Sandfly fever was an insect-related disease common in tropical environments. It was caused by phlebotomus fever, a small black blood-sucking cockroach that lived in the jungle. The name fever was given because it was likely that victims had a similar method of infection to mosquito bites. Sick people had to travel at a time when insect activity was at its peak, since infections could be spread through its bites. The symptoms of this disease were similar to many other diseases caused by insect bites, such as hives, fever and vomiting. Treatment of this disease was associated with hygiene procedures and the administration of antitoxin. Individuals immune to phlebotomy did not require treatment. Today, medicine has invented ways to prevent it by vaccinating residents of tropical countries.