History of yellow fever 1,235 fatalities were recorded of an estimated 12,000 cases. Smaller outbreaks occurred in Saint-Nazaire in France, Swansea in Wales, and in other European port cities following the arrival of vessels carrying the mosquito vector. The first mention of the disease by the name "yellow fever" occurred in 1744. Many famous people, mostly during the 18th through the 20th centuries, contracted and then recovered from, or died of, yellow fever. The Yellow Fever Epidemic of 1793 struck during the summer in Philadelphia, Pennsylvania, where the highest fatalities in the United States were recorded. The disease probably was brought by refugees and
Yellow fever vaccine vaccine, ten years after a primary dose, is not necessary. Since yellow fever vaccination began in the 1930s, only 12 known cases of yellow fever post-vaccination have been identified, after 600 million doses have been dispensed. Evidence showed that among this small number of "vaccine failures", all cases developed the disease within five years of vaccination. This demonstrates that immunity does not decrease with time. The World Health Organization recommends the vaccine between the ages of 9 and 12 months in areas where the disease is common. Anyone over the age of 9 months who has not been previously immunized