lOiify^, l^ /

ANNUAL REPORT

OF THE

DEPARTMENT OF SANITATION

OF THE

ISTHMIAN CANAL COMMISSION

FOR THE

YEAR 1907

W. C. GORGAS

Assistant Surgeon-General, U. S. Army

Chief Sanitary Officer

WASHINGTON

GOVERNMENT PRINTING OFFICE

1908

6140386
UNIVERSITY

OF FLORIDA

LIBRARY
Prgperty of tlie llnitei St^t^s GovernineBl

ANNUAL REPORT

OF THE

DEPARTMENT OF SANITATION

OF THE

ISTHMIAN CANAL COMMISSION

FOR THE

YEAR 1907

' W. r GORGAS

'» * Assistant S!urgf;o«^-(ieije>;aI, 0. S: Arniy

'*" Chief Sanitary Officer

WASHINGTON

GOVERNMENT PRINTING OFFICE

1908
a.

<» •
CONTENTS.

Page,

Letter of transmittal 5

General statistics 9

Deaths by color 10

Deaths by nationality 10

Deaths by ages 11

Deaths of Isthmian Canal Commission and Panama Railroad employees by nationality , 11

Causes of deaths of Isthmian Canal Commission and Panama

Railroad employees 12

List of deaths on the Isthmus of white employees from

United States 14

Deaths of white American women and children 17

Causes of death 18

Morbidity and mortality tables 22

Discharges and deaths of employees in hospitals of Commission ' 22

Consolidated hospital report 26

Consolidated sick-camp report 28

Consolidated hospital and sick-camp report 29

Average number of employees constantly sick during year

in hospitals and sick camps 30

Consolidated dispensary report . . ^ 31

Report of all surgical operations in hospitals of Commission. 31

Consolidated laboratory report of all hospitals of Commission

.

34

Report of

Ancon Hospital 36

Colon Hospital 39

Culebra Hospital 43

Mirafiores Hospital 44

Bas Obispo Hospital 46

Gorgona Hospital 47

Empire Hospital 49

Paraiso Hospital 49

Las Cascadas Hospital _- 51

Gatun Hospital 52

Taboga Sanitarium 53

Santo Tomas Hospital 53

Pedro Miguel Dispensary 54

Panama Dispensary 55

(3)

szt^-j
Report of— ^^^f- La Boca Dispensary 55

San Pablo Dispensary 56

Corozal Dispensary 56

Cristobal Dispensary 57

Tabernilla Dispensary 57

Board of Health Laljoratory 58

Vaccinations 59

Statement of issues of quinine 60

Summary of work performed in the city of Panama 60

Summary of the work performed in the cities of Colon and

Cristobal - 62

Summary of routine work accomplished by department of sanitation 67

Sanitation , Bocas del Toro .^ 75

Consolidated repor,t of quarantine transactions at ports of Ancon and Panama and Colon and Cristobal 76

Quarantine transactions. Bocas del Toro 77

Personnel report 77

Malaria cases and deaths among white and black employees

in hospitals - 78
LETTER OF TRANSMITTAL.

Office of Chief Sanitary Officer,

Ancon, Canal Zone, February 24, 1908.

Chairman Isthmian Canal Commission,

Culehra, Canal Zone.

Sir: I herewith forward annual report for the calendar year 1907.

We averaged durmg the year 10,709 white employees, among whom we had 179 deaths, giving us an annual death rate of 16.71 per thousand. Last

year, 1906, we had a death rate among our white

employees of 16.27 per thousand.

We averaged during 1907, 28,634 negro employees,

among whom we had 953 deaths, giving us a rate of

33.28 per thousand. The preceding year, the rate

in the same class was 49.01 per thousand. This

means that among our negro employees 16 fewer

men died in 1907 in every thousand than in 1906.

We averaged during the year 1907, 39,343 employees of all kinds on our rolls. Among these w^e

had 1,132 deaths, giving us a death rate of 28.77 per

thousand. The preceding year our death rate in the

same class was 41.24 per thousand. This means

that in our force taken as a whole we had 13 fewer

deaths in every thousand men than we had m 1906;

that is, the improvement in the health conditions in

the year 1907 over those of 1906 saved the lives of

507 men in our laboring force.

The improvement has also been considerable in the

health of the total population. In 1907 our death

rate in this class was 33.63 per thousand; in 1906,

49.10 per thousand, showing a saving of 16 lives per

thousand over the year 1906. This for the total
population of 102,000 means the saving of 1,632 lives

in 1907 as compared with 1906.

Among our 4,300 white American employees we

had during the year 42 deaths, which gives a rate per

thousand of 9.76. Of these, 29 died from disease,

which w^ould give us a death rate from disease of 6.74

per thousand, which is about as small as would occur

among a similar body of men in any healthy part of

the United States.

We had in Commission quarters the families of

these 4,300 men—1,337 women and children. Of

these, 9 died, giving a death rate of 6.73 per thousand;

smaller, I think, than the death rate in the same class

in most parts of the United States. Generally, the

death rate of women and children, considered together,

is much higher than that of men in the prime of life. In this instance they are almost exactly the same.

Among our 39,000 employees, w^e had on a average

every day 987 sick. This would give us a rate per

thousand of 25, which compares very favorably with

bodies of men such as our Army or Navy or similar

organizations.

During the year we had 173 violent deaths among the

employees, as compared with 55 in the preceding year. I

can think of no particular reason for this very great

increase. There was probably very much more blasting

and railroad work going on in 1907 than in 1906.

From beriberi we had 2 deaths among the employees

in 1907 as against 6 in 1906. Among the employees

in 1907 we had 48 deatlis from dysentery as against 69

in the preceding year. From malaria among the emplo3^ees we had 154 deaths in 1907 as against 233 in

1906. This I think a particularly good showing, as the force was considerably smaller in 1906 than in

1907. From pneumonia among the employees we had

328 deaths this year as against 421 last year.

Taking the population at large and considering individual diseases, we also find some gratifying decreases. From malaria, with a total population of
66,000 in 1906, we had 712 deaths; in 1907, with a

total population of 102,000, w^e had 568 deaths. From

dysentery, in 1906, we had 190 deaths. With nearly

double the population in 1907 we had only 116

deaths. From beriberi, in 1906 we had 68 deatlis;

in 1907, 53 deatlis. Of these 53 deaths 48 occurred in

the city of Panama; that is, beriberi is almost entirely

confined to the citv of Panama. From pneumonia,

for the year 1906, \ve had 720 deaths; in 1907, 581

deaths. From hook worm, which causes tropical

anaemia, we had in 1906, 15 deaths; in 1907, 7 deaths.

When we first came to Panama we looked upon this as probably one of the most formidable diseases with

which we would have to deal.

It is an interesting fact that of our total mortality,

28.77 per thousand, among our laboring force, only

4.57 per thousand died of disease ordinarily called

tropical, among which we include malaria.

Taking malaria itself, we admitted into our hospitals during the year 1906, 21,739 cases; in the year

1907. 16,753 cases. As we had a force of 26,000 in

1906, and of 39,000 in 1907, these figures would showthat in 1906 eleven-thirteenths of our force had malaria, while in 1907 only five- thirteenths had this dis- ease ; that is, the malaria for the year had been reduced • just one-half as compared with 1906.

It is interesting to note in tliis connection that in

1906 our death rate from malaria was, approximately,

among the whites, 2 per thousand, and among the

blacks, 8 per thousand. In 1907 the same rates were

3 per thousand and 4 per thousand. This seems to

show a greatly increased resisting power among the

blacks during 1907. as compared with 1906. The

slight increase in death rate from malaria among the

whites is due to the fact that the white American force

has decreased, and the white foreign force greatly increased. The foreign force, being much less intelhgent than the American w^hite force, increased to

some extent the mortality among the whites.
8

It is worthy of note that ^\e admitted to our hospitals during the year only 243 cases of s^^pliilis and

190 cases of gonorrhea. This in so large a force, I

think, is quite remarkable. And it is equally remarkable that we should have admitted to our hospitals

during the jesiT only 116 cases of alcoholismiis.

We gave during the year 438,000 days' treatment

to employees in hospitals, at a cost for food of $129,000,

which gives us a cost per capita per day of 29.5 cents

for food. The total running expenses for all hospitals

for this same period was $735,000, which would give

us a total cost per capita, per day, of SI. 67 7. This

compares ver}'' favorabh^, as to expense, with hospitals in the United States, and when we consider that

almost all of our supplies are considerably more ex- pensive than in the United States, I think it is doing

very well.

During the year we had 71,000 people come to the

Isthmus and 44,000 leave, which gives an increase in

population of 27,000.

For the 3^ear, then, I think we can state that the

health conditions on the Isthmus show a marked improvement as compared with all previous years since

we have been here, and that this improvement seems

to be continuous; that the health of the American

whites—men, women, and children—is fully as good as

in most parts of the United States; that the working

efficiency of our force, as far as loss from sickness is

concerned, is as good as that of a similar force anywhere in the United States, and better than that of

either our Army or Navy.

We have had no case of yelloA\ fever anywhere on

the Isthmus, excepting that taken oiY the shipping at

the quarantine stations; no case of bubonic plague,

and only one death from smallpox, wliich was not in

the person of an employee.

Very respectfully, 'Wm. C. Gorgas,

Chief Sanitary Office7\
ANNUAL REPORT

OP

DEPARTMENT OF SANITATION, ISTHMIAN CANAL COMMISSION,

FOR THE YEAK 1907.

GENER-A.L STATISTICS.

Table showing Average Number for the Year of White

AND Black Employees, Separately and Consolidated, Total

Deaths, Average Population. Total Deaths among Population, AND Annual Death Rates among Employees and

Population.

YEAR 1907.

Average

number of employees.

Total deaths

Armual

average per

1,000.

WTiite employees of the Canal

Commission and Panama Railroad Company

Black employees of the Canal

Commission and Panama Railroad Company

Total employees of the

Canal Commission and

Panama Railroad Company

Panama

Colon

Canal Zone.

10, 709

28, 634

Total population.

39, 343

Average

population.

33. 548

14, 549

54, 036

102, 133

28.77

34. 45

39.24

31.60

33. 63

Note.—The population and deaths as given for the cities of Panama and Colon, and for the Canal Zone, in the table above,

include employees and civil population. Figures relating to number of employees are compiled from the pay rolls of the different

months.

(9)

34020—08 2
10

Deaths by Colors,

White:

Male 480

Female 171

Black:

Male 1, 958

Female...

Chinese:

Male

Female . .

.

Not stated

Male

Female...

Sex unknown.

'54

57

2

5

2

Total 3,435

Deaths by Nationality.

Algeria

Africa

Antigua

Austria

Argentine Republic

Arabia

Barbados

Bolivia

British Guiana

Bahama Islands

Bohemia

Belgium

Canada

China

Chile...

Colombia

Costa Rica

Cuba

Curasao

Demarara

Dominica

Egypt

Ecuador

England

France

Fortune Islands

Greece

Germany

1229

4

1

1 377

3

111

1

1 58

3

251

11

7

12

8

1619

31

10

13

Grenada

Guadaloupe.

Guiana

Haiti

Holland

Honduras. .

.

Hindustan..

India

Ireland

Italy.

Jamaica

Martinique.

Mexico

Montserrat . Norway

Nicaragua..

Nassau

Panama

Peru

Porto Rico.

Portugal

Russia , Syria

San Salvadcjr.

Scotland

Spain

Sweden

Switzerland..

763

18

1

11

1225

657

165

1413

2

6

2 149

5

A

14

() 123

11
11

St. Kitts

St. Lucia

St. Thomas..

St. Vincent.

St. Michaels.

Trinadad

Tuikey

4

84

511

1 22

2

United States. Venezuela

West Indies...

Unknown

729

Grand total 3, 435

Deaths by Ages.

Under 1 year 530

From 1 to 4 years 118

From 4 to 10 years 57

From 10 to 20 vears 264

From 20 to 30 years 853

From 30 to 40 years 554

From 40 to 50 vears 443

From 60 to 70 years .

.

From 70 to 80 vears .

.

From 80 to 90 years.. From 90 to 100 years. Over 100 years

Not stated

80

42

16

2

2 256

From 50 to 60 vears. 218 Grand total 3.435

Deaths of Isthmian Canal Commission and Panama Railroad

Employees by' Nationality.

Antigua 23

Austria 1 Bohemia 1 Bahama Islands 1 Barbados 336

Belgium 1 Bolivia 1 Canada 1 Colombia 33

Costa Rica 1 Curacao 1 Demarara 2 Dominica 6 England 8

France 14

Fortune Islands 10

Germany 2 Greece 11

Grenada 5 Guaclaloupe 53

Guiana, British 1 Haiti 4 Holland 1 Hindustan 1 India 1 Ireland 1

Italy 11

Jamaica 223

Mexico 1 Martinique 106

Montserrat 10

Nicaragua : 2 Nassau 2 Panama 52

Porto Rico 2 Russia 1 Syria 1 San Salvador 1 Scotland 2 Spain 83

St. Kitts 2

St. Lucia 27

St. Thomas 2

St. Vincent 11 Switzerland 1 Trinidad 17 Turkey 2 United States 43

West Indies 3

Not stated 7 Grand total 1.132
12

Causes of Deaths of Isthmian Canal Commission

Panama Railroad Employees.

AND

Accidental traumatisms

Alcoholism, acute

Anaemia, pernicious

Anaemia

Aneurism of abdominal aorta..

