Tuesday 23 October 2018

Spanish Influenza - Hamilton Ontario 1918 Part 3



 “Sixty-nine new cases, with one death, during the past twenty-four hours, gave sample evidence that, despite rigid precautionary measures of the board of health and Hamilton Medical Association, the dreaded influenza was sweeping the length and breadth of the city.”
Hamilton Spectator.    October 09, 1918
With astonishing rapidity, the Spanish Influenza concern had indeed become, by October 8, 1918 in Hamilton, a full epidemic.
That day’s report from the Hamilton Board of Health showed that of the 69 new cases reported, the cases were from 65 families, with a worrisome increase in the percentage of sufferers under 10 years of age.
In response, a conference involved board of health officials and representatives from the Hamilton Medical association, the following ‘don’ts’ were agreed upon and publicized for the public’s information:

                   VISITING BANNED
“Visiting the house of refuge, home for the aged, and institutions where children are cared for, was ordered stopped immediately.
“Steps will be taken this afternoon to have the children’s section of the public library closed until the epidemic has been fought out of the city.
“The east end military hospital will be utilized for the care of civilian patients, and arrangements are being made for a supply of cots and blankets. An effort will also be made to secure additional ambulance accommodation.
                   MASKS RECOMMENDED
“Arrangements are being made to have balbriggan masks manufactured and placed on sale in department stores, it being discovered that these are much more effective than the cheese cloth masks first proposed. These masks, it was pointed out by the medical men today, should be sterilized every few hours by a hot iron. Care should also be taken to see that the same side of the mask is turned to the face each time it is worn.
“To assist the medical men and to educate the public, five thousand copies of Dr. Roberts’ Do’s and Don’ts will be distributed this afternoon. It is planned to put one in every home in the city, that parents will know what steps to take the moment an incipient case is detected.”1
1  “Sixty-Nine New Influenza Cases Reported Today : Ban Now On Visiting of Public Institutions : To Close Juvenile Section of Public Library : Hundreds of Cots and Blankets Ordered”
Hamilton Spectator.    October 09, 1918
At that same meeting, one physician was forceful in stating his concerns about the Hamilton Public Library and the potential spread of the influenza problem:
 “Dr. Storms, at the conference at noon, called attention the danger of leaving the children’s section of the public library open. He had positive knowledge, he said, that children in the incipient stage of influenza had taken books from the library. His suggestion that the ban be put on was unanimously endorsed.”1
The spread of the flu virus was starting to have an impact on Hamilton schools:
“Today the epidemic began to take toll from the teaching staffs of the public schools. Four of the teachers of the Robert Land school and four members of the staff of the King George school were reported to have contracted the ailment.
“Yesterday afternoon, Dr. Roberts addressed a number of Sunday school teachers, urging them to lend their co-operation and report suspect cases immediately.”1
In the Spectator of October 9, 1918, there was an announcement that the Hamilton Medical Society, composed of Hamilton doctors, would no longer be represented at Hamilton Board of Health meetings regarding the epidemic:
“Daily conferences of the board of health and medical men will be discontinued.  At the meeting today, Dr. Huerner Mullin pointed out that attendance on patients was demanding practically all of the time of the medical men and that suggestions which the physicians might want to make could be forwarded to the board of health. Dr. Mullen also recommended that the women’s organizations might be interested in the battle against the epidemic.
“On behalf of the board, Chairman Norman Clark thanked the medical men for the unflagging energy they had lent in the fight against the scourge. Dr. Roberts, medical health officer, also expressed his appreciation of the co-operation of the physicians.”1
Although the announcement seemed reasonable enough, it actually did not address many issues that had arisen between the city’s private physicians and the government mandated role of the Hamilton Board of Health. As well as jurisdiction efforts, there were personality clashes as physicians, medical health officer plus first responders were all starting to become unfrayed.
The Herald account of the meeting carried the following on the growing divide between the board of health and the city’s physicians:
 “At a joint meeting of the board of health and representatives of the Medical association held in the city council chamber at noon today, and presided over by Norman Clark, it was decided that in future the board of health and the Medical association shall hold separate conferences, the latter submitting its recommendations regularly to the board of health.
“Dr. J. Huerner, representing the Medical association, stated that the doctors of the city had no intention of interfering with what was only board of health work. They only offered such services as were acceptable, and were willing to continue to do everything in their power to assist the board of health.
“ ‘It isn’t fair to call doctors here every day at a special hour. We are working from morning until night fighting this thing, and it really isn’t fair to call them here unnecessarily,’ said Dr. Mullen.2

