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:
November 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 FLORWIdA


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Full Text

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AA OF THE TH DEPARTMENT OF THE PANAMA CANAL FOR. THE MQNTH OF NOVEMBER, 1917 7 ALBERT E. TRUBY, Coloan.J, Mcdical Corps, United States Army CifHealtha Officer, Balboa Heights, Can.J Zone I. t
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44 *A iA aI A

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CONTENTS. Page. .r ea .k ..................-....... -~ N. Vi a sA.it 1altli of e ni p l oy. health of residents of the canal Zone. 6 Hath o sie id tet o n b. 6 Bialth of residents of the city of Colon. 7 Board of Health Laboratoy. Chroni war.d. 8 olon H. 8 ralo an i a A y. 8 oto Toma. Hospital. 9 iDiiuiosanitation: of residents of the Canal Zone. 1 Halth .i.n s of het. of infans b.y.-. ol ....residen.c. .1 Deahs y ntinalty ..1 Bad oI A anrainfat madity--------rates -e-Canaon ay e 8 Citensc war.soPan.a .anolo. .Z. 1 H .Causes of deaths of em.ye.s arranged witgreferece to a residence. .21 II. Dirth ande ian deathsim the hositaso T o nm anal 28 .C .so. d a. h tad rpot. 18 IX. Consodatdssary eport.s Rertof contagious dis ae. .g. 2( TalX. Edmlyssonsatsi and noneffective rates er poees42 aumes of deays of ramt pr as sn hoes anl tone qa )es. dats .infan. sex, color, age, and 4ce o XI. De as fnhit Aercans conetedwit The Panama nl2 rnelidne .r. 16 ix. Dnaoi oatinality coes os Pia. .4 AN V. Cesodtsfemployees. arsrnlysik andned it refenes to 4 X. ant oers osil. 20 XV. Sats of wh oe i eCanaionnem panae and Conm 4 plye )an. .42 XVII. ucharntesitansath.int. .4 rh. V .Con osa td .r. 38 + X ases. T .-4pl. 0 ..X.L Emplree connl ick handl nonectv ate per Io 4 qua. le .4 XV Personnel report. 56 (3) MP ..sttme t. XUL nco Hopita ..4

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LETTER OF TRANSMITTAL. THE PANAMA CANAL, CANAL ZONE, HEALTH DEPARTMENT, Balboa Heights, Canal Zone, December 12, 1917. 1. OHE8TER HARDING, 9vernor of the Panama Canal, Balboa Heights, Canal Zone. SIR: I have the honor to submit the following report of the operA of the health department for the month of November, 1917. mm.Reqpectf ully, ALBERT E. TRUBY, Chief Health Officer. .GENERAL REMARKS. he ealth of em loyees and nonemployees in the Canal Zone and terminal cities continued good. o diseases of a quarantinable nature originated on or were rt to the Isthmus during the month. VITAL STATISTICS. EMPLOYEES. following statistics are based upon the total number of names on the pay rolls of The Panama Canal and the Panama o. for the preceding month, which was 29,847. missions to hospitals and quarters numbered 999, giving a rate 40165,1 as compared with 440.30 for the preceding month, and fr the corresponding month of last year. Te constantly noneffective rate was 10.47, as compared with a .f 10.78 for the preceding month; and 8 for the correspondi ng period oat year th from all causes numbered 16; of these 11 were from dieving a rate of 4.42 from disease alone, as compared with a 5.62 for the preceding month and 3.08 for the corresponding monthof -lost. yer. es causing the highest admission rates to hospitals, in the er their numerical importance, were (1) malari%, (2) venereal morbidity and mortality rates are commuted s equivalent annuO per 1,000. (5)

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diseases, (3) tuberculosis, (4) influenza, and () lym These five diseases caused 33 per cent of all admsions to malaria alone causing 12 per cent, and venereal. cent of all admissions. The admission rate-for malaria, hospitals and quarters, as compared with 24.06 for the preceding month, and 5. r corresponding month of last year. .The constantly noneffec r from malaria was 0.67, as compared with 0.81 for the month, and 0.24 for the corresponding period of last year By race.-For disease only, the admission rate to hospit n the death rate for white employees, were 262.95 and 492, ively, as compared with 318.45 and 7.77 for the precedig o and 250.05, and none for the corresponding month of last year. black employees, for disease only, the admission rate to t and the death rate, were 115.84 and 4.33, respectively, as c p with 137.13 and 5.22 for the preceding month, and 65.68 n for the corresponding month of last year. The constantly noneffective rates were 16.17 for whites an for blacks. The admission rate to hospitals and quarters for malaria 24.55 for white and 20.67 for colored employees, as compared 18.12 for white and 25.14 for colored employees for the pr month, and 7.65 for whites and 51.14 for colored employees th corresponding period of last year. For American employees the admission rate to hospitaJ r disease only was 259.37, as compared with 287.16 for the pr month. CANAL ZONE. The civilian population of the Canal Zone, based on the.'census, taken as of lime 10-30, 1917, is 24,038. From thisop tion 25 deaths occurred during the month, 20 of which w disease, giving a rate of 9.98 from disease alone, as compared i 11.48 for the preceding month, and 7.73 for the correspondin of last year. Of the deaths from disease, 25 per cent occurred among under 5 years of age, as compared with 61 per cent for last Seventy births were reported during the month, giving a 34.94; of these births, 25 were white and 45 colored. Four deaths occurred among children under 1 year of colored, giving an infant mortality rate, based on the num births reported for the month, of none for white and 89 for children, with a general average of 57 per 1,000 births. Of the total births reported, 4 per cent were stillbirths. PANAMA CITY. The population of the city, as shown by the health census of June, 1917, is 61,369; in this population ,']$.,. proximately 8,000 employees of The Panama Canal. population 154 deaths occurred during the mouth, 14 were from disease, giving a rate of 29.13 from disease, 4%q

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7 32.46 for the preceding month, and 34.75 for the corre,pjnding month of last year. th0 total deaths from disease, 50 per cent occurred among under 5 years of age, as compared with 53 per cent for the medg th. phinprin1.causes of death as compared with last month, were Causes of death. October Novemandeteritis i(in cludingcoliit)s). -33 32 (b rc lo (various organs) -. .26 21 (i eluding broncho). 18 14 Twp hundred and sixth-eight births were reported during the month, giving a rate of 52.40. Sixty-six deaths occurred among hilden under 1 year of age, giving an infant mortality rate, based on the number of births reported for the month, of 246.26. Of the total births reported, 7 per cent were stillbirths. COLON. The population of Colon, as shown by the heth department sus of June, 1917, is 26,078; in this population is included appoximately 7,000 employees of The Panama Canal. From this 53 deaths occured during the month; 52 of which were disease, giving a rate of 23.93 from disease alone, as compared Th 5.26.69 for the preceding month, and 25.27 for the corresponding of-last year. ON the total deaths from disease, 50 per cent occurred among ren under 5 years of age, as compared with 53 per cent for the preceding month. The principal causes of death as compared with the preceding Month, were as follows: Causes of death. October. ber. T r loms (vari s )Is .5 13 gwludin~ ronl1 8 Perumti .--6 Dnterrhs(anu.(.c.tis).6 5 S ty-seven births were reported during the month, giving a of 40.08. Seventeen deaths occurred among children under 1 of age, giving an infant mortality rate, based on the number f br reported for the month,of 195.40. Of the total birth reported, 3 per cont were stillbirths, bkt ubirth

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DIVISION OF HOSPITALS. AsxoN HOS#PrAL. The total admisions to the hospital during the mont pr 936, as compared with 1,040 for the preceding montl71 the corresponding period of IasL year. The average patients constantly in the hospital during the month w compared with 508 for the preceding month, and 423 fjorte responding period of last year. The average length of stay in hospital for each employee was 28.58 days. Forty-nine cases of measles were admitted against 13 in 26 in September and 46 in August. Two cases of chicken pox were admitted against 5 for of October, and 10 each for September and August. Three cases of diphtheria were admitted against 20 in and 22 in September. Five cases of pneumonia were admitted against 14 in, with but 1 death occurring as against 6 in October. One case of scarlet fever was admitted during the month. Twelve deaths occurred from pulmonary tuberculosis month. Detailed statistics are shown under Tables VII, VIII,.ad Corozal Hospital.-During the month, 16 patients were 3 died, and 6 were discharged. The average number of cared for during the month was 341, as compared with preceding month, and 315 for the corresponding month of.'' Board of Health Laboratory.-A report of routine operations under Table XIII. Chronic ward.-The average number of chronic patient during the month was 33.33. Five patients were admitted, discharged from this ward during the month. COLON HOSPrrAL. A total of 203 patients were admitted to the hospital g month, as compared with 215 for the preceding monthi, an the corresponding month of last year. An average of 61 were constantly in the hospital during the month, as com 55 for the preceding month, and 43 for the corresponding last year. The average length of stay in hospital for each employee was 6.97 days. Detailed statistics are shown under Tables.VII, VIII, PALO SzcoLEPER AsyLux. The average number of patients in the asylum during was 67. There were no ii te nor no deaths occurred among the inmates