Arthritis, purulent

Apoplexy

Arterio-sclerosis

Abscess of spleen

Aortic insufficiency

Amoebic abscess of liver

Appendicitis, suppurative

Aortitis, vegetative

Beriberi

Biliary calculi

Bronchitis

Bright' s disease

Carcinoma of stomach

Colitis, acute

Diabetes

Drowning, accidental

Dysentery, amoebic

Dysentery

Diarrhea

Empyema

Endocarditis

Enteritis, suppurative

External violence

Embolism

Entero-colitis

Fever:

Malarial

Pernicious

Haemoglo])inuric

Typhoid

General paresis

Hypostatic congestion of lungs

Heart, organic disease of Hemorrhage

Hernia, strangulated

Infection, undetermined

White. Black. Total.

55 87 142

5 1 6

1 1 1 1 1 1

1 1 1 3 4

1 1 1 1

1 1 2 1 3

1 1

1 1

1 1 2

2 2

1 i

1 1 1 1 1 1 2

1 1 5 16 21

7 15 22

4 22 26

1 1 4 . 4

1 2 3

1 1 2 1 3

1 1

1 1

23 110 133

10 3 13

2 6 8

9 89 - 98

1 1

] 1 3 18 21

3 3

0' 1 1 1 1
rs

Causes of Deaths of Isthmian Canal Commission and

Panama Railroad Employees—Continued.

Ileo-colitis: Acute

Chronic

Intestinal obstructions

Indigestion, acute

Insanity, alcoholic

Liver:

Abscess of Cirrhosis of Lungs:

Abscess of Gangrene of Oedema of Tuberculosis of Myelitis

Malignant tumor of pancreas

Meningitis:

Simple

Cerebro-spinal

Pneumococcic

Tuberculous

Myocarditis

Nephritis

Oedema of larynx

Paralysis

Pericarditis

Peritonitis

Pleurisy

Pneumonia

Broncho

Pyemia

Rupture of

Spleen

Urethra

Rheumatism

Shock from operation

Syncope

Septicemia

Stomach:

Cancer of Ulcer of

«^ White. Black. Total.

1 3 4

1 1

1 4 5

1 1 1 1

1 4 5

4 3

l-r i

1 1

1 1 1 1

6 67 73

1 1 1 1

1 13 14

5 5

3 3 1 1 2 4 4

2 56 58

2 2

1 1 3 3

12 12

1 1 11 304 315

2 11 13

5 5

1 1 1 1

1 1

1 1 1 1 6 23 29

2 2

1 1
14

Causes of Deaths of Isthmian Canal Commission and

Panama Railroad Employees—Continued.

Sarcoma of jaw

Suicide

Senile debility

Sj^hilis

Tetanus

Tuberculosis of mesenteric glands

Uncinaria

Xot stated

Grand total

White. Black. Total.

1 1

1 1 2 2

1 2 3

1 3 4

1 1 2 2

1 3 4

179 953 ! 1,132

List of Deaths on the Isthmus of White Employees from

THE United States, Giving Name, Occupation, Length of

Time on the Isthmus, Age, and Cause of Death.

JANUARY.

Name. Occupation. Time on

Isthmus. Age.

35

40293024

Cause of death.

Fitch, Thomas

Marion, Dennis. . .

.

Panama Railroad. Machinist

18 months.

(?) 3 weeks . .

.

20 months

3 months

.

Dysentery, amoebic.

Intestinal obstruc- Pruden, H. D

Ridlev, Geo. V

Electrician Doctor

tion. Fever, typhoid.

Pneumonia, lobar. Warden, Otis.. Carpenter Fever, typhoid.

FEBRUARY.

Home, W. R

Newman, Frank.

Carpenter

.

do....

9 months.

6 months.

29

41

Haemoglobinuric fe- ver. Tuberculosis.

MARCH.

Feeney, Michael i Panama Railroad. Fountain, John II.. Conductor

James, Edward Clerk Kendal, Thomas... Engineering de- partment.

8 months. (?)

3 years 29

22 months. 40

4 years 02

Accidental tniuiuatism. Do.

Septicemia.

Malarial fever.
15

Lisi OF Deaths on the Isthmus of White Employees from

THE United States, etc.—Continued.

APRIL.

Name. Occupation. Time on

Isthmus. Age. Cause of death.

King, S. I Panama Railroad. Machinist

Foreman

7 months. (?) Septicemia.

Murphy, Joseph . .

.

Rick, August J

14 months! 37

1 year 1 46 Blackwater fever. Septicemia.

MAY.

Gibson, Charles Excavating de- partment.

3 weeks... (?) Accidental traumatism. Hulme, R. A Municipal Engineering depart- ment.

(?) 50 Multiple fractures.

Parke, Lyman M. .

.

Watchman (?) 34 Accidental traumatism.

JUNE.

Dempsey, Patrick J. Powderman 6 weeks . .

.

26 Explosion, dynamite.

Loftts, J. J Supervisor 2 vears 38 Acute alcoholism. Maher, Edward T r a n sportation

department.

3 years (?) Suffocation, traumatism.

Titus, George Foreman 11 months 38 Acute alcoholism.

JULY.

Harrington, Jas.W. Panama Railroad. 9 months. (?) Typhoid fever. Irwin, Earle M (?) (?) (?) Accidental dro\vning.

Karling, James Excavating de- partment.14 months 4.5 Amoebic dysentery

and abscess of liver. Wallion, Michael. .

.

Engineering (?) 24 Accidental drowning.

AUGUST.

Bragg, Sherman . .

.

Pattern maker 18 months

• 39 Organic disease

heart.

of

Pettit, Geo. L Boiler maker 10 weeks .

.

29 Abscess of liver. Thomburgh, Elea- Panama Railroad. 10 months 33 Septicemia. nore M. SEPTEMBER.

Sherman, Jos. L. . . . Craneman

Twist, E. M ; Panama Railroad.

(?) 104 years .

.

36 Broncho-pneumonia.

41 Typhoid fever.
16

List or Deaths ox the Isthmus of White Employees from

THE United States, etc.—Continued.

OCTOBER.

Name. Occupation. SSSS?. ^Se. Cause of death.

Farrell, Patrick

Savage, John

Shean, David

Snell, Frank

Wagner, Adam

Engineer and conductor. do

Coppersmith

Trainman

Blacksmith

3 months .

21 months

25 years...

14 months

9 months

.

44 Ulcer of stomach.

27 Abscess of liver. 56 Accidental traumatism.

29 , Suppurative appendicitis. 42 Abscess of liver.

NOVEMBER.

Powers, Edward . . .

^ Mechanic I 10 months

Vande Pool, A. G do 8 months ,

51 Malarial fever, perI nicious. 38 I Malaria, E. A.

DECEMBER.

Conant, Frank W.

.

Foreman (?) (?) 2J vears..

.

\?)

33 months

1

34

40

(?)3530

Apoplexy.

Cassidy, Frank Machinist Fracture of skull. Kramer, Philip F.. Rogers, James S..

.

Studevant, B. S . .

.

Engineer External violence. Powderman

-Municipal Engineering Depart- ment.

General paresis.

Accidental drowning

Average number of white employees from the United

States on the Isthmus, for the year 4, 300

Total number of deaths among white employees from

the United States for the year 42

Annual average, per 1.000, of deaths among white employees from the United States 9. 76

Total number of deaths from disease, among white employees from the United States, for the year 29

Annual average, per 1,000, of deaths from disease among

white employees from the United States 6. 74

Total number of deaths from external violence, poisoning, etc., among white employees from the United

states, for the year 13

Annual average, per 1.000, of deaths among wdiite employees from the United States, from external violence,

poisoning, etc 3. 02
17

Deaths of White American Women and Children,

Name. Time on

Isthmus. Age. Cause of death.

April.

Little, Katherine L

8 months . .

.

May.

13 External violence (railroad

accident—internal hemorrhage).

Warren (infant) 7 days

August.

7 days. Marasmus.

Thornburgh, Eleanore M.

10 months .

.

33 Septicemia.

October. Maclntyro (baby)

Ortega, Mary

Iday 1 day.

57

9 months.

Cerebral paralysis.

Nephritis, chronic. Scherburgh, Albert 9 months . . Malarial fever.

.

Novemhir.

TTp.m, Mrs?. .Tohn T... 2S Hsemoglobinuric fever. December.

Atterbury, Mrs. C. L. .

.

Evans, Editb EmTna . 6 months. .

.

3 months...

(?) 3 months.

Hyperemesis gravidaum.

Capillary bronchitis.

Average number of white American women and children

living in Commission quarters, for the year 1. 337

Total number of deaths among white American women and

children for the year. 9

Annual average, per 1.000. of deaths among white American

women and children 6. 73

34020—08-
18

Causes of Death.

[Embracing employees of theCanal Commission and Panama Railroad company, and also the deaths among the civil population.] j

Diseases.

I. General Diseases. Typhoid fever (abdominal typhus)

Relapsing fever Malarial fever ^stivo-autumnal

Clinical Malarial cachexia

Ha?moglobinuric fever Smallpox

Diphtheria

Dysentery

Bacillary

Amoebic

Clinical Leprosy

Beriberi Purulent infection and septicaemia.

Tuberculosis of the larynx

Tuberculosis of the lungs.

Tuberculwois of the meninges. . ,. .

.

Abdominal tuberculosis White swelling

Tuberculosis of other organs

General tuberculosis Scrofula

Syphilis Cancer and other malignant tu- mors of the buccal cavit}' Cancer and other malignant tu- mors of stomach and liver Cancer and other malignant tu- mors of peritoneum, intestines,

and rectum

Cancer and other malignant tu- mors of the female genital organs Cancer and other malignant tu- mors of the breast Cancer and other malignant tu- mors of other organs or of or- gans not specified

Other tumors (tumors of the fe- male genital organs excepted) . .

.

Acute articular rheumatism

Chronic rheumatism and gout

Diabetes

LeuksBmia

Anaemia, chlorosis Other general diseases Acute and chronic rheumatism

Other chronic poisoning

Ancon

hospital.

58

Colon Line

hos- hospital, pital.

12

113

4

"29'

122

217

37 11

Pan- ama.

Colon

18

13

313

1

1

3

38'

1 22

7

1 . 6

;

1 '. 3'

Zone.

1 2 6

1 : I 20 109 I 60 I 120

6 I 7 1 31 3 10 8 2 I 14 7 i 16

3 4 6 2

48

3

' 1 146 19 3 ; 2

1 2

1

..i 4

3 144

Total.

21

115

1 4156850

15

t20

- 1

1 55

1 53

7

1 53

45

1 295

6

6

1339

114

2

7

15

12

2

132

5

8
19

Causes of Death—Continued.

Diseases.

II. Diseases of the nervous system

and the organs of special sense. Encephalitis

Simple meningitis

Epidemic cerebro-spinal meningitis Pneumococcus meningitis

Other diseases of the spinal cord. .

.

Congestion and hemorrhage of the

brain •. Softening of the brain

Paralysis without specified cause. General paralysis

Other forms of mental alienation. Epilepsy

Convulsions (nonpuerperal, 5 years and over)

Convulsions (under 5 years) Tetanus

Other diseases oi the nervous sys- tem

Ancon

hospital.

Colon Line

hos- I hospital, pital. Pan- ama.

Diseases of the eye and its adnexa.

Diseases of the ear

III. Diseases of the circulatory

system.

Pericarditis Pneumococcus pericarditis Acute endocarditis

Septic endocarditis Organic diseases of the heart Angina pectoris -. Diseases of the arteries (atheroma,

aneurism, etc.) 3 Embolism and thrombosis i Diseases of the veins (varices, ! hemorrhoids, phlebitis, etc.) Hemorrhages > 1 Other diseases of the circulatory ! system I V. Diseases of the respiratory L

system. r Diseases of the larynx i Acute bronchitis [[. f Chronic bronchitis .'.!!!! I , Broncho-pneumonia ! ! 20 Pneumonia '///\ 134 Pleurisy '/J 3 Congestion and apoplexy of the"' lungs

Gangrene of the lungs

Asthma

Pulmonary emphysema ] Other diseases of the respiratory

system ,

14 152

Colon Zone. Total.

2

27

11

1

13

1195

2

18

220

1183

17

4 23

2

2

1

11

....

24

1

14

13

1360

1

1 23

717

237

3

3

2

6

1320

36

2

1

1

4

115

384

6

17

1

113

428

4

51 530

10

114

11
20

Causes of Death—Continued.

Disease.

' Ancon

I hospital.

V. Diseases of the digestive system.

Diseases of the mouth and its adnexa

Diseases of the esophagus

Ulcer of the stomach

Other diseases of the stomach

(cancer excepted)

Diarrhea and enteritis (under 2 years)

Chronic diarrhea and enteritis (under 2 years)

Diarrhea and enteritis (2 years and over)

Intestinal parasites

Uncinariasis

Hernia and intestinal obstruction. Other diseases of the intestines . .

.

Cirrhosis of the liver Biliary calculi Other diseases of the liver Diseases of the spleen

Simple peritonitis

Other diseases of the digestive

system (cancer and tuberculosis excepted)

Appendicitis and abscess of the

iliac fossa

Colon

hospital

1 VI. Diseases of the genito-urinary I s'^tem and its adnexa. : Acute nephritis 9 Bright's disease 23 Other diseases of the kidneys and

their adnexa

Diseases of the urethra, ilrinary

abscess, etc 4 Uterine tumors (noncancerous)

Other diseases of the uterus Other diseases of the female genital organs

VII. The puerperal state. Accidents of pregnancy

Other accidents of labor Puerperal septicaemia

Puerperal albuminuria and convulsions VIII. Diseases of the skin and

cellular tissue. Gangrene

Acute abscess, phlegmon

Other diseases of the skin and its adnexa

1238

Line

hospital. Pan74

13532

11122

115

9

Colon

26

45

183

Zone. Total.

