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

MISSING IMAGE

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:
1928
Publication Date:
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 applicable rights reserved by the source institution and holding location.
Resource Identifier:
oclc - 225670417
ocn225670417
sobekcm - AA00006092_00011
System ID:
AA00006092:00011

Related Items

Preceded by:
Report of the Department of Health of the Panama Canal for the year ...

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------- ------- ----- .......
...... 13
----- --- ....... 13,


18
yqeis, aiid nonemployee.s. 21
-------------------- I-p- .22
------ ---- ------- ...... 23
-------- 25
------- 33
---- 36
38
38
39
---------------- 45
-- --------------- 49
---------------- --------- 49
Aa
----- ---------- 53


''N#Aedth;,j' And u0wffectiVb rites for em-
---- ------ ---- ----- ---------- -------- ------------ 64
employ'lees, altatiged with reference to color,
residence on ---------------- -- 65
th r4tis of residents f the Canal Zone and the
------- --- 66,
entk 0& -tIwtC=aJ Zoneand the citiesuf Panama and
'bSt tau*' $txc-olor,,,age and Nace of residence ---------- 68,
'hy,Auso, sex, coloqr, and age---z ------ 74
ing Amokp' cities ........... 76
-4 qn*Yets and their far
nd the cities of Panama
-- ---- ----- ------- 76
i,4nd the cities of Panama
76
a Canal------- 77
............ -------- -.- ----------- 83
ed, and kverage number
Alweslof patieiits ----- ---- ---- 84


Ond dispeusaxes-- M


s


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4, n,!, e 4n
CoL. H_&RizYBvRGFss, U,'IISC,_II-'I I
Govemor,, The. raud
Balboa lRei

SjR: 1, hay"e the hotqrt*
Department for the Cale K
As this is-tht, La
Officer, it seelps
progress of tht, HeAjfh
er my inmodi
ate- "di
The aim has bem
to red4ce as far, as ractiro4lb* lhh,
increase earnings, atid to.,
needed constructiveimprovemo-i '"ti
_ts i thello
Previous activi6ps of thelkatth Depa'jrt.wOut
former standards or else expandO, and all b
equipment have been maigtained 'by curnt
condition.
The progressive upward trend in the Oarwitp of J
ment during the last six fiscal year's haj b".,quite,
below:

r1f, Earnings,. fiscal year 1923
7 Earnings, fiscal year 1924_____ -7-_, -----
Earnings, fiscalylar
d, Earning, fiscal yW
Earnings, fiscalyc-ar
E;4,rnings, fiscalye.-d
7_
Earnings, fi" year 1929 (Evdrnata

Marked, growth -of Health J
considerable increase
In per 7
rhised in order to keep 'step

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of expenditure bave con-
C-arnings during the past

Mt has gained in po A
cArTied out by our institu-
s 06spital averaged 355
foe 1928. Corozal HosplitAl
IL ',,Oui aVerage of 379 daily in 1924
0106, ates averaged 89 in 1924
AM the patienis aveTaged 43 daily
ithe first 5 months of 1929.
thel canal Zone or Cities of Pailama,
'01M,*f inflvena in 1928.
Z6oo for the period of 1924-1928
.."Appippiobly. 4tom that for thel preceding 6
s gradual increases in tile
k" beath rates for
4"o add "0 ak anama
,066darle believed t0* have decreased:
4sd'on the census of 1926, sho: w 'an
10tation of both cities has materially
cvb T,96h t I figu rea, on which to estimate accurate-,
rate. (8ee discussion' on pages 22 and 23 of. this

has declined appreciably during the past 5 years in
1"'', Coloft; in the Canal one there has been an upward
4st, 2 Ars, no cause'for which is apparent other, thanthe
1atidhs to be ekpected when dealing with small numbers
lustrums the in'fant mortality rate has been as. follows
Panama Cand
City, Colon. Zme.
---- -------- .20 217: 169
------- t54 138 94
----------------- 133, 115 98
mv-plbyees of The Panama Canal
,hoqve ada4tAaarAtt p-er 1,000 for the Iasi three, %
1948) ivog, the average fof the preceding
beft a'stiarked en"largement of the areas
K gs-81"vn by .4,qps-2 and 3 in the body of
i sanitation has beeti greatly
of permanOnt drainage, for
tht, result that. future maintenaneo-
tlpgrettty reduced white the, chanoesof














*4rn Aa, ,
4", 4
'4
I
io 00
I &t"Of Pr, &uA
4$U
162 r
ftt 'of,
oreosoted wood

#eatIV 4-
ot-Abi3ut $0.0$5, per

The results of
perienO
our sajq1tated, i6*n 14$,,,
-ears. TWs is, a

b lb
The sums poot Mi
an WA
sipre 1019 have be,a approxi=4
wcent rises over theexo"n'ditorostN
extm$ions, and per anenklnj ftLjtj
preferred to:

1 ig,--------------- ------ $140,000
Vf n,
1920 ------- --------- ------ 140 05",
1921- ------------- ---
-----------
1923 ------- -- ------------------- ......

For use by, the ]Division of, Siolta," w**
onstructed -inAncon at 4* _;000 410 P
dingis protided, wTd,, i g,406 ,Jezlokgl A
_,yvt This, bull
type of rhold, desi`g'aed by' V rr f
con cr ete sect! on s j A e, A
tion of rnuchbettorsi,cilogs at!:A AA"
rate of produ fioabo b 'P,
em Ci4, ika-
i its tal led f ax more read Ity than ,hi
tiew plant have increagA tI* outp,- t;
16hgths, from ab<)ut 306 to,4bo *1`4
of workrh n as f drrn&ly. For, 4rj
inotor launches,, replacing rowboaj
and #Wo scows- the totai Cost"(6s"

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OfiP. Cry'a eeoe
particular alog th
'khhson n detfe mubrQ
ly lknt xs ntoItmus
V u
"a01mwbeitrs nti ujcqmn
m4
in o t onrl hrb
[]I ~ ~~~ ~ ~Tu a ss these........................................
iiipit~biiavebeniprciseiiiaiosio
.4 r e o iiiiiiiiiiiiiiiiiiiiiiiiiiiiiily 1 19 2
amtiwkecuiey ni eene.112
'4 n s r iiiiiiiiiiiiiiiiiiiiiiii aiat o h s e v c .i
l~ o iiiiiiii
-0sv'tP/ oit col'yin,.Assighat
pm,,4o post-a~iiiiisits.
I xpoemtths enmd i h antto o aai
piual nte ieto fmre@e-aefo
bot ~6A abgea owrcsicesdvni
Sc tnin f a|roig
aii sed
Ci du to the peris tent efforts of the. Heath Depart
i
patqrp~lno ikad3frtcaspat
to1c ra aebe opeeo r ercm
AAGfApoiaey$300 oteonr. o lns













