The diagnostics and treatment of tropical diseasesStitt, E. R. (Edward Rhodes)
Science
The diagnostics and treatment of tropical diseases
Stitt, E. R. (Edward Rhodes)
Tropical medicine
There has been some inclination to question the immunity conferred
by an attack of yellow fever but Carter has shown that in
quarantine practice we can admit such immunes with perfect safety.
Thirty thousand such immunes were allowed to enter Key West and
Tampa from Havana between 1888 and 1898 and no case of yellow fever
developed from them. During the same period 450 non-immunes from
Havana gave 13 cases in the quarantine stations.
_The Yellow Fever Mosquito._—A knowledge of the life history of
_Stegomyia calopus_ explains the epidemiology of yellow fever.
This culicine species is widely distributed in the tropical
and subtropical world, extending from 38° north to 38° south
latitude. It is rarely found at a greater altitude than 3000 feet.
Petropolis, a railway-connected suburb of Rio, has an altitude of
2300 feet, with cool nights, at times about 9°C, and a freedom
from _Stegomyia_. Persons having occupation in Rio during the day
but returning to Petropolis in the afternoon escape yellow fever.
In this connection it is generally accepted that the female
_Stegomyia_ only bites between 5 o’clock P.M. and midnight. While
the first feeding may occur earlier in the day, all subsequent
feedings, which alone could be infectious, occur late in the
afternoon or at night. (Recent observations show _Stegomyia_ to
bite in daytime,—not at night.)
These views, which were advanced by Marchoux, would explain the
apparent freedom from infection of those leaving infected areas
by the early afternoon. Seidelin, however, claims that these
mosquitoes will continue to bite in the day after numerous feedings
of blood.
It is recognized that railways are unimportant factors in
transporting these mosquitoes, differing in this respect from ships
which offer better conditions.
The _Stegomyia_ is preëminently a house mosquito and a town mosquito.
It is the domesticated one, while the malaria-transmitting ones are
rural and feed in natural plant-containing bodies of water instead of
the water in old tin cans, roof gutters, cisterns or other utensils
surrounding the house which are preferred by the yellow fever
mosquitoes.
_Stegomyia_ seem to prefer water for breeding that is slightly
tainted with sewage, although developing equally well in fresh
water. They will also develop in brackish water.
When once this mosquito takes up its residence in a certain room
of a house it rarely leaves it and thus is explained the danger of
occupying a room which has been occupied by a yellow fever patient.
Then too, the warning sound, so characteristic of the approach of
most mosquitoes, is not given by _Stegomyia_.
Public-domain text, read in full here on John Shaqi.
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