Friday, March 27, 2020

An Act to Benefit the Moral, Mental, or Physical Conditions of Inmates of Penal and Charitable Institutions

Battle Creek, Michigan is about two hours west of Detroit, about 2.5 hours east of Chicago. It was first known as the home of the Battle Creek Sanitarium, a world-renowned health resort where visitors were encouraged to "take the cure." Among those who did, in fact, take it: John D. Rockefeller, Thomas Edison, Henry Ford, Amelia Earhart, and 12,000-15,000 other less-famous patients annually.

Different from similarly-regarded health spas like in Lourdes or Wiesbaden, people flocked to "The San" not for some healing natural feature but to come under the instruction of its founder, Dr. John Harvey Kellogg who "combined modern medicine, surgery and bacteriology with an eclectic blend of hydropathy, vegetarianism, electrotherapeutics, exercise, and spiritual uplift." Some journalists called Kellogg's adherents "Battle Freaks."

Kellogg's father, John Preston Kellogg, bounced around various Second Great Awakening movements - the Baptists and the Congregationalist Church - before settling on the Seventh-day Adventists, who made Battle Creek, Michigan their headquarters. The Kelloggs left Massachusetts for Battle Creek in 1856 and John Preston Kellogg built a broom factory. Seventh-day Adventists were founded by William Miller, a former Baptist preacher who predicted that Jesus' return would take place on October 22, 1844. Why October 22, 1844? It had to do with Daniel 8:14 and the number of days until the sanctuary was cleansed.

Anyway, Jesus didn't return to earth on October 22, 1844, and the date became known as The Great Disappointment. But the Seventh-day Adventists, assisted by self-proclaimed prophetess Ellen White and her husband James, recovered by focusing on health and diet, "bringing healing of body, mind, and spirit on the fact that Christ ministered to the whole person." The Whites sent Kellogg to medical school.

The Kellogg family practiced pretty much what John Harvey Kellogg preached years later based on the Seventh Day Adventist lifestyle: vegetarianism, no coffee or tea or spices or alcohol, fresh air, exercise, and pure water for a clean, healthy lifestyle.

The standard breakfast fare of the mid- to late-19th century was "a cholesterol-laden hot meal of eggs, bacon, sausage and beef or chicken, plus cooked grains, biscuits, toast, butter and jam. It was part of the British tradition of a lavish breakfast, to fortify the gentry for a day of sport" according to
The Nibble's Karen Hochman. Walt Whitman referred to Indigestion as "the Great American Evil." The rise of industrialized Midwestern cities' role in meat and pork production carried this over, and the American farmer was happy to load up in the morning to prepare for a day of work.

This went against basically everything the Seventh-day Adventists believed. John Harvey Kellogg believed that any sexual activity - particularly masturbation - was evil, going so far as to allegedly working on writing an anti-sex book during his honeymoon. He and his wife never consummated their marriage, slept in separate bedrooms, and fostered over 40 children.

To counter the desire of having sex, Kellogg developed the modern ideals of the healthy diet. Kellogg developed "Protose," a vegetarian meat substitute. Mental Floss:
[Kellogg] thought that meat and certain flavorful or seasoned foods increased sexual desire, and that plainer food, especially cereals and nuts, could curb it. 

John Harvey Kellogg's brother, Will Keith (W.K.), was thought to be an idiot until everyone apparently realized he needed glasses. They worked together on certain foods at The San. John Harvey made an oatmeal and cornmeal biscuit that he broke into pieces and called "Granula." This was unfortunate since James Caleb Jackson - another dietitian from upstate New York - was also selling a health food named Granula. Jackson sued Kellogg and Kellogg changed his concoction's name to "Granola." This was part of an overall plan to develop easy, healthy, ready-to-eat, anti-masturbatory breakfasts. For real.

