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:
October 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_00010 ( sobekcm )
Classification:
W 79. 12/5 ( sudocs )

Related Items

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

Downloads

This item has the following downloads:


Full Text












REPOF

OF THE



DEPARTMENT
' .
,...::~OR ;:.. -THE
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tT


3F HEALTH


* *-. .


CANAL


MONTH OF OCTOBER, 1916


.* "Ol


D. C. HOWARD
Lieut Colonel, Medical Corps, United States Army,
Chief Health Officer, Balboa Heights, Canal Zone


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WASHINGTON
1916


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CONTENTS.
Pages
Letter of transm ittal ............................................ ........... 5
General rem arks............................................................ 5
Vital statistic!
Healtn of employees .........--- ..-.................................... 5
H health of residents of the Canal Zone.........-.......-................. 6
Health of residents of the city of Panama............................... 7
Health of residents of the city of Colon.................................. 7
Hospital division
Ancon H ospital......................................................... 8
Board of health laboratory.......................................... 8
Insane department...-------------------.............................------------------................. 8
Chronic ward--...--............................................... 8
Colon H ospital........................................................ 8
Palo Seco Leper Asylum................................................ 9
Santo Tomas Hospital.................................................. 9
District dispensaries ......... .......................................... 9
Sanitary division:
Canal Zone ................................................... ......... 9
' Panam a................................................................ 10
Colon.................................. ....... ....................... 11
Quarantine division:
Balboa-Panama .............................. ......................... 11
Colon-Cristobal......................................................... 11
Statistical tables:
Table I. Admissions, deaths, and noneffective rates for employees;
deaths of residents of Panama, Colon, and the Canal Zone... 12
II. Deaths by age, color, and sex .................................. 13
III. Deaths by nationality......................................... 14
IV. Deaths of white Americans.................................... 14
V. Causes of deaths of employees................................. 15
VI. Causes of deaths of civil population (employees and nonem-
ployees) and military and places where chargeable.......... 15
VII. Discharges and deaths in the hospitals of the Panama Canal... 18
VIII. Consolidated hospital report .................................. 28
IX. Consolidated dispensary and admission report................. 30
X. Employees: Constantly sibk and noneffective rates per 1,000... 31
XI. Employees: Days' treatment per admission, hospital and
quarters ................................. .................. 32
quartrs------------------------------------ 3
XII. Financial statement........................................... 32
XIII. Ancon Hospital......... ..................................... 33
XIV. Colon Hospital................................................ 39
XV. Palo Seco Leper Asylum.............. ..................... 40
XVI. Santo Tomas Hospital........ ............................. 40
XVII. Sanitary work done in the Canal Zone, Panama, and Colon.... 43
XVIII. Quarantine transactions ...................................... 45
XIX. Issues of quinine.............. ................................ 47
XX. Personnel report.............................................. 47

(3)





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LETTER OF TRANSMITTAL.


CANAL ZONE,
Balboa Heights, November 10, 1916.
Lieut. Col. CHESTER HARDING,
Acting Governor, The Panama Canal,
Balboa Heights, Canal Zone.
SIR: I have the honor to submit the following report of the oper-
ations of the department of health for the month of October, 1916.
Very respectfully,
D. E. HOWARD,
Chief Health Officer.
GENERAL REMARKS.
The general health of employees and nonemployees in the Canal
Zone and the terminal cities has continued good.
The outbreak of diphtheria of a mild type, in the terminal cities,
which was noted in last month's report, has subsided. There
were no fatal cases.
No disease of a quarantinable nature originated on or was brought
to the Isthmus during the month.
VITAL STATISTICS.
The following statistics are based upon the number of names
appearing on the rolls for the preceding month, which was 33,272.
The total number of admissions to hospitals and quarters was
784, a rate of 282.76,1 as compared with 261.99 for the preceding
Month and 294.80 for the corresponding month of last year.
The total number of deaths from all causes was 19; of these 16
were from disease, giving a death rate of 5.77, as compared with 3.58
for the preceding month and 5.39 for the corresponding month of
last year.
The constantly noneffective rate was 8.16, as compared with
8.88 for the preceding month and 10.56 for the corresponding month
of last year.
The total admission rate for malaria, hospitals and quarters,
was 13.71, as compared with 13.95 for the preceding month and
34.11 for the month of October last year. The constantly non--
.effective rate for malaria was 0.50, as compared with 0.67 for last
month and 0.86 for the corresponding period of last year.
The diseases causing the highest admission rates hospital, in
the order of their numerical importance, were: (1) Venereal
diseases, (2) malaria, (3) influenza, (4) diseases of the eyes and
= 1 All morbidity and mortality rates are computed as equivalent annual per
1,000.
(5)




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'There were two admiions f4rt
giving an admission rate 'i2, th ie
month. There were 'no admijioioflo ty hoi.
^. .pre .-.. .. ,... ..S .: .,* .' .., :;: .
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The5 admission rateto hospital and the deatphr it
for black employees, -were 66.82 and 6.84", repitt
pared with 69.94 and.2,89 for last month ad 9_.g- a'
corresponding month of last -year.. For white employ1I
mission rate to hospital., d the death rate froni djiAe
and 5.29, respectively,..as compared .with 222.33 and.i
preceding month and 272,96 atS 2,57 for the correspoi
of last year.
The constantly noneffectig rates were 1510 'for whL
for' blacks. ,."
-The admission rate to hospitals and qu ters for::
7.93 for blacks and 47.40 for whites, as compared witfi
for.blacks and 26.47 for whites for last month, and J24.
and 95.28 for: whites for the corresponding month: of at
There was one death among American employeesi`
month, giving a rate of 2.85, as compared with 5.73 fori
and 5.74 for the month of October last year. ..
; The admission rate to hospitals for disease was 319.: I
cans, as compared with 180.34 for last mdnth'and 21V
corresponding month of last year. .
DEPORTATIONS.

There was one deportation accomplished during tl
a colored employee,. offering m plmoary pbe
"* : : : "
S. *. CANAL ZONE : .:.
S .EMPxlOYE.ES AND: Nom iL n

The population of the anial Zone,. according t&,il
census, taken ini une, 1916, isfl ,04q T imi.
'nonemployees, .dn military ga isos reMdin
the Canal Zone limit. Amog thisi
deaths during the monc t of Octobh 25 6~irfiiWe.
giving a death rate ri efas compared .with 1i8M
Smooth and 13.10 for the eponng moth
Of ethe ttotadeaths fr ee,
age was :2,'a2 compared.witk r lipj
Th.er. e we re: .. tt,
wer.ew.ite O.. .....
o~Te e. C.:.:.:.:"

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PANAMA CITY.

EMPLOYEES AND NONEMPLOYEES.

The population of the city is 60,778, among whom there were 156
deaths during the month of October; of these, 150 deaths were
from disease, giving a rate of 29.62, as compared with 30.01 for the
preceding month and 26.93 for the corresponding month of last
year. .
Of the total deaths from disease the percentage under 5 years of
age was 47, as against 51 for last month.
The principal causes of death, as compared with last month,were
as follows:

Septem- October.
ber.

STuberculosis (various organs) .......... ....................... 25 31
Diarrhea and enteritis (under 2 years)...................... 24 26
Brocho-pneumonia ........................................ 19 16

There were 211 births reported, giving a rate of 41.66. There
were 54 deaths under 1 year of age, giving an infant mortality rate,
based on the number of births reported for the month, of 256.
The percentage of stillbirths to total births was 10.

COLON.

EMPLOYEES AND NONEMPLOYEES.

The population of the city is 24,693, among whom there were 64
deaths during the month of October; of these, 62 deaths were from
disease, giving a rate of 30.13, as compared with 31.10 for the pre-
ceding month and 22.91 for the corresponding month of last year.
Of the total deaths from disease the percentage under 5 years of
age was 43, as compared with 48 for the preceding month.
The principal causes of death, as compared with last month, were
as follows:

Se tem- October.
Ter.

Broncho-pneumonia..................................... 15 12
Tuberculosis (various organs)........................... 8 10
Organic diseases of the heart............ ............. 4 7

There were 54 births reported, giving a rate of 25.83. There
were 20 deaths under 1 year of age, giving an infant mortality
rate, based on the number of births reported for the month, of 370.
The percentage of stillbirths to total births was 11.
















.ThI.S.ttauatuee oa wnnael owu wattia:g
.T Fifty-two -ases ma-laria: etodi..,
-j Septeiibr,142 for git ; an. 1 43 dr July ....
SSeptaem.b:r.. Opfugo"
Si.ive .deaths deciried fr om tuberculois, o
-.-- '.. ". : _: .: ..--.." ,:, .,*.. : i.:.
There were four deAtmjfromipneumonia, aa
Sthe precedingmonthi.., ..
D eta.iled statistic ae f:wt in1 ae XIII.
Board of health laboratory.-urig he moth
outside of roiine as follows, ws performed a t
S The study of the methods of mbdifyM g petroleum
laricidal value has been continued ..
It has been found thatby a poceusrof idaakiJgJ
properties of the c.ude il may be o hanged s
Increase it efficiency in the destruActio of tlffi
This process maybe carriedotzi byeveral dMji
it wil be the object of further: study to dite~aineu M
the most effective and whether or not ij thi mtho
applied eonwdicaly Cai a large scale. :-
a number of patients contatly cared ot was S ,i
f' 3rtei ispitcd.ngD
01 Ofottprece4jg uitb 'm f4r thab.
of lst year. ... .. :
tan i tz rr... a..yet. ...; .
.Detail"ed.tatiS~tici T4..RO ..
Yhvonic taarj.-Duriug the hnti w
deaths, and 3 discihargei The 1aor
berw 4 -.. .'a -~ IP .M..
S. ... ....


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PALO SECO LEPER ASYLUM.

SThe average number of patients constantly cared for during the
month was 67.67, as compared with 69.30 for the preceding month
and 57 for the corresponding month of last year. During October
there were no admissions or discharges; 4 deaths occurred among the
patients of the institution.
The daily per capital cost per patient for September was $1, gross.
Construction work has been continued oq the new ward buildings.
The first building is now completed and work on the second is in
progress.
Detailed statistics are shown in Table XV.
SANTO TOMAS HOSPITAL.

One thousand four hundred and fourteen patients were treated
in the hospital during the month of October, as compared with
1,382 for the preceding month and 1,359 for the corresponding
period of last year. The daily average number of patients treated
was 440, as compared with 447 for the preceding month and 468 for
the month of October last year. The total number of days' treat-
rient was 13,657, as compared with 13,418 for the last month.
The number of deaths was 89, with tuberculosis of the lungs,
congenital debility, and Bright's disease the chief causes, in the
order named.
Thirteen cases of Dysentery were treated with 1 death, and 7
cases of pneumonia with 2 deaths. No typhoid cases were treated
during the month.
The Panama Government has authorized the construction of
an additional hospital ward for tuberculosis patients, for which
plans are now being prepared. This will relieve, in part, unsatis-
factory conditions as to overcrowding and mingling of tubercular
patients with other patients in general wards. Additional quarters
aMso will be constructed for the medical staff,and the building now
occupied by doctors will be remodeled and used for isolation cases.
Detailed statistics are shown in Table XVI.
DISTRICT DISPENSARIES.

The dispensary having the highest admission rate for malaria
was Gatun, with an average weekly percentage of 0.175. No
malarial-cases among employees were reported from either the
Paraiso or Culebra-Empire districts during the month.
Detailed statistics are shown in Table IX.

SANITATION.

CANAL ZONE.
October has been a month of unusually heavy rainfall through-
out the Isthmus, the total rainfall on the Pacific side having already
. exceeded the yearly average. The heavy and frequent rains, by
Sflushig out the streams and drainage systems, have practically
S- .70355-16---2


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S 'hydraulic fills aie belii ataide west oti ch w1'
SC diranch of ththana
c ominceworon filing te


detairtnit is bearing a pat of thexpeuiee of the
Mfntioa was'.intide; in-lasft month'e report or: the'(p
. nuniber of cases- of deguea at the military P.st~~
of tje canal, werei tKe prevailing 'opquto is the $r
the qaestia arose i top whether thie wnsonia tnnt
Limited -iumbeeLrsi this area, andit isitherefore pdsiti

he following cntagious and in fectiou diee
During the moiith: t -
hikepor. ..... ..., 5 Malaria.........
Disrrhi &a ..-.. ab r...-.it ... 2- Me aslaMs .. -. "'
Dipht"ifn a... -... .. ; .,..-....~ t 5 Vn oeum a -i.. : .t..
-. u' .. t. .. ..,..... 1 Tthberc- asia .
S the Sinning o th ie tjele or aieaiii
.thea rming from eptiteerembeir 0M
haie ben -dine caseE e oited. ..




..baciHu .iriers w .er discoveredd ,d .aA I
dem anm ed. .ibm one duseho ir.. Tq deIa. h..;.C
S. StrEt ilte:nei n h I itiihei

." ..2.. .-, ;.. :.
:":# ses t i. a.. A ." crep.o
t;o l.:y io ae. deCi' tie t*) dit C9a
to 7,sqi-ate
rhe inc of den-i 4 w
montht, .Stt ,





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There are now 31 buildings in the course of erection. During
SOctober 103 permits were granted. Six buildings were condemned
and three buildings were demolished on sanitary grounds.
The registration of midwives is proceeding slowly. To date 10
have reported, been found qualified, and awarded -certificates.
SThis high percentage among applicants thus far is explicable by
their all having had experience over variable lengths of time.
Several of them, indeed, have had hospital training in this subject.
-Our lists show 26 yet to be examined.
The following contagious and infectious diseases were reported
during the month:
Beriberi......................... ... 3 Measles ........... .. ............. 7
Cbickenpox........................ 5 Mumps............................ 1
Diphtheria........... ..... ..... 7 Pellagra............................ 1
,Dilhtheria carriers................. 2 Pneumonia-.....- .........-....... 8
Dysentery......................... 9 Tuberculosis..................... 26
SLeprosy.........-.................. I Typhoid fever.................... 2
Malaria............................ 10

COLON.

The following contagious and infectious diseases were reported
S during the month:
Chickenpors....................... 3 Malaria....-- .......-......... ..... 20
Diphtheria......................... 1 Pneumonia........................ 3
Dysentery -........................ 2 Tuberculosis......-....--.........-. 4

QUARANTINE SERVICE.

The quarantine situation along the west coast of South America
Remains practically unaltered. We have had no reports of cases
of yellow fever at Buenaventura, Colombia, for the past two
months. Advices from Guayaquil, Ecuador, indicate moderate
increase in cases and deaths in both plague and yellow fever.
This is the beginning of the rainy season in that district, however,
and the usual seasonal increase may be expected.
On the-Atlantic side the usual careful precautions were taken
with regard to arrivals from New York with reference to poli-
omyelitis. Eighteen suspects were detained for observation during
the month.
.During the month referred to yellow fever was officially reported
at Barbados and Martinique. Ships 'from either of these islands
rarely reach the Isthmus under six days.
S One shipmaster was convicted and fined for violation of quar-
Santine regulations.
Supervision was maintained over meat inspection at the Cristo-
bal abbatoir. Condemnations were mainly on account of bruises
i. .in cattle recently received from Colombia.
No cases of anthrax were reported- during the month.


I* ".: .
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... .e. ......
"SOL4.O


October, 1916.,

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

Total ................

September, 1916.

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

Total-.
Totsl................

October, 1915.

White ......... .......
( Colored_..-.. ..-........

Total...............


.;s.

P-"1

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4 538
2,734

33,272


Admissions to
hospitals,-":


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e
U)


296.


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rig
-.Il
tig
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4
15


4,534 100 84 16 4 3
28,994 251 169 82 7


33,528 351.. -253 98 13 10



4,660 126 106 20 3 1
28,759 318 231 81 17 -14

33,419 444 337 107 20 15
: "*


sPROoEtiDNATE IfUMBnEaS.


October, 1916.

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

Total'
*--------;-
September, 1916.
" White.-..'..... .:.... -
Colored..............

Total. .- ,...... ..

OcaOdby, i15.


4,5388
28,734
!.7


399.29
102.32


359 63
66.82


39. 66
35.50


A.'
10.58
6.216


5. 2
5841^


33A,27214282110.761 3&L06 6.85I


28,994


264.62
10%.88


22.33
69.94


" l-i


10.59
3.72


33,528125..631 90..:55 35.08 65 5


'- 1


white........ 72
Colored... ....... 36.3

**:.:-Total'. 4.15 .4 1 Ii._ ,...... .. .. 1 4 0

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/ 13

-TABLE I.-DEATHS OF RESIDENTS OF THE CITIES OF PANAMA,
COLON, AND THE CANAL ZONE-Continued.


Place.


October, 1916.
Panama..........
Colon..............
Canal Zone.........
Total........
September, 1916.
Panama...........
Colon............
Canal Zone.........
Total.......
October, 1915.
Panama..........
Colon...............
Canal Zone.........
Total ....."..


Popula-
tion.


Deaths.


Total.


60,77'8 156
24,693 64
31,048 28
116,519 248


60,778
24,693
31,048


Dis- External
ease. causes.


150 6
62 2
25 3
237 11


Annual average per
1,000.


Total.


30.80
31.10
10.82
25.54


31.59
32.56
13.14


Dis- External
ease. causes.


29.62
30.13
9.66
24.41


30.01
31.10
10.82


1.18
.97
1.62
1.13


1.58
1.46
2.32


116,519 261 244 17 26.88 25.13 1.75


60,373 143 135 8 28.42 26.83 1.59
29,331 58 56 2 23.73 22.91 .82
30, 219 39 33 6 15.48 13.10 2.38


119,923


24.01


22.41


1.60


TABLE II.-DEATHS BY AGE, COLOR, AND SEX.

White. Colored. Yellow. Total.

Srii
.

S [ E-4 E 44 E- r-' E r

Under year............... 9 1 10 38 31 69 .... 1 1 47 33 80
lto4years................ 1 2 3 17 9 26 .... ........ 18 11 29
5 to 10 years.............. ............ 2 2 4 ........ .... 2 2 4
11 to 20 years.............. .... 1 1 3 8 11 .... .., .... 3 9 12
21to 30years......... .... 4 .... 4 18 15 33 .... ........ 22 15 37
31 to 40 years............... 3 3 6 18 10 28 3 ...'* 3 24 13 37
41to 50 years............. 5 1 6 9 5 14 3 .... 3 17 6 23
51 to 60 years.............. 2 1 3 10 5 15 ........... 12 6 18
61 to 70years......... I .... 1 .... 1 1 .... 1 ............ 2 .... 2
71to80 years............... .... .... .... 1 2 3 .... .... ..... 1 2 3
81 to 90 years.................... ... ..... ...1 .... 1 1 .... 1
91 to 100years.... .......... ......... .... 1 1.... .... .... .... 1
Not stated.,................ ............. 1 1 ............ 1 .... 1
Total................ 25 9 34 119 87 206 7 1 8 151 97 248
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SBara ..-ds.
O.i,..l .. ..
::: -AChnle--.. ......

Colombia.....
Costa Rica....-...
S ubai.... .....-'
Detierara......
Senador.......
A, .rance.. ... ..
Greee..........
Grenad-........
-. -. Guadeloupe....
Guatemsasla. --'
India ........h
Stay. ..-......--
Ja.i. "al ,:.. ...-
Martinique-..x.w.
Mentserrat.....
NeWis.... ......
r Nassau-.........
,. "" Panama.......
Portu al...:.....
St. lueia. ....
St..Vincent,. 1.:-.
pai ..........
TnFiidad.-.-----
nited States-..
Unhkmo .......

; Ttal...


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rTABI.E V." -DEATH RATE AMONG AMIRIdANSJ tv
T" CONNECTED WITH THE PA'NAMA .' cr A.
.3 ~


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?Dsseaae.. ,.i... t..------------C.--- -y-j-i-l
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:.4
". .. .- ... "" "


S>. $. ...A V .' ..
... ... .... ... ..i... i... .............. -.. .



-A ., """ .." ., ..
4.. :-9 .: i- .d :
," "" +"" na: :"'" ""'" "" ": : i : :" : L """" :';f : :." e ; .
...... + ... .. ; L .. + .. ... .... '' .. : ..
,' ,,+ .. ..., ." ,+.,,.+.. ." .< ,. .,:.. ",...*. :.: ..,+ .." i..'l.'" '" .. .m.. 'j" ;l :j ..,v .,, .'.," + '+ ,..


~:.Cif~:~'*c; "L

-:r-
.e
:*~6~ae~
,


" J


i


W


!


9


7-u
S-.
a'';


-
'-.3







.g .......
w' '
^I
^*^




>. ... i'a

* ,..- ,.

..;^
"r'9'
:IA^


191-c-:j:-c-




[i /: *


.;.



.: *.:..









I-
M-





:i: .. ..#
..,. __...
1i:: -
1. *
E .



i'..





d .-
Cr*
*:'.' .
i' .-. *


a


15.


PABLm V.-CAUBES OF DEATHS OF EMPLOYEES OF THE PANAMA
CANAL AND PANAMA RAILROAD CO.


Disease. I


Estivo-autumnal malaria........................
Hodgkin's disease...............................
Tuberculosis of the lungs.......................
Disseminated tuberculosis........................
Rupture of the aorta..............................
Aortic insufficiency..............................
Organic disease of the heart.................
Chronic nephritis................................
General peritonitis...............................
Lobar pneumonia...... .......................

External causes.

Railroad traumatism, accidental................
Traumatism by other crushings, accidental......

Total ............ ............... .....


White.


........ ..

..........


1



2
.--.-------


Colored.


1
1

2
1


4
1
2


Total.


1
1
1
2
1
1
1
4
1
-3



2
1


TABLE VI.-CAUSES OF DEATHS OF CIVIL POPULATION (EMPLOY-
EES AND NONEMPLOYEES) AND MILITARY, AND PLACES WHERE
CHARGEABLE.


