Tag Archives: Nursing

November 14, 2020

Mother Harriet Maxwell

By daseger

This entire year of posts exploring the experiences and achievements of Salem women on #SalemSuffrageSaturdays has not featured a single immigrant: a big slight given the important role of immigration in our nation’s, and city’s history. It certainly wasn’t deliberate: I’ve been working with the sources available to me and so far no émigré has emerged from them. But today, finally, I am spotlighting an amazing woman of Irish origin and, at the same time, opening up a window into turn-of-the century race relations: what one life, or even one episode in one life, can tell us! Mrs. Harriet Maxwell was born in Ireland in 1849 and lived in England for a decade or so following her marriage to James R. Maxwell, a sergeant in the Scots Fusilier Guards. After her husband’s death in service she emigrated to the United States in 1879, and to Salem: I’m not sure what the precise draw was. In 1886 she graduated from the Salem Hospital’s training school for nurses, and she worked in private service and at the hospital until the spring of 1898, when the call went out for nurses for the quarantine camps established during and after the Spanish-American War, the first war in which the U.S. Army relied on contract nurses in addition to those from the Red Cross and religious orders. Mrs. Maxwell immediately resigned her position at Salem Hospital and signed up: she was sent to the “city of tents” at Montauk, Long Island: Camp Wickoff, where over 21,000 soldiers were sent for quarantine to lessen the spread of yellow fever and malaria in the wake of the war.

Scenes from Camp Wikoff, Long Island, August and September 1898: the arrival of the 24th infantry, the “city of tents”, men of the 71st infantry regiment,Teddy Roosevelt in camp, camp “street” and nurses, Theodore Roosevelt Collection, Harvard Libraries and Library of Congress.

Far more soldiers died from disease, principally yellow fever, malaria, and typhoid, than combat during and after the Spanish American War, including Salem’s own William Huntingdon Sanders. The American military seemed unprepared for the biological threat, both during and after the war. Camp Wikoff, named for the first American casualty of the war, was hastily constructed and insufficiently prepared or “manned”, in terms of medical staff, for the onslaught of troops which began arriving in August of 1898, including Theodore Roosevelt and his Rough Riders. Following a succession of deaths (there would be 340 in all), and the outbreak of fever in the camp and surrounding community, Wikoff became the focus of sharp criticism in the national newspapers: the finger was pointed at Secretary of War Russell Alger in particular, and by extension, President William McKinley, who visited the camp in September. Julian Hawthorne, Nathaniel’s son and father of John, a soldier in the 71st Infantry whom he and his wife found emaciated when they visited the camp, expressed an opinion that seems to have been shared by many in the early fall of 1898:

From the great portfolio of contemporary Camp Wikoff texts and images by Jeff Heatley at Art and Architecture Quarterly.

So this is the situation Harriet Maxwell of Salem found herself in when she arrived at Camp Wikoff in August. She was not assigned to nurse the famous Rough Riders but rather one of the “colored” regiments in residence in the camp, in segregated quarters of course: the 10th U.S. Cavalry which had fought right alongside Roosevelt’s troops at the Battle of San Juan Hill. Many of its members were fevered when they arrived at Wikoff, and Mrs. Maxwell nursed them continually, forming the close relationships that were captured in an article first published in the Boston Globe and then in regional newspapers: the story of how she became a “mother” to these troops, a lasting designation that also ended up in her 1931 obituary in the Globe:

The Boston Globe, 4 December 1898; the 10th U.S. Cavalry at Camp Wikoff, US National Archives.

It’s an endearing story, if a bit “matriarchal” and all too illustrative of the perceived boundaries of the time. Mrs. Maxwell’s time at Wikoff was brief but impactful, as everyone’s seems to have been. She went off to another fever hotspot, Ft. Monroe in Virginian, and then back to Salem, where she continued her practice and became a highly-respected member of the U.S. Spanish-American Veterans group and the namesake of its auxiliary. Mrs. Maxwell died in September of 1931, and her obituary (September 22 Boston Globe) notes that her two grandfathers were at the Battle of Waterloo. Two uncles were fatally wounded at the Crimean War. Again, what a life-span.

3 Comments | tags: #SalemSuffrageSaturday, African-American History, Boston Globe, Buffalo Soldiers, Nathaniel Hawthorne, Nursing, Spanish-American War, Theodore Roosevelt, Women's History | posted in History, Salem, Women's History

March 28, 2020

Sisters in Service: Salem 1918

By daseger

When your focus is on historical women, as mine has been for these 2020 #salemsuffragesaturday posts, sometimes you find their stories are somewhat segregated from what is going on at a particular time, and sometimes it is clear that their stories are absolutely integral and central to what is going on at the time. Salem’s experience of the Influenza Epidemic of 1918 is illustrative of the latter case: nurses were not only on the front lines of this strike; they constituted primary care. And there were simply not enough professional nurses to go around in the context of both war and contagion, particularly in the panic months of September and October. Salem was actually well-positioned to meet the challenges of a contagious epidemic: it had a brand new, state-of-the-art hospital with its own nursing program and several charities which focused on “public health nursing”: the Woman’s Friend Society (still thriving today) operated a “District Nurse” (later Visiting Nurse) program under the direction of Superintendant Miss Pauline Smith, and the Committee on Prevention of Tuberculosis had an “Instructive Nurse”, Miss Teresa Trapeney, on staff. The City had been battling the “Great White Plague” for quite some time, but it had to supplement its forces to deal with the “Spanish Flu”.

