


. C *


*1


~

it


~~phaid.fever, ;.
Pyaemia;.:. .-,.
'Pell agr 5 I- r ; .... -...
BeFibeii. i :
.~..,.
Tube~loSis of thelarngsi. -.:....
be~e mi lia~ti~be~ririlasls .,..I ~
Tnberculo~s me~i~i~i~2i~is-,'. ,'..;,.
Abdallainsl ~tlibei~e~os~is--;
'' D~sse~ininat~id Su'lj~c~e~is..

Syp~ilisperjod na~st~ted..~..:.
~ncer ai~d otber.maligr~it ttte:
the ~tomac~ az~dlfver1 1 .'.,,;

; c ane er and ot her m d ignan t tnn
the female e~nit~orgaaur.~....
Caoeer and other malignant tun
:other orgahs and of organs not
hed ,
Aeute ~rt~~cs~E~iirl~eumatIsm ,.;;-.


Ho~ki~s's cElseass .,..,,..,,

AlcohalJsm, chrrm~e.....'..~.. I..


9;?i, i
"::
,:::: (Icn.:;~~;nr
arr II


:;.;.lf




-~fr,
j .i:
3il


j

~lii~K~lal
a
:;t' ~'""ji ;;
~.,~X$;~


"


:...





..
J'i~'lid:in'


i: i;.


~qse


;!r
F.r
1
i:.::~

i" ;i
r I
C:
rr



i
r 2~11 ,L!


;',~i


*>


i::


i ::i~J~
;s~:
3'


;'%'.
z


2.'


: : : : BciPe; sl bi~e~s~. i :


r~IF
'I
I:I~


Iiy~r!


.*
r' m a


II~F.


Iri


;Irl


* ." I


mrs of i

nors oT

; 8p'eci-


Yrr!
'I::~
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Panama Viejo, R.P.


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-T yphoid.fever....<...; ...........
Relapsing fever. .';.. '..........
Malarial fever:
l a ti vbautumnrab......- .
Tertan..............-. -..........
Malarialfever, undetermined.... -
Meassles..:. -:.... .. ,.. .-,.. "
,Scarlet .Tever..,: ---.. -.-;.. *
fDihtheria and croup1 .-.......
nuenzas...-.......--...............
Dysetery, unclassified...... ....

Erysipelas.-.......-..... .........
C icken po .......... .-...........
Pyemia i.. .. -.. .- .-. ..... -...-
OSep1e1] a. -... .....-.......-.
Peagra.........:..................

Beribel....-. ...............;........

Tuberculosisof the :lungs............
Tubericulosis of bones and joints-.
Tuberculosis of oiher'organs.........
Tuberculosis of the lymph glands.
STubercillosis of the gemnto-urnary
organs. .;_. ....
Tbercuilar abscess. .-. ... -

Dissejninatedtubereulosi.- -.-..
yphi. .

.. -- .: -

SSe*oudary -,-- ..., ...e. *. ...a
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Pneurnoomoas meningitis-,

SSofteaning of the brain- ,- --

Paralysiswithout speed

General paralysis ofthe in.m

SOther forms of mental aliena


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N Teur s...... .- .- ., ......... ,.

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Neth a r ..

Diseases oftuie eyes nd teiran

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S. I ." I

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SHyperemsis gradanmm...

Airtion -- --r--,--.--,------

Otherfadets of labor. -

Emlanmpi........--.----.......


.uru-le- -i -. -* ,-

Pklpeg'on and aemulieti.

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SDiseass of the join SA

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a mi


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Black.


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r


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C


ntttn ior~pieting


i- i. .: -i-



"ram in f t es andl e-iarrs-

lUWIatasmDylTLakhilIBs ----..-
TraM iatm b tht..... "ushis


(velilolts, rdaftris^ :landslide,


a* -
.
a
.. l m 5da .4 iii


(oaunt ant specified).


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n


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I *ischarges.


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I .


.t -lEr


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.4...


Deaths.


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M .
**f .4" ':.


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I ..


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J ", O'< ,
'ANONNHOSPITAL.-
: a J


-.w. -


- -


.dTUIalEW. ; -U !



GOXOZAL HO$R1*TAL.
A* 4


Panama ,anal employees.....

Plham Rdiri ompoys..