44MIAOS 99 wwo
A
un4oaW
arge ift
reow',V' Al
t;Awusly wnfoi'T4 to sfi'I t'
At C-org4 ]Mpd-aj, 4he
aintained Andhas
desire to aWii Oevasavoqfltfi 0,001000-94
mento have. beenest4blished W 44 Aos.
frojax current upkeep, tWfjlloV Inalb-
expanswins, have- been Occo'*Pj"Odt"
(4) In the basemtnt of, 4ftiws- 04d 1)"d, tonall. 0
A
have be6n cut, or M oi,
isti 'g pne
lijitt and air to render
necessary,, for em6irgency vrar&'; apro4M!W, w*

building formerly used -for geu7eralfil6s, god 9 new 04a*
rooms were installed therein, at; a cost of'about
4r
fi le cases formerly occuoing th, Spam *bre set ut),
In the basement of section*C, referred to
(c) The eye., ear, noseandthroat d "r tutp t j U '10
unproved at an expense of over
bythe medical clinic wete adde4 to t]Uscl"*'U**
(d) The main kitchen h4sbe w.- extensivt1tal
lighting and ventilationat a co'$t'of over,$24'660;,,.*A,
duty electric ranges wzis Installed
(e) Ward, 4 of svetion A has been 4,terO4
amended new private roomseach with its OVW
of this work was a4out SOW 46i difig" fu
alterations in the central portiom lot -the
necessary fbr cWrd'inati these new, kom-,
by our hospital labor.,
The hospital garage andits
improved at a cost of about $1,500.
-(g) Theen'tire,,wterlw.-amgSY$t" aib"
ecpxiomy in fuel =4 eliminatiou of
Thiswas dne with Or 4wn laborfr'O'm 6me ta'!L$s 4
A







an eioso h ugs
,p% tW'adF 01eadprlby4 oomix
W t
ha enrIacda
an lcriet'atxQctolhbe
W ocof im feupmn ae enpr
W -bIur ttotn, ihtercss ra
-----$ 0 .0 A et ei p aa u,3 ts_ 6 20
1,8-0 Dna pprts1nldn
-- ---11 83 00X-------_ 3 0 6 0
-r y o ti ------
---------"10 .0 E ea p r tuj- ------------ 4 0 0
1300 aoaoyeqimn. ---
-------------6 0 0
----- 81 -0 A tocav _._._ ---- ------- 41 .7
------- 6 3 5 e e a l e ln ,------- 5 8 4
(bI, 0 0 O s e r c l- 3 2 1
-- 1 0 0 y eies --- -M 6
23 ,0 :' e a l o k 4 .7
----- -----e r-- ----- -
---- 7 -5 E etoc p ----- P|
- --- 2 P 00 T e a e t c a h-----m--------- 3 1 2
.... 2 5 0 W t -r s e i i e e e t i 3 5 0
- -1 6 0 B e d i i g m c i e 1 0 0
-------- M 0
T o a --------------- 1 5 3 8
* P n w p p e s' n l s r i e a e b e r a e h s o
.4 o ri e' n e tld pat e t h s a em t ral
for, digoi ndtetet













POW



*'OeInWltu .11"SW9 _
or nixt6n V'AIIII
io f MU 4 bally,
with t4'

A vt,,repi"i qt A WO
Owniabor., ConAdO4
Wbich t

V
xt-


new ones. 'The 13-
Patients on the two U' 'e',AcxdrS -and accupati
P.''"dressittg room's in t4e-ba$6, -f t
-a ocuj;ied Ndvewber._10 192-7-- t6ucivW,
ding, with refrige g i, I ro 1 I
ratiri oo si &eAeta opg
occupied March 20, 1928,1 #m ,twf Ift(At,
was- equipped with a rgfrigerating marhine,
V getable peelers t4bleF, aV A' tot& t
t expense o inst
-fte The-: ic"W',
H alling*Oouroi h 1A
frame laundry, occupied F6kuary 2,1 1928_ wig OiqWO
$5,-648; about $650"wortb of,,eqwl 4o,
'Qncrete and fraxne boiler house'WAS'Coni'OU4*d, 1,4*
which also installed a f6ur-i IAO
'o-barrel. oil tanks, ,III vonae4cted vifth Oxe,
`Pan4ma Canal,; the materiofoi 644t4l
Miks wbich had been on hand Y040;
.6f coal has proved a niarked t&nom
The dairybuilding at Corozal Hosp*iW ha-4btiu,
inside, new and larjer refrigerai,4g voom,- Y
fi6or of thexnilk room, and the wall 'of
s, to., a hvoi 'Pf
The approximate cost of thm U*nprfw=e*wAir
our own labor which did much ofiUd-warkr New''
inga 50-gallon pasteurized Tyc6s re r
bottle filler andcapper, mechanical bottle,
opera*d steam boiler, 4-ton'-refrigeratiogtft'



AT
4











The, cow, stables have.,
g rod, p placing wooden gates
W eek mang6rs. A cAlf shed,
1' f _4
out $600. The piggery has
TT
WS Y Panama, 20 jerey
j klbs`- 8%441r,M Vindi Dairy have beed,
tost of abau'* -$12,600. Milk p'ro

ety-Wmqu" ,per day has recent-
Uarts
0,,at,,)Qor4oza1, Hosoitaf itOud'eg a concrete un-
nn
_'Id q$1 feft of 12-foot concrete
Wthe new Vh
V, i &w6 e gdftalk, together costinz about,
in 0 'rduf 60sthig $3j50,0 and n' street lights,'

new* permanent structures have,
lo r story andframe
we R er story.
0io 61jed wards, opera ng room-, drugroom.,
w4 storerooin, the.other provides for the general
r ros,,,me-ss hall for 120 patients, m'ess hall for
s reroo s,,an
io fn d a 000 gallon cistern fo'
be, t 64, use launderin Oil tanks and oil burners for the
1he auf*y boiler have been -substituted for coal'
A, Tefrig6raii Ing matW-ne, has been installed V
rooms 'and makes, enough ice for'the'
'Oro 4` p1l, &oling was de end6ht on iqe brought by
Tp
iotat e6st-of tlier* `improvements,I's app tely $31,000,
0 for the conversionof the old kitchen-mess-
Tin t recreat'i on'r9ow; this work will be started,
ldt'$4'20 A new en 'ine-Itis been placed in'
koy 14 ,n4, Ata'c6st, ncluding installation, of $1,200.
ha,%`bj y
eea matlially enlarged and, man
m 4n tNUildinpifeaces, roads, and grad-
(:06*tey" aAd at Corozal Cemetery concrete
sow, 4ye been' erected at a cost of $6
7,4
concrew, garage for the' bulancei-
C0.000.-, Balboa Dispensary was altered
ea -get of "y quarters for a physidaij,;
(4,'Wft h walspaid by the Health Depatt-
thle,, Y, bepartment.
SUP









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o gea !auet ih~,ai
ofic anhat micaii rm ~
dii'oso h aaaCnl riesde4iti
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ftI
4t"
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4 1#!fTNAN RAIAtN
ul prtoadoraiaino h
4t bm Wng h'imrsprioypronl
1 2 hr m 6 htead82 ooe m
of `0, e t oc wsdvdda olw
W 1Thwi
ofiesb h,1 sntr1npcos
2 urnie npcos
oq f[] eernras
I7tcncas
sttsI ipnsr sitns
wIrie parass
13[iclanou-trkepr]'m
1ss twress apaf
se. foenn ehncieblmr
Vacntr plmbr
g 31. 128
al.ffitte "hrPsin nDcme
eirteitiedte;wrasflo :
CB- ELH0IR






A T,

-P lca~ord
#m
Service.
Ralh B Sxn~gs 4,h44C
Ser- ft
Capt RihmndPyu. r t"W
% M4lo .H rnL e, d|U "Ao
nn4'" Pel E'D[S ]A-Oop'
A!.BrhS ~t l~lglc U
44 ta. utsD ibuy 4 C'r' ft
MF
Maj.N~d0, e*; ed~~topg USArmy4.
Capt jares, lidnaI
Capt RoertE Thrn' Mdicl Co U.6.,~my
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-Ca icltr|,v S t
i,,rd -toe e
Cat rn .NteMdclCrt0 !,Am* |l
i|.Atu .M~rmgDna o AV
"Cp.Wli | ~~t,,eja'opU',A-y.
QitSaly .Mtjvos, ef
Cat oe .Moe |ia opV ,A
Cat li .Gry eicl opTS.IXy
m#;
Dr ap ,Psb, enq nfJE44* "r'Cj&







