144 PASTEUR AND AFTER PASTEUR 





and yellow fever, not only in the Panama Zone, 

 but in all parts of the world. To the victory over 

 malaria, Greece and Italy and Egypt and Africa 

 bear witness : for the victory over yellow fever, we 

 may be content with the magnificent record of 

 General Gorgas's work in Havana : 



" Commencing in February, 1901, orders were 

 issued that every suspected case of yellow fever 

 should be screened with wire gauze at the public 

 expense, so as to render the room or rooms mos- 

 quito-proof. All mosquitoes in the infected house 

 and in contiguous houses were destroyed. After 

 the middle of February, 100 men were employed 

 in carrying out the destruction of the mosquito- 

 larvae in their breeding places, putting oil in the 

 cesspools of all houses, clearing the streams, drain- 

 ing pools, and oiling the larger bodies of water. 

 Up to June, quarantine was enforced, together 

 with disinfection of the house and fomites (bedding, 

 etc.). After that, however, rigid quarantine of the 

 patient was stopped, and disinfection of fabrics and 

 clothing ceased. It was merely required that the 

 patient should be reported, his house placarded and 

 screened, and a guard placed over each case, to 

 report how general sick-room sanitation was carried 

 out, to see that the screen-door communicating 

 with the screened part of the house was kept 

 properly closed, and to see that communication 

 with the sick-room was not too free, four or five 

 non-immunes only being allowed in. 



" By the end of September, the last focus of the 

 disease had been got rid of. ... For the first 

 time in 150 years, Havana has been free from 



