Citation
Report of the Health Department of the Panama Canal

Material Information

Title:
Report of the Health Department of the Panama Canal
Creator:
Canal Zone -- Health Dept
Isthmian Canal Commission (U.S.)
Place of Publication:
Washington, D.C.
Publisher:
U.S. G.P.O.
Creation Date:
May 1917
Publication Date:
Frequency:
quarterly[1918-Mar. 1919]
Monthly[ FORMER <Nov. 1904>-1917]
quarterly
regular
Language:
English
Physical Description:
v. : ; 20 cm.

Subjects

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

Notes

Issuing Body:
Reports for <Nov. 1904>-Mar. 1914 issued by the Isthmian Canal Commission.

Record Information

Source Institution:
University of Florida
Holding Location:
Centers of Excellence at UF
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:
29940569 ( OCLC )
ocm29940569
25402441 ( ALEPH )
Classification:
W 79. 12/5 ( sudocs )

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UNIVERSITY OF FLORIDA


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7 ---7 PORT ---f TIE DEPARTMENT O -F 7-7H PANAMA CANAL -FORTHlE -;7 1H MA 1917 D. C. HQWARD t M ta nt-C--on,: Medial Corp, Uy tate* Army 'Hoe hdtarts Caftal zoxiv Wks T 4I / ---* 4 -' .7-7 7 I 7 7;77** 4 ~'1

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OF T7m '"ATH DEPARTMENT & OF E PANAMA CANAL FOR THE MONTH OF.MAY, 1917 is* "* D. C. HOWARD. L iutean-Colonel, Medical Corps, United States Arrmy ief Health Officer, Balboa Heights, Canal Zone WASHINGTON

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CONTENTS. m it al ...............Page. ark-,itt. ..--. qf employees ..'5 of residents of the Canal Zone ..-.----.6 of residents of the city of Panama. .7 oef residents of the city of Colon ..7 WIviston: .rMeospital .---. 8 1of he al .a o at r. ..Iim. ..8 on cward.-. 8 't .....---.8 per Asylum ..9 "Towas Hospital .9 station: Mo e. ...9 ........10, dvision .11 SAdmissions, deaths and noneffective rates for employees; deaths of residents of Panama, Colon, and the Canal Zone .--. 12 4% Causes df deaths of infants by ex, color, age, and place of resid en ce .--.---..-...---.-.--..---.14 Deaths by nationality.-16 Deaths of white A mericans connected with the Panama Canal._ 17 ._Causes of deaths of employees.----.-----17 Causes of deaths of civil population (employees and .u employees) and military, by sex, color, age, and place of residence. 18 J1gwharges and deaths in the hospitals of the Panama Canal., -. 24 ,,'Cnsolidated hospital report .34 Consolidated dispensary report. 36 .' Employees: Constantly sict adnnfetv rates per 1,000 .37 Number of days treatment per admission, hospitals and quarters. 38 Jqnaneial statement .--. -. ---. ....38 "Ancou Pospital. ..39 folon Uospital. .44 Santo Toma Hospital .45 $Saitary work done in the Canal Zone, Panama, and Colon.48 a Quarantine transactions .I .50, XIL Personnel report ..51 XDeportations.-._. .52 I(N

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LMEROF TRA TTAL THE PANAMA CANAL, CANAL ZONE, HEREATiH DEPARTMENT, Balboa Heights, Canal Zone, June 11, 1917. ER HARDING, !j Mnor of The Pananm Canal, Balboa Heights, Canal Zone. hav the honor to submit the following report of the operathe: health department for the month of May, 1917. ryrespectfully, D. C. HowA"n, Chief Health Ofcer. GENERAL REM ARKS. A health of employees, and nonemployees in the Canal Zone and cities has continued good. ehas been an inceas. in the admission and noneffective rates Jyees over those of the preceding month and the correspondth of. last yea, due chiefly to the prevalence of influenza, ix some districts has been mildly epidemic. Axsease, of a quarantine nature originated on or was brought 'h sthmim during the month. bubonic plgue aspect wa removed from the steamsi Luckenbach from Cfiilean and Peruvian ports, and kept unbeation until laboratory investigation proved it negative.( VITAL STATISTICS. EMPLOYEES. faaingstatistics are based upon the total num ber of naes o, h pay rolls of The Panama Canal, and the Paa Co. fox the preceding month, which w 33,927. n to hospitals and quarters numbered 1,079,1 a rate of acomopared with 303.59 for the preceding mouth, and 285.45 Corresponding month of Wat year. 'sths from all causes numbered 19;of these 17 were from disease, rate of 6.01, as compared with 2.05 for the preceding month'. Sfor the corresponding month, of last year. Wobiity. and mortality rates arm computed as equivalent annua per 1,000.

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The constantly noneffective rate wa .7,'s for the preceding month,, and 98.59 for the. C0rrep last year. The admission rate for mitlaria, hogpitalA and quart as coX pTed it4.11-for the preeding month, ad T0 responding month of last year.The congftntly non was 0 .25, the same as for the preceding.Month,, as COMP, for the corresponding month of last-year. Diseases causing the highest admission rates to ho order of their numerical importance, were: (1) Yene (2) influenza, (3) malaria, (4) bronchitis, and (5) organic the heart. These fivediseases caused 33 pe ent f al to hospitals; venereal diseases alone causing 12 per cn missions, and malaria 5 per cent. There were no admissions from typhoid fever during~j as against one for the preceding mouth and none for the. ing period of last year. By race: For disease only, the admission rate to hospit death rate for white employees were 357.56 and 2."54 r as compared with 244.95 and 0 for the preceding' month, and 2.58 for the corresponding month of last year. Fo'r+ployees, for disease only, the admission rate to hospitu death rate were 94.12 and 6.57, respectively a Ircom 77.73 and 2.38 for the preceding month and 64.95. a 1d 1 corresponding month of last year. The constantly noneffective rates were 20.70 for white for colored employees. The admission rate to hospitals and quarters for malariavA+ for whites and 6.57 for blacks as compared with a rate u -whites and 1.59 -for blacks for the preceding month .-and' whites and 8.87 for blacks for the corresponding period of, One death occurred among American employees during as against none for the preceding month and none for thec+ ing month of last year. CANAL ZONE. The population of the Canal Zone (employees, none soldier-), according to the police census of. June,, 191, Fro tis population 26 deaths occurred during tihe which were from disease, giving a rate of8.9a 7.34 for the preceding month and 9,45 for the cor espoin of last year. Of the deaths from disease, 39 pet cent occurred under 5 years of age as. compared with 47 per cent for14 Fifty-two births were reported during the. ronth, gi 20.10; of these births 19 were white and 33:colored., Seven deaths odeurred among children under 1 fe white and 6. colored, giing an infant mortality ra te number of births reported for the month, of 53. for colored children, with a general average ofj135. Of the total births reported 5 per cen't were stillb irt T'

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PANAMA CITY. #uatn 6f the city, according to the census of December, 60,78 tisincludes more than 10,006 employees of The fiaal.From this population 131 deaths occurred d"rn Ot, 127 of which were from disease, giving a rate of 25.07 re ith 23.30 for the preceding month and 26.06 for the ding mouth of last year. to-tal deaths from disease, 45 per cent occurred among .ner 5 years of ag e as compared with 58 per cent for last ncipal causes of death as compared with last month were April. May. Rla a(Mnclfding lobar and broncho).--.---.--.-. 22 26 08i9 (various organs).-....-.-.--.21 21 eaan ntrii ...16 17 un.hidred and twenty-three births were reported during the gving a rate of 44.03. Forty-five deaths occurred among A under, 1 yrofage, giving an infant mortality rate, based nuber of birhs'reported for the month, of 202. he, total births reported 4 per cent were stillbirths. COLON. P1population of Colon, according to the census of December, -Js 24",693, including over 5,000 employees of The Panama Canal. AMi population 48 deaths occurred during the month; 47 of ""; erefrom disease, giving a rate of 22.84 due to disease alone, nfcmed, with 17.49 for the preceding month and 24.29 for the Ieninhg month of last year. oh deaths from disease, the percentage occurring among en under 5 years of age was 30, as compared with 44 for the Mng month. principall causes of death, as compared with last month, were April. May. 'is (-various organs) ..5 8 Including lobar and broncho. 6 7 ph it s. .-.........----4ya bits were reported, giving a rate of 36.93. Twelve cei-edamong children under I year of age ivgan infant rate, based on te number of. births report for te month, etbted birtha reported, 4 per cent were stillbirth&.

