front cover of Epidemic Invasions
Epidemic Invasions
Yellow Fever and the Limits of Cuban Independence, 1878-1930
Mariola Espinosa
University of Chicago Press, 2009

In the early fall of 1897, yellow fever shuttered businesses, paralyzed trade, and caused tens of thousand of people living in the southern United States to abandon their homes and flee for their lives. Originating in Cuba, the deadly plague inspired disease-control measures that not only protected U.S. trade interests but also justified the political and economic domination of the island nation from which the pestilence came. By focusing on yellow fever, Epidemic Invasions uncovers for the first time how the devastating power of this virus profoundly shaped the relationship between the two countries.

Yellow fever in Cuba, Mariola Espinosa demonstrates, motivated the United States to declare war against Spain in 1898, and, after the war was won and the disease eradicated, the United States demanded that Cuba pledge in its new constitution to maintain the sanitation standards established during the occupation. By situating the history of the fight against yellow fever within its political, military, and economic context, Espinosa reveals that the U.S. program of sanitation and disease control in Cuba was not a charitable endeavor. Instead, she shows that it was an exercise in colonial public health that served to eliminate threats to the continued expansion of U.S. influence in the world.

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front cover of Mosquito Warrior
Mosquito Warrior
Yellow Fever, Public Health, and the Forgotten Career of General William C. Gorgas
Carol R. Byerly
University of Alabama Press, 2024
Mosquito Warrior tells the engrossing story of General William C. Gorgas (1854–1920), the once-renowned pioneer in tropical disease research and public health. His fascinating life illuminates vast transformations in the United States, including the end of the Civil War and the industrialization of the US military and economy, the emergence of germ theory and the modernization of the public health system, and the rise of the United States as a world power.

A scion of Confederate elites, Gorgas came of age amidst war and disease and the politics of racial segregation. He followed his father into military service as an army medical officer, treating troops on America’s western frontier posts. During the US occupation of Cuba, Gorgas applied Walter Reed’s research on the theory of mosquito-borne disease transmission, ending centuries of yellow fever in Havana through the eradication of the deadly Aedes aegypti mosquito. Applying similar strategies on the isthmus of Panama against yellow fever and malaria, Gorgas enabled the completion of the Panama Canal, then the largest engineering project in the world. Hailed a hero, he pursued his fight against mosquito-borne disease throughout the tropics, expanding American interests as he went. Appointed as US Army surgeon general on the eve of World War I, Gorgas resumed work modernizing the army health care system, strengthening US medical and military authority on the world stage.

Celebrated in life, Gorgas’s reputation fell victim to competing political interests and jealousies after his death, a cautionary tale about historical memory and the politics of science and personality. Carol R. Byerly’s balanced and contemporary examination of Gorgas illuminates his complex legacy in medicine and public health, military history, and American ambitions at the dawn of US global ascendency.
 
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front cover of Plague Among the Magnolias
Plague Among the Magnolias
The 1878 Yellow Fever Epidemic in Mississippi
Deanne Stephens Nuwer
University of Alabama Press, 2009
Deanne Stephens Nuwer explores the social, political, racial, and economic consequences of the 1878 yellow fever epidemic in Mississippi. A mild winter, a long spring, and a torrid summer produced conditions favoring the Aedes aegypti and spread of fever. In late July New Orleans newspapers reported the epidemic and upriver officials established checkpoints, but efforts at quarantine came too late. Yellow fever was developing by late July, and in August deaths were reported. With a fresh memory of an 1873 epidemic, thousands fled, some carrying the disease with them. The fever raged until mid-October, killing many: in Mississippi 28 percent of yellow fever victims died. Thought to be immune to the disease, blacks also contracted the fever in large numbers, although only 7 percent died. There is no consensus explaining the disparity, although it is possible that exposure to yellow fever in Africa provided blacks with inherited resistance.
 
Those fleeing the plague encountered quarantines throughout the South. Some were successful in keeping the disease from spreading, but most efforts failed. These hit hardest were towns along the railroads leading from the river, many of which experienced staggering losses.
 
Yellow fever’s impact, however, was not all negative. Many communities began sanitation reforms, and yellow fever did not again strike in epidemic proportions. Sewer systems and better water supply did wonders for public health in preventing cholera, dysentery, and other water-borne diseases. Mississippi also undertook an infrastructure leading to acceptance of national health care efforts: not an easy step for a militantly states' rights and racially reactionary society.
 
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front cover of Quarantine
Quarantine
John Smolens
Michigan State University Press, 2019
In 1796 a trading ship arrives in the vibrant harbor town of Newburyport, Massachusetts, her crew decimated by a virulent fever. Despite the ship being placed under quarantine, this mysterious disease sweeps through the waterfront, causing entire families to die of plague-like symptoms with alarming haste. The pestilence tests the civility and courage of the seaport residents. Some risk their lives to nurse the sick, while others steal crucial medicine and profit on the black market. Some preach that the afflicted deserve the Lord’s punishment and those who treat the sick are in league with the devil. Dr. Giles Wiggins, a surgeon and veteran of the American Revolution, works tirelessly to save lives, often disagreeing with his medical colleagues on both the cause of the deadly ailment and its remedy. As the epidemic grows, the seaport’s future is threatened by obsession, greed, and fear.
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