Yellow fever cycle, both in Africa and South America, a sylvatic cycle (forest or jungle cycle) is present, where "Aedes africanus" (in Africa) or mosquitoes of the genus "Haemagogus" and "Sabethes" (in South America) serve as vectors. In the jungle, the mosquitoes infect mainly nonhuman primates; the disease is mostly asymptomatic in African primates. In South America, the sylvatic cycle is currently the only way humans can become infected, which explains the low incidence of yellow fever cases on the continent. People who become infected in the jungle can carry the virus to urban areas, where "A. aegypti" acts as a vector.
1793 Philadelphia yellow fever epidemic was also advocated by Dr. Edward Stevens, who in mid-September claimed it had cured Alexander Hamilton, Secretary of the Treasury, of the fever. Rush searched the medical literature for other approaches. Benjamin Franklin had given him letters sent by Dr. John Mitchell, related to treating patients during a 1741 yellow fever outbreak in Virginia. (Franklin never published the letters.) Mitchell noted that the stomach and intestines filled with blood and that these organs had to be emptied at all costs. "On this account," Mitchell argued, "an ill-timed scrupulousness about the weakness of the body is of bad consequences in these