History of yellow fever

The outbreak of yellow fever in Barcelona in 1821

The evolutionary origins of yellow fever are most likely African. ^{[1] [2]} Phylogenetic analyses indicate that the virus originated from East or Central Africa, with transmission between primates and humans, and spread from there to West Africa. ^[3] The virus as well as the vector Aedes aegypti , a mosquito species, were probably brought to the western hemisphere and the Americas by slave trade ships from Africa after the first European exploration in 1492. ^[4] However, some researchers have argued that yellow fever might have existed in the Americas during the pre-Columbian period as mosquitoes of the genus Haemagogus , which is indigenous to the Americas, have been known to carry the disease. ^[5]

The first outbreaks of disease that were probably yellow fever occurred in the Windward Islands of the Caribbean, on Barbados in 1647 and Guadeloupe in 1648. ^[6] Barbados had undergone an ecological transformation with the introduction of sugar cultivation by the Dutch. Plentiful forests present in the 1640s were completely gone by the 1660s. By the early 18th century, the same transformation related to sugar cultivation had occurred on the larger islands of Jamaica, Hispaniola, and Cuba. Spanish colonists recorded an outbreak in 1648 on the Yucatán Peninsula of Mexico that may have been yellow fever. The illness was called xekik (black vomit) by the Maya.

At least 25 major outbreaks followed in North America, such as in 1793 in Philadelphia, where several thousand people died, more than nine percent of the total population. The American government, including President George Washington, had to flee the city, which was the capital of the United States at the time. In 1878, about 20,000 people died in an epidemic which struck the towns of the Mississippi River Valley and its tributaries. The last major outbreak in the US occurred in 1905 in New Orleans. Major outbreaks also occurred in Europe in the 19th century in Atlantic ports following the arrival of sailing vessels from the Caribbean, most often from Havana. ^[7] Outbreaks occurred in Barcelona, Spain, in 1803, 1821, and 1870. In the 1870 outbreak, 1,235 fatalities were recorded of an estimated 12,000 cases. ^[8] Smaller outbreaks occurred in Saint-Nazaire in France, Swansea in Wales, and in other European port cities, following the arrival of vessels carrying the mosquito vector. ^{[9] [10]}

The first mention of the disease by the name "yellow fever" occurred in 1744. ^[11] Many famous people, mostly during the 18th through the 20th centuries, contracted and then recovered from, or died of, yellow fever.

Philadelphia: 1793–1805

Main article: 1793 Philadelphia yellow fever epidemic

The yellow fever epidemic of 1793 struck during the summer in Philadelphia, Pennsylvania, where the highest fatalities in the United States were recorded. The disease probably was brought by refugees and mosquitoes on ships from Saint-Domingue. It rapidly spread in the port city, in the crowded blocks along the Delaware River. About 5,000 people died, ten percent of the population of 50,000. The city was then the national capital, and the national government left the city, including President George Washington. Philadelphia, Baltimore, and New York suffered repeated epidemics in the 18th and 19th centuries, as did other cities along the East and Gulf Coasts. ^[12]

At the time, the known solution to recovery was found to be long and tedious as it was expected that patients needed to consume bitters and country air away from the metropolitan area in order to recover. ^[13] Yet the average citizen typically sought medical help from the Pennsylvania Hospital. ^[13] Year after year starting in 1793, yellow fever returned to major cities along the east coast including Philadelphia leaving investigators stagnant in regard to progress made in the search for the cause of yellow fever. ^[14] Yellow fever's prevalence during this era killed over 10,000 people starting in 1793 where nearly 5,000 people died, striking again in 1797 tallying about 1,500 people, and again the next year in 1798 killing 3,645 people. ^[14]

Potential causes

With the spread of yellow fever in 1793, physicians of the time used the increase number of patients to increase the knowledge in disease as the spread of yellow fever, helping differentiate between other prevalent diseases during the time period as cholera and typhus were current epidemics of the time as well. ^[13] As doctors and people of interest investigated the cause of yellow fever, two main hypotheses derived from the confusing data they collected. ^[14] The first was that the disease is contagious, as the disease is spread through the contact of people, as ships from the already infected Caribbean Islands had spread to major cities. ^[14] The second hypothesis was that the disease derived from local sources; doctors proposed that contact with these sources caused the sickness rather than contact with people with the disease, as yellow fever seemed to be prevalent in major cities and less effective in rural areas. ^[14]

