<%BANNER%>
HIDE
 Front Cover
 Title Page
 Table of Contents
 Organization and activities
 Personnel
 Financial statement
 Vital statistics populations of...
 Vital statistics, Panama Canal...
 Division of hospitals, dispensaries,...
 Division of sanitation
 Division of hygiene
 Report of the district nurse
 Division of quarantine
 General tables
 Back Cover


PCANAL



Report of the Health Department of the Panama Canal for the calendar year ...
ALL VOLUMES CITATION THUMBNAILS PAGE IMAGE ZOOMABLE
Full Citation
STANDARD VIEW MARC VIEW
Permanent Link: http://ufdc.ufl.edu/AA00006092/00004
 Material Information
Title: Report of the Health Department of the Panama Canal for the calendar year ...
Physical Description: v. : ; 20 cm.
Language: English
Creator: Canal Zone -- Health Dept
Publisher: U.S. G.P.O.
Place of Publication: Washington
Creation Date: 1930
Publication Date: 1918-
Frequency: annual
regular
 Subjects
Subjects / Keywords: Public health -- Periodicals -- Panama -- Canal Zone   ( lcsh )
Sanitation -- Periodicals -- Panama -- Canal Zone   ( lcsh )
Genre: federal government publication   ( marcgt )
serial   ( sobekcm )
 Notes
Dates or Sequential Designation: 1917-
General Note: From 1918 published: Mount Hope, C.Z. : Panama Canal Press.
 Record Information
Source Institution: University of Florida
Rights Management: All rights reserved by the source institution and holding location.
Resource Identifier: oclc - 225670417
ocn225670417
System ID: AA00006092:00004
 Related Items
Preceded by: Report of the Department of Health of the Panama Canal for the year ...

Table of Contents
    Front Cover
        Front Cover
    Title Page
        Page 1
        Page 2
    Table of Contents
        Page 3
        Page 4
    Organization and activities
        Page 5
        Page 6
    Personnel
        Page 7
        Page 8
        Page 9
        Page 10
    Financial statement
        Page 11
    Vital statistics populations of the Canal Zone, Panama City, and Colon
        Page 12
        Page 13
        Page 14
        Page 15
        Page 16
        Page 17
        Page 18
        Page 19
        Page 20
        Page 21
        Page 22
        Page 23
        Page 24
        Page 25
        Page 26
        Page 27
    Vital statistics, Panama Canal employees
        Page 28
        Page 29
        Page 30
        Page 31
        Page 32
        Page 33
        Page 34
        Page 35
        Page 36
        Page 37
        Page 38
        Page 39
    Division of hospitals, dispensaries, and charities
        Page 40
        Page 40-1
        Page 40-2
        Page 41
        Page 42
        Page 43
        Page 44
        Page 45
        Page 46
        Page 47
        Page 48
        Page 49
        Page 50
        Page 51
        Page 52
        Page 53
        Page 54
        Page 55
        Page 56
        Page 57
        Page 58
        Page 59
        Page 60
        Page 61
        Page 62
        Page 63
        Page 64
        Page 65
        Page 66
        Page 67
        Page 68
        Page 69
        Page 70
        Page 71
        Page 72
        Page 72-1
        Page 72-2
    Division of sanitation
        Page 73
        Page 74
        Page 75
        Page 76
        Page 77
        Page 78
        Page 79
        Page 80
        Page 81
        Page 82
        Page 83
        Page 84
        Page 85
        Page 86
        Page 87
        Page 88
        Page 89
        Page 90
        Page 91
        Page 92
        Page 93
        Page 94
    Division of hygiene
        Page 95
        Page 96
        Page 97
        Page 98
        Page 99
    Report of the district nurse
        Page 100
    Division of quarantine
        Page 101
        Page 102
        Page 103
        Page 104
    General tables
        Page 105
        Page 106
        Page 107
        Page 108
        Page 109
        Page 110
        Page 111
        Page 112
        Page 113
        Page 114
        Page 115
        Page 116
        Page 117
        Page 118
        Page 119
        Page 120
        Page 121
        Page 122
        Page 123
        Page 124
        Page 125
        Page 126
    Back Cover
        Back Cover 1
        Back Cover 2
Full Text


























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p.iB. -
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......


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am


Canal


POR4TrEE


CALENDAR


YEAR.


1930


i ". *
r::"^:^ :;:- *


f**..* ...-i
Hit: ..ui

K:;.'


ii!..j::"'


ra.
he::'iB p i


Ml:.r! ..?;~. *


*3.


SILER


Colonel. Medical Corps; United States Army


CHIEF HEALTH OFFICER


S


1







































































































* C


For additional copies of this publicationddrees The Panamin Ca

or Balboa Heights, Canal Zone. ..


H. E





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ust.:w .2:






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Hy


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.. I n:. -ii:- h :..: .: .


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... .x ..... .. .

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::.. = : .:::.. E:


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* ** "iif* **u.:** .. .. i:
]j.' *BE" x* .::ill
.3: .- j Bil. :*


-NC


.


im me:*


mm-m































...": 1:.:

,Hi. .I.. ip. "
|" '. ".B--" .. .



po,,lHn of the Canal Zone, Panama City, and Colon....
n ZondeaLh fates, all causes and from disease only:
.. H ,
., .,, ? -


,,i ,, ,mm mm mmm;- .. .... , ...-mm m mm ,.am m -=mm m m m m.. ..... .....m m......mumm mum mmmu m ....
... ..H .oi. 'on o"f th C". .na f .. _


-. -" .. ... .... ,"7 em.umm.........mm.m.. "'" .'"."....-. .......... ............. ..........
... { .. tt r te ...f



11 M ...... n ..
H.. " *" , * *. I.
Ax.* a: -, --.. ---- -- .l -.& -- -------__----------------------------------- -----------------------------
..1... ,:: S . ,-


.i ..... .. .
C^( -.teat mo rateslt .a. .es: l

Sii iS..: .. -s -.




H. I ..




*i .. "Ii l~i.." X. . ,, mmm mmm m=,m wm .m.au_ P. m. .- .... ..................... p....... .................... ....... .......... ........ ............
q -~,,, .,-... ... -..-...m... .- :.- -.,.-a.---.----.--_- -........--------- ----......-
.c."."t mi. db .r1 -
.. .--"..--



,. -of admission to -os- -.-----------------
nc c. haes mortal rates:all
i .. -.. ...- . ........ ....-- .-.
*,..n..l
KJOH r .a**q a ** A- -- - - - - - - - - ----------- --- - -- -- - - - - -- - - - - -
.r .*.- fla m C t- -4*a----a--- --a---w*---U-- ----- ---- n------ -----^----------;--------^-----.----------.-.----.-----.---..----
. ..... ...'.... L* *. *
"5]:. t" dsaerp tdi 0 -


1:1^ ^ "" EU EL. . .J ^_>-- -. - - ------------------.----- ------- ------
Or*." iu ... i ."i .i J.Pcipaia cisies 01 death ..i .-.ii --- --p-ii-i -i i i-- i ---amam* iii- ii-

eIs. --- - -.- - .------------- ---
Hw .... b. ornon , n i-i ,- --------------

f s" disases reported 1930-c ve




H.*ngn ***-*~ Vr- H -- -~ - ---- -- .- --------------------------- -.----------- -
H .'eaf sats a causes------------------ --- -----
:-. "- 2 Death rates, disease only -.







K^ ^.;i ft" At '191
Ar X ^'


24
25


26
28*
29
30
31
31
32
33
34



























































* 4


I....


.::::


-..
I,


age, and length c
H 30. Deaths and .death ra

.cities of Panama
31. Deaths o[ residents of
Colon, by cause,
32. Deaths of nonresident
33. Statistics regarding A
34. Discharges and death
35. Consolidated hospital
.36. Number of days hqsl


* 'H


-.
S


.. ,: ... .. n.
.** . .: .. r ...

te of residents.. of .. .
c. ... ... .... .
S .. . . . n l . . .

the CaaZl one and theptia
sex, colr, ,-ae, ad a place* t
gil. .l" ..... ..i .ii c .i"
t n e n.a. ...p l...'. ..... "JH :' E: .H.. :....E.:





ain Cho nqipi ala .f'T.h T m. "e
it ::se. l':ol.r a ..
.. ... ;. j t .".

LS i hospitkls ^Thf lnama, Cn ,._ .........

"n 'q .. .. .. ....*"'l^ -. .. ^. ..!-


patients and averageInuim


37. Consolidated ad mission rept iiu, to:


p1;


4


;H~ 7 .9:i
H HA
*n .** H H:* ** .


': A....'*:































f .....St .s Government employees and their dependents,
Sded Ipsuchn tar the enforcement of'quarantine regul


..""gH


and others
nationss and


niilatl&n of vitil statistics fot the Canal Zone and the cities of
... .. L r


"i .. illi ae" if" . "b "
ttiiies are conducted under the .four principal divisions indi-,
.I .:l .. ": I ::*:." h


i .. I...'.


'NI


he organization chart on the following page.


charge of hospitals and dispensaries


healthh


Officer.


-The


Assistant


Chief


rheaddminisrautive officers' in
Siectly to the Chief H
. cxy tol-K the


.tli Offipper; irr add
SChief Health


a:. *. -.


ition


Officer,
XH


general


supervisory


has- direct charge of


activities
Division


ftatieh4 The Division of Quarantine is directly supervised by the
f quarantine Officer, an assistant in the office of the Chief Health
." ." :. .i ": .. :" . .
)h e:Division o(f Hygiene is supervised by one-of the assistant's


...t...\


! : : : ". :i : .i :" : .." ::; ".
,.::,, : :
. ;:::. :: *: I. ..: :*" : .: ":
! ** .** **: : .:
... ........
.. . m ''C . m Em


M efHialth..OffiTr-Tat the present time by the Chief Quaran-


;.ith activities consist of the visiting nurse service, maternal
fre a.. "dphycal examination of school children.
iwe.fare, .and. physical examination of school children.


**1


H CHIEF.. HEALTH OFFICE; ORGANIZATION.


Ice ofthe4hief Health Officer
... .,4 u ,


Assistant Chief Health Offcer6


atti le iOc it ithe Administration Building,


Balboa


*~i :


to the consolidation of the various classes of work


iarftiments hof The Pananma


Canal


the clerical


force


*1.~ -C * a.


*il.: I


II


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ulO


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.4y .


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le..


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s~iD-i.


V:~

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* Al ll*;'~;~
hq. Hi'


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1*. .:
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*. ** .
I g ".i


..- .*


* 3


!..:?n?-i': -:I;.: Iriiiii 1

;I
i~
i"
.... n:..::
I~


- ,


I.. "". . .. ."i.'.." . .. .. ". "
H. *** *! ** *" i S' H




,ti :way the- work.is


. ..... H... ..- .. .
,* * *H *,.* *,
. ., ,.** *, ,p *.
* g.i ,. *.. ... .. .

...... i ." *. ........ ~ ...
,, ,, , ,


H. -a


| "..


Cri


^Bdiei iUii6$ 4uiff asreadiit acccdili&

tk done in the Chief'Health Office.
." *' *
re necessary 'for immediate reference


and


other records, are kept in


i handled very satisfactorily.


~E~jSOKN2V
V


of tile Medica Corns of


the Armv


for duty in. its hospitals is ordinarily


termination of tour of


Army,


a n a A a


April 13,-1930,


was appoint-


vice Col.


George


from duty with


The Panama Canal.


the personnel- constituting the Health Department.


k H444 the calendar1jear as compared with
" . *.. H .. .
."i ::I i"'*': im "!


the two preceding,


FORGE EEPORT,*FIEALTH DEPARTMENT.


I II
*.:~Hl.;


. . . -


jm aegg -.. .. ... ...
ee: ,p,,r, b, ,,.,
em ^... .... ...
fOdh l" 'k, ,


..** * ..%*1 . .*. * -


. . A *


. ~ . . . q
I 1*
* !... Elm *


* .* ... .
,4*,,
S P di


. I. *l .. 9j *


S...


Deealber 31, 1930.


Silver.


2B7
54
141
15
t8
20
118
87
117


TotaI.


,,,:,,, ... *." *.. a ,, ._._

.:: .-: . .. . *. .
** ., : :, :1 1 7 *.*"
SAtdbftion of white personnel at the end of the year based on


onal dr pther qualifications was as follows: -
:. "::' .:* "*


....... a.m edia.f.icer of the
... ...* ..- -
***: .:.*:*.. .. :.**"I ... * :*
"-in..^ v* .*s** ." ..* .* " Wh* * *.*:::* ". ..** ***


~.;~pplc10a surgeon:

.t.fr ~ab,:


6f the .. s
vice.
*u m . .


V. '


8 technicians
' :: 7 dispensary assistants.


5 pharmacists

tna.ists.
2 chemists.


assistant


phat-
H.


the,
t


nB, t.e usual carianges incident to


Sin such personnel.

Whaley, Medical Corps,
fl t .. A


1928.


nS


r


~~p


IIIIIIILIIIIIIII.:


* h


.


..


m
I


**


.....


