Category Archives: disease

by | 18 September 2020 · 10:27 am

Mercenary Roles in Yemen, 1963

From Arabian Assignment: Operations in Oman and the Yemen, by David Smiley. (The Extraordinary Life of Colonel David Smiley Book 2; Sapere Books, 2020), Kindle pp. 176-179:

When I returned to the Yemen in November, 1963, I went in through Aden and Beihan; by then I had met Johnson and Boyle, who had informed the mercenaries in the field of my impending visit. The first of the British to arrive there was Major Johnny Cooper, who had commanded one of the SAS squadrons that served under me in the attack on the Jebel Akhdar in Oman. Shortly after that operation he had left the SAS, having reached the age limit, but returned to Muscat as one of the Sultan’s Contract Officers and did extremely well. He later became the first of Johnson’s recruits. At the time of my arrival in Aden he had already established his headquarters with a wireless set and operator in the Khowlan area, not far from Sana, with one of the princes.

It is worth recording that at the height of the mercenary effort, when I was commanding them, they never numbered more than 48, of whom 30 were French or Belgian and 18 British. They were broken down into small missions — usually one officer, one NCO wireless operator, and one NCO medical orderly — and deployed according to the wishes and needs of the Royalist commanders. It is important to realize that none of the mercenaries actually fought in the war; their job was to advise the commanders, train their troops and provide communications and medical services. The medical situation in Royalist areas was particularly desperate; there were virtually no trained doctors. Until quite late in the war the International Red Cross operated only in Republican territory; but even when it sent a mission to the Royalists its hospital was situated a long way from the fighting and the doctors spent most of their time treating the local civilians for endemic diseases. This was no fault of the Swiss doctors, who would gladly have served at the front, but of the Red Cross directorate, which gave them categorical instructions not to go near it.

I flew to Aden on 14 November, and on to Beihan two days later. There I spent the night in the village of Naqub, twenty miles north of the State capital, in the ‘safe house’ allocated to the mercenaries by the Ruler. I shared it with three Frenchmen, who were in wireless contact with Johnny Cooper and the other missions, and seven British, who arrived in the middle of the night after a drive of three days in a lorry from Aden; in the morning another Frenchman joined us — Colonel Bob Denard, a veteran of the Congo who now commanded all the mercenaries in the Yemen except the British. His Frenchmen and Belgians, though very polite to me, were seldom chatty or communicative outside their own circles; some of them, I knew, had belonged to the OAS and so had little love for General de Gaulle, but I never discussed politics with them. Their attitude to the work was strictly professional; they were there for the money, but they meant to give good value in return. Most of them, as I have said, had seen service in the Congo, and many of them alternated between the Congo and the Yemen, serving now in one theatre, now in another. The reason, I discovered, was that in the Congo they had all the drink and women they wanted, but seldom received their pay; whereas in the Yemen they had regular pay but no women or drink. And so when they had earned enough in the Yemen they went off to the Congo to enjoy it.

The British, on the other hand, were more often inspired by enthusiasm for the Royalist cause or a simple thirst for adventure, although there were some deplorable exceptions — one fairly senior officer, in particular, was strictly on the make; unfortunately mere enthusiasm was an unreliable guide to efficiency, and I discovered later on that, while the NCO specialists did excellent work, the British officers who proved their worth were those who understood some Arabic.

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Filed under Arabia, Belgium, Britain, Congo, disease, France, language, military, NGOs, war

by | 21 July 2020 · 11:43 am

Meeting a Wagon Train, 1846

From The Oregon Trail: Sketches of Prairie and Rocky-Mountain Life, by Francis Parkman (E-Bookarama, 2020), Kindle pp. 54-56:

For eight days we had not encountered a human being, and this singular warning of their vicinity had an effect extremely wild and impressive.

About dark a sallow-faced fellow descended the hill on horseback, and splashing through the pool rode up to the tents. He was enveloped in a huge cloak, and his broad felt hat was weeping about his ears with the drizzling moisture of the evening. Another followed, a stout, square-built, intelligent-looking man, who announced himself as leader of an emigrant party encamped a mile in advance of us. About twenty wagons, he said, were with him; the rest of his party were on the other side of the Big Blue, waiting for a woman who was in the pains of child-birth, and quarreling meanwhile among themselves.

These were the first emigrants that we had overtaken, although we had found abundant and melancholy traces of their progress throughout the whole course of the journey. Sometimes we passed the grave of one who had sickened and died on the way. The earth was usually torn up, and covered thickly with wolf-tracks. Some had escaped this violation. One morning a piece of plank, standing upright on the summit of a grassy hill, attracted our notice, and riding up to it we found the following words very roughly traced upon it, apparently by a red-hot piece of iron:

Mary Ellis Died May 7th, 1845.
Aged two months.