Coq* S. Aiiiiiiiiiiiiiiiiit
-Ked~cal orpsiV.S.iAiiii
du i,~~~iii iiim C o p ,ii. r y
Daiil'ei4 Crs .S ry
waicaiii Co ry
''7
Pa &.ee!&1n.
,Aaz Sprotbet
Crsoa-oo Dipesay.
i4 @.Ley titPyiin
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A' N
*rd ffib&t& COCO`r'- t
Vm, "o
'Mr. JAW# L. Tolar, 90440 1
W- Oarles 14. BatJ4 S4njtatj
Zr F, K Dowd', Veterinamm"OO&W.At
'or ire CIA C1 A.Y, V6 bil


-Mr,'Charles L. Pierce, W lospector, Soo
Districtsi Anon.
W. Rayotond &Pdrbes, SAW' Insped, Or, Aoeoh.
Mr. Carl G. Br6WAv Snit4ry 1nspoct-or;A.6=L,-
ar...Charles A- Roach, Sa&tarylnspctbr, Norfh&ubCt;
DMSIGN OF QVAa4WMUi,

$urgeon Marion F. Haralson, U. S. P,-. m QW"nb,*
Health Office).
CristobalCo" Quara**, Crhqebit

Dr. Charles A. Heame Quaratitibe Officer. t4k
Dr. Francis L. Xexaitis.
Dr. Herbert L. Phli
Dr.' Denver F. Gray.

Bid&oa-Panama Qua m1n0"-**

Dr. John D. Odom, Quarantine 0fTi(;er,-
Dr Philip Horwitz.
Dr. Samuel S. Irvin'.
Dr. Boldridge E. Yneece.


FINAXMAL TATVU"T,

The funds for the operatioift of, the eat*
partly froinspecific appoprtadous mo, bo lionuo
partly frota theearnings of the DepartmiU4 ae,
statdbaent:

AV












...........


OFTIM REALTH DjvAlahiFwl,
R, 1428,

Per cent Grogg cost
'044M)d tom-, per
iBuppart- pati
pot i*Y.
4W I 194.93 W 9 54 $4.66
...... 037 -61 002.64 44
99', 6,43
$2204 "688 .06 112,549.87 76 1.00
4Zt664', 21 S61--75 41 1.39
4 7 $,598 00 20,09,07 38 -----------
V
9 532 43 13 --- ------------


12-9,607. 76 105,096.$0 782 ---
403,,M2.78 47,868-27 29 ----------------
57,055-91' 19,497.41 34 ------------
473, 77 --------- -

...... 34,594-92, $50.00 2 -----------

i2l,096. 73 937,469.38 5 ---------
'Ibedw Ospqs, w*untpa to ....... ....... ............... $111
n of Bovddf HeMffilaboratory and Aiucon Dipepswy.
w1blklamo"tEd to ...... 20,925,26
pom -,w p*DUd to- ......... ............... 12,237. Do
*M 6,hr& aja4, operation of hxw gaid dairy.
V U, S ZIGS, offlem, whioh amounted to ........ 6 59M5
O&Z -which amounted to ......... ...... 6:355,95
to., 157,460.75
b4t eto(al 4pogei plus 10 iw M t Overhead t, o' h"e'R' u, -bllc

tW,,Tkt'iW-AUA DEPARTMF-;q CALENDAR YEAR 1928'j
AM MINT ,RGUD TO T4,9 VARIOUS ACCOUXTS.


080,414.71
-- -------- ---
Cy ------------ 6,590.55

$737,875.46
-------------- ---- 439,063.05,
225,032.06
----------- 6,400486,
85,138.53,
---- --- --- --- ------ ------- ---- -
81,651.07
-7 --- -------
------- ----- -- ----- 41 514 77,
----------
nf -ly 3 7',286.05
------ ---------- ------- 1,8,47 77' ht
----- -- 0 146.1
--- ----- -
..... .... I'l 2(6. 9,6
"s














1 X'j







Jt
4
Army
A
r Tow, Opeiktisik



SVMMARY OF VITAL,
Es",

The Ave following cljart ar for- '0";
(or'the y. 19 ear 3

CuAxT No. 1,-AbmsW& RkrF, T'b, IR


Average Rau
Year. number per
j 11 'ole'' "x
190 26,547 1, 71!
19J 39,,238 . .
1192,
1909 47,167 891
1910 50,802 905 ............
1911 48X6 896
pqu, so,8193 721
4013 6," 5 654 .510;
44 329,
1914 4"
915 3 785
1946 33,176 aU Af
-2,589 351' -n
'19 9 25 J'5 20 '44
1919 24,204
1020 20,673
1021 14,389 620,
1922 10', 447 5,
1923 1,0,976, US
'513,
1924 11,625 -
17
1925 12,180 SO
1926 12 732 414,
1927 13:56t 50
60 595
"1928 14 260 .......... .
'AA!atesthrouqhout We r*POA-'4d4 &Mi 04"
MWades 2LU employeea ofThe 'Pa"
tje Canu Zo4c =d adea 4Df COIMI-
Addve q*tpjjy WOrk ir, 01(i C"
f ty, the -Otated States, soon 01,er thib'Cbd=
119ft Ubles,

1 44












i9' t 4926. alone the
I9'w8 +4' s-o prdwt
VitAmV"iFOBg NY



6]
6 1
-t~ie '0iu,41-easealoe fo 10 was9.1, ascomare
od74,112,
[]!--S N Y.
Ji, i nD9LLCuw MLY









j


'J,

Rate'
lier
emp ea. I Oft
JV06 2,6,547
1,061 39, 13 424
008 43, 9" UZ
WO 47,101 215 p-

1911 48 87 Isc
192 so: 893 110
1913 56,654, 76
1914 44 329 82''

19,16 33,176 16 4
1917 32,5W 14 1
,1918 25,520 is w
IM 24,204 31 a
1920 20,67 19 A
1921 14,30 is a
1922 10,447 17 11
1923 10,976 19 a
1924 11,625 16 V
1925 12,180 1,27 M
1926 12,732 14 ff
1927 13,561 11 1
1928 14,260 11 1

Rate woluld be only 16 1 Oin Brula T'bW were wnluoiL Smp. I I 'Od Ofwlpvjrl,
A,
4 CaART No. 5.-DEATH RATE FRum MALAjdA,' Emm, Otjjf

Average Rate
Year. n=ber per
fs-ployed. 1,OOU.
1906 26,547 7.45'
1907 39, 38 3,51
1908 43,890' 1.37
1909 47,167 .85
1910 50,802 .81, $won
1911 49,,876 .,84"
1'912 SQ, 893 sl
1913 56,654 .10
1914 44029 .14 1* #
1915 34,785 .,23 it
1916 33,176 .06 1 'Aft,
1917 32,589 .09 0
1918 25,520 .08 a
1919 24,204 .08 il
1020 20,673 .15 w
14,389 .00
1922 10,447 .00
1923 10,976 .,00
1924 11,625 .17 0,
lq25 12,180 .00
1926 12,732 .00
1927 13,561 .00
192. 14,2160 .00





"Lr"
" A
hhIf nnerohoptlamisin
thier ee sflos
197


IV ': ,5
84 61 1372
.... 31 3025n40

cdu 8n hluh'tnmeofdahamneploy
iNs weea fhos
197
Rate er gae pe
|oh. 100 eaht 100
.... A 2 7 l
107 510
.. .. 1. 11 9
.. 4 98
14 10 t 1 7
.. .. .1 1 7
onrl[ tohsiasrmdsae n~et a6fo
r, *ht mlyewr.24 3 n',4rsetvla
'I1h12,7 n 0.34Mc mlye










