Citation
Report of the Department of Health of the Panama Canal

Material Information

Title:
Report of the Department of Health of the Panama Canal
Alternate Title:
Report of the Health Department of the Panama Canal
Creator:
Canal Zone -- Board of Health
Mason, Charles F
Place of Publication:
Washington, D.C.
Publisher:
U.S. G.P.O.
Creation Date:
January 1916
Publication Date:
Frequency:
Monthly
regular
Language:
English
Physical Description:
v. : ill. ; 20 cm.

Subjects

Subjects / Keywords:
Public health -- Panama -- Canal Zone ( lcsh )
Panama Canal (Panama) -- Sanitary affairs ( lcsh )
Genre:
serial ( sobekcm )
federal government publication ( marcgt )
periodical ( marcgt )

Notes

Dates or Sequential Designation:
Began with: Apr. 1914; Ceased with: Dec. 1917.

Record Information

Source Institution:
University of Florida
Holding Location:
University of Florida
Rights Management:
This item is a work of the U.S. federal government and not protected by copyright pursuant to 17 U.S.C. §105
Resource Identifier:
642828894 ( OCLC )
020307785 ( ALEPH )
AA00006090_00007 ( sobekcm )
Classification:
W 79. 12/5 ( sudocs )

Related Items

Preceded by:
Report of the Department of Sanitation of the Isthmian Canal Commission.

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REPORT OF THE DEPARTMlENT OF HEALTH OF THE PANAMA CANAL FOR THE MONTH OF JANUARY, 1916 CHASE. F. MASON Lieut. Colonel, Medical Corps, United States Army Chief Health Officer, Balboa Heights, Canal Zone W ASHINGTON 1916

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CONTENTS. Page. Letter of transmittal.,. 5 General remarks .5 Vital statistics: Health of employees .5 Health of residents of Canal Zone .6 Health of .eiet of the city of Panama .6 Health of reiet of the city of Colon .7 Hosital division: Acon Hospital .7 Board of health laboratory .7 Insane department .8 Chronic ward .8 Colon Ho p t l. 9 Palo Seco Lee Asylum .9 Santo Tomas Hsital .9 District dip n a is. 9 Sanitary division: Canal Z ....-------------. .---.----.-----------9 Panam a .10 Colon. .--------------------------------10 Quarantine division: Panam -.-.-. 10 Colon .10 Statistical tables: Table L. Admissions, deaths, and noneffective rates for emnployees; deaths of residents of Panama, Colon, and the Canal Zone .11 II. Deaths by aecr, and sex .13 1. Detsb atoaiy .o. 1 IV. Deaths ofwhite Americans .14 V. Causes of deaths of employees.--. 14 VL. Causes of deaths of civil po]uaion (employees and nonemployees) and military and plcswhere chargeable .15 VII. Adamissions and deaths in th hospitals of the Panama. Canal. 18 VIII. Consolidated hospital report .30 IX. Consolidated dispensary and admission report.32 X. Employees: Constantly sick and noneffective rates per 1,000.33 XL. Empoye: Days' treatment per admission, hospitals and qu res. 34 XIL Financial statement .34 XIIL. Ancon Hoptl. 36 XIIV; Colon Ho.t.---40 XV. Palo Seco LprAsylumm. 42 XVL. Santo Tomas Hosptal .42 XVIL.Sntr work done in Canal Zone, Panama, and Colon .44 XVIIL.Qaatn transactions .46 XIX, sse of quinine.--.-.-.-.---.--. 48 XX. Personnel report. .48 :8

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LETTER OF TRANSMITTAL THE PANAMA CANAL, CANAL ZONE,, HEALTHIDEPARTMENT, Balboa Heights, February 10, 1016. Lieuf. Col. JAY J. MORROW, Acting Go-vernor, the Panama Canal, Balboa Heights, Canal Zore. SiR: I have the honor to submit the following report of the operations of the Department of Health for the month of January, 1916. Very respectfully, CHAS. F. MASON. Chief Health Officer. GENERAL REMARKS. No cases of yellow fever, smallpox, or plague originated on or were brought to the Isthmus during the month. VITAL STATISTICS. EmpiLoYEES. The health ol~the employees remained good during the month. The nuber of -names on the rolls for the preceding month was 31,223. The total number of admissions to hospitals and quarters was 828, a rate of 318.23 per thousand, as compared with 307.23 for the preceding month, and 332.87 for the corresponding month of last year. The total number of deaths from all caused wa.s 17; of these 13 died from disease, or 4.99 per thousand, as compared with 5.01 for the preceding month, and 4.38 for the corresponding month of last year. The conStantly noneffective rate was 10.34, compared with 10.31 for the preceding month, and 10.1.1 for the corresponding month of last year. The total admlion rate for malaria, hospitals, and quarters was 18.83, compared with 26.11 for last month, and 56.94 for the correLaponding period of last year, and the total noneffective rate 0.71, compared with 0.88 for last month and 1.15 for January, .1915. This is the lowest ylmimion rate for malaria ever attained on the Isthmils; it is less than one-third of the rate for the same month of last year, which in its turn was lower th an for any previous January.

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Malaria caused 6 per cent of all admisdous tonsji Seven per cent of the total noneff ecfwaie ~a The diseases next to malami ciaing the 404'", nA in the order of their numeric-al importance wero diseases of the nervous system, respiratory ytm system. These five classes of 'dioeaaes ca.se fpe c admissions to hospital. The admission rate for typhoid fever was 0.38 s compared" 0.36 for last mouth and 0.00 for the corresponding mont444' year. A EFFEmT o.P RAcE. The admission rate to hospital, and the death rate lor dsa black employees were 131.29 and 5.39 per thousand, asc with 396.91 and 264 for white emnplo.yie. Tbhe nonef etivp for disease and injuries for black. employees per thousands. as com~aparoed with 19.25 for white em loyees. .I The admision rate to hospitals=nquarterm or malar was, per thousand for blacks,' as compae with 50.27 for whites. ; The death rate for Americans was 2.81, and the admission hospitals for disease was 206.39. The admission rate for hospitals and quaters was 42.19 for Americanm. S DEoRTATIoNs. There wsone deportation accomplished during the month, a employee, native of _Denmark, Charity patient; diagnosis, c malaria and uncinariasis. CANAL ZONE. The population of the Caal. Zone is 31,739, among whom ther4 a total of 32 deaths; of these,. 27 deaths were from -diseas, gi rate of 10.20 per thousand, as compared with -13.29 for the pe month, and 13.72 for the corresponding month of Just year. total deaths from disease the percentage under 6 year of age vf"" agl compared with 49 of Lat month. There were 61 births reputed, giig a rAte of 23.06. per Of these births, 12 w fwhte: and 49 of colored children. were 7 deaths of children under I year of age, all colored; an infant mortality of 0.00 for white and 143 for colored with a general average of 115. The percentage. of stillb total births ws3.28. PANAxA CITY. The population of the city is 60,778, among whom there total. of 144 deaths; of these 140 deaths were from dsae rate of 27.6.4 per thousand,. as cmpared With 31.01 for t449 month and 33 for the correpnding month of last yewa total deaths from di~see the percentage under 5 years of compared with 51. for last month. The principal showing an increase as compared witb Decembestyore: compared with I for the preceding month; diarrhea

PAGE 9

15 compared with 9 for last month; and organic disease'of the heart 5, compared with 4 for the mont of December. e were 165 births, givi g a rate of 32.58 per thousand. The percentage of stillbirths to to births was 8 per cent. COLON. The population of the city is 24,693, among ihom there were 86 ~ta of paint. rat hop41.31 deaths;o Ithese 85 deaths were from disease, gi' arteo 13 per thousand, as compared with.24.13 for the precedvng month and 21.27 for tbe corresponding month of last year. This is a very largp increase in the death rate, but it is probably temporary and accidental, as it is all in the realm of chronic diseases, as is shown below. Of the total deaths from disease the percentage under 5 years of age as 42 per cent compared With 41 er cent for last month. The principal causes of death shwn an increase as compared with December were: Tuberculosis of telungs 11, as compared with 8 for the preceding month; Bright's disease 12, as compared with 4 for the month of December; Ipbar pneumonia 7, as compared with 3 for last mouth; and organic heart disease 6, against 4 in December. There were 67 births reported, giving a rate of 32.60 per thousand. T'he infant mortality was 386 per thousand. The percentage of stillbirths to total births was 7.69. HOSPITAL DIVISION. ANcoN HOSPITAL. During the month the average number of patients constantly in hospital was 472.69. The per capita cost of patients in hospital proper was $1.8843 and $0.9223 net. The net per capita cost of patients in the insane asylum was $0.4139. BOARD OF HEALTrH LABORATORY. The following work in addition to routine was performed during the month: Observations on the eggs and larval stage of the cockroaches Sof.Panama. Rearing of hymenopterous parasites from the eggs of cockroaches with observations on their bionomics. Studies on the larval stage of the horseflies, Tabanidae. Experiments with the hemipterous giant water bug, Belastonm sp., with regards to the destruction of mosquito larvae. Continued studies on the screw worma fly; Cochliomyia desvoidp,.to determine the effect of high and low temperatures on theilife cycle, "and experiments conE ducted to determine the depth necessary to bury the larvae to pr vent the emegence of adult flies. Observations on the oviposition of the soldier fly, Hermietia illu=8n. Identification and separation of Manmonia and W yeoyia from other genera of Culicidae, because of the diftence in the r breeding habits as compared with other mosquitoes.

