YELLOW FEVER PROPHYLAXIS 

 IN NEW ORLEANS 



BY 



RUBERT BOYCE, M.B., F.R.S. 



Introduction. 



It is not my purpose in this account of the organisation and 

 practical measures by which the epidemic of 1905 was successfully 

 stamped out in New Orleans, to enquire in detail when and how the 

 epidemic arose. This part of the history of the outbreak will, no 

 doubt, be fully dealt with by the Local Health Authorities of the 

 City of New Orleans and State of Louisiana, as well as by the Public 

 Health and Marine Hospital Service of the United States. But 

 I will at the outset, by reason of their practical bearing, take this 

 opportunity of shewing the difficulties which are encountered in such 

 an enquiry. 



Previous Epidemics. 



In the first place, New Orleans has suffered in the past from many 

 outbreaks of the disease, as the following Yellow Fever mortality 

 Table shews : — 



Year. 

 878 

 879 

 8S0 



885 

 886 

 887 



890 



Number of Deaths. 



4000 



19 



Number of Deaths. 



Year. 



1892 



1893 



1894 



1895 



1896 



1897 



1898 



1899 



1900 One suspicious case 



1901 o 



1902 o 



1903 ' 



1904 o 



57 

 23 



The epidemic of 1878 was very severe, and the total number 

 of recorded cases reached 13,086; in all probability, however, 

 the number was in reality very much greater, the milder cases 