::::





































p4aic DiollA MedicalE Corps, iU.
. t4 tn 1"" : ... "


(ic-Uomhu
-z


A..:M
::A.-..
~J H..
::'iAH
~flAJ;jj*:


S. Army.
S. Army.


- -


Veterinarian and Dairy Manager.


Colon Hospial;


Makel;, Medical Corps, U.


S. Army, Superintendent.


Zn ViL~evy


Chief of Medical Service.


6) i'4 -iI G l d

SM. Van.Hook, Medical Corps, U. !
ewedithi R.h Jonston, Medical Corps, U.

Wf... ilic; medical Corps, U. S.
rAVij~ dE. Dasbiecl, Meiical Corps, U. S.
.. .


LS:ffo M redical Coqrpe, U.


S. Army.
Si Army.


Army.
Army.


S.. Army.


U H..i: i: flH.::
.1:.: %


. Palo Seco Leper Colony.


Hi': x


** .-d .* .G.
.. i *. I
. Hnuwift^ Suprmintenden.


.frr
j:iyIs.


H:~i.. .
H!i"i


H:::
.N .W.
H urN


,Gatun Dispensary.


. Grider, District Physician,
h*. * j. .'


Pedro .Migued DisPsary.


"'


a C., Wilinsaon Acting District Physician.


WY

huH:


er F; Gray,


H.


Bdilboa Disntsar,.


La... -
-a


E EM a aaa aa


.


n.


1




1~


























EARNIW C


THE HE


LTH DEPARTMENT


CAENDAR: tEAR 1.930.


HW&tlli...H.. L H;
li.:.:::H .... YI~
..' H
....hb~. L


1Hf.k


.'" '..... .I


" ,, :: ,, H


.. .." .. . .*"
."...,.> .. .. .
*.. ." *"

i (faQ the itne,

Iis.epalud cripples)-.2.
... epe CoIon y .... ...t. .

ne Hnrantine Sercek..e-
i. o'L..te of Paa~han and
.... :
r .i" -. . -- .

Sai garbage eol-


i id. disposal,citie of


'.. .:.


tno. Colon. ..-.-,.^
-^J -a. -. *-

A^ ~ *

- --L.-. - a^- ,-
90. an misetel-


6.
1' -
.1. .4:. I


u Operatingr

.. i.....
ir *;*
tp. w .

$ 886,250.662
L 17S,86.52


S226,883.20
38, 38.09
4.. 88,136.40


s 66,744.00


142,100.15
142,662.64
89,245.99
8,36.51


'46,331.33


7 1~iQ,6 89. 60


Earnings.


$438,655.63
104,442.54


196,469.60
.20,988.75
30,902.97


8.143.82


S11 6,203.92
*51,116.49
28,392.59


417.26


995,733.57


i Per cent
self
support-
i


Grosecot
per
patient
per day.


$5.40


es on~iduty at.this institution which amounted to..
ioat of.Health Unboratory.
iase m duty ati this institution whisk amibunted to..


t at thi institution which amounted to.........
Service QOfer acting as Chief Quarantine Officer,


.t "" :*., ". *
I.-.. .",.. , . .. , ,, . ,. .. ". . .. .d.. ..n . .. . . .. ... . . . .
ala ofl al lth:ServiceOfie acting as Health Oficr of Panama


e .........t .. i.. ... hmunted.. t.............. .
Ibisf iith C)5h-i whiok an ed to. . . . h. h n


le p~y wiach amounted to.. .........................
expeume, ph 10 pe1 enat overhead, whieh is billed against the
-* : r *


. $11i9,85.38

. 23,600.09

* *14,508.71

5,457.00

3,149.20
7,200.00

173.300.38


::* *O .. :" .. *
NflENSES OF ITHE HEALTH DEPARTMENT. CALENDAR YEAR 1930,


-- H .
: .n.: .* i.;:..= .... .. *.=. .:..--
'. ." "H "
.. . l.. .
**n *1 ** :* *OUS ACCOUNTS.
g .. n * . : : ...... . . * .*


mai oaZ iss oa
pay of Public I


*H:"' II.~


.


4


t~B''11;


,Y;!~i


" "~'


;,::




















































































































































































































































































111111~9~11


%11


El~"""~I"~*~

















,. HH .-" ,.* ... &* 11 A T r
....... ..: ., J> Hb"'P don 'the* increases or decreases occurring
'''" .year.-pe."oi.betweei .the last two:ensuses of record.
... : .*:. **- ... . ** * -*
. *.::* i ." . .i "* ** .p -- . *
pz. l ktin. of 'the Canal Zone consists of white American em-
'rdateitr"'fmiies, caor d alien employees and their families,
....*:_ : . } * .1 " . * f c *
*m :: :: :::.:. .. .. -: . : ". .
i:" B"n vaa garrisonsn, -epresentatives of shipping companies,
tt or turchand welfare worke-s;etc.,and colored alien agri-
S.who.ese.lrand under 'revocable licenses.


.mH::::.-.:: H ,::r ,
- H -.. -.
a|3wH


'"eployees"-


as used


in -Health


Department reports in-


The Panama ..Canal proper .and the


;, which'.is a corporation


owned


Panama Rail-


United


States


tfl~flt.


::re about 3,500,white American employees, the uisuaPpropor-
whow have families; most of whom reside in the Canal Zone.


of construction


, the average age of this group as a


i.. much.belo...the present average, and a larger proportion had
M :: ". .." .H , ,


* H * .H ,


indnt. residing on


the Zone..


With


the passage of years this


hs become stabilized and is approaching the age period in which


*..( ithe chronic degenerative type are more common. They
dIar inow becoming eligible for retirement through length of service,
*i::*".f .**i ..o-the Zone subsequent to retirement is generally not.
tad. tost. of themm return to the United States. It should there-


rnie in mmid that from early construction days to about the
,tfihe. the white American emrdioyees have been of a younger


"pp H...,. formally encountered in stabilized populations arid
".. ...


Itutre their death rates will be"H'somewhat lower than are or-
.4 suc communities as practkhally all who are retired
l*,' "s ^' ,


on account


eligibility


retirement


wit ":f disability or


of Hrvfice will cease to be- residents of the Canal Zone.
4:-: ...


,IIanwa Caad.il. emClos: ap-nrnimatelvi


12,000 colored


persofts


St
- -- .4i


I l


**!*P .i i- -"


li~CP UL


r ~'


4L.L


1


























































establishment of hospitals aidmi s
** . ..... b.":
ismnow being done. Up to thempera
- -- ." ..lll. . .. u u MIm .." -- a5..


Panama


City


(Santo


Art bitl


maintained by the Repilblic in


ized


treatment.


The cneneque


roads into the provinces it-has


, brinr patients therefrom rifd .fri


.* .. .. .. ..H .
ioteari4 It
.. :'E "v:, n......
... '"^ '1[ .... :
S
t A.


3s.. .sa c.a a .u a. a .f ..


FIU.II''~ IflC13r~'~.'
































..I
.1..


(*..
i2j .na
I -q *.


LAUZi.


AND


*FROM


D; *ONrIN."
? ".


C, / Zo&e .-Beath rates from all causes are available


-of' crintrctibn (190'5) and


STt i, "


.data


ai blk -sirnce" 191 3.


1 :;aind 2

at~~~ 5;:).". ~.: ~ .


those for disease only


'incorporated


and


,iliF oM AkL CAUSES,CAN L 1NEB POPJtJATIO1 (EMPLOYEES
* *i * : *. :m
.... AND NONEM OYS) *
...,*': .. : .:: * . . l
*C .l -- ***4 *:* : * & * .:".': .* *.. -
.. '.. ,"i.abers and rate m1 per1,0 of population.
* *. .. *. *A
. : .. .. : .* *: -*
: .li. ..fu : ..* ..... . i-- *- ..* .. . .. . :* i. 1*1 1


."I
-I. ~Sit..
ALnY


iU P


1.uc
F700
,7OS~~L


4;: ,410

H C'Ju J

Hi~. .:f|J ..
-p242a
<:. IH4Mr


Rate
per
1,000.

35.29
49.86
31.60
:.18 9S
1.3.33
1t.4.7
.-5.32

16.97


;...12:..83:.
S10 91
S* LTs
&A,91;B"'


I


"8.ilRI.1in


.4III


- ..


I,




II~



























n 'a~a
SI: arid


19r 30


Popula-
tio.


S* 61
S61
61
59
61
.62
64
65
'67
0. .

. 74


.172
,948
,373
,778
:,074
,369
,369'
,458
,000
,500
,S000
,500
,000
,500
,000
,500
402


Deaths
from all
Smr.l ,


,447
142
,156
4292
,038
,446
,456
,380
*, 507
,863
,810.
,765
,714
,314
,211
,297
,336
.,279
,106
.,168
,169
, 188
,248
,434
S,413
,307


Rate
per
1,000.


TABLE 4--DEATHS FROM DISEASE ONLY,


CITY OF PANAMA.


Absolute numbers and rates per 1000 of population.
Aslt mbradraepe1,00 ofpplai


Sjopinla-
;tion.


,172
,948
,!373
.778


. : n: ^e


F:~d r& a


Deaths
from dis-
ease only.


ar


425
772
749
702
661
284
165
246


Rate
per
1.000..


30.21
32.,85
28.97
28.00
27.20
20.92
18.98
20.96


Hrn;.
i~i:l" .6~4r


111


Im


|


m


I















































1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1924
Aa-fl


,651
,549
,878
,479
,535
,947
174
,232
,265
,331
,693
,386
,078
,078
,203
,050
,900
,750
,600
| AP


703
571
418
396
514
527
493
489
590
640
696
667
616
573
554
497
445
393
475
A 7f5d


S. :. .. -...
": ". " I
.. lb ..


..HI... .. .

: .. "2 ....
'
.
*-:
S .....


. .. i. ..

i 1.. ..i!
* ;' "" .:i !!ii" :.


:-: . ::::::::
H... .. ..
. ....... ......
. i " : :ii' : .:" ""


9


i:S::


















*i l. . .tcp
x~ii~ii. II~i:' I*


a H: 'fl



: ? B- '* f
NV H


I : 1:./":'1 ^ :S't1i
eq:ii~i::: ... .~ .... .
ft... ..
IA


'43. '6



D .....978.



3Q,goo
30t1.50
Sk30,00.



.29.850


SDeath
ease only.
SM'e Ba .


460


604
662
642
587
536
8 17
H 468
- -421
- .377
455
379
427
404
426
467


Bf'. i::,;l: I Iso j:.29,765. .- 49
.i*ii" : : *. *. ". .
.iM"i:* i *"^M.'.'M1 ""j: .* .-- 1-- *

.. ... records indi

i. "."1924 since:which. t
"" j i * *" *! E 3 "

1 ,,,i. ~ .,, ,*,, , ,
., g , d ,

...:::::: * *
II :.A. ... . ,
,, ,,,,: s.. .

^ ...... .
HT"M '"H !. ---.-* -' *** *


)I


22.74
'24.20
201.59
26.81
25.29
22.51


:ime there hai
lest be shown


:per& ,UU oU p Pmiriamwn....... .
disse per 1,O41 of pdplaition..
.I* . .


s. been


trend


both


rates


until


increase.


about


The


comparing the average rates for


S .. #. .
.


1911-1915.1 1916-1920.1 1921-1925. 1926-1930.


::. ..
E: :E:: :* . *. :


::.... .
. "h "3. .. ...
iV- -qBap '

H . I . -

ll'AiOlg .rat
I, ,,,,,, ,, ,,, :
, ,
,, ,,,


trends for


o nward
i increase.


her than an


suggested


generaldeath rates and death rates for disease only


and


192.1


since which


time


there


The increae.daring.recent years is probably a seem-
f -*- -" - y ,. : / -


actual[ otie.-


ST"he: recorded


population


population since


population


figures


1921
was


that


enutnjeration.


.dring the last census tI9.30)


and


f.bas :been slight but continuous increasee


that as a matter


of fact


n population since 1921


cate a. downward


a tendency to


I :


between :1911


- ..been


B-.iS : ..
XX. i : : : .
HIHi: N :" '!


fr 1930 show an actual .derease in-
* ... "p "*1f i ". "


': ':n::r ::"'


. .


~:





























A cursory examination of this table :discloses the fact that
I tLL+* 4nM+










been a striking decrease in birth rates in the Canal Zone since .i;ysa.

rates by five-year periods: .:. -

........ ......................................................................... .........,,8............................
"" A.H' "..'iil
1918+I 20. 1014921+



1. IIICI IIIA

I tal birth rate per 1,000 population of4thi s' rtb Uiscose"he f"t....i

The marked decrease in total birth rates during recent Z... H


attributable in large measure to thet following factors: th Ba
Sof the initial employees ; sufficient t time not' elapsed for those bor~i JH~il
earlier years to a ttai n ma turi ty and marry; and large unmarriedgWjHA.
of military population. ..




iThat progress is being made in maternity welfare activities. jj
evidenced by the fact that the rate ,for the stillborn is gradually.
m *~~... ... ::-.. T ::" : :m =:"






ing : 1916-1920, 1.23 ; 192 -1 930 0.87.
"* ': : ::'":.. ". .
The marked decrease in total birth rates during- recent 'years.




attribuTh e population of the Canal Zone is made p of'two quite
of the elements, (a) white American employees and Army apsed afor tose ...
ofmilitary population. ::-
. *That progress is being made in maternity welfare activities-
evidenced by the fact that the rate for the stillborn is gradually.d ii ". : ..
ing: 1916-1920, 1.23; 1926--1930, 0.87. '. -.e.:i+
The population of the Canal Zone is made up of 'two- quite di:.:::.
elements, (a) white American employees and Army and Nay 0r


























i.. i i "" ..
:.. ...... .
. .. :* w l
* * ...... .. .
m.*.. :..:i ..^ *;t *..m*m h
. .. . *: ** *
S * * l ** .

