Isthmian Canal Commission (U.S.).

Annual report of the Isthmian Canal Commission for the year ending .. (Volume 1907) online

. (page 1 of 5)
Online LibraryIsthmian Canal Commission (U.S.)Annual report of the Isthmian Canal Commission for the year ending .. (Volume 1907) → online text (page 1 of 5)
Font size
QR-code for this ebook


lOiify^, l^ /



ANNUAL REPORT



OF THE



DEPARTMENT OF SANITATION



OF THE



ISTHMIAN CANAL COMMISSION



FOR THE



YEAR 1907



W. C. GORGAS

Assistant Surgeon-General, U. S. Army
Chief Sanitary Officer



WASHINGTON

GOVERNMENT PRINTING OFFICE

1908



6140386



UNIVERSITY
OF FLORIDA
LIBRARY




Prgperty of tlie llnitei St^t^s GovernineBl



ANNUAL REPORT



OF THE



DEPARTMENT OF SANITATION



OF THE



ISTHMIAN CANAL COMMISSION



FOR THE



YEAR 1907



■ ' W. r GORGAS

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



WASHINGTON

GOVERNMENT PRINTING OFFICE

1908






a.



<» •



CONTENTS.



Page,

Letter of transmittal 5

General statistics 9

Deaths by color 10

Deaths by nationality 10

Deaths by ages 11

Deaths of Isthmian Canal Commission and Panama Rail-
road employees by nationality , 11

Causes of deaths of Isthmian Canal Commission and Panama

Railroad employees 12

List of deaths on the Isthmus of white employees from

United States 14

Deaths of white American women and children 17

Causes of death 18

Morbidity and mortality tables 22

Discharges and deaths of employees in hospitals of Commis-
sion ' 22

Consolidated hospital report 26

Consolidated sick-camp report 28

Consolidated hospital and sick-camp report 29

Average number of employees constantly sick during year

in hospitals and sick camps 30

Consolidated dispensary report . . ^ 31

Report of all surgical operations in hospitals of Commission. 31

Consolidated laboratory report of all hospitals of Commission . 34
Report of —

Ancon Hospital 36

Colon Hospital 39

Culebra Hospital 43

Mirafiores Hospital 44

Bas Obispo Hospital 46

Gorgona Hospital 47

Empire Hospital 49

Paraiso Hospital 49

Las Cascadas Hospital _- 51

Gatun Hospital 52

Taboga Sanitarium 53

Santo Tomas Hospital 53

Pedro Miguel Dispensary 54

Panama Dispensary 55

(3)



szt^-j



Report of— ^^^f-

La Boca Dispensary 55

San Pablo Dispensary 56

Corozal Dispensary 56

Cristobal Dispensary 57

Tabernilla Dispensary 57

Board of Health Laljoratory 58

Vaccinations 59

Statement of issues of quinine 60

Summary of work performed in the city of Panama 60

Summary of the work performed in the cities of Colon and

Cristobal - 62

Summary of routine work accomplished by department of

sanitation 67

Sanitation , Bocas del Toro .^ 75

Consolidated repor,t of quarantine transactions at ports of

Ancon and Panama and Colon and Cristobal 76

Quarantine transactions. Bocas del Toro 77

Personnel report 77

Malaria cases and deaths among white and black employees

in hospitals - 78



LETTER OF TRANSMITTAL.



Office of Chief Sanitary Officer,

Ancon, Canal Zone, February 24, 1908.
Chairman Isthmian Canal Commission,

Culehra, Canal Zone.

Sir: I herewith forward annual report for the cal-
endar year 1907.

We averaged durmg the year 10,709 white em-
ployees, among whom we had 179 deaths, giving us
an annual death rate of 16.71 per thousand. Last
year, 1906, we had a death rate among our white
employees of 16.27 per thousand.

We averaged during 1907, 28,634 negro employees,
among whom we had 953 deaths, giving us a rate of
33.28 per thousand. The preceding year, the rate
in the same class was 49.01 per thousand. This
means that among our negro employees 16 fewer
men died in 1907 in every thousand than in 1906.

We averaged during the year 1907, 39,343 em-
ployees of all kinds on our rolls. Among these w^e
had 1,132 deaths, giving us a death rate of 28.77 per
thousand. The preceding year our death rate in the
same class was 41.24 per thousand. This means
that in our force taken as a whole we had 13 fewer
deaths in every thousand men than we had m 1906;
that is, the improvement in the health conditions in
the year 1907 over those of 1906 saved the lives of
507 men in our laboring force.

