iklTlNlU^ REPORT

OF THC

DEPAHTLENT OF SiilHTATION

OF TliE

IS?HI:iIA:^ CANAL GOm^ISSION

1909

I8T«K
UNIVERSITY

OF FLORIDA

LIBRARY

8061 'iZ NVr IVd

S19T\V]fi
ANNUAL REPORT

OF THE

DEPARTMENT OF SANITATION

OF THE

ISTHMIAN CANAL COMMISSION

FOR THE

YEAR 1909

W. C. GORGAS

Colonel, Medical Corps, U. S, Army

Chief Sanitary Officer, Ancon, Canal Zone

WASHINGTON

GOVERNMENT PRINTING OFFICE

1910

\
una.

>•' ' . 'tic

.' . •:
CONTENTS.

Page.

Letter of transmittal 5 Vital statistics: Deaths of employees of the Isthmian Canal Commission

and the Panama Railroad Company 9

Deaths in the cities of Panama and Colon, and the Canal

Zone - 9

Deaths by age, color, and sex 10

Deaths by nationality 10

Causes of death of Isthmian Canal Commission and

Panama Railroad employees 12

Deaths of white employees from the United States .... 14

Deaths of white women and children from the United

States 16

Death rate among Americans on the Isthmus 17

Causes of death 18

Discharges and deaths in hospitals of commission 22

Consolidated hospital report 26

Consolidated dispensary report 27

Consolidated sick camp report 27

Consolidated hospital, sick camp, and sick-in-quarters re- port 28

Total admissions to hospitals and sick camps for the year .

28

Subsistence and operating expenses 29

Average number of employees constantly sick in hospitals,

sick camps, and quarters 29

Outside patients treated in hospitals, and amounts collected

for their treatment 31

Surgical operations performed in hospitals 31

Operations and work performed in eye, ear, nose, and throat

clinics 35

Consolidated ward laboratory report of all hospitals 36

Report of: Ancon Hospital 38

Colon Hospital 39

Culebra Hospital 41

Palo Seco Leper Asylum 42

Taboga Sanitarium 43

Santo Tomas Hospital 43

Ancon' dispensary, sick camp, and employees sick in

quarters 45

(3)

1703^
Page.

Report of—Continued

Balboa dispensary and employees excused tor quarters. . 46

Corozal dispensary and sick camp, and employees ex- cused for quarters 46

Miraflores dispensary and sick camp, and employees

excused for quarters 47

Pedro Miguel dispensary and sick camp, and employees

excused for quarters 48

Paraiso dispensary and sick camp, and employees ex- cused for quarters 49

Culebra dispensary and sick camp, and employees ex- cused for quarters 50

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

Las Cascadas dispensary and sick camp, and employees

excused for quarters 52

Bas Obispo dispensary and sick camp, and employees

excused for quarters 53

Gorgona dispensary and sick camp, and employees ex- cused for quarters 54

San Pablo dispensary and sick camp, and employees

excused for quarters 55

Tabernilla dispensary and sick camp, and employees

excused for quarters 56

Frijoles dispensary and sick camp, and employees ex- cused for quarters 57

Bohio dispensary and sick camp, and employees ex- cused for quarters 58

Gatun dispensary and sick camp, and employees ex- cused for quarters 59

Gatun Spillway dispensary and sick camp 60

Cristobal dispensary and sick camp, and employees ex- cused for quarters 60

Porto Bello dispensary and sick camp, and employees

excused for quarters 61

Nombre de Dios dispensary and sick camp, and employees excused for quarters 62

Board of health laboratory 63

Issues of quinine 65

Sanitation

Panama 65

Colon (including Cristobal and Mount Hope) 67

Bocas del Toro 68

Quarantine service • 69

Ancon-Panama and Colon-Cristobal 69

Bocas del Toro 70

Personnel report 71

Hospital cases of malaria among employees 72
LETTER or TRANSMITTAI.

Isthmian (anal Commission.

Department of Sanitation,

Anco7i, Canal Zone. Januanj 18, 1910.

Chairman and Chief Engineer

Isthmian Canal Commission,

Culehra, Canal Zone.

Sir : Inclosed I forward you herewith report of the sanitary department for the calendar year 1909.

In comparing the ^-ital statistics with previous years we can see considerable improvement.

Number of employees.

6,213

16, 512

26. 547

39, 238

43, 891

47. 167

Deaths.

82

427

1, 105

1,131

571

502

Rate.

13. 26

25.86

41.73

28.74

13.01

10.64

There were fewer white employees than in 1908. This is the

smallest death rate we have had in our laboring force. The total aumber of deaths in the year 1909 in a force of 47.167 men was very

iittle more than it was in 1905 in a force of 16,512 men. The death rate among our white employees from the United

States from disease was 3.88 per thousand. The death rate in our irmy for the calendar year 1908 from disease was 3.20 per thousand:

practically the same as ours. If we include American women and

children, it will raise the death rate of Americans from disease to

i.Oo per thousand. It would seem from these figures that the

women and children stand the climatic conditions very much better

than the men do. Among 3,240 white women and children from

the United States we had a death rate from disease of 4.32. The

rate among women and children in any of the cities at home would

be very much higher than this.

(5)
6

Taking special diseases, the deaths from typhoid fever among oui

employees have been

Deaths. 1905 12

190G 42

1907 98

1908 19

1909 13

This is an excellent rate—about 0.27 per thousand. That of the

whole army for the calendar year 1908 was 0.31 per thousand; for the State of Pennsylvania for the calendar year 1907, 5.03 per thousand.

Considering dysentery, we have had among our employees from

this disease the following deaths:

. Deaths. 1905 14

1 906 ()9 1907 48

1908 16

1909 8

Among our 11,662 white employees we had not a single death

from this disease.

Considering pneumonia, we had a smaller death rate than has

occurred any previous year.

Deaths. 1905 95

1906 413

1907 328

1908 93

1909 , 70

This would be about the same rate that would occur in New York

City from this disease.

Considering deaths from malaria among employees, we see the

following figures:

Deaths. 1905 86

1906 233

1907 154

1908 73

1909 52

The death rate from malaria is probably the best measure of the

success of sanitary work in the Tropics. The admission rate to our hospitals was:
Per thousand.

1904 125

1905 514

1906 821

1907 424

1908 282

1909 215

This means that in 1906, when malaria was at its highest, out of

every thousand employees we had 821 admitted to our hospitals

with malaria. In 1909 we had only 215 out of every thousand admitted to our hospitals. That is, 606 men out of every thousand

escaped malaria in 1909 who would have had it had the conditions

remained the same as in 1906.

If we consider the death rate of the total population, including

the cities of Panama and Colon and the country on the Zone between them, we find the rates for the different years to be as follows:

Death rate. 1905 49. 94

1906 48.37

1907 33.63

1 1908 24. 83

1909 18. 19

That is, out of every thousand people living on the Zone in 1909

we had 31 deaths less than we had out of this same thousand people

living on the Isthmus in 1905. This means a saving of over 4,000

lives. During the year no cases of yellow fever, plague, or smallpox

occurred on the Isthmus.

Very respectfully, W. C. Gorgas,

Chief Sanitary Officer.
Digitized by tine Internet Arcinive

in 2010 witii funding from

Lyrasis IVIembers and Sloan Foundation

http://www.archive.org/details/annualreportofis1909isth
ANNUAL REPORT

OF THE

DEPARTMENT OF HEALTH, ISTHMIAN CANAL COMMISSION,

FOR THE YEAR 1909.

VITAL STATISTICS.

Deaths of Employees op the Isthmian Canal Commission and

THE Panama Railroad.

Color.

White.

Black.

Total.

Average

number

of employees.

11,662

35,505

Total nmnber of deaths from—

Disease.

75

281

47, 167 356

Vio- j lence.

All.

40 106 115

387

146 502

Annual death rate per 1,000.

Disease.

6.43

7.91 7.55

Violence.

3.43 2.99

3.09

All.

9.86

10.90 10.64

Deaths in the Cities of Panama and Colon and the Canal

Zone.

Colon.

Canal Zone.

Total.

Place.

Panama 40, 801

Average

population.

17, 479

76, 900

135, 180

Total

deaths.

1,038

396

1,025

2,459

Annual

death rate per 1,000.

25.44

22.65

13.33

18.19

Note.—Figures relating to the number of employees are comI piled from the pay rolls of the different months of the year. The

' population and deaths as given for the cities of Panama and Colon

! and for the Canal Zone in the table above include employees and

civil population.

30613—10- (9)
10

Total number of admissions of employees to hospitals and

sick camps, including those sick in quarters 41, 849

Average per thousand of admissions of employees to hospitals and sick camps, including those sick in quarters. . 887

Deaths by Age, Color, and Sex.

Age.

Under 1 year.

I to 4 years

5 to 10 years . .

II to 20 years.

21 to 30 years..

31 to 40 years .

41 to 50 years .

51 to 60 years .

61 to 70 years .

71 to 80 years .

81 to 90 years .

91 to 100 years

Unknown

White.

M. F.

72

16

51260

74

53

186

5

1

Total 328

47

182

6

13139

96

4

1

Black.

M. F

303

55

2970

340

199

1596736

7627

129 1,298

215

4626

32

117 10648

33

1714

7

I6 668

Yellow. Total.

M.

55

M.

377

713484 402

283 21990

48

12

34

263

642S

38 130

11957

422i

18

8

1

1,661 I 798

Deaths by Nationality.

Nations. Employees.

10

1 150

I

NonemI)loyees.

9

125

116* 36

126

16

6

12

3

8

Total.

Antigua 19

Bahama Islands 1 Barbados 275

Bolivia

Bermuda Islands

2

1 Bulgaria

Chile

1 16

China 36

Colombia U

4 137

Costa Rica 20

Cuba 6 Dutch West Indies 1L

12

9 Dominica

Ecuador

England

3

410
11

Deaths by Nationality—Continued.

Nations.

Fortune Island

France

Germany

Greece

Grenada

Guadeloupe

Guatemala

Guiana, British...

Haiti

Honduras, British.

Holland

India

Italy

Jamaica

Liberia

Martinique

Mexico

Montserrat

Nicaragua

Panama

Peru

Porto Rico

Portugal

St. Kitts

St. Lucia

St. Thomas

St. Vincent

Spain

Syria

Trinidad

Turkey

Turks'L^land

United States Uruguay..

Venezuela

West Indies

Wales

Unknown

Employees.

3224

6

108

1 25

3

4

""l8

1

16

"2 59

"7

1135

"i

2

Nonemployees.

10

3

113

8

14

2

7

1

15

388

'478

74

920

4

4

2

242

4

4

36

3

18

44

1214

1

6

Total.