Itr
4

P'40r
-41

IL

K
34,0" 1 706,
1908 61 146 i 273 t8'11
02i
009 76,900 1 a
W16 *86,465, 1,254, 14,A7 14
011 90,434, 1,385 IS. k2
1912 79,279 1 129 14 ,A'
41913 61,7,00 k,'047 t16 O'f
04 46,379 710 f" 31'
,, 410 "J-
015 31,496 12t
1916 A1,447 343, to
1,917 3,00 ns 9, 01
018 33, 803 286 's" +"9'
1919 32,366 247 7A3
1920 27,459 142 -8,k
1921 31 377 236, 7,5V0010 W
t922 31,098 254, 8.17
193 "31,793 25S 7.'96
1924 33,723 305 r9 "05,
925 34,840 291 S.,$3
'1926 36,480 214
1927 36,794 298' 4'10
1928 37,056 3,16 81-5, 3
SUMMARY OF VITAL S T4ATISf A
!C-SFft
From an estimated POP41400,# -a' '5'9't'8M thi
Of these, 1,390 vitre from disqas6j,4 Wefq=
as compared with jO-.14 in 102 ah&t,,O.2y In
14tion of Panama City, as ujed,, art
of 1920, slightly redaced inign
of persons who to6k leases c*,, live IAild
oppn to settlement -19,121,
_present population of Panama, City is, at least
70,000, the -total death rate in 19294a4dbe 2
shown in Chart No: 7.
The 6 diseases causin &heg $tWX 4
rates, were as follows:




OWT and eaterifia (izehidbi),
-NeWMa, acute and Oxo4e-
.... ............. ......
?






lJ*s .9,a opre ih30
fo,1, umelai asd1 e
s wl i' o p a e wi h 1 p r e t i 9 7
-!!i 1,2!ad1 ercn n 94
th, rePrtd mi heyagvn it
hitsrprtd [r etwr slits



LA '
i,',h o j g 2 e eto!vd n chldre
ha 6prcnain hide ne er'o
RA$F" L |i~, 'T FPNM:
4,"47 58
44,,7

9 I6 44

'54
1,j4 '3 .7





LA
V
IN# _




-- --d 18 pe en i 94
4_mlumm Teewr 60lv its epre u, h
tieo 37. ftettl, tse rp,
!hr ee7 -alsain l4 m ne
inat otlt rtbsd ith:nsie- v






;7 -7
minmmlPopula





T*I



ieW,,iimsiiesof cntro, suc as illigiaiidranaie
-p 0ry'!easnes, suA s theusea lar icds
ot t~a min ctegries a) re~mnar
Oa~hdhchs~utichis norallythe frstiiepiowar
perninen'tdrainge, wichiiiachivedib
4 etoilcnre6ivrsi hebto foe
$01|,,il-tsal coee yb knsoe
tUm'-desdetnieyhr tpeeti o -nfe
oirriuad ehv orao ocmli eadn
p hepesoapiato.Ou esn o rfrig
an u ehd fapyigiaeflyds
- iPvosAnaRprs ftdHat eatet h
,'dob~fili hr son olr e are f4 glos
|th an` er ntle hel nnwysntae ra
v ;ie44Pnm iy h evrn flbrcms ln
"'h hw n h ieo heMde a hc st
1 W arsRvrb'n)Msto h ate ice
s-r aiymitanda rsn ndi:wl rbby
yeri beoe h iywl nrahuo hs ra osic
4t w iheepneofisaln coceeciosr
'ille% ___afs bu h M de igwyaedei dt







































































Cur No. 2.-Concrete flume, 20 inches in diameter and 150 feet long through the sand bar
at mouth of small river near the village of New San Francisco. In flood, the river cuts an outlet
through the sand on the left at a right angle to the direction of flow through the flume. Each
succeeding high tide piles the sand high again, and at times of small precipitation the flume
carries the entire run-off of the area. See text page 26.


*
S-



















aJ
















4-



E






C-
aj



cd










cu



CO




E-
Z E
CU

UU~~jC












e
tial secdon,
v in this area

t*, installa-
Zdd 5,686
uds and
along the
`iOer4.1 smaller

near Fort Ran-
of the last 12
een described in
there have been
xnoquitoes into
woed especially
of the Wash-
On Manz" illo




IA









coastaAl,',
built,,
hig
and il
William,
Only asm'm,
north lvixh
the island. IIF T t
tion in the, rainy,
diluted sufficiently,

Galeta-wao,
lies enfiiely"W' jb-
c6usequen







































































































CuT No. 4.-Mar.erove <-,:'!cenna niteidaj saamp on Galeta island. recently drained bi tiie
Health Department of The Panama Canal. In this swamp before canalization, the? brackihli
water stood throughout from six inches to a foot ur more drep. It apipeared tr be lie -ole
source 6f the Anopheles Iarsim2culatur that annually invaded Colon and the intervening Army
and Navy posts. See text page 28.
-0, I
; s: v






















































CUTNO.~.-hlcp\' ei.:'?enIOO,~lldl ~am o Caet isan. rcrrl, daind vj,%l


*
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r cy


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aog
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8 U
Y gO




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












MR











1-- T
TheA$OftA
ICA"
aftoOft vevw" the.
A
AOio Proteco 494'
t
kitd Ve beem 4rgmA ao'd tw '--0 0,
f it aiepericiebv A qfpes4ary
toecho .,axid'
ow,,h ooe to rhake daily patml t tfwaro 01
wnt"s]Qcalflyaa 4ad.catelAes of Aq,%4 to the g 404 Y
mcsqaitow which have galae&
taken am, sent M' to the sahiwyi -,Oetor f6t
solutift ig Provided forthof& who, wig aA Oig
amount of nmLlti'A incurred so I` not
T
A--dwiniOtr4fion to every enipl6yee
he 1,4bor, farees for the Maddei,
ffban thtA6,ghboring CountrY "d
but, roost df them be to th, 0-
long C agrw
4-4
V4ges 'aad scaftemd, settltwtnts jd,'
and the Reru4cof ranama., T
areso neartheivork that Ilk
end, if not every'ftight,, -6
W1 dwil
are already infected vAth nw"
ployment and frequent vitsv
ities for infect" tf4l
Nearby'villages outi;i&jkf, R41
many of the, men Auridt, Owir 010 MI`4*00*11
,Of ith
-wM w* swn
ivo "pop
riorl rab*loo
abor cam, p,, iaW
Orl .
*dy

tioin work. T)*-, tem
dam I'W"Y expenditure for any'tr**
contml' %ab6ut theni.
Developffitirtts at the dain Sitevilt tiet)j 0
Here, between the lirnistone bluffsof
reareda massive concrete dw-4,, *LWpoOgdjL
Its in area A spillway and A,**,
Veoperating personnel and, j
for
,Wftsory structures, wili be! ertetedt tfntUt










manent nature will be
t, for the protection of the
i, ,,be Yt simillar to that which was
S -the, CantO was being built.
1) !,oith VnIted States National
tot; C., !$,a "groat lots, to those interested in
Xzuddlfi6atothe -=ense value of his
niosqWtoos, '44 aosistane inthe determination of
Al -ojm,6fnew,,spedi8;seftthliuw'as invaluable
dutbusiasm, never flagged. To every member
rganli`sab, oft, of, The Panarna CaAal his death is a
J
-Awlv, and latgely through Dr. Dyar's pub-
I `!, I It 11
i6008 of the mosquit4s of Panama, some of the
&-partmew have in recent year developed
k'i-n 'the ideittifimtion of mosquitoes; 'Work of this j!"
'j"', no*o has' be e practically a routine
Wy 1$ita O-r engaged in mosquito control
x I' "I tirvae; one' of the most expert in this
rkiin the sanitary inspecior's office at
a4sigtft Nigf b"th officer, has io his home a -well-
'an 4s, ma ing, determination$ by means of the
p tha i
,y y, beto f4 t." t the ounting
jf*'i40i`talla of for experts in
ft,;k
Vt pear$ that the
it wlfld3,g"r t,' r,- `b xfit 0 e of th
Of the indentifi-
U 4c qui$ftiv -Outs"ideof a
em pro Ppygial mounts
'PqOfigkv
4)4erity, is'easily