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DIVISION OF: HOSPITALS. The averagenumber of patients constantly in the hos during the month was 461, as compared with 454. forth month and 429 for th e corresponding' month Of 'last average length of stay in hospital for each employee ad 19.68 days. The new concrete admitting office and dipeay 'b formally occupied May 8. 'Building 335, which was ay admitting office and dispensary, was razed by hospital 14,1 material possible was saved and shipped to Corozal. 116 future use. Building 334, gold bachelor sleeping quarters, was: simn evacuated, but no disposition had been made of building,a of month. Statistical charts are shown under Tables VII,1 VIII, and,1 Corozal Hospital.-The average number of insane patieO stantly cared for during the month was 348, as compared for the preceding mouth and 277 for the corresponding mp 1"st year. J During May, 16 patients were admitted, 2 died, and 7 g charged. Board of health laboratw-y.No work other than rout'I1 1 ported during the mouth. (See Table XIII.) Chronic ward.--The average number of chronic patient during the month was 25.39. During May, .there were 4" and no adimission&a COLON lHospiTAL. There were constantly cared for in the hospital during tc 44.91 patients as compared with 43 for the preceding monili for the corresponding month of last year. The average .12 stay in hospital for each employee admitted was 9.53 dayo.,, Statistical charts are shown under Tables VII, VIII, aud, PALO SE~CO LEPER AsyLUx, The number of patients constantly cared for during't ws65.24, as compared with 64.73 for the preceding mo 58.54 for the corresponding period of last year. 'Two pai admitted to the asylum during the mouth, with two deatll discharge among the patients. The infirmary had five admissions and two discharges month. The arrangement of two wards,-one for males females, in this baldingj, is working very satisfactorily", much needed improvement. The new ward building, completed during the month, with the -exception o plumbing. The chapel vw moved a distance of about,plaed. on a direct line with the woWen patients oa

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49 erly occupied by the chapel will be graded and planted 'And flow. Pumping to the tank for the military signal resumed: during the month, and this station is now being with about 300 gallons of water daily. SANTro TomAs HospiTAL. Ma~y 1, 452 patients were treated-in the hospital, as com1ut ,246 for the preceding month, and 1,348 for the corremouth of lAst year. The average daily number of patients a459, as compared with 410 for the preceding month, and the corresponding period of last year. The total number of ,otment was 14,229 as compared with 12,705 for last mouth. the mouth 71 deaths occurred at the institution, 'with (1) lasis,'(2) diarrhea and enteritis, and (3),pneumonia the chief in the order -named. stical charts axe shown under Table XV. DIVISION OF SANITATION. A olliwing table shows the average weekly admisin rate from,. mngemployees to both hospitals and quarters during the, a of M4y, the percentages being based on the ratio of the num-admissions from, each district to the total number of employees therein: Number admisions Average District. Number of from weekly employees. malaria admisin during rate. month. ............2, 632 2 0. 017 rozal. ...1,750 1 .01a .....991 3 .068 .........4. ..1, 750 0 ...... E----------.451 a ..... .................1,424 3 .029 ---..........2,845 4 .032 .........5, 094 1 .004 .y. 10, 049 7 .016 ...........6, 941 7 .2 oyees engaged in pasture and jungle clearing, and cntruction gangs "e bove samtated dsrcts. t CANAL ZON.E. ,-ioug' ditricts have been maintained in good condition.; Qf a permanent mature is being discontinued for the time due o te adentof the rainy season,. and the undivided. vi esantaryfore applied to the proper: maintenance and as mosuito-reed'n areas and other urgent sanitary work. ...-.2

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The special rat catchingwork in, Balboa, startedMo ceeding satisfactorily, though the total catch has ,beelll.i" anticipated. Factors governing tewkhaeben hel less accumulation of various'kinds. of material and 0 m connection with the. building work in-Balboa and the amount of food material available for rats, both ashore on the surface of the water in the immedie vicinity of Measures are being taken to reduce these opportunities fof, harborage in addition to constant effort to improve the. of the rat trapping work proper. The -nurse in charge of infant welfare work reports for-thj of May as follows: Station work: Total number of babies seen.-----------Instructions given to mothers, total cases. Treatment given babies, total cases. Histories taken, total casesEKaminations made, total cases. Outside work: Total number of visits made.------N um b er of cases n ot located .----_ ----_ -Number of cases moved to Colon and Interior General: N um ber of breast-fed babies ............. Number of bottle-fed babies.-----------Number of breast and bottle fed babies.%4 Total number of babies seen.-------Number of destitute cases given as:istance-. Number of ca:e: admitted to hospital_-----Number of cases treated at Santo Tomas, Dispensary. Number of cases treated by physician at station Defective condition found: Skin disease (rash). Skin disease. .----. -. ---. B abies died .--.-.-. --.-.-.-. ---.-.-. COLON.J4 The mosquito catch, which had shown no anopheles since 20 of this year, is now beginning to show this genus. This ticular reference to areas contiguous to Mindi swamp. and pasture. The latter mentioned sections,,are beyond the', sanitated districts but in certain seasons of the year, when winds are favorable, these sections are responsible forul in the district. The rate for tuberculosis shows 14 cases reported fo r 7 for April. This is attributed to the advance of the al with the necessarily frequent exposure of the men, th er, sleeping in Wet clothing, iand the like.

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QUARANTINE TRANSACTIONS. ,te Vork of the quarantine division was carried on without .ent during the month. In accordance with the new olaw undesirables awaiting deportation have been dethe police stations. ,The mas ter of'one vessel was arrested dn of the immigration law and his case will be tried in vere five deaths among the Governm oent cattle on the old areas in the vicinity of Mount, Hope; the probable. cause of otswas anthrax. section of food animals for the month of May was as follows: e inspections: ................9 w n ..945 le, .:. 1, 207 =. 267 usual inspection of all animals s brought to the abattoir was ed, close ante and post mortem inspection; also a microexmnation of smear from spleen of each animal slaughtered Ado No anthrax occurred at the abattoir during the month.

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TABLE L-ADMISSIONS, DEAsTHS AND ,NO NEFFECT~E" EmftLOYEEB A BSOLU 'E NUxBExs -Adm issioxislto Da ho spitals.De1 May 1917: *ite. 4,732 157 141 16, 1 1 + Black .:;. 29,195 308 229 79 18 16 Total .33,927 465 370 95 19 17*. April, 1917: White .4,801 120 98 22 0 0 02 Black .30,260 279 196 83 10 4 Total ..35,061 399 294 105 10 6 May, 1916: White. 4,650 125 107 18 1 1 .0254 Black .29,743 221 161 60 14 9 Total .34,393 346 268 78 15 10 .5 JPRoPoRTIoNATE NumB ns May, 1917: Wht. 4,732 398.14 357.56 40.5'7 2.54 2.54.-, Black .29,195126.59 94.121 32.4'7 7. 39 6.57,0 Total .33,927 164. 47 130.87 33.6C 6.72 6.01 ,1 April, 1917: White. 4,801299.94244.95 549.9. Black. I. 30, 260 110. 64 77. 73 32.91 3.96 2.38. 1.5 Total.,. 35,06136.56106 594 3.220 1.7 may, 1916: Whi'te. 4,650 322.58 276.13 46.4; 2.59 2.58 Colored .29,743 89.16 64.95 24.21 5.65 3.0. 2.6 Total. 34,393 12D. 72 93. 51 27.21 5.23 3.49 1.7 I Annual average per :,000 employees.

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13.7.DVUEAT S OF RESIDENTS OF THE CITIES OF PANIAMA, COLON, ANbD THE CANAL ZONE. Deaths. Annual average per 1,000. I Popula--tion Toal.DisExternal Toa.DisExternal ease. causes. ease, causes. .60, 778 131 127 4 25.86 25.07 0.7"9 .24,693 48 47 1 23.33 22.84 .49 one. 31,048 26 23 3 10.05 8.89 1.16 .116,519 205 197 8 21.11 20.29 .82 60, 778 123 118 5 24. 28 23. 30 .98 .24, 693 41 36 5 19-92 17.49 2.43 'I cmw,.31,048 21 19 2 8.11 7.34 .77 .116,519 185 173 12 19.05 17.82 1.23 ..60, 778 138 132 6 27.24 26.06 1.18 .24, 693 52 50 2 25.27 24.29 .97 alZne .33, 023 30 26 4 10.90 9. 45 1.45 118, 494 220 208 12 22.28 21.06 1.22

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TAL M0ASSOYDAt F N Causeof dath. M.F.W:.B Teau ;e i e i. ................. Tu ec lsso u g ----------; o v lin of-n a t ----------... Coxa y c r ii -----------... Diesso h y p ai yte ----.' Ac t rn hts. ....3 -p e mo i ........... ; rnh 5 6 1p1 P n u o i n u l f e ............. Gatr eneii .1 5 ----c o.i .................--I I ... A c t e h ii ................1 -fj -----------;o g nia ; e i ........... M an trto .............. Ote asspcuirt i nfny---2 1. Act ifcto f n etie d orgi ---I ;----71 Stlb r h ...............8 4~ "1n AM