Haiti: 1790–1802

The majority of the British soldiers sent to Haiti in the 1790s died of disease, chiefly yellow fever. ^{[15] [16]} There has been considerable debate over whether the number of deaths caused by disease was exaggerated. ^[17]

In 1802–1803, an army of forty thousand sent by First Consul Napoleon Bonaparte of France to Saint-Domingue to suppress the Haitian Revolution mounted by slaves, was decimated by an epidemic of yellow fever (among the casualties was the expedition's commander and Bonaparte's brother-in-law, Charles Leclerc). Some historians believe Napoleon intended to use the island as a staging point for an invasion of the United States through Louisiana (then newly regained by the French from the Spanish.). ^{[18] [16]} Others believe that he was most intent on regaining control of the lucrative sugar production and trade in Saint-Domingue. Only one-third of the French troops survived to return to France, and in 1804 the new republic of Haiti declared its independence.^{[ citation needed ]}

Savannah, Georgia: 1820

Nearly 700 people in Savannah, Georgia, died from yellow fever in 1820, including two local physicians who lost their lives caring for the stricken. ^[19] An outbreak on an immigrant ship with Irish natives in 1819 led to a passage of an act to prevent the arrival of immigrant ships, which did not prevent the epidemic where 23% of the deaths were of Irish descent. ^[20] Several other epidemics followed, including 1854 ^[21] and 1876. ^[22]

New Orleans, Louisiana: 1853

Main article: 1853 yellow fever epidemic

The 1853 outbreak claimed 7,849 residents of New Orleans. The press and the medical profession did not alert citizens of the outbreak until the middle of July, after more than one thousand people had already died. The New Orleans business community feared that word of an epidemic would cause a quarantine to be placed on the city, and their trade would suffer. In such epidemics, steamboats frequently carried passengers and the disease upriver from New Orleans to other cities along the Mississippi River.^{[ citation needed ]}

During this time as well native born Creole's where more likely to survived the yellow fever then many Whites migrants. Several statisticians have determine that white American migrants are more died four times the rate of Creole's. British and French migrants died ten times of the rate of Creoles. Irish and German migrants where twenty times more likely to died then Creoles ^[23]

The epidemic was dramatized and featured in the plot of the 1938 film Jezebel , starring Bette Davis.^{[ citation needed ]}

Yellow fever was a threat in New Orleans and south Louisiana virtually every year, during the warmest months. Among the more prominent victims were: Spanish colonial Governor Manuel Gayoso de Lemos (1799); the first and second wives (d. 1804 and 1809) and young daughter (1804) of territorial Governor William C. C. Claiborne; one of New Orleans' most important early city planners Barthelemy Lafon (1820), architect Benjamin Henry Latrobe and one of his sons (1820, 1817, respectively), who were in New Orleans building the city's first waterworks; Jesse Burton Harrison (1841), a young lawyer and author; ^[24] Confederate Brig. Gen. Young Marshall Moody (1866); architect James Gallier, Jr. (1868); and Confederate Lt. Gen. John Bell Hood and his wife and daughter (1879).

Norfolk, Virginia: 1855

The Yellow Fever Memorial was built in 1856 in Laurel Hill Cemetery to honor the Philadelphia "Doctors, Druggists and Nurses" who helped fight the epidemic in Portsmouth, Virginia

The steamship, Benjamin Franklin sailing from Saint Thomas in the West Indies and carrying persons infected with the virus arrived in Hampton Roads in southeastern Virginia on 6 June 1855. ^{[26] [27]} During the outbreak, the Norfolk Naval Hospital patient register, recorded a total of 587 fever cases (see thumbnail) admitted between the date of 25 July and 10 November 1855. The hospital staff calculated the total fever deaths as 208. ^[28] The disease spread quickly through the community, eventually killing over 3,000 people, mostly residents of Norfolk and Portsmouth. The Howard Association, a benevolent organization, was formed to help coordinate assistance in the form of funds, supplies, and medical professionals and volunteers, who poured in from many other areas, particularly the Atlantic and Gulf Coast areas of the United States. ^[29]

