Yellow fever other feverish illnesses such as malaria. Other viral hemorrhagic fevers, such as Ebola virus, Lassa virus, Marburg virus, and Junin virus, must be excluded as the cause. Personal prevention of yellow fever includes vaccination and avoidance of mosquito bites in areas where yellow fever is endemic. Institutional measures for prevention of yellow fever include vaccination programmes and measures of controlling mosquitoes. Programmes for distribution of mosquito nets for use in homes are providing reductions in cases of both malaria and yellow fever. Use of EPA-registered insect repellent is recommended when outdoors. Exposure for even a short time is enough for
1793 Philadelphia yellow fever epidemic vector of the 1793 plague in Philadelphia (and other Atlantic ports) was the British merchant ship "Hankey", which had fled the West African colony of Bolama (an island off West Africa, present day Guinea-Bissau) the previous November, trailing yellow fever at every port of call in the Caribbean and eastern Atlantic seaboard. See: "The Ship of Death: The Voyage That Changed the Atlantic World". After two weeks and an increasing number of fever cases, Dr. Benjamin Rush, a doctor's apprentice during the city's 1762 yellow fever epidemic, saw the pattern; he recognized that yellow fever had returned. Rush alerted his