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LO-UAGEt AND. PLACE OF? RESIDENCE. -Age by months. Residence. 4 -4 45 5-6 6-7 7-8 9-10 11-12 -Colon. Zone. Total. ........... ------.---. .2 1 ....w ....... 1 .L. ..... .--..........13. ..... 2 2 2 ---.1 8 3 ---11 ............... S 1 1 3 2 1 3 2 ..14 3 2 19 1: ------------2 ..22 1 ............... -........w ------------------1 1 ----------I -------1 --------------5--. .6 T' IL .......1. .2 ----1 3 -. ........1 2 ...3 S 5 7 7 3 3 6 4 1 451 12 7 64 A --.J-------..10 3 3 16 4 4 5 7 7 3 55 15 10 80 .........2(1.79 157.89 124.61 182.33 ...................34 25 27 31

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TAB LE IIL--DEATH BY NATIONALITY. Employlees. Nonen tployees. Tota Male. Female. Wae. Female. Male. knti ua .........1 iiarbao .4. .r. 23 7 2 ,Cina ....;. .1. Colombia ...5 105 Cuba ......,. Dominica .1 .. emear. ..2 'rEca.r. ...... Tread ...1 1 .up.,. .,. ,. .. Grea.a. ... Jamaica .7 .28 21 35,-_ hfartinique .1 .-. 3 1 4 1 Montserrat ...I .,. .. Wassau ....1 Panamta .1 .28 26 M Peru .,. ..2 1 21" Porto Rico .,. ..1 .--..*Salvador .... St. Lucia .I .2 .3 .St. Thomas ...1 St. Vincent. ..1 United States .I .1 1 2 'Vneuea ...2. 2 'Unknwn ...1.1 Total .19 .112 74 131 7-

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17 BEATH, RATES, AMONG AMERICANS ON THE ISTHMUS CONNECTED WITH THE PANAMA CANAL. Annual average per 1,000. ees from the United States: Causes ...............-------.a ............... woen. and children from the United States: .......-----2.48 i en causes ..................... 0 .....2.48 emlye and their families from the United States:...2.65 ne a causes. ..... .;. ..2.65 n the Canal Zone, including military, connected with ,0 -Va a au s. .......................Ca al .oa .----. 1.42 TA-aLB V.-CAUSES OF DEATHS CF EMPLOYEES; s White. Colored. Total Or heart disease. .1 1 on a ..3 3 oarcomatosis ...I o e phritiss. 1 2 3 giiture of urethra .9. .1 1 1*emiuated tuberculosis ..6 6 4Uphylococcus pyemia and septicemia ...1 Rupture of an aortic aneurysm into peritoneum ..1 1 Tm mtism by vehicles. ....I % ie by-railrad traumatism. .1 1 %3 ....I. I 81

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TABLE VI--CAUSES OF DEATHS O F CWEIL POPULATON( Sex. Color. Ag Cause of death. M. F. W. B Y. YOU" General diseass Typhoid fever .1 ..1. -M easles.-. .-Dysentery, bacillary .1 Pyem ia .-. ..-----. 1 ..I T etanus .......1 -Pellagra ...-. 1 2 .3 .... Beriberi. ..I ..I Tuberculosis of the lungs .18 6 2 21 1 1 Tuberculous meningitis---.---.-. I --. .. Disseminated tuberculosis .6 -.-. --. 6. 8yphilis, tertiary._. ..2.2. CM eer and othermlgnn u rsf the buccal cavity.--.-..1 ..1 -----Cancer and other malignant tumors of the stoma h and liver.---.-.-. 1 1 1 1 ..... Cancer and other tumors of the female genital organs ..1 .2 2 ..... Cancer and other malignant tumors of other organs and of organs not specified. ...........I ..1. Alcoholism ------. ......I ... Alcoholism, chronic ..1 .I .. Cerebral hemorrhage, apoplexy_. 3 2 1 4. Paralysis without specified mause ..I .. Convulsions of infants (under 5 years of age) .2 ..2 2 Other diseases of the nervous system. 1 ..1 .. Diseases of the circulatory system. Pericarditis. -I. .. Acute endocarditis .1 1 .. Malignant endocaditis ..I .I Organic diseases of the heart .7 4 1 10 Angina pectoris. 1 ..I Aneurysm. I ..I Arteriosclerosis .1 2 .. -Disease of the lymphatic system. I ..I ,Dieases of the respiratory system. -Disease of the nasa fossae .I ..I1 Acute bronchitis .1 3 .4 3 Chronic bronchitis.--. 1 ..I B-roncho-pneumonia. .9 7 1 Is Pneumonia (unqualified) ..5 1 6 Lobar pneumonia.-. 9 3 1 11 .-Diseases of the digestive system. 0ther diseases of the stomach (cancer excepted) .------.-1 ..I Diarrhea and enteritis (under 2 ycars). .14 7 .4 17 .1 c olitis .2 ..2 .. Diarrhea and enteritis (2 years and ov er) _.-.-.-. .-_. .-. -.-. --... Hernia, intestinal obstructions -.1 .. Constipation. ........: ..-.---.--

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MPLOYEES) AND MILITARY, BYC SEX, COLOR, AGE, AND Age (in years). Place of residence. U1-40,141--50 51-60 61-75 76-100 Panama. Colon. Canal Total. Zone. .1 .....1 1 ........1 1 ........sI ...11 S. ....... Sn. ...0. .... 2 ...I -. ..3 .3 ---------..-. ---. .-. 6 8 2 .1 18 6 -. 24 ................1 3 1 1 ..2 2 2 6 ...1 ---.-.-.-. .2 2 ....1 ., ...1 *~. ...1. .1 ...1 .2 2 ..2 ..2 S. .......... ......1 .. .....1 .... 1 1 1 1 1 3 2 ......---.--. ...-----------------~ --.2 1 ......1 1 .....1 .... ......11 .2 .....' 1 .. 1 3 4 ..2 5 5 1 1 ....1 ... 1 --.-...1 -----...2 .1 3 ..3 .~ ... ........1 ...44 1 ..-. --. 11 4 1 16 1 .7 ._. 7 2 3 3 2 ..8 3 1 12, 1 .....1 ., .. s ~ ~ ~ ~ ~ ......1 ..a ......... ................

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TABLE VI.-CAUSES OF DEATH18, F (CN ]I[, POPULAT0 Cause of death. M. F. W. B. -Y -1 DiseaWe of the igestive viystmcon. Duodenal ulcer ..I Cirrhosis of the liver ..I .I Other diseases of the liver. .2 ..2 Diseases of the spleen. 1 ..I1 Simple peritonitis (op rpr). 1 1 .2 colitis ...1 .. 1,+ No aerial diseases of the genito-urinar y system and annema. Acute nephritis .1 1 .2 Bright's disease (chronic ndphritis). 11 3 2 12. Other diseasesof the kidney and annea .-. 1 1 Pyelo-nephrosis. 2 ..2 Disae ofthe urethrauriary abscess, etc .I ..1 .... T he puerperal state. Puerperal hemorrhage ..1 .I .. Malformationm. ongenital malformations (stillbirth not included) ..1 .I .1 Diseases of early infancy. Newborn child ..1 1 ..A Congenital debility, icterus, and sclerema .I ..I Fremature birth .4 2 .6 .6 Congenital debility. 2 1 .3 .3. Ma~nntrition.-. .2 .3 Other causes pecuiarto early infancy (including vaiu consequenemof labor). ..2 1 ..2 1 3 Old aye. Senility. ....... Affections produced by external causes. Suicide by &rowning. .1 .I Suicide by firearms .1 .1, Other suicides ..I Other acute poisonijngs .1. Accidental drowning .I Traumatism by machines .I Trauma tism by other cr hings .I .I Other external violene. 1 ... ll-efined diseases, Infections of undetermined origift. 1 ..I Totaq ..131 74 25 178 2. Stillbirths. '8 8 2 1 Grand, total ..7 139, 82: 27:192 2,

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PLOYEES) AND MILITARY, BY SEX, O LOR, AGE, AND Age (in year). Place of residence. 314 4-051-6W 61-75 76-100 Pawa Colon.Cna Total. Zone. ---.... .---.---..... ..............2 ..2 .......... ----.--.-. ._._ -. ..2 1 ........1 ... ------.--.-2 .... 4 4 3 ..5 6 3 14 .........1 ........1 ...... ..........1 ........ ..............1. .. .............. ------------------------------..........5 .. ....... S ....... S. .......... 1 ......--*. ...... 1 ....... -9 31 13 97 s 6 1 48 25 205 20 31 13 27 8 6 141 .129 2.