Gosport (Norfolk) Naval Hospital patient register for August 1855 & admittance of yellow fever patients; note the high mortality

Bermuda: 1843, 1853, 1856, 1864

Royal Artillery and Royal Engineers moved from barracks to a tent camp at Tucker's Town, St. George's Parish, Bermuda, in 1867 to prevent the spread of Yellow fever

Bermuda suffered four yellow fever epidemics in the 1800s, both mosquito-borne and via visiting ships, which in total claimed the lives of 13,356 people, including military and civilian population. During the 1864 epidemic, a Dr. Luke Pryor Blackburn, from Halifax, Nova Scotia, visited the island several times, to assist the local medical community on account of his knowledge of the disease. When he left in October 1864, he left behind some trunks of soiled clothing that were to have been sent to him in Canada. Fortunately, the trunks were located and the contents destroyed.^{[ citation needed ]}

It became evident that Dr. Blackburn's visits had been financed by the Confederacy and that a certain Union informer had been offered $60,000 to distribute Dr. Blackburn's trunks of soiled clothing to Union cities including Boston, Philadelphia, Washington, and Norfolk. One trunk also went to New Bern, which was identified as having brought yellow fever to that city, claiming the lives of 2,000 people.^{[ citation needed ]}

Blackburn was arrested and tried, but acquitted owing to lack of evidence, other than hearsay by witnesses, meaning that the culprit trunks could not be located. In 1878, he went on to fight yellow fever in Kentucky, where he had set up practice in Louisville and was eventually elected governor.^{[ citation needed ]}

Texas and Louisiana: 1867

The 1867 yellow fever epidemic claimed many casualties in the southern counties of Texas, as well as in New Orleans. The deaths in Texas included Union Maj. Gen. Charles Griffin, Margaret Lea Houston (Mrs. Sam Houston), and at least two young physicians and their family members.^{[ citation needed ]}

Lower Mississippi Valley: 1878

Main article: Lower Mississippi Valley yellow fever epidemic of 1878

In 1878, a severe yellow fever epidemic swept through the lower Mississippi Valley.^{[ citation needed ]}

The French Panama Canal Effort: 1882–1889

The French effort to build a Panama Canal was damaged by the prevalence of endemic tropical diseases in the Isthmus. Although malaria was also a serious problem for the French canal builders, the numerous yellow fever fatalities and the fear they engendered made it difficult for the French company to retain sufficient technical staff to sustain the effort. Since the mode of transmission of the disease was unknown, the French response to the disease was limited to care of the sick. The French hospitals contained many pools of stagnant water, such as basins underneath potted plants, in which mosquitoes could breed. The numerous deaths eventually led to the failure of the French company licensed to build the canal, resulting in a massive financial crisis in France. ^[30]

