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:
June 1914
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_00019 ( 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











IV




I"




4- 4,











""A'' rel,









41
IN





6T
-t- "N
Ae




Yl














t ve,, lirates
40d, h
lox-

4T

34
to ljiov' 4'js of c4w



o_ te
C v I
Tl





-Ut, 'Tt
'At.



5i l



it





'A
',I 4
in'



II,




.1w.4 -, x"

P,









JIM-

PAXAjffA CANA
VW,brd, Viljwt zone,.,--
p:hp h6r.-io, sdWifthef6Howing, repo] pera:-
4h, f,the monf-h of In np- 191-4
-7
A0,,HAr,, P. %S6XI,
Chi -th
ERA JgAtA K
A, -8.

AeathlxAo in the Can'a Zone and aleiAeroashig,
Taliarha-W.Moh, has been notod fot,:Om,6
veit,"tober d Ae'largoly ,to, A sWt* '0, OUPO&Ution
7-jow to "'PUMM, a he c w Whic i
h
ds&,jnAh4.,rtmidug_ oWowqs for -the mouth is uc


OfVvl'S OP ,_HOSPIT` LS

vlmymks"

t'd- Q Oye&, ka7,vw UiwpA, Aurnw.,,, the
sok- f'' '116w; lerer. smalfpox 6r plague, on',
ye, grimated
4iiAfto, tho wonth. Th,6 ",er
0644 4 & air, itiaWas
d AI .ilopltaUan&qu
lo-ut Oqj pax
NIm 41,, 4 evor _,p
041
IW
adt" a
IT,
a lh c4uld6bk

7x



















A0,




JPA39 pr"*
ITo I y"'I"p-IdUR 1,- -11 v 44
"n h


4 "ft-ito
ad .0
th, 3





and ifij 4
*Iy

per,

TA, A-IRIP

lr+
Ye,


Tay

jr
pl,


















J6

-d hal liido _A U


T_ b 149

"A ecif ma dpring, t4e
M _gm, toWns, eof'
'Us 0,011 e "laj, 4y
ithjh It "thAy th6yj aroln-
W MAI' ff.
4 AiR, Aho" a v NV
rANAYA,

genera., c b, ajcss-
apP_4roli J1111 e con, Allbla"of''Au A
de nuts

Coulx&lom
,b l'.,of'g&,bqgo._w4ks ti t ily,
6 o earn
a- garmg
japv*1- ,i
ocd, In'gl
Oh- t umik
-v
_g ,oxy

b` d %

UN






U$
i 7 z-
A7
Wr





































II
. .:.. .:,.... ,.. :
. .. .... :... 7 :


-MA K.-sof1.. '.
!: .".. ...: ?.:: ... ... .. .. ....


.7~



....: ..
To... .. .:.. .. ...
:. .. :.. ... o: :..:: .. ..:." .:;; ... ,. .., .::. .. :.



-7 ... .. ... .' 'i .... ...,




i .a M.. .i
""~~~:i'i ""': "i:.:"i: i. ":. -:: :'i


.j. ... .... .....

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





















IQ
r:N:
. .. .. .. .A: -





Th all"J., of: ;;::;;
.. .' ..:.. .::. ..
.... ; .", ..l::l.~ l." I' .,. :: :. ..i:. .,...,.. ..
: ..":o .. .. I :' "F.; "'i..' i'.. "












liiM

7,;;
i; "il ": .. .. ': : '














A. .




VN. -.Iix: iI





: g.4'LU4
...." ." .o .. .. "N O A:". .p .













T .f
I .. ...;. ..: ..:, :n:::L'li;;i. ":; : ":.-n l, .. .. .. .
.. : ,
"":














i;b; .. .... :. :
..:..:: b
.E., ."lk ::;" -:


























"'L' ".'.'0 :: "..i. V """...' '."j .. .. .C:'.'."" :."..''L*% U:- E 9 ; ':''',: .' "[. '".". :' "" ":.
M..

..* ... .:.A
S.1 .h .....O:R.;.
;. ... ...


~~~"l *' dt:ri; *e4inhL T






--T
~~~~~~~~~~~. W ... : w"':i' :: ":; :-:


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

... ... .

.421i Le
;: ::I:-
T .. .


:.:.:.. 3_ .-.. Q. 0 .. ... .. .. .
,~~~~~ :.,.,W ...: ...... .. ..
: i:: ::: i-
A." T.- A po':




1:. .... ml .''-' .. ... .. p.... .. ....:: ........ ,



..., .,. ..~ .. ., .. .. .. .. ....-.-.. ... :: ..I .... 5 ..
. ... .... .
115 .....:

E : !l: : 'I; Z. ", L:' : ":.... :':'::" .: .." ":. .: :... ." .... ..

...... ... ..... .. : :. ... .... .I .. ,
~~;:.... :: :' :: ......."
,.:~~!49: a ... i, .. -,: .. -- [ .. .:,.

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



........ ...... "'.. ..,.........; l ie l.~t* ~ ;iI ': ,," ":i.a[. ':.:.
; ;i .i.- : ..::!'$ i ::l i ) : :. : .
id"' il...i. ,:::i :., i.': l ;K L;.. : ;

;:'"";":";' :ii ::":: :::. .:;.. ..i.:
,, .,,,i :" ;. :..= ;.. ;i;: '.;" :. i. = 1 : .



























A d Nteth

-:tiemit t& detehine Nthe 1iht
-. :-*94 ... ..
S M.








'Ike net pier idpha dAit wa (9
."ngi nth. N 4"".tiou f rh'" ._
lap :7.pa.y

.... f: 1 1.as .... .eveuh I:I:













Wiring wurtatal ap kbe irha did
,...
.'' o.:; ," ". ,or. ..jh AM.. .




.. t g .. w





.. ..I.
.:I : ;.a?2 ." ...... .. .. : .;


::' -:. ri



~;T: A. 7: .0" Aw m;i
















A ir*I X:)ime woiTl:i I~~iiiii:bil~~i



















p|ubn0h aolpt4 of 1,222 cases were ik We
-ig. t cease over preedig manth. The .


ia with 360fr-the month of May. The sib-
$mnaai pproxinately the serne as for thie preceding
;cent per day, while the per capital. costp for the

tihspnt ofJune totaled .63, an in creaSe o over
Ia while he blithe were a decreaseof 3 ..
t.he he predamim disaea treated, the, rate being
a fl: fo the n th May. As compared
4 breof admissions fbr malaria, but few patients
-M C O n. :...... ... -h e .








.d. hd:toe vicinity of old: P:inaa
-..::,.6-he.# r .














iee prevalent durig th nionh a
5"oi this disease out pf a total of 26 caii
ii a the canise of death of 12 patients; pul-






J.. 0 dai Y IRO ENAgeE
ire .:. wt .e.he



i eve w created durg te i mo6: ared
; : : ..... :- ... .. th. .














letever, ad t ph..t...eia. No e ...

S .... e 6t au 0 : t t ':iVi*:::
m5Sg w etEmpui wih per







iN: ;wa.:t~e ::c.0Kwai ^ eL *: ; pi :.

i. .I. :*;: ... '* .
sa-- or -a fit :-:of may.*.-i : s m:p; a d:,: i







K 4 :.... ...o. .d a ..... .. r :.. I... .. .:.;. ..:.... :: .. k., a-,..... :.b. t ,






,.i .. .. '. e.$. ... .. N
... an d......l. ... ...






Niitt&emP th2:N t
pd;,d..iL.m = hth 0+ ., + .. ..
+ i -- i i I I I Ii I i I I I ii i II :i I I + r iI E I I 'I : I : I: I: i i I : ; iI I I I i I I I I
".L l, : "". = .. + .
n-!. :+::. ..: +e::..::.:,: i .; :: .! +:::: ::..,:. : ,: ..
ia l ,j. =!'='"'==:=,F.=+:,.. ... i iiiii 'i iii i 'ii: .iiii i iii iiii +~' iii, .+:i* i ii
J T .= : .= ; ..E : : = r q : q : : = : = = ": =
i i J S W R": .: T. ,, "l"e." : .. E : .:. ., .: : ". .: : : :., .: .: .." 4.."== = .=' .= = : = "4 = = = ., '. ., ., = "< m .




:KI ::.I h" # +": :+: """ ": ::" ., .: ..::". .... .:":+." t .
N : %. ;.: E. .;E: +:;."E: ;' = = E. ":' E. .Ei *.".. .. .. .. .E. .
A.:i."T E.+, YO%.., + .:: + +.+ o:' .. .+ ':. : ..
.3 3. =.;P..= ., < 2., .: + ... ,.. '.= + ." "* .... =..=+ .
,,Ol ,. .,.,. .. ,.,., ,.. .. .,,,C+ F .,,.q. ... ...: .. ... .q. .
-.6 All = "; .- .. ."=== .: .E=.=[ =.,==:. ... = :R."= ."-= .. k "": =; .... .. .=.
+;'. ,,....+ ,:.... '..,," "" +."",'.." .";: l,,. .' .". :: ..k. "'' ,.:


...+ ++.., .. .u ~ ~.- h ...:1.1 : :o+,


























ST**o. .

S .:. .. .;. '. i ,.
.. ... .








Whi.. .
*- ". '. :. ;:~., .e.4.l






: : '. ::"' i :
*'. '. *" : '< "*
... ... :. w
.. .; C to e ..'


a"i I
rii.' S;rl.


17%";' 71


S. .


j
I
1 2~a I
41~ I
I. 4....A


. ; .i _. .... .. .. ... : ..
...... ./


... ..
:,.. .. .,. .. ,I -.t, .., ,.!
... .. .. .'.. .:, .., ...'r v; ",~ : -. : ..
.. .... :.... .. ... :. ,' i.';,:" ...... .
,. t:. .. :, ,...:.. ":,.. .:.:.f.. :.: .: .: .:. ...: .. ..
.... :.: ... .....








.. H :.> ..<5 .E;i!.: .. :.:'::,:: : : ',:.: .'"
;iiI:. .. : .. ::. i.. -:.i~; : :: i.. :








H. :.. : .. : ,= .. i.!
.. ,..
... ..: ... .
: ":E I;: .,.i : : ; :':" : "" "" "
.... .:..:.,": ;':':n: .' ,!,:
.. .,,.,. 1.. ..i..
~ ;:c:.,.., ,,~':y l;., : : 'Y .-zu:
": ." .. .:":s: '. :: S i ... ..:. ..
': ": :"7 :i'
:F"7. ." : ." POW..,'"% "" ." "'":
''. :: i:.. ",: .; ;?:::;: cr., ^ i~i:s;i;!7

,~~ ;; ;,,;,>, i' ;


.I. ... : :, .:.. :,
''>:iI;':: ........i ",: '::' ?' i~iP
ii; .': : ':i' ,;::i. .,.: .."."; .; i '
$""::ii i ^'. "," ", 'E: :i,:il~i... i ~i.:...:.::, ..
mir. n H ii' :",: i t I" :i: ,: '.:l "iiii : i,:1. ..


I


I








*4." '


:.,* .,- -:. ..
a : ;
44 '~"


F.=


S '. :

"-..^: ***


- 4 .. .. .


ha


: '.".. .. "...." .. ". : .:
.. : ::- :. i; ,." .. ..... .- : :.... .:
,..: .ya: "- ,..!'*" ...........
7.
:'.. .' '. : :'. :." ., ," : '":. '


















L2 '; 7810 23fl
. .. "9 .. ..'" ::. ; .: .. ". :.. :
.".. .... .... .... .















'1.22 .i.


112 ,145 128 17 *36* 2 324.5 :.
'2om 5$8 '.51 7 :.34.1. 30.25 4.15
.70 s9 153 i. LY 324
4 : 4 4 __ __ 1 .i __


i~ -


0 0 4 223 2 2 ..34. %
K .. ..: .. 4. .. .. ..2





71 M .
"C ..o Y w o b : : i .. ".".". ;
S I, .. ... .i .. .. j'-
:: .... :
2- "' r:4i 1. :,,; ... ; t..


V.4 i : : : .. ......
m; ;.. .; :.. ... : .




q'1I .. .. ... a

A ... ..:
4:i::, It ,s: R q,



Mi. g* A.I:... ; ...: : ... : ...-. ...






"N.!. W M. ... .:.... :
&yt :: :
,6.''.; "





:" .i~' l :~c N", -:i4- 1


.... :.... ..
C.




.. ':.... "'
ii^hf' .,K:, ."**"


;osfr


-4~


~i',


s:i r04 1 o


| .....


TOei

r .^ + ::.


::; E'.
*f'l *


H:.: L :.-


















.,.;.


11*11
eda^
Ofi^m


*.. *. .. ~. -. ., ,.: "'-.. .... -



T 3: **.,** *4* -

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

* .--* -. .... ...... ..*. ..-. ...- ...i ...' -.s ..;.. .. .e, .. .i....... ]...

t.. ..... : ... .. ..'... .. ...
.. .. V. e,. .... :.*.. ... ..... : ... ;>:..... ,. ....: ."....,-- *, *.-.;
Z ; 4e...,:- .... -.. ..... .

ot .. ... ...


TA9




..,, ,. ..... .o ,, .. ..., .. .... .. ... ., .. ....
...: ,. ...









L ." .. 1":: ..: ... '.: ,.: .: : .: :.:, .. 4 ." ",: ; % : :'' ii: .09::: :? '
.. ..-9i


S -".. ....:" : ..:.

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









.7 IN
.?.'.. Il.k ...










-iwir. ~ ~h~
44 .s.:.e,, ,
M t .t h '... ....: :. ..







Wbit WOD1ifl; ain. WE-4$IU4i
..:. .. I :. :.. :: -~ ...... ~ ...... i: .r~;


", ., ..a-:..: -." .


















.rC
,: 4 *. "~.$ 1 4'."J ..;

















.4
A. ...'".. .. .... _4h, "" "
.....".....;!:: : 0
K 4l." K,. F7 :.

..,:.-.. ... .. ... 2. 4 ..... ? ... 2 4. ",.... r 3
.. .... .. .. ...S ....S
4r. L; ; .;
; i~i,.ji ...



... .:..". ... -. '.," _: : .. : ;r..= : ;. :-, -;.,:;..., ';:'.;" I:
.. ,.... .. ... ,-:" ... ... ... ...... ..........., .. ;", : '::a '
.'' "':' :.: ; :" 'Ev :' ":" :E ':::':' ,.= :"i '


... ~ .. '..i .. ..." .... ": ..... ....... ":.'.:.. '. ...... .. : .... ".. ." .i ; .'
"- '.: :: :: : '.: r;.:,3- '" ".:: .... ii : .i .! .m.;:. .:'.:': .': H: ..;.' E,.: :
........ i : :.; 'i ;
.::'. i::. ...:,..:r.. ;.::: .
:. '. :"" : '" i .. ,',E ";.. .. ." :" c.: il- ". l'.. i; ,B'*;:i:i ', .
.. ... :.'." .J .':.." .i: j;.'... i::'," ""' .,'.!.
: .." ".'. "" :.;,' ".. 7 ,' i ,: :: ." '.. :,::,
.,.. .. "" .i i,, ;,., ,. ;. ,... .. .;. ,!:
,, ..:.." .. -- ". '., "%" :", .' > :" ,..; ::G .. : E o::.:
:; ..::. .":.: .. ; :. i .' : :; ":. : : :: ::e i!:: :. : :; : : .:. "
...... ~ ~ ~ ~ ; :":~ "i~.:~:''s:" ;* -: :;; :" ;' :" :: i D,;': ,,"
.!! ..:: ::... '.:...,., .:, ,'.'::':, : -i';.' : ,:': :.,~iii ii i ~ iIi i: :i iI : I:E :: i~ : ::i: :I I: i:i ii :l:
;:,":": ;":,"! .:," *i,:. !. .: ,,."'" ;,
".': .. :. :E .. .: E.. :,.::.: '. : .: E.. :"

,.':,::.:.:; ::,; ; :..: :.. : : ..... ':: 1:;; :~i: : ..:! :,iil: :;


s *:
J3 ::
"* *
:**; .
;i ::
"..; **


'





























.T .' .... ..r ....




.. .. .. .. 4 ::% ;-s 4 sj :-
^ ;. : r. :.- i,.: ;, '. '*'*-. .* *:.,, t ; ... : .. .. ... ,; .. .
:1, : "i -:*... ": .. : -..: -. -,







.s ...... ...........

i -. .-!.J .i r'. ',- "**"*. ".. .'.. ..'
:. .. .. ... .. .


i k s u 5. .. .. .