The improvement has also been considerable in the
health of the total population. In 1907 our death
rate in this class was 33.63 per thousand; in 1906,
49.10 per thousand, showing a saving of 16 lives per
thousand over the year 1906. This for the total



population of 102,000 means the saving of 1,632 lives
in 1907 as compared with 1906.

Among our 4,300 white American employees we
had during the year 42 deaths, which gives a rate per
thousand of 9.76. Of these, 29 died from disease,
which w^ould give us a death rate from disease of 6.74
per thousand, which is about as small as would occur
among a similar body of men in any healthy part of
the United States.

We had in Commission quarters the families of
these 4,300 men — 1,337 women and children. Of
these, 9 died, giving a death rate of 6.73 per thousand;
smaller, I think, than the death rate in the same class
in most parts of the United States. Generally, the
death rate of women and children, considered together,
is much higher than that of men in the prime of life.
In this instance they are almost exactly the same.

Among our 39,000 employees, w^e had on a average
every day 987 sick. This would give us a rate per
thousand of 25, which compares very favorably with
bodies of men such as our Army or Navy or similar
organizations.

During the year we had 173 violent deaths among the
employees, as compared with 55 in the preceding year. I
can think of no particular reason for this very great
increase. There was probably very much more blasting
and railroad work going on in 1907 than in 1906.

From beriberi we had 2 deaths among the employees
in 1907 as against 6 in 1906. Among the employees
in 1907 we had 48 deatlis from dysentery as against 69
in the preceding year. From malaria among the em-
plo3^ees we had 154 deaths in 1907 as against 233 in

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

1907. From pneumonia among the employees we had
328 deaths this year as against 421 last year.

Taking the population at large and considering in-
dividual diseases, we also find some gratifying de-
creases. From malaria, with a total population of



66,000 in 1906, we had 712 deaths; in 1907, with a
total population of 102,000, w^e had 568 deaths. From
dysentery, in 1906, we had 190 deaths. With nearly
double the population in 1907 we had only 116
deaths. From beriberi, in 1906 we had 68 deatlis;
in 1907, 53 deatlis. Of these 53 deaths 48 occurred in
the city of Panama; that is, beriberi is almost entirely
confined to the citv of Panama. From pneumonia,
for the year 1906, \ve had 720 deaths; in 1907, 581
deaths. From hook worm, which causes tropical
anaemia, we had in 1906, 15 deaths; in 1907, 7 deaths.
When we first came to Panama we looked upon this
as probably one of the most formidable diseases with
which we would have to deal.

It is an interesting fact that of our total mortality,
28.77 per thousand, among our laboring force, only
4.57 per thousand died of disease ordinarily called
tropical, among which we include malaria.

Taking malaria itself, we admitted into our hospi-
tals during the year 1906, 21,739 cases; in the year
1907. 16,753 cases. As we had a force of 26,000 in
1906, and of 39,000 in 1907, these figures would show-
that in 1906 eleven- thirteenths of our force had ma-
laria, while in 1907 only five- thirteenths had this dis-
ease ; that is, the malaria for the year had been reduced •
just one-half as compared with 1906.

It is interesting to note in tliis connection that in
1906 our death rate from malaria was, approximately,
among the whites, 2 per thousand, and among the
blacks, 8 per thousand. In 1907 the same rates were
3 per thousand and 4 per thousand. This seems to
show a greatly increased resisting power among the
blacks during 1907. as compared with 1906. The
slight increase in death rate from malaria among the
whites is due to the fact that the white American force
has decreased, and the white foreign force greatly in-
creased. The foreign force, being much less intelh-
gent than the American w^hite force, increased to
some extent the mortality among the whites.



8

It is worthy of note that ^\e admitted to our hos-
pitals during the year only 243 cases of s^^pliilis and
190 cases of gonorrhea. This in so large a force, I
think, is quite remarkable. And it is equally remark-
able that we should have admitted to our hospitals
during the jesiT only 116 cases of alcoholismiis.