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Tryanogoma hppictr UM,(SA 4d Ufutrik two more horsea from Peemrai, Repuu*i o6 A chemical lexsmination, wi'v aezl w which were alleged to, hate produced, WickAM isolating any toxic aul tance rgp'Ahi or"mra tion was -supplemented with feeding exprmnt The remults were negative. Six comparmsns were made of ae-veral pooo~ mnn fiat in tiasue in order to, secure a mejbdo of fit '"livers in certain conditions found 'Autoe Out of 5 440'Anopheles mosquitoes which were -awwu Ao h ratory for lidentifici~on from all parts of the Canal *Z066 SH albimanus except 4 pseudo-punictipennis, 6 milefc't "Y, Of 6,841 other mosquitoes sent in for identificatitm; I ,7 Mansonia and 81 Wyeonyw. INSANE DEPARTMEN T. Duigthe month there were 14 adminsions, 7 4 deaffhs. Two of ,the discharges and two admimsions eofAMcases .sent to Ancon HospitaI for: Burgcal treatment, and re to this hospital. in sae month. The am of typhoid fever which was reported last month-i' person of a female patient who had. been in the asylum' months wstraced to another female patient in the same vajd was found to be a temporary carrier. A second case in the ward early in January wstraced to the same carrier. .Since carer discovered. there have been no new cases, Work about the grounds has been consistent and sieady wi1th re sult that the grouds show a grat-Ifying appearance. Several minor improvements have beenestablished in 0 ward such as boxes f or soiled linen; and closets f or M 0Psi and scrub rags. The general physical health of the patients -remains good FA RM. On the third instant a number of came of failk Poionng among the persons using bottled Milk from the far= da;VYr symptoms were those of gasftro-intestinal irritation Mb4t cmwere among children. Thecaume of the ouibriiik-I under investigation. CHRONIC WARD. Ther were 27.26 chronic and incurable patients cn for during the month. The cost per patient perdy a Detailed statistics are shown in-:Table XI1L '.

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COLOW HoSPIALa. The average number of employees constantly sick was 21.75. The average number of days' treatment per empoye was 7.60. The per capita cost of patients was $2.52 gross and $.78 net. Detailed statistics are shown in Table XIV. PALO SEco LErpEN AsYEum. The number of patients under treatment a the end of the month Was 57 as compared with 58 for last month. Detailed statistics are shown in Table XV. SANTo TOMAs HoSPITAL. During the month a total of 1,360 patents were treated, 108 less than the preceding month. The diyaverage of patients in hospital was 438, as compared with 462 frDecember, and the total number of hospital days was 14,190, as compared with 14,326 for the preceding month. A total of 84 deaths have occurred with tuberculosis, organic disease of the heart, congenital debility, and broncho-pueumonia the chief causes in the order named, Detailed statistics are shown in Table XVI. DISTRICT DISPENSARIES. The dispensary having the highest admission rate for malaria was Pedro Miguel, with an average weekly percentage of 0. 15; that having the lowest was Cristobal, with a percentage of 0.01. Detailed statistics axe shown in Table IX. SANITATION-CANAL ZONE. The dry season has become f ully established, and the work of construction and repair of waterways has been begun in all the districts. Banks of small ponds are being cleared off and ditches Cleaned, regraded, and tile is being laid; and ditches which wash badly during the rainy season are being lined with cement. Grass cutting is in progress in all the resident districts and many areas which have hitherto required cutting by sce are being cleared and graded sufficiently to permit the use ofa mowing machine. The progress of these measures will facilitate the work and reduce the cost of maintenance during the next rainy season. The general health a-nd malarial rate have both been satisfactory during the mo-nth, the average weekly percentage of employees excused for malaria being 0.05, as compared with 0.07 for the preceding month. The following communicable diseases were reported during the month: Typhoid fever ...3 Tuberculosis .;. 20 Menies .7 W opn cough. .2 Mumps. 3 Dysenter .,. 2 Diphtheria ....--. 1 Detailed statistics are shown in Table XVII. 2904A6-16--2

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SANITATIO0g The following com nise diseases *ce e month: Berbei-. .--.I Tubza Whoo f .-------.3 1 2 S .---. --.I. Typod fevwr German mea .:. A"d Ad de.ale .------. --. 6Dip t ei .. <2deken pox., to (1 xc; n (2 not chargeable.) deah.) Tuberculosis, pulmonary. -.--22 (19 deaths;. 8 not chargeable.) Detailed statistics are -shown in Table XVIL SANITATION-COLON' The followingcommunicable diseases were'Teported d'r month: Me se ..20 aa ia .. Mu p ..2 D p tei 1 SPostive. Detailed statistics aeshown in Table XV1I. QUARANTINE DIVISION. On the Atlantic side 37 inspections of, s.Aling vessels were for the purpose of ascertaining if mosquito-breeding ples isted on board in water containers. Three breeding pm4 found and abated. Sixty-four inspections of vessels al were. made for the purpose of ascertaining. if antiplagae i were being carried out. 'The. usual quarantine and relations were enforced. On the Pacific side at the quarantine reservtion suitshle were Installed at the gates of the reservation and on the pr.A street lighting system was installed and -put *nto, tion by the electrical division. Grass cutting and general el up of the station grounds were completed during the mohthR Plague conditions on the South American coathave A p roved, and forthe last two weeks of.December the rT Guayaqui, Ecaor, geves a total of 82 cases re deaths. -Yellow fever to also prevaleni in this this time of Fieasonal recurrence. Yellow (ever is epidemic in Buenaventura and vcn reported particularly in the towrA of Caldas, which, Hiea way between Buenaventura and Cali, be ro kiometers from each town. ,-We understand ne the Interior coming. down' to. the coat -for 6mabara brouht down in speal trains during the datMe"" And ticalf very little time in Butenaventura rthie yel

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Sconm derable increase in the number of stowaw fromrsouthenports has been noted, yrbbly due to lack of v 1,ne of slbips' Officers ini making em prior to -departure from their various pwts. IDuring the month three soa escaped from the quarantie sat ion, aad hae anot-been apeended. One cabin pas;wnge also escaped during the nigt of Jnay25, was arrested b the police the following morning, and was later sentenced in 66 Bal boa mag(,Istrat 's court to a fie of $25 and to serve a seneneof 2 0 days in Prison. He appealed to the district court and was relea ied on $125 cash bond. d No qu: xantinable diseases were received at our ports during the m Qnth. TAwLE LADMISSIONS, DEATHS, AND NONEFFECTIVE RATES FOR JCPLO YEES; DEATHS OF RESIDENTS OF PANAMA, COLON, AND TECANAL ZONE. ABSOLUTE NUMBERS. A dmissions to hosDeth.oneffective pitals. Das. from sickness. Number of -color. emTt ternl Total. tern al a #Y1, es. otaL ewe.causes. es.causes. traed one. January, *zwhite. 4 5 150 114 36 1 1 .0 87.34 Colored. ..26, 8 22 201 91 16 12 4 7,333 236.56 Total .31,223 442 315 127 17 13 4 10,041 323.90 Doaember, White. 4,52 107 85 22 1 1 .2,568 82.83 Cohwred. .tap, o2 327 254 73 16 13 3 8,150 262.90 Total. 33, 551 434 339 95 17 14 3 10,718 345.73 .~r JYanuary, white. 4,903 183 155 28 2 12 .3,057 98.62 Cotored. An,71 423 327 96 15 11 4 8, 107 261.50 Total. 35,618 6W6 482 124 17 1 6 114 360.12