M6old aars: jAa .-..-..-.. ..-....


a.- -l


- -


-. --a .|a..l -


- -


ut tra a m
. .... .... -...


iGrand totaol.;-


.1 .


* -. -.9,-


CoGOZ&L. VAs.


Pa~r~P~8Cj1.'*~


* 4 H .


.ctu l.. wAna.


, im,


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t.


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V


Pana p as -

Otxr- pa; .Mses...

Charity ease ..


Chart caes


* .. ,, t ':. .
CrC' C*n'rr


= 4: ,


Patama VanIl



Soldiers-,.-

Faunama tm a


*t .y s*e -- -





"'


*


,.m


"


6~ r?'; I' L


rif?~~


~'*'lC rl:r ii *























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n'1 t.
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r# *" Y i. ." ; r r .


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1' : ..xi ; I


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ilxe Y:: ~ :


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,'*: :'.. ""'. ~ K
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S..


A- .
-~lr


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r'




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- me -


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i~~V


C~xFi"'AL...
hi H c:.Si: r
w~a. ... .
D7HjIp..~
~~ **.A* .


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MC ,i *u, *i'sa. ; il age.


mmm
H
4. ... .-

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*6 i K


... Al:..


I 54.L.* *k~ "~I -


..t .




LflflI a"y I'S..


.i-


FORT--CCoatinS&


x .

Bemam-H
-Swin


A .
* ** .


I v *


SAverage number con-
stantly sick,


.9


24.8
4.2


0aB.



&'I~

1St I~3


3...9
1.00
3.00


10.17


iaso


'3;6
tspF
AU'6


LiQa


4. 47 57.


5*
29 .
..3


Total.


- -- -.
.30~d


47. 33 252.





...... 5 ;t


4 .




i 9.0365.


56.33 274.57


D. 66'52. 21
I .


8.47

a..i


I, .- *


I .


17.71


St.8


.2fl7


Aj S h h "

I- -61
* ..k ..t

.*f
* -. -. -

......
'... U. .,
* 1A45

Li*. .- i^


KI


341.07


t4.e67


OLD 3


2547
S


1;.38



1W4,0


1''


r


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rrnii~


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.* H .-~~ t C r e .* ~ : t? ...n.:.. & J~- \fb;
V~n~:m~e..Mr. .,. :...*. *:
A *n.~ .nij. : :i
-
.~~~~~~~ wan1 .C iINW Wrli
i ~~~~ ~ ii.i ::i3~~


* u ..t.y ,.*


i~~ re


Parsiap. ..
M i

S..
p------.-
Cijypn.......
~ .. .. p At
0 g.. J ..|K(S *
pkl..*


.inp
Ap. k.


W E
.- ... ,

A


2 ..
4
I -:.
- -. -



3


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/ '
"h


.Ad -

kpWe4


i, *


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w.


jgg

'12




86
'our
isw-


.1
1a
2
6
3
4
148

1"7.


a1 I


I .-


n. -. I


ai-u
.. .


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. ,, "..4


w.


.I
-1.
:* Q


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1m B .


:Xi .. > a f1 .

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4. .
4M. ..


4Tt~.:






.ar


A ,* : ,,
. .. ~ ,, ,,,..i,"#


w.



8t

-21
a
2
13
82


.'" .
I1

S2 ..

2
4
151.

trml.


F,- .. .-

~kit G~tAps TRT~I~~A1Z rn~3TI ~~"~"""""
1 ,.: Excuplpc,..>.. dSW*


I. .


i W ,-. .2, 863

f-.-. -923
Psaa*p-- 782


I .*"


-. .-. r..-
* H. 4 : .
-.
T-' i2UaL4
, *..*',*.m


SBmrI.

E mBployees.


Total.
* *i-


" ,' dH
1 .


Woxii ompeaoyses.~


*:


IB,


.
* r i


YaWL t



bL III~


-(
a. --

: I


S;:


* ,.


.Hh(;nIn*


. .. .; .1 .. 4 1. .:'" A.: **.n *,:;i. n' :**L *:i: pi;:~r
.. -


P14-


I *
I...
4.


1.




a


I ;


--t


I rr


:1


Died


pum|











H::..:.
.H:H ~.. ..
: A.
I .H........:..H H .
H. ~ H
..
:1:1:: .::: :. ..: *
rH......
H
a&.~:. &.j. a.... w.~...e.C&. Is
.


aF:Am.: ...i :' :E:. ::. P:S.
" .' j.[n .. ...... "
. A..t--' .,p!.." ". *

a. 4 :: .