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TAL3Y -.-:KT O bia.i Ineiro aa a .o.o 1 L -L sS b n s .R o.B ak.d ., 5 Darin, .P.L ..o. -do._ ,.do_._. 36. PaaM .d ..-d --. .o. ;7 Jua Diz .xLClm i. do _,,d.:7 A i U. S.Nv. Uie tte.W ie o. 4 , D o ..............d o .....d o ......o .-3 .' .k u t e Chorrea R.P.P r .lc ..o. Tooa sln -.x 'n ma .do. 3: 4t Inero of Paa a ;o.d d. t Ca ita R. P4. .o.d .d .'21 reu O !b Ud S Nay. Unied tate. W ite_-_d. 1 Ce 4 4 4

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44 ; e IS

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TAB'LuE VIL-DISUH AR ES A ND, D ischarges. White. Diseas-MF. M. F. M. F. .F .General disaes. Typhoid fever .,. ......" Malarial fever: Estivo-autuninal. 5 ..4 Tertian ...1 .3 l. 2 Undetermined. ...... Vaccinia .................... M easles ...........j. ....... Scarlet fever ....... Diphtheria and croup .-. Influenza .15 3 3 14 Dysentery: Entemebic ..1. I .I1 ..... Bacillary ...................... Chicken pox ...5 Mumps Verruq a peruana. .... Pyenna ... Septicemia ................... Pellagra ....................... Tuberculosis of the lungs ...12 Abdominal tuberculosis Tuberculosis of the genito-urinary organs ......... Disseminated bruls. Syphilis: T Primary ... Secondary ....... Tertiary ......15 1 Hereditary ....... Period not stated. I ...I Gonorrhea ..3 ...13 Gonorrheal arthritis-.s. ..... Gonorrheal bubo .... Gonorrheal ophthalmia.-----------Soft chancre ------------1 Adenitis Ohancroidal. .. Cancer and other malignant tumors of the breast .---...... Cancer and other malignant tumors of other organs and of organs not specified,. ...... Other tumors (tumors of the female ie ta organs excepted) .1 Diaetes. Othergeeadsae. Alcoholism, chronic ...

PAGE 27

25 L OF? THE PANIAMA C ANAL.Xpnemp pyees. Nonresidents. g. ,Death s. Dischages. Dea ths. Wit e. Black Black. White. Black. Wh~ite. Black. F. M. M. F. M. F. M. F. .F. U .M. F. 2 -------------1 -----------15 Qj 2 2 ....1 1 .......7 ............3 .1. ........ 2 .2 .............79 .1 ..3 1 ................... -: --.--........... ............6 44~. .........-1. 1 ..,. ...........1 ...............1. ..............1 1 ............... ..2 ......1 S ...........-...1 .............2 14 ..........6 ....2 .. 2 .......I. ........7 .. .......131 .......14 ...2. ......2 ., 2. ......:. .......2 ..1 .....2. ..*1-.. .~~~~~~ .3. ..............3 -~ ~ ~ ...-------. ----. .---.--.-. .......2 -.............1 .. 3 .3 .........i. ...2. ...... 1 ........t .........7 .. -l. .............. 08&17-4

PAGE 28

White. ht Diseases. Black. M.F. M. F H. F. it.Y.tj Diseases of the nervmus System and of the organs of special sense. Corehro.-spinal favor.----------Paralysis without specified camse ---------Generalparalysis of the insane .I :Other forms of mental alienation:-------1, Dementia precox ....... E iepsy .............. N e riis. ...... Other diseases ofthenervous system ....J. 'N eurasthenia .........--------.-----... ,Diseasesoftheeyesandtheirannexa. 3 ...4 ----Diseases of the ears. .... Diseases of the circulator y system. -lignant ondocarditis. ..4 'Orgaic diseases of the heart. .-.-'17 A neurism ......2 -Diseases of the veins (varices, hem1 orrhoids, phlebitis, etc.). M~emorrhoids. 2 1 2 -V anicocele. 2 ------. .... Phlebitis ..... Diseases of the lymphatic system .... (lymphangitis, etc.). Lymp denitis (nonvenerea). -----------Hemorrhago; other diseases of the --------------cicltory system. Diseawes of the respiratory system. -Diseases of the nasal fosso.--.-.I1-1 Adenoid vegetations.------.------Acute bronchitis. 2 .--. ..-13 -Chronic bronchitis. .... Broncho-pneum onia.-.-..-..--.-|Lobar pnerm niia..2 ....-'P leurisy ..-...I .4 ..2 A s h m ........I I .-..-J 4 Other di;ass of the respiralry .. system (tuberculosis excepted).

PAGE 29

SOF THE -A14AKA CANAL-Continued. Nosempoy esNontresidents. Dgs eats. Discharges. Dea ths. White. Black. .Black. Wh ite. Blak. White. Black X F. F.P M. F. M. F. M. F. M. F. M. F. 2 1 ..............3. .................... 2 ------------". ........... ....................................... ..+. .................... 2 ................105 4 ................2 .1. ................... ...........I ............... ....................i ........3. ....... ........I ........ ..1. .. ......1. .. .4. ....2. ..1. ... ........1. ..9 1 1 .I ................... 1,, 3 2 3.2 ..2. .*. ......--41,

PAGE 30

TA33L V L-DI80CHAR0E8 ANDM Michurges. White.Wit Diseases. Ce Black. e4 0 M. F. M. F. M. F.,M F 4 Disaw of the digestive system. Diseases of the teeth and gums .1 1 1 .1. Diseases of the pharynx.s ...... Follicular tonsiilitis. 1 2 Ulcer Of. the stomach .I1. .. Other diseases of the stomach (cancer excepted)._.,.-. 3 ---1 .... Acute Fastritis .2Acute indigestion Colitis .d. ...1 .. Diarrha and enteritis (2 years d over) .I .1. 8 Colitis. :. 1 ...... Ankylostomiasis ...... Intestinal parasites ..... T en i .----------------------Acute appendicitis .I I1. Chroi appendicitis .... Hernia, intestinal obstructions. lugiinal hernia. ...2 .6 intestinal obstruction .I ...... Other diseases of the intestines.5 .1 .1 constipation ...2 Duodenal ulcer ...... Biliary calculi ...... Other diseases of the liver. 1. Cholecystitis ... Simple peritonitis (nonpuerperal)._ No eteal diseases of the genitourinary system and anne= Acute nephritis .... Bright's disease (chronic nephritis). ..... Othor diseases of the Idiney and annexa. --------....... Py6l0-nephrosis ...1. diseases of the bladder. I. .. CysIti ..--. .......3 Diseases of the urtrurinary abscess, etc. ....... Striture 'of the urethra, nonVenerea. .........-.-.-. .-.Nonvenereal diseases of the Malp geItAW organs .2 ... H ydr c e.;. .,. .....-.....2

PAGE 31

29 OF THE PANAMA CANA L-Continued. NORemployees. Nonresidents. D eath s. Discharges. Dea ths. White Black. Black. White. Back. White. Black K .F. M. M. F. M. F. M. F. M. F. M. F. M. F S L. ..L. .......6 .. ......|.....--. .-. -. 43 .. .4 ..4 6 ............42 ..L ..........-. .-. -.---.J ~ L ...............14 .J i ....J. ..---...J. ............1 .. .L ......L .....-...20 ..J .............. L. ..............3 .. .J. ....---. .-. ........ .j |. .....'. .1 .......2 .. .I.,. ..........-. ..8 -. .............-. .37. .L ...................I ----.---------..L. ............11 .) .~--...............1 .. ................6 tz .....1 .......2 -. ...-. ..-. ....--. .-. ..........I. ...r. ....2 1 ......... ............. SL.2. ..2 ..1 .......7 1 ....2. .1 2 .....,. ...7 .J .....I. ........2 ...........,. ....

PAGE 32

TABL-E VIL-ISCHARG ES'AND. Dl T Dschargos. White. Diseases.Black.2 Nonvenereal disease of the genitourinary system and anneza-Con. Utefine tumor (noncancerous).,. .-. -. ...-. Other diseases of the uterus. .--.... Eiinp d and other disea f fe ae genital organs. ......---..-..*. ... N puerperal diseases of the breast (cancer excepted).:. ....... T he puerperal state. | | Normal labor. .......as Extra-uterine pregnancy. .---------. ....'. Hypermesis gravidarum .-. ....... Abortion ...........a Other accidents of labor. .....L ...Puerperal album nria and con-villsiow ......L. .L. Eclampsia. .-.-.-. .--..-. ..-. -.-. ..Puerperal phlegmasio alba dolens, e-mbous, sudden death. ..... FOlloDWing" childbirth(nt thr. wise defined). .........Puerpwra diseases of the breast ...,. ..... Diseases of the skin and of the celular tissue. Furuncle. ......---.-..---..L .-Acute abscess..--. I ...6 1. .. Phlegmon and cellulitis. 2 ..1 ... DhobiC itch. ..: ....1 ...... UMet of the skin. ....--..J. Impetigo contagiosa .I I .., Ingrowing nail...--.-.-. 5 ........ Other diseases of the skin and annex. ..6 2 ...3 L-. .. Diseases of the bonas and of the organs of loco-motion. Dkweases of the bones (tuberculosis excepted) .-. 3 -. .--2 .-----. Arthritt ..3 .-..-.2 8yn vits. ..~ ..+. theridseases of the organs Of I&Comnotion. 3 ,.