We gave during the year 438,000 days' treatment
to employees in hospitals, at a cost for food of $129,000,
which gives us a cost per capita per day of 29.5 cents
for food. The total running expenses for all hospitals
for this same period was $735,000, which would give
us a total cost per capita, per day, of SI. 67 7. This
compares ver}'' favorabh^, as to expense, with hospi-
tals in the United States, and when we consider that
almost all of our supplies are considerably more ex-
pensive than in the United States, I think it is doing
very well.

During the year we had 71,000 people come to the
Isthmus and 44,000 leave, which gives an increase in
population of 27,000.

For the 3^ear, then, I think we can state that the
health conditions on the Isthmus show a marked im-
provement as compared with all previous years since
we have been here, and that this improvement seems
to be continuous; that the health of the American
whites — men, women, and children — is fully as good as
in most parts of the United States; that the working
efficiency of our force, as far as loss from sickness is
concerned, is as good as that of a similar force any-
where in the United States, and better than that of
either our Army or Navy.

We have had no case of yelloA\ fever anywhere on
the Isthmus, excepting that taken oiY the shipping at
the quarantine stations; no case of bubonic plague,
and only one death from smallpox, wliich was not in
the person of an employee.
Very respectfully, '

Wm. C. Gorgas,

Chief Sanitary Office7\



ANNUAL REPORT

OP

DEPARTMENT OF SANITATION, ISTHMIAN CANAL COMMISSION,

FOR THE YEAK 1907.



GENER-A.L STATISTICS.

Table showing Average Number for the Year of White
AND Black Employees, Separately and Consolidated, Total
Deaths, Average Population. Total Deaths among Popu-
lation, AND Annual Death Rates among Employees and
Population.

YEAR 1907.



Average
number of
employees.



Total
deaths



Armual

average per

1,000.



WTiite employees of the Canal
Commission and Panama Rail-
road Company

Black employees of the Canal
Commission and Panama Rail-
road Company

Total employees of the
Canal Commission and
Panama Railroad Com-
pany



Panama

Colon

Canal Zone.



10, 709
28, 634



Total population.



39, 343

Average
population.
33. 548
14, 549
54, 036



102, 133




28.77



34. 45
39.24
31.60

33. 63



Note. — The population and deaths as given for the cities of
Panama and Colon, and for the Canal Zone, in the table above,
include employees and civil population. Figures relating to num-
ber of employees are compiled from the pay rolls of the different
months.

(9)
34020—08 2



10



Deaths by Colors,

White:

Male 480

Female 171

Black:

Male 1, 958



Female...
Chinese:

Male

Female . . .
Not stated :

Male

Female...
Sex unknown.



'54

57
2

5
2



Total 3,435



Deaths by Nationality.



Algeria

Africa

Antigua

Austria

Argentine Republic

Arabia

Barbados

Bolivia

British Guiana

Bahama Islands

Bohemia

Belgium

Canada

China

Chile...

Colombia

Costa Rica

Cuba

Curasao

Demarara

Dominica

Egypt

Ecuador

England

France

Fortune Islands

Greece

Germany



1

2

29

4

1

1

377

3

1

1

1

1

1

58

3

251

11

7

1

2

8

1

6

19

31

10

13



Grenada

Guadaloupe.

Guiana

Haiti

Holland

Honduras. . .
Hindustan..

India

Ireland

Italy.



Jamaica

Martinique.

Mexico

Montserrat .

Norway

Nicaragua..

Nassau

Panama

Peru

Porto Rico.

Portugal

Russia ,



Syria

San Salvadcjr.

Scotland

Spain

Sweden

Switzerland..



7

63
1
8
1
1
1
1
2

25

657

165

14

13

2

6

2

149
5
A



1
4
()
123
1
1



11



St. Kitts

St. Lucia —
St. Thomas..
St. Vincent.
St. Michaels.

Trinadad

Tuikey



4
84

5
11

1
22

2



United States.

Venezuela

West Indies...
Unknown



7
29



Grand total 3, 435



Deaths by Ages.



Under 1 year 530

From 1 to 4 years 118

From 4 to 10 years 57

From 10 to 20 vears 264

From 20 to 30 years 853

From 30 to 40 years 554

From 40 to 50 vears 443



From 60 to 70 years . .
From 70 to 80 vears . .
From 80 to 90 years..
From 90 to 100 years.

Over 100 years

Not stated



80

42

16

2

2

256



From 50 to 60 vears.



