Yellow fever: its nature, diagnosis, treatment and prophylaxis, and quarantine regulations relating thereto / by Officers of the US Marine-Hospital Service, together with an abstraction of the report of the medical officers detailed as a commission to investigate the cause of yellow fever.

  • United States Public Health Service
Date:
1889
Catalogue details

Licence: Public Domain Mark

Credit: Yellow fever: its nature, diagnosis, treatment and prophylaxis, and quarantine regulations relating thereto / by Officers of the US Marine-Hospital Service, together with an abstraction of the report of the medical officers detailed as a commission to investigate the cause of yellow fever. Source: Wellcome Collection.

Provider: This material has been provided by London School of Hygiene & Tropical Medicine Library & Archives Service. The original may be consulted at London School of Hygiene & Tropical Medicine Library & Archives Service.

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    subjected to frequent iuspectiou, and it frequently happens that a district rendered suspicious by an early exodus of refugees may subsequently be pronounced clean. The local passenger trains running from the direction of Train inapec- * ° mi • • 1 Iroiii South. the infected town should be inspected. This is because a certain number of people may come out even to consider- able distance from the infected town or district in private conveyance and take the train in clean territory at way stations. A proper system of inspection and certificates ol residence materially lessens this risk. Inspection must begin at the starting point and go as far as these people are likely to travel by private conveyance. More than this is unnecessary. At some suitable place on each road a place for the temporary detention of suspects is to be established. They should be put off the train at this place and as soon as practicable sent back to the gen- eral camp of detention. It may be advisable, however, to make other disposition of these suspects. There is no need of inspectors meeting the train before coming to each city. A main object of this inspection (of local passenger trafiQc) is as far as possible to prevent suspects getting on the train—that of the through passenger traffic to prevent them getting off in clean territory. The station agents of the railroads may be our most efficient assistants. Whether it be necessary to inspect trains from the North, ^t'^],^^'°^ ^'^ ortu. to prevent the return of those who have gone North and not stayed long enough, may be a question. I think it is generally unnecessary and generally inefficient. On such trains, however, as have inspectors on them going North the inspection on the return trip should be done as an added precaution. There is a section of highland, the southern end of the Tminfeotibu Appalachian mountain system, which projects into ^^^^ South, into which refugees may safely be allowed to go, but from which, owing to its ])roximity and other causes, a train inspection should be maintained. In this district, especially in railroad centers like Atlanta, it is also well to keep as much supervision of the movements of refugees as possible, keeping their addresses, etc., for ten days. The country adjacent to the infected district, having due regard to means of communication as well as distance, should be inspected thoroughly and often, and kept in- spected. This is necessary both for its own safety and that of the country beyond. The inability to do this on account of unwise quarantine restrictions was, I think, one cause of the spread of the recent epidemic. It is also of
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