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Isolated patient

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This image shows a doctor treating a yellow fever patient, the uncertainty is present in the spectators’ faces.

Quarantines were very common during this time, which along with improved sewage and drainage facilities, helped keep the disease controlled.  A simple rumor of the presence of the disease caused massive blockades against the infected city.  Quarantine laws were also passed to prevent ships carrying infected persons or people coming from cities which had an outbreak from landing in ports that were not infected.  Congress created the National Board of Health in 1879 to establish a national quarantine system.

Isolated patient

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A patient is isolated in a specially made quarantine room.

Outbreaks

There have been several major pandemics and epidemic of yellow fever throughout the world.  Historical records indicate that yellow fever affected Europe after the Roman Empire collapsed.  In the 1760s a pandemic outbreak in Cuba killed thousands of English and American troops.  At that same time in Philadelphia, the largest outbreak in the United States was taking place, killing ten percent of the total population of Philadelphia.  Napoleon also lost half of his 40,000-troop army to the disease in 1802 in Haiti.  This disease took the lives of many early American settlers and also deterred the French from constructing the Panama Canal when this area suffered from an epidemic in 1904.  The last epidemic of yellow fever in North America occurred in New Orleans in 1905 but this disease continues to kill an estimated 30,000 people annually in Africa and South America. 

The disease was especially prominent in port cities starting as early as the 1690s.  It struck at ports from Boston all the way to New Orleans and the Gulf of Mexico.  Philadelphia, New York, Galveston, and Brownsville were some of the cities that were often times affected due to the appearance of mosquitoes in those areas.  The disease usually destroyed between 5 to 10 percent of the population of cities which suffered from outbreaks, but this statistic increased to up to 20% mortality rate during major outbreaks.

Letter to surgeon-general in washington, d.c.

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This excerpt is from a letter from Dr. Osterhout to the Surgeon-General , in Washington D.C., regarding the second Yellow Fever victim case in Bocas del Toro, Panama. August 23, 1905.

During the 1850s, a series of epidemics struck every city along the cost from Norfolk, Virginia all the way down to Brownsville, Texas. New Orleans, St. Augustine, and Jacksonville were some of the North American cities that were affected by yellow fever epidemics.  During the 1853 New Orleans epidemic, more than 3,000 cases occurred.  It lasted four months and resulted in about 1800 deaths. During this decade, New Orleans lost almost 20,000 people due to four difference epidemic outbreaks.  Following that time period, the incidences decreased until the reappearance of one final outbreak in 1905 in New Orleans.  This was the last major outbreak, which was successfully terminated with the help of effective mosquito control (Duffy 688).

Major outbreaks in the u.s.

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This map pinpoints some of the major yellow fever epidemics in different cities in the United States

Further reading

For access to more documents on yellow fever, search ‘Our Americas’ Archive Partnership (a digital collaboration on the Americas) or click on the supplemental links in the upper right hand corner of this module for Kezia Payne DePelchin , Paul Osterhout , or the different variations of yellow fever (such as vómito ) mentioned earlier.

Sources

Duffy, John.  “Yellow Fever in the Continental United States during the Nineteenth Century.” Bulletin of the New York Academy of Medicine (1968) 44.6: 687-701.  Print. 11 Mar. 2010.

VanItallie, Theodore B. “Yellow Fever, the Doctors, and their Victims in the 19 th Century South.” Florida Historical Quaterly (1995) 74: 329-33. Web. 11 Mar. 2010.

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Source:  OpenStax, Yellow fever: medicine in the western hemisphere. OpenStax CNX. Oct 11, 2011 Download for free at http://cnx.org/content/col11312/1.4
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