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SANTO TOMAS HOSPITAL. of 850 patients *ere admitted to the hospital during the compared with 926 for the preceding month, and 932 for pding month of last year. The average daily number of hospital was 438 as compared with 449 for the preceding ad 45 0 for the corresponding period of last year. -.eight deaths occurred at the institution during the month, h uberculosis, (2) congenital debility, and (3) organic diseases the chief eauses in the order named. ..statistics are shown in Table XV. DIVISION OF SANITATION. Th 1 ig table shows the average monthly admission rate malaria among employees to both hospitals and quarters for 'th of November, the percentages being based on the ratio number of admissions from each district to the total number of residing therein: Number Number of admisAverage Numersions from monthly District. of emmaria admission ployees. during rate. month. ..2668 4 0.150 -r ..151 2 .174 ----------Mg ...............352 1 .074 s .....--------995 1 .101 367 0. G a nB .:. ......------. .-. --------------1 136 0 3414 12 .351 -----. 7,115 3 .042 .8,383 2 .024 -------s. ..............2,349 28 1.192 29,847 53 .17' engaged pasture and jungle clearing, etc.,, outside of above saniCANAL ZONE. The general health conditions on the Canal Zone have been very the month of November. While it is true that the total nmber of cases of malaria among employees has been greater than ospondi nth of last year, it isr also true that there are prevailing which did not exist a year ago. camps for land clearing gangs of the supply department have Responsible for practically all the cases of malaria outside of reported from Colon-Oristobal and Panama, and many of these ar t tto be argble to-short staysinthecamps. Thefour -8-b.-a s-o Xi-4k

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10 cases reported from the Balboa distriCt when investing found to have been out on hunting or fishing expeditions have been infected while out on these expeditions.This r out by the fact that anopheles mosquitoes are practically in the.Balboa district. -Among the cases from the camps, i v tion shows that a very large percentage of these are nativeswh ae had malaria repeatedly, and would not be reported or ,en to hospital now if they were not working for the Canal. Thirty primary infections have been reported among employ 22 of which were among employees working in the following Caimito, Summit, West Paraiso Cattle Camp, Miraflores Camp Red Tank. Four other primary infections occurred among .4 ployees who had been out on hunting and fishing expdi The balance of the primary infections are from Panama and Cristobal. The regularly sanitated areas within the Zone are in better co tion than ever before, and the anopheles catch in all distiictsi y much lower than that shown on previous records. New work is being done by the district sanitary inspctqri all districts, and has created the keenest interests in obtainingt maximum results with the minimum expense. This work i uc and in such areas that the maintenance which is eliminated pay for the work in less than one season. It seems highly not only to continue this work but also to inaugurate the poli having a grass-cutting gang for each district, and -eliminatt surcharge on grass cutting. All. this work must be supervised inspected by the district sanitary inspector whether it be un his immediate supervision or done by some other division. With the exception of measles in the Balboa district the municable diseases have been lower than for the previous-'" s Thirty-one cases of measles were reported from Balboa-from w to four cases appeared in several families and therefore 're PEW but few new foci of infection. PANAMA* The low rate for malaria for the past two months shows that r inspectors are discharging their duties most efficiently. Thr is so low as to almost eliminate malaria as a factor in our :or or mortality statistics, so far as the city limits of Panama are cerned. We are gradually pushing our antimosquito work, the Sabanas districts where the majority of our cases contract infection. 7k&

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11 casea of malaria from civilian population and employee. living in Panama district. Months. 1914 1915 1916 1917 ----. .............-. 319 127 30 17 br--y.-.--. ...-. ....111 67 16 12 ----.-. .......123 68 19 24 .107 57 15 11 ..194 509 14 n ..-137 50 11 22 ul .w. 179 71 30 10, A g a ....,. 274 36 16 41 ----. ..-.-. 168 21 27 21 ob r .254 19 14 5 No e br. ..167 20 20 6 TQ overcome the high prevalence of tuberculosis, educational articles have been prepared for publication in the local press. Trticles have already been prepared under the following ing: "Night air,'" "Consumption-Its prevention and cure," "Tuberculosis germs in dust." These articles will be followed Sand it is proposed to prepare a short pamphlet on "Conptin" for free distribution all over the city. Aside from datiorna work, lattice-work doors and windows are being required it~ueneent houses just as rapidly as possible. The infant death rate is not only considerably lower than last ot, but also much lower than the corresponding month during 6. This is a particularly good showing since the infant death M., of nearly every month this year, notwithstanding our infant Work, and that done by the Panamanian Red Cross Society, h preceded the rate for corresponding months during 1916. Forty cases of hookworm disease were reported during the month, of which were found among laborers employed by the Panama Office. This represents over 40 per cent of the silver emof that office. Assuming that the average decrease in ucyof hookworm sufferers is from 30 to 40 per cent, it can rybe seen what a loss there would be to the Government the same percentage of colored laborers in other depart.5 were infected. Hereafter all employees of the health office examined for uncinaria as a routine measure and all infected uals treated. COLON. lrge number. of malarial cases in Colon recently were no .te to the large number of. employees working in outlying trits as (oco Solo and supply department pastures, where there r o antimalarialmeasures used and anopheles mosquitoes are i. It is believed that the reclamation of the swamp along argarita Road will favorably influence the malarial incidence ..i.ri.

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Antimalarial work is progressng in the Mount iopd mosquito breeding places having beeu destroyed during Open drains were installed in Swamps Nos. 2 and w take care of the surface water collecting therein. reclamation work was done along the Panama Railroad No. 4, thus eliminating the largest anopheles breeding Mount Hope district, which is shown by the decrease of pheles catch in the Mount Hope Barracks. The average catch in these barracks two months ago was 250 per day,w 'the present time the catch is but four to five per day. A decrease in catch is also noted in the whole Mount.1]oped. The new fill south of Sixteenth Street and east of E S is being made and will prove an additional sanitary im Old Dock No. 3 is being demolished, which means that rodent harbor will soon be eliminated. The enforcement of the regulations which compels cantinas and soft drink stands to install adequate plumb for cleansingpurposes has met with little opposition. closed, however, rather than bear the necessary expense en these sanitary improvements. The sale of soft drinks and foods in the streets of Colon is now being satisfactorily rg QUARANTINE DIVISION. The general work of the quarantine division has teen ondt during the month without special incident. Quarantine c along the west coast of South America have shown no changey of special mention. On November 21, 1917, Governor's circular 700-1 was i d quiring application of the tuberculin test to all cattle and ported into the Canal Zone for dairy or breeding purposes, rT animals arriving in Canal Zone ports for transshipmeutt points when considered necessary-unless such animals are panied by a health certificate including tuberculin test. tx cuted by an inspector of the United States Bureau of Anind try. This requirement is for the purpose of preventing e duction of tuberculosis among domestic animals on the C the examinations by the health department veterinarians shown that this disease -practically does not exist among animals of this -locality, while on the other hand t is of economic importance due to its prevalence among domestic in the States. The method of administering the test is circular, and is subject to change from time to time in the of the chief health officer. A

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~
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TABLE L-ADMI8SIONS, DEATHS AND NONEFFECTIVE RA EMPLOYEES. ABSOLUTE NUMBERS. .Admissions to Death. hospitals. from o 0 I M 1A November, 1917: White. 4,883 120 107 13 2 -.2 -----2, Colored. 24,964 316 -241 75 14 9 5 7,. Total. 29,847 436 348 88 16 11 5 9,3 October, 1917: White. 4,635 136 123 13 4 3 1 2,40 7 Colored. 25,290 379 289 90 12 11 1 7 Total.-. 29,925 515 412 103 16 14 2 10, November, 1916: White.4,703 117 98 19 1. 1 21459 Colored.30,328 259 166 93 12 9 3 5-V45 Total.35,0311 376 264 112 13 9 4 8, M Q. PROPORTIONATE NUMBERS.1 November, 1917: White. 4,883294.90262.95 31.95 4.92 4.92.--Colored.24,964151.89115.84 36.05 6.73 4.33 2.40.-. 9 Total.29,847175.29139.91 35.38 6.43 4.42 2.01. October, 1917: White. 4,635352.10318.45 33.65 10.36 7.77 2.59. 1.7 Colored.25,290179.83137.13 42.70 5:69 5.22 .47. Total.29,925206.52165.22 41.30 6.42 5.62 .80. November, 1916: White. 4,703298.53250.05 48.48 2.55. 2.55 Colored. 30,328102.48 65.68 36.79 4.75 3.56 1.19. Total. 35,031128.80 90.43 38.37 4.45 3.08 1.3 'Annual average per 1,000 employees. Sp

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15 T Tr.--DEATHS OF RESIDENTS OF THE CITIES OF PANAMA, COLON, AND THE CANAL ZONE. Deaths. Annual average per 1,000 population. Population. ExterExterTotal. Disease. nal Total. Disease. nal causes. causes. November, 1917: Panama. 61,369 154 149 5 30.11 29.13 0.98 Colon. 26,078 53 52 1 24.39 23.93 .46 Caial Zone. 24,038 25 20 5 12.48 9.98 2.50 Total. 111,485 232 221 11 24.97 23.79 1.18 12 oer, 97 Janam .61,369 167 166 1 32.65 32.46 .19 Colon. 26,078 61 58 3 28.07 26.69 1.38 CanaIZone. 24,038 25 23 2 12.48 11.48 1.00 Total. 111,485 253 247 6 27.23 26.59 .64 November, 1916: Panama. 60,778 182 176 6 35.93 34.75 1.18 Colon. 24.693 53 52 1 25.76 25.27 .49 Cana1Zone. 31,048 24 20 4 9.28 7.73 1.54 Total. 116,519 259 248 11 26.67 25.54 1.13 ae V