Such tokens were of common occurrence, nothing could speak more for the hardihood, or rather infatuation, of the adventurers, or the sufferings that await them upon the journey.

We were late in breaking up our camp on the following morning, and scarcely had we ridden a mile when we saw, far in advance of us, drawn against the horizon, a line of objects stretching at regular intervals along the level edge of the prairie. An intervening swell soon hid them from sight, until, ascending it a quarter of an hour after, we saw close before us the emigrant caravan, with its heavy white wagons creeping on in their slow procession, and a large drove of cattle following behind. Half a dozen yellow-visaged Missourians, mounted on horseback, were cursing and shouting among them; their lank angular proportions enveloped in brown homespun, evidently cut and adjusted by the hands of a domestic female tailor. As we approached, they greeted us with the polished salutation: “How are ye, boys? Are ye for Oregon or California?”

As we pushed rapidly past the wagons, children’s faces were thrust out from the white coverings to look at us; while the care-worn, thin-featured matron, or the buxom girl, seated in front, suspended the knitting on which most of them were engaged to stare at us with wondering curiosity. By the side of each wagon stalked the proprietor, urging on his patient oxen, who shouldered heavily along, inch by inch, on their interminable journey. It was easy to see that fear and dissension prevailed among them; some of the men—but these, with one exception, were bachelors—looked wistfully upon us as we rode lightly and swiftly past, and then impatiently at their own lumbering wagons and heavy-gaited oxen. Others were unwilling to advance at all until the party they had left behind should have rejoined them. Many were murmuring against the leader they had chosen, and wished to depose him; and this discontent was fermented by some ambitious spirits, who had hopes of succeeding in his place. The women were divided between regrets for the homes they had left and apprehension of the deserts and the savages before them.

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Filed under democracy, disease, migration, nationalism, North America, travel, U.S.

by | 13 May 2020 · 11:58 am

PTSD in Italy, 1944

From The Day of Battle: The War in Sicily and Italy, 1943-1944, Volume Two of the Liberation Trilogy, by Rick Atkinson (Henry Holt, 2007), Kindle pp. 507-509:

The newest units to join Fifth Army—the 85th and 88th Infantry Divisions, both in Keyes’s II Corps—were the first into combat of fifty-five U.S. divisions built mostly from draftees; their worth had yet to be proven. Four of six infantry regimental commanders in those two divisions had already been relieved, as Clark advised Marshall, “for a combination of age and physical reasons.”

There was more: the two British divisions still at Anzio remained so weak that both Truscott and Clark believed they would contribute little to any renewed offensive. The British Army since Salerno had suffered 46,000 battle casualties, with thousands more sick, yet replacements had not kept up with losses. Moreover, as Gruenther also noted, “Many British troops have been fighting for four or five years, and are in some cases pretty tired.”

Few British commanders disagreed. “Absenteeism and desertion are still problems,” wrote General Penney, back in command of the British 1st Division at Anzio after recovering from his wounds. “Shooting in the early days would probably have been an effective prophylactic.” On average, 10 British soldiers were convicted of desertion each day in the spring of 1944, and an estimated 30,000 “slinkers” were “on the trot” in Italy. “The whole matter is hushed up,” another British division commander complained.

Nor was the phenomenon exclusively British. The U.S. Army would convict 21,000 deserters during World War II, many of them in the Mediterranean. Clark condemned the surge of self-inflicted wounds in Fifth Army and the “totally inadequate” prison sentences of five to ten years for U.S. soldiers convicted of “misbehavior before the enemy.” A psychiatric analysis of 2,800 American troops convicted of desertion or going AWOL in the Mediterranean catalogued thirty-five reasons offered by the culprits, including “My nerves gave way” and “I was scared.”

A twenty-two-year-old rifleman who deserted at Cassino after seven months in combat was typical. “I feel like my nervous system is burning up. My heart jumps,” he said. “I get so scared I can hardly move.” Those symptoms affected tens of thousands, and added to Clark’s worries. “Combat exhaustion,” a term coined in Tunisia to supplant the misnomer “shell shock,” further eroded Allied fighting strength in Italy, as it did elsewhere: roughly one million U.S. soldiers would be hospitalized during the war for “neuro-psychiatric” symptoms, and half a million would be discharged from the service for “personality disturbances.”

All troops were at risk, but none more than infantrymen, who accounted for 14 percent of the Army’s overseas strength and sustained 70 percent of the casualties. A study of four infantry divisions in Italy found that a soldier typically no longer wondered “whether he will be hit, but when and how bad.” The Army surgeon general concluded that “practically all men in rifle battalions who were not otherwise disabled ultimately became psychiatric casualties,” typically after 200 to 240 cumulative days in combat. “There aren’t any iron men,” wrote Brigadier General William C. Menninger, a prominent psychiatrist. “The strongest personality, subjected to sufficient stress a sufficient length of time, is going to disintegrate.”