.:,43...:..:* :q *. .. ** :.
.. "ii ^ m:h. **:j '* = *: *



..... . 4 :.:*. A .
S.... * : ...
Hb.. . .
S. . i ..i ... ,
. ... .. .. ...
": :I'* ** i. .' ." "'


* *= = :. . .. .
pv:I*
.~ ~~~ ., :*
..L :i. ..: . *na


18,2300




16o187





10.58
168hi1


16
237

250

311
947
213

201
230
173
178
181
159


*7n
asI

242
256

391
.301
424


193
169
170

176
154


14
13
11
8
8
10



5
8



4
8
5
5


-ll~~i .flH i
.~ VIH..n'.I
%i. -vcii: H
iii n.h
i' : u4 i ? I~,


... 1


.TA q 9.-BIRitB, CANAL ZONE--COLORED ONLY.


r4Br a


... . * .*
, .. ....ii-r. '
.. .. ,.


. ^.........:.
" ...:t.a w *: .

::. *H ".. :H ....
*.l:A. -: "" .. *


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

i h *: . *
. .... .... .. * * *, *
:::* ..*:: .. l . .. .. *.
:: : *** . .




.i.....i . : qT ,1
1.:.. .:: .. . : (. U." ". "
*I: :::: *' ,. i l

t.: :. ;
in. il.. .H .i * ..
. ......i.
S **::.:: xS ., : .. .,
ti:'.j;: the ili

"ill .. "j ? . W J.
.... ......: ...... -
* .****E **** : ..:.. .... .-* *


* U U


I.p

.*
- .
'rf

' -
. &'


..q .... .


* ** *


S. U


*q ... .*.


..


* . *
.II .


Calmred
gptpilatiowi.


16,3'.,
14,936


........ -13,235
14,935
17,015
16,316
17,536
19.023
19,444
20,273
20,344
21,858
22,956


Birth, absolute numbers.


Total.


''Born
alit'


408
444
470
453
400
475
' 449
8sss
439
423
413
378

332


Rate per 1,000 population


Total


ie noted that since 1916 Canal Zone birth rates have gradually


L both groups.


The rate of


ored population than in the white Americans.


The low birth


khie population as compared with the colored is attributable

Sthteinclusion in' the white population of the large group of


u .,:::l :" : ,
flIIH H .. H Iw *
.. . .. .- i


:r


military and naval personnel (9,700).


The rate of decline


grai pscan bst be appreciated by comparing average rates by

,r i ,arinds: .


12.
13,

S*7,
i;
10.
18.
17.
13.

10.

10.
10.
10.
9.1


decline has been much greater



















































5Ul&L


ucal'-


aownwar(


The trend of


total birth rates


, live birth rates, and


still!


**


shown in the following averages of rates by 5-year periods f


15 years:


Total birth rate per 1,000 population
Live birth rate per 1,000 population.
Stifbirth rate per 1,000 population..


Ibisis


S.- .-:: ;.:


Colon.


-The


data


Colon are incorporated in


concerning birth and birth rates for the


Table 11;.:


I-


L-BIRTBS COLON.


asorwx omms AND rtmas IU 4O00 wr IPTAzKWM .


i. .. ..
* .:Pi S


.1 ..

H".


B*frso, majlolut nU berI ,


H HI..,H


Kate4j ip %l
Ii r


*


198~~985;1

























Ill :V r ...:
N I ; .- :::
N3:1.- I 'T H !


.11.


:.:" .. ** -,
N".... .. .' '...".
ill* *". ** "
S.. i. "
,


.0U


I 1916-1920.1 1921-1925.


1926-1990


birth


rates


past


years


probably


PI, :


.than actual one and due in all probability to


error in


o
HIj:i
1~~~~~~~
H I ...


... ..-r



trunk H. t)~:"
aa
j!EH:i: h..JH "i *


H .~

A I:i
Hi *
C,. .... t'tlIl a a
1jlIEI Er








V.. *.





..E. as r
*H'iy..
~ii ..r -.. C.























kits
*~I~~H*I. *m


AND


U


PANAMA CITY


COLON.


jant mortality for the three groups of population con-


.one, Panama City, and

he data are presented in


I


Colon,


have


been


compiled


Table 12:


WFANT MORTALITY. CANAL ZONE, PANAMA CITY, AND COLON.

ABOLUT. NUMBERS AND RATHB P3R 1.000 OP LIVE BIRTHS.


Canal Zone.


I


American
(white).


Deaths.

Foreign
coloredd).


Total.


Panama.


Live
births.


6,

ZI.


Deaths.


F Amam@ I' Mide 1 agM 1 .@iB 1 dlAhW 1 Ages 1 man I th Mad I


Colon.


Live
births.


757
891
795
908
962
919
759
709
an aa


Deaths.


I -- F r


I~~


MORTALITY RATES, CANAL ZONE,


m


I~






































". ...:' ":. ". .!
W~~~~..' I bmw %a








Colon.-Excellent progress has been made in reducing .t... .W... * '... .
i:.: ; .: .! ..
,mortality rates in Colon. For the 5-year period 1916-1920 ter$
.averaged 195, whereas for the period 1926-1930 it had been' r..::
tO . .... .....
,,. "*i lll"
to113."

-- :MllHlli
to... :::**:
*OE .. ::. ":'i:..* *
PRINCIPAL CAUSES OF DEATH, CANAL ZONE I.... ,.:ii
.% :. i~iiii:..
PANAMA CITY, AND COLON. ,
* ,**. H ., ,,
It has been customary in the Health Department annual repar ." .H
recent years to report the six principal causes of death from d 4:. .
in Panama Canal employees and in the popUlations df thecdt
Panama and Colon. Comparable data fan the entire popular i
tat.e.T ............
the Canal Zone have not been reported. The statistics for h















jutr uatJD


.u jmru


IUJ S Al UAN


IPULATTON, 1926-1930.


I.


.i
.=4.
H ih1iV..
I.:Y.:
~C
i: ::: i: ...' *I ..
1I~i; 'a.,


auolwtn aOBa aNn nM ATBa Pan 1,000.


Thu-a.


* H~~~l I~I


klh (maui.


.and ..ni.
and ihunl)


* . . . .
* .' l *S *


36,480.


.l ..m .


. i, , ,! ,: i i*
,,:,ffl .*....... ..... .
.j... 3........ . .. H.."
.H"H tuberculosis and pneumo

ap ton of .the Canal Zo
"ch" as .. .t :.
ti ) stlUc as nephritis, cancer
;; .' J--- *1a stJ J


6858
.493

.2411


nia

ne;


36,794.


Rate
per
1,000.


.489
.435


18
18
S16


24
17


take


diseases


17,050.


25
11
19
""i "

36
.11


.432
.972
.297


38,825.


34
11
23


27
15


.412
.695
.386


39,467.


.507
.253
.532

.405
.785
.557


chronic


degenerative


, and organic disease of the heart are being


ni:t arnnf r frrv~n~ ac 4-bc nranrrn~u1 nf A0reI


VdA' Ae.being made of the tuberculosis andA taU

'iiideseare being made of the tuberculosis and


LUC. U1 uILJ LL.


pneumonia


Special


problems.


. ee e diseases occur with greater frequency in the colored population.

,.. .wip causes of death, Panama City.-The six principal causes of
H f


,W.th in

sw6'ri in


the population

Table 14:


of Panama


City


For the past five years are


* I iL.4.-&iXI PRINCIPAL CAUSES OF DEATH FROM DISEASE, PANAMA CITY 1926-1930.
, ."."


* ABeOLUol Nw fBU AnD arTs Pne 1,000.


F-rPana


p
I'

'I:!
S!.. .


I:."
S......




I...
I .,i


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


-"'''' PI 'e'e

-'U e~le
--


Pha-mai (biniicho and lobar)........
-Tuboe~ni (various organ). .......
iairhwemaid enteritie imcludian colitis.


diseasess of the hesrt.. ........
i-(a'te and chromi) ..........
(various owans) ...............


S* *.i .oiIt


itt
.l(. i
*ft~loti4


5 the case with
I


6B,5O0.


*Rate
per
1,000.


70,000.


Num-
'benr.


187
180
122
112
105
56
..... .


2.67
2.57
1.74
1.60
S1.50
.80
. . . .


71.500.


248
227
117
105
115
""


.67


73,000.


74,402.


Num-
ber.

180
208
, 08
98
113
59
......


1.32
1.32
1.52
.79
. .. ..I


tuberculosis


e pneumonias are the leading causes of death in Panama City.
ro44+a& rnni 4-booa 4-rn A0 rai na rviiui in), 1, nrl-ar n 00 C'ifr 4


IHI
I.lll.H


H'


'i

H.El


I.'


the greatest


-. .A I .
S ,,,....


the population of


the Canal Zone,


~b&!


.i


..M


iii 11 I i II I ir r


~itjd;i -


I











































Qrganiea disase dof the heart..
Nephriti (aute and chronic .
Cancer (various organs).......
Ao plJ h y.. . . . . ... . ..


.. .. . .


.78
1.23
.86
*. -.1. .


*. .. . qI
23
28
19'


S.. ..
.77
d87
.63


* S.. .* ...
S.04


'" :AS -1
.- .....t"iiei
a s= .,,: 4H
::' ... l.i.
* ....
* ,.... ::*...*
. .I H. H.
h ^T31''*k
H. * ^a* *


It will be noted as was the case in the other groups of the


of the Isthmus


the pneumomnias.

The most interesting point to be noted is that the death


both


pneumomnias are


Colon than in Panama City.


per annum for the 5-year period


very


materi;


The average rates per 1,0(


1926-1930 are as follow,


1926-1930.


all

10
S"


IPanama Cit.


..H *
HIIHH
. **iii:** .
'r : : :!,!
S ...: .. .



:: :* *:. ::: ... u.::.
S* . =r ** * .* ... M ..
popuiftt.:N
* p-":K .;, "
^lio .'"' ^ "".:


HE "
IN...


HAIjA:.
'I
Hi
Uab~
H


* .v :.


.:": i.lE i
The factors probably responsible for this discrepancy'are not kaow&
S::::d the matter is being studied. On the average, housing condition
dthe matter is being studied. On the average, housing condi """i


in Colon are better than in Panama City


-- .-". .." .. i
The rates for Panama C'
.* .H.**:m


are artificially high due to the fact,. as explained elsewhere in this tr


that the principal Panamanian Government hospital (Santo


H .. ...


:.. .H .I


...


- an - *.. .- a~. *


that the leading causes of death are tuberculosis
a ma m m


tuberculosis and


an


L mH


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


J;::


n[






+.ft g^ 29 2 .... 2656




























... H: .:. Taia 1it-CONTAGIOUS AND INFECTIOUS DISEASES.

*. -. .. 2.
.........Ma.;......... 309l 3S0 ....1f133552 2193
..... .............19.......1..... EPO T TO THU CHIEF HEALTH OFICER DUU T YEA 1930.

-" --
.~~~~ mi' -.. 1*umed place of infection.
.| .I :io.. .:..*. i * 2 4
t. : ..M 1.. .. .. ..... ...I.n.


11" .. 4- .- .C Outside the

li"::S IH. PtIaktn-ma. Colon. Canal Zone. Zone and Total.
-1 .*:* . -* 7 terminal citie s

H:i. :.. - *
9! .. nI H .: * . .
: H V z -:*
. :Hi:.....:. 42.. 1 8 ..... .. :.... 1 *
.: k:1. H a IH* ~~* crU
.. .:. N 4. : .. ~~ *
|.0:. : . . .. 1 . ..




|. If, :; 2- 105o 1 7 1m 7 3 1


aic.... .. 26 5
M allr ( unaaijl.;:-. ... .).-;.. 2 . .. .. . 2 .4 4 15 .
H. : m .




Hl .. .H... .. ....... ....... UI -....... 1.u u=1 2 1 13
..H H *. ..... .. ............. .. . . ....

.n ou......a.. ...... .. .. .. ....... ....... .... ... ....