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16 TABLE II.-CAUSES OF DEATHS O IN T, Sex. Color. Cause of death. -1w M. F. W. B. Tuberculosis of the lungs. .1 1-. Miliary tuberculosis. .---------------------1 1 .2 Disseminated tuberculosis -------------------2 .2 .-. Hereditary syphilis.--------------1 1 2 1 Meningitis, acute .1 .I I Convulsions of infants. ..----------------1..1 1 Organic diseases of the heart. .1 .1--. Acute bronchitis.----------------------1 1 .2. Chronic bronchitis.-----------------2 1 .3 Broncho-pneumonia. 6 -6 1 11 Pneumonia (unqualified)1. -. 1 Pneumonia, lobar.--------------------. ---1 1.--Acute gastritis.,. 1 1 1 1 Diarrhea and enteritis .U 13 4 20 1 Colitis. .------------.---.------2 7 .9 Intestinal obstructions. .------------------1 .1 .Nephritis, acute. 1 ..1 Congenital debility, icterus, selerema .1 .. Premature birth.-. 2 .2 2 Congenital debility. .4 2 .6 1 Malnutrition.-------------------------.2 .5-. .. Other causes peculiar to early infancy .4 ..4 4 Cause of death ill defined.2 1 2 1 1. Total.4. 3 44 11 76. 14 Infant mortality rate, based on number of births reported for he month ( Percentage of deaths under 1 year of age to total deaths for month. A; .L. c;

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17 COLOR, AGE, AND PLACE OF RESIDENCE. Age by months. Place of residence. 1-2 2-3 3-4 4-5 5-6 6-7 7-8 8-9 9-1 10-1111-12 Panama. Colon. 7one. Total. .~~~ ~~ ....----------. 1 1 1 .1. [ ------. .1. .2 .2 .2 1 .2. ...1 ...1 .........1. ....1 1 1 ....2 ----. .1 1 ...1. 2 1 3 3.3 1 1 ,2 1 .....3 1 12 1 12 21 2. 1 19 --24---------..---1 .....1 ..1 ....................1 .......2 ..2. 6 3 e2 .2 .1 1 3 1 19 4 1 24 2 1 2 ....-...9 ..9 1. .........,. .1 .--. .............. 11. .....2 ........------.2 IH .......5 1 ...6 1 2 .1 .4. -.4 .1 5 3 1 .4 .1 ..3 ..3 1 13 6 3 4 4 3 4 5 5 2 C6 17 4 87 mder 1 year of age per 1,000 births. 246.26 195.440 57.14 204. 70 ...43 32 16 37 3345-48---3 Hi UP .4 i2 'P Z> PH a:,P

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TABtE II.-DEATHS BY NATIONALITY. Employees. Nonemplowees. Total. Natianality. Male. Female. Male. Female. Male. Female. Antigra.:. -. -.3 .a Austria. ..1. ]3art-aios.:.2 .-. 181521 5 B o li v i a .............................----. .1 ---Bermuda. 1 ..18. .10 Canada. ..11 Colivia. Cua. ...1 pemeraa. 1 1 1 1 2 ominica. ....2 Grenada. .4 Italp. ...2 IJamayc.7.22 23.--1. anamaa._ _. Martinique. .6 1.---Mexico. ..1 Yicara1ua.1 ..1 TJamaa. ..22 37 53 3. Peru.1. 1. PortoRico.1 .1 St. Kitts. .-.-. .-.-.-. -.-. -1 St. Lucia. 1-.1 1 2 1 St. Thomas. 1. 1 Spain .-.-.-.-.-..-2. 4 Stit eone. ....1. UnitedS. 2 .242 Venezuela. .2 ... Total .16 .116 1001 1321 100 TABLE IV.-BIRTHS, AYT BIRTH RATFS IN THE CANAL ZONA THE CITIES OF PANAMA AND COLON. Births.Rt e ,0 Popla-Birhs.population.PopulaTotal. Alive. Stilltl. All. born. Ttr. November, 1917: Tainama. 61,329 287 268 19 53.12 52.40 7.32 Colon. 26,078 93 87 3 4W 41 4003 13 Canal Zone. 124,038 73 70 3 36.44 34.94 Total. 1l1,4E5 145 425 25 1 48.44 45 75 October, 1917: Fanama. 61,369 275 255 20 5377 4986 Colon. 26,078 60 53 7 27.61 24 390 3 2 CanalZone. 124,038 E5 79 6 42.43 39.44 .99 Total. 111,45 420 .387 33145 21 41. November, 1916: Farama. 60,778 237 220 17 46 79 43 44 Colon .-.-..24,93 77 73 4 37.42 35-48 1 9 Canal Zone. 31,048 59 54 5 22.8 204. Total. 116,5191 373 347 26 f 38.41 35.7

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A T-A.-INTANT MORTALITY RA TES TN THE CANAL ZONE AND THE CITIES OF PANAMA AND COLON. Births. Deaths among Death .Populachildren rate per tion. .under 1,000 Male. Total. 1 -ear Urths. of age. NovemXer, 1917: Tinama. 61, 3f9 129 139 268 66 246.26 Poon .26,018 41 46 87 17 195.40 CanalZone. _24,C38 29 41 70 4 57.14 Total. 11, 45 1991 226 425 871 204.70 oter, 1917: anama. 61,369 125 1XI 255 71 278.43 Ion. 26,078 27 26 53 261 493.57 Cana Zone. 24,C38 53 29 79 10 126.58 Total. 111,4 5 202 185 387 1071 276 49 1qorember, 1916: qanama. 60,778 111 109 220 75 344 55 .ol .24,C93 40 33 73 16 219 18 Canal Zone. 31,0481 25 29 51 3 Total. 116,519 176 171 347 94 270.89 1 Exclusive of military forces. INFANT WELFARE WORK-PANAMA CITY. work: Total number of babies seen .-. 206 Instructions gii en to mothers, total cases. 120 Treatments given to babies. Histories taken. 28 Examinations made. 206 Outidework: otal number of visits made.-.-.-. 1,265 er of cases not located. 36 number of cases moved to Colon or elsewhere. 56 Num ber of breast-fed babies. .217 Number of bottle-fed babies. 27 .Nuk'ber of bottle and breast fed babies. 80 Tota number of babies seen. --. 1,471 Number of cases admitted to hospital. 10 Number of cases treated at Santo Tomas Diseusary. 50 Nujmber of cases treated by physician at station. 21 ive conditions found, skin rash. 12 1mer of babies died. .8 S 7w W.

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TABLE V.-CAUSES OF DEATHS .OF EMPLOYEES, ARRANGED T Color. Age (in years). Cause of death. W. B. 21-25!26-30 31-35 36-40 41-45 4 Aneurysm. .1. ....I Arteriosclerosis .1. ... Caringma of the stomach. 1 .. E. A. malaria. .1. Meningitis. ineumococcie.1. ..1 Nephritis. chronic.3 ..1 Pneumonia, lobar ..1 ... Tuberculosis of the lungs.2 1 .1. Drowning, accidental. ...1 1 2 Traumatism by fall. 1 ...1 Total. 21 14 1 .4 3 3 1 V qw. .0-e 4K 4Q

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21. 1EKERENCE TO AGE AND LENGTII OF RESIDENCE ON ISTHMUS. Age (in years)Length of residence on Isthmus (in years). Life. UnTotal. -known.* 5W6 606-SO 4-5 5-6 6-7 7-8 8-10 10-12 12-15 +15 .................................... S ........... .....1 --.-. .....................1 ...1 ----------------...... -----------1....----...44 ............1. ....................1. ........ 3 1 3 1 1 .2 1 2 1 1 4 14 .................~m m .................... J 1 MR E~a PIP", .D

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22P TABLE VI.-CAUSES OF DEATHS OF CIVIL POPULATION (EML 'AA Sex Color. Age (l y s Cause of death. M. F. W. B. Y. year. 1-4 5General diseases. Malarial fever, estivo-autumnal. 2 1 1 2 ..1. Dysentery, entamebic. .1. Pellagra. 4 ..4 .. Beriij.eri. 1 1. Tuberculosis of the luns. 17 11 2 26 1 1 Acute miliary tuberculosis. 3 1 .4 .2 1 Tuberculous meninfitis. 1 1 .2. Disseminated tuberculosis. .3 .2 Syphilis, hereditary. 1 1 .2 .2 Syphius, period not stated.2.2. .. Cancer and other malignant tumors of the stoniach and liver-. 1 1 2 ... Cancer and other malignant tumors of the peritoneum, rectum, etc. .1 .1 .. Cancer and other malicnant tumors of the female genital organs. .1 .. Other tumors (tumors of the female genital organs excepted).1. I ... Diabetes ..1 1. Alcohalism (acute or chronic). .1 1 .. Diseases of the nervois system and of the organs of special sense. Simple meningitis. 2 1 2 1 .1 1 Pneumococcus meninf itis. 1 ..1 .. Other diseases of the spinal cord. 1 ..I ... Cerebral hemorrhare, apoplexy. 3 7 ... Convulsions of infants (under 5 years 01 age).1. Diseases of the circulatory system. Acute endocarditis. ... Malignant endocarditis. I .1 Organic diseases of the heart .9 6 2 13 .1 Aneurysm.3 .3 .,. Arteriosclerosis.1 .1 .... Diseases ofthe respiratory system. Acute bronchitis. 2 1 .3 2 1 Chronic bronchitis.2 3 .5 3 1 Broncho-pneumonia. 8 7 1 14 12 3 Pneumonia (unqualfied).1 ..1. Lobar pneumonia .3 5 8 1 2 Other diseaseS of the respiratory system (tuberculosis excepted). 2 ..