P ..
a".







STyphoid fei
SMalarial fev
Whooping c
Pelagra....

Beriberi....
Tubereulosi
Acute milia
Tuberculosi
: Abdominal
: Disseminat
Byphilis, tel
Syphilis, he
I. Syphilis, pe
Cianer and
S. buccal ca
S "Cancer and
stomach
SCancer and
Speritoneu
Canepr and
othlr orgE
.: Scurvy.....
SHodkm 's d
Alcoholism





"L.. : ..
i .
I : ". E
L :q:: :


Disease.


General diseases.

er............................
er, estivo-autumnal ..........
er, clinical....................
ough.......................
..............................


is of the lungs ...............
ry tuberculosis...............
s meningitis ..................
tuberculosis...... ...........
ed-tuberculosis .............
rtiary........................
ireditary.....--................
riod not stated..............
other malignant tumors of the
vity..........................
other malignant tumors of the
md liver ....................
other malignant tumors of the
m, intestines, rectum........
I other malignant tumors of
ans and of organs not specified.
............................ ....... .
isease......................
.acute.......................


Pana-
ma.


SS

P4r_


Canal
Zone.


Total.


S

S a,
03 (
r (


Colon.









5 4
1i
.... .....
2 ....


... .




1....
"... ....

... '..'.'.


0







3
2


1
3


35
2
1
1


2

1
1

1
1




1
2
1
'1

1




*2
1
1
1











TABLE VI."-p3AUiBSBS OUr J)J JATliH UMr 'a-VMLL rNiablA' 'KU 1
EEBt AD .14BNEMPLOYEES)7A D hUIT' &ARWA1AWtL
CHARGEABtL-Continuedi, .. -
.. ...... ..... ... .*** *.." **'_., -- .. *' ........ *:*,J.. '. Si


.orga* P pec

-Epil .. D...i ........... ... ....


cute enocard ............. 2
O diseases of th. t ...- 4

Diseases of the oust system -ad of the
"- organs .of special sense.

Pneumococcps menigi......... ...... ..... 1
their diseases of th spinal cord..........
Cerebral hemorrhage,,apoplexy. --.....-., 1
'Epilepsy..- .:........................ 1
Diseases of the circulatory system.






Acute endbcarditis--.-..-........... 2
Organic diseases of tbhe heat........... .- 4
Diseases of the .arteries, atheroma,
aneurysm, etc 1.... .................




Arnb-neuryom--- ---------------------19
SAneury pno............-----..-..-........-------------
PleArteriorsclerosis .... ............... ......... 1.
Embolism and thrombosis.........................
Hemorrhage,_other diseases of the circu-
latory system........................ 1
Diseases of the diespiratoy system.
Acute bronchitis--.......--............
Chronic bronchitis (u--nde------2 ) .....
Bronchpneumonia...................... 9
Pneum oia (unqualified)...-......... 1
Lobar pnemnonia..-.--................. I
Pleurisy-.----.-------------./.--- 1
SEmpyema......... .......-.. .; ........
Asthmaoles ..-- ....---...-.................. 1
D diseases of the digesti ve system.
Acute ndigesion-----...------.............
S Diarrhba and enteritis underi years) .. .
Ankylostomiasis........-..............-
Hernia, intestinal obstructions.. -......--. 2
Cirrhosistof-he liver-h.....v...ie........ 1
ADbscess of liver (unqualified) U... rt.e-.
Cholecystitis.-.. ......-.. ...... : 1
Simple peritonitis (nonpuerperai).. 1...... '
.Other-diseases of the digtive system
(cancer and tuberculosis excepted)m.... 1
Nonmnerea diseases of the geito-nary
Co ge italdebility nji ne. .in e
SAcute nepritis -...--...-...- ------- 3
right's disease (chronic nepitis).. .i 5W
S Pelo-nephrbsis ..... 1
SStricture of-the urethra;,nonvemivreail.-.
diseases oftheaeMS asdufhclHttlisine.
f ycetom ----.... ...... ..- -, .. :.
other diseases of their skinm and n .


SConeniitaldgblaityit .s, an e ol ng. j.-


::: :: O t;hr:;.d :iseasespizar t

..... ..


...... .. .
.. "
:. :: .'i ,....: ": ..: :'' ': 'E. :.:'" .: : : :'
.:,.. ', .,'. "..' '. ,,. .. ,r ,'. ., ,..:.. ,, ,.' ... ; iij


olan.
O IL.


.
I .




.II













2 1
n.






-1
---A
'a







4.)
~**11
..," ^










-- -r
i








9^ 4
-4a-. .*-'; .*,
--

i &...- .1

*:;;. ^

-: ;' *: .;
; 3



;sr


1
I
1'










I-
'1'





-'':
...
















r
1.

. '




S*1^
-1.


L.**..
'-;?""
i **l,


; :" ,,:::, ,,


?


^


'









S. ..TABLE


EES
CHA



: ,







.. Senilit

Affe

: Conflaa
SAcelde
Traum
:. Traum
S.tailro
Railro
Homic
Homic



Cause
rj
i,".... f
Stillbir



.



SJRe


1.-
Bocas

I'' terio
SDo
Coloml
S Interior

:' Do
....., Y .- D o


17


VI.-CAUSES OF DEATHS OF CIVIL POPULATION (EMPLOY-
AND NONEMPLOYEES) AND MILITARY, AND PLACES WHERE
RiGEABLE-Continued.


Disease.


Old age.
y-------...........---- .............
actions produced by external causes.

ration ........... .............
ntal drowning... ................
atism by fall......~....-.-....--
atism-by other cnshings (vehicles,
ads, etc.).............- ...........
td traumatism....................
ide by firearms...................
ide by other means.--..--..........

Ill-defined diseases.

)f death not specified or ill-defined.

total...................-......----
ths ......................-------.

irand total......................


Pana-
ma.




a


Colon.


Canal
Zone.


Total.


I I I--1- 1 1.-1 1 -


2 1...


1


1








97
9

106


o






2


1
2
2
2







3

248
30

278


DEATHS OF NONRESIDENTS, OCTOBER, 1916.


3sidence.


lel Toro.....

r of Panama.
.............
ia .........
r of Panama.


Nationality.


Panama.....

Jamaica...
Panama....
Colombia ....
-..-.do.......


Color.


Black...

...do...
...do.....
...do....
.--do....


............. Panama.... -...do-..-.
---------..... ....I.....do.........do.....


S";"" Do............
Do..........

' : U. S. Charleston.



Interior of Panama.

Do............
Do ...........


... sailor).

,t ; 70355-16-


Jamaica....-- ...do-....
Spain....... White..-


United
States.


Jamaica.....

Panama ....
.....do ......

.....do.......


Sex.


Male....

...do.....
...do.....
Female .
Male_...

Female .
Male....

...do.....
...do.....


-..do..... ...do.....


Black... ...do.....

...do..... ...do.....
- -do..... ...do.....

...do..... ...do.....


Age.


Diagnosis.


Pulmonary tuber-
culosis.
Do.
Do.
Chronic nephritis.
Septicemia caused
by cystitis.
Measles.
Pulmonary tuber-
culosis.
Arteriosclerosis.
Hemoglo b i n u r ic
fever.
Accidental fracture
of skull caused
by explosion of
gasoline vapor.
Pulmonary tuber-
culosis.
Acute nephritis.
Estivo-autu m n a 1
malaria.
Lobar pneumonia.


-s















.: ,, : :* *- .2..-:..:^
,,:. -. :. ..... *. .:... .. :. ... .... ,.^.... A : ....., ;. .-.< *:...,.,.









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



.T "': ""* -'. ." .A :. "'>*,: .. :: .. S.. .:.: : ,


: ." : l :;' *:: .. .o.' .. :." : *; .. : : .. .. '-. :.
" ;" ". : ...' "' : "" o:: .. : :";
.. i. .. :. ,,.
:.: Lif '' : i .
.....:.. .,(

,:: ... .. .. :; :... 'i... '~r. l~i

..
,!; ... ": .. ;. ~. ., "







,:.. : .




,.: 1 .... .. :


-4"'
widta"'"'



i:a PfBiie~; i
.5-


M.JliY


-:, f- :r .. .W .
General diseases.:
::. "" : ": *'*'" '..- *

ITyphoid er... ... -
S- Malarial fever, estivan

,: Malariallfever, tiRtion.-- 1...
Maariaetiever; quartan..- ...-
M' alaial fever, unt.ter-
S mined,..... ........--- ---
Malarial fever, clinic. ----
Mesl -----.------ -------------
it ......... ... ....


D.engp...a -... ... ... .
Chicd- pox.... .....

..* .Pei. agra.-. ..... ...... .






oi nts.. l. -
.Tbereulsis of the y ....
Tabe.cglojsy tiungit-a.---
-iease.. -- .
Tuberculosis of bnes aoid
ijoints.-.... ..... .... .... ..


:. TilBeliass the ry p ,

.. R .. ... .
y i hrq.o it:ans ryi -"-""t ...
S isseatedtberc oer.l sisd


ii ry... -,-.... :







Osnert and Otia"iryh$.... --
S. ... ;,....- -- ,- -






.. .A. 1





k:. ....., :: .
a. O#i- f T'


*'...* *



1









----

,--2.-








S :.




. i


-is---


I-*-X,:
..-, c
-"^





;***( *** *




"aw
. '...


---- 4-
.., L I



-.. -. 4









I
4 ... "*- h

... -- -- .- ,

5
1




r-
*4:-- 2',:









1 .. ...*







44;
- -.- 1
.,~. -.3






-'-" .-..,

;
-.- ;.. 1 .:
'* ..n .. .,....


*1 :












I
-'-,: -*.i. ---a
*- *i *:f
1, --"*?: J*
.-*--- *--*" 9..
S.:..!. ... : :,

-.-- '. w .... 4at
...,. '.. 11 :: -:






;..-;
-'
...;s c


;N:: ".-. ".1 : .?t

< 1<%.:iii::. .::. :i ii
i.. i-. ..- .. ... .. .. .. .. '
It 7C I




rl;: ~~~i:. L7~ 5_;*I


". "... "" "' .A


,inmsr1


I L


....


;i
"- ;'s ." :











.r~'
.*. */^
*m
-ril?



C gN
. -

iml





...



** !
.;.* -a


R. *
















a







a--? --;
-id. q


.-*-- ,...







I--- -,-

....V

*- i

:-;*- --.

^
11

*.:..* *


-.- 0
. :i .
.., .. .1.

-^
l .t -..;

.*:;:: :.. i-1


- p *





.. ,"
"[-- .





i .-


I


.: :... '
, .. ......
4. "






V.




- 0]


t
** .

















F..
Ii





















Ei:
I/".
SI;,:-


19


F THE PANAMA CANAL FOR OCTOBER, 1916.


Nonemployees.


Discharges.


White..


Sl Others.
rIrs.]


4 1 .
3-.-. ..


- .4--



22


3


2
8
1

ii"












1
I @ W
r'i': ,


Black.


.... I -- I ---- 1-4-


Deaths.


White.


dus- Others.
d'rs


Nonresidents.


Dischargs. I Deaths.


Black. I White.IBlack. WhitelBlack.


M. F. M. F.


F.IF. M. F. M. F. M. F.


...I ...


2 3
2 ...
7 ...
12 ...
21i 3
1 ...
5 i...
28 ...





2 1

I '


i


.... I .... .. .... ....
.... .... .... .... ..--


.i.. .... .... .... .... ....
1 .... .... .... .... ....


... Ed ...













. .. T* ....... ^ .


is~"


.'-" ." ". _'A ,: ^i



.7.
", .. -. ':" .: .'. .. ;.. .
*:- ^" '', *. "7 "..'* -: ''?



-- ^is a e .^ ":; .":.:
.'"' -" "


, ,


Diseases of h ,enevous 8sys-
te and of the organs of
special sense.

Pneumococcus meningitis.-
Patalysis withoitrspecified
cause;.--.. -------~. ---
Other forms oftmental alien-
ation...... ....... ..
*Dementia pecox:. ..-----.
Epilepsy-. ...-..... .....
Hystenia....... .........
-, Neualgia... -,....;,.
Neuritisu.-.~- -- .....
Other diseases ofthe-nerv-
oussystem ... *. -...
Neurasthenias .. : .
Diseases of the eyes 'and
their aznexa, ..... ...-
Diseaseaes ofhe ears.... --

Diseases Qftrrualator


Organi. e diseases of- the
.. .: 'heart:-.:- ..._ ... -.....-. -..

Diseases ofthearteries; ath-
er .m an6~srysm, ett.:-., :
IDiseaiss of the vsms (vsr-
i ces, -hfi orrhoids, pble-
bitis etc.). .-
Hemorrhni.ds,---------.-
Diseases'c% th lyampatic
5 ... :system .: (t nrip n i

S.ete:.); .. im .?_i...i:-'..,;
Lymphailetis e-
.. .... ,... .. : :


r a ...





; :. ; .a .t.. -
A e u Ri t.v:..ta" ..-., .



;: i. : :t:.. .... L


!2:k" .


7 m. ". 4 .9, r v : 7 -m':.:::' .


....:., .


-b
li's-n ~


Amei- Euro-h
cans, peas.


Z


'IIs





..
7i



J-J
7....
.;.s '--.

:. '*?
*! ; :*

:.d&
;...- : *:*!;,


1


-S.


.1.




iis



: ........






"No
Ig
t

~--A---
.ia-.; ..







4..:L A1-
''^


--,X ?-


,'. .>:.. wi
=* '- 4,

S..
:.: ^l~
*--:;.?:ig
^*i;a

iff
-**V1:i


L.


LI


-


.L




*:: L.: ..
..i"
L : ",;.\ ,::w ***.,


r
1







21

OF THE PANAMA CANAL FOR OCTOBER, 1916-Continued.


Nonemployees.


Discharges.


W.-

B.
So- Others.
d'rs.

. M. F. M. F.


. 1

1


5i

6
7




1


1 ....
6 ....


1 ....


i' :....


Deaths.


W.


Sol-
Or others.
d'rsj

M.M. F.


"i: .... .:!: l..I......


B.



M. F.


Nonresidents.


Discharges.


M. F.


M. F.


Deaths.


W. IB.


M. F.


M. F.


1 -....-.... ...-...-...-...-...-...


16 i...


2 I...


a... .







. ,.









hi
:i: :'<'!i:... : : ..


i~l::::l::::













diseases.
7:
:.. "/- .......- "' ".

. ..






S Diseases of the digestive
system.


Diseases of the teeth and
gums.... -.....-----.-........--
Diseases of the pliarynx. ..
Pharyfigitis ---..............
Follicular tonsillitis..... -.:
Ulcer of the stomach....- ..
SOther diseases of the stom-
Sach (cancer excepted)....
Acute gastritis.............
Chronic gastritis.....-.....
SAcute indigestion .... ....
Diarrhea and- enteritis
(under two years) ......-
Colitis"..,........... ;......
Ankylostomlasis,..........
Intestinal parasits.........
Aseariasis......... ....-..
Route appendicitis...... .
Inguinal.hernia.............-
Otter hernias....- .. .......
Obher diseases of the ihtes-
tines..,.................-..
Constipation ---..... .....
Duodenal ilcer............
Oirrhosis of the lfver. ....
Other.diseyses the liverA.
Absceess ofliver (unquNali
Sfied)......... ..... ....




]c i .- ...
ODr--N e we ealiseuef I the
a.. i-w.i.iy "stem ad,.
S Bri.p-...disease ...(hroic.... .

.Unli of q- i fn i-r.-- --
OQtherdisqases ofthe kida-
,. :......., .:,...Pyelo-uib.t. ii iS-:. -^ ..^.;L.;
.*::;. ; !:". :.." : ....; "; ;,'I .
4'i issse eetv
KI: *fjA$~* L
tti;cbflA


] .". .: .,. :' t .....,: .:r ..." :: :'; :
,n -."..

". :


W te,:

Amed-. Euio-
cans./ peafts


Black.


' ?;: '::


.- Ii -


cans.


" ] -- I c.-' i


FN

...

III
:... .i
*.*.. ^i.;
-...; -*



-... : j
..-.-^ ,,:,
*d. -s-.
I


r,
.r -
S.. 1*.'


,.
* .



'Ha
*.' '
** r- *'- S



*i:i. K""B
;!..<*- < ir a
r.***i.:- ~ ,
"*-* giig
:**ril~


... ..
-.-."- ".-
....




.
'*"*
"r ^
-.^ *! )..*.
:\ : '


.i .:~.-. .-i:8|.
.-. ..;
.."'*: ^ ..
*' I.-:; :i;"


.'

: ..:





". ..: ...
`:'..:^.-
:: .;' ;:;.
.S-;.: !-.









li;Ll' :''!'*


Y

r


--.
--
-
~~-
-- -

..~ .


r.
*;-.~




m .'. ." .I:


i. '. .- "


-4



c"


23


HE PANAMA CANAL FOR OCTOBER, 1916-Continued.


Nonemployees.


Nonresidents.


Discharges. Deaths. Discharges. Deaths.


mW. .W.


Sol- Others.
d'rs.


Isl Others.


B. IW. B.


M.. IF. M. IF. M. M. F. M.jF. JF. MF. MM. F.


.'... .... "1
.... .... 1


M. F.


1 -....I........ ... ......--1..-I.---.....---


1 ...
'I T...."..


1 ....


.... .. ...


2...
2 ...


.. i

I;
i. r

,-.
,.
m:_


.i.- '


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

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



















'. .. ... :'.; .: :. : ; :.
::9;





.'*""*- ; Diseases. a *:
.: .
'. ':. :i ." .- ,' .." .


--9.


Noneunerel diseases oft he
g yeno-untnar y-t em..ad
uwuezs-Gatitnued.s

Nonveereal diseases of the
male genital oargs. ......

Uterife tumar. .(noann-

Sdiseases of the uterus.
.Metri is-..-..... iS ..
S .lpingtis adI other dis
eases of the female gental
organs ......... --..--,



Normal labo......-- ....
Aceidenftipregnangy.,...
Extraaiterine preiany.....
flgypwmenhsisgravadarm.. -
Ab....an...... .a. ..


Prierpereal diseases of the'
breast-...........---------

SDiseasesm of tie scin af d f the

.,r *

urin e. i. i .. ,. '
Sarbtnel ... .
Ac de.a.bs." ,.a.m ,...,...:.
Pb. .gme --am --el. tis..--.. -
Bilc: ..i..... :..:.:.

UtOer of th lski.. -.



S...i... ..:.: ..... ....
.. anda... mra, -- n- ,.,

d" "..m'". '',


:1 Djisneasof the bawai Ctst
'":^,; e" r..... ig.l j!tk,.
: :... ..P. .. .. .
... ...&.M :: ..., ,.,..,


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

.-.. .

.^ ; .-.. ... .. 3.E .




Ame.- Eoiw
cans. po s. .1


-.. ---
I .


1
....^ 1 .:




:, 3 ..... .

2 :.
A' I
... '
"* Y 'L''"I
-*--i 1
S- : -.




,:1,: .- -


-- -f- j.fl

PA. w .
* 3 ai











. .. ...
.... ,


















fi.,A ; bo
. *'..


W*-- 6,-r -
















4.
.
.. *'e -r*:>













04W
*I I a



.









- .- ii
fcg


" 1 'E ."


;









25


0. THE PANAMA CANAL FOR OCTOBER, 1916-Continued.


.- k 1


S: f
"N;i .
t;;I.
4;;....


4' ; ~


I;,





3<;~t


w *.


SNonemployees.


Discharges.


W:


o-thers.
ds. F.


. M. IF.


2





.4


8 1


B.




M. IF.


Deaths.


So'I Others.


Nonresidents.


Discharges.


Deaths.


W. I B.


MIM. I F. M. F. I M. IF. M. F. M. F. M.F.


6 I.... .... ........ .. ...
6 -... .... .... .... --. .---



6 ---. .- .--- --- --- --- ...-. --. .


.... l .... .... .... ....


1111..


2 ...
2 ...





















~r1


,.. ... '- :. s --. ;.:... ...^


" .. rl *: .. .
. ." .. :. .. ',o ". -. *'




", Diseaes.e s




p ..*
Si
,,* ft,


arMazformations.

Congenital malformations
stillbirth not included)..

Diansea of e4aryi isfaMy.

Newborn child.. .........
Congenital debility, icterus,
and sclerema...-.........
Prematur birth...........


SAf'ections wroducetdy eI
: ternl causes.

Poisoning ood..........
Other acut pi soi n.. ...
Venomous bites and stings...
Snake bites.................
Burns (conflagratio ex-
Septed)...-........... .... .
T- raumatism by fireans.....
T raumtsmn'by cutting f or.
piercing instruments....
TraunatiIs by fall.........
Traumatishi n mines and
S quarries.. ....... ... ...
Tm, mr atism by nacines;. .
Traumatism by other cesrh-.
ings (vehicles, railroads,;
l "": landslides, etc.)...J..........
Fractures (cause.not speci-
I.ed ).... ;.-........ ....
Dislaon ..s... ..,-. .
8p ,ji5 .... .... ......,, .
Oth epras.,., -








.... .. ..



.: ..' .... ... *. M .
",. .: .i.;. ..'._, .,. *"3:F : '."
..: .. *. ...

......S iji. ....... ............. ....
: ....:. .: .....


* V u rJ
*1 .. *. ;


IS'
.* "..,... .;** .; ; :' ;:. "


." .. .
** .... .*


I' ". '



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"- .. ,,,'







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'. :


ack


M:F. IF. M. T.


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~II
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cans. penS..
.. ... % ':


5.


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f
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....... .. ... .
















