Category Archives: health

Us vs It—Part VI, This better work

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This is the third day that Missouri is open for business and our lives haven’t changed here on our quiet street. The people at our house haven’t been tested yet and we don’t know anyone who has been. Our two hospitals offer testing. Maybe we’ll go see one of them soon. Columbia has five locations. Osage Beach has one. We mention those places because a lot of Jefferson City people work in Columbia, or will when the University reopens. And a lot of Columbia people work in Jefferson City now that state government is getting back to the new abnormal. A lot of these folks never quit working, of course. They just haven’t been in their offices. But we’ll be watching case numbers in Boone and Cole Counties, in particular, because of the numbers of people who pass each other going in opposite directions twice every day on Highway 63. And we’ll be watching case numbers in Camden County and Osage Beach because the reopening means tourism season has begun.

Governor Parson, the state health director, and various other state and private entities have assured us in the daily briefings that Missouri’s most critical numbers have been declining for the last two weeks, one of the main measurements needed to reopen. We’ve been assured the state is ready to quickly respond to hot spots such as meat packing plants in California and St. Joseph (St. Joseph had only one testing station when we checked the list last Sunday and California has none) and Marshall (which has one).

We have welcomed the Governor’s daily briefings. They have been examples of the kinds of Coronavirus briefings adults should conduct and we appreciate the recent change that allows reporters to be present instead of submitting questions. That’s important because answers often lead to other questions and the old system didn’t provide that opportunity very well.

We understand the growing pressure on states to reopen for business but the lack of a vaccine and the admission that the virus has not and will not go away leaves us nervous. The YMCA reopened on Monday with a lot of precautionary policies put into place to keep us safe. We haven’t resumed our three-times-a-week morning workouts yet although we miss our friends a great deal. We’ll go back soon, just not right now.

Our church isn’t going to go back to in-person worship services until the first Sunday in June. I don’t know that we’ll go to a restaurant or to a movie theatre anytime soon. We both plan to wear our masks for awhile any time we go someplace where a lot of people are visiting or shopping.

We are going to tiptoe into the world, not dash into it.

We want things to be okay. We want to be able to be with friends. We want our working friends to get their jobs back.

Your faithful observer has kept a journal since March 28th and it is unlikely that journal will stop anytime soon. Our wish is that there be little to add to it but we’re keeping it going into autumn, into the next flu season and, if the scientists are correct, into the second wave of this virus.

To be candid, we suspect reopening the state and the nation is as much a political decision as it is anything else. But reopening has to occur, or had to occur, sooner or later and most of the people in positions to decide when reopening is appropriate and safe (enough) recognize the responsibility they are assuming by giving the go-ahead. It seems to us from having watched the daily briefings from our capitol that the reopening order has not been hastily or easily given.

We do hope there are thresholds in place that will determine when stay-at-home orders will be put back in place.

If you’ve read these entries this year you know we spent a lot of time looking at what happened with the last great pandemic, the Spanish Flu of 1918-19, and while our abilities to fight a pandemic are better than they were, the shortcomings in response that we have seen leave us nervous.

We don’t think our governor would unlock the doors if he didn’t think it was safe to go out and responsibly conduct ourselves and our business.

But this is bad stuff and more Americans died from it in April than died in the entire Vietnam War and it is still on the loose.

This reopening better work.

 

Us vs. It—part V, Remembering

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I enjoy Scott Simon’s thoughtful brief commentaries on National Public Radio’s Weekend Edition Saturday and last Saturday he had one that caught my interest at the beginning—because I disagreed with the opening concept. I understood his point at the end, however, and agreed with that. Here’s what he said about the world we live in today.

Our oldest daughter turned 17 yesterday. It’s quite a time for a young person to have a birthday.

I’ve covered wars where I got to know families with teenagers, and I’d ask parents, “What do you want your children to remember of these times?” The answer was almost always, “Nothing. I want my children to remember nothing of all this.”

This coronavirus is not a war. Yet as in war, there are long spells of tedium, interrupted by episodes of anxiety, and sometimes danger, loss, and grief. No parent wants their children to carry that load through their lives.

But, any parent learns how children rarely remember what we hope. You may want your child to remember when they saw the Eiffel Tower or met an athlete. What they really recall is the ice cream they had at the end of the day, or a man with the lizard tattoo they saw on the subway.

I hope that when both our daughters think back on this time, they’ll remember how many good people worked so hard to keep the world running, often at risk to themselves. They’re often people we can take for granted, and identify just by a job title, a nurse, a driver, a cop, a sanitation worker, or a clerk. I hope our daughters will know their names and remember how much we owe them.

I hope our daughters will remember, too, how they found their own ways to help people now: to walk the dogs of neighbors who can’t venture out, play with children whose parents have to work, and to write cards and make calls to make people smile.