PAGE 25

23 EMPLOYEES) AND MILITARY, BY SEX, COLOR, AGE, AND Age (in years)-Continved. Place of residence. Total. 11-WK 21-30 31-40 41-50 51-60 61-75 76-100 Panama. Colon. Canal Zone. 1 1 .1 2 .3 1. ...1 1 1 1 ..2 2 .4 1. ...2 ..2 2.2. 6 12 6 ...19 8 1 28 ..1 ...1 2 1 4 1.1 1 2 ...2. 2.2 ....2 ..2 ..1 .. ...1 ...1 ..1 S. ..1 ..1 .....1 ..1 .......1 .1 ....1. ...1 ..............1 4 2. .1 6 1 .7 .....1. 1 ..1. ..4. .... 3 3 1. 11 1 1 ...1 2 3 ,. .....0 ..............~ ...1. 1 .......rl .....5. .1 15 ..........2 1 ...1. .............4 3 1 8 .1. ...5 .1 2

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424 TALE VI.-CAUSES OF DEATHS OF CIVIL POPULATION (EML Sex. Color. Age (in yers). Cause of death. MF. W. B. Y. 1 year. 1-4 5-ti Diseases ofthe digestive system. Acute gastritis.1 1 1 1 .2 Diarrhea and enteritis (under 2 years). 11 13 4 20 .24 Colitis. 2 9 .11 9 2 Diarrhea and enteritis (2 years and over) 1 ..1 Colitis. .................1 1 ..... Acute appendicitis. 1 Other hernias .I. 1 .. Intestinal obstruction. 1 1 .2 .1 Cirrhosis of the liver. 1 ..I Simple peritonitis. 2 1' 1 2 .. Nonvenereal diheages of the genito-urinary system and annexa. Acute nephritis. 4 4 .8 .1 1 Chronic nephritis (Bright's disease). 4 6 1 9 Diseases of the urethra, urinary abscqss, etc. .. The puer peral state. Puerperal septicemia. .2 2 .. Eclampsia. .1 ... Diseases of the skin and of the cellular tissue. Gangrene. 1 Diseases of early infancy. Congenital debility,icterus, and sclerema 1 .1 .. Premat ure birth. .2 .2 2 Congenital dobility'. .4 2 .6 .6 Malnutrition. 4 2 6 5 1 Other causes peculiar to early infancy. 4 ..4 External causes. Suicide by firearms. .... Suicide by cutting or piercing instruments. 1 I .I .... Accidental drowning. 4 1 .5. Traumatism by fall. I. ... Homicide by firearms. I ..1. Fractures (cause not specified). 1 ..1. Other external violence. 1 .... Ill-defined diseases. Cause of death not s1cified orilldefined. 3 2 2 3 .3 1 Total. 132 100 29 202 1 87 18 Stillbirths. 14 11 3 22 .. Grand total .146 Ill 3 222 1 87 I.

PAGE 27

25 EMPLOYEES) AND MILITARY, BY SEX, COLOR, AGE, AND ECE-Continued. Age (in years)-Continued. Place of residence. Total. 21-30 31-40 41-50 51-60 1-75 176-100 Panama. Colon. Canal Zone. 2 2 ...........21 ..21 ...4. 19 .24 I 1 1 ....7 .......1 ..2. 2 ..1 ..1 .....0. ..... 22 1 3 I. ...5 2 1 8 3 2 2 .4 3 3 10...1 .... .......2 ..2 ........ .....1 .4 -1.I. 1. 1 .... .2 2 .3 ...1 ..1. ..4 -w. ..:. ..............2 1 .... ....1 I ...1 .1 S .I. .......2 -..-. .5 .. ..39 27 14 14 2 154 53 25 232 ,, *ee r.,a. ...11 342 -. ---, 7 39 27 .14 14 2 173 56 28 267 ....-. .-. .4

PAGE 28

26 TABL VI-A.-DBATHS OF NONRESIDENTS.1 Residence. Nationality. Color. Sex. Age. Cause o New Providence, ReJamaica. Blacks. Male. 7 AcAidttl r public of Panama. -ng. Tabo:a, Republic of .do.do.b. Female. 24 Abortion. Panama. Anton, Republic of .do.do. Male. 50. Mitral Panama. Interior of Panama. Colombia.dp. ..d. 44 Lobar penmn David, Republic of Barbados.do. .do. 31 Pulmonay ttbr Panama. losis. Penonome, Republic Panama.do. Female. 11 Do. of Panama. Interior of Panama. Colombia. .do. Male. 53 Toxemia. Vigia, Republic of Panama. ._.do. Female. 25 Acci Panama. ing., Steamship Poplar China. Yellow. M .27 Ruutnre of Branch. matie a Boriuete, Republic of Irish .White.o. 53 Ilypertrophid Panama. tate. New Gorgona, ReEt. Lucia. Black. .do. 67 Pellagra public of Panama. Steamship Pastores. England. White. .do. 50 General theisa. Interior of Panama. Panama. Black. .do. 12 Malarial fcier 1)0.do. .do. .do. 42 Beriberi. Chepo, Republic of .do.do. .27 Unciparasis. Panama. Interior of Panama. .do. White. .do. Tubercular tis. Steamship Turrialba. U n i t e d .do. ..59 Chronic uephiti0, E tates. Steamship Herakles. Sweden. .d6?. .de. 30 BronchoDavid, Republic of Panama. .d Female .16 Acute p Panama. phtbisis. Darien, Republic of Grenada.Black. Male. 30 Pulmcnary,0u Panama. loss. SteamshipEngland .White. .do. 21 Cerebral 1 Theaths of ncnresidents are nct included in the statistical charts relating $ Canal Zone and the cities of Panama and Colon. ..

PAGE 29

A4 *7 4s OR, 4 44 5A M-0-

PAGE 30

28 TAB=E VIT.-DiSCHARGES AND 1-EATU T Employees. Discharges. White. White. Diseases. Black. 0 BA_ Cd 43 o3 M M.F. i~F I. M. F. II. General diseases. Typhoid fever. 1 1 .. Malarial fever: Estivoautumnal. 4 .2 30 Tertian. 1 1 Quartan. .Z. ..3 Undetermined. .1. Cachexia. .. Measles. 1 4. Scarlet fever ....... Diphtheria and croup. 1 Influenza. 2 1 Dysentery, entamebic. ..I .... Dengue. ...... Chicken pox ....... mumps ...... Purulent infection and septicemia.-. .-. .-. --.a Beriberi. 4. ........... Tuberculosis of the lungs. ....6 .... Pott's disease. ...1 .. Disseminated tuberculosis. .... Syphilis: Primary ..0 ..... Secondary. .. Tertiary. ..3 .19 ... Period not stated. 1 ...2 ... Gonococcus infection. ....1 ... Gonnorrhea. 1 .1 .7 ... Gonorrheal arthritis ........ff Gonorrheal bubo. ...... Gonorrbeal orchitis and epididymitis. ....f. Gonorrheal ophthalnia .....2 Soft chancre. .1 .7 Adenitis chancroidal. 1 ..2 Cancer and other malignant tumors of the stomach and liver. ..1 ., Cancer and other malignant tumors of the female genital organs. ....... Other tumors (tumors of the female genital organsexeepted) .. Acute articular rheumatism. Disbetes.-.1. .-Other general diseases. ... AIcololisin, acUte.,. .f. ..1 -. SA=Am ra.

PAGE 31

29 ALS OF THE PANAMA CANAL. Nonemployecs., Nonresidents. r Deaths. Discharges. Deaths. i White. Black. Black. White. Black. White. Black. .0 .R.M.? M F A., P.R.2M. F. M. F. M. F. M. F. M. F. M. F. 4 4 6 4 .......-----------2 ...2 .........-....-. --. -. -2 -g--oAt 0 .........y ..--o...------. ---go. s ~~. ..1 ........7----.---'.......--1 -g--4 I -2I .~~. .............-----..I2 g ......Ig I2 I .W .2o. .*. ......-..2 -. II. ...2 ....0 ...Og. g V .0. ..-..----;----1 2 I 2 *nn~ 1 1 ....3 go.11 1 30 "'*." "'' D. .4. 2 .............-..5 A2 .........2 S. ........21. *. ..4 ...g ....-.-------6 40 ..ow .00 0. .g. ...to. .2 ..-' ..-0g----0..0-.1 S. ....go. ---S ...a. .-. .--O ..2 -..~~ .A .-. ........----.----. ...2 ......A .W. .-o........2-6 g-oS .1i ......-....M. .....12 ....--.-.--.----2 1-o 2.g o. ....o. .0.0e .e .* 0*.* 17 o .o* ~ 0 p ....o. ...........2.
PAGE 32

-TABLE VH.-DISCHARdES AND DEATH Employees. Discharges. White. W4711 Discharge. Black. M. F. M. F. M. F. M.F.M. M Diseases of the nervous system and of the organs of specii sense. Simple meningitis. ...... Pneumococcus meningitis. .-----..... Other diseases of the spinal cori. .... Cerebral hemorrhage, apoplexy. ...... Paralysis without speckled cause. .. General paralysis of the insane. .... Other forms of mental alienation ...I. .... Dementia precox. ...... Epil3psy. ...... Hysteria. ...... Neuritis.1 1 .3 Neurasthenia. ........ Diseasesof the eyes and their annexa 1 .1 .4. Diseases of the ears.1. ..1. Diseases of the circulatory System. Organic diseases of the heart. ..3 1 Diseases -of the arteries, atheroma, aneurysm, etc. ..... Aneurysm. ...... Arterosclerosis. flemorrhoils .3. Varices. ...... Varjcocele. 4 .... Diseases of the lyiphatic system (lymphangitis, etc.). 2 .... mpialenitis (onvenereal). 2 morrhage; other diseases of the ircutory system. ...... Diseases of the respiratory system. Diseases of the nasal fossae. 12. Adenoil vegetations. ..... Diseases of the thyroid body. Acute bronehitis. 5 .2 Chronic bronchitis. .... Broucho-pneuonioul. Lobar pneum.ia. Pleurisy .1. .. Asth a. ..........-1 ..