S:< (.). 1 .( .... ..( ) . . . . .. . 2. .2 .
A -***h** * *
206.. *......... . . .. . . . . 1 . . .. . . . . .. . . . 17 . . ..2




I ,~~h S 2 '14 1 41 1 14 4




.. evrw.......... ..... ... ... I...1... .....
H....... ...* *





-... ...... .... 3 3.. 107 ...1,218 4 3527 2.169 34
HIll s












I..: f 5 7 2 4 1 11 275
-. .. iocu. ...2 32.8012 7








**...;. *- '~i.g nig a e mo mm rm mageme mag mm magpgum'mumumy w re um mam magsinemmm n n lamrge m magemmHrop












:*"'"! : "'' :' ; .:



l|^-~8 gie on e a definite conception of the types of trans-
N *. *. . *,** *
S. . -



















n o-neral tprm s the data shnw th pu fnl lnlwndnl .
:.. H * ** ** -** *** **** * ** ** .*** ** **
*1(i.1.. 5 ............. 17 2 2 1 11 2 27 5





H .g : **. . ..
.?.t:..= . gc u .. ..u.f.1T8 .. .~ *. . . *. .. .. ..*4210 ....12

U..** ...

i... *: *.: . d j rh, *
:: ....* i. ..w ar =.. A= :== = =2= = = = = = = = = = = = = = = = = =


Hi. .. .. fo e.*. .. L ... ..... .*.*..*. ....S..*.. . ... ... .. ... . .. .. . .... .. ..


. The large ntnber of oeases of bacillary dysentery were due to mass infection in a large body of troops in a



4.mauy earn pf pemimonia and tuberculosis are not reported until death occurs, this report shows only the
flubmrdtIbJ frind-tIhsetwo drnseIs. ..
ki...g .
r i. ..H::.* *
.. Thi.$1s table gives one a definite conception of the types of trans-
I *... . *... ". **

:.:. 'tiM It. .diseases that. are. most commonly encountered in this region
r.* LH :. * "
.j.b. didA thA .fntalh- rateR In o-neral -terms the dat-a show t-he- fnllnwmn-
V *jii









































laborers engaged on such projects, and administering quinine
to those found to be positive, irrespective of the fact that the


clinical svmDtoms.


It can be assumed that a certain .ropor


what proportion we can not venture to estimate) of the individu'
treated would, if not so treated, come down with subjective and obji


symptoms of' malaria at one time or another.


positive for malaria in this group,


The individuals. f


practically all of whom are res


native villages andl


employed


temporarily by


The ..Panama:


are not included in


the Htealth Dennartmein malaria


atatiutica


i


mm




+ + ++ + +
1 +. *
.. ? ** ;
++v 1














.. Op RS1 IOR C OTS OG III


i-:. t iose mlientioned in
... atistics.. ftO.' the Ist

F*:al .-',i. +x: *" [:r G E N
AMLOYEES, GEN
1: :' ::* H ,:'
...... states a ng e

:.,. :T*I .: .._
ii!:. A
i : *:' : :" .* .
: -f ^- -, . -1 7 .- E
1........ .OL 0 T


this report in the introductory paragraph


thmus of Panama.


FERAL


DEATH


(See page 12).


RATES, ALL CAUSES.


iployees from all causes for the period 1906 to
Table 17:


EMPLOYEES, DEATHS FROM ALL CAUSED.
i NUMBeS8 AND RaTrB PI 1,000 mMPLaQTEE.


IL'iao ..
' r. ______







11)11







I.'. 11


Average
emplobed.
employed.


11,:5


;547
.238
890O
,167
,802:
.,876
,893
,654
,329
,785
,176
;589
,520
.204
,67.3
,389
,447
,976
,625
,180
;,732
p561
,260
, 193
,524


Rate
K per
1,000.
41.73
28.74
13.01
10.64
10.98
11.02
9.18
8.35
7.04
. 5.77'
6.03
7.09
8.11
7.23
.8.70
6.46
,:6.89
6.65
7.23
8.95
9.03
9.00
9.96
10 ..37


I 1.59.1













































S...-.
* C * *


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


Numbw of employee.


White.:


Colored~


Total.


36,.547
89,338
43,890
47,167
50,808

56,654
44,329
34,785
33,176

25,520
24,204
20,673
14,389
10,447
10,976
11,625
12,180
12,732
13,561
14,260.
16.193
15,524


Numbjet of atata fra
Jimieol st~dr.


White:

*197


10
75
44
72
*~ 5
43
47
158
15


7SR
16
17
10
10.
15
13
9g
18
19
19
23
27


1,04
1.
291
81
3i2
166


187
i37
1658

136
12

.52
51

77
112
128
141.


3146
suls

all
3874
124


187
182
153
~54


.04



151


'.dbpSIu~


l~i'
s3.29
I.SP
4.61

3.83

5.27
4.26
5,77
8.*9
As;M
-I5:9


":1 ii~y


-r -~
'1


' Americans only.


The point of greatest interest disclosedby the table is the,


ently low death rates in


white employees as compared with:


This can


best


be visualized


compariCng


the rates by rice t


year periods; the following periods include the latte years] #
1 .. .. . :3 xE '


. .. :


. ,-


::


va[i l~t_ i [ I


"


r i. I ;r r I II CI i:lfr
















...
-S tk*in


home ,and


immediate


environment.


Another


laft Fa.tr is that while in both racial groups the average age has
" ... 1 1 r .1 I1


v llncreasea


to SUcn


an extent


tmat diseases 01


so-calledc


Sdeenerative type are becoming more common, they are affect-
. degenerative type are becoming more common, they are affect-


tie oe red


employees porpottionately


to a


'greater


degree


than


1 I. ....-
. ...l! :...- .
iii .: . ,,,,,,.. ., """IiM,:, ,

* *.:: . ..*. x JS
.i.. : ..' .

:S f'" "'t a f rt i


nip~


1ie es, and increasingly larger numbers of colored employees


g -of such disease hile illin active service.
to be noted that the death rates from disease in both groups of


&~es


t.


are attaining


higher


levels.


for this increase are set .forth in


The factors


which


probably


the general discussion of


i iterpi rotation
.-rreports '*' :.


vital


statistics


Isthmus


appearing


in thi


: : .'' PRINCIPAL CAUSES OF DEATH OF PANAMA CANAL

... ".:..' EMPLOYEES.


: -The; six principal causes of death among


Panama


Canal employees


..:: or the ears 1920-1930 are included in
*...
:...- -


'b.. 'IS.i


Table 19:


Taar.s 10.-PRINCIPAL CAUSES OF DEATH, EMPLOYEES ONLY.


'nl'.
IH





I.


IJ il


Tuaincui (rariosa organa)....
-P i.mDont. (brougho and lobar)..
.ni ueia .... ...... -.
N FMtbi acute and chrni) ....
OrDiio diseases of the heart. .. -.


.* eld -- .. .. .hb, ..
*" "" .' ....* '' ''""*

" albo.i.imaud thrombodie.......
.-L,..- ;_;I


2211.06.


1921.


1922.

U
d
LaI a


13!1.07


1.49111


6611311.02116l


I oaIiti~


127~]12


*


I.4211611.03


9311711.10


. . ... -I .I- -... --- -.I.. I ---.JIl~ I Ii, IlHl iNl


I





~ ~~~~ --- -" b


|







































































H. ... H"
year to year during the past five years. ,


and colored) has been as follows for the five ye .;..
Ymr. number pe -

























1828 .... ....,.,.,........:...H.......... ........:
emHployed. I 10H0.
190.....547 1"..






















191 4 8 ,876 8
I 9 *. .* .. ..4... ....n




SIJ .. I. ', '',i,.il., u.
ADMIBBION RATE PER 1,0O0 EMPID YEBE, BY RAE( T A..ND 00MD. ,.




.. .


1 0.3 Ai .u..... .. .
-..... ..:. .
]m ,
i i i i i ii i g i Bm i i n i i i i i i i i n i i i i i i n i ii i i di.i m an B ri m ik i an an Jk i an ik i iip i ,in i i dn i i I eC
1937 ""'" i
dg dl i i i m i i i i i i i an Ca i i I i III ik g I ii I I ldn D i n g m i am i l ii p l i ii LIp in I in i " :::. HH" H
1l O Ji E: E:;:























r:


irc


"rq::::i!i 1S


is
Il.ir?.. #I :


. 1 9 4-*** : *.* *w :
m .:.. .. a a
-*f. IM ." ... ". ...
*R1^' :.!!: !^ : ] ~cl^ fTTf *-., T^!


.5N*x *



IIi


.~i.m Er




p ..A,,.

iSS.:,:,,


i!:
2..ea
l ,a.~..


7..
..4..n .-:i. m..
;.;: ..i


are rn1"

H: ...k:

~..
*; H.* U ..


...r4.;. a.*
j.. *:P ... .. .. H
*H.,&i
Hff~*~ ... --S
i":9- Cr a.:


fl)Jr


4.

141:

"7






C:. 3


Itie
4*91


4 -
.. .- 4.

. .
p'^ Dr.' *


Toelal.
4


203
hWI




* .- . .
* ,* *


,,t *


,1.000


* .


*Tfotml.





153'
1J3c


St..1


1.,000


H : .
..*. .


IIs~o


.Total


lsap

ISO,

113


RaEte.


"upsa

N,


. ..


i n ..
?


-AL. CiAJSES, EMPLOYEES.


*. ..
11:? '" .. .
ible22:
.**. .*
." ... *


iA: :


A-pi iM ALi CAUSEs, EMPLOYEES.


Lii~aS ?l5''Z. HlD


H" is at
p.r;
4~33~


Is
I

Hitt


:i s'5 *
||g~5:
."1
. 1a""

. .. i ..


A:
*
.rJ~'H~
rr
tsr'


i::. i:.... :
u.* * .


.1:


*..: *: *.


'.:::.:.:: '" :.:i: ,,"
: ... .
""*;.:":: "f *. ** 4.
..v**.* -l .*:;:: .


:is. p -l

1P23;4j9'

*~~

C1;

lit tt.

IS Si?


~LtY .39:I




,S;0E~



ft~~s lrj


i


-


?I?'i"ii"FF


B.
k


:z


r:K


V..



































,.... ... B... ... ...
& MatickAL Jnstru

i. ...i.". s s ..ss s s i." hi : .. ..i.." ... . ....
.. e .. .:. i
f ".'::" :x'.:i~P:,.... : . ....




..... being cot
^- :: ::.. ^....
r ....... .. .u'':


Ai^ -a. A : ; .'r '
kie xIasii r~fa-tes increased
H s *
t. ,, **.** * .
-.aM. ..am .m .@ ** : jstn' a


~fl.
.~k-I..t HIIHSH S.


de*Jnl DaL roadLwasUibeg L U L
den Dar road was begun,


11C


and field,


are.a :making surveys preparatory to

Ptriects Were continued'during 1929
:tion work was begun on the Thatcher
ad' Was completed in 1930, but the


itinued during 1930.


- The result has


1.000


employees in


pirects are.undertaken it is cus-


- H.


Sl- ....



e... .. .
.. : .*~k* *H ... .


H% S
.~ihiH fl


ICM~HHHC
ite' ~


Qoaewb4 pmrpwr ton
fm HflMfj ges.y
11 '.. ** .**i *. '*i l*:@ :^ WIA ..


"" : -: ;v'.:: " : .v:
The ustit ineasures carried out on such
of Iiabitados... lination of breeding placesrin


ra. Wxht


r
.3


~aria


a(sOmetimes 5Q per cent or


-Many


many; of


these
them


laborers


return


,;' 6ft
rnor
iprir:
.A1 .


the tklp4ttrhing

ring;- h. alzation


adult


mosquitoes


individuals


with


i"j *. ": .." .* *a....* ..**: **. .: a i. . f
.e. pro tson of. an. ,.pf".le yarmied,' nutritious diet for

Hride igtheondi ..under which these projects are
M:. 3. : ': "**. ** ." '* .4 *
pi~td;&g U which S iabbrers ae eexposed'td rialarihl
.*qiiiite1re ... a le thh i infection rate can be held.iat
* :. : . : ... ... X. . . i" ,"F .* .* . s . .


H~ -


ftL
H H


I '


engaged on field propj j-


would be:


1925 17


being made in.redup-


.1


i


r


4






























































AHS





r:



tc *1

Mt
0''


A:


p;








I.'1


!iil







A:H.


It:: Th&.


4 ~ .,(......
ii : '(' .: . r


...~~ . .
..4..* *1 ...J .i .4 .
** - U
C- I . U S *S
rc~ s--
Li ..--.--. V *** 'I * .:. t. .. .



..w:r .
...~~i.. ..I ." S' .. H




c* 4* *** kt.. : .*.. .., -


p -- .. ..
..... 4 In e cb~ea.-a
b0ISQCW44f -& -a n..-cq eq



* .. : .' J4'


* .. S
I *


:' 'S^0^ PT- 2 S-S SS S WS 0ot


eli toE


i..


i ..._. ,': ,, r, '::.. ....


- H



b-~ 90~Ca tOrlc .- t. 0 ao
a'r mcP C @5l~
:j~~:. CC~W k


*i. Hi..
. V *.Hpit .':H.. 4fH
.~ **i"** **HJ*


co-c-raa


* :*i*. I'. *' t.XII


Ir..


*. '~W U***~. '* nfl ~w F a


1


n


~CI~'W13ekr'?r


I


'










II




I

































*























\

















p























































































































*






















*

























*

















*









*






















*2!
I
mi


I




Ma



Ii
U






dm

'I







I
I-4zp
-c
U.