I hope they’ll appreciate the ingenuity of their teachers, who’ve tried to devise new ways to fire their young minds. And I know they’ll remember how their mother has held, nourished, and cared for all of us in all ways.

In a way, these times may help our children appreciate the fortitude of their grandmothers, who are now gone. They lived through world wars and many hard times, but carried themselves with lightness, grace, and humor.

A few days ago, I came upon our daughters as they shared a joke. I asked, “What’s so funny?” and they said nothing—and traded smiles as I turned away. I imagine the joke was on me; and I was delighted. I hope they remember that joke, and their closeness. I hope they remember that when the world may seem cold or dark, they can turn to each other and feel the sun.

The part I disagreed with was, “What do you want your children to remember of these times?” The answer was almost always, ‘Nothing. I want my children to remember nothing of all this.’

“This coronavirus is not a war. Yet as in war, there are long spells of tedium, interrupted by episodes of anxiety, and sometimes danger, loss, and grief. No parent wants their children to carry that load through their lives.”

I WANT my children, or more appropriately my grandchildren, to remember everything: the danger, the tedium, the anxiety. I hope they don’t directly experience loss and grief. But I want them to remember because we might not have to wait another century for a pandemic such as this one to hit again. In fact, a lot of scientists and healthcare people already are saying chances are good this virus will come back with the cooler weather in the Fall.

It’s important for them to remember that one way this version of the coronavirus was limited in the danger, loss, and grief was the tedium of shelter-in-place, the anxiety of wondering if somehow the virus might find you, the feeling of loss with each day’s new death count even if no one we know is among those terrible numbers. In an impatient world of increasing self-centeredness, disciplined patience and respect for the harm we might cause others by flaunting our perceived independence when it is increasingly obvious we are INTERdendent in so many ways is what has, to use the phrase of the day, “flattened the curve” in many places.

I want my grandchildren to remember the good things Scott Simon mentions. But I do not want them to forget the things many people want their children to forget—because memory could be part of their salvation.

Dr. Crane on hate and science

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(A combination of two issues that seem to be part of today’s national dialogue—plus a recent comment from the Texas Lieutenant Governor suggesting old people should be prepared to die so the economy could be reopened—attracted us to this reflection by Dr. Frank Crane, who wrote these thoughts during World War I and just before Adolf Hitler emerged to lift Aryan perfection as a prelude to a greater war and a holocaust. Keep in mind, however, when this was written. Some attitudes that seem prescient in that time might not be fair today. On the other hand, his basic point at the end remains valid.)

HALF SCIENCE

There is a kind of bastard science which is very dangerous.

It gets a glimpse of the great law of “The Survival of the Fittest.” It explains many things. And the apprentice mind in its enthusiasm imagines it explains everything.

It does not. The Survival of the Fittest, the Struggle for Existence, and the whole law that the physically weak are exterminated and the physically strong survive, all this is true only up to a certain point.

It is true of tigers and tomcats; it is not true of human beings.

When Man first appeared in the history of evolution, he brought another element into the arena, the Moral element.

Not to reckon with this Moral power is not to be a scientist, but a half-scientist.

The German mind is half-scientific. That is what ails it. It conceives that the final triumph will rest with “the big blond beast.” With the men of muscle and ferocity, with those who thrust aside all motives of pity and gentleness and concentrate on material force.

The saying that “God is on the side of the strongest battalions,” is a sample of this half-reasoning.

God is on the side of truth, honor, humaneness, and love; and in the end these gentle powers shall overcome. That is what Jesus meant when He said that “the meek shall inherit the earth.” And that is what the half-baked mind sneers at, neither indeed can believe.

But just the same, Civilization means the superiority of the Moral forces and the eventual subjugation of all Brute force.

…Civilization is not a working out of materialistic laws; it is the mastery and direction of those laws by a spiritual, non-material something called Man.

Us vs. It—part III, Re-opening Day

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This is the third or fourth version of this entry from your faithful observer as he has struggled to keep up with our President and his ping-pong positions on the pandemic.

We started with the anticipation that President Trump would be convening a task force to look at when he can proclaim the country re-opened for business. He called it the biggest decision of his life. Within seventy-two hours he had amplified his position, asserting that he and he alone could order the lifting of social distancing and other policies put in place by the nation’s governors.

Now, after several governors have suggested rather clearly that he didn’t know what he was talking about, he has decided he’s going to “authorize” each governor to reopen states as the governors see fit. This is a big CYA effort (or if you prefer a more elevated phrase, a face-saving effort) and governors are likely to maintain that they don’t need his “authorization” either.

The way things are going, this entry could be out of date before sundown. But we’re going ahead anyway.

The President is under a lot of pressure to get the economy moving again. Some of that pressure is coming from Wall Street, which is highly-important to him personally as well as politically.