The 1910 Associated Charities of Salem Annual Report in 1910 features a rendering of the new Salem Hospital on Highland Avenue, which was opened in 1917; Boston Daily Globe advertisement, October 2, 1918; the Woman’s Friend Society on Hawthorne Boulevard.

Before I delve into that response, a few words about the nature and mortality of the 1918 Influenza Epidemic, in general and in Salem. There have been quite a few references to it over the past few weeks, as people naturally want a historical precedent for any crisis, but many of these references have been incorrect, even wildly incorrect. For example, President Trump’s March 24 assertion that: You can’t compare this [COVID-19] to 1918 where close to 100 million people died. That was a flu, which — a little different. But that was a flu where if you got it you had a 50/50 chance, or very close, of dying. Maybe the 100 million estimate can be overlooked as global mortality estimations are all over the place—everywhere from 20 million to 100 million—but that mortality rate assertion is ridiculous: the real number is in the neighborhood of 2.5%. The president’s sloppy statement misrepresents both the nature of the threat and the heroic efforts that were made to combat it: it is dehumanizing. I’ve NEVER understood the vagueness of the general mortality numbers until I delved into the research for this post: it is very clear from the Massachusetts records that there was both epidemic influenza as well as influenza-triggered respiratory diseases, predominately pneumonia, in 1918. Some accounts and estimates only include the primary category; others include both: these figures from 1917-1918 illustrate the connection between the two diseases and their notable increase over the year.

This same source, the Commonwealth of Massachusetts’ annual reporting of the state’s vital statistics for 1918, lists 151 deaths from influenza and 102 for pneumonia in Salem for 1918, but this is an under-representation of the threat: the daily papers report as many as 1500 cases during some days in late September. Another factor which likely bears on all of the Massachusetts statistics is the fact that the Board of Health did not rule influenza a “reportable disease” until October 2, well into the epidemic. The Annual Report of the Salem Hospital for 1918 notes the 40% increase in patients over the year, and offers the assertions that a larger increase might have been made if during the Influenza epidemic in September and October, it had been possible to secure additional nurses to replace those who were ill. This increase affords conclusive proof of the claim of the hospital authorities that it was not meeting the needs of the community. Salem Hospital could not meet the needs of its community in the fall of 1918 not only because it had insufficient nurses: many of the nurses who were on staff, in addition to physicians, came down with influenza themselves, and so the decision was made to establish a separate, emergency hospital to limit the spread of the contagion. Tent cities sprung up all over eastern Massachusetts in the fall of 1918, but in Salem one gets the impression that that was never a consideration: this was only four years after the Great Salem Fire—which prompted the establishment of several tent cities—after all. I can’t determine whether they were asked or they volunteered, but the Sisters of St. Chretienne, recently established in the former Loring Villa in South Salem, offered up their newly-expanded building as the emergency influenza hospital, and themselves as nurses. Consider their situation: they themselves had been displaced from their Convent-Noviate on Harbor Street by the Fire in 1914, had purchased and overseen the expansion and transformation of the residential Loring Villa into a school, and had just opened that school when the epidemic hit! Only their fellow St. Chretienne sisters across the Atlantic found themselves in a more challenging situation, in the midst of the major war zone of World War I.

Influenza tent hospitals in Lawrence (top two–including the “mask room”: they had MASKS then!) and Brookline (more masks on display), September 1918, Lawrence History Center Digital Collections and Brookline Historical Society; The St. Chretienne Academy in South Salem, now part of the South Campus of Salem State University, served as Salem’s emergency influenza hospital in the fall of 1918, Salem State University Archives and Special Collections.

Both education and health care were encompassed within the mission of the Sisters of St. Chretienne, and their fellow sisters from Salem’s other Catholic orders, the Sisters of Charity of the Immaculate Conception and the Sisters of Notre Dame, also served as nursing aides during that fevered fall of 1918. The situation called for a sacred-secular collaboration, as the Sisters were joined by the Woman’s Friend Society and its District Nurses as well as individual Salem women answering Governor Samuel McCall’s call that able-bodied people with any medical training volunteer their services. After several intense weeks in late September and early October, the influenza “crest” (rather than curve) appeared to be subsiding—or at least that was the story in the press—but by years’ end, it appeared to be on the rise yet again: in Salem, Miss Julia E. Pratt, the matron of The Seamen’s Widow and Orphan Association on Carpenter Street, found that the majority of her charges were infected with the persistent influenza, and across Massachusetts, the call went out once again: to women.