H ...


1:


* .. ..
" ** *
A.. :
*I .* *V **

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


- .H..
H:.. .


* .. ..H .
**,,,* ,:. ."'**:


nI H .:.:H


fl ;s, .dngudi 4oroueJ


-i -.. ..- ; .-.-- :a--- ..i. .

: .:: .: .
.: : .. :* *


H..:.


i't~dtI:,


itR tranSerrd between hes-
mrsto spitals, whose ams.
ibove figures -.. -. .... ..--


el t hospitals and quartera-
IE", "" '..". .r : .


ig : *:. *
..**. *L*l" .
::x :... g *x .. .
**E: :. .:. .. .. .

Mai1 to ispi6tals
tted to quatrters.


a -l p m- -p -1 S. m-- .g -m -


.: ":::" : .. ..
- :---- .-.- -.-- .. -..-- --- --

fydehwethospitals and from
Ssh.i whste admissions are dupli-


- m.-. w ..- -


E 1" *':" m ,
. e. H

nl employees to hospitals and

54J(!!" 9'-.. at ---. .a ..* --.----...-.-
: I : .


A


i. .
H.:


wI'..


483
337


820


REPORT.


Black.


'Toatl.


1,437


80M 590 1,393





120 279 39
337 177 514


457 456 913



.9 17 26



448 439 887


1,119.77


174.09


:30858


MIIOUB AND YFEUCTIOUS DISEASES REPORTED


:':E : ... ---"
*. : '" .
S... ..

H .. l".

- ... .. .
., ..


" DURIRT THE MONTH.


A ~ ,h: .
.A' i;p..
r HL


.I.
*. i -
i i i m if i'p,,N R pm


:2 :* "" *
.... .. ..
.
.. .- ,- .. .*
X." 4 : M. : :

i .. w. : ..
..i m.r. a. .n .. -. qE 4 -e md
*E: G: ": .... *:'* .: : *: : *. .. *
V" : .. *. .
.....-a r..i .* --- r. =*I -,- ...(. ** e'.r. .
.X..u .* _* ** *:. ** : .. ^ "'
.. .. *. ***** r -



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


S.....H. .. ,... i .
B :..Ei't:: ... *. n ..we. d.:* *
.. : .. .
S .. ..S x* *, .. .. ... .


'Pam-r


m.


. ,


o. -


r.4



I


Colon.


- 4,, C'. -
: ..r



I 4 ..
' "




.H. .
- .*..
., ".
s ~ m S m


Canal
Zone.


2
a
.76
1
52'
14"


..


otaJ -


'l.5


aid of admissions of em-
ters---.--.....-. -- -


m ,,


~:.


.au


IldlrII'I


I


















--A.
S. :; .
,... .... .. ,
"': .
.. I .


* ..
i.s '. *


* 1
. *


"agW .:* S":!. H., t.. .y. -e-":f:4 :A
'** f 'J ",,4@* I M H .... ..,".*-:* :
"* .." *AH f **.* ** "F. .. ..|irr *p go WSf m *A aji
*." ',a .*,".*" t g.:.A.A "::i bel's "..* : .i *..C *dnfl
_ # W. .. .. ... :.:*: ..*.J^M**.itbEX ..*:a .|..A f..: O


I-..-..


Hospitals: ...:

A ncon H;gital
Colon Hospital.


TotL. ... .-....


Quarters: .
Aneonn..-- ...,-..

IBalboaa. a. --


Pardiso ....- ....

Gamboa -..------


Gaturn. -

Cojon>...


- -... -


Ar *"iL, .; .:,:::4 *.. H


S .. ..-*' *,
** f '*
.,.,


... ..


.- -.-


Ja-- -- -l r-


m m. m


- n-. -


a?? -


* ..


- -


- --


-. -.|


Total.


*: ?


' .:: -

*s.
III*-

1.10

'-.. .-



i7.n
-*-







S* i
.-


&: ~ K .
:Q:l:S.

ii~ll~4
V i.:I'.*x
- :Snl
.4lii
i : .,H


i:I"H


I..~
2 ..
41 I-a
...:
.. .. yt.
*i .

* r. A-
* iEt


Average number of employees constantly sick:

White.
m1r iut .
a n - - i n n i


Total-....


