The University of Liverpool, 
February , 1906. 
Sir, 
I have the honour to submit for communication to the Government 
of British Honduras the following Report upon the outbreak of Yellow fever in 
Belize in 1905. 
The Report is founded upon my personal observations in Belize, Corosal, 
Stann Creek, and Punta Gorda, from September 17th, 1905, to the end of the 
month of October ; upon my visit to Payo-Obispo in Yucatan, Livingston and 
Puerto Barrios in Guatemala and Puerto Cortes in Spanish Honduras, and 
finally upon my experience of the prophylactic measures adopted in New Orleans 
during the severe epidemic of Yellow fever in 1905. 
I have arranged the Report under twelve sections, as follows : — 
1. The account of the Yellow fever outbreak in Belize in 1905, together 
with references to previous outbreaks, and some of the causes to which they 
were attributed. 
2. Description of the prophylactic measures which are necessary to 
prevent the recurrence of Yellow fever. 
3. Description of the distribution of the Stegomyia fasciata in Belize. 
4. Description of the water receptacles of the town of Belize. Their 
relationship to the breeding of the Stegomyia , and the necessity of new 
water and screening Ordinances. 
5. Description of the general sanitation of the town ot Belize^ including 
drainage, canalisation, refuse disposal, &c. Necessity for filling in “sub- 
merged lots,” for Building Bye-laws and for certain changes in Sanitary 
administration. 
6. Upon the prevalence of Malaria in British Honduras and its 
relationship to inefficient drainage. Necessity for prophylactic measures. 
7. Description of Corosal, Stann Creek and Punta Gorda, and their 
liability to infection, and the prophylactic measures which should be taken. 
8. Review of the distribution of Yellow fever in 1905 in Mexico and 
in the Central American Republics, with special reference to the Fruit Ports 
within five days’ reach of Belize. 
