REPORT

OF THE

DEPARTMENT OF SANITATION

OF THE

ISTHMIAN CANAL COMMISSION

FOR THE

YEAR 1911

W. C. GORGAS

Colonel, Medical Corps, United States Army

Chief Sanitary Officer, Ancon, Canal Zone

614.0966

WASHINGTON

1912
UNIVERSITY

OF FLORIDA

LIBRARY

Digitized by tine Internet Arciiive

in 2010 witin funding from

Lyrasis IVIembers and Sloan Foundation

http://www.archive.org/details/annualreportofis1911isth
REPORT

OF THE

DEPARTMENT OF SANITATION

OF THE

ISTHMIAN CANAL COMMISSION

FOR THE

YEAR 1911

)^ *, <3oloael. Medical' Cot'p^/ Usited 'States 'Ai'my

" " Cblef Sanitary Officer, Ancon, Caoal Zone

WASHINGTON

1913

CONTENTS.

Page. Letter of transmittal 5

Vital statistics: Deaths of employees of the Isthmian Canal Commission

and Panama Railroad 7 Deaths in the cities of Panama and Colon and the Canal

Zone 7 Deaths, by age, color, and sex 8

Deaths, by nationality 8

Causes of deaths of employees of the Isthmian Canal

Commission and Panama Railroad Co 10

Deaths of white employees of the Isthmian Canal Commission and the Panama Railroad Co. from the United

States 12

Deaths of white women and children from the United

States 14

Death rate among Americans on the Isthmus 16

Causes and places of deaths of employees and civil population ^ 16

Discharges and deaths of employees in hospitals of the

commission 22

Consolidated hospital report 27

Consolidated sick-camp report 28

Consolidated report of employees sick in quarters 28

Consolidated hospital, sick-camp, and sick-in-quarters report. 29

Consolidated dispensary report 29

Average number of employees constantly sick in hospitals,

sick camps, and quarters 30

Average number of days' treatment per employee in hospitals, sick camps, and quarters 31

Subsistence and operating expenses 31

Outside patients treated in hospitals and amounts collected

for their treatment 32

Surgical operations performed in hospitals 32

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

Cuelbra Hospital 40

Palo Seco Leper Asylum 41

Taboga Sanitarium 41

Santo Tomas Hospital 42

Board of health laboratory 43

Issues of quinine 45

(3)

>^:lct<^
Sanitation: ?ag«.

Panama 45

Colon (including Cristobal, Mount Hope, and Toro

Point) 46

Canal Zone 48

Quarantine service:

Panama-Ancon and Colon-Cristobal 48

Bocas del Toro 49

Personnel report 49

Hospital cases of malaria among employees 50
LETTER OF TRANSMITTAL.

Isthmian Canal Commission,

Department of Sanitation,

Ancon, Canal Zone, January 27, 1912.

Chairman and Chief Engineer,

Isthmian Canal Commission,

Culehra, Canal Zone.

Sir: I have the honor to submit the following report of the

department of sanitation for the calendar year 1911.

Figures as to health conditions during the past year, as compared

with those for other years since 1904, are shown below:

Number of employees.

1904 6,213

1905 - 16. 512

1906 ' 26, 547

1907 39,238

1908 43,891

1909 1 47,167

1910 ' 50,802

1911 48,876

Deaths. Rate.

82

427

1,105

1,131

571

502

558

539

13.26

25.86

41.73

28.74

13.01

10.64

10.98

11.02

The death rate among our white employees from the United

States from disease was 2.82 per thousand, while the total death

rate was 5.14 as against 5.76 per thousand in 1910. If we include

American women and children, it will raise the death rate of Americans from disease to 4.48. Including in the above figures

the officers and men of the Tenth Infantry and Marines and their

famines, the death rate from disease is lowered to 2.36 per thousand. The death rate from disease in our Army for the calendar

year 1910 was 2.44 per thousand.

Taking special diseases, the deaths among our employees have

been:

1905 1906 1907 1908 1909 1910 1911

Typhoid fever Dysentery

Pneumonia

12

149586

42

69 413 233

98

48 328

154

19

1693

73

138

7052

13

217350

10

1394 Malaria 47

(5)
The increase in the deaths from pneumonia over that of last year

occurred almost exclusively among colored laborers brought to the zone from the West Indies during the year, as was the case in 1906

when an epidemic of the disease prevailed.

The improved conditions as regards deaths from malaria among

our employees continue, and the same is true of the admission rate

to our hospitals, as is shown by the following table:

Per thousand. 1904 125

1905 514

1906 821

1907 424

1908 282

1909 215

1910 187

1911 184

Deaths among our employees from the other principal diseases were as follows: Abscess of liver, 8; nephritis, acute and chronic,

39, and from all forms of tuberculosis, 54; leaving 109 deaths

among employees from all other diseases and 165 deaths from

external violence. . Considering the death rate of the total population, including the.

cities of Panama and Colon and the Canal Zone, we find the rates

for the different years to be as follows:

Rate. 1905 49.94

1906 48.37

1907 33.63

1908 24.83

1909 18.19

1910 - 21.18

1911 '• 21.46

One case of bubonic plague of the septicemic variety, from

Guayaquil died at Ancon Hospital, on October 17. The case was

interesting in that it revealed no external lesions of the disease,

and was diagnosed at autopsy from smears taken from the spleen

and femoral glands.

With this exception no cases of yellow fever, plague, or smallpox

occurred on the Isthmus during the year. Very respectfullv,

W. C. GORGAS,

Chief Sanitari/ Officer.
ANNUAL REPORT

OF THE

DEPAHTMEM OF SAMTATIOX, ISTHMIAN CANAL COMMISSION,

FOR THE YEAR 1911.

VITAL STATISTICS.

Deaths of E^rpLOYEEs of the Isthmian Canal Commission and

Panama Railroad Co.

Aver- Total number of deaths Annual death rate per

"age from— , 1,000— num- i Color. berof ' .f^- Dis- Vioees

^^'^- lence.

1 j All ' Dis- Vio- All

causes, ease. lence. : causes.

White

1 12.251 72 ' 51

'

1 123 .1.88 4.16 1 10.04 Colored 36.625 302 114 ^ 416 ' 8.25 3.11 11.36 Total 48,876 i 374 165 539 7.65 3.38 1 11.02

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

Zone.

] 'laces. Population. Deaths. Annual average

per 1,000.

Panama 46, 555

Colon i 19,947

Canal Zone ' 90, 434

1,456

527

1,385

31.27

26.42

15. 32

Total 156,936 3, 368 21.46

Note.—The figures relating to the number of employees are compiled from the pay rolls of the different months of the year. The population and deaths as given for the cities of Panama,

Colon, and the Canal Zone include employees and civil population.

Total admissions of employees to hospitals and sick camps

including those sick in quarters 43, 816

Average per 1,000 of admissions of employees to hospitals and .sick camps, including those sick in quarters 896

28839—12- (7)
8

Deaths by Age, Color and Sex.

White. Colored. Yellow. Total.

Age.

"cS

.Si35E

ft.

Total. Male.

Female. "3 03s

"3

'0 S is,

Under IJyear

1 to 4 years

82

25

18

617960

199

S

58

176

10

1615

6

3

444

1 "2

1 140 486 375

42 144 120

7 1 17 20

18 98 56

77 I 421 177 94 257 124

66 : 165 76

22 87 43

13 45 21 10 14 13 6:2 5 2' 1 1 1 1 9 35 7

861 ^S

lc4 598

3Si 241 130

66

27

72

1 42

3 1 4 571 I 434

109 i 137

IS 32

107 66

491 I 193 350 139 233 S3

108 1 46

55 1 25

22 17 4 9

1,005

306

5 to lO" years

11 to 20 years

21 to 30 years

31 to 40 years

41 to 50 years

51 to 00 rears

61 to 70 years

71 to SO years

81 to 90 years

50

19

148

2

12

... ...

19

149

2

12

173 684

489

316

15480

39

13 91 to 100 years...! 1

1 1 44 9

4 lOrto 110 years.. Unknown

Total

17 2

"2' 253

361 146 507 1,772 1.045 2.817 42 2 44 2.175 Il,193

1 3.368

Deaths by Nationality.

i:inployees. , Nonemploy- ^^j^j

Antigua 15

Australia

Austria

Bahama Islands 1 BarbadoH ! 40

Belgium

Bolivia

Canada

Chile . 1 China

Colombia I'i

( 'o.-)ta Rica

Cuba 1 Curacao

Demerara 7 Denmark

Domir.ica

Ecuador 1 England

Fortune Island.-^ i "^ I*>an( c i Germany

Greece 7 Grenada 7

14

1 29

1

3

4 •3 4! 41 128 , 144

11 11

') ()

10

10

IS

1 [() 2!)
Deaths by Nationality—Continued.

Employees. Nonemployees. Total.

Guadeloupe 14 17

13

1

11 12

588

1 56

4

11

i'8

31

Guiaiici, Uritish 1 Haiti ;.. 3 6

Hondura:? 1 India 1 Ireland 1 Ital V 7 111 jy

Jamaica

Japan

(599

] Martinique

Mexico

28

15

1

84

5 Montserrat 16

Nassau 1 Nevis 1 Nicaracrua 2oIS

1

10

Norway 2 Panama 1, 351

10

3

1

1

] 369

Peru 11

Porto Rico 3

4 5

Russia 1 1 1

St. Croix 14

45

6

3

63

2

223

1

St. Kitts 6

7 10

St. Lucia. 52

St. Thomas 6

St. Vincent

Spain

6

60

9 123

Syria 2 SM'itzerland 2 Trinidad 9

1 32

Turks Island 1 Turkey 1 45

3

217

1 United States 32

Venezuela

West Indies 1

1 3

Unkno'wn... 18

Total 539 2. 829 3. 368
10

Causes of Death of Employees of the Isthmian Canal

Commission and Panama Railroad.

