Sanitation -- Cuba -- Havana; Sanitation -- Panama; Yellow fever -- Cuba -- Havana
I am inclined to attribute our freedom to the way in which we killed
the mosquitoes. We have fifty men at this work, oiling and draining
small collections of water in every house and putting oil in all
the sinks and closets so that it will run down into the cesspools.
During the winter and cool periods of the year, up to this time say,
the cesspools are the great places for breeding mosquitoes. All
the cesspools, so far, have larvæ in them; when water barrels and
cisterns in same yard have none. I am inclined to think that Dr.
Guiteras, and other mosquito breeders, would get much more vigorous
larvæ if they would use blood or some richer food than mere bread. We
have been trying them side by side and find that sewer water develops
much more hardy and large larvæ than rain water with bread alone in
it.
I have had all the little streams and ditches in the suburbs cleaned
and oiled; and we have killed a great number of larvæ.
You can go to any sewer mouth now and see the dead larvæ running
out in considerable numbers, coming principally, I think, from the
fosomauros, where they have been killed by the oil which would no
doubt remain upon them for several hours.
But we have evidently had some tough old infected fellows, who have
hibernated through the winter. For instance, on the two cases that
occurred on the 21st and 22d of April (in different parts of the
city, however), the mosquitoes were killed as thoroughly as we knew
how. Every room in the house was closed; and a pound of pyrethrum
powder burned to 1,000 cubic feet, and oil used everywhere, sewers
and everywhere else. Not only was this done in the infected house,
but in the fifteen or twenty contiguous houses. On each case we used
50 pounds of pyrethrum powder and something like 40 gallons of oil.
I think the results show that we probably got hold of the infected
mosquito or mosquitoes. We did the same thing on May 6th and 7th; and
it now looks as though we had gotten hold of the infected mosquito
there.
The prospect of getting infected mosquitoes now is poor. So far we
know of none in Las Animas; all the cases this year having been
exceedingly mild. It takes a Board with decided “amarylic” to
diagnose them.
Would like very much to see you, Durham and Carroll down this summer,
that is if you did not object to coming.
Dr. Gaylor, of the New York Pathological Laboratory, wants to take
a whack at yellow fever, after his success at cancer. He asked me
to let him know when I could get him some more autopsies of yellow
fever, and he would come down at once.
We have things nicely fixed at Las Animas now; and I think we would
do good work if we only had yellow fever; but of course we can do
nothing if we don’t have.
Mrs. Gorgas has just returned from the “States” and joins me in
kindest regards. I got weak in the knees and was afraid to keep our
small girl down here, even though we had no infected mosquitoes.
Very truly yours,
W. C. GORGAS.
(3)
Public-domain text, read in full here on John Shaqi.
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