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Filed under Britain, disease, Italy, labor, Mediterranean, military, U.S., war

by | 9 April 2020 · 9:10 am

1918 Flu Hits Holy Zamora

From Pale Rider: The Spanish Flu of 1918 and How It Changed the World, by Laura Spinney (PublicAffairs, 2017), Kindle pp. 79-83, 87:

The Spanish city of Zamora–known as la bien cercada, or well enclosed, due to its impressive fortifications–straddles the River Duero in the north-western region of Castile and León. Deeply religious, it is famous even today for its sombre processions of hooded, barefoot penitents in Holy Week. In 1914, when its citizens learned that they were about to receive a new bishop, the bells rang out for three days. The man himself arrived a few months later, stepping down from a specially chartered train to a railway station packed with well-wishers. Fireworks were let off, and a joyful crowd accompanied him to the cathedral where he took his oath of office. The church-sanctioned newspaper, El Correo de Zamora, promised obedience to the new bishop, and praised his eloquence and youth.

The bishop’s name was Antonio Álvaro y Ballano, and at thirty-eight he already had a glittering career behind him. As a student at a seminary in Guadalajara, he had shone in every subject he had turned his hand to. At twenty-three he had taken up the chair in metaphysics, and after winning a hard-fought contest for the magistral canonry of Toledo, the most important archdiocese in Spain, he had come to the attention of Cardinal Sancha, Primate of Spain. He had been named a bishop in 1913, and prior to his arrival in Zamora, had held the post of prefect of studies at the seminary in Toledo.

…

When the Naples Soldier [the Spanish name for the flu] returned to Spain in the autumn of 1918, it appeared first in the east of the country, but it soon followed the bishop along the train tracks to Zamora. September is a month of gatherings in Spain. The crops are harvested, the army takes on new recruits, and weddings and religious feasts are held–not to mention that most popular of Spanish pastimes, the bullfight. Young army recruits, some from distant provinces, converged on Zamora to take part in routine artillery exercises, and in the middle of the month, the Correo reported nonchalantly that ‘There is cholera at the frontier, flu in Spain and in this tiny corner of the peninsula, fiestas.’ Then the recruits began to fall ill.

Attempts to quarantine the sick soldiers in barracks on the site of the city’s eleventh-century castle failed, and the number of civilian casualties began to rise. As it did so, the shortage of manpower began to interfere with the harvest, exacerbating pre-existing food restrictions. The press began to sound less sanguine. On 21 September, the Heraldo de Zamora–a newspaper that was nominally independent of the church–rued the unsanitary state of the city. Zamora resembled a ‘pigsty’ in which, shamefully, people still shared living space with animals, and many houses lacked their own lavatory or water supply. The paper repeated an old hobbyhorse, that the Moors had bequeathed to Spain an aversion to cleanliness. ‘There are Spaniards who only use soap for washing their clothes,’ it noted severely.

During the first wave of the pandemic, the country’s inspector general of health, Martín Salazar, had lamented the inability of a bureaucratic and underfunded health system to prevent the disease from spreading. Though provincial health committees took their lead from his directorate, they had no powers of enforcement, and they quickly came up against what he described as the ‘terrible ignorance’ of the populace–the failure to grasp, for example, that an infected person on the move would transmit the disease. Now that the Naples Soldier had returned, one national newspaper, El Liberal, called for a sanitary dictatorship–a containment programme imposed from the top down–and as the epidemic wore on, the call was picked up and echoed by other papers.

…

On 30 September, Bishop Álvaro y Ballano defied the health authorities by ordering a novena–evening prayers on nine consecutive days–in honour of St Rocco, the patron saint of plague and pestilence, because the evil that had befallen Zamoranos was ‘due to our sins and ingratitude, for which the avenging arm of eternal justice has been brought down upon us’. On the first day of the novena, in the presence of the mayor and other notables, he dispensed Holy Communion to a large crowd at the Church of San Esteban. At another church, the congregation was asked to adore relics of St Rocco, which meant lining up to kiss them.

