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UNIVERSITY

OF FLORIDA

LIBRARY

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ANNUAL REPORT

OF THE

DEPARTMENT OF SANITATION

OF THE

ISTHMIAN CANAL COMMISSION

FOR THE

YEAR 1908

W. C. GORGAS

Coionel, Medical Corps, U. S. Army

Chief Sanitary Officer

WASHINGTON

GOVERNMENT PRINTING OFFICE

1909

I

ANNUAL REPORT

OF THE

DEPARTMENT OF SANITATION

OF THE

ISTHMIAN CANAL COMMISSION

FOR THE

YEAR 1908

W. C. CORGAS

Colonel, Medical Corps, U. S. Army

Chief Saniiary Officer

WAShLNfGTON

;OVERNMENT PRINTING OFFIC!

1909
Uls.

t \ •

« I »
CONTENTS.

Page.

Letter of transmittal 5

General statistics 9

Deaths during the year 1908 9

Deaths in cities of Panama and Colon and the Canal

Zone 9

Deaths by color and sex 10

Deaths by nationality 10

Deaths by ages ;

- 11

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

Causes of death of Isthmian Canal Commission and

Panama Railroad employees 12

List of deaths of white employees from the United States,

by months, with totals and death averages per thousand 14

Deaths of white American women and children 17

Causes of death 20

Table showing discharges and deaths of employees in the hospitals of the Isthmian Canal Commission, from all causes, for the year 1908 24

Consolidated hospital report 28

Consolidated sick camp report 29

Consolidated hospital and sick camp report 30

Consolidated dispensary report 31

Average number of employees constantly sick during year in

hospitals, sick camps, and quarters 31

Outside patients treated in Isthmian Canal Commission hospitals, including Taboga Sanitarium and Palo Seco Leper

Asylum, and amounts collected from pay patients 32

Surgical operations performed in hospitals of the Isthmian

Canal Commission 33

Consolidated laboratory report of all hospitals 38

Report of: Ancon Hospital 40

Colon Hospital 41

Culebra Hospital 42

Palo Seco Leper Asylum 44

Taboga Sanitarium 45

Santo Tomas Hospital 45

(3)

7 Id X
Report of—Continued. Page.

Tivoli dispensary and sick camp, and employees ex- cused from work for quarters 47

La Boca dispensary and sick camp, and employees ex- cused from work for quarters 47

Corozal dispensary and sick camp, and employees ex- cused from work for quarters 48

Miraflores dispensary and sick camp, and employees ex- cused from work for quarters 49

Pedro Miguel dispensary and sick camp, and employees

excused from work for quarters 50

Paraiso dispensary and sick camp, and employees ex- cused from work for quarters 50

Empire dispensary and sick camp, and employees ex- cused from work for quarters 51

Las Cascadas dispensary and sick camp, and employees

excused from work for quarters 52

Bas Obispo dispensary and sick camp, and employees

excused from work for quarters 53

Gorgona dispensary and sick camp, and employees ex- cused from work for quarters 53

San Pablo dispensary and sick camp, and employees ex- cused from work for quarters 54

Tabernilla dispensary and sick camp, and employees ex- cused from work for quarters 55

Gatun dispensary and sick camp, and employees ex- cused from work for quarters 56

Cristobal dispensary and sick camp, and employees ex- cused from work for quarters 57

Porto Bello dispensary and sick camp, and employees ex- cused from work for quarters 58

Board of Health Laboratory 58

Vaccinations 61

Issues of quinine 62

Sanitation

Panama 62

Colon (including Cristobal and Mount Hope) 65

Canal Zone 67

Recapitulation 73

Quarantine service (ports of Panama, Ancon, Colon, and Cristobal) 76

Bocas del Toro 77

Personnel report 77

Table of malarial cases among employees in hospitals, with

averages, etc 78
LETTER OF TRANSMITTAL.

Office of Chief Sanitary Officer,

Ancon, Canal Zone, February 25, 1909.

Chairman Isthmian Canal Commission,

Culehra, Canal Zone.

Sir: I herewith forward report of the department of

sanitation for the calendar year 1908.

I would like to call your attention to several points

in this report. In the first place, to the low death

rate among employees. The figures for the past five

years are as follows

Year.

1904

1905

1906

1907

1908

Force. Deaths.

6,213 82

16, 511 427

26, 705 1,105

39, 343 1,132

43, 890 571

Rate per thousand.

13.26

25.86

41.37

28.77

13.01

This means that, out of every thousand employees,

we had in 1908 one-third the number die that we had

die in 1906, and one-half the number that we had die

in 1907.

In this connection it is particularly interestino; to

note how the death rate amonor the blacks has fallen:

Year.

1905

1906

1907

1908

Force.

13, 482

21, 441

28, 634

31, 507

Deaths. Rate per thousand.

354

1,013

953

402

26.25

47.24

33.28

12.76

(5)
This means that in 1906, out of every thousand

blacks on our rolls, 47 died; whereas in 1908, out of

every thousand on our rolls, only 12 died. The black

death rate was slightly less in 1908 than the white

death rate. This is the first year, since we have been

on the Isthmus, that the black death rate has been

smaller than the white death rate. In 1906 the

death rate among the blacks was nearly three times

as high as that among the whites.

Considering the total population of Panama, Colon,

and the Canal Zone, we have the following:

Year. Population. Number of deaths. Rate per thousand.

1904 35, 000

42, 699

66,011

102,133

120, 097

1,224

2,793

3,544

3,435

2,983

52.45

1905 65.41

1906 49. 10

1907 33. 63

1908 24.83

This means that out of every thousand people on

the zone considerabl}^ less than one-half as many died

in 1908 as died in 1905.

Taking special diseases, we find that in 1906 we had

among the 26,705 employees 69 deaths from dysenterv; m 1907, with 39.343 employees, 48 deaths; and

in 1908, with 43,890 emplo3^ees, 'l6 deaths. That is,

with 43,890 employees in 1908 we had less than onequarter the number of deaths from dysentery than we

had among 26,705 employees in 1906.

In 1906 we had from malaria 233 deaths; in 1907,

154 deaths; and in 1908, 73 deaths. That is, with a

force more than one-third larger in 1908 we had from

malaria less than one-third the deaths that we had in

1906.

In 1907 we had from typhoid fever 98 deaths, and

in 1908, with a larger force, we had only 19 deaths.
In the number of deaths from pneumonia there has

also been a great fall. In 1 906 we had 431 deaths from

this disease; in 1907, 328 deaths; and 1908, 93 deaths.

Among white Americans from the United States we

had 42 deaths during the year. Exacth^ one-half of

these were from violence. Our death rate from dis- ease among this class was 3.84 per thousand—about

the same rate as occurred in the year 1907 in our army.

During the year we had on the Isthmus 2,674 American women and children connected with the commission. The death rate among these was 9.72 per

thousand. This is an exceptionally small rate for this

class of population.

I consider malaria the best measure of the sanitary

work done. In 1906, out of every thousand employees

we admitted to our hospitals, from malaria, 821 ; in

1907, 424; and in 1908, 282. That is, we now have

only about one-third the amount of malaria among

our employees that we had three years ago.

Beriberi is also a disease that has considerably

decreased in the past three years. In 1906 we had

68 deaths in the total population from this disease; in

1907, 53 deaths; and in 1908, 38 deaths.

It has been more than three years now since a case

of yellow fever has developed on the Isthmus. The

last occured in November, 1905. The last case of

plague occurred in August, 1905. No case of smallpox occurred during the year.

Taken as a whole, the health report for 1908 shows

very much better conditions than have occurred in any

previous year since we have been on the Isthmus, and

the death rates and sick rates among our employees

will compare favorably wdth those of most parts of the

United States.

Very respectfully,

Wm. C. Gorgas,

CIlief Sanitary Officer.

ANNUAL REPORT

OP

DEPARTMENT OF SANITATION, ISTHMIAN CANAL COMMISSION,

FOR THE YEAR 1908.

GENERAL STATISTICS.

Deaths of Employees of the Isthmian Canal Commission

AND Panama Railroad Company,

YEAR 1908.

Color.

Average

number

of employees.

Total number of deaths from

Annual average per

1,000.

Disease. Violence. Total. Disease. Violence. Total.

White 12,383

31,507

90

291

79

111 1G9 402 7.27

9.24

6.38 3.52

13.65 Black 12. 76 Total 43,890 381 190 !^7'i 8.68 4. .^'? 13.01

Deaths in the Cities of Panama and Colon and the Canal

Zone.

Place. Average population. Total

deaths. Annual

average per 1,000.

Panama 37, 073

15, 878

67, 146

1,292

418

1,273

34.83-

Colon 26.32

Canal Zone 18.95

Total 120, 097 2,983 24.83

Note.—Figures relating to number of employees are compiled

from the pay rolls of the different months. The population and

deaths as given for the cities of Panama and Colon, and for the Canal

Zone, in the tables above, include employees and civil population.

Total admissions of employees to hospitals and sick camps,

including tliose sick in quarters 49, 709

Average per thousand of employees admitted to hospitals

and sick camps, including those sick in quarters 1, 132

75952—09 2 (9)
10

White:

Male

Female

Black:

Male

Female

Yellow (Chinese):

Male

Female

Unknown

Deaths by Color and Sex.

462

208

514

747

44

5

3

Total 2, 983

Deaths by Nationality.

Antigua

Austria

Bahama Islands.

Barbados

Bohemia ' Colombia

Costa Rica

China

Chile

Cuba

Curasao

Demerara

Denmark

Dominica

Ecuador

England

Fiji Islands

Fortune Islands.

France

Guadeloupe

•Greece

Germany

Grenada

Guiana, British.

Holland

Haiti

SLreland

Iceland

India

Italy

Jamaica

Montserrat

22

5

1 255

1 163

11

48

4

3

2

7

24

17 24

29

8

426

2

1S

1

1527

557

17

Martinique 101

Mexico 9

Nassau 1 Nicaragua 4

Norway 1 Panama 1, 149

Peru.

Philippines . . .

.

Porto Rico

Portugal

Russia

Salvador

Santo Domingo.

Spain

Scotland

Sweden

St. Kitts ,. St. Thomas

St. Croix

St. Vincent. . .

.

St. Martin

St. Lucia

Syria

Trinidad

Turkey

Turks Island . .

.

West Indies

United States.

.

Venezuela

Not stated

8

13

3

3

4

2

177

2

1310

13

1 60

3

26

2

16

94

6

36

Total 2,983
11

Deaths by Ages.

Under 1 year 680 From 60 to 70 years 112

From 1 to 4 years 147

From 4 to 10 years 89

From 10 to 20 years 147

From 20 to 30 years 625

From 30 to 40 years 421

From 40 to 50 years 376

From 50 to 60 years 185

Deaths of Isthmian Canal Commission and Panama Railroad

Employees by Nationality.

From 70 to 80 years. From 80 to 90 years. From 90 to 100 years. .. From 100 to 110 years.. Unknown36

10

8

1 146

Total 2,983

Antigua 10

Austria 1 Bahama Islands 1 Barbados 160

Colombia 12

Costa Rica 4

Demerara 3

Dominica 2 Ecuador 1 England 2

Fiji Islands 1 Fortune Island 7 France 1 Germany 1 Greece 8

Grenada 7 Guadeloupe 20

Haiti 2

Italy 9

Jamaica 84

Martinique 39

Mexico 2

Montserrat 9

Panama 13

Portugal 1 Spain 87

St. Lucia •. 7

St. Kitts 3

St. Martin 1

St. Vincent 2

St. Croix 1 Trinidad 12

Turkey 2 West Indies 2 United States 46

Venezuela 1 Unknown 7

Total 571
12

Causes of Death op Isthmian Canal Commission and

Panama Railroad Employees.

Diseases. White.

1

Black. Total.

Apoplexy 1

1

11

12

2

1

1

i'12

111

11 25

6

i?"

1

8

3'2

3

i

13

1

1

2 Abscess:

Throat 1 Perirectal 1 Periurethral 1

Aiip:iiia pectoris 1

Aiiieinia, primary 2

Aneurism of arch of aorta 2

Arthritis 1 Appendicitis 11

1

2

Brain , acute softenino; of 1 Cancer (adenoid carcinoma, involving? the ,<j:iand of abdominal cavity)...

Cholanirilis, acute suppurative

11

Coni2:Pstion. pulmonary 1

Colitis, acute 2

Debilitv. general 1 Dysentery 5 16

Empvema 1 Endocarditis 1 Fever:

Malarial 29

13

12

1

3

1

12

2

11

54

Hsemoi^lobinuric 19

TTndiasfnosed 1 Tvphoid 19

Gastric ulcers with perforation 2

Heart:

Orii:anic disease of 11

Acute dilatation of 1 Infection, origin undetermined

Intestinal obstructions

4

4

Liver:

Abscess of 5

Ecchinococcus cysts of 1 Amoobic abscess of 1 Sarcoma of 1 Lungs:

A bscess of 1 Gangrene of 3

Hemorrhage of 1 Lymphangitis 1
13

Causes of Death of Isthmian Canal Commission and

Panama Railroad Employees—Continued.