Causes of death. White.

Disease.

Alcoholism, acute and chronic.

Aneurism

Angina pectoris

Apoplexy

Appendicitis

Brain, softening of Cancer and other malignant

tumors of buccal cavity

Cancer and other malignant

tumors of stomach and liver. .

.

Cancer of organs not specified . .

.

Dysentery

Dysentery:

Amebic

Clinical

Diarrhea and enteritis

Embolism and thrombosis

Empyema

Epilepsy

Endocarditis, acute

Fever:

Hemoglobinuric

Malaria

Malaria, cachexia

Malaria, estivo autumnal

Typhoid

Gastritis, acute

Heart, organic disease of Hemorrhages, other

Hernia, strangulated

Infection of unknown origin

Leuchemia, lymphatic

Liver:

Abscess of Cirrhosis of Disease of Lungs:

Abscess of Gangrene of Measles

Meningitis:

Pneumococcus

Tuberculous

Simple

Nephritis:

Acute

Chronic

13

1

12

2

Colored.

2

1

3

2

1 15

8

1 10

11

4

22

529

Total.

4

4

2

2

9

2

1

12

1

16

3

1 27

10

1 14

1

11

1

8

2

1

12

1

4

2

2

6

33
11

Causes of Death of Employees of the Isthmian Canal

("OMMissiON AND PANAMA Railroad—Continued.

Causes of death. White. Colored.

Disease—Continued

.

Other diseases of the digestive

system

j Other diseases of the kidneys { and adnexa I Other forms of mental alienation.

;

Other nonvenereal diseases of i the male genital organs \ Pericarditis

Phlebitis

Peritonitis, simple I Pleurisy

Pneumonia

Pneumonia, lobar

Pupura hemorrhagica

Pyemia

Pyemia and septicemia, pneu

mococcic

Pyelonephrosis I Septicemia

Septicemia, purulent infection | and ' Spleen, disease of i Stomach, disease of : Stricture of urethra ' Syphilis ' Tetanus

Tuberculosis:

Abdominal

Disseminated

Genito-urinary organs

Miliary

Pulmonary

Ulcer, duodenal

Undiagnosed

1 i.

Violence.

Accidental traumatisms, various.

Burns and scalds

Drowning, accidental

Dynamite explosions

Electric shock

Homicides

Injuries by animals

Lightning

Poisonings, acute

Total.

2

2

12

1

13

382

14

2

1

5

1

11

12

2 25

1223

2

6

16

2 20

11

23

12

1

3

2

12

1

13

3

91

15

2

1

1

6

1

1

1

12

225

13

23

26

22

225

19

4

6

12i
12

Causes of Death of Employees of the Isthmian (anal

Commission and Panama Railroad—Continued.

Causes of death. White. Colored. Total.

Violence—Continued

.

Railroad accidents

Suicides

Other external violence

23

2

2

53

12

76

3

4

Total 123 416 539

Deaths of White Employees from the United States, 1911.

JANUARY.

Name. l^ivision.

1

1 Time on

! Isthmus.

1

Age. Cmisr' of death.

Alleman, L. H Central division... < 2 years 48 Traumatism by

Frank, Ed\^^n E Atlantic division.. 9J months. 27

fall. Suicidal drownLogan, A. C

White, Louis R

Panama R. R. Co.

Atlantic division .

.

4 years

5 years

50

35

ing. Carcmoma of gall bladder and

ducts. Railroad traumatism.

FEBRUARY.

Allison, E. H.. Day, Henry C

.

La Rue, Alex.

Transportation de-, ^ years . .

.

partment. | Atlantic di^^sion . . ! 39 months.

1 McClintic-Marshall' 17 days

Co. i

50 I Chronic nephritis.

37 ; Aortic ijisufTicicni ^y27 Railroad traumatism.

MARCH.

Cleary, J. R

Hobrough, John M.

Marcotte, Henry J.

Mechanical divi- | 5 months..

sion. Atlantic division. . 3i months.

do ' 22 months.

24

23

44

Railroad traumatism. Other cxtenial vi- olence. 'rrauinatism by

machine.

APRIL.

Notte, John S. Panama R. R. Co. 6 years 42 Pyemia.
13

Deaths of Whitk Employees from the United States, 1911- CoDtiuued.

MAY.

Xanie. Division. 'I'irae on

Isthmus.

i Age.; Cause of (ioath.

Harlow, James B

O'Neill, Ambrose

Senofield, R. H

Allanlic division .

.

Fire department...

Pacific division . .

.

5 years

10 months.

7 months..

36 Chronic nephritis. 34 Accidental drowning. 25 ; Acute nephritis.

JUNE.

Dennis, L. R. Atlaiitic division . . 7 years ' 41 Hemoglobinuric

fever.

JULY.

Brown, John F Transportation

Elsey, John T Atlantic division

.

Penny, H. H Central di\ision .

.

2 years, 11 55 Railroad trauma- months, tism.

5 years 38

' Hemoglobinuric

j fever. 6 years 65 Acute alcoholism.

AUGUST.

Blair, J. C Pacific division I IJ years. Caldwell , G. A Department of san- 7i years

.

itation. I McArthur, Semore Mechanical divi- 5 years i 49

; sion. i

"

!

Traumatism by

fall. Abscess of liver. Chronic nephritis.

SEPTEMBER.

Alton, Steven M.

Clayton, V>'. E... Coe, Henry P

Ci^-il administration. Atlantic di\nsion.14 months.

4 years . .

.

do I 9 months.

41

I Septicemia.

45 ! Disease of the di-

[ gestive system.

49 I Hemoglobinuric

1 fever. OCTOBER.

West, C. B Central division

.

NOVEMBER.

6 years 44 Chronic nephritis.

Benion, H. G

McEvers, Edward

Mechanical division. do

1 year, 4 months.

2 years

5 years

32

4337

Malarial fever,

E. A. Traumatism by

machines.

Suicide bycutting instnmaent.

Turrell, Joseph Municipal engineering division.
14

Deaths of White Employees from the United States, 1911- Continued.

DECEMBER.

Name. Division I lino on

Isthmus. Age.^ Cav.si' of death.

Des Londes, Oscar ' Paiiama R . R . Co. Treadwell, Edward F. . Pacific division. .

.

2 years ! 34 Electric shock.

7 ir.onths.. 24 Traumatism in mines and quarWallendorfT, Joseph Central division... 7 years i, 40 Hepatic abscess

I

j (amoebic).

Deaths of White Women* and Children from the L'nited

States, 1911

.

JANUARY.

Name. Time on »

„

Isthmus. ^^^• Cause of death.

Milford (infant) ] 1 day 1 day Premature birth. FEBRUARY

Petre, Mrs. Margaret.

Strobridgo, Lavinia..

. Organic heart disoase.

.! Mitral stenosis and

[ ciencv.

insufTiMARCH.

Calahan, Mrs. Margaret. 9 months.. 81 years . .

.

Chronic nephritis.

Clark, Mrs. E. B ....do 22 years . .

.

HyjX'rcmesis gra\ idarum.

Gibson, Mrs. Lillie 4 years 32 years . .

.

Lobar pneumonia.

Hartson. Mildred . .•: 7 months.

.

3 years Broncho- pneumonia.

McGraw, Mrs. D 3.\ years . .

.

2.^ hours. .

.

27 yeais . .

.

Eclampsia.

Melbourne (infant) 2.', hours... Premature birtli. Shacklcton. Mrs. Wm... li months.. 41 years... Incomplete' abortion. MAY

Holland, Duiiii-l 1 month...' 12 years. Septicemia.

JUNE.

Collins, Harry.. Groves (infant). Kent, Mary

(> daj's... 10 hours.

3i years.

(i days...

10 hours.

15 years.

Melena neonatorium. Premature birth. Pernicious malaria (cerebral).
15

Deaths of White Women and Children from the United

States, 1911 —Continued.

JULY.

Name. Time on

Isthmus. Age. Cause of death.

Drake, Grace Pearl Flemmmg, Harry Wm.

.

Kelly, Hannah

2 years

8 months..

13 months.

1 year

18 months.

30 years...

8 months..

1 yr.,1 mo.

59 years . .

.

1J years...

Malaria fever, E. A. Simple meningitis. Acute dysentery.

Otis,^ Amelia Malaria fever, E. A.

Verner, Robert Laryngeal diphtheria.

AUGUST.

Denst, Frank 2 years

2 months.

.

20 days

Burns by hot water. Sommers, Frederick Swain, John

2 months.

.

20 days. . . Malnutrition. Broncho-pneumonia.

SEPTEMBER.

Boyd, Elizabeth M

Fensterraacher, Jack

Edwin.

Grier, Robert

6 years

4 days

2 years

4 months..

2daj'3

32 years...

4 days

4i years . .

.

4 months..

2 days

5 years

Carcinoma, disseminated.

Intestinal obstruction. Accidental drowning.

Johnson, Phyllis Travella. Pickett (infant )Meningitis.

Meningeal hemorrhage.

Thompson, Mar{:;aret Malaria fever, E. A.

OCTOBER.

Nigg, Mary 15 months. 1 1 years . .

.

General peritonitis.

" NOV^EMBER.

Cecil, Mrs. H. E

Gelme (infant)

IS months.

1 day

44 years . .

.

1 day

Carcinoma of gall bladder. Premature birth.

DECEMBER.

HoUin, Ivy Violet 15 months. 15 months. Disease of lymphatic system.

288.39—12 3
16

Death Rate Among Americans on the Isthmus.

Average number of white employees from the Uuited States,

6,025: Disease Violence

All causes. Average number of white women and children from the United States, 4,464: Disease Violence

All causes

.

Average number of white emplovees and their families from

the United States, 10,489: Disease Violence

All causes

.

Total number of Americans on the Canal Zone, 11,854: Disease Violence

All causes.

