Sanitation -- Cuba -- Havana; Sanitation -- Panama; Yellow fever -- Cuba -- Havana
First. That the microörganism discovered by Professor Giuseppi
Sanarelli, of the University of Bologna, Italy, and by him named
“bacillus icteroides” is the cause of yellow fever.
Second. That yellow fever is naturally infectious to certain
animals, the degree varying with the species; that in some of the
rodents local infection is very quickly followed by blood infection,
and that, while in dogs and rabbits there is no evidence of this
subsequent invasion of the blood, monkeys react to the infection the
same as man.
Third. That infection takes place by way of the respiratory tract,
the primary colonization in this tract giving rise to the earlier
manifestations of the disease.
Fourth. That in many cases, probably a majority, the primary
infection, or colonization, in the lungs is followed by a “secondary
infection,” or a secondary colonization in the blood of the patient.
This secondary infection may be complicated by the coinstantaneous
passage of other organisms into the blood, or this complication may
arise during the last hours of life.
Fifth. There is no evidence to support the theory advanced by
Professor Sanarelli that this disease is primarily a septicemia,
inasmuch as cases do occur in which the bacillus icteroides cannot
be found in the blood, or organs in which it might be deposited
therefrom.
Sixth. That there exists no casual relationship between the bacillus
X of Sternberg and this highly infectious disease; and that this
bacillus X is frequently found in the intestinal contents of normal
animals and of man, as well as in the urine and the bronchial
secretion.
Seventh. That, so far as your Commission is aware, the bacillus
icteroides has never been found in any body other than of one
infected with yellow fever; and that whatever may be the cultural
similarities between this and other microörganisms, it is
characterized by a specificity which is distinctive.
Eighth. That the bacillus icteroides is very susceptible to the
influences injurious to bacterial life, and that its ready control
by the processes of disinfection, chemical and mechanical, is assured.
Ninth. That the bacillus icteroides produces in vitro as well as in
vita a train of the most marked potency; and that, from our present
knowledge, there exists a reasonable possibility of the ultimate
production of an antiserum more potent than that of Professor
Sanarelli.
Public-domain text, read in full here on John Shaqi.
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