Diseases.

Meningitis:

Acute

Cerebro-spinal, epidemic

Pneumococcic

Mitral insufiiciency

Myocarditis

Nephritis:

Acute

Chronic '. Pneumonia

Pysem ia Splenitis, acute

Sarcoma of mesenteric lymphnodes.

Septica-mia, purulent infection

Stricture of urethra

Tetanus

Tuberculosis:

Pulmonary

Mil iary

General

Chronic ulcerative

(Pott's diseased

(Osteomyelitis)

Ursem ia Uncinaria

Ulcer of duodenum

Violence "

White.

Total.

3

11

1

79

169

Black.

5

15

11

12

16

82

5

117

14

33

5

2

1

113

1

1 111

402

Total.

6

2

5

12

]2

]9

93

6

1

110

16

34

52

11

1

3

1

1 190

571
14

List of Deaths of Wtttte Employees from the United States,

Bv Months, with Totals and Death Averages per Thousand.

JANUARY.

Name. Occupation. Time on' Isthmus. Age. Cause of death.

Hoard, Samuel R... Panama Railroad. 13 months. Fever, haemoglobinuric.

FEBRUARY.

Davis, Cleon Leslie. Ergireering and

corstruction de- partment.

45 months. Gunshot wound, acci- dental.

MARCH.

Cooper, David

Forbes, H. D

PerVirs, Mrs. P. I.

.

Rich, M. P

Locomotive engireer. Median ical de- partment. Teacher Foreman

2 years

4 months..

....do

3 years

49

33

27

33

48

42

Intestinal obstruction. Malaria, complicated

witli nephritis.

Amoebic dysentery.

AV)scess of liver. Sykes, Henry W . .

.

Machinist Hemorrhage and ex- haustion, gastric ul- cers. Store, Jean B Engineer 22 months. Malarial fever.

APRIL.

Bath, George K.

Gerdes, Max J Lov, Robort Faxon.

Riddle, Paul L

Ergireering and

corstruction de- partment.

Physician

Conductor

Clerk

4 months.

10 months.

1 year

2^ years..

.

21

."9

3.5 30

Accidental drowning.

Organic heart disease. External violence. Pulmonary tuberculosis.
1^

List op Deaths of White Employes from the United States^

BY Months, vith Totals and Death Averages per Thousand—Continued.

MAY.

Name. Occupation. Time on

Isthmus. Age. Cause of death.

Brown, John A

Coggan, Clififord

Nice, Ada J Roche, Joseph P —

Engineering and

construction de- partment.

Excavation and

dredging departpartmerit. Nurse

Excavation and

dredging depart- ment. Foreman

10 months.

....do

13 months.

10 months.

43 months.

60

24

«34

34

56

Accidental traumatism. Dynamite explosion.

Cancer (abdominalDynamite explosionMyocarditis, chronic.

JUNE.

Alexandre, John J. Caswell, Arthur O.

O'Shea, Dennis.

O'Brien, Michael J.

Engineering de- partment.

Engineering and

construction de- partment.

Excavation and

dredging depart- ment. Panama Railroad

.

11 months.

9 months..

8 months.

40 Acute dilatation of

I heart. Accidental traumatism (on the Pana- ma Railroad). Fracture of skull19

48

Cerebral - hemorrhagft

(probably murdered).

JULY.

McKenzie, M. M., ! Engineering and

alias Murdock. I construction de- partment.

Rose, Charles A do

4 years .

.

2J years.

AUGUST,

52 Suicide, gunshot

wound of head.

43 Suicide, hanging.

Mills, William J 1 Mechanic

.

5 months.. 46 Drowning, suicide.
16

List of Deaths of White Employees from the United States,

BY Months, with Totals and Death Averages per Thousand—Continued.

SEPTEMBER.

Name. Occupation. Time on

Istlinius. Age. Cause of death.

Mickle, Louis

Townsend, Edwin..

Vanderstop, Paul...

Atlantic division.

.

Engineering and

construction. Foreman

33 months.

19 months.

...do

37

33

29

38

Appendicitis, perforative, with general

peritonitis. Accidental traumatism (accidental dis- charge ol ride). Malarial fever, E. A., Wagner, Wm. Hendricks. Atlantic division.

.

3 years —

pernicious.

Violence, railroad.

OCTOBER.

Averill, J. H ! Steam shovel en

I gineer.

Davies, David R . . .

[ do

Goodley. William. .

.

' Craneman

McKee, William J...| Machinist

3 years

7 months..

13 months.

4 months.

.

40

32

2145

Angina pectoris.

Dynamite explosion. Do.

Pernicious malaria.

NOVEMBER.

Vanne, Charles. Quartermaster's

department.

5 years . .

.

62 Pneumonia, broncho.

DECEMBER.

Beale, William

Curtin, Patrick J . .

.

Caldwell. William

Panama Railroad.

Engineerint; and

construction. do

3 years

21 months

.

14 months.

3 years

59

48

40

2428

4025

2130

Amoebic dysentery. Railroad accident. Lobar pneumonia.

Dynamite explosion. Railroad accident.

(naturalized).

Hummer, James L.. do

Harper, G. II Trainman

House, Amos B

Korp, John J

EnRineoring and

construction. do

2 months..

37 months.

4 months..

G weeks...

Ajuuebic dysentery.

Dynamite explosion.

Ilaimoglobinurlc fe- ver. Dynamite explosion.Miller, Inguard J... Reidy, John JPanama Railroad. Engineering and

construction.
17

Average number of white employees from the United States on the Isthmus for the year 5, 459

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 7. 69

Total number of deaths from disease among white employees from the United States for the year 21

Annual average per 1,000 of deaths from disease among

white employees from the United States 3. 84

Total number of deaths from violence among white employees from the United States for the year 21

Annual average per 1,000 of deaths from violence among

white employees from the United States 3. 84

Deaths op White American Women and Children.

MARCH.

Name. Time on

Isthmus. Age. Cause of death.

Cate, Charles I Colegrove, Sybil

Daken (baby)

Perkins, Mrs. P.I

3 days

4 months

3 days

4 months

5 months

3 years

3 days

27 years

Capillary bronchitis. Fracture at base of skull, accident. Congenital heart disease. Amoebic dysentery.

APRIL.

Boyd (baby)

Costley, Percival F

Premature birth. Accidental drowning.

MAY.

Beattie (baby)

Nice, Ada J O'Day, Mrs.WiUiam.

3 days

13 months..

6 months...

3 days..

34 years

22 years

Meningitis. Cancer (abdominal).

Malnutrition, with vomiting of pregnancy.

JUNE.

Smith, Charles Le Roy.

Dennis, Wilhehnina

Goethals.

8 months.

3 months.

11 months.

3 months .

.

Convulsions. Cholera infantimi.

75952—09-
18

Deaths of White American Women and Children—Cont'd.

JULY.

Name.

Hammond, Marion M..

Womack, Glenys

Warren (baby)

Mills, Helen Adams

Grant, Pearl May

Belknap, Mrs. A. G...

Eberenz, Mable

Roarl-c, Mrs. F. M

Williams, Mrs. Maybelle T.

Time on

Isthmus.

1 year.

8 months

.

5 days

4 months

Age. Cause of death.

51 years Uremia, secondary to

! chronic parenchymatous

: nephritis.

13 years | Malarial fever.

5 days ' Congeni tal marasmus

.

4 months 1 Endocarditis.

AUGUST.

Graat, Pearl May 1 year 27 years Eclampsia.

SEPTEMBER.

1 month.

6 months.

2 years... do...

26 years Pelvic abscess with general

peritonitis. 2 years .

.

31 years.

37 years.

Malaria. Amoebic dysentery. Heart failure (after childbirth).

OCTOBER.

Brennan, Mrs. Hattie.. Stevens (baby)

1 year

1 day

19 years

1 day

Puerperal albuminuria and

convulsions. Premature birth.

NOVEMBER.

Capwell, Guy 3 months, 7 days.

2 months

15 months...

32 years

Tuberculosis, miliary.

Shuck, Mrs. F. E Pelvic abscess, septicemia.

DECEMBER.

Farrell, Maria Rose

Persons (baby)

38 days

2days

38 days

2days

Congenital heart disease. Congenital debility.
19

Average number of white American women and children on

the Isthmus for the year 2, 674

Total number of deaths among white American women and

children for the year 26

Annual average per 1,000 of deaths among white American

women and children 9. 72

Total number of deaths from disease among white American

women and children for the year 21

Annual average per 1,000 of deaths from disease among

white American women and children 7. 85

Total number of deaths from violence, parturition, prematurity, etc., among white American women and children. 5 Annual average per 1,000 of deaths from violence, parturition, prematurity, etc., among white American women and

children 1. 87

Average number of white Americans connected with the

Isthmian Canal Commission and Panama Railroad for the

year (Americans and their families) 8, 133

Total number of deaths from all causes among white Americans connected with the Isthmian Canal Commission and

Panama Railroad 68

Annual average per 1,000 of deaths from all causes among

white Americans connected with the Isthmian Canal

Commission and Panama Railroad 8.36

Total number of deaths from disease among white Americans

connected with the Isthmian Canal Commission and

Panama Railroad 42

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

Americans connected with the Isthmian Canal Commiseion and Panama Railroad 5. 16

Total number of deaths from violence, parturition, prematurity, etc., among white Americans connected with the

Isthmian Canal Commission and Panama Railroad 26

Annual average per 1,000 of deaths from violence, parturition, prematurityj etc., among white Americans connected

with the Isthmian Canal Commission and Panama Railroad 3. 19
20

« Causes of Death.

[Embracing deaths among employees of the Istlimian Canal Commission and

Panama Railroad Company, and also among the civil population.]

Diseases.

I. General diseases. Typhoid fever (abdominal typhus)

Malarial fever Aestivo a Jtamnal malaria

Malarial cachexia

Hemoglobinaric fever Measles Whooping coagh

Diphtneria and croup

Diphtheria

Induenza

Dysentery

Amoeoic dysentery

Leprosy

Berioeri Purulent infection and septicaemia

Rabies

Tuberculosis of the larynx

Tuberculosis of the lungs Tuberculosis of the meninges

Abdominal tuberculosis

Pott's disease Cold abscess and abscess by congestion. .

.

Tuberculosis of other organs General tuberculosis Scrofula Syphilis Cancer and other malignant tumors of the buccal cavity 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 female genital organs Cancer and other malignant tumors of the skin Cancer and other malignant tumors of other organs or of organs not specified. .

.

Acute articular rheiunatism

Chronic rheumatism and gout

Diabetes

Leucaemia \\ Anajmia, chlorosis Other general diseases Acute and chronic rheumatism

Other chronic poisoning

Alcoholism

Ancon

hospital.

166

40

14

64

Colon

hospital.

10

342

Pan- ama.

6

14324

12

12

3

1 46

1 32

22

1 153

10

16

3

6

Colon.

332

18

Zone.

2

9625

4

1

39

Total.
21

Causes of Death—Continued.

Diseases.

II. Diseases of the nervous system and the organs of spedal sense.

Enceplialitis

Simple meningitis

Epidemic cerebro-spinal meningitis

Pneumocopcus meningitis

Ofier diseases of the spinal cord

Con'^estion and tiemorrhage of the brain.

.

Softening of the brain

Paralysis without specified cause General paralysis

Other farms of mental alienation Epilepsy

Convulsions (nonpuerperal, 5 years and

over)

Convulsions (under 5 j^ears) Tetanus Other diseases of the nervous system

An- Co- con Ion

hospi-lhospital. tal

III. Diseases of the circulatory system.

Pericarditis Acute endocarditis Septic endocarditis Organic diseases of the heart Angina pectoris Diseases of the arteries (atheroma, aneurism, etc. ) Diseases of the veins (varices, hemorrhoids, phlebitis, etc.) Hemorrhages

Other diseases of the circulatory system. .

.

IV. Diseases of the respiratory system. Diseases of the nasal fossae Diseases of the larynx Acute bronchitis Chronic bronchitis Broncho-pneumonia

Pneumonia

Pleurisy

Congestion and apoplexy of the lungs

Gangrene of the lungs

Asthma

Pulmonary emphysema ; Other diseases of the respiratory system

(phthisis excepted)

Pan- ama.Colon. Zone.

4

52

1

314

24

524

17

517

1

14

615

62

1016

10 "i'

132

12

1215

1

Total.

2 "i'

413

3

2

1 20

1

15

11833

3335

7

144

176

2

4

5

2334

2

122

9

705

11

19

5

12

218

52 216

13

17

9

2

1

>

'I 6
22

Causes op Death—Continued.

Diseases.

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 ex- cepted)

Diarrhea and enteritis (under 2 years)

Chronic diarrhea and enteritis (under 2 years) Dfarrhea and enteritis (2 years and over).

.

Intestinal parasites Uncinariasis Hernia and intestinal obstructions Other diseases of the intestines Hydatid tumors of the liver Cirrhosis of the liver Biliary calculi Other' diseases of the liver Simple peritonitis

Appendicitis and abscess of the iliac fossa.