PAGE 33

31 AL8 OF THE PANAMA CAN4Ts-Contlnued. Nonemployees. Nouresidonts. rges. Deaths. Discharges. Deaths. White. 4White. Black Black. White Black White Black 100 T. 0 .j --_ A. P.R. F.M. F. A. P.R. M. F. M. F. M. F. M. F. M. F. M. F. S ................................ ................................. .............................2 f g ...........Z .........2 -------------------------------.1. ............. S 1. i.2. .. ................. 2 .. ...,. ...... 1 2. 4.1. 1. ......1. .....9 1 ..1 * .... ...................................4 .............2 04 ....2 ..........................22 1 1 ..............5 .................. ..................10 .01 ..........+ hI X0 4 4 .......2

PAGE 34

32 TABLE VIL-DISCIARGES AND DEATU Employees. DisIharges. White. Whit. Discharge. 0 0. Black. ca 43. M. F. M. F. M. F. M. F. M. F. Diseases of the digestive system. Diseases of the mouth and annexa. ..2 Diseases of the teeth and gums. .. Stomatitis. ....2 Diseases of the pharynx. ... Pharyngitis. .... Follicular tonsilitis. 4 ... Ul-er of the stomach .2. Other diseases of the stomach (cancer excepted). ....1. Acute gastritis. ..... Chronic gastritis. ..... Diarrhea and enteritis (under two years). ... Diarrhea enteritis (two years and C 07.1. AnkyQlostomiasis. ....4 Intestinal parasites. 1 .... Pilhariiasis, iptestinal. ..... Teniasis ....... Acute appendicitis. ..... Chronic appendicitis. ..... Inouinal hernia. 3 .1 .. Other hernias. ....1 Intestingi obstruction ..... Other diseases of the intestines. -3 1 ... Constipation. ..... Cirrhosis of the liver.1 Other diseases of thie liver. .. Abscess of liver (unqualified). .......Simple peritonitis (nonpuerperal). ....... Nonvenereal diseases of the genitourinary system and annexa. Acute nephritis. ...... Bright's disease (chronic ne*pbritis). ..6 ... Chvluria. 2 .2 Pvelo-nephrosis.1 .... CaLuli of the urinary passages. 1 ... Diseases of the bladder'.;. ..1 4 Cystitis ....-.-

PAGE 35

33 TALS OF THE PANAMA CANAL-Continued. Nonemployces. Nonresidents. DIscharges. Deaths. Discharges. Deaths. A. I White. White. Black. Black. White Black. White Black. CS oo s CS CS 0 0 0E0 M. F. M. F. A. P.R. M. F. M. F. F. MF .F. M. F. .1.1. M ..-. .........1. ..... ssss2. .2. ...... ,. .......4. .A .............. ................2. S3. ............1 .......-. .3 2 M .-. ...3 .............1 S. .... .2.-1 .:: ..19. ........... M ...............I ... 2. .1 ..........11 11. .....2 .............. 2 ..1. .....1 A2.1. ...1. 3 S. .................. 42K. .ie. .......1 ..,. .S p7<

PAGE 36

~.A. TABLX VII.--JSCHARGES AND DEATHS N AS Employees. Dis charges. Deaths. Whit. Dischargo. S Black. Bak CA, '.A. M M. F. M.F. M. F. .F.M. F Awnz enercxl diseases of the genit> urinary syscmr arnd annexa-C on. tA Diseases of the urethra, urluary abscess, ete.1. ... Stricture of the urethra, nons cChronia prostatitis. .... Non cneret I diseases of the me le genital organs. ....4 Hydro2E V. .. Uterine hemorrhage (nonpuerperal). .... Uterine tumor (noncancerous). ...I Other diseases ofthe uterus. ...1. Metritis. .. Cysts and othEr tumors of the. ovarv. the female genital organs. T he puerperal state. Normal hbor. .. Accidents of preenoncy. peremesis gra idarum. Abortion. Other a33Idents of iabor. Lclampsia. Diseases of the skin aul of the celltu PhlrunaneAt.I. ... Carbuncic. ..2. j Triehophytosis. ..1 Scabies. Dhobie iteh. ..12. leier ofthe s'dn. 11.t. .1. Voxeti -o zntaziosa. ... Udtbaria. ... In~rOwi-U ai1. .... Other disfbases of the skin and an2. .. na. ....2. ... AA TALEVj,--8CARESAN"DE .A.N

PAGE 37

35 AL OF THE PANAMA CANAL-:tinue d. Nonomployees. Nonresidents. Dis1hargos. Deaths. Disharges. Dcatts. White. White. Black. .Black White. Black White Black. 00 0 EE4 A. M.1. F. M. F. A. P.R. M. F. M. F. M. F. M. F. M. F. M. F. 1 ....................2 S. ..........3 ............-. --.4 .........-. .....3 ... 4 .5 ...6. .6. .......s 3 1.11 1 2 ............... -1 ..... ...21 ................ .......2. .......1 ............. 3 .....1 3 ..............3 I ...............3 ..............a S. ................1. 2 ..............2. t 2 ..4 ......... WA .I.

PAGE 38

36 TABLE VII.-DISCHARGES AND DEATHS IN T' Employees. Discharges. Deaths. White. White. Diseases. U) 3 C Black. 0 BlIack. 400 0 S M. F. M. F. M. F.M. F. M. F. M. F. Diseases of the bones and of the organs of locomotion. Diseases of the bones (tuberculosis e fcepted).1. .2 .... Mastoid abzess. .. Osteomvelitis. .... Periostitiq. .... Diseases of the joints (tuberculosis and rheumatism exceptce1). .... Arthritis. ..2. Synovitis. Amputations.1. ..... Other diseases of the organs of locomotion .1 ..... Malformations. Congenital malformations (still birth not included). ....2. Diseases of early infancy. Newborn child. ....... Con-enital* debility, icterus, and s 3lerema. ........ Malnutrition ......... Affections produced by eternal causes. Suicide by poisoning. 1 ...a. Poisoning by food. ....3. Venomous bites and stings .1 .... Burns (conlagation exceptel). ..2. .2 .... Traumatism by firearms. .-.... Traumatism by cutting or piercing instruments. .1 .11 ..... Traumatism by fall.5 ....5 Traumatism by machines.I. ..1 .. Traumatism by other crushings (vehiAles railroads. landslides, etc.). ...2 .. Railroad traumatism. 1 .. Fractures (cause not spedified). ..1 .3 Dislocations. ....... Sprains. ..... Other external violence. 3 .5 .28 ... Ill-defined diseases. Ill-defined organic disease. .. Infetions of undetermined origin. 3 .1 .7 .... No disease. ........ Total. 84 4 31 1 288 5 1L.

PAGE 39

On7 ALS OF THE PANAMA CANAL-Continucd. Nonemployees. Nonresidents. Mhsahargcs. Deaths. Discharges. Deaths. White. White. Black. BLck. White Black. White Black. 1~0 0 O0 P.R. M. F. M. F A. P.R. M. F. M F. M. F. M. F. M. F. M. F. .......1 ..----2 2. .............. 1 ....................5 2 ...............-. -. 1. ..-7 i. ....................7 3 .8. .27.0 3 1 2 ...........2 1 ..2. ............3 2 2 2. 1 ...... 771 ...... .,,, .............,. S. .2. ......... S ........... ......... 1 ............ am. I ..'. ....I ......... ............ .4 .......... .1 11...........--1.. .~ ~ ~ ....44. ............-. .32 20.s 4 1 8 25 98 1 ...'4. 1 ..........