Q'i

I!



















































































' .W :. OOT5yfjcr-.'.Il4ULl.Lt WEJV given YZI UUL-*i.clt-ILL aI. :



^Siq in this service during the year.,. .' .
S .. " .. :" .


-Tbere were 527 patients, whose residences wer. ou .."'


piC ala Z one-or the cities of Panama arid Colon, treated .i:

) 4'rigng the year. There were 9,810 hospital days. ad ':

r ** v L* * ^** J M _I^ __


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


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


": ....." a i -. iu

an@C ."I" i. rl~* . : *. .
- . .



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





i_.''
*0.. '=- .. .. - ..' 2
.....c'L .* ..' ...... .e . . ....


.:1

*.


SURGICAL OPERATIONS.
i


I .
* h ..


. --*..


I.......a ... i.t.





uai~laniijai

9& a~3 O~~ ,j.-*..*...

~~~ '. #

--1


hO-.-. w - p.4.-
*. *spp:S d


S-
ag a a g aneli

111 1m m a m m 1
pmmig m um m

M i k m a n s m m emIs


* ti * a


*..
'i.



-t St 9*- *k
S* ?* *




mm* a . f

*. . S
. i II


*I *.* q. S- I *U a.I I I : .


liga ..

w=.=wI.
* l . .

* I*.
- a *. a

*ma .

... ..




-a~...


* -.. a .


.i :::i "" ;:ii "'
..I : : "*, *

... .... .... .*... .u........ .. ...



*.*. H*-... . I l ... .
Aif~' l ****-?Rm


Numbber.


Died.


' .


.41






.~i




I..:





41"


I *f I


11


I


riir!riir



































." j *. ...., . .
. .,.*..,...
: n r n __ n n dian 4n nd~ n n'< [ rfn" n d* i np I m r 4 n : d Jn in u


S .


V.q.. ,,..,I i
.c.*e~r)itJiLa*w!t. *.III

4. H

.. .
l..ll'r~ .jI ... -r.
Ii.
r


H.:: :e :,""mtS S r :v
.". h. ..4.u;:;:Aw
S.....
:. :: .,. "
is
-^:i^^~eii'^~ t HH Ht N "
F. "h.,.." "H *:. .". ". *. :
**:f Em i.* :: ** .* :
. ..:. *. q ** * .. < *****l!. *. .
E* II'." -- ***W I*W ** "" ** *l ** *
*yg w p -- -: :-* =*" *": **. .* u ***
** *ss :: *: .* **'; t- T. *. A. .. ."
Ki: .l ** ,*:** *: .. *n ** .. ** *"
- s.. .....h:ap:ii :*'r.. "'vjR. .. .. :.7 : :
"il : =: lill ixS : *"..:.,*v. ".-,,.** x.g . .


P 1j *eiij'

* R' p~' qI *
,.*.-. ...


* hm.&."'*..


rI.....:..

..i...* .U *
* **- .


4
5
.1
69
1,5355
1
2
2
. 7


-rnale.....
M~d"....X
Ft EBUDT~ff,. *


em,, ethmoid, iaple ...... ....
aunul, frontal, simple................
inu, marillary,. puncture and irrigation
eus. maxi,- ar, radi al...............
Sinu, phenoid, imple... . . . . .
Reduction of fracture. ........... ,..
,Spu removal.......................
&ubmuci reection..................

SMinrt noe operations ...............

Tr obdetomy .............................
PerIitaoDilarabess, indision of........
Tm'siletoniy.....................
.. MEaoph e ....................
Minof pharyngeal operationsn..........

Isrjoes co*y........................
1xTumoru, removal of.... ................
Tracha:
Trcheoto my... .....................
Other misellaneos operations.............


-'1
9
7
70
2s
8
1
1
121
4
4

735
va
28
S-1,410
1
a


X-RAY SERVICE.


Saad~


Nature of eamination-Continued:


,..~ ,. .


'IaN !~ i*: ..- .! .~r r I
.~..iiIjjggsH H: rI

ISH*.. .. ... ~

,i! ~.:~..



..........i.
':iit;':iiii" I

iir






...r:ii.~ -
*..:
.. .i
:"::.4.
2~.7& t]lI: .YhiN I~: X : /


* i
-.








* .





..J. .
..* ...


~as
II
29
m5

Lu'


S.'




859


SJaw.......
iee .. ....
Leg......
Liver.....
Mastoid...
Necm..,..
Esophagus.
Pelvis .
Shoulder:.

Bill......


..lassification of
81 10,.,
10 12...
14 17...


*. .. . . p








.. . . .. .

.U........
Ii







* . ...-..

... ... ....


*p.:.4.li:..i~irH; .
N.HI~ HjH .**' "L *" B
.4 .HN....A. H. ;I;


it
EternaL


Number treated.


Wi nt


..ohlt


.4. --r


I


Number of
treatments
dmnnist&er.


4


PIHIORHERAPY SERVICE.
P


.


..


i B~mp~rs




I~
























asinew .frChagas'


Disease.


Extensive


study .of this


i'"i~ i none. is. now being made by. the Santo
:ax =.:by t t Gorgas d Memorial Laboratory. Thi


To mas
is is the


ttiixa &yps notomiasis to be discovered or reported in the
I :7sia.or, the. Canal Zone so far as is known by the Board
t.enrtjirty s ad for that reason is reported here. ..
A'4ath from sickle cell anemia-diagnosed clinically and


tps# occurred in Gorgas Hospital on April
t.i No. 8998) The fact that this was the f


1930.


first death


ijr eapniia:to be reported in the Canal Zone stimulated, an
ii i.oaithencidence of sicklemia and latent and active cases
. i". .'l : . ." .." ". *. r
,i ..a...M:. aia as determined by a study ,of the histological sec-
ttin"es. obtained from. autopsies "performed in the Board of
iabhratory .from January 1; 1930, to December 31, 1930.


*: -* IAm m

i ::...*. *... ** .: * .. r *

Aii.ed l stillbirth

,,'t-iade b 2
O.. * 1: ": i :
.. .... .2. ckaes^". "1.i -
i *ii . .. ..i\ : . .' .. ".
^l~fJ~ta'^^l^ 'm 44^. *iA
gi~l=;l~~s^^in


psies were performed.


zege or


L nced


6S
*s


and


Ja~panese)


...postmortem


other


these


and


cases


we're black or


changes


similar, cases,


the autopsies


(8 white,


drowned


microscopical


Japanese,


could be found in any of the tissues from,


V
. a a - -


"".- "" c-s. O f:uthe 2511
ori CG*LiJ:iLM U U


negro cases,


in which histolog-


10.36 per. cent had unmistak-


. f. . .. e
..iabnrit.i theformahn fixed specimens
... .. ... ...*. ..* ... . ... . .
J9.a ibii .bleen the- fllicles were s
..I ...m a., .; np .. C I.. I


rrn~ldl


.^.y-1


.


*Al Al


.


















































waal~ll


v hOD


ItMJU


1 rI


FERE MADE


3BM TH LBQRATQURY AN RESULT OF TESTS, 1930.
*: :!'" ,"** o .".. **"


Hd
-c.-l ':::,i.Hc.* S.: *"
i~ ~.-. -~~ iBI~ tLtB
a V)
.'W~'~n2' a


'Np.H&ax::

tr'r:k S.


'N


, ,


- n .


. ..... A


. .. .. .


rH


. .


*. ,--


* ~


... ....L ..m
m m a m mm


a,,1 IH. rr

Pt.x. ..
j~jj* -
S I'' : -


,.y... .... ....


* ....


I


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


* S


* *. I.-. .


'p..*.


I cdi Vi d IBI
ja~itve


1.192


Individuals
negative. *



1,867

72,

2,615


3.467


6,155


12.300


Total
individual
tested.


2,110
725
74





. 3~,470
345

3,815


4,485
3,246
324


8.058


14.857


Per cent of
ipdividuale
positive.


11.52


10.11


8.85
11.88


9.12.-


26.58
21.02


16.00


?7.21


: :x fH


gft ess er"an tests were made on 868 spinal fluids t

... The results are summarized below:
.. . *. :.
i S. .* . ****.*..: * : .:*
*-. *" .""". ** * .... -^

X..1. 4... .. H .
... .a .
S .. *.
..V';. -....-. EINATIONS.
y :y_: je !aa-g" ia .. : '"5. -.. :. ..... .. - .. . . :- *
.. .. .' e - .. ..- : *. . .. .: .-.. ..
Ae l edand seventy-ive autopsies were
; iPi.2. ..... :'. .*' e.. .. .. .


aken


dki"l, 4



r :5


14.32


per-


...... 243

.. ...... 2g

......... -294


.......-., 307
n........ 41,


Iv': . a.. .


II r rlI


Ilrm III I!I 1


,;

r: ."~.


,Fil









































mc.. ft?







livet i t;



.. :
1*4: ':Y'v...
*.HjI~ A S. HI.

I.r
: " .1~f~


8

'KS :


i *.. .f'

,," *



i:. . "
-I

N.


;. ...=..: . *
;,* ,a:..,.2r .. *" 2 !

i. *X * ** *C + *.*4
IpW'< -44

"It * "f. *. *

: H. "
i~ |LA4if4 ***U
)5" -n ::.** :fM:. : x:.| .,


"
**. 'i "" :. '"
* *H
N..

a.i
.-






a





5.
27;
'B


21
32




.. -=.tr
52
41









.. .' -,
33





31
** "1 4



a.

!! 5
*. 3 -

.". 8- ;
..* *
iT' 4'



S
S10



.
..;-gg


*.. -


3
24
.40

32
30
38
37
'34


17
, ..21
6
15
29
..16
16
is
.9'
29
38
32
:85
'40

.- 45


I'.


. *
..
.721
- -- ; L--_
w~a


C I


8
23
97
: 25
31
37
36
27
26
12

12O
23

14
11
..
9
9
10
11
9
17
20
21
20


481


5
3890
A 36-
238
11
36
19
15
8.
S
0
5
7
3


5
a
* 4
5
.- ,4
3
2
3
3
5
1


I



IQ


hi


25M9I 408


* .3

* . .
2
a
S3
2
1
1
* .2

2
4
* 3


I


2
4


14:
11
11
12
3
10l
7
5
5
11
6.
7'
10

13
16'
13
21
19
, 23
15


"n
.1-,
.5-e

cc


1
2

17

_.2_
11
5


15
5
8
15
20
14
*' 14
12
17
25,
23


.


.2*:,: ?



H' I:.. P





I,


.~~n t'iuIh : .1!..
P A ...,~.uw, ,.**~ .** *1. -
Nr *.4..: s H
H. . .e -
? .H I. 1
H. 1: '
NN.IiI


.


~


*


*r


..


.























- aUi. ... ........ ... ...... .........
ne .pgs ....... ............. ...I,..,.

Tos ].. ..... ........... ............


~-i:. i
~:::: :1.:: r::::::I~1, ril.llCII. IIIII, r '
; a.


PIIiiini QrplllllllEJUI, ill~lr rlllllllll
~f~f~f~f~f~f~f~f~f~f~f~f~f~f~f~N~n. Sfa~l--lra~ure aF right Jemur........
gi~E~I~~~;~'~B~':~"Ne. a9l,~i~a)rghPntis~i~ left 4..........
i:'.YiC :Mjl
~F~si ~; i.:-,i.-........I .............: .......... t.......
~i;i .C4IEMICdC dW~LYBEB IIEID ~I
DiilRli: .~ ...

el~lil;l-'~:~:-iiiiii::.~~.llll11::ll-_: ::I
:i
:i~laa~bo~.aebsniMtions. ...: ................... .......
,~tt~Shobd detaaai~biani. ................... ............
;i aolm~ niiit~nii~it~ fihlb~iwio roia,.l .......,,...,.,.... .......
~~r~~sl ;;~..:::l!l'~~i~iI~~;rm ~i~ie aeid`.;...... ~'.... :.". ~..............
'"::,,iC;ii;pu ii:~t~F~i~.~;i;i~.fdE lo~ti~r~chfi~w~8; ?... i .....

,,,s~i~i~it~i~ ~te~~urlikior? ;rleb~n~min~tioas. ................... .
~~6~;E1Bpl:delaolin~ptioa ....;~..... i... .......
~t~P~ia`m~ticrorr.
~i~itwt~mrs...... ~' ..............,., ....:.
i fi ri'' t~


18
? .. ..
~jliiitcltel lor B.
'forIC, ~nt~sia.

rl8i
i i li)irril i5~fl
a CI
ri~~p~e~n; .;.. ...
'~i~ttt~. far ~pa~a~thop~eni~


':1
ib:.

teet for glandere an
(~iie~~..~.` ..........
CEl~jifxs'iiiii.;l "F;li:i:"r' ~
i i ...'.. ....
.j




~is~eZ~u~tiaes i[ti fiaren)............~L~IICROsCO


Histologjcl P.mmi~stians:
~ntoWy tieweB from co~e...............
~oeitiveiarh~azubsir. ..... 65
Blood Iro~ oow found dead in liasture ....
Negative for 8. ant~rocis. 1
Dog's LFsd for rabiea ...................
Negative for Negri bodierr.. 1


I


a \Y YYIIY~ L I I I I II I II I I? I I
:Illllll~llill(lllllII


:::::::::


:::::::::::::::::::


: 1:


i ::iit i:i: i: ;::
""
'Y ::2
i~r:IW~i 'E;'c II,; r
F~aLiG"' :


1$11111111111


11111111111111111


I~


IIII III IIIIII:III
Il II: IIII IIIIIII I









1111(1(
11111111111'1111:


I ,:




4

a


111111(


1
1

2,281
215

(i91
2.549


1M


95


Total,


1

lsl


Rata iilRmEned:

Mtra a~baand~inua,,,
Mus Mrse~icur.
kfw rdtur.........


1,533
la
68
1,219

2.81


TOtg~~ CII I


P~C BWDES P~EEPARED,


sus
28%

8,Wg


PHOTODRbPHS.


~n'' PM; IWehnall~m


'3
.8
s

io


3bM1UAT10~8


a, dad













































8?"** ti. .A F 41 ..
Hf -. K. .

15 ? "'** :* *" m .


Ott''r


C11LI aix


rave been consolidated into one main office.


IaZ lAZ


Three


t. of hospital were remodeled into one large room which'is
i dfin :-ic permitting quick and efficient handling of patients.

. tlng: and baggage room was built for the hospital to facili-


patients'


clothing and baggage.


3frry was


established


- remodeling


the old


library


ibary are now built-in shelves, comfortable chairs, and


BE ii:** '*:.i *:
'.Ii:


lights.


An.


excellent


sefr~etion


books


was


31i1:


t: rige. dlitchen: This important se
. ." ... .* . . -
S:* : *i :. ** ** ".* * ,* * a .
Fn ....... u"B )- n :There a.as, a thorough
~lFL~ ^ ,,,H^ .. ..:" .S .x x ^ J ::. '* *f i^". ., .. .. .. .. .* .. .. .. s ~
Kt, ^.. ..__ .. .. ."!l ,& S :*/ % '*'"I '" *S ." '*
........ .... ^X ^T kF m .mr ....f~ TTrx y ** :." l.. ....... ..
iEii....lr i^*-I KEH 'iE. "mi ...........l- ""I E1I nl_ a lntrti T1rt


-ction has been. re-


[h overhaul of am-


The


0Oiiarafl tine


1*i V


recent





























I.,?


s:...::


i. ~ H.'::" C
.j; 4
j' :: r -iflt0dexM (.
1 er
~sd1ordh-
Cii i i
*taiuknt 1"


physicians,


15 nurses


.1 office helper,


chief


clerk,


laboratory techni-


Dis ensary.-2 physician


naid


'and


4 orderlies.


, tpharma-


'Uti


ties and


t, '11 ...".: j.H : '
H . : . .
I :

*..: =* 4
*1.
~ : *ict:, : ..**" : h v *, "* _
10S


.1 office helper, 2 helpers,


ambulnce


drivers..


assistant waited, 2 kitchen
Silver :employees.


a borers


Mess.-- cook


helpers.


Total


,2 carpen-

assistant


, 29 gold


fsikatThere were 91 patients in the hospital


January 1,


It1~i 4, 181 Sadmissions during the year, with a total of

.ia i l. making an average of .9.84 days spent in hospital
fttl Tret were59,155 visits to the dispensary and 381 house

.i... .. 3 :.. :"', '
. : * * ,-,, , ,


The-average.number a beds occupied daily durmg


,. .
b:4 eo tdyear were as -follows:


". ". .. *.r:': :::. .. . .. :." -

a, ...:.... .. ."".. *" .
ii. i : -,.' " ""A"" . i" .i ".
*. *w .' . . ... '
: -E.. ::4 :.. : .- *_ -. -.: .. .. ** .
. .... *.. *** ..,*,
,..

*** .. r.. . ** * .
. . .. ..:" A ": : _* . I :
*q i' ,**-** j*