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TABLE L---DMISEIIONS DEATHS, AN* ON UCIi 4kw EmPLOYERS; DEATHS OF REUIDUT rxww THE CANAL ZONF--Cautinued. PROPOR"IONATE v im. Adwaisions to-hos-D ber of Color. em. ployToa. Di tens Tota DISten Daysxaw Januay' White. 4, 3 396. 91 301.65 95. 26 2Z 04 2.64---Colored. .26, 68 131. 29 9.37 40. 92 7. 19 5. 39 L.80 Total .31, 223 169. 88 12L.06 4&.81 6.53 4. 99 1. 54. s December, 1915. White. 4, = 283. 88 225. 51 58. 37 2.65 2.65. Colored. .29,03 .3518 105.00 3(L.18 6. 61 5. 37 1. 24----.006 Total -33,55 W55. 22 121.25 33.97 6. 08 &.01 1.6 ------7 January, 1915.White. 4,903 447.89 379.36 68.53 4.89 4.89. Cooe.-3,715 16.5.25 127. 75, 37.1501 5.86 4. 30 M%.5SA6 Total.35, 618 204.17 162. 39 41. 78 5 73 4. 8 1.35 .1O&.fi Deaths. Annual average per 1,p00. Place. puTotal. Disease. Cue.Total. Diso E January, 1914 Paam .60,778 144 140 4 -28.43 27.-04 0.6 Colon .24,1693 86 85 .1 41.79 4LS1 CanalZone .31,739 32 27 5 12.09 10.20 L Total. 117,210 262 25281025.80 1 December, 1916. Panama .60,37 161 156 5 32.00 SLO-1 Colon. 29 331 60 -59 1 24.,54 214.13 Ganal Zone ...345, 38 35 3 14. 43 11 29 Total .21= 29 250 9 25.82 24.734 Janury, 1915. Panm .60,M7 169 166 U N 3& 0 Colon .29,33 56 52 4 22.91 IL2 Canal Zone .31,48 39 36 3 14.87 132 Total .121,184 264 2541 JO 6.14 2.1 SAnnual average per 1,0M0.

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2 a 813 TABLE I-DEATHS BY AGE, COLOR, AND SX White. Colored. Yellow. Total. SAge. SM. F. Total. M. F. ;Total. M. F. Total. M. F. Total. Under 1year. 4 1 5 50 33 83 ...54 34 88 1to4 years. .1 .1 16 17 33 ...17 17 34 5 to 10 years. 1 .1 1 2 3 ...2 2 4 11 to 20 yewrs. ...5 1 6 ...5 1 6 21 to 30years. 1 1 2 26 17 43 .1 1 27 19 46 31 2to40 years. 7 .7 17 13 30 ...24 13 37 41 to50 yewrs. 1 .1 11 8 19 ...12 8 20 51 to60 years ....8 6 14 1 .1 9 6 15 61-to 70 years ..1 1 3 1 4 1 .1 4 2 6 71 to 80 years ....1 2 3 ...1 2 3 S 81 to 90 years ....1 1 2 ...1 1 2 N ot stated ..----....-.-. -. ..--... Total. 15 13 18 139 101 240 3 1 4 157 105 262 TABLE III.--DEATIHS BY NA TIONALITY. Nations. Employees. NonemTotal. Ployees. Antigua .,. --.-3 3 B arbados.--.-.-.--.3 42 45 China .-...-.4 4 Colombia. .12 12 Costa R ica.--.-.-.--.---.--.-1 1 Curazao1. .I1 D em erara....---.----.-. 1 1 2 D omm n .-.-..-1 1 Grea da. .-. .-.---. 3 3 Guadeloupe. .1 1 2 Hondurs (Spanish). .1 -. I Haiti -.-.-.--.-.-Italy .. J ma ica .-6 80 86 M artinique.,.-...-6 6 Peru ....2 2 SPanama .2 7 2 74 Philippines.,...-I .......................3 3 Sr. L ci ......--. .2 2 St. VinWn.,. 2 2 4 Trnidad ..2 2 United States .1 3 4 Unknown ..1 1 STotal .17 245 262 -' 1 ~>--~* * +.+ *1*

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TABL IV.-DEATH RATE A]KONG *~t0N C.o INNEC4RD WITIETRE PANAMA 41 White employees from the United states (4,M0): Disease. ------External causes, .-. All causes.A W iewomin and children from the-United States (3,522) Disease. .........External causes All causes .. White employees and their families from the United Stts(7,791): Dise se .m 2 External causes .. All cass.,. Total number of Americans on the Canal Zone (15,356): Disease ..3 External causes. ..,. All ca ss. ..4 TABLm V.-CAUSES OF DEATHS OF EMPLOY-BE& OF THE PA, CANAL AND PANAMA RAILROAD ().MPANY.Causes of death. White. Colmred T h Disease. Chronic nephritis. ...2 Disseminated tuberculosis... SLobar pneumonia .. Cardio renal disease Acute miliary tuberculosis .... General peritonitis ... Acute endomaditis ..1 Tuberculosis of the lungs .I. .. Dysentery, bacillary ..---Typhi .-fever Organic disease of the heart Cerebral hemorrhage Accidental drowning Dynamite traumatism. .m .. Accidental traumatism, quarry ... Total. ..1

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151 TA=a VL--CAUSEB OF DEATHS OF CIVIL POPULATION (EMPLOYEB AND NONEMPLOYEES) AND MILITARY AND PLACES WHR E CHARGEABLE Disases. Pa Cl.Ca l Total. nia. Zone. General diseamms Typhoid fever .,. -.--. 4 1 l aria fever, eachexia ..1 ..I .1 EDI p Qhor up. Dysentery ... Dysn ,r bacillary ..2 s. 2 T t n s.1 .. Pellagra ..-. 11 Beriberi ..... Tuberculosis of the lungs. 14 11 1 26 Acute miliary tuberculosis .3 ..3 Tuberculosis mening is-..-. ----.---.2 Abdominal tubercifoss -.-.-.I.-.-.Disseminated tuberculosis .81 .9 Sypils, erOd not stated ... -anrad her malignant tumors of the buccal cavity .3 ..3 Diabetes.'. .. Anemia, primary, pernicus. .. Other gnrldiseases .1. Alcoholism, acute .1 ..Diseases of the nervous system and of the organw of specialsense. Simple moningitis .2 ..Pneximococcus meningtis ...1Cerebral hemorrhage, aolx y. 1 1 2 4 Paralysis without spe ~ cause .1 ..----1 Epileps ..1 .Convlsins (nonpuerperal) (5 years and over) ...1 onvulsions of infants (under 5 years of age) ..1 2 Disewses of the circulatory aijstem. .Acute endocarditis .2 .:. 2 Or m' diseases of the heart .56 3 14 Ak osclerosis ... L Hemorrhage; other diseases of thC circulatory system ... Dinumse of the respiratory system. Acute bronchitis.:. 7 3 .10 (2hranic bronchitL% .1 2 .3 Bronchopneumonia .11 3 2 16 .Peumonta (unulified) .4 1 .5 .]Lobar pneumoi .3 7 1 11 .lta 2 0 r y. .1 .. .A sthm a...-.. ..Pulmonary emphysema ... *1

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TAL VL--CAUSRS 00 DEBATHS OF dV][LP0MP*0NA ES AND NONEXPLOYEE8) AND MILITARY A"D CHAR GEABLE-Continued. -diseases. C4l0n Diseases of the digeative 4yWtm Diseases of the mouth and annexa .I.-.--Acute indigestion. ..--.-. Dirhaand entWrti (under 4 yers. 5 Colitis .7 2. Hri, intestinal obstructions. .---. --. -Intestina obstruction.-. .-.---._.-.-Cirrhosis of the liver .I 1. 2 + Simple peritonitis (nonpuerperal). 2 Nonvenereal diseame of the genito-urinary system and-annz. Acute nephritis .,I. .2. Bright's disease (chronic nephritis) .7 12 221 Other diseases of the kidney and ...2--Diseases of the urethra, urinary absew. eiti;. .. The puer peral 8tate. Accidents of pregnancy.-.-. .----Abortion. .....1 Puerperal e nrht. ..1 P rprlabmn i and convulions .1 Eclampsan. !. 1. Following childbirth (not otherwise defined) .... Dhwes of the 8kin and cellular isUew. Gangrene ...... Malfrmtion&. Congenital malformations (stillbirth not ineluded) .;. ... Disases of early infamcy.Newborn child ..|. 2 Congenital debility, icterus, and scerem ..1 Premature birth ..6 1 1. Congenital debility .3 -------Malnutrition. m. 3 4 1Y Other case peculiar to early infancy (including various consequences of labor) .-. 1 1 1: Affection produced by external cae. Siie by poisoning. .. Bun (conflagration excepted) .: Accidental drownhif .... Traumtism by firearms. 'Traumatism by fall. .. Tratumatism by machne. Dynamite traumatism. 4. .2 Homicide by firearms

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17 "LA VI.-CAUSES OF DEATHS OF CIVIL PO PULATION (EMPLOY BRAND NONEXPLOYEES) AND XMITARY AND PLACES WHER CHA RGE ABL E,-ontinued.Pans-es Colon. CnlTotal. I~epma. Zone.es 11e d dbr o i ..I ..1 Caue f &s~rnopcifie or ill defined .7 2 .9 M~wonsofundtumin o!&. .I .I total .144 86 32 262 Stlbrh .13 6 2 21 Grand total .157 -92 34 283 20046--