3

10

3

4

15

32

1

6

4

7

1

111

496

172

11

11

4

938

54

2

3 48

4

6 95

325

1

1 79

1

316

1

Total. 502 { 1,957 2, 459
12

Causes of Death of Isthmian Canal Commission and Panama

Railroad Employees.

Diseases.

Apoplexy . .

Aneurism, ruptured, into pericardial

sac Aneurism of abdominal aorta (rupture)

Alcoholism, acute anachronic

Aortic insufficiency

Asphyxia, chloroform

Calculi, renal

Cancer of gall bladder

Cancer of stomach

Cancer of tongue (inoperable)

Cholecystitis, acute gangrenous

Colitis, acute and chronic

Congestion and hemorrhage of the

brain

Dislocation eleventh and twelfth dorsal vertebrae, trophic ulcers on back,

broncho-pneumonia

Dropsy

Dysentery

Embolism and thrombosis

Emphysema, pulmonary

Empyema

Encephalitis, acute hemorrhagic

Encephalomalacia, acute

Encephalon, abscess of Endocarditis

Entero-colitis, acute

Fever:

Hemoglobinuric

Malarial

Typhoid

Heart, acute rupture of Heart, organic diseases of Hemorrhage, cerebral

Influenza

Leukemia

Liver:

Abscess of Abscess of, multiple

Cyst of

(yirrhosis of

AVhite. Black

12

14

Total.

3

1

112

1

125

13
13

Causes of Death of Isthmian Canal Commission and Panama

Railroad Employees—Continued.

Diseases.

Lungs

Abscess of Edema of Gangrene of Meningitis

Acute

Epidemic cerebro-spinal

Pneumococcic

Tuberculous

Mitral regurgitation

Myocarditis

Neck, cellulitis of Nephritis:

Acute

Chronic

Pericarditis

Peritonitis

Pneumonia

Psychosis, toxic

Puerperal sepsis

Pyelonephritis

Pyemia

Sarcoma of femur

Senility—myocarditis

Septicemia, purulent infection

Tuberculosis:

General

Of spine (cervical)

Pulmonary

Tumor of abdomen, malignant

Uremia

Undiagnosed

Violence:

Accidental traumatisms, various..

Bums and scalds , Drowning, accidental

Dynamite explosions

Electric shock

Fractures

Homicides

Railroad accidents

Shock by lighting

White.

Total.

11

112

19

1

115

Black.

3

1

18

31

5

6

59

1

1

3

1 48

20

1 14

13

3

Total.

387

2

1

1

13

2

2

13

1

19

32

6

6

70

111

1

1

16

3

150

1

12

28

2

21

13

4

14

72

1 502
14

Deaths of White Employees from the United States.

JANUARY.

Name.

Gamble, Bert. Nelson, R. J.. Petty, J. H.

Department.

Time on

Isthmus.

Age. Cause of death.

Engineering 44 months. 35 Liver abscess

Panama Rail- 3 years.... I 31 Hemorrhage, cerebral.

Engineering do 61

| Multiple abscess of

FEBRUARY.

Murphy, James P

Putnam, James L. Rodman, Willis J.

Aldrich, L. E.

Engineering.

do

Panama Rail- road.

10 months.' ! Railroad accident.

23 months.

42 months.

31 Tumor of abdomen,

malignant.

46 I Uremia, complicating

I amebic dysentery.

MARCH.

Engineering 8 months. -

1 44 Liver abscess.

APRIL.

Higgins, II. H Engineering 2 years . .

Lamb, William I Panama Railroad. Whiteman, P.M..

37 Delirium tremens, hyperpyrexia.

28 months. 39 \ Fracture, struck on

I head by lever of hand

I car. Disbursing 1 2 years. . . -j 18 Sh^o^k,^ incident to

Waldron, Fred A.... Sanitation | 58months.] 70 I Senrnty. myocarditis.

MAY.

30 months. Abbott, Charles M. . .1 Mechanical. . .

Barbour, John 11 .... ; Engineering .

Kealy, Daniel Quartermaster

Miller Robert ' Engineering 48 months.

McFarland , A . Y . . . . Quartermaster . . I 42 months.

54 months

33 months.

22 Homicide, fractured 3d

cervical vertebra. 42 Alcoholism.

32 I Accidental drowning.

28 I Fell from veranda.

38 Abscess of liver.
15

Deaths of White Employees from the United States—Con,

JUNE.

Name.

Barbour, James "W . . Debardeleben, M. V.

Rowland, F. C

Kingsley, Eugen H..

Morris. John R

Department.

Panama

road. do

Engineering

do

...do

RailTime on

Isthmus.

39 months.

48 months.

18 months.

48 months.

9 months.

Age., Cause of death.

27 I Struck by flying emery

I wheel.

31 Nephritis, acute.

28 Septicemia, acute.

28 Homicide, pistol. 38 Railroad accident.

JULY.

Hague, Joseph

Ryan, John

Engineering

Mechanical

2 months.

11 months.

41

33 Heart disease. Lobar pneumonia.

AUGUST.

Coogan, Michael..

Green, William B

Smith, Gordon B

Williams, Edward R.

Engineering.

do. Panama Railroad. Engineering

3 years

28 months.

20 months.

4 months.

39 ' Pyelonephritis.

40

22

23

Chronic endocarditis with pericarditis.

Accidental drowning. Do. SEPTEMBER.

Ball, H. C

Lythgow, A. G

Quartermaster . . 3 years Engineering 4 years

52 Cerebral hemorrhage.

42 Hemoglobinuric fever.

OCTOBER.

Worrall, James C . 9 months.

25 Edema of lungs.

NOVEMBER.

Edwards, Charles. Hawley, G. I

Hill, George

Snyder, William.

Engineering.

do

.do.

.do.

8 months.

4 years

27 years . .

6 months.

39 I Alcoholism.

48 I Endocarditis, aortic reI gurgitation.

59 j Influenza, bronchoj pneumonia.

44 1 Accidental traumatism

j (railroad).
16

Deaths of White Employees from the United States—Con.

DECEMBER.

Name. Department. Time on

Isthmus. Age. Cause of death.

Hennigh, George A .

Engineering 34 months. 22 Accidental drowning.

Deaths of White Women and Children from the United

States.

MARCH.

Name. Time on

Isthmus. Age. Cause of death.

Kennady, Mary E

Price, Lily

Smith, Leroy

1 day

10 days

Iday

10 days

14 years

Congenital debility.

Asphyxiation-overlying.

Railroad injuries.

APRIL.

Rogers, Mrs. W. D ' 2 years

32 years ; Septic endocarditis.

JUNE.

Kranz, Elizabeth 4 months 2 years Acute entero-coli lis. Nugent, Margaret 10 days 10 days Basilar meningitis.

Rosen,child of Harry... 3 hours 3 hoius [ Diseases peculiar to oarly

infancy.

JULY.

Hogan, Andrew 5^ months...! 5^ months...! Intussusception, intestinal. Roark, Jane 10 months...! 10 months... Malarial fever.

AUGUST.

Conner, Olive Gutberlet (infant)

Ilumjjhrey , Harriet A .

McKay, John

17 months.

9 months..

2J months.

2 J years . .

2i years Malarial fever. 9 months | Pernicious fever.

71 years i Senility.

2\ years Chronic pachymeningitis.
17

Deaths of White Women and Children fkom the United

States—Continued

OCTOBER.

Name. Time on

Isthmus. Age. Cause of death.

Tanner, Harold 2 months 7 years Accidental traumatism (fell from veranda).

NOVEMBER.

Chronic enteritis. Acute gangrenous appendicitis with perforation.

Accidental tratimatism

(bums).

DECEMBER.

Marsh (infant)13 days 13 days Pemphigus

Death Rate Among Americans on the Isthmus.

White employees from the United States (average number,

5,146): Disease Violence

All causes White women and children from the United States (average

number, 3,240): Disease Violence

All causes White employees and their families from the United States (average number, 8,386)

Disease Violence

All causes

30613—10 3

Number

of deaths. Annual

average per 1,000.

20

15 3.88

2.92

35 6.80

14

4 4.32

1.23

18 5.55

34

19 4.052.27

53 6.32
18

Causes of Death.

(This table embraces deaths among the civil population, and among the employees

of the Isthmian Canal Commission and the Panama Railroad Company.]

Diseases. O

I. General diseases. Typhoid fever (abdominal typhus)

Malarial fever Estivo-autumnal malaria

Tertian malaria

Malarial cachexia Hemoglobinuric fever Measles Whooping cough

Diphtheria , Influenza Dysentery

Bacillary dysentery

Amebic dysentery

Leprosy

Erysipelas

Beriberi Purulent infection and septicemia

Pellagra

Tuberculosis of the larynx

Tuberculosis of the lungs

Tuberculosis of the meninges

Abdominal tuberculosis

Pott's disease General tuberculosis Syphilis

Gonorrhea (5 years and over) Cancer and other malignant tumors of the

buccal cavity Cancer and other malignant tumors of stomach and liver Cancer and other malignant tumors of peri- toneum, 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

Other tumors (tumors of the female genital organs excepted) Acute articular rheumatism

Rheumatism, articular, subacute, and

chronic Anemia, chlorosis Other general diseases Acute and chronic alcoholism Chronic lead poisoning

Surgical shock

12

233

1 10325

7

1

1 43

13

16

10

5

1

14

1728

1

1 150

1 19 tiO 17

12

23

18 18784

18

15

14

1 10

47

2

13

2

1 2322

"3

2 280

26

1 13

10

1

38

1

1 12

11
19

Causes of Death—Continued.

Diseases. So,

o

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

r Encephalitis

Simple meningitis

Epidemic cerebro-spinal meningitis Pneumococcus meningitis

Other diseases of the spinal cord Congestion and hemorrhage of the brain . .

Softening of the brain

Paralysis without specified cause Other forms of mental alienation Epilepsy

Convulsions (nonpuerperal, 5 years and

over) "

: Convulsions (under 5 years) Tetanus ". Chorea

Diseases of the ear

III. Diseases of the circulatory system.

Pericarditis ! Pneumococcus pericarditis Acute endocarditis Septic endocarditis Organic diseases of the heart Angina pectoris

Diseases of the arteries (atheroma,

aneurism, etc.) Embolism and ttirombosis Diseases of the lymphatic system (lymphangitis, etc.) ."

, Hemorrhages

Other diseases of the circulatory system..

IV. Diseases of the respiratory system. Diseases of the larynx Acute bronchitis Chronic bronchitis Broncho-pneiunonia

Pneumonia

Pleurisy

Congestion and apoplexy of the lungs

Gangrene of the lungs

Asthma

Other diseases of the respiratory system

(phthisis excepted)

Empyema

3

18

10

29

22

4

1

2

212

1

10

310

31 16

1 1

4

3

1113

12

2

2127

3

1189

3

326

23

9

2

7

14

18

1

1

10

1 10

3762

7

2

194

1 29

767

1866

13

139

1
20

Causes of Death—Continued.