R..3&..: i.'-Afl :",,1: T' ,


d ttufl V


1IUJ


...l1


july


-. -- .- b~


August-.....
September ..
October.........


* November. .l .----...... ......-
: December ......-....-...- .....


Shiincreased number of beds in the hospital has
S i".. ". ...iii .. 1 . . d" .' m
i:': ~te ..treatmen.t of a greater number of patients than at any
I .:'H.. . .. .. .. "


*.:


izcal.. :d see "that still remains prevalent to


iti en"of theb Canal Zone. This is due to the

W.........Ettd to settle..on the agricultural land


* A


I...


.. : : -....."
* .2:"


a|


*f tht ;construction ot the ifew hospital plant.
A r U' 1 .1 s l I


IG


~s"~L.;'I


"I


*
.. .." .. "" "










111~























~ Q4V


Lua1o


altion to


:ne equipment.


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


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



M--worl
fi~~ltliH'r:i8
_J *-E*/^K ss f* A
"". ""' '?e? :*. '':


i :: treat menrt of fractures that can not be moved,
ts.ed in Mvyai bedridden cases of other types.


rott iie work is 4lone by the laboratory of Colon


ci.


ure pathological work for the hospital
culture and pathological work for the hospital


of Health Laboratory at Ancon,


,wasd


The fol-


one. daring 1930:


. : ... :
Ham -l.E nlMl -,lm mm m npmmm hm
* . .:** :. . .
uwic" x


15,350
4,178


'299


:* *"... .. : . :
l En I .J. .. ,. ._* . .t
*J *. **!'..::":." /"* ts

... "iy'^ in t sediment .
ra lc al. "so .
al V


earss''


Blood countsa.-..... ......-
Malaria smears--... ...........
Gastric analysis...-...... m.
Spinal fluids............-.


comnprses.


urethral,


vaginal,


4,075
3,870


cervical,


:from fluids, etc.


collects blood for Wassermann and blood chem-


The waid, surgeons collect


blood


specimens


ecitediH by the laboratory Blood for Wassermann, 866;
Sh..wo* r... ote staff of nurses .n Colon Hospital has
ThSe work ofthe staff of nurses in Colon Hospital has


S.
I.
*-V I!~.


jer et ini :the past two years, due to the increase in the
itefts zteated. With the increase in surgery and obstet-


itk.. has been demanded and received from thi
n" oanly two" additions to the nu-sing personnel.


nurses.


HI: **


E.c.n.sists of 15: American. nurses, 2 of whom
tt anuirsesaefor active duty during the year
*" .s t ~ B ,*.. "* **: ***. l.. *


are always on
. The nature


.re. of. general character involving general medi-

" "orthp ics obstetrics ..pediatrics, andi the care
::*..... : ** .. *. . .-
::~. *." .. .1 I.H.
.


''''1.1
r.




















Sand satisfactorily. .
otie .painting and repairs


t time cons


to woodwork


:ruction is progressing


, plumbing,


steam line,


it :hadve been made by 'hospital artisans, with the help of pa
.9iJuly 21, 1930, during the weekly moving picture show
t;enta in the female dining hal)Ja fire occurred in the operator


tients.
held for
's booth.


he was caused by operator throwing burning portion of film among


,uhl.h.1


er eeles of film


which


were


floor


which


turn


caught


~i:'.'%.:.6 .t a *n1 '7


I.. ih*... .. a

:6. : f:'F. HI
... *.. :i .
..:...

I ... 1 A..

..i..t .n dO- A t
i-:' la.'..ts- and at


windows


-Itt-A,


in booth


were


promptly


closed


and


-e quickly removed from the building under the supervision


Dixon,


who


was


present at the movies,


fire department at Balboa and the
ozal responded to phone notification,


ly station at Corozal
tendants.


and


nurses and


fire department. at the
and the Commanding


sent over a guard detai


with asdist-


O. outsidee of a small abrasion received by the operator on the nose and


i.t. kt ee, there were no personal injuries sustained.
* Atc


The total prop-


sity damage caused


as a result of


this fire was


estimated at about


Uoiot


which consisted of loss of


I::' mi g-picture


apparatus,


eight reels of


replacing


electric


film, i
wiring,


cost of


painting


repairing


inner


. - wal


of.. booth.


- Following.


the fire improvements


were


made,


installing


automatic


eqntrol of windows


and


purchase


fortmerF operator was replaced


I'.
1"1i i~~E
Hi :.::. .


0 tto leave


any film


about


b.. binet or a metal container.
'detaled for duty during mo


1


by
the


a fire-proof


*a nev
room


r man
unless


The number of


yvmg


picture


and


film
the


cabinet
latter


The


warned


t is enclosed in a film
maids and attendants


shows


been


increased


wad instructions have been issued and posted in moving picture hall,
wai6 if observed, will reduce fire risk to a minimum.


IW


patients.--The census on


December


I.


, 1930,


was


II.r
i.
'Uii
.111* ...
N: 'h.
H.
a~iii;
H:i


'liur


Y.


i


. .


--





















*













during the dry season in a grove back of the hospital, and dnmg
rainy season in the basement of new ward building. Churd.
were held once a week for the Catholic and Protestant patients
former are held in the chapel near entrance to hospital.-road_ ai r
..................................
latter are conducted in the basement of the new ward building.
Treatmeat.-Intensive specific treatment, was given to patients M"
fering from syphilitic psychoses. Nine hundred..and seventeen.:
.. .i |. i ".
of arsphenamin were administered intravenously, and 381 In...
Spunctures were made. .At the end of the year there were 50 pa Fia".
suffering from neuro-syphilis in some form; 35 of these were
t,~~.d.ii,,'. iii i~i
and 15 females. -
Occupational therapy.--On December 31, 1930, there were 1 .l
and 30 female patients under treatment in the occupational ..
department. The men were taught rca entry, weaving, bag..

















.1 LU3~S


raunary


sewing room, or in


department.


result


these


various


undertakings,


Z.5n1d &Vper cent of the patients are engaged in some form


the laundering,


with


exception


sheets,


tS) -ald:.aurd ns' uniforms was done by thed patients.
tt:l lesr the occupational ward amounted to $1,865.45,


in the brooms--and
* :". .*-.*.


..a total of
.. l


brushes manufactured


$6,511.30.


by the


chronicc,


This money is utilized for material


to contintle activities in these departments,


and for tobacco


H i'i..j..Hii . .
tos,
Ki'D" w..wNAliM4IilU~
H
HH r u:rt
H LtDr



I H1
L~ 4~tti~iaf
iiii H: ,waqH our


fruit, refreshments,


, for the patients.


.-Repairs to fences were made,


and


-ush during the dry season by cutting and


re always been


is impossible. to


g~erczu.


a fire hazard at


and


this


burn


pastures
burning.


hospital


then


Each year .a fire starts- somewhere in


farms and requires, strenuous efforts to control it.


in t.fhe fields during the early part of March,


endants. and workmen who turned


succeeded in stopping the flames


rS.


. Although


most of


this


land


were
The


in the dry


before


they


the wood


Such a


.1930.


For-


out under direction of


before they,


is no


longer


poses, it is essential for us to take care of


i :Cli t" t.'" fire hazard.


endangered


needed


the pastures to


H . .e were 26 cripples employed on the farm at the close of the year
.... .A*. wg... *. gr. Dui ti p r
... -ith.27 .at the beginning of the year. During this period
..... .. .... ...


jt ':.^^ efans rr
i '. :.'.. ::x, ..:.: ".". ".



rtSW f land_ in
.. ... "
.. *.. .* .. S ,


md to-GorgasHospital for treatment,


Admitted,


was transferred


insane status.


)iggery


steam


plant,


These


l la of whom wem


to chronic


men


cemetery


the farm reservation,


1 an .actual production: basis.


ward


are employed


Six are


and


-in the
tending


which they cultivate as gardens


Their average earnings


.: x" *


,, A.: f


H;


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


r .


1i








































herd
were


- tube


diseE
inclu


inclu


cont
posit
inve


e resent.time. ..













[. During that year two positive reactors were noted and I
e slaughtered. The. herd became quite .seriously affectedMI
::I:
rcuiosis in 1919 6 positive reactors, and sirce that ti.
use has persisted from year to year. During the years l9f
isive, the herd became quite extensively infected, 30.eactors
been discovered, of which 27 were slaughtered. This dgi
atde animals giving suspicious reactions, The high rateo.f i n
inued in t1925 and in 1926 .an exploive outbreak ..
rive reactors). The Chief Health Officer designated a" .
s tigate the outbreak and drastic measures were taken ti


!











r~ettorsii


-These animals were all killed.


- In -Feb-


:1950, .a test of 157 animals disclosed 9 positive reactors.


' "i.s ones; the 9 reactors were destroyed.
IieNovember 8 193, the entire herd was


* and 20 reactors that were suspicious


e.,,,.. a. : ,r.. ....A.. ", .
*"*** pos r r* *.r **s
h a ngpositive reactions were shipped
:i' .. "iHEX fr. *.


mber


i: .... ..H:
**** ...l id i *.... .


'" "W H the pro'
. .. ... .


,", :i'hidea.45 p
,bar tand k


1) and killed on November


through


vats


soap.


tested and


were noted.


and ho


20 positive
All animals


to Mount Hope immediately:


All were autopsied and


animals


showing


sus-


ons were isolated and a retest of entire herd was ordered


~rsjo
xl.


19;


i,


lri


that


both


The combined
30, when 45 p<


intradermal


test was


and


on th


3sitive reactors and ]


ophthalmic tests
e entire herd on
no suspects were


positive reactors were shipped to Mount Hope on Decem-


killed on


December


Autopsy disclosed


the fact


that


':i;' instances the lesions were extensive and the beef was considered
I :i. ft 'for human consumption; in 3 instances no lesions were observed;
S" showed slit lesions.
the remaining 35 showed slight lesions.


I:;.I '!Othe remaining stock of


a- 0 -- -


about 80 animals free of


tuberculosis


Were. high-grade
34[ad been spread


heifers.


The


through infected


evidence indicated


animals


that the


and infected


infection


pastures.


-wev'.of


the


value of


heifers


Quarter-master was consulted


and


(about $125


offered


to take


head)


over these


* Chief
heifers


i provided they remained free of tuberculosis.


This stock was immedi-


lately transferred to the Atlantic side to prevent infection in


infected


palstures. at -Corozal,


vl.. iit


held


, Only two animals g


in isolation
ave a react


and retested at frequent inter-
on, and they were immediately


...destroyed.


.The remaining animals at the dairy (about 25) mostly calves,
sold .orslaughtered.


Thei method. of testing animal


were


for tuberculosis have conformed


S:se .of recognized value throughout the world.


the early days,


Htle subcuataneous method


requiring subsequent observations of


tem--


iture, was used.


This was eventually replaced by the ophthalmic


S


ii',, I:


mm


1;


L












































.no :appear jusi me, a proposal was mae :o e uppy ...
of The Panama Canal in June, 1930, that they purchase thii&-.. ..
Department dairy and consolidate it with the Mindi plant. Tc

plans were being made for the transfer when tuberculosis was
"i.. ii;j
in the herd in November, 1930. This necessitated prompt.lao" .'4.t
the dairy was closed and the remainder of the herd transferred to
the da ry wa... .... .". ..."ii ...'.
Supply Department of The Panama Canal. .. '+...
The following tabulation shows the commitments and discb. ':

during 1930: .. ....
.M.l .ra*. .:. .


ro5.a.... l":a EtI: a .. ...
H.......
:: *** . *h:**t . 1 26.7 *
S pa ns only. .-- ......
...... :i "il~l .
..: ::**** **
M F M le. . .. '. ....."-...: *
== = %== :.*:. :::
08 .. .. .. .. .. .. .. .. ...i... .. .. ..... io . ..... -"
"S.ir ,..nL '+:i* **ii : .:



















rpose o0 rnis ins stuuon is to anora aomlcllary care ana
to lepers from the Canal Zone .and the Republic of Panama.


le beginning of the year 97 patient
'ni ,ew patients were admitted,. 2
petand 5 died. The patieit-census
w4


.4..
-5%.
C
BE. H. :
.......
'H .. 4
L..
E.HIiiV 1%~ j
:4 ... j ~I
I. flur..I.1. -.


S. : :. ., .::

H. .
i. .
* .. : ,:


^^T;t^W i""-


S.-


ts were being cared for.


were readmitted


4 were dis-


s at the close of the year was 99.


The Irnmediate causes of the deaths are shown in the follow-


$. "I


59
75
27
36


Male,..
Male. .
Female..
Male....
Female..


Admitted.


April 5, 1918.......
July15, 1921.....
September 27, 1915.
May 1, 1928.......