. .... ..:.r .








r.S*.N P 5*L*









.--. -- .-


i;; : I: ;' ;r;r.r.~:i l'::i
;ri:1~. '-"i';"'
i-i;- r;r
.r....
ri.. ~~ ;.
'51C:":


I 2'.:-1


S, ...
'4 ..

















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





.. : %:":.".":'. ;-.;; .










- .... .






- i. ..-, .: A...


f:. o r D X:l O.l :.M


1, -VIL LOULAT'10K .
5. 55


e3 .l' i 0 .' :


;A *!: ;' a.
....: ..oi.,,
;?.^ rf.: I E...


A-irr


*. .- H .
-; .w
;.^' :
*"-''-:- '




r .-f *^.
tl^ J.
*teCk;*
a^-:-:,
,*! **,5a,


CBts


.c--











^^;,


*:ma.r


,- -
S"'I


4:/-



'., is:.-i


i LOc


555 ,---





'----.9.-~r


: *' ''. *'


'.".- A .


s- '****? :-
;;;-: -a -^ --:l:
-* ": -
-q .Lln


::. .*" ... .












i; .. :.;" .. "

















..... ..... .













:i ii .. .
: .
. .. ::. ,


:.' .
*N

;L-" "!

- ** s,


;


I 1- -- -P


r


r


,I


b


~~LT--
E;; .;'. ?i~


;


1
i
"'*


r Ir


~

~1




-I cL* I..*~


;; ~, ... i














..., ...::.l ,.. ,: .;: .: t:










*-* .; ) I-' r
... : : ....:., ... ... i ,: ,:,.. .
.A.. .j. .i... i. ... ... ... ... .:









....* .: / .... ". : E .
".';t:." -'.:: ." 4 : .: 1 .... ;




















PBr mon ary.m,. p s: .. .. .. .. ..;:.

*..:'..... ":, i. : :" .:: '. ::: ::: ',..'..' .. ':*

'" """ ." j:. :" .. ^.' *,. .
.::...:,, ....eja l hw l .....au
..... .. ....



















'. "'.' :**B nc:o j "'m" i s "" ": -.' -. -. -,
...i.s ...:. ;.









:".". ": ':.*, t, '
'-I. .. .






.4 -- !9utKm...4-4-.,. .- ,.--:.:. i:. ;--






I"; iit 4-



u"._... : P a



... ..... ...

.. i- : .... .



:! i .,". .." ''::: '""
"~~ ~~~~ ~ ~~~~ "' "' i':" "."" ."""" ".'! ". ":.:' "i!
."". ,:",."-: ":.." ':" .-, ..... .. .." : ..." '' :" ..: ": --
.E:: ... ". .': : .' .. .. ::


41
4

j...^ !':






4.



- 9iw- I.:



|-'.: : 31
:-*-s'^.-'









I

'-'-r-9-s.
.4' 1:-4 .
a-,y,
I-.- ..-


*., n.. iw .






;..... ^, :: 6
:.:"..*....*:,, 8'i ^ -a;.?! :S
wc-^ *' "Iit I;
w-,,- Y:l :i*:t:^.to








:* ** ..* : *. *: ': ::3 's ^
'i:.. :.. :^ 1
~ iiI


- .... ;

; : .




----^--.7 -: Ut
.3;


-. S i

-i"''" i-:":;;^^
4 .....










41..1. ,, "
.-:-: -; '''' p' i g,:: iS ~
i-^L-C-.,.
'-i. ,_-., **f.-: 'I 'S,


: "! *:p;i ':,i
: ..I :;
I ?> *it
.4.:'




"A
.11 r
TOM
118 P30fi.iTO
Q& Awl,
1l
7-k, c A
Imz

!Aso






2 Li



















l,. .. ., ;-:
:.. ......,
















Ig ::-1^
*" .:" : : .: ; ,







: .: ::" *':"i ::"
*:;: :*,:* 1.:* E:' I
S ... :.. i : .-



: : ,: ::', f ':. iS

*0- -3.


: ... ." :' .
.. .. .. '.. :: E .. ...










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






:: : : .* ::' w i :






:..


* ..-'-.. :-" -": ," "" -.- '-:-.'. "f" ': "ii; ".': -.i -. "
: :,: ... -. '; : f :., :,.:,, ':.;,i.,... :. *. ". ........
iu trig a
oiI
aod 01rou ,..:... ,...... .... ...






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


.:- .. .....
.. .' .
,^ .; .:'i^ ... .,,,



^i, ua'p .^::G xiwn." : : ,".. ",:'... ": "". .: '
&~s~t~ man

8 *4i


i-.Wf; ;
;; i*i*





















'iRp


Dis-
'i, Al Pipd
Died., zchariM.



'W, W., -B. W. B. W.





- -

30 104 ------ -- 20 ------
... IT 13

29 52 --- ---- '15 7


-- - -

25
44 ......
..... .....
------ Sj
..... .... ...
2' 3
-V

7, 7
2








---------- --




7
2




















.:" ...k .... .: m. [. 2

:p:....:.:.,~ ~ ~ ~ ~ ~~. ..... .... :.:.-:. ,: :,:ix.
U7




1W LI
; '.: ,:' i~ S.'i .:'.::: ".:, : .:: .3: ::.. T. .,... ,..,...
.. ... ". ... M A I.H m" :-,
.......:.:.....,





... ... i :. : ......... ..
,-:,." i. ". ... ,:r'. ; .' ;:.; .: ,:; ;

.... ... ::.'. A.: .:... .
... : .= : : :,
.. .,, :.,.: ,. 'i: ; ,' i, .


S-" .....; : '; '?.:









;>
"; : .:, ." : ." : ':' '









: : fiiiug;
":".' : ." ,:, :;..;*l ; :;,:.


















cqtbA
.... ". ..


Ir.
"""" ::: .'::. ;"" CI:Sib:li': ""r+ ''~Y.3: :' i.
'""~ ~ ~ : "::": "" :.. i :" : i. ';' c: : ':":':;'""; '' ::":. :':'. ;" iL :!!:.
: ': :: ; : :!: '::
..;. :";" "" ";
..;. .'. '':" ...i~ 1;2: ::-"'" : I '., : ." r:." :' : .:.. o.:.
:: ': .:: : ; :;.i~. ......~i ....:....."::






~ -h : : ;.: V :* ;.' : l:;::.: ,. i


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










inii MI
pp. : ."t": .".. :.: :."..,., ,:







































R. ...


L-: W. : ...;**










.,w.

KFcs'l .. r"* i& s^ ?- I*i.. ..:
Q.
"^sL^I"" *It .04 :."
.,; q: r rr

:i ..A.








-.E:i::: I I

r--*'.-


I'
4l:t
I''" '



I':,`


aB.. -..";! yi -. ": ....
:,..' ::. '... : :^. ,. ;. : *i ::^ .. '.... ..,


.1 ... ... .. : 1
I A: f Df"d :;




. .W .. ,w W .. : ..
-': 1" .,,'" :'.:" ::" "" ::" : :. .. .. .'..i'.:.."" "








. .. 4:. ... -.. ; -.- _. ,_ :.. ."
:; It* .r .' .'".:*:




1.K. ." .


1nr~r~ ~r~:q ~ Ir.-..*:-:r~ -cr'-wI*
,,. !,,i !, ..


ru.






A .
:... -- ... ....
.Y* '. s* ** *. '










NP.-
: S ... : ."

4 ".;;. .








Ii 2 E .i -
: .. ... ..
i :a. .
3..:. A" % C..
m: j








i. .. ...J..s .. .. ....
..... .: ...> ..... .
*4i .4 .. ," : .; 2s 'U : : .... :. ". .




,:. "ii... ..AL.. :..j.










.. ..... ..
Aip. -: ". : B ;





T ...
:i ?. :imi










,: ...,: .-... ,:- :* .. : *.; :, .






I:; ::i ,:. i~i;'...;,: :
























..:. : -; ..







..A


















Did



A :;S.
; '. ,as
:. : : .. : .* ...
:'. ; .':' .
.. ..* '...

.. ..** .


iti~s (under2 .. .

,ti. .---ye n aver)-.-. .:


: .. : "... .: ..
.. ..:. .. ..
.:. % ..".. ..;, ..' .:.. -... : ..i""
*- :., -- .* ;?*" f ; -** -









;;.,. .;~,H j.. .
* -", ":"..." .:',..:' '.. : ." ** -.. .. .:* *+ :




i;;,' ;ii ), : ,'r iS : "-; ,~: 'P; r :,' ; II i


^r


;'''*;';i;16
i-i

...


...4 ".-












































a-: ,! .: :.';: ,a.a'- a- ,a 5
7-iD rw?.iJ* ^,





K'1 :1:i; -









"l^-'N-'--



>. *, :
,x7"



^ ^3!*;**-:..*: *

*** ,:.: r3 : A ^ -..! .8 '.-
W ^~i;;y.a :::.: *:<& '?


?**a
;-::** *^^ ,6:;'^"


i-iai:- :"*
^A-.; !i^




. v .

K i,. l*..:~

a^. *** -;-

^ ":*
W- '' *'!' :-*


N.;. .



jv.i-t


4I A

I,


4, i:



- aiii-ia -"-
' :""".? ; .i:*"*:,; "Q
a' H Fea

*.- SJi~k. :.,


.. ... .. E,..:' 4. ,...: A....

5..,
.. :" ; ':. .. ;..;:. .. :.:..'.':"-- ..





7 .a











[a~a~C. .



L, -7
Ur.:
:; : ., : -:. :. :~:: ..: :::.;. .:' i::;: .: .: ;,


























S W
rem
....................:..::.: ;.. :





w'. t 7 .0"'' ""
.:i:; i ..- ": .: .." ::. ;,

.:..:. '..i,:.?= .: i
;~j rr l. ";:':."; """ :..; i .'" .. ;::
i .., : ." ': :'.. "': : *'. ," ..
r:o..il~;*;i: ,,.:,,'.';...:',: r. ..'.. .






















2., 1 .-n y: .... .
... ... .
i .,:: ..:m :: .. '... ... ." ::"













:: .".:*Jj "::':..::"
I :;~s;.;i:..' .:::._: ',:l.:.









II
'; s '.::.:. :.: ": "
:: ",' : .: ;::.. ::
i: :., ,;. ,. ... ,, .. :..


r ;. .. ...
..:: .:i;;i.:!.. ,...':v, "; :.. ,





*I ;
il-i. :..; !!. .. : .






4r.
N l ,:.. .
p ai. ~: i: ;..' : ". .'

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


:: : :! : "" .'

PrZ ,: .'', '7; '' .


| :':.. ,.:...:. -~ ;:i ;... :: ....
L ; .: :"; .. ". .
i: [':::.'i


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





















A ~ ** V;;; ... mrhu .. flo ig
: ..... ..." AY" ".. .
.+. .. ,...... ., : ., ., .+ :, .,.. .+ .T .". ...... ...:. kip.






1'*
: ":':" ..:[.~ :" ":'. : ,"E '! ::" '." ""'. ': k:: ": :: iii* :r.. F. ':i;; "' : Fi d:.::. .:i ..'::: : :':' 'i 'E::
a:: X. p ... : .. .... :... :. ..: x .: .. .... ,. ::. ,. : h
... .... .. .. ., .. .A. .



:W .,
I k .. ... .. .. '..


O.Q., ;A: 'Yi'i.y
.. .... .. .. ......q .......




:1.
... .W f :: Y .. :. -tp. .+ .. .. ... : ., .. .:.. .. .. ..





.. .... ...... ... ... .. ..;




:. .. .. 3 .;




.... .. -. .

004' Mii:2::





--A


Jr W, '.i


i Mi4
". L ., ,..:+;. ". :' :'... ::' ...:: ,. : .E:E'E :::" : ..' ':: E -.. ,: .:'
".:""'. .:::..;i i: .;:'. ,'": 7:" i" %2 : .:' ." .' "E:,; i" : ; a
% ... .. ,. ".:'*': ..:."..::. ". ::. ...,.... ., ..


". ....," : ". "<.", .. :..." ,. ",:': ,'.:.. .:+ ;;i ,'E: :. t ::. : ;E :: :.: E. : ... :
''I "::'. :. :
:. ., p ., :
". ."< : : '... ;: ": .: :."+:' :.:':.: : :v :: ',.. ... '.
". ". .. ':' "....i.: :" ". i ";: ,.: '".." ..:'' :":a '.''; ': .. :,; I :
..i. '1'" T.+ i .::i : : +" [': :::" "+"""'":""': : !: : E '.:




/ ~ ~ ~ ~ ~ ~ : -- .. E ".....:. ::.;. :r""%" : ..:..

:.. .;* .. .. : .



.. ...ii~:l:


m.



I:-




I.* .-. *
:*: *.
r .


v" i





..*'/' ---*z




i''"*** -





^i]


~tea~r~
~~a~~





















.;W r i B W:.BW:I-wE-,

N M" ... ". .. : :.... "' .. .. ".... .. :" ... .






i... .. ..... .... .... ..... .:: ^. .. ... ...... .. .... .. :



# T -. -~. ..'.. .; *. .. ..... -.
..iim1 ... a y,: -::: >::;:: .: ; ". : "..... "" : .. ..;" .. "" .
.. .. ...::;~. .... .". .. ;* *. ....*.. a '.. .. .. ... ... .. ..


.... .- -..-

.* is -", ja .. .. ".. .

i i .: .... .. .. .. .. .. .
....' f ...:. ...." N-:, : -- 'i. .e .' ..' .: -:... ::* "
: w ... ..R.... .. :. .. .
f.4. ..
.. .,: ...... .,":.
Y.. .' ..









4::i


'5r :.. c.
.. ..... ..







-T-
F ... .. ...



.... .. ... ..





F. J, :.
AW' 'P.'





Q # ..............

mr% ;:. : E: .'. i L" .:f" .'""..' .
... ... .... .... ...Z




.:.: ::.. .... : ......:,..:




"n- A














12"
It, 4,





tq %1f




DS'a96 tf4afiy 'infamy.

NmOornr -chlfd,,'
Cprngnii4ldeb 7tl -,p.
a UiTiffont-AA --- --
otbenvtuses peculif to 6rly infany
I a7b
71' 7

(ge 'iA
----------- r- ---- ---- .... ..

A ffectipm pfodudd Vy',exterhal caw&

POISOAM"g, b!,X- Jbcd- ------ I --- ----- -

BurM COnffiiratiou 6xcepto)
7 7,
Trauiiiatism,* -Ifir6ams I J
Traumatisbyr'-,U'ttingbr piercing in-
st ------ 1 ,25

Traumaltisin,111,1v j'd
TraftingtMIA E Alachjne's',
pih (VOW
ailiba&i 1AW14Mes" 2
RaArohAtrauhiat1sm-*,.
7
Dyviantite
,%ta
Fraqturies'(6 lu6 Rot IP Pcffioa),-.


0, 6xfe ,;o6i Ar-;
F`L



40#014 a--,-
Wevtioh8 bf tm
0

tt 4i



10
t V t S I`I


1V



ft,




UtK-4
016
-T- wlm

B~W.1 W
2sI
4 -

-4/
... ... .. .T
2,7

















jii2 xJ.



4lu ty ,,'32.: .- -. .. ..s ..-.
N .... ..:. ... : .'. n




g a...l,..~. g~. .~.:............:


.'. .,* .... .. .
!k:.a:--::4:a. P.
















H .. ... H.. .

:. .' .... AN v." .I




a m i J' N~(: .. : .. .
H. ..... i. I ... .
...' .. ... 7
... .. 11 ...


...... ... .
H.. .. ... .. .. .. .






.: "..
.. ..... .. .. P .. ..." .. ... .." ... .....
.. .. .. "..'. .. .. .. .. .. .


.........






















.,4 Ei'~ez
l... t"lb" "p.. .. .. .. ...


..., .... .' :. .... ""
v"t .:: : "an":.':: .'" .
: ... ..... ..A 4... .. ... .

