( II ) 
6th days. Pulse at first 1 20, later fell, and did not follow rise in temperature. No albumin. 
Recovery. Regarded as suspicious. 
Jutie 7.— 1 .. N., Native. Fever, with vomiting as a marked feature. Temperature very high. 
June 11. — Miss C. H., aged 19, arrived three months previously from New York, residing 
Regent Street and Palm Lane. Illness seven days. Commenced with chill and temperature of 
ioo'6°. Temperature remained at 100’ on the 4th and 5th days, and the pulse between 72 and 80. 
Stools tarry. Urine scanty. Recovery. Regarded as suspicious. 
June 15.— A week after the death of the Rev. Mr. Crook, on May 24th, Mrs. Crook and her 
two children returned to the Rectory after it had been disinfected. On the 15th Mrs. Crook was 
taken ill and it was possible that her two small children, aged five and three years, had had a mild 
attack of yellow fever, as they were also down with fever about one week previously and were barely 
convalescent when their mother took sick (Dr. Davies). A day previous to death the patient was 
very yellow and there were a large number of petechial spots on chest and neck. There was a great 
deal of dysphagia. Death June 22. 
(From an entry in the case book it would appear that Mrs. Crook had a rigor on the 7th.) 
June 21. — Mr. D. F., the Retreat. Old West Indian, eight years in Belize. Confined to bed 
from 2 1st. Temperature 101°, very severe headache and pain in loins. Colonial Surgeon in con- 
sultation agreed that case was yellow fever. 
June 24. — Major B., aged 41. Superintendent of the Police, Market Square. Took ill on 
the 24th with chill, and temperature of 103-4’, pulse 102. Temperature fell on second day to 99 
and gradually rose again to 103-4’ on the fifth day, with pulse of 100. Gastric haemorrhages now 
occurred, and on eighth day there was black vomit, increase of albumin in urine, this was followed by 
suppression of urine, and death on July 4th, on'the nth day of illness. Diagnosis, yellow fever. 
June 27. — L. Heusnjcr, four years old, born in Belize, Regent and Prince Street. Duration 
of illness six days. Case first diagnosed as yellow fever. Temperature 103’, pulse 124, no 
albumin. Now regarded as suspicious. 
July 4. — Mr. and Mrs. C. and three children, Natives. One after the other took ill. Fever, 
vomiting, temperature not reduced by quinine. Suspicious. 
July 9. — Rev. W. H. H., Quarantine Station. Left Puerto Cortes, where there was yellow fever, 
July 7th, arrived Belize morning of 9th. Chill and fever night of 9th, and developed symptoms of 
yellow fever. The yellow fever was clearly contracted in Puerto Cortes. It demonstrates the 
necessity of careful quarantine. 
September 1. — Servant to Major B. Had, however, left Major B.’s house, but was going there 
off and on. Marked vomiting for three days. Case suspicious. 
The first officially notified case was that of the Rev. Mr. Crook, who was 
taken ill on the 1 6th May, and when the nature of his illness was understood, 
it became evident that Miss Bills, who had taken ill on the 4th in the same 
house, had also died of the same disease. 
Between May and January it is, however, very reasonable to assume, in 
view of the above list of suspect j, that other cases had occurred and were 
diagnosed as either malaria or influenza. The case of Mr. J. W. C., a recent 
arrival, who took ill on February 1 ith. is most suspicious ; and if we regard it as 
a genuine case of Yellow fever, it shows that Belize contained infected mos- 
quitoes at least as early as January, and that infection must have been introduced 
into Belize late in 1904 or early in 1905.* In all probability we may assume 
that the disease was introduced not by infected mosquitoes, but by a person 
who had contracted the disease in some of the neighbouring republics within 
five days’ reach of Belize. We know that at this period Yellow fever was 
* It is of interest to note that the epidemic of Yellow fever in Belize in 1890 commenced early 
in January, and, therefore, that infection of the town occurred towards the end of 1889. It shows 
that at no season of the year should anti-yellow fever precautions be relaxed. 
2 A 