The Washington Post reported a few days ago that the Trump Organization had laid off 1,500 people and closed seventeen of its twenty-four properties in various parts of the world because of the virus. Based on previous Trump financial disclosures, says the newspaper, the closed properties generate about $650,000 a day. The organization’s payments on leases and property taxes are coming due or are past-due.

Some of this is increasingly political. He needs a big economic turnaround before the Republican National Convention opens in Charlotte, North Carolina on August 27. He needs the virus to be gone and a major economic resurgence to talk about at the convention and in the weeks before the election. He can continue deflecting criticism of his handling of the epidemic to someone else—as he already has in pointing a finger at China, Congress, Democrats, the Obama Administration, governors, and the World Health Organization. But by late August, he’ll have a hard time generating enough other boogeymen to deflect enough blame away from an administration that had taken exclusive credit for the growing economy and now wants no criticism for its sharp decline.

While he now seems willing to let governors decide what is best for their states, we’ll be watching to see if this new attitude also includes better assistance to the states in the recovery. As we have heard, he has blamed governors for their lack of protective equipment for healthcare workers.

Actually, we were looking forward to a possible legal donnybrook between the governors and the President if he had maintained his position that he has the exclusive power to reopen state economies. We do wonder if his new position still includes part of his previous statement that if he disagrees with a governor’s actions or lack of them, “I would overrule a governor, and I have a right to do it.”

We all know what could happen if he tries to overrule a governor, don’t we? What will the President do if a governor refuses to be overruled? Will he withhold federal disaster aid? That won’t win many friends or votes. Will he sue the states or the governors? Will the states and their governors sue him?

Our Governor Parson, asked on Monday about the President’s remarks about exclusive powers, said the President “well-knows the authority of the states.”  He said he’s not worried.” We might have to go back to the early days of World War II to find a governor who suddenly has so many things on his plate.

The President still hopes something good for him can happen on May 1. He seems to be one of the few who thinks that date is realistic.

Here’s an outlook for Missouri is concerned:

Leaders of the Missouri legislature hope to re-convene the General Assembly on April 27. Governor Parson said yesterday that would be okay with him as long as they maintain social distancing—as they did last week when they passed the supplemental budget bill. Some projections underline the governor’s cautionary note.

The University of Washington’s Institute for Health Metrics and Evaluation, which has been cited in several White House Coronavirus briefings, a few days ago lowered the anticipated death toll from the virus at 61,545, quite a drop from a possible 240,000 suggested earlier. It says social distancing is the key to the lower number. But while the 61,545 was the hard number we read about and heard about, the institute admitted it was only an estimate, somewhere between 26,487 and 155,311 in its modeling.

We checked the projection graphs a few hours before posting this entry. The institute has increased its projected death total to 68,841 with the 68,841st death coming on June 28. The hard number falls in a bracket of 30,188 and 175,961.

The forecast estimated that on May 1, the nation’s hospitals will need 49,891 beds, 10,937 in intensive care, and 8,953 invasive ventilators. It suggests 976 people will die that day.

Not a good day to reopen the country. We expect the modeling will changes from day to day as new statistics are fed into the system.

The IHME’s latest forecast is for Missouri’s peak day is April 29, just one day before May 1, two days after the legislature convenes. The good news is that no bed shortages or ICU space shortages are forecast. But we will need 313 ventilators. The institute forecasts that we’ll be averaging 50 deaths per day by then, part of an anticipated total of 1,712 with the 1,712th death coming on June 16. That’s the hard number forecast so far. The institute model says that’s within a range of 420 and 5,557.

Governor Parson has said more than once that he’s making decisions about re-starting the economy based on Missouri-specific data. He needs a lot more of it. Our testing numbers, although growing, are not impressive and Missouri as well as other states are going to have to have large improvements in testing to make a safe determination of when stay-at-home orders should be lifted and social distancing standards should be eased.

The President realizes that the opposition gains more ammunition each day the virus creates a new hot spot, each day that first responders are overwhelmed, every day that doctors and nurses are exposed to the virus because they lack the personal protective equipment they need. He knows, or should know, that declaring the company open is a great risk if the virus is still killing significant numbers of people each day.

Governors also must be aware that easing the protective steps they have ordered could backfire on them, many of them facing re-election this year. The autumn flu season will have started by the election in November. The autumn sports seasons will draw thousands of people to distances far less than six feet, elevating the danger of a new virus surge. The last thing the President or the governors need is a flare-up of COVID-19 ten days or fewer before the election.

A popular song during World War I proclaimed, “We won’t come back ‘till it’s over, over there.” The lyric can change to fit our times: “We won’t come back ‘till it’s over, over here,” with a new definition of “come back” and another new definition for “it.”

