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THE present day campaign to control yellow fever or to eradicate an endemic center of this disease is based solely upon the reduction of the Aedes calopus by anti-larvae measures to a theoretical minimum called the "safety index." As early as 1908, Carter suggested thlat anti-larvae measures alone should be sufficient to check the spread of yellow fever and that, faithfully applied for a reasonable time, they should completely clear an endemic yellow fever center. He held that isolation or even screening the sick, the reporting of cases, and the fumigation of infected homes were unnecessary. The initial campaign to be conducted exclusively along anti-larvae lines was carried on by Converse at Iqiiitos in 1913. Beverley applied the same measures with success at Buenaventura, Colombia, in 1916. The first large endemic center to be cleared by strictly anti-larvae measures was Guayaquil, Ecuador, in 1919. Here, for the first time, the systematic use of fish was depended upon to destroy mosquito larvae in fresh water containers. Unquestionably, a modern water system carrying an abundant supply of potable water, available to the majority of homes at all hours of the day and night, is the measure to be recommended for
American Journal of Public Health – American Public Health Association
Published: Mar 1, 1922
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