"';.""";; ": '" ~~~*i;ai,- ; i;;.''; : ",. ",::. '.:":. :,. .f': :.." ; .:;r!'::E~















-l~~i~ K~,1 ;-.
~ ~.. ':' :","'' :"; "" 'r ~I:: : .!. ..;.: .E:;' ,E ":::

... i .-i: ....li I ':



....J w. .. .:: .... ....
.1./ ; [ .::7,_ ,: : 92 In 4 0 ,: 2 ': ]
... *:~ H H .l :I.N,,p .I' : ':. .
: .;5. ;:~ ';
;;. '.-i.':..::i' .. ,.... ,.... ,. ".














-, T ~ -
~A H A ::.~ ..: : : :H..
... ..- ....; ". ..::;.; .. ::,., ". :,
.. 7:4g. t -. .


.. .. ... ....












AU *Y rl --

V ..' HH H"








:j j .*. .
..... .
N ..... .. .. ..
.. .. .". .. ... ..' :. .: : :. .:

.. ... .
f;_:. : i;" ::,: :.:
L;. ;: I.... L.'':::. ::-- :i: :: :;- ; !:i:

-- .. ...... i. :'. W

."' .. .......
T .. ... ........
:. :: ".." ": .. ." o ".- ::. ;;.." ...~i ,"".: ...;; -. .;":,"r ::. .. '.' .: :. ...: ..'. :". ".' ...::., p~ ... :;I i.:. : .. .









'Nski
-, .. .. ... .. "









-4
..... .. .....,.... ::.. ... ,;"" .;' .: .. : :.. ...: :.. .. .. .. .. .. : ...- .. .i :
;.;: :1~ i! 1.: .l::i" i' ': "'; : ::' ', : .. .

:: I:;:i :'. ; ". ...,. ,. .. .,
'i!i;:lp: I;,i: I. l~ra. : .; /;l :: .~".':: ;.'.;; ; ;,":. '': :...' .,,.: .. ..I'
.:. .;.. .:... ':. .. .. ".."~ .~; "!:r,

::;"i': : :: i;" r,: !

: ~ :It; :
;-~i-;! ::~i~d ;'';;:,: ,;:. :: : ':: :::

X~: "" ;' :i. i' .1 ..: i:





V
'k vi,
yal 4,,






'A

'NW
AW.

-P


RUM '01C a

w M"du

dt tolio 8"W"ta,
bUvHipAqpm- ',to losoffim: Uld

41 ayontgoper, fti d lpfv-m wi` ions-- of




TABLP, C.









A-pepift'HospUd --------
ODIOR HOSPItal. -------- ------ T"T

----------- ---------------- r. ----


----------
----------
A



--------- --
-3,











ir







go, aiii& te






V
t, 41
A,-

4A
F*




'o, 'Z'

YT







OoWvd- Toto
..... ..... .



Z.46, Ito



2 t)7
-L 87
--------------- 3
J'.53
L 71
------ 2.7 -
'9f A61 4.79
2.17 33
4. 95
'Z. 64



,gT1,A-TEMBNT, 'DEPARTMENT OF MALTIL


A ril '1q14. Mare'1171914, APT
p



'Af. 34

41,497.16 40', 74. 37 -42,9
------ 2,019,42 J 11 0.16. 419
3 3w- 96
--------- 07'l I st,
2- -532,44
LMAO- I tso' w JK 07
SIMMI 341-' 31 J J, V12,
924-00, 00

'2' At- 2,09. 8'




37
9,54,48
-7427,ff, 7 K' )OA0


2
-VT :4,


"o




4ri /n
4,ti

!Al
.$re
Hieitbm CW
Oni'7

'JE
go --- -- t
- -
an fdtRO-------- ,0
PotoOM
Toa ------ ......%r 0G

|t
che e wm!------ 2





4f:':F. a; ., 1 2 .:.;,:; .:Z ':: :.N : :. :: .. ..



... *i....S: ; ::43:: .:.:.:.,. .. .
.x:4.*,.r :?.T. W*:.:*.s.i. :E.::.
.... ... ..... :: .I..: ,:,,3ar ; :. "' : .
::::,E .r "::.:v .::,. .. :" ". : :' ': ::'.:. :' :" : :E": ." .E K.4: ': ..q. ...: ; .:: ..: "






m iu s-^.'^:.: '..:..'':- '4' -::. .... ..'. .. .....f.l..: .u.' .:. ':f. ::. ,. .
4 XV

...:. :.. :.."- ...*. .:..::'..;'.:* *.:**- .. .- -.:EE .-" ". : ,. "*" ..'.. ....: .... .. "..' .." .'...
l lli::;i:,:::, i^i ; : :::,* : I ':";:4 ii ; *.: .. ... :



n I. .......



q.7, ". "... I ". ..: :. .
-... :. ..: :, ... .


.... : ..... ... .. ,. : .. ..:. ,,.
TV: .7: 5 7
.... :!! ? : :] :: -- ":: ". ".....''"" ".."... ... ... .' K
















.jI'f;"l. ". ... .. .. .: ." .''.: "-''A" '
.hr l ..-... .....fl H .. 6.2:.; J...i.i .





-2 ~ W...
:.:... i :. .:.
,.. ...... :. : : .


: i:'. ," .. ..-.... +....





Y.','.' ;:.:".: .... V' : "
.. .. ... ..;.., .







f 4...a L.. ... ". 'j:
S. ....... .....








;WM" .....


:: ... :. ..: '.... ... :....



,... ... O,.. ...::A




A,.. ..7 ,.,..
.' .:: :: '.r' ., : .:E : : :. ""
.::, ',':"E"::"~ ~ ~ ~ ~ ~ ~~ ~~~~~~~:lil Liii """:" : ..::".," .. "...: "": ". ": :':" ." ."
i. .. -. .. ..'- '-: -.- -' l i".-.-' '-~'-.' ;,'' '.,... ". :... .
.. ..--'; r. ,...:...: :. ."" ; .. ...: : : : .!:,: '" ." :: .' '..' :' ,.:::, : E. ll .." ; .. .
r .. .! i i....' :. "': .. : .. '" "" ." ". .: ': "', '. :" .... :.:: "." ". ."
.d .'..::.: :.. % -.:: ,. '. :: : '." : .E" E.:. :.. ".! .
r ..,., ..: ..... ... ... ..... .. .. ; o., ,- ,.... i- ,,... iii. : ,,,., .,. ":

















s. t 'v .n




r n.::.






h'le, o 'ble radia'cupe .
-4-s



............ : .n ,i.. ...


.. .ur.'e.utoi ., :- --- -: -* .







IT achr. .: .taphy.. ..... ..-j,---t-fl ,.: '
:f .gin. se i..s......-'. .... -,; -. :. r.l.: .
V punctures....- --.--








L ..,S f ... o, ,..... : ... .. ,, ........ \., -. :
7...













Rp isdymotm 2 ..; --- .7-- -5- -Mv
mput. E a, -^ .t..In o : -st m'. .,tin o ::trt m e ..: -






Vr s r g IsflSaal secios
e.t-i:eiu ,:.e o eae .
SW i. ~ .-. ... -.... ..




R tT u"i r ..... .. : .


.in. ....... ..or------. -, :.. .
.. : lt; .. .. .. .. : .. .:... .. W -.. N;



.p e. -i, --i --1 -J--' .. .








dmiw nif.ll.s'r n.- : 1 6. :m M.
.. .:.. ... ..: :: ..: ... ....
P a '. .. ... ..".: ...


.. ... .....


A. ,.Y 46k



A It::;

a. b .. .. .. ... .. .... ..

.. ... .. ... ..
.. -. 4.. *. 0 .. M
.. 2 T ..':..'. ,
t -, ... .. ..


















.. ...... .......0
.... ~ ~ ~ ~ ~ ~ ~ aM~ ..,,,:t... ::...... ,' .,t ".::,' ., .:.. .







S.,. *..... ; h a.... ..... ..









I-... :', ':....,.... .: .
::pa ,: ,---.- -q. ." P -... .- .,.... s a *'. :.: S "Dg :L
r:-

... .. .. .



,,. ; 4....:i,' 4:9 U. '... .r.,
t.d : : ". .* **..j.. .: .,!. .,..."? *.... ..- N :.* .. -." *,.... "




;.:..'.: : E...* '. *r. .:.'* ":. "-* : ''."i, : ," *. *... *.*...:- .':; '*": : .." .: -." *
-A .. : : : .. .: .: .. .








..... .I ... .. .. ... ... .. ..
L ." ..... ..... ..














p h 74
.. : .. ti.

















C... 210.
, 6 4...k. ",4 C .." 2..
7...,. "T... :: 0 4 ... .....








*'4 ;I *~ tb. A I#
.... .. .. 4 .. .























x: : ::..a!... 7. ...:. .. ;.. .:
b bw. M -Z"*", :;. i
.::,.:.b'...":i n W%, .. .


















. :. *.. 1" ".. '."..: .. .
..0 .... ........
*i.... .. .. ,.........


















; *%ri .,... ..-2.-.i :-.. ^ ;. -.... .; :-:. '"
: 7. ...' .. .. ...




:: .". : ..u ...::'. .. ..;::: 'i::'; '.. :..:. ..:
;. ::: ;: ::: :" *:i: .':2"::. '. :.. ... .. H l*i



















'' .'.; ::'3'." ..*: .. ., :* -.* .:..W., *.....*.*,... ... .".'..-".'":- ". "; .' :*.':, :. j.'
: .;A .2. .

S. .. .... .




m~..nd~sa r n 4. .,










K* -- -e -W6"
.. 4. ,.... ,
... ............ ........ .....
ii ...ii A i --Iii a ---
- :*--.:-: y: : ...









uu.e .. t ik ...t. '












.... ..................... ..... .... .. .
....... ...... u..'.;... .... ... .
.. .. ..... .. .."









PR
5:.: '; : ., ...'' .. .:.. '.....

...:.. A l .. k.. A ...
















...,5
S .... ........,.... ..
S., .. ...0, .. .
"". ":~'9siO :'t "" : : : :










...:....". : i : .' ,'" .,. '". .: ".: : ... ." ." 'i "~ -- ..., .: :.. ": ". .":'.i.. .. ".L :,::, .; ...." ,::.;









.. ...... .... ... .. ,... i
















T5 :ii t r.':, <. .r;...' .r ...- -. '*r. : .a Fy ,; .:: ..:
"r' :[. .....** t ...r i .... p :.J *..1' ,.


.:.. ..;N .. "r.. ::': -.. i ": ::: :. i ".,: ::.: .


.":'l'i '--l--1'- 'S^--.b :- *-'k:'wfl A,' :''" ";',
S.:: .... : ... .. ..
4 .:. ...";:. .... .. ... ..".
.. X .. .:. .... ...

..W.:... i':. "

|; : 5:t: f: ... tta J" A- a wl' A *. :





7l: 7i,: :.. :. .. I.. ."....

... r:. A. .



9j 1' .. ..,4. -
~. .. . .~...: F .. .. ,. .. ..., : .:. ..: .' -


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


---.-:o: h.J rXA t ''4r-. r t
.-.... .
..XK: .5L" ; .7.. .. ..

.... .4 .. :4 .. B ...N...

7 : o..
: '. ... ..:". : : .. .. ."




M .: ;. .... .: .. .. .. t-







... :, l .. .... :. .... .. ... ..: .. .. ... .
J A F: .4.. .. .. .. .. ..


... ........































;i~- ::^ L ?: "..:: [ ,::: ": ::* -. ;.*. I g: : ... .
;. .... : : ; :.. .. ......






... *.. ....

:l ... .. ::I : "d ::: : .: ; .. ...-4 !.4-:

".i ..'.. .. ;
:: .o .a m tid..... .... -:[:" ..:. .....





:b: : .d:u: i::j:: :~ : .: ;:. .. ..... .-n ::- :........ ..:










.. C V i 1,
i, :S :':: ., :









..... .. .. .. ::" :" .: ... .,: :.. ....:". .
47 ..." : ,.':..












4: 4
iii; Il~l; .... ..:' .

...... .. .. ....
...... .. ... f
S..' ...: ..... ..... .......... ..

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







ri J...i.m.u ... .... .... h .





.. .o.' .... : .. ,.:.. ~ r ..,. ..* .. ... .:.:.
: ,, o : : : : .. : .






: Q .. ; Y... ... -- ..... ... .-
,: ": : ::' : : ,: :: :,.; E:: EE: L: ::: : : : : : : :% : : :. : : .. ." E [:








,.. .. .: :. .. .. . .. .. .. # % ..
,. :~ .... .. ." ..,: .....,x :."o. ".:."'' : ": "'
.....r si

::: ..i--: l: :. : :: Y :: ; : ::; ; : o :. ; : E:
... ... .. : .., '": ...,..,,, ....,. .,,, ,.. ,,, .. :.,

.. .. r... .. i;: :i~ i! : ..i".. ." "'":. ..::: "-''':': T > :E":,."":::! E,. : *
















"g *Amer jaw,' O-






w**rels 4; :. .06
2 -M j.... .Bl ak W .. ..




^: ^.. :.. ,. :, : : : .. ":,... .; .. .:
, .' :. .. .. : .

k..'.. i 2e-e snt. : 4:


1.. ... .. .. ,. W ; .



M MWO OMAS JIOSPITA L
i i ..." '




Jd -d. f
..: A" i i .. .i..a..... .'.


:,* '. V ........ -:: ... ."" .r ',








'I i t .,. -- .. .. .
S:^. ^ ":,, C! ..", :: .... .. :. ..... *r:;:.. *Z 43 : :..
Nt tp'i f t4.. :y.t ... Ai. W. L .. : .J k
S, .. .-. .. ". :.





.7, .7 wi9 :
i ., :erz; BBV3. ........


:, "'j"" .i .. $ .. ... ...... .9 '


I r 'j : .. .'"'J 4 ,9..:) .. : .4 *....o.. .. .. .. ,*i 1 4
-- .. -. 't A .
r ~x- 2'l: ,::.'6:: T' :n': '' f. M ,
















:, ,,* .,... : ., u... .:.;...i,''i~'..~ u; :,























., ..: .o .... .: .:..-.;..:.:. ::..: :..

.. ... ": :



.. ..' ... .. ....'. ,
S ..:. ....
















Z3A-:: i
.: ...... ...


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


.. ': '.:":: '









* : ::.:: : ]i(
..

iii^1". ^' :: .











i : ,:S:: :; ,; ,


I .":, : ..:.... :...' .:; ..;.: .' .::: .:

)iu* ii A ", Av
.." .-;. y :"; ::'..:. :




::; ":: '.; ;,: -,: ,?:. ;,'.: "..::




O#i3ebtl aUllini.m n
:., : .." .'. ,. :i .; ".,"101 .-1 ".








diki
- - -
-
-- --- -
- -- -- -
- -
M i l k I,'--- --
------ ---- 7
-- - -
bu I -,









JA.. m


!V

I~mllmmmpd,
;Mn

PHami

n0
mumm~mwo
tvantt1t
4i, n-

W,%




,qW-

I lt









-Too'
tl 7





"'34'
-og oy,







.97 2W-
------------
----------
2,77
es le-ArQypd- ------
----------
(0.,Istobal) (An4p. 93'35-8 Cul.",
2.-MO), 15 874
ars 107
EIAM a
-----------


A'TNFTWjE'.-- TR A--NS-&fTibx'S AT TlB PO]kTS' OV
D- RAN'AMA,
7
hAd 12
Z7`

12

Mpipf)lt 4M
1 Aq
597,


wevo 4 0#01T my'' "VW
-6
wwa





ME










Ti
iII

p ei l l Or ,w



... .. ...... ii' l
of Acmo mm
[[U
-U R O T ,A




14 ;t




4', e










r6
'2,127'
A-p 2 Iftf
4


,xq&k, uowol O"SpAR joun&es' Andsailmg


,mofthj6)n,'OoWsttowns.
for ign 'Ports
37
7
-------- ------- 320


----------- -----------
7-

63w
------------------- ---------

911.--".".-'-j_-,.,----,-"---I ------------------ ;t, 6,443

----------- -------

TIQ-K AErOl?,,T'FOR, COLOIN.


