New York Survived the 1832 Cholera Epidemic

New York Survived the 1832 Cholera Epidemic

Daniel S. Levy

 (originally published in History News Network)

After sweeping through Asia and killing hundreds of thousands in Europe, cholera neared New York in the spring of 1832. The city had long been afflicted by diseases like yellow fever, smallpox, diphtheria, Scarlet Fever and measles, but this ungodly pandemic would be like none it had ever experienced. New Yorkers tried to prepare as this new sickness spread south from Canada and fanned across the United States, with Thomas Wharton noting in his diary on June 19 how citizens kept busy “cleaning the streets and alleys, strewing the gutters with Chlorine of Lime, and After sweeping through Asia and killing hundreds of thousands in Europe, cholera neared New York in the spring of 1832. The city had long been afflicted by diseases like yellow fever, smallpox, diphtheria, Scarlet Fever and measles, but this ungodly pandemic would be like none it had ever experienced. New Yorkers tried to prepare as this new sickness spread south from Canada and fanned across the United States, with Thomas Wharton noting in his diary on June 19 how citizens kept busy “cleaning the streets and alleys, strewing the gutters with Chlorine of Lime, and the druggists busily occupied in … specifies and prescriptions.” Little, though, could slow its advance, and six days later a Mr. Fitzgerald who lived on Cherry St. became ill. While he recovered, his wife, Mary, and children, Margaret and Jeremiah, soon died. The disease progressed quickly. When Dr. John Stearns jotted down his observations on his visit with John Coldwell on Maiden Lane, he noted how the patient reported that “The attack was sudden & violent—his impression was that ‘he fell as if knocked down with an ax.’”

Churches, offices, warehouse and shops shuttered as 100,000 residents, half the city’s population, fled. Departing carts, carriages and people jammed the streets. Passengers packed ferries, and the Evening Post wrote on July 3 how “Almost every steamboat which left New York yesterday was crowded with a dense mass of fugitives flying in alarm from the imaginary pestilence.” But what they ran away from proved to be far from chimerical. Those who remained cowered at home. James Riker Jr. wrote that his family “scarcely ventured farther than the apothecary’s opposite to obtain drugs, or examine the daily report of deaths by cholera.” Like others, the Rikers didn’t know what to do. Then his grandmother took sick on July 15. “As the day passed on she grew worse notwithstanding the efforts of a number of physicians to check the disease, and died in the night.” Riker’s uncle also perished “that gloomy night,” and the family “packed furniture enough to serve us… closed the house, and left the city in several wagons.”

Many believed cholera sprang from moral faults, drinking, depravity and filthy living. A report by hospital physicians noted how, “The disease fell in a very remarkable degree upon the dissolute and the intemperate.” The New York Mercury blamed places of “infamy,” commenting on a prostitute on Mott St. “who was decking herself before the glass at 1 o’clock yesterday, was carried away in a hearse at half past 3 o’clock.” And yet, pillars of society—doctors, alderman, clergymen and businessmen, along with Magdalen Astor Bristed, the eldest child of John Jacob Astor, the richest man in America—also died. Playwright William Dunlap wrote how “we begin to be reconciled to being killed.”

Ministers preached throughout that only the righteous would be saved, with Episcopal Bishop Benjamin Onderdonk imploring citizens to pray “in a truly devout and Christian frame of mind, with deep repentance for your sins.” While their congregations scattered, many religious figures stayed, with those like Father Félix Varela and the Sisters of Charity caring for the physical and spiritual needs of their flocks.

People had no concept of cholera’s origins or how to treat such a plague. Most did sense the existence of a link between filth and sickness. Yet unbeknownst to the most learned doctors and scientists of the time, a microscopic comma-shaped bacterium called Vibrio cholerae caused the malady. The devastating sickness spreads through water tainted by human waste and brings on nausea, vomiting, leg cramps and diarrhea. The victim’s blood pressure drops, their eyes assume a hollow, sunken look and their skin wrinkles. Subsequent dehydration bestows on the flesh a bluish hue, thus earning cholera the name the “Blue Death.”

Even though they lacked real knowledge of what to do, doctors did their best. The Board of Health set up hospitals, while physicians searched for treatments. Most proved brutal. The evangelist Rev. Charles Grandison Finney recalled how “the means used for my recovery, gave my system a terrible shock.” The most widely attempted remedy was calomel, a chalky mercury-chloride compound, and when doctors saw their patients developing pus on the gums—a sign of mercury poisoning—they believed that their treatment had worked. Physicians also did bloodletting, applied mustard poultices, immersed patients in icy water, administered powdered camphor and had patients inhale nitrous oxide and drink brandy.