Ancon

hospital.

Colon

hospital.

VI. Diseases of the genito-urinary system

and its adnexa. Acute nephritis

Bright's disease Other diseases of the kidneys and their ad- nexa

Calculi of the urinary tract Diseases of the bladder

Diseasesof the urethra, urinary abscess, etc

.

Metritis Nonpuerperal diseases of the breast (cancer excepted)

1430

VII. The puerperal state. Accidents of pregnancy

Puerperal hemorrhage

Other accidents of lal)or Puerperal septicaemia

Pueriieral albuminuria and convulsions... Phlegmasia alba dolens (puerperal)

Other puerperal %ccid(mts—sudden death. VIIT. Diseases of the skin and cellular tis- sue. Gangrene

Acute abscess, phlegmon

Other diseases of the skin and its adnexa.

.

Panania. Colon.

6

169

16

27

1

1936

24

Zone.

. 320

48

73

3

Total.

713
23

Causes of Death—Continued.

Diseases. Ancon

hospital.

Colon

hospital.

Pan- ama.

Colon. Zone. Total.

IX. Diseases of the organs of locomotion. Nontiiberculous diseases of the bones 1 1 Arthritis and other diseases of the joints

(tuberculosis and rheumatism excepted) X. Malformations. Congenital malfonnations (stillbirths ex- cepted)

1 1

1

19

72

24

11 ......

9

2

7223

22

15

3 XI. Early infancy.

Congenital debility, icterus, and sclerema. Other diseases peculiar to early infancy. .

.

5 12

12143 Lack of care 4 Premature births 3 6 XII. Old age. Senile debility. . . . .. 9

1

33 XIII. External causes. Suicide by poison 1 Suicide by hanging or strangulation Suicide by drowning

1 2

12

3

1 2

Sulci ie by firearms 7 9

Sulci Je by cutting instruments 1 1 Other suicides 1 15

101

I

41

J- Fractures Other accidental traumatisms

520 !?• 4

6 ....„ 30

151 Burns and scalds 5

Electric shock. . 3 Acci lental drowning q2

1

2 46 Inanition (starvation) 2 Other acute poisoning

Other external violence ' "i'

1

1 3 ""2

1 17

10

5

4 Legal execution (hanging) 1 Dynamite explosion 6 23 XIV. Ill-defined diseases. Dropsy 2

1 59

12 Sudden death 1 Causes of death unspecified or ill defined.. 2 1 14 22 98 Total

Stillbirths 445 335 1,204100 250to

749

59 2,983 219 Grand total 445 335 1,304 310 808 3,202

Note.—The deaths occurrins: in Aiicon and Colon hospitals

result from sick, injury, or other cases taken from the cities of Panama and Colon, or from the Canal Zone, and in the table of general statistics are properly credited to either Panama, Colon,

or the Canal Zone.
24

Table showing Discharges and Deaths of Employees in the

Hospitals of the Isthmian Canal Commission, from all

Causes, for the Year 1908.

Diseases.

I. General diseases. Tyhoid fever (abdominal typhus)

Relapsing fever Malarial fever JEstivo-autumnal malaria

Tertian malaria

Mixed malaria

Malarial cachexia Hbpmoglooinuric fever Measles Diphtheria

Influenza , Dysentery

Bacillary dysentery

Amcebic dysentery

Leprosy

Berioeri Erysipelas

Other epidemic diseases Purulent infection and septicajmia

Tuberculosis of the lungs

Tuberculosis of the meninges

Abdominal tuberculosis Pott's disease Cold abscess and abscess by congestion

Tuberculosis of other organs General tuberculosis S^rof ila Byphiiis

Gonorrhea (five years and over) Cancer ani other malignant tumors of the buccal cavity 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 female genital organs Cancer an i other malignant tumors of the skin Cancer an d other malignant tumors of other organs or of organs notspe^i ied Other tumors (tumors of the female genital organs excepted). Acute articular rheumatism

Chronic rheumatism and gout

E xophthalmic goiter

Anaemia, chlorosis O ther general diseases Acute and chronic rheumatism >. Chronic lea i poisoning

O ther chronic poisoning

Alkoholismus

Vaccinia

Dis- charged. ! Died.

226

3 4,429

5,891

1,737

1573564

3

2

75

1701085

32

8

13

19 159

13

4120

144

143

137

3

1

113

42

183

86 298

78

8

3 110

1

19

932

19

5

9

1234

1

1

1

1 13

1

1

2

1

1
25

Table showing Discharges and Deaths of Employees in the

Hospitals of the Isthmian Canal Commission, from all

Causes, for the Year 1908—Continued.

Diseases.

II. Diseases ofthe nervous system and the organs of special sense. Simple meningitis

Epidemic cerebro-spinal meningitis Pneumococcus meningitis

Progressive locomotor ataxia 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). Tetanus Other diseases of the nervous system

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 disease of the heart Angina pectoris , Diseases of the arteries (atheroma, aneurism, etc.) , Embolism and thrombosis , Diseases of the veins (varices, hemorrhoids, phlebitis, etc.). Diseases of the lymphatic system (lymphangitis, etc.) , Hemorrhages

Other diseases of the circulatory system

IV. Diseases of the respiratory system. Diseases of the nasal fossae Diseases of the larjmx

Diseases of the thyroid body

Acute bronchitis Chronic bronchitis Broncho-pneumonia

Pneumonia

Pleurisy

Congestion and apoplexy of the lungs

Gangrene of the lungs

Asthma

Pulmonary emphysema

Other diseases of the respiratory system (phthisis excepted)

75952—09 4

Dis- charged. Died.

4 • 3

2

1 5

5

2

3 2

1 42

22 2

8

1 3 170

429

132

3 1 4

2 1

1 30 7 5 2

23 1 393 2 132 1 4 4

11

80

28

3 172

33

14 12

211 67

50 1 14

3 17

1487 1
26

Table showing Discharges and Deaths of Employees in the

Hospitals of the Isthmian Canal Commission, from all

Causes, for the Year 1908—Continued.

Diseases.

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 (2 years and over)

Intestinal parasites Uncinariasis Hernia and intestinal obstructions Other diseases of the intestines Hydatid tumors of the liver 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 VI. Diseases of the genito-urinary system and its adnexa. Acute nephritis

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

Calculi of the urinary tract Diseases of the bladder

Diseases of the urethra, urinary abscess, etc Diseases of the prostate Nonvenereal diseases of the male genital organs

Metritis Uterine tumors (noncancerous)

Other diseases of the uterus Cysts and other tumors of the ovary Other diseases of the female genital organs Nonpuerperal diseases of the breast (cancer excepted)

Chancroids

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

Dis- charged. Died.

4947

3 1 82 1 194 1 9

36 1 213 1 93 3

5 1 25 1 5

38 7 5 1

1

48 1 60 2

38 14 58 13 31 8

333 1 105 2 6 244

2

14

15

1 163

1 91 212

317
27

Table showing Discharges and Deaths of Employees in the

Hospitals of the Isthmian Canal Commission, from all

Causes, for the Year 1908—Continued.

Diseases.

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 XII. Debility.

DebiUty.

XIII. External causes. Suicide by drowning

Fractures

Dislocation Other accidental traumatisms.

Bums and scalds Other external violence

Dis- charged.

XIV. Ill-defined diseases. Causes of death unspecified or ill defined. Not sick X-ray examination

33

97

9 154

1 217 7 16 2 674 28 52

255 3

5 52 1 1

Total. 19,732

Died.

392
28

Consolidated Hospital Report.

Hospitals.

Re- maining Dec. 31, 1907.

Admitted. Died. Dis- charged. Transferred.

Re- maining Dec. 31,

1908.

Ancon Hospital.

Employees 409

51 140

13,925

1,722 233

247

16632

11,894

1,472

123

1,55540 638 Nonemployees 95 Insane 218 Total 600 15,880 445 13, 489 1,595 951 Colon Hospital.

Employees

Nonemployees

256

61 6,324

1,368

142 194 6,040

1,145 25028

148

62 Total 317 7, 692 336 7,185 278 21©

Culebra Hospital.

Employees 18

279 3 2

68 11

1 Nonemployees 5 Total 9 81 3 70 11 6 Palo Seco Leper Asylum.

Employees

14

2

12 2 Nonemployees 4 22 Total 14 14 6 22 Taboga Sanitarium. Employees 43

13 2,873711 2

2,846

713 70

9 Total 50 3,584 2 3,559 79 Grand totals: Employees 709

147 140

23, 126 3,892

233

389

365

32

20, 784 3,402

123

1, 805

79 857 Nonemployees 193 Insane 218 Total 996 27,251 786 24,309 1,884 1,268
29

Cost of subsistence:

Number of days' rations issued to patients 386, 803

Total cost of rations issued to patients $131, 040. 24

Cost of subsistence per patient per day $0. 3387

Operating expenses:

Number of days' relief furnished 386, 803

Total cost of hospitals $736, 565. 01

Cost per capita per day $1. 90

Consolidated Sick Camp Report.

Sick camps.

Re- mainj j^^_

1907.

Tivoli 1 La Boca 13 Corozal 2 Miraflores 9 Pedro Miguel 13 Paraiso 11 Empire 21 Culebra 15 Las Cascadas 9 Bas Obispo 9 Gorgona 10 San Pablo 2 Tabernilla 18 Gatun 20 Gatun Spillway 5 Cristobal 7 Porto Bello 6 Total I 1712,022

879 1,143

1,155 994

1,736

2,751 2,547

1,692 2,254

2,305

949 1,644

2,314

613

682 1,848

Died.

27, 528 23

Dis- charged.

1,997

876 999

921 815

1,317

2,499

2,059

1,330 1,795

1,919

766 1,360

1,772

373

546 1,386

Transferred.

22, 730

19

16 146 239

188 423 270

482 354

444 387

173 299

544 245

137

461

Re- maining Dec. 31, 1908.

7

44

62

169

238

113

14

6

6 4,827 119

Cost of subsistence:

Number of days' rations issued to patients 51, 849

Total cost of rations issued to patients $14, 040. 71

Cost of subsistence, per patient, per day $0. 2708

Operating expenses:

Number of davs' relief furnished patients 51, 849

Total cost of sick camps $25, 566. 47

Cost per capita, per day $0. 49
30

Consolidated Hospital and Sick-Camp Report.

Hospitals.. Sick camps

Total

Remaining Dec. 31, 1907.

996

171 1,167

Admitted.

27.251

27, 528

54, 779

Died. Dis- charged.

786 24,309 1,884

23 22,730 : 4,827

Transferred.

Re- main

ing Dec. 31, 1908.

1,268

119

809 I 47,039 I 6,711 1,387

Total admissions to hospitals and sick camps 54, 779

Number of employees sick in quarters 5, 687

60, 466

Less number of patients transferred from sick camps

to hospitals and from hospitals to sanitarium, whose

admissions are duplicated in above figures 6, 711

Net admissions to hospitals and sick camps,

including number of employees sick in quarters 53, 755

Cost of subsistence: ' Number of days' rations issued to patients 438, 652

Total cost of rations issued to patients $145, 080. 95

Cost of subsistence, per patient, per day $0. 33

Operating expenses:

Number of days' relief furnished patients 438, 652

Total cost of hospitals and sick camps $762, 131. 48

Cost, per capita, per day ^1. 737

Total cost of hospitals and sick camps, with amounts

received from pay patients deducted $682, 133. 16

Cost, per capita, per day, with amounts received from

pay patients deducted $1. 55
31

Consolidated Dispensary Report.

Class. ^Vhite. Black. Total.

Employees

Nonemployees

235, 438

29, 051

170, 978

16, 227

406, 416

45, 278

Total 264, 489 187, 205 451, 694

Operating expenses:

Total cost of dispensaries. $166, 182. 07

Average Number of Employees Constantly Sick 'During

Year in Hospitals, Sick Camps, and Quarters.

Ancon Hospital Colon Hospital Palo Seco Leper Asylum.

Taboga Sanitariiun Culebra Hospital

54.26

.25 Total Average number of employees sick daily in hospitals, per thousand

SICK CAMPS.

401. 51 32.42

Black. Total.

244. 98 490. 73

129. 08 230. 33

.83 .83 54.26

.07

374. 96

11.90

.32

776. 47 17.69

Tivoli La Boca

Corozal

Miraflores Pedro Miguel

Paraiso Culebra Empire

Las Cascadas Bas Obispo

Gorgona San Pablo

Tabernilla Gatun

Gatun (spillway).

Cristobal Porto Bello Total Average number of employees sick daily in sick camps,

per thousand ."
32

Average Number of Employees Constantly Sick During

Year in Hospitals, Sick Camps, and Quarters—Cont'd.

QUARTERS.

White. Black. Total.