Vab*,-








40


















It



























wo
7,7- 4 A
At; 4,
'Ali





xk,

ti
`013tth iD CC
4,p,



Aw



Ift
Dl 46
aIr 3,4
Fw"
U-1
Ifn ,,inT7,-7"7, 14
'v ,Z%
TWO



-, 47,
,7 '6

t T -


N





ttre












IJ


Irk, .4,





;qT
4"o,




re

it


i-t
to t -t

'Y 4 t v4
.10



--w, 0,
yn





ti, t


tit"
*f'A
41



















tit's 4






It

pt"

















4'


Nt #',4,


t,4 '4 4"

lk
'44 7, It







T4, l










UNIVERSITY OF FLORIDA
IIIlli3 lll262I lll
3 1262 08520 1134




Full Text

PAGE 3

A, L a A P., v -v A %A ...-'I A '.-... A A A A. A A A -7 6, F LAAAI i k, A, A Aii v -ur A" I A P. A A A A, nl A U.H A. A. A UA Ni.' A A. .L A i.'. .: : :Ain.: A. I .I .AA A, .-M A Am. A ii!A W_ A i'. -V ..1A. AFL A, A -H A--. A i.i. ii A Aiii A. A A, I iA I' A,.,. N. AAA A ..A ..% M, PA, A A. A A A" A A. A p. A. RE A A.n .o. i .u I A Pl A. A. .A .A mA. A A A A iA%O F 'TH E' P .A A A ,Ai.A 1 A U.-A., i'7 A A, A w A EN' OFA lEALl" A 4 I A: ..OF-THE A A. ,A -Ai .''Po""AMA 'CANAL AAA A A I olrr_ ME -iiiA. A A A iA A Ai A A. A p AN .PA, -i, .-..1. .A. "n -A 7 'AAi, A M o I .I .I L Ap, -"A A A HMO, ii, JUTNEj'l914--, 4q, A i': i''. AAA AP& A A A A -A :i% .A A A H. A A AN A. A. NNAi ni, AiiiPi-I A A 'AP. A K 'AN i. e .k.A A, A. _A A AAA1. V "'CHAS, F. MESON A A .Uu NWWse edlol Corp ,Unittd States, Army N !:! '77 7. A. 1 iAP-z' hA iACM d Iffealth Of Beer, Aneqn, Canal Zbue A. .A Oin'. A ii .A' 1h. AA _w A. A I A A A 'A A A. A A AA A A A AM A .A A. A L Ai, A A. A A. .A ii. AP: A A i A ili: AA %c .A. A. A~ Nw A W ..A. Ai" .A N% : A.: A iii .r 'A A' A, Ai A lAir., Ai. .A A .p A. A J, A A A AA A A. AAA. A A .A .A A .,i .,A ANN M ...NON A !A HA w -li A N'i., AN N, w" A., iii J.A .A A. A. A.

PAGE 4

tS aa Gli fS N MII.u.w;L.M.k<4

PAGE 5

CONTENTS. H, H.Page. L roft ansmittAl. 5 ..5 Hospital division: Vital statistics .5 Health of employees. 5 Health of residents of Canal Zone. 6 Health of residents of the city of Panama. 6 Health of residents of the city of Colon. 6 fauItary division: CanalZon. 7 Panama ..7 Colo .9 Quarantine division: Panama. 9 .-. 9 ACon Hospital. 9 board of health laboratory .9 Farm for disabled. 10 COolon Hospital. 10 Chronic department. 10 Palo Seco Leper Asylum. 11 Santo Tomas Hospital. 11 District dispensaries .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 IM. Deaths by nationality. 14 IV. Deaths of white Americans. 14 V. Causes of deaths of employees. 15 VI. Causes and places of deaths of employees and civil population. 15 VI. Discharges and deaths in the hospitals of the Panama Canal. 18 VIH. Consolidated hospital report. 28 IX. Consolidated dispensary and admission report. 29 X. Employees: Constantly sick and noneffective rates per 1,000. 30 XI. Employees: Days' treatment per admission, hospitals and quarters. 31 XI. Financial statement. 31 XII. Ancon Hospital. 33 XIV. Colon Hospital. 38 XV. Palo Seco Leper Asylum. 39 XVI. Santo Tomas Hospital. 39 XVII. Sanitary work done in Canal Zone, Panama, and Colon.41 .xvm. Quarantine transactions. 43 XVIH Quaantie trnsacion. 4 XIX. Issues of quinine. 46 XX. Personnel report. 46 (3) P1E

PAGE 6

+~~~~~~. ...+ : + + + ..++ ..: .++ + + + + ++. +.:+ +.++ + +.+.* + ++ +x +r +.:+ + *~"'' +A .++ JA 4 -4 S*

PAGE 7

.LETTER OF TRANSMITTAL. TH~E PANAMA CANAL, DEPARTMENT OF HEALTH, Ancon, Canal Zone, July 11,1914. GOVERNOR -'OF THE PANAMA CANAL, Culebra, Canal Zone. Si: I have the honor to submit the following report of the operations of the department ofhealth for the month of June, 1914. Very respectfully, CHASE. F. MASON, Chief Health Officer. GENERAL REMARKS. The diminishing death rate in the Canal Zone and the increasing death rate in the city of Panama, which has been noted for some time past, is believed to be due largely to a shifting of population from the Canal Zone to Panama. The census which is now being taken will settle this point. The large increase in the running expenses for the month is due to the payment of accrued leave. DIVISION OF HOSPITALS. EMPLOYEES. The health of the employees has continued good during the month. No cases of yellow fever, smallpox, or plague originated on or were brought to the Isthmus during the month. The number of names on the rolls for the preceding month was 47,579. The total number of admissions to hospitals and quarters was 1,511, or a rate of 381.09 per thousand per annum, as compared with 407.92 for the preceding month, and 472.50 for the corresponding xmonth'of last year. The total number of deaths from all causes was 20. Of these 13 died from disease, or 3.28 per thousand per annum, as compared with 5.74 for the preceding month, and 3.27 for the corresponding mouth of last year. The diseases causing the largest number of deats were as follows: Lobar pneumonia, 2; organic disease of heart, 2; tuberculoSis, 2. No other disease caused more than one death. The number of employees per thousand constantly sick was 11.69, compared with 11.65 for the preceding month, and 14.98 for the corresponding month of last year. (5) 0 4

PAGE 8

The disease causing the highest admission and noneffective ra. in hospitals was malaria, or 62 per thousand per annum, and 1.62 per thousand, respectively. The corresponding admission rate 5for last month and the same month of last year was 50 and 49; 27 per cent of all admissions were due to this cause. The next highest admission rates were for venereal diseases, di7eases of the digestive system, and diseases of the respiratory system. These four classes of diseases caused 51 per cent of all admis The admission rate for typhoid fever per thousand per annum, was 0.00, compared with 0.75 for the preceding month, and 0.0G for the corresponding period of last year. EFFECTS OF RACE. The admission rate to hospitals and death rate for disease 1r black employees were 139.79 and 3.67 per thousand per annum, as compared with 350.66 and 1.43 for white employees. The noneffective rate for disease and injuries for black employees* pe S thousand was 10.20, as compared with 18.67 for white employees. The admission rate to hospitals for malaria was 53.23 per thousand per annum for blacks as compared with 103.47 for whites. DEPORTATIONS. There were 12 deportations accomplished during the month, divided as follows: Employees, 7; nonemployees, 5; for disease, 11; and injury, 1. CANAL 'ZONE. The number of persons, white and colored, living in the Oan.l Zone, is estimated at 54,655, among whom there were 44 deaths; of these 42 deaths were from disease, a rate of 9.22 per thousand per annum, as compared with 12.93 for the preceding month, and 12.39 for the corresponding month of last year. Of the total deaths from disease the percentage under 5 years of age was 33, compared with 42 last month. PANAMA CITY. In Panama City with an estimated population -of 47,172, ther were 156 deaths; of these 150 deaths were from disease, a rate of 38.16 per thousand per annum, as compared with 32.56 for the preceding month, and 30.02 for the corresponding month -pt year. Of the total deaths from disease the percentage ,nder 5 years of age was 55, compared with 52 last month. COLON. In Colon, with an estimated population of 20,232, there deaths; of these 44 deaths were from disease, a rate of 26.1 thousand per annum, as compared with 30.25 for the p month, and 21.34 for the corresponding month of last year. the total deaths from disease the percentage under 5 yea g was 36, compared with 31 last month.

PAGE 9

4. hA SANITATION. CANAL ZONE. The malaria rate for employees in June was about the 4ame ~s for last year, which, in turn, was lower than any preceding year. Extensive breeding areas for Anopheles still exist in the hydraulic fills between Ancon, Balboa, and Corozal, and anotheirwill doubtless exist on the fill now started back of the San Miguel district of Panama. There was but one case of typhoid reported in June. A known .typhoid carrier eloped from Ancon Hospital during the month nd his whereabouts is still unknown. 'The scheme for bringing malaria carriers under treatment has not been abandoned, but little progress has been made during the month. Much cleaning has been done in the negro towns, especially those in Empire district, with the result that they look and are in b4 ter condition. Detailed statistics are shown in Table XVII. PANAMA. There has been a marked improvement in the general cleanliness of the city. This is apparent in the condition of the streets, alleys, and patios, and the considerable abatement in the fly nuisances. GARBAGE COLLECTION. The collection and disposal of garbage was satisfactorily carried on during the month. Ninety per cent of all garbage collected in the city is now cremated at dump No. 2. Extra labor was placed on this dump in order that it might be accessible during the heavy rain. A pump for spraying larvacide will be placed on this dump during July for the purpose of killing adult flies. Very little fly breeding was found at the dump, but the numerous flies present are accounted for-by adjacent fly-breeding areas, which were not discovered. The work of installing self-closing covers for garbage cans was advanced during the month. BUILDING INSPECTION. S Since April 1st of the present year, this office has issued 513 permits for repairs to buildings. A check of the work on June 30th shows that 25.53 per cent of the work called for on the permits had been completed, and that on 90 per cent of the outstanding permits the work was in different stages of progress. Of the 16 buildings shown in the report as having been demolijshed. 15 of this number were demolished by the owners of the said buildings; only one was demolished by this office, and that was at the request of the owner. The number of buildings inspected as shown in the report wa considerably less than the number reported for the month of May; Amp is due, in part, to the requirements of the office that careful

PAGE 10

inspection of entire buildings be made by the inspectors for concealed containers holding water, it having been found that in peyeral instances occupants of houses were collecting water frm the2 roofs and storing it in their rooms with the result that several complaints were received as to the presence of mosquitos in and about buildings. A careful search of the exterior of the premises showed 1. mosquito-breeding places, but an inspection of the interior of ie building adjacent, from which the complaint came, reveaed s4yera1 buckets of water in which Stegomyia breeding was found. In inspecting the buildings, instructions have been issued that every house in each inspector's district should be carefully in%pected at the same hour of the same day of each week. VACCINATIONS. During the month there were 1,779 vaccinations performed. No infections have been found or reported among those vaccinated. CONTAGIOUS DISEASES. Two cases of diphtheria were reported during the month. Patients were isolated as soon as found and immediate contacts given prophylactic doses of antitoxine. No other contagious diseases were found or reported during the month. No typhoid fever found or reported in the city of Panama. MOSQUITO, RAT, AND FLY WORK. The routine maintenance of ditches was carried on during the month, and the number of mosquito-breeding places found shows a slight decrease over the previous month. There was an increase in the number of fly-breeding places found, there being 1,336 for. June as against 1,110 for May. The fly-breeding places are treated with a strong solution of larvacide, wh h is-very effective in kill-ing fly larvae at any stage. Nine liunred and nineteen rats were trapped and sent to the laboratory. These rats came from all parts of the city. Examination of these rats has been reported as negative. Drip barrels of oil have been placed over earth drains in the different districts where needed. SCORE CARDS. .The score card system was applied to hotels, bottling works, and bakeries, and the average scores obtained by the above places were a& follows: First inLWst inspection section average. aeae Hotels. 51 Bottling works.-----------------------------------52 77 Baer.es. .53. AMH 4

PAGE 11

9 The bakeries which show the lowest average score on the final inspection of the month are the most difficult public establishment to control, principally for the reason that most bakeries in the city are conducted on the community plan. Ovens used are nearly all of the stone type and are not equipped with chimneys. There is only one opening to the oven, and in this opening the wood for heating the oven is fired and later withdrawn, when the dough is set in to bake. The walls of the bakery under this system are always covered with a thick layer of soot as well as the baking pans, tables, and other utensils used. The building in which the oven is located is usually owned by one person, while another person owns the oven, and he in turn rents the use of it by the day to the different venderm of bread. It is proposed to condemn bakeries of the above type and to require the installation of modern machinery. Detailed statistics are shown in Table XVII. COLON. Conditions in Colon have been good during the month. The following special work has been accomplished: Installation of garbage cans on the piers at Cristobal for the use of ships lying at the docks, that have hitherto been throwing their garbage in the harbor. Removal of rat-infested shacks at Folks River and the elevation of the charcoal on platforms 3 feet above the ground. VACCINATION. Adults exam mied. 380 Adults vaccinated. 175 Children examined. 700 Children vaccinated. 465 Detailed statistics are shown in Table XVII. QUARANTINE SERVICE. No disease of a quarantinable nature has been received at any of the stations during the month. The plague situation in South America remains about the same. The plague situation at Habana, Cuba, appears to show no material change, but a recent report indicates that a case of this disease has occurred at Santiago, Cuba. Antiplague precautions are now being taken with ships from all Cuban ports. Detailed statistics are shown in Table XVIII. ANCON HOSPITAL. There has been a slight falling off in the admission and noneffective rates in the hospital during the month. BOARD OF HEALTH LABORATORY. Dr. Darling, chief of laboratory,,who was in Colombia last month investigating an alleged ovtbreak-oi pneumonic plague, has returned and made his report showing that the disease investigated was not plague but ordinary lobar pneumonia. 55821-14-2

PAGE 12

10 The following work, ?n addition to the routine, was performed by the board of health laboratory during the month of June, 1914: Bionomics of ticks Dermacentor nitens, the tropical horse tick, and the probable transmitter of piroplasmosis. Breeding out moths (probable plant pests). Bionomics of Stegomyia scutelarmis. Bionomics of water boatmen, particularly with reference to whether they prey upon mosquito larvee. Determination of the susceptibility of soth and deer to Tr. hippicum. Observations of Endotrypanum schaudinni of the sloth. Collection of pathological data on syphilitic aortitis. A study of the deteriorating effect of certain constituents of theatmosphere upon larvacide. Examination of the nonvolatile constituents of crude carbolic acid and the relation of these substances to the complete emulsification of the crude carbolic acid with resin soap. An attempt to determine the slight amount of acid substances occurring in some hydrocarbon lubricating oils. FARM FOR THE DISABLED. The produce of the farm for the month amounted to $471.46. The net per capita cost was $0.95,. as compared with $0.26 for the preceding month. In addition to routine work the following fruit trees were set out: Seven hundred coconut, 225 avocado pears, 200 papayas. 7, INSANE DEPARTMENT AT FARM. Ten additional males were transferred to Corozal on the 20th of the month, bringing the total number of insane employed there up to 40. The therapeutic advantages already obtained by these patients by being afforded pleasant occupations in the open air at the Corozal Farm is encouraging, as several of them who were previously incorrigible, noisy, and destructive on occasions have become steady workers, agreeable, cheerful, quiet, and tractable. From time to time it is planned to increase gradually the insane working force at that place with other patients from the asylum, in Order that they, too, may be benefitted by healthful and attractive employment and diversion, which is being recognized as an important factor in the curative treatment of the insane in the more modern psychiatric institutions throughout the world. Detailed hospital statistics are shown in Table XIII. COLON HOSPITAL. The condition in this hospital has remained about the same aE last month. CHRONIc DEPARTMENT. There were 27 chronic and incurable patients constantly cared for during the month. Detailed hospital statistics are found in Table XIV.