Homemade cures circulated around town. The Evening Post recommended that their readers drink strained gruel, sago or tapioca. Some businesses offered disinfecting solutions, and the chemist Lewis Feuchtwanger sold cholera lamps to purify rooms by spreading “Perfumes, Scents, Essences, Aromatic Vinegar, Chloride of Soda and Lime.” And while physicians and pharmacists tried to save people, E.T. Coke commented on how quacks “flocked into the city from all quarters.”

Unfortunately, little that doctors, citizens or hucksters tried had positive effects. Death came painfully, often in just two days to a week. The minister Henry Dana Ward wrote of a friend named Maynard who “took the cholera bad.” Ward’s wife Abigail was “very attentive to him. And we were able to soothe the last moments of an invaluable life.” Yet “in the morning we buried him cold in the grave.” As painter John Casilear would note, “There is no business doing here if I except those done by Cholera, Doctors, Undertakers, Coffin makers.” Cemeteries became overwhelmed. So many bodies filled the areas that grave diggers found it easier to simply dig large trenches. In untended parts of the city, corpses lay in gutters. By the time the cholera had run its course in late August, the city of more than 200,000 residents saw the death of 3,513.

It would take years before doctors and researchers understood the cause of the disease. In 1854 Dr. John Snow studied the pattern of deaths during a cholera outbreak in London. By mapping out the location of the stricken, he showed that the disease originated from a specific polluted street water pump. When officials closed the source, cases dropped. At the same time, the Italian microbiologist Filippo Pacini first identified the cholera bacterium, and in 1885 the Spanish physician Jaime Ferrán created the first vaccine. Yet despite newer and more effective vaccines, the sickness still takes the lives of some 120,000 people around the world each year.

While cholera continued to visit New York into the late 19th century—in 1849 it killed 5,071 citizens—New York always recovered. On August 25, 1832 merchant John Pintard wrote of his relief that the disease had finally quit the city. “The stores are all open, foot walks lined with bales & Boxes & streets crowded with carts & porters cars… Now all life & bustle, smiling faces, clerks busy in making out Bills, porters in unpacking & repacking Boxes, joy & animation in every countenance.”

The 1918 Influenza in San Francisco: A Case Study for Today

The 1918 Influenza in San Francisco: A Case Study for Today

Melissa Brown

In 1918 the world was at war, battling on both the battlefields in Europe and in medical facilities around the world. As World War I was coming to an end, a lethal combination of pneumonia and influenza was spreading, and quickly reaching pandemic levels. The influenza of 1918 spread quickly in military bases throughout the US, across battlefields in Europe, and eventually throughout the world. The first wave of the pandemic mainly affected the US military and navy, as well as the militaries of European powers, (Crosby, 2003, pg. 17-45). During the second and third waves, the virus spread throughout the US, (Crosby, 2003, pg. 45-202). It affected day-to-day life everywhere, from large cities to small towns. Hospitals across the US quickly overflowed with influenza patients. Some cities, like Philadelphia, adopted phone services to minimize the number of people in hospitals, (Crosby, 2003, pg. 79). Other cities, like San Francisco, focused more on mandating that gauze masks be worn to prevent the spread, (Crosby, 2003, pg. 101-116). By the end of the pandemic in 1920, more people had died from influenza than those who had died in World War I.

            San Francisco during the influenza of 1918 is an interesting case study, because of all of the similarities to today. For example, San Francisco went through two waves of an epidemic, whereas other cities like Philadelphia only underwent one. The specific problems that the public dealt with during this pandemic were published in the city’s two major newspapers of the time, the San Francisco Chronicle and the San Francisco Examiner. Both of these newspapers offer an abundance of primary sources that can be used to answer a variety of different historical questions on the topic. The three main issues that span the one hundred and two years of time are the city-wide shutdown of businesses and services, the mask mandate, and the call for medical aid.