Average number of employees constantly-siek

per 1,00: .


SColored........ -.. ... ..- ...... ..... ..-__


Tdtal.


- --- ..-


S.osta
Hospitals.


1.0.8


7.18
aTtS
.* .*


-


'r ~
A.. ;;n
*41






* Y..







C.t
: -*
-. -
.4~Gel
: : ",:~ 4


TABLE XI.-- AVERAGE NUMBER OF DAYS IN .H.

TERS FOR EACH ADMISSION OF sieKx S :
*.:* *" "H:..
__________^_______________________________________, "** *. i = J:..^


Hospitals:
Aneon Hospital..
O oColn'Hosfpital.-

Quarters:


* -


-m- -- -- -


..? -.. ,


- S -


- s *


Whit 4:
.! -
*ftme fc B-:


S4 .


I


*.I





*.in



i .'"r.* "

I *' *
.q) .
~j:::~r:b


-~~~~i --** t* ZLI 1 -


;:: 1


i
"
.h
"
Wel

















Sift Ti1ISW


~ALTH.


41. A *.. k ll.


H,. *VH,


I**


Sr


*


- -. '
*. .
i t A' ^. '~


YE::,'-.


...:. -a-
-.* -.;~s:* ..




W' -

IPE~. li .. *.;d;

.... .. ...3
..** i~..,ir...- -
tam .


- ....l -. 0


..L a.


A '... ....'..... '.

.i." .,:* *, .-... *

... .*

Hfl .
.4. .
.. .. :* .


...S3w .. .w *


.


i ,* .


- a.a;. -


- i -


F-
a.-
at-


i. i .r-,
.. ...


i r. -


*.:NkY


----- --
-


-. w .


--S.- *'
4. r.
*.*E. --t -*-
* ~*~:i~r *i'~i
.iL-~A
..-
~Y~r~k~~'r ,l~!r'n"~*t .
CH. ,":"

-. -
~NH* S ~ ...

-~
.- '


t -..


* a -
re ~~0
.~:- -i-,

3


. -.-...


* .


~fl44~b-..*- -. W LS 'p .a. ..... : -
.. .:....I



.~.:". & s:*. .~.~a~ .* :A...~
i;~ ~ ~ ~ t."~,u*** .. ...........
.r...': ~i ** Z .tnA t.
~i~a..'w~tX Kt1 : ;Qr.


*:*; y i:,".-S~t:;a ..i ^. "- "* :" ?*r .:: -..^ : ,. .. *! r .K .. \r-
-xx l 7 .== '"* .*- h 5* .: -:-. **:- -- -A *: .* .:j ... .. *
i :-.. *- :' ... '* *: ". : .
... ..... .. .....: :" .. *". *. .. .. ,* .. ... .
:,: ,::::: ..: .. **... *' : : ... *
". ..*., "" : '. .: ..', ." *" .'. ." .. .. .. ;
..:::...... *H.:-YI. ". ..
S* *** *
B:" : :" "- : ; .v ." '." .. : : .

H:." .... .. ... ..,. "' ," .. ....... .'.." .:" .. .." .... ". .." .":
S .*S. *".S.. ... .:: .. .. .. *. H4" .
.* g + n .' : ." :"4 -*- *. .- -- = -
S'*..: : : x : x... :; ... *
H 4 .* 4*. *.. : *w, V


tIL,19I7.


757., 20


*' s. 68


;Cr. a7-l '.


P* fG.S6 6

S ..~ -. a


35,596.1

8,4-4.91


2,16.34.
S..977. iO0

* ..845.71

52,958.00


50.00
9, 981.35
' 3,808.28
4,754.86.
-2,476.42
2,.650 6.70


23,577.61;


,Feb.


,1917.


554. 13


.....4, 43.14


S..- ..- ..-.


"8, ,82.27



S.7, 4 5996


2, 053 8d


.. 848.
I 0

A c6,On. so


8,393 90


4,324.83
1,.848'.04

2,284.21


S2O971.83
. *_ :,


Mar., 116.