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. Dis


















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1" 4 4
1 .
i.... .
i:: 2 1


27


SPANAMA CANAL FOR OCTOBER, 1916-Continued.


Nonemployees.


charges.


lers.


Deaths.


dSol Others.
d'rsl


Nonresidents.


Discharges.




W. B.


M. F. M.. F. M. F. M. F.


Deaths.


M. F. I M. F.


B.




M. F.


.....I-1----- I ----1... ---
.... .... .... ... ... ...


2 1 .... .... .... .... .... ............ ....... 1 ... .. ... ... ...
.... .... .... .... .... .... .... .... 1 .... .... ... ... ... ... ... ... ...


2 ....
3 ....


9 ...


18 ...

1 1
2 ...


1 ... ... ... ... ... ... 9
... ... ... ... ... ... ... 21


194 40 98 49 104 ....2 2 7 10 21 1 2 ............... 866 35
5_4140 198 149 14 ... 2


I


1 ...1 ....: :. .. ....... ... .. .


S ....
.... i....


::.'" ::


i


















.?
h p y c s .... .. ..... ..... .. ...... .. .. 1 i



TotaL----. 121 .3 41





S..Panama Canal employees. ... ... "-.,- .- .-... 1 :
Panaa i. employees ................ .




Other pay cases -. -.. ..:.:.... 4 3


GTotalndos,...- ... :..;.l-. .2 36 2M: K
------- -- t t .. .,.. 10 76 41 2 471

nam (a depaesrtmans. 0












Pn COLON OSlTfAL.

: Panama anial employes; -et --- 1 ... ; 1
* Panama employees.. ... :. .









S Panm pay cases ...... .... .....2.... 21 27!
.hr --e U"" a --------: ------- --------- x6i0. it.:.i.







SOth.er pay casesy...........-.... 4 5 2 1









T -. ...M.......... .. ....
.Gram a d e... ."". .... : ...416.. 4. -


.aTotL.aemp- .. ............. 10 2










a .--N R D l-wOTAL .. .
.Panama U e-s .e b, E............ s
R:l :.



na .; .';a.. ., M0 I
"-" T.---- --.- Jti A










.. ... .* .:. .- ... ...
4: w .: ..At.. ...- .. -. ..





















E .. .....
= .:." he.::.:.-, ." .R. ".- +. .
..-... .. ^ ; .
,. +.;+ +












.:. +...... d;. "' ':l. : I : .n ,...,.:,





:: :.. :..... ..:: ... :. .. ... .. ... .., +. .. ... : .;i- :.- .; i ... .;. :.: .
= ,...:-+.".."."= .... <<........ .:., : ,... ..+ .... :., ... : :. .. : .
... : ":" ...." "" '< .. .... : :" ":: "': "': "
.. :. ..:... ; :.. .. ...:.. .. : ... .. ,.. .. .: .:: .. .. # :. ; .....,. ,, .. +.,..: ,. .. .. +, .. .o ..+, .. .. o. ., ..
:.. ~~~~~ ~ ~ ':: .: .: ".:." i :.". : :'".L.,^. E...:...". .:...x.:
: : : :.:,. ::" .', :. :.. :. % :. ... .... ..'. :. :..:: : ": ....:,... #, ".. E ..E::.. ..
.' .,. ,:,... ,. +... ...iS~ iZ~ ,,. ..+ ..... .... ............ ,,., ... .. ........ .,











HOSPITAL REPORT.

White foreign. B=Blacks.]


; Discharged. Transferred.


A. F.. B. A. F. B.




71 15 149 .... ........
10 1 35 .... .... 1
289 23 98 1 .... 1
14 1 23 -........ 1






........ ..... -8 .... 1
384 40 305 1.... 3








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



.. ..... .4 .... 3


14
9

11
3

37


1
4


12

12


15
23
1
6
1

46


.. :.. ... ... ..r .. .... ....
iii.. ... ... .i.i .... .. ii .... ....

. ..-. ..... ..... ----.....


29


Remaining
Oct. 31.


F. B.


Average number constantly sick.


American. Foreign.


20.87
6.42
107.26
6.06


1-1 --1 -


34 1238


140.61


32 188 2.00
4 3 4.23
9 60 3.00

45 259 9.23


79 1497


149.84


3.10
5.25

4.38
1.13


30.87
4.06
8.10

.43.03


76.06


9.94


1.25
1.06
.09
2.90


13.86 5.30


.......... 4.00 63.67


. 85 18 165 ...- .... 6 26 24 175 23.97 19.58 175.94 219.49
S19 5 59 1 1 6 12 3 56 11.67 2.38 59.00 73.05
S....... 2 .... 1 9 2 35 226 2.00 32.96 227.72 262.68
301 30 104 2 3 6 124 27 57 115.87 29.86 58.43 204.16
17 1 25 ....-.... 61 11 12 136 10.19 10.52 131.69 152.40

422 54 355 3. 5 33 175 101 650 163.70 95.30 652.78 911.78

SNumber of employees remaining in hospitals:
i White............................................................... 65
Black.................................................................... 231
Total................................................................ 296


4-1


8.39
1.32
22.90
.42


33.03


Black.


112.68
46.32
54.94
28.74


242.68


5.26
2.87
187.33
2.10
59.80

257.36


500.04


52.03


1 5Fi


5.97
9.81
1.07
1.39
.22

18.46


39.32
24.35


Total.


141.94
54.06
185.10
35.22


416.32


5.26
2.87
220.20
10.39
70.90

309.62

725.94


61.97


18 58


10.32
16.12
1.16
8.67
1.35

37.62


41.32
26.35

67.67


2.00
2.00


I _


..... ...8 58.. .. R 5.













tion
Ancon 3 89 ...... 85 2




B. 'Balboa. 3 .1 112 7- ..L t2. .. 1*i.5 *
Pedro Mi-
.. ... .. ..:..... ... ... : ... .. ....' m
... Pa ai ... 7 .. .. ............ ... ...





alboa n .. ... -.. 1 2 ,........ 2 1.: ..




.ColAti.-... 10 22 3 89 ... .... 77 96 .. ....... 1
STotal. 26 312 105... .--...-299 113 12 3 17 15


.. ALL CAE TREATED BUT NOT EXCUSED.
S ." ,s ...




S, Einployees Nonemployees, -
,,,, ,,, ------------- ,








station... 4 IA...L _'
White.Black. Tottil. Wiit Blk. Tota. Whit

Ancon. ....- 2,681 4,164 6,845 1,916 2,933 4,849 4,597
Balboa--.-.- 3,Q52 3,448 6:600 1,703 907 2 610 4 ,75
Pedro Miguel :905 ..1,257 2,162 965 504 1,459 l
Paraiso..--- '994 2,.685 3,679 826 917. 1,743 18.J
Gamboa- ;-- 58" 191 249 33 367 400 6 1
Colon......... 1,019 3,64 4,383 943 939 1,882 .1 96 .



"' -- COUOIDATED AISSIO REPORT -.-

.. .


Total ad8inions to hospitals, excluding Corozal :
farmu anid chronic warid-- ------... 52 :
Total admissions of employee to qnars.
T.::o .ot ., .. ...-- I< -
Sess mbera pat ies trasf.ed.. between .. .....
-pitals andt from quarter to bdspitalsv whose
admissions are dplated in above :fgu-es .o c,
Net admi:sions to hospitals :. .. .
-:-. .- :-..:...

Ymplyee.ad- ttedp M
EmployeMes dintt d. .- e.

wer ibr trasnsfdii
........ .... ",.84 .. ..















A-n. .... t 1 .






".. .




I.







I;+
x -
A '"







;:.:: X.


i..

L.


!.
cr .

;


;.

r .

E;*f'"!
I
r;i

;'* ;
i


oTA.BLEr IX.-C ONSOLIDATED DISPENSARY REPORT-Continued.

CONTAGIOUS AND INFECTIOUS DISEASES REPORTED DURING THE MONTH OF
OCTOBER, 1916.


Disease. Panama. Colon. CanalTotal.
Zone.


Beriberi ..................................... 3 ........ ........ 3
Chicken pox ................................. 5 3 5 13
Diarrea----------......... ..--------------... .................. 2 2
Diphtheria ................................... 7 1 5 13
Dengue ................................................ ........ 17 17
Dysentery .................................... 9 2 4 15
Influenza .................................... .......... ......-- .. 22 22
Leprosy ......................- ......... ....1...... ..... ........ 1
M laria....................................... 10 20 40 70.
Measles ....................................... 7 ........ 4 11
meUmps ....................................... 1 ........ ........ 1
ellagra........--- ............ ............... 1 ........ ........ 1
Pneumonia-................................... 8 3 4 15
Tuberculosis .................................. 26 4 7 37
Typhoid fever ................................ 2 ........ 1 3
W hoping cough-........................... .......... ........ 2 2


TABLE X.--NUMBER OF EMPLOYEES CONSTANTLY SICK IN
HOSPITALS AND QUARTERS.


White. Colored. Total.


Hospitals:
Aneon Hospital .............................. 37.00 167.13 204.13
Colon -Hospital................................ 10.66 15. 78 26.44

_Total ....................................... 47.66 182.91 230.57

Quarters:
Ancon ......................................... 4.84 1.38 6.22
Balboa. .................-..........w.......... 6.67 .48 7.15
Pedro Miguel ................................ .41 .......... .41
Paraiso ..................................... .58 ......... .58
Gamboa ..................................... .16 .16 .32
Gatun........................................ 1.58 .23 1.81
Colon ........................................ 6.65 1-7.80 24.45

Total ....................................... 20.89 20.05 40.94


Hospi- Quar- Total.
tals. ters.


Average number of employees constantly sick:
White ......................................... 47.66 20.89 68.55
Colored ................................... ...... 182. 91 20.05 202.96

Total ...................................... 230.57 40.94 271.51

.Average number of employees constantly sick per
1,000:
MWhite ....................................... 10.50 4.60 15.10
Colored ................................... 6.36 .70 7.06

Total...... ...... .................... 6.93 1.23 8.16


V.,rl'

















:~,i .. tA:. ;. ..... i :

:o .. "; : .. .." ... ..... .. .. :
:., .: :. .. ._- .- ... .













S-*. TALtXIT.--FINANOIAj^ STATEMENT, DEb R





... ard.. t .- ,o l h .... : .. .laboratory.:: .- 217.44 .
...... i.t. ora. zal m. .... ... .. ..... .... I -. '428, i

M i .ls. or ous :. n...... ,. .....- .. 74.2 1






.ese f e fw to'.~.." .o....". :2 ..". .. '". ":.:.' ." "." ;." ."' ....X'
.District dentists...... ....... .. -.... ... 8 .







-" ," : I en.sries t .. .. "4" .. ,.." '
:Ba l:: o /.:. :.~..:Of W; ,.: ::;. ,: ,


Pa s ,e --... .. .. .. .
---- A ---- ---- .-q -. --






*'.* ,;' ,, -.. .. ,, .... ..... ... .... .





.' : St ..:."''?.': .. .. ..
:4. .. .. ... :. :4 4..- ii :









-;_ : -..-.. .. .. :,. -, w:.. .. .. ... +. .: 4 p
.- A.. .~ .:... "'.."--': .=r,::

::;s ..... ..j
....V

















S, .
: -eu.r.v t.". :, A
7:A: S rwt. 3ois t-.
n.. v:: s~ ;. 2 :.". .;.;:;": 7.I
:' ',,"~~~~~ q:". L""D ''" :.. '":"""::" """: i :"' L.;
I) ssr~~~~~e .. .. .. ... ... .. ..
,: : :: IS~ ... .. -. .._.' .! .!; R" Y