Diseases.

O

c Colon

Hospital. d

§

P^

pioo

03co

N3

V. Diseases of the digestive system. Diseases of the mouth and its adnexa 1 1 Diseases of the pharynx 2 2 Ulcer of the stomach 1 Other diseases of the stomach (cancer ex- cepted) 2 143

2

19

1

244

5

6

"'i'

2

25

......

172

6 Diarrhea and enteritis (under 2 years)

Chronic diarrhea and enteritis (under 2 years)

2 215

8 Diarrhea and enteritis (2 years and over) 30

Intestinal parasites 2 Uncinariasis Hernia and intestinal obstruction 2

4 ....„

8

38

32

1 Other diseases of the intestines 9 Cirrhosis of the liver 2

6

1

14 Other diseases of the liver

2

13 Abscess of the liver 14 Diseases of the spleen.

1 Simple peritonitis 3

1

6 1 6

2

20 Other diseases of the digestive system (cancer and tuberculosis excepted) 4 Appendicitis and abscess of the iliac fossa . .

Colic ...

1 2 4

1

4

9

1

1 VI. Diseases of the genito-urinary system

and its adnexa. Acute nephritis 14

512

1

1

3

31

2

95036

33 Chronic nephritis 147 Other diseases of the kidneys and their adnexa.. 5

Calculi of the urinary tract 1 Diseases of the bladder. ..

1

13

11

2 Diseases of the urethra, urinary abscess, etc. 1 Uterine tumors (noncancerous) 3 Other diseases of the uterus 1 Other diseases of the female genital organs .

Uremia

2 1

1 41

Accidents of pregnancy 1 2

1 ""'i'

1 ""2

22

4 Puerperal hemorrhage 2 Other accidents of labor 2 Puerperal septicemia 5

t 4

1

1

1

4

2

19 Puerperal albuminuria and convulsions. .. 8 VIII. Diseases of the skin and cellular tissue. Oangrene 1 ,\cute abscess, phlegmon 1 Other diseases of the skin and its adnexa 1 1 2
21

Causes of Death—Continued.

Diseases.

O

05o

5 S. oo

73 3

tS! 1

IX. Diseases of the organs of locomotion. Nontuberculous diseases of the bones 2

1

20

112

3

2

2

5

2 X. Malformations. Congenital malformations (stillbirths excepted) 1 XI. Early infancy.

Congenital debility, icterus, and sclerema.. Prematurity

3

3

1

4

3

173

3

56

17

14

2

10

1

10036 Other diseases peculiar to early infancy

Lack of care .

. 23

5 XII. Old age. Senile debility 1 17 XIII. External causes. Suicide by firearms 3 Fractures 2

53

12

5

5

8

1 152

9 Other accidental traumatisms 5 299

39

9

538

52 Dynamite explosion 13 Railroad accidents . . 66 Burns and scalds 3 19 Electric shock 5 Accidental drowning . 2

6

1

1 41 Inanition (starvation) 6 Absorption of deleterious gases (nonsuicidal)

Other acute poisoning

1 2 1

i 1

! 28

2

1

5

1 Other external violence I

1

" "3' 4 Homicide 13 Judicial execution 2 XIV. Ill-defined cases. Dropsy . 1

i 2I

5 9 Sudden death . 1 Causes unspecified or ill-defined 3 2 3 9 38 Total 425 254 979

61 250

55 551

104 2,459

Stillbirths '. 220 Grand total 425 254 1,040 305 , 655

1 2,679

Note.—The deaths occurring in Ancon and Colon hospitals result from cases taken from the cities of Panama and Colon and the Canal Zone, and in the table of

vital statistics are properly credited to either Panama, Colon, or the Canal Zone.
22

Discharges and Deaths of Employees in the Hospitals of

THE Isthmian Canal Commission, from all Causes.

Diseases.

I. General diseases. Typhoid fever (abdominal tj^phus)

Relapsing fever Malarial fever Estivo-autiunnal malaria

Tertian malaria

Quartan malaria

Mixed malaria

Malarial cachexia

Hemoglobinuric fever Vaccinia

Measles

Influenza Dysentery

Bacillary dysentery

Amebic dysentery

Leprosy

Erysipelas

Other epidemic diseases

Berit)eri Purulent infection and septicemia

Tuberculosis of the lungs Tuberculosis of the meninges , Abdominal tuberculosis

Pott's disease , Cold abscess and abscess by congestion

White swelling Tuberculosis of other organs General tuberculosis Syphilis

Gonorrhea (-5 years and over) 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 n>ctum

Cancer and other malignant tumors of the skin Cancer and other malignant tumors of other organs, or of organs not specified

Other tumors (tumors of the female genital organs excepted) Acute articular rheumatism

Rheumatism, articular, subacute, and chronic Gout

Diabetes Anemia, chlorosis Other general diseases s

Acute and chronic alcoholism • Chronic lead poisoning

Other chronic poisoning

IfiS 312

1

1

436

9

!)

61

1

1 27

57

762

1
23

Discharges and Deaths of Employees in the Hospitals of

THE Isthmian Canal Co^mmission, from all Causes—Con.

Diseases.

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

Epidemic cerebro-spinal meningitis Pneumocoecus meningitis

Progressive locomotor ataxia Other diseases of the spinal cord

Congestion and hemorrhage of the brain

Paralysis without specified cause Other forms of mental alienation Epilepsy

Other diseases of the nervous system

Diseases of the eye and its adnexa

Diseases of the ear

III. Diseases of the circulatory system.

Pericarditis Pneumocoecus pericarditis Acute endocarditis Organic diseases 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 larynx "

Diseases of the thyroid body '/, Acute bronchitis .' Chronic bronchitis [.[....... Broncho-pneumonia

Pneumonia .!!.!.!!!.!! Pleurisy .V." ... ] Gangrene of the lungs .'."............... Asthma

Pulmonary emphysema !!.!...'.!...!... Other diseases of the respiratory system (phthisis excepted)

4 4

17 2

14722 1

1 287 • 29

17 5

142 64

89 3

2 1 24

37 1 18 2
24

Discharges and Deaths of Employees in the Hospitals of

THE Isthmian Canal Commission, from all Causes—Con.

Diseases. Dis- charged. Died.

v. Diseases of the digestive system. Diseases of 1 he 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 obstruction Other diseases of the intestines Cirrhosis of the liver Biliary calculi Other diseases of the liver Abscess of 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

Chronic nephritis

Other diseases of the kidneys and their adnexa

Calculi of the urinary tract Diseases of the bladder

Diseases of the urethra, urinary abscess, etc Chancroids ". Chancroidal buboe

Nonvenereal diseases of the male genital organs Uterine tumors (noncancerous)

Otber diseases of the uterus Other diseases of the female genital organs Nonpuerperal diseases of the breast (cancer excepted)

VII. The puerperal state. Accidents of pregnancy .' Puerperal septicemia

Childbirth

VIII. Diseases of the skin and cellvilar tissue. Gangrene

Furuncle Acute abscess, plegmon

Other diseases of the skin and its adnexa

59 104

1 62

133

1435 218

11638

255

113

210

92

50

15710

444

65

30825

279

1

9 42

2

16

1

1

1

1

i

9 116

192 296i
25

Discharges and Deaths of Employees in the Hospitals of

THE Isthmian Canal Commission, from all Causes—Con.

Diseases.

IX. Diseases of the organs of locomotion

Nontuberculous diseases of the bones

Arthritis and other diseases of the joints (tuberculosis and rheu- matism excepted)

Amputation

Other diseases of the organs of locomotion

Dis- charged. i Died.

XII. Old age. Senile debility XIII. External causes

Fractures

Dislocations Other accidental traumatisms

Dynamite explosions Railroad accidents Burns and scalds Burns by corrosive substances Sunstroke

Electric shock

Inanition (starvation)

xVbsorption of deleterious gases (nonsuicidal)

Other acute poisoning

Other external violence

30613—10-

30

98

115 344

355

35

674

15

170

1

14

569 I

13

2

13

2

XIV. Ill-defined causes

Sudden death . 1 Causes unspecified or ill defined Ill30 .

f, Not sick Total 19,200 37?
26

Consolidated Hospital Report.

Hospitals.

Re- maining

Jan. 1.

1 Admitted. Died.

1

Re- maining Dec. 31

W. B. W. ! B. W. B. w.

1 B. W. B. W. B.

Ancon Hospital.

Employees 299 339

i

7,096 9,008! 61 1,604 839' 31

4t 172 2

185

12323

5,074

1.50329

i

8,886 2,016

699| 66

120i 2

8

8

9

244 268 Nonemployees

Insane

501 45

20 198

!

54 54

., -| 28 218 Total 369 582 8,74^ 10,019 94 331 6,606 9,705 2,084| 25 326 540 Colon Hospital.

Employees

1

69 79 27 35

1,768 1,723 90 99

111

l,477i 1,508 237 1 12 103183 Nonemployees 596 673: 24 551 1 524 9j 23 39^ 50 Total 96 114 2,3641 2,396 44 2 2. 028 2.032 246 35 142 233 Culebra Hospital.

Employees 1 ....

1| 4

47011 192....

3 3

1

4 13

173' 3 14

1

14

1 Nonemployees 2 64 < Total 2 4 74 203 5 67 177 4jl7 5 8 Palo Seco Leper

Asylum.

Employees 1 716

4 2

1

1 Nonemployees.. .. 22 1 1 5 S'' Total 22 1 23 1 4 7 1 33 Taboga Sanitarium. Employees

1

70 ...

9....

2, 706

()57

!

2, 703 16... 57 Nonemployees 661 5 Total 79 ...

3,363 3,364 16... 62 (Jrand total: Employees

Nonemploj'ees.. Insane

439 4^8 87 106 20 19811,574 2,928

4:

10, 749

1,720

172

8^55

2

287

237

23

9,257 10,402 2,779 1,396

29 120

2,270 25

78 50

2 9

405

10328

453

'43 218 Total 546 722 14,543 12,64' 138 547 12, 065 n . 918 2,350 84 536 814
27

Consolidated Dispensary Report.

Class, White.

Employees j 220, 320

Nonemployees 49, 486

Total i 269, 806

Black. Total.

213,947 434,267

30,016 79,502

243,963 513,769

Consolidated Sick Camp Report.

station.;

Re

maining

Jan. 1. Admitted. Died. Discharged. Transferred.

Re- maining Dec.

31.