Tivoli L16

1.13

.97 .25

1.48 i 2.39 i 4.08 i 5.99 L48

1.27 5.01

.50 .82

1.69

.02

5.79

.78

0.20

.03 1.36 La Boca 1.17 Corozal .96

Miraflores .01 .26 Pedro Miguel 1.48 Paraiso .09

.71 .57

.13

2.48 Culebra 4.79 Empire 6.56 Las Cascadas . 1.61 Bas Obispo L27

Gorgona .88

.'os'

."88"

5.89 San Pablo .50 Tabernilla . . .90 Gatun 1.69 Gatun (spillway)

Cristobal

.02

6.67 Porto Bello - - .78 Total 34.81

i 2.81

3.58

.11

38.39 Average number of per thousand

employees sick daily in quarters,

er of employees sick daily in hos- and quarters

er of employees sick daily in hos- and quarters, per thousand

.87 Total average numb

pitals, sick camps

Total average numb

pitals, sick camps,

520.98

42.07

458.56 14.55

979.54

22.31

Outside Patients Treated in Isthmian Canal Commission

Hospitals, Including Taboga Sanitarium and Palo Seco

Leper Asylum, and Amounts Collected from Pay Patients.

Patients for whom the Republic of Panama paid

39 cents and 75 cents per day. (Increased to 75 cents per day, effective May 1, 1908.) Patients for \vhom the zone municipalities paid

30 cents per day

Patients who paid 30 cents per day for themselves Patients from Republic who did not pay

Patients from zone who did not pay

Patients from Repul}lic who paid other prices Patients from zone who paid other prices

Number Days

cases

I relief fur- treated, nished.

2,467 305

679 330

1,677 954

1 , 030

64,333

7,317

• 6,939

4,827

25, 156 8,140

13,182 Total. 8,048 I 129,894

Amount

paid for treatment.

$38,589.60

2,204.69

2,081.70

18,948.10

18, 174. 23 79.998.32

Note.—Patients carried from one month to another are considered as separate

cases.
33

SiiR«icAi. Operations Performed in Hospitals of the Isthmian

Canal Commission.

Ajcnputations:

Arm

Foot Forearm

Hands, both

Hand

Hip

Legs

Legs, double, trauma

Thigh

Thigh, double

Breast Penis and castration Adenectomies:

Inguinal, single

Inguinal, double

Inguinal and femoral, double filarial. Femoral

Cervical, tuberculous

Cervical Axillary Abscess:

Psoas, lumbar incision Ventral Adenoma of breast, excision of Aneurism, popliteal

Accouchement force Curettage, uteri Curettage following abortion and sepsis.. Circumcisions Carbuncle of arm (septic pneumonia)

Castration Castration and lymphangitis

Eye, ear, nose, and throat operations:

Adenectomy and tonsillotomy

Advancement, internal rectus Abscess, lachrymal sac Adenoids \ Cataract, needling

Cataract extraction

Cataract e:<traction and iridectomy..

Cauterization of turbinate bones

Dacryo-cystitis

Drainage, left antriun

Evisceration of eye

Enucleation of eye Furuncle

Frontal sinus

Follicular conjunctivitis lids rolled.

.

Haematoma, auricle Iridectomy

Kiliani Mule's operation

Number. Died

5

1

13

1142

12

3

4

1 324

10

114715

2

2

1

1

1

1 47

15

13

1 26

2

1328

132

4

1

19

11105

12

I

1

1 75952—09-
34

Surgical Operations Performed in Hospitals of the Isthmian

Canal Commission—Continued.

Eye, ear, nose, aud tliroafc operations—Continued

Mastoid

Mastoid, radical Mastoid and ossiculectomy

Myomatous polypi, nasal, removed

Necrosis of jaw

Necrosed bone, middle ear, removal of Nasal operation

Ossiculectomy , Paracentesis Pterygium

Pterygium, double

Polypoid growth, tonsil

I'eritonsiliar abscesses incised

Plastic on lid Plastic on face and nose

Plastic on face * Plastic on nose

Plastic for ectropion Resection turliinated Septal resections Submucous resections Straightening of nose Tenotomy, internal rectus Tenotomy, external Tracheotomy

Turi)inectomj'^

Trachoma, rolled Trachoma expressions

Tonsillectomy and adenoids

Tonsillotomy

Various minor operations

Empyema, resection of ribs Empyema, Beck's resection Empyema (abscess of liver) Fistula in ano

Fractures: Ankle joint, compound, excision of Arm, compound, wired

Compound , wired

Carpals, compound

Elbow joint, compound

Fenmr, comminuted

Femur, wired

Femur, compound, wired Foot Forearm

Forearm, compound, wired

Humerus, compound, wired

Jaw, compound, wired

f/Cg, compound, v\irf'(l U'gs, compound, botli (dynamite explosion) .

.

Radius and ulna, wired

Spine, cervical, with Uvceration of cord

Spine, laTnineotomy for.

Number. Died.

3 : I

19 ; 11

15 I .'A ; 14 1 1 1 1

f 3

4

1

1 : 2 1 1 1 1 2G i 28 ; 1 1 4 1 1 1 2 1 I 1 12 : 2 1 15 ' 42 593

11 1 3 1 1 i 1 8 1 Ij

1 1 2

1 1 3 ! 2

tt2

1

i 1

i

1 •

1

1 1

1
35

Surgical OrERAxioNs Performed in Hospitals of the Isthmian

Canal Commission—Continued.

Fractures—Contiuiiod. Small bones, compound

Skull

Skull, compound

Skull, with hemorrhage, multiple into brain

Skull, with cereV)ral hemorrhage

Thigh, compound wired

Thighs, double, compound wired

Tibia and fibula, compound wired

Tibia and fibula, compound

Goiter, excision of. Herniotomies:

Inguinal, single

Inguinal, double

Inguinal, double and ventral

Inguinal, double with femoral hernia

Inguinal, strangulated Ventral Femoral

Femoral, double

Umbilical

Elydrocele

Hydrocele, radical Hydrocele, scrotal with double resection Hemorrhoids

Hemorrhoids, Whitehead's operation

Hemorrhoids, clamp and cautery

Hemorrhoids, clamp and ligature

Hysterectomy, vaginal

Laparotomies:

Appendectomy

Appendectomy with general peritonitis

Appendecostomy

Abscess of liver Abscess of liver, multiple

Abscess of liver, suspected

Cholecystostomy

Cholecystectomy for gangrenous cholecystitis

Cecostomy

Colostomy and resection of rectum and part of sigmoid for carcinoma

Closure, fecal fistula Closure, colostomy Cancer of uterus

Cirrhosis of liver Ectopic gestation

Enterorrhaphy (tj^ihoid perforation)

Exploratory, rupture of liver Exploratory, rupture of diaphragm

Exploratory, hemorrhage

Exploratory, stab wound of gall bladder

Exploratory, fracture of pelvis with intra abdominal hemorrhage

Exploratory, for liver abscass

-N

Number. Died.

3

3 1 8 4

1 1

1 1 11 1 8

12

144

109

1

1117

3

14

76

.323

43456

17

1

75 3 3

10 2 23 7

1

1 10 1 13 2

13

1122

7 6

3 2

1 1

1

•

1 ;

II1
36

Surgical Operations Performed in Hospitals op the Isthmian

Canal Commission—Continued.

.Number. Died

Laparotomies—Continued

.

Exploratory, for traumatic intra peritoneal hemorrhage

Exploratory (inoperable cancer uteri) Gilliam's round ligament operation

Hysterectomy

H ysterectomy and appendectomy

Ilysteromj'omectomy

Uysteromyomectomy and appendectomy

Hemorrhage, traumatic

Intestinal obstructions Multiple gastric ulcers Oophorectomy and appendectomy

Oophorectomy, doable Ovariotomy

Ovariotomy and appendectomy

Ovarian cj'st .' Ovarian cystectomy and appcndectomj'^

Peritonitis, general ecchinococcus

Peritonitis, general traumatic, with rupture of liver and spleen.

Peritonitis, general appendiceal with appendectomy

Peritonitis, general appendiceal origin ' Peritonitis, general traaniatic riiptiue

Peritonitis, exploratory, tuberculous

Peritonitis, exploratory, general perforation

Peritonitis, tuberculous

Peritonitis, localized appendiceal

Peritonitis, pelvic, spreading tubal

Peritonitis, chronic, with fecal fistula Psoas abscess

Pelvic abscess

Pelvic abscess, with general peritonitis Pelvic adhesions

Pelvic inflammatory disease Panhysterectomy

Round ligament suspensio uteri Round ligament suspensio uteri and appendectomy

Ruptured intestine (traumatic)

Resection caecum, ascend colon and part of ileum forcarcinoma

.

Rupture of liver • Salpiiigo-oophorectomy

Salpingo-ooplioioctomy, double Kalpingo-oophorectomy and appendectomy

Salpingo-m yomectomy and appendectomy

Salpingectomy, double

Sal pimped omy, double, with appendectomy

Salpirii,'('ctomy for tubal pregnancy

Balpini^ectomy and appendectomy

Sigmoidopexy : Suspensio uteri Tubal pregnancy and oophorectomy

Tola! lji|)arot<)mies.

^

2 I

1114 1 29

3

12 2

1 1 4

I

I3

3

I1 1

1 1 • 3

1

1

1 1 1 1 2

4 1 1 1 12

13 2

I22

6

15

1

1 1 1 1 52

6

I2

2

53

4

I1 285
37

Surgical Operations Performed in Hospitals op the Isthmian

Canal Commission—Continued.

Nephropexy

Operations "followiug external ^^olence (dynaraite explosion and

railroad accidents) Ostco myelitis tibia ^ Porineorrhaphy

Perinoorrhaphy and trachelorrhaphy

Pneumonorrhaphy

Perineoplastv

Plastic, harelip , Perineal lithotomv

Repair of ruptured vac:inal vault Resection varicose veins, both lees Resection of head of radius, tubercular Resection of wrist, tubercular

Stricture of rectum

Stricture of rectum with fistula Stricture of urethra Skin graft

Stab wound of this;h into femoral vein

Supra pubic cystotomy

Trachelorrhaphy

Trephine, gunshot wound of skull Trephine for caries of calvaritun Trephine for intercranial hemorrhage

Trephine for depressed fracture of skull Trephine for Jacksonian epilepsy

Trephine for cerebral hemorrhage

Throplasty, Schede's operation

Thyroidectomy

Urethrotomy, internal Urethrotomy, perineal

Urethrotomy, external Urethrotomy

Varicocele. .' Vaircose veins . . .

-. Various other major operations , Various other minor operations

Total.

7

1 20

6

16

2

11

1

1

14

2

214

1

1 15

1

1

12

1

112

26

19

32

26

3 208

2,702

5,477

Died.

84
38

Consolidated Laboratory Report of all Hospitals.

Blood examinations 20, 635

iEstivo autumnal 7, 537

Tertian single 2, 136

Tertian double 147

Tertian and sestivo autumnal 126

Quartan 1 iEstivo autumnal and crescents 12

Differential count<^ 601

Leucocyte counts 1, 668

Haemoglobin estimations 479

Haemoglobin determinations 3, 705

For filarial infections Ill

For malarial infections 26

Spirillum obermeieri 24

Red blood counts 271

White blood counts 6

Red and white blood counts 138

Widals 690

Guaiac turpentine tests for invisible blood 1, 128

Stool examinations 16, 423

Ascaris lumbricoides 972

Uncinaria ova 2, 396

Tricocephalus dispar 2, 812

Strongyloides intestinalis 643

Taenia saginata 25

Taenia nana 8

Amoeba coli 1, 115

Amoeba dysenteria 39

Ciliated monads 303

Pus and blood 1, 159

Bilharzia 19

Oxyuris ^ 8

Tubercle bacilli 63

Flagellated monads 886

Balantidium coli 20

Pus and epithelial cells 71

Urine examinations 23, 799

Albumen 6, 798

Albumen and casts 2, 161

Sugar ^ 9

Albumen and pus 1 Urinalyses 25

Diazo reactions 4 Diazo tests 63

Tubercle bacilli 28

Microscopical examinations I . ()(>(>
39

Urine exaininations—Continued.

Pus and blood 91

Bile 8

Specific gravity estimations 307

Sputum examinations 2, 167

Tubercle bacilli 270

Pneumococci 2 Gonococci 43

Miscellaneous:

Examinations of pus, blood, and tissue 105

Hydrocele fluid I Pleural effusion 1 Splenic puncture I Spinal fluid 2 Gastric contents 9 Examinations of cerebro-spinal fluid 5 PATHOLOGICAL REPORT/'

Pt>st-mortem examinations 295

Paraffin sections, post-mortem 2,070

Paraffin sections, operative 233

Examinations of pus from eyes (pneumococci) 2 Microscopical examinations of tissue:

Post-mortem 77 Operative 58

Examinations of pleural exudates (pneumococcus) 3

Lumbar punctures (pneumococcus) 2 Embalming 2

Blood cultures .• 75

Examinations for cerebro-spinal fluids 7 Examinations of smears for B. Leprae (positive 3) 28

Examination of smears for gonococci 2 Examinations of pus 2 Examinations of catgut 2 Inoculation of guinea pig 1 Examinations of exudates, smears, etc 37

Wright's stain made, grams 10

Frozen sections, from operations 57

Agglutination tests 83

Examination of dog for rabies (positive 1) 3

Miscellaneous 24

^Additional work performed of this nature appears under heading

"Board of Health Laboratory."
40

Ancon Hospital.