41, 348.00


1,348.00




S2,oo.1 23
.605,-0.23
3,842.12
1,564.08
714.15
817.00


39,570.31
*. -


.17, 22. 20.'OO

3;,1;5.54
44,81.38
3-332.20
2, 229.52


30,430.84


3, 48&2 O: **. 3,135. 47 2p6' 94. 09

5,068.0 ~35,497.29~ 5, i 6O5. 21


1'


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S ..
' If .' :
. *A *

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.:
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.. *. .
.. ....*
. .. .. i. .. .
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174


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I'~i


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I : i

. .
, ,, 11 *
A ."


r
.*, ...
: I /." '


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N.H ..~uiq ~ .....sH::..:..Hr::
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H.. 4I
I. I I**I. *ASII.. HM
S Ia 4-,-:




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II


in.


Ir. Y


~,. *


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.* I.
-: Si
*1* .i
a... '
.... V '


.-- -.
r In "'. :


..ii. "l : i .ii .i; 4. i *
.. ,* .. 4::. **. .
*- *. .** .-- -- ... .a 4-.-.. *.. -

H. Panaia .Governzueit: ati tsQ...
0 r pay pati ts ... .- ..
-, ,,. .: .... .. .-.:. --. ....
.. .. ... .. -. -*R **.-- -..... .


r. t~flI -' t j
*a. -
a m a mm mm mm a m


TotaL;...


-?.a. "-:, -."s -
.


- 'al...


SP'anai: Gsalj employees I -- ... ,

mPanhamRaIlroad employees,--om.
old... miers.. **-- -m -- -. -


Panama o1 vernment patients

Other.pay ptients......
..Charit *p .


--.


aL pe -.


Totai. .......


Chm c.- m. ..',,... .


... -m~m m -s -- -.. -


.-- --


Grg~i.todtat"l..


'I~-.5


- '- -


* n ---- -.rf m


*I*II:




:B~;~~l9
*.i
:IH

*~'' *.I


4,809


-. l -.



* .


, 14 -
4,914


Y.-
.! i ... ?:...
- :- I *
U.- ..An1


. : lm
*z .

.' 4 ,"?


* 1bkj~i t A;imeicain.


a .1 brown. Filir o,.


Average cost of subsistence per patient per dma, m0.319.


WAnRDf LAjB iQRAOr IEtPOZY
i i.


: ..f .I .
= .I. :i*


iri4~k~


- .
:'

''''t '4' "1' I::I


SBlood examinatins, total number -- -- -
:4 ntT....s.. .... ... .-:..... ...

*' 'Ter an.,..&L-. .-. wl.... a ....:..- .-- ... .--....-:. ,*. P,:s
a.- --. .... ..a.. -*



.* J m ... .. ... ..
..e ... .... .... .;.: **.* we




aja S ,s '* .t .. .. 2LS91
S.La.. j v,' ,? i .


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...l ....b -I ala-... ..: .. ic

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..... .... ..... ....... ...... ..... ... ..... .. .. .. .. *....
IZ1- 15t -. .. .--.. s 4 **. ****

.*.... l t 4' a W o. .4 .. ". .... ..: .
S. LIR I .. .... .. .:.. :ii .



. .... *.. .. : H .. .... .* ...
Est:tarnl. *Jp*i i *e r g .-.:* *








u .. nana ... .. .. -:... *.- ~- --: .. r .. i:
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.rGii) Je4di







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. ii .: i:i .I:;.i ll~l Hig-i
-: ainarn


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.


ii


ii ii


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I. .- i k...'-


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"II *.. *:. i..a .- .
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-.-- --- *


..* o -..-
t3".. '8o- .-. -



.... ..*l r r. .









1kv- -. -- ----* ---------- -----
l ,. :
*f y:;...., 1 .*... *, .





g 6_::- -. *
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|| -- b -i- --m S- ---- -- --- a------
.



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ri.-- o^l.it... .......... ...
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... .--. -, --, ----- ---













l I i ir H qb ** ** *
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aa. -. -n -.. a .., .-..
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. .. .* .
........ i .. .
.hei .. -


H.. .. .. .. .......


I -. -
....--




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-


* .~.-


S..
- a. -

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Number.


8

2

1
1

1
10

5




a
4
.' .2



.. 3 -
* -.. 5*

105


2 *


Died.


mmune
ammas


mmmmm


C. a-














I


V. :* 0 1 O -. ... .. -.** ..* .. .- ... .. .a"
:'Soii, samples of. -.-. .- -.. ".
7.. n* .* *. *.* ..r*. ..r: .* *
. V c U .aa.ia tL fl.. steel ., .- .-... *-.. .: -.j- ..:. .
5 .. .. *. :. : .: *..: .-.. --
*" .~. s1e e Slph te e*.... .. .. .. "
*. -% 020, Bd ---.d,.- ... ..... .. ...... ... .,, -.. ...

