The actual germ, microbe, or minute parasitic organism which causes yellow fever, and is carried by the fasciate gnat, has not yet been detected. Nevertheless, without seeing and isolating the microbe, the medical men of America (Sternberg, Finlay, Carroll, and others) have, by destroying the gnat and preventing its access to men--especially to patients already infected, and, therefore, certain to infect the gnats and cause them to spread the disease--practically made an end of yellow fever in many great cities of the New World, where it was only six years ago an ever-present horror, striking men down with a suddenness and with a deadliness which paralysed human activity. Here, as in other cases, intelligent appreciation of the results of science by a governor or a municipality has saved thousands of lives. On the other hand, in Rio de Janeiro, “the opposition encountered by the sanitary authorities of the city from political factions and the ridicule to which they were subjected by the local Press” were insuperable (I quote from an official report), and so a few more thousand lives were sacrificed before the master was recognised and the proffered safety accepted. In Vera Cruz, in New Orleans, and in Panama yellow fever has been reduced to a vanishing quantity by removing the pools and tanks in which the fasciate gnat can breed, and by making use of wire-gauze to prevent the access of mosquitoes to houses, bed-chambers, drains, and baths, and especially to prevent not only their access to, but their egress from, the rooms and beds of patients already infected with disease.
In the city of Havannah, during the American occupation of Cuba (1900-1903), Colonel Gorgas reduced the death-rate due to yellow fever from an annual average of 751 to so small a figure as six. The same energetic and faithful administrator has been at work, with even more remarkable results, in the canal zone of the Isthmus of Panama since 1904. The attempt of the French to cut the canal was foiled chiefly by yellow fever and malaria. It is estimated that their effort cost quite 50,000 lives. Assisted by an able and enthusiastic staff, and charged with the task by a Government which comprehends the fact that the really “practical men” are the men who recognise science as the master (not as the negligible eccentric handmaid), Colonel Gorgas has banished the mosquito from his zone of occupation. As a consequence there is neither malaria nor yellow fever on the Panama works. In 1906 the total death-rate amongst 5,000 white employés on the Panama Canal works was only seven in the thousand. Further, in last April the daily sick-rate of the total force of about 40,000 people was only seventeen in the thousand. Colonel Gorgas declares that there is but little sickness of any kind among the Americans in the employ of the Panama Commission, and that they and their wives and children are fully as vigorous and robust in appearance and in fact, as the same number of people in the United States. There is no reason why the centres of wealth, civilisation, and population should not again be in the tropics, as they were in the dawn of man’s history.