The Influenza Epidemic of 1918 in Philadelphia
I had a little bird.
Its name was Enza.
I opened the window, And in-flu-enza.
Children's Rhyme 1918
--------------------------------------------------------------------------
"Please, Let Me Put Him in a Macaroni Box"
The Spanish Influenza of 1918 in Philadelphia
Louise Apuchase: We were the only family saved from the influenza. The rest of the neighbors all were sick. Now I remember so well, very well, directly across the street from us, a boy about 7, 8 years old died and they used to just pick you up and wrap you up in a sheet and put you in a patrol wagon. So the mother and father screaming. Let me get a macaroni box. Before, macaroni, any kind of pasta used to come in these wooden boxes about this long and that high, that 20 lbs. of macaroni fitted in the box. Please, please, let me put him in the macaroni box. Let me put him in the box. Don’t take him away like that. And that was it. My mother had given birth to my youngest sister at the time and then, thank God, you know, we survived. But they were taking people out left and right. And the undertaker would pile them up and put them in the patrol wagons and take them away.
Pennsylvania Closes All Meeting Places
--------------------------------------------------------------------------
Pennsylvania Closes All Meeting Places
october 3, 1918
Schools, churches,theatres and all places of public assemblage were today ordered closed indefinitely.
http://query.nytimes.com/mem/archive...DE&oref=slogin
__________________
City of Philadelphia had the most deaths:
In America, the City of Philadelphia had the most deaths: out of a population of almost 2 million, almost 13,000 people died in the influenza epidemic. Over 11,000 of those deaths occurred in October 1918.
In July 1918 Philadelphia's Bureau of Public Health had issued a bulletin about the "Spanish Influenza". But health officials had not listed influenza as a reportable disease, and this denial of the danger of what was happening had encouraged people to take foolish risks. So it was that on 28 September 1918 a "4th Liberty Loan Drive" parade in Philadelphia was attended by 200,000 people. Since influenza is a respiratory illness spread by breathing, within days of the parade 635 new cases of influenza were reported; and on 6 October, 289 people died. Then city officials had to recognize that an epidemic was occurring, and they ordered all public gathering places, including churches, schools and theaters, closed. Despite these precautions, by mid-October hundreds of thousands of people were infected, and by the third week of October 1918, over 4,500 were dead. Since a large proportion of the city's doctors and nurses were in Europe to support U.S. involvement in the war there, many people in Philadelphia may have died because they did not get proper medical attention. And yet, although in October open trucks (death carts) had been sent out to collect corpses from wooden boxes on front porches (and abandoned corpses from gutters), by early November life began to return to normal. The end of the epidemic was celebrated along with the European Armistice on 11 November 1918.
The Influenza Pneumonia Pandemic of 1918
__________________
"Spanish Lady"
--------------------------------------------------------------------------
It was the end of the summer in 1918 in Philadelphia, a city of a million and a half people.
World War I, "the war to end all wars," was drawing to a close as the British crossed the Hindenburg Line. At the University of Pennsylvania, drilling, uniforms, and war courses were the order of the day for 2,240 students of draft age who had been inducted into the Students' Army Training Corps (SATC), a federal program designed to prepare young men as officers. Penn's dormitories and fraternity houses served as barracks. By order of Major Charles T. Griffith, the officer in charge of the program, the University's daily newspaper, The Pennsylvanian, had been placed under military authority and served as the official bulletin of the SATC.
In Philadelphia, it was business as usual. People were flocking to the long-running British musical Chu Chin Chow at the Shubert Theater, Jerome Kern's Leave It to Jane at the Chestnut Street Opera House, and John Philip Sousa's Liberty Loan concert at Willow Grove Park. Everyone was sure it was just a matter of time until "the boys came home." No one was paying much attention to the account of an unusual sickness reported earlier in the year by a Spanish wire service to Reuter's London headquarters: "A strange form of disease of epidemic character has appeared in Madrid."