Number

of deaths.

Annual

average

per 1,000.

1714 2.82 2.32

31 5.14

30

2 6.72

.45

32 7.17

47

16 4.48

1.53

63 6.01

7

5 2.36

1.69

12 4.05

1 The figures representing the total number of Americans on the Canal Zone

include employees and their families and the otlicers and men of the Tenth Infantry

and Marines and their families. The deaths shown under this heading are for tl e

last three months of llie year only.

Causes and Places of Death of Employees and Civil

Population.

Diseases.

I. General diseases. Typhoid fever Malaria

Malaria fever: Estivo-autumnal.

.

Tertian Cachexia

Hemoglobinuria fever. Measles Whooping cough

Diphtheria and croup.

Influenza Dysentery

Amebic

Bacillary

Clinical Leprosy

Ancon

Hospital.

Colon Hospital.

21

Pana- ma.

110

Colon. Zone.

19 77

14

Total.

15 210

G9

15

26

9

3

114

28

72

18

1
17

Causes and Places of Death of Employees and Civil

Population—Continued

.

Diseases.

I. General diseases—Contd.

Ancon Colon

Hospi- Hospital, tal.

Erysipelas

Yaws .- Purulent infection and septicemia

Pyemia I Septicemia ! Pyemia and septicemia, pneu-

| mococcic Tetanus

Pellagra , Beriberi Tuberculosis of the lungs | Acute miliary tuberculosis Tuberculosis meningitis ; Abdominal tuberculosis

| White swellings i Tuberculosis of the— i Larynx 1 Skin

Lymph glands

Genito-urinary organs I Tuberculosis of other organs. .

.

Disseminated tuberculosis Rickets

Syphilis B. Secondary

C. Tertiary/. D. Hereditary Cancer and other malignant

tumors: Of the buccal cavity

Of the stomach and liver. .

.

Of the female genital or- gans Of the breast Of the skin Of other organs and of or- gans not specified

Tumor of brain Other tumors (tumors of the

female genital organs ex- cepted) Acute articular rheumatism...

Arthritis deformans

Leukemia lymphatic

Anemia, chlorosis Anemia, primary, pernicious..

Alcoholism (acute or chronic).

Alcoholism, acute

Alcoholic psychosis

142

4

11

Pana- ma.

374

26

II. Diseases of the nervous sys- tem and of the organs of special

sense. Encephalitis

Simple meningitis Pneumococcus meningitis . .

.

Acute anterior poliomyelitis.

22

10

13

Colon. Zone. Total.

10

740

173 21

1

1322

42

108

134

1720

41 285

17

3. 12

1

1

12

2

1 63

26

149

316

9

11

14

1

14

1

1

1320

14

3

325

10

1
18

Causes and Places of Death of Employees and Civil

Population—Continued

.

Diseases.

II. Diseases of the nervous sys- tem and of the organs of special scnst—Continued

.

Other diseases of the spinal coi d

Cerebral hemorrhage, apoplexy

Softening of the brain

Paralysis without specified cause Other forms of mental aliena- tion Epilepsy

Convulsions (nonpuerperal) . .

.

Convulsions of infants Neurasthenia

Other diseases of the nervous system

Ancon

Hospital.

III. Diseases of the circulatory system.

Pericarditis Acute endocarditis Malignant endocarditis Organic disease of the heart Angina pectoris

Aneurism

Arteriosclerosis Embolism, thrombosis

Phlebitis Other diseases of the lymphatic

system

Purpura hemorrhagica

Other hemorrhages; other dis- eases of the circulatory sys- tem

IV. Diseases of the respiratory system. Laryngitis

Other diseases of the larynx

Diseases of the thyreoid body.

.

Acute bronchitis Chronic bronchitis lironcho-pneumonia

Pneumonia (unqualified)

Lobar pneumonia

Pleurisy

Empyema

Pulmonary congestion, pulmonary apoplexy

Oangrene of the lungs

Asthma

Pulmonary emphysema

Abscess of lungs

Other diseases of the respira- tory system (tuberculosis ex- cepted)

Colon

Hospital.

10

1 73

3

1

Pana- ma.

Colon.

33

229

472

112

1

Zone. Total.

11

1

19

1 35

23

16

2

374

10

4

7

4

21

1

6

32

1 91

58

15

5

1

12

12

1

11 69

13 10098

1328

2

18

46

12
19

Causes and Places of Death of Employees and Civil

Population—Continued.

Diseases. Ancon

Hospital.

Colon

Hospital. Pana- ma.

Colon. Zone. Total.

V. Diseases of the digestive sys- tem. Stomatitis 2 1 1 11 Other diseases of the mouth

and annexa 1

i 1

"> Ulcer of the stomach 1 1 Acute gastritis 1 3 3 11 2

2

4 Chronic gastritis 2 Acute indigestion 1

3 26936

1 4 Other diseases of the stomach

(cancer excepted) 1

152

4

.^Ql Diarrhea and enteritis (under 2 years) 10

2

1

394

58 Diarrhea and enteritis (2 years and over) 4 48 Ankylostomiasis 6 7 Ascariasis 3 3 Other intestinal parasites 12

33

4

2

12 Appendicitis and typhlitis 2 4

1 9 Hernias, intestinal obstructions! 1 5 Intestinal obstruction 42

g Other diseases of the intestines. Duodenal ulcer

122

1 7

3 Acute yellow atrophy of the

liver 1 17

4

i

1

1 2 Cirrhosis of the liver Abscess of liver (unqualified) .

.

2 112

1

1

22

5 Amoebic abscess of the liver. .

.

11 13 Cholecystitis 1 Jaundice i - - - 14 2

1 4 Other diseases of the liver Abscess of spleen

2

1 71 Other diseases of the spleen 1

5

1

937

3

14 4

1

4

3 Simple peritonitis (nonpuerperal) 2

1

444

4

5

19 Other diseases of the digestive

system (cancer and tuberculosis excepted) 9 VI. Nonvenereal diseases of tJie genito-urinary system and ad- nexa. Acute nephritis 12

59

2 7 34 Bright's disease (chronic nephritis) 11 24 175 Pyelonephrosis 1 8 Other diseases of the kidney

and adnexa.

.

5 Cystitis 1 1 Stricture of the urethra .

.

1 1 Vesieo-vaginal fistula 1

11

2

1

1

2

1 Other diseases of the urethra,

urinary abscess, etc 1 2 Hypertrophj' of prostate 1 Other nonvenereal diseases of the male genital organs 2 4 Uterine tumor (noncancerous) 1 Other diseases of the uterus 1 Salpingitis and other diseases

of the female genital organs.

.

1 3
20

Causes and Places of Death of Employees axd Civil

Population—Continued

.

Diseases. AnconHospital.

Colon Hospital. Pana- ma.

Colon. Zone. Total.

VII. The puerperal state. Accidents of pregnancy 2 2

'4 Hypereraesis gravidarum 12

1 Abortion 2 Puerperal hemorrhage 1

13

4

1

1 Other accidents of labor 1 2 Puerperal septicemia 15 4

1 2

1 10 Eclampsia 2 13 Following childbirth (not otherwise defined)

6

VIII. Diseases of the skin and of

the cellular tissue. Gangrene 1 4 Acute abscess 2 2 Elephantiasis 1 1 IX. Diseases of the bones and of

the organs of locomotion. Osteomyelitis 1 1 X. Malformations. Congenital malformations (still- birth not included) 1

10

21

10

11

1 XI. Diseases of early infancy.

Congenital debility, icterus, and

sclerema Premature birth

4

12

4

75

5

19

4

8

21

34

38

1884

6

2

10

7182 Other diseases i)eculiar to early infancJ' 2 43 Malnutrition 9 130 Lack of care 6 Accidents at birth 1

3

3 XII. Old age.

Senility 12

1

25 XIII. Affections produced by ex- ternal causes. Suicide by hanging or strangulation 1 Suicide by drowning 42

1

4 Suicide by firearms 4 2 8

Suicide by cutting or piercing

instruments 1 Other acute poisonings 1 1 Conflagration 1 i' 36

2

1 Burns ^conflagration excepted)

Accidental drowning

4 3 8

135 42 Traumatism by firearms 5 Traumatism by cutting or piercing instruments 16

1 Traumatism bv fall 5 1 i 4 17
21

Causes and Places of Death of Employees and Civil

Population—Continued

.

Diseases. Ancon

Hospital.

Colon

Hospital. Pana- ma.

Colon. Zone. Total.

XIII. Affections produced by ex- ternal caMscs—Continued.

Traumatism in mines and

5

2

26

1

3

2

11

12

7

50

20 Traumatism by machines

Traumatism by other crushings (vehicles, railroads, land-

<3li(ip*5 pto ")

1

1

12

88

1 2 2

i3

3

13 Electricity (lightning excepted) 1

1

1

4

1

2

2 Homicide by cutting or piercin2[ instruments 2 1

1 5

1

12

1

10

11

1 1 1 4

12

1 3 Other external violence XIV. Ill-defined diseases.

1

1

132 1 4

2

2 Cause of death not si)ecifled or

ill-defined 16

4 3

62

Infections of undetermined ori- gin

9

Total 578

4 353

19 1,355 288

154 1 55

794

110 3,368

Stillbirths 342 Grand total 582 372 1,509 343 904 3,710

Note —The deaths occurring in Ancon and Colon Hospitals resulting from ill- ness iniui-v, or other cases admitted from the cities of Panama and Colon, or from

the Canal Zone, are in the table of vital statistics, credited to the places from whence

they were admitted.
22

Table Showing Discharges and Deaths of Employees in

THE Hospitals of the Isthmian Canal Commission, from

ALL Causes, for the Year 1911.

Diseases.

I. General diseases. Typhoid fever Relapsing fever Malaria fever: Estivo-autumiial

.