A'"(Alba the pro,
-0
164" 4, and A W
'tha h1lappears
'of to4atjqji on pilpit, "'I" g,Y,,atW legsby,
fobsn, fbase *ith a hand ic A.
1,925. Dr." and Mrs. Bonne.-" -
h4, iti,, Surinam, since thew*
ium of the. latter speciei `41
MVW*010, ION,,
tat *eo







T1Wm
*AsaW wreWoimm gr ed
verei~scverd unssocate 'wAotltr .
cro~sof wterleta~c W4,
an fGtnLk;frmoeoam ii
'tke frmsnl patRmop ,o
-bd offotn wtmetm
vaiu plcs nteZnb olis ucvwq
apea ha lus pat sth 4rW ajttO wi O ,

Dr. Dyrsae htAaakan s14ut
maaia _ar*r"1 rbal hogot
wher _itaaonsi ilprv ob h o6t
phlsi osntapa ntehu ace n4 ,Q1
Caa Zon twsothlao aiote dexr i f
atlttdegn iiino h aaaCta |- W
poiso*sry pntoe btutost aigt~
hycith (iav~" zuewan!P
try h aeltue ihwihteeycih r
atd;asa eslt lrg aea o te a~ ae e~ iv
wich wol tewsirsntafrgae r
contol n th evnt hat bchmani mve to, be41
Phelo tha onmbrId
malaia'carrer.The no riwa iA
Rie r n'teprso ialrslkWM
spce nta fA iausa a omryi~ *





I~



.-IT9 &,h eo hlre ne ero g
s for tieiiiiiifieiyearsihasibeen
------ ------------
------ -------------------- 1
------- --------------------? ---- 4
------- i-- ---2
-----i4
---------------------- ---
i- k r e e 2 7 d a h r m u e c l ss .i it
! rIQ ~ ol ai n h u eruoi u v o h ,ct
an ilp ob b y r m i
thpe&toecoddroun odtoso
Aas' aeoe|m Yb terad oeae ut q sn
|A
ow







4
21
Alwiqs
mc
NI
4I

iOrfudltmw, '
"lt e f rItot

oxe
wq ,,,









44

nufput4.all of the,
but 8,287 gallons'.
ft,14 'y,'asM '11 portion was
Ly (1,9,2q was 40 cents per
V, 06to NOW, is 171, O-eitts per bot-fje,
-4 lhe' Pr kv ha beenbrougbt about by,,
1` '''. 0
0 't" oorrp6dlukers wad introducing-, V

k4re used daily-in the manufacture
th all ice crearn s Id in Panama
4
w-dato, Plants.
ki, garba e, f o' the city of Panama, the
44- F6tt, Arna'dor, and Quarey Heights is now dis,
A".0'CaRdo-nia, section of the citY,. The
spra f6.r
y, filie garbage aad its, earth covering 71
jdm I ies, to be, satisfactory. Ninety-
V.y ya s r
"U, rd 'we* e colle'tted
ost of $0.697' per cubic, yardw N,
-th abatto r 1413,23 cattle,, wlere
.4, "'d 'as -a'fit for*food, w
-W&re, con eninM a as follo
jpa JZ exhaustion 1, gap -4
-&pUC*e grenous
aM U
# fa ni pa
ug #jvd, at tf* a ci' 1, abattoir, of
bod A,,.fbIIo-ws,.,Oysticercos*
'sIj,,SOPtic*er'q'ja2, and unknown

414,6,29 hQgs fqr shipment
os ,.,S6hidesderivf-dL,
IAPAI,4- Mrt w I had
Apimalg, slaugii-
tdcl jider




f N
A *64
toi at "I

'7


tA,















x, A 4,
Olon 40 t -
V,
X-

IV,
T

------ 04
;p 44
Tjete wws On Wality fibm
44 a,'death probably, b6g d66, tO *14y" io*,
iOttves fr4l-ii the thr0at Wert mg, Wye- ""Thkormi'';
g*ri
v4c613atod lp
st saW ox. Th6* ik
idants at 3' nimths of, agre was pliftor
Cristoba ai& f'ree vug -.-+r
by the Crisi6bel Wottian"s Club "d flieumath
fnt welfare cent rArr, the,
as an in e 4P*I
health officer, is theAirectorW'thoftlr 610'iht
bmediate charge6 fetdings,.4re,-p idod
babiesand motber8,Aaily. th fo,4
Uvatments Wiveft'in tbisdiolt Au6ug lpm
P
%
Babies (un&i 5 ------
Mothers, pr6natalapd poaxiat4

Am ear, u and thr
t
Th Mowin#Abna d their serv
!Gproez and Dr. C A. H tt,'
64t;, Dr', IT, X
IUfaW t 'I* OrAZUtY'---7-Th WqUt Div
'for the pst eight yeamh"
%
4921 ---- -- ----- ---------- 1,1W Ms
1922---- --------- -------------- ------- 140

1924--'- -- ---------- It
4A
Joiarrhea and enteritis *,pre 'tha plijt;4
twder,6ne year, of age.




j
ne d n s a d 1,1
exsi gbul i g er s ud
isud, Alb ili g o ee
0 ie wt
rai acr tebidn
I4 `*G ab -efoh oln rso aadF a c il
I6
t~k unaLA` tho, wich as pro~d toroghl
bre -, sicntoleiyih@ueo
a... ap -s l spriiy The b urial system .,- a-
| A frT rmtodo'nieain sefcigasvn
I0'9 ,a n al futs o hc
abuIhe
,:te iyofClnadoe-orhtih
Doarw't
Io"r,,Tegosrcit fo irasws$,0 n
'$ 01 7 .- T e c m t r c u i s a r a o
I 1,P Arsan a 30 0 ak d ga e;i ot h
I ~ i a ~ '0 ervt an an


b cj'SIo fytecO M2 ,ec eo h lrII

















go$a bIr
AM






DA.' M., F. HAAALSON' V
PpcrafiAs (if;, the qua V
No chAngp, prope( wo,
Its 66W hxvi, beet
I t4
other'at CAist6W
qj";raftf3ne jnmct-or, on duty,.4,ttaoi; tokoliher
edk ,Pmon Jor thg pe;
atidio'qui*,ent for thotatt,, q,dvieoubo
mamtained -at the -]RWbo' ataition'.'
'A gtriq ilisppeb iA 'Jo'd,
Q0 *o
4quamfttiiable disease i1i
pr6in pt a nd effi- c* leutlo WI' jio ay to. .
to detain m, quara"*oe,,4 $iingk-A 'A
Ase rd
c 4ue on boa
The me "L, dbffvnligb A vw,
In
oew vit ZyMcRi-R., sO
V, inemporated inacalcm*,*Od %T-U,
in cc9cparait6d form Itmd& 4 M-1
s ze and is'4a4lyh Jtsv
There is ptacticallytio,.r4iduip-,
quifed. In' the'pa#t bjKjv:ite w
#bulky tqWpiiient for genm n 1441, 7
Th6 "International Sm
The'Panama Canal, 'on MaOt, i6,t,'A
'C40finUe W Prove of wab
q#ar=tjne proedure'b ajj'tbt
;4