PAGE 20

TAaR VL la T Enmployess. we AdAids.: '.Deaths. AdiI Diseases. IWhIte. WhItc. White. W V Tyhoid fever ..... M a aria ........................... Mulariaf i fee: Estivoautumnal.:. J 3 3 .18 .J. .11 3 4 Tertian .J 1 1 2 ..3 1 4. Cln ca ...2 .9 ...7 2 1 Vaccinia ...........1 ...... Measles .1 .J 9 ....1 9 Diphtheria and croup. -..--.-...2 Inl e z --. -.-.--.-.2 -.5 ...1 2 ... D ysentery. .---....... Entemoebic ..1 .--. -. ..-Bacillary .-. .......1 .. Erys~pela ........... Ch ck n ox ........1 ........ M u p .-..-..-.-.J 3 -. ..2 2 2 .... M altagerver ........... Pellagra ............ Beriberi ....|. ..... Tuberculosis of the lungs. -..3 ..1. 1 2 5. 1 Acute miliary tuberculosis ......--.-.-Abdominatuberculosis. .,. .... Tuberculosis of the lymph glands. .....--...........2, D ISSemiae tab ercmu'lO sis ....... Syphilis: Secondary ..2 ...2 Tertiary ..1 13 .. Hereditary ...2 .. Period not stated. Gonocsu infection ..... Gonorrhea. ..1 2 8 l. .9 1 2 Gonorrhea ---r---. -. .1 | 1 -. .., Gonorrheal bubo ...-. ......-',1 Gonorrheal orchitis, vand epddymitis ....3 ...I Sotchancre ..I C..7 ...14 2 AdenitlsZcacrial ..1 ...Cancer and other magnn tumors of the femlgetal organs .... Other tumprs (tumors of the feal genutal organs excepted). .22 ....

PAGE 21

THE. H:OSPITALS OF TIE PANAMA CANAL. Colon Ho>spital. Total. Em ploayees. Nonemployees. Employees. Nonemployees. Deaths. A -DeahDeaths.Dah. W. .W W. W. W. W. W. P4~~ P 1. 7. .............--.-...1 ........2. .........3 1 2 .......3 ....2 .91 ...7 5 --..................--. ...-...2-----1 -16 ...1 11 --.......1 2 5 .....1 1 .......I .... ............4 ...2 2 2 ............................. ............3 ..1 2 5 --................-..............-. .......... .~~ ~ ~ ~ ..................2 1 ... .....2 ...6 1 2 ... ...........1 13 ......5 .. .............2 ----.--I -------.~ ~ ~ ~ ~ ~ ~ ~ 1 ................1 2 1 .........2 1 ..

PAGE 22

++ + ;ct ariua remts Anm swnay ( Se ten an fteogmo spca ; ;e Pneu oc~usm ningtis. .......;; Ceerlhzorhgxao -----------..... Pailyi ; ihu sp lix ca s 1. .................. ;eea paayi x h n Sam .;. Ote fam fonaaix a tio .................................. Ne rii ++. ........33 --Ote ++.ss fte ev O U y t m ........------4 Nerath n a .2 .. Dieae of hee n their ~ ~ ~ ;nea. 6 .. Diesso h as. ---Di~w of .h icltr aterma anuym An urs .... Areisceoi ;. Diea o heven va l hew-ho;s pheb

PAGE 23

21+ tZ.H+IL OF TH PAAACAA-oniud Colonx +optl To.l Employ+++ Noepoes mlyes oepoe sions.n >sita. Tiont son. W. W. W. W. W. W. W. 4 r4m o o r m M .....-------..... ............. ---------------................ ....................... .~~~ .............. ...... ..2 ..... ~2. ...... .........2 .... .~ ~ ........--5 ...1 ..~~ ....... ....2 ... ............

PAGE 24

T AWL4 VII.-SH WNG jig ( Anion llospW.a Employees. Nnmlye A dd idsi -a-. Dostlis. AdMissions. D"40 -,Diseases. white. White. White. Wine Diseases of the circulatory system-mContinued Hemorrhoids. .I .... Varicocele. -.....1 Diewof the lymphatic sytom (lymphangitis, 4 et .......... Lymphiadenitis ( ..vene-real) ...1 ..2 .-.-.2 2 --Diseases of the respiratory 8ysten. Diseases of the nsl f.sM -. 2 .-. .--.----..---Myiasis of nad fossw and sinuses. .......tll Laryngitis. ..1 ...... Acute bronchitis ..| 1 21 ...7 6 -,Chronic bronchitis ...1. 2 Pneumonia (ninqualifted) ..........1 Lobar pneumonia. .1 3 ...1 3 .. -Pleurisy .3 .3 .....2 ." 1 0Asth m a .....1 .... Absces of lungs ........----Diseases of the digestive systez. Diseases of the teeth and g---. -. -. -. ...2 .a ...2 1 t ma ii .-. .........m. .. DMeases of the pharynx ......3 4.5 Follikula tonsilitis .3 ..8 1. ..5 2 5. Ulcer of the stomach ...... Othqr diseases of the stomnach (cancer excepted).1 ..... Acute gastritis. ...... Chronic gastritis. ........ Acute indigestion ..I ..1 4 Diarrhea and enteritis (under two years) ......... 001itis. ............. Diarhea and en teritis (two years and oe) .---.---1 Ankylosl0miasis

PAGE 25

x x + *2+ --.,H HOPTL V THE .ANA ..ANALC.tnued Colon~ +:pial Tota+ Adis -d' Dets+Ams Deats. Daths Adm' Deth# sins slns ++n 3 V3 xA t oo tLTtl DAh. A 0h A D0ts A NDeaths 0Pq001 ...... ......1. ....---...............2..............2 ......2 .. ........" .........2 ..2 ..-2 ....3 .... .........T *i'i. .1 ......2 7 7 ..4 ....1 1 3 ..-.................. .....................-.-.-. -.--.--------2 1..................-34 -5 .-.-. -. ..1 .....i ....3 .8 ...5 2 1 ~ ~ ~ ~ ~ ~ ~ ~ ~ ............1 ---------................3..I -e.

PAGE 26

.... .... -Muvoluim) IOUK4 olqmnfl ..... 9 ----------71 -Uou) G2vqjjouwqau mft ......91WOJI)AH ..f, -stralo tulpw Or= SOSSOMPlggJgUaAUDX ...... ...cqo ismaqu Sxgu wqjqm9qjjosoqqm -!M ...* .smnao .........jappglqoql jo 90swga -7 .-, .m.,Esam -nd &JW4.IU M 10 qWM spo u-opsa .......--imum pU9 SOUPT31 Oquo sagunip JORIO .I:..V ---1. .(9r4uqdsU aluojqo) asvwj Ifqqpjj puv with 4-Imps-opwif ovs /a 82OWSIP ImiquamAr 7 (1910dlMd gWjW OjdUr!S ....--11041 1;,o 8 M)o GDSWS!Q --------------k .......Jam M jo goggesm. Jgq4o ....... ....... -----......mrn rumpou(I ....-"*""-"UOn@djjSWD ...---.S910 s -R"Ul em jo MUDRP aoqlo ...4 ....UDI-.pn.1[4gqo pw!I.F;nuj[ .supmg 4. .... -Otu4sqo ISU.4snu-T, wumn 04 ..' .....qjW toadds ofuojqD .........Puedde QqTWV *Pouuyluoo---,Wpst 24OW&P OW fO IMMSIa cr w I td M '94TqA&. Wq& '**pFpvpT -sirma w EUPV .....

PAGE 27

TffX'.CLSrITAL8 6FP THE PANAMA OANAL-Continued. Colon HoBspital. Total Eployees. 1Nonemp loyees Employees. Nonemployees. -~~ t9 DeathsAime DeathsD.ts eah sons. s ons .sions. sions. W. .W W. W. W. W. W. W 4 .32 4 2 .... ..4 .........1 5. .2 ... ...1 .... .1 1 .5 ...1 ... ..................... ........2. ....... ...1 .... ......1 .... *-l .........5 ..