The effort to help prevent the spread of influenza led to a shutdown across the city, effectively taking away a lot of forms of entertainment. On October 17, 1918 the San Francisco Board of Health shut down a majority of the businesses and services within the city. This order shut down schools, church gatherings, any sort of public gathering, and many forms of entertainment, (“All Public Meetings,” 1918). There was one exception to this ban, and that was outdoor group sporting events. Just one day later, Dr. Hassler, a member of the San Francisco Board of Health, actually encouraged public gatherings to play outdoor athletic games, despite banning all public gatherings the day before, because of the belief that fresh air could prevent the spread of influenza, (“No Ban on Athletics,” 1918). By shutting down a lot of businesses and services, daily life in San Francisco became a lot different; there were less options for how people could safely spend their days.

The city-wide mask ordinance had a massive impact on both society and culture in San Francisco, but it also holds similarities to today in its effect on the public. On October 24, 1918 the San Francisco Board of Supervisors passed an ordinance requiring masks be worn in public. Anyone caught not following this ordinance faced either a maximum jail sentence of ten days in county jail, or a fine ranging anywhere from three dollars to ten dollars. A lot of the specifications as to when a mask had to be worn, and when it did not, resemble a lot of the restrictions in place today. For example, anyone in a public place, at gatherings of two or more people, or anyone selling food or clothing had to wear a mask. The exceptions were if one was around the family that they live with, or eating they were not required to have a mask on. It is interesting also that they included specifications for the masks that were worn. Masks had to firmly cover the mouth and nose, be made of mesh gauze or any four-ply material, and be at least five inches by seven inches, (“Here is Text of,” 1918). This mandate affected daily life for people living within the city. It even became a controversial issue, a symbol of being forced to do something by the government. There were articles published describing how a hundred and ten people were arrested for not following the mandate, (“110 Arrested,” 1918). The disputes became so serious that people were even shot and killed over this topic, (“Three Shot in Struggle,” 1918). One symbol of defiance is a man who was arrested and sent to jail for spitting on the sidewalk, (“Man Sent to Jail,” 1918). The term “mask slacker” was even added to the vernacular, as a way to refer to people who did not wear masks when they were supposed to; it was even used in the titles of many articles that were published at the time, (“‘Mask Slackers’ Given Jail Sentences,” 1918). Despite the controversy, masks ended up becoming a part of the culture by way of fashion, they essentially became accessories, (“Everyone is Compelled,” 1918). The effects of this mask mandate impacted the city’s society and culture in a way that seems familiar to today.

Another aspect of the 1918 influenza that has connections to today is the urgent need for medical help. During the epidemic, medical staff quickly became overwhelmed with cases. At only three months into the influenza outbreak in San Francisco, the ill significantly outnumbered medical professionals. Advertisements were published in newspapers requesting help from any trained medical professionals. It eventually got so bad that they started asking for help from untrained individuals as well, (“Nurses Wanted,” 1918). Women specifically were advertised to, they were “urged to war on influenza” while men were at war overseas, (“Each Person Urged,” 1918). There were even advertisements, approved by the Board of Health, that were meant to persuade people to wear masks to prevent the spread of influenza, (“Wear a Mask,” 1918). Preventative measures like this were put in place so that the public could do their part in helping the fight against the influenza. This sense of an overwhelmed medical world is very relevant to today. Even the push to help relieve the pressure on hospitals by putting preventative measures in place is relevant.

There are a lot of connections between the influenza of 1918 and the current COVID-19 pandemic. When the first wave of the COVID-19 virus in America started to spread rapidly across the country, the medical world was overwhelmed with cases. There was a call for masks and face shields to be sent to hospitals due to the low supply and high demand of those items. Ventilators were in high demand across the country as hospitals tried to prevent having to make the same choices that nurses in Italy were forced to make due to their lack of enough ventilators to go around. Medical staff across the country became overworked as they spent long days and nights putting themselves in danger to fight the virus. Preventative measures were taken to prevent the spread of the COVID-19 virus. A mask mandate was even put in place in many states, forcing citizens to wear face coverings in public. This caused many conflicts and protests across the country as it became a highly controversial political symbol. Quarantine began and many states asked the public to stay home and stay safe in order to do their part to prevent the spread. Many states shut down non-essential businesses during quarantine, causing people to come up with new and creative ways to both entertain themselves and see family members safely. All of this, as previously proven with examples from various newspaper articles, echoes what people went through in 1918.