A",



$tates, anahawn
4*
j1btOex2wnpted from quaran-
psuNot savin'g of time and


o
I di 4,oti are also the
an in
d they also act


xost,, ctivities of the quarantine 8,


-------- -------------- ----- ------- 3,925
------ ------- 3,405
107

--------- ----- 7,437
N
V 41
5,380
of 'i ----------------

.......... -------- 239,,S68 N',
--- ---- -- -------- 1418,573
3 555

------------ ....... 391 9&

--- 1,04 167

Ot

------ 135,63,5

703
&06 law_ ...... 1,08& t

1,701
-- ---- 4L

------------ ............. 128



TAL.
::o. V
$J1






to, 41 Y of


'X*














4af


4
Ile
b Ig


4K
t 619YVAU At 'Nfsk'
4 4f to Pul

Popgriattliadent W.U"* "t'' %
s"' de,,.' Ue as$istl'"'tl'i OAM ISI,'O' 'J

Tbi suite, on th jot the
forihexly oo6t"'kti *Aenuovo
*1 by- the e-ye,;Ovl goser *Owt ftv"
6, 0
#,s;t,-U;ted,,andequippid,'to P*
,Ot4jWnftt1Qn and, trvx6;wnt`1014n$_ 904,

by hoqpital artisaw for '6k-,$Oor
wing, un ments, s6f leIM,
,Dmta1,dcpat*#onL--t-T hr", too he
-Choics"JaIlMiog Vem, pre
AM Oewly estaM,10ed d
0, 4nd'. A


ooms ao&,PPv,;ite_,s, 'tew iee *k
'be completed early in 92,4., 'Ir
w;O&-waed 3" W, Soda A MAI
been set aside'Ior tht d
OP '
Y, 4Alm *OU0
br thwat

t;ej)Ous w,, h*haf
44dition theft *Was gr
'.ixiwM -of fli
iwoftanttiteras &44*


Ioti" :j
#A






T 44 L



glin basement; Section "B"
V "CI b6ds added to equipment,
ty room, administration clinics
wa0s, o(,, stairways to pr6vide ad-equate
W th 141;)Oratory uilt "in bookcases, outside
4" 000,,,tisue s ction' blocks and 100 wood slide
_pdodking department, 228 coffins manu-
OTYIIjW8$AAIs boildink-foundations stren thened,
ifwssi pantry;,-a power broLd-slicing' machine and
'*&ri,,addedt6 the kitchen equipment; X-ray clinic-'
J
''W41"it a' 6d, a ji,w stereoscopic viewing appar,tus
and inotor transportation-
Volere, repflced by Iton gates at each stall and a shed
Anepump, new bodies were constructed for 3
ifte.4 were- r'painted; -nurses' quarters-temporar
fesnale iaUr 'necessitated by increase in staff in 192 7,
6&4tlirstJ i a section 0
"A" and, later on the second fl or
-,--Mopital'dftisatis-,ni"ufactu'red 5 porch screens, 14
bookc r utWin the nurses' quarters; in the
twomforoursesithe wooden floor was replaced by a cement
()mSI 4phyiofherapy' service a new arm and 'leg
M.4)40gany, fiookcasewere installed; sanitary
mplete, 'construction of rnotor launch "Sand
of rfiotor'by hospital artisans'.
hei0l',*tM 1,139 niaJor rations, and 4,060
tk* 'including intrayenbus injections of arsphenamin;
"t-414 fhe Out-pa. t department; and 415 obstetrical
ed WW6 there were 6 twin births and 29 still-
,-There, wqre-8,594 cases treated in the out-
nts a4Jurrease of one-third 927, and more than
14T 1924. Vantal service.-Established in Mach,
'W*ng the,ear, 697 oral examinations, 997
to Decejuber, inclusive,
dI14 pArtial dental X-r4y examinations
ser%ce--There were 14,056 visits
21072 operati w'er
on8 e performed,
A,
m JOiographic sendce.-There were
-,85,6 filmg of various sizes and 2,922
-'9 Iluoroselopiq inations were made.
s were ,giyqn, to 915 hospi
Wows: Radi= therapy, 239,*
fierapy, 796; hydro-therapy,,',654,

k A J,
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49
+ 4




tv4bm 6",bm






I #* 11*





..........


...........


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


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

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







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











44



Redm + -41
I&cWoA of *eMt

IfeblorAl", Todi"d fc*...


Dqw&ot wmd, soft wW.


parw. tpkt



Okiu #rat ..........





.... .... .... ... .... .... ...... .... ...
It
IV
Nube. Did
L0
iA
4I


14 1
. .
.. .. .
'CA|,,. .. .. .
2 .. .
.. ..i2 .
.
.. .. .
.. . .. .
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.. ..3 .








if
*IN
... .. .
#Nu 0.mmuw
h Ok
MAo re mi13Ajm
ofclseg
I4t

I38
400

Nui~bro f~~u







)OTEVCS
To e a
viis. o m. u
... .. 9 2 1 8 2
4,5 8 3






IIAL
7
;|(aa|y 60ptet,
Co .AmSueitnet
s, isiuin aefo h'seot e CnlZn
,I Wco da~, en emusdfrtelte ls











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


7. 77
agwayl "hl

',ere 'eCW-"vv'l
awnwgg werela wgw
IN con -ted Akj'
sets i,
',-wbridQws alid

""'%' Au *addition l M fee-
Wings'
f6rfire pro n. 'CXW4 gwe ow
Previo" *a& U4410
extr-4,ctor re6ei in App'4 .19A jtoutfie; P
vmodw&k,, plinbin steam line4-4o.j hqxt'
artlanswith the'hOpofpatints.
In adilio'a to yanis; yuma swret s
each se"on, 1,200,banana, Uld 4010,plat*
costs of'improyements, see letter-, Df traas-mittat)il
v j
r*Sa'fte Paimag-7Tht m Dotemltr iog*.'
compare wi th 544 at th, e end bf tht, previpus
admitted was, 266j cojo Url
pared wfth,245 MW4,
discharges and 71 dila:tha. Thbm, wiete'no
Violence. 'Of thp-190 dikh#tgL*d,- WA eft-

Twelr6 patien'ts vere, transferr*4 tp,
'treatment; 8 'of thest, we e rewrnedjoV
under treatmeat Dece
(orga, HosphaT. Of the,,totM id I ml,
the Republic lof" -Panama,, Wfthlel
cases or private'pb.y patiegts.L
Other patimo.:-fre were, ou
chronicallyill or CrijpLW iti*t0q,(4014-" 0
ack and 4 white of thisc igs,
were admitted, 6 die4, "4 1, w"
were transfI to GAWS' 140SP$W
returned to Corozal Hosp!W Otclud
3,1,4927), 2,died7 1 vvas di
undertreatment at Gorgas H ospijWat



A
L






f Z r,
'V




fo,&o,,so,. 'Twelve were
-bia a4d brush, makers, baridage
V qs;,'m,#elpers. Theymanu-'
alew hundred scrub

have been
d" cotsiderable pleasure
Jdnc, 6. *6ek, during the dry
du z the rainy season in
`WunQhes,,art served, and base-
ui,,,Gn thesp occasions.
L*,C E&'a for the Protes-
Id"-`dfb,,cha 4 P near theentrance to,
f in h bageotbot'of the new ward
%
*fic "t 's giv6n to patients
Uiljo psthose& Xiiie hund i6d and tw6nty dose-s,
vdlntr -V
adm4iistei i a, enou4y, abd, 277 lumb r
-'At ihe,'end bf the yoai ther6 wete 87 patientl
h0lis' in'sorne -form-,, these were males and,,
t4,
-0a Decenber 3t, 1928, there were 17 mate
derirO in th occupational therapy
ULught, cap entry, Weavin bao making,
e tau 't tom
Wou" "at gh ake ruk, and baskets, and
and, do rut. s -work. The articles
e;` 1.381, r'191-S TIMI bags, Z04 ornamental baskets
44 1",'andL 6th I I
b'roldt-red pieces, 393 raffia
miwei'And 17, boats ijI4 bottles.
W,
tie ts,&%Wd io s lines of work in the
6tbw losaft*ho are strong "hysically'bu t can
po, i I onaccount of limited
-o 6 ward
ye:-d in aitieultural activities.*
fient5' katdeii for hospital
The note, rous females are
ItOOM' 7 46rin, the saJvage depart-
till -ta
r- 46,ngs, "between 15 and 80
V osoe fbrm of work. All of the
stieks-,,pillow cases, and nurses,
'44,
*4rd-amount64 to'$2,453.76, an&
Anofiketuted, by the "6r60s,