Within a short time, eight million Spaniards were ill with what was to be named the "Spanish influenza." Fueled by troop movements, it spread like wildfire across Europe, the Mideast, and Asia. By the summer of 1918, the "Spanish Lady" had reached American soil. In 120 days, more than half of the world's population would fall victim to the influenza pandemic, and nearly 22 million would die of complications.
The disease began with a cough, then increasing pain behind the eyes and ears. Body temperature, heart rate, and respiration escalated rapidly. In the worst cases, pneumonia quickly followed. The two diseases inflamed and irritated the lungs until they filled with liquid, suffocating the patients and causing their bodies to turn a cyanotic blue-black.
In Pennsylvania, the influenza epidemic began almost unnoticed in the middle of September. First a few cases, and then the numbers began to rise rapidly. Worried state health authorities decided to add influenza to the list of reportable diseases. Their concern increased when 75,000 cases were reported statewide. The worst was still ahead.
Philadelphia was about to become the American city with the highest death toll in one of the three worst epidemics in recorded history.
Philadelphia newspapers and The Pennsylvanian chronicled the passage of the "Spanish Lady" day-by-day through city and campus.
The Pennsylvania Gazette: The Flu of 1918
__________________
Philadelphia, Nurses, and the Spanish Influenza Pandemic of 1918
--------------------------------------------------------------------------
On 10 October, 528 died in the city. Thirty-fourth street, in front of Philadelphia General hospital, was crowded with vehicles of every description bringing the sick, the dying, and, in most cases, the dead to the hospital. The scene was repeating itself in front of every hospital in the city. Many of the staff of PGH were sick because this was a disease of necessity (meaning care was provided for the symptoms, not the cure), the majority of work fell to nurses. PGH School of Nursing's chief nurse, Lillian Clayton, worked 48-hour shifts. Sheer exhaustion allowed many of the nurses to become ill; four died. Miss Clayton offered to allow all preliminary (freshman) nursing students to return home rather than face the disease, yet all volunteered to stay. Six eventually died from flu.
http://www.history.navy.mil/library/...hil%201918.htm
Influenza in 1918: Recollections of the Epidemic in Philadelphia
--------------------------------------------------------------------------
Influenza in 1918: Recollections of the Epidemic in Philadelphia
Isaac Starr, MD
18 July 2006 | Volume 145 Issue 2
When the great influenza epidemic struck Philadelphia in 1918, the author was just starting his third year at the University of Pennsylvania School of Medicine. After a single lecture on influenza, classes for the third and fourth year students were suspended while he and his mates manned an emergency hospital, in which they worked under little or no medical supervision and in the presence of an alarming patient mortality. This essay describes what happened in the hospital, and in the city as a whole, during the pandemic. Certain features of the clinical course of most patients permit the hope that modern therapy will prevent a repetition of the horrendous mortality.
Influenza in 1918: Recollections of the Epidemic in Philadelphia -- Starr 145 (2): 138 -- Annals of Internal Medicine
-----------------------------------------------------------
Philadelphia was staggered.
--------------------------------------------------------------------------
Philadelphia was staggered. The early record of 289 deaths in one day was easily surpassed. On October 10, while firemen hosed down the streets all day and people faithfully wore their face masks outside, 528 Philadelphians perished from influenza. The fury of this mortality rate can perhaps be better imagined in terms of 528 Philadelphians dying in a single day in traffic accidents or in a fire rather than, prosaically, in bed.
All places of public assembly in the city were closed, and Philadelphia began to resemble the London described by an English official during the great bubonic plague of 250 years before: ”… the streete thin of people, the shops shut up, and all in mournful silence, as not knowing whose turne might be next.” Even the death carts of London’s Great Plague were recalled in Philadelphia. The Reverend Dr. Joseph Corrigan, director of Catholic Charities, assembled a convoy of six horse-drawn wagons and a truck that scoured the city’s back streets and alleyways in search of abandoned victims. Forcing open doors in cheap tenements and rundown rooming houses, the priest and his helpers gathered up some 200 bodies in twenty-four hours. They deposited their grim harvest in a morgue built to accommodate 36 dead, where conditions soon became so offensive that veteran embalmers recoiled and refused to enter.