C il '.1gol -ts. .. .* .
1 Amm`onumn sulp :te1 s


C6I6Id*1 -.goiaSs --- -^ ^-.-: .:'. a- ^ -a
ox. :*C ri o cMa^ :.-. f,,., ',* ^^? ^ ,$"
Tissue prepared, paholog para 55; fb. .
.. .,,
Endaoi M :abaa -'- 1--- 1)...u4 .....- ......... ...:.. ..-
",ndamo^ha-Jiifian f :-:*,- : : -:1 .d-t.&=i:C a


. .. .. .. : ". .. .

S. :. "' "* -" A'u F*-^&
./ ." .: .* ,* 1.. : .. ". .* *:* .* i : .? ... **- :. ** *.
". .. .. i**' .. .. : .!
S** ..... .. ...* .. .... u r. .- *
,..bte-.oa .. ." .:" .* .. :* ..... .. ... /... *:. .. .. ..". _
.. i :.*',<*I "., .. .. .*' .. *,. .*. .. ... :* .: *. : ,~: -i : i**** **
._ r. if .... .. ,.. -, r .. n... n *r *.*: :.... .:
.. ...* *. .".. .....* ... *. .. ... ... ** ,A .. *

.. :. .. .. .. ,* .r *..
*. *d 1 : ani a- of-: --:
Blood .itre. (ysit -.. typoa ....; ....:
.. .-4 .- .- ... : .. ...
". .. i".. *: .." ". 4 : .
*. i ** I. L .. m .: i1

..BJEUU..LCI&
n* .* S...
*...... ..... ..... ...............'






*'~~ >.o~i- ...'~n iji^lt~ S) -, ---- '-: C.1.- ^ --. -.J^%
G ou.x a m* r "(e y. .*. .. .. .... ..... ,...A. ,
.:.LJ4S o. rxa": "i"" ." .- ""... "- ".. .k j "
.A ... -... -.a.~ ..R. i
,* ." Tomo slt i O o r.s ;.: i*-mm.. ma A.:m.:. :II::^

.. ... L. a. 1 IL ..". ..... .." i. ..... ....... "." .. ... ... .... L. V"... : '


S- Mil-fro Panaa health office....... .. *.-. --. ,.-
I .*.*
.' Ice cream.from Panam health o .,ice.. ..,- ...:..4-:..: ..
Water from teamshidPepfrs for health ce PaiiBeeB
.. Leprosy, examination.of 'Suspects l:o (all iegatiw):<.. ^w
*SA S A h..O-- -p- .ar*- --.'- -*- -,., .lt---.
~ Rn n w ...+4nn- I. ... ..._ .. ...............-. ,p. *.* ~*.
am ua .ya tijtwo ,-.-..-- -. -. ..... ,... :...
Da ,, *' .a .* ... .t :'p .:I'f i..;^,.
Va Flills..,ep a te.., et-ogeno s.. ........ .-... -.-".... .. .. --.**...- -. -.":
V-.s- .'n .. ".'.' *. *.
.A. nii ilOI2O3 dtiO 3Z.. .. .. -.. ,.- ,..... ... .. .&.:




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-.eDa"k"fi.d" :m f, ... "t" b'.p..,".ti's, ..p"

Ss em..ypn v..eaac ioi ns..... -........ ..- -- .- -.'--.. :-. .-. .... ......

..e.. .. .......................... ....... .................. ..... ..............
V a S u lc pe sic .ne orid t -.o. o .. ... ..-. .... .......... .. ,, ,.


t .. -* *. (- -. : ....*. :. .: .. ....
.n -i :S .. .. .." ,. ''.:.. ." .D
-t t-UO ti-as abeon ....o a-- ... .... ...... S. .... :b 2
0 r o' I R.T R "*. .. .. ... .. *" .' .S .. *.
'l..,lael l... ,..............'... ,,..--... .. .. ... ... ...-. .- ... l.-.-6.'

























DrsuiwsAND DEATHS.
* '.,.. .

.u~; .. *"


-- Ixx

:'*:** *:.