PAGE 33

31 OF WME PANAMA CANALa-Contiuuod. loyees.Nontresidents. as eats.Dischasrges. Deaths. White. BMick. Black. White. Black. Wh ite. Black. P. .M. M. F. M. F.M. F. M. F. M. F. M. F. 4 L .L ....L. .-. .--. ....-414 .L ...J. .....9. 1 ....L .........14 L .L. ...1. .....I 14 L .J. ..........17 ...J .J. ..........4 7 ................... ...J. ............ ..J ..J. ..........4. .~~ ~ ~ ~ ........... 1 1 .............1 2. ....:. ....8 .J. .J.L. .......3 I ..J. L. ........3 2 L ............ .........A. ... .............17 L ..|. ............ 1~~~~~~~~~~~~~ ..,. .. L .J. J. ..1. ......7

PAGE 34

TABLE V. --DISGHARGxER AND lJDF Epoyees. Diseases.Black. M. M. F. M. F V Malformiations. Congenital malformrations (stillbfirh. not included) ...1. Disease of early infancy. Newborn child ............ Premature birth ...... Afections produced by erternal| causes. Poisoning by rood. I. .. Venomousbites and stings Snake bites.-.--.-.-.-.-.-.-.-.-.Burns (conflagration excepted) .....2 .. Trauat tsm by cutting or piercing instruments ..3 .7 Traumnatism by fall ...2 .10 ... Traumnatism by machines ..2 .1 .3 Traumatism by other crushings (vehicles, railroads, landslides, e t c ................, .. Railr oad ra n t ...2 ...1 injuries by animals .. Heat exhaustion ..... Fractures (cause not specified) 3 .4Dislocations .......... ,Other extrn1ailec ..2 34 III-defined disease ill-defined organic disease.Infoctionsof un'determined -origin. N o disease ...3 Total....18 15 27 .21 1

PAGE 35

8OF THE PANAMA CANA L-Conti nued. Nooemployees. Nonresidents. .Deaths. Discha rges. Deaths. White. Blak.Black. White. Black. White Black ~~M. F. M.MF M F. M. F. M. F. 0 .2.M ..F ....2 ..............2 .. 4 ..............20 1 ................. 1. .........1 .. 1 ...........3. 3 ................17 .. 1 .:. ..........37 .............17 I ..............17 .. 1 ...................4 .. ...l. ..J. .......J. 1 .. 1 ~ ~~ ---.-...4. ........l ....1 .. 1 -. .l ....1 .......L .I9 .. .......................... .................2 .. I. .........47 .................2 ..............4 .............3 5,2 90 Ia .6 2 1 1 .85 36 25r

PAGE 36

TABLE, VIIL--CONMOL RAE HOS MIAL 119 RemaungAdmitted.D AWCON HOMPTAL. Paaa Cl employees. 27 14 113 95 2 4184 Soldir .............82 ...8 ---2 Charity ae .11 .21 21 5 3 .. COROZAL HOSPIA (ISAE) Solders .............3 ...2 ... Charity css. .3 6 Total.11 5127 21 5 92 Grand total .6 10751 471743 2 1 COROZAL FARM (CRIPPLES. Panama Canal employes. 10 3. ... CHRONIC WARD. ,Charity c ss. ............2 COLON HOMPTAL. Paaa Caa employees. 1 3 13 2 6. Panam pay cases .....24 Charity css. 2 4. Total. 1 81 21; 65 13 8 PALO ISECO LE.PEX ASYLUM. Chart ses ..1 26 --2 -L Total ....2 -2 GRAND TOTAL. Paam Caa employees ----2 517 1 .2 22C arty 16 s14 4 1 2 1 Total 2 n429

PAGE 37

35i II.CONOLIA''9 HOSPITAL R.EPORT-Continued. TransAverage number confrred. 31. stantly sick. A. F. B. A. F. B. A. F. B. Total. 'CON HOSPITAL. a" mployees-. .-. 3 19 20125 29.26 16.35,113.42 159.03 Rai eplyes. 3 6 6 49 4. 55 4. 551 53.13 62. 23 .----2 -. .71 ..-83.32 ...83.32 r ae. .I .30 29 63 31.90 31.67 ,6.97 123.94 --.-. -----. ---. --. --. -. 21 3 1 2 25 7.13 1.261 24.091 32.48 .2 1 8.1291 57 262'156.161 53. 23 251. 61' 461. 00 HOSPITAL (INMANE). Ia em ployees ......--...-.7 -. .-.-. 6. 451 6.45 SR .em ployees. ...--.--....-..1. 16! 1.16 ---.--.-. .--.2 ..2.58 .2.58 y cases...-. .-. .-4 46 20 .0 43. 71203. 68 251.39 y-----------. ......-.-. -.1 6 1 1. 001 5.65' .741 7.39 ------. ---. .--. ..-. .3 10 68 3.00 9. 35 66.78i 79.13 6 .---.-.-.----....10 62 2801 10. 58 58. 71 278.81' 348.10 Vaud ot. 2 18139119 542166.74'111. 94 53. 42 809.10 CRZLFARM (CRIPPLES). S Cauad employees. -....9 531 .9. 42 53.22! 62.64 I CHRONIC WARD. cas s. ..4 ...23 ...25.39 25.39 COLON HOPIAL. aalemployees .11.4 1 2 71 3.70 2. W 8. 30i 14.00 U. R. employees .11 1 12 1 3 6 .48 1.351 8.29 i 10.12 .----.--1 ..4 ..6.54 6. ...54 ay cages. ..-.4 ..21. .1. 48' .48 .ae ...5 .3 9 2 -7. .25 3.164 .17i. 10.58 0a e ...3 2 ..1.4511 ...7 .1 -Total.-. .-10 1 261 5 19. 42' 6. 51 18.9K 44.91 JAL0 "ECO LErER ASYLUM. pay cas. es. --. --. -. -.-.-. -. -. 1 36 .1.00 X6.83 37.83 ca 0 .....1 26 .1.00 26.41' 27.41 0t l. ............6 2 .2.00 63.2 65.24 GRNAID TOTAL.aC kal employees .1 .-7 201 31192 32.96 27. 77 181. 39' 242.12 R.R epoye.I 1 15 7 9 56, 5.03 5.90 62.58. 73.51 .....77 ..92.44 ..92.44 1)ay Cases.---.---. -.4 41 47 241 4.00 44.71 241.99, 290.70 oases.'. 5 3 40 37 64 40.151 39.898 61. 88i 141.91 280. -. ..9 8! 13142 11.58 11.61143.41 166.60 161-.-.A--.2.' 2 .38 156 137 395 186. 16 129.87 691.25 1P7.2 employees remainIng in hospitals: ...........67 ------...............248 .........315

PAGE 38

TABLE IX-O SIDTDDSE S'yo .r RemainAdD Dis-Trasaio mng mitted. id charge&. erredL U~ May 1. W. B. W. B. W. B. W. B. .B .. Ancon .2 .119 1 ..114 1 .7 m Balboa .4 .236 22 .---._.226 15 5 5 9 2 45j" Pedro Migue1 .1 .17 3 ..17 3 ----12 Paraiso. 13 13 ..8 11 2 3 .2 Gainboa. ..1 2 ..1 2 ...j Gatun. ...--9 6 ..8 6 1 ._ ----4 Colon .7 21 99 112 ..98 109 ..8 ?A 2M Total. 14 21 494 15W ..472 147 8 5 28 28.1 6 ALL CASES TREATED BUT NOT ExCUsED. Employees. Nonemployees. W. B. Total. W. B. Total.W. 1 Ancon .1,844 5,15917 003 1,559 3,997 5,5W6 3 03915 Balboa .4, 494 4, 492 82986 4, 973 1,463 6,4369 467 k 1 Pedro Migue. 1, 250 1 577 2 27 ,035 589 1,624 2 9 A16 Paraiso .874 21831 3,705 765 758 1,523 1 30 Gamboa. 79 242 321 22 210 232 101 45 Gatum .304 1,162 1 466 634 975 1,609 93 L7 Colon ..1,585 41579 6j 164 941 1,233 2174 2 Total .10,430 20,042 130472 9,929 9225 19,154 20,359 2?j% TAL I-A.--CONSOLIDATED ADMISSION REPORT' White. Blak Total amissins to hospitals, excluding Corozal farm and chronic ward .572 47 Total admissions of employees to quarters .454 Total ..-. .1,066 o Less -number of patients transferred between hospitals, and from quarters to hospitals, whose admissions are duplicated in above figures .22 9 Net nmissins to hospitals and quarters. 1,044 67 EMPLOYEES. Employees admitted to hospitals .-. 1.57 7 Employees admitted to quarters. 494 Total employees admitted .65 Less number transferred betweenhospitals, and from quarters to hospitals, whose admissions are dupli-: cated in above figures .4. 1 Net admissions of employees to hospitals ajid ~~ ~~ quarters ..4 Annual average per thousand of admissions of am. ployees to hospitals and quartarn. 1,W.9