Responding to this kind of congestion, the J. F. Brill Company, Philadelphia streetcar manufacturers, temporarily turned its woodworking shop over to the construction of coffins to ease the shortage.
Joseph E. Persico
`````````````````````````````````````````````````` ````````````````````````````
To deal with the problem of hundreds of unburied corpses, volunteers drive horse-drawn carts through the city streets, calling people to bring out the dead. Wagonloads of bodies, each tagged for identification, are buried at Potter's Field at Second and Luzerne Streets, where the Bureau of Highways is digging trenches for graves. Only the promise that bodies can be reinterred when the epidemic abates persuades grieving relatives to give up their loved ones to the "dead wagons."
Horse-drawn carts plied the streets with a call to bring out the dead in the city where bodies lay unburied for days. The afflicted died by the thousands, and survivors lived in fear. But this wasn’t medieval Europe being stalked by the Black Death. This was Philadelphia, October 1918, and the city was under siege from a new variant of one of mankind’s oldest specters: influenza
Epidemics Arrival in Philadelphia Could Not Have Been Worse
--------------------------------------------------------------------------
City Snapshots: Philadelphia
The timing of the epidemics arrival in Philadelphia could not have been worse. Over one-quarter of the city's doctors, and a larger portion of its nurses, were lending their medical talents to the nation's war efforts. At Philadelphia Hospital, fully 75% of medical and support staff were overseas. Such personnel shortages were an issue even before influenza had hit; once it did, lack of adequate medical help became a matter of life or death.
http://www.pbs.org/wgbh/amex/influen.../philadel.html
Public Health Service
--------------------------------------------------------------------------
In Philadelphia, Dr. Wilmer Krusen, Director of the Department of Health and Charities warned against fright or panic. On October 3rd city officials closed all schools, churches, theaters and places of amusement. As the situation worsened, an emergency telephone switchboard was established at Strawbridge and Clothier Department Store, one of the city's largest stores. Firemen, garbage collectors, policemen, and city administrators all fell ill. The city’s only morgue overflowed. Designed to handle thirty-six bodies, it had over five hundred. Stacked in the hallways of the morgue, bodies rotted. To ease the pressure on the city's morgue, convicts were ordered to dig graves. But even this failed to solve the problem, and desperate city officials opened five supplementary morgues.
Selma Epp, who was a child during the pandemic, remembered that her family made up their own remedies, like castor oil [and] laxatives...everyone in our house grew weaker and weaker. Then my brother Daniel died. My aunt saw the horse-drawn wagon coming down the street. The strongest person in our family carried Daniel’s body to the sidewalk. Everyone was too weak to protest. There were no coffins in the wagon, just bodies piled on top of each other. Daniel was two; he was just a little boy. They put his body on the wagon and took him away.”
Harriet Ferrel, another Philadephian, remembered how she, her father, brother, sister, aunt, uncle, and cousin were all ill with influenza. The only healthy member of the family was her mother who nursed them all. Ferrel's life was in danger: Our family doctor...told my mother she didn’t need to feed me anymore, because I wasn’t going to live. He said if I did live, I would be blind. Ferrel recovered.
The Office of the Public Health Service Historian
. : The Great Pandemic : : The United States in 1918-1919 : .
Cheerful Things
--------------------------------------------------------------------------
Philadelphia, October 4: 636 new cases, 139 deaths.
Worried Philadelphians, wearing gauze influenza masks over their noses and mouths, quickly cross to the other side of the street if a passerby chances to cough or sneeze.
Weeping women in West Manayunk block the car of Dr. Joseph Schlotterer, who is making a house call, and permit him to leave only after he treats 57 neighborhood children.