Also on 30 September, it was reported that Sister Dositea Andrés of the Servants of Mary had died while tending soldiers at the barracks. Sister Dositea was described as a ‘virtuous and exemplary nun’ who had accepted her martyrdom with equanimity and even enthusiasm, who had slept no more than four hours a day, and who had spent much of her time coaxing sick soldiers to eat. The Mother Superior of her order asked for a good turnout at her funeral, and the papers passed on her request. In accordance with tradition, readers were informed, the bishop would grant sixty days’ indulgence to those who complied. Apparently the turnout was not as good as the Mother Superior had hoped, because the day after the funeral the Correo lambasted the citizenry for its ingratitude. The bishop, on the other hand, was satisfied with attendance at the novena, which he described as ‘one of the most significant victories Catholicism has obtained’.
…

By mid-November, the worst was over. … Zamora had suffered worse than any other Spanish city. But its residents do not seem to have held their bishop responsible. Perhaps it helped that they had grown up with the legend of Atilano, the first Bishop of Zamora, who in the tenth century had made a pilgrimage to the Holy Land to repent of his sins and free his city of plague. There are even those who defend Álvaro y Ballano, claiming that he did what he could to console his flock in the face of inertia at the town hall, the real problem being an ineffectual health system and poor education in matters of hygiene. Before 1919 was out, the city had awarded him the Cross of Beneficence, in recognition of his heroic efforts to end the suffering of its citizens during the epidemic, and he remained Bishop of Zamora until his death in 1927.

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by | 8 April 2020 · 9:48 am

1918 Flu Hits Holy Mashad

From Pale Rider: The Spanish Flu of 1918 and How It Changed the World, by Laura Spinney (PublicAffairs, 2017), Kindle pp. 116-120:

Mashed was still medieval in 1918, but its mud walls were crumbling. It was a city of graveyards where pilgrims who came to die had been buried on top of each other for centuries, and where, from time to time, old graves simply gave out, dissolving into the water supply. This took the form of man-made channels called qanats, that brought the water into the city from the nearby mountains. The water flowed uncovered down the middle of the main street–a permanent throng of pilgrims, merchants, camels and mules–and in the absence of a separate and enclosed sewage system, was easily contaminated. Germ theory had made its mark in Persia by 1918, but only in the literate 5 per cent. When it came to water, most people were guided by a religious prescription according to which water was clean if it was flowing, and if its volume exceeded one korr (350 litres). They therefore washed their pots and pans, their donkeys and themselves, very close to the open qanats.

…

Because Mashed was a holy city, the shrine managers wielded great power–not only spiritually, but also financially, since the shrine owned large amounts of real estate. In 1918, Islamic thinking was still based on ninth-century teaching when it came to epidemics. It accommodated the concept of contagion, but only up to a point. The general rule was that those inside a plague-stricken area should not flee, while those outside it, who were still healthy, should keep away. But there was also a fatalistic element to the prescriptions: plague was a martyrdom for believers and an agonising punishment for infidels. When sick, the vast majority of Persians turned to hakims or herb doctors, who followed two apparently complementary systems of medicine: the Galenic, and one that held that the Quran offered the best protection against disease. They might put an illness down to a humoral imbalance and recommend a change in diet, in line with the first; or they might identify the cause of the illness to be the sting of a jinn, and recommend strapping a prayer to the arm, in line with the second.

…

Qavam wrote to the shrine managers on 18 September, asking them to implement the recommendations. He was asking them to suspend centuries-old traditions, potentially even challenging sacred texts, and he must have anticipated the possibility of a rebuff, but his famous powers of persuasion saw him through. … Graves, he ordered, should be at least one metre deep. After the corpse had been placed inside, it should be covered with a thick layer of earth and lime, ‘to eliminate the risk of noxious air rising from the corpse’. Anyone who failed to obey the new rules would be severely punished.

It was a breakthrough, of sorts, though not one that was likely to rein in an illness of winds–and certainly not at that late stage. The epidemic ran its natural course in Mashed. The worst was over by 21 September, by which time Khorasan and neighbouring Sistan provinces were thoroughly infected, and the flu was travelling west to Tehran at the speed of a ‘prairie schooner’–the American nickname for a diligence. [Americans call the diligence a stagecoach, not a prairie schooner.–J] From Mashed, it rippled out with pilgrims, merchants and soldiers to the four corners of the country. By the end of September it was almost gone from the city, though it was still depleting outlying areas. At that point, life for Mashedis eased in one way and one way only: raids and attacks on pilgrims became rare. Qavam’s policy of zero tolerance towards bandits may have begun to bite, but the hiatus was probably also an ominous sign of the havoc the flu had wrought in the mountains.

In a city with fewer than a hundred hospital beds, some 45,000 people, or two-thirds of the population, had come down with flu. An insight into the state of mind of the survivors–not only in Mashed, but in Persia as a whole–is provided by the words of the city’s chief astrologer, spoken at a public meeting towards the end of September. Astrologers were essentially mystics to whom Persians turned in times of crisis, and whose credibility was bolstered by the Islamic belief in predestiny. The chief astrologer relayed prophecies made a few days earlier by his counterpart in Tehran, to the effect that the British government would be annihilated the following year, 1920 would see the return to Persia of the current shah’s father, who had been deposed in 1909, and 1921 the return of the Mahdi, the long-awaited Twelfth Imam, who would rid the world of evil.

