Sanitation -- Cuba -- Havana; Sanitation -- Panama; Yellow fever -- Cuba -- Havana
During 1899 we had the most curious case in Havana of infection in
the person of a nun, Sister Maria de los Angeles, a Dominican nun,
and a native of France. She had come direct to New York from Europe,
on the steamship _Celtic_, remained there two days, and then took the
Ward Line steamer _Vigilancia_ for Havana. The trip from New York to
Havana by this steamer occupies four days.
The nun reached Havana September 8. She was feeling badly, though she
did not give up her duties on that account. On September 11 she was
taken sick with a chill, and died with well-marked yellow fever on
the sixteenth.
The circumstances were such that the Board was convinced that she had
contracted the disease on board ship, and not in Havana. She must
have gotten it in some way between New York and Havana. She could not
have been infected in New York, as there had been no yellow fever
there during the preceding twenty years. The steamer under discussion
plied between Vera Cruz, Mexico and New York City, touching at
Havana both going and coming.
We found that the records of the ship showed that the last case of
yellow fever aboard had occurred on the second trip before the one
under consideration, antedating the time the nun was aboard by about
a month. This was in the person of a passenger from Vera Cruz, who
was taken off at the quarantine station at New York. He occupied the
stateroom that afterwards was occupied by the nun on her trip to
Havana. Such an instance twenty years before would very readily have
been explained as an instance of infection from the room, but we now
know that yellow fever can be contracted only through the bite of
an infected female stegomyia mosquito. No other case had occurred
on the ship during the month following this case, in the passengers
from Vera Cruz. It is probable, therefore, that a stegomyia mosquito
in this room must have bitten the passenger sick with yellow fever
during the trip up to New York; that this mosquito remained in this
room for nearly a month, biting the unfortunate nun soon after she
got aboard.
As no other cases occurred afterwards, it is quite probable that
the nun killed the mosquito at the time of the biting. It is also
probable that some immune occupied this room on the trip up from Vera
Cruz to New York City, who would not be injured even if the mosquito
bit him. On the preceding trip down from New York to Vera Cruz the
person occupying the room would not have been injured by the biting
of the mosquito, even if the person had been a non-immune, as the
mosquito requires two weeks from the time she bites a yellow-fever
patient before she herself becomes infectious. The preceding trip
down was within this two weeks period of non-infectiousness in
the mosquito. At first blush, the case certainly appeared very
mysterious. How was it possible for a person coming from France via
New York to Havana, to have yellow fever when she reached Havana!
Public-domain text, read in full here on John Shaqi.
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