166 THE YELLOW FEVER CAMPAIGNS 



vaults should be carefully inspected, and no breeding 

 spots for mosquitos should be overlooked. 



The gutters and streets must not be neglected. 



If the case proves to be one of yellow fever, the 

 house must be screened and the rooms in the house 

 other than the one occupied by tlie patient must be 

 fumigated, to destroy all mosquitos in tiiem. When 

 the case ends, either by reco^'ery or deatli, the room 

 occupied by tlic patient must be fumigated, for the 

 same reason. 



The success of these procedures will largely depend 

 upon the promptness and earnestness with which 

 mosquitos are prevented from coming in contact with 

 the patient and the destruction of all mosquitos in the 

 room after the patient is cured or dies. 



The new foci of infection must be diligently sought 

 and drastic measures adopted for stamping them out. 

 It is only through the proper conciliatory education 

 of the physician and the layman, and through their 

 sincere co-operation, that anything can be accomplished. 



For the vast portion of the city not infected, we 

 recommend that a sufficiently large force of men be 

 immediately organised to place oil in all unscreened 

 cisterns, or other breeding places of mosquitos, and 

 distribute circulars amongst householders enlisting their 

 co-operation. 



All gutters should cither be flushed or oiled. 



An active, vigorous and persistent warfare on 

 mosquitos should, in our opinion, be iunnediately 

 instituted from one end of the city to the other, as 

 in this way localities now healthy may be kept so, even 

 though foci of infection be introduced. A\^e believe 

 that the sanitary regeneration of this city depends 

 entirely upon prompt and \igorous action on your part. 