            History classes should explore current events through the lens of history. Throughout history, there have been many large-scale viruses that impacted human life. The bubonic plague that killed a third of Europe’s population, the virus that struck the people and major players of Athens as they were behind the wall in the Peloponnesian War, and the yellow fever that struck Philadelphia hard in 1793 are just a few examples of large-scale viruses that impacted civilizations throughout history. The influenza of 1918 is not as commonly represented in history lessons as past viruses like the bubonic plague; it is commonly left out of history classrooms across the country. There are many ways that a teacher could use this specific pandemic in a history classroom. To name a few examples, one could look at how disease impacted societies throughout history by providing students with a few different situations. Another example is to use the article about the man who was arrested for spitting on the sidewalk as an example of an act of defiance, (“Man Sent to Jail,” 1918). This can then be taken further by asking if this particular act of defiance was justified. One could even relate this to a conversation about first amendment rights, and why this became such a disputed topic. Even asking where your rights end and another’s begin can add to this conversation. This topic of the 1918 influenza pandemic can be very versatile, the key though is to bring the conversation into current times. These are difficult times, and history class is a place where students have the opportunity to unpack everything that is going on in the world. It is important to look at current events through the lens of history in order to help students better digest the world around them.

In all, San Francisco during the 1918 influenza pandemic is a perfect case study for today. The city-wide shutdown of businesses and services, the mask mandate, and the call for medical aid all echo the problems facing the American public during the COVID-19 pandemic today. This is not where the comparisons end, however, these are just a few of the most prominent examples. Another example would be that 1918 was a congressional election year, and people actually showed up to vote in-person. It only takes a little digging to realize just how relevant the 1918 influenza is today. I encourage you to do a little digging of your own, because this is a versatile topic that should be covered in history class.

References

All public meetings are banned under city order. (1918, October 18). San Francisco Examiner, 5. https://quod.lib.umich.edu/f/flu/7110flu.0009.117/1/–all-public-meetings-are-banned-under-city-order?page=root;rgn=full+text;size=100;view=pdf;q1=San+Francisco+Examiner

Crosby, A. W. (2003). America’s forgotten pandemic: The influenza of 1918 (2nd ed.). Cambridge University Press.

Each person urged to war on influenza. (1918, October 16). San Francisco Examiner, 4. https://quod.lib.umich.edu/f/flu/3110flu.0009.113/1/–each-person-urged-to-war-on-influenza?page=root;rgn=full+text;size=100;view=pdf;q1=San+Francisco+Examiner

Everyone is compelled to wear masks by city resolution; Great variety in styles of face adornment in evidence. (1918, October 25). San Francisco Chronicle, 1.

https://quod.lib.umich.edu/f/flu/0820flu.0009.280/1/–everyone-is-compelled-to-wear-masks?rgn=full+text;view=image;q1=San+Francisco+Chronicle

Here is text of city mask ordinance; Violation incurs fine or imprisonment. (1918, October 25).San Francisco Chronicle, 1.

https://quod.lib.umich.edu/f/flu/9720flu.0009.279/1/–here-is-text-of-city-mask-ordinance-violation-incurs-fine-or?page=root;rgn=full+text;size=100;view=pdf;q1=San+Francisco+Chronicle

Man sent to jail for spitting on sidewalk. (1918, October 27). San Francisco Examiner, 6. https://quod.lib.umich.edu/f/flu/9610flu.0009.169/1/–man-sent-to-jail-for-spitting-on-sidewalk?rgn=full+text;view=image;q1=San+Francisco+Examiner;op2=or;q2=San+Francisco+Chronicle

Mask slackers’ given jail sentences, fines. (1918, October 29). San Francisco Examiner, 13. https://quod.lib.umich.edu/f/flu/5710flu.0009.175/1/–mask-slackers-given-jail-sentences-fines?rgn=full+text;view=image;q1=San+Francisco+Examiner;op2=or;q2=San+Francisco+Chronicle;op3=and;q3=mask+slackers

No ban on athletics, is dictum on health. (1918, October 19). San Francisco Examiner, 9. https://quod.lib.umich.edu/f/flu/1210flu.0009.121/1/–no-ban-on-athletics-is-dictum-on-health?page=root;rgn=full+text;size=100;view=pdf;q1=San+Francisco+Chronicle;op2=or;q2=San+Francisco+Examiner

Nurses wanted on influenza. (1918, December 22). San Francisco Chronicle, 10. https://quod.lib.umich.edu/f/flu/0120flu.0016.210/1/–nurses-wanted-on-influenza?page=root;rgn=full+text;size=100;view=image;q1=San+Francisco+Chronicle