I


-.. .


m silc:. "..mi- ssn .-..----.


uat. seond ad ssion. -... -


-a--


... -- S


Male.


S' 7
- ,14

0


Female.


r i. i .. -*: *. .
Kr.. absferredto Aneon .Hospital for surgical treatment.

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

S.. ':' DISCHAEES.
H E*...ph : ". ___


*H-.


flr

i AP:.l.i
~i~:"*. :'5.q :



I"'::' r n l


i a -


I::PI'*1
ri~cn*1.


I


*A'-* .* ** ** .
~"~~,** ** ** .: I. ,, *'

ih *^ m .z*, -*** .*
.,,: ." ** ., *



** K~ : -* ** :* *
*! .. i* .
" 3: : ** *. .
.. .. ...*


. -.


"W.ei.


Male.


S-in-


male-

male.


Improved.


ale. .
. male.








13


22

-ALV
-- -
?~u w m____a_____ _____
** ~~~~* *A. -, .

j.


; Unimproved.


Male.


-.L a a- --


* .


- S -


.I

-- -..
mni. T dl
*i
ii.


A.*1 x.. 1!H




..1
a:tsi~w. ..: IS
A.. .kh



.**IH I.. :.j~


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gli .i.""* """.. .
---. --.'/" hI,.^
** ~ul h ,.. ..S Ks


X MH
C, .1'


I \A


. Three soldiers deported tq U'itpde State..


DEATHS.


- -*


H I*'*
I....::


Mental disgzosis.


.i.dO,.*wU:- -. p ... ...r A -. -.-


*: ..r


tub.


I Female.




I .. ..- *
-. .

i^ -- ** *


*; ; .4::*:. L, .'r *..IE.*-

II I ..rl .
ri?.:.. i .. flNHH4 4%


B;SdiKt&IL


r& .... ?n
.-.


ma iae~


a- m mm- eat


.: A


rl r.l r u r r I r L L/e I i I I ? r r. rr


' Q'


i





























4' C

I~t*%r'i i**


v-i K"..

Nh .. ii
tbi~g4:
4,


I.L

'I hAL'.


-.- -.


i'4k


1079
.1,139


1 46


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


.


nflit..


Black.


.. -- p ~ ~ -


Other nations.


Black.


61
1, 034

1,095


"i.r.s....:: .... *-"
.... .. c ..sa* .l. a s.

ia aLents, instantly sic.....
gra stmet 10 each employee adm itted^.
i' "!
wEp Ip. patient pat day'- -...-- .---.--. -...-....- ---
.!iHCf:'N..: .:" ... .hI '
i ... : : .. ..
..~. r .


.... .. -. 12,705
410
...... 10
..-.. 0. 40


r' .' ii. S. **


Class.


H.ii

b:.:L:..


-- --- -:-l-- -


White.


Black.


948


Total.


681
352


S1, 03


S ; ..... -.
S* ., ...... .. ...A I T
. :a'.1;;x .... ". "v

i:..; .. ; ... .' .. '
S..* i...: .... .-. -: --- -. .. .-.
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... '... -. .- -... -. a




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... :I .. ..*...
.. "" .+. ., .. ,



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I. Jblt J i..."..... m .. me m a ma m a em
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e
9


3.
I
2
s
8
B



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a

1

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31

la



1~


15
15


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k ,fwJ g .. | .* ..... .. ..*i. .... ** X ......* .. .***" H.** V i**. *




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.*r .. lf j" ..l

S. .. .. .. ;
.: -r.- ... *1

i a* .* e. .;ii
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.. ..
U. lil.iti a rafa :-*- a *.- -* ^ ,l*..*.Z| **4.
are.rm e. .i...tff........ .e ...... .. .... .. ..
e r Ja s r. t e t. I ot .t .. .. : .... ...*: :.... t'..
:-

.sOther dietseesi ofi.the. t. .:- *- .' ,.
--
^yjjyvuuii/4iB. -ua -- -.. .:- -,- -: ..-*.: :: ,,J!LH.< g

giy.tasm. Ie .re x, .r ~air. ci ej .v uit....s..... .. ... ....
- *a Hmp~e isateo dAthe Ha ea ..H...-... o..... ...- .. -5
" m l a b o G u.. s. .. .. .* .. .... :'..' : ... *. .


