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August 21, 1909, Vol LIII, No. 8 >
ARTICLE | August 21, 1909

THE PART SANITATION IS PLAYING IN THE CONSTRUCTION OF THE PANAMA CANAL

WILLIAM C. GORGAS, M.D.
JAMA. 1909;LIII(8):597-599. doi:10.1001/jama.1909.92550080001001.
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The best way of showing what part sanitation is playing in the present canal work is to point out what the conditions would be if the present methods of sanitation were not in vogue, and then to present conditions as they actually are. The difference between the two pictures will fairly represent what is due to sanitation.

For some years the Isthmus of Panama has had about as bad a reputation for health as any locality in the world. Probably it would not be extreme to say that there is no other place that had as bad a reputation. The English official guide for pilots for the year 1903 made these remarks about the canal district:

The Panama Canal District is one of the hottest, wettest and most feverish regions in existence. Intermittent and malignant fevers are prevalent, and there is an epidemic of yellow

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