110 arrested for disobeying masking edict. (1918, October 28). San Francisco Chronicle, 1. https://quod.lib.umich.edu/f/flu/7920flu.0009.297/1/–110-arrested-for-disobeying-masking-edict?rgn=full+text;view=image;q1=San+Francisco+Examiner;op2=or;q2=San+Francisco+Chronicle

Three shot in struggle with mask slacker. (1918, October 29). San Francisco Chronicle, 1. https://quod.lib.umich.edu/f/flu/0030flu.0009.300/1/–three-shot-in-struggle-with-mask-slacker?rgn=full+text;view=image;q1=San+Francisco+Chronicle

Wear a mask and save your life! (1918, October 22). San Francisco Chronicle. https://quod.lib.umich.edu/f/flu/0620flu.0009.260/1/–wear-a-mask-and-save-your-life?rgn=full+text;view=image;q1=San+Francisco+Chronicle

The Cholera Epidemic of 1832 in New York State

The Cholera Pandemic of 1832 in New York State

Richard L. Williams

Reprinted with permission from https://newyorkalmanack.com/2020/05/cholera-pandemic-of-1832/

History shows that several pandemics have struck in New York State – one of the less remembered is known as the Second Cholera Pandemic of 1832. New York was among the most thoroughly scourged among the states.

A person may get cholera by drinking water or eating food contaminated with the Vibrio cholerae bacterium.  Although cholera can be acquired from under-cooked marine life, in an epidemic, the source of the contamination is usually the feces of an infected person. The disease can spread rapidly in areas with inadequate treatment of sewage and drinking water and New York City, Buffalo, and Utica were all hit particularly hard due to the bacterium‘s water borne mobility.

Virtually every city along the Hudson and St. Lawrence Rivers, Lakes Ontario, Erie, and Champlain, and the Erie Canal suffered despite the imposition of quarantines and frantic local efforts to “purify” and eliminate public health nuisances. In June 1832 cholera appeared in Quebec and Montreal and then in Prescott, Kingston, and York in Canada. Thriving towns along the Erie Canal suffered as well as small villages and even isolated farms.  The appearance of cholera was the signal for the general exodus of inhabitants of larger communities, who, in their headlong flight, spread the disease throughout the surrounding countryside. The disease was terrifying. Like the current coronavirus pandemic, it had to be faced alone, often without friend, minister, or physician.

The pandemic was compounded by miasmatics, an obsolete medical theory that held that diseases — such as cholera, chlamydia, or the plague — were caused by noxious “bad air” (sometimes called night air).

Personal habits were also thought to be a major cause and public health officials sought to protect people they called “poor and vicious” from themselves. Cleanliness helped, but also New York City banned “green and unripe fruits of every kind.”  Leaders of the Temperance Movement charged whiskey as the culprit. “Strict Sabbatarians” thought the disease was due to improper regard for the holiness of Sundays.

Many people traveled then on the Erie Canal or on stagecoaches on turnpikes passing through communities like Utica, where the Common Council established a Board of Health on June 16, 1832 to make regulations to “prevent the introduction and spread of the disease in the city.” Property owners were directed to purify and cleanse their house or business and to remove unwholesome substances or water. Lime or chloride of lime was to be used by all to purify residences and other buildings.

A temporary hospital was erected on Broad Street and 50 bushels of lime was bought “for the use of the poor.” Canal boats were directed to a quarantine where they could be “cleansed and purified.” By August 13th Utica had four fatal cases, and the alarm had spread across the city. It was estimated that 3,000 people left Utica “in search of a securer refuge from the mysterious disease.” All told, Utica had about 200 cases of cholera and about 65 deaths. A writer in The Utica Daily Gazette 15 years after the episode said that “the bolts of death fell thick and fast. The dead were hurried to their graves as soon as the breath left the body, unaccompanied by friends and without the usual ceremony.”

By September 11, 1832 the Board of Health announced that there was no danger to people returning to Utica. On September 25th no new cases were reported.  As abruptly as the 1832 cholera pandemic had appeared in New York, it dissipated and was largely gone from the State by December of the same year.

A similar epidemic, the Third Cholera Pandemic, returned to the United States in 1849. It is believed that over 150,000 Americans died during the two pandemics.