Tri-State medical journal and practitioner . lly introduced through thelarge commercial cities in frequent intercourse with Cuba and other yellowfever centers. Yellow fever will occasionally slip past our best quarantinestations. We have now and then isolated imported cases in the sea-portcities of the South. These, however, are usually recognized and properlyhandled. The result is that the disease does not spread. An importantobject-lesson to the people of the South, one that would strengthen theirconfidence in the health authorities, is thereby lost, because to avoid alarmsuch cases are not
Tri-State medical journal and practitioner . lly introduced through thelarge commercial cities in frequent intercourse with Cuba and other yellowfever centers. Yellow fever will occasionally slip past our best quarantinestations. We have now and then isolated imported cases in the sea-portcities of the South. These, however, are usually recognized and properlyhandled. The result is that the disease does not spread. An importantobject-lesson to the people of the South, one that would strengthen theirconfidence in the health authorities, is thereby lost, because to avoid alarmsuch cases are not given to the public. I have said that the usual source from whence we get yellow fever inthis country is Cuba. From 1693 to 1897 the disease has invaded thiscountry in ninety-four different years. For eighty-two of these years wehave proof, more or less complete, of importation, and in seventy-six ofthese the source of infection is to be found in the West Indies. By theWest Indies, Cuba is generally meant; and as far as recent invasions are. Dodging Death—Ewing. 539 concerned, Cuba is found always to be the focus of infection. The UnitedStates lias long recognized this as the greatest source of danger. TheUnited States Havana Yellow Fever Commission recommended the ap-pointment of sanitary inspectors by this government to reside in Havana,because no reliance could be placed on bills of health and sanitary reportsemanating from the Spanish authorities in Cuba. The attitude of thatgovernment toward yellow fever has always been one of criminal in-difference. When the yellow fever has been once introduced into our southerncountry, have we the adequate means to prevent its further spread? Anappropriation is made by the national government for this purpose, and theUnited States Marine-Hospital Service is charged with the management ofthis fund. In my opinion, the money, as well as the authority invested inthe marine-hospital service, is inadequate to an extreme degree to meet there
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