PAGE 40

38 TABLE VIII.-CONSOLIDATED HOSPITAL REPORT. [A=White Americans; F=White foreign; B=Blacks.] Remaining Admitted. Died. i Nov. 1. A F B. A. F. B. A. F. B. A. F. ANCON HOSPITAL. Panama Canal employees. 21 14 88 64 10, 101 1 -. 1 7 4 Qa Panama R. R. employees. 6 12 103 8 12 147 .-. 7 8 Soldiers .84 ------216 .... Pay patient3. 16 25 94 91 55 128 2 2 17 81 Charity patents. 18 5 18 651 61 31 1 ..57 Totals. 145 56 300 444 8;1 403 42 26414 73415 COROZAL HOSPITAL.' Panama Canal employees. .1 4 1 1 Panama R. R. employees. ..... So diers. 2. 2 .2 ------2Panama pay patients. 4 48198 .4 Other pay patients-. .3 4. ..2 2 Charity patients. 8 6. 1 1 Totals.-.6 60 2711 ;' 0 2 1 3 Grand totals. 151 116 5711447 86 419 4 3 28416 74-ft COROZAL FARM. Panama Canal employees. .9 451. 91.-. CHRONIC WARD. Charity patients. 532 --COLON HOSPITAL. Panama Canal employees. 1 11 -. 28 .1 9. 2% Panama R. R. employees. 1 3 10 5 8 38. o'.diers.2.10. ...1 Panama pay patient3. 2 2 -. .Other pay patients. ---.161 5 91 39 19 21i .1 38 12 i7 Charity patients.2 1 4 3 42. Totals. 22 11 231 6) 301 11. PALO S!CO LEPER ASYLUM. Panama pay patients. .1 -37. Charity patient3. .1 28 Totals.,. .2 65 -GRAND TOTALS. Panama Canal employees. 22 25 144 76 11 140 1. 2 Panama R. R. employees. 7 15 112 13 20 185. Soldiers .88. 228 .... Panama pay patients. 4 51 2 17. 1 17 Other pay patients. 32 33 107 130 74 154 3 3 21N1 Charity patient-. 20 14 142 63 10, 41 1 Totals .----------.--.---.173 138 72 516 116 37 ...4

PAGE 41

T II.-CONSOLID ATED ILOSPITAL REPORT --Continued; Tras.Remain' Trans. Ae verage number constantly fa. ed. sick. fered.Nov. 30. e. A. F. B. A. F. B. A. F. B. Total. ANCON HOSPITAL. P aCanaemployees. 1 1 9 16 10 72 18.47 12.0' 76.73 108.10 employees. ...6 91 95 6.67 12.57 96. 33 115 57 diers. 4 ..95 .99.10 .-. .99.10 ay patienti. ..5 24 38 82 18.70 3J.6% E0.7 141.00 typatient.1 2.25 5 13 28.20 5.30 17.17 50.67 5 2 16166 62262171.14 62.40 280.J6 51450 COOZAL HOSPITAL. a '.ma Ganal employees.*. ...1 2 4 0.50 1.23 4.00 5.73 U. R. employees. .....2 ..2.00 2.00 80dira ....2 ..1. 0 .-. .1.0 paypatients ..4 48201 4.00 48.57199.16 252.13 Ohei pay patients. ...2 ..2.6j 4.70 7.33 typ nts.9 '. 8.43 63.67 72.10 Totals. ...7j 612761 6.40 60.E6273.93 341.19 Grand totA1s. 5 2 1617312 538177.5&12i.26554.8) 855.70 CM'OZA FARM. ta nal employees. 8 51 .8.70 49.83 58.53 CHRONIC WARD. 3patient. ..34 .33.33 33.33 COLON HOSPITAL. Canal employees. .1 7 2. 5 1.73. 7.67 9.40 R. U. employees. .1 12 2 3 17 1.1 2.11 13. i0 1. 56 ..4 3.6. 3.96 patients .:. .1 7 ..2 ..46 1.50 1. t6 Ohrpyptients .4 4 13 8 8113.27 4.1W 7. 1.0 26.13 ts. ..20 1.461 .60 3.26 .5 8 311211 13 32 21.29 9.011 30.97 61.27 IAC0 LEPEI ASYLUM. a paypatients. ....1 37 .1.00 37.00 38.00 ypatients. .1 28 .1.00 28.00 2.,.00 .2 65 .2.00 65.00 67.00 G.DTOTALS. 0 Pa Cana1lemployees. 2 26 19 2012 20.80 22.83 18.23 181.76 GRAND. .OAL 1 126 121142.7~10A R. employees.12114 14.70 111.6 134.13 4104.61.,; Sodira. 4. .101 ..0.6. .104. W ient.,. ....44240 4.00 50.0 28.03 2 2.0 3 9 37 48 95 31. 0 9.22 10.4 174.52 Sts. 25 17|1as 23.40, 16.0 .2.77 188.,.6 ..10149194672018142.977A4.1,O7 VvA.I. 4

PAGE 42

40 TABLE IX.-CONSOLIDATED DISPENSARY REPO ,.1 EMPLOYEES TREATED IN QUARTERS. DieAdns Re mining muted. Died. charged. fTr -mi UyMs Nov. 1. Nov. 30. W. B. W. B. W. B. W. B. W. B. W. B. W. Ancon. 2 .55 1 .56 1 .1 .140 I 4 Ba.boa. 4 1 139 4 ..134 1 3 3 6 1 25& 14, .2 Pedro Mi;ucl 3 .19 3 ..18 2 4 1 ..56 Paraiso. ..4 16 ..4 11. 2.3 6 56 Gam boa. ............. Gatun. 1 .12 6 .13 6 ....33 20 Colon. 4 38 86 264 ..82 270 .8 321 159 903 1, Total. 14 39 305 294 ..307 291 7 6 15 36 649 1,.002 ALL CASES TREATED BUT NOT ExcUSED. Employees. Nonemployces. Totals. W. B. Total. W. B. Total. W. B. Tota1 Ancon. 1,461 5,006 6,467 1,162 3,032 4,194 2,623 8 038 ,G Balboa. 3,623 3,376 6,999 4,218 1,209 5,427 7,841 4,585 12, Pedro Miguel. 1, 392 2,017 3,439 1, 451 742 2,193 2,843 2 789 5 Paraiso. 597 2,078 2,675 503 681 1 184 1,100 2 759 Gamboa. 119 341 460 68 298 366 187 639 Gatun. 335 1,287 1,622 Loa 810 1,316 841 2,097 2, Colon. 1,20) 6,213 7,422 856 1,777 2,633 2,035 7,990 10, Total. 8,736 20, 348 29,084 8,764 8,549 17, 313 117,500 28,897 46,7

PAGE 43

44 TALE IX-A.--CONSOLIDATED ADMISSION REPORT. White. Black. Total. ,to hospitals, excluding Corozal farm and toward ..632 523 1,155 A is fls of employees to quarters .315 294 609 Tta1 admissions to hospitals and quarters. 947 817 .1,764 Le number of patients transferred between hosaad from hospitals to quarters, whose adare duplicated in above figures. 27 53 80 Net admissions to hospitals and quarters. 920 764 -1,684 EMPLOYEEs. ees admitted to'hospitals. 120 316 436 es admitted to quarters. 315 294 609 Total admissions of employees. 435 610 1,045 number transferred between hospitals and from tals to quarters, whose admissions are duplie inabove figures. 12 34 46 Net admissions of employees. .423 576 999 A average per thousand of admissions of emes to hospitals and quarters. .1, 039. 52 276.87 401.65 TABLE.IX-B.-CONTAGIOUS AND INFECTIOUS DISEASES REPORTED' DURING THE MONTH. Canal NonPanama. Colon. 'Cnel rint Total. ..Zone. resident. B. .3 1. .4 .2 ...2 i po. 2 eria. 6 2 4 .12 yy .3 1 1 .5 lophthalmia. ..1 .1 infection. 20 37 4 61 mdisease.40 40 .ayer. 7 6 43 21 77 .8 8 43 2 61 measles. .4 .4 tis, tuberculous. ...1 ..1 4 9 .3 1. 4 acute. 14 1 2 1 18 Scale fe er ...3 .3 .4 7 14 .25 is. 35 6 6 1 48 ..2 1 3 Souh. .7

PAGE 44

42 TABLE X.-NUMBER OF EMPLOYEES CONSTANTLY SICK IN HOSP TALS AND QUARTERS. White. Colored. T Hospials: Ancon Hospital. ...--------------------------52.34 179.0 Colon Hospital. 4.99 20.97 Total.---------. 57.33 200.03 Quarters: Ancon-----..----------------------------4.67 .03 4 Balboa---------------. 8.50 .46 Pedro Miguel-. .1.87 .27 Paas---------------------------.2. 1.86' Paraiso. ...20 1.86A20 Gatun. 1.10 .67 Colon.-------5.30 30.10 Total. 21.64 33.39 55 Hospitals. Quarters. TotaL. Average number of employees constantly sick: White.w. 57.33 21.64 Black. ...----------------------------.-----200.03 33.39 233. Total.-. 257.36 55.03 Average number of employees constantly sick per 1,000: 'White. ----------------------11.74 4.43 Black.-----------------------------------8.01 1.34,. Total. -8.62 1.85 TABLE X-A.-AVERAGE NUMBER OF DAYS IN HOSPITAL OR QUJ TERS FOR EACH ADMISSION OF SICK EMPLOYEE. White. Black. T Hospitals: Ancon Hospital-------. 19.57 32.10 Colon Hospital.-. 6.39 7.19-; Quarters: Ancon. 2.34 1.0 Balboa. 1.82 3.75 Pedro Miguel. 2.95 2.66 Paraiso.-. 150 4.31 Gatun. 2.61 3.33 Colon.----------------------. 2.05 4.3.