March 21,1929.....


July 16, 1930.......
September 18, 1930.
October 21, 1930...
November 12, 1930.
December 1, 1930..


Immediate cause of death.

Chronic nephritis.
Pulmonary tuberculosis,
Leprosy.
Pulmonary tuberculosis.
Pulmonary tuberculosis.


Three of th above cases were auto
.: .t.. eratory and,. in accordance. with the


psied


preference


; Board
,of the


Health


Manual


SntCauses
Biif..i:.:^"^,'",te pa iu e

S .1
~-lok.i af Bod


of Death


edition,


1925


e.:of death was recorded ,as


ird of Health Laboratory


--Two patients were di


Bureau


Cen-


leprosy in all three cases (see


page 46).


charged for repatriation to their


SBoth


were,


bacteriologically


positive.


mycobacillus


.. Two patients were paroled. They met all requirements for parole,
eprosy in each. case was considered arrested.


!' Readm$isions.-One patient (still an


arrested


case)


was readmitted


- 't' hiS own request, not having been able to adapt himself to conditions


out.sside of the colony;
. ..,. ,, ", ..i


and one was readmitted because of relapse into


: -'".. I:pli ve leprosy.


y....
-:.
& l~


te, tmt.L-Semiweekly intramuscular administration of ethyl esters
chainmbogric.acids continued to be the routine treatment in all cases.
a= eerinmeh'tal work was attempted. Acute conditions and con-


e n


imIiii





', ,,


r




111



































*#;:~ :S: *.:d2..i"

H.







r"4. .*:
r~ C r
*n







n.... ,
1,~~- I..I'..I






.4
p1 -
-IY
w


%' I ~Fi~o i-C











'Ce






.0~



IC-





o
0

em


UI

P
C

U I




























S




A






































C


I
h


I


I


a
C

















I..:


a




















.i streams.


sotmelocalities .subsoil


drains


viindrical conicrete-bottomed drains are used.


conditions
dc ri bed


under


which


in previous


various


with
The


types


annual reports


e18t ~$


1925,


pages 18-19).


u:sd whe'er 'a cticable,


.i' t .ere aie: prala


0#lc tte, bottoms,
I S.' ii S. ..


as it has proven to be very


no maintenance charges.


properly


C


ap- ins^vatTist'aztice-ch?argesh a-rre low y /ir


constructed


Open


to grade,


Areas in which drains


!!-!~~!~


:1:. 1. i

I
U. .H.~
.11 .1 s eA'
II_ thel4_


p.":

frfo
110W
:4


* -f n JAL


ire l": aftrolled by


t-asetviceable
pletion.of the
Cation of per


maintenance gangs at periodic intervals


conditionn.


Canal
mannerr


, when definite decision had been reached
it settlements, the policy was adopted of


,er'manent drainage works in the immediate vicinity of such
s with extensions to adjacent areas as the necessity for such


became evident and available funds


permitted.


This type


coritrol work has been continued from year to year and the


under control
.. . m.


are as


indicated


on maps


lort of the Health Department for the year


published


1928.


nsive, new drainage projects were undertaken during 1929 or


rts
ja


having


been


concentrated


on the


perfection


those


mpleted...


I


mosquito-breeding


areas


drainage


is not


practicable,


ez~am~ile,


the.:


Miraflores


lakes.


During


part


construction


period and for a few years thereafter, it was tl
.ing in such areas.by the application of fuel
larvicidee" -to the surface of the water. T


he custom to control breed-
oil diluted with so-called
'his latter preparation be-


came


known


i the


Panama


Canal


larvicide


method


iS5 gaflon s


to'i te boiling point in a steam .kettle
*' -r H
* h .


of crude carbolic acid is brought
; 200 pounds of crushed rosin is


.. .l;e ragitatiing occasionally.; 30 pounds of caustic soda is dissolved in


6 galonts of water and added to the acid and rosin,


and the whole boiled


.::... -...i


in. it


,r :ipLaration is.-as follows


H "


FC


.m

































spiders, etc.) than is the case in temperate climates bht t Mt
demonstrated repeatedly on the Isthmus that. if suit '""
thebitng tabe fy (tmxy calcitrabs), and tes'mu rious fl"





condito es Ortions exist and continue to be avaiabl is'mulipyver
and soon become a pest. f... ,
In the Canal Zone it is essential that provision be made for r ".
fresh vegetables. The soil is not rich, leaches rapidly, and .........."
repeatedly fertilizhed. Manure is the least expensive fetiliti
trial available but it also is the most attractive substance k "K" '".
the breeding of house and stable flies. Recognizing.theimporta
theconservation of manure for fertilizing purposes, the Health "'

manure which have had in view the rduction of fly breedint'- l :6.
Sl:EoEEE" ::=m-i. .i.......
..o"ih. .ed" i ip...""'
frent vegeanyes Thearsoi as. norrioht leahentrail,i ad ....
ii ..~~ "" ill. "
temanur whcavaialeu htals inie the msatradctfive osuybstanedinown i


lowest possible minimum. .stab-'le ie:"':nt:"t













i.iv.:.: to
S ei.



k.j. i je..lj to


H ... .,
gE :"'.: P"
ii:=.:= J ^ j ^


H *IH
I. ii
H..
*1:~~:~
H


for these flies)


I. C


subsequent to -which


for use as fertilizer


The manure so


a -


time the manure is


treated


flies; though not so much so as is fresh manure.
breeding,, the regulations provide that all ma


purposes must


be spread in


thin


layers


(not


still is
To pre-


nure used,
to exceed


ipaded into the ground within 24 hours after arrival at the


addition,


when manure is issued to gardeners,


sector concerned i


the district


immediately notified and the garden is


see that the regulations are being complied with.


zg at the garbage disposal dumps is


prevented by covering


H: -th a 6-incht layer of damp earth, tamping it down and inspecting
.0. stantly for larvae that may crawl out or for recently emerged flies
that may make their way to the surface. The few flies and larvae ob-
csMr are killed with a spray consisting of 8 parts crude oil, 1 part of


- .


" reosote, and i


part of kerosene.


. -- The. regulations


governing


construction


, alteration


and


repair


buildings in the Canal Zone and in Panama and Colon contain adequate


provisions for rat-proofing.


dield; sanitation,


It is the responsibility


through its inspection service,


the division of


to see that these regula-


tions are adhered to.
-- s .


ROUTINE AND SPECIAL ACTIVITIES UNDERTAKEN DURING 1930.


Routine activities.-All routine control work,


including maintenance


of drainage projects and oiling,


was carried out in all


the areas under


controL


As is usual


, near the end of the dry season all drainage


sys-


terns -were inspected,


necessary


repairs


made


, obstructions


removed


.bottoms
trained.


brought


grade,


and


stream


beds


straightened


and


SSpecial projects undertaken


during


1930.


Preliminary


investigation


Oa malaria in the Madden Dam area.--Work is to be begun on the con-


. struction :of the Madden


Dam in


1931


this


project wil


require


-a: abut five years to complete and a thousand or more laborers will be
engaged on the work for several years, special studies have been made


P




























controll work being equipped with excellent microscopes and .....
or this work. During the year a new species of Anopheles o-
4 rribalsagaia group, A. neomaculipalpus Curry, was. discove "'
:anal Zone.' Although breeding abundantly at times in wet 's*"
ands, it is apparently not important as a malaria carrier, it. bs*
readily in water foul with cattle droppings, and in the AH
Another one recently discovered is possibly Anopheloes .
'eryass6, which too seems not important as.a malaria oarir
reeds only in densely shaded jungle pools and is considered ....ot
o be a variety of A. tarsimaculatus Goeldi. A more important
hat of A. albitarsis Lynch Arribhilzaga, which was found bred .
emote parts of Gatun Lake. The larvae were chiefly insur
catches of bladderwort (Utricularia mixta) in which they find
md shelter from their enemies. This is believed to the f
north range of this species yet determined. It is .undoubtedliIy
dangerous carrier of malaria. ..
Trypanosomiasis in animals.-From time to time since the co :
ion of the Canal under American auspices was undertaken, th '.
f horses and mules in the Canal Zone have been affected witha: fiM
f horses and mules m the Canal Zone have been affected wi h.:a ii


c


(
1
r


t
t
t

r

a
r
d


t
I










I Eli. : .. A.

P .. : ii H ......

t rtiefs of th
....At
.::: ... Darn.
.. ii... i :. s Lii m ....." *. e.
.UWIl t lbM irafe.t
*. *... . .... **t
....*..... .. ... ... .. .... .*- o n e
....... .. ..m .* *... ,


i"t"na.. Dam.
. : "E:":. i l..." : ." "E: "
. i:: ..*..** .i 1 *
.. :.... r.l a
: ............g tmo-nTh


cooperation on the part of the Health Department and


nartment .of


The


Panama


Canal


and


veterinary


ie Army, a survey was rdade of all mules and horses in


hat time the disease was found


'rtes.


'Quarantine


; were either ki


measures


to be confined


were


into


ed or isolated and treated.


effec


to the
,t and


A resurvey


.s later showed that trypanosomiasis had gained a foot-


nd .mules on the west side of the Cana


E


As
area,


tnd


the Army-has


more


than


on the east side of the Canal


drastically.


Le Panama


infected


1


in the vicinity


a thousand


valuable


, it was necessary to


exposed


animal


Canal were immediately destroyed and all


S"..infied animals the private property of i


- 4e~trnyix1.


. Resurveys


have


been


made


individuals
periodic


were immediately


newly


"": -fe t k"nirnal


destroyed


or isolated.


The


method


spread


.. disease is not known


, probably by a fly.


:tite is investigating a number of phases of


The Gorgas Memoria


problem and already


..has collected much scientific information contributory to our knowledge


* 4'his disease front the viewpoints
1otttro, x o


E-xp riments in, composting manure.


a-mature accumulating in the Cana


of diagnosis,


immunity


and methods


-For a number of years the raw


Zone has been collected daily, placed


Sin large concrete pits, a
: While in the closed pit,


Lnd sealed


tightly for a definite period of


bacterial action


is active and chemical


time.


changes


ocCur,


presumably


somewhat


analagous


to those


observed


silos.


The manure when placed in these pits is already grossly


infested with


.eggs of the,house fly and


table fly


The heat and gases generated


Sthe


pits


larvae


which


hatch


from


eggs,


and


chemical changes occur in the manure which apparently render


some
it less


.. :attractive. to the adult female


that possibly


the principle


, but not


involved


markedly so.


in the Beccari system


was felt
garbage


Sdisposal .as used in Florence,


Italy,


f.dmanure in the Canal Zone with a


might


applied


resulting humus


to the disposal
that would not


.attiateflies.





































.i.Hi'. H
4...
~i~.s :L54


Foret Davis,
those areas.


and elsewhere seeking blood and infecting


this assumption


be correct


solu-


sv : dtc elation. of I

-. ) w nbursiament
4kfed that pendi,
Scenscs would b

iig J in the a
SI .... .. ".
l'" continuedd th

- uisof the situ
S. .. .


...... .. T .. I,'..
f***4 -4 *>
ri "K: .i...".. a :. .
t^rll.^~a
Ni H : .i I...

K*rH
.. :a.
H -i H.a,


area.


Immediate


depopulation


would


to lease holders of approximately $100,000.
ng further investigation no more licenses or
e permitted.in the area and that the infected


trea


would be


roughout


treated
malaria


with


season


quinine.


1930


This
and


ition will be made.


I


* pro~Z~ne~ts .smert1e


di area


in the


southern division-Pedro


Miguel,


d Panama suburban districts.-No marked extension


was undertaken.


The Matasnillo River system was


Zto .aissen the cost of its maintenance during the dry seasons,
mi:lae.soeme Anophelesalbimanus breeding usually occurred in
eoistruction of Albrooft Field required some extension to cover
n ** ^ "h -s


H-w.h.t ,.. tJ
I..... ....... .. . .. ..... .... ... ...

i" li. ..fle ad.. .. d .ll" J
" .: : .. .. ..t A
... ... l.... .. .. ....... .- ... .". .


he newly


controlled


area adjacent


'that


post


bered and shaded so that for the present,-control work
~ ~~ .... >


The new


Thatcher Highway now being constructed


rraijan, and the new bathing'beach at Farfan,


. "-- _r t


fl..! -/