PAGE 39

37 -CONTAGIOUS AND INFECTIOUS DISEA SES REPORTED DURING TH MONTH. Panam. Colon. Cnl Total. 3 ..3 .........9 2 7 18 .........1 .3 4 a ebic. ..............I 1 infection -....7 49 56 ...,. .. .....Ir. ....14 5 69 8 .........4 4 19 27 .....1 .. tober u Otis. ........1 .---.-. 1 .2 .........1 .3 4 .........3 ..'3 adUte .25 a 13 41 ........----------1 1 .............11 11 ............31 14 18 63 16 ....2 2 e h. 7 1 14 22 NUMBER. OF EMPLOYEES CONSTANTLY SICK IN HOSPIA TALS AND QUARTERS. White. Colored. Total. Hoqpitat ..54.71 174.16 228.87 F 0 spital .7.53 16.159 24.12 .,. ......62.24 190.75 252.99 .----. 7.55 .06 7.61 00Men .-----.-17.58 2.94 20.52 .k. ..93 .55 1.48 S ...........77 1.45 2.22 ................19 .06 .25 ..........1. 52 .32 1.84 ..........7.19 20.48 27.67 ..35. 73 25. 86 61.59 H[ospitab. Quarters. Total. er 6femployees onstantly sick ------.62.24 3&, 73 97. 97 ......75 25.86 2 661 ....252.99 61.59 314.58 mbrof emplayeeo constatly sick per .....13.15 7. 55 2 .7 ....6.63 &. 9 7. 42 .i .46. L 1.27

PAGE 40

Hospitals: Ancon Hospital. Colon Hospital .:. Quarters: A ncon .-. -. 1.65 B alboa.-.-..-..-.--2.33 4 0 "' Pedro Mig l. ..-...-. I.7m Paral: <.:. 2.40 Af Gamhoa. ..,. 6.00 10Oi G atun ....-. .--. -. 5.22 Colon ..-.-.-.-.-.-.-.-2.76 7 4 TABLE XTT FINAN CIAL STATEMENT, DEPARTMENT" April,1917. March,97A Chief health offle .$8.16 $757.20 Constuctonalltments. .7,866.59 8586 Stoc ..625.89 377.00 Susse..Cr.4,662.69 Or. W77.41 Depredation .-----------------Total. ..4, 412.95 %,336.,67 Hospital division: Acon Hospital .34,191.68 35596.12 Corozal Hospital and farm. ..7,199.12 1 450.91 Colon Hospital. 4, 629.82 4,7951.4 Palo Seco Leper Asylum.--. 1,998.07 2,136.3 Santo Tomas Hospital. .1,110.33 977.5 Medical storehoue ..855.72 W4. 71 Total ..4,8.4 5,M0 Ehnitary division:Chief sanitary inspector.-.-. -50.00 W0.w Zone sanitation. ..10,043.15 9,98L.3 Health office, Panama. 4,453.93 3, 808. 2 Street cl -ening, Pa.nama ..4, 680.21 41754.8 Health office, Colon .2,267.88 46 Street cleaning, Colon .2,5W i 08 25w 50 Total. --. 23,999.25 23,5 7 Dispensaries...-. 3,.W .87 3,486.0 Quarantine division ..16,' "WV RECAM~ULATION. Chief health office. 4, 412.95 336. 'Hospital division. ..---. 49,984.741 2 958. 0 Sanitary division. 23 999. 25 2 577.6' Dispensaries ..-. S 6.87 3469'7. Quarantine division. 61.38 5,968,0 Total ~ ~ *. 81.9 9, -0

PAGE 41

T%~ XM.-ANCON HOSPITAL. REPRT r AY LOST IN B W M AL. 6 American. Foreign. Black. Total. Chta eplyes. 907 507 3,516 4,930 emloee .141 141 1,647 1,929 --------..2, W ...2,583 Go rmetpatuets. ... PAYPai .------. .989 963 1, 890 3,842 paiets. 221 39 747 1,007 .4.841 1,650 7,800 14,291 Caal employees ...200 200 R. R. employees .,.--,.-. .-.-. 36 36 rs .8 (0 ......8 Goermet patients .2124 (62) 1,355 6,314 7,793 py patients. 31 175 M,7 M,5 ...292 1,2 8650 15,92 "Gran total .5,169 3,762 18,8 M 7,11 tI I brow Filipino, 2 2 black Americans. er 0**O Odbsstence per patient per day, $0.3363. WARD LABORATOR REPORT 6'Wexaminations, total number ...663 autunal. ..16 d q. .--........2n .-...-..10 3irntial counts .22 T a~gpbnestimations .24 counts. -. -._. 59 Uad blood counts. 3 eXanjinationS, total number ..610 =668 ..2 lumbroincoides .4 ';aNed monads .12 pba (hystolitica and tetragena). .2 tests-----. .......27 Vn l o ..............................4 an d e .od .14 -d w ....d ....( .................................................1 3 sa nat dispar. .23 W Iaria (ova) ..38 *-"ons, totalnumber .2,025 bum en.-.r ..482 ..........22 ............316 mon ds ....2 ..-. .1,003 ...m ............71 '4 *tie?14; negative, 286) .30

PAGE 42

TABLE X11L--ANCON HOS PITA -otne WARD LABORAORY RP RT-Co tjne. Sputum examinations, total number.' Positive for tubercle bacilli. Smear examinations, total number U rethral ...................... Fud from chest ... Fluid from ear ...........-----... REPORT OF SURGIaAL OPERATIONS. Amputations: Digits, multiple. .17 Operations on bones:, Wiring of fractures, simple. Adenectomy: Inguinal, single ......2 mnui al, double. ................... Fem oral ......................2 Herniotomy: Inguinal, single ..............-Inguinal, double ..;. ... Genito-urinary tract: Varicocele, radical cure. .0. Hydrocele, single, radical cure EPid y otomy .. Curetage uteri ................5 Perin oe ty .................... Tr y h bstetriCal.e Thorax: Excision of breast and axilla Rectum: Hemorrhoids, radical ewe .. Fistula i anus, excision of. General: Excision of surface neoplasms. Laparotomy: Exploratory ..'2 Appendectomy .. Appndctmy with local peritonitis Supravaginal hysterectomy Hysteromyo et m Sapngcomy, sige. Salingectomy, double.------------w-----Salingo-oophorectomy Suspensio-uteri. .For ectopic gestation Minor operations-various. Mayo bunion T otal. .........................19

PAGE 43

r4 T"L XI.-ANCON HOSPISAL-Continued. RV~RT F OEnAnoms, EYE Ai EnKA R CLsINIC. .y--. -. ...... W a I on .eto .-.-. .---. 11 only ~ ..-. ...-. .-.-. .4 io .-. 1 A dainge achrymal sac. .-.----.-. 1 ......--. ..........1 -o -. ...----------------------------*------* .. REPORT OF OUT-PATIENT DEPARTMENT. Total New Pay Clinic. --sprnpvisits. css ws e tions. ...........285 202 30 237 .....----177 104 2 25 ......----500 227 2 36 .......533 34 298 MONTHLY R EPORT OF VACCINATIONS. r adults vaccinated .-. ..11 bftakes ....-. 26 MONTHLY REPORT OF BOARD OF H EA LTH L ABOR ATORY. *g0cal examinations ofV-*6 d tures (2 B. typhosus; I B. dygenteria, type Flexner, I gram negave bacilus unridentified (Typhoid-dysentery group)-. -. 19 1rat culitures (1 B. diphtheria).-.-....26 (1 B ty hosu ). .-. 24 S(I B. 661i, 2 Stayyococe anreus). .20 3um tuberculosi 5 negative).-.---.-.--. 8 bi from Colon health office.-. I. milk f rom Corozal Hospital ar .29 plfrom Panama health offce.-. 10 oecus smears (eye 2, 1 from foot lesion) .-.-. 3 fluids (I meningococcus).-. 4 u exudates, etc .-. :. 6 osy examiation of suspects for (positive 2) .-. .6 Ylehl for syphilis (negative) .-.-. 1 examma tions of-t rs' m ilk ....3 mikfrom Qorwza ...4 m ilk from Pa.a. .-. .I -m ilkf rom Col .-.-. ..2 ,fd from Panama health office ..14 milk, "'Alpine Ev'aporated Cream, from Panama health ofice .1 co tn s ..-. -. -. .e. ..7 t1

