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St.
Luke's handles the Pandemic
Three years
after St. Luke's Hospital opened, the United States and the world
were faced with an unimaginable catastrophe. Between mid-1918 and
mid-1919, it killed more than 600,000 in the U.S., more Americans
than who died in WWI, WWII, Korea and Vietnam.
Ten thousand
Minnesotans died, 1,000 in St. Paul alone. The silent killer struck
mainly among healthy young adults, 21 to 29 years old, and took
more than 30 million victims worldwide. Street corner evangelists
predicted this to be the end of the world. The killer went by many
names, but is remembered today as the Influenza Epidemic of 1918,
or the Spanish Flu. Medicine of the time, which had successfully
dealt with smallpox, diphtheria, and meningitis, was helpless
the virus was too small for even the best microscopes to view.
Where did
the virus come from? Recent genetic research suggests that it originated
in swine, jumped to humans, then underwent several sudden and dramatic
mutations to its structure. These mutations made the virus more
virulent, and also made it harder for its unfortunate victim to
fight off the infection.
Pneumonia
rapidly followed, and proved to be the death of many patients. The
virus first appeared at Fort Riley, Kan., where 48 soldiers died
in the spring of 1918. That summer and fall, more than one and a
half million soldiers crossed the Atlantic Ocean to battle in WWI.
The virus traveled with them, and rapidly spread among the American,
French,
English and
German combatants. In some units, 80 percent of the soldiers died
from the flu. When the soldiers returned to the U.S., so did the
virus.
Death rates
in the military camps were staggering, and the virus quickly spread
to the civilian population. The first city hit was Boston, and from
there the disease followed the railroads westward. As the nation-wide
death toll climbed, people sought protection through isolation,
useless vaccines and quack medicines. The most commonly adopted
measure was the wearing of gauze masks whenever in public. These
were usually worn loosely, and offered no real protection from airborne
viruses.
The United
States was a vibrant, young nation, flush with the successes of
the Industrial Revolution, but had its confidence in the future
shaken to the core by this baffling, unrelenting killer.
Despite its
isolation, the Upper Peninsula was eventually struck by influenza.
Marquette was hit by four distinct waves of the flu, the first appearing
on Oct. 17, 1918. The cases came from the Newberry area, but soon
it developed in sailors, railroad workers, and logging camps in
our region. The disease then spread throughout Marquette.
A ban on all
public assemblies, including schools, was instituted for 10 weeks.
Some 528 cases and 30 deaths were reported, 10 of the deaths from
non-residents who arrived ill. This was the first real test for
St. Luke's, and despite the crush of patients, hospital facilities
were adequate to meet all the city's needs. The second epidemic
began just before
New Year's
Day, peaked in the second week of January, 1919, and ended in March.
Schools were kept open, and two nurses were employed to closely
watch the children for signs of the disease.
Strict isolation
of ill families was followed, and the city employed up to three
quarantine officers to enforce this. During the height of the outbreak,
an ordinance was passed in Marquette which required the wearing
of gauze masks by all persons entering places of amusement, churches,
libraries and clubs. The numbers of people allowed in stores and
on streetcars at one time was limited. This order remained in effect
for four weeks. Some 741 cases were reported and resulted in 17
resident deaths.
Soon after
the second wave had subsided, Marquette hosted a U.P. basketball
tournament which brought many people to town. A third epidemic quickly
followed beginning March 17, 1919. In April, an ordinance closed
theaters and regulated the number of people who could gather in
stores, churches, clubs, pool rooms and streetcars. The outbreak
subsided quickly, and the ordinance was in effect for only one week.
Some 490 cases developed and 14 Marquette residents died from this
appearance of influenza.
There was
no new outbreak in the fall and winter of 1919, but the flu returned
in late January of 1920. This was the mildest of the four waves
and 650 cases resulted in only 13 deaths.
The influenza
pandemic (world wide epidemic) ended because virtually everyone
had been exposed and either developed resistance or died. Could
it happen again? Armed Forces Institute of Pathology researcher
Ann Reid gives this grim appraisal: "I can't see any reason why
it wouldn't happen again."
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