Notes on collections and events at the RIHS
From the early 1880s to early the 1900s, typhoid fever was a major health crisis in many American cities. Native Rhode Islander, Dr. Charles Value Chapin (1856-1941) was a pioneer in fighting infectious diseases and was Superintendent of Health in Providence from 1884-1932.
Dr. Chapin was well known, nationally and internationally, for his public health work related to contagious diseases, such as diphtheria, scarlet fever, and typhoid. His research showed that contagious diseases were not airborne, but were mostly spread through contact by the person not the thing. In 1910 he was instrumental in setting up City Hospital in Providence, where people with contagious diseases could get medical care.
Many people have heard of typhoid through the term “Typhoid Mary”, a popular euphemism for anyone unwittingly passing on an undesirable illness or trait. Dr. Chapin was aware of the real Mary and her unusual situation.
Born Mary Mallon, she was an Irish immigrant working as a domestic cook. Typhoid outbreaks seemed to follow her from job to job until 1907 when New York Health Authorities identified her as the first known “healthy carrier” of typhoid fever. Since she had no symptoms, Mary did not understand how she could spread the disease or why she was being quarantined.
On February 19th, 1910, Mary was released from forced isolation, having spent three years in a cottage of Riverside Hospital which was located on North Brother Island, in the East River near the Bronx, New York. Although she had agreed not to, she returned to working as a cook and went on to cause several more outbreaks. After evading health authorities for five years, Mary was arrested again and returned to quarantine, in the same cottage, on March 27th, 1915. She remained in isolation until her death on November 11, 1938.
Although she never broke any specific laws, Mary was subjected to a trial, forcibly isolated for years by authorities and subjected to repeated medical testing. Many people feel that Mary was unjustly vilified and persecuted, including Dr. Chapin. He felt that surveillance would have been sufficient.
In the following excerpts from Typhoid Fever, A Vanishing Disease, an essay by Dr. Chapin, he outlines important steps in identifying, containing, and curing the disease. He mentions Mary again.
Dr. Charles V. Chapin’s theories on public health problems have been adopted throughout the world and his work was instrumental in revising & strengthening public health laws, particularly in regards to the handling of food. His son Howard M. Chapin, (1887-1940), was the Librarian of the Rhode Island Historical Society from 1913 until his death in 1940.
Come back next week to read a heartbreaking first-hand account of typhoid fever.