…

Qavam survived the turbulence of General Reza Khan’s British-backed coup in 1921, and finding favour with the new shah, went on to serve five terms as the country’s prime minister. The shah eventually rebuilt Mashed on a rectilinear plan, linked it to Tehran by a modern road, and demolished its graveyards. Hoffman, who stayed on there until 1947, witnessed the transformation: ‘The bones of centuries were shovelled into wheelbarrows and dumped into unmarked pits, the gravestones being used for street curbs and sidewalks.’

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Filed under disease, education, Iran, migration, religion

by | 3 April 2020 · 9:19 am

1918 Flu in the Pacific

From Pale Rider: The Spanish Flu of 1918 and How It Changed the World, by Laura Spinney (PublicAffairs, 2017), Kindle pp. 93-94:

Australia saw the epidemic coming from a long way off, both in time and space. Its authorities first heard about a flu epidemic in Europe in the northern hemisphere summer of 1918, and in September they became aware of the horrifying reports of the lethal second wave. Having watched it advance through Africa and Asia, they finally introduced quarantine procedures at all Australian ports on 18 October (New Zealand did not follow suit). When jubilant crowds gathered in Sydney’s Martin Place to celebrate the armistice in November, therefore, they enjoyed the privilege–almost unique in the world–of having nothing to fear from the virus. Though the country did receive the third wave in early 1919, its losses would have been far greater had it let the autumn wave in.

The Philippines were not protected by their island status. When flu broke out there, it didn’t occur to the occupying Americans that it might have come from outside, even though the first casualties were longshoremen toiling in the ports of Manila. They assumed its origins were indigenous–they called it by the local name for flu, trancazo–and made no attempt to protect the local population, which numbered 10 million. The only exception was the camp on the outskirts of Manila where Filipinos were being trained to join the US war effort, around which they created a quarantine zone. In some remote parts of the archipelago, 95 per cent of communities fell ill during the epidemic, and 80,000 Filipinos died.

The starkly contrasting fates of American and Western Samoa–two neighbouring groups of islands in the South Pacific–show what happened when the authorities got the direction of travel right, and when they got it wrong. The American authorities who occupied American Samoa realised not only that the threat came from outside the territory, but also that indigenous Samoans were more vulnerable to the disease than white-skinned settlers, due to their history of isolation, and they deployed strict quarantine measures to keep it out. American Samoa got off scot-free, but Western Samoa, under the control of New Zealand, was not so lucky. After infection reached the islands via a steamer out of Auckland, local authorities made the same error as the occupiers of the Philippines, and assumed that it was of indigenous origin. One in four Western Samoans died in the ensuing tragedy which, as we’ll see, would dramatically shape the islands’ future.

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Filed under Australia, disease, migration, military, New Zealand, Philippines, Samoa, U.S.

by | 2 April 2020 · 7:39 am

Public Health in Rio, 1918

From Pale Rider: The Spanish Flu of 1918 and How It Changed the World, by Laura Spinney (PublicAffairs, 2017), Kindle pp. 52-54:

At the time that Nava fell sick, Rio was the capital of a young republic. A military coup had brought the reign of Emperor Dom Pedro II to an end in 1889, and with the abolition of slavery the previous year, it had seen a massive influx of freed black and ‘mulatto’ slaves. The poorest moved into cortiços or slums in the city centre. The cortiços–the Portuguese word for ‘beehives’–often lacked running water, sewers and proper ventilation. Living conditions were better there than in the subúrbios, the shanty towns expanding on the outskirts of the city, but the cortiços were more visible. White, middle-class cariocas saw them as parasitising the city proper. Aluísio Azevedo conveyed the fear that they inspired in his novel O Cortiço:

For two years the slum grew from day to day, gaining strength and devouring newcomers. And next door, Miranda grew more and more alarmed and appalled by that brutal and exuberant world, that implacable jungle growing beneath his windows with roots thicker and more treacherous than serpents, undermining everything, threatening to break through the soil in his yard and shake his house to its very foundations.

When President Francisco de Paula Rodrigues Alves came to power in 1902, he launched an ambitious programme of urban renewal with the goal of turning Rio into a showcase of modern, republican civilisation. In his vision of the cidade maravilhosa, the marvellous city, there was no place for the cortiços, those nests of disease whose inhabitants, condemned by their biology, were ‘locked into a vicious cycle of malnutrition and infection’. They were razed and their inhabitants forced out. Six hundred homes were destroyed to make way for the magnificent Avenida Rio Branco, so that by the time the American travel writer Harriet Chalmers Adams described the city in 1920, she could write that ‘This portion of the city has been cooler ever since, as the breezes sweep through the wide avenue from waterfront to waterfront.’

