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We learn that during the past ten years there have been two epidemic visitations of yellow fever in Santiago and its neighborhood, with cases scattered in the intervening years, so that the infection of the fever must be considered to be there and ready at any time, under favorable conditions, to cause an outbreak among our unacclimated men when they leave the mountains and enter the city. In November, 1890, after a period of freedom from fever, the disease was introduced into Santiago and its vicinity by workmen from Spain who had been ashore for some days at Porto Rico while en route to Cuba. Yellow fever was then prevailing at Porto Rico and some of the Spanish emigrants became infected. These settled in Santiago and introduced yellow fever among the people employed at the Juragua Iron Works. The disease prevailed at these works for twelve months, attaining its maximum
THE HEALTH OF SANTIAGO DE CUBA. JAMA. 1898;XXXI(2):76. doi:10.1001/jama.1898.02450020032007
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