 

 

Dr. Crane goes outdoors

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(We have come to appreciate going for a walk. In these days of social distancing with brief dashes to the grocery store to restock the pantry and the refrigerator, the thirty or forty or sixty minutes we spend taking brisk or semi-brisk walks in various parts of our neighborhood provide a welcome break from seeing the same walls, sitting in the same chairs, and occupying ourselves indoors. Dr. Crane nails it with the first line of this essay. We’re not so sure about the third line, however.)

OUTDOORS

A good dose of Outdoors would cure almost anything.

Quit wearing a hat and let your hair Outdoors for that bald spot.

Go barefoot and your feet will slip back ten years…

Go Outdoors and get rid of Nerves. They live in the house.

Other rats and mice that infest houses are Dyspepsia, Constipation, Liver Complaint, Peplessness, and Insomnia.

Not only Bodily Ailments, but all other kinds of plagues and nuisances are house creatures.

Creeds were all made in stuffy rooms. Religion, faith, hope, love, and courage inhabit the woods and meadows, sail the seas, and seek wind and sun.

Jesus taught Outdoors. Ecclesiastical Council are held behind closed doors. The decline of religion is traceable from the Sermon on the Mount to the Sermon in the asphyxiating Meeting- House.

Education ought to be Outdoors. My favorite dream is The University of Outdoors, where pupils go shoeless and hatless and learn under the starts.

This University would teach the child how to be as healthy as a panther. And healthy bodies would obviate most neurasthenic intellectual vagaries.

Where but the Outdoors can you learn Botany, Geology, Astronomy, and the like? Real Science lives Outdoors, as much as Leap-frog.

Play Outdoors.

Even Kissing is better Outdoors…When you chase a girl a half a mile to kiss her you realize what real Kissing is.

Eating is better Outdoors. A horse is healthier than a man because a horse has to walk after every bite of grass he gets…

Children thrive Outdoors and pine in the house.

Outdoors is cheap and plenty.

God made outdoors; man made Indoors.

And God lives Outdoors; in man-made edifices are—Idols.

Us vs. It—part II, Waist deep

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At the height of the Vietnam War one of the nation’s greatest folk singers began performing an allegorical song called “Waist Deep in the Big Muddy.”

When Pete Seeger performed it on the Smothers Brothers Comedy Hour more than fifty years ago, the song became part of a national controversy because many people, apparently including the CBS censors, thought that the next-to-last verse criticized President Johnson’s increasing investment of American lives in what some already thought was an unwinnable war.

It didn’t help that Seeger was among those blacklisted during the McCarthy Era (he was part of The Weavers, the group that brought folk singing to early popularity. But the group was too liberal for McCarthyites) and he was still considered somewhat “leftist,” therefore, “subversive.”

The CBS censors cut the song out of the show but when Seeger performed it on a later program—one of the last in the show’s brief run—it was allowed to stay in, perhaps because of the public reaction to its deletion the first time.

We keep hearing President Trump talk about the need to re-open the country or to get big-time sports going again even as he also says we’re headed for the deadliest part of the Coronavirus assault. The shutdown of a part of the economy—the hospitality industry—is a big blow to his personal interests and reopening the country, as he likes to put it, would certainly be to his benefit. We make the observation without implying that he is driven only by his personal economic concerns but his insistence that reopening business in the wake of the ongoing pandemic brings Pete Seeger’s song from another era to mind. It was the next-to-last verse that got Seeger and the Smothers Brothers in trouble then and it might get this observer in trouble today, at least with some people. Have at it in the comment area at the end if you wish—either way. Just remember our civility guidelines.

Waist Deep in the Big Muddy

It was back in nineteen forty-two,
I was a member of a good platoon.
We were on maneuvers in-a Louisiana,
One night by the light of the moon.
The captain told us to ford a river,
That’s how it all begun.
We were — knee deep in the Big Muddy,
But the big fool said to push on.

 

The Sergeant said, “Sir, are you sure,
This is the best way back to the base?”
“Sergeant, go on! I forded this river
‘Bout a mile above this place.
It’ll be a little soggy but just keep slogging.
We’ll soon be on dry ground.”
We were, waist deep in the Big Muddy
And the big fool said to push on.

 

The Sergeant said, “Sir, with all this equipment
No man will be able to swim.”
“Sergeant, don’t be a Nervous Nellie, ”
The Captain said to him.
“All we need is a little determination;
Men, follow me, I’ll lead on.”
We were, neck deep in the Big Muddy
And the big fool said to push on.

 

All at once, the moon clouded over,
We heard a gurgling cry.
A few seconds later, the captain’s helmet
Was all that floated by.
The Sergeant said, “Turn around men!
I’m in charge from now on.”
And we just made it out of the Big Muddy
With the captain dead and gone.

 

We stripped and dived and found his body
Stuck in the old quicksand.
I guess he didn’t know that the water was deeper
Than the place he’d once before been.
Another stream had joined the Big Muddy
‘Bout a half mile from where we’d gone.
We were lucky to escape from the Big Muddy
When the big fool said to push on.