~~~.1


have


|flu |r Fr] 'fl in a .- F -'1 sann r1 r r no *a ru .i


'' I =X


L


~C~E;lib 6~11111111111111111111111111111111111111


* 'Y1


~---


,,
































H
4.


~A LI
~.: I

~oran
:1 .1
il1E1 *;H


.'. .. l. .epartment's'sha.re of the cost of.street cleaning and garbage
andd disposal .......................... -----------d-' ..
"" "" " -'.m..


8o4for the protect
H.* ll::,, :. ..H .
H l"" :--- . *.. r h
** ** # : .. .... .... ... .. * : .. 4..*: . ".: :* :: i* ": ."


:: :* ..:1. *
Hl dt1 veacreal u.
u:.......: ....:: :: ..:* : ... : y .. .




d, aniiziecntsoth Pe
.* H :: H . : ... : .
: F .f ...... ." *. "." .. =






K4 'Chre a
* H.
t4:t r:' i'y a




rganisatfon.
.n . n.. .."--




*.. .. .: . .... t e .
I&II .oop*tcio ~"o"peratic
Hr ~flftbit health acti'
.... .. .:*.*:.... .
.. ...m




..n~ip~tpensea and
.co t."
....mze"o4tteeu
::::: *:: .: :.@ : ......, ::.: .... ., :. *.. . .
"111 .. ..=:",....'... .. ii "......". 'i.: .. .:" A ..nd +... h a 1




"... : h.Ji:CC: i. ' I ,'
-- ": "C: i :.."i.iill h~l : l"


.has.averaged, -fi the past three years ......... ..............


the la'tection .of[ Panama City................................ .-.... -. ...


ion of Colon..... ...,........ .. ...................


maternal


ease work,.


this


nature


welfare work


is being


anamanian Government,


carried


on by


824.63


23,103.97


,208 53


, the average cost for the pas+ three years has been:


* .


-a entniu tue


9.585 84


203 56


school


different


each working independ-


been no coordination between the Panama Canal


working


Government
k 4


in Panama


City


Panama.


and


health


work


fact


rn and better coordination of all elements engaged


cities in Panama


make more effective the public health work being
general, United States Public Health Service, was


- a- a.*


Pa.. p- n6:nent', share of the cost of street cleaning and garbage
"w C...: .... i*: ** * .
ii ii . .
E.II . H.. a .,ort.enub.- -.-- -
E tra ')I "mafaria.control work in the Panama Surburban Dis-


s the PanamanianGovernment has been allotting


examinations of


tuberculosis, and other purposes of


Recognizing


City would increase efficiency,


cityl.... ._.._...., .~..,__...,,_~. ..~ .........,..,.. .._~..._~..,.___.










IBI~



























.1LtA,1


t.';gb nually encountered'in

re deiminiat"d by the. sub


: Ju


eliminating


stitution


such


AJ LJOALAL. C


spaces,


common


walls


many of


during


yv w-e... 1,112. building,permits issued as follows:
. .:|l . *
Hlteratio s ** e i i b- -- _- ...... -....... .....
&md giterations to existing bbildiug..- --.-.-.


-- I


.im"f. 1. uB r fa rad,.. -. ... --.--....- --.......--....... ......-.---.-...-...---...


fidHt an of fixtures and counters and rat-proofing same ....-. ..-......-.... .............. 11 0

lr ollw-up inspections were made on all such work to insure
^".e rat- '~
H^ -** .. *^j


mr,:rat-proomng ot .same.

were 5,651 rats.and rice caught in the city,


1.929 were sent to


d of. Health Laboratory at Ancon for examination and were
ias follows;


* .:".:. :bi :"
:.1,, ,:. ,, *


1.157


.-,.-, ...-..-- ---------- .. -.-.--.- ... .. .. .. .... .. .. .. .. .... .. ... .. .. ... ..- .-.- -.


: ... .. H 4
i.. .- F 5.1 :-A:4.. ---- -- -- --- --- ----- --. -- --- - ---- -:4" ---" ------- -..---.---..- -- --e- -- --
i,.. .. .. : :......... ** ..
.: i" *** ** X ** *




Inspection -Th year and a toral of 320 head were epsupplying
ai rlt of the output being seng the yearColon ly 17 sthe




STe dailies contain ere destroyed. The total production o355
i"li:d" "" : . :" :" ::I .

4 jAie^ t rea i n wen-ehr desroed The l suppying
::: total production o
"::EEEEE : .-:. t.:. ,.


Vt--


Hi~ikflk~; .WL~t


.n amounted to 4.M2.007


nounrds. all ot which was


Lilk to

Canal

dairy
i Rica
orted.
lowed
F milk


nas-


*i:. r :i "
.H^. **


' I I


e
a . m*
illil: : 8
Milli in. ." I -ihilini


:. ..i.:: ..
****::..:4 . :
:*:: A


'gsai


r~su


"" '"'


:'"'


I "*




II~













































It M~ced .dunn,


maintenance,


but .it


not pre-


i.. spo taneous' combustion, as such fires are more


i ... .. .*:* -... .. .
..i.. i "the municipal abatoir, 14,39for foodcattle were
..... w. ii 49 were condemned as unfit for food on. account


, *cor if,,ti:.
^lu~~l'JH ~IILUJO


Congestion,.


tuberculosis


septi-


,e? ise
. nii eL... wep r


1. ; pneuinoma, 1; enteritis,


6; moribund,


t.,t o.:.:hgs ~oatghtered at the municipal abattoir of
:. .:.:... *.. : i : : : "" .
ite idl .ianfit for food on account of the following

llgll'Wj::o *19; ecy sticercosis, 598; cholera, 66; tubercu-


:i =* --=i.: : ::. | . ...

HH@ H :
S, ,, ,, ,,,:


Sla~a,H~14'E


ztensive bruises, 1; cachexia,


'- :j.:4tOf7 cattle and. 4,113 hogs for shipment
Mtiieswe issued for 20,761i hides from ani-


'I.
* i:

H H:
.nr'h I


. s i..
":


I: i










I~

















































il. a person to another. I Records in the Chief Health Office indicate
B sixar.ow uinopm"parably better in this respect than they were when the
b dii construction, or even at the,time that work had been just completed.
I.. ..::x- .-f:- * a .'.* .* .: *..
adof14 months, from April 1,. 1914, to May 31, 1915, there were
i.E.... : q* rs, the following numbers of Anopheles: Ancon, 5,640;
E ;I .at..a,.6.I541. In these same towns it is now the rarest of events for a
l v.i4 to Be seen iurdoors in a whole year's time. Although a few such
-iuF? ? .iab;tl,&. l lSdo, invade the towns, they very seldom obtain access
i.ti bibpgl .. ~ Throughout the year frequent observations are
i .t ttodetmirmie if there ar any suci mosquitoes flying into the sanitated

slly .there- i, evidence that some such invasion is occurring from the
n. ''ar: tkhJe e on every side of the lands in which mosquito control
B';Wb t Zuet town .,may be considered as being 'amply protected,
i .. " . H ,
Bra"knlaore~i^*nni
.i.. "~ i.'.~...the drainage and oiling would give but a small additional
... i .. '. ,! . ,i"i. : . ..," ."" .. . :.. * ... .. .,,
i: ,i one:iia~d its employees. But such extension. on the
A a.!" ".' a ai: T'E.a.L"" *.. h *.. . *:: .- : .
.. *::. :::::r.:. ""'^ ^! ...." 'T ^ .< '^1' ':* f. *' j i *_ t ^ 'A 1 *


:4,
..



.
\ .......


* :
* i'"ii
:":':
HH..
























g 'Ua Jell .eidf on-- i:".ZI#4 .. "c ft of .h A f-oALlA co n- itio n -'
BHco+iei n:.e. hub account of the following conditions:


X :.. ** ** *. *
.. ... .. .. ... ..l
"R II."IIM B jt l .y / I K" ... .. .*..*.. ... .... .. .


ti: Adflo~t:isn"
..:i i" *::. **: "" *"
*.* :.!: : *..... ," ..... . ...
il~ f':::ihii"**' S"j : "s** *<
^il:!!:"^: * .. r ;
lii".." ..' "i.. ." i"^.s '* '
Wl: 33,oi this n


9; dying condition,


in p..dn, 24;


4; nephritis, 1


ytnaciation,
* .


Cysticer-


septicemia,


extensive


bruises


gangrene, 2,


--There were 8,586 cattle


slaughtered during the


umber were condemned for causes as follows


Tu-


12..; septicemia, 3


..$i*tdehsive bruises,
. a.


.^urKj -.=..r'",i .


s.-Sev


i K


S.. .tthe.-Pa


mtd, botei






... M. h la "
EsgiOl^^ the lab


died of injuries,


emaciation


died in


4; pneumonia, 3;


enteen dairies supplying milk' to this district produce


ns of milk daily.


In addition


nama district- is received daily at the


Canal.


d in


All milk produced in


, 450 gallons of milk.pro-


Mt.


Hope


plant


this district is pasteur-


three modern plants, one of which is operated by


nal atMtt. Hope,
test was given to


and two by private interests in Colon.


1,184 dairy animal


and two reactors


and seventy-five samples of milk and ice cream


oratory


..I...


:III: L :... ... r .. . .
:* : "E* :' " . *
:..i: .: "": *i :.i^ su.i
: .. ... *: g.:* -." *- .. *
:. :. *.* .*..* . .* *r
4. i ..t in s pect
J s 1
.i........ 'Ybat-were as f
* iii..:..* .
......ashments
..." *:z. ** ... ; *
ii ...... ..... ani tifacturing


bacteriological


ons.--Inspections
allows: 616 cattle,


were


examination and chemical


animals


47 horses,


entering


85 mules


port


, 127 sheep.


-The number of inspections made of establish-


or selling foodstuffs were:


Bakeries, 311


dairies-


aia.t, 26 bottling plants,


i..tr eam, parlors, 260; restaurants,


markets,
r *


ice cream plants,


796.


.mwbidity and mortality reports and other vital stati
. ".*, '! *B


.dI.. i .. ....* ....:.
.. fl'--%r ~ ~:'E: ... : .:": "..::.i :


cit of Colon will be found in


the section .on vita


stits rela't- .
1 statistics


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

I:: :
H.:...

.
: A:


ii.


.9. 1Hilli".. .


*.. KK.u:


,~.....I~:'r,


:


..


i


*