PAGE 13

11 PALO SECO LEPER ASYLUM. The number of patients under treatment at the end of the month was 49, the same as for the previous month. Detailed statistics are shown in Table XV., SANTO TOMAS HOSPITAL. During the month a total of 1,222 cases were treated in the wards, showing a slight increase over the preceding month. The number of hospital days total 11,058, with a decrease from the preceding month of 165. The daily average of patients for June was 368 as compared with 360 for the month of May. The subsistence cost remains approximately the same as for the preceding months, viz, 23 cents per day, while the per capita cost for the month was $0.833 per day. Deaths for the month of June totaled 63, an increase of 3 over the month of May while the births were 87, a decrease of 3. A Malaria was the predominant diseise treated, the rate being considerably lower than for the month of May. As compared with the total number of admissions for malaria, but few patients are admitted from the city itself, most of the malaria coming from the suburbs of Panama, the Guachapali and Calidonia sections, and along the Sabanas road and the vicinity of old Panama. Pneumonia has been prevalent during the month and 7 deaths have resulted from this disease, out of a total of 26 cases treated. Nephritis was the cause of death of 12 patients; pulmonary tuberculosis of 6. But 1 case of typhoid fever was treated during the month, and 1 each of leprosy, scarlet fever, and diphtheria. No other contagious diseases were treated. Detailed statistics are shown in Table XVI. DISTRICT DISPENSARIES. The district having the largest admission rate for malaria was Corozal with an average weekly percentage of 0.58; that having the lowest admission rate for malaria ^s Empire, with a percentage of 0.18. Detailed statistics are shown in Table TX.

PAGE 14

12 VITAL STATISTICS. TABLE 1.-ADMISSIONS DEATHS, AND NONEFFECTIVE RA TES FOU EMPLOYEES: DEATHS OF RESIDENTS OF PANAMA, COLON, AND THE CANAL ZONE. ABSOLUTE NUfMBERS. Admissions to hospitals. Died. or ~e NumColor. ber of emEx.ExCOnployees. Total. rnal Total Disrnal ra itanUt al enlTtl enlyease. causes. ease. causes. treated. iMW fective. June, 1914. White.-. 8,350 304 244 60 2 1 1 4,676 155.18 Colored-. 39,229 622 457 165 18 12 6 12,008 400.27 Total. 47,579 926 701 225 20 13 7 16,684 556.1 5 May, 1914. White.-7,718 317 253 64 10 3 7 4,917 158.61 Colored. 40,321 641 419 222 29 20 9 12,432 401.3 Total. 48,039 958 672 286 39 23 16 17,349 559.64 June, 1913. White-. -12,364 654 513 141 7 5 2 10,964, 365.47 Colored. 46,226 905 535 370 21 11 10 15,358 511.94 Total. 58,590 1,559 1,048 511 28 16 12 26,322 877.41 PROPORTIONATE NUMBERS.1 Admissions to hospitals. Died. NumMalaria ber of Color. emE Exto hosTotal. ployees. Total. ternal Total. ternal iaease. causes ease. causes. June, 1914. White. 8,350 436.89 350.66 86.23 2.86 1.43 1.43 3.15 1.67 Colored. 39,229 190.27 139.79 50.48 5.50 3.67 1.83 1.29 10.20 Total. 47,579 233.55 176.80 56.75 5.04 3.28 1.76 1.62 11.69 .Afy, 1914. White. 7,718 42.88 $93.37 99.51 15.54 4.66 10.88 (7. 20.5 Colored. 40,321 190.77 124.70 66.07 8.63 5.95 2.68 ( 9.94 Total. 48,039 239.30 167.86 71.44 9.74 5.74 4.00 (2) 11.6O June, 1913. White. 12,364 634.75 497.90 136.85 6.79 4.85 1.94 (2) 29.57 Colored. 46,226 234.93 138.88 96.05 5.45 2.85 2.60 (2) 11.01 Total. 58,590 319.30 21465 104.85 i.73 3.27 2.46 ( 14Annual average per 1,00. No record. EN!

PAGE 15

13 Deaths. Annual average per 1,000. Place. Population.Etr -Exter-ExterTotal. ease. nal Total. s nal causes. causes. June, 1914 ranaa.47,172 156 150 6 39.68 38.16 1.52 .20,232 48 44 4 28.47 26.10 2.37 Canal Zone. 54,655 44 42 2 9.66 9.22 .44 Total. 122,059 248 236 12 24.38 23.20 1.18 Mal, 1914. Panama. 47,172 145 128 17 +36.89 32.56 4.33 Colon. 20,232 58 51 7 34.40 30.25 4.15 Canal Zone. .54,755 70 59 11 15.34 12.93 2.41 Total. 122,159 273 238 35 26.82 23.38 3.44 june, 1913. Panama. 47,172 126 118 8 32.05 30.02 2.03 Colon. 20,232 40 36 4 23.72 21.34 2.38 Canal Zone. 63,945 76 66 10 14.26 12.39 1.87 Total. 131,349 242 220 22 22.11 20.10 2.01 TABLu II.-DEATHS, BY AGE, COLOR, AND SEX. White. Colored. Yellow. Total. Age. 6 6 o C8 0 0 0 0 Under year .2 3 5 45 43 88 ...47 46 93 1 to 4 years. 2 1 3 5 12 17 ...7 13 20 5 to 10 years. 2 .2 1 14 2 ...3 1 4 11 to 20 years. ..4 2 6 ..4 2 6 21 to 30 years. 3 1 4 28 15 43 1 1 2 32 17 49 S1 to 40 years. .1 1 2 13 -9 22 1 .1 15 10 25 41 to 50 years. ...12 5 17 ....12 5 17 51 to 60 years. 4 1 5 8 3 11 1 .1 13 4 17 61 to 70 years. ...3 6 9 1 .1 4 6 10 71 to 80 years. 2 2 1 1 2 ...3 1 4 8 to 90 years. ....2 2 ...2 2 91 to 100 years .....1 ....1 1 ---140 108 Total .14j 23 120 1 00220 415140108 248

PAGE 16

41 TABLE III.-DEATHS, BY NATIONALITY. Countries. EmployNonemTo ees. ployees. Antigua. ..2 Barbados. ..6 21 27 Central America. ..1 1 China. .4 4 Colombia.9 1) Costa Rica.-. .1. 1 Dommica. 1 2 Grenada. 3 S Guadeloupe. .3 India ..2 2 Italy. .1 1 Jamaica. 5 52 57 Japan. .1 Martinique.2 4 Panama. 3 116 110 Peru. I .1 Spain. ..2 2 St. Lucia. .2 2 St. Vincent ..1 1 United States. 1 3 4 Total. 20 228 248 TABLE IV.-DEATH RATE AMONG AMERICANS ON THE ISTHMUS CONNECTED WITH THE PANAMA CANAL. Number Annual Cases. Cause of death. of average deaths. per 1,000. White employees from the 5,900 Dioene. United States. 5 Vilce 1 2.03 Dlcauses. White women and children Disease. from the United States. 4,392 Violence. IAil causes. .. White employees and their fam10D292 Violence .. lies from the United States. 12 Von. -.-1 IAll causes. 1 1.17 Total number of Americans on Disease. the Canal Zone. 578 Violence. .1 .95 .causes.1. -I --A

PAGE 17

15 TABLE V.-CAUSES OF DEATHS OF EMPLOYEES OF THE PANAMA CANAL AND PANAMA RAILROAD. Causes of death. White. Colored. Total. Diseases: Abscess of liver, entamebic. 1 1 Abscess of liver, unqualified. I .A Chronic nephritis. .1 1 Dysentery, bacillary-----------. ...1 Lobar pneumonia. .4 4 Organic disease of heart. .2 2 Syphilis. .-------------------. .*1 Tuberculosis of the lungs-------.-. 2 2 External causes: Accidental drowning.w. -.2 Dynamite traumatism-. -. .1 1 Homicide by other means. ---------------1 2. Railroad traumatism. ..2 2 Traumatism by machines-------.------.1 1 Total. ....-2 18 20 TABLE VI.-CAUSES AND PLACES OF DEATHS OF EMPLOYEES AND CIVIL POPULATION. lAncon Colon Disease. HosHosma ColonCanal pital. pital. General diseases. Malarial fever: Estivoautumnal. 2-. .2 .2 Undetermined. .----------2------------2 Malaria fever, clincial.-.-. ...1 .Diphtheria and croup. .-. .---.------------1 .A Dysentery. .---. ---------------. 1-.-----. Fntamebic.-.--------------..3 ...3 Bacillary. 1 ... Unclassified ..3 2 .-. Purulent infection and septicemia. 1 .-. .-.-. Tetanus.--.-------------------. 1 ... Pellagra.-. -----------------12 Tuberculosis of the lungs. 3 .12 3 2 20 Abdominal tuberculosis .-.-------1 -..I Disseminted tuberculosis. 2 1.--. 3 Syphilis: Tertiary-----------. 1 .1 ..-2 Hereditary.---------1. ....I Cancer and other malignant tumors of the stomach and liver.------....1 Cancer and other malignant tumors of other organs and of organs not specified.--. .-. ..1 8curvy.-------------------. 1-----------------------Alcoholism (acute or chronic).--.I ..1 -4 Drug habit. .-. .1.

PAGE 18

1G TArE VL-CAUSES AND PLACES OF DEATHS OF EMPLOYEES AND CIVIL POPULATION-Continued. Ancon Colon Disease. HosHosma. Colon. C .tana ,, pital. pital. ma. one. Diseaaes of the nervous system and of 4 orkapsftipecial sense. Simple meningitis. -. ...1 Acute anterior polio-myelitis. ..1 .. Cerebral hemorrhage, apoplexy 1 .5 1 2 9 Softening of the brain. 1 ....1 Epilepsy. .1. Convulsions of infants (under 5 years of age). 2 .2 Diseases of the circulatory system. Acute endocarditis. 1 ....1 Organic diseases of the heart. 4 .2 4 .10 Aneurysm. .1 ........Arterio-sclerosis. .1. ..1 Diseases of the respiratory system. Acute bronchitis ..3 1 4 Broncho-pneumonia. ..2 3 4 9 Pneumonia (unqualified).3 ..3 Lobar pneumonia.4 5 1 1 11 Asthma. ..2 ..2 Pulmonary emphysema -. -...1 .1 Diseases of the digestive system. Acute gastritis. ..1 .2 Chronic gastritis.1. 1 Diarrhea and enteritis (under 2 years). m .6 .29 3 1 39 Colitis. 1 .-. 3 ..4 Diarrhea and enteritis (2 years and over).1.1 Colitis. .1.I Intestinal obstruction. ..-..1 Cirrhosis of the liver. ..-5 -1 .6 Other diseases of the liver. ..1 ..I Abscess of liver (unqualified). 1 1. .2 Abscess of the liver entamebic .I ....1 Nonvenereal diseases of the genitourinary system and annera. Acute nephritis.-. ..2 3 .5 Bright's disease Ichroninephritis) 3 .9 1 .13 Other diseases of the kidney and -annexa. ..1 1 Diseases of the urethra, urinary abscess, etc. .-. ......-*Salpingitis and other diseases of the female genital organs.1 .1. .2

PAGE 19

TABLE VI.--CAUSES AND PLACES OF DEATHS OF EMPLOYEES AND CIVIL POPULATION-Continued. Ancon Colon .Diseases. HosHos_a. Colon. Zone. -H. -pital. pital. The puerperal state. Puerperal septicemia ...1 Following childbirth (not otherwise ..defined)...-.. .a insanity1. .....1 Diseases of the sk in and of the cellular tissue. Acute abscess ...1. Diseases of the bones and of the organs of locomotion. Diseases of the bones (tuberculosis excepted) ...1. Diseases of earl# infancy. Congenital debility, icterus, and selerema.1. I Premature birth. ;. 1 10 Congenital debility. 1 1. 2 .4 Malnutrition. 4 1 2 7 Other causes peculiar to early infancy (including various consequences of labor). .1 9 .10 Old age. Senility. 1. 1 2 A ffections produced by external causes. Suicide by poisoning. 1 ..1 Burns (conflagration excepted) 1. I ..1 Accidental drowning. .2 2 Traumnatism by firearms. 1 ..1 Traumatism by machines. ....1 Railroad traumatism.1. .1 2 Dynamite traumatism. I .., Homicide by cutting or piercing in1 struments. 1 ... Homicide by other means.1. .1 Fractures (cause not specified). .1 .I Ill-defined diseases. Cause of death not specified or illdefined. 1 .1 3 Total .44 6 147 30. 21 tMtillbirths. 1 10 10 41 Grand total. 471 II '0I 65821-14 -3 EA'-

PAGE 20

18 TABLE VII.-TABLE SHOWING DISCHARGES AND DEkATH MONTU 9Fi Ancon Hospital. Employees. Nonemployee8. Diseases. Dis.DisD10. charged. charged. W. B. W. B. W. B. W. B. General diseases. Typhoid fever. ...1. Malaria fever: Estivoautumnal. 28 92 ..19 8 .. Tertian .11 16 ..13 1 .. Quartan. .1-.-.-.-.--. Clinical .27 42 ..11 6 Hemoglobinuric fever, malarial. 2 ..... Measles. ...5-.Scarlet fever. .... Diphtheria and croup. ...1 ... Influenza. 16 .2. ..25 .-... Dysentery. 1 .... Ea ebic. 1 1 Bacillary .1 1 ..... Unclassified. .2 5 ..2 5 .3 Leprosy .1. Erysipeas. ....... Mumps .... Purulent infection and septicemia ..1 ...1 .I Pyemia. ...... Tetanus. ....1. Pellagra. ........ Tuberculosisofthelungs. 1 8 .1 3 7 .2 Acute miliary tuberculosis. ...1. Abdominal tuberculosis. .2 ..1 1 1 Disseminated tuberculosis. ...1 2 Rickets. 1 ... Syphilis: Primary. ....1 Secondary .3. 4 3 3. Tertiary. ..1 3 4. Period not stated. 2 27 ..4 Gonorrhea ..4 11 .16. Gonorrheal arthritis. .6 ...1 Gonorrheal orchitis and epididymitis.1 2 ..1 .. Gonorrheal ophthalmia. .... Soft chancre. 7 18 .3 ... Adenitis chincroidal. 2 4 .... C ancer and other malignant tumors of the peritoneum, intestines, rectum. 1 -. ...1. Cancer and other malignant tumors of the female genital organs. 1 ...1 2 .. Cancer and other malignant tumors of the skin. ....... Other tumors (tumors of the female genitalorgansexcepted). 1 2 .. Acute particular rheumatism. ...... Exophthalhic golter. .1 Anaemia secondary, cause not determined. ..2.

PAGE 21

19 IN THE HOSPITALS OF THE PANAMA CANAL FOR THE JUNE 1914. Colon Hospital. Total. Employees. Nonemployees. Employees. Nonemployees. DisDie Disheis-d. DisDied Dis Diegd.hrgd Died. ThDied.Did chargdfed. charged. -charged. charged. W. B. W. B. W. B. W. B. W. B. W. B. W. B. W. B. ............1. 2 12 ..1 2 ..30 104 ..20 10 .. .1 ....11 17 ..13 1 .. .........-----------..1 ..29 52 .... 99. .... ......2 -. .------......p. .....16. ..25 2. ......2 ..-....2 ..9.9. .1 16.;.2 2 .1 1 ..----...5. .....1 1 --.---------S. .... .e. S. ......2-----3 ..........1.p. .......... -. ..-------.1. ...1.1 1 .99 ......1. ..... ............. 1 .......---------------I-----------1 ............. .2. 1 1.1 .............1 2.2 ........1.-.... S .....4 .---..4 2 ...3. 1 3. 7. ... .1.2 28 ..4 -1-.-.4 12 ..16. 1.-7 .... 1 4 ... ......12. .1. ..1.-. 1 .-S -. ..--.------------2 4.-. 1.-.-.----.-..... .9. ..9. .2 4. .... ...1. .12. 1 2. .....1 ---------.-..... .1.2. 2 ----,L

PAGE 22

20 TABLE VII.--TABLE SH OWING DISCHARGES AND Aneoin Hospital. mployees. Nan"4*y Diseases. DisDied Ddscharged. 'Dhieed. W. B. W. B. W. B. W 1R General diseases-Continued. Serum disease. .1 Purpura hem orrhagica. 1 Alcoholism: Acute. 1 .3 2 Chronic. J Diseases of the nervous system and of the organs of special sense. Simple meningitis. ... Cerebral hemorrhage, apoplexy. ...2 Softening of the brain. ....1 .1 Other forms of mental alienation. .4 ..7 6. Dementia precox ...1 2. Epilepsy. .1 -----2 1. Hysteria.1 ..2 1. Neuralgia. ...1. Neuritis.-.----. .-.-.-.---. .. Other diseases of the nervous system.-.... Neurasthenia. 1 1 ..5 1 Diseases of the eyes and their annexa-. 3 10 ..10 8. Trachoma.1. .2. Diseases of the ears. 4 4 ..15 3 Diseases of the circulatorysiystem. Acute endocarditis. ...... Organic diseases of the heart. 1 5 .2 1 1 Aneurysm. .1, .1.1. Arteriosclerosis. ......... Hemorrhoids. .5 3 ..3. Varices. .f .....1 .. Varicocele.2 ... Lymphadenitis (nonvenereal). 2. Diseases of the respiratory system. Diseases of the nasal foss. 5 ..18 2. Adenoid vegetations. .... Laryngitis.1. Diseases of the thyreoid body. .1. ... Acute bronchitis.10 7. 3 2 Chronic bronchitis. .2 ... Broncho-pneumonia .1 1. Pneumonia (unqualified). ..2. Lobar pneumonia. 7 .4 .2 Pleurisy. .. Empyema. ..1 A sth m a~ .j ; Astbna,. .... Pulmonary emphysema. 1 ..