PAGE 28

Diseases. White. White. Whft. Noneneeal diseases of the genito-urknary system and antexa-Continued. M er ti ............1 Cysts and other tumors of the ovary ....t. ... Salpingitis and other disessof the female genital organs. ....... The puerperal state. Normallabor ...-. ..----. -.-.--. 17 1 Accidents of pregnancy. ........ Extra-uterine pregnacy. .....-. ..-.--Abortiqn. ....------... Puerperal hemorrhage ..I ...... Other accidents of labor ........ Puerperal septichemia ......... Diseases of the skin and of the cellular tissue. Furumnl .I ........ Carbuncle.------.-.---.*. ...I ... Acute abscess .1 .3 .1 2 Phlegmon and cellulitis. 1 1.2 2 1 Elophantissis. .-.' 2 ........ Dhobie itch .1 ..3 1 2. Ulcer of the skin. ..Ingrowing nag .3 ...4. .3 Other diseases oF the skin and annexa ....4 1 1 -Diseases of the bones and of+ the organw of Woomation. Diseases of the bones (tuberculosis excepted) .I ..2 ... Mastoid abscess .......,. Arthritis ..1 2 ..--.-a Amputations ......-------Other diseases of the organs.of locomotion ....4 3 + + A

PAGE 29

* 27 TUB ; O-SPIALS 01 THE PANAMA CANALr-Continued. C(I H1 ospital. Total. E p yM .Nonemployees 'Employees. Nonemployees. A~ma-Deaths. Ad sDeaths. Adms Deaths. Adms Deaths. W.W. .W. W. W. W. W. 5 1. ............. ................... ~~~~~. .....--.~ ~ .......................... ... ................................... 1 ~ ~ ~ .......... 23 .. ...........-....4. 1 .3. .1 ..........2 2 1 2. ..........w. .2 ....I .... ...............4. 1 ...2 .*. ...... ..............

PAGE 30

TARIX VIL .-"8HO wd A I .JA~jploye AdisiogeDia dve41W Whit whiw. 4 r to M, Malformations. Co mental malfrmations (stlbirth not included). ......1. Diseaseg of ewrly infAncy. Newborn child ........J 16 a malnutrition ........2 2 Affectiovs produce by ezterPoisoning by food ...1. ... Other acute poisons ........ Snake .ite ...1 Bums (conflagration excepted) ..12 ....3 Trafumatism: By firearms ........---By cutting or piercing =srMents ..---. -. -. By fall ...9 ...13 2 3 In mines and quarri.s ..I .-------By machines ..1 4 ...-By other crushings (vehies,railroAds~landslides, etc.) .3 2 12. Ralodtraumatism.-.4. ... Dynamite traumatism. ..2 ..----Traumatismbylan, e des ...3INuries by animals .... Fractures (cause-not speciRied) .2 ..3 ..-. Dislocations .-. 2' .... stra wn ....2 .3 ...... Other etra iln .5 5 15 .. I-defined diseases. Cause of death not specified' or ill-defined ..1 Infections of undetermined origin. .I --.-----No disease .5 1: 2 --71 '%Dtal.-. 85 i:8. 1 7

PAGE 31

9Q1 SROSPITALS OF TEIE PANAMA CANALe-Continuid. -Colon H spitel. Total. 1HpoNe. 1onemployees. Exuployees. Nonemployees. Aibri'Deaths. Ad tDeaths Ads Deaths Aw Dsh .W. W.W. .W 2 .-, .~ ~ ................18 ..-. .1. .....2 2 .. ........-. --. ..e ......2 -....-. ..-. ........... 2 ....--.-----2 1 40 ....-.. 1 4. ...........0. ...51--. 2 5 ........--. 2 -1 1 ....3 -1 4 ---14 1 ..--. .-.-.-. .2 1 1 ...3. 2. ..1-......--. -------.3 2 2 .......--. -.4 ,. .......+ .~~ ~ ~ ~ -. .............I. ......--. .....3 .......... .....I. .........1 ......... ........2 .4. ......-. S 1 ..,-. ...-. .-. -.2 1 4 ......+. ..-. .--1 -. ---.-3*2 ~ ~ ~ .-. ----......... 1 ...5 1 2 ...4 18 8 -. 11 55 .-t 3 34 37 1 1 3 Ill139 2921 1 1. i176,231178 2 23

PAGE 32

tt44 TABLE YM L A.I 3B.1 A. .B ANCON HOSPIAL. PaaaCnleployees .18 7 117 74 28 5* 1. Panama Railroad iomploye. ..5 1 75 It 8 --1-Papaa pay patients ..1 Other pay pattents. 93 18 48 263, 75 13 2 2 Charityk pat ents .-. 9 4 41 IT 29 Total. 125 30,282 367,2 69 3 Insane dqpartm .-Fanama Canal employees ....5 10 Panama Railroad empioyees. Panama pay pttenU ...g 18 3 6 Other pay patents .8 1 5 1 2. Charity patients.--. 4 4 45 Total. 12 28 228 1 4 9--4' Grand total. .137 '58 510 368 116 378 .3 23 Orozal farm. ranama Canal employees ..11 45. Chronic Ward. Charity patients ...26 ..2. COLOW HOSMA. F .Canal employees .1 .5 14 10 25. Panama Railroad employees ..1 10 12 1 30-----1 Panama pay patients ...2 3 16 Other pay patients .6 5 5 17 11 14 1 .1' Charity pat ents .13 .1 1 3 '74Ttl. 10 6 22 41 28 42 PALO SEC LEPE ASYLUM. Prnm pay patients ..3 35 .12 Charity patients.--.-. --. -. -2 18 .... Total ...5 53 .1 GRA TOTAL. Pan~ama Canal employees .19 23 177 88 81 Pa a Railroad smployees .!. 5 2 88.,23 1 111 'Panm pay ]ptents. .., 21-202 2 7 2 Other pay tents .10724 58 281 8719 3 3t Charity pagents. I. 16 10 131 20 11 '8,,. Total .47 80, 414 4 SA=White Amians;W F-Whtt forakgnar, -bw

PAGE 33

HOPITAL PORT. Average number constantly sick. Dishared, Tansened.Reaining 4 Jan. 31. ---Black. T'otal. A, F. B. A. F. B3. A. F. B. AmrF ein 72 21 140 .1 19 14 126 24.20 13.30 117.09 154.59 3 .78 ..1 3 1 74 5.45 1.00 70.00 76.45 ..1 1. .-. 1 ...16 1.71 1.87 2 46 86 1 1 .110 44 52 107.84 39.35 50.36 187.55 6 5 .31 ...12 6 35 ..6 3.0 .2 S 72 335 1 2 3 144 15 288 147. 12 49.41 271.16 472.69 ........5 11 .D. 00 7.64 12.64 .....3 ..3.00 3.00 2 ..2 .1 63 .,. 9.8 167.26 186.64 ...9 2 5 .9.00 1.10 4.30 14. 40 .1 ...4 4 44 .4.00 4.00 44. 39 52.39 ...5 ..2 13 32 226 13.00 29.48 226. 59 269.07 3"4 72 340 1 2 5 157 97 514 160.12 78.89 502.75 741.,76 ..3 ....11 42 .11.00 42.4U 53. 40 ......27 ...27.26 27.26 12 5 16 2 2 5 1 3 9 1.67 2.03 7.93 11.63 1 17 4 .14 3 1 8 1.61 1.2 7.29 1.2 ..4 2 3 11 ....06 .09 1.12 1.27 16 8 14 2 4 .4 3 5 i.1 36 46 39 4 3 2 ..5 ....77 .74 .35 1.86 37 17 53 10 9 35 8 7 22 9.72 7.72 21.36 38.80 .~~~~ ~ ~ ...4. ..3.00 34.80 37.80 ......2 18 .2.00 18.00 20.00 ...5 52 .5.00 52.80 57.80 84 26 159 2 2 6 20 .33 188 25.87 31.33 175.06 -232.26 S 18 1 95 4 .15 6 2 85 7.06 2.22 80.29 89.57 ..6 2 4 14 .24 98 .06 22.63 204.89 227.58 259 54 102 3 5 .123 49 62 122.45 1 34.09 59.33 215.87 20 8 35 ..5 16 12 124 14. 40 12.34 127.00 1.53.74 8 89 397 11 11 40 165 120s 657 169.84 102.61 646.57 919. 02 Number of em p10y es remning in hospitals:* W hite ......61 Cokwrd .......273 TOWa ....334-

PAGE 34

PLO M Mi dDa.M-TUI ;I9 ute.osgd erd W.C ..W .W .WC xA Ano .2 *Baba .3 x54 6.29 6 1 15 1 Per iux2 -" 41 -D Pai~o .1 1:1 1 '3 14 Gab. ..... G.:'. ...4 5 45 ; ---;--M.t W. C oa. W .Ttl.W 4" Ano. 49 ,8 511 9 % 394 429 626x,4;" Ga o .7 9 2 32 3 9 5, Gau .1.IW 240136 ,3 9 7 ;34 M -C l n .3 ,0 :4 3 11 l6 6 v38 4 m Toa. ,93 1,9 51157W 661A 5,11 1 28 7 COs3Am Aimsos sor Whl. Com. 'oa. Toa adisin to hoptas ek n Corzal far an hoi ad .7 Toa adisoso mpoest urtr .$79 .W5 Toa .:. ;es Iubrol aietlrnf odbtenhs ;ias ;; rmqata ohsialwo d misosaedpiae maoefgrs 25 No ;disost optl n ur Ne adisin ofepoes optl n qu rtr ++. .........4 9 4 Annual n ;vrg o huado-disoso m plye to hoptl n ures,. 9 1k-7

