Sanitation -- Cuba -- Havana; Sanitation -- Panama; Yellow fever -- Cuba -- Havana
With the object of getting as many people as possible to take
quinin every day, each district physician had attached to his staff
one or more quinin dispensers. This quinin dispenser was a man
furnished with quinin in various forms, who spent the day going about
among the laborers offering them quinin. It was the endeavor of the
district physician to have each laborer once a day offered quinin.
The dispenser carried with him what was known on the Isthmus as
quinin tonic. This was a quinin solution made up so that each ounce
should contain five grains of quinin. Other ingredients were added so
as to make it attractive in smell, taste and appearance. The quinin
dispenser also carried with him quinin pills, capsules and tablets,
and the patient was allowed his choice.
The Commission ran a large number of hotels and eating-houses, where
all classes of employees were fed. Quinin tonic and quinin tablets
were placed on the tables of all these eating-houses and messes, and
an educational campaign was vigorously pushed among the employees,
with the idea of teaching them what was aimed at by taking quinin
in this way. No attempt was ever made to force anyone to take this
prophylactic quinin, but explanation and persuasion were used to
their fullest extent.
By these methods we succeeded, when the use of quinin was at its
maximum, in getting our force to take about forty thousand doses per
day. The men responded very heartily and loyally to this system
of education. I was very much gratified at the results, and feel
confident that no system of compulsion could have been as successful.
I am satisfied that during the early years of construction, before
our other anti-malarial work had produced results, this giving of
prophylactic quinin on so large a scale was of the very greatest use
to us.
Under some circumstances we required our employees to take quinin.
At Taboga, down in Panama Bay, we had a convalescent hospital where
the men were sent to spend a week or two when convalescing from the
severer forms of malarial fever. A man with malarial parasites in his
blood was a source of infection and of danger to his well companions.
With the idea of being certain to kill all the parasites in his
blood, he was required to continue large doses of quinin for a week
or ten days after the stoppage of his fever. But such is the nature
of man that as soon as you begin to force him to do a thing, from
that moment he begins to seek ways by which he can avoid doing the
thing you are trying to force upon him.
Public-domain text, read in full here on John Shaqi.
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