Sanitation -- Cuba -- Havana; Sanitation -- Panama; Yellow fever -- Cuba -- Havana
Dr. Henry R. Carter had published a paper on certain observations of
his made during the epidemic of 1898 in the neighborhood of Jackson,
Mississippi. It had long been known to men practically familiar with
yellow fever that, in general, when you took a patient suffering
from yellow fever into a house where yellow fever had not before
existed, the people in that house did not at once develop the fever.
We explained this by stating that it was due to the fact that the
germs of yellow fever went from the patient to favorable grounds for
development about the house, and there underwent some development
which enabled them to produce the disease in non-immune man. We
thought that the dirtier and more unhygienic were the conditions of
the house, the more favorable were the conditions for the further
development of the germs. Dr. Carter recorded a number of cases where
the houses were isolated and the conditions favorable for making the
observations, and found that the average time from the introduction
of a yellow-fever patient into a house until the first case of yellow
fever was contracted in that house, was about seventeen days. These
observations were published to the world.
Dr. Reed was greatly impressed by this publication of Dr. Carter’s.
He reasoned that if it were the mosquito which transmitted the
disease, this period of extrinsic incubation must be due to a period
of incubation in the mosquito. He says:
We were also much impressed by the valuable observations made at
Orwood and Taylor, Mississippi, during the year 1898 by Surgeon
Henry R. Carter, U. S. Marine Hospital Service, “A Note on the
Interval between Infecting and Secondary Cases of Yellow Fever,
etc.” (Reprint from _New Orleans Medical Journal_, May, 1900.)
We do not believe that sufficient importance has been accorded
these painstaking and valuable data. We observe that the members
of the yellow-fever commission of the Liverpool School of Tropical
Medicine, Doctors Surham and Meyers, to whom we had the pleasure of
submitting Carter’s observations, have been equally impressed by
their importance. (_British Medical Journal_, Sept. 8, 1900, pp.
656-70.)
The circumstances under which Carter worked were favorable for
recording with considerable accuracy the interval between the time of
arrival of infecting cases in isolated farmhouses and the occurrence
of secondary cases in these houses. According to Carter, “the period
from the first (infecting) case to the first group of cases infected
at these houses, is generally from two to three weeks.”
The house having now become infected, susceptible individuals
thereafter visiting the houses for a few hours, fall sick with the
disease in the usual period of incubation, one to seven days.
Public-domain text, read in full here on John Shaqi.
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