John Harvey and W.K. accidentally developed the Corn Flake in an effort to find a healthy alternative to bread. But John Harvey was also kind of a jerk (forcing W.K. to take dictation while he was on the toilet, for instance) and the two brothers had a falling out that led to W.K. leaving the Sanitarium and forming his own company that sold "Kellogg's Corn Flakes," with W.K. assuming - correctly - that a healthier option for breakfast would also appeal to those who could not journey to Battle Creek. John Harvey sued over the use of the family name and, when W.K. won the suit in 1920, they never spoke again. The Kellogg's Company is obviously still thriving. The rooster mascot on Kellogg's boxes? The Welsh word for Rooster is "ceiliog" and W.K. liked that it sounded like his last name.

[Quick aside: Kellogg's main competitor then (and, to an extent, now) was Post. C.W. Post was a patient at The San but couldn't afford the fees required for treatment. The Kelloggs let him work in the kitchen, where he was able to see exactly how they made their cereals. He bought exclusive rights to build the essential cereal rolling machine...that W.K helped design. Post was initially more successful because he broke one of Kellogg's #1 rules: he added sugar.]

A New York City-raised Harvard-educated biologist named Charles Davenport became the director of the Cold Spring Harbor Laboratory on Long Island in 1904, where he studied the genetics of personality traits and mental illness. It didn't take long for Davenport to settle on the dilution of the gene pool as a major cause of [waves hands] problems in society. He promoted eugenics, and in 1910 founded the Eugenics Record Office, funded by the Harriman Railroad fortune and the Carnegie Institution. Davenport wrote a book, Race Crossing in Jamaica, that "used a timed, block-arrangement exercise called the Knox Moron Test to test their subjects." Its conclusions were unsurprising, given the history of eugenics:
The general impression made in this comparison of the three groups is that the Whites are relatively swift and accurate, the Blacks are slow but accurate, while the Browns are slow and inaccurate.

In 1906 John Harvey Kellogg was concerned about race degeneracy, which is code for "white supremacy." It's curious, though, that several of the children John Harvey and his wife fostered were black. Together with Davenport and economist Irving Fisher, Kellogg created the Race Betterment Foundation, which sponsored a conference from June 1-6, 1914 at the Battle Creek Sanitarium. Among the topics discussed were Kellogg's views of health and diet, but also an encouragement to build a eugenics registry. There was another conference in 1915 in San Francisco that was part of the World's Fair and included what was called a "Joy Zone" - a mile-long promenade of re-created villages of cultures around the world that also happened to be incredibly racist in an effort to prove the necessity of eugenic, which was gaining in popularity and influence among medical professionals.

In 1912, Walter Fernald - the first resident superintendent of what was then the Massachusetts School for the Feeble-Minded (which would later be renamed in his honor) - spoke before the Massachusetts Medical Society:
The only way to reduce the number of the feeble-minded is to prevent their birth. High-grade female imbeciles (were the most dangerous). They are certain to become sexual offenders and to spread venereal disease or to give birth to degenerate children.

Sometimes doctors took matters into their own hands in regards to eugenics. Dr. Harry Haiselden was the Chief Surgeon at the German-American Hospital in Chicago, as well as the founder of the Bethesda Industrial Home for Incurables. Here Dr. Haiselden became horrified by institutionalization for the mentally ill, which would play a large role in what happened next:

On November 12, 1915 Anna Bollinger delivered a baby with "extreme intestinal and rectal abnormalities." She called him Allan. Dr. Haiselden consulted with his colleagues, there was disagreement about whether the baby could be treated, and Haiselden decided that the baby should die from Denial of Treatment. A lady named Catherine Walsh went to the hospital and pleaded for Haiselden to treat the Allan. "If the poor little darling has one chance in a thousand, won't you operate to save it," Walsh asked Haiselden, who allegedly laughed and replied, "I'm afraid it might get well."