Ill18

796

7

21

2524

725

2

18

152

57 130

5

5

18
21

Causes of Death—Continued.

Disease.

IX. Diseases of the organs of locomotion. Nontuberculous diseases of the bones

Arthritis and other diseases of the

joints

Amputation

X. Malformations.

Congenital malformations (still- births excepted) XI. Early infancy.

Congenital debility, icterus and

sclerema Other diseases peculiar to early

Infancy

Lack of careXII. Old age. Senile debility XIII. External causes. Suicide bj' asphyxia

Suicide by drowning

Suicide by firearms

Suicide by cutting instruments

Other suicides Fractures Other accidental traumatisms

Bums and scalds Sunstroke

Electric shock

Accidental drowning

Inanition (starvation)

Absorption of deleterious gases

(nonsuicidal)

Other acute poisoning

Other external violence

4

27

3

Line' pf,Ti_ i ^os- ama '^°^^° P al|^"^^-, .

XIV. Ill-defined diseases. Dropsy

Sudden death

Causes of death unspecified or ill- defined

1015

1

6

2

31

22

10

Zone.

40

14

28

97

9

1 48

Total.

50 I 2

80

33

1

24

1

12

3

418 1558

1

1 59

2

1 108

17

3

91 Total

Stillbirths 513 524 191 1,13986 31334

1

755 ' 45 !

i

3,435

165
22

Morbidity and Mortality Tables.

Employees discharged and dying in hospitals of the Isthmian Canal

Commission, year 1907.

[Average niunber of employees, 39,343.] MORBIDITY.

Total. Annual

average

per 1,000. Number of Eiiropean diseases treated during year 6,829

16,815

173. 57 Nmnhp.r nf clirnatic di'spaffiR treated during year 427.39 Total 23, 644

1,416 600.96 Discharges from "external causes " Total discharges 25,060

MORTALITY.

Deaths from European diseases during year. Deaths from climatic diseases dui'ing year

683

180

17.36 4.57

'"^>! Total : 863

48 21.93 Deaths from "external causes " Total deaths 911

Note.—The following are considered as climatic diseases: The

endemics, including malaria, dysentery, yellow fever, beri-beri,

smallpox, etc. Table Showing Discharges and Deaths of Employees in

THE Hospitals of the Isthmian Canal Commission for the

Year 1907, from all Causes.

Diseases.

I. General diseases. Typhoid fever (abdominal typhus)

Relapsing fever Malarial fever Malarial fever, sestivo-autumnal

Malarial fever, tertian Malarial fever, quartan

Malarial fever, mixed

Malarial fever, clinical Malarial cachexia

Haemoglobinuric fever

Discharged. Died.

469 95

9 2,030 71 4,876 16 3,074 1 8

280 5,794 31 240 8 27 11
23

Table Showing Discharges and Deaths of Employees in

THE Hospitals, etc.—Continued.

Diseases.

I. General Diseases—Continued.

Smallpox

Measles '

.

Diphtheria

Influenza ..[\\.[[

Miliary fever

' Dysentery *. ["[[.[..[[..

Dysentery, bacillary \\[[ Dysentery, amoehic

Dysentery, clinical Beriberi \ Erysipelas .[.[.....[..[ Other epidemic diseases Purulent infection and septicaemia

Tuberculosis of the larjmx

Tuberculosis of the lungs .'.'.' Tuberculosis of the meninges '... Cold abscess and abscess by congestion

Tuberculosis of other organs

General tuberculosis

Syphilis

Gonorrhea ]

'

] Cancer and other malignant tumors of the buccal ca^-lty Cancer and other malignant tumors of stomach and liver Cancer and other malignant tumors of peritoneum, intestines,

and rectum

Cancer and other malignant tumors of the skin Cancer and other malignant tumors of other organs or of organs not specified Acute articular rheumatism

Chronic rheumatism and gout '.. Diabetes

' Leukaemia

Anaemia, -chlorosis Other general diseases Acute and chronic rheumatism

Chronic lead poisoning

Other chronic poisoning (occupational)

Other chronic poisoning

II. Diseases of the nervous system and the organs of special

sense. Simple meningitis

Epidemic cerebro-spLnal meningitis Pneumococcus meningitis ^ Progressive locomotor ataxia .??!.... Congestion and hemorrhage of the brain

Paralysis without specified cause Other forms of mental alienation Epilepsy Tetanus ...........[ Other diseases of the nervous system

Diseases of the eye and its adnexa

Diseases of the ear

1 58

1 29

1 285

6

13853

3

4

14

10

1 117 162

12

4 243

190

1

412

584

45

256 46474

6

1 59

3

1

14

4017

87 344

214

.1

3

1 36

11

1 32

1 432

2

172

2

1

1

15

G

1

7102

2

1

4
-24

Table Showing Discharges and Deaths of Employees in

THE Hospitals, etc.—Continued.

Diseases.

III. Diseases of the circulatory system.

Pericarditis Pneumococcus pericarditis Acute endocarditis

Septic endocarditis Organic disease of the heart

Diseases of the arteries (atheroma, aneurism, etc.) « Embolism and thrombosis

Diseases of the veins (varices, hemorrhoids, phlebitis, etc.) . .

.

Diseases of the lymphatic system (IjTnphangitis, etc.) ...... Hemorrhages

Other diseases of the circulatory system

Died.

IV. Diseases of the respiratory system.

Disea ses of the nasal fossae Diseases of the larynx

Diseases of the thyroid body

Acute bronchitis " Chronic bronchitis Broncho-pneumonia

Pneumonia

Pleurisy

Gangrene of the lungs

Asthma

Pulmonary emphysema

Other diseases of the respiratory system (phthisis excepted)

.

V. Diseases of the digestive system. Diseases of the mouth and its adnexa

Diseases of the pharynx

Ulcer of the stomach

Other diseases of the stomach (cancer excepted)

Diarrhea and enteritis Intestinal parasites

Uncinariasis .

.' Hernia and intestinal obstructions

Otht r diseases of the intestines Cirrhosis of the liver Biliary calculi Other diseases of the liver Diseases of the spleen

Simple peritonitis

Other diseases of the digestive system (cancer and tuberculosis excepted) ^

Appendicitis and absdCss of the iliac fossa VI. Diseases of the genito-urinary system and its adnexa. Acute nephritis

Bright's disease Other diseases of the kidneys and their adnexa

Diseases of the bladder

Diseases of the urethra, urinary abscess, etc

3

4269

1 105

93

637

1644

5 20435

14 o66

76

21

2948

52

43299

425

13 135

167

598

2

36

6

12

5938

2

153

11'3

1

2

1

18 292

12

15

12

2

49

2

7

2

10

1

1

67 30

18 17

45 1 53

143 1
25

Table Showing Discharges and Deaths of Employees in

THE Hospitals, etc.—Continued.

Diseases.

VI. Diseases of the genito-urinary system and its adnexa—

Continued.

Diseases of the prostate

Nonvenereal diseases of the male genital organs

Uterine hemorrhage (nonpuerperal)

Uterine tumors (noncancerousj

Other diseases of the uterus . J _ Other diseases of the female genital' organs

VII. The puerperal state. Accidents of pregnancy

VIII. Diseases of the skin and cellular tissue. Gangrene

Furuncle Acute abscess, phlegmon

Other diseases of the skin and its adnexa.

IX. Diseases of the organs of locomotion. Nontuberculous diseases of the bones

Arthritis and other diseases of the joints (tuberculosis and

rheumatism excepted)

Amputation

Other diseases of the organs of locomotion

Dis- charged. Died.

3 327 1

113

1

3

1 99

115 3 300

X. Malformations.

Congenital malformations (stillbirths excepted) XII. Debility.

Debility. XIII. External causes. Fractures

Dislocation Other accidental traumatisms.

Bums and scalds Sunstroke

Inanition (starvation)

Other acute poisoning

Other external violence XIV. Ill-defined diseases. Dropsy

Causes of death unspecified or ill-defined

.

60 1 3123

16

133

226 , 37 989 1 40

4

1 58 ' 61

31

35

4

3

Total. 25,060 911

• 34020—08-
26

Consolidated Hospital Report, Year 1907.

Hospitals.

Re- maining Dec. 31, 1906.

Admitted. Died.

i Dis- ' Aarged

rransferred.

Re- maining Dec. 31, 1907.

Ancon Hospital.

Employees

i

356

51

1

13, 134

1,103 436

77 11,726 866

919

20

409 Nonemiployees . 191 Total 407 14,237 513 12,592 ' a 939 600 Colon Hospital.

Employees . 203

62 7,837 1,366

341

183 7,325 ; 1,172 ! 118

12 256 Nonemployees 61 Total 265 9,203 524 8,497

1 6 130 317 Culebra Hospital.

Employees

Nonemployees

29 ; 1,234

16

55

6

1

1,162 j 10 46

Total 29 1,250 61 1,172 46 Miraflores Hospital.

Employees 2798

123 214

22

45 96

1 97

32 Nonemployees 270 Total 125 337 67 i 193 302 Bas Obispo Hospital.

Employees 9 667

4

8

1

1 556

i ' 112 Nonemployees 1 Total 9 671 8 \ 559 cll3 Gorgona Hospital.

Employees 6

1 630

15 95 461

8 166 Nonemployees 2 Total

1 6 645 14 469 168 Empire Hospital.

Employees 7

1 8153

7

1

I 508

1 ^

307 Nonemployees

Total 8 818 7 1 512 307

-'

a 688 employees transferred to Taboga Sanitarium; 7 nonemployees transferred

to Taboga Sanitarium.

6 55 employees transferred to Taboga Sanitarium.

c-4 employees transferred to Tpboga Sanitarium.
27

Consolidated Hospital Report, Year 1907—Continued.

Hospitals.

Re- maining Dec. 31, 1906.

Admitted. Died.

7

3

Dis- charged Trans- , ferred.

Re- maining Dec. 31, 1907.

Las Cascadas Hospital.

Employees 9

1 739

19 661

12 80 Nonemployees 5 Total 10 , 75.S 10 673 a 85 Paraiso Hospital.

Employees 6 773

1 18 693

•1 68 Nonemployees

Total 6 774 18 694 68 Gatun Hospital.

Employees 955

2

7

1 832 116 Nonemplo 1 j^ees Total 957 8 832 117 Taboga Sanitarium.

Employees 28

7 2,020

393 i 2,004

387

1 ! 43 Nonemployees i 13 Total 35 2,413 2,391 1 56 Grand total 900 32,063 1,230

i

28,584 2,276 973 Total number of employees re- 708

1

1 i

a 2 employees transferred to Taboga Sanitarium.

Cost of subsistence:

Total cost of rations issued to patients, $119,173.84.

Cost of subsistence per patient per day, 10.30349. -f- Number of days' rations issued to patients, 392,678.

Operating expenses:

Total cost of hospitals, $710,635.20.

Cost per patient per day, $1.80.

Number of days' relief furnished, 392,678.
28

Consolidated Sick Camp Report, Year 1907.

Sick camps.

Calebra Miraflores Bas Obispo.

.

Gorgona

Empire

Paraiso Las Cascadas

Gatun

Pedro Miguel

Panama

La Boca

San Pablo... Corozal

Cristobal Tabemilla. .

.

Total..

^?- Ad-

^J^^- mitted

1906. ' cusea.

5 1,84790 28 2,727

1 2,264

5 2,786

12 3,928

8 1,209

15 3,650

16 1,691 2,303

3,975

127

3 1,659

8 1,033

7 3,162

Died.

108 32, 451

ReDis- Trans- "^^f

charged. ferred. ij^^c. 31, 1907.

'

1,691

63 2,389

1,853

2,738

3,887

1,024

3,040

1,461 2,175

3,760

109 1,264 860

2,361

28, 675

145

18 357 402

3140

184 605 232

127 202

16 396

174

3,717

159

9

10

21

11920

13

1 139

18

160

Cost of subsistence:

Total cost of rations issued to patients .^10. 621 . (K) Cost of subsistence per patient per day 0. 28303+

Number of davs rations issued to pationls,

45,975.

Operating expenses:

Total cost of hospitals 25, 000. 00

Cost per patient per day 0. 543

Number of days relief furnished, 45,975.
29

Consolidated Hospital and Sick Camp Report.

I AdRe- mitted

main— ' QTiA o-e_ Ke- mixxea

main- and ex- { j^- ing De- cused Died. ,„i,areed ferred '°S i^e- cember for icnargea. lerrea. cember

!si IQOfi nnar-

~"

. ReDis- Trans-li?_^S;.

larged. ferred. „„°,Hor

jSl, 1906.

Hospitals.

.

Sick c'timps. 900

108 Total 1,008

quarters. 31,1907.

32,063 1,230 28,534 , 2,276 973

32,451 7 28,675 | 3,717 160

64,514 1,237 57,209 5,993 I 1,133

Total admissions to hospitals and sick camps during year . . 64, 514

Less' patients transferred from one hospital to another,

from sick camps to hospitals, and from hospitals to sanitarium 5, 993

Net admissions to hospitals and sick camps during

year 58, 521

HOSPITALS AND SICK CAMPS.

Cost of subsistence:

Total cost of rations issued to. patients $129, 795. 44

Cost of subsistence per patient per day 0. 295 -f- Number of days rations issued to patients,

438,653.