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43 B.-DEATr RATES AMONG AMERICANS ON THE ISTHMUS CONNECTED WITH THE PANAMA CANAL. Annual death rate. per 1,000 population. employees from the United States: Diease. 5.76 women and children'from the United States: Disease. -.------------------------------------4.84 iteiemployees and their families from the United States: Disease -----------------------------------------------------5.26 XHJ.-FINANQIAL STATEMENT, DEPARTMENT OF HEALTH, October, September, October, 1917. 1917. 1916. A istration, general expenses: (hlef health office. $664.53 $693.89 $457.18 struction allotments. .1,447.32 k. .12,436.25 3,854.94 .sense. ...----------------.185.12 1138.30 Re 1ervefor new tools.-. ..2,159.04 Total .11,586.601 5,857.85 2,616.22 al vision: -Hospital. 38,405.23 36,507.93 30,027.76 rozal Hospital and Farm. 9,092.30 7, 494.33 7, 422.24 lou Hospital. 5,394.22 5.893. 34 4,569.75 o Seco Leper Asylum. 2,221.84 2,228.27 1,482.59 to Tomas Hospital. 1,052.00 901.76 1,047.00 edicalstorehouse. 903.38 932.69 637.33 Total. .57,158.97 53,958.32 45,186.67 division: aith office, Panama. 4, 505.29 3,222.18 3,599.92 reet cleaning Panama. 4,815.64 4,359.46 3,911.03 lth office, iolon-Cristobal. 2,864.10 3,241.01 2,477.25 t cleaning, Colon-Cristobal. 2,724.49 2, 412.13 2,126.02 esamtation. 11,009.42 8,788.48, 11,529.84 TotaL. .25,918.94 22,073.26 23,594.06 ries. 4,374.02 4,162.68 2,787.96 tine division. 6265.36 5,346.95 5,454.64 RECAPITULATION. A n a general expenses. 11,586.60 5,807.85 2,616.22 ..57,158.97 53,958.32 45,186.67 25,918.94 22,073.26 23,594.06 .4,374.02 4, 162.68 2,787.96 division. 6,265.36 5,346.95 5,454.64 .92,130.69 91,349.06 79,639.56 I Credit. HAA

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TABLE XIII.-ANCON HOSPITAL. REPORT oF DAYS LosT IN HOSPITAL. Class. AmenForeign. Bla T can, Hospital: Panama Canal employees. 554 387 2,302, Panama Railroad employees. 200 377 2,890 Army and Navy. 2,973 Panama Government pay cases. .. Other pay cases. 561 949 2,722 Charity cases .846 159 515 -Total. 5,134 1,872 8,429 Asylum: Panama Canal employees. 15 *37 120 Panama Railroad employees. ..60 Army and Navy. 57 Panama Government pay cases. 120 1., 457 5,987 7 Other pay cases. .79 1412 Charity cases. .253 1,910, Total. .-. 192 1,826 8,218 Chronics.-. .1,000. Cripples. .261 1,495 Grand total. 5,326 3,959 19,142 Nonresidents, hospital. Nonresidents, asylum. Cost of subsistence per patient per day, $0.3415. I. .lA

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4AA TfABLE XIII.-ANCON HOSPITAL-Continued. WARD LABORATORY REPORT. tions, total number. 705 -u-mnaW. .40 M ixed ..-. .--.--....-.-. .0. Te ta ..............!----T-------..t. 13 Ia. .12 eretialcounts. 35 obin estimations. .204 yte counts.-.-. 136 bloodcounts. 7 exawinations, total number. .616 A----.-.-. -. .6 A lumbricoides. 13 B--a ..1 iiated monads. .9 ameba (hystolytica and tetragena). .1 G uaiac -----.-.--.-. -.-. -. -. ..-. -17 and blood ..14 --des. ..22 Teai aynt. .2 ocephalus dispar. .18 cinaria (ova). .43 Ur Ve e nations, total number. .2,204 e ...430 Bi t. 20 C-----.-. ..290 Cila nd onads.2 I fl ...745 G a st .18,. .20 e crystals .3 In i a ...................------------225 Pu n l o .w. ..913 g positive fo, u ebaci 573). 591 'examinations, total number. .3 for tubercle bacilli. ..41 Sma eainations, total number .51 U----r7 .*. -. .13 ..............--------------5 Spl~a------. ......13

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46 TABLE XII.-ANCON HOSPITAL-Continued. SURGICAL OPERATIONS PERFORMED }iDURING THE MONT. Number. Amputations: Leg.-.-.--Digits, m ultiple ....-1 Operations on bones: Wiring of fractures, single. ------Adenectomy: Inguinal, single.------....--------------------. Ingainal, dofuble. -. ..--F em oral....-...3 1 erniotomy: Inguinal, single. 14 Inguinal, double. ..---------------------4 n tra. ............. Ventral.----------------------------------------------1 Genito-urinary tract: Nephrotemy---------.-. .-1 Urethrotomy, internal-.----------------------------1 Urethrotomy, external.--------------------------------1 Varicocele, radical cure. --------------------------------4 Rydrocele, single, radical cure. 1Epididyotomy ..5 Amputation O scrotum. .-------------------------------5 Curettage uteri. -9 Perineoplasty. -1 Vaginal punctures. I Obstetrical: Cesarian section ----------.-. Accouchement force.---------------------.1 High forceps.-----------.------Low forceps.-------------------. .1 Version.--------.-----------.Rectum: Hemorrhoids, radical, cure. .-----------9 General: Thyroidectomy--------------------. -1 Varicose veins, excision of. .----------------3 Tenorrhaphy. .3 Excision of surface neoplasms.w. 3 Plastic operation for congenital defect. w.Plastic operation for effects of disease.1 Laparotomy: For intestinal obstruction-.-. I Exploratory .-------Appendectomy .-. 6 Appendectomy, with local peritonitis.-1 Appendectomy, with general peritonitis. -1 Abscess of liver, thoraco-hepatomy for.---------------------2 Supravaginal hysterectomy. .-5 Hysteromyomectomy .3 Salpingectomy, double.-..2 Salpingo-oophorectomy. 1 Ovaran cystectomy.-.1 Suspensio-uteri.-------------. Major operations, various other. -3 Tracheotomy-----.1 Minor operations, various.-236 Totals .379

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47 TABLE XIII.-ANCON HOSPITAL-Continued. REPORT oF OPERATIONS, EYE AND EAR CLINIC. T IL y.-.29 o y .:. ..23 S o.s rejection. ..25 Teectty. ..2 y ...2 ectomy (partial).--. 1 (partial). ..I .transplantation ..1 ranrum operation. .1 oTotap. .86 .ns. 50 REPORT OF OUT-PATIENT DEPARTMENT. Clinic -'Total. New Pay Prescripvisits. cases. cases. tions. -----. .250 170 37 244 .254 124 10 46 a ear. 450 239 .56 Total. .954 533 47 346 REPORT OF VACCINATIONS. Iof adults vaccinated. 128 of takes". ...5 of school children vaccinated. 6 of "takes". 4 BOARD OF HEALTH LABORATORY. gical examination: cultures (1 psitive B. typhosus and 1 positive B. coli) -.27 lutination reactions (2 positive B. typho8us). 7 cultures (8 positive first time; 12 repeated). 168 cultures (2 positive first time; 12 repeated). 14 (6 positive B. 0i). 44 (2 positive B. typiosu8). -..-.w. .103 s of water (2 from Panama Railroad S. S. Advance and 7 from Balboa ming ..9 ,vaous. ..4 smears (6 positive Gonococci). 10 smears (1 positive Gonococci). 3 fleld examinations. 2 of dogs examined for "Negri bodies" (both negative). 2 smears from horses (6 positive for Trypanasomes). 18 smear for malaria (negative). I (S positive B. tubercul osi and are from Panama). 13 counts of mk ..31 tions of: wy from Corozal farm. 4 supply department. 2 44' .2 U n .........28 I fectant (Panama health office). 1 1,0from operating room (Dr. Earart). .I *odmmefomCoon Hospital. 1 ,fram eomissary department. ...1 tissues prepared. 66

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-~4S TABLE XIII.-ANCON HQSPITAL-Continuel BOARD OF HEALTH LABOuATor-Cotxinued. Chemical examinations of-Continued. Autopsies performed------------------------------Tissues reported, surgical. Autapsies, animal, performed (dogs, 2; chickens; 1; pig, 1). Rats examined (mus musculus, 1,162; mus norvegicus, 280; m4 awirinus, 10; mus -rattus, 151). Undertaker: Cremations. ------------Interments at Corozal-..-.----------Embalmed----------. ........--------------------------------Bodies shipped to the United States.-..Bodies taken to Panama. General: Wassermann reactions Autogenous vaccines prepared.-----.-------Antityphoid vaccinations.,_.-. Smallpox vaccinations. COROzAL HOSPITAL-STATEMENT OF COMMITMENTS, DiaCHARGEP, AND DEATHS. COMMITMENTS. Male j Frork Canal Zone, first admission. 6 From Panama Government, first admission .4 Total. ..------------------------------------------10 DISCHARGES. Well. Improved. Unim Male. Female. Male. Female. Male. Antigua. .I .. -Colombia. ...... Colombia------7-------------------------1. Panama. ...... United States. -.11. Total. -1 1 1 1 I DEATHS. Medical diagnoss. Mentaldiagnbsis. .F. Tuberculosis of the lungs-. Infection exhaustion psychosis. General paralysis of insaue. General paralysis of insane. Tuberculosis of the lungs. Infection exhaustion psychosis -Two deportations to United States.

