" You are facing one of the greatest decisions of your career. You must choose between Shonts and Gorgas. If you fall back upon the old methods of sanitation, you will fail, just as the French failed. If you back up Gorgas and his ideas and let him pursue his campaign against the mosquitoes, you will get your canal. "

― David McCullough , The Path Between the Seas: The Creation of the Panama Canal, 1870-1914