W. B. W. B. W. B. W. B. W. B. W. B.

Ancon 7 ... 1.299

116 563

383

293

493 218

519

891 213

442 303

459 125

487

468 370

729

589

521 635

461 585

79726

90 3,205

295

769

442

5

1,23785

464 316

240

312

171 367

702 148 326

234

449 [ 61 98 t 30

407 101 391 65 306 54

381 ' 186 399 ' ^7

727

77

73

63 353

184

139

• 91 129

158 160

10

45

8

12

3

"'i'

"'3'2

3 Corozal i Miraflores 4

12

6

3'4102

3

6

78

3

3 Pedro Miguel 7 Paraiso 1 I 3

9

2

38

45

Culebra Empire

" Las Cascadas Bas Obispo

Gorgona

6

17

13

1

1 21 379

544 339

423 636

12

43 1.341 198 537

343

4

194 203

66

11864 ""s

251 135

762

San Pablo 15

12 Tabernilla 4

4

Frijoles

Bohio 12 517 380

60

341

1

4 262

245

53 274

1

Gatun 14 1 19 Gatun Spillway.

97 22896 Cristobal 6

2 "s

10 Porto Bello Nombre de Dios..

4 i i'

1 4

1

1

1 Total 51 ,68 7,044 11,058 4 10 5,441 7,230 1,612 3,795 38 91
28

Consolidated Hospital, Sick Camp, and Sick in Quarters

Report. '

Re- 'fj^- . Admitted.

Jan. 1. ' Died. Discharged.^ ^rans; Re- maining Dec.

31.

W. B. W. B.

1 W. B.

138 547

4 10

W. B. W. ' B. W. B.

Hospitals

Sick camps

546

51 72214,543

68 7,044

12,641 11,058 12,065 5,441

11.918 2,350, 84 7,230 1,612 3,795 536

38 814

91 Total 597 790 21,587 23,699 142 557 17,506 19,148' 3,962

3,879J 574 906

TOTAL ADMISSIONS TO HOSPITALS AND SICK CAMPS FOR THE

YEAR.

White. Black. Total.

Total admissions to hospitals and sick camps

Less number of patients transferred from hospitals to sanitarium and from sick camps to hospitals whose

admissions are duplicated in above figures

Number of employees sick in quarters.

21,587

3,962

17,625

7,841 Net admissions to hospitals and sick camps,

including employees sick in quarters 25,466

23,699 , 45,286

3,879 7,841 19,820 I 37,445

1.307 ' 9,148

21,127 46,593
29

Subsistence and Operating Expenses.

Hospitals. I Sick camps.

SUBSISTENCE EXPENSES. Number of days' rations issued to patients '. Total cost of rations issued to patients..

Cost of subsistence per patient per daj'^ .

OPERATING EXPENSES.

479. 682

.?1.31,985.68

SO. 275

Number of davs' relief furnished patients. 479, 682 Total cost of operation 8625, 401. 40 Cost per capita per daj- 81. 30 Total cost of operation, with amounts

received from outside patients de- ducted S527, 319. 68 Cost per capita per day with above de- duction I $1. 10 Total cost of dispensaries i $170, 040. 01

44, 104

.^11,810.26

SO. 268

44,104

§22. 269. 38 ?0.5C

S22. 269. 38

SO. 50

Total.

523. 780 $143,795.94

$0. 274

523, 786 S647,670.78

$1.24

$549. 589. 06 $1.05

Note.—This per capita cost includes all expenses of the hospitals except original construction and extensive repairs.

Average Number of Employees Constantly Sick During

THE Year in Hospitals, Sick Camps, and Quarters.

Hospitals.

White.

Ancon hospital - 1 265. 29 Colon hospital 69. 51 Culebra hospital -14 Palo Seco leper asylum

Taboga sanitarium 59. 78

Total. 394. 72

Black.

.341. 09

115.86

.28 1.04

458. 27

Total.

606.38

185.37

.42 1.04 59.78 852.99
30

Average Number of Employees Constantly Sick During

THE Year in Hospitals, Sick Camps, and Quarters—Con.

Sick camps. Sick in quarters.

White. Black. Total. White. Black. Total.

Ancon 8.23 1.94 10.17 2.35

1.82

1.42 .16 2.49

1.62

3. Cto 5.98 2.28

2.01 6.48

.28

1.14 .08

.12 3.40

0.01

.20

.03 .02

.03 .22

1.32

.24 .16

."79' .03

.01 .20

.14

.04

2.36 Balboa 2.02 Corozal .58 3.26

3. .35 2.30

3.41

2.07 3.90

5.74

1.47 2.95 2.20

.05' 2.82

2.16

.41 3.99

.13

.87 2.77

3.77

2.77 4.00

4.61 4.22

4.73

3.77 4.56

7.18

.11 .26 13.76

1.75 6.62

4.19

.20

1.45 6.03

7.12

5.07

7.41 6.68 8.12

10.47 5.24

7.51 9.38

.11

.31 16.58 3.91 7.03 8.18

.33

1.45 Miraflores Pedro Miguel

Faraiso Culebra Empire

Las Cascadas

.18 2.52

1.84 4.97

6.22

2.44 Bas Obispo 2.01 Gorgona San Pablo

7.27

.31 Tabernilla..

Frijoles

Bohio

Gatun

Gatun Spillway

1.15 .28 .26

3.44 Cristobal Porto Bello

13.06

1.63 .19

6.35

.01 .58

19.41

l.()4 Nombre de Dios .77 Total 49.02 72.08 121. 10 50.16 10.38 60.54

SUMMARY.

Hospitals. Sick camps.Quarters. Total.

Average number of employees sick

daily:

White 394. 72

458.27 49.02 50. 16 493.90 Black 72.08 10.38 540. 73 Total 852.99 121. 10 60. 54 1,034.63 Average number of employees sick

dailv, per thousand: White 33.85

12.91 4.202.03

4.30

.29 42.35 Black 15.23 Total 18.08 2.57 1.28 21.93
Outside Patients Treated in Hospitals and Amounts Collected FOR THEIR Treatment.

Patients for whom the Republic of Panama pays

75 cents per day

Patients for whom the Canal Zone government

pays 30 cents per day

Patients pajing 30 cents per day for themselves. .

Patients from the Republic of Panama paying

other prices Patients from the Canal Zone paying other prices

Patients from the Republic of Panama not paying

Patients from the Canal Zone not paying

Total

Number'

cases

treated.

2,107

408

1,170 917 2,356

483 2,107

Number

days'

relief.

9,548

59,349

9,575

13, 470 8,591

18,016 7,423 42,607

159,031

Amount.

$44,511.75

2, 872. 50

4,041.00

19, 485. 70

27, 170. 77

98,081.72

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

cases in above table. Surgical Operations Performed in Hospitals.

Abscess of lung

Accouchement force Adenectomy:

Axillary

Inguinal, single

Inguinal, double , Cervical Femoral

Inguinal and femoral Amputation:

Arm

Arm and leg Arm and both legs Breast Cervix

Digits Foot Hip

Leg

Legs, both, and thigh

Legs, both Leg and trephine •. Metacarpus

Metacarpus and metatarsus Thigh

Thigh, double

Number.

368

3125

193

12

2

1 10

" 1 60

3

4

192

2

112

16

3

Died.
32

Surgical Operations Performed in Hospitals—Contiuued.

Arthrectomy, knee

Arthrotomy, knee

Cholecystotomy

Cancer of breast (Halstead's)

Craniotomy

Castration

Curettage, uteri Curettage and trachelorrhaphy

Cystotomy, suprapubic

Endometfectomy

Excision: Adenoma of breast Breast Bunion (Mayo's operation)

Epithelioma of face Varicose veins

Fistula in ano

Fracture:

Patella, repaired Skull

Skull, trephine

Various, wired

Various, compound, wired

Hemorrhoids:

Clamp and ligature

Whitehead's operation

Herniotomy, inguinal:

Single

Double

Strangulated

And umbilical And femoral, double

Single, and varicocele

Single, and appendectomy

Double, and appendectomy

Double, and ventral

Single, and ventral Herniotomy:

Femoral

Ventral Hydrocele

Hydrocele:

Single

Double

Radical

Incision of abscess (septic pneumonia)

Laminectomy

Laminectomy, cervical Laparotomies:

Abscess of liver Abscess of liver, multiple, with peritonitis. .

Abscess, paranephritic

Abscess, pel vie Abscess, subphrenic, with general peritonitis

Appendectomy

Number. Died.

1

. 1

1

1 108

1002

1

1

37

54

179

14

17

1 3«

11 12

1 116

94

2

4928

1582

33

127

108

19

12

3

2

1

11

i3

1

I

i
33

Surgical Operations Performed in Hospitals—Continued.

Laparotomies—Continued

AppendectomyAcute gangrenous And round ligament suspension of uterus And salpingectomy

AV'ith pelvic peritonitis .[\\ And ovarian cystectomy

And localized peritonitis

" '

'

And nephropexy

And general peritonitis ' Appendecostomy [\ Carcinoma of colon ..........[[. Carcinoma of ovaries, peritoneum

Cecostomy

Cecostomy and ventral herniotomy

Cholelithiasis ""_ Cholecystectomy

Do '...'.'.'.'...'....'..[.[.[ Cholecystostomy, cholelithiasis, and choiecvstitis' ... . Cholecystitis, gangrenous

Cyst of liver, echinococcus Ectopic gestation

Enterorrhaphy

Exploratory. ." .\ . . . Exploratory

Abscess of liver Carcinoma

Hemorrhage .\\[ [ . Hepatic neoplasm ...\ ...[[[ Sarcoma

Stab wound

Gastro-enterostomy '...!! ^

' Hematoperitoneurn .^ ^ ^ Hysterectomy ! ! ! Hysterectomy—

' Supravaginal

With appendectomy .\.. ......[ Hysteromyomeotomy ........] Hysteromyomectomy, with appendectomy

Hypernephroma .' Intestinal obstruction .\ .......... Myomectomy

Nephrotomy .V... ...... ....... Oophorcystectomv, amputation of cervix, perineorrhaphy Ovariotomy

Ovariotomy and appendectomv

' " Perihepatitis, chronic ." Peritonitis

General appendix

Diverticulitis Rupture of intestine Tuberculous

General

General, stab wounds

Appendectomy and ventral herniotomv

' Chronic hemorrhagic ! Ghronic

Origin unloiown

Number.

3

23

4

7

2

4

144

2

132

13

2

2

11

1

1

Died.

8

1 i

1 1

2 i

1

12

12 i

114 1 24

13

1 i

1

13 i

15

12

4 2

12 2

3 1

3 1

1

1

1

1

1 _ 30613—10- -5
34

Surgical Operations Performed ix Hospitals—("(inliiuied.

Number.

Laparotomies—Continued.

Hcswtion. intestinal, for intussusception

f{ound ligament suspension of utenis

i^oun'l ligament suspension of uterus, appt^ndeptomy and

myomectomy

Rotind ligament suspensioTi of uterus, and salpiugwtomy.

