The Panama Canal: A history and description of the enterprise
John Stuart Mill · en
But since the days of the Lesseps company, science had thrown a flood of
light on the nature of these tropical scourges and the secret of their
transmission. As these medical and scientific pioneers made a Panama
Canal possible, though their names are not directly linked with its
construction, we may look back for a few moments at their triumphs of
discovery. The credit for first discovering that malaria is not due to
poisonous emanations or contagion but is carried from people infected
with the disease by the _anopheles_ mosquito belongs to Major (now Sir)
Ronald Ross, formerly of the Indian Medical Service, who devoted himself
to this subject during the last years of the 19th century. By a series
of experiments he proved that malaria is due to the presence in the
human blood of an organism which is conveyed from person to person by
this mosquito, and that the mosquito is harmless unless it has become
infected with the germ by biting a person who has caught malaria. The
value of this discovery was soon shown by practical applications. Major
Ross was engaged by the Suez Canal Company to deal with the malaria
which had become firmly established at Ismailia, a little town of 10,000
inhabitants on that canal. No fewer than 2,500 cases had been supplied
in one year by this small population. The new methods founded on the new
discovery proved so effectual that in three years the disease was
stamped out, and there has been no relapse ever since. The same results
were achieved at Port Said.
Now, if malaria is thus caused by mosquito bite, there was some _a
priori_ reason for thinking that yellow fever might be transmitted in
the same way. At any rate the insect was again laid under a very grave
suspicion. The opportunity for studying this further question was
afforded during the Spanish-American war, when a serious outbreak
occurred among the troops occupying Havana, in Cuba. The doctors were
quite unable to deal with this most terrible of all diseases. Knowing
nothing whatever of its cause, their treatment of it could be only
experimental and casual. So a board of inquiry was formed consisting of
four army surgeons serving in Cuba--Walter Reed, James Carroll, Jesse W.
Lazear, and Aristides Agramonte. The experiments were begun in June
1900, and continued into the next year. Of these four, Dr. Agramonte was
not liable to the disease, and Dr. Reed was called away on duty to
Washington. The other two determined to experiment on their own persons
rather than risk the lives of other people.