Philadelphia was the capital of the United States from 1790 to 1800. In 1793, a yellow fever plague struck the city and killed over 5,500 of the 55,000 residents as nobody knew the disease was spread by mosquitoes. Philadelphia was mostly swampland at the time, providing ideal breeding grounds for mosquitoes. Another yellow fever epidemic in 1853 killed 20,000 people in New Orleans, and another in 1878 killed 20,000 more, demonstrating the ongoing impact of mosquito-borne diseases before the widespread use of DDT in the mid-1900s helped curb their spread.