Operating expenses:

Total cost of hospitals and sick camps 735, 635. 20

Cost per patient per day 1. 677^ Number of days relief furnished, 438,653.
30

Average Number of Employees Constantly Sick During

Year in Hospitals and Sick Camps.

hospitals.

Ancon Hospital 440. 00

Colon Hospital 243. 00

Miraflores Hospital 13. 90

Culebra Hospital 23. 08

Bas Obispo Hospital 12. 98

Gorgona Hospital 9. 04

Empire Hospital 10. 01

Paraiso Hospital 9. 01

Las Cascadas Hospital 8. 09

Gatun Hospital 28. 92

Taboga Sanitarium ., 38. 45

Total average number of employees constantly sick

in hospitals during year 837. 08

Average number of employees sick daily in hospitals, per

thousand 21 . 27

SICK CAMPS.

Miraflores Sick Camp 5.31

Culebra Sick Camp 8. 54

Bas Obispo Sick Camp 18. 78

Gorgona Sick Camp 7. 63

Empire Sick Camp 12. 27

Paraiso Sick Camp 13. 43

Las Cascadas Sick Camp 4.61

Gatun Sick Camp 21. 08

Pedro Miguel Sick Camp 9. 52

Panama (after July, Tivoli) Sick Camp 6. 15

La Boca Sick Camp 10. 92

San Pablo Sick Camp 2.47

Corozal Sick Camp 5.01

Cristobal Sick Camp : 10.18

Tabernilla Sick Camp 14. 69

Total average number of employees constantly sick

in sick camps during year 150. 59

Average number of employees sick daily in sick camps, per

thousand 3. 82

Total average number of employees sick constantly in hospitals and sick camps 987. 67

Total average number sick daily in hospitals and sick

camps, per thousand 25. 09
31

Consolidated Dispensary Report, Year 1907.

White. Colored. Total.

Employees I 143,057 110,863 i 253,920

Nonemployees 10, 012 6, 208 ! 16, 220

Total 153,069 j 117,071 270,140

Report of All Operations in Hospitals of the Isthmian

Canal Commission for the Year 1907.

Number of operations.

Appendicitis 4

Adenectomy:

Inguinal 274

Submaxillary (cancer) 1 Appendectomy 42

Appendostomy for dysentery 9

Amoebic perforation, laparotomy for 2

Abscess:

Liver 29

Spleen 1 Psoas 1 Pelvis 6

Amputation

Thigh - 12

Fingers ^ Leg^ ; 30

Breast - ^ Hand 3

Penis 1 Arm ^ All toes on one foot 1 Toe 1

Feet 16

Forearms 2

Shoulder joint 2

Hip joint 4

Castration , 3

Cancer of lip 1 Cataracts 3

Cecostomy 2 Cholecystostomy 4

Colopexy 1

Cellulitis 5

Decapulation, kidneys 2 Dilatation and curettement, uterine 5
32

Number of Excision: operations.

Head of femur 1 Testicle 3 Breast 1 Of ankle joint 1 E\dsceration. eye 2 Enucleation:

Inguinal glands 126

CerAical glands 5

Femoral glands 6

Exploratory, abdominal sections 19

Empyema, resection of ribs 12

Eye. ear, nose, and throat:

Major operations 74

Minor operations 580

Fracture

Of leg 2 Of spine 1 Of skull 8

Compound 22

Wired 3 Fistula, fa:-cal, closure of 1 Gastro-enterostomy 1 Goiter 1 Hernia:

Inguinal 203

Inguinal, double 22

Strangulated

" Femoral 2 L^nbilical 2 Ventral 9

Strangulated . umbilical 1 Hydrocele 68

Haemorrhoids 82

Hysteromyomectomy 5

Hysterectomy 5

Iridectomy 2 Internal strabismus 1 Intestinal perforation, laparotomy for 4

Laparotomies 37

Laminectomy 4 Lithotomy 1 ^Malignant gi'owths 5 Orchidectomy 12

Osteomyelitis 7 Osteomyelitis (tibia) 1 Ovariotomy 6

Ovaries, prolapse, both 1
33

Number of operations.

Pyosalpingectoiny : 2

Perineorrhaphy 23

Peritonitis, laparotomy for 22

Pregnancy, extra uterine, ruptured ,\[ 1 Plastic operations 4

Pneunionotoray _ _ i Pyosalpinx 2 Pelvic adhesions 2 Pericardiotomy j

Perforation of ileum, laparotomy for 1 Resection

Of knee _ _ j Of rectum 2 Of wTist 1 Septal 3

Paipture

Spleen, laparotomy for 1 Gastro-colic omentum 2 Reduction of hip dislocation ! !

!

* 1 Skin graft • 24

Stricture, lu-ethra 7 Salpingo-oophorectomy " " !

12

Double ! ! !

.

1 Suspension of uterus 1 Sarcoma of scrotum, cord, and testicle .'!!.. 2

Sigmoidopexy . 6

Splenectomy ,^

Scalp, avulsion of ' j Seminal vesicle, Belfield's operation for drainage oi.V...... 1 Thoracostomy 24

Thoracostomy-pneumo 1 Trephining 5

Trachelorrhaphy ' 4

Talma 2 Urethrotomy

Perineal g5

Internal 20

Uterus

Ventral fixation of 2 Ventral suspension of

' ' '

2

Varicose veins 2 Varicocele 28

Volvulus, abdominal sections !!!'!! 1 Various major operations 252

Various minor operations 3 325

Total operations 5 572

34020—08 5
34

Consolidated Laboratory Report of All Hospitals of the

Isthmian Canal Commission for the Year 1907.

Blood examinations 22, 295

^stivo-autumnal J 5, 291

Tertian, single 3, 288

Tertian, double 379

Tertian , triple 13

Tertian and sestivo-autumnal 177

Spirrillum obermeieri 25

Haemoglobin estimations 12

Filaria sanguinis 3 Negative 5. 814

Blood coimts 1, 435

Red blood counts 27

White blood counts 1, 103

Haemoglobin estimations 1. 065

Dift'erential counts 230

Widal reactions:

Positive 76

Negative 179

Stool examinations 20. 773

Ascaris lumbricoides 1, 873

Uncinaria ova 2. 651

Tricocephalus dispar 3, 931

Round worm 1 Bilharzia 62

, Tenia 16

Oxyuris 2 Amoeba coli ; 488

Amoeba dysenteria 1 19

Ciliated monads 777

Pus and blood 1. 233

Balantidium coll 22

Negative i 4, 056

Rhabdonema strongyloides 689

Cercomonas and trichomonas 26

Ankylostoma duodenale 689

Cercomonas intestinalis 339

Cercomonads 16

Tricomonads 1 Monads 78

Miscellaneous examinations 8

Urine examinations 25, 943

Sugar 17

Negative 42

Albumen 7. 217

Neorative 100
35

Urine examinations—Continued

.

Hyaline casts 1 Casts 25

Albumen and casts 975

Urethral discharges 7 Gonococci 11

Pus, blood, and mucus 18

Hseuioglobin .' 29

Phosphate in excess 1 Diazo reaction:

Positive 81

Negative 199

Microscopical examinations 353

Bile 26

Complete urinalyses 8

Indican 2 Spermatozoa 1 Negative 7, 187

Sputum examinations 1, 147

Pneumococcus 38

Tubercular bacilli 222

Amoeba 1 Examination of bacilli for leprosy 1 Negative 1 Miscellaneous 4

Negative 527

Examination of pus, blood, and mucus Ill

Gonococci 11

PATHOLOGICAL REPORT.

Post-mortem examinations 499

Post-mortem tissues sectioned 110

Operation examinations 10

Malignant tumors 2 Analyses of stomach contents 2 Microscopical examinations of tissues 170

Embalming 5 Celloidin sections examined 206

Paraffin sections examined 450

Wright's stain prepared 2, 850

Cultures of catgut 5
36

Report of Ancon Hospital.

[Full report of nviinber of patients treated during year appears under table "Consolidated Hospital Report."]

Average number of days treatment per patient for the

year 8.7

Average number of white employees constantly sick for the last nine months of the year 223

Average number of colored employees constantly sick for the last nine months of the year 236

Average number of white and colored employees constantly sick for the year 440

Average cost of subsistence per patient per day for the

year $0. 279+

OPERATIONS.

Thoracostomy 24

Pneumothoracostomy 1 Varicose veins 1 Orchidectomy 4

Hernia:

Inguinal 129

Inguinal . double 21

Strangulated 3

Femoral 2

Ventral 4

Strangulated, umbilical 1 Trephine 2

Excision head of femiu' 1 Excision

Testicle 3

Of breast 1 Of ankle joint 1 Laparotomy 36

Appendicitis 4

Gastro-enterostomy 1 Goitre 1 Decapsulation kidneys 2

Urethrotomy:

Perineal 42

Internal 4

Adenectomy. inguinal 273

Castration 3

Amputation:

Thigh 5

Leg 18

Hand 3

Arm . 1
37

Amputation—Continued

.

Foot 2

Fore arms 9

Shoulder joint 1 Hip joint 1 Pyosalpingectomy 2 Laminectomy 2 Perineorrhaphy 6

Osteomyelitis 3

Hydrocele 32

Varicocele 6

Resection:

Knee 1 Of rectum 1 Of wrist 1 Haemorrhoids 63

Cancer of lip 1 Peritonitis, laparotomy for 16

Skin graft 21

Appendectomy 21 Fracture

Of leg 1 Of spine 1 Of skull , 8

Compound 19

TracheloiThaphy 4

Submaxillary adenectomy (cancer) 1 Stricture of urethra 7 Iridectomy 2 Cataracts 3

Cecostomy 2 Evisceration, eye 2

Septal resection 3

Internal strabismus 1 Extra-uterine pregnancy, ruptured 1 Hysteromyomectomy 5 Salpingo-oophorectomy 2

Abscess:

Liver 18

Spleen 1 Plastic on face 2 Cholecystostomy 3

Colopexy 1 Eye, ear, nose, and throat, major operations 74

Eye, ear, nose, and throat, minor operations 300

Various major operations 178

Various minor operations 857

Total 2, 276
38

LABORATORY REPORT.

Blood examinations 11, 021

iEstivo-aiitumnal 2, 685

Tertian, single 1, 496

Tertian, double 181

Tertian and aestivo-autumnal 66

Spirillum obermeieri 4

Blood counts 1, 453

Leucocytes 824

Red blood cells 16

WTiite blood cells 13

Haemoglobin estimations 997

Differential counts 129

Stool examinations 12, 758

Ascarisrlumbricoides 1, 228

Uncinaria ova 2, 201

Tricocephalus dispar 2, 361

Strongyloides 419

Bilharzia 62

Tenia 16

Oxyuris 2

Amoeba coli 185

Amoeba dysenteria ^ 116

Ciliated monads ' 777

Pus and blood 1, 095

Balantidium coli 13

Urine examinations 15, 851

Sugar 11

Albumen 4, 509

Albumen and casts 975

Urethral discharge 1 Conococci 5

Pus and blood 2 Sputum examinations 453

Pneumococci 30

Tubercular bacilli 81

Amoeba 1 Examination of pus, blood, and tissues Ill

Gonococci 11

Examination of urethral discharges 6
39

DISPENSARY REPORT.

• j Class. I White. Colored. Total.

1 Isthmian Canal Commission employees . Nonemployees i 938

. 98

2,660

149

3,598

247

Total 1,03^ 2,809 3,845

Report of Colon Hospital.

[Full report of patients treated during year appears under table "Conscilidated Hospital Report."]

Average number of days treatment, per patient 10. 85

Average number of white employees constantly sick ft»r the

last nine months of the year 92

Average number of black employees constantly sick for the

last nine months of the year 164

Average number of white and black employees constantly

sick for the year 243

Average cost of subsistence per patient per day for the year .

.

$0. 32

operations.

Abscess of liver 11

Abscess of psoas 1 Cholecystostomy 1 Hydrocele 36

Varicocele 22

Hemorrhoids 19

Perineal urethrotomy 23

Internal urethrotomy 4

Amputation

Hip-joint 3

Leg 6

Thigh 4

Foot 3

Penis 1 Arm 4

Breast 1 Shoulder 2

Enucleation

Of inguinal glands 126

Of cervical glands 5

Of femoral glands 6
40

Appendectomy 21

Kysterectoiny 5

Appendestomy for dysentery 9

Exploratory, al)dominal sections 19

Volvulus, abdominal sections 1 Pneumonotomy 1 Malignant growths 5

Fractures

Compound 3

Wired 3

Pyosalpinx 1 Lithotomy 1 Osteomyelitis (tibia) 1 Skin graft 3

Hernia

Inguinal 72

Inguinal, double 1 Ventral 5 Umbilical 2 Inguinal, strangulated 1 Salpingo-oophorectomy

Single 10

Double 1 Ovariotomy 6

Perineorrhaphy 7 Suspension of uterus 1 Sarcoma of scrotum, cord, and testicle 2

Dilatation and curettement, uterine 18

Laminectomy 2 Empyema, resection of rib 12

Pelvic abscess 6

Pelvic adhesions 2 Intestinal perforation, laparotomy for -. .

.

4

Ventral fixation of uterus 1 Ventral suspension of uterus 2 Sigmoidopexy 6

Trephining 3

Orchidectomy 8

Plastic operations 2 Pericardiotomy 1 Osteomyelitis 4

Peritonitis, laparotomy for 6

Amoebic perforation, laparotomy for 2 Talma 1 Rupture:

Of spleen, laparotomy for 1 Of gastro-<^ohc omentum 1
41

Closure of focal iSstula 1 Splenectomy 1 Prolapse, both ovaries 1 Reduction of hip dislocation 1 Cellulitis 4

Eye, ear, nose, and throat operations 280

Various major operations 74

Various minor operations 183

Total 1,086

LABORATORY REPORT.