 

Well, I’m not going to point any moral,
I’ll leave that for yourself
Maybe you’re still walking, you’re still talking
You’d like to keep your health.
But every time I read the papers
That old feeling comes on;

We’re, waist deep in the Big Muddy
And the big fool says to push on.

Waist deep in the Big Muddy
And the big fool says to push on.
Waist deep in the Big Muddy
And the big fool says to push on.


Waist deep! Neck deep! Soon even a
Tall man’ll be over his head, we’re
Waist deep in the Big Muddy!
And the big fool says to push on!

https://www.youtube.com/watch?v=uXnJVkEX8O4

We are not implying in this entry that President Trump is “the big fool” of today’s “war.” That would be name-calling and we do not believe name-calling either solves problems or ennobles the person who has nothing of intrinsic value to otherwise add to a conversation.

A blogger, Chimesfreedom*, has a nice piece about Seeger’s performance of the song on the Smothers Brothers Comedy Hour. Tom and Dick Smothers were constantly at war with the CBS censors and Seeger’s performance of the song on their season-opening show in 1967 led to a loud public fight about censorship.

http://www.chimesfreedom.com/2014/01/28/the-censored-pete-seeger-performance-on-the-smothers-brothers-comedy-hour/

The brothers’ constant fight with CBS about the content of their show led the network to abruptly cancel it, despite good ratings, after just two years. It was replaced by Hee-Haw.

Chimesfreedom is a blog with an unnamed “editor-in-chief” who describes himself as “a writer and professor in New York.”

Dr. Crane on TR

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(A little more than five years ago, I landed on the aircraft carrier Theodore Roosevelt. This week’s news of the firing of the ship’s commander because he sought help he felt he wasn’t getting to combat an outbreak of the Coronavirus on his ship brought back memories of a mammoth ship with a crew half-again as large as the Illinois town in which I grew up, and visions of what could happen to the population of a city-ship whose people had nowhere to flee and nowhere to seek medical help except in the small part of the ship that is its hospital. The commander left the ship in Guam to rousing cheers of the large crew he sought to protect. The San Francisco Chronicle called it a “hero’s sendoff.” He was removed because he violated the chain of command and in the process showed a negative light on the Navy. He was a man who cared about his people. Dr. Frank Crane wrote about the man for whom the ship was named when Theodore Roosevelt died in 1919. What he wrote leads me to think he and Captain Brett Crozier have some things in common. It also leads me to wonder what will be written of today’s leaders sometime in their futures.)

THEODORE ROOSEVELT

Theodore Roosevelt is dead.

He has stepped from the midst of controversy and taken his place among the immortals, against whom no man can speak.

For the moment, the conflict ceases, friend and foe stand with bared heads to do homage to a great and valiant soul.

There is a sudden and loyal silence throughout all the hosts. For no man has ever been more a part of every man in the United States than Theodore Roosevelt.

His friends will rush no more quickly to speak his praise than his enemies.

For he was a man’s man, and it was a joy to fight him, as well as to agree with him.

His spirit was a fierce and beautiful flame.

His opinions were simple, and always avowed with the wholeness and self-abandon of a true believer.

He would have made a wonderful knight in the days of Charlemagne, a fair and worthy companion to Roland.

He conceived of life, of duty, and even of love in terms of conflict. His make-up was militant. But his conceptions were always sincere.

His chief characteristic was courage. Whatever may have been charged against him in the extravagances of dispute, his bitterest foe must concede that he was to the last a warrior unafraid.

And that quality of fearlessness, that indomitable bravery, when lodged in this weak humanity, is always a thing of beauty, a little spark of God. We love it. We respect it just for itself. It is the great worthwhile thing in an immortal soul.

So he was a friend, conceived of as a friend, in a passionate and personal way, as no other statesman of American history, except Lincoln.

He was very near to the American heart. And even in the stormy days of these vast issues that have beyond him, the tribute of respect that this people pays to him will be honest and profound.

He had a public mind and gave himself to the service of the people with a singleness of purpose that will be an inspiration to American youth.

He was thoroughly human. He was frank, overfrank sometimes, but we love the man whose heart outruns him.

Kings may pass and be followed to their graves with “the boast of heraldry, the pomp of power.” Presidents and premiers may die and their statues be set up in halls of fame; but none will go from the midst of the living and leave a sense of deep personal loss than this splendid man, this impetuous companion, who has been snatched by death from the intimate affection of a great people.

The Bull Moose has made his last charge.

The Rough Rider has led his last assault.

Bwana Tumbo, the mighty hunter, is back from this perilous expedition we call Life, and is gone home.

Friends and opponents, with equal earnestness, cry out, “God rest his soul!”

Upon his tomb there can be inscribed an epitaph, than which there can be no nobler, no prouder, no truer tribute:

“Here lies a real American.”