PAGE 35

TABL IX.-CONSOLIDATED DISPENTSARY REPO RT-Continued. CONTAGIOUS AND INFECTIOUS DISEASES REPORTED. PanCanal .ama. Colo e. Total. Me se .............7 29 7 43 Typhoid fever. 4 1 3 8 Annual average per 1,000 ..79 .49 1.17 .82 umps ..2 3 5 Chicken pox .-. 10 1 .11 Diphtheria .i. 7 2 1 10 Beriberi .;. .I .., I Malarial fever ..2 71 73 Tuberculosis.;. 30 2 10 42 Whooping cough.,. 3 4 2 9 Dysentery .2 .2 4 TABLE X.-NUMBER OF EMPLOYEES CONSTANTLY SICK IN HOSPITALS AND QUARTERS. White. Colored. Total. ospitas: Ancn Hospital .48.95 197.73 24668 Colon Hospital. 6.53 15.22 21.75 TotAl. 55.48 212.95 268.43 Quarters: Ancon .11.38 .11.38 Balboa .8.13 4.71 12.84 Pedro Miguel.,. 1.26 .1.26 Paraiso .1.45 1.00 2.45 Gatun .1 .71 1.03 2.74 Colon. 7.93 16.87 24.80 Total ..31.86 23.61 55.47 Hospitals. Quarters. Total. Average number of employee's constantly sick: White .55.48 31.86 87.34 Colored .212.95 23.61 236.56 Total .268.43 55.47 323.90 Average number of employees constantly sick per 1,000: white .12.23 7.02 19.25 Colored .7.97 .88 8.85 Total .20.20 7.90 28.10

PAGE 36

K illib|MM!& TAai XIARAZLNTTO;TYJ v TESFREC XX$SQ FfX 9P White 9 xA ; ta ;ne ...1 ;oo Hoptlw-;. 4. 49 4 Quarers .......2 9 ;ab a ................74 4 Per Miue ...31 xa s ...22 ;. .....4. ...3 6 .. Co o ;. .................1 4 1 TAL Xl.FIACA TTMN, EATtN FUAT' xx ; +::nstat:n Dee be,:ve br Che ;;lt ofi e .15 2 $ .3x$ 74 **opia diiin Ano optl------------6670 AO 6 3,f Bor ofhat aoaoy. ,1&0 ,2-.S Co o a far -----------++++.1 ., 75 7 4 Cho i war ++-------1.1 259 Coo Hopt l---------.-0 73 1 8 .8 3 PaoSc ee slm. l84 1 1153 ;a t To as Hoptl. .1.0 1 = 6 Meia trhue-----. x04 7 i 0 428D K3,1.4 x1Mj Dititdni;x.-3 t3 Di enais Isla d -------------------.... Babo ------..........1 a O 116 .5 4 ;o o a .......0 3 M 4 Per Miue ;----;. 3 9 5.4X 1 Paas .I.:x. 647 6.2M I C ulebr .....................2x ,abo -----------------178 4.6M Gatu .f4&92 76.1 4W TotoPoit -----------..21 M ar artaPont. ......U Total .............., 4 ., 7 Santar diiin Geneal nsp cto .6000 0.0 Helhofie an .4;09 3 4 "6 ) Stetcenn ..4130 ,8.8 4 Ifat ofie oo ..,8.6 3903 Stee claig----. ,= 6 2 7

PAGE 37

95 Twxt XII.-FINANCIAL STAT EMENT. DEPARTMENT OF HEALTHContinued.Ad iitain December, November, Deember, 1915. 1915. 1914. Zone sanation. -Ancon ..-. $1,695.21 $1,726.58 $1,980.37 *Balbb& .-. I. 1, 028. 44 1,560.94 974.68 Corozal .1317.32 1,373.92 1,610.67 Pedro Miguel .2567.74 2871.18 959.80 Paralso .*.:. ..785.97 Culebra ...846.42 Frijoles .100.65 103.06 123.23 Gaftmn. .2,?771.14 3,452.82 4,547.21 .Cristobal and Mount Hope .2,212.06 2,618.00 1,613.61 Total .25,529.95 29,044.74 23,885.97 Quarantine division: Chief quarantine office .158.08 '382.40 Balboa-Pa a .li 661.15 2.128.02 *olou-Cristobal .2,883.72 3,43.94 Total .-. 4, 702.95 5,854.36 4, 512. 32 REGAPITULATION. Chief health officer.-. 754.92 399.31 717.74 Hospital division ..42,891.31 39,910.14 46,190.83 8s.&.t. 3 140.40 3633.71 3,901.13 ----------. .--. .-. 529.95 28044.74 23, SM. 97 Quarantine division.-. 4,702.95 5854.36 4,512.32 77,019.53 77,1842.26 79,207.99 Decemt er, 1915, last available figures. .4

PAGE 38

TrArE XII.ACNHST" REPOaT OF NATIoxALTy OF ATE NThmfv Total number treated. White. Blc.white H0 s i A l: C a n a l e m p lo y e s .3 9 9 116 Panama Railroad employees 173 I.16 Panm government pay patients .3 ... Other pay patients. 6W0 3M .151 Charity patients .110 28 .2 .1 Total. 428 491 1 142 o Asylum: Panama Canal employees. 16 .5. PaaaRailroad emlye.3 .. ptients .192 .2.1. 7 Ohrpay rtielnts .18 9 Charity pa ients .,. 53 4 4 4 Total .,. 282 .12 .33 27 Gand total. .1,567 531. 175M Soliears. .247 2474-Chronics;. 26 .....2 Corozal frm (cripples) .53 ..42 REPORT or DAYs LosT iN HomPTAL. Total. AmewrlOther can. -white. Hospital: Panam canal employees. 4,787 760 412 -3,625 PanM a Railroad employees .2,376 169 '31 2 17 Panam government pay patients. 58 .r. Other pay patients .5,814 3,346 W07 M Charity patjents.-. 1,619 M9 174 ,14 Total. .14, 654 4,,W4 115 ,5 01 Asylum: Panama Canal employees. .392 ..155w Panama Railroad employees. 93 .1V Panama government pay patient .5,786 .""". :.601 Si Other pay patients. .446 27n 34 10 Charity patients .1,7624 124 124 ,# Total. .8 341 a 91r) Grand total ..2 M 499 ,4-15 Soldiers .2,8 74 Chronics .s.-. .. Corozal V (cripples). .1,5 ---341 Average cost of subsistence per patient 4ay, SI.M#9

PAGE 39

* *<~A * 37 21 WARD LABORATORY RORT. B ex1' 1aminations totalnumber. stvo-autumna. .4 T ertian ...--.--.-. ...7 Diffkeytia counts ..332 Hemolobn etimtons .6 Leuaak t count .1 C ed-bo d conts .-. .... Sto~ ex mtons ..5f 2 A m a y. ). 3 Ascari l .es. .13 Cercomn s blood.: .54 Citedgy nds. 11 ET tebepai dhoipa. 2 nai (e0y .). 21 Pu B. nd ...:. 64 Sited yonds .1 BTidince tet. 3 sh lu ......................... Ari etoamn.,777 B il ......o .........................._ -................1 Cnat (p. ,. ;. g. ,. 422 Tiiatedmona-s .in. 1 Posiie frtes e .3 Gea a tesnintis ..31 Aetn e.1. 2 In ic n ------------------------------1 8 Sptu eiations oa u br. 3 .si--.e -----ercle --c ---------. -.+-----.----.--. Smea .ta. nu ber. 1 6. U re .---------------....---.--. --. ---.--.--.---.---13. ... V aginal ........ Sp in gl f i .r. p. ..... E 'e .---------.----------.-.----.-----..----------3 tAr --.-----.---.----.-----. ........1 .1-. Le u n~ig e. ...,.--------..1 Footnal d-----.--.-.--...1 D igitrml. ..1 -------.-2x x1 %Operations-o boes Cranectmy, ecrmpresiv -_-----------------14

PAGE 40

RtEPORT OF SURq1CA1 OF AS4O GeW1 trac Hydrocelesnl radicl emre. I Epididymotomy .,Ampfttation ot scrotam. .2 Amputation of penis. Curetage utwlr11 Tracheiorrhaphy. Obstetrical: Acouhement force ... Law forceps. .I -i-* Thorax: Thoracotomy .. Rewtnm: -Hemorrhoids, radical cure. Fistula in anus, excision of .------GeneraJ: Thyroidectomy------------*. 4 MAyorrha!phy. .-. Excision ofsurface neoplasms Plastic operation for severe injuries. Laparatomy: Forgenerall itonitis For tubers ous peritonitis .. For intestinal obstruction For partial gastrectomy .. Gastro-enterozo y. Enteroctomy .. Appendectomy. Appendectomy with local peritonitis .o. Cholocystectomy.-.--. Pan-hysterectomy.--.-. Supravagina1hysterectomy .--. ..5 Salpingo-op 4y. Susp nsi -utei.-----. .... Mior operate ( riu ). .-. 1 Totat. ..2-, RzPOnT or OpEirATows, EYE AND XAuR DIWRIM Adeneidectomy. I .. Mastoidectoily, simple, both sides I i ectom y ..............I-----Pterygiiuma excisionn) .. Minor: N ose .......................... E ye clinic. Throat. .................. Total R efractions. ..