Rupture of liver, traunuilic

.-^ tipingtclumy

Salpingectomy, doul)le Salpingo-oophorectoniy and appendectomy

Salpingo-ooporectoniy, appendectomy, tnwhelorrhaphy,

and perini'orrhaphy

Salpingo-oophorectomy

Sigmoidope xy

Stall wound

reriiieorrha])hy

J'erineorrhaphy and trachelorrhaphy

Perineoplasty ( llolden's operation)

J'lastic for severe injuries

Prolapsus rectum Removal of fragment of l)one from fractured femur

Re.section of knee. tul)ercular Resection of humerus

Res(>ct ion of metatarsals

Retroflexion of utenis Sarcoma of elbow

Shortening round ligaments

Skin graft Spina- l)itidia. meningomyelocele

Slriiture of urethra

Strieture of urethra and external urethrotomy

Tenorrhaphy

Thoracotomy, exploratory

Trailielorrhaphy

'I'rei)hine. c<'rel)(>llar tumor

Tuberculosis, cervical spine

Urethrotomy:

Internal '.. .

I 'er ineal \'aginal sections \aricocele

Varior.s other major operations

Various other iiiir.or operations Total

13

19

19

2

12

2

72

11

(i3

2

I4

1•)

1

1

1 39

I 25

1

1

I

.") 1

1

1532

3.S KM)

3. .>83

5. 067

Died.

73
35

OiKUATIOXS AND WoRK PERFORMED IN" EyE, EaR, XoSK, A N1> Throat Clinics.

Operations.

A (ipiiectoniy

Aileiiectoray and tonsillectomy

Adenectomy and tonsillotomy

Advancement of internal rectus Abscess of nasal septum

Ampu tation of uvula

Curetage of ear Cut throat treated Dilation of lachrj-mal stricture Drainage of: Antnim

Frontal sinus Maxillary sinus

• Sphenoid sinus Enucleation

Kvisceration Excision of alveolar process Excision of growth under tongue

Excision of Ij'mphoid angioma

Exploratory, mastoid

Expression for follicular conjimctivitis.

P'xpression for trachoma

Extraction of cataract

Cirattage Incision of: Abscess back of ear Abscess of nasal septum

Alveolar abscess

Peritonsillar abscess Nasal sinusitis Dacryocystitis

Furuncle, auditory meatus

Iridectomy

Killian's operation—frontal sinus Mastoid:

Radical, and ligation of jugular vein Simple

Radical

Needling cataract Snaring nasal polypoid tumor

Snaring tonsillar polj'poid tumor

Opening lachrymal tube Pterygium . .

.

". Pterygium, double

Paracentesis

Paracentesis of cornea

Paracentesis of membrana tympani

Plastic on: Ear

Eyelid Face Lip Nose

Plastic and skin graft Ptosis, operation for

1 Number.

1 Died.

459

17(i

12

1

1

1

1

5

3

14

19

11

1

1 70

210

1

1

3

, 12

13

222

1

1

ti

f)8

2

11 03

18

9

18

38

115

12

1
36

Operations and Work Performed in Eye, Ear. Nose, and

Throat Clinics—Continued.

Operations. Number. Died.

liemoval of: Bullet from jaw

Nasal spur

Nasal rhinolith Necrossed turblnal Necrossed vomer

Polyp

Retropharyngeal abscess Rolling operation for follicular conjunctivitis

Submucous resection of nasal septum

Submucous resection of spur of nose

Straightening of nose Tenotomy

Tonsillotomy

Tonsillectomy

Tonsillotomy and tonsillectomy

Trichiasis, double Turbinectomy

Various other minor operatiotis

Total Examination of school children Examination of employees for vision and hearing

Refractions Outside cases treated

509

219 1.902

10, 839

'Consolidated Ward Laboratory Report of ai-l Hospitals.

jilood examination.^ 20, 272

Estivo-autumnal 5, 395

TertianSingle 2. 184

Double (U

Mixed tertian and estivo-autumnal 120

Quartan 1 Lepra bacilli 1 Differential blood counts 1. 192

Leucocyte counts 1 , 862

Ry'il blood counts 77

Red and white blood counts 50

H(>m()n;lol)in estimations 1, 130

Fihiria 9

iSpirilla obermeierii 2 SpirochsDte of relapsing fever 1 Rlood cult ure.^ 15 Widals 33

(iuuiae and turpentine tests for invisible blood 55
37

Stool examinations 7, 667

Ascaris lunibricoides 370

Uncinaria ova 1, 319

Uncinaria worms 39

Trichocephalus dispar 999

Stiongvloides intestinalis 229

Tenia/. 9 Tenia saginata 2 Ameb^ 227

Ameba coli 13

Ameba dysenteria 15

Ciliated monads 271

Flagellated monads 10

Bilharzia 12

Pus and blood 764

Pus and epithelial cells 59

Balantidium coli 3

Tubercular bacilli 5 Lepra bacilli 1 Urine examinations 26, 366

Albumen 9, 251

Albumen and casts 4, 952

Sugar 38

Pus and blood 581

Gonococci ^ 5

Indican 4

Epithelium 148

Hemoglobin 10

Bile 2 Hyaline and gi'anular 1 Cylindroids 1 Diazo reactions 9

Microscopical examinations 412

Specific gra\'ity estimations 311

Urea estimations 20

Sputum examinations 1, 896

Tubercular bacilli 220

Pneumococci 8

Miscellaneous

Examinations of

Pleural effusions 9

Spinal fluid 14

Vaginal and m'ethral discharges 156

Chancre scrapings 1 Pus, blood, and tissue 259

Various smears and discharges 107
38

AX(T)X HOSPITAl.

Clas.^;.

Re- maining

.Ian. 1. Admitted.

i

s- ged. Tran

ferret

S1.

Re- maining Dec. 31.

W. B. W. B. w. B. W. B. w.

1.945

7103

32

B.

8

W.

244

BKlhmian Canal

f'ommis.sion omplovcfs 291 90? 0,855 0,9S1

241 2.027

1.300 408 241 371

41 172

57

4238

2

!

152 4.900

1 33 174

42- 1,200

81 237

23| 29

0,910

1.970 408

291

120

197 l^anama Railroad employees

Pay patients

Charity patients Insane patients

8 47 41 IS 9 27

20! 198

71 2

9

49 3420 218 Total 3(i9 582 8.741 10.019 94 331' 0.000 9,705 2,084 25 320 540

1 Average number of days' treatment per employee for the

year:

White

Black

13.54

13. 71

Total 13.64

Average number of employees constantly sick during the

vear: White 205. 29

Black 341. 09

Total 606. 38

Number of days' relief furnished patients 346, 260

Cost of subsistence per patieijj, per day $0. 248
39

Nationality.

Class. Number

treated.

Americans. Other nations.

Wliite. Blade. White. Kluck.

Isthmian Tanal Commission employees

Panam.a Railroad employees

Pay patients

Charity patients

Insane patients

14,419

2,323

1,887

651

431

2, 888

165

954

146

12

17

2

2

1

4, 258 7, 256

84 2,072

447 484

107 ; 397

49 370

Total 19, 711 4. 165 22 4, 945 10, 579

1 Operations.

(See report of all surgical operations.)

Laboratory Report.

(See consolidated ward laboratory report.)

COLON HOSPITAL.

Class^

Isthmian Canal Commission employees.

Panama Railroad em

ployees

Pay, "private

Pay, municipal

Zone, charity Total

Re- j maining Jan. 1.

W.

1 B.

01 51

8

l.i

.37 1

1711

9fi 114

Admitted. Died.

W.

1,402

.3f)(i 4.5H8

132

\V. B.

1.021' 58

Dis- charged.

I ReTrans- mainferred. ing Dec. 31.

W. AV. B. A\ . B

702 4 41

311! 12 41]

53i . . .

14

:'.09i 12 5(1

1, ISlj

290^ 427

12

112:

884 177

fi24 ro 200

40 212

3

71 1

1 ; 3 .

1 19 14

12102

10

733

2, .3901 44 2101 2.028; 2.032 240 35 14212,33 III '

I
40

Average number of days' treatment per employee for the

year:

White 14. 63

Black 26.12

Total - 20. 18

Average number of employees constantly sick during the

year:

^Vhite 69. 51

Black 115.86

Total - - 185. 37

Number of days' relief furnished all patients 95, 456

Cost of subsistence per patient per day $0. 263

Nationality.

Class. Number

treated.

1 Americans. | Other nations.

1

White. Black. White.

8 689

1 100

214

12

1 90

Black.

Isthmian Canal Commission employees

Panama Railroad employees

Pay, private

Pay, municipal

Zone, charity

2,535

1,104

789

83

459

774

274

257

1 49

1,064

729

318

70

319

Total 4,970 1,355 10 ' 1, 105

i

2, 500

Operations.

(See report of all surgical operations.)

Laboratory Report.

(See consolidated ward laboratory report.)
41

CULEBRA HOISFITAL.

Class.

Re- maining

Jan. 1. Admitted. Died. Dis- Transcharged, ferred. Re- maining

Dec. 31.

w. B. W.] B. W.|B.

I W. B. W. B. W. B.

Employees 1

1 '4'

1 4 11 70 ;192 74 203

1 .... 32

364

4

173 I

3 1 1 Nonemployees 14 4 . 7 Total 2 4

' 5 67 177 4 17 5 8

1 Average number of days' treatment per employee for the

year: ^ White 13.25

Black 10.20

Total 11. 07

Average number of employees constantly sick during the

year:

\Miite 0. 14

Black 0. 28

Total 0. 42

Number of days' relief furnished all patients. 2, 997

Cost of subsistence per patient per day $0. 247

Nationality.

Class. Number

treated.

Americans Other nations.

White. Black. White. Black.

Employees 16 267 5 1 11 Nonemployees

19 3 52 1 193 Total.... : 283 19 3 57 ; 204

Operations.

(See report of all surgical operations.)

Laboratory Report.

(See consolidated ward laboratory report.)
42

PALO SECO LEPER ASYLUM,

Class.

^^ ' Ad- maining ^^j+i^^ Jan. 1 ^^t^^^-

1

Died. Dis- charged. Transferred. Re- maining

Dec. 31.

W. B. W. B. W. B. W. B. W. B. W. B.

Employees 7

79

23

4 2

32

7

....

1

1 Pay cases 18422

1

1

....

1 21 Charity cases 11 Total .... 1 .... 4 .... 33

Average number of days' treatment per employee for the

year, black 63. 17 Average number of employees constantly sick during the

year, black 1. 04

Number of days' relief furnished all patients 9, 883

Cost of subsistence per patient per day $0. 287

Nationality.

Class. Number

treated.

Other nations.

White. Black.

Employees 72G

13

i' 7 Pay patients 25 Charity patients .... 13 Total 46 1 45
43

TABOGA SANITARIUM.

Class. Remaining

Jan. 1. Admitmitted.