 

Us vs. It

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Finger- pointing is not going to solve the health problems we are facing or will be facing in the next few months as the pandemic sweeps from both coasts into the midlands. And it won’t do any good after the Coronavirus runs its course. We have serious problems and we can’t afford to waste time blaming this person or that country if we’re going to overcome those problems. So enough of the name-calling and blame-shifting already.

Things aren’t happening to other people They’re happening to us. And that’s what’s so unsettling. The Coronavirus isn’t something happening only in some distant countries. It might be next door. It might even be in our house and we don’t know it.

It’s not a tsunami at some remote Pacific Island, a tornado in another town, a flood in another state, or even a fire down the block.

It’s……somewhere. Close. Everywhere, maybe. It’s even making the stock market sick.

My friend Joe, a retired homicide cop, lamented at the YMCA before it closed indefinitely that back in the day he could see who might shoot at him and he could do something about it. But this Coronavirus, well, this is something impossible to relate to because we’ve never experienced anything like it. It is forcing us to become patient in a short-attention-span world.

Joe and I and several other friends at the Y all fall into the demographic group that this virus likes to hit. We like to think that our regular activities on the machines and with the weights and on the walking track make us a LITTLE more bulletproof.

But who knows?

The YMCA and the church are the main social outlets for several of us retired folks. Our church is doing worship services on its Facebook page instead of in the sanctuary now. The only activity still going on is our food pantry distributions. When we all left the Y for the last time before it closed, we didn’t know when we’d see each other again. This virus is shrinking our world, generally and personally. One good thing is that the weather is warm enough that we can at least go outside and walk about the block or something and at least breathe outside air—when it’s not raining.

Our fortunes are becoming unfortunate, something that didn’t happen in the Spanish Influenza era when retirement plans, health savings accounts, and insurance were not so much a part of life.

There is a choice to be made—people or the economy.   We can always rebuild the economy, though it might take more time that we wish. But we can’t rebuild the people we will lose if our leaders who think the economy is the key to their continued employment choose to make people more vulnerable and less valuable than the numbers on the stock market. The health of my body is more important than the health of someone’s portfolio.

We already are past the finger-pointing stage. It matters not where this outbreak began. What matter is how it is ended. Blaming others for the start of a crisis that we must help end is not an excuse for disarray in combatting it.

When this ends, as it will, there will be much room for a national soul-searching with the understanding that talk is cheap and the protections, treatments, and cures will require financial commitment based on our responsibility to be our brother’s and sister’s keeper.

Will this change us? It better change us. It already has, in fact.

 

Jefferson City vs. the Pandemic, 1918—II

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A look back at the Spanish Influenza pandemic of 1918 might help us understand how the Coronavirus could run its course in 2020. There are some important things to remember, however. First, Jefferson City, a town of about 14,500 people, had one hospital, St. Mary’s, which was adequate under normal circumstances but faced the same issues today’s hospitals are facing. The other thing to remember is that in 1918 there were no vaccines available or on the horizon. Quinine, which gained popularity in the 1830s thanks largely to Arrow Rock Dr. John Sappington, was tried as a medicine in 1918 but showed no indication that it helped.

In many cases, what happened then is happening now. But in many other ways, today’s conditions, cures, and treatments are a far cry from what our parents, grandparents, and great-grandparents faced.

In recounting these sad and tragic days in 2020’s nervous and uncertain days, we hope we are not leaving the impression that the Coronavirus will have the same course or the same deadly results. Although health officials are struggling to find a cure, medical care is more than a century advanced from the days of the Spanish influenza. It is obvious now that it is likely to be with us for a while and we are likely to lose some people. But we are better prepared today because we know what happened long ago.

It was a bittersweet time. The Great War was ending about the time the Spanish Influenza was at its peak.

A new concern entered Jefferson City discussions in mid-November, 1918 when the National Tuberculosis Association voiced fears the flu epidemic could lead to substantial increases in tuberculosis, perhaps as much as ten percent for the next two years. The NTA said the influenza “weakens a person’s physical vitality and lowers a person’s resistance to the disease.”

The first case of the flu in the penitentiary led to an immediate quarantine reported by the local press on November 17. The first inmate death was reported.

When Mrs. Will Ruprecht died November 20th, the funeral at her home was private “on account of influenza restrictions.”   Home funerals were common in those days before Jefferson City had its first funeral home.

Thirty-nine new cases in two days in the city was considered a “slight falling off” from the previous week but there had been four deaths in the last four days.

The State Board of Health sent around word on November 21 that it would be okay for cities to remove the “more or less drastic measures” intended to limit the disease’s spread. The next day the city had 25 new cases of the influenza.