This was the basis of eugenics. Haiselden, at an inquest into the death of Allan Bollinger:
I should have been guilty of a graver crime if I had saved this child's life. My crime would have been keeping in existence one of nature's cruelest blunders.

The result of the inquest was that there was no evidence to indicate that Allan "would have become mentally or morally defective," but also that Haiselden acted within his professional right as a physician. He was not punished or fined. "Eugenics?" Haiselden told one reporter, "Of course it's Eugenics." In 1917 Haiselden starred in an extremely problematic silent film called "The Black Stork" (which you can actually watch on YouTube) in which he advises a "genetically mismatched couple" not to have children because they're likely to be defective. Of course, they do and the baby is "defective" and the mother lets the baby die, upon which the baby levitates into the waiting arms of Jesus.


The movie played around the country for over a decade, which brings us to 1927's Buck vs. Bell. The aforementioned Charles Davenport hired Harry Laughlin - a former high school teacher and principal - to be the superintendent of the Eugenics Record Office at Cold Spring Harbor Laboratory. Laughlin wrote model legislation for states to follow when drafting eugenics and sterilization laws, that resulted in 18 states getting sterilization legislation passed after its publication, including Virginia in 1924. To test the law, Dr. Albert Sidney Priddy, superintendent of the Virginia State Colony for Epileptics and Feebleminded, filed a petition to sterilize 18-year old Carrie Buck (whom Dr. Priddy claimed had the mental capacity of a 9-year old) on the grounds that she was a genetic threat to society. Carrie Buck had been adopted, but her foster family committed her shortly after she gave birth to an illegitimate child.

Priddy passed away while the case was working its way through the system, but his replacement - Dr. John Hendren Bell - took up the cause. In arguments before the Supreme Court, Buck contended that the due process clause was being violated because all adults have the right to procreate. They also invoked the 14th Amendment's Equal Protection Clause since "not all similarly situated people were being treated the same."

Harry Laughlin, who had never met Carrie Buck, testified that Buck represented "the shiftless, ignorant, and worthless class of anti-social whites of the South."

The Supreme Court ruled 8-1 in favor of the Commonwealth of Virginia. Justice Oliver Wendell Holmes:
We have seen more than once that the public welfare may call upon the best citizens for their lives. It would be strange if it could not call upon those who already sap the strength of the State for these lesser sacrifices, often not felt to be such by those concerned, to prevent our being swamped with incompetence. It is better for all the world, if instead of waiting to execute degenerate offspring for crime, or to let them starve for their imbecility, society can prevent those who are manifestly unfit from continuing their kind. The principle that sustains compulsory vaccination is broad enough to cover cutting the Fallopian tubes.

In short: sterilize them before they become a drain on society. Plot twist: Carrie Buck wasn't "promiscuous" as the court claimed. She was raped by the nephew of her adopted mother, and they committed her to hide the family shame. Buck had her tubes tied, was hired out to be a domestic to a Virginia family, and apparently was an avid reader until she died in 1983. There is evidence that Carrie Buck's lawyer - Irving Whitehead - wasn't exactly keen an arguing in her defense, seeing as how he was pretty tight with Dr. Priddy and was on the board of the institution where Buck was placed.

The ruling of Buck v. Bell legitimized eugenic sterilization in the United States. Charles Davenport was quoted in textbooks, which caught international attention. Harry Laughlin's model legislation started to make its way across the Atlantic and played a role in the 1933 Sterilization Laws of Nazi Germany to the extent that Laughlin was given an honorary doctorate from the University of Heidelberg in 1936.

