168 THE YELLOW FEVER CAMPAIGNS 



Step 7.— APPEAL FOR A MORE SKILLED MEDICAL 

 BODY TO CONDUCT THE CAMPAIGN 



On August 4, the fever still making liCcadway in 

 spite of all local efforts, the vVdvisory Board takes 

 very decided action. It candidly expresses the opinion 

 that it has not confidence in the efficacy of the work 

 performed up to date ; tlidt f/iis -co?'k must he (ihsolutcly 

 perfect in its working to be ejficienty and that to accom- 

 plish the desired reorganisation it is necessary to call 

 in the assistance of the Public Health and ^larine 

 Hospital Service of the LTnited States. 



Xkw Orleans, 



August 4, 1905 



City Board of Health. 



Gentlemen, 



As there has appeared a new case in the 

 Frye focus, which has been in existence since JMonday, 

 while we had been told that the instructions previously 

 agreed upon in the management of all maturing foci 

 had been rigidly carried out, and especially so in this 

 case. As we are not satisfied that the fumigation 

 performed by the City Board of Health has been 

 absolutely effective, we feel, as we have shared some 

 of the responsibility of this work, that it is a matter 

 of too great importance to be kept on in this unorganised 

 and unsystematic manner. This is tlie first serious 

 visitation of yellow fever in this country since the 

 mosquito has been recognised as the only mode of 

 transmission, and we are unwilling to support the 

 City Board of Health in what we consider an ineffective 

 service. 