218



Grand total 3.435



Deaths of Isthmian Canal Commission and Panama Railroad
Employees by' Nationality.



Antigua 23

Austria 1

Bohemia 1

Bahama Islands 1

Barbados 336

Belgium 1

Bolivia 1

Canada 1

Colombia 33

Costa Rica 1

Curacao 1

Demarara 2

Dominica 6

England 8

France 14

Fortune Islands 10

Germany 2

Greece 11

Grenada 5

Guaclaloupe 53

Guiana, British 1

Haiti 4

Holland 1

Hindustan 1

India 1

Ireland 1



Italy 11

Jamaica 223

Mexico 1

Martinique 106

Montserrat 10

Nicaragua : 2

Nassau 2

Panama 52

Porto Rico 2

Russia 1

Syria 1

San Salvador 1

Scotland 2

Spain 83

St. Kitts 2

St. Lucia 27

St. Thomas 2

St. Vincent 11

Switzerland 1

Trinidad 17

Turkey 2

United States 43

West Indies 3

Not stated 7

Grand total 1.132



12



Causes of Deaths of Isthmian Canal Commission
Panama Railroad Employees.



AND



Accidental traumatisms

Alcoholism, acute

Anaemia, pernicious

Anaemia

Aneurism of abdominal aorta..

Arthritis, purulent

Apoplexy

Arterio-sclerosis

Abscess of spleen

Aortic insufficiency

Amoebic abscess of liver

Appendicitis, suppurative

Aortitis, vegetative

Beriberi

Biliary calculi

Bronchitis

Bright' s disease

Carcinoma of stomach

Colitis, acute

Diabetes

Drowning, accidental

Dysentery, amoebic

Dysentery

Diarrhea

Empyema

Endocarditis

Enteritis, suppurative

External violence

Embolism

Entero-colitis

Fever:

Malarial

Pernicious

Haemoglo])inuric

Typhoid

General paresis

Hypostatic congestion of lungs

Heart, organic disease of

Hemorrhage

Hernia, strangulated

Infection, undetermined



White.


Black.


Total.


55


87


142


5


1


6


1





1


1





1


1





1





1


1


1


3


4





1


1





1


1


1





1


2


1


3


1





1





1


1


1


1


2





2


2





1


i





1


1


1





1


1


1


2





1


1


5


16


21


7


15


22


4


22


26





1


1





4


. 4


1


2


3





1


1


2


1


3





1


1





1


1


23


110


133


10


3


13


2


6


8


9


89


- 98


1





1





]


1


3


18


21





3


3


0'


1


1





1


1



rs



Causes of Deaths of Isthmian Canal Commission and
Panama Railroad Employees — Continued.



Ileo-colitis:

Acute

Chronic

Intestinal obstructions

Indigestion, acute

Insanity, alcoholic

Liver:

Abscess of

Cirrhosis of

Lungs:

Abscess of

Gangrene of

Oedema of

Tuberculosis of

Myelitis

Malignant tumor of pancreas
Meningitis:

Simple

Cerebro-spinal

Pneumococcic

Tuberculous

Myocarditis

Nephritis

Oedema of larynx

Paralysis

Pericarditis

Peritonitis

Pleurisy

Pneumonia

Broncho

Pyemia

Rupture of —

Spleen

Urethra

Rheumatism

Shock from operation

Syncope

Septicemia

Stomach:

Cancer of

Ulcer of







«^


White.


Black.


Total.


1


3


4





1


1


1


4


5





1


1





1


1


1


4


5


4


3


l-r
i


1





1





1


1





1


1


6


67


73





1


1





1


1


1


13


14





5


5





3


3


1


1


2





4


4


2


56


58





2


2





1


1





3


3





12


12





1


1


11


304


315


2


11


13





5


5





1


1





1


1





1


1





1


1





1


1


6


23


29





2


2


1





1



14



Causes of Deaths of Isthmian Canal Commission and
Panama Railroad Employees — Continued.



Sarcoma of jaw

Suicide

Senile debility

Sj^hilis

Tetanus

Tuberculosis of mesenteric glands

Uncinaria

Xot stated

Grand total



White.


Black.


Total.





1


1





1


1





2


2


1


2


3


1


3


4





1


1





2


2


1


3


4



179



953 ! 1,132



List of Deaths on the Isthmus of White Employees from
THE United States, Giving Name, Occupation, Length of
Time on the Isthmus, Age, and Cause of Death.