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49 TAuL3 XIV.-COLON HOSPITAL. RnwouT op DAYs LosT nI HoSTAL. MINisI. American. Foreign. Black. Total. I Can ipepoyees .52 .230 282 Sagroad employees .34 64 399 497 tpaypatients .14 45 59 .75 44 .119 p atients.398 149 237 patients. 36 44 18 98 595 315 929 1,839 LARoRATORY REPORT. B. ..205 .m.a. 0. 26To ~n. 5 ial counts ..6 blood cnunts. 22 blood counts. 7 P#Iobinestimations. 15 .89 vermieularis odes. 5 onads. 12 P No .19 .6 .224 .15 .71 ..10 .9 ..6 tions. 29 for tubercle bacilli. 1 Stions ..14 ..14 SURGICAL OPERATIONS. on bones: ydecompressive.1 1 y. 1 ywith fascia transplant .4.1I Ainp .3 nle. 3 .double .I tract: radical cure single'. radical cure. .1 0d testicle, double. ~yifsexisonof S.ms .me .*.I =8 utboe nepplaStu. GI nd -of soft parts, operation for. 2 tinjror e june.w. ..1 Passtion for ere .1 NFN., Died. N, I. Na AN7 ..1 .N.I I

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50 TABLE XIV.-COLON HOSPITALr-Continued. SURGICAL OPERATIoNs-Continued. Laparotomy: Appendectomy. Appendectomy with local peritonitis. ysteronmyomectomy. myonectomy. Salpingectomy, single. Salpingectomy, double. Ovarian cystectomy. Oophorectomy. Suspensio-uteri ..A. Minor operations, various. Minor operations, various (dispensary). Normal deliveries. TABLE XV.-SANTO TOMAS HOSPITAL. e-AdDs Class. ma ning Ad. Died. chtrdd Nov. 1. Pay cases.42 112 4 110 Charity cases. 403 738 94 665 Total. 445 850 98 775 4 Americans. .Other nation. Class. Number lass.treated. White. Black. White. Blaik. Pay patients. 154 3 .45 Chanty patients. 1,141 4 .102 Total. 1,295 7 .1471,4 Number of days relief furnished patients. Average number of patients constantly sick. Average number of days treatment for each patient admitted. Cost of subsistence-per patient per day.-.-.--.DIsPENsARY REPORT. Class. White. Black. Natives treated. 17 Foreigners treated. 49' 277 Total. 56 1,271, Ys*

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51 TABLE XV.-SANTO TOMAS HOBPITAIr-Continued. DIsPENSARY REPoRT-Continued. DIsEASEs TREATED. Number cases. 9. ....40 Mese. a. 12 eaand croup. 1. I u ...a. 1 epidemic diseases. .2 tinlection and septicemia .7 Pell ra. eri & .2 ofthelungs .13 m1f. tuberculosis. .. ypii. f. 30 r ....5 ccusInfection. 52 r other malignant tumors of the skin. 1 ticularrheunmatism. .3 ,lorosis .1 (acute or chroc) .16 blemorrhage,apoplexy. 1 sof mentalalienation. 3 .2 aand neuritis. 5 seases of the nervous system. 2 sesof the eyes and their annexa. 8 s iof the ear. 1 g diseases of the heart. 17 of thearteries. 12 of he veins.,. 3 softhelymphaticsystem. 13 rage. 1 sof thenasalfossaa. 1 ibronC ts. 14 Pnn .ni. e. .5 M ..1 yemphysema.,. 1 of the pharynx. 13 (and enteritis under 2 years). 7 .and enteritis (2 years and over). 6 toiiasis. 67 pa rasites. 15 Ape s and typhlltis. .2 s istructions. 10 the'anus and fecal fistulas.i. 3 ases of the intestines .3 of the liver. 4 disease (chronic nephritis). 17 cases of the kidneys and annexa. 1 ofthebladder .I s of the urethra. .9 inaldiseases of the female genital organs. 6 r. .2 n. 17 Ar the uterus. 2 other diseases of the female genital organs. 5 1 diseases of the breast. .S ., ,. .w. 1 A o gnancy. ..12 .....9 pthe skini and annexa. .s. ..21 bO S. .4 S. .4 fr~n Ii~plt1 'ith.t. 82 hos.m.ta.w.h *.*.**ses. .....

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52 TABLE XV.--SANTO TOMAS HOSPITAL-Continued. DIsPENAY REPORT-Continued. DISEASES TRrATED--Continued. Other acute poisonings. Burns. Traumatsmbyfrearms. Traumatism by cutting or piercing instruments .. Traumatism bother eh Excessivecold Fractures. Otherexternalviolence. Disease not specified or ill-defined. No disease. Total patients discharged during month Deaths among patients. Patients remaining in hospital at end of month. Total number of patients treated during the month. SURGICAL OPERATIONS. Nnae Amputation of leg. Circumcisions. Resection of ankle. Adenectomy: Cervical. Axillary ... Inguinalsingle Inguinal, double Herniotomy: Inguinal, single. Strangulated. Urethrotomy: Internal. External Hydrocele, single, radical cure. Orchidectomy. Curettage uteri. Vaginalsections. Hemorrhoids, radical cure. Fistula in anus, excision of ... SkIn graft ....A.0 .. Laparotomy forintestinalobstructions. Appendectomy Resection of rectum. Abscess ofliver, thoraco-hepatotomy for. Salpingectomy: ingle Double Salpingo-oophorectomy. Oophorectomy. Suspensio-uteri. Major operations, various other. Minor operations, various other. Cataract extractions. Pterygiunm. Tonsillectomy. Adenoidectomy. ... Total.:. ... 4* AI

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TV.-SANTO TOMAS 1OSPITAL-Continuid. LABoRAToRY REPORT. Number. ..636 S.,. ..16 s. 38 Bs. 32 .13 s. ...0. 5 8uga ....1 .N. 857 n150 t.~. ..12 Tus ..16 ...14 Asa .......34 'uuand pus .,U. I antid m o ..'I A nl ...... B1@. Put .. ...3 .s. ...87 Io tbrebil.o.----.2is tions .192 .x. .6 n. 1 .....5 .o. .26 .o.e.i. 0. 0.63 W e. 5 i. bd .6 Aut sis r1formed. 36 474 1K ili

PAGE 56

45 TABLE XVI.-REPORT OF ROUTINE SANITARY WORK PE IN THE CANAL ZONE AND THE CITIES OF PAIAMAA Panama Colon. Linear yards of new ditches constructed. 1,115 Linear yards of ditches maintained during month. 74,600 15,0W Acres of vegetation removed. -103.72 Number of cans of garbage emptied daily. Cubic yards of garbage removed during month. 9,433 29G Square yards of streets cleaned daily. 600,000 25,681. Square yards of alleys cleaned daily.-. .42,466 Square yards of pools oiled. 237,934 141, Number of pit closets inspected .e. Number of closets disinfected during month-. .. Number of rats destroyed during month. 889 407+ Number of mosquito-breeding places destroyed. 266 58, Number of Ily-breeding places destroyed.21 121 Notices served to abate nuisances. 268 443 Private properties cleaned during month. 4 6,O98 Convictions for violation of sanitary code. 3 Houses disinfected or fumigated.8 Buildings inspected. 3,586 8,292 Number of mosquitoes destroyed in buildings: Anopheles. .702 Stegomyia. ., Culex. .2,717 Buildings-Construction and repair: Plans for new buildings approved. 5 1 Permits issued to repair old buildings. 104 56 Sewer connections made.8 .. Food inspection: Dairies, milk vendors, etc .11 17 Bakeries, candy kitchens, ice-cream parlors. 13 u .. Hotels, clubs, restaurants. ..2W. Markets, miscellaneous etc. 73 75 Material used during month: Crude oil (gallons). 4,200 l,50 Larvacide (gallons). 408 144 Kerosene (gallons). 200 .0 TABLE XVII.-CONSOLIDATED REPORT OF QUARANTINE TIONS AT THE PORTS OF BALBOA-PANAMA AND CO TOBAL. Vessels inspected and passed.*. Vessels held in quarantine. .. Vessels inspected and transiting canal in quarantine. Vessels inspected and passed on medical officer's certificate. Total vessels entered. Supplemental actions of detained vessels. Vessels fumigated on arrival. Vessels fuinmigated prior to departure. Bills of health issued .-. Bills of health visked .. Crew inspected on arrival. ...., Passengers inspected on arrival .. Total persons inspected on arrival. Crew passed on medical officer's certificate. Supplementary inspections of passenger and crew. A

PAGE 57

55 ONSOLIDATRD REPORT OF QUARANTINE TRANSACTHE PORTS OF BALBOA-PANAMA AND COLON-CRISTOBA~-ConInued1. nted i port on arrival. 140 tediort of departure or en route. 3,241 T 1 ro vaccinated ....3,381 at quarantine stations to complete period of incubation of or bubonic jplague. 259 on board vessels. .2,362 .T .persons detained hr quarantine. 2,621 Peaded from foreign ports: ab ...7. 631 Steae. .367 Toa. ...998 rving from coast towns in small launches and sailing craft. 1,134 for coast towns in small launches and sailing craft. 856 passing through the canal. 171, transit for Pacific ports not passing through canal. 238 transitfor Atlantic ports. 466 rejected and deported. .41 TION REPORT FOR THE PORTS OF COLON-CRISTOBAL AND BALBOA-PANAMA. FromCabin. Steerage. t.489 19 ub. 5 .32 2 0(not shown above). 23 166 .1. ..5 8 ,Republic of Phnama. 28 145 g. 4 .-. 44 105 ..*. 1 31 .11 .6 5 0810.a. Asia. .21 T .659 512 1,171 .535 .420 ..216 .1171 TRANSACTIONS AT THE PORT OF BOCAS DEL TORO, PANAMA. ansi e. .16 h W.as. a. .....a .of Passengers~in ,.nspewted 6124 pas"e. 7 No ~ ~ ~ 466 qurnialedsa has appesiod. in thI* port, and the health donditon of thepor an suroneneteritoy onthmu good. UU

PAGE 58

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PAGE 60

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