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a handbook of the mosquitoes of north america - Systematic Catalog ...

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RELATION TO WELFARE 53<br />

<strong>the</strong> sou<strong>the</strong>rn States <strong>of</strong> <strong>the</strong> United States. Blackwater fever<br />

is a very severe disease. It can be prevented only by <strong>the</strong><br />

avoidance <strong>of</strong> long and continued malaria attacks. It has many<br />

complications and a person who has suffered from an attack<br />

should not continue to live in a highly malarious region. In<br />

order to reduce <strong>the</strong> incidence <strong>of</strong> <strong>the</strong> disease in any area <strong>the</strong><br />

only logical procedure is <strong>the</strong> destruction <strong>of</strong> malaria-carrying<br />

<strong>mosquitoes</strong>.<br />

Yellow Fever<br />

Yellow fever is one <strong>of</strong> <strong>the</strong> most virulent <strong>of</strong> human diseases.<br />

Formerly it was ra<strong>the</strong>r widespread around <strong>the</strong> Carribean Sea<br />

and was introduced from time to time to nor<strong>the</strong>rn cities<br />

where numerous epidemics occurred during <strong>the</strong> summer. This<br />

disease, so highly fatal to non-immunes remained a mystery<br />

till Reed, Carrol, Lazear and Agramonte definitely estab-<br />

lished, in 1900, that it could be transmitted from <strong>the</strong> sick to <strong>the</strong><br />

well only by a mosquito, <strong>the</strong> tiger mosquito (Aedes fasciatus,<br />

Aedes nygentezls or Aedcs agypti; unfortunately this mosquito<br />

has many synonyms). Their conclusions have been well es-<br />

tablished and <strong>the</strong> chain in this disease is again <strong>the</strong> parasite,<br />

<strong>the</strong> man with <strong>the</strong> parasite (<strong>the</strong> patient), <strong>the</strong> mosquito, and<br />

finally <strong>the</strong> transference to a new patient. The parasite <strong>of</strong> this<br />

disease, though definitely announced from time to time, seems<br />

as yet unknown. Noguchi has isolated an organism, Lep-<br />

tospira icte/oidcs, which may be <strong>the</strong> definite parasite but final<br />

conclusions do not yet seem to be warranted. The importance<br />

<strong>of</strong> <strong>the</strong> mosquito vector in this disease may be stated very<br />

briefly. Aed’es Cpyypti must secure it from a patient suffering<br />

from <strong>the</strong> disease. This must take place within three to five<br />

days after <strong>the</strong> first appearance <strong>of</strong> <strong>the</strong> disease as <strong>the</strong> parasite<br />

is known to be present in <strong>the</strong> blood serum only for a short<br />

time. Within <strong>the</strong> mosquito, <strong>the</strong> parasite must undergo a de-<br />

velopment for it requires from 12 to 14 days before <strong>the</strong><br />

mosquito is capable <strong>of</strong> infecting a susceptible person. When a<br />

mosquito is once infected, it remains capable <strong>of</strong> transmitting

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