JANUARY.



Name.


Occupation.


Time on
Isthmus.


Age.

35
40

29
30
24


Cause of death.


Fitch, Thomas

Marion, Dennis. . . .


Panama Railroad.
Machinist


18 months.

(?)

3 weeks . . .
20 months
3 months .


Dysentery, amoebic.
Intestinal obstruc-


Pruden, H. D

Ridlev, Geo. V


Electrician

Doctor


tion.
Fever, typhoid.
Pneumonia, lobar.


Warden, Otis..


Carpenter


Fever, typhoid.



FEBRUARY.



Home, W. R

Newman, Frank.



Carpenter .
do....



9 months.
6 months.



29
41



Haemoglobinuric fe-
ver.
Tuberculosis.



MARCH.



Feeney, Michael i Panama Railroad.

Fountain, John II.. Conductor

James, Edward Clerk

Kendal, Thomas... Engineering de-
partment.



8 months.


(?)


3 years


29


22 months.


40


4 years


02



Accidental tniuiua-
tism.
Do.
Septicemia.
Malarial fever.



15



Lisi OF Deaths on the Isthmus of White Employees from
THE United States, etc. — Continued.



APRIL.



Name.


Occupation.


Time on
Isthmus.


Age.


Cause of death.


King, S. I


Panama Railroad.

Machinist

Foreman


7 months.


(?)


Septicemia.


Murphy, Joseph . . .
Rick, August J


14 months! 37
1 year 1 46


Blackwater fever.
Septicemia.











MAY.



Gibson, Charles


Excavating de-
partment.


3 weeks...


(?)


Accidental trauma-
tism.


Hulme, R. A


Municipal Engi-
neering depart-
ment.


(?)


50


Multiple fractures.


Parke, Lyman M. . .


Watchman


(?)


34


Accidental trauma-
tism.



JUNE.



Dempsey, Patrick J.


Powderman


6 weeks . . .


26


Explosion, dynamite.


Loftts, J. J


Supervisor


2 vears


38


Acute alcoholism.


Maher, Edward


T r a n sportation
department.


3 years


(?)


Suffocation, trauma-
tism.


Titus, George


Foreman


11 months


38


Acute alcoholism.



JULY.



Harrington, Jas.W.


Panama Railroad.


9 months.


(?)


Typhoid fever.


Irwin, Earle M


(?)


(?)


(?)


Accidental dro\vning.


Karling, James


Excavating de-
partment.


14 months


4.5


Amoebic dysentery
and abscess of liver.


Wallion, Michael. . .


Engineering


(?)


24


Accidental drowning.



AUGUST.



Bragg, Sherman . . .


Pattern maker


18 months




39


Organic disease
heart.


of


Pettit, Geo. L


Boiler maker


10 weeks . .


29


Abscess of liver.




Thomburgh, Elea-


Panama Railroad.


10 months


33


Septicemia.




nore M.













SEPTEMBER.



Sherman, Jos. L. . . . Craneman

Twist, E. M ; Panama Railroad.



(?)
104 years . .



36 Broncho-pneumonia.
41 Typhoid fever.



16



List or Deaths ox the Isthmus of White Employees from
THE United States, etc. — Continued.

OCTOBER.



Name.


Occupation.


SSSS?. ^Se. Cause of death.


Farrell, Patrick

Savage, John

Shean, David

Snell, Frank

Wagner, Adam


Engineer and con-
ductor.

do

Coppersmith

Trainman

Blacksmith


3 months .

21 months
25 years...

14 months

9 months .


44 Ulcer of stomach.

27 Abscess of liver.

56 Accidental trauma-
tism.

29 , Suppurative appen-
dicitis.

42 Abscess of liver.



NOVEMBER.



Powers, Edward . . . ^ Mechanic I 10 months

Vande Pool, A. G do 8 months ,



51 Malarial fever, per-

I nicious.
38 I Malaria, E. A.



DECEMBER.



Conant, Frank W. .


Foreman


(?)

(?)

2 J vears.. .

\?)
33 months

1


34
40

(?)
35
30


Apoplexy.


Cassidy, Frank


Machinist


Fracture of skull.


Kramer, Philip F..
Rogers, James S.. .
Studevant, B. S . . .