-MIT,:. .. :.. i..;2..+ ;; :~
." .. 7 ,. ". ,' .. a T. .'7., '
... -: o: l...-. : .:.. :: ,. <,:,;; .- ,,u
~~~~~~~~~~~~~~~~~~~?` g:" v.d .... .;:./Z .: ;; :;




...





,.9





'4iu '







I:'









f







'"4
V'


TABLE XII.-FINANCIAL STATEMENT, DEPARTMENT OF HEALTH-
Continued.


September, August, September,
1916. 1916. 1915.


Zone sanitation:
Ancon................................... $1,960.29 $2,091.89 $2,388.63
Balboa..........-......-.....-......... -1,366.01 1,712.86 1,313.74
Corozal ....-..-.............-......... .. 1,309.32 658.11 1,464.29
Pedro Miguel-------..........- ......... 3,639.33 5,251.26 3,303.90
Culebra......... ................ .... ............. ........... 18.00
Frijoles........................ .... 75.75 76.13 99.33
Gatun................................. 3,933.83 4,057.67 3.012.21
Cristobal-Mount Hope................. 2,107.26 2,290.10 2,852.66

26,910.20 29,296.55 27,621.86

Quarantine division:
Chief quarantine ofice................... 171.39 188.35 341.48
Balboa-Panama..................... 2,041.75 2,041.12 2,001.01
Colon-Cristobal...................... 3,411.81 3,234.99 3,047.92

5,624.95 5,464.46 5,390.41

RECAPITULATION.

Chief health office............. ............ 817.23 567.28 872.74
Hospital di\ision........................... 45171.59 44,322.63 36,592.32
Dispensaries ................................ 3,037. 69 2,935.30 3,686.74
Sanitary division.......................... 26,910.20 29,296.55 27,621.86
Quarantine division....................... 5,624.95 5,464.46 5,390.41

Total.................................. 81,561.66 82,586.22 74,134.07


TABLE XIII.-ANCON HOSPITAL.-
REPORT OF NATIONALITY OF PATIENTS TREATED.


Total American. Other nations.
num-
her
treated. Whtue. Black. White. Black.
*


Hospital:
Panama Canal employees..........
Panama R. R. employees..........
Other pay patients ...............
i'. Charity patients....................

STotal...........................

r Asylum:
Panama Canal employees..........
P: Panama R. R. employees..........
i.. Panama Government cases.........
Other pay patients................
Charity patients...................

Total............................

SGrand total.......................

SBoldiers.............................
Chbronis...............................
-- Farm (cripples) ....................


1,180 535 ........ 76 569


6 ........ .............. 6
3 ........ .... .. ........ 3
226 2 ........ 32 192
14 6 ........ 5 3
74 3 ........ 9 62

323 11 ........ 46 266

1,503 546 ........ 122 835


289
20
65


289


20
53


."1
*r

g

.
-i;l
r~..
...1
;


33













%--



S* ...: .. .; .



Other py pati-nts ..=*.....5 7 .
Charity patiei~ts. ........ 2: 8 :
-Totaale.. .... .-, 90 ..... 12 .
Asylu m:' -- -.
Pan. m_ Canal 6x.3p o .. ... .-
S. Fanamma R.. R p. ..loyees...... .. 8- .... .....
SPanama Govermen t ases.-...-... 6 :-S-.' '6...'26
Otfier pay patients.. 322 13-1 "
Charityatients ...... ...


G, ind tota.. ... ........ .o .........


-- ---------- r-" -




:," -' -. ; ,. ** ...:.. ". 'i
Soldiers.n -"..... ... .... .......... 2,7-5 2,7- S ..



Average ost per subsistene per day, to.2867. '.

W- D ABORATORY REPORT
.Blood exa minations (total nimber)...... ..
SE-autu al .. .. .. .. .. ". "..""...:- "-' ".
T ertia .......... ..--e- ... .- --..---..- ---.... ..... ..
D. ifferential- risl ........... -.... ... ;......
L.nreocyteco. ht. .... ........ -..-- .
R-edblood ounts..... ---................. .. --
toolexa ntinati-o- (tot alum- -r).------.... -.. ;-. .
Ameba .-.-.... ................... ... .... .. ..
S A iaris lumbroioides ,....... .- ... '
S .. Bilharsia...- : ~...-- ...-..... .... -- .. ..
g iatedi omads..... ." --". ...-- ..-... ...
-, a ijac tests. ...... ...;............ ... .... ....
P St ondlodeu-.-- ..:-...-. --.. ,,-. .:.-
T u .i .- .......o. a. ....... a
ia n .... ..... ...... .. .. .
* 1" ,. .:p ... a"a".(ov" .. "... -- .' ". .. .. .' ,:i
'Urinsemination (totalinuimber).,....
.. .Albume -est .. .... .. ...... .. ...... ...... -.,
Bil :.. .. .L -". ....
-."J ." .. .. ... ... .. .
:-. ilia tednon .... ..
E .thelia -... .. .- .
Ho.rii, .jstal ..a.

..,--- --- --Wk tb iw:- .4-.l-; ..-- --t -





S4 m,




'*'
~ic~. :
.; .r.
cii"
:
;
.~- .
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1.:il;'

Bi:-


REPORT OF SURGICAL OPERATIONS.


~;.
i;;:;
E
r

~ti

L"
C
"^'
r
:i
r.
i~
I
~~..
;


i...
i;,
i




I


Totar ...................................................


Number. Died.


2 .......
2 .......


Amputations: Digits, multiple..................... ..........
Operation. on bones: Ostiectomy. ...........................
Adenectomy:
Inguinal, single.........................................
Femoral........... .....................................
Herniotomy: Ventral........................................
Genito-urinary tract:
Urethrotomy, external ...................................
Prostatectomy............................................
Vatioocele, radical cure.................................
Hydrocele, single, radical cure..........................
Orchidectomy............................................
Epididymotomy.........................................
Curettage uteri......................... ...... .............
Obstetrical: High forceps.......................................
Rectum:
Hemorrhoids, radical cure................................
Fistula in ano, excision of.................................
Laparotomy:
Forintestinal obstruction..................................
Exploratory.............................................
Gastroenterostomy.......................................
Appendectomy.......................................
Appendectomy with local peritonitis....................
Cholecystectomy......................................
Abscess of liver, thoraco-hepatotomy for..................
Pan-hysterectomy.....................................
Supravaginal hysterectomy...............................
Hysteromyomectomy....................................
Salpingectomy, single ....................................
Salpingo-oophorectomy...................................
Suspensio-uteri...........................................
Various other major operations..........................
Various other minor operations...........................


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

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


15
1
1

2
1
1
1
1
1
5
1

12
3

1
3
1
14
4
1
1
1
2
3
2
3
3
3
93

184


REPORT OF OPERATIONS, EYE AND EAR CLINIC.

Tonsillectomy and adenoidectomy.......................................... 24
Adenoidectomy only....................................................... 6
Submuicous resections....................................................... 12
Turbinectomy.............................................................. 6
Pterygium transplantations ................................................ 7
Plastic on nose........... ............................. ...... 2

Total ..................... .......L ................................. 57
Refractions.................................................................. 90

REPORT OF OUT-PATIENT DEPARTMENT.


Clinic Total New Pay Preserip-
visits. cases, cases, tions.


Medical................................ 266 171 18 281
Surgica......................... ... .... 238 110 10 37
Eye and ear.......................... 526 198 0 52

S Total ............................. 1,030 479 28 370


35


TABLE XIIL-ANCON HOSPITAL-Continued.


k


1















2


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e"


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S. 7, .....q. "r : .."r-.":.. "' ... .. '
*No-yaccinations during Otol r. 9

B@AED. OF HflTu tA1Ok r ..o
...... ..*. .. .....** .. ... .. .... ... .. :-.a.. .'. : .
o. .1.. .... .. ... .. ............M.. ... l:a-

S. odcultu rs ( psit-'. ... B' "yp la .. :... .:. .


tPhrienoleogficienti determination of tBac ...........


Pathological fl uids, dates, oefor t-... ................ ..
:. : .. .e ioarsgonococcus ....... ....... ......... ... .. .. .. :
"* .". LTeper suspeUts. .. ......... .. i
Sairy milk.from Corozal ...- .- ...... .:...... ....... .:
"assermann re-.. .. .. ........... .......... .







S. Agglutination reactions.. ....... ................... .r.. .
S Autogpious-.vac.ines prepared.............................. ,
ntit yph d u .vacci s. ......... ..... ... .
Animal ioculations.................. ------------------ ...
Dark field exa4nm ations.......------ ................ j: 0
C Chemical examinations de termnao o Bcil -





S" others' milk.. ..................... ... ..
S, t oUrin ........ ..cal ,.......... .,..... ..... ...





.ilk earsr; go dococcu.rtm nt. 2.. ... .... ... ...... ..
C iltures of auto s ....... ... ... ... ....:.............. ..'- -






S epuberasuspi ...:... -. .... .. ........ .......... ..

Powder tit forid vaccine ation.....,....s -.....
.Oil of oedarw pd. a.. ..... .. ........... ........
Chemical examinations of: *. .



SButter form i e ...... ... ... ........ .... :



Testl eals ..... .............. :........... .
Spmal fluids--
SButyrI acid test. ............ ... .... .......

S h wd e forest ....... ... .......... .......
"* *'*' ''-- -- - -~v -- "------" --.- ? -- .-^
SButye fricditst-----------



S Cooidal gold test.. .-........ ......
Pathologicl tissues prepared paraffinn 434,frozen).. ...
-est meals pathological examination.. --. .... .
S Placerital smea -......... ....... ... ....... ... .:...- -. '
."pinal f id .............. ........ ........ .. .
-Autopsfes performed....-... ........ -:.... ...... .-
S 'm : "A .ialk atopsied.o...n..- ...--- ...-.--.......--..-..- ..... .. :..,,
.. .
F ,ilaria idenii..f .in..... ................ ..... -..... -. -,
S. iog atnderolseroivation ... i;,-.. ..i. .Co.l ,,-.: ...-a..
Rats examined (miusn muscilts, 441; muriorwegio 3,mnsal
3; mus rattus, 171)... ...-.. ........... .. .... ......
Bodies einba ed ..... .......... ..... .
r t ments .. btro .. ....-. .
: T ke Pan ia ............ ......
X .. Tt!
.u ake atuni-.. .. ... ... .
.. ........ ........... ... ... ........ ...




S .. .p.
41.. .'f .. .
.W E -. -

. s. .. .N. j P .o .-A ... .. .
":il~;: ,C; .i~; :' 4 .::l;ent.ls... -. ....W.-. ..











Sl eQ- .. .. ... ....... ...... .. ..... .
.. ..... .4..: 5:. :.
.. .. 0_ ...... "N
Crem tim ... .... .. .. ,. ..... .... .... ... ......... ....-tic...


















:
w if
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*?


a.;,*'". .-
.. ....-.. ... ...... ...........
O' '........ ......... ..........



-... .. ... -..... ...........
l r airsoad station. .........,. ..:



:i l-. .. ..." ...... .... .. .....
L ,.... .. .... ........................



; .:. .. -... ..-....- .....--..--.. ---
Py nt.- ... ,...'........,.........
... .. ...............
.... .... ........... .............
.;., .. .... ....-.............



ki -------- ---
I-.a~-- --- ---- --- ----_-----
tc 4uiters....................
i. .... .........

..... ...........C ....... .....
S c... ... tob... .. .
i ... ... .... ........ -
---- -------------------

a .. -s,. -...--.... ... ..... ......
,,, .. ...... ... ..,, .......
&.2..............
t .. ....... ....... ......


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


"0
p .I





p
'0 0
-'3 '3


2
...ii.

.55

19
_1
5

2
1
1
3
134
204
859
141
-26
2
19
11


i 2



3..i


1548i 56 j 2


'a.-
Am..i I ;
;i:" '";C l ": ':: '". ...."",


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

%." j4i




A14
.J....

I j:
f; -i -. .'I4. .;
.". .' ... t. ....... .. ..
.. .... 7.. .F... ..! ,.9,


4 AL: 90.. 'iii; .
NilE:F, ii ." .. "" : i .': r Y.. : .:" I I





.. .. P .' ... .. .. :
I .. .... .
"* I .:'"""!;i;: .:'. :"" I"Y'. .:. "....I:;~ w .:..... / .., '. .
K VA: -: ..:. .
i k. .. ..... .. ..4
,, : i ,? !' !. ,. .]. *
r ..... ,. .. :" : ., : .:," :. .'", :'. ". :. ; : ',. ... ." : '{" .
'!i::i ; :: 4. ::.:::.;"b '". :,=.:,. :. : :. : : :;::.,:. ;; :" .:::.. ..:; ::.i::: ='. i :" ". : : : .. ..
";'F J : J : ": ... :" ... .,L .:... :. ": ." ...' ..., ..
;,iii..Li; ii",;. ..i. :. :::.. .:.:: .? ,::..o.. ::. ,:...%. .,:. .~ .ii .:..:.:.:4; .: .... .. .... .


~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I r:. ::.. : : .' ".", =" : .'. .j. .. ~ ~ i' i .. ."" ". .. Z.
...E :::.E:".. EE.. d E... .' .:.. :..":. .. : :. ..... : "::. :j .: F .gkE ..::;% ::.: :. .:' :.
:. :. .:..:.: ": ,. : .v .: .. ...: .. .. ..:. .. ,: :.. ::
:= :I ..# .. .:.'..".::: ." : % : : :E: : : h::: E ..:, .


,..4C.


O .



F11
91

,204
"33
410
1, 887



1,088
1,046

2,768
'721
471
7,666
1,160
8.

142.
439




1, 108
1311
1596
4 217
1-
1,108


. ...
* "













S : ..
a

C-










. -





'9



.9.


4-


9


- 'I I *i. I


2---



"'


8 .27401


I ~I


..


* ",'.a. .













...... ." .." '"4 1
- -r..... "" -





V r-



A noon. ......'. .... .. ... ..... -. .. ..... .. .. .. 176 1
S. B boa ..- .... ..... .. .-.. -. 40
...... ... .. ... ...... .. A





C.. orozal o .....,..'.." ..s:. .....-. ::. ... 2 .
F.. aroi,. ..... 6e.. : .. ....- ..,. .. 6 .. ..




".Pedro Miguel, railroad station.: -..-.. .......:- .- 2 .-.:.
.. : .ar is ."- .. ,- ,:, ..-.. : ; ... .... .. ,, .,. .. .
,.... T an.. -.. .. .. .... ... .... .. .: -...... 1 ....
.: ,i- ..,. .. : .a. ..lo.p -... .... o i.... .. ..... .... ..... .. ..".... ,







R io Grand-....-.--.. ." ... -, .,-........ ... ,....
S iri, d orio. -... .....---..... .......-- ----. 1 ..- -.-


.-:,.- ~~~-- --- F q lB -- --- -*-- -- 9 '
g .g', Cu b i C "." ....2"4... ." ,. "
:". ".. "... .... ..'" '.'. ':. .:..- ..", ...' .. :.. 1:.
- ... .. .' : : ."a "S,- ...'"- .'. .' ..":'. -"
, :.. ". aNew r at ..... ". .... .... ....- ... ~. 3 9 -
.j. o H ." .a g. ".. .. .- ., 2 6"-- -. ..I
" : ..- .:: ..'o n ., .... *.. : .. .. .. .3 .
.. BariasO ... ---,-,.ristobal.. -. -- -, --- --- -. 14. -..
-- O rn --p i, ed ...r.tr-..: -. ... .... ... .. 5 .. .-.
M ounut g. ..: ..'.. 6 -.*..-. ....-..- 2 .
-Coln ..: ..... ..:.. ... S ..

O.. is.. ..
Gu... .. .. ..os-. r : ,;i-- ;- ,. .... .. .
S lroza i si; t -:.;-......... : ........-; -- -.-

.: eIro MiR.eL ..... L .... R-. -...... .....--a... 1 ,
:* Pedro. Wg e1.rai-roads station ...










.r... .2... .












.' ..' .. ;... :. :: .-... ..


;: t .T n k '. T ".

.ansd e a r io -:- ...-. ---'- :.. w
..ewIg s ..bra ... .: -
l. l..--. ... --.------.----:'-:.,.;.-. .--. :...1. ..
,: ...f onte Lrii0;.i^ : *,--..-.. : --,.. .-, :-.. .V-.. -: :. y: ^ ^
..i.as,. ...

- :> "ilvbr mIaied q quarters .- -... .... ....












Ak1
'lolft *v. .. ...:.. :- ;
M. ou .tfl d ed ag.... ..,..., .. ...-; -.

nFot he--. ...r" jJi:

r e .... .. .. ... ..
.j `0 n.: : : : Z1 4. k-.
o lran ..... .. 2.5;. ...._4.. .0 :












':ro m au...... : : :, :::::: .:< .
.. -. ... ... .. ... .... L.. ..... .
,. .. ....






:".... t'". .- L."-:1...........
<.. ::. = .; ; = ....:. ...>,..






...... ..,,. ..,, ,..... ,,.. .. .; .. .. ., ... .., ,. .
'. :. i. : l .... .....:.. .. : ., :. .
.. .:.. ..: .. ..:. ... ..: .:.. .. ... .:i~ li .; i~li i.. .. .
:':..' "~ ~ ~ ~ ~ ~ ~~~~ii i..i =. :.::""':.. "ii... "'..' .' ," ...." ::." i:'. .

_.::.:. ?.i ..... .. .. .." ." "" 1 ? .i:. :.. # .::, :i.
l"i "i'..,..< ., .' = .... ........ ;-.. ,,, .

















We .. .


. .. .al.. .


.. .. ..-... .....
- --- -I.--


Improved


Male. Female.
*.. "


2
","" "-" ""


....
--- -- --


* F...-4,<. .. .r -
.. m red to Ancbni Hospital for surgical treat
..?"9::^..-v .. 7 .-
Z,: DEATHS.


ilest diagnosis.
Mb ;. .* ,.





T .
7 :: ::: ,:- ; :. .


- M-ital diagnosis:


Psychosis undetermined
'Syphil........----.- .
7.- .. .- ..-


"'TAB-LE XV.- COLON HOSPITAWL:r
: :~": "O. iiidO ALIrr.
,. ...". .., : ....-,," .


, --, ,-.,4



'tr.,.'T:. ,? ::. .-...


I -" "" "
S 4'. ",





;,Et**. 5b --* *
1^''4 "


White WThte Black. Total
: American. foreign...




'19 A.
ssl -. 11 '
4..........- ..--- .- ...-9-... 1 -
.: ^ ..,.;-." ,, .:. u, <. ,. 8. ,.


:-- :- .;" -: ''-- i "- -


.:. ISt. Y' A "




rig .4. 44
V; E4:.4 ; tr r.L .w;. .-.- -. --". 1
. *... .. .. ". .. '- : P. :.." l .. : .



,r -R. .. -I... .- ... ." 3 v



l ." ... ... ... .
', ,~- *.-., .. .. ..r. r w--, -. 7. p I "


L& .: .'. "' T :. .


."'''* .. ".rF ;aC; I'. V .'. ." ".. .. .: :..
: 'li =. -"'" :1 .m ,.,
". ,,, -:. .. ." ,, .. .. ." u. ..
s :..... .. i.,.: i .. .. .:
". ,, ',, ,:" "..' .. :.' o ,. : "" ,
: ': @ "."." :. .g :.; ''.' ,. .'. ? : ..
.- .:: : .- ...- .' .t :P.. .. '" P~ ... ....;; : ...


' .. >, ', ... .. ":' -


"* e- .2 i..
... .. .; 4" .
,C.




S ... .





.-. ., ;- "..'
I .







Male. Female. --'


.;... .. 1. : .

1 -. '
..... :. *".'" ... :" "
.. .;. .",.. .

,
o ,, .. t "


S,,,
it*s


- ^- *


I

















Sguiu, ble. .p. .... ..-.. .. -..-.... ..
: .. : .. ,
Sl dro usngle, rieare .
.. .* ta uteri ;. .. -... .. .: ....* .. .
SRedtimi: jlenorhxiddaiial rd ce te
Lapa 1OtomIy: <.. ** 4
Appenu ecfomy. ...,., .. ... ..
/ Minor operations, 'va-io ....... .;. .......... ... .
Minor operations, -arious (dispensry)...-. ..... -.. :
N'l. '. ,- .. -, ..- .-- ; ,. .'
TABLE XV.-PALO SECO LEPER ARYLTUWN
ATIO .T OF PATIENT .
S. : .: NATIONAITY .OF PATIENTS. ''..'-.


-'.4


4..


Paycases.e.. .. ..............-
Charty asses.......-........

o.. Total.---..-;- .---..


Number treated.


'White. Blatk.


2
2


40
'-,w.26


, Americans "
.. .. ,

White. .Black.::


........ ........ .
"- --S--k:-
.' ..
..-... -.. -...


,, : .. .*'
Cost of subsistence iOer patient per day, -4y 0.2., '

S TABLE. XVI.-SANTO TOMAS HOSPI &X, ":il
S .. -:


R. emain-
v i- 0
*.-." ,, .-.' V. *- :' .O .


Pay.cass---.--..-- ---.-. .. 37
... Charity cases.. ........ .... 419

S Total,..... ... -.. 4.


Average, number of patients constantly!
STotal number of days'treatment.. -..,
S Averge mutabe' of days' ~ reatinent for
-- st ofs istence pe4i ptient.per iday.w.






r< '*N laiss
... .







-k;,,,: .. : .. .6. :
'..... *" : '. :. Z <: "." .. I ... .. .. .,_.- .' ..W






SrM ""M i4 3
;. ::E" '. : : .. :' ." "": E ": ^ ".
[ .: :., ..; : ::, .', .,--.".. ::.


.. :.. l.,:. ..:.:,--- :' : ".. ." v. ""x ":.... :: -u%= .


.1-- >1-- I -


S 63.
* i!


* ... ..

IinP

44-.
cr. ~" 1
- \.'" ": 4^. "A'
". *.*', "- '?!


II-_: 8
80


sick .... 1..... ...
.. .... .. -... : .'... : r .
. .m m. "? .,.:, .. .. ..
"a patients ... .; .".:
. .. ... .. .. '. '::


... .. : ., _, ':... ,* ,l. ..| :.;


i
: *








"'. .


;4
"% '.


mittd.



















-;, ^ ** : .* .. .. .. 8t0-j .. .' :i ,*, s
R _, .* ... ....

S......... ... wn*r .. ." .. ,

NI,




i .....: .. .. ....... .
.. ...... ....... ........ ....... 4.... ..i... i... .,




-.. '., .. .- ...: ... ................................... .


.u...: d : ept.t..i' "- .. ......... .-- ---- --- --- --- --.-

': and ptice .. ... ............ ; ........ 7
:" ... ......................................... ....


. ad.. f.g.f s-... ...- ... ........... ............ .. ..... .... 1.
:-- a-
Pt --- -- -- -- --- -- -- ----


....... ...:....... ................. ... .







.ii l .. .. : :::: ..:::: :.. ............. ........... .. ...



,ltu ors of the female genital organs.-.-. .- -. 1 -
-,,. -- -, --- .---- ------.---- '-- --'--- -- ,- 1
















........- ....an iiiors of the b.reast .
Sligrnt tuiiors di orgps iot speed. ..........i. 1
.'. ... .............



'.. .... ... ...; .... ... .... ... ......-. -'' "
... .. ..................................... ,
1'..












e,. .. ..4....... .. .... ... ,
'- -- 'l--i-












td-,ai.,_a.,.. .5 ..... ... .... ........ .








'-,,E ^ i 8 o y.stem -. .. -. ... ... X... .. .-. 1. .. ,,
iJ.





.. t ... .. .... .. .. .





a O- .;. .. .. .. .....






.. .. .. ":".. '
..... ....... ... _..... ..: .;
-: .. .... .... .. .._.,


..... .. "

......... .... ........" W

v .. ..-. .,. v .. ,, ,.,. ; ..
I l.-- ~~ ~ ~ iX;*;: 2 *. "'. '"'" '.. ...










.. ." o ". :. -. '".. '~~~" :'-. ..' "/ ." .. .. .. ... .. .

Other diseases of ever .. ..
SBrights dissease (chromic*ephritis)......; )..- .
diseases ofthe l der ... ....... ... ..... .... .
T -wiseases of th ethra.---.. .. .. ... ..i
Nonvenereal diseases of the female genital organs,.. .. ,- .:.
f-terine tumor. -- .... ............ :..
Mfetritis.-- ---- --.- .- .. ..:: ...... ..... .... ....-..;._.: g
Other diseases of the uterun ... -........-... ..... ...-- :
**, Cysts and tujiors of the ovary- .
Salpingitis-and other diseases of the female genital organ s. ..'-l
Nonpterperal diseases of the breast. -.-..
S Normal labor..... -..(. ..... ....
1-
Accidents of pregnancy.........--.. ......-....--......... -.,
' -. Acite abscess.. ................ ................ ........ ...
Other diseases of the skin and annexa.....- .. ..-...-.... -
riseases of the bones................ .............. ....
diseases of the joints.................................... ...
rise------t---o------------------------------ ---
Other diseases of the organs of locomotion............
Congenital malformation...........-.......-......-.....