PAGE 23

721 T HO$?1TAL OF. THE PANAMA CANAL FOR THE U2. 191 Continued. Total. .k NonemployesO Employees. Nonemployees. DHDg Died. DiDied. chrged. charged. charged. charged. W. .W. B. W. B. W. B. W. B. W. B. W .B W. B. .-. .....------H x ..... .......1. ...3 2----.1 .1 ...2 .-. ..e. .........e ............... 1. ..4 ..8 7 .. ......13 ...1. ..1.--3 1. .......................e 1. 21. .1. ......I. .1. ...53. .. .......4 11. .10 8. .3. ...-. 4. ...1 .1 3. ...2. 2. 1. ........1. 3. .1 1 -----.1. ........... I.*.~~~ ~ ~ ~ 3 ...0. ..32. .. ........2. ...... ............2. .18. ............ .......182. .....------1--.--. ---. -2 1. .. -------17 .... 2OO. ..10. ....7 .... .....2 ...... .~ ~ ~ 1. .-. ...... 2 .1. ....1 9.4.3. ....1 11. .1. .. ........ ..1 1. .....0.0 ..1. .... -2

PAGE 24

22.P TABLE VII.-TABLE SHOWING DISCHARGES AND DEATH MONTB :F, Ancon Hospital. Employees. Nonemployees. Diseases. DisDischarged. Died. charged. Ded. W. B. W. B. W. B. W. B. Diseases of the digestive system. Diseases of the mouth and annexa. 2 ...2. Diseases of the teeth and gums. ..1 Diseases of the pharynx. 5 6 ..20 3 Follicular tonsillitis .1 1 ..4 2. Ulcer of the stomach. 1 ...... Other diseases of the stomach (cancer excepted).3. .. Gastrectasis. 1. .... Acute gastritis.1 1-. Acute indigestion. .1. .... Diarrhea and enteritis (under 2 years). ....7 9 1 5 Colitis. .1. ..1 1Diarrhea and enteritis (2 years and over) ...-3 3 .1 Colitis. .1 2 ...1 .. Ankylostomiasis. 3 ..1 1 Ascariasis. ..1 .. Appendicitis and typhlitis. ..1. .... Acute appendicitis. 6 .3 ... Chronic appendicitis. 1 .4 ... Hernia, intestinal obstructions. .2. Inguinal hernia. 5 6 .... Other hernias. ..1. Intestinal obstruction. ....... Other diseases of the intestines. 11 1 .1. Constipation. ..3. Cirrhosis of the liver. ....1 .. Biliary calculi. ..... Other diseases of the liver. 1 1 ...1. Abscess of the liver: Unqualified. 1 1 1 ..... Entamebic. 1 1 .1.1. Other diseases of the digestive system (cancer and tuberculosis excepted). ..... Nontenereal diseases ofthe genito-urinary system and annexa. Acute nephritis. ..1 1. Bright's disease (chronic nephritis). 2 7 .1 2 4 2 Other diseasesof thekidney and annexa 1 1 .... Movable kidney. ....1. Pyelo-nephrosis.1. 1 1 ..1 1 Calculi of the urinary passages. 2 ...1 ... Diseases of the bladder. .1. Cystitis. ..1 1. Diseases of the urethra, urinary abscess, etc,-. ---.-. Stricture of the urethra, nonvenereal. .2 ..... Diseases of the prostate. .... Chronicprostatitis. ......

PAGE 25

23 IN TWE HOSPITALS OF THE PANAMA CANAL FOR THE UN, 1914-Continued. Colon Hospital. Total. Employees. Nonemployees. Employees. Nonemployees. DisDisDisDisDied. Died. Died. Died. charged. charged. charged. charged. W. B. W. B W.1B. W. B. W. B. W. B. W. B. W. B. 2. ..2. .. S. ... ....56.0 3 .. ......1. .2. 1 1 .4. ......1. ...... ---------------1 ....... -I79 1 1. .1 1 -. 3 3 I 1 2. ..1. -3. .11. ....1. 1 .. 1. .......7. ..3 1.7. .4. --..... .........1.6. ... 1 ........1. .1.-----I. .2. ---1.5 6 .1. -------.----.--.----.1. .....3. 11 1 -A 7 1. ..........1. 1 1 .1 .1. 1 1i 1 ......1 1. .1. 1 1. 1.2 1. .1 ....1. 1 1 .1 1 --2. .I. ....1. 2 -. ....1 ....2. ... .~~~~~ ~ .1.1 1. ..~~. ..........

PAGE 26

t a4E VH.-TA3I E SHOWING DISCHARGES ANDEAH Angon Hospital. Employees. Nonem Iis DisDied. D clwge char .ie. chaged.W. B. W. B. W. B. W. B Nowvenereal diseases ofthe genito-urinary system and annewa-Continued. Hypertrophy of prostate. ...1. Nonvenereal diseases of the male genital organs. 2 7. 3 1. Hy4rocele. 7 ... Uterine hemorrhage (nonpuerperal). ..2. Uterine tumor (noncancerous). ....4 Other diseases of the uterus. ..4 Metritis. ...... Cysts and other tumors of the ovary. ....2 2 Ralpingitis and other diseases of the female genital organs. ....2 .1 Nonpuerperal diseases of the breast (cancer excepted). .I ..2 The puerperal sUgc. Normal labor. ...23. Accidents of pregnancy. ....3 1 .. Diseases of the skin and of the cellular tissue. Furuncle. 3 3 ..3 1 .. .Acuteabscess. ..7. 9 ...9 4. Phlegmon and cellulitis.3 2 .... Scabies. 1. .. Dhobie's itch .-. 1 ...7 1. Ulcer of the skin. 2 7 ..1.-.Tropical ulcer. .1. Impetigo contagiosa. ....3 Urcaria .4 ....1. I growing nail. .4 .....5. Other diseases of the skin and annexa. 8 ..6 1. Diseases of the bones and of the organs of locomotion. Diseases of the bones (tuberculosis excepted). Diseases of the joints (tuberculosis and rheumatism excepted)1. 1 ...1 .. -Arthritis. .1 3 ..... A m putations.-. 4 ... Other diseases of the organs of locomotion .--. 1 4 ..3 4 V. .F. Malformations. -. Congenital malformations (stillbirth not included). ...1 ...

PAGE 27

25 IT TUE HOSPITALS OF THE PANAMA CANAL FOR THE JUN E, 1914-Continued. Colon HospitaL Total. ee& Nonemployms. Employees. Nonemployees. DisDisDisDischairged. charged. charged. Died, charged. W. B. W. B. W. B. W. B. W. B. W. B. W. B. W. B. 11 -2 7 -----.--.-. 3 1 --I------:---------:-----1--.---.--I------22. zuL. I2 2 ---------4.------------. ---. ---. ---23 4. -.-.---.-.--.---.---.-.---.----.---.--.------.-----. ---3 1.--3 3. 3 1. 2 -.1 .9 9 .-.10 4. 1 --------. --. --.--.-.--.--------3 ---------3. 1 2 1. ----. .... ..................3. ..... .........8. .5 .~~ ~ ~ ~ 1.8 -.-.--.1 .. ........1. ..... .~~~~ ~ ~ ~ 3. ...... ...........4. .1.3----.--.--.--.---. -.............1. 4. ....... ..I. .I14i.--4. . ...14

PAGE 28

26 TABLE VII.-TABLE SHOWING DISCHARGES AND DEATJ) MONTH GuY Ancon Hospital. Employees. Nonemployees. Diseases. DisDischarged. Died. charged. Died. W. B. W. B. W. B. W. B. Diseases of early infancy. Newborn child. ....28 1 .. Congenital debility. ......1 Malnutrition. 1 ......1 Other causes peculiar to early infancy (including various consequences of labor). Old age. Senility. ..1 .1 Affections produced by external causes. Poisoning by food. .11 Other acute poisonings. I ....... Burns (conflagration excepted). .4 .....1 Traumatism by firearms. 1 1 ...... Traumatism by cutting or piercing instruments. 1 25 ..2 2 Traumatism by fall---------------------3-------5. Traumatism in mines and quarries. 1 1 .1 .... Traumatism by machines-------------1. 1 ... Traumatism by other crushings (vehicles, railroads, landslides, etc.). 1 12 .... Railroad traumatism-. I ..... Dynamite traumatism. ....... Starvation. ......1 .. Fractures (cause not specified). 8 15 ..1 Dislocations. 1. .... Sprains. 6 1 .... Other external violence. 35 70 ..7 5 .. Ill-defined diseases. Ill-defined organic disease. .... Cause of death not specified or ill-defined ....... Infections of undetermined origin. 1 4 ..7 .. No disease. ....19 2. Total. 286 554 1 11 439 166 5 27 Z.:A

PAGE 29

.x. A27 N THE HOSPITALS OF THE PANAMA CANAL FOR THE JUNE, 191 -Continued. Colon Hospital. Total. 5 mp yees. Nonemployees. Employees. Nonemployees. iiwDisDisDs Dis Died. DsDied. d. Died.d Died. charged. charged. charged. charged. .B. W. B W B. W. B. W. B. W. B. W. B. W. B. .2.2. .-.28 3..-.-.-.-.-.-.-2---------------------------1 1 ...------------------S. ...-----------------S-----------------....4. --. .----------------------------. .......... 1 1 ..1 .---. 1 4.---.-. .1---.1 1----------------2-.----.-..4 ---...-.1.1. ..1 4. ..2. -2 ---.1 21 .3 -. .1. ..1 ..-----.1 .....3 ----------1-. .......1. ..... .1. ...1 ....8 1. ..---------.........1. .....1. .. .6 15 .1 .-. ..1. ---------6------I w -w ---1 4 -----------------low ....-1 ............. .......... .....1 4. .7. .. ..I I ..1 ....203. 175 5 012 152 I4 303 609 1 13 454190 53 q < M d. u v.1

PAGE 30

TABLE VIL-C NOLIDATE1 HOSPITAL AEO1 T. Re-mainAdDid. TrpsI ining mitted. bhawged. fen ed. ing Hospitals. June 1. uJ R3. W_. C. W. C. W. -C. W. C W. C w. A neon Hospital. Panama Canal employees. 89 234 252 444 1 8 256 437 2 5 82 228 Panama Railroad employees 21 69 32 109 .3 38 120 .15 Pay patients-----------162 86 400 125 5 12 374 124 3 4 18 71 Charity patients---------18 2 36 26 .8 29 13.325 4 Total-------------.-. 290 391 720 704 6 31 697 M94 5 12 302 358 INSA14E DEPARTMENT. Panama Canal employees-. 7 22 2 1 .--2 ..1 T7 2 Panama Railroad employees .10 -----------------.....10 Republic of Panama,pay. 13 162 .7 .6 .4. 2 13 157 Other pay patients. 2 14 3 3 .1 .2 .1 5 I. Charity patients. 8 67 .5 .----3 .1 8 68 Total. .-------------30 275 5 16 .7 2 9 .5.33 270 Grand total. 320 666 725 720 6 38 699 703 5 17 335 628 Corozal Farm. Panama Canal employees. 10 40 4 ----------2 .1 1 7 43 Colon Hospital. Panama Canal employees. 6 11 9 57 .-. 1 11 38 4 8 .21 Panama Railroad employees 2 15 7 22 .1 6 17 .6 3 IX Private, pay.-------------7 2 11 11 -------11 8 4 4 3 1 Republic of Panama,pay. 2 4 1 6 _. 2 2 4. 3_ 1 Charity patients. 2 ------12 .2 2 9 ... Total. .-------------19 32 28 108 .6 32 76 8 21 7 37 CHRONIC WARD. Charity patients------------.--. 24 .8 ---------6 ..26 Palo Seco Leper Asylum.-----------------Pay cases (Republic of Panama).------------------231 -----------1 .--.2 30 Charity cases-------------2 14 .2 ----------------1 2 15 Total. 4 45 .2 .1 ---------1 4 45 Grand total. -==== =========== =--==== Panama Canal employees. -112 307 263 506 1 9 271475 7 15 18 314 Panama Railroad employees 23 94 39 131 .4 44 137 .6 18 7 Republic of Panama, pay. 17 197 1 13 .9 2 8 .5 1 188 Other pay patients-------171 102 414 139 5 13 385 134 7 9 188 86 Charity patients. 30 107 36 53 _._10 31 31 .5.35 11.4 Total-------------353 8071753 842 6 45 733 785 14 40 3 7 Employees remaining in hospitals: W hite. .-.-. -. 114 Colored. 39M Total ....---------------------------------------------------50 M. NM.

PAGE 31

29 TABLE TX.-OONSOfDATED I&P"TNARTY REPORT. Employees treated in quarters. RelRemainAdD -ransmainDays lost StatonS. ing mitted. charged. ferred. ing June 1. June 30. .W C. W. C. W. C. M. C. .W. C. W .T NW:I; .. Naos Island. .2 3 22. 3 19 3 .2 4 86 90 Balboa-. .2 1 150 14. .31 720 71 1 88 24112 Corozal. 1 .85 ...75 .10 .1 .123. .123 Pedro Miguel. ..16 ...14 .1 .23 .23 raraiso. ..1. 20 ...17 .4 ...33-. 33 Culebra. .22 54.20 51 1.3 57 104 161 Empire.3. 21 19 ----22 16 1. 1 3 71 97 168 Gatun.23 42 23 .37 24 5 2 2 88 92 180 Cristobal .1 5 117 143 .104 119 ..14 29 274 666 940 Marga oint. .10 ...1 .9 .-. .8 8 Total. 10 11 376 285 ..323 237 42 19 21 40 7611,0771,838 All cases treated but not excused. Stations. Employees. Nonemployees. Total. W. C. Total. W. C. Total. W. C. Total. NaosIsland. 103 1,319 1,422. .103 1,319 1,422 Balboa. 3,724 3,901 7,625 119 144 263 3,843 4,045 7,888 Corozal.1,672 1,374 3,046 553 76 629 2,225 1,450 3,675 Pedro Miguel. 480 965 1,445 328 58 386 808 1,023 1 831 'araiso. 671 1,150 1,821 334 368. 702 1,005 1,518 2 523 Culebra. 534 1,170 1,704 265 383 648 799 1,553 2,352 Empire. 855 1,080 1,935 466 351 817 1,321 1,431 2,752 Gamboa. ..48 157 205 65 262 327 113 419 532 Gatun. 895 1,396 2,291 574 450 1,024 1 469 1,846 3,315 Cristobal. 1, 035 3,103 4,138 604 354 958 1,639 3 457 5,096 Margarita ~oint. 64 530 594 ..64 530 594 Total. 10,081 16,145 26,226 3, 308 2,446 5754 13,389 18,591 31,980

PAGE 32

30 CONSOLIDATED ADMISSIONS REPORT. White. Colored. Total. Total admissions to hospitals. 753 842 1,595 Total admissions of employees to quarters. 376 285 061 Total .....-. -. -. 1,129 1,127 2,256 Less number of patients transferred between hospitals and from quarters to hospitals, whose admissions are duplicated in above figures .-.-. 56 59 .115 Net admissions to hospitals and quarters. ._. 1,073 1,068 2,141 Net admissions of employees to hospitals and quarters.-.--------------629 882 1,511 Annual average per thousand of admissions of employees to hospitals and quarters.----------903.95 269.80 381.09 TABLE X.-AVERAGE NUMBER OF EMPLOYEES CONSTANTLY SICK IN HOSPITALS AND QUARTERS. White. Colored. Total. Hospitals: Ancon Hospital. 125.23 339.53 464.76. Colon Hospital. 5.29 24.82 30.41 Total. 130.53 364.35 494.87 Quarters: Naos Island. .13 2.87 3.00 Balboa. .2.93 .80 3.73 Corozal. .4.10 .4.10 Pedro Miguel ..77 ..77 Paraiso .1.10. 1.10 Culebra. 1.90 3.47 5.37 Empire. 2.37 3.23 5.60 Gatun.-.-2.93 3.07 6.00 Cristobal. 9.13 22.20 31.13 Margarita Point. .28 .28 Total. 25.36 35.92 61.28 Hospitals. Quarters. Totals. Average number of employees constantly sick: White. ..130.52 25.36 Colored. 364.35 35.92 400.27 Total. .494.87 61.28 558.15 Average number of employees constantly sick per 1,000: White .15.63 3.04 18.67 Colored. 9.29 .91 10.20 Total. .10.40 1.29 I1.69