Engineer


External violence.


Powderman

-Municipal Engi-
neering Depart-
ment.


General paresis.
Accidental drowning



Average number of white employees from the United

States on the Isthmus, for the year 4, 300

Total number of deaths among white employees from

the United States for the year 42

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

Total number of deaths from disease, among white em-
ployees from the United States, for the year 29

Annual average, per 1,000, of deaths from disease among
white employees from the United States 6. 74

Total number of deaths from external violence, poison-
ing, etc., among white employees from the United
►states, for the year 13

Annual average, per 1.000, of deaths among wdiite em-
ployees from the United States, from external violence,
poisoning, etc 3. 02



17



Deaths of White American Women and Children,



Name.


Time on
Isthmus.


Age.


Cause of death.




April.






Little, Katherine L —


8 months . . .
May.


13


External violence (railroad
accident— internal hemor-
rhage).


Warren (infant)


7 days

August.


7 days.


Marasmus.


Thornburgh, Eleanore
M.


10 months . .


33


Septicemia.


October.






Maclntyro (baby)

Ortega, Mary


Iday


1 day.

57

9 months.


Cerebral paralysis.
Nephritis, chronic.
Malarial fever.


Scherburgh, Albert


9 months . . .




Novemhir.






TTp.m, Mrs?. .Tohn T...




2S


Hsemoglobinuric fever.




December.




Atterbury, Mrs. C. L. . .
Evans, Editb EmTna . .


6 months. . .
3 months...


(?)
3 months.


Hyperemesis gravidaum.
Capillary bronchitis.



Average number of white American women and children
living in Commission quarters, for the year 1. 337

Total number of deaths among white American women and

children for the year. 9

Annual average, per 1.000. of deaths among white American
women and children 6. 73



34020—08-



18



Causes of Death.

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



Diseases.



I. General Diseases.

Typhoid fever (abdominal typhus)

Relapsing fever

Malarial fever

^sti vo-autumnal

Clinical

Malarial cachexia

Ha?moglobinuric fever

Smallpox

Diphtheria

Dysentery

Bacillary

Amoebic

Clinical

Leprosy

Beriberi

Purulent infection and septicaemia.

Tuberculosis of the larynx

Tuberculosis of the lungs.

Tuberculwois of the meninges. . ,. . .

Abdominal tuberculosis

White swelling

Tuberculosis of other organs

General tuberculosis

Scrofula

Syphilis

Cancer and other malignant tu-
mors of the buccal cavit}'

Cancer and other malignant tu-
mors of stomach and liver

Cancer and other malignant tu-
mors of peritoneum, intestines,
and rectum

Cancer and other malignant tu-
mors of the female genital organs

Cancer and other malignant tu-
mors of the breast

Cancer and other malignant tu-
mors of other organs or of or-
gans not specified

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

Acute articular rheumatism

Chronic rheumatism and gout

Diabetes

LeuksBmia

Anaemia, chlorosis

Other general diseases

Acute and chronic rheumatism

Other chronic poisoning



An-
con
hos-
pital.



58



Colon Line
hos- hos-
pital, pital.



12

11

3



4
"29'



1
22



2
17



37



11



Pan-
ama.



Colon



18



13



31
3
1
1



3
38'



1
22



7
1 .

6 ;
1 '.

3'



Zone.



1 2 6

1 : I

20 109 I 60 I 120

6 I 7 1 31 3 10

8 2 I 14 7 i 16

3 4 6 2



48
3 '

1

146 19

3 ;

2



1 2
1

..i 4
3 1



44



Total.



21



115

1

415

68

50

15

t20

- 1

1

55

1

53
7
1

53
45
1
295
6
6
1
3

39

1

14

2

7



1
5
1
2
2
13
2
5
8



19



Causes of Death — Continued.



Diseases.



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

Encephalitis

Simple meningitis

Epidemic cerebro-spinal meningitis

Pneumococcus meningitis

Other diseases of the spinal cord. . .

Congestion and hemorrhage of the
brain •.

Softening of the brain

Paralysis without specified cause.

General paralysis

Other forms of mental alienation.


1 3 4 5

Online LibraryIsthmian Canal Commission (U.S.)Annual report of the Isthmian Canal Commission for the year ending .. (Volume 1907) → online text (page 1 of 5)