Saturday, 21 July 2018

1918-10-22 Volunteer Nurses


“The formation of the Ontario Emergency Volunteer auxiliary, for the purpose of coping with the influenza epidemic, is an excellent movement in harmony with the spirit of these times of unselfishness and sacrifice. The object is to give these women workers a hurried training to fit them for the duties they will be called upon to perform.”

Hamilton Spectator.    October 17, 1918.

The ever-deepening crisis of the Spanish influenza in October, 1918 was prompting all sorts of emergency measures. Additional hospitals were opened on a temporary basis by the Hamilton Board of Health, although it was difficult to get enough nurses due to the widespread shortage, and the fact that nurses were not immune to being laid low by the ‘flu.

Almost immediately the new hospitals, just as was the case with the already established hospitals, were filled to overflowing.

The idea, initiated by the provincial board of health, was to provide nursing care, in the homes of those who had been stricken by the disease. Local municipalities were instructed to form organizations to procure and train as many volunteer nurses as possible, as quickly as possible:

“ These women – S.O.S., or Sisters of Service – will act as volunteer assistant nurses, or go into the homes and nurse influenza patients. Mrs. Henry Carpenter will organize the local branch immediately.”1

1 “Fighting Influenza”

Hamilton Spectator.    October 17, 1918.

There was a strong initial reaction to the call for volunteer nurses:

“So far twenty women have volunteered to Mrs. Harry Carpenter for service under the banner of the Canadian Emergency Nursing league, and in the course of another day, arrangements will be made for the opening of a lecture course by physicians, when a local branch of the league will be formed. Any woman who will volunteer for this work, in case her services are required, is requested to communicate with Mrs. Carpenter at Regent 2333.”2

2“Cars Must Travel With Open Windows : Stop Order Will Be Enforced, If Necessary, at Certain Periods of the Day : Only Four Persons Allowed in Elevator at Same Time  - Other ‘Flu’ Restrictions”

Hamilton Spectator.    October 17, 1918.

A proper organization needed to be formed for the oversight of the volunteer nurse auxiliary:

 “A meeting of the board of health was held this morning, at which plans were made for the organization of a local branch of the Ontario Emergency Voluntary Health auxiliary, which has been authorized by the provincial board of health. It was decided to hold an organization meeting at the city hall on Monday afternoon at 4 o’clock, at which all citizens who have the interests of the public health at heart are asked to attend. It was stated that the meeting does not come under the prohibitions of the board of health, as it is directly incidental to the stamping out of the disease.”3

3“6,600 Flu Cases Here Since Outbreak : Car Windows Open, Passengers Shivered ; Masks in Public Not Approved By M.H.O. : Are Useless and Probably Harmful”

Hamilton Spectator.    October 18, 1918.

The Hamilton City Council Chambers were filled for the public organizational meeting of the Sisters of Service. Although the number in attendance vastly exceeded the number of people allowed at any public meeting as per the Board of Health ban, health officials ruled that as the meeting was called for the purpose of investigating ways to deal with the epidemic, the attendance rule could be overlooked:

 “About fifty representative citizens attended the meeting called by Mayor Booker yesterday, for the purpose of organizing a local branch of the Ontario Emergency Health Auxiliary to help fight the Spanish influenza. The mayor briefly explained the object of the meeting and then requested Mrs. Henry Carpenter, who was appointed by the government as vice-president for Hamilton, to outline the work which the auxiliary would be called upon to do.

“Mrs. Carpenter stated that since she had received notification from the government of her appointment about a week ago, she had been working in conjunction with the board of health, and had succeeded in organizing two classes of 75 and 100 volunteer workers who, through the kindness of Doctors Holbrook and Mullen, and Miss Insole, had been instructed in the many ways they could help in cases where nurses were unavailable. This was only a temporary means of dealing with the situation, and a strong organization of medical, professional and business men and women was required in order to accomplish the results desired. She suggested this organization be formed at once.

“Medical Health Officers Roberts told of the great task devolving upon him in fighting this epidemic. The board had done everything possible, but with the hospitals full and in many cases whole families down with the disease and no one to wait upon, a very serious proposition was before the city. An advertisement in the papers for nurses had resulted in seven or eight offering their services. These nurses had made over 300 visits, their visits covering periods from 2 to 24 hours, and many calls had necessarily gone unanswered. He congratulated Mrs. Carpenter on the splendid work she had done.

“Norman Clark, chairman of the board of the health, commended Mrs. Carpenter for the work already accomplished, but said a regular committee should at once be organized. He suggested that either Mayor Booker or Controller Thomas W. Jutten be appointed president. Mrs. Carpenter, Vice-President, as per request of the provincial organization, and that a secretary be appointed by the executive committee. These suggestions were acted upon, Controller being elected president. The matter of financing the scheme was completely in the hands of the city, and while the expenditure should be judiciously and wisely considered, no money should spared in assisting to stamp out the disease.

“Dr. Mullin thought that the best possible means had been used from the very first by the board of health. Panics, created by false statements, did much harm and he considered that if citizens knew that everything possible was being done for their welfare, exaggerated statements would not have any adverse effect upon the people. The medical profession had done, and is doing, everything within its power to assist the board and help the people. Twenty-five per cent of the men in practice in this city have been hit by disease, two or three of men very seriously, and one, Dr. Graham, had died from it. In two weeks, 6,000 cases had been treated, so that while people should realize the necessity of looking after those not in hospitals. ‘The disease,’ said the doctor, ‘spread more largely those those who have not taken the disease, two or three before the patient feels ill, and it is during that time that there is the greatest danger to others. Whether one wears a mask or not is a matter of fashion. It is not an absolute protection and must be used with judgment.’

“The organization proposed was declared by the speaker to be one of greater importance to the country than any Victory loan yet launched, and the help of every individual, and the help of every individual was needed, he said.

“T. H. Pratt deplored the time lost in organizing committees. He thought that with the two hospitals filled to capacity and two emergency hospitals also full, committees of ladies should be set to work at once and that instructions be issued by the board of health.

“Dr. John P. Morton, speaking for Russell T. Kelley, president of the board of trade, moved that the board of trade be a committee to get in touch with the male organizations, and the Local Council of Women, be a committee to get in communication with ladies’ organizations and have a large executive appointed with representatives from all the local clubs and societies. This resolution was carried and meetings will be called by the presidents of these two organizations at once.

“”Dr. Duval, of the Canadian Chiropractic college, offered the assistance of the young doctors who are studying there at present.

“A strong appeal is made to all who can give assistance of any kind to do so without delay. Those who are unable to give time to nursing are reminded that the I.O.D.E. has opened a kitchen at the First Methodist church, where dainties are being prepared for those who are unable to secure them. