1 Credit. 2 In addition to this amount, there was charged directly to "Administration," under "Maintenance and operation," the following items: Dr. Johnson's report on canal tonnage, $5,669.28; tonnage certificate blanks, $44.15; total, $5,713.43. Total... Total, overhead expenses. TABLE NO. 63.-List of the items formerly carried as "General items," and a synopsis of the accounts to which they have been transferred in final distribution. Operation hotels and messes.. Prorated to construction work of every character. " Lands purchased... Relocation Panama Railroad. To "Construction of canal." Buildings.. ..Appraised value of steamships Panama and Colon to "Panama Canal prop- Purchase from New Panama To "Construction of canal." Payment to Republic of To "Construction of canal." Loans to Panama Railroad To "Reequipment loans to Panama Railroad" and "First-mortgage bond Purchase Panama Railroad To "Construction of canal." stock. Waterworks, sewers, and To "Municipal work, Panama and Colon." Appraised value of existing units to "Assets transferred to other departments United States Government," and to "Construction of canal" as the interest appears; balance prorated to construction of every character. Moving and care of French To "Construction of canal." material and equipment. Plant in Panama Railroad To "Panama Canal property operated by Panama Railroad." service. APPENDIX I. REPORT OF THE CHIEF HEALTH OFFICER, DEPARTMENT OF HEALTH. BALBOA HEIGHTS, CANAL ZONE, July 19, 1915. SIR: I have the honor to submit the following report of the operations of the department of health for the fiscal year ending June 30. 1915. Very respectfully, CHAS. F. MASON, Maj. Gen. GEO. W. GOETHALS, United States Army, Governor, The Panama Canal, GENERAL REMARKS. One case of smallpox occurred on the steamship Panama, which arrived at Cristobal on February 3, 1915. The patient was taken sick on the 7th and removed from the ship on the 10th. The disease was contracted prior to his arrival on the Isthmus. With this exception, no cases of yellow fever, smallpox, or plague have originated on or were brought to the Isthmus during the year. There has been a steady reduction in force and expenses throughout the year. The gross cost of the department for the year was $923,108.78 as compared with $1,271,073.61 for 1914. The average number of employees on the rolls during the year was 37,715, as compared with 52,252 for 1914. The shifting of population toward the Pacific end of the canal continued during the year. During the year 39,561 persons were vaccinated in the cities of Panama, Colon, and the Canal Zone, and on board vessels. During the latter part of the calendar year it was decided to make an annual physical examination of all male gold employees, and this was done during the months of December and January. There were 4,100 persons examined and the results were so satisfactory that the practice will be continued. No one was discharged as a result of the test, but much valuable information was obtained as to the physical condition of the personnel which will be as useful to the employees as to the United States. There has been a large increase in the military element. At the beginning of the year there was but one regiment of Infantry and three companies of Coast Artillery stationed in the Canal Zone, with a mean strength for the year of 797. At the close of the year there were three regiments of Infantry, a company of Engineers, a company of Signal Corps, an ambulance company, seven companies of Coast Artillery, and a detachment of the Hospital Corps, with a total strength on the last day of the year of 6,248. With these commands are 373 women and children, thus nearly doubling the American white population. Most of the troops are on the west bank of the canal in the former commission towns of Culebra, Empire, and Las Cascadas. The health of the military commands has been markedly good. There were 3,317 admissions and 8 deaths during the year; 431 of the admissions were for malaria. VITAL STATISTICS. EMPLOYEES. The health of the employees remained good during the year. The total admission rate to hospitals and quarters was 337.21, compared with 473.15 for 1914. The total admission rate to hospitals for 1915 was 204.18, compared with 299.62 for 1914, and for disease alone 156.81, as compared with 220.62 for 1914. The total death rate for 1915 was 5.72 as against 7.92 for 1914, and the death rate for disease 3.61, as compared with 5.17 for 1914. The noneffective rate for 1915 was 10.67, compared with 14.01 for 1914. With regard to malaria the death rate has been reduced more than 32 per cent since 1914 (0.21 in 1915, 0.31 in 1914) and the admission rate to hospitals 20 per cent (56 in 1915, 70 in 1914). The total admission rate for malaria, hospitals and quarters, was 66.60 and the constantly noneffective rate, hospitals and quarter, was 1.29. There were no deaths from hemoglobinuric fever throughout the year; there were two such deaths in 1914. The admission rate for typhoid fever, 0.19, was more than 76 per cent less than for 1914, and the death rate for this disease was 0.03, as against 0.08 for 1914. The admission rate for dysentery was 0.85, as compared with 1.74 for 1914, and the death rate 0.05, as against 0.13 for the previous year. The death rate from pneumonia was 0.58, as compared with 0.96 for 1914. The five diseases causing the highest number of hospital admissions, with their rates, were as follows: The five diseases causing the highest number of deaths, with their rates, were as follows: EFFECTS OF SEASON. The highest death rate for disease occurred in the months of September and March, and the lowest in November and April. The highest admission rates for disease were in July and June, and the lowest in March and April. EFFECTS OF RACE. The admission rate to hospitals and death rate for disease for black employees were 167.96 and 3.70 per thousand, as compared with 412.15 and 3.04 from disease for white employees. The noneffective rate for disease and injuries for black employees per thousand was 9.16, as compared with 19.32 for white employees. The admission rate to hospitals and quarters for malaria was 50.96 for blacks, as compared with 156.39 for white employees. The total death rate for Americans was 5.44, as compared with 9.00 for Europeans. The admission rate to hospitals for disease for the latter was 593.00, compared with 292.93 for Americans. The admission rate for malaria to hospitals and quarters was 240.00 for Europeans, as compared with 107.07 for Americans. The death rate among Americans, Europeans, and blacks from malaria, dysentery, and typhoid fever was as follows: The number of deportations was 191, divided as follows: Employees, 105; nonemployees, 86; disease, 165; and injury, 26. CANAL ZONE. With an average population of 35,249 in the Canal Zone there was a total of 478 deaths during the year; of these 415 deaths were from disease, giving a rate of 11.77 per thousand, as compared with 14.46 for the year 1914. The death rate from tuberculosis was 1.33; the percentage of all deaths was 10. The infant mortality for thousand and for colored Of the total deaths from The birth rate for the year was 18.18. white children under 1 year of age was 36 per children 326, with a general average of 237. disease, the percentage under 5 years of age was 48. PANAMA CITY. The average population of the city for the year was 60,382, among whom there was a total of 1,924 deaths; of these, 1,856 deaths were from disease, giving a rate of 30.74 per thousand, as compared with 34.25 for the preceding year. The death rates for malaria and dysentery were 1.39 and 0.48, respectively. |