Every dwelling in Colon and Panama was thoroughly fumigated with
pyrethrum powder or with sulphur, and then cleared of dust and refuse,
which, with the insensible but not always dead mosquitoes, was then
burnt. The complete, and, it is hoped, final freedom from yellow fever
in Colon and Panama has been obtained by means of a proper water supply
and universal paving with brick or cement, as well as the supply of
proper drainage. Formerly water for domestic use was stored in cisterns,
tanks, tubs, jars, and so forth, and, after rain, water stood stagnantly
in a thousand ruts and holes in the unpaved squares, streets, and lanes.
These breeding-places of the _stegomyia_ have now been done away with
completely in Panama, and almost completely in Colon. The latter city is
so low-lying and flat, and subject to such heavy rainfall, that pools of
stagnant water will form. They can, however, be oiled, which kills the
larvæ, and, moreover, it is Panama, and not the wind-swept,
salt-saturated, town of Colon, which has been the chief source of yellow
fever.
The last case of the disease in Panama occurred in November, 1905, and
in May, 1906, there was an isolated case in Colon. The infection is
considered to be at an end in a city three months after the last case,
that being the lifetime of _stegomyia_. After this period, all infected
_stegomyia_ having died, those that remain are powerless for harm.
Nevertheless, the stringent measures for their destruction are not
relaxed, as, while _stegomyia_ exists, the germ, if re-introduced, will
be rapidly disseminated.
Thus the yellow fever, having taken toll for four hundred years of those
who crossed the Isthmus, has been completely eradicated by. Colonel
Gorgas and his assistants. It is a triumph of science and of despotic
government combined; and only in this combination can preventive
medicine achieve full success.
There is one other aspect of the yellow fever campaign which must be
mentioned before going on to describe the fight with malaria.
Public-domain text, read in full here on John Shaqi.
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