Nurslihgs discharged from hospital without disease........... Il
Senility-....---.....-..--- ....----------------------- ............
Posoning by fod ......... ................... ...
'Other acute-poisong....................................
-Burns -.....----........-. .....-------..-- ..-......... .. ....... ..... ..
Traninatism by firearms ..- .......-- ......-.-...... ....""-
Traumatism by cutting or piercing instruments ........--.-. ,
Traumatismn by other crushing ...........................--------
Sprsactus.... ......... ......... .......................
Fractures............................................... .-... .
Other external violence...... ......... .. .. ...
No disease..------.----...- -...--..-..-....--.... ---.....--- -.

Total discharges.... ..- -. ... ............ ..........
Deaths ......-.-.....--- ...... .... .. .. -- ..
temaini g....-.h ......;... ... ......................... ..
SRemanng .... ...-.
Total number of patients treated during month.....

BUaGICAI. OPEzAIONS. *
.. -.l.. u ;^



Amputation ofdigits multiple -.... --...-- ...
Ostiectomy..-.......................... ............ ... ...-
Excision of maxilla-........ .......-.......,.- .--.
Adenectomy,- cervical..-..- ......... ..
Adenectomy, inguinal, single .. -.-..- .
Sdenectomy, ingumal, double, ---------..... ,
-Adenectomy, femoral;.... ........
Herniotomy,Jinguinal, singe...e. ........... -
Heriotoy, inguinal doble.. .............. ...
Uethrotoy, ,-interna ......- -.. -
U.,rethrotomy, external, -.. ..- ;. ... ... .. ...-,.
Hydrocele single, radical -...... -.-.......V.. .-.....
Hydiroel, double, radical ce--.................... ...-
S Aiputation of acrotumi.. -.. .. ... ....... ..
Curetage uteri T*'p..........- -
Perineoplasty.-....... -. ;. ....i
T .dn..to..y.. ..............:............. .
1Thracototny. -t---------- --. -It -----
1x- cisin-of 'breast aii&daxiUli.. ....
.. Merudintoids radical-.. .--.----l- -. --- --
e, r l r .... ... :. ;..
..se eins, e s f .



.. .. .... :. '
.... M. In J
..1 **' .i:i: ,i.i.ii















.; .. .
*"" i: ."::'" i :" : '


i"oft parts, oe ation for .... --......-


i7ia;s e-.. .. ... ...... .............. ....
:t< p---- .----------.--.---.--.--

... p. .. ~o ..... .... ... ... ...
-...: ..... ...., .............. ..... .........

wt-eootmy. :..
Rd :l o.. 2.. ...... ... ... ..... ..... ..--

Ofty .. to...... .. ......* ... ...... ... ..


Salons ot r-....... -......... .........
-it m ... --- .- ---- ... ---- -. : .. -. .. .. .- ......---


ji :.. ar i..J..' ....;........ ...., -- -...... ...........
N V fl ...............................
'S i .,,. C -- --
; .'>- ------ ----- ----------,. _. .. .. .


1 o.mbl.. Died..


1
2,4-



1
.1
2
8
4
2.

4

.1
48

167
-,,,


4, ,"
V. .'


, ,.. : :.

--.-----

----r .' ,

. ;....


STOafA OF SANITARY WORK PERFORMED AN.D
:'PE' DUtNG THE ONT N THE


i*E.uppl department:
.. ...-....-: -...................... 21
I. i ;" .. ; ............. ................". u
S.t nicipal engineering departmentt. ........ ....... 14
t i d pa t ................n................_ 2


..... ~, ............ .,;.. --... 3, .
.. ..,.. ..... .. ... ..- ....... ............. 1 ..




i O .-- ------.-------.-----. ,
"... .................. ............ '0






p.)0 .
.1, .. .. .. ..... .. ..!. ..2
.... ...... .... .. .
i 2iiiif a-.. .. ..r r ... ...... .. .. .. .. .. ... .
A V
...... ..,, ....... ,.. ... ... ..- ... 3 .

..t L: i "t. ?' 4 ', ~' .'.: is'



N. .. .
"''''> .., .. ,' .!""' .:. ":"i ," .;<, ."A ...% .,.I... ".."','
't", "i:i, ,,i~ l ,, : 1 : :, ",, ,, ,::, : =: ," i:, i, ", ,,: :: ,, ,,:i:,"
i'i i i ::,,- ,i," l~i li~~ii> ,: ,, ,, :i :, ,: ::! i i ," ":ih ,, ," : "l. =,i:i":::,i
ii, !!!,TM, r; d li :!c,"i :i',,', ," iii i ,, :: :,: ,:,,: ,: ,':: ,,, i,: :, 1 ,, :,,,:i
Ir rm....i. ,..i~n a ,. .." ..., ..... ,..,:, ..,. .",., 1,:f,! : ."
:',, ,. .i..rr!!,'r !i : ,,..., < ', .,i": ,',, !J ::., : ..:,. ".. ..,,: ., ? I,


.C
'"


I


_ .




A

44
--,RFP0RT OF IOvmw JKV
-,WOU-K

Lineai4eet otditches Owned and,
ew
Linear Met of ne a
Number of ed fil
7
Gallons dflarvacide fi3eod
Gallons 6f ctti& oil us6d..,. _.!t ..........
Gallons of kerosene used,-
$quiwo yards of pools oileid.
Water containers treated,
laces a6, --- - --
Mos tuto-breeding p found (stegomyla 118)
Fly-'roeding pkees found __` ...... ------
Flies trapped (13,000 per quart)...
Number o4 rats killed]., ....... ...... -----------
-_Number 'of 'room dish3iections
Squarer foot of vi*etation removed. ---------
Garbage collection:
Number of loads of ba avred to All Y. -
9xr, 901rem MP
Number of CU.M YaNs of garbage renadved, dump. .....
Total nurbar of C4= garbage emptied..
B-taWings:.,
Number of buildings inspected
Number of plans for now buiklings approved-..,
Number of permits issued for repairs to 91d ......
Total building issued ----------
condemned
Number of b Ugd=i 'gs ........ ...
Number of stables condemned.-...
-----------------------
.-Nui4ber o.f b70dings demdUshed. ...... "..
Street clinnb*:
Average.Aiumber af squM* yards oCstreots el
A dsbf streets sprinkled Mily
Nvera Munber of iquare, yar c
gber. of private properties cleaned durmg month.
Number of.notim served and nuisances abated......
Number of vaccinatlon performed during month..
Total number. of vaccinations siuce A-pr.-I,
%V,


8411af e yards street cle*nM''.
Square yarde alloys maintZW ........
Number of private properties cleaued ....... ..................
Doses of quhdne issued--' .............
Number of rats caught....
14oads of yard garbage dIWsed-of .. ............. ..........
Number of cans garba& (k-bic yards 2 6$0)
Unear yards of dltelw tr=tPA 0
cans Y461 31M`I*I'_
Acres of vegetation removed--
QuaraA-t* station-a 4-o.4 ........ 1". ....... .
Radio statlon .
PaAunO It. R. resarvatiOn,
Square YardS ollod..
Number of weptacles treated.
Number ol mosquitoes caugld in Cqlon,,B
opheles .......
mosquito g places destroyed-
V. mberAfly e, I*s dostroy
pL jBd
Numbexof
NxmibeTvfgallonsWIarV _Jde4L-AdIjUQ*M..,
Number, of ga#owof-, Vil used in Od
-Vumber. of -nuis Abat,4*-,_:-,i,
3B jbg C01011.
umi)Wof building pUns.
Numb6k of to PC
tots to
Number of LiT i9oued*'
XiMber, 01=






T4,































a~iaquitebs caPugt in silver married quarters- '.
...... .2 :
,,...~-. -...-.....-.- .. .. .. ................... 714 .
-714
mosq itoes caught in steanships-
es..3.:..3J-.. ..... ......:;...... ..".. .............. -S
. ,., .............. ....... .......................... 20
Anwpil tes caught in Mount Hope village- .
g.,S. .i .i'.-'., .............. ... ........ ............. .......... .. -5
q(rixtoes caught in Camp Baird cars--
tIa- :-- .... ...: ...- ....... -....... .................... .
... .-...--, .---- --. -- .-297

.-s .. '....................... ......... ....
He .i. ... .. ............................. ...... 5,732
ale, i.' .. ....., .................. 5, 732
: ir n es .:-:::.:.. --...1.........................*... 1,.435
htructed... ........................... 1,240
i heiias mI".mtied. .... ... ....., .....,............ 6 90
:.e.ett removed-.. .. --...- 326,055
i: g the m ith......... .. ....... 56' -

kiPOiWQiaALTBD REPORT OIF QUARANTINE THAN iS-
am PR'E FO T OS F BALBOA-PANAMA AND COLON-







r. i. ... ... ...... ..... ..,. ..... ... 109
"':: : f. i It.... in H .a" ra.. i.h' .' ." .. 9 .,
.... .... ..3--[ eu ..0 -
t. .. ... .'..-.. 4,. ..


r .W..-..,- ... P .o '. .
". ... 4 "." .





I. ..; O %2.
:::: : .."" "" ,- ."4 ,I l
:-* -:.: -''. ,'- '---"' '> :-, -. I0 .
AI :.:. ""....:.:...,.4:. t..,. .:;E. .,: :" : t '. %"













320moektal (if uimers "Ir
a. u ...i. '' ..u u L J a afab i.. b.
r e "n t ":'n" .""....s s .o ..... .:. ..


S* In. total number of persons handed f.r ..m.reign-. r -p- *-i
...Cabin.. .. .. ...... ....





'Total number of persons embarked for oasteign portso *
.a d sa ing t .......... ....... ........i:.. ... ..... .S.:





sailing cra.. ".. ".' ".. "."" .. .. .
.A tent nra monthfrmoast to-n j.. '. '...
Total number of persons arriving from coast iovns-on fgmall ita.
andsailingcraft_ ..:... .......--------- -.-,- -.-.;----
Total number of persons sailing for coast towns on small latnhu"



-Apparent increase for month from foreign ports: -
Sabin .... ...... ..... ...... ... .................
Steerage. ....................... ..


Number of. clearances issued .......
Number of .bills of health issued or visied. ..,... ,..... ,.
Number of inspections of docks......... .... .. ............. .
Number of inspections of vessels at docks.....m....... ; i. r
SNumber of immigrants rejected and-deprted..... ..
Total number of persons landed........... .. ......
/ Less number for Pa cifio ports... ..... ........ ... ..


T t.. 'n u, ," ,r. s:, ,'. ,:: .numbe .. .
4 "i'.

otpparenl incmbe r of persons eha .. .......i........ .. .. ,..

IMMIGRATION REPORT FOR COLON AND. F -1




SEurope .......... .....a
U united States-...'.-... ..:.. ............
Jamaica and estlndie ... .. -... : .
Venea eia......... ..... ...-. .. ............ ..
Venezuela.. .
Colmbia. ; ...... ... ..... .. .
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REPORT OF THE DEPARTMENT OF HEALTH OF THE PANAMA CANAL FOR THE MONTH OF OCTOBER, 1916 D. C. HOWARD Lieut. Colonel, Medical Corps, United States Army, Chief Health Officer, Balboa Heights, Canal Zone WASHINGTON 1916

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I An T/

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CONTENTS. Page; Letter of transmittal. 5 General rem arks. 5 Vital statistics: Healtn of em ployees. 5 Health of residents of the Canal Zone. 6 Health of residents of the city of Panama. ...-------------------------7 Health of residents of the city of Colon. 7 Hospital division: Ancon Hospital-.-. 8 Board of health laboratory.-. 8 Insane department-.-.-. 8 Chronic ward.--.--. 8 Colon Hospital.-.-.-.--. 8 Palo Seco Leper Asylum. 9 Santo Tomas Hospital.-. 9 District dispensaries.-. 9 Sanitary division: Canal Zone. ..9 Panama.-. 10 Colon. 11 Quarantine division: Balboa-Panama. 11 Colon-Cristobal. 11 Statistical tables: Table I. Admissions, deaths, and noneffective rates for employees; deaths of residents of Panama, Colon, and the Canal Zone. 12 II. Deaths by age, color, and sex. 13 III. Deaths by nationality. 14 IV. Deaths of white Americans. 14 V. Causes of deaths of employees. 15 VI. Causes of deaths of civil population (employees and nonemployees) and military and places where chargeable. .15 VII. Discharges and deaths in the hospitals of the Panama Canal. 18 VIII. Consolidated hospital report. 28 IX. Consolidated dispensary and admission report. 30 X. Employees: Constantly sick and noneffective rates per 1,000. 31 XI. Employees: Days' treatment per admission, hospital and quarters. 32 XII. Financial statement. 32 XIII. Ancon Hospital. 33 XIV. Colon Hospital. 39 XV. Palo Seco Leper Asylum. 40 XVI. Santo Tomas Hospital. 40 XVII. Sanitary work done in the Canal Zone, Panama, and Colon. 43 XVIII. Quarantine transactions. 45 XIX .Issues of quinine. 47 XX. Personnel report. 47 (3)

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.m

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LETTER OF TRANSMITTAL. CANAL ZONE, Balboa Heights, November 10, 1916. Lieut. Col. CHESTER HARDING, Acting Governor, The Panama Canal, Balboa Heights, Canal Zone. SIR: I have the honor to submit the following report of the operations of the department of health for the month of October, 1916. Very respectfully, D. E. HOWARD, Chief Health Officer. GENERAL REMARKS. The general health of employees and nonemployees in the Canal Zone and the terminal cities has continued good. The outbreak of diphtheria of a mild type, in the terminal cities, which was noted in last month's report, has subsided. There were no fatal cases. No disease of a quarantinable nature originated on or was brought to the Isthmus during the month. VITAL STATISTICS. The following statistics are based upon the number of names appearing on the rolls for the preceding month, which was 33,272. The total number of admissions to hospitals and quarters was 784, a rate of 282.76,1 as compared with 261.99 for the preceding month and 294.80 for the corresponding month of last year. The total number of deaths from all causes was 19; of these 16 were from disease, giving a death rate of 5.77, as compared with 3.58 for the preceding month and 5.39 for the corresponding month of last year. The constantly noneffective rate was 8.16, as compared with 8.88 for the preceding month and 10.56 for the corresponding month of last year. The total admission rate for malaria, hospitals and quarters, was 13.71, as compared with 13.95 for the preceding month and 34.11 for the month of October last year. The constantly noneffective rate for malaria was 0.50, as compared with 0.67 for last month and 0.86 for the corresponding period of last year. The diseases causing the highest admission rates to hospital, in the order of their numerical importance, were: (1) Venereal diseases, (2) malaria, (3) influenza, (4) diseases of the eyes and 1 All morbidity and mortality rates are computed as equivalent annual per 1,000. (5)

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6 their annexa, and (5) lymphadenitis. These five diseases caused 29 per cent of all admissions to hospitals. Nine per cent of all admissions to hospitals was caused by malaria. There were two admissions for typhoid fever during the month, giving an admission rate of 0.72, the same as for the preceding month. There were no admissions for typhoid during October, 1915. EFFECTS OF RACE. The admission rate to hospital and the death rate from disease, for black employees, were 66.82 and 5.84, respectively, as compared with 69.94 and 2.89 for last month and 96.38 and 5.84 for the corresponding month of last year. For white employees, the admission rate to hospital and the death rate from disease were 359.63 and 5.29, respectively, as compared with 222.33 and 7.94 for the preceding month and 272.96 and 2.57 for the corresponding month of last year. The constantly noneffective rates were 15.10 for white and 7.06 for blacks. The admission rate to hospitals and quarters for malaria was 7.93 for blacks and 47.40 for whites, as compared with a rate of 12 for blacks and 26.47 for whites for last month, and 24.20 for blacks and 95.28 for whites for the corresponding month of last year. There was one death among American employees during the month, giving a rate of 2.85, as compared with 5.73 for last month and 5.74 for the month of October last year. The admission rate to hospitals for disease was 319.32 for Americans, as compared with 180.34 for last month and 241.21 for the corresponding month of last year. DEPORTATIONS. There was one deportation accomplished during the month, in a colored employee, suffering from pulmonary tuberculosis. CANAL ZONE. EMPLOYEES AND NONEMPLOYEES. The population of the Canal Zone, according to the last police census, taken in June, 1916, is 31,048. This included employees, nonemployees, and military garrisons residing or stationed within the Canal Zone limits. Among this population there were 28 deaths during the month of October, 25 of which were from disease, giving a death rate of 9.66, as compared with 10.82 for the preceding month and 13.10 for the corresponding month of last year. Of the total deaths from disease, the percentage under 5 years of age was 32, as compared with 54 for last month. There were 46 births reported, giving a rate of 17.78; of these, 6 were white and 40 colored. There were 6 deaths of children under 1 year of age, 1 white, and 5 colored, giving an infant mortality rate, based upon the number of births reported for the month, of 167 for white and 125 for colored children, with a general average of 130. The percentage of stillbirths to total births was 2.

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PANAMA CITY. EMPLOYEES AND NONEMPLOYEES. The population of the city is 60,778, among whom there were 156 deaths during the month of October; of these, 150 deaths were from disease, giving a rate of 29.62, as compared with 30.01 for the preceding month and 26.93 for the corresponding month of last year. Of the total deaths from disease the percentage under 5 years of age was 47, as against 51 for last month. The principal causes of death, as compared with last month,were as follows: SeptemOctober. ber. Tuberculosis (various organs). 25 31 Diarrhea and enteritis (under 2 years). 24 26 Brocho-pneumonia. 19 16 There were 211 births reported, giving a rate of 41.66. There were 54 deaths under 1 year of age, giving an infant mortality rate, based on the number of births reported for the month, of 256. The percentage of stillbirths to total births was 10. COLON. EMPLOYEES AND NONEMPLOYEES. The population of the city is 24,693, among whom there were 64 deaths during the month of October; of these, 62 deaths were from disease, giving a rate of 30.13, as compared with 31.10 for the preceding month and 22.91 for the corresponding month of last year. Of the total deaths from disease the percentage under 5 years of age was 43, as compared with 48 for the preceding month. The principal causes of death, as compared with last month, were as follows: SeptemOctober. ber. Broncho-pneumonia. 15 12 Tuberculosis (various organs). 8 10 Organic diseases of the heart. 4 7 There were 54 births reported, giving a rate of 25.83. There were 20 deaths under 1 year of age, giving an infant mortality rate, based on the number of births reported for the month, of 370. The percentage of stillbirths to total births was 11.

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8 DIVISION OF HOSPITALS. ANcON HOSPITAL. The average number of patients constantly in the hospital proper during the month was 416, as compared with 470 for last month and the same number for the corresponding period of last year. The average number of days' treatment per employee was 16.97. The daily per capita cost per patient in the hospital proper for September was $1.51 gross. The status of all the female nurses was changed from a subsisted to a nonsubsisted rate, and their salaries increased $20 per month. Fifty-two cases of malaria were admitted, as against 62 for September, 124 for August, and 143 for July. Five deaths occurred from tuberculosis, as against 13 for September. There were four deaths from pneumonia, the same number as for the preceding month. Detailed statistics are shown in Table XIII. Board of health laboratory.-During the month of October, work outside of routine, as follows, was performed at the laboratory: The study of the methods of modifying petroleum to improve its larvicidal value has been continued. It has been found that by a process of "cracking" the physical properties of the crude oil may be so changed as to materially increase its efficiency in the destruction of the mosquito la-vow. This process may be carried out by several different methods and it will be the object of further study to determine which method is the most effective and whether or not the method selected can be applied economically on a large scale. Corozal Hospital.-During the month of October the average number of patients constantly cared for was 310, as compared with 301 for the preceding month and 257 for the corresponding month of last year. During October there were 18 admissions, 3 deaths, 2 discharges, and 1 transfer. The daily per capita cost for September was $0.45. Detailed statistics are shown in Table XIII. Chronic ward.-During the month there was 1 admission, no deaths, and 3 discharges. The average number of patients constantly cared for was 18.58. The daily per capita cost for September was $0.36. Detailed statistics are shown in Table XIII. COLON HOSPITAL. The average number of patients constantly in hospital was 38, as compared with 33 for the preceding month and 40 for the corresponding month of last year. The average number of days' treatment per employee was 8.79. The daily per capita cost per patient for September was $2.69 gross. The demolition of the old ward buildings has been completed, and most of the old material removed. Work on the new marriedphysicians' quarters has progressed well during the month and is estimated to be about 50 per cent completed. Detailed statistics are shown in Table XIV.