Class.

I ReI main-

! Dec. 31,

I 1907.

Isthmian Canal Commission employees I Panama Railroad employees ' Pay patients

Charity patients i Insane patients '

31198

14

37

140

Admitted.

13,078

847

1,091 631 233

Died.

22225

52

11432 Total. t)00 ! 15,880 445

Dis- Trans11,077 817

969

503

123

I.oOT4825

15

13, 489 1, 595

Re- mainCharged, j ferred.

; Dggf3i^

1908.

'

58355

5936 218

951

Average number of days' treatment per patient 15

Average number of white employees constantly sick during year 245. 75

Average number of black employees constantly sick during year 244. 98

Average number of white and black employees constantlv

sick \ 490. 73

Number of days' relief furnished patients 251, 253

Cost of subsistence per patient per day $0. 276

NATIONAI/ITY.

<^lri,SS.

I NumI ber

, treated.

Isthmian Canal Commission employees. I 13,389 Panama Railroad employees i 945 Pay patients i 1, 105 Charity patients I 668 Insane patients 373

Americans. Other nations.

White. Black. I White, i Black.

Total.

Class.

2,495

86

4.J0 I 106 j 9 I 16,480 I 3,146

DISPENSARY REPORT.

28 5,112 .5,754 2 71 786

2 331 322

3 126 ; 433

33

1 331 35 5,673 j 7,626

White. Black. Total.

Employees I 23 , 215

Nonemployees I 3 I 41

I i. Total 2fi

' 256

238

44

282
41

OPERATIONS.

(See Report of all Surgical Operations.)

LABORATORY REPORT.

(See Consolidated Laboratory Report.)

Colon Hospital.

Class.

Remaining

Dec.31,

i 1907.

Isthmian Canal Commission \ employees ' Panama Railroad employees ^ Pay patients (private) i Pay patients (mmiicipal) | Zone charity t

1 Total I

18175

15

33

13 317

Admitted.

4,874

1,450

610

454 304 7,692

Died.

102 j 40 I 39 I 90 i 65 336

Dis- Transcharged. ferred.

4,645 196

1 395 54 555 9

3(i5 10 225 9

7,185

Re- maining

Dec.31,

1908.

11236

22

22

18 278 210

Average number of days' treatment per patient 13

Average number of white employees constantly sick during year 101. 25

Average number of black employees constantly sick

during year 129. 08

AveraQ:e number of white and black employees constantly sick 230. 33

Number of days' relief furnished patients 105, 651

Cost of subsistence per patient per day $0. 309

NATIONALITY.

Class.

Americans. Other nations.

White. Black. ! White

Isthmian Canal Commission employees.

Panama Railroad employees I Pay patients (private) , Pay patients (municipal) | Zone charity j

843 257

1579

43 Total I 1 , 309

11 1,744 270

235

70

68 2,387

Black.

2,457 998

233

406 204

4,298

Total.

5,055

1,525 625

487

317 8,009
42

DISPENSARY REPORT.

Class.

Employees

Nonemployees.

Total--..

White. Black. 'l^otal.

4,422

275

3, 384

592

7,806

867

4,697 3,976 8,673

OPERATIONS.

(See Report of all Surgical Operations.)

LABORATORY REPORT.

(See Consolidated Laboratory Report.)

CuLEBRA Hospital.

Class.

Employees

Nonemployees

Total . .

.

Remain- ! ing. j Ad- Dis- mitted.l^'^- charged.

2

79

2

68

81 70

Transferred.

11

11

Re- maining Dec.

31, 1908.

Average number of days' treatment per patient 14. 51

Average number of white employees constantly sick 25

Average number of black employees constantly sick .07

Average number of white and black employees constantly

Bick 32

Number of days' relief furnished patients 1, 306

Cost of subsistence per patient per day $0. 208
43

NATIONALITY.

Class. Number

treated.

Americans Other nations.

White. Black. White. Black.

Employees 3

87

2

27

1 Nonemployees 10 50

Total 90 10 29 51

DISPENSARY REPORT.

Class.

Employees

Nonemployees.

Total....

White, i

i Black.

19, 895

3,597

Total.

27, 895

6,982

47, 798

10, 579

34,885 1 23, 492 58, 377

SICK CAMP REPORT.

Class. Re- maining.

Admitted,

Employees 15 12,547

Died. Dis- charged.

2, 059 482

Transferred.

Remaining Dec.

31, 1908.

16

Average number of days' treatment per patient 1. 48

Average number constantly sick: White, 6.95; black, 726 14. 21

Employees in quarters:

Days excused for quarters 1, 778

New patients excused for quarters 582

Average number of days' treatment per patient 3. 06

Average number constantly sick: White, 4.08; black,

0.71 4. 79
44

Palo Seco Lepeh Asylum.

Class.

Remaining Dec. 31, 1907.

Admitted. Died. Dis- charged. Transferred

.

Remaining Dec. 31, 1908.

Ex-employees 1 111 Pay cases 102

2

^ 18 Isthmian Canal Commission

employees 2 Charity cases 2 4 Total 14 1 14

1

1 6 22

Average number of days' treatment per patient 221

Average number of white employees constantly sick

Average number of black employees constantly sick 0. 83

Average number of white and black employees constantly

sick 83

Number of days' relief furnished patients 6, 186

Cost of subsistence per patient per day $0. 344

NATIONALITY.

Class.

Ex-employees

Pav cases .

.

Isthmian Canal Commissionemployees

Charity cases Total

Number

treated.

1 212

4

Americans. Other nations.

White. Colored. White. Colored.

1 21

^ees. 2

4 28 28
45

Taboga Sanitarium.

Class.

Re- I main- , ^^.

1907.

Emplovees

Fa.nilies of employees, pay

patients

Nonemploj-ees, pay patients

Ctiildren under 4 years, no pay.

.

43

12

Total. 56

2,873

6876

18 3,584

Died.

eh?rg'ed,

2,846

6906

17

3,559

He- T^a^s-hnr

ferred. j jj^^Sg^^

1908.

70

9

79

Average number of days' treatment per patient. 6. 15

Average number of white employees constantly sick 54. 26

Number of days' relief furnished patients 22, 407

Cost of subsistence per patient per day $0. 645

nationality.

Number

treated.

Americans. Other nations.

Class. White. Black. White. Black.

If

• Employees Fa nilies of employees, pay patients

Nonemplovees, pay patients

Ctiildren under 4 years, no pay

2,916

699

6

19

2,107 092

619

809

7

Total 3,640 2,824 816

Santo Tomas Hospital.

Class.

Pay cases Charity cases Isthmian Canal Commission

employees

Panama Railroad employees....

Total.

Remaining Dec. 31, 1907

27

160

Admitted.

Dis- charged.

187

964 3,417

105

4,396

953 3,106

105

4,074

Died.

24 299

323

Transferred.

Re- maining Dec. 31, 1908.

14 172

186
46

Average number of days' treatment per patient 11. 17

Average number of Commission employees constantly sick. . 13

Average number of patients constantly sick 194. 31

Number of days' relief furnished patients 73, 924

Cost of subsistence per patient per day (silver) $0. 75

NATIONALITY.

Class. Number

treated.

Americans Other nations.

1 White. jColored.

1 White. Colored.

Pay cases 991

3,.577

10

5

1067

1 ; 2|

4 326 ! 655 Charity cases 959 ; 2,547 6 3

1 2 Isthmian Canal Commission employees.

Panama I\ ailroad employees

Total 4,.5S3 SO 4 1,292 3,207

OrERATIONS.

Major operations.

Minor operations.

Number.

444

675

Died.

25

DISPENSARY REPORT.

Class. White.

272

182

Black.

764

221

Total.

Natives

Foreigners

1, 036

403

Total 454 985 1,439
47

TivoLi Dispensary and Sick Camp, and Employees Excused

FROM Work for Quarters.

dispensary.

Class.

Employees

Nonemployees.

Total....

^" White. Black. Total.

4,399

1,319

7, 552

722

11, 951

2,041

5,718 8.274 13, 992.

sick camp.

Class.

Employees.

Re- maining Dec. 31. 1907.

Admitted. I Died. Dis- Trans- Re- maincharged.| ferred.

| p^^o^

1 2,022 1,997 19

1908.

Average number of days' treatment per patient 1. 50

Average number constantly sick, white, 4.03; l)lack, 3.64. .

.

7. 67

Excused for quarters:

Days excused for quarters 504

New patients excused for quarters 256

Average number of days' treatment per patient 1. 96

Average number constantly sick, white, 1.16; black, 0.20. 1. 36

La Boca DispeNvSary and Sick Camp, and Employees Excused

FROM Work for Quarters.

dispensary.

Class.

Employees

Nonemployees.

Total.... 12, 352

Black.

12.553

646

13, 199

Total.

24, 316

1,235

25, 551
48

1*A Boca Dispensary and Sick Camp, and Employees Excused

PROM Work for Quarters—Continued.

SICK CAMP.

Class.

! Rei main-

' ing Dec. 31,

I 1907.

Employees 13

Admitted.

879

Died,

Re- maining Dec. 31, 1908.

Average number of days' treatment per patient 1. 82

Average number constantly sick, white, 3.63; black, 1.31... 4.94

Excused for quarters:

Days excused for quarters 428

New patients excused for quarters 217

Average number days' treatment 1. 97

Average number constantly sick, white, 1.13; black, 0.03. 1. 16

Corozal Dispensary and Sick Camp, and Employees Excused

FROM Work for Qiiarters.

dispensary.

Class.

Employees 9, 145

Nonemployees j 1, 073

Total 10,218

Black.

5,510

620

6,130

Total.

14, 655

1,693

16, 348

SICK CAMP.

(>Ias8.

Employees.

Re- maming

Dec.3l,

Admitted. Died. Dis- charged. Transferred.

1907.

1,143 . . .

.

2 999 146

Re- maining Dec. 31,

1908.
49

Average number of days' treatment per patient 2. 48

Average number constantly sick, white, 5.22; black, 2.94... 8. 16

Excused for quarters:

Days excused for quarters. . .» 398

New patients excused for quarters 164

Average number of days' treatment per patient 2. 42

Average number constantly sick: White, 0.97; black, 0. .97

MiRAFLORES DiSPENSARY AND SiCK CaMP, AND EMPLOYEES

Excused prom Work for Quarters,

dispensary.

Class.

Employees

Nonemployees

Total...

White.

7,708

86

7,794

Black.

4,634

82

4,716

Total.

12, 342

168

12, 510

SICK CAMP.

Class.

Re- maining Dec. 31, 1907.

Admitted. Died. Dis- charged. Transferred.

Re- maining Dec. 31, 1908.

Employees 2 1,155 921 239 4

Average number of days' treatment per patient 2. 30

Average number constantly sick: White, 4.44; black, 2.38.. 6.82

Excused for quarters:

Days excused for quarters 104

New patients excused for quarters 50

Average number of days' treatment per patient 2. 08

Average number constantly sick: White, 0.25; black,

0.01 26
50

Pedro Miguel Dispensary and Sick Camp, and Employees

Excused from Work for Quarters.

DISPEJfSARY.

Class. White. Black. Total.

Employees 6,107

709

3,064

372

9,171

Nonemployees 1,081

Total 6,816 3,436 10, 252

SICK CAMP.

Class.

Re- maining Dec. 31, 1907.

Admitted. Died. Dis- charged. Transferred.

Re- maining Dec. 31, 1908.

Employees 13 994 815 188 4

Average number of days' treatment, per patient 3. 78

Average number constantly sick, white, 6.71; black, 4.59. .. 11. 30

Excused for quarters:

Days excused for quarters 545

New patients excused for quarters 259

Average number of days' treatment, per patient 2. 10

Average number constantly sick, white, 1.48; black, 0. 1. 48

Paraiso Dispensary and Sick Camp, and Employees Excused

FROM Work for Quarters.

DISPENSARY.

Class. White. Black. Total.

Employees

Nonemployees

9,717

1,683

6,723

1,195

16, 440

2,878

Total 11, 400 7,918 19, 318
61

SICK CAMP.

Class.

Re- maining Dec. 31, 1907.

Admitted. Died. Dis- charged. Transferred.

Remaining Dec. 31, 1908.

Employees 11 1,736 1 1,317 423 6

Average number of days' treatment, per patient 1. 59

Average number constantly sick, white, 5.23; black, 4.12. .. 9. 35

Excused for quarters:

Days excused for quarters - 922

New patients excused for quarters - 373

Average number of days' treatment, per patient 2. 47

Average number constantly sick, white, 2.39; black,

0.09 2.47

Empire Dispensary and Sick Camp, and Employees Excused

FROM Work for Quarters.

dispensary.

Class. White.

Employees 45, 019

Nonemployees 148

Total.

Black.

28, 724

108

45,167 i 28,832

Total.

73, 743

256

73, 999

SICK CAMP.

Class.

Remaining Dec. 31, 1907.

Admitted. Died. Dis- charged.

ReTrans- ^Jf ferred. p^^Sg^^

i 1908.

