First Sanitary Work 285 



mit. All the houses in one or more blocks were 

 fumigated in a single day. Block after block was 

 fumigated from one end of the town to the other. 

 At this time we had a number of cases of yellow 

 fever, and though the myriads of mosquitoes 

 were greatly reduced, the comparatively few 

 remaining, together with enough cases of yellow 

 fever and a large non-immune population, made 

 transmission easy. 



The following measures were adopted to insure 

 knowledge of every case as rapidly as possible. 



Reporting of suspected cases of yellow fever, 

 and of all fevers among non-immunes, was made 

 compulsory by the following section of the sani- 

 tary rules and regulations for the cities of Panama 

 and Colon: 



Contagious Diseases. 



Section lo. Every physician, druggist, school 

 teacher, clergyman, midwife, nurse, and every head of 

 a family, having knowledge of any case of the follow- 

 ing named diseases, shall immediately report the same 

 to the Health Officer: Asiatic cholera, yellow fever, 

 typhus fever, smallpox, plague, dysentery, diphtheria, 

 and membranous croup. 



All hotels, etc., were required to keep a register, 

 and a physician visited every hotel and boarding 

 house daily to ascertain whether any non-immune 



