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				<title>Letter from Paul Osterhout, Acting Assistant Surgeon, U.S. Public Health and Marines-Hospital Service, at Bocas del Toro, Panama, to the Surgeon-General, U.S. Public Health and Marine-Hospital Service, Washington, D.C regarding the first Yellow Fever case in the Panamanian port</title> 
				<funder>Funding for the creation of this digitized text is provided by a grant from the Institute of Museum and Library Services.</funder><author>Osterhout, Paul, 1859-1944</author><respStmt>
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					<name>Rice University</name></respStmt><respStmt>
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					<name>Humanities Research Center and Fondren Library, Rice University</name>
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				<publisher>Rice University</publisher>
				<pubPlace>Houston, Texas</pubPlace>
				<date>2010-06-07</date>
				<idno>aa00121</idno>
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					<title>Letter from Paul Osterhout, Acting Assistant Surgeon, U.S. Public Health and Marines-Hospital Service, at Bocas del Toro, Panama, to the Surgeon-General, U.S. Public Health and Marine-Hospital Service, Washington, D.C regarding the first Yellow Fever case in the Panamanian port</title>
					<author>Osterhout, Paul, 1859-1944</author><date when="1905">August 16, 1905</date>
					<idno>Osterhout Family Papers, MS 355, Box 6 folder 21 item 3, Woodson Research Center, Fondren Library, Rice University. Contact info: woodson@rice.edu</idno><note type="Provenance">A majority of the papers were purchased by Rice University from Mrs. Ora Osterhout Wade in 1958 and a second group of records arrived in October 1962. The collection register of John P. Osterhout was added to the collection in October 1965 as a gift from Herbert Herrick Fletcher. And in November 1992, Harry Yeager donated the book History of the Roberts Family to add to the collection.</note><note type="Description">2 page letter from Osterhout to the Surgeon General describing the medical case of W.B. Dunn, an employee of the United Fruit Company.</note></bibl>
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						<item>Yellow fever--Panama</item><item>Bocas del Toro Channel (Panama)</item><item>Panama Canal--History</item><item>Dunn, W. B.</item><item>United Fruit Company</item><item>Orienta (Steamer)</item></list>
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						<item>Bocas del Toro (inhabited place)</item><item>Washington (inhabited place)</item><item>Philadelphia (inhabited place)</item><item>Colon (inhabited place)</item></list>
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			<div1 xml:id="n001" type="letter">
				<pb facs="aa00121_0001" xml:id="p0001"/>
			
				<opener><dateline>	<seg type="letterhead">U. S. P<hi rend="smallcaps">UBLIC</hi> H<hi rend="smallcaps">EALTH AND</hi>
					M<hi rend="smallcaps">ARINE</hi>-H<hi rend="smallcaps">OSPITAL</hi> S<hi
						rend="smallcaps">ERVICE</hi>,<lb/> O<hi rend="smallcaps">FFICE OF</hi> M<hi
							rend="smallcaps">EDICAL</hi> O<hi rend="smallcaps">FFICER IN</hi> C<hi
								rend="smallcaps">OMMAND.</hi><lb/></seg>
						<hi rend="italic">Bocas del Toro, Panama</hi>
						<lb/>
						<date>
							<hi rend="italic">August 16, 1905</hi>
						</date>
					</dateline><lb/>
					<hi rend="italic">Surgeon-General,<lb/> U. S. Public Health &amp;
						Marine-Hospital Service,<lb/> Washington, D. C.</hi>,<lb/>
					<salute>
						<hi rend="italic">Sir:</hi>
					</salute></opener>
				<p>
					<hi rend="italic">I have the honor to make the following report of the case<lb/>
						of yellow fever reported by cable Aug. <del>16</del> <add place="supralinear">15</add>, 1905.</hi>
				</p>
				<p>
					<hi rend="italic">The patient Mr. W. B. Dunn, american, came here about
						seven<lb/> months ago from Phila., and employed as a machinist by the<lb/>
						United Fruit Co., Was taken sick Saturday night, Aug. 12, 1905,<lb/> called
						at my office Sunday about 9 a.m. for treatment. He<lb/> worked all day
						Saturday for I saw him at the machine shops<lb/> Saturday p.m. when they
						stopped work.</hi>
				</p>
				<p>
					<hi rend="italic">Mr. Dunn has had his rooms screened for some time, and I<lb/>
						told him to go home at once and be sure that his room was<lb/> kept closed
						and I would call and see him in the afternoon.<lb/> When he called in the
						a.m. temp. was 101 1-5, pulse 102; at<lb/> 6 p.m. temp. 103, pulse 108;
						headache, backache and a general<lb/> soreness of the muscles.</hi>
				</p>
				<p>
					<hi rend="italic">Monday, Aug. 14, 1905, I asked Dr. Jumel to see the case
						and<lb/> he agreed with me that it was decidedly suspicious. I made<lb/>
						examinations of the urine but no albumen appeared until the<lb/>
						<pb facs="aa00121_0002" xml:id="p0002"/>
						<pb facs="aa00121_0003" xml:id="p0003"/> morning of the 15th..</hi>
				</p>
				<p>
					<hi rend="italic">I believe that the source of infection is traceable to<lb/>
						the appearance in this port of a small steamer which came<lb/> from Colon, I
						think, July 27, 1905. A fireman on this boat<lb/> was taken sick during the
						night of July 28th.; I was called to<lb/> see him at 9 p.m. the 29th. This
						vessel (“ORIENTA”) sailed<lb/> from here to Colon at noon July 30th., and I
						have learned that<lb/> the fireman had been taken off with yellow fever on
						her arrival<lb/> at that port but this <choice><orig>insnot</orig> <reg>is not</reg>
							</choice> official, I heard it
						about<lb/> Aug. 3rd.</hi>
				</p>
				<p>
					<hi rend="italic">On the termination of the case I will forward a chart of<lb/>
						the case to the Bureau.</hi>
				</p>
				<p>
					<hi rend="italic">As the case is in my private practice I have the house<lb/>
						thoroughly screened.</hi>
				</p>
				<p>
					<hi rend="italic">This is the first case that has appeared in this port.</hi>
				</p>
				<closer><hi rend="italic">Respectfully</hi>,<lb/>
					<signed>
						Paul Osterhout
					</signed>
					<hi rend="italic">Act'g Ass't Surg' P.H. &#x0026; M-H.
				Service.</hi></closer>
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