Blood examinations 9, 678

.^stivo-autumnal 2, 133

.^stivo-autumnal and tertian 106

Tertian 1, 542

Tertian, double 189

Tertian, triple 13

Spirillum obermeieri 21

Negative 5, 075

Red blood counts 11

White blood counts 92

Haemoglobin estimations 68

Leucocyte 234

Differential counts 101

Widal reactions:

Positive 76

Negative 179

Sputum examinations 572

Bacillus tuberculosis, positive 91

Negative 481

Urinalyses 8, 887

Albumen 2; 441

Negative 6, 603

Sugar 4

Sugar, negative 42

Hsemoglobin 21

Diazo reaction:

Positive 81

Negative ^ 197

Microscopical examinations 344

Bile 17

Complete urinalyses 8

Indican 2

Stool examinations 7, 751

Negative. 3, 951

Amoeba coli 297
42

Stool examinations—Continued.

Ova of uncinaria 327

Ova of tricocephalus dispar 1, 537

Rhabdonema strongyloides 258

Cercomonas and trichomonas 26

Ova of ascaris liimbricoides 556

Ova of ankjdostomiim duodenale 670

Cercomonas intestinalis 332

Uncinaria 93

Ova of ascaris .' 66

Cercomonads 16

Blood , pus, and muctis 118

Balantidium coli 9

Monads 78

Miscellaneous examinations 8

PATHOLOGICAL REPORT.

Post-mortem examinations 466

Post-mortem, tissues sectioned 110

Operation, examinations 10

Malignant tumors 2

Analyses of stomach contents 2

Microscopical examinations of tissues 170

Embalming 5 Celloidin sections examined 206

Paraffin sections examined ^ 450

Wright's stain prepared 2, 850

Cultures of catgut 5

COLON DISPENSARY REPORT.

Class. White. 1 Colored. Total.

Isthmian Canal Commission employees.

Nonemployees

1 1,542

384

1.916

714

3, 458

1, 098

i Total 1, 926 2, 630 4,556
43

Report of Culebra Hospital.

[Full report of number of patients treated during year appears under table

" Consolidated Hospital Report."]

Average number of clays, treatment per patient 6. 97

Average number of white employees constantly sick for the

last nine months of the year 10. 50

Average number of black employees constantly sick for the

last nine months of the year 11. 80

Average number of white and black employees constantly

sick for the year 23. 08

Average cost oi subsistence per patient per day for the year. $0. 299

OPERATIOXS.

Amputations

Leg 2 Feet 2 Arm 2 Hernia

Inguinal 2 Strangulated 2 Fractures, leg 1 Laparotomy 2 Internal urethrotomy 1 Minor operations 1, 400

Total ;: 1,414

LABORATORY REPORT.

Blood examinations 556

.Estivo-autumnal 132

Tertian 65

.Estivo-autumnal and tertian 5 Tertian, double 9

Negative 308

Urinalyses 612

Albumen 177

All)umen negative 100

Haemoglobin 4

Negative 305

Bile -.-.. 6 Microscopical examinations 9

Diazo reactions, negative 2 Sputum examinations 20

Bacilli tuberculosis 9

Negative 11
44

stool examinations 98

Cercomonas intestinalis 7 Negative 34

Tricocephalus dispar 17 Amoebi coli 2 Ova ascaris 3 Ova of uncinaria 19

Strongyloides 12

Post-mortem examinations for the year 15

DISPENSARY REPORT.

Class. White. Colored. Total.

Isthmian Canal Commission employees

.

Nonemplovees

19, 555

2, 220

8,291

910

27,846

3,130

Total 21. 775 9,201 30, 976

SICK-CAMP REPORT.

Remaining in sick camp from last year 5 Admitted and excused for quarters 1, 847

Died 1 Discharged 1, 691

Transferred 145

Remaining at end of year 15

Average number of white employees constantly sick in

camp and quarters for eight months of the year 6. 36

Average number of black employees constantly sick in

camp and quarters for eight months of the year 3. 77

Average number of white and colored employees constantly

sick in camp and quarters for the year 8. 54

Report of Miraflores Hospital.

[Including Insane Asylum and Leper Asylum. Full report of number of patients treated during year appears under table "Consolidated Hospital

Report."]

Average number of days' treatment per patient 23. 24

Average number of white employees constantly sick for six

months of the year 1. 27

Average number of black employees constantly sick for six

months of the year 9. 70

Average number of white and black employees constantly

sick for the year 13. 90

Average cost of subsistence per patient per day for nine

months of the year $0. 26
45

OPERATIONS.

Amputation of leg 1 Minor operations 42

Total '43

WARD LABORATORY REPORT.

Blood examinations 182

.3]]stivo-autiimnal 4 8

Tertian 11

Haemoglobin estimations > 10

Filaria sanguinis 3

Negative 33

Stool examinations 41

Ascaris lumbricoides 11

Uncinaria ova 4

Tricocephalus dispar 6

Amoeba 2

Ankylosioma 1 Negative 5 Urine examinations 196

Sugar 1 Albumen 36

Casts 5 Negative 44

Sputum examinations 50

Tubercle bacilli 31

Negative 3

Examination of bacilli for leprosy 1 Negative 1 PATHOLOGICAL LABORATORY REPORT.

Post-mortem examinations 45

DISPENSARY REPORT.

Class. White. Colored. Total.

Isthmian Canal Commission employees. 516

Nonemployees 2 1,418 1,934

90

Total 518 t 1, 506 I 2, 024
46

SICK-CAMP REPORT.

[Started November, 1907.] Remaining last report

Admitted and excused 90

Died

Discharged 63

Transferred 18

Remaining end of year 9 Average daily number constantly sick in camp and quarters:

White- . ! 1. 80

Black 3. 51

Total 5. 31

Report of Bas Obispo Hospital.

[Full report of number of patients treated appears under table ''Consolidated

Hospital Report."]

Average number of days treatment per patient 9. 64

Average number of white employees constantly sick for five

months of the year 7. 58

Average number of black employees constantly sick for five

months of the year 5. 63

Average number of white and black employees constantly

sick for the year •. 12. 98

Average cost of subsistence per patient per day for the year. . $0. 31

WARD LABORATORY REPORT,

[Operated one month.]

Blood examinations 95

Tertian 37

,^stivo-autumnaI 21

Negative 37

DISPENSARY REPORT.

Class. White. Colored.

13. 938

231

Total.

Isthmian Canal Commission employees.

.

Nonemployees

18, 393

404

32, 331

635

Total 18, 797 14, 169 32, 966
47

SICK-CAMP REPORT.

Remaining end of 1906 28

Admitted and excused for quarters 2, 727

Died

Discharged 2, 389

Transferred 3^^

Remaining end of 1907 9

Average daily number constantly sick in camp and quart^rs: ^^^lite (7 months of year) 7. 34

Black (7 months of year) 8. 60

Total for year 18. 78

Report of Gorgona Hospital,

[Operated first nine months of year. Full report of number of patients treated during year appears under table " Consolidated Hospital Report."]

Average number of days' treatment, per patient. 4. 77

Average number of white employees constantly sick for six

months of the year - - - 2. 80

Average number of black employees constantly sick for six

months of the year - - - 6. 12

Total number of white and black employees constantly sick

for the year 9. 64

Average cost of subsistence per patient per day $0. 21

OPERATIONS.

Amputations:

Leg 2

Thigh 1 Fingers ^ All toes on one foot 1 Toe 1 Strangulated hernia 1 Avulsion of scalp 1 Cellulitis of leg 1 Other operations 61

Total

' 72

WARD LABORATORY REPORT.

Blood examinations 161

Aestivo-autumnal 49

Tertian 33

Haemoglobin 2 Negative 77
48

Urine examinations 93

Albumen 13

Negative 10

Bile 3

Casts 2

Spermatozoa 1 Pus ^ 3

Hyaline casts * 1 Stool examinations 30

Tricocephalus dispar 9

Round worm ' 1 Uncinaria 2 Negative 12

Ankylostoma 2

Ascaris lumbricoides , 6 Tricomonads 1 Post-mortem examinations 3

DISPENSARY REPORT.

I White. Colored, i Total.

Isthmian Canal Commission emplovees . 10, 641 8, 232 | 18, 873

Nonemployees ' 881 524 | 1, 405

^

I Total 11, 522 8, 756 j 20, 278

SICK-CAMP REPORT.

Kemaining end of 1906 1 Admitted and excused for quarters 2, 264

Died

Discharged 1 , 853

Transferred 402

Remaining 10

Average daily number constantly sick in camp and quarters:

White (8 months of year) 3. 31

Black (8 months of year ; 3. 42

Total for year 7. 63
49

Report of Empire Hospital.

[Operated for ten months of year. Full report of number of patients treated during year appears under table " Consolidated Hospital Report."]

Average number of days' treatment per patient 4. 68

Average number of white employees constantly sick for seven months of year 7. 02

Average number of black employees constantly sick for seven months of year : . . 3. 72

Average number of white and black employees constantly

sick for year 10. 01

Average cost of subsistence per patient per day for year $0. 23

dispensary report.

White. Colored. ! Total.

Isthmian Canal Commission ernployees. . 25.367 ! 9,539

Nonemployees 141 ; 99

34, 906

240

Total 25, 50§ ' 9, 638 i 35, 146

SICK-CAMP REPORT.

Remaining end of 1906 5 Admitted and excused for quarters 2, 786

Died 1 Discharged ' 2, 738

Transferred 31

Remaining end of 1907 21

Average dailv number constantly sick in camp and quarters

White (8 months of year) 8. 09

Black (8 months of year) 6. 43

Total for year 12. 27

Report of Paraiso Hospital.

[Full report of number of patients treated for the year appears under table "Consolidated Hospital Report."]

Average number of day's treatment per patient 3. 92

Average number of white employees constantly sick for the

last nine months of the year 4. 08

Average number of black employees constantly sick for the

last nine months of the year 4. 89

Average number of white and black employees constantly

sick for the year 9.01

Average cost of subsistence per patient per day for the year .

.

$0. 34
50

OPERATIONS.

Various minor operations 742

Amputations:

Fingers 2

Right arm 1 Left foot 1 Leg 1 Adenectpmy. 1

Total 748

WARD LABORATORY REPORT.

Blood examinations 378

-^stivo-autumnal 151

Tertian 79

Negative 174

Urine examinations '. 138

Negative G4

Albumen • 40

Sugar 1 Casts 18

Gonococcus 6

Pus and blood 7 Phosphate in excess 1 Mucus

Sputum examinations 30

Pneumococcus 8

Miscellaneous 4

Negative 16

Tubercle bacilli 4

Stool examinations 70

Ankylostoma 10

Uncinaria 5 Tricocephalus dispar 1 Amceba dysenteria 3

Pus and blood 20

Ascaris lumbricoides 3

Negative 37

Post-mortem examinations 12

DISPENSARY REPORT.

White.

(), 108

705

Colored. Total.

Isthmian Canal Commission employees.

Nonemployees

7,394

750

13, 562

1,455

Total C), 873 8,144 15,017
51

SICK-CAMP REPORT.

Remaining end of 1906 12

Admitted and excused 3, 928

Died 2 Dischai^ed 3, 887

Transferred 40

Remaining end of year 11

Average number constantly sick in camp and quarters:

W^iite (last 7 months of year) 8. 64

Black (last 7 months of year) 4. 28

Total for the year 13. 43

Report of Las Cascadas Hospital.

[Full report of number of patients treated for the year appears under table "Consolidated Hospital Report."]

Average number of days' treatment per patient 5. 29

Average number of white employees constantly sick for six

months of the year 3. 19

Average number of black employees constantly sick for six

months of the year 2, 60

Average number of white and black employees constantly

sick for the year 8. 09

Average cost of subsistence per patient per day |0. 309

OPERATIONS.

Part of foot amputated 1 Laparotomy for perforation of ileum , 1 Belfield's operation for drainage of the seminal vesicle 1 Amputations:

Right thigh 1 Lower left thigh • 1 Disarticulation of left shoulder joint 1 Minor operations 40

WARD LABORATORY REPORT.

Blood examinations 319

^stivo-autumnal 93

Tertian 62

Negative 145

Urine examinations 166

Albumen 1 Haemoglobin 4

Negative 161
52

Sputum examinations 22

Tul^ercular (i Negative IG Stool examinations 25

Negative 17

Amoeba coli 2 Ankylostoma (j Post-mortem examinations 3 DISPENSARY REPORT.^

White. Colored.

1 Total.

Isthmian Canal Commission employees.

Nonemployees

4,911

311

1,547

80

6,458

391

Total 5,222 1. 027 (j,849

P' For last four months of the year.

SICK-CAMP REPORT.

Remaining end of 1906 8

Admitted and excused for quarters ] , 209

Died

Discharged 1, 024

Transferred ] 84

Remaining 9

Average daily number constantly sick in camp and quarters:

White (for last 9 months of year) 3. 33

Black (for last 9 months of year) 98

Total for year 4. 61

Report of Gatun Hospital.

[Hospital opened May 28, 1907. Full report of number of patients treated appears under table "Consolidated Hospital Report."]

