Sanitation -- Cuba -- Havana; Sanitation -- Panama; Yellow fever -- Cuba -- Havana
A recent writer on yellow fever, Augustin, suggests that its origin
can be traced back to the siege of Troy, and that the Greeks and
Trojans suffered severely from this disease during the prosecution
of the war. Mr. Augustin argues quite forcibly in favor of the idea
that many of the great epidemics of Europe and Asia, before and since
the Christian era, were yellow fever. He thinks that the population
became immune from the fact that all at some time suffered from the
disease, and thus, in the course of time, it died out from want of
material on which to feed. I consider Mr. Augustin one of the most
competent authorities that we have on the history of yellow fever,
and anyone writing on that disease in any of its phases would do well
to consult his monumental work.
It seems to me, however, that the evidence is against yellow fever
having occurred in Europe before the fifteenth century. If it had
been general in southern Europe, semi-tropical Asia Minor and
semi-tropical Africa, it would be there now, just as it is in similar
localities in tropical and semi-tropical America. If the Phœnicians
had suffered from yellow fever during the time of Abraham, and the
great epidemics of Smyrna, Thebes, Athens, Rome and Carthage had been
yellow fever, this disease would be in those countries now. History
does not show that yellow fever can immunize a whole country, but
merely the locality in which it prevails endemically. While the old
inhabitant of Havana was immune to yellow fever, the man from the
interior of Cuba where yellow fever had not been endemic knew that he
was just as liable to contract yellow fever when he visited Havana
as was the man who came from the United States, and he feared the
disease just as much.
The native of the city of Panama was immune to yellow fever, but the
soldier coming from the mountains of the interior knew that he would
catch the disease, and this actually occurred many times whenever
a fresh regiment was brought to Panama. At present, Guayaquil in
Ecuador is the seaport of Quito, the capital of the country. Quito
is situated some three hundred miles up in the mountains, and is
connected by rail with Guayaquil. Yellow fever is at present endemic
in Guayaquil and has been so for many years. The old resident of
Guayaquil is immune to yellow fever, but the natives of Quito dread
Quayaquil as they do death. They never go there when they can avoid
it, and when they have to visit the outside world, they remain in
Quayaquil just as few hours as will enable them to catch their ship.
And the fear is well founded. Very many Ecuadorians of high position
have lost their lives from yellow fever contracted in passing through
Quayaquil. But all these years of endemicity of yellow fever in these
cities, the inhabitants of the respective countries in which they are
situated have never become immune.
Public-domain text, read in full here on John Shaqi.
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