Sanitation -- Cuba -- Havana; Sanitation -- Panama; Yellow fever -- Cuba -- Havana
One attack of yellow fever gives such great protection that, in
practice, a man who can prove that he has once had the disease is
looked upon as entirely safe. But of course he has to prove this to
the satisfaction of the quarantine physician. It is considered so
certain that everyone exposed to yellow fever will have the disease
that proof that a man has lived in an endemic center for ten years
is accepted as proof of his immunity. No quarantine is, however,
absolute in any disease, in any locality, or carried out by any
authority. Some people now and then will pass the quarantine who are
either so slightly sick that the disease is not recognized, or who
developed the disease after they had been released from quarantine.
But a quarantine greatly lessens the number of times and the
frequency with which infection is introduced into a locality.
For some reason yellow fever, in the minds of people generally, is
covered with a cloak of mystery. In communities where it prevails
there are hundreds of remedies and courses of treatment that are
vaunted as being infallible cures, and the more ignorant and
uneducated the possessors of these specifics, the more readily they
seem to be accepted by the people generally. But yellow fever, like
every other acute disease, has its own natural history, and man at
present knows no remedy that can shorten or change its course. Many a
time I have found myself completely routed in cases of yellow fever
by the old negro mammy, who would insist that if the patient would
take orange-leaf tea and adopt certain other procedures which she
advocated, the patient would certainly get well. Now, on the average
with severe yellow fever, seventy-five per cent. will recover and
twenty-five per cent. will die. The negro mammy did not know this,
but was firmly convinced that it was the orange-leaf tea which caused
the recovery in the cases of those who recovered, and some departure
from her directions that caused death in the case of those who died.
She believed that if her routine had been carried out in the fatal
cases, they would have recovered. I must confess, however, that in my
experience the measures generally advocated by the negro mammy did
little or no harm, and in looking back over a yellow-fever experience
of thirty years, I cannot by any means make so strong a statement
with regard to my professional brethren.
One of the most general superstitions with regard to yellow fever was
that all air must be kept from the patient. With this in view, the
room in which the patient was treated was kept closed and entirely
dark. No water for washing the face and hands, no change of body
or bed clothing was allowed during the course of the disease. The
conditions, therefore, as to filth when a patient had been ill five
or six days can be better imagined than described.
Public-domain text, read in full here on John Shaqi.
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