PAGE 44

TABLE -XIII-ANCON HO SPITL-otim MONTM Y REPORT or BoAnD or ITEALTi LABORAT Chemical examinations of-Contined. Ilexametbylene tetramine, crystals and Wolution. .--Identification of spots on clting garmentst) .. Punch Creme Cacao --------Fire extinguisher chemicals (I liquid, 1 Solid) Solution of Argyras. Hoar's Spearmint Dental Cream.-----------Garnet cylinder oil ................ Butyric acdtests Ammoim sulphate tests Phenol tests ........... 'Colloidal gold tests ..........-----Pathological tissues prepared (parafm 295, frozen 9). Autopsies performed. Surgical tissues examined. Animals autopse (gtn is1 hos all deah due tohog ebolera9;av seminated tuberculosis, 3). ...-----. ---.------.I---.Rats examined (Mas amauscl 744; Mus norvegis, 316;Mus alxnr W 16; M a.3ratus, 221) .,-Micellaneous: Plaental blood films (10 whites,2 blacks) negae ------Blood films for anthrax (bovine) Blood fihn for B. bigemina .i. .---Blood film s from dogs------. ..-..-. .----.----. ---,Blood film from domestic turkey .a. Blood film from small wild turkey (hoemoprotous). Deer kdiled on Balboa-Arraijan Trail, brain fiTnexamined (3 poslijoB .bigem ina .,..--.,. -----.-----. Peccary (idhog Tagasmn tajacua) killed on Arraijan Trail Bri M blood flsexamined, all negative .a. Ant bear (.krrecophagajubata) auitopynegative.-_-----General: Vaccines prepared, atuogenou& ---------------Wasserma-nn reactions.-----------------Toxicological examinations. Animal inoc-ulations. -------------------Antityphoid inoculation .------.----.--------. Throat smears positive for Vincent's Angia Entomological examination of flour and beetles found therein. Identification of leaf-cutting bees .4 Undertaing: k Bodies embalm ed. Interments at CorozaL. .5. J ---Shipped to the United States ..2. Taken to Panama ..3 .. Taken to Colon ...% Crem ations.------------------------

PAGE 45

TABLE XI.AWCON HOSPITAL-Continued. CORORAL HOSPITAL. .0TTEUNT F COMMITMENTS, DISCHARGES, AND DEATIRS. COMMITMENTS. Male Female. a m sin -------------------------------7 admission ----------------I adm ission ----------------------1 ----*. .....---------------Male Female Mae eale Male Female W es ......----. ... tjjjqUe ---------Tptali ...-------3 1 ....-----3 ---) Sailor and two soldiers deported to United States. yJDEATHS. Medical diagnosis. Menta diagnosis Male. 'Feale dodulcer perforation; Psychifs oiatedwtcoe. penis bral arteriosclerosis. ;Itstinal obstruction. Dementia precox.

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TABLE XIV.-COLON ROS PITALt REPA OF DASLSTMHSPITA L.* Class. American. Foreign,. Panama Canal employees. .115 62 257, Panama R. R. employees.-.is 42 25 Panama Go-vernment pay patients ..4, Soldiers.-.........191 12 Other pay patients .225 98 Charity patients .45 ---Total .591 24 LAii'zoRT REPORT. Blood examinations Estivo-autumnal, -------. --Tertian ...................I. .. W hite blood counts Differential counts flem oglobin ...............-. .... Stool examations. B lood ..................... -P us. ............... Uncinaria ................... Urine examinations Casts ...................... Red blood counts. .................. A lbu m .........-. ............ Sputum examinations Positive for tubercle bacilli Sma r examinations Positive I or gonorrhea .+. SURGICA-. OPERATIONS. Operations on bones: Dislocation right shoulder, reduced under ether Dislocation right hip, reduced under ether. Herniotomy: Inguinal, singe-. Strangulated, ingun l. ... Genito-urinary tract: Hydrocele, single, radimal cure. Hy'drooele, double, radical cure Curetage Literi. ....................... Trachelorrhaphy .m. .. 'Vulvo-vaginal cyst, large, extirpation Obstetrical: Normal deliveries ... Rectum: Hemorrhoids, radical cure General: Extensive injuriesto soft parts, operation for ..-1 Laparotomy: For tuberculous peritonitis and intestinal obstruction, reseet'i, 9f 11" of gangrenous intestine ......4 Appendectomy ...r -Minor operations, various. Minor operations, various (dispensary) ..

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45 TABLEx:XV.--8ANTO TOMAS HOSPITAL. RemaiuAdDied Dis-ReriainIng May 1. mitted. -charged. ingMay3t. .23 76 1 84 14 .418 935 70 815 468 .44. 1, 011 71 899 482 Americas Other nations. White. Black. White. Black. .I. 99 ......26 7.3 Seto. 11353 10 3 123 1,217 ...--.-1,452 10 3 149 1,290 6114ay relief furnished patients. 14, 229 iminn er of )patients constantly sick ...459 'i'mbor of days' treatment for each patient admitted .9 a sitence per patient per day. ...$0. 40 DISPENsA"Y REPORT. Class. White. Blck Total. S e d 5 ..............-------33 680 713 ......40 .......281 2 1idomic diseases ----------------_ ----10 W section and septicema ------------------------17 .s. .........17 ................ ........................... ----------...............51 :0 ....----. ...26 in ec i n ...,. .....29 other malignant tumors of the female genital organs. mother malignant tumors of the skin.,.-.-.--.---.-.--. 1 S(tumors of the female genital organs excepted). 4 'lrrheum atism ., ............5 0, 90itre. .....,. .I ll r s ...:. :. ,. 12 ac ttrchronic .-. 18 % ..d. .......2 9fm enta.o. .....--. -. -.4 ..........2

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TABLE XV.-SANTO TOMAS HOSPITAL--06htftad' Other diseasi-s of the nervous system. -.--.-.-.--.-:Other diseases of the eyes and their Annexa ----Diseases of the ear ......... Organic diseases of the heart. ----------------Diseases of the arteries, atheroma, aneurysm, etc Diseases of the veins (varices, hemorrhoids, phlebitisee Diseases of the lymphatic' system Diseases of the nasal fosse.---Diseases of the thyreoid body -------------Chronic bronchitis--------------Pneum onia--------------------P leurisy .-----------------------A sthm a .------------------------Pulmoa ry emphysema. Diseases of the teeth and gums ---------------Diseases of the pharynx.-------------------Diarrhea and enteritis (under 2 years)-.-------Diarrhea and enteritis (2 years and over) -------I---Ankylostom iasis.---------------------Intestinal parasites---------------. .....A Appenidicitis and typhlitis-----------------. Hernias, intestinal obstruction ._. Diseases of the anus and fecal fistula Other diseases of the intestines----------------Other diseases of the liver .-----------------Bright's disease (chronic nephritis)-------------Other diseases of the idney and anexa ------_------Calculi of the urinary passages --------------------Diseases of the bladder ... Diseases of the urethra .. Nonvenereal diseases of the male genital organs Uterine hemorrhage.--------------------Uterine tumor (noncancerous). .I. M etritis.-------------Other diseases of the uterus Salpingitis and other diseases of the female gei4trgn Nonpuerperal diseases of the breast-----------. N orm al labor.---------.---------. ...6-Accidents of pregnancy-_ ----------------Puerperal hemorrhage-----------Puerperal albuminuria and convulsions -----------------Furuncle ......................... A cute abscess ........................-Other diseases of the skin and annexa Diseases of the bones ------------------Diseasesof the joints ...----. Am putations ..................... Congenital malformations ----_ ------_ Nurslings discharged from hospital without disease Congenital debility --_ --------_ -_ --senility .------------------;. ..... Other acute poisonings -----------------Burm s. .--_ -----------Traumatism by firearms.---. -. .. Traumatism by cutting or piercing intruments .. Trauimatism by other crushings (vehicles, railroads, etc.). Sprains. ---------------. Other external violence, hifections of undetermined Origip. ----------.. N o disease .-...-. --. .....-----.--. Total discharges during month ..,. Deaths of patients during month .. Remaining in hospital at end ot month.-.-.-.-. --.* Total patients treated d-uting month. .;e

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47 TAmm XV.-SANTO TOMAS HOSPITAL-Continued. SURGICAL OPERATIONS. I~ .........-----foot u. ..-. diit, smuple .4 tue l, S le .I mnguilal, single ..2 ,)1ni a s oug le. ..23 Y, iiimial, prsgleaio .o. 13 of ..l. .. Tlhsterectomy.--.-.-.-.-.-.-. 3 e. ..-.--. .-.-. q----1 y i gle ..-.-....-...-. .-.-.-. 2 double. .-.--.-.-.-.-.-.-.-.-.--. I .............-----.------.---12 y intern al.-.-.....--.--.--.-.--.-.-. -. -. --. -3 .si g e, radipal cure .-.--.-.-.-.-.4 e, dm b e, radical cure...-.-. I yier ..............--------.-----12 y ..4 fo s. 23 vohml .x.--..----. --.-.--.-. 1 sans f ... .es .s.n. .22 *!Vtiq0 e ymi .s. 74 y -..2 cass ..er .68 ,n cuts. u ..66 ....17 ----------------s---.........1 ..on ..10 for ubeclebacili. bl~dea t. ....-. .15 loid un. .,. ..2 ..,. 75 ...................... *nnag .. an .u, ..1

