1242 



YELLOWJFEVER 



the offences being the presence of mosquito larvae, imperfect screen- 

 ing of the house, accumulation of water, etc. 



The prophylactic measures may be summarized as follows; — 



A. Where there is reason to believe that yellow fever is endemic. 



(1) Segregation of non-immunes, partial or complete, town plan- 



ning. 



(2) Screening: — 



{a) The bed. 



\h) The veranda. 



(c) The house. 



(3) Systematic mosquito destruction : — 



[a) Removal of breeding-places. 

 (6) Screening of water cisterns. 

 {c) Oiling. 



[d) Drainage. 



{e) Bush clearing. 



(4) Education. Infliction of fines for transgressions. 



(5) Quarantine administration. 



(6) Non-immunes only to visit endemic area in the daytime. 



B. Where yellow fever has broken out. > 



(1) Removal of all non-immunes outside the infected area, and 



deflection of the traffic outside the infected area. 



(2) Isolation of cases and suspected cases. 



(3) Provision for isolation of contacts. 1 



(4) Early notification. 



(5) Fumigation. 



(6) Emergency mosquito measures : — 



{a) Removal of receptacles. ' 

 (6) Oihng. 

 [c) Screening. 

 {d) Drainage. 



(7) Education : — 



[a) Lectures. 

 {b) Meetings, 

 (c) Pamphlets. 



(8) General organization of the medical forces. 



No anxiety need now be felt as to the spread of yellow fever 

 to Asia though the Panama Canal has been opened, for it appears 

 as though not merely yellow fever, but all infectious and con- 

 tagious fevers are bound to be eradicated from the Canal zone 

 under the able American rule. 



REFERENCES. 



The Tropical Diseases Bulletin and the Bulletins of the Yellow Fever 

 Institute, Treasury Department, United States Public Health and Marine 

 Hospital Service, and of the old Yellow Fever Bureau in Liverpool (publica- 

 tion ceased after 191 5), are most important, and the last named embraced 

 dengue and pappataci fever also. 



A. B. (1804). Prospetto sulla origine, natura, e carattere della peste, di 

 contagi della febbre gialla di America. 8vo. br. Lucca. 



Agramonte (191 2). New York Medical Journal. 



AuGUSTiN (1909). History of Yellow Fever. New Orleans. 



Bally, M. (1823). Histoire Medicale de la Fievre Jaune observ6e en Espagne 

 et particulidrement en Catalogne dans I'Annee 1821. Svo. m.p. Paris. 

 Imprim. Royale. 