Tertian Quartan

Mixed

Undetermined

Clinical Cachexia

Hemoglobinuric fever. Vacciaia

Measles.

Dis- charged.

Diphtheria and croup.

Influenza Dysentery

Dysentery:

Amebic

Bacillary

Clinical Leprosy

Erysipelas

Chicken pox

Mumps

Yaws.

Other epidemic diseases , Purulent infection and septicemia

.

Pyemia

Pyemia and septicemia, pneumococcic

Tetanus

Pellagra Tuberculosis of the lungs Acute miliary tuberculosis Tuberculous meningitis

Abdominal tuberculosis

Pott's disease White swellings Tuberculosis of the

Bones and joints

Skm

Lyrnph glands

Genito-urhiary organs Other organs Disseminated tuberculosis Syphilis A. Primary

B. Secondary

C. Tertiary D. Hereditary

E. Period not stated

Soft chancre

Adenitis chancroidal Gonococcus infection Gonorrhea

Gonorrheal arthritis Gonorrheal ophthalmia

Cancer and other malignant tumors of the

Buccal cavity

Stomach and. liver Peritoneum, intestines, rectum

58

4

Died.

10

26
23

Table' Showing Discharges and Deaths of Employees in

THE Hospitals of the Isthmian Canal Commission, from

ALL Causes, for the Year 1911 —Continued.

Diseases.

I. General diseases—Continued. Cancer and other malignant tumors of the —

Skin ; Other organs and of organs not specified

Other tumors (tumors of the female genital organs excepted)

.

Acute articular rheumatism

Chronic rheumatism and gout

Gout

Arthritis deformans

Muscular rheumatism

Diabetes

Exophthalmic goiter

Leuchemia, lymphatic

Anemia:

Chlorosis Primarj% pernicious

Alcoholism (acute or chronic).

Alcoholism acute

Alcoholic psychosis

Morphinism

Other chronic poisonings

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

Cerebral hemorrhage, apoplexy

Softening of the brain

Paralysis without specified cause Other forms of mental alienation Epilepsy

Hysteria

Neuralgia

Neuritis Neurasthenia

Other diseases of the nervous system

Follicular conjunctivitis

Trachoma

Other diseases of the eye and its adnexa

Diseases of the ear

III. Diseases of the circulatory system.

Pericarditis Acute endocarditis Organic disease of the heart Angina pectoris

Aneurism

Arteriosclerosis Other diseases of the arteries Embolism, thrombosis

Hemorrhoids

Varices

Varicocele

Phlebitis Other diseases of the veins Lymph adenitis (nonvenereal)

Other diseases of the lymphatic system

Pupura hemorrhagica

Other hemorrhages; other diseases of the circulatory system

.

28839—12 4

Dis- charged.

154324

13

12

54

4

1

Died.

132722

14

35

83 15437

25

3 668 217

2

530

12

7

1

131

2145

9

3 10365

12

2

2

11
9_t

Table Showing Discharges and Deaths of Employees in

THE Hospitals of the Isthmian Canal Commission, from

all Causes, for the Year 1911—Continued.

Diseases.

IV'. Diseases of the respiratory system. Inflammation of accessory nasal sinuses Myiasis of nasal fossa" and sinuses '. Other diseases of nasal fossae Laryngitis

Diseases of the thyroid body

Acute bronchitis Chronic bronchitis Broncho-pneumonia

Lobar pneumonia

Pleurisy

Empyema

Pulmonary congestion, pulmonary apoplexy

Gangrene of the lungs

Asthma

Pulmonary emphysema

Abscess of lungs

Other diseases of the respiratory system (tuberculosis excepted). V. Diseases of the digestive system. Diseases of the teeth and gums

Stomatitis Other diseases of the mouth and annexa

Pharyngitis

Follicular tonsillitis Other diseases of the pharnyx

Foreign body in the oesophagus

Stricture of the oesophagus

Other diseases of the oesophagus

Ulcer of the stomach

Gastroectasis Acute gastritis Chronic gastritis Acute indigestion

Other diseases of the stomach (cancer excepted)

.

Diarrhea and enteritis (two j'^ears and over)

Ankylostomiasis

Ascaridiasis Tapeworm

Strongyloides

Other intestinal parasites

A ppendicitis and typhUtis

Hernias, intestinarobstructions Inguinal hernia Other hernias

Intestinal obstructions Diseases of the anus and fecal fistulas Other disea.ses of the intestines Duodenal ulcer

Bilharziosis Cirrhosis of the liver Biliary calculi Abscess of liver (unqualified)

Amebic abscess of the liver Cholecystitis

Jaundice

Other diseases of the liver Other diseases of the spleen

168

14 265

9

348

125162

17

310

41228

9

3
25

Table Showing Discharges and Deaths of Employees in

THE Hospitals of the Isthmian Canal Commission, from

all Causes, for the Year 1911—Continued.

Diseases. Dis- charged.

V. Diseases of the digestive system—Continned. \ Simple peritonitis (nonpuerperal) 16 Other diseases of the digestive system (cancer and tuberculosis excepted) 6 VI. Nonvenereal diseases of the gcnito-urinary system and annexa. Acute nephritis 8 Bright 's disease (chronic nephritis) 101 Movable kidney 1 Pyelonephrosis 2 Other diseases of the kidnej' and annexa 14 Calcuh of the urinary passages 13 Diseases of the bladder 6 Cystitis 27

Stricture of the urethra 55 Other diseases of the urethra, urinary abscess, etc 47 Acute prostatitis 4 Chronic prostatitis 1 AbsQtss of tlie prostate 1 Other diseases of the prostate 1 Hydrocele 80 Chylocele 6 Other nonvenereal diseases of the male genital organs 101 Uterine tumor (noncancerous) 1 Metritis 2 Other diseases of the uterus 4

Salpingitis and other diseases of the female genital organs 3 Nonpuerperal diseases of the breast (cancer excepted) 2 Benign tumor of breast 1 VII. The puerperal state. Normal labor 1 Hyperemesis gravidarum 1 Abortion 1 VIII. Diseases of the sMn and of the cellular tissue. Furuncle 103 Carbuncle 19 Acute abscess 152 Phlegmon 34 Scabies 5 Other diseases of the skin and annexa 509 Pemphigus contagiosus 1 Mycetoma 1 FilarJa medinensis 1 Elephantiasis 8 Dhobie itch 30 Ulcer of the skin 163 Tropical ulcer 6 Ainhum 1 Impetigo contagiosa 3 Urticaria 3 IX. Diseases of the bones and of the organs of locomotion. Caries (nontuberculous) 7 Mastoid abscess 4 Osteomyelitis 10

Died.

4

28
26

Table Showing Discharges and Deaths of Employees in

THE Hospital op the Isthmian Canal Commission, from

ALL Causes, for the Year 1911—Continued.

Diseases.

IX. Diseases of the bones and of the organs of locomotion—Con.

Periostitis Other diseases of the bones (tuberculosis excepted)

Ankylosis

Arthritis Synovitis

Other diseases of the joints (tuberculosis and rheumatism ex- cepted)

Amputations

Other diseases of the organs of locomotion X. Malformations. Congenital malformations (stillbirth not included). XII. Old age. Senility

.

XIII. Affections produced by external causes. Poisoning by food Venomous bites and stings

Snake bites Other acute poisonings Burns (conflagration excepted)

Absorption of deleterious gases (conflagration excepted).

Traumatism by

Firearms

Cutting or piercing instruments

Fall Mines and quarries ,. Machines

Other crushings (vehicles, railroads, landslides, etc.). Ihjurits by animals

Overexertion

Lightning

Electricity (lightning excepted)

Homicide by cutting or piercing instruments

Homicide by other means

Dislocations Sprains

Fractures (cause not specified)

Other external violence XIV. Ill-defined diseases.

Ill-definod organic diseases Cause of death or disease not specified or ill-defined

.

No disease, feigned disease

Infections of undetermined origin Total

Dis- charged.

29

128

86

51

4112 128

134

11 140

1

15 502

124

2,1()5 187 371

112

7

22,564

Died.
27

Consolidated Hospital Report.

Hospitals.

Remaining

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

Re- maining Dec.

31.

W. C. W. C. W. C. W. C. w. C. \V. C.

Ancon Hospital.

Employees 247

83

31

294

68

?ri7

8,281 2,302

21

9,632

1,798

241

58 223 5,900

2,201

13

9,260

1,493 140

2,355

50

7

62

5972

215

8730

391 Nonemployees

Insane

47' 220

2 28 94

262 Total 361 029 10.604 11. 67l! 107!471 8, 114 10,899 2,412 183 332 747

! 1 Colon Hospital.

Employees 8334

98

69 3,0331,132

1 i

1

i 2,125 28 90

1, 519^ 30 205

2,391 1,0752,031 1,307 626

24

26

21

7137 76 Nonemployees 55 Total 117 167 4,165 3,644 58 295 3,406 3,338 650 47 108 131

Culebra Hospital.

Employees

.

i

9. "6 1 Nonemployees 2 6 265 ... 92

.

1 243 3 17 2'' 5

i Total 2 6 98 265 2 6 93 243 3 17 2 5 Palo Seco Leper

Asylum.

Employees 11 '34

1

1 1 21

2 1 Nonemployees 2 4 1 2 2| 47 Total 2 34 2 22 2 2 5 2 2 47 Taboga Sanitarium. Employees 518 3,002

723

2, 960 54 39 ... Nonemployees 710 21 ...

1 Total 59 3,725 3,670 54' 60...

1 Grand total: Employees

Nonemployees...

Insane

382

128

31

392

177 267

14,32011,758 88

4,253 3,603 77 21 241 2

313 433 11,25411,292

4,078 3,047

13 146

3,035

777

78

99

72

325

14930

467

201 262 Total 541 836 18.59415.fi02i 167^774 15, 345! 14. 485 3,119 249 504 930 •
28

Consolidated Sick Camp Report.

stations.

