1793 Philadelphia yellow fever epidemic immune to the fever. Many of the slaves in Charleston in 1742 could have gained immunity before having been transported from Africa, by having been exposed to yellow fever in a mild case. People who survived one attack gained immunity. A total of 240 blacks died, in proportion to their population at the same rate as whites. Given the limited resources and knowledge of the times, the city's response was credible. The medical community did not know the natural history of yellow fever, a viral infection spread by the "Aedes aegypti" mosquito. Efforts to clean the city did not defeat
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