1 Employees 21 2,751 1 2,499 270 1 2

i
52

Average number of days' treatment per patient 1. 15

Average number constantly sick, white, 7. 13; black, 4. 70 . 11. 83

Excused for quarters:

Days excused for quarters 2, 336

New patients excused for quarters 930

Average number of days' treatment per patient 2. 51

Average number constantly sick, white, 5.99;black, 0.57. 6. 56

Las Cascadas Dispensary .\nd Sick Camp, and Employees

excused prom work for quarters.

dispensary.

Class. White. Black. Total.

Employees

Nonemployees

17, 039

3,793

6,371

2,275

23, 410- 6,068

Total 20, 832 8,646 29, 47&

SICK CAMP.

Class.

Re- main- 1 ^^j_

1907.

1

Died. Dis- charged. Transferred.

Remain-

'

ine; Dee. 31r

1908.

!

' Employees i 9 1 1,692 8 1,330 354 »

Average number of days' treatment per patient 2. 20

Average number constantly sick, white. 7. 87; black, 4. 09. 11. 96

Excused for quarters:

Days excused for quarters 629

New patients excused for quarters 238

Average number of days' treatment per patient 2. 64

Average number constantly sick, white, 1.48; black, 0.13. 1. 61
53

Bas Obispo Dispensary and Sick Camp, and Employees

Excused from Work for Quarters.

dispensary.

Class. White.

Employees 19, 448

Nonemployees 1, 541

Total i 20,989

Black.

13, 266

676

13, 942

Total.

32, 714

2,217

34, 931

SICK CAMP.

Class.

Remaining Dec. 31, 1907.

Admitted. Died. Dis- charged. Transferred.

Re- maining Dec. 31, 1908.

1 Employees 9 2,254 1 1,795 444 23

Average number of days' treatment per patient 1. 95

Average number constantly sick: White, 8.38; black, 5.24.

.

13. 62

Excused for quarters:

Days excused for quarters 487

New patients excused for quarters 228

Average number of days' treatment per patient 2. 13

Average number constantly sick: White, 1. 27; black, 0. 1. 27

GoRGONA Dispensary and Sick Camp, and Employees^Excused

FROM Work for Quarters.

dispensary.

1 Class. ^\Tiite. Black. Total.

Employees

Nonemployees

21, 679

4,113

12, 878 34, 557

1,558 1 5,671

Total 25,792 14,436 40,228
54

GoKQONA Dispensary and Sick Camp, and Employees Excused

FROM Work for Quarters—Continued.

SICK CAMP.

Class.

Re- maining Dec. 31, 1907.

Admitted. Died. Dis- charged. Transferred.

Re- maining Dec. 31, 1908.

Employees 10 2,305 1 1,919 387 8

Average number of days' treatment per patient 1. 22

Average number constantly sick: White, 394; black, 6.07. . . 10.01

Excused for quarters:

Days excused for quarters 2, 170

New patients excused for quarters 755

Average number of days' treatment per patient 2. 87

Average number constantlysick: ^Vllite,5.01; black, 0.88. 5. 89

San Pablo Dispensary and Sick Camp, and Employees

Excused from Work for Quarters.

dispensary.

Class. White. Black. Total.

Employees

Nonemployees

8,284

226

7,321

674

15, 605

900

Total 8,510 7,995 16, 505

sick camp.

Cla.ss.

Re- maining Dec. 31,

1907.

Admitted. Died. Dis- charged. Transferred.

Re- maining Dec. 31, 1908.

Employees 2 949 1 706 173 11
55

Average number of days' treatment per patient 2. 20

Average number constantly sick: White, 3.51; black, 2.59... 6. 10

Excused for quarters:

Days excused for quarters 186

New patients excused for quarters 92

Average number of days' treatment per patient 2. 02

Average number constantly sick: White, 0.50; black, 0. . 50

Tabernilla Dispensary and Sick Camp, and Employees

Excused from Work for Quarters.

dispensary.

Class. White. Black. , Total.

Employees

Nonemployees

7,490

739

8,693 ^ 16,183

745 1,484

Total 8,229 9, 438 17. 667

SICK CAMP.

Class.

Re- maining Dec. 31, 1907.

Admitted. Transferred.

Re- maining Dec. 31, 1908.

Employees 18 1,644 .... 1,360 299 3

Average number of days' treatment per patient 2. 01

Average number constantly sick: ^Tiite, 2.77; black, 6.98... 9. 75

Excused for quarters:

Days excused for quarters 330

New patients excused for quarters 95

Average number of days' treatment per patient 3. 47

Average number constantly sick: White, 0.82; black, 0.08. . 90
56

Gatun Dispensary and Sick Camp, and Employees Excused

FROM Work for Quarters.

dispensary.

Class. AVhite. Black. Total.

Employees

Nonemployees

12, 419

2,243

14, 524

373

26, 943

2,616

Total 14, 662 14, 897 29, 559

SICK CAMP.

Class.

Employees

.

Re- maining Dec. 31, 1907.

Admitted. Died. Dis- charged. Transferred.

20 2,314 4 1,772 544

Remaining Dec. 31

1908.

14

Average number of days' treatment per patient 2. 25

Average number constantly sick: WTiite, 3.90; black, 12.54.. 16.44

Excused for quarters:

Days excused for quarters 628

New patients excused for quarters 282

Average number of days' treatment per patient 2. 22

Average number constantly sick: White, 1.69; black, 0. 1.69

Spillway Sick Camp.

Class.

Employees.

Re- maining Dec. 31, 1907.

Admitted.

613

Re- ^j^J Dis- Trans-

^•«d. i^^'f charged, ferred. ^^^^g^^

1908.

373 245
57

Average number of days' treatment per patient 3. 00

Average number constantly sick: White, 1.75; black, 1.63. .

.

3.38

Excused for quarters:

Days excused for quarters 8

New patients excused for quarters 6

Average number of days' treatment per patient 1. 33

Average number constantly sick: White, 0.02; black, 0. .02

Cristobal Dispensary and Sick Camp, and Employees Excused

FROM Work for Quarters.

dispensary.

Class.

Employees. . . Nonemployees

Total. .

White.

14, 286

3,426

17, 712

Black.

8,825

1,004

9,829

Total.

23, 111

4,430

27, 541

sick CAMP.

Class.

Remaining Dec. 31, 1907.

Admitted. Died. Dis- charged. Transferred.

Re- maining Dec. 31, 1908.

Employees 7 682 546 137 6

Average number of days' treatment per patient 3. 49

Average number constantly sick: White, 3.87; black, 6.30.. 10.17

Excused for quarters:

Days excused for quarters 2, 453

New patients excused for quarters 1, 018

Average number of days' treatment per patient 2. 40

Average number constantly sick: W'hite, 5.79; black,

0.88 6. 67
58

Porto Bello Dispensary and Sick Camp, and Employees Excused FROM Work for Quarters.

dispensary.

Class. White. Black. Total.

Emplovees 8,610

106

7,061

988

15, 671

Nonemployees 1,094

Total 8,716 8,049 16, 765

SICK CAMP.

Class.

Remaining

Dec. .31, 1907.

Admitted. Died. Dis- charged. Transferred.

Remaining Dec. 31, 1908.

Employees 6 1,848 1 1,386 461 6

Average number of days' treatment per patient 1. 82

Average number constantly sick: White, 5.33; black, 3.64.

.

8. 97

Excused for quarters:

Days excused for quarters 281

New patients excused for quarters 142

Average number of days' treatment per patient 1. 97

Average number constantly sick: White, 0.78; black, 0.

.

.78

Board of Health Laboratory.

Bacteriological examinations of

Municipal water supplies 425

Water from condensers 171

Water from demijohns 25

Water from tank carts 102

Water from rivers 64

Water from spring 2

Water from reservoirs and rivers 15

Water from cold storage, Cristobal 2 Aerated waters 44

Throat cultures (diphtheria suspects) 35
59

Bacteriological examinations of—Continued.

Blood cultures ^'J^ Cultures from autopsies ^^ Charcoal filter |- Glanders suspect (negative) i

Pus ^^

Cresilic acid ^ Caramel (sarsaparilla) j Exudates ^ Phenol sodique ^ Stools ° Smears (diphtheria suspects) -^1 Urine ° Sputum ^ Chemical analyses of

Rock 1 'Meatox". 1 Flour 1 Rum 4^

Sand \ Water (brackish) j Baking powder | Can of squash ^ Water - ^ Solution, 80 per cent crude carbolic acid | Metallic zinc * Chemical examination of

Wire screening ^ Paints. - - - - ^ Mineral oil ^ Gasoline | Bay rum ^ Urine f

Milk ^ Turpentine | Linseed oil }

Wine....._ " Creosote oil | Breakfast sirup * Stomach contents 7 Powder \

Soil ? Coffee }

Car oil }

Flour - j Phinotas oil ^
60

Chemical examination of—Continued.

Djrnamite exploders 1 Flavoring extracts 1 Kerosene 1 Benzine (naphtha) 2 Foodstuffs 1 Examination of

Leper suspects (positive,?) '. 29

Pus 42

Urine 19

Blood 13

Coffee 1 Quinine-urea tablets 1 Sewage 1 Phinotas oil 1 Powder from district physician 1 Aerated waters for preservatives 7 Rock 8

Bean seedlings lot .

.

1 Sputum 4

Stools

Dogs, rabies suspects (positive, 3) 19

Rat 1 Rat poison 1 Alkalinity and chlorine content in water 3

Cow (post-mortem) 1 Faeces 2 Larvae 1 Rat virus 1 Determinations of

Chlorine in water 299

Preservatives in aerated waters 6

Total solids in water 82

Specific gravity of soils 2 Alkalinity of condenser and tap water from Bas Obispo. 2 Manganese in drillings of steam-shovel parts 4

Assays of

Kerosene 2 Crude oil 1 Magnesia cement lot .

.

1 Sanitary analyses of water

From Rio Grande 17 From Camacho 16

From Brazos 16

From Gorgona 16

From Paraiso 1 From Gatuncilla River 2

Miscellaneous 11
61

Agj^lutination reactions (positive, 34) 950

Autopsies 352

Bodies embalmed 69

Tissue and neoplasms reported 134

Sections of tissue prepared 5, 895

Frozen sections cut 35

Identification of mosquitoes lots.

.

2

Standardization of clinical thermometers do. .

.

3

Preventive treatment of persons bitten by rabid dogs 22

Post-mortems of cows 2 Post-mortem of cat (rabies suspect) 2 Positive 1 Post-mortem of calves 4

Post-mortem examination of dogs 2

Sections of tissue reported 46

Analyses of wire screening 2

Medico-legal post-mortem examinations 3

Surgical pathological tissue and neoplasms reported 67

Report op Vaccinations.

Cristobal 17

Bohio 58

Gorgona 93

Matachin 92

Empire 98

Culebra 364

Corozal 4

Panama 2, 588

Porto Bello 34

Colon 472

San Pablo 47

Pedro Miguel 10

Las Savannas 14

Gatun 39

Vaccinations by quarantine officials at ports of Panama and

Colon, and vaccinations at ports of departure or en route . 32, 785

Total vaccinations 36, 715
62

Statement of Issues of Quinine.

[Kilo=2.2046 pounds avoirdupois.]

Total issues.

January

February

March

April

May

June

July

August

September

October

November

December

Total

Average issue per month

Kilograms.

274. 933

57. 500

15. 225

68. 871

48. 600

36. 681

203. 900

75. 675

50. 400

314. 050

55. 977

23. 310

1, 225. 122

102. 093

Pounds

avoirdupois.

601. 416

122. 187

32. 353

150. 655

106. 312

80. 241

446. 031

165. 539

110. 250

686. 184

122. 449

51. 350

2, 674. 967

222. 914

Sanitation—City of Panama.

Anopheles brigade:

Linear feet of ditches cleaned 1, 860, 840

Square yards of land cleaned 161, 444

Square feet of weeds and grass cut 2, 537, 238

Holes filled ^. 489

Wells filled 21

Cubic yards of earth used 4,012

Closets oiled 789

Closets cleaned 137

Pools oiled 5, 182

Cesspools oiled 245

Pools disinfected 22

Cesspools cleaned .^ 66

Cesspools disinfected *. 129

Tanks destroyed 1 Tanks oiled 17

Trenches oiled 74

Linear feet of trenches oiled 401, 210

Linear feet of trenches disinfected 5, 000

Wells oiled 1 93

Yards oiled 3, 919

Yards disinfected 22
63

Anopheles brigade—Continued.

Mosquito oil used barrels.

.

216

Phinotos oil used do 10. Loads of refuse removed from the city 6, 957

Daily average number of carts at work 10

Number of days carts worked 256

Linear feet of drains cleaned and disinfected. ... 30, 600

Linear feet of ditches dug 4, 550

Number of drains oiled 101

Loads of sand for tank and storehouse 260

Loads of cinders hauled 14

Chloride of lime used pounds.

.