PAGE 41

39 R19?ftT Or OuT-PATiENT DMp wNT. Tot.al New Pay tions. surgw a.-. 258 165 27 43 Eysiand ear.<. 623 252 24 no0 Total ..1,09 w5 132 729 MONTHLY REPOT OF VACCINATIONS. Number of adults vaccinated .268 Number of takes ..14 Number of school chil dren vinated. I T t lvacci a on .--. ----. --. -. Number of takes .14 REPORT OF-BOARD OF HEALTH LABORATORY. Bacteriological examinatins ofBlo d ulures ...16 Throat cultures. ..81 Cultures, miscellaneous.--. 5 U rine .-..43 Stools. ..a. 22 Sputum .........................." ------------------------Pathological fluids, exuates, etc .10 Wassarmann reactions .;. 617 Autopsy cultures. 3 Agglutination reactions.-..-.4 Autoeo vaccines'prepared .i. .:. 1 ypoid vaccines prepared .,. ..400 m*lri Blood frmaia ..1 Dairy milk from Panama .2 Dairy milk from Corozal farm .69 NEIk sediments .55 Miselanou exm inations. 2 Drfid illuminations .3 Chem~calanalysis ofMilk from private dairies supplying cities of Panam and Colon. 19 Milk for deleterious substances .I Mother's milk .6 Urines. 40 Acid, carbolic, crude.-.-.-I A iW hol, ethyl. ...; .....-----------Blood, for fat .; .l. 1 Calculus, urinary ..I Sol tio ofeam. .-. I Fluo .p. g. ..I ft ia tissues neoplasms reported .37 perform ed.28 Auftals autopsied. .------------13 Anima s inoculated.--.4 Pathological tissues prepared, paraffin. --.--537 Rats examined: Mus m uww w u .....----.-.-463 Mws norvegicus. .* .274 X=a aj,-=ndrinU8. .21 937 Intrmntat brozal .I .25 Inemnsat Mount Hope ..I ....-----.--1 + 1+

PAGE 42

COUGZAL U08PITAL. STATEMENT 01F COMMMUNTeS, DMSCUAR4WE0 AND DEAT8 b UXY1 Commitments: From Canal Zone, first admissin. .4 From Panama Government, first admission. .-.3 Front Colon (private pay), first admission. .-.-.From Panama Government (retransfer from Apeon R ospital). .-.--. .12 .... Total ...104 well. ImprOVed. Unimprvd Male. Fea. Male. Female. Malo.e nw. Discharges: A ntigua. .............. Barbados. .1. .----Jam aica.--..1 ...-.-.-. Panam a ..--.-. ...22 Total .1 2 1 22. .... Deaths.' Medical diagnosis. Mental diagnosis. Nale. FemIAl6 Tuberculosis of lungs and aliGeneal paralysis of the inmetary tract; scurvy; difsae fuse edema of brain. A b d o mn i n a I tuberculosis; Cerebrospinal syphilis .1 syphilis. Chronic bronchitis; pan-sinuArterosclerotic brain dis-. sitis; arteriosclerosis.ea. Softening of the brain; ganIdiocy .. Kgrene of the lungs. I Had been transferred to Ancon Hoita orugca eatment. 2 Transf erred to Ancon Hospital forsurgi1Cal tfreatmet. TABLE XIV.-COLON HOSPITAL. NATIONALITY OF PATMWNT. White White Bac. A4ierican. foreign, Panaa Canal employees .14 1 30, Panama R ailroad employees., 12 240 Panm pay. 2 17 Other pay .23 1619 Charity cae .4 38 Total. 56 4. 4 Cost of subsistence per patient per day, $0.33.

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41 LABORATonREP+ORT. B olexamninations. .54 Estivo-autumnal. ...3 ]Rd blo on. .4 V~~eblood cuts. ..12 Hemogoi .3 Differential counts ..,. 2 msn a ..so ._ -----------.* ..7 Bl od. ..W ..6 N u ce g .v ..............1 Uiex wm iaions .w. .2 Al u ..........3 B o .M. 18 "ndithan. .2 ......2 Bl o ....m. 18 Urian .ryst. m. 2 su a ..s. ..2 Tile ..s .i. m. 2 'pUrmeamysas ----. 2 Calcumcoxa.ae.,. 2 Toriphhea. .2 Pus .....2 --Pneative ..2 Gnuina. ig. .2 P ydUS lo .g. ...2 Negaide t.,. I smetg Ctr. w. 2 P ro e singley. i.u.,. .I Thorao0o y. Pr0 pu ru m i ..--.-Pennrrha h y. 2 .~ .,hr c m .----------Prolansusvectumradica excit arsip o ._.----Xxclsixi y. neo.sm. .I Gunsot oun y.rtio fo Sa on ofspatoperation for u. ..21 Wn operations, various (d.s. ). 140 U~~~~~~~~~~~w~~~~4 oprtos2aiu dsesr)----------------4

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TABLE XV.:-PALO 9=00 LXAiER AMVMY. NATMNAUITY Qor PAzu=PMi.; Numb maidy Class. White. ]Blak.: WhA&e BcLa VfjkA Panama Canal emslye. 0 0 0 Panama Railroad employees .0 0 0 0. 0' 'Pay 1ca It,. 3 35 _0 Charity ewses.,. .2 18 0 0 % ( Total .5. 5 0 0 5 Cost of subsistence, per patient, per day, 23 cents. Tsz XVL.-SANTO TOMAS HOSPITAL. RemainAd i Clss a .mitted. hrged. D jed. Pay Cvs. 40 83 91 3 Charitycse .411 L 2M 731. 81X TOWa -.--. 4511 9 1 82 94 Average number of patients constantly sick Total number of days treatment Average number of days treatment. Cost of subsistence, per patient, per d.y. NA TIONALITY. Americans. Other lmit. Class. Number treated. 'WhIte. ColoredWhite. C Pay css. 123 4 48 Charity oae .1,23 0 0;r 1"6 Total .1,360 4 3 Natives. ...---.----24 0 Foreigners. .53 4 Total.+. 77 1

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434 A* P xS Typho ..-.e .-. e. e. ..e ..4. ......a. W n = wn cop. TetSRU. Pel 2 B-eros ...4. P. I ET 09 bepulosis diut .rars ..3 Getncus .I6 C eagA r a d .t. .y. 2 .art. 4 Tue cos s f .gs. 23 OTheroulsisof other orans .4 Ceref .36 Wt.rancre .4 En e t o ......4 Act ricula (rheumratism). 2 Hyseria.i. 1 Alohorlismeacufte cn ic)u .1 2 Looohe r sae tha-ey .11 OteDiseases of the spi. I Derebae o heorre .I. I Paralss wthou pe cif. 2 Otserasors of h ena alyenton. 25 Eprois .r. 1 Bonehoneu(nonue. 3 ,eia. 2 Oteris.r. 5 Folicua. .i. 2 Diseases of the ea .2 Chri diseases o the heoart .30 Disae he arnd ie .I Disasres ofd teveis y.). 7 Ahrny o nchiis.a. 20 A e*ts nd10 'Boeop eumon .3 Pnemoias n .7 Plerisy .1 i s ;i .h-epjha. *. Diseases ~ yn ofteld .a. OteDiseases of t he .h. 4 Diarer a thea an etrii(n eg ye ars .6 Uiarhnea andnr is (2 yaero s .a .r). 9 SAnlmgto ais t. .,. 5 joitie radsae tyhi ts .--------r10etd. in r. sr ....1 Dkeies of ensandeycal:::s.,.:. 1 Ote isesftemint.e. 3 BrM .1 Die ases .er. 5 D iseases of the kthr a .x. .l. 4 ;l7 Uterine~~~~~ ~ ~ ~ ~ ~ ~ tu o4nnacru). M et iti ................... ft lp ngl e o ...............01 Nonpnrpera dieae 1ftebes0cnerecpe). Noraalli~o .1 Am~ntsof prenany .1 4 Purpeal eptieema .8 Vurdh&~ ~ ~ ~ ~ .1 Acute~~~~~~~ ~ ~ ~ ~ absces .1 Otter~~ dieae oftesi n n a. 4

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Diesso tebu ;ieae of W t Nusln dii Sm is -. Ot er bo g ... B mx mammeemte) --llr t i y n .......-'intrxt Tru ai byctig qr 01=tng N uisb bi as .--------Sx;s----------------Ote xenlvoen Toa .; SU G A .0 M A I.1 Crnit y.e m~es~ ... Osw m Reeto ofa ke. La ep a e. ..........-----............ Her ioomy f mra .. lfeaioomy vetm. .*,, Neph opex ------------------; U m h ot m in e n l ;. :-------.;rt rt m ,e tr a ....... Hy rwe a gerdial ue. Orhi et m .......---... Epddmtm .%. Cuetg utr .+. Pe i e p a t ........-----... He oroc a ia m Exiso ;f ;?a U'ol Plstc erto fo fx fdsae ; k w .......------------4 ; p e de t m ........+--; pedco wihloa W gn Irgia xxrcoy Dpxm geto y dobe. Sapn oop oet m .--. C vra oytt m -. ;u p n i-tr ;----4 Of Guso wmdo Zone: 44 G r s -----------Se en n .................... M xbla e u .----------Wokrqet nniern eatet. .....