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48TABLE, X.-SANTO. TOMAS'HOSPITAL----OQontM e LABORATORY REPORT-0ontin ed.Throat cultures --------------Positive ....-------------Smears P ositive,--------------Widals reactions. Autopsies performed Surgical tissues examined -------------I. TABLE XVI.-SUMMARY OF SANITARY WORK PERFO MATERIAL EXPENDED.P Work requests on supply department: Grass cutting ................... Screening.--. M iscellaneous .................. Work requests on municipal engineering division Work requests on other divisions. Notices served to abate nuisances Pit closets inspected .............------------Buildings inspected: For screening.---------------......------For m osquitoes ---------------------% For general sanitation .... F or safet y ................ Stores, inspections of ..... Restaurants, inspections of. ... Shops, inspections of .... Garbage cans emptied. .77 p Closets disinfected. .............. H ouses disinfected ................... Number of sewer connections made R at traps in use. ......................... Number of rats destroyed. Number of mosquitoes destroyed in dwellings: A nopheles. .......................... Stegomyia.---Culex and mansm ---------------------Number of containers with stegomyia larvo found. Material expended: Larvicide, gallons Crude oil, gallons .......................t Kerosene, gallons. ..................... REPORT OF ROUTINE WORK DONE BY HEALTH OFFICE PAXAM General sanitation: Lineal feet of ditches cleaned and maintained. Lineal feet of new ditches dug. Number of feet of ditches made permanent during moth. Square feet of vegetation removed ... Square yards of pools oiled .. .Gallons of crude oil used Gallons of larvicide used ...w, Gallons of kerosene used ." W ater containers treated ..r. Mosquito-breeding places found (stegomyis, 92) Fly-breeding places found Flies trapped (13,00per quart) .Number of rats killed. -------Average number of rat traps used daily .--Xiumber of room disinfections made----Garbage collection: Number of loads of garbage removed to dump .-a Number of cubic yards of garbage removed to dump--.b Total number of cans of garbage emptied. .,. Buildings: Number of buildings inspected .:.I.:. Number of Plans for now buildings approved.,., *7

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',V.SUMMARY 0 F SANITARY WORK PERFORMED AND MATERIAL EXPEND ED--Continued. 4P Umixx Wony, DowE BY HEALTH OFFICE, PANAMA--COntinlled. otnld. permits issued for repairs to old buildings .61 permits issued---. 75 of dings condemined. .11 of buildings demolished. 4 ",~ncions made during month. --.--.--.-.-.--. 6 ag umber of square yards of streets cleaned daily. 600,000 number of square yards of streets sprinkled daily ---.-. 45, 000 er of private properties cleaned during month. .--.-1 ber of nuisance notices served, and nulisancesabated .;. 300 i-"|6TITLY WORK REPORT FOP. COLON, 'CRISTOBAL AND MOUNT HOPE IMcolon: e ~oyards. street cleaned.-----.----------. 4,00652 iiMe yards alleys maintained. -------------------6,000 obr of private properties cleaned. ----------------3407 dber of rats caught.---.---.---.---640 d' f yard garbage disposed of.------.-------582 Ntner of cans gar bage removed (cubic yards, 2,704). ---_-_ 67,31 (jaryards of ditches maintained. ---.----. -...438 APresGf vegetation removed, Panama R .R. reservation, olon warp15 Acreg -of vegetation removed, quarantine grounds.3 XoAies of vegetation removed, Colon Hospital .1 re yards oiled.-------------------------, 8 her of eep acles treated.---------------6 ,2 be buildings inspected-------------------9,6 btner of gallons of lavacide used in Colon.5 Number of gallons of crude oil used in Colon--888 :uiber of nuisances abated. 422 tgColon: oer of building plans approved.-----------------1 "N, ter of permits to occupy issued .7 Nuber of emits to repair issued .--------------39 N ber 0f is collected. 96 9woet coblon: or of new connections made during month.----------10 ber of houses on which additional connections were made .4 st n ing perm its ...54 Station, Cristobal: Xvpmber of cans garbage removed (cubic yards, 745) .14,532 ads f g rba e handled .6 Square -yards oiled .-.-.--.-.-....--..-.---.9,597 "Nmber of receptacles treated. .9,375 'Numbor of buildings inspected ......---1,780 Number of nuisances abated. ..83 ,rJ, winter of gallons of larvacide used ..12 !umber of gallons of crude oil used .112 don, mount If ope: b3tber of cans of garbage removed (cubic yards, 1081).---. 708 Q re yards oiled. .93,150 eof receptacles treated. ..15, 585 1unber of mosquito-breeding places destroyed. 112 p nier of mosquitoes caughtblex.:, ...I. 1, 462 Aknopheles. .317 C lo s of crude oil used ...---1,669 00 xs of larvacide used. ..25 tii yards fill, dry, anrd gradig. .300 ev-,yards ditehes maintained. .1, W2 yards of vegetation removed. .93,107 er of burials during the month. ...24 1.io removed (amrs) .....18 ofcrude oil uied.-. 2,781 yards ditches, constructed (cubic yards. 75.5) .226

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INS AT, THE PORTS OF BABOA-PANAA NDCL BAL. Number of vessels inspected and passed .. Number of vessels inspected and detained. Number of -vessels inspected and transiting in quarantineTotal number of v e els entered during the month Number of supplementary inspections during month Total number df inspections of vessels during month --------Number of vessels fumigated on arrival .__. Number of vesses fumigated prior to departure. Number of bills of health issued .. Number of bills of health vissed.------------------Number of crew inspected and passed Number of passengers inspce and passed.a. :t Number of stowaways inspected Total number of -persons inspected on arrival Number of crew examined at supplementary inspections Number of passengers examined at supplementary inspections. Total inspections during the month .. Number of persons vaccinated in port on arrival. ----Number of -persons vaccinated in port of departure or on route Number of persons detained at quarantine stations to cmplete period fir cubation of'yellow fever and bubonic plague .-.-.-.-.-.-.-.Number of persons detaind on board vessels. Number of persons arriving from foreign ports: Cabin ......................... Steerhge ....................... Number of persons arriving from coast towns in small launches and isa gCraft.----_ ................ Number of persons departing for coast towns in small launches and m~ craft.-------------------........... Total number of persons arriving during, the mouth. Number of persons in transit for Pacific ports, not passing rog Number of immi-grants rejected and deported. -------

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N EORT FOR THE PORTS OF COLON-CRISTOBAL AND 13ALBOA-PANAMA. FromCabin. Steerage. ....-.-. ...940 -W5 ................9 5 ............33 43 .....106 889 WetIdies (not shown above) .65 312 ----...--. .43 41 ------------------------------.39 155 (not shown above) .15 1 .............86 4 .ove ..96 67 ...1,405 1 2, 499 3 901 ..---. ---. ............3,214 -. .-.-. --.--.-----------. .--. ---. .-. --. .436 .-. .....--. ... 3,904 I B ANSIACTIONS AT THE PORT OF BOCAS DEL TORO, C PANAMA. 61v ~ sinspieted and passed. 16 oferw ispetedand passed .987 of~amege s seted and passed ..-. 154 of~assugos n transit inspected and passed.120 anfnaledisease has appeared in this port, and the health conditions rdsfounding territory are good. TABLE XVIII.-PERSONNEL REPORT. May,,1917. T otal employeesGold emSilver emTotal emApril, May, ployees. ployees, ployees. 1917. 1916. *dth oftie .:. 4 .4 4 4 to hos .4 4 8 8 8 t division .12 35 47 45 47 afcPanama. 11 U30 141 142 160 acColon. 10 152 162 192 181 9gia .ill1 210 321 317 .319 [ 1a.7 26 43 -42 41 ma sHoptl.7 .7 5 6 .1 I 37031 28 19 atin.22| 127 110 135 YM .,. 2 63 65 68 58 Gi1. .13 42 55 56 55 ..5 3 8 8 6 ........1 1 S3 2 5 4 4 2 2 4 4 4 gnl31 4 4 3

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TABLE XIX.-DEPORTATIOS Deportation effectedi byNationality. Deported to-HospiQuarIjr. lt tals. antine. a Employees: United States. United States. .. Barbados. .Barbados .4 Jamaica. Jamaica .2. Nonep poyees: Clel e. Chile ..1 .. Do .Colombia ..1 Belgium .United States .:. Cuba .Cuba ..I Denmark.United States ..I. England .England ..2 ----Do. United States ..2 .Do .Peru. ..I .--Do .Trinidad ..I Germany .Guatamnala. ..2. Do .Peru ..1 .. Jamaica .Jamaica. 1 2 1 Do .United States ..I Porto Rica ..do. ... Peru .'Peru ..2 .. Spain .United States ..3' Do .Peru ..I Turkey .Salvador ..I United States. United States. .--12 .-7 1 Total ..8 37 1 1 "V

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UNIVERSITY OF FLORIDA 1111 111111 111111 Il111111111 liiINHll 11111111 lili IIII 3 1262 08896 2518


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