Handbook of Medical EntomologyRiley, William A. (William Albert)
Science
Handbook of Medical Entomology
Riley, William A. (William Albert)
Insect pests; Insects as carriers of disease; Medical parasitology
On the other hand, there are places wholly outside of the normal range
of _Aëdes calopus_ where the disease has raged. Such are New York,
Boston, and even Philadelphia, which have suffered notable epidemics.
These outbreaks have been due to the introduction of infected mosquitoes
during the heat of summer, when they have not only conveyed the disease
but have found conditions favorable for their multiplication. Or,
uninfected mosquitoes have been thus accidentally brought in and
developed in large numbers, needing then only the accidental
introduction of cases of the disease to start an epidemic.
Methods of control of various diseases have been revolutionized by the
discovery that they were insect-borne, but in no other case has the
change been as radical or the results as spectacular as in the case of
yellow fever. The "shot-gun quarantine," the sufferings and horrors, the
hopelessness of fighting absolutely blindly have given way to an
efficient, clear-cut method of control, based upon the knowledge that
the disease is carried from man to man solely by the mosquito, _Aëdes
calopus_. The lines of defense and offense are essentially as follows:
In the first place, when a case of yellow fever occurs, stringent
precautions must be adopted to prevent the infection of mosquitoes and
the escape of any already infected. This means that the patient must be
removed to a mosquito-proof room, or ward beyond reach of the insects,
and that the infected room must be thoroughly fumigated at once, to kill
the mosquitoes hiding within it. All cracks and openings should be
closed with strips of paper and fumigation with burning sulphur or
pyrethrum carefully carried out.
It should be remembered that if the first case noted is that of a
resident rather than imported, it means that the mosquito carriers
became infected more than two weeks before the case was diagnosed, for
as we have seen, the germ must undergo a twelve-day period of
development within its insect host. Therefore a careful search must be
made for mild cases which, though unrecognized, may serve as foci for
the spread of the disease.
In face of a threatened epidemic one of the most essential measures is
to educate the citizens and to gain their complete coöperation in the
fight along modern lines. This may be done through the schools, the
pulpit, places of amusement, newspapers and even bulletin boards.
Emphasis should be placed on the necessity of both non-immunes and
immunes using mosquito curtains, and in all possible ways avoiding
exposure to the mosquitoes.
Public-domain text, read in full here on John Shaqi.
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