But the easy mixing of the different classes that had once characterised Rio, their coming together in the seeking of pleasure–especially when it came to music and dancing–had gone. Now there was no area of carioca life in which rich and poor were not divided by an impenetrable gulf. The president also set out to rid the city of infectious diseases, and in this he was aided by a doctor, Oswaldo Cruz, who in 1904, as head of the General Board of Public Health, had ordered a campaign of compulsory vaccination against smallpox. At the time, the vast majority of Brazilians had no grasp of germ theory. For many it was their first experience of state intervention in public health, hence something extraordinary, and poor cariocas rioted. The ‘Vaccine Revolt’, as it was called, was about more than one perceived violation, however. It was an expression of a broader class struggle over whom the city should serve–the Brazilian masses, or the European elite.

A decade later, vaccination had been accepted by most Brazilians, but Cruz’s unpopularity survived his death in 1917, and it was this legacy that shaped cariocas’ response to the new disease threat in 1918. On 12 October, the day that the flu spread through the elegant guests at the Club dos Diàrios, the satirical magazine Careta (Grimace) expressed a fear that the authorities would exaggerate the danger posed by this mere limpa-velhos–killer of old people–to justify imposing a ‘scientific dictatorship’ and violating people’s civil rights. The press portrayed the director of public health, Carlos Seidl, as a dithering bureaucrat, and politicians rubbished his talk of microbes travelling through the air, insisting instead that ‘dust from Dakar could come this far’. The epidemic was even nicknamed ‘Seidl’s evil’. By the end of October, when half a million cariocas–more than half the population–were sick, there were still those among Rio’s opinion-makers who doubted the disease was flu.

By then, so many corpses lay unburied in the city that people began to fear they posed a sanitary risk. ‘On my street,’ recalled one carioca, ‘you could see an ocean of corpses from the window. People would prop the feet of the dead up on the window ledges so that public assistance agencies would come to take them away. But the service was slow, and there came a time when the air grew filthy; the bodies began to swell and rot. Many began throwing corpses out on the streets.’

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by | 1 April 2020 · 7:41 am

Other Names of the Spanish Flu

From Pale Rider: The Spanish Flu of 1918 and How It Changed the World, by Laura Spinney (PublicAffairs, 2017), Kindle pp. 63-65:

When the flu arrived in Spain in May, most Spanish people, like most people in general, assumed that it had come from beyond their own borders. In their case, they were right. It had been in America for two months already, and France for a matter of weeks at least. Spaniards didn’t know that, however, because news of the flu was censored in the warring nations, to avoid damaging morale (French military doctors referred to it cryptically as maladie onze, ‘disease eleven’). As late as 29 June, the Spanish inspector general of health, Martín Salazar, was able to announce to the Royal Academy of Medicine in Madrid that he had received no reports of a similar disease elsewhere in Europe. So who were Spaniards to blame? A popular song provided the answer. The hit show in Madrid at the time the flu arrived was The Song of Forgetting, an operetta based on the legend of Don Juan. It contained a catchy tune called ‘The Soldier of Naples’, so when a catchy disease appeared in their midst, Madrileños quickly dubbed it the ‘Naples Soldier’.

Spain was neutral in the war, and its press was not censored. Local papers duly reported the havoc that the Naples Soldier left in its wake, and news of the disruption travelled abroad. In early June, Parisians who were ignorant of the ravages the flu had caused in the trenches of Flanders and Champagne learned that two-thirds of Madrileños had fallen ill in the space of three days. Not realising that it had been theirs longer than it had been Spain’s, and with a little nudging from their governments, the French, British and Americans started calling it the ‘Spanish flu’. Not surprisingly, this label almost never appears in contemporary Spanish sources. Practically the only exception is when Spanish authors write to complain about it. ‘Let it be stated that, as a good Spaniard, I protest this notion of the “Spanish fever”,’ railed a doctor named García Triviño in a Hispanic medical journal. Many in Spain saw the name as just the latest manifestation of the ‘Black Legend’, anti-Spanish propaganda that grew out of rivalry between the European empires in the sixteenth century, and that depicted the conquistadors as even more brutal than they were (they did bind and chain the Indians they subjugated, but they probably did not–as the legend claimed–feed Indian children to their dogs).

Further from the theatre of war, people followed the time-honoured rules of epidemic nomenclature and blamed the obvious other. In Senegal it was the Brazilian flu and in Brazil the German flu, while the Danes thought it ‘came from the south’. The Poles called it the Bolshevik disease, the Persians blamed the British, and the Japanese blamed their wrestlers: after it first broke out at a sumo tournament, they dubbed it ‘sumo flu’.

