Very little was spent on sanitation, roads, other public works and education.
Sanitation decreases the death-rate, religion keeps up the birth-rate.
The water supply and drainage systems were introduced by the United States government, which controls the sanitation of the city, but has no other jurisdiction over it.
Great attention has been paid to higher education, and - at least in the hospitals - to modern sanitation and hygiene.
The principal streets are wide and tree lined, the sanitation is good.
The sewerage system and conditions of house sanitation were found extremely inadequate when the American army occupied the city in 1899.
The new Chinatown gained considerably in sanitation and in the housing of its commercial establishments.
The general improvement in sanitation has led to a corresponding improvement in the condition of the working classes, though much still remains to be done, especially in the south.
Miss Nightingale followed with interest all the later improvements in sanitation, and was frequently consulted about hospital plans both at home and abroad.
The climate of the city was originally very unhealthy, but it has improved greatly of recent years with modern sanitation and drainage.
The men should be instructed in the laws of sanitation, and in the proper care of injured men.
There are electric tramways and a good water-supply, but most of the older houses are fragile wooden structures coated with lime or mud, and the sanitation is defective.
Sanitation, however, is improving and much good has resulted from the boring of numerous artesian wells which yield good water.