Re- maining

Jan. 1. Admitted.

i Died. Discharged.

t ReTrans- mainferred. ing

iDec.31.

1

1 W. C. W. C. W. C. W. c. W. C. W. C.

Corozal 2 834

462

171 595

441 620 293

117

71 122 1,812 248

198

6 213

3 594 546

519

1,003 1,088

596

659

825

69

172 3,835

1.197 480

101 404

2 484

334

132 314

352

497

245

90

70

103

1, 161 160

163

5 188

3 402 382

381

611

744 488 598

574

71 130 2,194

828 380

97 367

Miraflores 3

9

35 353

13538

285

94

124

4127

929

195 165

135 393

343

10162

255

448

Pedro Miguel

Paraiso

.... i

1 2 3

1 3 Culebra 7

73

1

5

5

38

8

66

8

9

7

3 12

5

3 Empire 2 4 Las Cascadas Bas Obispo

2 5 8 7 Gorgona 4 San Pablo 8

10

10

2

4

Tabernilla Gatun 65011.641 5| 8

Cristobal 9039

1 23

372

94

437

....1 6 Porto Bello ....! 6 Xonibre de Dios . Toro Point 2 3 4 3 Total 66 76 6,205 12,091 3 10 4,300 8,2561,944

1 3.849! 24 nO

Consolidated Report of Employees Sick in Quarters.

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

White. Colored. Total. White. Colored. Total.

Ancon

Balboa

Corozal

766

- 528

344 336

1,054

713

1,007 2.049 857

385 3,839

88

343

83157

1,597

585 344

424

1,191

733

1,165 2,052 862 388

3,857

91 344

8

1,621 3,372

222

25

183

330

293 220

111 445

263

444 1.047 323

148 1,728

38

122

19135

521 328

220

Miraflores

I'edro Miguel

J'araiso Culebra Empire

Las Cascadas

88

13720

1583

5

3

183

18

1 1.046

0948

551

22

113

I

1 234

180 493

268

495 1,049 325 Bas Obispo 149 Crorpona San Pablo

1,729

41 Tabeniilla Bohio

1232 Gatun

Cristobal 1,620

2..326 222

20

183

806

1.148

1.359

91

807

1,382 Porto Bello. 135 Nonibre de Dios Toro Point

5 1 10

91 Total 16.680 2,384 19.064 7,701 647 8,348
29

Consolidated Hospital, Sick Camp,

Report.

and Sick-in-Quarters

Remaining Jan. 1. Admitted. Died. Discharged. Transferred. Remaining Dec. 31.

W. C. W. C. W. C. V\'. C. W. C. W. C.

Hospitals Sick camps

54166 836

76 18.594 6,205

15, ^2

12,091

167

3 774

10 15,34514,485

4,300: 8,256

3, 119 249

1,944 3,849

5041 930

24! 52 Total 607 912 24,799 27,693 170: 784,19,645 22,741

! 1 i 5,063 4,098 528, 982

1

White. ! Colored. Total.

Total admissions to hospitals and sick camps 24, 799[ 27,693] 52,492

Number of employees sick in quarters I 7, 701 [ 647j 8, 348 Total ! 32, 500 28, 340' 60, 840 Less number of patients transferred from sick camps to hospitals, and from hospitals to sanitarium, whose | admissions are duplicated in above figures : 5, 063 4, 098| 9, 161 Net admissions to hospitals and sick camps and i \ those sick in quarters ! 27,437; 24,242 51,679

Consolidated Dispensary Report.

stations.

Ancon

Balboa

Corozal

Miraflores Pedro Miguel.

Paraiso Culebra Empire

Las Cascadas

.

Bas Obispo. .. Gorgona San Pablo

Tabemilla

Frijoles

Bohio

Gatun

Cristobal Porto Bello.... N ombre de

Dios Toro Point

Total....

Employees.

VN'hite.

5, 894

13, 386 8,942

15, 564

16, 309

5, 359

25, 273 21,672

9,941

16,512

22, 753 3,955

4.757

22

77

43, 861 16.761

5. 385 956 6,680

Colored.

14, 615

15, 382

6.121

17. 178

15, 292 4,749

24. 824

29, 280

8.551

14, 959 21,037

5.193 4,469

183 1,003

47, 956

21,117 7,615

1,993 8,443 244,059 269,960

Total.

Nonemployees.

White. Colored.

20,509

28, 768

15, 063 32,742

31,601

10, 108

50, 097

50, 952

18, 492

31,471 43,790 9,148

9,226

205

1,080 91,817

37, 878

13,000 2,949

15. 123

3,248

4,149

3, 086

388

3,051 2,809

10, 904

12, 850 5,348

3,641 5,208

1,733| 2,9171

25! 109;

4, 548

7, 668;

6421

33 315

514,019 72,672

2,915

1,535

602

887

2,261 1,228

10, 484 8,840 3,990

2,017 4,605 3,040

2,775

77 1,125 2,847 5,019

1,152 590

405

Total.

56, 394

6,163

5,684

3,688

1,275 5,312

4,037 21,388

21, 690 9,338

5,658

9, 813

4, 773

5.692(

102;

1, 234| 7,395

12. 687'

i; 794; 623

720;

Total.

r\'hite.

9,142

17, 535

12, 028

15, 952 19,360 8,168

36, 177

34, 522

15,289 20,153

27, 961 5,688

7,674

186

48, 409 24,429

0,027 989

6,995

Col- ored.

17, 530

16, 917 6,723

18, 065

17,553 5,977

35, 308 38,120

12,541

16, 976

25,642

8,233 7,244

260 2,128

50, 803

26, 136 8,767

2,583 8,848

129,0661316,731326,354

Total.

26, 672

34, 452

18,751 34,017

36, 913

14, 145

71, 485 72,642

27,830

37. 129 53,603

13, 921

14, 918

307 2,314

99, 212

50,565

14, 794 3,572

15, 843

643,085
30

Average Number of Employees Constantly Sick ix Hospitals, Sick Camps, and Quarters.

Hospitals.

White. Colored. Total

Ancon Hospital

Colon Hospital Culebra Hospital Palo Seco Leper Asylum

Taboga Sanitarium

Total

297. 16 111.96

.003

.25 58.92

425.49

110.83

.09

722.65 222.79

.003

.34 58.92

468. 293 536. 41 1,004.703

Sick camps. Sick in quarters. White. Colored. Total. White. Colored. Total.

1 Ancon 2.10

1.45

.94

.92 2.89

1.95 2.76

5.61 2.35

1.05 10.52

.24

.94

2.28

.15 4.38 Balboa 1.60 Corozal 0. 01 0.01 3.07

5.31 3.90

.8.11 7.62 5.20

6.85

6.25

.83

0.02

8.14

9.62 5.28

12.54

11.17 10.67

9.65

7.15

1.81

.94 Miraflores 5. 07 Pedro Miguel 4.31 Paraiso 1.38 Culebra 4.43 Empire 3.55 Las Cascadas | 5. 47 Bas Obispo | 2.80 Gorgona .90 San Pablo .98

.24

.37 .05

.43

.01

.01

.01 .05

.01 .003

.02 .003 2.87

1.16 3.26 2.00

3.19

5.62 2.36

1.06 10.57

.25 Tabernilla 1.40 Bohio

1.65 3.05 .943

.02 Gatun 10.69

Cristobal 2.08 Porto Bello 2. 15

20.50

9.61 5.54

.79 5.42

31.19

11.69

7.69

.85 8.28

4.44

6.37

.61 .06

..^0

4.443 9.24

.61 Nombre de Dios. . . ! .06 Tore Point 2. 86

.01 .07 .50 Total 1 48.14 90.66 138.80 45.70 6.516 52.216 Average Number of Employees Constantly Sick.

White. Colored. Total

Hospitals

Sick camps

Sick in quarters Total

468.293

48.14 45.70

536. 41 1004. 703

90. 66 138. 80 6.516 52.216

562. 133 633.586 I 1,195.719 Average Number of Employees Constantly Sick Per 1,000.

White. Colored. Total.

Hospitals 38.22

3.93

3.73

14.65 2.47

.18

20.56 Sick camps 2.84 Sick in quarters 1.06 Total 45.88 17.30 24.46
31

Average Number of Days' Treatment per Employee in Hospitals, Sick Camps, and Quarters.

Hospitals.

Ancon Hospital Colon Hospital Culebra Hospital Palo Seco Leper Asylum

Taboga Sanitarium

Total

Colored, Total.

16.29

18.84 32.00

16.76

14.78

15.66

.33 41.67

7.14

14.07

Sick camps

j Quarters.

White. Colored. Total. 1

1 White. Colored. Total,

Ancon i

1 2.32 2.48

1.56

3.03

2.37

2.71 2.27

1.96 2.65

2.60

2.22

2.32

2.81

4.35

1.63 3.07 Balboa j. 1.78 Corozal

Miraflores Pedro Miguel

Paraiso Culebra Empire

Las Cascadas Bas Obispo

Gorgona San Pablo

1.00

2.21 3.36

2.96

2.69

2.91

3.21 3.57

2.80

4.51 3.86

1.33

1.88 3.54 2.76

2.95

2.55

3.19

3.79 2.75

4.04

3.39

1.10 i 2.07 1 3.45 1 2.81 : >- 2.85 ' 2.66 3.20

3.72 2.76 i 4.28 \ 3.59 !

1.56

i.28 2.85

4.00

3.09

1.50 2.50

3.00

18.00 1.00

1.00 4.00

1.00 4.47

5.' 66'

2.36 2.42

2.74

2.35

1.96 2.65 2.60

2.23

2.22 Tabernilla Bobio

2.80 4.00 Gatun

Cristobal

2.15

3.03

3. 88

3.83 4.95

2.81

1.95

2.92

4.21 2.84

4.90

2.6i 2.94

4.10

2.90 i 4.92 i

2.01 2.03

1.64

2 22

2.' 01

2.01 2.44 Porto Bello Nombre de Dios... Toro Point

1.64 2.50

2.01

Total 2.73 2.75 2.17 3.08 2.28

Subsistence and Operating Expenses.