The day the controls were lifted in Jefferson City, a two year old boy died. The next day, “a beautiful young life went out” when a popular 24-year old woman “just budding into sweet womanhood” died at her home. Robert F. Mueller, “an excellent harness maker,” died the next day and police posted ten more placards on the doors of home signifying they were quarantined. The week ending November 22 saw 173 new cases. The next week the total dropped to 109. People were dying daily and the Federal Public Health Service reported the number of cases nationally was approaching 350,000. The Missouri Capitol was fumigated a second time.

It was December now, likely the longest six weeks in city history.

Community Nurse Ruth Porter, now recovered from her bout with the flu, said her case load had was double what it was in October. Fortunately, the Council of Clubs had bought a car for her to use in her home visits. She had 34 people under her care as of December 13.

The State Prison Board reluctantly admitted more than 100 flu cases behind the walls. State Health Board Secretary George H. Jones reported the state’s October death total of 3,145 represented half of all deaths in Missouri.

The Red Cross was looking for a building that could accommodate patients when St. Mary’s Hospital couldn’t handle any more. The hospital’s own annex became the spill-over building, capable of holding 25 additional patients.

“I am astounded at the death rate of this epidemic,” said the former Assistant State Highway Engineer J. P. Davis, an experienced sanitary engineer who believed in disinfectants. He suggested all of the back yards in town be cleaned up and disinfected. He also suggested the city use a flushing tank filled with a germicide “rather than men with brooms” to clean the streets.

The penitentiary got a gallon of pneumonia serum from the Mayo Sanitarium in Rochester, Minnesota, and quickly inoculated all of the convicts. It was too late for seven of them. Three days later the total was 13 inmate deaths.

But there seemed to be a glimmer of good news when the city’s doctors reported new cases were down fifty percent although the death of Oscar Walther at St. Mary’s Hospital put the city death total into the thirties.

The Daily Capital News asked, “Isn’t it time the state of Missouri was giving some attention to the health of its citizens? It is a sad commentary upon our humanity that we give more thought and spend more money on the health of hogs and cattle than we do upon men and women. The Board of Health has no power to do anything and no money to do anything with.” It was a valid point, but a state health department was not created until a new constitution was adopted almost thirty years later.

Four days before Christmas, the prison announced the deaths of three more inmates raised the total dead there to 22. A study of the fatalities showed 17 of those inmates had been in the prison for less than a year. The penitentiary blamed local jails because, “Many of the prisoners come to the penitentiary run-down physically and are in no condition to have the influenza.” The seriousness of the situation in the prison became apparent with the prison doctor’s end-of-the year report. The prison hospital usually had 20-30 admissions a month and a total of only 32 in October and November. In December it was 459. The final death toll was 26 inmates from pneumonia resulting from the flu.

An important sign that the flu was abating came when the school board decided to reopen schools on December 31. They’d been closed since October 10 and the school days would be lengthened by 45 minutes in an effort to catch up the students on their learning before graduation in late May.

St. Mary’s Hospital reported at the end of the year it had handled 154 flu cases. Forty-one patients had died during the year, “25 were brought in in a dying condition,” most likely influenza victims, many with flu-caused pneumonia.

By the end of January the city death toll was at least 34, fifteen of them people who died at home, plus the 26 prison inmates. Many other deaths were reported throughout the county.

On February 20, 1919, St. Mary’s Hospital caught fire. All 35 patients were removed safely, some taken to the top floor of the Governor’s Mansion and the rest housed in the 14-room vacant mansion of the late Jacob F. Moerschel a Jefferson City brewer who donated the land on which the hospital was built. The fourth floor of the hospital was destroyed, as was the roof, and the rest of the building was heavily damaged by water. A $75,000 fund-raising effort was started to rebuild the hospital, which served the city until 2014 when a new St. Mary’s opened.

The flu made a small comeback in March but by early June, Community Nurse Ruth Porter was reporting “General health conditions have never been half as good as they are now.”

Except—-

Tuberculosis cases resulting from the influenza epidemic were increasing in “staggering” proportions.

The city, the state, the nation survived the worst epidemic in American history up to that time in 1918-19. Most of the great-great-grandchildren of those who were victims of and survivors of the great Spanish flu epidemic will survive the Coronavirus epidemic in 2020. But we know from history that we might be facing a weeks-long struggle. Many will be sick. Some will die.

And then life will go on—as it did after the great pandemic of 1918-1919.

Jefferson City vs. the Pandemic, 1918—I

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We are facing weeks of uncertainty, nobody knows how many, as we are stalked by a dark shadow that threatens to envelop us with the scariest health challenge in more than a century. We are taking the Coronavirus seriously because our ancestors throughout the world were devastated by a virus known as the “Spanish Influenza”—-although it didn’t start in Spain—and the terrible outcome has remained a specter within our culture. Now it is here and many find themselves trying not to think of their mortality.

The 1918-18 influenza epidemic might have started right next door to us. In Kansas, not Spain. Its first major flare-up was at Camp Funston, a World War One training camp at Fort Riley, Kansas. In March, 1918, five-hundred soldiers got sick. The outbreak quickly waned, perhaps because many of the Funston soldiers headed to Europe after war was declared in April.

