The Evolution of Modern Medicine: A Series of Lectures Delivered at Yale University on the Silliman Foundation in April, 1913Osler, William, Sir
History
The Evolution of Modern Medicine: A Series of Lectures Delivered at Yale University on the Silliman Foundation in April, 1913
Osler, William, Sir
Medicine -- History
Many in sad faith sought for her,
Many with crossed hands sighed for her;
But these, our brothers, fought for her,
At life's dear peril wrought for her,
So loved her that they died for her.
Fortunately, the commander-in-chief at the time in Cuba was General
Leonard Wood, who had been an army surgeon, and he was the first to
appreciate the importance of the discovery. The sanitation of Havana was
placed in the hands of Dr. Gorgas, and within nine months the city was
cleared of yellow fever, and, with the exception of a slight outbreak
after the withdrawal of the American troops, has since remained free
from a disease which had been its scourge for centuries. As General Wood
remarked, "Reed's discovery has resulted in the saving of more lives
annually than were lost in the Cuban War, and saves the commercial
interest of the world a greater financial loss each year than the
cost of the Cuban War. He came to Cuba at a time when one third of the
officers of my staff died of yellow fever, and we were discouraged at
the failure of our efforts to control it." Following the example of
Havana other centres were attacked, at Vera Cruz and in Brazil, with the
same success, and it is safe to say that now, thanks to the researches
of Reed and his colleagues, with proper measures, no country need fear a
paralyzing outbreak of this once dreaded disease.
The scientific researches in the last two decades of the nineteenth
century made possible the completion of the Panama Canal. The narrow
isthmus separating the two great oceans and joining the two great
continents, has borne for four centuries an evil repute as the White
Man's Grave. Silent upon a peak of Darien, stout Cortez with eagle eye
had gazed on the Pacific. As early as 1520, Saavedra proposed to cut
a canal through the Isthmus. There the first city was founded by the
conquerors of the new world, which still bears the name of Panama.
Spaniards, English and French fought along its coasts; to it the founder
of the Bank of England took his ill-fated colony; Raleigh, Drake, Morgan
the buccaneer, and scores of adventurers seeking gold, found in fever an
enemy stronger than the Spaniard. For years the plague-stricken Isthmus
was abandoned to the negroes and the half-breeds, until in 1849,
stimulated by the gold fever of California, a railway was begun by
the American engineers, Totten and Trautwine, and completed in 1855,
a railway every tie of which cost the life of a man. The dream of
navigators and practical engineers was taken in hand by Ferdinand de
Lesseps in January, 1881. The story of the French Canal Company is a
tragedy unparalleled in the history of finance, and, one may add, in the
ravages of tropical disease. Yellow fever, malaria, dysentery, typhus,
carried off in nine years nearly twenty thousand employees. The
mortality frequently rose above 100, sometimes to 130, 140 and in
September, 1885, it reached the appalling figure of 176.97 per thousand
work people.
Public-domain text, read in full here on John Shaqi.
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