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October 30, 1926


JAMA. 1926;87(18):1480. doi:10.1001/jama.1926.02680180052015

It is not necessary to go far back into medical history to secure an impressive picture of the menace of yellow fever. The central portion of the American continent has always been the endemic home of the disease. Writing less than twenty years ago, James Carroll1 could still properly describe yellow fever as belonging largely to seaport towns and maritime districts in tropical and subtropical climates. Hence, as he adds, on account of its geographic situation, its extensive coast line and its large commercial interests, the United States has suffered more from yellow fever than any other country. Its medical history teems with accounts of epidemics of yellow fever and bilious remittent fever, and descriptions of the latter justify us in considering them, certainly the majority, to have been yellow fever. Certain places or localities had long been regarded as permanent endemic foci of yellow fever; among these may