2  “ ‘Flu’ Epidemic Shows No Sign of Abatement : Nearly Seventy Cases Reported Here Since Yesterday : Doctors and Health Authorities to Distribute Literature”
Hamilton Herald.    October 09, 1918.
There was some direct communication with reporters at the meeting :


“Ban Public Funerals of the Victims”

Hamilton Spectator.    October 09, 1918
“ ‘There has never been an epidemic curbed and never will be,’ said Chairman Norman Clark at noon today. ‘Preventive measures do some good, but this influenza plague will stay until it is ready to depart – and not before.’

“Chairman Clark added that he didn’t want this construed to mean that people could afford to take chances.

“Coupled with this official assertion today was the announcement of Dr. Roberts, medical health officer, that people were throwing good money away on patent preventives that might be used to buy food – and that did more harm than good.

“ ‘It has come to my attention that camphor squares are being worn around the neck, that people are saturating themselves with eucalyptus, using great quantities of medical lozenges and spraying their throats with various solutions,’ said the doctor. ‘All poppy-cock and superstition. And these things are doing more harm than good. They are interfering with the natural secretion which is Dame Nature’s own preventive. They are annoying organs that are in perfect health, and making them unfit to counteract the influenza germ when it does gain entrance into the system.’

“ ‘Is there nothing that can be said in favor of eucalyptus as a preventive?’ the medical health officer was asked, this being the drug most in demand.

“ ‘Absolutely nothing,’ was the reply. ‘The only preventive is obstruction, which is provided by a mask.’

“Dr. Roberts further advocated today the discontinuance of public funerals, where influenza has been the cause of death. There is great danger, he pointed out, in the congregation of large numbers of people in homes where there has been influenza coughing and sneezing.

“ ‘I do not like to ban public funerals, but such a measure would be a preventive,’ he said.

“Again today, twenty per cent of the new cases were in children under 10 years of age. So far as can be learned, Hamilton’s death rate, as a result of the epidemic, has been as low as that of any other city on the continent, and lower than in many of the places where the scourge is prevalent.

“ ‘Keep the patient warm until the fever abates – and KEEP HIM IN BED for forty-eight hours after he insists that he is in perfect health,’ is the medical health officer’s message to the public. 
"


   

“ ‘It is absolutely imperative that dances, parties, patriotic teas and everything else of this description be postponed until the danger is passed,’ was the statement issued by the medical health officer this morning. ‘At such affairs are found the worst conditions possible for spreading the disease,’ he added. ‘Crowding, becoming overheated and remaining for several hours in a superheated atmosphere is highly dangerous and must be avoided.’ ”
There was one 'preventive' that was in heavy demand:  


“Fight ‘Flu’ With Liquor : Relaxation Proposed in the Temperance Act”


Hamilton Spectator.    October 09, 1918

          “Officers of the medical society deny the published statements that a fee of $2 has been agreed upon for liquor prescriptions. ‘Among the majority of physicians,’ said one doctor this morning, the fee is the same for prescribing liquor as for any other medicine, which in most offices is $1. Some of the few doctors who have been issuing orders on the liquor dispensary to satisfy appetite, not prescribing liquor for medicinal purposes, may have raised their fee from $1 to $2, but there are very few of these. Of course, there were some physicians who always made a charge of $1.50 or $2 for a consultation and prescription.

          “There has been a considerable increase in business at the local liquor dispensary, as a result of Spanish influenza, and many physicians who issued a few liquor prescriptions up to last week, have loosened up and given orders for whisky, believing it is beneficial for stimulating the heart action of debilitated persons, or persons weakened by influenza or grippe.
          “From Ottawa word comes that the suggestion has been made to the government to temporarily lift the ban on liquor, but as yet it hasn’t been considered by the cabinet."

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