YELLOW FEVER PROPHYLAXIS IN NEW ORLEANS 25 



5. A Warning to beware of the Danger of overlooking the 

 less obvious Breeding Places of the Stegomyia. 



A very useful and practical notice is also sent out by the Advisory 

 Committee directing attention to the importance of not overlooking 

 possible receptacles of water in the house, as pitchers, flower pots, 

 &c. It reads as follows : — 



Orleans Parish Medical Society, 



New Orleans, La. 



We desire to call your special attention to the wrigglers seen inside of the resi- 

 dences of people. Probably the public in the fight against the mosquito have directed 

 all their efforts against the cisterns and the barrels or the outside containers, still a 

 source of great danger also exists inside of the bedrooms in the water-pitchers, in the 

 dining-room, or in the conservatory in the water-pots, vases or pots for plants. A 

 frequent error and a great menace is the habit which some householders have of only 

 partly emptying a water pitcher, and though it is refilled daily it is never emptied 

 entirely, leaving always one-half pint or so for the larvae to develdp. Any physician 

 in his daily rounds can see this illustrated by inspecting the various water-pitchers 

 in the bedrooms. 



On this same line we beg to again call your attention to the accumulation of water 

 in the Urns in the Cemeteries as well as in the sagged gutters of the house drains, 

 which are a great source of mosquito breeding after rain. 



6. Appeal for a more Skilled Medical Body to conduct 

 the Campaign. 



Upon August the 4th, the fever still making headway in spite 

 of all local efforts, the Advisory 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; that this work must be 

 absolutely perfect in its working to be efficient, and that to accomplish 

 the desired re-organisation it is necessary to call in the assistance of 

 the Public Health and Marine Hospital Service of the United States. 



New Orleans, 

 City Board of Health. August ^th, 1905. 



Gentlemen, 



As there has appeared a new case in the Frye focus, which has been in existence 

 since Monday, 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 the 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. 