Dis- charged. Transferred. Remaining Dec. 31.

Employees 70

9 2,706

a^7 2,703

661

16 57 Families of employees 5 Total 79 3. 3fi3 3,364 16 62

Average number of days' treatment per employee for the

year ." 8. 02

Average number of employees constantlv sick during the

year f 59. 78

Number of days' relief furnished all patients 25, 086

Cost of subsistence per patient per day $0. 713

Nationality.

Class. Number

treated.

Employees

Families of employees.

Total

2,776

666

3,442

Americans.

1,855 628

Other

nations.

92138

2.483 959

Note.—No colored patients treated at Taboga Sanitarium.

SANTO TOMAS HOSPITAL.

Class. Remaining

Jan. 1. Admitted. Died. Dis- charged.

Remaining Dec. 31.

Pay patients 26

208

1,231 4,10913 273 1,230 3,82414 Charity patients 220 Total 234 5,340 286 5,054 234

Average number of days' treatment per patient 15. 18

Average number of patients constantly sick 222. 02

Number of days' relief furnished patients 81, 038

Cost of subsistence per patient per day $0. 36
4-4 SANTO TOMAS HOSPITAL—Continued.

Nationality.

Class. Number

treated.

Other nations.

White. Black.

Pay patients 1,257 4,317

239 1,018 Charity patients 900 3,417 Total 5,574 1 139 4 435

Operations.

Major.

Minor.

Number.

Total 1, 810

Dispensary.

Died.

636 ; 18 1,174 I 18

Class.

Natives

Foreigners.

White.

220

161

Black.

813

93

Total.

1,033

254

Total. 381 906 1,287
45

ANCON DISPENSARY, SICK CAMP, AND EMPLOYEES SICK

IN QUARTERS.

DISPENSARY.

Class. White. Black. Total.

Employees ; 11,670 ! 10,181 21,851

Nonemployees 1,769. 1,243 3,012

Total 13,439

SICK CAMP.

11,424 ! 24,863

Remaining January 1. , Admitted j 1, 299

Discharged I 1, 237

Transferred

Remaining December 31

Average number constantly sick

Average number of days' treatment per

patient

Number of days' relief

! 7

1

J 1, 299 459

' 1, 237 449

61 7 8 3

8.23 1.94

2.32 1.56

3,005 710 :

EMPLOYEES SICK IN QUARTERS.

Days excused for quarters

New patients excused for quarters

Average number constantly sick

Average number of days' treatment per

patient

860

359

2.35

3

1 0.01

2.39 3.00

7 1,758

1,686

68

• 11

10.17

2.12

3, 715

863

360

2.36

2.40
4:6

BALBOA DISPENSARY, AND EMPLOYEES SICK IN

QUARTERS.

DISPENSARY.

Class. White. Black.

Employees 12, 650 15, 183

Nonemployees , 1,265 734

Total.

Total 13, 915

27, 833

1,999

15,917 29,832

EMPLOYEES SICK IN QUARTERS.

Days excused for quarters

New patients excused for quarters. . .

Average number constantly sick

Average number of days' treatment per

patient

734

472

2.02

1.56

COROZAL DISPENSARY, SICK CAMP, AND EMPLOYEES

SICK IN QUARTERS.

DISPENSARY

Class. White. Black. Total.

Employees

Nonemployees.

"' 7,921

2,108

5, 356

595

13, 277

2, 703

Total 10, 029 5,951 15, 980

SICK C.VMP.

Admitted

Discharged

Transferred

Remaining December 31

Average number constantly sick | 0. 58

Average number of days' treatment per

patient

Number of days' relief furnished

' 116 125

85 98

30 27

1 1

1 0.58 0.87

1. 85 2.54

213 317

i

241

183

57

1 1.45

2. 21 530
47

(^OROZAL DISPENSARY, SICK CAMP, AND EMPLOYEES

SICK IN QUARTERS—Continued.

EMPLOYEES SICK IN QUARTERS.

Class.

Days excused for quarters

New patients excused for quarters

Averasje number constantly sick Averao-e number of days' treatment per

patient

White.

1 Black. I

518 13

256 7 1.42 0. 03

, 2.02 1.86

Total.

531

263

1.45

2.02

MIRAFLORES DISPENSARY, SICK CAMP, AND EMPLOYEES SICK IN QUARTERS.

DISPENSARY.

Class. White. Black. Total. Employees 7,956

232

6,527

308

14, 483

540 Nonemployees

Total 8,188 6,835 15, 023

SICK CAMP.

Remaining January 1 .«.

Admitted .' Discharged

Transferred

Remaining December 31

Average number constantly sick 3. 26

Average number of days' treatment per

patient ' 2. 11 Number of days' relief furnished i 1, 191

4

563

464

101

9

487

407

77

3

2.77

2.09

1,010

4 1,050

871

178

5 6.03

2.10

2,201

EMPLOYEES SICK IN QUARTERS.

Days excused for quarters

New patients excused for quarters

Average number constantly sick

Average number of day^" ti-eatment per

patient

58

: 44

0. 16

6

6

0.02

1.32 1.00 '

64

50

0. 18

1.28
48

PEDRO MIGUEL DISPENSARY, SICK CAMP, AND EMPLOYEES SICK IN QUARTERS.

DISPENSARY.

Class. White. , Black. Total.

Employees i 9,205 7,767 16,972

Nonemployees I 1, 478 802 2, 280

Total I 10, 683 8, 569 19, 252

SICK CAMP.

Remainiiig January 1 Admitted

Discharged

Transferred

Remaining December 31

Average number constantly sick

Average number of days' treatment per

patient

Number of davs' relief furnished

1 3

383 468

316 391

65 73

3 7 3.35 3.77

3.21 2.98

1,223 1,385

4

851

707

138

• 10

7.12

3.08

2,608

EMPLOYEES SICK IN QUARTERS.

Days excused for quarters

New patients excused for quarters

Average number constantly sick

Average number of days' treatment per

patient

910 13

392 4

2.49 .03

2.32 3.25

923

396

2.52

2.33
49

PARAISO DISPENSARY, SICK CAMP, AND EMPLOYEES

SICK IN QUARTERS.

DISPENSARY.

Class. White. Black. Total.

Employees

Nonemployees

5, 834

2,037

4,898

1,403

10, 732

3,440

Total 7,871 6,301 14, 172

SICK CAMP.

Remaining January 1 Admitted

Died

Discharged

Transferred

Remaining December 31

Average number constantly sick

Average number of days' treatment per

patient

Number of days' relief furnished

2 4

293 370

1 3

240 306

54 63

2

2.30 2.77

2.85 2.72

839 1,011

6

663

4

546

117

2

5.07

2.77

1,850

EMPLOYEES SICK IN QUARTERS.

Days excused for quarters

New patients excused for quarters

Average number constantly sick

Average number of days' treatment per

patient

592 82

243 45

1.62 . 22

2.44 1.82

674

288

1.84

2.34
50

CULEBRA DISPENSARY, SICK CAMP, AND EMPLOYEES

SICK IN QUARTERS.

DISPENSARY.

Class. White. Black. Total.

Employees 28, 451

9,451

27, 088

6,323

55, 539

Nonemployees 15, 774

Total 37, 902 33, 411 71,313

SICK CAMP.

Remaining January 1 Admitted

Died , Discharged ! 312

Transferred j 186

Remaining December 31 , 1 Average number constantly sick I 3. 41

Average number of days' treatment per

} patient | 2. 50

Number of days' relief furnished i 1, 244

2.19

2,702

EMPLOYEES SICK IN QUARTERS.

Days excused for quarters

New patients excused for quarters

Average number constantly sick

Average number of days' treatment per

patient

1,815

740

4.97

2.45
51

EMPIRE DISPENSARY, SICK CAMP, AND EMPLOYEES

SICK IN QUARTERS.

DISPENSARY.

Class. White. Black, Total.

Employees 20, 141

6,578

17, 500

3,858

37 641

Nonemplovees 10, 436

Total 26, 719 21, 358 48, 077

SICK CAMP.

Remaining January 1 Admitted

Discharged

Transferred

Remaining December 31

Average number constantly sick

Average number of days' treatment per

patient

Number of days' relief furnished

218

1711

47

2.07

3.47

756

2

589

399

184

8

4.61

2.88

1,683

EMPLOYEES SICK IN QUARTERS.

Days excused for quarters ....... New patients excused for quarters

Average number constantly sick

Average number of days' treatment per

patient

2

807

570

231

8

6.68

3.04

2,439
52

LAS CASCADAS DISPENSARY, SICK CAMP, AND

EMPLOYEES SICK IN QUARTERS.

DISPENSARY.

Class.

Employees

Nonemployees

TotaL...

White. Black. Total.

12,555 i 8,850 21,405

5,103 3,528 8,631

17,658 , 12,378 - 30,036

SICK CAMP.

Remaining January 1 Admitted

Died • Discharged

Transferred

Remaining December 31

Average number constantly sick 3. 90

Average number of days' treatment per

patient

Number of days' relief furnished

6 3

519 521

1 2 367 379

154 139

3 4

3.90 4. 22

2.73 2.97

1,424 1,542

1

9

1,040

3 746

293

7 8.12

2.85

2,966

EMPLOYEES SICK IN QUARTERS.

Days' excused for quarters

New patients excused for quarters

Average number constantly sick

Average number of days' treatment per

patient

890

301

2.44

2.96
• 53

BAS OBISPO DISPENSARY, SICK CAMP, AND

EMPLOYEES SICK IN QUARTERS.

DISPENSARY.

Class. White. Black. Total.

Employees 19, 809

2,424

14, 631

1,487

34, 440

Nonemployees 3,911 '.

Total 22, 233 16, 118 38,351

SICK CAMP.

Remaining January 1 Admitted

Died

Discharged

Transferred

Remaining December 31

Average number constantly sick

Average number of days' treatment per

patient

Number of days' relief furnished

17 6

891 635

1 1 702 544

203 91

2 5

5.74 4.73

2.31 2.71

2,094 1,726

23

1,526

2

1,246

294

7 10.47

2.48

3,820

EMPLOYEES SICK IN QUARTERS.

Days excused for quarters

New patients excused for quarters

Average number constantly sick

Average number of days' treatment per

patient

734

251

2.01

2.92

734

251

2.01

2.92
54

GORGONA DISPENSARY, SICK CAMP, AND EMPLOYEES

SICK IN QUARTEB-S.

DISPENSARY.

Class. White. Black. Tptal.

Employees

Nonemployees

21,312 16,103 1 37,415

6,726 2,739 9,465

Total 28,038 18,842 | 46,880

SICK CAMP.

Remaining January 1 Admitted

Discharged

Transferred

Average number constantly sick

Average number of days' treatment per

patient

Number of days' relief furnished

1 1 7 213 461

148 339

' 66 129 i L47 3.77 i 2.51 2.94

537

I 1,377

EMPLOYEES SICK IN QUARTERS.