Off of Highway 202 in Massachusetts, north and slightly east of Springfield and Northampton, sits Shutesbury. In 1928 it was the site of the Shutesbury Study. Teams of researchers from Harvard and other elite New England institutions descended on the town of 200-ish (as of the 1920 census) without them knowing that they were considered a "network of indecency." Twenty-six people - oddly, mostly 14-15 year old boys, were sterilized for reasons ranging from epilepsy to kleptomania. The man behind the study was Leon Whitney, president of the American Eugenics Society. Charles Davenport was the Vice-President. Whitney wrote a book called "The Case For Sterilization" that earned a fan letter from a recently-released-from-prison German corporal who was rising through the political ranks named Adolf Hitler. In the legitimately terribly-written (and obviously morally wrong) Mein Kampf, Hitler wrote:
The demand that defective people be prevented from propagating equally defective offspring is a demand of the clearest reason and, if systematically executed, represents the most humane act of mankind. It will spare millions of unfortunates undeserved sufferings, and consequently will lead to a rising improvement of health as a whole.

Leon Whitney declared, of Nazism:
While we were pussy-footing around...the Germans were calling a spade a spade.

Joseph DeJarnette was the superintendent of Virginia's Western State Hospital from 1906-1943, another facility in which society could place their "undesirables." As Nazi Germany's eugenics movement progressed, DeJarnette monitored it closely, and wrote favorably of the Nazi efforts to cleanse their gene pool. In 1934 he asked the Virginia State Assembly to broaden the state's sterilization laws, adding:
The Germans are beating us at our own game and are more progressive than we are. 

In 1919 North Carolina enacted its first legislation regarding sterilization, which began in earnest in 1929. Over the next 40+ years, North Carolina sterilized over 7,000 people, a disproportionate number of them black, and poor, since North Carolina gave the power of deciding on sterilization to social workers, in addition to doctors. The heirs of the fortune of Proctor & Gamble and Hanes (the underwear company) founded the Human Betterment League in 1947 to promote sterilization and eugenics in North Carolina. Wallace Kuralt - father of CBS journalist Charles - was the head of the Mecklenberg County public welfare program and saw sterilization as a way for the government to pay for extremely permanent birth control. When the birth control pill became prevalent in 1960, sterilizations dropped.

By 1933 California had forcibly sterilized more people than all other states combined and was influential in Germany's sterilization program, as California eugenicists were sending pro-sterilization literature to German scientists. The Rockefeller Foundation helped develop and fund a number of German eugenics programs, including the Kaiser Wilhelm Institute of Anthropology, Human Heredity, and Eugenics which was the final stop for a captain in the SS named Joseph Mengele prior to his appointment as Chief Physician at Auschwitz.

A California eugenicist named C.M. Goethe told a colleague :
You will be interested to know that your work has played a powerful part in shaping the opinions of the group of intellectuals who are behind Hitler in this epoch-making program. Everywhere I sensed that their opinions have been tremendously stimulated by American thought...I want you, my dear friend, to carry this thought with you for the rest of your life, that you have really jolted into action a great government of 60 million people.

Lest you think this push for eugenics was simply the result of the influence of "well-bred" wealthy white people, it's worth mentioning that a 1937 poll in Fortune showed that 67% of those polled supported sterilization of "mental defectives" and 63% supported the sterilization of criminals. Only 15% of respondents opposed both ideas.

By the end of the 1930s, as Nazi Germany's full sterilization efforts and plans began to come to light, support for eugenics faded, even more so after the full horrors of the Holocaust became apparent. The Carnegie Institute removed its funding of the Eugenics Record Office in 1939. That said, North Carolina's last recorded forced sterilization occurred in 1973.

In all, 30 states adopted sterilization laws. Over 60,000 Americans were sterilized as a result.

Tuesday, March 3, 2020

The Cook Who Was Quarantined For 26 Years

Mary Mallon was born in (no kidding) Cookstown in County Tyrone of present-day Northern Ireland - about 45 miles around Lough Neagh west of Belfast - on September 23, 1869. In 1883 Mary escaped the poverty of Cookstown by herself to join her aunt and uncle in New York City, upon which she was employed as a cook for wealthy families.

Up to this point - and this point only - hers is a fairly traditional immigration story. Poor girl from Ireland moves to New York City in the 19th century and gets a job as a wealthy family's help. Standard stuff. Now it gets weird.