2, 040

Disinfection brigade:

Number of houses disinfected and fumigated for beriberi 64

Number of houses disinfected and fumigated for diphtheria 3

Number of houses disinfected and fumigated for leprosy 1 Number of houses disinfected and fumigated for rabies in dog 1

Number of houses disinfected and fumigated for tuberculosis 172

Number of houses disinfected and fumigated for typhoid 7

Number of houses disinfected and fumigated for pernicious malaria 27

Rooms fumigated and disinfected for beriberi 265

Rooms fumigated and disinfected for diphtheria 8

Rooms fumigated and disinfected for tuberculosis 655

Rooms fumigated and disinfected for typhoid

fever ^ 24

Rooms fumigated and disinfected for pernicious

malaria 6

Cubic feet disinfected and fumigated 5, 055, 245

Cubic feet of walls, etc., whitewashed 660, 000

Catch basins disinfected (52 times) 200

Cesspools cleaned by contract 43

Cesspools filled by contract 1 Materials used

Alcohol gallons.

.

146

Chloride of lime pounds.

.

89,059

Bichloride of mercury do 52

Phinotas oil barrels.

.

8

Crude oil do 6

Flour do 25

Matches packages.

.

21

Newspapers bundles. 33

Pyrethrum pounds. 1, 013
64

Disinfection brigade—Continued

.

Materials used—Continued.

Sulphur pounds.

.

10, 351

Formaldehyde gallons. 1^

Pyrol fume do 20

Lime (unslaked) pounds.

.

1, 100

Nails- do 10

Soap chips do 10

Inspections of houses and yards:

Houses with water connections times.

.

26, 873

Houses without water connections do 3, 200

Houses with sewer connections do 23, 673

Houses without sewer connections do 3, 017

Traps in yards connected with sewers do 26, 567

Traps in yards not connected Avith sewers, .do 2, 834

Wells on premises do 385

Tanks on premises do 157

Water-closets in good condition do 26, 041

Water-closets in bad condition do 3, 014

Yards with drainage good do 26, 330

Yards with drainage bad do 3, 977

Number of water containers destroyed : 602

Persons notified to keep their premises in sanitary

condition .• 2, 898

Persons notified to connect with water and sewer. 57

Persons warned as to insanitary condition of yards 1, 304

Places where mosquito larvae were found 5, 539

Persons warned for having mosquito larvae 1, 617

Persons notified as to conditions governing the

renewal of lease of Panama Railroad lands 27

Sich inspection:

Average number of boarding houses and hotels

inspected (daily) 26

Number of persons reported ill 156

Urinary analyses made (positive 3) 41

New buildings:

Number of plans submitted to health officer and

approved 130

Destruction of dogs:

Number of dogs poisoned 973

Poison used (strychnine) grams .

.

347

Bait used pounds .

.

187

Destruction of rats: Number of rats caught and cremated 11, 086

Rat traps distributed 173

Average number of rat traps in use 354

Live rats caught and sent to laboratory 730

Bait used (cheese, ham, bread, etc.)- - -pounds.

.

1,367

Rat poison used do ...

.

626
65

Sanitation—Colon.

[Including Cristobal and Mount Hope.J

Medical inspection:

White employees reported to health office 42

White employees inspected by health office physician 42

Cases reported by Colon medical inspectors 313

Cases reported by health office physician 199

Cases sent to hospital 68

Quinine {prophylactic) dispensed to laborers: Total number of 5-grain tablets dispensed 223, 716

Total doses solution dispensed 87, 120

Average number of doses of tablets dispensed daily 729

Average number of doses of solution dispensed

daily 303

Sanitation—Colon city:

Cans of garbage removed 1, 107, 321

Cans of night soil removed 192, 539

Night-soil buckets retired 1, 215

Loads of. yard garbage removed 2, 785

Miscellaneous loads removed 117

Tanks removed 17

Tanks remaining 6

Loads of old lumber carted 162

Tanks oiled 7

' Yards cleaned 122

Buildings cleaned 2 Passages cleaned 78

Water-closets cleaned 80

Cesspools cleaned 9

Square yards of streets cleaned 11, 597, 238

Notices to abate nuisances sent out 1, 243

Number of nuisances abated 848

Vacant lots cleaned 7 Rats caught and killed 5, 624

Houses cleaned 23

Private properties cleaned 648

Cubic yards of ditches made 75

Dogs killed 389

Cats killed 28

Cars fumigated 1 Houses fumigated 1 Cubic feet fumigated 15, 000

Ninth street dump maintained.
66

Mosquito work—Colon:

Square yards of vegetation removed 2, 997, 481

Number of water rec optacles overturned 743

Water receptacles collected 25, 978

Square yards of pools oiled 117, 297

Linear feet of gutters removed 6, 968

Number of persons fined for breeding mosquitoes . 5

Linear feet of drains made 117, 279

Linear feet of drainage cleaned and maintained- .

.

1, 293, 173

Crab holes worked 11, 913

Crabs killed 9, 494

Water receptacles treated 302, 018

Houses:

Number of plans approved 113

Permits issued to occupy 62

Houses condemned 68

Houses demolished 1 Water and servers: Number of connections made 260

Number of houses remaining without connections. 97

.Total number of connections completed to date..

.

456

Number of outstanding permits 38

Sanitation—Cristobal:

Number of cans of garbage remove 1 . .' 114, 154

Loads of yard garbage removed 1, 659

Miscellaneous loads carted 85

Square yards of street cleared 7, 058, 000

Square yards of street sprinkled 3, 446, 752

Rats caught and killed 1, 915

Dogs killed 3

Mosquito work—Cristobal:

Square yards of vegetation removed 26, 733

Water receptacles colle( ted 5, 885

Crab holes oiled 44, 070

Breeding places eradicated 3

Square yards of pT)ols oiled 98, 395

Number of feet of drainage cleaned and maintained 6, 494

Crab holes worked 2, 540

Crabs killed 397

Water receptacles treated 73, 439

Fumigation—Cristobal:

Tug fumigated 1 Cubic feet fumigated 43, 100

Vessel fumigated 1 Screening—Cristobal:

Screening of wards repaired 18

Screening of houses repaired (times) 418
67

Sanitation—Mount Hope:

Number of cans of garbage removed 24, 701

Cans of night soil removed 20, 634

Miscellaneous loads carted 292

Square yards of streets cleaned 23, 874

Loads of yard garbage removed 349

Closets disinfected 215

House fumigated 1 Mosquito work—Mount Hope:

Square yards of vegetation removed 805, 916

Water receptacles overturned 5, 087

Water receptacles collected 10, 039

Tanks oiled 3, 115

Breeding places eradicated 44

Square yards of pools oiled 77,460

Barrels spigoted 67

Barrels covered 67

Water receptacles treated 55, 541

Drainage—Mount Hope:

Linear feet of drains made and ditches dug 28, 937

Linear feet of drains cleaned and maintained 81, 767

Mount Hope cemetery:

Square yards of vegetation removed 113, 931

Square yards of grading made 7, 961

Linear feet of new drainage made 1, 536

Linear feet of drainage cleaned 291

Grave markers painted 2, 045

Interments 200

Disinterments 3

Sanitation—Canal Zone.

ANCON.

Grass cut and removed square yards .

.

917, 773

Swamp filled in cubic yards.

.

12,927

Tile drain laid linear feet.

.

16,479

New stone, cement, and concrete ditches laid, .do 8, 650

Old ditches cleaned and graded do 191, 886

Closets cared for (daily) 23

Closets erected 2 Garbage cans emptied (daily) 151

Night-soil cans emptied (daily) 78

Houses fumigated (10)

". cubic yards.. 7,841

Metallic screen repaired (houses) 328

Ground prepared for use of mower square yards.

.

104, 393

New ditches dug linear feet.

.

1,430

Closet pits dug (14) cubic yards.

.

54

Closet pits filled in (1) do 5
68

LA BOCA.

Grass cut and removed square yards.

.

318, 634

Swamps filled in cubic yards.

.

4, 630

Old ditches cleaned and graded linear feet.

.

52, 722

Closet pits dug (7) cubic yards .

.

23

Closet pits filled in (6) do 9

Closets cared for (daily) 34

Garbage cans emptied (daily) 204

Night-soil cans emptied (daily) 82

Metallic screen repaired (houses) 131

New stone, cement, and concrete ditches laid, linear

feet 403

Houses fumigated (5) cubic yards .

.

2, 961

New ditches dug linear feet.

.

6, 014

Ground prepared for use of mower square yards.

.

22, 000

COROZAL.

Grass cut and removed square yards. . 2, 855, 537

New ditches dug linear feet.

.

13, 411

Old ditches cleaned and graded do 95, 488

Closets cared for (daily) 30

Garbage cans emptied (daily) 90

Closets erected 18

Night-soil cans emptied (daily) 4

Houses fumigated (23) cubic yards .

.

22, 503

Metallic screen repaired (houses) 477

Swamp filled in cubic yards .

.

158

Tile drain laid linear feet .

.

11,419

Closet pits dug (24) cubic yards .

.

133

Closet pits filled in (3) do 15

MIRAFLORES.

Grass cut and removed square yards.

.

226, 219

Old ditches cleaned and graded linear feet.

.

110, 294

Closets cared for (daily) 30

Closets erected 28

Garbage cans emptied (daily) 73

Night-soil cans emptied (daily) 26

New ditches dug linear feet.

.

3, 213

Tile drain laid do 7, 507

Closet pits dug (76) cubic yards.

.

265

Houses fumigated (42) do 4, 037

Metallic screen repaired (houses) 22
69

PEDRO MIGUEL.

Grass cut and removed square yards.

.

339, 502

New ditches dug linear feet.

.

2, 589

Old ditches cleaned and graded do 105, 171

Closet pits dug (134) cubic yards.

.

359

Closet pits filled in (64) do 164

Closets cared for (daily) 94

Garbage cans emptied (daily) 310

Night-soil cans emptied (daily) 73

Metallic screen repaired (houses) 251

Closets erected 14

Houses fumigated (24) cubic yards.

.

3, 930

Swamp filled in do 247

Tile drain laid linear feet.

.

161

PARAISO,

Grass cut and removed square yards.

.

903, 044

New ditches dug linear feet.

.

2, 468

Old ditches cleaned and graded do 147,073

Closets cared for (daily) 74

Garbage cans emptied (daily) 257

Night-soil cans emptied (daily) 50

Houses fumigated (9) cubic yards.

.

2, 818

Metallic screen repaired (houses) 272

Closet pits dug (97) cubic yards .

.

469

Swamps filled in do 879

Tile drain laid linear feet.

.

5, 179

Closet pits filled in (24) cubic yards .

.

88

CUCARACHA

.

Grass cut and removed square yards.

.

7, 384

Old ditches cleaned and graded linear feet.

.

35,470

Closets cared for (daily) 82

Garbage cans emptied (daily) 210

Tile drain laid linear feet.

.

756

CULEBRA.

Grass cut and removed square yards. . 1, 485, 862

Swamp filled in cubic yards.. 1,306

New ditches dug linear feet.

.

10, 585

Tile drain laid do 8, 617

New stone, cement, and concrete ditches laid, .do 5, 591

Old ditches cleaned and graded do 127,020

Closets cared for (daily) 28

Garbage cans emptied (daily) 812. Night-soil cans emptied (daily) 56
70

Metallic screen repaired (houses) 507

Houses fumigated (8) cubic yards .

.

5, 737

Ground prepared for use of mower square yards .

.

140, 331

Closet pits dug (2) cubic yards.

.

25

Closet pits filled in (1) do 8

EMPIRE.

Grass cut and removed square yards.

.

2, 232, 723

Old ditches cleaned and graded linear feet .

.

214, 728

Clostet pits dug (27) cubic yards.

.

171

Closet pits filled in (23) 'do 96

Closets cared for (daily) 117

Garbage cans emptied (daily) 1, 033

Night-soil cans emptied (daily) 102

Houses fumigated (6) cubic yards.

.

68,223

Metallic screen repaired (houses) 324

Ground prepared for use of mower square yards.

.

17, 340

Swamp filled in cubic yards.

.

11, 612

Closets erected 11

New ditches dug linear feet.

.

1, 197

LAS CASCADAS.

Grass cut and removed square yards.

.

1, 425, 854

Brush cut and removed do 8, 180

Swamps filled in cubic yards.

.

934

New ditches dug linear feet.

.

3, 130

Tile drain laid do 13,345

New stone, cement, and concrete ditches laid. . -do 2, 869

Old ditches cleaned and graded ! . . .do 118, 837

Closet pits dug (68) cubic yards.

.

345

Closet pits filled in (19) do.... 19

Closets cared for (daily) 78

Garbage cans emptied (daily) 398

Night-soil cans emptied (daily) 133

Houses fumigated (16) cubic yards.

.

8, 160

Metallic screen repaired (houses) 516

Swamp drained square yards.

.

900

BAS OBISPO.

Grass cut and removed square yards.

.

1 , 260, 692

Old ditches cleaned and graded linear feet.

.

87, 540

Closet pits dug (86) cubic yards.

.

