﻿IX, B, 2 Sanitary Survey in Mindoro 155 



IV. SANITARY AND MEDICAL ORGANIZATION 



To establish the fact that the mortality and morbidity rates 

 are actually high, let me quote briefly a few statistical notations 

 from the San Jose hospital records. 



Average population for 1912, 3,000. Total number of deaths 

 from July 1, 1912, to January 18, 1913, 132. (If this rate for 

 seven months were maintained for the entire year, the deaths 

 would reach the number of 216, a death rate of 73 per thousand 

 of population, or 7.3 per cent.) As a matter of fact, the monthly 

 death rate has varied considerably. During the month of July, 

 1912, it exceeded 200 per thousand annually (statement of the 

 company's surgeon). The death record of the periods previous 

 to July 1, 1912, was not furnished. 



The causes of death were obtainable in only the last 34 cases 

 recorded (October 5, 1912, to January 18, 1913), and are as 

 follows : 



Malaria ' 18 



Beriberi 3 



Pneumonia and tuberculosis 6 



Premature birth 3 



Amoebic dysentery and enteritis 2 



All other causes 2 



Total 34 



Per cent of all deaths due to malaria 52 



Fof the 98 deaths recorded from July 1 to October 5, 1913, 

 diagnoses are recorded for but 34, of which 16 (or 47 per cent 

 of the whole) are ascribed to malaria. 



No numerical record of cases of malaria treated in hospital 

 was furnished me, but if the record of deaths is even approxi- 

 mately correct a tremendous incidence may be inferred, if one 

 has in mind the comparative rarity of death from treated 

 malaria, even in tropical countries. For example, in 1899, only 

 4 deaths occurred among 1,904 infected persons actively treated 

 at Pinar del Rio, Cuba. 



When completed, the examination record of more than 1,100 

 blood smears taken from the people at San Jose will give a fair 

 index of the degree of malarial infection here, but it must be 

 remembered, of course, that not every infected individual ex- 

 amined will show parasites in the single specimen taken, espe- 

 cially as many of the infections are with the aestivo-autumnal 



' All deaths in which the records designate malaria as one of the causes 

 of death are included. 