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9 PALO SEcO LEPER AsyLuM. The average number of patients constantly cared for during the month was 67.67, as compared with 69.30 for the preceding month and 57 for the corresponding month of last year. During October there were no admissions or discharges; 4 deaths occurred among the patients of the institution. The daily per capita cost per patient for September was 1, gross. Construction work has been continued on the new ward buildings. The first building is now completed and work on the second is in progress. Detailed statistics are shown in Table XV. SANTO TOMAS HOSPITAL. One thousand four hundred and fourteen patients were treated in the hospital during the month of October, as compared with 1,382 for the preceding month and 1,359 for the corresponding period of last year. The daily average number of patients treated was 440, as compared with 447 for the preceding month and 468 for the month of October last year. The total number of days' treatment was 13,657, as compared with 13,418 for the last month. The number of deaths was 89, with tuberculosis of the lungs, congenital debility, and Bright's disease the chief causes, in the order named. Thirteen cases of Dysentery were treated with 1 death, and 7 cases of pneumonia with 2 deaths. No typhoid cases were treated during the month. The Panama Government has authorized the construction of an additional hospital ward for tuberculosis patients, for which plans are now being prepared. This will relieve, in part, unsatisfactory conditions as to overcrowding and mingling of tubercular patients with other patients in general wards. Additional quarters also will be constructed for the medical staffand the building now occupied by doctors will be remodeled and used for isolation cases. Detailed statistics are shown in Table XVI. DISTRICT DISPENSARIES. The dispensary having the highest admission rate for malaria was Gatun, with an average weekly percentage of 0.175. No malarial cases among employees were reported from either the Paraiso or Culebra-Empire districts during the month. Detailed statistics are shown in Table IX. SANITATION. CANAL ZONE. October has been a month of unusually heavy rainfall throughout the Isthmus, the total rainfall on the Pacific side having already exceeded the yearly average. The heavy and frequent rains, by flushing out the streams and drainage systems, have practically 70355-16---2

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10 eliminated mosquito breeding for the time. The malarial rate for the past month has been lower than ever before .for October. Very extensive hydraulic fills are in progress in several districts. In the Mount Hope district a fill is in progress between the Panama Railroad and the canal, south of the railroad station and north of the oil-tank area. An extensive fill at Paraiso has eliminated the low area known as Spanishtown, rendering necessary the demolition of all the old shacks in that neighborhood. The pond north of the corral at Paraiso will be filled in the near future, and extensive hydraulic fills are being made west of the canal between the Las Cascadas branch of the railroad and the canal. In the flats between Ancon and Corozal and between the old and new Corozal roads, the small ponds have been filled and the dredging division is about to commence work on filling the extensive swamps. All these fills will have a decided influence on sanitary conditions, and the health department is bearing a part of the expense of the work. Mention was made in last month's report of the occurrence of a number of cases of dengue at the military posts on the west side of the canal, where the prevailing mosquito is the mansonia, and the question arose as to whether the mansonia transmitted dengue. Further investigation has shown that culex fatigans is present in limited numbers in this area, and it is therefore possible to account for the transmission of dengue without assuming that mansonia is responsible. The following contagious and infectious diseases were reported during the month: Chickenpox. .-------------------5 Malaria. 40 Diarrhea. ..---------------------2 Measles. 4 Diphtheria .----------------------a Pneumonia. 4 Dengue.---------------------17 Tuberculosis. 7 Dysentery. ..--------------------4 Typhoid fever. 1 Influenza. 22 W hooping cough. 2 PANAMA. At the beginning of the month there were four cases of diphtheria remaining from September, and during the month there have been nine cases reported. All were hospitalized. Two bacillus carriers were discovered ,and four cases of the disease emanated from one household. No deaths have occurred in this immediate series; in fact, the cases have been unusually mild. Strict insistence upon hospital isolation has been observed and all premises placarded. All children in contact have been subjected to daily inspection. No new case has been reported since October 16. The incidence of malaria continues to diminish. For the month, Santo Tomas reported 5 admissions for this disease and Ancon Hospital reported 5 admissions. Compared with the same month of 1915, there were 19 cases chargeable to this city, and in October, 1914, 254 cases. The condemnation of undesirable stables is under way, proprietors being given from one to five months in which to vacate same. This is considered a forward step and ought to contribute no little toward the reduction of fly breeding in the city.

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11 There are now 31 buildings in the course of erection. During October 103 permits were granted. Six buildings were condemned and three buildings were demolished on sanitary grounds. The registration of midwives is proceeding slowly. To date 10 have reported, been found qualified, and awarded certificates. This high percentage among applicants thus far is explicable by their all having had experience over variable lengths of time. Several of them, indeed, have had hospital training in this subject. Our lists show 26 yet to be examined. The following contagious and infectious diseases were reported during the month: Beriberi. 3 Measles----------------------. ..7 Chickenpox--------------------5 Mumps. .------------------------1 Diphtheria. .---------------------7 Pellagra. ..-----------------------1 Diphtheria carriers---------------2 Pneumonia-------------. .-----8 Dysentery. .---------------------9 Tuberculosis-------------------26 Leprosy. .-----------------------1 Typhoid fever-----------------. .2 M alaria. 10 COLON. The following contagious and infectious diseases were reported during the month: Chickenpox .--------------------3 Malaria .-----------------------20 Diphtheria---------------------1 Pneumonia---------------------3 Dysentery. .---------------------2 Tuberculosis--------------------4 QUARANTINE SERVICE. The quarantine situation along the west coast of South America remains practically unaltered. We have had no reports of cases of yellow fever at Buenaventura, Colombia, for the past two months. Advices from Guayaquil, Ecuador, indicate moderate increase in cases and deaths in both plague and yellow fever. This is the beginning of the rainy season in that district, however, and the usual seasonal increase may be expected. On the Atlantic side the usual careful precautions were taken with regard to arrivals from New York with reference to poliomyelitis. Eighteen suspects were detained for observation during the month. During the month referred to yellow fever was officially reported at Barbados and Martinique. Ships from either of these islands rarely reach the Isthmus under six days. One shipmaster was convicted and fined for violation of quarantine regulations. Supervision was maintained over meat inspection at the Cristobal abbatoir. Condemnations were mainly on account of bruises in cattle recently received from Colombia. No cases of anthrax were reported during the month.

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12 TABL I.-ADMISSIONS, DEATHS, AND NONEFFECTIVE RATES FOR EMPLOYEES; DEATHS OF RESIDENTS OF PANAMA, COLON, AND THE CANAL ZONE. ABSOLUTE NUMBERS. $ NoneffecAdmissions toNnfeAmisins. t Deaths. tive from S hospitals. sickness. October, 1916. White. 4,538 151 136 15 41 2 2 2,125 68.55 Colored. 28,734 245 160 85 15 14 1 6,292202.96 Total. 33,272 396 296 100 19 16 3 8,417 271.51 September, 1916. White. 4,534 100 84 16 4 3 1 1,860 62.01 Colored. 28,994 251 169 82 9 7 2 7,067235.57 Total. 33,528 351 253 98 13 1031 8,927297.58 October, 1915. White--------------------4660 126 106 20 3 1 2 2,491 80.34 Colored.28,759 318 231 87 17 14 3 8,456272.76 Total. 33,419 444j 337 107 20 15 510,947,353.10 PROPORTIONTE NUMBERS.1 October, 1916. White. 4, 538 399.29 359.63 39.66 10.58 5.29 5.29 .15.10 Colored. 28,734 102.32 66.82 35.50 6.26i5.84 .42 .7.06 Total. 33,272142.82106.76 36.06 6.855.771.08 .8.16 September, 1916. White. 4,534264.67222.33 42.35 10.597.942.65. 13.68 Colored. 28,994 103.88 69.94 33.93 3.72;2.89 .83 .8.12 Total. 33,528125.63 90.551 35.08 4.653.581.07 ..8.88 October, 1.915. White. 4,660 324.46 272.96 51.50 7.722.575.15 .17.24 Colored. 28,759 132.68 96.381 36.30 7.095.841.25 .9.48 Total. 33,419159.43 121.01 38.42 -7.18'5.39 1.79 .10.56 I AnnualUaerage per 1,000.

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13 TABLE 1.-DEATHS OF RESIDENTS OF THE CITIES OF PANAMA, COLON, AND THE CANAL ZONE-Continued. Deaths. Annual average per 1,000. PopulaPlace. tion. Total. DisExternal Total. DisExternal ease. causes. ease. causes. October, 1916. Panama. 60,7718 1.56 150 6 30.80 29.62 1.18 Colon. 24,693 64 62 2 31.10 30.13 .97 Canal Zone. 31,048 28 25 3 10.82 9.66 1.62 Total. 116, 519 248 237 11 25.54 24.41 1.13 September, 1916. Panama. 60,778 160 152 8 31.59 30.01 1.58 Colon. 24,693 67 64 3 32.56 31.10 1.46 Canal Zone. 31,048 34 28 6 13.14 10.82 2.32 Total. 116,519 261 244 17 26.88 25.13 1.75 October, 1915. Panama. 60,373 143 135 8 28.42 26.83 1.59 Colon. 29,331 58 56 2 23.73 22.91 .82 Canal Zone. 30,219 39 33 6 1.5.48 13.10 2.38 Total. 119,923 240 224 16 24.01 22.41 1.60 TABLE II.-DEATHS BY AGE, COLOR, AND SEX. White. Colored. Yellow. Total. Under I year. 9 1 10 38 31 69 .1 1 47 33 80 I to 4 years. 1 2 3 17 9 26 ...18 11 29 5 to 10 years. ...2 2 4 ...2 2 4 11 to 20 years. .1 1 3 8 11 .3 9 12 21 to 30 years. 4 .4 18 15 33 .22 15 37 31 to 40 years. 3 3 6 18 10 28 3.: 3 24 13 37 41 to 50 years. 5 1 6 9 5 14 3 .3 17 6 23 51 to 60 years. 2 1 3 10 5 15 ...12 6 18 61to70years. 1 .1 1 .1 ...2 .2 71 to 80 years. ...1 2 3 ...1 2 3 81 to 90 years .........1 1 ..1 91 to 100 years. ...Ii .1 Not stated ...1 Total. 25 9 34 119 87 206 7 1 8 151 97 248

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14 TABLE III.-DEATHS BY NATIONALITY, OCTOBER. Employees. Nonemployees. Total Grand total. Male. Female. Male. Female. Male. Female. Antigua ----------------------3 5 3 5 8 Barbados.-.5 .24 13 29 13 42 Chile-----------1 ------------------------1 .1 China .----------------.---------7 1 7 1 8 Colombia --------------------6 4 6 4 10 Costa Rica. 1 ------------------------.1 Cuba. ..1 ----------. 1 Demerara ---------------------1 1 Ecuador. ..1 ..1 France -----------------------1 1 1 1 2 Greece. ..1 -------1 .1 Grenada. .1 .----------3 ----------4 .4 Guadeloupe. 1 .1 ---------2 .2 Guatemala ------------.---------1 .1 .1 India .-------------------------2 .2 .2 Italy 1------------.3 1 4 1 5 Jamaica --------3 ---------28 25 31 25 56 Martiniue. ..8 .------8 .8 Montserrat. 1 -. .-. 2 1 3 Nevis---1 ---------.------1. .-----.1 .1 N assau ...1 .1 .I Panama -------------. ---------31 1 40 71 Portugal -----------------------1 .1 St. Lucia. 1 ---------1 1 2 13 St. Vincent. 1 .2 1 2 3 Spain-------------------3 ---------4 .1. 4 Trinidad ----..-------------------------1 .. United States. 1 .3 1 4 1 5Unknown. ..---1 .---------1 .-. 1 Total. 19 .132 97 151 97 248 TABLE IV. DEATH RATE AMONG AMERICANS ON THE IS'THMUS CONNECTED WITH THE PANAMA CANAL. NumberAnnual of deaths. average per 1,000. White employees from the United States (4,209): External causes .-. 1 2.85 White women and children from the United States (3,758): Disease. 1 3.19 White employees and their families from the United States (7,967): Disease. 1 1.51 External causes. --------1 1.51 Total.--------------------. 2 3.02 Total number of Americans on the Canal Zone, including soldiers and their families (16,619): Disease. 1 .72 External causes. 1 .72 Total. 2 1.44

PAGE 17

15 TABLE V.-CAUSES OF DEATHS OF EMPLOYEES OF THE PANAMA CANAL AND PANAMA RAILROAD CO. White. Colored. Total. Disease. Estivo-autumnal malaria. .1 1 Hodgkin's disease. .1 1 Tuberculosis of the lungs. .1 1 Disseminated tuberculosis ..2 2 Rupture of the aorta. .1 1 Aortic insufficiency .1 1 Organic disease of the heart. .1 1 Chronic nephritis. .-4 4 General peritonitis. .1 1 Lobar pneumonia. 1 2 3 External causes. Railroad traumatism, accidental. 2 .2 Traumatism by other crushings, accidental. ..1 1 Total. 4 15 19 TABLE VI.-CAUSES OF DEATHS OF CIVIL POPULATION (EMPLOYEES AND NONEMPLOYEES) AND MILITARY, AND PLACES WHERE CHARGEABLE. PanaColon. zone. Total. ma.Zn. Disease. Q C 5 d General diseases. Typhoid fever. ..1 Malarial fever, estivo-autumnal. .| 1 2 ...2 1 3 Malarial fever, clinical. .2 .....2 2 W hooping cough. .1 .....1 1 Leprosy. .1. 1 .1 Pellagra.1 ...1 1 Beriberi.3. .3 .3 Tuberculosis of the lungs .11 12 5 4 1 2 17 18 35 Acute miliary tuberculosis. .1 .....1 1 Tuberculosis meningitis. ....1 .1 1 Abdominal tuberculosis .1 ......---1 1 Disseminated tuberculosis. .1 1 .2 .2 Syphilis, tertiary. .2 .2 2 Syphilis, hereditary ..1 1 Syphilis, period not stated. 1 .....1 Cancer and other malignant tumors of the i 1 buccal cavity. .1 ..... Cancer and other malignant tumors of the stomach and liver. 1. ...1 .1 Cancer and other malignant tumors of the peritoneum, intestines, rectum -. .1 1 1 Cancer and other malignant tumors of other organs and of organs not specified. 1 1 1 1 2 Scu rv y ..........1 rHodk sdisease. .1 .1 Alcoholism, acute. 1 ....1.

PAGE 18

16 TABLE VI.-CAUSES OF DEATHS OF CIVIL POPULATION (EMPLOYEES AND NONEMPLOYEES) AND MILITARY, AND PLACES WHERE CHARGEABLE-Continued. PanaColon. Canal Total. ma. Zone. 00 Disease. 6 + Diseases of the nervous system and of the organs of special sense. Pneumococcus meningitis. 1 -----------.-1 .--. 1 Other diseases of the spinal cord. ....1 Cerebral hemorrhage, apoplexy ---------1 2 1 ...2 2 4 Epilepsy.-. 1 1 ...1 1 2 3 Diseases of the circulatory system. Acute endocarditis. 2 .....2 .2 Organic diseases of the heart. 4 -2 4 3 2 1 10 6 16 Diseases of the arteries, atheroma, aneurysm, etc. 1 .....11 Aneurysm ......1 .1 Arteriorsclerosis. 1 .....11 Embolism and thrombosis .......1 1 Hemorrhage, other diseases of the circulatory system --.---------------------1 ------------1 .1 Diseases of the respiratory system. Acute bronchitis. I .2 2 ------3 2 5 Chronic bronchitis. .1 .1 ...2 2 Broncho-pneumonia. 9 10 8 4 1 2 18 16 34 Pneumonia (unqualified). 1 1 -------.2 1 3 Lobar pneumonia. 1 2 2 .1 1 4 3 7 Pleurisy. ----------------------.-. ..1 ....-.-. 1 Empyema .!. ...1 ...I I Asthma .1 .....1 .1 Diseases of the digestive system. Acute indigestion------.-.1------------..1 1 Diarrhea and enteritis (under 2 years). 18 6 .5 --. 1 18 12 30 Ankylostomiasis ----------.--.---------------.1 1 Hernia, intestinal obstructions. 2 ------.2. .2 2 Cirrhosis of the liver. .-.---------------1 .1 ---------2 .2 Abscess of liver (unqualified).o ---. 1 ------..-1 cholecystitis. -. .-----------1 .----------1 .1 Simple peritonitis (nonpuerperal)-------1 .-. 1 .2 .2 Other diseases of the digestive system (cancer and tuberculosis excepted). 1 --------------1 .1 Nonvenereal diseases of the genit0-urinary system and annexa. Acute nephritis.--------------------3 1 ....3-1 4 Bright's disease (chronic nephritis). 5 4 4 3 1 .-10 7 17 Pyelo-nephrosis. .--------------------1 ------1 ----. 1 1 2 Stricture of the urethra, nonvenereal---1 ---------1 2 -2 Diseases of the skin and of the cellular tissue. Mycetom ..--------------------------. 1 ----------1 .1 Other diseases of the skin and annexa -------------------------1 Diseases of early infancy. Congenital debility, icterus, and sclerema. 1-. -1 .-1 PrEmature birth.-------------------1 1 ------1 2 1 3 Congenital debility----------------------1 .1 2 .2 Malnutrition.----------------------2--------------------2 -. 2 Other diseases peculiar to early infancy (including various consequences of labor).-------------------------41 1-------5 1 6

PAGE 19

17 TABLE VI.-CAUSES OF DEATHS OF CIVIL POPULATION (EMPLOYEES AND NONEMPLOYEES) AND MILITARY, AND PLACES WHERE CHAR GEABLE-Continued. PanaColon. Canal Total. ma. Zone. Disease. C2 ~ Q Q Old age. Senility 2----------------------------2. ...2 .2 Affections produced by external causes. Conflagration ---------------------------.-------.----1 Accidental drowning.-2--------------------2 2 ---2 Traumatism by fall---------------------.1-.-. 1 .1 1 2 Traumatismby other crushings (vehicles, railroads, etc.)----------------------1 1 .1 .3 .3 Railroad traumatism -----------------------------1 .1 .1 Homicide by firearms.--------------------------1 .-----------1 1 Homicide by other means---------------1 ----------------1 .1 Ill-defined diseases. Cause of death not speciaed or ill-defined. 2 1 ---------3 ---3 Total. ..------------------------97 59 37 27 17 11 151 97 248 Stillbirths.---------------------15 7 6 1 0 1 21 9 3a Grand total. ..------------------112 66 43 28 17 12 172 106 278 DEATHS OF NONRESIDENTS, OCTOBER, 1916. Residence. Nationality. Color. Sex. Age. Diagnosis. Bocas del Toro. Panama. Black. Male.40 Pulmonary tuberculosis. Interior of Panama. Jamaica-----do--. ----do. 31 Do. Do----------Panama.do----.-.do. 44 Do. Colombia. Colombia.do. Female -7 Chronic nephritis. Interior of Panama. _--do. .do. Male. 26 Septicemia caused by cystitis. Do. Panama. .--do. Female. 41 Measles. Do. --.do. o. Male. 37 Pulmonary tuberculosis. Do. Jamaica. .do. -do. 80 Arteriosclerosis. Do. Spain. White. .do. 30 Hemoglo b i n u r ic fever. U. S. S. Charleston. U n i t e d .do. -.do. 24 Accidental fracture States. of skull caused by explosion of gasoline vapor. Interior of Panama. Jamaica. Black. .do. 58 Pulmonary tuberculosis. Do. Panama. .do. ---.do. 50 Acute nephritis. Do.do. ..do. 28 Estivo-autu m n a I malaria. Steamship ..do. .do. o. 23 Lobar pneumonia. (sailor). 70355-16--3

PAGE 20

18 TABLE VII.-DISCHARGES AND DEATHS IN HOSPITALS, Employees. Discharges. Deaths. White. White. Black. lack AmeriEuroAmeriEurocans. peans. cans. peans. M. F. M. F. M. F. M. F. M. F. M. F. General diseases. Typhoid fever .---------------------2 Malarial fever, estivoautumnal.------------13 1 2 .19 ----------------1 Malarial fever, tertian. 1 -. ..4 Malarial fever, quartan---------------1 Malarial fever, undetermined----------.---.--1 --Malarial fever, clinical -----------------2 Measles. Diphtheria and croup. ...--.--. ---. Influenza. .--------------8 .4 .2 Dengue. .---------------I ----------Chicken pox------------------------------------------Yaws.---------------------.1 .--. Pellagra-----------------. ---.---1 Tuberculosis of the lungs ---------------3 Tuberculosis m eningitis .-..-.---. Pott's disease ------------. .-. .------Tuberculosis of bones and joints.-------------------------------------------Tuberculosis of the lymph glands ----------------1 -------..Tuberculosis of the genitourinary organs ..-.---. 1 Disseminated tuberculosis -----. ...2 Rickets. ... Syphilis, primary ------------.-. 1 .4-------------------------Syphilis, secondary-------.-----1 -1 Syphilis, tertiary---.---------------9---------------------Syphilis, hereditary. .. Syphilis, period not stated ------------4. Gonorrhea. .-------------1 ---------11-----------------------Gonorrheal orchitis and epididymitis-. -------. .-----------------------------Soft chancre -----------------------8 ---------------------Cancer and other malignant tumors of other organs and of organs not specified.-.-------..-----.-----------------------Other tumors (tumors of the female genital organs excepted) --------------1 -----------------------------Hodgkin's disease-------------..----1 --------1 .-Anemia, secondary, cause not determined-.---.-----------------------------Other general diseases ------2 ---------2 ----------------Alcoholism (acute)-------3 ----------------------------Alcoholism (chronic)------------------------------------

PAGE 21

19 OF THE PANAMA CANAL FOR OCTOBER, 1916. Nonemployees. Nonresidents. Discharges. Deaths. Discharges. Deaths. White. White. Black. Black. White. 'Black. White Black. "T SolSol, Others. Others. d'rs. d'rs M .F. M. F. M. M. F. M. F. M. F.: M. F. M. F. M. F. o ....1. ..3 1 3 1 2 6 .....48 1 4 1. : ----4. ......... S. ........ S ..... 1 2 ........................ 1 .2 ... 1 ....7. .......217 22. .. 3. 2 2} .1. ..10 3 S. .....1 1 ........12. 2. 1. ....1 ...1 ....1 1.2 3 ........2. 2. .........7 8. ........2 ....12 1 1 3 6. ..1. .21 3 ..1. ............1. 1 ...............5 13 1 1 1. .....2 .........7 ........... S ..... 8 1. 7 ...19 ......2 .1 .........1 ......1 .1 .....1. 2 ..............19 I. 1 .-.............................. 1 .............-.-. .--. 5 ......

PAGE 22

