Sanitation -- Cuba -- Havana; Sanitation -- Panama; Yellow fever -- Cuba -- Havana
One morning about daylight I got a message stating that her ladyship
was in a most critical and desperate plight, as some time during
the night she had gotten her wing caught in a mesh of the mosquito
netting, and had struggled to free herself for so long a time that
when she was discovered by the attendant in the morning, she was
almost dead. I rapidly dressed and hurried to the hospital. Similar
messages had been sent to Dr. Ross and Dr. Guiteras. We found her
condition even worse than had been represented. Two or three of the
doctors on the staff of the hospital had been promptly called in,
and the services of several of our trained nurses had been likewise
obtained. Her wing had been gently liberated from the mesh of the
netting, and her ladyship laid upon a soft bed of cotton batting. The
oil-stove was started up, and the room brought to a very hot summer
temperature, but it was all of no avail. She finally ceased to kick
about nine o’clock in the morning, and died with a larger attendance
of doctors and nurses around her table than had ever been present
around the deathbed of any mere human in the city of Havana.
This account may sound somewhat exaggerated, but the scene still
comes back to my mind’s eye very vividly, how earnest and serious we
all were. A half-dozen of the leading practitioners of Havana were
sitting around the deathbed of this mosquito, looking and feeling
exceedingly mournful and depressed. And it was a very heavy blow to
the Health Department of Havana. It was well on into the summer,
the month of July, before we succeeded in getting another infected
mosquito, and in proceeding with our vaccination work. Finally,
we succeeded in infecting several mosquitoes, and bit with these
mosquitoes sixteen persons, of whom eight developed the disease.
Much to our alarm, several of these cases developed very violent
symptoms, much more so than had occurred in any of the cases of
the Army Board, with the exception of Lazear and Carroll. Three of
these eight positive cases vaccinated by Dr. Guiteras died; one of
those who died was a Miss Maas, a trained nurse from the United
States, who requested to be allowed to get immunity in this way. Why
our cases should have been so severe, and all of the cases of the
Board so mild, no one has attempted to explain. It is a fact that
during the hot summer weather the extrinsic period of incubation in
the mosquito, that is, the time after which the mosquito bites the
man sick with yellow fever until she herself is able to convey the
disease, is considerably shorter than the same period during the cool
winter months, this period in the summer months being from twelve to
fourteen days, and in the winter months, from fifteen to twenty days.
I am inclined to think that there is probably the same difference in
the virulence of the infection developed by the mosquito in the hot
summer months, and in the cool winter months.
Public-domain text, read in full here on John Shaqi.
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