1793 Philadelphia yellow fever epidemic the origin of the fever nor that it was transmitted by mosquitoes (which was not verified until the late nineteenth century). The mayor and a committee of two dozen organized a fever hospital at Bush Hill and other crisis measures. The assistance of the Free African Society was requested by the city and readily agreed to by the members, based on the mistaken assumption that native Africans would have the same partial immunity to the new disease as many had to malaria, the most common source of fever epidemics during the summer months. Black nurses aided the sick and the
Yellow fever they reach the liver and infect hepatocytes (probably indirectly via Kupffer cells), which leads to eosinophilic degradation of these cells and to the release of cytokines. Apoptotic masses known as Councilman bodies appear in the cytoplasm of hepatocytes. Fatality may occur when cytokine storm, shock, and multiple organ failure follow. Yellow fever is most frequently a clinical diagnosis, made from symptoms and where the infected person was before becoming ill. Mild courses of the disease can only be confirmed virologically. Since mild courses of yellow fever can also contribute significantly to regional outbreaks, every suspected case of yellow fever (involving