Some names reflected a people’s historic relationship with flu. In the minds of the British settlers of Southern Rhodesia (Zimbabwe), for example, flu was a relatively trivial disease, so officials labelled the new affliction ‘influenza (vera)’, adding the Latin word vera, meaning ‘true’, in an attempt to banish any doubts that this was the same disease. Following the same logic, but opting for a different solution, German doctors realised that people would need persuading that this new horror was the ‘fashionable’ disease of flu–darling of the worried well–so they called it ‘pseudo-influenza’. In parts of the world that had witnessed the destructive potential of ‘white man’s diseases’, however, the names often conveyed nothing at all about the identity of the disease. ‘Man big daddy’, ‘big deadly era’, myriad words meaning ‘disaster’–they were expressions that had been applied before, to previous epidemics. They did not distinguish between smallpox, measles or influenza–or sometimes even famines or wars.

Some people reserved judgement. In Freetown, a newspaper suggested that the disease be called manhu until more was known about it. Manhu, a Hebrew word meaning ‘what is it?’, was what the Israelites asked each other when they saw a strange substance falling out of the sky as they passed through the Red Sea (from manhu comes manna–bread from heaven). Others named it commemoratively. The residents of Cape Coast, Ghana called it Mowure Kodwo after a Mr Kodwo from the village of Mouri who was the first person to die of it in that area. Across Africa, the disease was fixed for perpetuity in the names of age cohorts born around that time. Among the Igbo of Nigeria, for example, those born between 1919 and 1921 were known as ogbo ifelunza, the influenza age group. ‘Ifelunza’, an obvious corruption of ‘influenza’, became incorporated into the Igbo lexicon for the first time that autumn. Before that, they had had no word for the disease.

As time went on, and it transpired that there were not many local epidemics, but one global pandemic–it became necessary to agree on a single name. The one that was adopted was the one that was already being used by the most powerful nations on earth–the victors in the Great War. The pandemic became known as the Spanish flu–ispanka, espanhola, la grippe espagnole, die Spanische Grippe–and a historical wrong became set in stone.

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Filed under Brazil, Britain, disease, France, Ghana, Iran, Japan, language, nationalism, Nigeria, Poland, Sierra Leone, Spain, U.S., war, Zimbabwe

by | 1 September 2019 · 6:33 am

Quinine’s Role in Exploring Africa

From A Labyrinth of Kingdoms: 10,000 Miles through Islamic Africa, by Steve Kemper (W. W. Norton, 2012), Kindle pp. 310-311:

On October 29 [Heinrich Barth] heard that a British expedition had steamed up the Benue River. He had urged this mission on the government two years earlier but hadn’t heard a word about it since. He traced the rumor to a man in Kano who had seen the steamer on the Benue. Barth questioned him closely and was convinced that the rumor was true.

Barth wouldn’t know the details for many months. The mission had left Britain in early June 1854. When its commander died soon after the boat reached the island of Fernando Po in the Gulf of Guinea, Dr. William Balfour Baikie assumed command. Baikie, who later became Barth’s friend and supporter, took the 100-foot steamer Pleiad up the Niger for 700 miles. In early August the Pleiad entered the Benue and ascended it for 250 miles. At the end of September Baikie turned around, reaching the Niger on October 20, while Barth was in Kano. By February 1855 the Pleiad was home.

Every previous excursion on the Niger had proven deadly to Europeans, mostly because of fever. But the Pleiad’s entire crew—twelve Europeans and fifty-four Africans—survived because of an experimental therapy—prophylactic doses of quinine. This success altered the course of African exploration. The voyage also proved Barth’s conviction that the heart of Africa could be opened to commerce through navigation of the Niger’s watershed.

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Filed under Africa, Britain, Cameroon, disease, Europe, malaria, Nigeria, travel

by | 14 April 2019 · 7:49 am

Gen. Grant’s Guardian Angel

From Grant, by Ron Chernow (Penguin, 2018), Kindle pp. 148-152:

Grant needed a commanding personality to manage his office and ride herd over his staff and from the outset selected John Rawlins for a special place in his entourage. Rawlins was the pallid young lawyer with the full dark beard, saturnine aura, and enormous dark eyes who had bowled over Grant with his impassioned oratory at the Galena recruiting meeting. On August 30, Rawlins was appointed assistant adjutant general with the rank of captain, effectively making him Grant’s chief of staff. With no military background, he was startled that Grant gave him such a high appointment.