4




























T
'h, wo-, .
Nis
041


as, rdl as r-,o-fr%;6m
nations se, lettO 6f
lo additioo a t A,
lllop Wl-
dairy barn,
a road of, the sa= M4Wri4-WAU*
fe*m thle Old, macadam lroud
uar' 7 cows and'3 t, A
In Jan y,
'he year 13
'ing
W' 12 werebft
Zs died and,

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Ito'bethtirely adequ' te for the needg
twesth e physician resides on the colony
4
'a-disavailable, ata hours, as well ag having ample time
to adminis, ration and tieatment.
,iiftra'm lar'a4ministration of, iodized ethyl estors, of chaul-
A
-the principal iAeasure of threat. t. Because of
,o'i tinued en
t Qr-currence of mu -le degeneration, kithabscess formation,
dose was reduced to 3cc. kly; the resulting
given semiwee
tolerance greatly decreased interruptions in treatment.
-tw,,o patients received medication by the intramuscular
-1*re givieq crud ulmoog-ra oil by mouth,. 1 in cap-
0'reptimes &ily; 4 patients did not tolerate treattnent. I In-
.9 administeatioti of the ethyl ester8 was discontinued because
-0ted a, too severe reaotlo-a. Of 10 patiens who volunteered to
&,6,emulsionof chaulmoogric esters, as recommended by'Wayson
,(I Wit Health Reporf, V61. 43, No. 44, November 2,
one cuW reu, thb ptescribed'dose (6cc. per 100 lbs., daily)
jAfs urb le.
ast t ane
care' 'of' iro -,W.6ilcersAq dressings were found to be more
r V thailu- Th'e, rontne`,Mopted is to wash the ulcer with 14
soUtioA pmvt itaudthe margins with 5 % aqueous solution of
Qu .6"Over'! the, -Whole with a, dressing, saturated in
-p tary seems to have a
-Wfmob, )W ole milk to tte de
well being of t4w patients.
T3
&Ne-rnade on all patients each month.
ecome negative'to acid-fast bacilli, 21 have
whkhl""uto, preclude recommendation for
e 0sible, the more infective cases were
&gusW limited housing facilities, this jr
Wyas is desirable.

RATORY
,Gorgas Hospital.)
0 Laboratory. 14,
1610'a(45Wturefrorn I I individuals'
were from Pnama,, 5,
A' I s, and, 1 from the
I thlo'*to- 'virere 1 4 cases in which B,

Three of these latter
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OUO)Itlt the" "'Ir. M to 6
'several omasion,,5 whe t apfea;*dto bjP4 t Ir
hitfbduced by new stocklrorm th0,
"ideaed lot was trie4 V14thQut sul Uj*fOe'_-
s-upply will, swo be siiffic'*'m U-'t f0i

wj,_re made.
BACUMMOMAL PROTOXQAX;4 A P
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16

)IWAIANEOUIS EXAMINATIONS-Cntinuvt

3 c tmua

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2
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...... 21
go

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3
4
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......... 47
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...........
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2
5
C4* t6oi4io& 46
............

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........ ... ........ ....... 2
........... ........... 3

........... ....................... ...........
........................ .... 137
.............. ............. .........
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..........
4 ................. 3
........................... .............. ...... .......
........... ....... fig
........................... 15
.- .......................... ..... ............ 85
boO eenV- -ngi ...... ...... ....... .... 28
...... .......... 75

ed ....... ...... ........... 31
..................... ...... 6
... ... .. .... ... .. ... .. .... .. ... ..
.......... 3
........... 31

...... 21

........... 13
17
................. ............
......... .............. 5
......... ....... .......

..........

2
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V 137

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4


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for bold 60twc.
=1k and W40* sqnbta Ww4al'
of asoned wood

&ft dow or = ,OOWA 'g. d*_
tw atialm (Ream OKOIA4*W4,
Cwturw Of MM00 OdA lmd 4
at botft'hom MCE



.......... ........ ........
toga..... ................
PjOgd" v4h B, 414am' ........ ---- ........... ......
Ppoitive with B B,...."................ 1 ......
ati6a of g for 6&4mg"Ition ........
Bhoa typng for ftlwraiian. .. -.:. ......
B100d 9M wepar& by SWi-Mu for iK*02ow Im" .


Analysis of Wassermalm Readiolis.-Sixteenthcosw4l
and forty-six Wasserm ann, tests were 00
performedon Awb
petsons. (This inclu'des 823 specimen s which -were iinacc
statistical data.) 'The results are summArized
Ne
TABLE SHOWING NUMBER 00 F$WNsON wHOU $1,00 W*W9RMAj*T"
BOARD OP MULT0, LO ORAIMY AND RMUf$ (W T98%`*k,


Rac% sex, and Astm

VbA *T,"
mg1m .... ....... ......... s24 I'm
FWndes ....... ......... a :

Totab ... ..........................
and na7d:
EWdkm U, S. Army ............. ................ 4"al,
...........
TOW S ..................
BIP* and mulattow:
MA6 ;., ...........
111*1,1 4

x0tab ....... ......... ..........
Clime. w)Wes and fewaloa_ ............
Cmand to", ...........
i3w


In addition, Wassermann tests WeM zwe
6oV 665 'individuals. +One hundjr4:4"ud-
p patient (10.52 per oent of the'indivi"



AA














VXAMIXATIGNS.

r ih*drod' iod, thirtyoqix autopsies were performed

oratory,, The causes, of death were as


2 Uses" 4the chtah"ry Oystem,
SubacttebadwrW endocaxdifie.. .. ..... 3
Acute toxic tds .......
bogia of 8 teai4g ......... ...... ...
heart ........................
1 Hypertrophy and dilatation of heart ...... 2
2 %pertaigive heart disme ............. 1
I lufaketiowof the !ppeardium ............ I
.7 Mionic myocarditis ........ ....... I
A&tic anenrysm.- ...................... 2
4 Aft4nioselerosia, %imeral ................. 2
37 Corowy galerow, .... ............. 2
Corovary thrombods .....................
Tbromhosis ffdp.aior meseDtmid &dory. .
10
*3 Total. ......
tme ourew):". I Diseases of t'he ragpiratoryByEtem.
Abscess of nofle (SIqpAyIw=a atW) ...
Suppmative ethmoiditis ...........
aw, Paminuaitiff, aude, suppurativo ........... I
A of, tm ampbagua, 11 Brondhopnemonia ................... 23
...... I Lobar pneuidonia ............... ........ 22
qfthp liver .... I Empyema ....................... 2
............. 4 Brorkohial a8thma.. ....... ......
Total ........ 51
.........
I DWwes *f the digestive system:
...... 3, Iudwv e angina ............... ........
....... 1' Gastric uker. ........
Qatrio and jejunal ulcm ................
......... I D duodenal ulcer. ..................
]m on, left I RuRtured duodenal ulcer .... ............ I
I Acute enterifis ........... ......
ft" Of 9O Iiterocmitisi acute .......... ..........
Acute Weerative calitis. ....... ......
........... Uncinariam ............................
....... Acute suppurative appendicitia ........ "0
4 Acute angenous appendicitis... 3
Ob" 9 t' aitis

'POt ............
............. I Ao,
2 Cirrhosis of Ever ..... ...............
...........
134 Total ............. ...... 32
0; W 0'rAw Nmvenereal digeam of the geniW
qitm and annexa:
2 AOLIO nephritis .............. .......
Chronic AePhAtig ...... ......... 20
1. Acote onppiutjve pyelonephritis. ...... .
...... .....
J 2 Acute ouppuiative DY(fitis. ......
I[yAroncphrcsig biltex al sevffe ..........
suppurative prostatitia ..........
Chronic proaWitis with 4pertrophy. I
1, Chronic, suppurative alp-ingitis ..........
3 'Total .... ......
-1 The 9 date,
................
2 Tow. ...... ........
Ihmses of the skin aud of the oallular time-
.............
Pulnemm
arm..











