YELLOW FEVER PROPHYLAXIS IN NEW ORLEANS z:^ 



Even if you are not positive that the mosquito is the only source of transmission of 

 Yellow Fever, give your City the benefit of the doubt in this important and vital 

 matter. Respectfully, 



Edmond Sodchon, M.D., 



President, Louisiana State Board of Health. 

 Quitman Kohnke, M.D., 



Health Officer of the City of New Orleans. 

 J. H. White, M.D., 



Surgeon, U.S. Public Health and Marine Hospital Service, 

 in charge of the Government Measures. 

 Advisory Co.mmittee, Orleans Parish Medical Society, 



John Callan, M.D., John F. Oechsner, M.D., 



M. J. Magrudger, M.D., L. G. Le Boeuf, M.D., Chairman. 



3. Appeal for Ivnuediate Screening of Suspected Cases 

 and Fumigation. 

 This circular is speedily followed by another to the medical men, 

 again urging the importance of early notification and careful fumiga- 

 tion. As regards the method of fumigation the circular is not so 

 stringent upon this subject as subsequent experience found to be 

 absolutely necessary to ensure safety. 



Orleaxs Parish Medical Society, 

 Dear Doctor, New Orlea.xs, La. 



In an earnest attempt to work in harmony with the plan of procedure adopted by 

 the Health Authority, and the U.S. Public Health and Marine Hospital Service, now 

 being enforced in a general inspection of our entire city, we want to suggest to you, as 

 your Advisory Committee acting with these bodies, that you report at once any case of 

 fever in your practice remotely suspicious of being Yellow Fever. If you want to do 

 your City the greatest good in this hour of trial, immediately constitute yourself as a 

 Health Officer for the premises of the sick you are called to attend. Even before the! 

 regular Sanitary Inspector of the Board reaches the house, place the patient at once 1 

 under a mosquito bar, pending further proceedings. Also order at once another room | 

 fumigated with sulphur — two pounds to the 1,000 cubic feet — and then thoroughly | 

 screen it. If it cannot be done in a perfect manner, at least order all the openings 

 screened with either cheese cloth or other light material, well packed so as to allow no ; 

 mosquitoes in the room. Keep only one door free, covering all the transoms in the 

 same manner. On entering this door beat the air thoroughly with a cloth before • 

 opening. When the room is prepared, remove the patient to it, fumigating the room ■ 

 just vacated in the same manner. 



After the first three days of the fever the Stegomyia fasciata cannot be infected 

 from that patient, but we must be careful to keep the room well closed until the final 

 fumigation or destruction of any mosquitoes which might have remained in the room. 

 Look to the general hygiene of the house, inquire whether the cisterns or any other 

 open receptacles of standing water about the premises have been properly oiled or 

 screened. Act in this matter regardless of the work which will be done by the 

 constituted authorities, for your own personal good and for the greatest good of your 

 City. In other words, Doctor, take every possible precaution to protect all of your 

 fever cases from being bitten by mosquitoes during the first three days of fever. 



Our interest in this entire matter is the same as yours, and we must work for the 

 same purpose. The part to be played by our profession is an extremely important 

 one ; the faith and trust of the entire community is placed on our shoulders, and we 

 must fully deserve the confidence reposed in us. 



Very sincerely yours. 

 Advisory Comjiittee, Orlea.xs Parish Medical Societv, 