Hospitals. Sick camps.

SUBSISTENCE EXPENSES. Number of days' rations issued to patients ! Cost of rations issued to patients Cost of subsistence per patient per day.

OPER.'VTING EXPENSES.

594, 517 $148,379.02

$0. 251

Number of davs' relief furnished patients 594, 517 Cost of operation S719, 525. 67 Cost per capita per day SI . 21 Cost of operation with amount received from outside patients, etc., deducted. S578, 164. 33 Cost per capita per day v-itli above de- duction $0. 97 Cost of dispensaries S167. 726. 10

50, 662 $11,370.55

SO. 224

S2

50, 662

2. 144. 79 80.44

J2.144.79

SO. 44

Total.

645, 179 $159,749.57

SO. 247

645, 179 $741,670.46

$1.15

$600,309.12

$0.93
32

Outside Patients Treated in Hospitals and Amounts Collected FOR Their Treatment.

Number Number

of days'

relief.

Patients for whom the Republic of Panama pays

75 cents per dav

Patients for whom the Canal Zone government

pays 30 cents per day

Patients paying 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 Canal Zone not paying

Patients from the Republic of Panama not paying.

Total

Amount.

76. 442

10,052

25, 440

$57,331.50

3,015.60

7, 623. 00

13,152 27,936.45

26.187 • 34.599.49

52,247 1..... 16,804 I

220, 324 130, 506. 04

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

cases in above table. SURGICAL OPERATIONS PERFORMED IN HOSPITALS.

Number. Died.

Amputations:

Shoulder Arm

Hip joint

Thigh

Leg

Foot

Digits, multiple

Arm, double Thigh, double

Leg, double Arm and leg Operations on bones: Craniectomy, decompressive

Laminectomy

Ostectomy

Excision of maxilla

Resection of wrist

Re.section of hip

Wiring of fractures, simple

Wiring of fractures, compound . .

.

Adencctomy:

Ccrvicai

A.xillary

Inguinal, shigle

Inguinal, double Femoral

Herniotomy:

Inguinal, single

Inguinal, double Femoral

Ventral Combined (any two of the above).

St rangulated

2

15

21556

16

4

1

21527

12

1 24

33

27

14 390

89

29

219

125

422

4

2
33

SURGICAL OPERATIONS PERFORMED IN HOSPITALS

Continued.

Genito-urinary tract: Nephrotomy

Nephrectomy

Nephropexy

Perinepliritic abscess, drainage of Ureterotomy

Cystotomy

Urethrotomy

Iiiternar External Prostatectomy

Varicocele, radical cure ilydrocele—

Single, radical cure Double, radical cure Orcliidectomy

Epididjonotomy

Amputation of scrotum Amputation of penis

Curetage uteri Perineoplasty

Trachelorrhaphy

Vaginal sections Vaginal punctures

Obstetrical: Accouchement force Higli forceps

Low forceps

Version

Perineorrhaphy

Thorax:

Thoracotomy

Pneumothoracotomy

Excision of breast Excision of breast and axilla Gunshot wound of chest, operation for Stab wound of chest, operation for Eectum:

Hemorrhoids, radical cure

Fistula in anus, excision of General: Excision of tongue

Thyroidectomy

Nerve stretching

Aneurismorrhaphy

Varicose veins, excision of Tenorrhaphy

Myorrhaphy

Excision of surface neoplasms

Gunshot wound of soft parts, operation for. .

.

Stab wound of soft parts, operation for Extensive injuries to soft parts, operation for. Plastic operation for congenital defect Plastic operation for severe injuries Plastic operation for effects of disease Skin graft

Number. Died

4

12

2

4

32958

1 6684

22

2359

3

2

19226

2252

12

731

14

11820

5

2

52

3-

15738

16

11 25

13324

2

2

5

829

5155
34

SURGICAL OPERATIONS PERFORMED IN HOSPITALSContinued.

Number. ! Died.

Laparotomy:

For general peritonitis For tuberculous peritonitis For intestinal obstruction Exploratory

Gastrotomy

Gastroenterostomy

Enteroenterostomy

Enterectomy

Enterorrhaphy

Appendectomy

Appendectomy with local peritonitis

Appendectomy with general peritonitis

Appendicostomy

Cecostomy

Colostomy

Sigmoidoipexy

Cholecystotomy

Cholecystostorny

Cholecystectomy

Abscess of liver: Laparo-hepatotomy for Thoraco-hepatotomy for Splenectomy

Panhysterectomy

Supravaginal hysterectomy

Hysteromyomectomy

Myomectomy

Salpingectomy:

Single

Double

Salpingo-oophorectomy

Ovarian cystectomy

Oophorectomy

Suspensio-uten

Plastic operation for chronic pelvic peritonitis For ectopic gestation For trauma:

General peritonitis

Hematoperitoneum

Rupture of liver Rupture of spleen

Gimshot wound of abdomen

Stab wound of abdomen

Major operations, various other Minor operations, various Total

21 7

9 2

42 4

110 1

1

14 19127 1 19 6

12 1

139 i 7

1

17 9

15 3

14

1933 1 922

IB189

1 5356 1 9

3

4

15

11 68

4,533 7,701 79
35

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

Throat Clinics.

Operations. Number. Died.

Abscess: Alveolar

Lingual, drainage

Adenectomj^

Adenectomy and tonsillectomy

Adenectomy and tonsillotomy

Advancement of external rectus Amputation of u\nila

Blepharoplasty (with Fricke flap) Cataract:

Discission of Needling

Cellulitis, lower jaw, incision and curetage

Conjunctivitis, follicular, grattage

Curetage, ethnoid cells, left Dacryocystotomy

Dilation of lachrimal sac Drainage of maxillary sinus Drainage of frontal sinus Enucleation

Ethmoidotomy

Evisceration Excision of—

Chalazion

Cyst, cervical Hard palate Keloid Lacrimal sac Xanthoma of lids Expression for follicular conjunctivitis

Expression for trachoma 1 External canthoplasty

Extraction of cataract

Incision and drainage of

Abscess, recto-bulbar

Cellulitis eyelid Incision of—

Alveolar abscess Chalazion Dacryocyst

Peritonsillar abscess Thyroid abscess Intubation

Iridectomy

Keratotomy

Killian's operation—frontal sinus Lachrimal canaliculus incised Lachrimal duct probed

Laryngeal sinus, closure Laryngo-fissure

Mastoidectomy

Mastoidotomy:

Simple

Radical Maxillary antrum, radical Ossiculectomy

Paracentesis of cornea

Paracentesis of membrana tympani

Plastic on ear

Plastic on eyelid

Plastic: Face Nose

3

1 102

6

38

2

115

1

12

268

11

11024

14

2

1

12

235

3

117

123

1

18

1228

14

326

1

1125

2

134

164

144

11
36

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

Throat Clinics—Continued.

Operations.

Plastic closure, hard and soft palate. .

.

Polypoid growth tonsil removed

Ptervgium:

Ablation

Transplantation

Removal of—

Aural polyp

Foreign body from ear Foreign body from nose Nasal polyp

Se ptal spurs Submucous cyst extirpated

Submucous resection of nasal septum.

Subperiosteal abscess Symblepharou , plastic

Tarsalectomy for trachoma

Tenotomy.

Tonsillectomy

Tonsillotomy . .

.

Tracheotomy

Turbinectomy

Various minor operations

Number.

3

1

2345

3

1 22

12

1 183

1

1

15 188

21

1 51 1,416

Died.

Total

Refractions Outside cases treated.

2,407

3,108

18,849

Grand total. 24, 364

Consolidated Ward Laboratory Report op all Hospitals.

Blood examinations 22, 619

Estivo-aiitumnal 7, 487

Tertian, single 1, 218

Tertian, double 7 Mixed tertian and estivo-autumnal 47

Quartan 110

Lepra bacilli 2 Differential blood counts 965

Leucocyte counts 3, 288

Red blood counts 369

Red and white blood counts 43

Hemoglobin estimations 703

Filaria 44

Spirillum Novyi 3

Guaiac and turpentine tests for invisible blood 935

Treponema 1 Erythrocyte counts 10

Stool examinations 12, 261

Hymenolepis nana 1 Monadena 86

Ascaris lumbricoides 615

Uncinaria ova 1, 722

Uncinaria worms 3

Tricocephalus dispar 1, 189
37

Stool examinations—Continued.

Strongjdoides intestinalis 545

Tenia 2 Tenia saginata 5 Ameba 214

Mucus 7 Batlireoceplialus latus 1 Ciliated monads 249

Bilharzia 10

Pus and blood 1, 257

Pus and epithelial cells 122

Balantidium coli 9

Tubercle bacilli 70

Oxyuris vermicularis 3 Entamel^a, histolytica 9 Thymol treatments 34

Enlameba coli 2 Trichuris trichinura 3 Paramorecium coli 1 Bile 1 Red blood cells 16

Urine examinations 33, 892

Albumen 8, 095

Albumen and casts 7, 101

Sugar 234

Pus and blood 1, 519

Gonococci 4

Indican 15

Epithelium 680

Bile 15

Diazo reactions 93

Microscopical examinations 913

Urea estimations 2 Tubercle bacilli 27

Hemin crystals 113

Guaiac tests 142

Red blood cells 37

"^^Tiite blood cells 4

Pus and epithelium 197

Phosphates 1 Ciliated monads 2 Vermis 1 Bacilli, acid fast 1 Sputum examinations 2, 108

Tubercle bacilli 286

Pneumococci 4

Ameba 1 Blood 1 Miscellaneous

:

Examinations of pleural effusions 2 Examinations of spinal fluid 2 Examinations of pus, blood, and tissue 27

Examinations of various smears and discharges 280

Gastric analyses 81 Test to determine coagulation period of blood 1
38

ANCON HOSPITAL.