See also

• History of public health in the United States

References

1. Gould EA, de Lamballerie X, Zanotto PM, Holmes EC (2003). Origins, evolution, and vector/host coadaptations within the genus Flavivirus. Advances in Virus Research. Vol. 59. pp. 277–314. doi:10.1016/S0065-3527(03)59008-X. ISBN   978-0-12-039859-1. PMID   14696332.
2. McNeill, J. R. (2010). Mosquito Empires: Ecology and War in the Greater Caribbean, 1620–1914 (1st edn, p. 390). Cambridge University Press. Via Amazon.
3. Bryant, J. E.; E. C. Holmes; A. D. T. Barrett (2007). "Out of Africa: A Molecular Perspective on the Introduction of Yellow Fever Virus into the Americas". PLOS Pathog. 3 (5): e75. doi: 10.1371/journal.ppat.0030075 . PMC   1868956 . PMID   17511518.
4. Haddow (2012). "X.—The Natural History of Yellow Fever in Africa". Proceedings of the Royal Society of Edinburgh, Section B. 70 (3): 191–227. doi:10.1017/S0080455X00001338.
5. Wilkninson, Robert (1995). "Yellow Fever: Ecology, Epidemiology, and Role in the Collapse of the Classic Lowland Maya Civilization", Medical Anthropology.
6. McNeill, J. R. (1 April 2004). "Yellow Jack and Geopolitics: Environment, Epidemics, and the Struggles for Empire in the American Tropics, 1650–1825". OAH Magazine of History. 18 (3): 9–13. doi:10.1093/maghis/18.3.9.
7. Barrett AD, Higgs, S (2007). "Yellow fever: a disease that has yet to be conquered". Annu. Rev. Entomol. 52: 209–29. doi:10.1146/annurev.ento.52.110405.091454. PMID   16913829. S2CID   9896455.
8. Canela Soler, J; Pallarés Fusté, MR; Abós Herràndiz, R; Nebot Adell, C; Lawrence, RS (2008). "A mortality study of the last outbreak of yellow fever in Barcelona City (Spain) in 1870". Gaceta Sanitaria / S.E.S.P.A.S. 23 (4): 295–9. doi: 10.1016/j.gaceta.2008.09.008 . PMID   19268397.
9. Coleman, W (1983). "Epidemiological method in the 1860s: yellow fever at Saint-Nazaire". Bulletin of the History of Medicine. 58 (2): 145–63. PMID   6375767.
10. Meers, P. D. (August 1986). "Yellow fever in Swansea, 1865". The Journal of Hygiene. 97 (1): 185–91. doi:10.1017/s0022172400064469. PMC   2082871 . PMID   2874172.
11. The earliest mention of "yellow fever" appears in a manuscript of 1744 by Dr. John Mitchell of Virginia; copies of the manuscript were sent to Mr. Cadwallader Colden, a physician in New York, and to Dr. Benjamin Rush of Philadelphia; the manuscript was eventually printed (in large part) in 1805 and reprinted in 1814. See:
    • (John Mitchell) (1805) (Mitchell's account of the Yellow Fever in Virginia in 1741–2), The Philadelphia Medical Museum, 1 (1) : 1–20.
    • (John Mitchell) (1814) "Account of the Yellow fever which prevailed in Virginia in the years 1737, 1741, and 1742, in a letter to the late Cadwallader Colden, Esq. of New York, from the late John Mitchell, M.D.F.R.S. of Virginia," American Medical and Philosophical Register, 4 : 181–215. The term "yellow fever" appears on p. 186. On p. 188, Mitchell mentions "... the distemper was what is generally called the yellow fever in America." However, on pages 191–192, he states "... I shall consider the cause of the yellowness which is so remarkable in this distemper, as to have given it the name of the Yellow Fever."
    Dr. Mitchell misdiagnosed the disease that he observed and treated, and that the disease was probably Weil's disease or hepatitis. See: Jarcho S (1957). "John Mitchell, Benjamin Rush, and yellow fever". Bull Hist Med. 31 (2): 132–6. PMID   13426674.
12. Campbell, Ballard C. (ed.), American Disasters: 201 Calamities That Shook the Nation (2008), pp. 49–50.
13. Holliday, Timothy Kent (2020-01-01). "Morbid Sensations: Intimacy, Coercion, and Epidemic Disease in Philadelphia, 1793-1854". Dissertations Available from ProQuest: 1–326.
14. Apel, Thomas (2012). "Feverish Bodies, Enlightened Minds: Yellow Fever and Common-Sense Natural Philosophy in the Early American Republic, 1793-1805" (thesis thesis). Georgetown University.
15. Geggus, David (1982). "The British Army and the Slave Revolt". History Today. 32 (7): 35–39.
16. Marr, John S., and John T. Cathey. "The 1802 Saint-Domingue yellow fever epidemic and the Louisiana Purchase." Journal of Public Health Management and Practice 19#.1 (2013): 77–82. online Archived 2016-02-04 at the Wayback Machine . Also via: Marr, J. S.; Cathey, J. T. (2013). "The 1802 Saint-Domingue yellow fever epidemic and the Louisiana Purchase". Journal of Public Health Management and Practice. 19 (1): 77–82. doi:10.1097/PHH.0b013e318252eea8. PMID   23169407.
17. Girard, Philippe R. (2011). The Slaves Who Defeated Napoleon: Toussaint Louverture and the Haitian War of Independence, 1801-1804. University of Alabama Press. pp. 179–80. ISBN   9780817317324.
18. Bruns, Roger (2000). Almost History: Close Calls, Plan B's, and Twists of Fate in American History . Hyperion. ISBN   0-7868-8579-3.
19. Waring, William R. (1821). Report to the City Council of Savannah on the epidemic disease of 1820. Savannah: Henry P. Russell. Retrieved 8 November 2016.
20. Patterson, K. David (1992). "Yellow fever epidemics and mortality in the United States, 1693-1905". Social Science & Medicine. 34 (8): 855–865. doi:10.1016/0277-9536(92)90255-O. PMID   1604377.
21. Lockley, Tim (2012). "'Like a clap of thunder in a clear sky': differential mortality during Savannah's yellow fever epidemic of 1854" (PDF). Social History. 37 (2): 166–186. doi:10.1080/03071022.2012.675657. S2CID   2571401.
22. Denmark, Lisa L. (2006). "At the Midnight Hour": Economic Dilemmas and Harsh Realities in Post-Civil War Savannah". Georgia Historical Quarterly. 90 (3). Retrieved 8 November 2016.
23. Olivarius, Kathryn (2019-04-01). "Immunity, Capital, and Power in Antebellum New Orleans". The American Historical Review. 124 (2): 425–455. doi:10.1093/ahr/rhz176. ISSN   0002-8762.
24. O'Brien, Michael (1 May 2008). All Clever Men, Who Make Their Way: Critical Discourse in the Old South. University of Georgia Press. ISBN   9780820332017.
25. Report of the Philadelphia Relief Committee. Philadelphia: Inquirer Printing Office. 1856. pp. 1–5. Retrieved 13 July 2020.
26. Mauer, H. B. "Mosquito control ends fatal plague of yellow fever". etext.lib.virginia.edu. Retrieved 11 June 2007. (undated newspaper clipping).
27. Wagner, Lon, The Fever: The Most Fatal Plague in American History (Koehlerbooks, Virginia Beach,VA, 2024), pp.8-9
28. Holcomb, Richmond C.A Century with Norfolk Naval Hospital (Printcraft Press, Portsmouth, VA, 1930),p.264
29. Bluemink DonnaYellow Fever in Norfolk and Portsmouth, Virginia, 1855, as reported in the Daily Dispatch Richmond, Virginia, retrieved 14 March 2019 editor /transcriber http://www.usgwarchives.net/va/yellow-fever//yfinindex.html#generalindex
30. McCullough, David (1978), The Path Between the Seas: The Creation of the Panama Canal, 1870–1914, New York: Simon & Schuster (a comprehensive history of the building of the canal).

