Yellow fever—yellow jack, fièvre jaune, fiebre amarilla, the “American plague”—had been a terror of seamen for centuries. A single case on board ship could mean death for the entire crew. The legendary Flying Dutchman was founded on the story of a ship condemned to haunt the seas after yellow fever broke out on board and no country would permit the ship in its harbors. The Philadelphia yellow-fever epidemic of 1793 had been as savage as an attack of bubonic plague and doomed the supremacy of Philadelphia among the cities of North America.