PAGE 33

TABLE XT.-AVERAGE NUMBER OF DAYS' TREATMENT PER EMPLOYEE IN HOSPITALS AND QUARTERS. White. Colored. Total. Hospitals. Ancon Hospital.15.00 16.40 15.92 Colon Hospital. 11.66 15.46 14.59 Quarters. NaosIsland .4.18 3.84 Balboa.----------------------------------1.82 2.07 1.88 Corozal.--------------------------------1.87 .----1.87 Pedro Miguel. 1.53 -----------1.53 Paraiso. 1.71 -----------1.71 Culebra.--------------------------------2.71 2.04 2.24 Empire. 3.91 6.06 4.79 Gatun. 2.17 4.33 2.95 Cristobal. 2.64 6.34 4.62 MargaritaPoint. .83 .83 TABLE XII.-FINANCIAL STATEMENT, DEPARTMENT OF HEALTH. April, 1914. March, 1914. April, 1913. Administration: Chief health office. $2,264.34 $3,903.97 $4,882.11 Hospital division: Ancon Hospital.-. 41,497.16 40,742.37 42,951.89 Corozal Farm. 2,019.52 1,036.49 717.37 Colon Hospital. 2,073.81 2,366.96 17,274.75 Chronic ward .288.59 225.54 Taboga Sanitarium. ..2,532.54 Palo Seco Leper Asylum. 1,182.40 1,180.59 1,194.07 Santo Tomas Hospital .924.00 915.00 872.50 Medical storehouse. .580.55 686.59 Construction and repairs to buildings. 587.85 2, 215.41 209.28 Total. 48,573.33 49,262.91 66,438.99 Dispensaries: Naos Island. 247.80 257.64 194.37 Balboa. 954.48 998.06 522.85 Tivoli. 742.79 756.58 700.19 Corozal. 727.76 785.87 472.26 Miraflores. ...425.69 Pedro Miguel. 407.79 382.81 483.49 Paraiso. 595.45 550.94 468.47 Culebra. 745.41 776.67 1,360.10 Empire. 902.87 869.99 1,112.76 Las Cascadas. ..456.95 Gamboa. 121.45 126.09 Bas Obispo. ..406.80 Gorgona. .927.42 Gatun. 922.16 954.83 1,661.39 Cristobal. 987.20 926.26 929.43 Margarita Point. 109.11 113.35 118.43 Toro Point. 242.42 254.95 377.50 Porto Bello. .288.59 330.60 412.68 Total. .7,995.28 8,084.64 11,030.78

PAGE 34

TABLE XII.-FINANCIAL STATEMENT, DEPARTMENT OF HEALTHContinued. April, 1914. March, 1914. A pril,1913. Sanitary division: General inspector.$315.00 684.17 $700.00 Health office, Panama.I 3, 275. 28 1, 997. 92 2, 997. 70 Street cleaning. 4,132. i3 ~5, 038.98 833. 33 Health office, Colou. 1, 386. 97 1, 826.67 2,021.18 Street cleaning. 2, 014. 65 1, 791. 59 1, 553. 95 Zone sanitation: Ancon .1,195.98 1,173.40 1,22.69 Balboa. 1,128.28 1, 90.0 7,3.2 Corozal. .1,320.11 1 03.0 873.42 Miraflores. .1.4,443.18 SedroMiel. 2,752.30 2,85.18 1,959, 41 Paraiso. 1,446.92 1,492.98 1,230.61 Culebra. 955.24 948.72 1,982.34 Empire. 2,019.47 2,206.93 2,781.00 Las Cascadas. .1,482.22 Bas Obispo. .764.72 Matachin. 2864.92 Gorgona. 1,186.20 Frijoles. 119.30 117.00 451.85 Gatun.2,233.23 2,258.19 7,361.2 Cristobal and Mount Hope.t .2,174.06 2,156.88 2,647.97 Porto Beoo .236.33 235.16 349.46 Total. 26,706.10 27,351.09 39,785.09 Quarantine division. 3,941.45 4,089.22 ,365.06 Recapitulation. Chief health office. 2,264.34 3,903.97 4,882.11 Hospital division. 48,573.33 49,262.91 66,438.99 Dispensaries. 7,95.28 8,084.64 11,030.78 Sanitary division. 26,706.10 27,351.09 39,785.09 Quarantine division. 3,941. 45 4,089.22 5,365.06 Total.89, 480.50 92,691.83 127,502.03

PAGE 35

33 ANOON HOSPITAL. TABLE XIII.-REPORT OF NATIONALITY OF PATIENTS TREATED IN A NOON HOSPITAL. Americans. Other nations. Total Class. number treated. W. B. W. B. Hospital: Panama Canal employees. 1,019 209 .132 678 Panama Railroad employees. 231 25 .-. 28 178 Pay patients. 773 425 .137 211 Charity patients. 82 44 .10 28 Total. 2,105 703 .3M 1,095 Insane asylum: Employees. 42 4 .5 33 Nonemployees.2-417 258 Total. 326 131 .2 291 Grand total. 2,431 716 .329 1,386 Cost of subsistence per patient per day, 25 cents. WARD LABORATORY REPORT: Blood examinations-.-.-. 1,294 Estivo-autumnal .198 Quartan-.-.--.--.2 Tertian.-.-.----. 48 Mixed. -------..5 Differential counts _-.-.--.-. 64 Hemoglobin estimations .124 Leucocyte counts.-.-.-. 202 Red blood counts.-.--. 15 Stool examinations .-.-. 1,042 Ankeba-.-.--.---.-. 11 Ascaris lumbroicoides. .57 Balautidium coli. .-.-----. 1 B ilharzia ........-. .............1 NRP.Cercomionas int estinalis. .--.-.-.-..-.--....-.I Ciliated monads .-.-.-. M. 14 Entameba (histolytica and tetragena). 11 Guaiac test.-.-.-.-.-. 2 Pus and blood.-.------.-. 118 Strongyloides intestinalis.--.---. 64 Tenia saginata (ova). 1 Tricocephalus dispar .---. 96 Uncinaria (ova).-.-. 157 Urine examinations.-. 1,939 Albumen.-. 692 Bile---.-. 14 Casts.-.-.-. 488 Indican.-.-. ..24 Pus and blood.--.-.--. 467 Sugar (positive 2) -. 5 Sputum examinations ..283 Positive for tubercle bacilli. 39 Smear examinations. .22 Urethral (4 positive for gonococci). 14 Vaginal (1 positive for gonococci). 4 Gonorrhoal ophthalmia (positive).-.-. 4 V

PAGE 36

34 REPORT OF SURGICAL OPERATIONS. Number. Died. Amputations: Thigh---------------------------------------------1-----Digits, multiple.------------------------------4---4-Operations on bones: Fractures, simple.----------------.-----------------. --6 Fractures, compound.-.-.-------------------------.1. Adenectomy: Cervical-----------------------------.--.------1-------Axillary.-.-----------------------------------...Inguinal, single ----------------------------------30 Inguinal, double---------------------------------7--------. Inguinal,~~~~ d7be. ..----7 ------Femoral.---------------------. .-----------2-----Herniotomy: Inguinal, single ------------------------------------7. Inguinal, double. .---------------------.----------. Ventral---....--------------------------------------1 Strangulated-.-.------------------------------1-----Genito-urinary tract: Urethrotomy, internal -------------------------------3 Varicocele, radical cure.----------------------------1-.--Hydrocele, single, radical cure --------------------------1 Hydrocele, double, radical cure-. -.-.---------------.-.-. J Epididymotomy --------------------------------:11 2 ------Amputation of scrotum .--.------.-.------.-. Curetage uteri..-----------------------------8-------Trachelorrhaphy,. .-----------------------------------4-------Vaginal sections. ..------------------------------------------Vaginal punctures--------.---.-.-.-----------1 -----Obstetrical: Low forceps---.-------------------------------------------Rectum: Hemorrhoids, radical cure------------------. 9 --. Fistula in anus, excision of .-. 2 .-. General: Aneurismorrhaphy. .------------------------------1-------Excision of surface neoplasms-.-------------------5 Plastic operation for severe injuries-. I.-. Plastic operation for effects of disease-. ------------------1. .-Skin graft. ...2 .-----.2. Laparotomy: For general peritonitis (not traumatic or appendicial). 1-.-.-. Enterostomy. --------------1. Appendectomy.-. 14-----Appendectomy with local peritonitis. 4 Cholecystectomy. .-------------.-2 Abscess of liver, laparo-hepatotomy for.-. 2. Abscess of liver, thoraco-hepatotomy for.-.1 1 Pan-hysterectomy.-----Supravaginal hysterectomy. Hysteremyomectomy. ---------. Myomectomy.---------. 1-----Salpingectomy, single Suspensio-uteri. --------------2 Plastic operation for chronic pelvic peritonitis. 4 For ectopic gestation --------------------------------1. For trauma: Gunsbot wound of abdomen.1. Major operations.-..--------------------.4----.----Minor operations, various ---------------------------160. Total. ....319

PAGE 37

35 REPORT OF SURGICAL OPERATIONS. Adenoid. ... -%anpthotomy. .1 aa eraction,senle. E.Ace 16. .. Expr.es. s ..ion. a. 4 I 111Vy. 3 L y.excision. 3 Pterygium transplantation. 3 Submucous rejection of nasal septum. 8 Tsjuilleetomy. 23 64 Various minor operations: Ear. ..5 Eye .35 Nose and throat .6 46 Total. 110 Total number of outside cases treated. 741 Refractios. .150 OUT-PATIENT DEPARTMENT. Clinic. Totalvisits. New cases. Pay cases Prescrip tions. Medical. 417 327 65 402 Surgical.378 210 32 104 3 e and ear .741 378 36 162 Amittmig physician. 3,605 2,487 16 2,031 Total. 5,141 3,402 149 2,699 REPORT OF THE BOARD OF HEALTH LABORATORY. Bacteriological examinations ofCherrical analysis of-Continued. Blood cultures. 18 "Pyrene" (fire extinguisher). I Throat cultures. 30 Liquid and powder from CuleUrine cultures. 37 bra dispensary .I -tool cultures. 34 Urine. I Pas. .I ] other's milk. 3 Cultures from autopsies.6 St. Charles unsweetened conFluid fr .plura. 1 densed milk-. 1 Handlesions. .1 Whole milk, No. 1. 1 AjdoiJmi fAlid. 2 8-hour cream. 1 Knee-joint fluid. 3 Skim-milk from 8-hour cream. 1 AMtogenic vaccines prepared.4 Whole milk No. 2. 1 Antiyphoid vaccinations. 3 24-hour cream. I assermann reactions .241 Oil, transformer rooms. 4 11tination reactions. 4 Fer-mil-lac. 1 logical tissues prepared, parDetermination of moisture and affin. 247 volatile matter in soil. 6 .-PbDogCal tissues prepared, Surgical tissues and neoplasms re-m .ro .5 ported. 22 ojowcal analy. sis of-Autopsies performed. 30 itlairy mint. I Bodies embalmed. 6 Milk from private dairies supAnimanls examined or under obserplying cities of Panama and vation. 5 Cgolo7. 28 Leper suspects examined (1 posiBrass borings, depot quartertive). I& master. I Rats examined. 1,33& Preparation of dark fluid aind "t"-tube, for testing hydro4lectric plant, Gatun. I ~Invetigation of pneumonia in Cooibi

PAGE 38

$3 REPORT OF OPERATION OF HOSPITAL FARM, COROZAL* Expenditures: Accrued leave of superintendent. .a-93.33 Supervision .200.00 Labor. o. ...488.05 Subsistence of labor .365.09 Quartermaster team service. ..76.90 Electric lights .w3. 90 ice. ..90 Materials and supplies. .125.57 Total. .I,953.75 Receipts: Transfer and service rendered. $42.91 Products sold: 3,780 heads lettuce. .$87.10 52 pounds lettuce.492 371 bunches radishes. 17.06 15 bunches parsley. .69 32 bunches bananas. 7.40 150 bunches spinach. 2.76 130 pounds yucca. 2.93 481 pounds beans. 70.65 20 pounds sweet peppers. 1.84 331 pounds papayas. 7.45 334J dozen eggs. 140.20 4 dozen roses. .2.00 40 ears corn. .67 10 pineapples. 1.04 75 plantains. .75 50 loads grass. 50.00 30 guinea pigs. 15.00 5 plants .1. 00 Pasturage. 58.00 471.46 Total. .514.37 Net running expenses. 1,439.38 Number of days' treatment. .1,509 Net dost per patient per day. 0.9538 STATEMENT OF COMMITMENTS, DEATHS AND DISCHARGES, INSANE ASYLUM Commitment. Male. Female. From Zone Government: Received on first commitment. I1' I Received on second commitment. .2 From Panama Government: Received on first commitment. -.2 2s3 Received on second commitment. -------. Received on sixth commitment. Total .15 0 iReturned to asylum from hospital, 3. s Returned to asylum from hospital,1. RAI

PAGE 39

37 -STATEMENT OF COMMITMENTS, DEATHS, AND DISCHARGES, INSANE ASYLUM. Discharges. Well. Improved. Discharged. Nationality Male. Female. Male. Female. Male. Female. Jamaica. 2. ..11 Barbados ... Panama. ......1 Japan ..11 Trinidad. ....1 1. United States of America I ...1. Demerara .1 ... St. Lucia. 1. ....... Total. 4 4 .5 3 Transferred to hospital. 2 Deported. Deaths. Mental diagnosis. Psychoses accompanyInfective Dementia Alcoholic. g otner exhaustive Physical diagnosis. precox. brain or psychosis. nervous diseases. Male. FeMale -Male FeMaleFemale. M male. mal male. Cerebral hemorrhage. ....1. Acute endocarditis. .I. Purulent infection and septicenia. 1 I ical dysentery. ....-2 Tuberculosis of the lungs. 1 .. Infection undetermined. ....1 C. H. O.,-4; Asy.,-1; A. N. C.,-1. ANWCO HOMPlTAL, Julg, $, 1814. 7.N

PAGE 40

38 COLON HOSPITAL. TABLE XIV.-NATIONALITY OF PATIENTS. White White Black. Total. American. foreign. Panama Canal employees. 3 12 68 83 Panama Railroad employees. 3 6 37 46Pay (private). 4 14 13. -31 Pay (municipal). .3 10 14 Zone charity. 1 1 14 Total. 11 36 140 187 Cost of subsistence per patient per day, 30 cents. LABORATORY REPORT. Blood examinations. 72 Estivo autumnal.22 Tertian. 5 White blood counts .7 Differential counts. 3 Stool examinations. 60 Uncinaria. 11 Tricocephalus dispar. 10 Strongyloides. 8 Ciliated monads. 3 Balantidium coli .1 Amoeba. 1 Urine examinations ..77 Albumin and casts. .19 Sputum examinations. 13 Negative. .13 SURGICAL OPERATIONS. Herniotomy: Inguinal, single. 1 Genito-urinary tract: Urethrotomy, internal. A Urethrotomy, external. 1 Epididymotomy. I Obstetrical: Low forceps .2 Perineorrhaphy. 1 Thorax: Thoroeotomy (died, 1). 1 General: Tenorrhaphy. 1 Laparotomy: Tenorrhahpy. -. Laparotomy: For intestinal obstruction. 1 Appendectomy with general peritonitis (died, 1). 1 Haematoperitoneum (died, 1). Minor operations, various. 17 rH