20 TABLE VII.-DISCHARGES AND DEATHS IN HOSPITALS Employees. Discharges. Deaths. Diseases. White. White. Black. Black. AmeriEuroAmeriEurocans. peas. cans. peas. M. F. M. F. M. F. M. F. M. F. M. F. Diseases of the nervous system and of the organs of special sense. Pneumococcus meningitis. Paralysis without specified cause. Other forms of mental alienation.---------------------------------1. Dementia precox. Epilepsy Hysteria. Neuralgia. Neuritis-------1-----------------1 Other diseases of the nervous system-------------------------2 Neurasthenia ----------------2 Diseases of the eyes and their annexa-----------3 .1 .-. 7 Diseases of the ears-------4 1 Diseases of tha-irculatory system. Organic diseases of the heart.---------------.-.--.--.-2 .-1 Diseases of the arteries, atheroma, aneurysm, etc --------------------------------------1 Diseases of the veins (varices, hemorrhoids, phlebitis, etc.) .-. .. Hemorrhoids-------------5 3 ---1 -. .3 Diseases of the lymphatic system (lymphangitis, etc.) ------------------------------1-------------------------Lymphadenitis (nonvenereal) -------------------2 --------3 Diseases of the respiratory system. Diseases of the nasal fosso. 1---------1 Adenoid vegetations -------.--------------------------------------Acute bronchitis------------------3 ---Chronic bronchitis .--1 Broncho-pneumonia. Pneumonia (unqualified). Lobar pneumonia.--------------1 2 ------------1 --2 Pleurisy------------------------. 1 .--2------------------------Asthma.-----------------1 .1 Other diseases of the respiratory system (tuberculosis excepted)---------------..

PAGE 23

21 OF THE PANAMA CANAL FOR OCTOBER, 1916-Continued. Nonemployees. Nonresidents. Discharges. Deaths. Discharges. Deaths. w. W. B. B. W. B. W. B. S1~~ Sol-W B Sol-! Others.' SOthers. Olrs. r d'rs M. M. F. M. F. M.M. F. M. F. M. F. IM. F. M.IF. A. F. a Eri 1 ~ ~ ~ ~ ~ ~ .....1--------.2 ..-. .--. ---. -. -. .2 ...2.3 ......4 --..-----.' 2 ......--1 1 .........----. ..--.-----. ...-.-..1 .----------------------------. .1 .-.---..-----------" '------.3 .. 5 ..1 -. .--------1 --. ..10 6 .1 1 4 ......24 7 ..1 1 ...-.---1 .-----..15 1 ...2 .1.--. --. .5 2 ...1 ......1 1 ....1-1. 6 .1. 1 .--.-. --------.17 ............ 10. ...........16 5 1 1 5 .....14.1 ...1. ....... ..1. ..1 ....-. ..1 .........11 ...1 ...............--1-...1. ...1. ..4 4 2 ......-..-. .. 1 ...........I .--. ---. ---.-----4 ..........2.

PAGE 24

22 TABLE VIL-DISCHARGES AND DEATHS IN HOSPITALS Employees. Discharges. Deaths. Diseases. White. White. Black. Black. Amer!EuroAmeriEurocans. peans. cans. peans. M. F. M. F. M. F. M. F. M. F. M. F. Diseases of the digestive system. Diseases of the teeth and gums ----------------------------------2. Diseases of the pharynx---------------. 1 -----------Pharyngitis ---------------1 Follicular tonsillitis -------3 -----------2. Ulcer of the stomach. 1 1. .. Other diseases of the stomach (cancer excepted). 1 .1. .. Acute gastritis. ..1. Chronic gastritis. ... Acute indigestion. .. Diarrhea and enteritis (under two years). ... Colitis. Ankylostomiasis. ..3. Intestinal parasites. 1 .. Ascariasis. ..2. A cute appendicitis. 2 .. Chronic appendicitis. 3 ... Inguinal hernia. 1 ..6. Other hernias. .... Other diseases of the intestines.5 ...1. Constipation. ....2 ... Duodenal ulcer.1. Cirrhosis of the liver. ... Other diseases of the liver. Abscess of liver (unqualified). .1. Cholecystitis.1. .... Nonvenereal diseases of the genito-urinary system and annexa. Bright's disease (chronic nephritis). ..4. ..8 4 Other diseases of the kidney and annexa. ...2 Pyelo-nephrosis. .. Calculi of the urinary passages.1. ... Diseases of the bladder. .. Cystitis. .. Diseases of the urethra, urinary abscess, etc ... Stricture of the uretera, nonvenereal. Vesico-vaginal fistula. Hypertrophy of prostate ..1 ...------------------

PAGE 25

23 OF THE PANAMA CANAL FOR OCTOBER, 1916--Continued. Nonemployees. Nonresidents. Discharges. Deaths. Discharges. Deaths. W. W. B. B. W. B. W. B. SolSol,olOthers. SlOthers. .' d'rsa d0rs M. M. F. M. F. M. M. F. M. F. M. F. M. F. M. F. M. F. 0 0 .3 1 4 .8 ...1 1 .4. 17 1 ................. 1 .... ....1 ......-. .....2 3 ..1 .. .1 .1 ..1 .-. ---. -. 1 ....----.--1 .. ...1. 8 1 2 .............. 3 .1 .9. ...2 ..............9 ...11. .......3. 7 1 2 1. .1. .19 1 .1 .4. ...............1 1 .1 .1 1 1 ..........1. 1. 2. 1. .............2 1 2 .1 ...........12 4 5 .2. .........9 1 1 1 ...1 1. .....3 2 .......... 1 2 ......-. ......3 1 1 ......1 .......3 .................1 1 1. 1 ...1. ..2 2 .............'. ..12 1 .;. .I. ....|. ........-." 2 ..

PAGE 26

244 TABLE VI.-DISCHARGES AND DEATHS IN HOSPITALS Employees. Discharges. Deaths. Diseases. White. White. Black. Black. AmeriEuroAmeriEurocans. peans. cans. peans. M. F. M. F. M. F. M. F. M. F. M. F. Nonvenereal diseases oft he genito-uninary system and annexa-Continued. Nonvenereal diseases of the male genital organs.:. .... Hydrocele. 1 ...1 Uterine tumor (noncancerous). Other diseases of the uterus Metritis. .. Salpingitis and other diseases of the female genital organs. ... The puerperal state. Normal labor. Accidents of pregnancy. Extra-uterine pregnancy. BHyperemesis gravidarum. .... Abortion. Other accidents of labor. .. Puerpereal diseases of the breast. ...1. Diseases of the skin and of the cellular tissue, Gangrene. ..1. Furuncle. .. Carbuncle 1. Acute abscess .3. Phlegmon and cellulitis 3 .2. Dhobie itch. Ulcer of the skin 2. Ingrowing nail. 1 Other diseases of the skin and annexa.1 .... Diseases of the bones and of the orqans of locomotion. Diseases of the bones (tuberculosis excepted). 3 2. .2. Periostitis. .. Arthritis. 1. .. Other diseases of the organs of locomotion.1 ..

PAGE 27

25 O1 THE PANAMA CANAL FOR OCTOBER, 1916-Continued. Nonemployees. Nonresidents. Discharges. Deaths. Discharges. Deaths. _. __ __.J .W B B. B. W. B. W. B. SolSol 'g r Others. Others. M. M. F. M. F. M. M. F. M. F. M. F. M. F. M.F. M. F. 2 ------..32 2 -----. .----.--------------2 2 --.6 -. ..-.-...........8 2 ........2 1 .6 ..........3 .6 ....-S. .........1 S2. ............2. S1. ...........1. 41. 1. .......2. 1 .4. ........1 .1. ......3 .1. 1. ....1. ......32 ......1. ......2.3 .1 S1 1 1 .-. ....-..-. .-7 1 .1 ...2 10. ........2. ....10 1. ...............1 .1 .......1 ................73. 2 ..............3 2. ....... 8 1 .1 .................1 *! K

PAGE 28

26 TABLE VIL-DISCHARGES AND DEATHS IN HOSPITALS Employees. Discharges. Deaths. Diseases. White. White. Black. Black. AmeriEuroAmernEurocans. peans. cans. peans. M. F. M. F. M. F. M. F. M. F. M. F. Malformations. Congenital malformations (stillbirth not included). 1 ... Diseases of early infancy. Newborn child. ... Congenital debility, icterus, and selerema. .... Premature birth ... A sections produced by external causes. Poisoning y food. ..1. .. Other acutt poisonings. ..... Venomous bites and stings. .... Snake bites. .... Burns (conflagration excepted). ..... Traumatism by firearms. ... Traumatism by cutting or piercing instruments. 3 ...7 ... Traumatism by fall. .7. Traumatism in mines and quarries. .1. ... Traumatism by machines. 1 ...2. Traumatism by other crushings (vehicles, railroads, landslides, etc.). ....19. Fractures (cause not specified).2. 5. ... Dislocations. ..1. .. Sprains. ..4. .. Other external violence. 6 .2 .23 Ill-defined disease. Infections of undetermined origin. .1.3. .. No disease.2. ...-.-.-. Total. 97 7 21 .230 2 ..

PAGE 29

27 OF THE PANAMA CANAL FOR OCTOBER, 1916-Continued. Nonemployees. Nonresidents. Discharges. Deaths. Discharges. Deaths. B. B. W. B. W. B. SolSolX d'r. Others. S'rOthers. Sol-. d'rs M. M. F. M. F. M. M. F. M. F. M. F. M. F. M. F. M. F 4 4 .......--. ....-.9 4 8 2 4 ...........18..1. ...1. .......1 1 -1 1-----. ---.-.---. ----. --------.-.--.--.2 1. ......2 1 ..2 .........3 ...............1 ...............1 1. .1 .....1 .......4 2 1 ..-..............3 2 1. ......1. ....14. ...1. ...7 1 ............1. ...........3. 5 1 1 2 1 .....1 .......18 ........1. S. .......... 42. 1 1. ...........37 .22. ...1. ....9 1 8 .3. .....21. 194 40 98 49 104 .2 2 7 10 21 1 2 .....866 35

PAGE 30

28 TABLE VIIL-CONSOLIDATED [A= White Americans. F= Remaing Admitted. Died. A. F. B. A. F. B. A. F. B. ANCON HOSPITAL. Panama Canal employees. 12 11 113 81 15 146 ..5 Panama R. R. employees. .------------3 1 43 14 4 42 -1 4 Other pay cases. 98 24 51 305 20 112 1 2 11 Charity patients.-. 8 -. 27 14 2 35 ..3 Total. 121 36 234 414 41 335 1 3 23 Insane department. Panama Canal employees. .5 .1. Panama R. R. employees.3. -. .--. Panama pay cases.-. 2 27 186 .5 6 .2 Other pay cases. 4 5 2 2 1 1 --Charity patients. 3 8 60 .1 2.Total. 9 40 256 2 6 10 .1 2 Grand total.130 76 490 416 47 345 1 4 25 Corozalfarm. Panama Canal employees. 10 51 .2 2 .----Chronic ward. Charity patients. ..1. 1 ..-COLON HOSPITAL. Panama Canal employees. 1 7 17 4 26 ..--Panama R. R. employees. 2 2 11 13 3 30 ..4 Panama pay cases. 1 2 8. -.------Other pay cases. 3 2 1 16 12 12 .1 Charity patients. 1 2 .1 .------Total.-. 7 4 21 48 21 77. .5 PALO SECO LEPER ASYLUM. Panama pay cases. .2 40 ...2 Charity patients. .2 2 26 .....2 Total. .------4 GRAND TOTAL. Panama Canal employees. 13 21 176 98 21 175 ..5 Panama R. R. employees. 5 3 57 27 7 72 .1 8 Panama pay cases. 2 29 227 .7 14 .4 Other pay cases. 105 31 54 323 32 125 1 3 12 Charity cases. 12 10 133 16 3 39 ..5 Total. 137 94 647 464 70 425 1 4 34

PAGE 31

29 HOSPITAL REPORT. White foreign. B=Blacks.] Discharged. Transferred. Rmaiig Average number constantly sick. A. F. B. A. F. B. A. IF. B. American. Foreign. Black. Total. 71 15 149 .22 11 105 20.87 8.39 112.68 141.94 10 1 35 ..1 7 3 45 6.42 1.32 46.32 54.06 289 23 98 1 -. 1 112 19 53 107.26 22.90 54.94 185.10 14 1 23 ..1 8 1 35 6.06 .42 28.74 35.22 384 40 305 1 .3 149, 34 238 140.61 33.03 242. 68 416.32 ---------6 ..5.26 5.26 1 ....2 ..2.87 2.87 11 ----. 1 2 32 188 2.00 30.87 187.33 220.20 I ..-.-5 4 3 4.23 4.06 2.10 10.39 1 ..1 3 9 60 3.00 8.10 59.80 70.90 1 3 -. 2 10 45 259 9.23 1 43.03 257. 36 309.62 385 40 308 1 ..5 159 79 497 149.84 76.06 500.04 725.94 2 1 ...10 52 .9.94 52.03 61.97 .3. .17 ..18.58 18.58 14 1 15 ..6 4 3 12 3.10 1.25 5.97 10.32 9 4 23 1 1 5 -. 9 5.25 1.06 9.81 16.12 1. .8 .1 .-. ..09 1.07 1.16 11 7 6 1 3 5 7 4 1 4.38 2.90 1.39 8.67 3 1 1. ..-1.13 ..22 1.35 37 12 46 2 5 25 1618 22 13.86 5.30 18.46 37.62 2 38 .2.00 39.32 41.32 2 24 .2.00 24.35 26.35 ..4. .4 62 .4.00 63.67 67.67 85 18 165 ..6 26 24 175 23.97 19.58 175.94 219.49 19 5 59 1 1 6 12 3 56 11.67 2.38 59.00 73.05 2 .1 9 2 35 226 2.00 32.96 227.72 262.68 31 30 104 2 3 6 124 27 57 115. 87 29.* 86 58. 43 204. 16 17 1 25 ..6 11 12 136 10.19 10.52 131.69 152.40 422 54 355 3 5 33 175 101 1650 163.70 95.30 652.78 911.78 Number of employees remaining in hospitals: W hite. 65 Black. 231 Total. 296

PAGE 32

30 TABLE IX.-CONSOLIDATED DISPENSARY REPORT. EMPLOYEES TREATED IN QUARTERS. AdDisTransRe m ted. Died. charged. ferred. ma Days lost. Station. Ot 1Ot3 W. B. W. B. W. B. W. B. W. B. W. B. W. B. Total. Ancon. 3 3 89 3 ..85 5 2 1 5 .150 43 193 Balboa----3 1 112 7 ..102 6 8 2 5 .207 15 222 Pedro Miguel. 13 ...13 ...25. 25 Paraiso. ..7 7 ...7. .18 Gamboa. ..1 2 ---------2 1 ...5 5 10 Gatun. ..17 4 ------15 4 1 .1 ..49 7 56 Colon. 10 22 73 89 ..77 96 ..6 15 206 552 758 Total .16 26 312 105 ..299 113 12 3 17 15 660 622 1,282 ALL CASES TREATED BUT NOT EXCUSED. Employees. Nonemployees. Total. Station. White. Black. Total. White, Black. Total. White. Black. Total. Ancon. 2,681 4,164 6,845 1,916 2,933 4,849 4,597 7,097 11,694 Balboa. 3,052 3,548 6, 600 1,703 -907 2,610 4,755 4,455 9,210 Pedro Miguel. 905 1,257 2, 162 965 504 1,469 1,870 1,761 3,631 Paraiso------994 2,685 3,679 826 917 1,743 1,820 3,602 5,422 Gamboa. 58 191 249 33 367 400 91 558 649 Gatun. 229 1,155 1,384 599 1,043 1,642 838 2,198 3,036 Colon. 1,019 3,364 4,383 943 939 1,882 1,962 4,303 6,265 Total. .8,938 16, 425,302 6,985 7, 610 14, 595 15, 933 23, 974 39,907 CONSOLIDATED ADMIssION REPORT. White. Black. Total. Total admissions to hospitals, excluding Corozal farm and chronic ward. 532 422 954 Total admissions of employees to quarters. 312 105 417 Total. 844 527 1,371 Less number of patients transferred between hospitals and from quarters to hospitals, whose admissions are duplicated in above figures. .20 33 53 Net admissions to hospitals and quarters. .824 494 1,318 EMPLOYEES. Employees admitted to hospitals. 151 245 396 Employees admitted to quarters. 312 105 417 Total .463 350 813 Less number transferred between hospitals, and from quarters to hospitals, whose admissions are duplicated in above figures. 14 15 29 Net admissions of employees to hospitals and quarters.-. 449 335 784 Annual average per thousand of admissions of employees to hospitals and quarters .1,187.30 139.90 282.76

PAGE 33

31 TABLE IX.-CONSOLIDATED DISPENSARY REPORT-Continued. CONTAGIOUS AND INFECTIOUS DISEASES REPORTED DURING THE MONTH OF OCTOBER, 1916. Disease. Panama. Colon. Canal Total. Zone. Beriberi.3 3 Chicken pox. 5 3 5 13 Diarrhea. ..2 2 Diphtheria. 7 1 5 13 Dengue. ..17 17 Dysentery. 9 2 4 15 Influenza. ..22 22 leprosy. 1 ..1 Malaria. 10 20 40 70 Measles.7 4 11 Mumps. 1 ..1 Pellagra. 1 ..1 Pneumonia. 8 3 4 15 Tuberculosis. 26 4 7 37 Typhoid fever.2 1 3 Whooping cough. ..2 2 TABLE X.-NUMBER OF EMPLOYEES CONSTANTLY SICK IN HOSPITALS AND QUARTERS. White. Colored. Total. Hospitals: Ancon Hospital. 37.00 167.13 204.13 Colon Hospital. 10.66 15.78 26. 44 Total. 47.66 182.91 230.57 Quarters: Ancon. 4.84 1.38 6.22 Balboa. 6.67 .48 7.15 Pedro Miguel.41 .41 Paraiso. .58 .58 Gamboa. .16 .16 .32 Gatun. 1.58 .23 1.81 Colon. 6.65 17.80 24.45 Total. 20.89 20.05 40.94 HospiQuarTotal. tals. ters. Average number of employees constantly sick: White. 47.66 20.89 68.55 Colored. 182.91 20.05 202.96 Total. 230.57 40.94 271.51 Average number of employees constantly sick per 1,000: White. 10.50 4.60 15.10 Colored. 6.36 .70 7.06 Total. 6.93 1.23 8.16

PAGE 34

32 TABLE XI.-AVERAGE LENGTH OF STAY IN HOSPITALS OR QUARTERS FOR EACH ADMISSION OF SICK EMPLOYEE. White. Black. Total. Hospitals: Ancon Hospital ---------------------------9. 71 20.45 16.97 Colon Hospital----------. .-----------------8.37 9.03 8.79 Quarters: Ancon--...------------------------------2.18 14.08 2.96 Balboa. ....--------------------------------1.84 -4.25 2.01 Pedro Miguel. ...--------------------. -1.92-1.92 Paraiso. ..--------------------------------2.57 ----------2.57 Gamboa--------..----------------------5.00 2.50 3.33 Gatun. 3.06 1.75 2.80 Colon. .....---------------------------------2.71 7.91 5.58 TABLE XIL-FINANCIAL STATEMENT, DEPARTMENT OF HEALTH. September, August, September, 1916. 1916. 1915. Administration: Chief health office-. $817. 23 $567. 28 $842.75 Hospital division: Ancon Hospital-----------. 26,129.16 26,104. 63 21,639.52 Board of health laboratory---------2,217. 44 1,916. 01 1,789.70 Corozal farm. 6,475. 28 6,216. 38 5,326.59 Chronic ward. 215.26 183.39 186.84 Colon Hospital. 4,496.17 4,292.20 3,563.20 Palo Seco Leper Asylum. 1,979.55 1,665. 69 1,876.03 Santo Tomas Hospital.----------------888. 75 1,136. 48 878.43 Medical storehouse .674.21 653. 16 1, 332. 01 Reserve for new tools. 2,095.77 2,154.69 ... 45,171.59 44,322.63 36,592.32 District dentists. 28.39 45. 43 2.53 Dispensaries: Naos Island. ..124.02 -Balboa-. 1,206.82 1,195.21 974.87 Corozal. .514.97 Pedro Miguel. 423.94 443.20 450.75 Paraiso. 552.51 587.82 651. 94 Culebra. ..111.21 Gamboa. 151.53 88.50 144.12 Gatun. 674.50 575.14 677.55 Toro Point. 34.78 3,037.69 2,935.30 3,686.74 Sanitary division: General inspector. .50.00 50.00 50.00 Health office, Panama. 3,072.29 3,654.55 3,995.62 Street cleaning, Panama.'14,257. 84 4,290.43 4,446.90 Health office, Colon. 2,999.06 2,987.65 2,553.85 Street cleaning, Colon. 22,139.22 2,175.90 2,122.73 12,518.41 13,158. 53 13,169.10 1 $3,166.67 per month charged to Republic of Panama for garbage disposal and street cleaning. 2 One-half the expense of garbage disposal and street cleaning, Colon, charged to Republic of Panama.

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33 TABLE XII.-FINANCIAL STATEMENT, DEPARTMENT OF HEALTHContinued. September, August, September, 1916. 1916. 1915. Zone sanitation: Ancon. $1,960.29 $2,091.89 $2,388.63 Balboa. 1,366.01 1,712.86 1,313.74 Corozal. 1,309.32 658.11 1,464. 29 Pedro Miguel. 3,639.33 5, 251.26 3,303.90 Culebra. ...-------------------------------------------------18.00 Frijoles. 75.75 76.13 99.33 Gatun. 3,933.83 4,057.67 3,012.21 Cristobal-Mount Hope .2,107.26 2,290.10 2,852.66 26, 910. 20 29,296. 55 27,621. 86 Quarantine division: Chief quarantine office. 171.39 188. 35 341. 48 Balboa-Panama. 2,041.75 2,041.12 2,001. 01 Colon-Cristobal. 3,411. 81 3,234. 99 3,047. 92 5,624.95 5, 464. 46 5, 390. 41 RECAPITULATION. Chief health office .817. 23 567. 28 872.74 Hospital division. .45, 171. 59 44, 322. 63 36, 592. 32 Dispensaries. 3,037.69 2, 935. 30 3, 686. 74 Sanitary division. 26,910.20 29, 296. 55 27,621.86 Quarantine division. 5,624.95 5, 464. 46 5, 390. 41 Total. 81,561.66 82,586.22 74,134.07 TABLE XIII.-ANCON HOSPITAL. REPORT OF NATIONALITY OF PATIENTs TREATED. Total American. Other nations. number treated. White. Black. White. Black. Hospital: Panama Canal employees .377 93 .25 259 Panama R. R. employees. 107 17 .5 85 Other pay patients .610 403 .44 163 Charity patients. 86 22 .2 62 Total. 1,180 535 .76 569 Asylum: Panama Canal employees. 6 ...6 Panama R. R. employees.3. ..3 Panama Government cases. 226 2 .32 192 Other pay patients. 14 6 .5 3 Charity patients. 74 3 .9 62 Total. 323 11 .46 266 Grand total. 1,503 546 .122 835 Soldiers. 289 289 .. Chronics. 20 ...-. 20 Farm (cripples). 65 ..12 53

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34 TABLE XIII.-ANCON HOSPITAL-Continued. REPORT OF DAYS LOsT IN HOSPITAL. Total American. Other nations. number treated. White. Black. White. Black. Hospital: Panama Canal employees -------.4,400 647 -------260 3,493 Panama R. R. employees. 1,676 199 .-. 41 1,436 Other pay patients. .-------------5,738 3,325 -------710 1,703 Charity patients .---------------1,092 188 .13 891 Total. 12,906 4,359 -------1,024 7,523 Asylum: Panama Canal employees. 163 --------------------163 Panama R. R. employees. 89 ---------------------89 Panama Government cases-------6,826 62 .957 5,807 Other pay patients ..--------------322 131 -------126 65 Charity patients. 2,198 93 -------251 1,854 Total. 9,598 286 .1,334 7,978 Grand total. .----------------22,504, 4,645 ------2,358 15,501 Soldiers. 2,765 2,765 -----------------Chronics.----------------------576 .------------------576 Farm (cripples).--. 1,921 ..308 1,613 Average cost per subsistence per day, $0.2867. WARD LABORATORY REPORT. Blood examinations (total number). .....-------------------------------484 Estivo-autim-nal .38 Tertian ut ....--............---.----11 Tiferta c -----------------------------------------------------15 Differential counts-----------------------.------------. 5 Hemoglobin estimations --------. .----------------------------149 Leucocyte counts. 40' Red-blood counts. ..-----------------1 Stool examinations (total numbler).-. 517 Ameba.-------------.--------2 Ascaris lumbroincoides---.-.--4 B ilharzia. .-. ...-. -. .1 Ciliated nom ads-. ..-. ............9 Guaiac tests-------------------------. 19 Pus and blood. 30 Strongloides. ..........-----------------------------------------------3 Tenia saginata dispar (ova). ..------------------------------------1 Tricocephalus dispar. 6 Uncinaria (ova) .--------------------------------------------18 Urine examinations (total number). .---1,743 Albumen.-----------. 275 Bile -. -. ..-.-4 Casts --------------;---------------------------411 Cas s. .....41 Ciliated nomads. .......----------------------------------------,0 Epithelia...----------------------------------------------1,015 Guaiactests. .........--------------------------------------.-------9 Hemin crystals --------------------------------. .-------------8 Indicon. ....-----------------.-----------------------------1 Acetone.-----------------------------.---------------------1 Pus. ..----------------.--------------------869 Pus and blood --------------------------193 Sugar (positive, 3; negative, 22)----------------------------.-.-25 Sputum examinations (total number).---------------------------290 Positive for tubercle bacilli.w.-.--------------------------------35 Smear examinations (total number).-------------------------------14 Urethral-.-----------------------------------------------------------7, Vaginal.----------------------------------------------9 Spinal fluid. ....---------------------------------------------10

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35 TABLE XIIL-ANCON HOSPITAL L-Continued. REPORT OF SURGICAL OPERATIONS. Number. Died. Amputations: Digits, multiple. ..2. Operations on bones: Ostiectomy .2 Adenectomy: Inguinal, single. 15 Femoral.1 Herniotomy: Ventral.1 Genito-urinary tract: Urethrotomy, external. 2 1 Prostatectomy.1. Vatio0cele, radical cure.1. Hydrocele, single, radical cure. Orchidectomy. 1. Epididymotomy. 1 Curettage uteri.--.----. 5 -. Obstetrical: High forceps. Rectum: Hemorrhoids, radical cure. 12 Fistula in ano, excision of.3. Laparotomy: For intestinal obstruction.1 Exploratory.3 Gastroenterostomy. 1 Appendectomy.14. Appendectomy with local peritonitis. 4 Cholecystectomy. 1 Abscess of liver, thoraco-hepatotomy for. 1 Pan-hysterectomy. 1 Supravaginal hysterectomy. 2 Hysteromyomectomy.3. Salpingectomy, single. 2. Salpingo-oophorectomy. 3 Suspensio-uteri.3. Various other major operations.3. Various other minor operations. 9 Total'. 184 2 REPORT OF OPERATIONS, EYE AND EAR CLINIC. Tonsillectomy and adenoidectomy. 24 Adenoidectomy only. 6 Submucous resections. 12 Turbinectom y. 6 Pterygium transplantations. 7 Plastic on nose. 2 Total. 57 R efractions. 90 REPORT OF OUT-PATIENT DEPARTMENT. Clinic. Total New Pay Prescripvisits. cases. cases. tions. Medical. 266 171 18 281 Surgical .238 110 10 37 Eye and ear. 526 198 0 52 Total. 1,030 479 28 370

