yourself from it. Symptoms usually did not appear for up to a week after the initial contagion, and by then you could have already come in contact.

Epidemiology in the United States

In the late years of the 19th century the United States had interest in Cuba due to their mass production of sugar, which can account for millions of annual income (Clements, Harbach, 2017). Cuba was a major port for trading, and the prime point of shipping products across the sea to the US. The transportation of coastal shipping can be at fault for the spread of infection. The first yellow fever epidemic in the United States occurred in 1693 in Boston when a ship brought the disease over from the Indies. Despite their port security methods to block infected areas, some ships passed claiming they were sterile. 100 years later, the epidemic made its way to Philadelphia, the former capital of the United States. It was carried over by French refugees who became infected at the slave rebellion in Haiti. Roughly, ten percent of the population died from yellow fever that year. Since there was no known vaccine or cure, many philadelphians fled the city, including President Washington.

“In 1878, infected passengers on steamships carrying yellow fever to New Orleans were allowed to disembark without passing through quarantine, and the yellow fever they carried was thought to have touched o the worst epidemic in U.S. history. roughout the summer, yellow fever ravaged the population of New Orleans and spread up the Mississippi Valley as far north as St. Louis, while also moving outward along the railroad lines. Outbreaks of yellow fever occurred in more than 100 cities and towns, over 120,000 people were infected and more than 20,000 died. e economic losses across the region were estimated to amount to $100 million, possibly more” (Clements, Harbach, 2017).

Once again trying to regulate the origin of yellow fever, “the U.S. sent a group of experts, the Havana Yellow Fever Commission, to Cuba to determine the sanitary conditions that allowed yellow fever to ourish in Cuban ports and to devise measures that might prevent ships bound for the U.S. from carrying the disease in any