IR
T.W PIP
log
hoe "I


Di of tbo bota and d the ft*" 4j,
Ad doW
lot twa,-,


TOW- A



0 on (d 2 A A
=04smign of dtLoO"oj:6..',. 7-1
Tow. ...........
Dkeam d early infmacy:

Premsture bhth .... 71 dio ;'
in-ury at birth ...............
deta-mijud-
gz TOW ..... 17 Tow*.
Affections ProdueeAby external 4wupes
SWCFi Pciaoning, cyanide... ........ I "Cot d'
t o Suicide Powom1w, morphine, ........... I = rMV
Oduide y h" n ...............
hy lhr ... ... ........
Suicide by knife woundi neck .......... I Moe
SWde bY knife vounA, risht lung., I 4V
Saicide by jumping goin bigh Ome ..... I TOW
RAmetion to non-PpeaificprotAm theram'
(tri e typhoid vawine given ivtmvon-



THE MORE FMUJNTOAUMB OF DFUTIT POMD 4T AXTOWO 4046*
LABORATOUY, IM.
44


Paws of, death.

(inoluding gwwal paroWs)_..
Ws (brancho andlobar).
OwAft ... ........... ...................
BrIOd's ftewe (acute and chronic nel'
.............. ......
Orgauie howt d6ewe ................














4 v












0 71
3 .
22 s 4 2 o is 3 ...
0 o 7 9 2 5
-4 3 4 6 25 2 1 1
37 2 a l 1 7 1 1 5 ....
30 7 3 m o
38 36 19 20 9 1, 1
, S,22 s 2 1
4I iw2 42 82 31
78 6 !1 7 5 1
i2, 5, 1 2 2 4 2 1 o
241l 8 1, 2 0 6 7 1
'14 1 5 2 & 3 18 1 ., 5 1
ti 2 ..81
21 I53 i 1 0 3 0 1
la i .... 2 1 4 1
II9 6 7 2 7 2
14 q 5 1 0: 1
6 1'7 9 9 5 12 2 1 1 1
14 3 29 1 4 2 1 3 13 1
-151 3 .7' 8 11 3 18 1 16 1
/I- 4 3 1 3 2
'27 22 1 5 1 3 1 1 2
45 0 2 3 2 I 9 4







%mi
amin 2 iiirdan orpw
436 r, 7.16per ent ereautosi|
Wa"ia oaresMi t um....
gr~ughund ej -
- -----'7t tam ows
Lm~riron tatm
otda ddm
Intetinl Paasi fond a a psy
auose eromdath aoaoy r5.5pr(a, olo

moreparsite orthei ov, asfolows
V i m zs. . .- .. .. 7 T k u .. .


.... .... ................. . ................ .. .
Multple nfetion ocurre asfollws:
Ascats nd ndnris ................... 4 riauri Aa
Aaaiucnrs rcui .... ... rcIf n ~nra
CAS FDAHPUDA UOSYO 9MI OR FBAT
Auos
Cas fdah otrbtr as.
807 Lp&v...........Pion; ueclss
8170 Leposy. ...........- Acte lcertiv eudcariti (81t~kacM emshrm
818 Tere ........ sio uuxa aws
'80 et -...... aciaao tnabadlvr
833Lpf.t.........n~oaytbruam
939 Lpriw .............. hrnioi~ula I~va dsw
8397 Lwoy .............. Cerbralhenovrage
MIRSOI X NTOS N VRSO UWA
Conuntiv'........ 1 Tub o tbeswih vHr O 0 4W-.t'
Eyeuiae ........... .... 4 T b otbs











"'A


principal lesions encountered in
qther thA inflammatory, were as follows:

Ben* tumora-continved:
........ 1 2 Iffy1omata of uterus ................ 67
...... Dermoid ayi#, ovary- ...... ...........
................ 0 evgy, behign ........
2, Adenoma of prostate ....................
...... ......... I Polp of stomach ...................
ceuular TLevW of aldn ...................
'44- ...... Ivimphangioma of 4in ................
......... I F(qe-nM1v*0ma of skin ..................... I
1 Fibroma of tepdo)a sheath (wrist) ......... I
I Hydaddiform mole .................... I
........ I N evuo of face .......... .................. I
............. ......... 2 Lymphangioma, face. -.. .. ............ I
I Fibroma of perioRteum ............. I
.............. ...... 45 Outeoma, fint metabarpal bone, right ..... I
I Adenoma of sweat glands. .............. I
-% ............ I Lipoma, leg. .. .. li ............ ....... I
...... 1. .. ... 1 1. a Dermoid Cyst, buttock .................. 4
................ 1 ExostM iB. I ..... ... I ............. I
.......... ................ 7
...... Fibruma.
.............. 17 Idponia ......................... 6
............... I... I I
Osteoma, origin not stated.. ........
.......... I Papilloma- ... .1 ........ 1. e. .. I .1 6
......... ............ 1 M olluscum eontagiosum .................. I.,
wall ............ Epitholialcysta I .
........................


..... 2 Total ........... ........... .... 128
...... ..... ....... I Specimens showing tuberculuids;
1 11N Ads ....... 4 Tonsils, pairs ....... 9 ................... 2
I Fallopian tube. .
frsa wottio Uid ............... I Tendon. sheatli (i
A -. 4 : 1. 2 Carpil bones ...... '..- .............. I
.. .................. ........ I ....................... 4... 1
Undetermined. ............ I Rib.... ....................... ......
Epididynus .... : ........................
............ Gland ...................... "
Axillary adenifis ................
................... 2 Cervical lymph nodes ..........
vueous mefflbraA ....... I Skim and subentaneWo timm..
............ TubcMdous peritonitis. ........ .......
Of J* .....
'a lso .... .... .... 2 Total ..................... ...... 13
.......... 3 1 1 1 4
of hrtgt ................ 7 Miscellaneous human examinations.
fibrouia of breast. I Placentae ....................... ....... 410
WILD 6M DOMESTIC ANIMAL&
Uum ea ......... a .................
... 549 pio, 640
PaMftqAoMR B *4ffi Rabbits ........ ................ .44
............ .... 14
2 TOW ... ........... .584
5 ffistologioal examinations:
tibn wA ...
3 Cows, autopsy tissues from .............. 11
PoeftiveforB. tubffc1dolie ........... a
...... 12 Horse, autopsy tissues from ...........
Pr
368 Mule, Bmeimen from (tumor)...... ...
Steer, specimens from

for, Total .......................
T* Rate examined:
7
2 MU8 akwndrinus ............ ...... 77
mug nolifteim ............... ......... 490
mug raU= ............... 2, K3
............. 96Q Total_ ................ I ....... 7,010
UTOMWOPIC SLPES PRFPARED.
..................... ........... ...
........ ........................................ 3,584

.................... RSS













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5AN;TATE D
Before I-':-
193 1924
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THE PANAMA CANAL
DEVELOPMENT OF SANITATION

PACIFIC TERMINUS
Jan..ary I 1929
SCALE OF 5,TATUTE MIL.F
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MP No. 2.-The devclopr nent of auttliuac;,~ria ir.jiation at the ,Pacil'c end of the Canal Zone. N.'.P the extensive recent work rcrried] nut for the protection of Panama CiLyj. The recent work at
Poin ;.riuja waq dolne by tlhe Ar.n.. to protect military reservations.


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