From 1900 to 1907 Mary worked for seven different families. Throughout the 19th and early 20th centuries, Typhoid was A Thing About Which To Be Worried. It's a bacterial infection that results in a high fever, vomiting, and diarrhea. You can get it from contaminated drinking water or mishandled food. Wash your hands often, and it's generally not an issue. However, in 1906, New York City alone endured over 3,400 cases of typhoid reported, with 639 deaths.

People who lived in the houses where Mallon worked tended to get sick. Typhoid Fever sick. Two dozen of them, in fact, in houses where Mallon served as a cook. By the time public health officials were able to trace the source of the typhoid outbreak back to the house, Mallon had moved on to a different house.

Enter George Soper. Soper got a degree from Rensselaer Polytechnic Institute in 1895, and was awarded a Ph. D. in sanitary engineering in 1899 from Columbia. Soper's specialty was investigating the origins of typhoid outbreaks. He had worked for the Boston Water Works and successfully investigated typhoid outbreaks in Ithaca, among other cities.

In Summer 1906, General William Henry Warren - a well-off New York banker - had rented the house of Mr. & Mrs. George Thompson in the Oyster Bay section of north-central Long Island. Oyster Bay is the home of the Seawanhaka Yacht Club - one of the oldest yacht clubs in the western hemisphere. It's that kind of place. Think: Gatsby. Notable people from Oyster Bay include Billy Joel, Sean Hannity, and John Gotti, Jr. Oyster Bay was the site of Theodore Roosevelt's "Summer White House." General Warren had his family and seven servants with him. One of those servants was Mary Mallon. Typhoid ran rampant throughout the house, causing severe illness to six people - first Warren's daughter, then two maids, and then Warren's wife. Then another daughter, then the gardener.

The Thompsons heard of Soper through some social connections and hired him to investigate the cause of the outbreak. If the Thompsons could find the cause and correct it, they could rent the house out again the following summer. Soper couldn't find anything. The closest he could come to an explanation surrounding the Thompson house was an "old Indian woman who lived on the beach had brought polluted shellfish," but he eventually ruled that out, as well.

Ultimately Soper settled on a theory he had read in some German papers that there are people who could be "carriers," or people who had the bacteria and weren't affected, but just straight up wrecked those who would be affected by the bacteria. This would be the first recorded instance of a carrier in the United States. Mary Mallon had infected feces. And sanitation wasn't exactly highly regarded at the time, and she was a cook...you see where this is headed.

Mallon loved to serve an ice cream dish with fresh sliced peaches. Soper knew this would have been an extremely easy way to transmit typhoid. Why? Because it wasn't cooked. Pretty much every other meal would have been heated to the point that it would have killed the bacteria. But Mary Mallon had left the employ of the Warrens in September 1906, six months before Soper was hired by the Thompsons. Soper found that Mallon had been hired by the Warrens through the well-known Mrs. Stricker's employment agency on 28th Street in Manhattan. Mallon kept to herself, so the other servants couldn't offer much in the way of information, other than that Mary Mallon "was not particularly clean."

Armed with this information, Soper discovered that seven of the households for which Mary worked from Long Island to Manhattan to Maine had experienced a typhoid outbreak. After leaving the Warrens, Mary was a cook for just over a month at a house in Tuxedo, NY, upstate a little bit. There was a typhoid outbreak. It took Soper four months to find Mary Mallon, which he did, working as a cook on Park Avenue. Soper:
I was as diplomatic as possible, but I had to say I suspected her of making people sick and that I wanted specimens of her urine, feces, and blood. It did not take Mary long to react to this suggestion. She seized a carving fork and advanced in my direction. I passed rapidly down the long narrow hall, through the tall iron gate, out through the area and so to the sidewalk. I felt rather lucky to escape.