297

Closet pits filled in (92) do.... 159

Closets cared for (daily) 85

Garbage cans emptied (daily) : 265

Metallic screens repaired (houses) 222
71

New stone, cement, and concrete ditches laid,

linear feet 691

Houses fumigated (33) cubic yards.

.

9,893

New ditches dug linear feet.

.

872

Tile drain laid do 1,872

Swamps filled in cubic yards.

.

81

MATACHIN.

Grass cut and removed square yards.

.

162, 959

New ditches dug linear feet.

.

12, 2G6

Old ditches cleaned and graded do 119, 865

Closot pits dug (28) cubic yards.

.

105

Closets cared for (daily) 65

Closets erected 29

Garbage cans emptied (daily) 155

Night-soil cans emptied (daily) 46

Metallic screen repaired (houses) 35

Swamp filled in cubic yards.

.

998

Houses fumigated (12) do. . .

.

4,483

Closet pits filled in (3) do 3

New stone, cement, and concrete ditches laid,

linear feet 33

GORGONA.

[Including Mamel.]

Grass cut and removed square yards .

.

1, 071, 338

New ditches dug linear feet.

.

16, 558

New stone, cement and concrete ditches laid. . .do 338

Old ditches cleaned and graded do 100, 950

Closets cared for (daily) 70

Garbage cans emptied (daily) 475

Night soil cans emptied (daily) 151

Metallic screen repaired (houses) 384

Swamps filled in cubic yards.

.

13, 999

Tile drain laid linear feet .

.

1, 565

Closet pits dug (21) cubic yards .

.

84

Houses fumigated (4) do 4, 700

Closet pits filled in (14) do 20

SAN PABLO.

Grass cut and removed square yards .

.

1, 013, 753

Swamp filled in cubic yards.

.

2, 108

New ditches dug linear feet.

.

3, 884

Old ditches cleaned and graded do 58,337

Closet pits dug (57) cubic yards.

.

163

Closet pits filled in (43) do 85

Closets cared for (daily) 50
72

Garbage cans emptied (daily) 129

Night soil cans emptied (daily) 54

Metallic screen repaired (houses) 193

Closets erected 12

Houses fumigated (11) cubic yards.

.

11, 434

TABERNILLA.

Grass cut and removed square yards.

.

966, 561

Swamp filled in cubic yards.. 1,673

New ditches dug linear feet.

.

9, 495

Tile drain laid do 1,307

New stone, cement and concrete ditches laid. . .do 839

Old ditches cleaned and graded do 161, 551

Closet pits dug (45) cubic yards.. 129

Closet pits filled in (27) do 46

Closets cared for (daily) 40

Garbage cans emptied (daily) 290

Night soil cans emptied (daily) 49

Metallic screen repaired (houses) 89

Houses fumigated (29) cubic yards .

.

57, 539

BOHIO.

Grass cut and removed square yards .

.

166, 356

Old ditches cleaned and graded linear feet.. 135,043

Closet pits dug (30) cubic yards.

.

145

Closets cared for (daily) 64

Closet pits filled in (21) cubic yards.. 59

Closets erected 6

Garbage cans emptied (daily) 69

Night soil cans emptied (daily) 11

Metallic screen repaired (houses) 40

Houses fumigated (18) cubic yards .

.

7, 193

GATUN.

Grass cut and removed square yardt?. . 1, 022, 144

Swamp filled in cubic yards.

.

11, 873

New ditches dug linear feet.. 7,001

Tile drain laid do 6, 029

Old ditches cleaned and graded do 44, 040

Closet pits dug (112) cubic yards.

.

387

Closet pits filled in (59) do 131

Closets cared for (daily) 77

Garbige cans emptied (daily) 359

Metallic screens repaired (houses) 305

Closets erected 4

Houses fumigated (3) cubic yards.

.

968
73

PORTO BELLO.

Grass cut and removed square yards.

.

New ditches dug linear feet.

.

Tile drain laid do. . .

.

Old ditches cleaned and graded do

Closets cared for (daily)

Closets erected - Garbage cans emptied (daily) - - - - Swamp filled in cubic yards.

.

Night-soil cans emptied (daily)

New stone, cement, and concrete ditches laid, linear

feet Metallic screen repaired (houses)

RECAPITULATION.

Grass cut and removed square yards.

.

Swamp filled in cubic yards.

.

New ditches dug linear feet.

.

Tile drain laid : ^o

New stone, cement, and concrete ditches laid. . .do

Old ditches cleaned and graded do

Ground prepared for use of mow^er square yards..

Garbage cans emptied (daily)

Night-soil cans emptied (daily)

Closets cared for (daily)

Closet pits dug (828) cubic yards.

.

Closet pits filled in (400) do. . .

.

Closets erected

Houses fumigated (253) cubic yards.

.

Metallic screen repaired (houses)

Brush cut and removed square yards.

,

Swamp drained do

Note.—Beginning September 1, 1908, most of the work under

the above heads was turned over to the quartermaster's department

and the di\ision engineers, to be performed on account for the

sanitary department.

General cleaning:

Number of square yards of streets cleaned 165, 550

Water-closets cleaned 9

Water-closets disinfected 46

Water-closets condemned 4

Yards inspected (times) 1, 770

Yards cleaned 810

Barrels of garbage removed 204, 630

Loads of yard garbage carted 1, 161

401, 323

1, 289

1, 647

20, 449

13

10

58

85

18

355

24

16, 777, 658

63, 510

95, 402

75, 883

20, 769

1,926, 464

284, 064

5,,338

933

1.,054

3.,154

907

134

161 ,019

4 ,120

8,180

. 900
74

'General cleaning—Continued.

Loads of street sweepings removed 28

Loads of sand carted 1, 016

Loads of grass removed and burned 82

Loads of cinders carted 46

Loads of old lumber carted 205

Loads of tree trunks removed 89

Miscellaneous loads carted 441

Cesspools cleaned 6

Cesspools disinfected 33

Cesspools filled 20

Cesspools oiled 50

Houses torn down 9

Houses condemned 5

Houses inspected (times) 919

Houses cleaned 3

Nuisances reported 433

Nuisances abated 243

Trees cut down 173

Tree trunks and stumps removed 423

Buildings cleaned 4

Linear feet of board walk made 281

Linear feet of board walk repaired 250

Square yards of street repaired 632

Linear yards of water front cleaned 4, 080

Vacant lots cleaned 122

Linear feet of drainpipe laid 66

Linear feet of drainpipe removed 22

Loads of coral carted 302

Closets oiled 39

Closets disinfected 10

Closets filled 3

Plans for closets approved 23

Persons notified to keep yards in sanitary condition.. 611

Loads of eai'th carted 78

Sewers cleaned 1 Average number of carts at work 2

Passageways cleaned 95

Patios inspected 60

Patios cleaned 25

Mosquito brigade:

Number of square yards of vegetation removed 8, 000

Barrels repaired (old and new) 1, 962

Barrel covers made 1, 500

Barrels spigoted 2, 023

Barrels overturned 1, 901

Barrels oiled 260

Barrels destroyed 473
75

Mosquito brigade—Continued.

Tanks spigoted 12

Tanks repaired -^^^ Tanks covered 1°

Tanks oiled 40

Tanks destroyed 12

Wells covered ^ Wells cleaned f

Wells oiled 211

Wells dug 1 Wells filled : £

Crabs killed 1^705

Crab holes worked 2, 900

Crab holes filled 4, 155

Crab holes oiled 1> '^^5 Mosquito-breeding places eradicated * 422

Linear feet of drains made 2, 285

Linear feet of drains oiled 2, 690

Linear feet of drains repaired 1, 650

Linear feet of drains cleaned 7, 523

Persons fined for violating sanitary ordinances 66

Square yards of swamp filled 722

New drains made ° Daily average number of men at work 13

Square yards of grass cut and burned 210, 400

Square yards of brush cut and burned 43, 000

Catch basins oiled 266

Catch basins cleaned 31

Gutters repaired 116

Gutters removed ^ Water receptacles collected 5, 415

Water receptacles overturned 1> 836

Holes filled ^^12 Cubic yards of earth used 1, 155

Cubic yards of coral used 144

Square yards of pools oiled ^ 14, 650

Square yards of swamp drained 293, 990

Drains oiled 22

Persons warned for having mosquito larvae on premises

.

315

Destruction of rats: Number of rats caught and cremated o2

Average number of rat-traps used 12

Dead rats found ^7

Material used in work:

Spigots 2, 007

Copper cloth (screening) feet.. 6,237

Mosquito oil barrels .

.

77

Chloride of lime. pounds.

.

204
76

Material used in work—Continued.

Bichloride of mercury pounds.

.

8

Sulphur do 50

Lime barrels .

.

3

Turpentine gallons. 3

Paint do 1 Arsenic pounds .

.

4

Wire staples packages. 30

Tacks pounds. 64

Tar gallons. 35

Lumber square feet. 5, 850

Nails pounds. 475

Quarantine Service.

[Ports of Panama, Ancon, Colon, and Cristobal.] Number of vessels inspected and passed 1, 001

Number of vessels detained in quarantine 4

Number of vessels fumigated on arrival 7

Number of vessels fumigated prior to sailing 48

Total number of pieces of baggage disinfected 1, 627

Total number of crew inspected 73, 942

Total number of passengers inspected 58, 799

Total number of persons inspected 132, 741

Total number of persons vaccinated at ports of arrival

because of compulsory vaccination law 13, 621

Total number of persons vaccinated at ports of departure

or en route, because of the compulsory vaccination law. . 19, 205

Total number of persons vaccinated because of compulsory

vaccination law 32, 826

Total numJDer of persons held in quarantine at the detention stations to complete period of incubation of yellow

fever and plague 3, 806

Total number of persons held in quarantine on board vessels to complete period of incubation of yellow fever and

plague 1, 597

Total number of persons held in quarantine 5, 403

Total number of passengers landed from foreign ports:

Cabin 16, 993

Steerage 26, 605

43,598

Total number of passengers embarked for foreign ports:

Cabin 15, 344

Steerage 16, 679

32,023

Total apparent increase for the year from foreign ports:

Cabin 1, 649

Steerage 9, 926

11,575
77

Total number of persons arriving from coast towns on

small launches and sailing craft 19, 884

Total number of persons leaving for coast towns on small

launches and sailing craft 15, 993

Total apparent increase for the year from coast towns 3, 891

Total number of persons landed 63, 482

Total number of persons embarked 48, 016

Total apparent increase for the year 15, 466

Number of immigrants recommended for rejection 141

Number of certificates issued to outgoing passengers 538

Number of persons refused certificates because of trachoma 42

Total number of bills of health issued 50

Total number of bills of health viseed 368

Total number of circulars relative to malarial fever dis- tributed 22, 000

Quarantine Service—Bocas del Toro.

Number of vessels inspected and passed 474

Number of crew inspected 8, 677

Number of passengers inspected 5, 565

Total number of persons held to complete period of incubation for yellow fever 373

Number of vessels sailing during the year 462

Number of vessels entering during the year 484

Number of persons vaccinated 43

Personnel Report.

[Average number of emylojees per month for the j^ear.] Chief sanitary office 33 Empire Dispensary 13

Property division, sani- Las Cascadas Dispensary. 9

tary department ,

.

10 Bas Obispo Dispensary. .

.

10

Quarantine service 31 Gorgona Dispensary 12

Health office, Panama 90 San Pablo Dispensary 4

Health office, Colon 137 Tabernilla Dispensary 5

Director of hospitals 18 Gatun Dispensary 13

Ancon hospital 489 Cristobal Dispensary 7 Colon Hospital 242 Porto Bello Dispensary. .

.

4

Culebra Hospital 15 Taboga Sanitarium 29

Ancon Dispensary 3 Palo Seco Leper Asylum.. 9

La Boca Dispensary 5

3

Zone sanitation 779

Corozal Dispensary Santo Tomas Hospital 6

Mirafiores Dispensary

Pedro Miguel Dispensary.

Q

4 Total 1,929

Paraiso Dispensary 9
78

Table op Malarial Cases Among Employees, in Hospitals,

WITH Averages, etc., 1908.

Months.

January . .

.

February.

.

March

/ipril May

June

July

August

September.

October

November.

December.

.

Total

Discharged. Died. Total

died. Total

cases.

Annual

average

per 1

,000

of

deaths.

Annual

average

per

1,000

of

cases. .2 s

6

325 317 2 2 4 6<6 1.10 178 341 232 1 1 574 .27 156 304 220 8 1 9 533 2.49 147 270 137 407 .00 109 251 Ud 2 1 3 397 .80 106 358 269 3 3 630 .78 165 787 933 3 2 5 1,725 1.33 460

769 747 5 4 9 1,525 2.44 413 643 760 4 3 7 1,410 1,86 375

912 904 2 4 6 1,822 1.65 501 732 722 4 2 6 1,^60 1.72 420 626 611 1 5 6 1,243 1.74 362 6,318 5,995 34 23 59 12,372 1.34 282

3 S

43,390

44,039

43.276

44, 753 44,816

45,662

44,938

44,225

45,058

43,593

41,713

41,219

43,890

O


/ 3.

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UNIVERSITY OF FLORIDA

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