The flu spread from there throughout the world, mutated, and eventually came back to the States.

By the time it had run its course, the worldwide death total was at least 50-million people, maybe 100-million. In this country, 670,000 deaths were attributed to it, more than the combined death counts in both world wars, Korea and Vietnam.   Missouri’s total was 12,250.   To put that in some context, the population of Jefferson City at the time was a little less than 14,500.

In those days there were two primary information sources: the newspapers and the telephone. The newspapers brought our ancestors news about the slow course of the disaster. The speculation (“analysis” if you will) of the day was two people on the telephone talking to one another.

Missouri had no cases of Spanish Influenza when St. Louis Health Commissioner Max Starkloff issued three “don’ts” to fight the spread of the disease “if it reaches here.”

—Don’t cough or sneeze unless your mouth is protected by a handkerchief.                                 —Don’t, if you can avoid it, sleep in the same room with another person if you have influenza.   —Don’t fail to call a doctor when the first symptoms are felt.

Less than three weeks later, on October 8, the Jefferson City Daily Capital News reported the Secretary of the State Council of Defense, Frank Robinson, had been sent to the “quarantine hospital” suffering from apparent Spanish Influenza. “Local physicians are not alarmed over the prospect in any way, but they are ready to take all precautions necessary,” aid the paper.

The very next day the newspaper reported the city had fifteen cases of the flu. The mayor called a meeting of physicians, ministers, and heads of the city schools to decide if schools, churches, and theatres should be closed. The state prison was under quarantine.

On October 10, the schools were closed, churches cancelled services indefinitely, students at Lincoln Institute were forbidden to leave the campus, gatherings of more than fifteen people were prohibited, and streets were to be flushed each morning. “These precautions are deemed sufficient to prevent the spread of the influenza epidemic in the city,” said the newspaper.

The next day city had “no fewer than 50 cases.” By October 15th, there were 65 and former Madison Hotel clerk Raymond Smith had become the city’s first fatality. Among the newly-infected people: City Physician, Dr. Edward Mansur, who was in bed with a “mild form.”

The next day, another man died, Missouri Pacific engineer Charles Alcorn, whose flu degenerated into a fatal pneumonia.

On October 17th, the city had 150 cases and a day later the number topped 185. The city already had a serious shortage of nurses and by the 22nd, Community Nurse Ruth Porter had taken to her bed with the flu.

Churches were allowed to have services for the first time in two weeks but the theatres remained closed. So were schools.

Forty-two new cases were recorded October 23-26. Dr. Mansur was able to visit some ill folks that day but was back in bed the next day. The number of cases passed 300 by the end of October.

About a dozen people had died by November 14 when the newspaper published a large public notice on the front page citing “Unusual measures” that were to be taken to “remove the influenza from our city.” Some of them sound familiar today. Others tell us about some of the sanitation issues of the day:

—Spend a lot of time out of doors but away from crowds.

—Open doors and windows of your homes, especially in the bedrooms, for a few hours each day and clean out dirty corners.

—If anyone in your home has had a cold or even felt bad fumigate their bedrooms at least if not the entire house. Fumigation can be done by anyone in three or four hours with Sulphur or formaldehyde candles which can be purchased at any drug store at small cost.

—It is the duty as well as a law that every contagious disease be reported to the City Physician for the protection of yourself as well as your neighbor.

—Business houses are urged to at least fumigate their stores one night this week. Formaldehyde is inexpensive and harmless, also there is no fire hazard. Those businesses serving other than alcoholic beverages must wash glasses and china used by patrons in hot water and with soap. Saloons must wash glasses used by patrons more thoroughly than usual. Water basins used for the washing must be emptied and refilled at least four times a day. And care must be exercised to keep large numbers of people from gathering in those businesses. Even small groups must be made to spread out. Any business allowing more than 15 people to assemble or enter the place at one time could be closed.

—All business places must have prominent signs asking people not to cough or sneeze in their places. Such signs will cause people to cough or sneeze into their handkerchief.

—Factory superintendents must take the temperature of all employees at least once a day and anyone who is 99 or more must be sent home and not allowed to return until he has a doctor’s certification that he is not affected with a contagious disease, particularly the flu. Each factory must be fumigated at least once a week.

The city board of health agreed a couple of days later to delay any closings for four days. If, on November 22, “there is not a decreased number of influenza cases reported daily in the city, the businesses houses will be closing tight for four days in an effort to stamp out the disease.”

The Miller and Weiss Pool Hall on Madison Street was closed for a week after a policeman found thirty-one people inside.

But people kept getting sick. And people kept dying. The Capital City—as well as all of Missouri and the nation—was fighting a plague with no medicine that could stop it.

We’ll have more next week.