Frantic shoppers strip pharmacy shelves bare. The press of customers is so great that the Philadelphia College of Pharmacy and Temple University suspend classes so that pharmacy students can help fill prescriptions. Most are for whiskey, which, now that saloons are closed, is available only in drugstores.
Rather than wait to become a statistic, people turn to home remedies:
goose-grease poultices, sulfur fumes, onion syrup, chloride of lime.
Snake-oil artists hawk their useless potions in newspaper ads:
Use Oil of Hyomei. Bathe your breathing organs with antiseptic balsam.
Munyon's Paw Paw Pills for influenza insurance.
Sick with influenza? Use Ely's Cream Balm. No more snuffling. No struggling for breath.
Philadelphia, October 6: 788 new cases, 171 deaths.
The Philadelphia Inquirer Derides The Closing of Public Places:
What are the authorities trying to do? Scare everyone to death? What is to be gained by shutting up well-ventilated churches and theaters and letting people press into trolley cars?
What then should a man do to prevent panic and fear? Live a clean life. Do not even discuss influenza... Worry is useless. Talk of cheerful things instead of disease.
The Pennsylvania Gazette: The Flu of 1918 (2/4)
Symptoms Spanish Flu
--------------------------------------------------------------------------
Spanish influenza was a more severe version of your typical flu, with the usual sore throat, headaches and fever.
However, in many patients, the disease quickly progressed to something much worse than the sniffles. Extreme chills and fatigue were often accompanied by fluid in the lungs. One doctor treating the infected described a grim scene: "The faces wear a bluish cast; a cough brings up the blood-stained sputum. In the morning, the dead bodies are stacked about the morgue like cord-wood."
If the flu passed the stage of being a minor inconvenience, the patient was usually doomed. There is no cure for the influenza virus, even today. All doctors could do was try to make the patients comfortable, which was a good trick since their lungs filled with fluid and they were wracked with unbearable coughing. The "bluish cast" of victims' faces eventually turned brown or purple and their feet turned black. The lucky ones simply drowned in their own lungs. The unlucky ones developed bacterial pneumonia as an agonizing secondary infection. Since antibiotics hadn't been invented yet, this too was essentially untreatable. The pandemic came and went like a flash. Between the speed of the outbreak and military censorship of the news during World War I, hardly anyone in the United States knew that a quarter of the nation's population -- and a billion people worldwide -- had been infected with the deadly disease. More than half a million died in the U.S. alone; worldwide, the estimates ran as high as 50 million.
__________________
Peter F, Svider
--------------------------------------------------------------------------
A great PDF about the epidemic by Peter F, Svider
http://dspace.nitle.org/bitstream/10...Svider%202.pdf.
__________________
Peter F, Svider
Deaths In Camden 615,
--------------------------------------------------------------------------
The Philadelphia Inquirer, Saturday, October 19, 1918:
DEATHS IN CAMDEN 615, TOTAL OF CASES 6990
Deaths from pneumonia in Camden yesterday reached 615 and the total number of influenza cases reported thus far is 6990. With a view of keeping the epidemic from gaining a fresh foothold, Dr. H. H. DAVIS, president of the Board of Health, yesterday urged convalescents to use every care in seeing that there is no spreading of the germs still lurking in their system. A Camden nurse yesterday gave her life in the battle against the disease. She was Mrs. Catherine BOLING, a member of the staff at Cooper Hospital. She was a graduate of the Methodist Hospital, Philadelphia, and was a native of Bethlehem, Pa. Another notable death yesterday was that of Rev. Walter ELLIS, nephew of Mayor ELLIS, and pastor of the M. E. Church at Westmont.
..
__________________
My grandmother told me of bodies stacked on the corner of Eighth and Catherine St waiting for the trucks to come by with the men shouting "BRING OUT YOUR DEAD".
---------------------------------------------------------




LinkBack URL
About LinkBacks
Reply With Quote






Article: All-Night Chinese...
Today, 03:29 AM in vBCms Comments