Class.

Isthmian Canal Commission o.inployees

Panama U. R employees

Pay patients

Charity patients Insane patients

Total.

Remaining

Jan. 1.

W. C.

239 229

8; 65

64 35

19 33

31 1267 361629

Admitted.

YV.

7,824

457 1,960 342

21

10, 60-1

7,52C

2,112

1,155 643

241

11,071

Died.

AV. C

58

107 471

Dis- charged . W

5,537 303

1,857 344

13 8.114

7,209

1,991 1,029

464 146

10, 89S

Transferred.

Remaining Dec. 31.

W. C. W.

2,273 43

82: 9

2,412,1183 332

19520

83

430

-288

10355

39

262

747

Average number of days' treatment per employee

for the year Average number of employees constantly sick dur- ing the year Number of days' relief furnished patients Cost of subsistence per patient per day

White.

13.05

297. 10

Colored. I Total

16.29 14.78 425.49 i 722.65 424,416

SO. 211

Nationality.

Class.

Isthmian Canal Commission

employees

Panama R. R. employees

Pay patients

Charity patients

Insane patients

Total

Number,

treated.

15, 812

2,642

3,214

1,037

560

23, 265

Americans.

White. Colored,

2,810

211

1,299

172

6

4,498

22

23

Other nations.

White. Colored.

5,026

227

732

126

52

6,163

7,954

2,204

1,182

739

502

12, 581

Operations.

(See report of all surgical operations.)

Laboratory Report.

(See consolidated ward laboratory report.)
39

COLON HOSPlTxVJ..

Clas;

Isthmian Carnal Commission employees

Panama R. R. employees..

Private pay

Municipal pay Zone charity

Total.

Re- j "in?" '-Admitted.

Jan. 1.

;

W. C

10

117

W. C.

63 2.496

35 537 89028

214

16714,165

1,32

798 839

105 575 3,644

Died.

AV. C

58 295

Dis- charged.

W. C.

405| 8521

241

' ReTrans- I mainferred. ing

;Dec.31.

W. C. W. C

1,986 1,278 5051 14 57 753 121: 12

736| 23 j 5 76.... 3

199! 495' 1 13

3,466l3,338j 650 47 108

4729

22

1320

131

Average number ot days' treatment per employee

for the year Average number of employees constantly sick during the year Number o"^f days' relief furnished patients Cost of subsistence per patient per day

White. Colored. ' Total.

13. 41 111.96

18.84

110.83

15.66

222. 79 123,598

•SO. 289

Nationality.

Class.

Isthmian Canal Commission

employees

Panama R. R. employees. .. Private pay

Municipal pay

Zone charity

Total

Americans.

Number

treated.

V>'

3,960 1.086

1,379 311

1,770 571

145

839 123

Olher nations. W

1

8.093 2,691

824

184

320

28

109

1,448

884

879

117

606

3 1,465 ; 3,934

Operations.

(See report of all surgical operations.)

Laboratory Report.

(See consolidated ward laboratory report.)
40

CULEBRA HOSPITAL.

f^lass.

Remaining

.Jan. 1

Admitted. Died. Dis- ; Transcharged. ; fen-ed.

Re- mainmg

Dec. 31.

W. C. W. C. W. C. w. i C. W.

1 C. W. C.

Employeps

i 3 1 2

"'e'

! 1 1 : Non(?mployeos 2 ; G 95 265 92 243 1 3 17 2 5

Total 2! 6

1 98 265 2 6 93 ; 243 ; 3 17 2 5

Average number of days' treatment for employee

for the year Average number of employees constantly sick during t ho year Number of days' relief furnished patients Cost of subsistence per patient per day

White. Colored. , Total.

0.33

.003

0.33

.003 3,027

$0,256

Nationality.

Number

treated.

Americans. 1 Other nations.

i C lass. White. Colored. White.

1 Colored.

Employees 3

368

124

2

" Y 71

1 Noncniplovees 266

Totals 371 25 7 73 266

Operations.

(See rejKnM of \\\\ -urgiciil operations.)

Laboratouy Report.

(See conyojidated \var<] l:i]>orntory report.)
41

PAI.O SECO LEPER ASYLUM.

Class.

Re- maining

Jan. 1.

Admitted. Died. Dis- ' Transcharged, f erred.

Re-

! main1 ing Dec. 31.

W. C. W. C. W. C. W. c. Iw.

1 C. W. C.

Employees 1

1 '22" 1234

1

2

1 138

22

2

....

2

1

'' Pay patients 11

2 Vr2 112

31 Charitv pafents 16

Total 2 5 |....

i 2 47

yee

iur-"

White. : Colored. Total.

Average number of days' treatment per empio

for the year Average number of emploj'ees constantly sick c inp' t he vear

46.50

.25

32.00 1

j .09

41.67

.34 Number of days' relief furnished pati Cost of subsistence per patient T>ftr da

snis . 16, OOS V .. SO. 302

1 Nationality.

Class.

Employees

Pay patients

Charity patieiits.

Total

Number j_ treated. 1

336

21

60

Americans. Othernations.

W. W

1 35

20

56

TABOGA SANITARIUM.

Class. Remaiiiing

Jan. ].

I Dis- charged. Transferred. Remaining Dec. 31.

Employees 51

8 3.002

723 2,960

710

54 39 Families of employees . .

.

21

Total 59 3.725 3 670 54 60

Average number of days' treatment per employee for the

year - 7. 14

Average number of employees constantly sick during the

year 58. 92

Number of days' relief furnished patients 27, 468

Cost of subsistence per patient per day $0. 597
42

Nationality

Class. Number

treated.

3,053

731

Americans.

1,775

701

Other

nations.

Employees

Families of employees - ^ - 1.278

30

Total 3,784 2,476 1,308

Note.—No colored patients treated at Taboga Sanitarium.

SANTO TOMAS HOSPITAL.

Class. Re- maining

Jan. 1.

Admitted. Died. Dis- charged.

1,249 5,014

Transferred.

Re- maining Dec. 31.

Pay patients 22

237 1,284 5,496

28 45029 Charity cases 269 Total 259 6,780 478 6,263 298

Average number of days' treatment per patient 13. 91

Average number of patients constantly sick 256. 88

Number of days' relief furnished patients 93, 762

Cost of subsistence per patient per day $0. 236

Nationality.

Class. Number

treated.

Pay patients 1, 306

Charity cases 5, 733

Total 7,039

Americans.

White. Colored.

Other nations.

White. Colored.

341

991

965

4, 742

1,332 i 5,707

OpK RATION H.

Major.

Minor.

Nimibor.

511

1,075

Died.

29

Total 1 . 5S() 29
43

Dispensary.

Class. White.

750

323

Colored. Total.

3,116

605

3,866

928

1,073 3,721 4,794

Natives

Foreigners.

.

Total

BOARD OF HEALTH LABORATORY.

Bacteriological examinations:

Municipal water supplies 151

Water from condensers 206

Water from reservoirs, creeks, and rivers 15

Rain water 2 C'ultures from tonsil 2 Cultures from oriental sore 1 Fluid from wrist 2 Cultures fromx ear 1 Blood cultures 374

Throat cultures (diphtheria suspects) 2, 974

Cultures from autopsies 183

Cultures from eye 26

Stools 789

Urine 313

Sputum 28

Pus 24

Eye lesion 1 Hydrocele fluid 1 Kneejoint fluid 16

Gall bladder fluid 2 Spinal fluid 27

Discharge from urethra 1 Various smears and specimens 28

Pleural fluid 5

Cultures from spleen 1 Blood 2 Treponema palladium 4 Fluid from femoral and inguinal glands 2 Auditory canal 1 Skin eruption 1 Fluid from chest 2 Ankle 1 Pericardial effusions 1 Tonsils and adenoids 4

Culture for meningitis 1 Abdominal fluid 2 Determinations

:

Chlorine content in water ^ 258

Larvacidal and algacidal value of oil larvacide 5

Coefficient of expansion of fuel oil 1
44

Determinations—Continued

,

Germicidal value of copper sulphide fluid 1 Effect of sulphur dioxide upon grass 1 Examinations:

Leper suspects 49

Yaws suspect 1 Bloodstains 1 Patient, clinical 1 \"omitus 5

Nine clinical thermom.eters 1 Chemical analysis:

Silver nitrate solution 1 Rocks i (Corrugated copper tubing 1 Bloodstains - Stomach contents lo

Bismuth subgallate 1 Urine 37

Water 3 Various liquids, fluids, etc 49

Various metals 4 Charcoal 1 Arsenic 1 Sugar cane 1 Renal calculus 3

Sea coal facing 1 Qu inine solution 1 Toilet powder 1 Sediment from pump chamber 1 Cement 1 Agglutination reactions 252

Autopsies "9

Bodies embalmed ^)7 Hydrophobia, preventative treatment 3 Medicolegal post mortems 1

1

Sections of tissue prepared

:

Frozen 164

Paraflin 6,222

Surgical pathological tissue and neoplasms reported 293

Vaccine inoculations, antityphoid 42

Vaccine treatment, auto^-cnoiis 112

Water:

Microsco]>ical examination of 67

Sanitary analyses of 145

Wasserman reactions 1 . 698

Widal reactions 167

Stools, microscopical examination of 299

Vaccination, smallpox 2 Urine, microscopical examination of 1 Blood, microscopical examination of 1 Investigation of cattle sickness at Empire. 1 Stomach contents, microscopical examination of 1 Injections of antipost serum 17 Vaccines, mixed 6
45

ISSUES OF QUliXINE.