Days excused for quarters 2, 364

New patients excused for quarters 938

Average number constantly sick 6. 48

Average number of days' treatment per

patient 2. 52

8

674

487

195

5.24

2.81

1,914

2,652

1,008

2.63
55

SAN PABLO DISPENSARY, SICK CAMP, AND EMPLOYEES IN SICK QUARTERS.

DISPENSARY.

Class. White. Black. Total.

Employees 5,730

225

5,666

393

11, 896

Nonemployees 618

Total 5,955 6,059 12, 014

SICK CAMP.

Remaining January 1 Admitted

Discharged

Transferred

Remaining December 31

Average number constantly sick

Average number of days' treatment per

patient

Number of days' relief furnished

3

1 8 1 442 585

326 423 ; 118 158

1 12

2.95 4.56

2.43 2.86

1,078 1,663

11

1,027

749

276

13

7.51

2.67

2,741

EMPLOYEES SICK IN QUARTERS.

Days excused for quarters

New patients excused for quarters

Average number constantly sick

Average number of days' treatment per

patient

101 12

50 7 0.28 0.03

2.02 1.71

113

57

0.31

1.98
56

TABERNILLA DISPENSARY, SICK CAMP, AND EMPLOYEES SICK IN QUARTERS. L^^^fetl^

DISPENSARY.

Class. White. Black. Total.

Employees

1 7,302 ; 1,214 ; 6,650

1,163

13, 952

Nonemployees . , 2,377

Total 8,516 7,813 16, 329

SICK CAMP.

Remaining January 1 Admitted

Discharged

Transferred

Remaining December 31

Average number constantly sick

Average number of days' treatment per

patient

Number of days' relief furnished

3

303 797

234 636

64 160

5 4

2.20 7.18

2.70 3.29

804 2, 6] 9

3

1,100

870

224

9

9.38

3.13

3,423

EMPLOYEES SICK IN QUARTERS.

Days excused for quarters

New patients excused for quarters

Average number constantly sick

Average number of days' treatment per

patient

415

137

1.14

3

1 0.01

3.03 3.00

418

138

1.15

3.03
57

FRIJOLES DISPENSARY, SICK CAMP, AND EMPLOYEES

SICK IN QUARTERS.

DISPENSARY.

Class. White. Black. Total.

Employees

Nonemployees.

1,134

16

1 6,057 , 22

7, 191

38

Total...- 1, 150 6,079 7,229

SICK CAMP.

Admitted j 26

Discharged j 12

Transferred i 10

Remaining December 31 ; 4

Average number constantly sick j 0. 11

Average number of days' treatment per

patient j 1. 82

Number of days' relief furnished 40 !

26

12

10

4

0.11

1.82

40

EMPLOYEES SICK IN QUARTERS.

Days excused for quarters

New patients excused for quarters

Average number constantly sick

Average number of days' treatment per

patient

29 72

21 58

0.08 0.20

1.38 1.24

101

79

0.28

1.28
58

BOHIO DISPENSARY, SICK CAMP, AND EMPLOYEES

SICK IN QUARTERS.

dispp:nsary.

Class. White. Black. Total.

Employees

Nonemployees.

799 i 4,354

225 : 1,023

Total 1 , 024 5, 377

I I SICK C^MP.

Admitted

Discharged

Transferred

Remaining December 31

Average number constantly sick,

Average number of days' treatment per

patient

Number of days' relief furnished

12 90

4 43

8 45

2 0.05 0.26

1.58 1.08

19 95

5,153

1,24a

6,401

102

47

53

2

0.31

1.14

114

EMPLOYEES SICK IN QUARTERS

Days excused for quarters

New patients excused for quarters

Average number constantly sick

Average number of day.>^' treatment per

patient

42 50

19 29

0.12 0.14

2.21 1.72

92

48

0.26

1.92
59

GATUN DISPENSARY, SICK CAMP, AND EMPLOYEES

SICK IN QUARTERS.

DISPENSARY.

Class. White. Black. Total.

Employees 17, 992

3,072

29, 635

941

47 627

Nonemployeep 4 013

Total 21, 064 30, 576 51, 640

SICK CAMP.

517

Remaining January 1 Admitted

Died : Discharged 262

Transferred 251

Remaining December 31 4

Average number constantly sick 2. 82

Average number of days' treatment per

patient 2. 00

Number of days' relief furnished 1, 028

1 14

3,205

1 1,341

1,858

19

13.76

1.57 ' 5,021

14

3,722

1 1,603

2,109

23

16.58

1.63

6,049

EMPLOYEES SICK IN QUARTERS.

Days excused for quarters 1, 240

New patients excused for quarters 620

Average number constantly sick 3. 40

Average number of days' treatment per

patient 2, 00

1,254

623

3.44

2.01
60

GATUN SPILLWAY DISPENSARY AND SICK CAMP.

DISPENSARY.

Class. White. Black. Total.

Employees 3,930 3,218 7,148

Total 3,930 3,218 7,148

SICK CAMP.

Admitted 380

245

135

2.16

2.07

787

295

198

97

1.75

2.17

640

675

Discharged 443

Transferred 232

Average number constantly sick

Average number of days' treatment per

patient

3.91

2.11

1,427

CRISTOBAL DISPENSARY, SICK CAMP, AND EMPLOYEES

SICK IN QUARTERS.

DISPENSARY.

Class. . White, Black. Total.

Employees

Nonemployees

19, 152

5,108

16. 989

3; 068

36, 141

8,176

Total 24, 260 20, 057 44, 317

SICK CAMP.

Remaining January 1 Admitted

Discharged

Transferred

Remaining December 31

Average number constantly sick

Average number of days' treatment per

patient

Number of days' relief furnished

6 9

769 826

537 590

228 235

10 10

6.62 7.03

3.16 3.11

2,418 2,567
61

CRISTOBAL DISPENSARY, SICK CAMP, AND EMPLOYEES

SICK IN QUARTERS—Continued.

EMPLOYEES SICK IN QUARTERS.

Class.

Days excused for quarters

New patients excused for quarters

Average number constantly sick

Average number of days' treatment per

patient

White. Black.

4,768 2,319

1,843 784

13.06 6.35

2.59 2.96

Total.

7,087

2,627

19.41

2.70

PORTO BELLO DISPENSARY, SICK CAMP, AND EMPLOYEES SICK IN QUARTERS.

DISPENSARY.

Class. W^ite. Black. Total.

Employees

Nonemployees.

6,663

431

7,023

231

13, 686

662

Total.... 7,094 7,254 14, 348

SICK CAMP.

Remaining January 1 4

Admitted- 341

Died 1 Discharged 274

Transferred I 62

Remaining December 31 j 8

Average number constantly sick 3. 99

Average number of days' treatment per

patient 4. 32

Number of days' relief furnished , 1, 457

6

783

2

617

158

12

8.18

3.85

2,988
62

PORTO BELLO DISPENSARY, SICK CAMP, AND EMPLOYEES SICK IN QUARTERS—Continued.

EMPLOYEES SICK IN QUARTERS.

Class.

Days excused for quarters

New patients excused for quarters

Average number constantly sick

Average number of days' treatment per

patient

White. Black.

595

277

1.63

j 2.15

2

2 0.01

1.00

Total.

597

279

1.64

2.14

NOMBRE DE DIOS DISPENSARY, SICK CAMP, AND

EMPLOYEES SICK IN QUARTERS.

DISPENSARY.

Class. White. Black.

271

155

Total.

Employees 114

24

385

Nonemployees. 179

Total.... 138 426 564

SICK CAMP.

Admitted

Discharged

Remaining December 31 Average number constantly sick

Average number of days' troatmmt per

patient i 4. 00

Number of davs' relief furnished 4

5

4

1 0.20

1.80

6 EMPLOYEES SICK IN Ql'AirrKRS.

Days excused for quarters (i New patients excused for quarters 4 Average number constantly sick 0. 1!) Average number of days' treatment {>er

patient i 1. 50

6

5

1 0.33

3.00

10

1810

0.58

24

14 0.77

1.80 1.71

Note.—Nombre de Dios dispensary and sick camp established December 1 , 1909.
63

BOARD OF HEALTH LABORATORY.

Bacteriological examinations:

Municipal water supplies 193

Water from

Springs 11

Condensers 226

The Colon Steam Bottling Works 3

Tank carts 58

Creeks 7 Reservoirs and rivers 74

Demijohns and filters 37

Ice plant, Colon 1 Gatun storage tank , 1 Mess hall at Gatun 1 Coolers at Gatun 3

Ancon filter 1 Blood cultures 425

Throat cultures (diphtheria suspects) 189

Nose cultures (diphtheria suspects) 1 Cultiu-es from autopsies 24

Cultures from conjunctiva 5

Stools 325

Urine 368

Sputum 21

Pus 37

Testicle 1 Bile 1 Hydrocele fluid 2 Kneejoint fluid 6

Gall-bladder fluid 1 Spleen pulp 1 Spinal fluid 1 Surgical tissue 1 Various smears and specimens 45

Kola champagne and soda water 2 Catgut sutures 1 Glanders suspect 1 Milk for tubercular bacilli 1 Soil for B. coli 12

"Tuberculo-kill " for telephone mouthpiece 1 Bacteriological and microscopical examination of urine

1 Determinations:

Carbon dioxide in air of wards 7 Manganese in drillings of steam-shovel parts 2 Alkalinity in condensed and tap water 2 Chlorine content in water 126

B. coli, using lactose bile 85
64

Examinations:

Dogs, rabies suspects (post-mortems) 24

Calves (post-mortems) 9

Rabbits (post-mortems) 21

Rats (post-mortems) 32

Monkey (post-mortem) 1 Goat (post-mortem) 1 Leper suspects 23

Quinine and urea 5 Typhoid-fever carrier suspect 1 Chemical examinations:

Candy 1 Cementing material 2 Crude carbolic acid 4

Crude oil 3

Fermented cane sirup 1 Gasoline 1 Ham , for preservatives 1 Hatchet, for blood stains 1 Iron clay 1 Lard 1 Liquid from Palo Seco 1 Liquid from alcalde of Panama 1 Metal , babbitt 1 Milk, Blue-label brand 1 Mother's milk 4

Methyl alcohol 6

Lignites 3

'

' Pynamine " 1 Paint 5

Rum 4 Stomach contents 13

Sand from Panama beach 1 Urine 2

Vanilla extract 1 Water, reservoir 50

Wood alcohol 43

Agglutination reactions 79

Autopsies 285

Medico-legal post-mortems 6

Sections of tissue prepared (paraffin) 8, 248

Sections of tissue prepared (frozen) 103

Surgical pathological tissue and neoplasms reported 122

Bodies embalmed 59

Preventive treatment for hydrophobia completed 11

Sanitary analyses of water 114

Toxicological examination 1 Qualitative analysis of cylinder oil 1 Microscopical examinations of water 86
65

ISSUES OF QUININE.

