The extract comes on page 54 near the end of the third chapter titled ‘Clinical History’. Chapter one is titled ‘Etiology’ and deals with causes; whilst Chapter Two – ‘Pathology’ deals with disease behaviour. The final fourth chapter deals with treatment and prevention of yellow fever, and is titled ‘Treatment and Prophylaxis’.
That the extract comes under ‘clinical history’ and near the end of this is significant. It follows lengthy descriptions and discussions on symptoms. Firstly order of symptoms,13 followed by in-depth discussion of specific symptoms - the effect on the tongue14 and odour.15 The author then discusses diagnosis and diagnostic methods, including a comparison with malaria.16 Page 53 discusses the end of life – simply called ‘The Termination’, culminating with our extract. The last section within the chapter is about the Sequelae (subsequent medical conditions resulting from yellow fever), perhaps an appeal to hope, as these victims still live.17 Our extract is about the end of life, specifically the morbidity rate.
[1] J. A. Carrigan, “Impact of Epidemic Yellow Fever on Life in Louisiana.,”
Louisiana History 4, no. 1 (1963): 5.
[2] Carrigan, 6.
9 Carrigan, 7.
[4] John H Ellis,
Yellow Fever and Public Health in the New South : Origins, Philosophy, and Theology (Lexington, UNITED STATES: University Press of Kentucky, 1992), 38, http://ebookcentral.proquest.com/lib/stir/detail.action?docID=1915358.
12 Ellis, 38.