Average number of days treatment per patient 3. 83

Average number of white employees constantly sick 16. 95

Average number of black employeee constantly sick 11. 97

Average numl)er of white and black constantly sick 28. 92

Average cost of suljsistence per patient per day $0. 23
53

DISPENSARY REPORT.

Class. White. Colored.

Ipthmian Canal Commission employees. . 13, 261 9. 102

Xonemployoes 475 j (52 Total 13,736 9,264

Total.

22, 363

637

23, 000

SICK CAMP REPORT.

Remaining end of 1906 15

Admitted and excused for quarters 3 050

Died • ' Q

Discharged 3 040

Transferred ' 605

Remaining end of 1907 .\... 20

Average daily number constantly sick in camp and quarters:

"WTiite (7 months of year) 7, ^1

Colored (7 months of year) "

. 12! 86

Total for year [[ 21 ' 08

REPORT OP TABOGA SANITARIUM.

[Full report of number of patients treated during the year appears under table •'Consolidated Hospital Report."]

Average number of days treatment per patient 4. 86

Average num])er of white employees constantly sick for the

, year • 38 45

Average cost of subsistence per patient per day $0. 627

Report of Santo Tomas Hospital.

PATIENTS TREATED.

Class.

Re- maining

from

1906.

Admitted.

Dis- charged . Died. Re- maining end

of 1907.

Isthmian Canal Commission employees.

Nonemployees 166

11 4,161

11 3,814 322 187 Total 166 4,172 3,829 322 187 Average number of Commission employees constantly sick. 0. 08

Average number of nonemployees constantly sick 169

Average number of days treatment per patient 10. 20

Average cost of subsistence; per patient, per day { silver ) . . . ^0. 62
54 •

OPERATIONS.

Major operations c 461

Minor operations 434

DISPENSARY REPORT.

Class. White. Colored. Total.

\atives 182

121

821

419

1,003

Foreigners 540

Total... 303 1,240 1,543

Report of Pedro Miguel Dispensary.

Class. ' White. Colored. Total.

I

^ l_

I

I Employees ^ 6,019 ' 3,740 i 9,759

Nonemployees 528 325 853

Total 6,547 4,065 10,612

I i

I

SICK CAMP REPORT.

Remaining end of 1906 16

Admitted and excused for quarters 1, 691

Died 1 Discharged 1, 461

Transferred 232

Remaining end of 1907 13

Average daily number constantly sick in camp and quarters

White (9 months of year) 7. 30

Black (9 months of year) 2. 99

Total for vear 9.52
55

Report of Panama Dispensary a •

Class. White. Black. Total.

Employees 3.894

372

3,432

118

7 326

Nonemployees 490

Total 4,266 3,550 7,816

<^ Name changed to Tivoli Dispensary and removed to Ancon

July, 1907.

SICK CAMP REPORT.

Remaining end of 1906

Admitted and excused for quarters 2, 303

Died

Discharged 2, 175

Transferred 127

Remaining end of 1907 1 Average daily number constantly sick in camp and quarters:

White (last 7 months of year) 3. 32

Black (last 7 months of year) ' 3.91

Total for year ^ 6. 15

Report of La Boca Dispensary.

Class. White. Black. Total.

Employees 10, 859

594

9,642

559

20, 501

Nonemplovees 1,153

Total 11, 453 10, 201 21, 654

SICK CAMP REPORT.

Remaining end of 1906

Admitted and excused for quarters 3, 975

Died

Discharged 3, 760

Transferred 202

Remaining end of 1907 13

Average daily number constantly sick in camp and quarters

White (for 7 months of year) 8. 69

Black (for 7 months of year) 5. 49

Total for year 10. 92
56

Report of S.vx Pablo Dispensary.

[Opened November 16, 1907.]

Class. White. Colored. Total.

Emplovees 915 1, 009 1, 924

Nonemployees 8 89 97

Total 923 1, 098 2, 021

SICK CAMP REPORT.

Admitted and excused.

Died

Discharged

Transferred

Remaining end of 1907

Average daily number constantly sick in camp and quarters:

White (for 2 months operated)

Black (for 2 months operated)

Total (for 2 months operated)

127

109

iti2

.91

1. 55

2.47

Report of Corozal Dispensary.

Class. White. Colored. Total.

1 . Employees 6,061 4,156 10,217

Nonemjjloyees 553 244 797

Total 6, 614 4, 400 11, 014

SICK CAMP report

Remaining end of 1906.

Admitted and excused.

Died

Discharged

Transferred

Remaining end of 1907

Average daily numhcr constantly sick in camp and (juarti'n

White (8 months of year)

Black (8 months of yearj Total for year

3

659

2()4 396

2.81

1 . 75

5.01
57

Report of Cristobal Dispensary.

Class.

« White. Colored. Total.

Employees

Nonemployees.

9.040

2, 230

9,941

916

18, 981

3, 146

Total 11.270 10,857 22.127

SICK CAMP REPORT.

Remaining end of 1906 8

Admitted and excused for quarters 1. 033

Died

Discharged 860

Transferred 174

Remaining end of 1907 7 Average daily number constantly sick in camp and quarters:

"WHiite (8 months of year) , 3. 00

Black (8 months of year) 9. 08

Total for year

'. 10. 18

Report of Tabernilla Dispensary.

Class. White. Colored, i Total.

Employees..; 4.977 : 14,906 ' 19,883

Nonemployees • 106 250: 356

Total 5, 083 I 15, 156 | 20, 239

sick CAilP REPORT.

Remaining end of 1906 7 Admitted and excused for quarters 3. 162

Died 2 Discharged 2, 361

Transferred • 788

Remaining end of 1907 18

Average daily number constantly sick in camp and quarters:

Wliite (for 9 months of year) 4. 42

Black (for 9 months of yearV 11. 13

Total for year " 14. 69
58

Report of the Board or Health Laboratory.

Bacteriological examinations of the municipal water supplies 366

Bacteriological examinations of carbonated soda waters 29

Bacteriological examinations of condensed milk 2

Various bacteriological examinations of water 137

Various bacteriological examinations 11

Bacteriological examinations of water from condensers 95

Bacteriological examinations of water from Rio Grande

(special) 18

Analyses of milk 4

Sanitary analyses of water 42

Chemical analyses:

Of cows' milk 8

Of malted milk 4

Of rock 2

Of evaporated milk 3

Of condensed milk 7 Of soap 1 Of lard oil 20

Of turpentine 12

Various chemical analyses 13

Chemical examination of urine 1 Toxicological examinations. 6

Post-mortem examination of calf 1 Examination of mineral oils 1 Examination of cows for tuberculosis 6

Examinations of stools 9

Examinations of urine 35

Examinations:

Of stomach contenis 8

Of cows' milk 7 Of blood 8

Of sputum 5

Of blood cultures 80

Of exudates 32

Examination of mosquito 1 Examinations:

Of pus 9

Of leper suspects 27

Of tissues 13

Of tissue and neoplasms 146

Various 35

Of water fdter, bacteriological 1 Microscopical examinations of water 2
59

Assay:

Of quinine sulphate 1 Of graphite 1 Of alum 2

Of sodium salicylate 2

Of hydrocyanic acid 1

Of formaldehyde 1 Autopsies 562

Celloidin sections cut 3, 795

Frozen sections cut 37

Agglutination reactions 1, 896

Bodies embalmed 18

Determination of chlorine in water 470

Total solids in water 15

Determination of chlorine in carbonated soda water 1 Determinations of urine in water 7

Report of Vaccinations.

Panama 3, 694

Colon 163

Taboga 169

Culebra 93

La Boca 100

Pedro Miguel '• - 54

Gorgona - 771

Mamei and Juan Grande 237

Corozal 68

Paraiso 52

Matachin 240

Empire 492

Las Cascadas 96

Ancon 330

Las Sabanas 56

Gatun 148

Tabernilla 40

San Pablo 21

Total.... 6,824

Vaccinations by quarantine officials at ports of Colon and

Panama, and vaccinations at ports of departure or en

route 45,712

Total vaccinations 52, 536
60

Statement of Issues of Quinine.

[Kilo=2.2046 pounds avoirdupois.]

Totalissues (1907).

' Kilograms. avoirdupois. „^.?;Xnn

January

February.

March

April .. May .' .

.

June

July

August . . .

.

September.

October

November.

December.

148.250 342. 297

17.775 38.883

35. 100 76. 780

110.475 241.663

209.900 459. 151

54. 600 157.000

15. 157 33. 157

137.000 299. 688

86. 444 189.971

269.551 589. 643

134.887 295.065

17.251 37.737

Total L 236. 390 2,761.035

Average issue per month 103. 032 230. 086

Summary of the Work Performed in the City of Panama

DURING THE YeAR.

Street cleaning and garbage collection:

Daily average number of men at work 53

Daily average number of carts at work 19

Daily average number of loads of garbage removed

.

78

Daily average number of loads of sweepings re- moved 24

Total number of loads of garbage removed 18, 837

Total number of loads of sweepings removed 6, 549

Catch-basins disinfected (119) times .

.

200

Times sprinklers were used 135

Water used by sprinklers gallons. . 2, 375. 509

Times street sweeping machine was used 52

Inspection of yards:

Houses inspected, good condition 6. 889

Houses inspected, bad condition 2, 654

Houses with water connection 17, 829

Houses with no water connection 5, 296

Houses with sewer connection 17, 093

Houses with no sewer connection 6, 274
61

Inspection of yards—Continued

.

Traps in yards connected with sewer 14, 605

Traps not connected with sewer 2, 663

• Water-closets, good condition 17^410

Water-closets, bad condition 4^ 276

Yards with drainage, good ; 15' 667

Yards with drainage, bad 4' 189

Wells on premises .,

' 332

Tanks on premises I55

Persons notified as to imsanitary condition of yards. 4, 825

Persons fined for unsanitary condition of yards by

local authorities 24

Places where mosquito larvae were found 4, 256

Persons warned for having mosquito larvse 3,' 528

Persons fined by local authorities for having mosquito larvse 36

Persons notified to keep their premises in good

sanitary condition and to connect with water and

sewer qi4 Number of water containers destroyed" 7 842

Anopheles brigade:

' Number of linear feet of ditches cleaned 498, 474

Number of linear feet of ditches dug 12^ 955

Number of linear feet of cement laid ' 701 Number of square feet of reeds and grass cut 1, 265, 521

Number of holes filled 984

Number of wells filled .'.'!.!'." 365 Number of ponds filled !!*."!! 1

Number of cesspools filled .'!.".'!.'.'.".*." 3 Number of cubic yards of earth used 9, 111

Number of closets oiled ' 20I Number of drains oiled .[.[..[[[] 30 Number of pools oiled [...[.\\.. 22 677 Number of sewers oiled ' 17

Number of trenches oiled 1, 739 Number of cesspools oiled ' 145

cNumber of tanks oiled .'.*.'!.".".*.*.' 7 Number of traps oiled .[....[....[ 2 Number of wells oiled .\.\...\...\ 68 Number of yards oil^d \........[. 1 235

Mosquito oil used for oiling wells and pools . gallons .*

.' ' 424

Chlorine of lime used pounds.

.

340

Carbolic acid used do ..."

.' 2

Loads of refuse removed from the city 1, 348

Daily average number of carts at work ' 7 Number of days carts worked 291
62

Tank and gutter removal:

Maximum number of men at work 7

, Number of tanks removed 94

Number of barrels removed 8

Total capacity of tanks removed gallons.

.

195, 569

Number of gutters removed 3

Total length of gutters removed feet .

.

106

Disinfection brigade:

Number of houses disinfected 237

Number of houses demolished 32

Number of houses fumigated 303

Number of rooms fumigated 1, 612

Number of cubic feet fumigated 5, 213, 707

Material used

Alcohol gallons.

.

91

Bichloride of mercuiy pounds.

.

17

Formaldehyde gallons. 31

Flour barrels. 22

Matches packages. 16

Manila paper feet. 500

Newspaper bundles.

,

47

Tacks packages.. 34

Pyrethrum pounds.

.

884

Chloride of lime do 1, 030

Sulphur do 10,131

Sick inspection:

Number of hotels and boarding houses inspected

(twice daily) 336

Number of persons reported ill 133

Urinary analyses made (negative) 36

New buildings:

Number of plans submitted to the health officer and approved 147

Summary op the Sanitary Work Performed in the Cities, of

Colon and Cristobal.

[Including Mount Hope, Gatun, and Porto Bello.] Medical inspection:

Cases reported by Colon medical inspectors 1 , 889

Cases inspected by health office physician o, i, 381

Cases sent to Colon Hospital 75

Cases sent to Cristobal Dispensary 491

White employees reported to health officer 312

o Beginning the Ist of October only suspicious or serious cases were visited by health oflBice physician.
63

Medical inspection—Continued.

White employees inspected by health office physician 330

White employees sent to hospital 1 Cases of smallpox reported . 6

Number of smallpox suspects reported 1 Number of deaths from smallpox 1 Quinine (prophylactic) dispensed to laborers: Total number of tablets, 3-grain, dispensed 253, 948

Total number of tablets, 5-grain, dispensed 124, 576

Total number of doses dispensed 291, 439

Total doses (ounces), 5-gr. oz. dispensed 90, 182

Average number of doses of tablets dispensed daily. 825

Average number of doses of solution dispensed

daily 469

Sanitation of Colon:

Number of cans of garbage removed 467, 412

Number of loads of yard garbage removed 1, 793

Number of cans of night soil removed 611, 883

Number of loads to and from storehouse 289

Number of miscellaneous loads carted 993

Number of water-closets built 37

Loads of dirt carted 7 Number of yards inspected 583

Number of yards^cleaned 162

Number of night-soil cans installed 438

Number of night-soil cans removed 343

Number of nuisances reported 1, 327

Number of nuisances abated , 712

Number of blocks of street cleaned . . . ., 540

Number of linear feet of drain cleaned 1, 474, 948

Number of cars of dirt unloaded .' , .