A subsequent interview didn't feature threats of violence, but Mary dismissed the idea of her being a typhoid carrier. Soper found that Mary Mallon was soon to leave her post on Park Avenue, and knew that finding her again would be extremely difficult, so he brought her case to the attention of Health Commissioner Thomas Darlington and NYC Health Department Medical Officer Dr. Hermann M. Biggs. They sent the police to bring her into custody. When they knocked on the door and tried to enter, Mary took off running out a window and over a fence. Ultimately, she was found hiding in the outside closet of a nearby house, and taken to Willard Parker Hospital (which was known for treating patients with communicable diseases) on East 16th Street along the East River for observation where she "provided" a fecal sample which tested positive for pure Bacillus typhosus. 

Due to her being deemed a flight risk, Mary was essentially arrested and placed into quarantine. It was 1907. The San Jose Evening News wrote:
The case is without parallel in medical records. Never has there been an instance, as the present, where a woman who never had typhoid fever should prove a veritable germ factory.

She was furious about her situation. She was perfectly healthy and, to her knowledge, had never gotten anyone sick, but she apparently refused to cooperate with Soper and the Department of Health. They transferred her to Riverside Hospital on North Brother Island, on the East River between The Bronx and Riker's Island. Riverside was another communicable diseases hospital (specializing in smallpox patients) founded in the 1850s.

At Riverside, Mary was given "a little bungalow" originally built for the superintendent of nurses. Soper noted that she had a living room, kitchen, and bathroom with gas, modern plumbing, and electricity, "pleasantly situated on the river bank, next to the church." Someone even cooked her food for her, which she ate alone. Soper seemed incredulous that a lawyer named George Francis O'Neill took up Mary's case after the William Randolph Hearst's New York American published a story about "Typhoid Mary" on June 20, 1909. Mary had been quarantined for two years.

Eight days later O'Neill - 34 years old and a former customs official who had been admitted to the bar two years earlier - filed a habeas corpus petition for Mary's release from prison. O'Neill argued a lack of due process in Mary's detention - she had not been accused of a crime and not given a hearing and had never engaged legal counsel. The case made it to the New York Supreme Court, which ruled:
The liberty secured by the Constitution of the United States to every person within its jurisdiction does not import an absolute right in each person to be, at all times and in all circumstances, wholly freed from restraint. There are manifold restraints to which every person is necessarily subject for the common good. 

Basically: Mary Mallon's freedom wasn't worth everyone around her getting typhoid. Despite her condition being a natural one, and one she couldn't necessarily control, and that her condition not actually a crime, Mary Mallon was a danger to society.

However, the Health Department Commissioner Ernst Lederle believed Mary had learned about how to properly manage her condition and released Mary on her pledge to not handle or cook food for anyone and appear before the Health Department every three months. She was not trained in any other occupation. As soon as she was released, Mary bounced. She changed her name and worked as a cook in restaurants, hotels, even sanitariums for five years. There were typhoid outbreaks throughout those five years, but due to the noms des cuisines (probably not correct French, but whatever) it's kind of impossible to know how many of those were due to Mary's poop-stained fingers.

The head OB/GYN at Sloane Hospital for Women in midtown Manhattan called Soper asking him to come to the hospital for a "matter of great importance." He had 20 cases of typhoid on his hands and a cook who the other workers called "Typhoid Mary." Could Soper come see if it was her? Soper did, identified her as Mary Mallon, and the Health Department was notified. This time she submitted to the Health Department without a struggle.

Mary stayed on North Brother Island for 23 years. She was allowed to occasionally leave and visit the City, but always came back. In 1932 she had a stroke and was paralyzed from the waist down, and passed away in November 1938. Mary Mallon was 69 years old, with a funeral at St. Luke's that only nine people attended, and was buried in The Bronx.

Throughout her career the number of typhoid cases directly attributed to her numbered 51, with three deaths as a result. The actual number is surely higher.