.T, AiS'eide s o f p...i.by. .6 .. ..---.- .. -.-.. -- ...... .-
,, .S.. r .* *



A n n..SS .... .." s ...-*~j4.:' .A....
Other dseaseM Gawi..iai) -t t. Iai..- -. -.,n-d- :l. ., _
disease r.lof dthe sesnof .. t bns-- .. --- -.. .- .-- -: ...... :




Spnveeitis and efn diseases of the fe male eitatal or s -B


ccitenles nagepreg-.n-nt--. ..-...--.-- .1--.*-..:. -.--- .-. 1^.^ .-
S. .. : *





S* *- -- -- -- -. -. .. -
C s.t ".. .. .. .. .... =. ..r

Anb oha..a... a...
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Oter itiseasd ofte ess ttof s i ta w r -al ita. a -
i4i i i I il I I li ij. i I I I* i i ..3 I.







i ea s ec .-- -------. .. _:.- .. -..




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Nuite lg esscbre frwn the thohpitaU Withoift dias. ,.*4>








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68
55
105
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752
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2
5
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78
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178
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199
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S. .. *. ** *





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t.ly-..ab..DingIpl...e des ye... A .. ... .. 4.. ..
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ib -, -i -or---- -*. -* = :




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ow llbns r illr -wlfl'.natn
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Go.wraI snabef ditches .fg .. am ntal. _.
*... ,v .. i: .. ,
... r.s. i *s e.*. .... .. .....
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-I--.o jbreodinh Lces fOand (Stegnyae, 2).... -.;.. + "

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-R f"nda I..s ." ." ., --.-.-.-.- ... -.- .E
113,UU*JP r*qtoafl). ....... ....


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N number atf roomi diMeifetIckmns mae.. ........ .:......-9I

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..umber of .load of gtarag em ed to d .. ''* "
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tadevtki~~ ii i red'i
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r ORK PERFORMED AND



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'.,735
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a0e:s oc a ndsdiioa -. -

on wo hick additional conme tions wore radt.l....-.e-
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1415


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station to aom.


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pl umper 01 pjrisuns untyig ixum CMeI twss rxaii UDU Uajsp zquqvnp ,H
.u f J"- ,i *. .. .-- -.1 -..

Number of pesos departing or coast towns jma l. j*


I


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ai. -.......-. ----- -,.----,----


Number of.persans in
Number of prsna in

Number imin


IMMIGRATION
-f .


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,am, -;. -- .g.
lnw~nav 4-hla tmAtnlt-Is /7 ..:" ..: **:'"^~


pu"IS USCa SSrfl.LUZln


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taninit for
transit nol


rOJeo~o tSooooo~~~~~~oooo


tngrogfh


REPORT FOR- TER. PU
AND BALBOA'PM
L V .. .* *


Sn.


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.-. .-


,i 'ii
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mat. sj~'..ijjn
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-..


*.. -9
* -*~- .Ct


Number of persons detained a
incubation of yellow fever ant
Number of persons detained on


Number of persons arriving from foreign
Steerage- -- -- -. --. -- -


Total number of ptsons ant'


v


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r'















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LH: *** *** **** ** 1 *t** :* ** ******* .* j .
* "'::: :., ... .. .' : ":*. "d "

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H
: M .. am


S- a l m -i -


16
1,218
'10


... ".- .... ..i ----- --- -s
1 .. ...... .. .... ..8 5

i3:ms d:.u:Tofo at the pres~at time.
I:"a:.in t s.p ot, and theealth conditions of

: .:MM.'. "... f .'. ." ,


S: ... .. .
a I'E ... .


KVIIL--PERSONNEL REPORT.
'* -t -


rst.". *i"***'*t.
;P ;......
II.


H...-. *

A.* A. *~~ i ..
rU~iC. C ~ U
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. A rl8 1017,


Gold em-
.:ployees.,


.. 4 .
4
til
..11
11
10
109
16
5.
I.1
5
2
13
'p'
.""ii ...:" 5

* 3
.. -.. *3
i. :"* : ;a

aMa
'8,
*..


Silver em-
ployees.


- 2
10S
ar
*66
43


- M- -l -


Total em-
ployees..


S..;.4
.4.


1,68a


1917,
total em-
ployees.


4
8
51
151
161
356
43
7
-.31
127
78
56


(1,13S


April,
1916,
total em-
ployees.


151
163
3S8,
41
6
22
*117
58
48


1,w001


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