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36 TABLE XIII.-ANCON HOSPITAL-Continued. MONTHLY VACCINATION REPORT. No vaccinations during October. BOARD OF HEALTH LABORATORY. Bacteriological examination of: Blood cultures (3 positive for B. typhosus). 20 Throat cultures. 100 Urines. .47 Stools. 27 Sputum. 3 Phenol coefficient determination of Bacili-Kil. 1 Pathological fluids, exudates, etc---. 5 Smears, gonococcus. .4 Cultures of autopsies. .4 Leper suspects. 2 Dairy milk from Corozal. 27 Wassermann reactions. 958 Agglutination reactions. 1 Autogenous vaccines prepared. 3 Antityphoid vaccinations. 3 Animal inoculations. 10 Dark field examinations. 8 Chemical examinations of: Mothers' milk. Urine. 3 Milk for supply department. 19 Bacili-Kil. 1 Fat determinations of milk from Corozal farm. 1 Cuban rum .7 Powder for identification. 1 Oil of Cedarwood. 3 Butter for moisture. 1 Test meals .1 Spinal fluids3 Butyric acid test. 16 Ammonium sulphate test. 16 Phenol test. .16 Colloidal gold test. 2 Pathological tissues prepared (paraffin 434, frozen 5). 439 Test meals, pathological examination. 2 Placental smears. 62 Spinal fluid. 1 Autopsies performed. 29 Animals autopsied. 28 Filaria identifcation. 1 Dog under observation. 1 Rats examined (mus musculus, 441; mus norwegicus, 833; mus alexandrinus 3; mus rattus, 171). 1,425 Bodies embalmed. 3 Interments at Corozal. 9 Taken to Panama. 2 Taken to Gatun. 1 Cremations. 27

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37 TABLE XIII.-ANCON HOSPITAL-Continued. MOSQUITOES IDENTIFIED AT THE BOARD OF HEALTH LABORATORY. I 4 Stations. 'e M q C3 o o o o 0o Ancon. 2 ...11 Balboa. ....91 Corozal district. 11 .204 Corozal post. 55 .-. 1 1 .33 Pedro Miguel. 2. .410 Pedro Miguel, railroad station. 19 .1 ..1,887 Paraiso. .1 ..222 RedTank. 5 ...94 Miraflores. .7 Rio Grande. 2 ....1,088 Lirio and Cerlo. 1 ....1,046 Dredges, Culebra Cut. 1 ....699 Gamboa .3 ....2,768 Gatun. 134 ..1 .721 9 New Gatun. 204 9 ..6 471 5 Fri'oles. 859 28 ....7,666 3 M onte Lirio. 141 1 ...1,160 4 Barracks, Cristobal. 26 5 ..... Silver married quarters.2. ...8 Mount Hope village. 19 3 ...142 g Colon Hospital. 11 4 ...439 Panama Railroad cars Cristobal. ..... Other places, Cristobad. ..... Colon district. .1. ... Camp Gaillard. .....2,311 Empire. ....596 Camp E. S. Otis. ....1 4,217 Fort Randolph. 33 3 ...1 2 Fort Sherman. 11 2 ..1 1,108 Fort Grant. .. Total.1,548 56 4 2 8 27,401 35

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38 TABLE XIII.-ANCON HOSPITAL-Continued. Ci, 0 Stations. -4 '0 ci 0 CD 0 Ancon-.----------------------------176 1 .3 193 Balboa. ..----------------------------405 1 1 ----.--. .49$ Corozal district .------------------------2 ----------------217 Corozal post. .....-------------------------24 -----2 2 ------118 Pedro Miguel.-.-------------6--------------Pedro Miguel, railroad station -------------2 ----------------1,909 Paraiso. ...------------------------------7 ---------1 ------231 Red Tank.-. .-----------------------------.1.------------------100 Miraflores. .--------------------------------------.---.----7 Rio Grande ..-----------------------------------..1 .1,091 Lirio and Cerio.------------------------1 -----------------1,048 Dredges, Culebra Cut. 77 274 -----------1,0617 Gamboa ------------------------------1 1 -----------2,773 Gatun. ....------------------------------32 ---------------898 New Gatun---------------------------. .38 .-----5 ------738 Frijoles.----------------------------9 1 --10 ------8,576 Monte Lirio.------------------.------.--. --------------1,306 Barracks, Cristobal. .------------------3, 314 --------1 ------3,346 Silver married quarters. .----------------359 ----------------369 Mount Hope village. .-------------------261 --------1 ------435 Colon Hospital -..---------------------1,820 ..I -. 14 2,289 Panama Railroad cars, Cristobal.----------147 ----------------147 Other places, Cristobal ..-. Colon district. ...----------------------1,018 ---------------1,022 Camp Gaillard -------------------------42 --------33 6 1 2,393 Empire .-----------------------------5--------7 ------608 Camp E. S. Otis .-------------------------4 --------6 ._-. 4,228 Fort Randolph----------------.-------1-----------------40 Fort Sherman. .-----------------------514 --------------16 1,654 Fort Grant---....-----------------------23 1 45 ---------69 Total -------------------------8,289 278 48 72 6 31 37,778 COROZAL HOSPITAL. STATEMENT OF COMMITMENTS, DISCHARGES, AND DEATHS. COMMITMENTS. Male. Female. From Canal Zone: First admission. .-------4 1 Fifth admission. .-------------------1.I From Panama Government: First admission ..------------------------------------6 5 Third adm ission. ...-...-I Total -----------------------------------------11 7

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39 COROZA, HOSPITAL-Continued. ,STATEMENT OF COMMITMENTS, DISCHARGES, AND DEATHs-Continued. DISCHARGES. Well. Improved. Unimproved. Male. Female. Male. Female. Male. Female. Barbados. Colombia. ....11. Panama. ..2 --TotaJ. ..2 2 1. 'Transferred to Ancon Hospital for surgical treatment. DEATHS. Medical diagnosis. Mental diagnosis. Male. Female. Carcinoma of bladder. Psychosis undetermined ..1 Syphilis, tertiary. Syphilis. ....1 Pneumococcic meningitis; syphilis .o. 1 tertiary. TABLE XIV.-COLON HOSPITAL. NATIONALITY. White White Black. Total. American. foreign. Panama Canal employees. 18 4 33 55 Panama R. R. employees. 15 5 41 61 Panama pay cases. .-. 2 9 11 Other pay cases. 19 14 13 46 Charity cases. 3.2 5 Total. 55 25 98 178 LABORATORY REPORT. Blood examinations. .115 Estivo-autumnal. ...13 Tertian. ..3 White blood counts. 18 Red blood counts. 2 Hem oglobin. .....4 Stool examinations. .25 Uncinaria Americana. 1 Urine examinations .191 Albumen. 78 Pus. ....32 Casts-. ...45 Blood. .16 Sputum examinations. 56 Positive for tubercle bacilli. 5 Smear examination. .3 Positive for gonorrhea. 2 Throat cultures examined. .4 Positive for diphtheria. 1 Spinal fluid examined. 1

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40 TABLE XIV.-COLON HOSPITAL-Continued. SURGICAL OPERATIONS. Adenectomy: Inguinal, single. 1 Herniotomy: Inguinal, single. 3 Inguinal, double. 3 Genito-urinary tract: Hydrocele, single, radical cure. 1 Curetage uteri.--. 1 Rectum: Hemorrhoids, radical cure. 2 Laparotomy: Appendectomy. 1 Minor operations, various. 5 Minor operations, various (dispensary). 142 TABLE XV.-PALO SECO LEPER ASYLUM. NATIONALITY OF PATIENTS. Number treated. Americans. Others. Class. White. Black. White. Black. White. Black. Pay cases. 2 40 ..2 40 Charity cases. .2 26 ..2 26 Total. 4 66 ..4 66 Cost of subsistence per patient per day, $0.24. TABLE XVI.-SANTO TOMAS HOSPITAL. RemainAdDisRemaining emitted. charged. D ., Oct 31. Oct. 1. Ot 1 Pay cases. 37 63 81 1 18 Charihy cases. 419 895 805 88 421 Total. 456 958 886 89 439 Average number of patients constantly sick. 440 Total number of days' treatment. 13,657 Average number of days' treatment for each patient. 10 Cost of subsistence per patient per day. $0.39 NATIONALITY. American. Other nations. Number Class. treated. White. Black. White. Black. Pay cases. 100 2 .31 67 Charity cases. 1,314 2 .92 1,220 Total. 1,414 41 .123 1,287

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41 TABLE XVI.-SANTO TOMAS HOSPITAL-Continued. DIsPENsARY REPORT. Class. White. Black. Total. Natives. 32 665 697 'oreigners. 45 308 353 Total. 77 973 1,050 DISEASES TREATED. Malarial fever .51 -M easles. 4 I iphtheria and croup. 14 Influenza.-. 2 Miliary fever .1 Y ysentery. 12 Leprosy. 1 Erysipelas. 1 Other epidemic diseases. 7 Purulent infection and septicemia. 7 Pellagra. 3 Beriberi. 2 Tuberculosis of the lungs. 17 Tuberculosis of other organs. 1 Syphilis. 35 Soft chancre .23 Gonococcus infection. 28 Cancer and other tumors of the female genital organs. 1 Cancer and other malignant tumors of the breast. 3 -Cancer and other malignant tumors of organs not specified. 1 Other tumors ..1 Acute articular rheumatism. 3 -Other general diseases. 1 Alcoholism, acute or chronic. 12 Other diseases of the spinal cord. 1 Paralysis without specified cause. 1 Other forms of mental alienation. 7 Epilepsy. 5 H ysteria. 1 Neuralgia and neuritis. 5 -Other diseases of the nervous system. 2 -Other diseases of the eyes and their annexa. 16 I iseases of the ear .1 Acute endocarditis. 1 -Organic diseases of the heart. 15 Diseases of the arteries.--. 2 riseases of the veins. .6 Diseases of the lymphatic system. 16 Diseases of the nasal fossw. 1 diseases of the larynx.,. 1 ,Chronic bronchitis .26 Broncho-pneumoia.-z.,. 2 Pneumonia. .5 Pleurisy. 11 r'iseases of the teeth and gums. 1 Diseases of the pharynx. 20 ~Ulcer of the stomach. .1 Other diseases of the stomach. .1 Diarrhea and enteritis (under 2 years). 9 Diarrhea and enteritis (2 years and over). 9 Ankylostomiasis .35 'Intestinal parasites. ..7 Appendicitis and typhlitis. 1 Hernias, intestinal obstructions. 11 Diseases of the anus and fecal fistula .2 Other diseases of the intestines. 8

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42 TABLE XVI.-SANTO'TOMAS HOSPITAL-Continued. DISEASES TREATED-Continued. Other diseases of the liver. .3 Bright's disease (chronic nephritis). .40 I iseases of the bladder.-----.---. 3 T iseases of the urethra. 7 Nonvenereal diseases of the female genital organs. .12 Uterine tumor.-----.--. 2 Metritis.---.-----. 13 Other diseases of the uterus.----.----. 3 Cysts and tumors of the ovary.-.---. 2 Salpingitis and other diseases of the female genital organs. 8 Nonpuerperal diseases of the breast. 1 Normal labor.-. 91 Accidents of pregnancy.--. 26 Acute abscess.-. 13 Other diseases of the skin and annexa. 25 Diseases of the bones. 2 Diseases of the joints. 15 Other diseases of the organs of locomotion. 1 Congenital malformation. 2 Nurslings discharged from hospital without disease. 88 Senility.-. 2 Poisoning by food .1 Other acute poisoning. 2 Burns--.-. 1 Traumatism by firearms. 1 Traumatism by cutting or piercing instruments .4 Traumatism by other crushing. 3 Sprains. '7 Fractures. 10 Other external violence. 11 No disease. 26 Total discharges .-.-. 886 Deaths.-.-. 89 Remaining. 439 Total number of patients treated during month. 1,414 SURGICAL OPERATIONS. Number. Pied. Amputation of digits, multiple. 2 Ostiectomy. 2 Excision of maxilla.1 1 Adenectomy, cervical.3. Adenectomy, inguinal, single. 4. Adenectomy, inguinal, double. 2 Adenectomy, femoral. I -------Herniotomy, inguinal, single.13. Herniotomy, inguinal double. 1 -.---Uretbrotomy, internal.2 Urethrotomy, external. 4 1 Hydrocele, single, radical cure .5. Hydrocele, double, radical cure. -1 -------Amputation of scrotum.1 -------Curetage uteri. 6 .Perineoplasty. 2 Vaginal punctures. I -------Thoracotomy. ..1 -------Excision of breast and axilla.1 I -------Hemorrhoids, radical cure .5 .Varicose veins, excision of---. 2 .-

PAGE 45

43 TABLE XVI.-SANTO TOMAS HOSPITAL-Continued. SURGICAL OPERATIONs-Continued. Number. Died. 'Gunshot wound of soft parts, operation for. 1. Plastic operation for effects of disease. 24. Laparotomy, exploratory. 3 2 Appendectomy. .4. Colecystotomy. 1 1 Cholecystostomy.1. Abscess of liver, thoraco-hepatotomy for. 1. Splenectomy.1. Pan-hysterectomy.2. Supravaginal hysterectomy. .. Salpingectomy, double.4. Salpingo-oophorectomy.2. Ovarian cystotomy. 1. Suspensio-uteri. 4. For eutopic gestation. I Major operations, various other-. 1. Minor operations, various. 48 -Total .167 5 TABLE XVII.-SUMMARY OF SANITARY WORK PERFORMED AND MATERIAL EXPENDED DURING THE MONTH IN THE CANAL ZONE. Work requests on supply department: Grass cutting. 21 Screening. 5 Miscellaneous.-. 8 Work requests on municipal engineering department .14 Work requests on other departments .2 Buildings inspected: For screening. 1,684 For mosquitoes. 5,352 General sanitation. 2,273 Stores, inspections of .24 Restaurants, inspections of .12 Shops, inspections of .28 Gar bage cans emptied. 2,812 Pit closets, inspections of .550 Closets disinfected. 636 Houses disinfected and fumigated .:. 4 Rat traps in use. 441 Rats destroyed. 446 Sewer connections made. 10 Number of mosquitoes destroyed in dwellings: Anopheles.1,293 Stegomyia. ). 280 Cule .10,707 Mansonia. 8,316 Fly-breeding places destroyed. a Material e pended: Larvacide, gallons. 705 Crude oil, gallons. 13,370 Kerosene, gallons. 712

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44 REPORT OF ROuTmE WORK DONE BY HEALTH OFFICE, PANAMA. General sanitation: Linear feet of ditches cleaned and maintained. 65,550 Linear feet of new ditohes dug. .740 Number of cubic yards of earth used in filling. 0 Gallons of larvacide used .600 Gallons of crude oil used. 4,261 Gallons of kerosene used. 125 Square yards of pools oiled .365,900 Water containers treated. 10,545 Mosquito-breeding places found (stegomyia 118). 265 Fly-breeding places found. 47 Flies trapped (13,000 per quart).quarts. 20 Number of rats killed. .1,010 Number of room disinfections made. 19 Square feet of vegetation removed. 274,100 Garbage collection: Number of loads of garbage removed to dump. 4,540 Number of cubic yards of garbage removed to dump. 8,783 Total number of cans garbage emptied. 42,679 Buildings: Number of buildings inspected .4,484 Number of plans for new buildings approved. 19 Number of permits issued for repairs to old buildings .84 Total buildig permits issued. 103 Number of buildings condemned .6 Number of stables condemned .0 Number of buildings demolished. 3 Street cleaning: Average number of square yards of streets cleaned daily. 600,000 Average number of square yards of streets sprinkled daily. 45,000 Number of private properties cleaned during month. 0 Number of notices served and nuisances abated. 391 Vaccinations: Number of vaccinations performed during month. 0 Total number of vaccinations since Apr. 1, 1914. 24,880 MONTHLY WORK REPORT FOR COLON-CRISTOBAL-MOUNT HOPE. Sanitation, Colon-Cristobal: Square yards street cleaned .4,050,652 Square yards alleys maintained. 676,000 Number of private properties cleaned. 776 Doses of quinine issued. :. 4,304 Number of rats caught. 524 Loads of yard garbage disposed of .627 Number of cans garbage (cubic yards, 2,680). 66,485 Linear yards of ditches constructed (cubic yards, 310j). 1,225 Acres of vegetation removedQuarantine station. 5 Cristobal (Panama R. R. reservation). 20 Radio station. 1 Panama R. R. reservation, Colon (swamp). 30 Square yards oiled. 53, 210 Number of receptacles treated. 37,870 Number of mosquitoes caught in Colon Hospital screensAnopheles. 9 Culex. 2,470 Number of mosquito-breeding places destroyed. .2 Number of fly-breeding places destroyed. 2 Number of buildings inspected. 10,191 Number of gallons of larvacide used in Colon. 74.26 Number of gallons of crude oil used in Colon. 1,025 Number of nuisances abated. 370 Building, Colon: Number of building plans approved. 5 Number of permits to occupy issued.9 Number of permits to repair issued. 49 Number of bills collected. 154

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45 Sewers, Colon: )Tumber of new connections made during the month. 12 Total number of connections made to date. 1,359 Outstanding permits. .39 Sanitation, Cristobal: Number of cans garbage (cubic yards, 745). 14,588 Loads of yard garbage handled. 206 Square yards oiled. 4,960 Number of receptacles treated .6,900 Gallons of larvacide used. .7 Gallons of crude oil used. 175 Number of buildings inspected. 1,140 Number of nuisances abated. 51 Sanitation, Mount Hope: Number of cans garbage (cuic yards, 109). 896 Square yards oiled.:. 123,500 Number of doses of quinine issued. 374 Number of receptacles treated. 12,350 Number of mosquito places destroyed. 100 Number of mosquitoes caught in barracksAnopheles. 35 Culex .4,440 Number of mosquitoes caught in silver married quartersAnopheles. 2 Culex. 714 Number of mosquitoes caught in steamshipsAnopheles. 3 Culex. .20 Number of mosquitoes caught in Mount Hope villageAnopheles. .59 Cul ex ..261 Number of mosquitoes caught in Camp Baird carsAnopheles. 2 Culex. 297 Total anopheles .98 Total culex. 5,732 Gallons of crude oil used. 1, 435 Linear yards ditches constructed. 1,240 Linear yards ditches maintained. 6,690 Square yards of vegetation removed ...326,055 Number of burials during the month. .56 TABLE XVIII.-CONSOLIDATED REPORT OF QUARANTINE TRANSACTIONS AT THE PORTS OF BALBOA-PANAMA AND COLONCRISTOBAL. Number of vessels inspected and passed. 232 Number of vessels held in quarantine. 20 Total number of vessels entered .252 Number of special inspections made to enforce compliance with antiplague and mosquito-breeding regulations. 109 Number of vessels fumigated on arrival. 18 Number of vessels detained but sailed in quarantine. 9 Number of crew examined. 13,856 Number of stowaways examined. 6 Number of passengers examined. 3,077 16,939 Number of supplementary examinations. 3,340 Number of persons vaccinated at port of arrival because of compulsory vaccination law .220 Number of persons vaccinated at port of departure or en route because of compulsory vaccination law. 1,175 1,395

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46 Number of persons held in quarantine at the detention houses to complete period of incubation of yellow fever and plague. --324 Number of poliomyelitis suspects detained.-. 18 Number of persons held in quarantine on board vessels. 2,033 2,375 Total number of persons landed from foreign ports: Cabin. -..-.-.-----.-.----------------------------------1,932 Steerage.----.--------.----------.-----------------1,145 3,077 Total number of persons embarked for foreign ports: Cabin--.--.---. 1,388 Steerage -..1,135 2,523 Total number of persons arriving from coast towns on small launches and sailing craft ......-------------------------------------------1,560 Total number of persons sailing for coast towns on small launches and sailing craft.-.---.-------.------. .-. 1,362 Apparent increase for month from coast towns.:. 198 Apparent increase for month from foreign ports: Cabin-.:. 544 Steerage. 10 554 Number of clearances issued.------. 54 Number of bills of health issued or visded. 240 Number of inspections of docks. 3 Number of inspections of vessels at docks-. 3 Number of immigrants rejected and deported. -------23 Total number of persons landed. --------4,637 Less number for Pacific ports. 276 4,361 Total number of persons sailing. 3,885 Apparent increase for month. 476 IMMIGRATION REPORT FOR COLON AND CRISTOBAL. FromCabin. Steerage. Europe. 5 11 United States -----------------------------------. 749 244 Jamaica and West Indies. -------------------------86 331 Venezuela. 8 4 Colombia. .......-------------------------------------------74 103 Cuba. 49 14 Costa Rica. .......-----------------------------------------124 32 Bocas del Toro.-------------------------------79 204 Coast towns -------------------------------------------.-.164 1, 174 1,107 Grand total. 2,281 Men. 954 Women. 599 Children. 326 United States troops.-. 238 Unclassified. 164 2.281

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47 QUARANTINE TRANSACTIONS AT THE PORT OF BOCAS DEL TORO, PANAMA. Number of vessels inspected and passed. 22 Number of crew inspected and passed. 1,359 Number of passengers inspected and passed.-. 279 Number of passengers, in transit, inspected and passed. 96 No quarantinable disease has appeared in this port, and the health conditions of the port and surrounding territory are good. TABLE XIX.-STATEMENT OF QUININE ISSUED. Quinine sulphate (kilos) .14.00 Pounds avoirdupois. .30.85 TABLE XX.-PERSONNEL REPORT. October, 1916. SeptemOctober, ber, 1916 1916. Gold Silver Total Total Total emememememployees ployees. ployees. ployees. ployees. Chief health officer. 4 .4 5 4 Medical storehouse. 4 4 8 8 10 Quarantine division. .12 34 46 46 44 Health office, Panama .12 140 152 159 181 Health office, Colon-Mount Hope. 9 151 160 166 192 Ancon Hospital. 123 244 367 365 340 Colon Hospital. 15 26 41 42 36 Santo Tomas Hospital. 6 .6 6 6 Palo Seco Leper Asylum. 2 33 35 37 25 Zone sanitation. 7 117 124 126 135 Hospital farm. 2 49 51 65 51 Dispensaries: Balboa. 5 3 8 8 6 Corozal. 4 Gamboa. I .1 2 1 Gatun. 2 2 4 4 4 Naos Island. 1 Paraiso. 2 2 4 4 4 Pedro Miguel. 2 1 3 3 3 Total .208 806 1,014 1,046 1,030

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INGEST IEID EPTY6EGOT_TGW79D INGEST_TIME 2017-09-08T15:12:43Z PACKAGE AA00006090_00010
AGREEMENT_INFO ACCOUNT UF PROJECT UFDC
FILES