^Tonths.

January | 198. oo February

j 49. so March I 44. 5,) ^"1 i 107. 50 May i 41. June

I 245. 50 July ' 84. CD ^Ugust ; 85. 504 September gO. 50 October " " qjj' Qy November 55. 70 December 1 32! 90

, Total I 1.194^4

Average per month ! 99.51

436.51 94.36

98. 10 237.00

90.94 541.23

185.19

188.50

133. "38 211.64 122.80

292. 99

2. 632. 64 219.39 SANITATION—riTY OF PANAMA.

Anopheles brigade:

Linear feet of ditches cleaned 1^ 819, 737

Linear feet of ditches dv-o; '. 25^ 069

Square feet of weeds and grass cut and removed. . . 4, 703' 09G

Ce.sspool-: cleaned \\q

Cesspools filled 58

vreiis filled .";;.;; 9 Cubic yards of earth used in filling cesspools, wells, and

^ holes ' 1, 5G2

Square feet of brush cut and burned 1, 140, 000

Houses from which roof gutters were removed hv ov^-ners 13

:' - Houses on vrhich gutters were repaired by owners 20

Loads of grass removed and burned ' ()()5 Disinfec tion brigad e

:

Houses disinfected and fumigated for

Beriberi fi Diphtheria 71

ilalariai fever 3

Pernicious fever 1 Tuberculosis 29

Chickenpox 1 Leprosy 1 Measles 4 Typhoid fever 7 Septicemia 1 Erysipela-^ 1 Wards. Ancon Hospital, disinfected and fumigated for plague 1 Number of cubic feet disinfected and fumigated. . . 2, 933, 800

Number of rooms fumigated and disinfo(*ted {)18
46

Material used:

Crude oil gallon.-^.

.

4, 200

Larvacide gallon.'^ .

.

S, 522

Destruction of rats: Number of rats caught and killed 14, 956

Average number of rat traps in use 361

Poisons placed 2, 480

Inspections of houses and yards:

Houses and yards inspected 1, 044

Persons notified to keep premises in good condition 365

Warning notices complied with 350

Number of letters to alcalde requesting enforcement of saui lary rules and regulations 81

Number of shacks, stable-, and old buildings condemned

and demolished 80

Number of yards cleaned 2, 254

Loads of refuse removed from the city 5, 625

New buildings:

Number of plans submitted to health officer and

approved 210

SANITATION—COLON, CRISTOBAL, MOUNT HOPE,

TORO POINT.

Medical inspection:

Number of cases reported by medical inspector.-: 35

Number of cases inspected 35

Number of cases sent to hospital 35

Number of sick children visited 1, 352

Total number of visits 4, 131

Number of sick babies sent to hospitals 21

Water and sewers: Number of connections made during the year 155

Total number of connections made to date 767

Number of outstanding permits 494

Number of houses in which extensions were made 57

Houses:

Plans approved 171

Permits to repair issued 321

Permits to occupy issued HO

Temporary })ermits to occupy issued Hi

Number of house-^ in which defective plumbing fix- tures were found and re})orted to superintendent of ])ublic works 1, 052

Saniti\lion of Colon:

Average number of can-s of garbage removed daily 2, 059

Number of

Loads of yard garbage removed 4, 882

Acres of vegetation removed 143

Acres of street.^ cleaned 3, 958

Private properties cleaned 1, 520

Scpiare yards of pools oiled 271, 026

Mosquito-breeding places found 3, 133
47

Sanitation of Colon—Continued.

Number of—Continued.

Water receptacles treated 349 405

Linear feet of ditches constructed 5 620

Linear feet of ditches maintained 73' 639

Nuisances abated 3^ 621

Buildings inspected 38^ 103

Square yards of alleys cleaned 1, 462* 022

Crab holes worked 56^ 300

Loads of refuse hauled from burned section ' 219

Notice to abate nuisances served 4 608

Colon and Cristobal garbage disposed of, at dump, Colon.

Sanitation of Cristobal

:

Number of

Square yards of pools oiled 54, 748

Water receptacles treated 55^ 050

Mosquito-breeding places found 512

Crab holes worked 900

Linear feet of ditches maintained 2, 500

Sanitation of Mount Hope:

Number of

Square yards of pools oiled 433, 698

Water receptacles ti-eated 212, 580

Linear feet of ditches maintained 223, 111

Crab holes worked 14^ 815

Mosquito-breeding places found 2, 041

Linear feet of ditches constructed 6^ 969

Sanitation of Toro Point:

Number of

Square yards of pools oiled 573, 420

Water receptacles treated 58, 280

Mosquito-breeding places found 921

Linear feet of ditches constructed 44, 669

Linear feet of ditches maintained 133^ 966

Square yards of vegetation removed 35, 000

Crab holes worked 42, 649

Doses quinine tonic distributed 76* 706

Cubic yards of ditches constructed 1, 836

Adult mosquitoes killed 9, 657

Crabs killed 905
48

SANITATION—CANAL ZONE.

January

February..

March , April

May

June

July

August

September.

October

November

.

December.

Months.

Total.

Number of gallons larvacide

used.

9,

8,

9,

8, 11,

12,

10,

11,

10,

10,

9, 10,

743

107

035

635

198

478

687

002

978

370

970

952

123, 155

Number of gallons crude oil used

44,043

35, 784

53, 386

41, 225

43, 996

42, 960

56, 116

67, 418

67, 769

77, 352

70, 331

49, 399

649, 779

Houses fumigated and disinfected for transmissible diseases. 239

Inspections for adult mosquitoes 16, 867

Rats destroyed 9, 658

Note.—Grass cutting, garbage removal, and screen repairing are done by quartermaster's department upon request from this department.

Ditch construction and maintenance is done by the engineering

department upon request from this department.

QUARANTINE SERVICE.

Ports of Panama-Ancon and Colon-Cristobal.

Number of vessels inspected and passed 1, 283

Number of vessels detained in quarantine 23

Number of vessels fumigated on arrival 96

Number of vessels fumigated prior to departure 29

Number of pieces of baggage disinfected 477

Number of crew inspected 103, 520

Number of passengers inspected 62, 296

Total number of persons mspected 165, 816

Number of persons vaccinated at ports of arrival because of compulsory vaccination law 12, 545

Number of persons vaccinated at ports of departure or en

route because of compulsory vacciiuition law 14, 314

Total number of persons vaccinated 26, 859

Number of persons held in quarantine at the detention sta- tions to complete period of incubation of yellow fever or plague ^j 713
49

Number of person? held in quarantine at the detention sta- tions to determine if cholera bacillus carriers 467

Number of persons held in quarantine on board vessels to complete period of incubation of yellow fever or plague. . 6, 224

Total number of per-ons held in quarantine 12, 404

Number of persons landed from foreign ports:

Cabin 19,606

Steerage 21, 520

41,126

Number of persons embarked for foreign ports:

Cabin 19,544

Steerage 17, 272

36, 816

Apparent increase for the vear from foreign ports:

Cabin ' 62

Steerage 4, 248

4,310

Number of persons airiving from coast towns on small craft. . 33, 391

Number of persons embarked for coast towns on small craft. . 27, 574

Apparent increase for the year from coast towns 5, 817

Total number of persons landed 74, 517

Total number of persons embarked 64, 390

Excess over number embarked 10, 127

Less number for Pacific ports 2, 822

Total apparent increase for the year 7, 305

Number of immigrants recommended for rejection 181

Number of certificates issued to outgoing passengers 720

Number of persons refused certificates because of trachoma. . 57

Number of bills of health visaed 696

Number of pieces of baggage handled and stored 7, 651

BocAS Del Toro.

Number of vessels inspected and passed 328

Number of crew inspected and passed 11, 934

Number of passengers inspected and passed 6, 244

Number of passengers, in transit, inspected and passed 2, 039

Number of persons held to complete period of incubation of yellow fever 462

Vessel fumigated at request of owners 1 PERSONNEL REPORT.

(Average number of employees at work during the year.)

Chief sanitary oflfice 43

Property division. . . .^ 9

Quarantine service ..'. 38

Health office, Panama 60

Health office, Colon 119

Ancon Hospital 532

Colon Hospital 195

Santo Tomas Hospital 6

Taboga Sanitarium 26

Palo Seco Leper Asylum 14

Zone sanitation 259
50

Dispensaries:

Ancon 3

Balboa 3

Bas Obispo 7 Bohio 1 Corozal 3

Cristobal 8

Culebra 13

Empire 11

Gatun 18

Gorgona 8

Las Cascadas 8

^Miraflores 6

Nombre de Dios 2

Paraiso 5

Pedro Miguel 5 Porto Bello 4

San Pablo 3

Tabemilla 3

Toro Point 4

Total 1, 416

HOSPITAL OASES OF MALARIA AMONG EMPLOYEES.

Months.

January . .

.

February .

.

March..'... April

liay June

July

August

September.

October..

.

November.

December.

Total

Discharged. Died. Annual Annual

Total

cases. average

per 1,000 averageper 1,000 W. C. W. C. of deaths. of cases.

180 157 1 1 339 0.51 80 217 166 1 .... 384 .24 93 239 167 ....I 1 407 .25 102 190 138 1 .... 329 .25 81 461 463 1 3 928 .99 230 756 981 4 4 1,745 1.98 432

747 1,226 4 4 1,981 2.01 497 396 506 3 2 907 1.21 219

322 339 3 .... 664 .76 168

2.53 249 1 1.... 503 .24 121 199 210 4 1 414 1.19 99

191 193 1; 1 386 .47 91 4,151 4,795 24 17 8,987 .84 184

Number

of employees.

47,348

49,785 47,935

48,634 48,4%

48, 519

47,801 49,710

47,400

49,812 50,420

50,655 48,876 O




UNIVERSITY OF FLORIDA

3 1262 08229 056 9

SCI-HSSL