.

4, 079

Number of square yards of dirt leveled on canal 400

Number of square yards of street cleaned 5, 391, 753

Number of feet of track cleaned 80, 000

Number of tanks removed 152

Number of tanks remaining 21

Number of square yards of surface cleaned at hospital 924

Number of private lots cleaned 282

Square yards of land cleared and leveled 1, 550

Post holes dug and posts erected 27

Number of square yards of vegetation piled and

burned 279,777

Square yards of street sprinkled 6, 666, 630

Drainage of Colon: ^ Number of feet of drains cleaned 219,862 ^ Number of feet of new drains made 422
64

Plumbing at Colon:

Total number of houses in which plumbing was installed 81

Number of houses remaining without plumbing.

.

357

Fumigation of Colon:

Number of houses fumigated 3

Number of cubic feet fumigated 106, 780

Stegomyia Mosquito Brigade, Colon:

Square yards of vegetation removed 1, 999, 499

Square yards of vegetation piled 195, 275

Number of water receptacles overturned 37, 878

Number of water receptacles collected 465,'572

Number of barrels spigoted 652

Number of barrels covered 1, 244

Number of tanks oiled 418

Number of water-closets oiled 1, 880

Number of pools oiled 11, 986

Square yards of pools oiled 54, 855

Number of sags removed 714

Total number of breeding places eradicated 3, 140

Barrels destroyed 6, 929

Square yards of lagoon cleaned 698, 495

Square yards of gi'ading 800

Number of barrels oiled 941

Number of linear feet of drain cleaned 1, 007, 694

Number of feet of drains made 1, 340

Number of feet of guttering removed 3, 980

Number of tanks removed 15

Number of crab holes worked 5, 243

Number of crabs killed 1, 270

Number of cars of dirt received 205

Sanitation of Cristobal:

Number of cans of garbage removed 126, 469

Number of loads of yard garbage carted 6, 878

Number of cans of night soil removed 100, 117

Number of loads to and from storehouse 49

Number of miscellaneous loads carted 417

Number of loads of dirt carted 637

Number of night-soil cans installed 47

Square yards of street sprinkled 146. 000

Number of nuisances reported 3

Number of nuisances abated [3

Tanks removed 1 Number of square yards of street cleaned 4, 129, 621

Fumigation of Cristobal:

Number of houses fumigated 66

Number of cubic foot fumigated 1 , 947, 376
65

Stegomyia Mosquito Brigade, Cristobal:

Number of square yards of vegetation removed 675, 868

Number of water receptacles collected 101, 664

Number of water receptacles overturned 5, 524

Square yards of lagoon cleaned 1, 227

Number of barrels oiled 65

Number of barrels covered 45

Number of tanks oiled 312

Nvimber of tanks covered 52

Number of tanks removed 70

Number of tanks cleaned §

Number of pools oiled 5, 815

Square yards of pools oiled 22, 971

Number of crab holes worked 43, 283

Number of crab holes oiled 88, 591

Number of crabs killed 14,690

Number of feet of drains oiled 4, 525

Number of feet of drain cleaned 782, 055

Number of feet of new drains made 1, 702

Total number of breeding places eradicated 1, 787

Square yards of street cleaned 133, 100

Number of feet of gutters cleaned . 674, 292

Drainage of Cristobal:

Number of feet of drains made 3, 702

Number of feet of drains cleaned 270, 877

Sanitation of Brazos Camp:

Nimiber of cans of night soil removed 490

Number of cans of garbage removed _ 236

Square yards of vegetation removed 55, 000

Stegomyia Mosquito Brigade^, Brazos Camp:

Number of water receptacles overturned 89

Number of water receptacles collected 285

Sanitation of Mount Hope:

Number of cans of garbage removed 23, 859

Number of loads of yard garbage removed _ 193

Number of cans of night soil removed 25, 163

Number of square yards of underbrush removed . .

.

782. 096

Ntimber of square yards of vegetation removed 534, 876

Number of miscellaneous loads carted 1, 061

Number of night-soil cans installed 1 Number of nuisances reported 102

Number of nuisances abated 102

Square yards of street cleaned 36, 151

Linear feet of drains cleaned 558

Number of square yards of lagoon cleaned 1, 751

Number of square yards of yards cleaned 1, 572
66

Drainage of Mount Hope:

Number of feet of drainage made 540

Number of feet of drains cleaned CG

Stegomyia Mosquito Brigade, Mount Hope:

Number of water receptacles overturned 40, 919

Number of water receptacles collected 70, 999

Square yards of vegetation removed 2, 276, 014

Number of barrels spigoted 76

Number of barrels oiled 302

Number of barrels covered 570

Number of tanks oiled ! 5, 942

Square yards of pools oiled 475, 356

Square yards of streets cleaned 6. 600

Number of notices served to abate nuisances 11

Number complied with 8

Number fined by alcalde for noncompliance 3

Total number of breeding places eradicated 1. 668

Number of linear feet of drains cleaned 16. 263

Number of feet of drains made 14, 560

Square yards of lagoon oiled 37, 309

Square yards of lagoon cleaned and filled 5, 896

Sanitation of Mount Hope Cemetery:

Square yards of vegetation removed 524, 647

Square yards of underbrush removed 46, 427

Number of linear feet of drains cleaned 2, 560

Number of feet of drains made 346

Number of interments 924

Number reinterred 15

Number disinterred 50

Number of graves lined and dug 863

Number of graves lined 219

Number of graves lined and graded 183

Number of graves graded 80

Stumps removed 76

Square yards of swamp filled 35

Sanitation of Gatun:

Number of cans of garbage removed 10, 418

Number of cans of night soil carted 5, 444

Number of nuisances abated 2 Number of nuisances reported 2 Number of latrines dug 2 Loads of yard garbage carted 18

Number of water-closets built 3

Square yards of vegetation removed 97, 100

Linear feet of drains cleaned 6. 925

Stegomyia Mosquito Brigade, Gatun:

Square yards of vegetation removed 306, 015

Num))er of water receptacles collected 2, 724
67

Steqomyia Mosquito Brigade, Gaiim—Continued.

' Number of water receptacles overturned ^ 2G

Number of linear feet of drains cleaned 47, 029

Number of linear feet of drains made 200

Number of hours work cleaning around camp and

quarters ^ - Y^ Number of hours clearing and burning brush 3, G50

Num])er of barrels covered "0

Number of barrels spigoted 5 Number of tanks covered 10

Sanitation of Gatun Cemetery:

Number of interments 13

Number of cans of garbage removed 2. 476

Number of cans of night soil removed 1 . 1 04

Number of new closets V)uilt 2 Drainage of Gatun: ^^ Number of linear feet of drains made 5. 7o0

Sanitation of Porto Bello:

Number of cans of garbage removed 233

Number of loads of yard garl^age carted 40

Square yards of vegetation removed 11- 810

Number of crab holes worked 3, 465

Number of crabs killed 1^ 168

Number of linear feet of drains cleaned ...^ 2, 440

Number of square yards of pools oiled 989

Number of feet of new drains made 1. 814

Number of water receptacles overturned 3 Number of breeding places eradicated 420

Misdellaneous ivork: Number of persons arrested for violating sanitary

regulations .- - 1"

Numlx'r of notices served on property owners in

Colon to abate nuisances 199

Numl)er of notices complied with 127

Number of persons fined for violating sanitary

regulations 21

Summary of the Routine Work Accomplished by the Department OF Sanitation in the Canal Zone for the Year

1907.

ANCON.

Brush cut and removed square yards .

.

980, 281

Swamp filled in do. . .

.

55, 993

Swamp drained do 8, 270

Grass cut and burned do 1, 110, 666

New ditches dug linear feet.

.

16, 512

Tile drain laid do 13, 535

New ditches stoned and cemented do 16, 945
68

Old ditclies stoned and cemented linear feet. Old ditclies cleaned and graded do. .

.

Closet pits dug (3) cubic yards.

Closet pits filled in (7) do. .

.

Closets erected

Closets cared for daily.

Grarbage cans emptied do . .

.

Niglit-soil cans emptied do . .

.

Houses disinfected

Houses fumigated (7) cubic feet

.

Metallic screen repaired houses.

LA BOCA.

Brusli cut and removed square yards.

Swamp filled in do. .

,

Swamp drained do . .

.

Ponds drained do . .

.

Grass cut and burned do. .

.

New ditches dug linear feet. Tile drain laid do. .

.

New ditches stoned and cemented do. .

.

Old ditches stoned and cemented do . .

.

Old ditches cleaned and graded do. .

.

Closet pits dug (14^ cubic yards.

Closet pits filled in (4) do...

Closets erected

Closets cared for daily

.

Garbage cans emptied do . .

.

Night-soil cans emptied do. .

.

Houses disinfected

Houses fumigated (32) culnc feet. Metallic screen repaired houses.

COKOZAL.

Brush cut and removed square yards

Swamp filled in do.

.

Swamp drained do.

.

Ponds drained do.

Grass cut and burned do.

.

New ditfhes dug linear feet Tile drain laid do.

.

Old ditches cleaned and graded do.

.

Closet pits dug ^23 j cubic yards

Closet pits filled in (13; do..

Closets erected - - - Closets cared for daily

Garbage cans emptied do.

.

Night-soil cans emptied do.

.

132, 927

32

90

35

45

78

98

12

134, 134

33

678, 278

10,471

1,807

64

1, 226, 152

16, 528

2, 334

2,292

336

98, 060

347

34

14

18

, 166

80

27

1, 028, 563

6

1,854,114

8, 161

31,020

27, 770

1, 384, 781

20, 397

6, 717

305, 002

149

83

19

33

81

15
69

Houses disinfected

Houses fumigated (31) cubic feet . . 1, 222, 7 Metallic screen repaired houses .

.

05

MIRAPLORES.

Brush cut and removed square yards.

Swamp drained do . .

.

Ponds drained do. . Grass cut and burned do . .

.

New ditches dug linear feet

.

Old ditches cleaned and graded do. .

.

Closet pits dug (8) , cubic yards.

Closet pits filled in (6) do . .

.

Closets erected

Closets cared for daily.

Garbage cans emptied do . .

.

Night, soil cans emptied do . .

.

Houses disinfected

Houses fumigated (2) cubic feet

.

PEDRO MIGUEL.

Brush cut and removed square yards.

.

Swamp filled in do

Swamp drained do

Ponds drained do

Grass cut and burnt d do

New ditches dug linear feet.

.

Tile drain laid do

New ditches stoned and cemented do

Old ditches stoned and cemented do

Old ditches cleaned and graded .do

Closet pits dug (19) cubic yards.

.

Closet pits filled in (9) do

Closets erected

Closets cared for daily.

.

Garbage cans emptied do

Night-soil cans emptied do

Houses disinfected

Houses fumigated (18) cubic feet.

.

Metallic screen repaired houses.

PARAlso.

Brush cut and removed square yards

Swamp filled in do.

.

Swamp drained do . Ponds drained do.

Grass cut and burned do .

.

GO, 506

3, 014

5, 475

134, 956

684

55, 536

296

42

17

12

48

42

3

40, 000

994, 194

16, 983

15, 660

17, 160

429, 426

16, 801

8,244

493

1,997

73, 931

133

105

59

82

170

87

24

309, 246

32

425, 006

74

1,200

50

1, 466, 015
70

Now ditches dug linear feet Tile drain laid .do.

.

New ditches stoned and cemented do.

.

Old ditches stoned and cemented do.

.

Old ditches cleaned and graded do.

.

Closet pits dug (20) cubic yards

Closet pits Idled in (19) do.

.

Closets erected

Closets cared for daily

Garbage cans emptied do .

.

Night-soil cans emptied do.

Houses disinfected ^ Houses fumigated (16) cubic feet

Metallic screen repaired houses

CUCARACHA.

Brush cut and removed square yards.

Swamp filled in do . .

.

Swamp drained do . .

.

Ponds drained do . .

.

Grass cut and removed do . .

.

New ditches dug linear feet. New ditches stoned and cemented do. .

.

Old ditches stoned and cemented do. .

.

Old ditches cleaned and graded do. .

.

Closet pits dug (13) cubic yards.

Closet pits filled in (12) do. .

.

Closets erected

Closets cared for daily

.

Garbage cans emptied do. .

.

Night-soil cans emptied do. .

.

Houses disinfected

Houses fumigated (13) cubic feet. CL J.EBRA. Brush cut and removed square yards

Swamp filled in do.

.

Swamp draiiunl do.

.

Ponds drained do.

.

(irass cut and burned do.

.

New ditches dug linear feet Tile drain laid do.

.

New ditches stoned and cemented do.

.

Old ditches stoned and cemented do.

.

( )ld ditches c-ieaned and graded do.

.

Closet pits dug (35) cubic vards

Closets filled in (29) ^lo.

.

Clo et- erected

23 583

5 154

1 167

3 305

121 553

158

53

9

75

174

69

11

228 241

74

117, 7J4

79 650

107

204

165, 141

14, 726

729

606

119, 311

50

25

12

19

49

2

3

86, 450

1,924, 625

32

810

468

2,127, 882

31, 185

15, 121 387

3<)0 195, 3()() 173

46

8
71

Closets cared for daily.

.

