Yellow Fever at Miami 41 launches. Large sailing ships and steamboats from distant ports called at the Port of Miami bringing passengers and cargo on regular sched- ules. By 1899, Miami boasted an inexhaustible supply of fine water from "a spring in the Everglades" near the rapids in the river (about Northwest Twentieth Street, one-fifth mile west of Twenty-seventh Avenue). Miami also had one-and-a-half miles of sanitary sewer with an outfall in the river at the foot of Miami Avenue. Most of the householders, however, were dependent on privies, the buckets of which were to be emptied at least weekly by the city scavenger. Electricity from the generators at the Royal Palm Hotel was avail- able to homes and businesses in the downtown area. Telephones came to Miami in February 1899.5 Four Physicians In Miami The young city had the services of four physicians: James Mary Jackson, Peter Thomas Skaggs, Edwin Worth Pugh and Ruben Har- rison Huddleston. Beyond the city limits were John Gordon DuPuis and Henrietta W. Martens in Lemon City and James W. Jackson and Eleanor Galt Simmons in Coconut Grove. In the spring of 1899, prepara- tions were underway to build a City Hospital at Northeast Ninth Street and Biscayne Boulevard on land donated by Henry M. Flagler. He also contrib- uted $4,500 toward construction with the proviso that the city equip and man- I \ age the hospital.'6 Meanwhile, in the spring of 1899, Miami's physicians were occupied with routine doctoring. There were the . usual obstetrical cases, respiratory and - The four doctors of Miami (clockwise from top left): Dr. James M. Jackson (Courtesy of Dr. William M. Straight); Dr. Peter Thomas Skaggs (Courtesy of Miss Virginia Skaggs); Dr. Ruben Harrison Huddleston and Dr. Edwin Worth Pugh (FromHistory ofMedicine in Dade County, Florida, by Dr. John Gordon DuPuis).