Report of the Health Department of the Panama Canal for the calendar year ...

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am

Canal

POR4TrEE

CALENDAR

YEAR.

1930

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

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

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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

HE..E" :.in:

r If :.:::i i ..:rEN.~l

I?
bEEC. r
H..EE.E
ust.:w .2:

H.t ..EE

,i ~ *~ *,' ~'

. .. :* ..

- :.

.* *,** ""w **
.. .
.1 .1

... .:
Hy

.11*

-. H*

. .. . :: .... H*y ".. *E

r-
... * " .: ..**.... . ih. :""

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

.*... .:: :::.
S* *. .. E .E h ..i i

; ** *H
S. : ::: ..::::
.. I n:. -ii:- h :..: .: .

". ., f..i *L ",r.e ...* : ":1i *
... .x ..... .. .

* " : ::"* .E .E E5 E
::.. = : .:::.. E:

.''~L;X ::g', .. .
* ** "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

u:. , z ...,r

a

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ulO

d EE

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X

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"i. X iii. ...

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H *:;j1J
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le..

si

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X~.4
s~iD-i.

V:~

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El:'F~i

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

*. .. ..:... .
*I. .. F" "*
1*. .:
.g. "W*.p ** j .: .H**.
*. ** .
I g ".i

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* 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

*

	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

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