Further reading.

• Aboul-Enein, Faisal H. "Dr. William Gorgas and his style of management against yellow fever during the construction of the Panama Canal: A historical case study" (PhD Dissertation, The University of Texas School of Public Health; ProQuest Dissertations & Theses,  2009. 3360171).

• Arner, Katherine.  "The malady of revolutions: Yellow fever in the Atlantic world, 1793-1828" (PhD Dissertation, Johns Hopkins University; ProQuest Dissertations & Theses,  2014. 10302147).
• Bell, Andrew McIlwaine. "Mosquito soldiers: The impact of malaria and yellow fever during the American Civil War" (PhD Dissertation, The George Washington University; ProQuest Dissertations & Theses,  2007. 3248468).

• Carrigan, J. A. "Yellow fever in New Orleans, 1905: the last epidemic," Bulletin Tulane Medical Faculty. (1967). 26:19-28.

• Carrigan, J. A. "Yankees versus yellow jack fever in New Orleans, 1862-1866" Civil War History (1963) 9:248-60.
• Chambers, Marisa Joanne.   "Responses to yellow fever in british west africa, 1900-1948" (PhD Dissertation, The University of Liverpool;  ProQuest Dissertations & Theses,  2000. U151539).

• Cotter, John Vincent. " mosquitoes and disease in the lower Rio Grande Valley, 1846–1986" (PhD, The University of Texas at Austin; ProQuest Dissertations & Theses,  1986. 8705987).