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ton other deprmnts. Ice e to abate numncs inpernmits approved. .1 on of closets. 861 s of stores .;. 45 ections of shops .81 ow Icasemptiod. 97,857 disets infected. .1,342 .)at traps in use .425 Adit aophle caght.a. 7,740 Adut clies augt .,785 -Adut st m iaca ght .211 rontin = tlhstegomyia larvea found .2 Larvdie sed .gallons. 753 Que olused .do .9,9058 Keosn used .do. 283 Rts destroyed. 374 SUMMARY OF ROUTNEz WORK DONE B3Y PANAMA HEALTH OFFICE. ntrat, and fly work: ithscleaned and maintained .linear feet. 17,353 New dthsdug .do. 0 Nubrof cubic yards of earth used in filling ..0 Larvacide used .gallons. 507 Crude oil used .,. do. 3,967 Pools oiled .square yards. 4,230 Water containers treated .9,222 to feeding places found (Stegomyia 117) .233 ednplaces found .116 es trap ((13,000 per quart) .quarts. 8 Number o rats trpd. 505 Num ber of room disifections made .7 Graecollection: N mer of loads garbage removed to dump .5758 Garbage removed to dump .cubic yards. 9892 Total number of cans garbage emptied .40920 Number of buildings inspecteO .5,1212 -Nmber of plans for now buildings approved .26 Number of permits issued for repairs to old buildings .119 Ttlnumber of building permits issued .145 Nubrof buildings COnidemned .I. 6 Naber of buildings demolished (stables, 4).-.-. 9 Number of stables condemned .I. 0 Stee leaning: Average number of square yards cleaned daily .600P000 Avrg number of square yards sprinkled daily. -0000 N mer of private properties cleaned .z. 5 Nubrof notices served and nuisances abated .397 Vacciations: Number ot vaccinations during month.---------0 Tota4,nmber of vaccinations since Apr. 1, 1914 .23,244 HOWTHLY WORK REPORT FOR COLON AND.CRSTOBAL AND MOUNT HoPE. [Health Office, Colon-Cristobal, Jan. 31,1916.1 SalttinColon, general: i Sresleaned .square yards. 4,045,752 Strbtsw akld. .do .722,400 Allys aitaied. do. 6,000 fitiv t oile .....o. 1731 Yrit prpees clae ..7 256 Fumgatd-. cuicfet. 8,6 Quinin yssud. -).--.----.oe. 12,6. .....I ................0 ..P.b .......................6.5

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Sanitation, Colon, pneral-Continued. Ditches maintaimed.--. Vegetation removed, Colco ... Vegetation removed, Quaranitine Statlon .. Vegetation removed, Panama R&Aroad properties. ..A Parkway and R. St. maintained. quare yards oiled. Reetaeles trmted .------T--------Mosquitom-breeding'Plaoss destroyed. ---Mybreeding plume destroy .* Buffi inspected ..IT. araieused in Colon.--.-..galmog Crude ol used in Colon-.-.-.O Crude oil used for streets. .-.6 Nuisances abated. .. Building, Colon: Plans; approved.-...-. 17, Perm its issued.---.--.-.-.-. --------. ---. -.--.-.-. 20 Permits to eair' wss d ....V. 82 B il------. ..........--Colon, Sewers: New connections made during the month.-. Total number of connections made to date Houe in which extensions were made ------7-------Outstanding pr'is. .. Sanitation, rIst 41: Cans of Kabage (773 cubic yards) ...14,ISO Loads of yard garbage handled .7 ..' + "k, Square yards oiled.-.--..-.-. .|. Receptacles treated. Kosquito-breeding places destroyed .3 Fly-bedn %laces destroyed.--._ Crude oil ---. -. -.-. -. -. .-.-. -. -.gLMU M .4 Larvacide ud.4. 2 Buildings inspected.-. I, ;to Nuisances abatted. Sanitation, Mount Hope: Cams of garbage (185 cubic yards) ...:. ,6 Square yards oiled ...46,8M0 Receptacles treated .8,0 Mosquito-breeding places destroyed.-. 41t, Mosquitoes caught in barracksAnopheles.----. --. -.L.8 C0 lfX ..391 Mosuitoes caught In cars and quarters. (village)' A opheles .--. .-. 2 Culex ...........361. Larvacide used ..gallons. 1 Crude oil used .do. i Mount Hope Cemetery maintained. Ditches maintained .linma yards. 4,4lft Vegetation removed.square yad. 16,K Number of burials during the month. ..72 TAL XVIMLCONSOLIDATED REPORT OF QUARANTIN .E TRANSACTIONS AT THE FORT: OF BALBOA-PANAXA. AND C D-1 CRISOBAL. Vessels listed andpaed.?. 12 Ves&hed nqurn e .--. .-.-.2 T otal number of vessels entered .1. Special inspections made to enforce compliance with antiplague and omsquito-breeding regulathns .I.IU Vowsels fumigated on arrival. ---. VesWUl fumigated on departure. .--Crewr ez Te 0. rmmgenra examined ..3*142 t

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Upeentary inspections .,. 1,539 y ...15 law. .,. 410 Peracna vaccinated atpot of departure or en route because of comVulsory vaccination Ia .,. 451 Total number of pesn accinated.g.-. 861 Persons held in quaanie at the detention houses to complete period of incubation of yellow fever and plge.,. 451 Pows hld in quarantine onbor vessels to copee period of incbton ofynwfever and plague .1,478 .Total persons held under observation .1,92M Total persons landed from foreign ports: Cabin.i. 1,609 Steerage .921 Total persons embarked for foreign ports:2,3 Lgabin .1,131 'Bteqrage .1pi5i 2 282 Toa ersons arriving from coast towns on small lanches and sailing araf ..1,?792 Toa persons sailngfor coast towns on small launches and sailing Apparent increase for month from coast towns ..218 Apparent increase for month from foreign ports: Cabin (increase) .478 Steerage (decrease) .230 Net increase for month .:. 248 Persons rejected and deported. .13 Blsof health isud or visded .:. 108 Inpections o dock 44 .26 Sections of vessels at docks .187 Toa persons landed .4,322 LUss f&r Pacific ports.l. 210 4 112 T otal persons saing .3,856 Total apparent increase for month .256 IMMIGRATO REPRoT FOR COLON. From-Cabin. Steerage. Europe...13 16 ni Sates. I. 677 13 .85 203 s bi. .W e. I. d. ........8 3 ..13 8 Rim. 182 20 Bomdel Toro.y. 51 72 Cat twns.,. .224 TOW .-. .1,165 702 Gzand total ..1, 867 'M en ...................0 W om en ........................*--------458 UkdStates top .*. 4 1, 867

PAGE 50

:nA Ta~ V.-SAE= r Qunn s p so .. T o a ...........-----------Pound 01S. TAi XX-9SXNL"ol 'Y 4 4 ;. Meia trh ue._.;. Qurntn diiin. R2 8 Helt fu pa=x. 2414 7 Helho cln. 4 011 6 .......I Ano 1 3 4 Coo optl.2 33 A Sa t o a 1 s i a ...5 ----Pal Sc Lee Aslm. 01x22 Zoesntton. 610 1 4 Hoptlfr .25 5 D"Pnsns -B l o .........6 ..... Co o a ...-. ................. C eba ..;. E mp r.+ -_ _ -_-.-..... Ga ba ........---;4 Gaun ----_ -;. M aaiaPit. x m. N o Is an ................. ----j-Paas,. ... Pedr Miue .3 F ++.------Toa .37 0 l e 4

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UNIVERSITY OF FLORIDA 11111 1111111III11111 11111111 111111 I111111111liii1111 IllE 111 3 1282 08520 1159