Months.

January..

February

March

April. . .

May.

June

July

August

September.

October

November.

December.

230. 555

60. 100

221. 200

29. 805

16. 061

172. 552

54. 675

87. 600

184. 600

61. 675

46. 225

262. 900

Total

Average per month

1, 427. 948

118. 995

Pounds avoir- dupois.

508. 281

132. 496

487. 658

65. 708

35. 408

380. 408

120. 537

193. 123

406. 969

135. 968

101. 907

579. 590

3, 148. 053

262. 337

SANITATION—PANAMA.

Anopheles brigade

Linear feet of ditches cleaned 2, 075, 810

Linear feet of ditches dug 5, 650

Square feet of weeds and grass cut and removed 1, 961, 395

Cesspools cleaned 264

Loads of refuse removed from the city 3, 932

Disinfection brigade:

Houses disinfected and fumigated

For beriberi 24

For diphtheria 4

For hemoglobinuric fever 1

For typhoid fever 1

For blackwater fever 1 For pernicious fever 71

For tuberculosis 84

Number of cubic feet disinfected and fumigated 4, 902, 700

Houses fumigated for chicken pox 9

Material used

Alcohol, wood gallons.

53

Axle grease pounds. 10

Brooms. number.

24

Bichloride of mercury pounds.

15

Chloride of lime do 2, 697
66

Material used—Continued.

Crude oil barrelt^ .

17, 500

Flour do 5

Kerosene oil gallons.

338

Larvacide do 1, 495

Matches packages.

82

Mops number.

24

Nails pounds.

47

Newspapers bundles. 17 Paper, manila rolls.

1 Pyrethrum pounds. 523

Sulphur do 3, 860

Sulphur, flowers of barrels.

3

Tacks papers .

64

Destruction of dogs:

Number of dogs poisoned 673

Strychnine used grams .

144

Beef used pounds. 62

Destruction of rats

Number of rats eaught and killed 17, 004

Average number of rat traps in use 347

Poison used boxes.341

Bread used pounds. 362

Cheese used do 412

Sausage used do 160

Inspection of houses and yards:

Houses with no water connection. times inspected .

1, 026

Houses with no sewer connection do 971

Traps in yards not connected with sewer do 385

Water-closets, bad condition do. . .716

Houses with no water-closets do 855

Houses with open cesspool closets do. . .

95

Yards with bad drainage do 928

Houses and yards inspected 32, 860

Houses and yards found in good condition 29, 197

Persons notified to keep premises in good condition

1, 641

Yards not cemented 965

Persons warned for having mosquito larvae on premises 665

Places where mosq^uito larvae were found 667

Number of inspection reports of defective sewer and

water connections forwarded to superintendent

of public works 10

New buildings: Number of plans submitted to health

officer and approved 335
67

SANITATION—COLON.

[Including Cristobal and Mount Hope.]

Medical inspection:

Number of cases reported by medical inspectors 110

Number of cases inspected 110

Number of cases sent to hospital 69

Water and sewers: Number of connections made during the year 90

Total number of connections made to date 546

Number of houses remaining to be connected 8

Number of outstanding permits 23

Houses:

Plans approved 77

Permits to repair' issued 202

Permit-^ to occupy issued 48

Temporary permits to occupy issued 17

Number of houses in which defective plumbing fix- tures were found and reported to the superintendent of public works 1 , 181

Sanitation of Colon:

Number of loads of yard garbage removed 2, 164

Average number of cans of garbage removed daily.

3, 433

Number of

Acres of vegetation removed • 460

Acres of streets cleaned 2, 622

Acres of streets sprinkled 416

Private properties cleaned 2, 284

Square vards of pools oiled 60, 612

Crab holes oiled 7, 600

Crab holes worked 224, 220

Mosquito-breeding places found 2, 776

Dogs killed 66

Rats killed 7, 284

Horses cremated 22

Water receptacles treated 1, 319, 514

Linear feet of ditches constructed 25, 250

Cubic yards of ditches constructed 6, 554

Linear feet of ditches maintained 366, 528

Notices to abate nuisances served 4, 677

Number of nuisances abated 3, 617

Sanitation of Cristobal:

Number of

Square yards of pools oiled 22, 851

Water receptacles treated 129, 210

Mosquito-breeding places found 398

Crab holes worked 43, 200

Linear feet of ditches maintained 2, 467

Linear feet of ditches constructed 15
68

Sanitation of Mount Hope:

Number of

Square yards of pools oiled 53, 658

Water receptacles treated 118. 895

Linear feet of ditches maintained 155, 414

Crab holes worked 73, 229

Mosquito-breedins; places found 1, 741

Linear feet of ditches constructed 2, 265

Cubic feet of fumigation 1 56, 400

Mount Hope cemetery maintained.

SANITATION—BOCAS DEL TORO.

General cleaning:

Square yards of streets cleaned 10, 300

Linear yards of water front cleaned 1, 700

Yards cleaned 254

Yards inspected 1, 400

Houses inspected • 1, 020

Barrels of garbage removed 42, 880

Loads of garbage removed 701

Loads of old lumber removed 91

Loads of sand carted 303

Loads of grass removed 32

Persons notified to keep yard in sanitary condition. 255

Persons warned for breeding mosquitoes 108

Persons fined for breeding mosquitoes 20

Persons fined for other sanitary violations 7 Nuisances reported 48

Nuisances abated 15

Plans for closets approA'ed 2 Mosquito brigade:

Square yards of s\vam)> filled 90

Square yards of swamp drained 6, 960

Cubic yards of sand used 1 19 Square yards of pools oiled 900

Square yards of grass cut and burned 340

Linear feet of drain made 991

Linear feet of drain cleaned 690

Roof gutters repaired 43

Water receptacles overturned 554

Breeding places found in barrels, tubs, etc 158

Catch basins of sewers oiled 36

Welle oiled 34

Wells filled 8

Wells re-covered 2

Barrels covered 883

Barrel covers made 863
69

Mosquito brigade—Continued.

Barrels repaired 920

Barrels broken up 56

Barrels overturned 74

Barrels supplied with spigots 663

Tanks screened and repaired 286

Tanks cleaned ^ 3 Tanks oiled 2

Tanks covered 4

Minimum number of men at work for one day 7 Maximum number of men at work for one day 16

Average number of men at work for one day 14

Material used

Spigots number.

453

Copper cloth (screening) rolls.

18. 4 Wire netting (^-inch) do 10. 6

Mosquito oil barrels .

8

Lumber square feet. . 2, 200

Tacks, copper pounds.

80

Staples, wire do 27

Nails, wire kegs.

3. 25

Solder pounds.

4

Acid, muriatic ounces.

4

Turpentine gallons .

3

Scrubbing brushes... 1 number.. 2 J^OTE.—This office was closed March 27, 1909.

QUARANTINE SERVICE.

Panama-Ancon and Colon-Cristobal.

Number of vessels inspected and passed 1, 000' Number of vessels passed on certificate of medical officer (Pacific Squadron) 8

Number of: Vessels detained in quarantine 17

Vessels fumigated on arrival 45

Vessels fumigated prior to sailing 19

Pieces of baggage disinfected 2, 833

Crew inspected 75, 275

Crew not examined (Pacific Squadron) 7, 500

Passengers inspected 54, 439

Total number of persons inspected 129, 714

Number of persons vaccinated at ports of arrival because

of compulsory-vaccination law 13, 674

Number of persons vaccinated at ports of departure or en

route because of compulsory-vaccination law 16, 180
70

Number of persons held in quarantine at the detention

stations to complete period of incubation of yellow fever

and plague 4. 799

Number of persons detained at quarantine stations to complete period of incubation of smallpox 15

Number of persons held under observation on board vessels to complete period of incubation ^of yellow fever

and plague 8, 023

Number of persons held in quarantine on board vessels to complete period of incubation of smallpox 66

Total number of persons held under observation 12, 903

Number of persons landed from foreign ports:

Cabin 18, 930

Steerage 22, 851

41, 781

Number of persons embarked for foreign ports:

Cabin 15, 316

Steerage 13, 445

28, 761

Apparent increase for the year from foreign ports

Cabin 3, 614

Steerage 9, 406

13, 020

Number of persons arriving from coast towns on small

craft 23, 799

Number of persons embarked for coast towns on small

craft 19, 002

Apparent increase for the year from coast towns 4, 797

Number of: Immigrants recommended for rejection 75

Certificates issued to outgoing passengers 413

Persons refused certificates because of trachoma 26

Bills of health viseed 478

(circulars relative to malaria distributed 2, 900

Total number of persons landed 65, 580

Total number of persons embarked 47, 763

Total apparent increase for the year 17, 817

BOCAS DEL TORO.

Number of vessels inspected and passed 453

Number of crew inspected 10, 059

Number of passengers inspected 4, 861

Number of persons held to complete period of incubation

of vellow fever 60
71

PERSONNEL REPORT.

[Average number of employees at work during the year.]

Chief sanitary office 33

Property division 9

Quarantine service 35

Health office: Panama 55

Colon 95

Director of hospitals 31

Ancon hospital 509

Colon hospital .* 125

Santos Tomas hospital 5

Taboga sanitarium 26

Palo Seco leper asylum 11

Zone sanitation 189

Dispensaries:

Ancon 4

Balboa 4

Bas Obispo 10

Bohio 4 Corozal 3

Cristobal 9

Culebra 14

Empire 11

Gatun 15

Gorgona 9

Las Cascadas 8

Miraflores 4

Nombre de Dios 3

Paraiso 6

Pedro Miguel 5

Porto Bello 4

San Pablo 4

Tabernilla 4

Total 1, 244
72

Hospital Cases op Malaria Among Employees.

Months

Discharged. Died.

Total

cases.

Annual

average

per 1,000 of deaths.

Annual

average Number

W. B. W. B. Total. per 1,000 of cases.

of employees.

January

February. .

March

April

May

June

July

August

September .

October

November.

December. .

688

505 369

241

271 275 326

296

329

329

371 325

564

343

293 292

313

467

619

611 634 740

485

443

6I

2

1

1

1

14

....

1

12

1

r

35

I

6

44

2

1

1

12

753

4

1,258 852

666

535 585

743 946

909

970

1,074 859 772

1.69

1.11 1.09

.52 .26

.25

.26

.48 1.72

1.18 .68

.99

354 236

182

139

149 188 247

222 238

254

196

191

42,607

43,267

43,825

46,221 46,974

47, 493 45,875

49,020

48,888

50,641 52,643

48,544 Total

4,325 5,804 22 18 40 10, 169 .85 215 47,167

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