• Duffy, John. "Yellow fever in the continental United States during the nineteenth century." Bulletin of the New York Academy of Medicine 44.6 (1968): 687+ online
• Duffy, John. Epidemics in Colonial America (Louisiana State Univ. Press, 1953).
• Engineer, Urmi. "Hurricane and the human frame: Yellow fever, race, and public health in nineteenth-century New Orleans" (PhD Dissertation. University of California; Santa Cruz ProQuest Dissertations & Theses,  2010. 3424537).
• Espinosa, Mariola. "Epidemic invasions: Yellow fever, public health, and the limits of Cuban independence, 1878 through the early Republic" (PhD dissertation,  The University of North Carolina at Chapel Hill; ProQuest Dissertations & Theses,  2003. 3112002).

• Mansfield, Julia P. R. "The Disease of Commerce: Yellow Fever in the Atlantic World, 1793-1805" (Phd dissertation,  Stanford University; ProQuest Dissertations & Theses,  2017. 30003573).

• Nuwer, Deanne Love Stephens.  "The 1878 yellow fever epidemic in Mississippi" (PhD Dissertation, the University of Southern Mississippi ProQuest Dissertations & Theses,  1996. 9718190).

• Olivarius, Kathryn. "Necropolis : yellow fever, immunity, and capitalism in the Deep South, 1800-1860" (PhD Dissertation,  University of Oxford; ProQuest Dissertations & Theses,  2016. 27805087).
• Patterson, K. David. "Yellow fever epidemics and mortality in the United States, 1693-1905". Social Science & Medicine (1992) 34 (8): 855–865. doi:10.1016/0277-9536(92)90255-O. PMID 1604377.
• Robinson, Arthur Thomas. "The Third Horseman of the Apocalypse: A multi-disciplinary social history of the 1793 yellow fever epidemic in Philadelphia" (PhD Dissertation, Washington State University; ProQuest Dissertations & Theses,  1993. 9414811).

• Solorzano Ramos, Armando."The Rockefeller Foundation in Mexico: Nationalism, public health and yellow fever (1911-1924)" (PhD, The University of Wisconsin - Madison; ProQuest Dissertations & Theses,  1990. 9033798).

• Taylor, P. Sean. " 'We live in the midst of death': Yellow fever, moral economy, and public health in Philadelphia, 1793–1805" (PhD Dissertation, Northern Illinois University; ProQuest Dissertations & Theses,  2001. 3013804).

• Tran, Quan Minh.  "Considering the Biological Context to Improve Models for Estimating the Global Disease Burden of Yellow Fever" (PhD dissertation,  University of Notre Dame; ProQuest Dissertations & Theses,  2023. 30631250).

• Wakefield, Elizabeth Anne.   "Assessing differential resistance to yellow fever among African slaves and white Euro-Americans during Charleston's yellow fever epidemics: 1854-1871" (PhD Dissertation, University of South Carolina; ProQuest Dissertations & Theses,  2015. 1589355).

• Warden, Paul Michael.  "Yellow Fever in the Imagination and Development of an American New Orleans, 1793-1860" (PhD dissertation, University of California, Santa Barbara; ProQuest Dissertations & Theses,  2019. 13900240).

• Warner, Margaret Ellen. " Public help in the New South: Government come up medicine and society in the control of yellow fever" (PhD, Harvard University; ProQuest Dissertations & Theses,  1983. 8403058).

• Wells, Jessica. "The Suffering South: 1878 Yellow Fever Narratives and Post-Reconstruction Southern Identity" (PhD dissertation, University of South Florida; ProQuest Dissertations & Theses,  2017. 10642088).

• Wilson, Rob. "The disease of fear and the fear of disease: Cholera and yellow fever in the Mississippi Valley" (PhD Dissertation, Saint Louis University; ProQuest Dissertations & Theses,  2008. 3324235.

External links

• "'Bronze John': Yellow fever epidemics in New Orleans" at The Times-Picayune ; updated 27 September 2013, accessed 31 October 2015.

• Great Yellow Fever Epidemic of 1820 historical marker in Savannah, Georgia