In February 1901, Dr. H. E. Durham published an abstract of an
_interim_ report of the Liverpool School Yellow Fever Commission. He
and Dr. Walter Myers, the two Commissioners, had both of them been
attacked by the disease, and Dr. Myers had died of it. The report
gives evidence that the disease is due to a bacillus which is not the
_bacillus icteroides_; and it does not wholly favour the earlier
report (1900) of the American Commission. A later Commission to New
Orleans, September 1901 to January 1902, reported an extensive series
of investigations, which seem rather to support the belief that the
_bacillus icteroides_ is the cause of the disease. Later still, this
belief is again denied; and, as in rabies, so in yellow fever, the
good work has gone on without waiting for the identity of this or that
micro-organism.
* * * * *
Immunisation, by the direct use of an infected mosquito, may be
compared with the old custom of inoculation against smallpox. The use
of Sanarelli's serum-treatment has not gone far. There remains for
consideration the method of keeping down infection by keeping down
_Culex_.
Three reports, in 1901-1902, come from Dr. Guitéras (Havana),
Surgeon-Major Gorgas, chief sanitary officer (Havana), and the
Commission at New Orleans. Dr. Guitéras reports that 6 cases of yellow
fever (inoculation) were treated in a large "mosquito-proof" building,
which also contained cases of other diseases. No prophylaxis was
enforced, save the exclusion of mosquitoes; non-immunes visited the
yellow fever cases, non-immunes nursed them, and most of the
attendants and labourers about the place were non-immunes; but not a
single case of infection occurred. The New Orleans Commission reports
that, of 200 cisterns, &c., examined in the city for the presence of
larvæ, the larva of _Culex_ (_Stegomyia_) predominated in more than 60
per cent.
The report of Surgeon-Major Gorgas is very pleasant reading. For two
centuries, Cuba had been cursed with yellow fever; then, after the war
with Spain, America took it over:--
"The army took charge of the health department of Havana, when
deaths (from all causes) were occurring at the rate of 21,252
per year. It gives it up, with deaths occurring at the rate of
5720 per year. It took charge, with smallpox endemic for years.
It gives it up, with not a case having occurred in the city for
over eighteen months. It took charge, with yellow fever endemic
for two centuries--the relentless foe of every foreigner who
came within Havana's borders, which he could not escape, and
from whose attack he well knew every fourth man must die. The
army has stamped out this disease in its greatest stronghold."
Public-domain text, read in full here on John Shaqi.
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