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.