…

Rawlins’s family history with alcohol abuse gave him a special purchase on Grant’s drinking troubles, making it an all-consuming preoccupation. Before joining his staff, he extracted a pledge from Grant that he would not touch a drop of liquor until the war ended, and he would monitor this vow with Old Testament fervor, carrying on a lonely, one-man crusade to keep Grant sober. That Grant agreed to this deal shows his strong willingness to confront his drinking problem. The mission perfectly suited Rawlins’s zealous nature. With Grant’s consent, he laid down draconian rules to curb drinking, forbidding the open use of liquor at headquarters. In general orders that announced Rawlins’s appointment, Grant berated men who “visit together the lowest drinking and dancing saloons; quarrel, curse, drink and carouse . . . Such conduct is totally subversive of good order and Military Discipline and must be discontinued.” With Rawlins on the premises, even senior officers drank secretly in their tents. Any staff member who furnished Grant with alcohol faced the fervid wrath of Rawlins and likely dismissal. Rawlins fretted over Grant, agonizing over suspected lapses from the straight path of abstinence. He had no compunctions about chastising Grant for lapses, and his unflagging vigilance was remarkable in its forthright passion and candor.

…

Grant never discussed publicly his drinking pact with Rawlins, but he must have taken it to heart since Rawlins became his right-hand man and alter ego during the war. He allowed Rawlins to be the moralistic scourge and resident conscience of his staff. Later in the war, Grant wrote that Rawlins “comes the nearest being indispensable to me of any officer in the service.” In entering the army and assuming tremendous responsibilities, Grant must have feared he would be hurled back into the hard-drinking world of officers from which he fled in 1854, endangering the hard-earned sobriety of his St. Louis and Galena years. A general could not afford even occasional bouts of dissipation. In the army Grant would also lack the firm, restraining hand of his wife. Prolonged absence from Julia could easily set him up for a major relapse into the periodic degradation of his West Coast years. With some notable exceptions, Rawlins largely succeeded in his role as self-appointed watchdog. In later years, Grant’s Galena physician, Dr. Edward Kittoe, paid tribute to “Grant’s repeated efforts to overcome the desire for strong drink while he was in the army, and of his final victory through his own persistency and advice so freely given him by Rawlins.”

The ever-watchful Rawlins enjoyed special license to be frank and even scold Grant. “It was no novel thing to hear the zealous subordinate administer to his superior a stiff verbal castigation because of some act that met the former’s stern disapproval,” said the cipher operator Samuel Beckwith. “And Grant never resented any reprimand bestowed by Rawlins.” Rawlins spoke to him with a freedom that flabbergasted onlookers. Only he could slap Grant on the back or engage in familiar banter. Grant shrank from profanity, yet he tolerated with amusement the barrage of oaths that constantly poured from Rawlins’s mouth.

Because of the purity of his motives, Rawlins became Grant’s closest friend. “Gen. Grant was a man who made friends very slowly,” noted a journalist. “While he had a great many acquaintances, I think he had a very limited circle of friends—I mean men whom he trusted or whose advice he accepted.” Only Rawlins could penetrate the zone of privacy that Grant drew subtly about himself. With his single-minded devotion, Rawlins could confront him with uncomfortable truths and fiercely contest his judgment, spouting opinions in a stentorian voice. With his thoroughgoing skepticism and mistrust of people, he was the ideal foil to Grant’s excessively trusting nature. Rawlins “was always getting excited about something that had been done to Grant,” recalled Lieutenant Frank Parker. When someone showed disrespect for Grant, “he would prance around and say, ‘General, I would not stand such things’ to which Grant would say, ‘Oh, Rawlins! what’s the use in getting excited over a little thing like that; it doesn’t hurt me and it may make the other fellow feel a little good.’”

Perhaps because it contrasted vividly with his listless manner at the Galena store, Rawlins never forgot his initial glimpse of Grant at Cairo: “He had an office in a great bank there, and I was amazed at the quiet, prompt way in which he handled the multitude of letters, requisitions, and papers, sitting behind the cashier’s window-hole, with a waste basket under him, and orderlies to dispatch business as he did.” Fresh from personal calamity, Rawlins threw himself into a whirl of military activity. Before long, he worked day and night, tidying up Grant’s office, creating files, and instituting sound working procedures. Long politically active—Grant thought him the most influential young man in northern Illinois—Rawlins also assisted Grant in perfecting his relations with Washington. When Washburne boasted to Secretary of the Treasury Salmon P. Chase that Grant in Cairo was “doing wonders in bringing order out of chaos,” Rawlins surely deserved much of the credit.

Such was the influence of John Rawlins over Grant that some observers would later exaggerate or misinterpret the nature of his power, attributing to him the military acumen that properly belonged to Grant. He had excellent common sense and swiftly grasped many basic principles of warfare, especially the need to concentrate forces instead of spreading them too thinly. And he became a formidable warrior in his own right, personally signing off on every letter and plan of campaign that came from Grant’s command and never hesitating to differ with him. Nevertheless, Rawlins had no military background and lacked Grant’s general knowledge of warfare. He could never have done what Grant did. While Grant developed tremendous respect for Rawlins’s fearless judgment, it was Grant who originated the plans, Grant who improvised in the heat of battle, and Grant who possessed the more sophisticated strategic sense.

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Filed under disease, drugs, military, U.S., war