PAGE 41

39 REPORT OF PALO SECO LEPER ASYLUM. TABLE XV.-NATIONALITY OF PATIENTS. Americans. Other nations. treated. Class. White. Black. White. Black. White. Black. Panama Canal employees Panama Railroad employees. Pay cases. 2 31 .2 31 Charity cases. 2 16 ..2 16 Total. 4 47 4 47 Cost of subsistence per patient per day, 26 cents. SANTO TOMAS HOSPITA L. TABLE XVI. RemainAdmiRemainClass. mg ted charged Jied. ng June 1. June 30. Pav cases. 52 100 106 2 44 Charity cases. 333 737 691 61 318 Total. 385 '837 797 63 362 Average number of patients constantly sick. 368 Total number of days' treatment. 11,058 Average number of days' treatment per patient ....9 Cost of subsistence per patient per day ...0. 23 NATIONALITY. Americans. Other nations. Number treated. White. Colored. White. Colored. Pay cases. 152 ..64 88 Charity cases. 1,070 ..114 956 Total. .1,222. .178 1,044

PAGE 42

40 DISPENSARY REPORT. Class. White. Colored. Total. Natives. ..u. 70 360 439 Foregners. .62 274 336 Total ......132 63476 DISEASES TREATED. Tyhoid fever. 1 Lobar pneumonia. 26 Malaria. 72 Diarrhea and enteritis (two years Malarial fever, estivoautumnal. 27 and over) .14 Malarial fever, tertian. 3 Intestinal parasites .21 Malarial fever, clinical. 39 Appendicitis and typhlitis. .8 Scarlet fever. 4 Hernia, intestinal obstructions. 12 Diphtheria and croup.: .1 Cirrhosis of the liver. 4 Influenza. 18 Simple peritonitis (nonpuerperal) 1 Dysentery. 15 Other diseases of the digestive sysLeprosy. 1 tem (cancer and tuberculosis exErysipelas. 1 cepted). .5 Purulent infection and septicemia 11 Acute nephritis. .19 Pellagra. 2 Diseases of the bladder. 10 Beriberi. 1 Diseases of the prostate. 3 Tuberculosis of the lungs. 22 Other diseases of the uterus. 6 Syphilis.-. 48 Salpingitis and other diseases of Gonorrhoea.-. 13 the female genital organs. 12 Cancer and other malignant tuNormal labor. 95mors of the breast. 2 Accidents of pregnancy.9 Acute articular rheumatism. 11 Abortion. .3 Alcoholism (acute or chronic) 7 Eclampsia. 1 Other forms of mental alienation. 6 Furuncle. 5 Epilepsy. 3 Acute abscess. 23 Other diseases of the nervous sysOther diseases of the skin and antern. 8 nexa. 26 Diseases of the eyes and their anOther diseases of the organs of locanexa. 5 motion ..1 Acute endocarditis. 6 New-born child ..87 Organic diseases of the heart. 4 Suicide by poisoning. .1. Diseases of the arteries (atheroma, Burns (conflagration excepted).,. 2 aneurysm, etc.) .2 Traumatism by other crushings Arterio sclerosis.,. 1 (vehicles, railroads, landslides, Diseases of the veins (varicose, etc.) .18 hemorrhoids, phlebitis, etc.). ..4 Fractures (cause not specified). .13 Hemorrhage; other diseases of the No disease ..59 circulatory system. 9 Diseases of the larynx. 1 Total. 860 Chronic bronchitis. .28

PAGE 43

41 SURGICAL OPERATIONS. Number. Died. M putatlons, thigh1. 1 5.-.-.-. of fracres, simple. 2 Wiring of fractures, compound. 2 Adenectomy, ingumal, single. 7 Adentomy, Inguinal, double.3. eUiotomy,inguinal, single. 3 Herniotomy, inguinal double. 1 -!r Urethrotomy, internaf. 7 Urethrotomy, external Hydrocele, single, radical cure. 3 Curetage, uteri. 3 1 N emorrhoids, radical cure. Fistula in anus, excision of.3. Thyroidectomy. 1 Tenorrhaphy.1. Plastic operation for congenital defect. 9 Plastic operation for severe injuries. 4 Plastic operation for effects of disease. 8 Appendectomy-----------. .8. Appendectomy, with general peritonitis. 1 Abscess of liver, thoraco-hepatotomy for.2. Pan-hysterectomy .1. Hsteromyomectomy S e pingectomy, single .4. Salpingectomy, double. .4 Salpingo-oophorectomy. 10 1. OSli-ophorectomy -------------------------------------1. Oophorectom y .1 Suspensio-uteri. 6 -------Minor operations various. 62 Total. 169 2 TABLE XVI. The following is a summary of sanitary work performed and material expended during the month in the Canal Zone: Work requests on Quartermaster's Department: Grass cutting. 21 Screening .18 Miscellaneous. ..........--------------------------------------------20 Work requests on engineering department. 33 Work requests on other departments. 4 Notices served to abate nuisances. 4 Building permits approved. 1 Inspections of closets. ..2,450 Inspection of stores. .223 Inspections of restaurants. 37 sections of shops. 181 Garbage cans emptied. 140,374 Closets disinfected. 6, 484 H ses disin fected. 3 t used daily. 1,289 anopheles destroyed in houses. 8,166 tulices destroyed in houses. 18,843 iners found with Stegomyia larvF. 20 ade used.gallons. 3,705 deollused.d o-. 23,915 destroyed. .1,195 NO

PAGE 44

42 SUMMARY OF ROUTINE WORK DONE BY THE HEALTH :LqE PANAMA. Mosquito work: Lineal feet of ditches cleaned and maintained. Number of cubic yards earth used in filling.-. Gallons larvicide used. Gallons crude oil used -. .-145 Square yards pools oiled.-. 608 Water containers treated.-. 127 9 Mosquito-breeding places found. 1,185 Fly-breeding places found.-. 1,33 Garbage collections: Loads garbage removed to dump. 4,560 Total cans garbage emptied.-. Buildings: Buildings inspected. -5,634 Plans for new buildings approved. .51 Permits granted for repairs to old buildings ---------------. 15 Buildings condemned.-----------------18 Buildings demolished.----------..16 Street cleaning: Average number of square yards cleaned daily. 00 Average number of square yards streets sprinkled daily. 000 Private properties cleaned during month. ...---------------------6 Notices served and nuisances abated .183 Vaccinations: Vaccinations during month .1,77 Total vaccinations since Apr. 1, 19144.,844 GENERAL WORK REPORT FOR COLON. [Including Cristobal, Mount Hope, and Toro Point.] HEALTH OFFICE, C.rkStdbql. General sanitation: Square yards of street cleaned .4,04,752 Square yards of street sprinkled. .0 Square yards of alleys maintained. 701,807 Loads of garbage, cubic yards .43 Private properties cleaned .-------.80 Rats killed .-163 Cans of garbage (1,085 cubic yards). 4,22 Cubic yards of ditches constructed.134 Linear feet of ditches maintained. 4055 Squareyards of vegetation removed.000 Square yards oiled. 41700 Receptacles treated .2 0 Mosquito-breeding places destroyed.13 Fly-breeding places destroyed. .-. Buildings inspected-. Gallons larvicide used .. Gallons crude oil used. Nuisances abated. Colon dump maintainel. Buildings: Plans approved. Permits to repair issued. 34 Permits to occupy issued Temporary permits to occupy issued. Sewers (reported by division of municipal engineers): New connections made during month. Total connections made to date.-.1, Houses in which extensions were made. Outstanding permits.----------.

PAGE 45

Ia 43 CRISTOBAL. Santiion: Square yards pools oiled. 8,200 Receptacles treated. 2,800 Msqcito-breeding places destroyed. 32 Fly-breeding places destroyed. 4 filings inspected ..200 Gal1oms larvicide used .106 GalUons crude oil used. .0 TORO POINT. Square yards oiled ..16,950 Receptacles treated. 8,580 Mosquito-breeding places destroyed. 34 Fly-breeding places destroyed .3 Mosquitoes killed (Anoph. 2,576; Cul., 235). 2, 811 Cubic yards ditches construejpd. 704 Linear yards ditches maintaMed.*. 625 Gallops larvicide used .81 Gallons crude oil used. 155 MOUNT HOPE. Square yards oiled. 97,200 eptacles treated. 23,200 osquito-breeding places destroyed. 277 Mosquitoes killed in barracks (Cristobal) (Anop., 93,358; Cul:, 8,722). 102,080 Mosquitoes killed in cars (Cristobal) (Anop., 13,074; Cul., 2,800) .15, 874 Linear yards ditches maintained. 14,773 Gal1ons larvicide used .586 Gallons crude oil used .2,106 TABiOXVIII.-QUARANTINE TRANSACTIONS AT THE PORTS OF BALBOA AND PANAMA. Vepsels inspected and passed. 17 Vessels imspected and held in quarantine. 12 Total vessels inspected .29 Vessels fumigated on arrival. 12 Prew examined. 2, 314 Passengers from foreign ports examined and landed: Cabin .454 Steerage. 143 -597 Total persons examined.:. 2,911 Persons vaccinated at ports of arrival because of compulsory vacciain a ..T. 8 is vaccinated at ports of departure or en route because of com8 Ory vaccination law. 533 Total persons vaccinated. 541 held.in quarantine at the detention house to complete period of cubation for fever or plague. 125 held in quarantine on board vessels to complete period of incubatzon of yellow fever or plague. 1,547 Total persons held under observation. 1,672 ers-ns embarked for foreign ports: abin .450 Steerage. 172 622 arriving from coast towns in small launches and sailing craft. 1, 7C3 sailing for coast towns in small launches and sailing craft. 1,985 hofealth issued. 31 tes issued to outgoing passengers. 2(' T nmber of persons landed. 2,360 number of persons sailing. 2,607 Apparent decrease for the month .247

PAGE 46

44 QUARANTINE TRANSACTIONS AT THE PORTS Of C CRISTOBAL. Vessels inspected and passed. Vessels fumigated on departure. Pieces of baggage handled and stopred. Crew inspected .-.-. Passengers inspecteti (including 398 United States troops). Total persons inspected. 110 Persons vaccinated in port on arrival-. 30 -ersons vaccinated in ports of departure or en route. 912 Total persons vaccinated. .1,742 Persons detained in quarantine to complete period of incubationfor yellow fever and plague. 312 Persons detained on vessels. 40. Total persons held under observation. -. -.-. 417 Total persons landed from foreign ports: Cabin.1,710 Steerage. 1,571 3,281 Total persons embarked for foreign ports: Cabin. 1677 Steerage.1,862 Persons in transit ..1,355 Persons from coast towns (inspected). 431 'Persons from coast towns (not inspected).I.-.4W 'ersons leaving Colon for coast towns .297 Persons landed during month: For immigration report. 3,7 For Pacific ports. .......-.-4,028 Bills of health issued. .8 Bills of health vis6ed. .32 Persons recommended for deportation. 4 Certificates issued to outgoing passengers. Persons refused certificates account of trachoma. 3 Total persons landed. 4,028 Less number for Pacific ports. 316 3, 712 Total persons sailing. ,, Apparent decrease for month. 124 CONSOLIDATED REPORT OF QUARANTINE TRANSACTIONS AT THE PORTS OF BALBOA AND PANAMA AND COLON AND CiSTOBAL. Vessels inspected and passed. .108. Vessels held in quarantine. 12 Total vessels entered. ,. Vessels fumigated on arrival-. 1 Vessels fumigated on departure. 5 Total vessels fumigated. Pieces of baggage handled and stored. 77 Crew examined.-.-. 47 Passengers examined (including 398 United States troops) .5,6Q4 Total persons examined. ., Persons vaccinated at ports of arrival because of compulsory vaccination law.-. 'Persons vaccinated at ports of departure or en route because of compulsory vaccination law.1,4 Total persons vaccinated.

PAGE 47

L45e d in quiarnflke at the detention houses to complete period 6fine1bation of yellow fever and p.gUe .437 Persons held in quarantine on boar-t vessels to complete period of bncubation of yellow fever-and.plague. 1,652 4 Total persons held under observation. 2,089 persws landed from foreign ports: Cabin. .2,164 Seerage-.-. .1,714 3, 878 Total persons embarked for foreign ports: abin. 2,127 Steerage. 2,034 4,161 Total persons arriving from coast towns on small launches and sailing craft. 2,510 Ttal persons sailing for coast tovis on small launches and sailing -raft.-. 2,282 Apparent increase for month from coast towns. 22& Apparent decrease for month from foreign ports: Cabin (increase). 37 Steerage (decrease).-. 320 283: 't nigrAnts-recommended for deportation. 4 tifleates ssuedo outgoing parsengers. 43 ons refused certificates on account of trachoma. -of health issued or visded. 71 TIpersons landed. 6,388 number for Pacific ports. 316 6,072 Tqal persons sailing. 6,443 Apparent decrease for month. 371 IMMIGRATION REPORT FOR COLON. FromCabin. Steerage, ope. 39 UnitedStates. 1,061 22 and West Indies. 125 1,054 .:. 18 1 .81 121 .,. .34 76ml1a 4. 14 SdeTol .1 7 253 Uxca .2,1 al. 1,547 2,16 ...-. 4 ..290 oa. .3,712 QUARAIMTINE-BOCAS DEL TORO. Inspected and passed. In8pted and ..' ..1, Pas'Inespect d passed. .o ..5 LIItransit inspected and. 25S Phelo to complete period of incubation of fever. ld tocomjplete period of Inh baton of Plague. 2 aK M. liniW,

PAGE 48

No quarantinable disease has appeared in this port, and health conditions of the port and surrounding territory are TABLE XIX.--STATEMENT OF QUININE ISSUED. :044"! Qunnsulphate.-----------------------Quini e, s pb t ......... Quinine sulphate tablets.4. Total-. .43. Pounds, avoirdupois, 94.80. TABLE XX.-PERSONNEL REPORT. May, Iue Juie, 1914.11. 93 Skilled Officers and ers U~ Total. Total. Total. an e-skilled 1: ployees. labor. Chief health officer. 15 .15 16 33 Property division. ....9 Quarantine division. 19 20 39 38 4 Health office: Panama. 23 138 161 161 47 Colon. 18 121 139 110 138 Ancon Hospital. 273 203 476 513 558 Colon Hospital. 22 10 *32 32 189 Santo Tomas Hospital. 6 .66 5 Taboga Sanitarium. ... Palo Seco Leper Asylum. 11 7 18 18 Zone sanitation .21 105 126 124 247 Hospital farm. 1 47 48 49. Dispensaries: Ancon.5 Balboa. 6 .6 6 4 Bas Obispo. .6 Corozal. 4 .4 4 4 Cristobal. 6 .6 6 Culebra.5 5 5 Empire.4 4 5. Gatun. 4 .4 4 9 Gorgona. .... Las Cascadas.4 Margarita Point. 1 .1 1 Miraflores.S Naos Island. 2 .2 2 Paraiso. .4 .4 4 Pedro Miguel. 3. 3 3 Porto Bello. Toro Point. ...2 Total. .448 651 1,099 1,109 1, 0 PA

PAGE 49

Am eo~ .1fi A Wnn ot L

PAGE 50

11 -. 1. .-I -1 -I -, -j 7 0: ;-."K 0 C. ; s -"-w++ %Q, *N O L:. N~l .1L4 .f w~~ ,* A+ MY NAA* *C ,',,? Q, W"T icu" a a1 Q N ~ yT -Sk's N.A. to AS~~~~ +++nG "A y N V!~~~~ *, j. 4 N!" .; "hi :1 .-N-+ jk g .1 7 V IL ; X v -.1 % V IN 0 3~ 11 .O N N Q~~ ----g +N A 'A~~ -' -O -MN~ -N l Of x 4N. .:K NNI N I N fAA" IN % ; W ; , 1* LL.NN % N* --NN .+N+ IN -i TO4 4 4 IN; --

PAGE 52

UNIVERSITY OF FLORIDA 3 1282 08520 1134


xml version 1.0 encoding UTF-8
REPORT xmlns http:www.fcla.edudlsmddaitss xmlns:xsi http:www.w3.org2001XMLSchema-instance xsi:schemaLocation http:www.fcla.edudlsmddaitssdaitssReport.xsd
INGEST IEID EAZT711UX_U37JJN INGEST_TIME 2017-09-08T15:01:49Z PACKAGE AA00006090_00019
AGREEMENT_INFO ACCOUNT UF PROJECT UFDC
FILES