Sanitation -- Cuba -- Havana; Sanitation -- Panama; Yellow fever -- Cuba -- Havana
Wherever yellow fever is endemic, it is a well-recognized fact that
the native of the endemic area is not subject to this disease. This
is explained on the theory that he had a mild attack in childhood,
which, though not recognized, gives him protection in after life.
This statement may strike one with surprise at first. We have,
however, an exactly similar state of affairs among cattle. The beef
native to a Texas fever region does not suffer from the disease, but
an animal brought from anywhere outside this region always contracts
the disease, and generally dies. The calf of the native cow is
believed to have a mild attack which does not make it seriously sick,
but protects it from Texas fever all through life. If the calf of the
foreign cow is born in the endemic area, it seems to survive just as
does the native calf, though the mother may have died of Texas fever.
An adult human being frequently has yellow fever in so mild a form
that it is not recognized as yellow fever. Many Europeans are found
in a yellow-fever endemic center such as Havana, who have lived there
for years and not had yellow fever, as far as they themselves were
aware. If, therefore, an individual could prove that he had lived
for ten years continuously in a yellow-fever center, his immunity was
accepted by the quarantine authorities.
If a ship had touched at a port where yellow fever prevailed, before
coming to Panama, there was a possibility of infected stegomyia
having gotten aboard, even though no cases of yellow fever had
developed on the ship. For by chance the infected mosquitoes may not
have bitten anyone, or if they had bitten persons on the ship, the
biting may not have taken place a sufficient length of time for the
development of the disease, before the arrival of the ship at Panama.
Such a ship was considered as possibly infected, and was treated at
quarantine exactly in the same way as above described in case of a
ship known to be infected.
The fumigation of a ship was generally accomplished by burning
sulphur, as above described in the case of fumigating a house. In the
parts of a ship, such as the engine-room, where there was valuable
machinery which would be injured by sulphur fumes, pyrethrum was
used, just as in similar circumstances it was used in fumigating
dwelling-houses. We had more elaborate machinery than the pots and
pans described in the fumigation of houses, with which sulphur fumes
could be developed much more rapidly and in much larger volume. This
was used by us on special occasions where its use seemed desirable.
Public-domain text, read in full here on John Shaqi.
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