and comfort. He also re-established and enlarged the railway, which was to prove crucial in transporting millions of tons of soil from the cut through the mountains to the dam across the Chagres River. Colonel William C. Gorgas had been appointed chief sanitation officer of the canal construction project in 1904. Gorgas implemented a range of measures to minimize the spread of deadly diseases, particularly yellow fever and malaria, which had recently been shown to be mosquito-borne following the work of Dr. Carlos Finlay and Dr. Walter Reed. Investment was made in extensive sanitation projects, including city water systems, fumigation of buildings, spraying of insect-breeding areas with oil and larvicide, installation of mosquito netting and window screens, and elimination of stagnant water. Despite opposition from the commission (one member said his ideas were barmy), Gorgas persisted, and when Stevens arrived, he threw his weight behind the project. After two years of extensive work, the mosquito-spread diseases were nearly eliminated. Even after all that effort, about 5,600 workers died of disease and accidents during the US construction phase of the canal. In 1905, a US engineering panel was commissioned to review the canal design, which had not been finalized. In January 1906 the panel, in a majority of eight to five, recommended to President Roosevelt a sea-level canal, as had been attempted by the French and temporarily abandoned by them in 1887 for a ten locks system designed by Philippe Bunau-Varilla, and definitively in 1898 for a lock-and-lake canal designed by the Comité Technique of the Compagnie Nouvelle de Canal de Panama as conceptualized by Adolphe Godin de Lépinay in 1879. But in 1906 Stevens, who had seen the Chagres in full flood, was summoned to Washington; he declared a sea-level approach to be "an entirely untenable proposition". He argued in favor of a canal using a lock system to raise and lower ships from a large reservoir above sea level. This would create both the largest dam (Gatun Dam) and the largest human-made lake (Gatun Lake) in the world at that time. The water to refill the locks would be taken from Gatun Lake by opening and closing enormous gates and valves and letting gravity propel the water from the lake. Gatun Lake would connect to the Pacific through the mountains at the Gaillard (Culebra) Cut. Unlike Godin de Lépinay with the Congrès International d'Etudes du Canal Interocéanique, Stevens successfully