66

Garbage cans emptied do 583

Nights-oil cans emptied do 112

Houses disinfected 98

Houses fumigated (312) cubic feet .

.

2, 249, 785

Metallic screen repaired I houses .

.

126

EMPIRE.

Brush cut and removed square yards .

.

205, 785

Swamp filled in do. . .

.

20, 456

Swamp drained do 102, 108

Ponds drained do 12, 921

Grass cut and bm-ned do 5, 190, 129

New ditches dug linear feet .

.

25, 736

Tile drain laid do. ... 17, 683

New ditches stoned and cemented do 78

Old ditches stoned and cemented do 200

Old ditches cleaned and graded do 297, 775

Closet pits dug (112) cubic yards.. 1,091

Closet pits filled in (74) do. . .

.

380

Closets erected -. 84

Closets cared for daily .

.

133

Garbage cans emptied - do 642

Night-soil cans emptied do 152

Houses disinfected 40

Houses fumigated (34) cubic feet .

.

517, 597

Metallic screen repaired houses .

.

80

LAS CASCADAS.

Brush cut and removed square yards .

.

181, 374

Swamp filled in do 633

Swamp drained do

"^'t?^

Grass cut and burned do 1, 837, 729

New ditches dug linear feet .

.

33, 014

Tile drain laid do 1, 707

New ditches stoned and cemented do 4, 384

Old ditches stoned and cemented do 1. 744

Old ditches cleaned and graded do 155, 971

Closet pits dug (53) cubic yards .

.

543

Closet pits filled in (37) do. . .

.

142

Closets erected 31

Closets cared for. daily .

.

^67

Garbage cans emptied do 329

Night-soil cans emptied do 91

Houses disinfected 23

Houses fumigated (22) cubic feet .

.

321, 876

Metallic screen repaired houses .

.

87
72

BAS OBISPO.

Brush cut and removed square yards

Swamp filled in do .

.

Ponds drained do .

.

Grass cut and burned do .

.

New ditches dug linear feet

Tile drain laid do .

.

New ditches stoned and cemented do.

.

Old ditches cleaned and graded do .

.

Closet pits dug (149) cubic vards

Closet pits filled in (112) !do.-

Closets erected

Closets cared for daily

Garbage cans emptied do .

.

Night-soil cans emptied do .

.

Houses disinfected

Houses fumigated (40) cubic feet

Metallic screen repaired houses

MATACHIN.

Brush cut and removed square yards

Swamp filled in do .

.

Swamp drained .• do .

.

Grass cut and burned do.

.

New ditches dug linear feet

Tile drain laid do.

.

Old ditches cleaned and graded do.

.

Closet pits dug (20) cubic yards

Closet pits filled in (31) do.

.

Closets erected

Closets cared for daily

Garbage cans emptied do .

.

Night-soil cans emptied do .

.

Metallic screen repaired houses

GORGONA

Brush cut and removed square yards

Swamp filled in do .

.

Swamp drained do .

.

Ponds drained do.

.

Grass cut and burned <!(). . New ditches dug linear feet Tile drain laid do.

.

New ditehes stoned and cemented do.

.

Old ditches stoned and cemented do.

.

Old ditches cleaned and graded <lo. .

224 775

2 149

120

3,636 676

6 906

533

186

95 271

500

476

50

81

193

8

14

951 582

52

49 401

273

266

115, 247

14, 372

206

36, 488

144

177

34

37

68

]9

6

3, 035, 500

5, 774

3, 459

166

6, 696. 328

19, 789

4, 786

91

130

55, 458
73

Closet pits dug (52) cubic yards .

.

316

Closet pits filled in (24) do. - -

.

126

Closets erected 116

Closets cared for daily .

.

Ill

Garbage cans emptied do 302

Night-soil cans emptied do 148

Houses disinfected , 64

Houses fumigated (65) cubic feet

.

982, 741

Metallic screen repaired houses .

.

53

SAN PABLO.

Brush cut and removed square yards .

.

189, 274

Swamp filled in do. . .

.

1, 523

Ponds drained do 1, 560

Grass burned do 716, 059

New ditches dug linear feet .

.

13, 990

Tile drain laid ^ do 93

Old ditches cleaned and graded '. do 37, 112

Closet pits dug (64) cubic yards .

.

164

Closet pits filled in (25). . .'. do 51

Closets erected 43

Closets cared for daily .

.

19

Garbage cans emptied do ...

.

48

Night-soil cans emptied do ...

.

7 Houses disinfected 1 Houses fumigated (18) cubic feet .

.

227, 035

Metallic screen repaired houses .

.

8

TABERNILLA.

Brush cut and removed square yards .

.

474, 043

Swamp filled in do 1, 661

Ponds drained do 230

Grass cut and burned do 3, 415, 570

New ditches dug - linear feet .

.

28, 846

Tile drain laid do. ... 15, 065

Old ditches cleaned and graded do 129, 885

Closet pits dug (95) cubic yards .

.

446

Closet pits filled in (64) do 136

Closets erected 48

Closets cared for daily .

.

54

Garbage cans emptied do 149

Night-soil cans emptied do ...

.

46

Houses disinfected ". 66

Houses fumigated (71) cubic feet .

.

3, 143, 766

Metallic screen repaired houses .

.

7
74

BOHIO.

Brush cut and removed square yards.

.

3, 130

Swamp filled in do 150

Grass cut and burned do 75, 320

Old ditches cleaned and graded linear feet.

.

42, 591

Closet pits dug (39) cubic yards.

.

171

Closet pits filled in (8) do 39

Closets erected 38

Closets cared for daily.

.

52

Garbage cans emptied do 46

Night-soil cans emptied do 13

Houses disinfected 1 Houses fumigated (8) cubic feet .

.

45, 740

Metallic screen repaired houses .

.

11

GATUN.

i[For the last eight months, j Brush cut and removed square yards .

.

632, 535

Swamps filled in do 4, 932

Swamps drained do 2, 230

Ponds drained do 150

Grass cut and burned do 1, 180, 940

New ditches dug linear feet .

.

9, 302

Tile drain laid do. ... 19, 263

New ditches stoned and cemented do 1, 330

Old ditches cleaned and graded do 92, 534

Closet pits dug (104) cubic yards.

.

578

Closet pits filled in (65) do 291

Closets erected 58

Closets cared for : daily .

.

54

Garbage cans emptied do 169

Night soil cans emptied do 14

Houses disinfected 11

Houses fumigated (13) cubic feet.

.

179, 020

Metallic screen repaired houses.

.

87

RECAPITULATION.

Brush cut and removed square yards

Swamp filled in do .

.

Swamp drained do .

.

Ponds drained do .

.

Grass cut and burned do .

.

New ditches dug linear feet Tile drain laid do .

.

New ditches stoned and cemented udo.

.

Old ditches stoned and cemented do.

.

12,031,535

208, 913

189, 446

m, 338

30,899,017

292, 363

110,451

28, 082

8.716
75

Old ditches cleaned and graded linear feet .

. 2, 044, 711

Closet pits dug (823) cubic yards.

.

o, 291

Closet pits filled in (539) do. . .

.

2, 287

Closets erected - - • • ^°^

Closets cared for daily.

.

958

Garbage cans emptied do ?' nn?

Night soil cans emptied - do 1, 007

Houses disinfected ^5?

Houses fumigated (712) cubic feet .

. 11. 678, 564

Metallic screen repaired houses .

.

727

Sanitation—Bocas del Toro.

General cleaning:

Number of barrels of garbage removed 98, 850

Number of square yards of street cleaned 652, 000

Loads of yard garbage removed 861

Loads of garbage removed from beach 47

Maximum number of men at work, average 13

Minimum number of men at work, average 9

Daily average number of men at work 11

Number of loads of sand carted 287

Mosquito brigade:

Square yards of underbrush and grass cut and burned

.

174, 500

Number of baiTels repaired, old and new 669

Number of barrels covered, old and new 193

Number of barrels spigoted !> 010

Number of baiTels overturned 455

Number of barrels destroyed 211

Number of barrels oiled 11

Number of tanks repaired 120

Number of tanks destroyed 1 Number of wells oiled - 107

Number of crab holes worked 15, 700

Number of crab holes oiled 3, 700

Number of feet of new drains made 1, 350

Number of feet of drains cleaned 6, 180

Number of hours consumed in oiling 1, 330

Number of hours consumed in reinspection of barrels. 663

Number of persons fined 69

Material used:

Wooden faucets ^14

Spigots 423

Copper wire, feet 1? 604

Sulphur, pounds 274

Pyrethriun 56

Chloride of lime, pounds HO

Mosquito oil. barrels 118

Carbolic acid, barrels 1
76

Consolidated Report of Quarantine Transactions at Ports

OF Ancon and Panama, and Colon and Cristobal, for the

Year 1907.

Total number of vessels inspected and passed 902

Total number of vessles detained in quarantine 11

Total number of vessels fumigated on arrival 30

Total number of vessels fumigated prior to sailing 71

Total number of crew inspected 59. 646

Total number of passengers inspected 64, 389

Total number of persons inspected 124, 035

Total number of persons vaccinated at ports of arrival on

account of compulsory vaccination law 24, 436

Total number of persons vaccinated at ports of departure

or en route on account of compulsory vaccination law. . 22, 924

Total number of persons vaccinated on account of compulsory vaccination law 47, 360

Total number of passengers held in quarantine at the detention stations to complete the period of incubation of yellow fever and plague 3, 156

Total number of persons held to complete period of incubation of smallpox 768

Total number of persons held to complete period of incubation of smallpox at observation camps 423

Total number of persons held on board boats to complete

period of incubation of yellow fever and plague 669

Total number of persons held to complete period of incubation of yellow fever and plague 1, 007

Total number of persons held in quarantine on account of impetigo contagiosa 16

Total number of passengers landed from foreign

ports:

Cabin 18, 297

Steerage 36. 438

54,735

Total number of passengers embarked for foreign

ports:

Cabin 13, 953

Steerage 17, 900

31, 853

Total number of persons arriving from coast towns on

launches and small sailing craft 16, 699

Total num])er of persons leaving for coast towns on

launches and small sailing craft 12, 508

Total apparent increase for the year from foreign

ports:

CaV)in 4, 344

Steerage 18, 538

22, 882
77

Total apparent increase for the month from coast towns,

steerage (approximate) 4, 191

Total number of persons landed 71, 434

Total number of persons embarked 44, 361

Total apparent increase for the year 27, 073

Total number of pieces of baggage disinfected 1, 852

Total number of immigrants recommended for rejection.

.

70

Total number of certificates issued to outgoing passengers. 584

Total number of persons refused certificates because of trachoma 71

Number of bills of health issued 2 Number of bills of health viseed 261

Total number of circulars relative to malaria fever, distributed (approximate ) 32, 525

Quarantine Transactions, Bocas del Toro, for the Year

1907.

Number of vessels inspected and passed 392

Number of vessels fumigated upon arrival 7 Number of vessels fumigated Ijefore sailing 8 Total number of crew inspected 7, 295

Total number of passengers inspected 3, 021

Total number of persons vaccinated 61

Number of persons held to complete period of incubation

for yellow lever 198

Total number of vessels entering dm'ing the year 395

Total number of vessels sailing during the year 395

Personnel Report.

[Average number of employees per month for the year.]

Office of chief sanitary

Officer 42

Office of director of hospitals 15

Ancon Hospital ir 420

Colon Hospital 245

Culebra Hospital 23

Gorgona Hospital 14

Miraflores Hospital 29

Empire Hospital 12

vSanto Tomas Hospital 7 Tarbernilla Hospital 5

Las Cascadas Hospital ... 12

Bas Obispa Hospital 13

Paraiso Hospital 12

Taboga Sanitarium 24

Corozal Dispensary 3

Panama Dispensary^ 3

La Boca Dispensary 6

Pedro ^liguel Dispensary

.

4

Gatun Dispensary 13

Cristobal Dispensary 6

San Pablo Dispensary 3

Palo Seco Leper Asylum. 6

Property Division. Sanitary Department 16

Health office of Panama.

.

130

Health office of Colon

and Cristobal 236

Quarantine Service 31

Zone Sanitation 1, 110

Total 2,440

a Changed to Tivoli Dispensary July, 1907.
78

Malaria Cases and Deaths Among White and Black Employees IN Hospitals, Separately and Consolidated, by

Months, for the Years 1906 and 1907.

1906. January . .

.

February .

.

March

April

May

June

July

August

September

.

October... November.

December

.

Cases treated. White. Black.

384 1 395 i 425

333 289

377

721 490 317

450 362

537 Total ! 5,080

1907. January. .

.

February..

March

April

May

June

July

August

September

.

October... November

.

December.

Total.

755

692

646

365 296

529 937

1,153

1,024

811 512

351 8,071

1,312

1,031

1,141 801 830

1,856

2,204

2,148

1,744

1,462

1,029

1,101

Total.

1,696 1,426

1,566

1,134

1,119 2,233

2.925

2.638

2,061

1,912

1,391 1,638 16,659 21,739

1,209 936 854

499 319 509

816

1,010 895

738

464

433

1,964

1,628 1,500 864

615

1,038 1,753

2,163

1,919

1,549 976

784

8,682 16,753

Deaths.

White. Black.

11

27

14

11148

21523

26

162623

10

Total.

188

13

1314

155

8

18

138

8

6

1 122

1512

1582

1727

26

1626

24

11

199

14

14

17

1769

21

17139

9

3 149 o


UNIVERSITY OF FLORIDA

3 1262 08229 129 4

(./^.d^

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