1793 Philadelphia yellow fever epidemic with slaves, arrived from Cap Français, Saint-Domingue. The 2,000 immigrants were fleeing the slave revolution in the north of the island. They crowded the port of Philadelphia, where the first yellow fever epidemic in 30 years began in the city in August. It is likely that the refugees and ships carried the yellow fever virus and mosquitoes. It is transmitted during mosquito bites. The mosquitoes easily breed in small amounts of standing water. The medical community and others in 1793 did not understand the role of mosquitoes in the transmission of yellow fever and other diseases. Physicians and other survivors
History of yellow fever The entire Mississippi River Valley from St. Louis south was affected, and tens of thousands fled the stricken cities of New Orleans, Vicksburg, and Memphis. An estimated 120,000 cases of yellow fever resulted in some 20,000 deaths. Memphis suffered several epidemics during the 1870s, culminating in the 1878 epidemic (called the Saffron Scourge of 1878), with more than 5,000 fatalities in the city. Some contemporary accounts said that commercial interests had prevented the rapid reporting of the outbreak of the epidemic, increasing the total number of deaths. People still did not understand how the disease developed or was transmitted, and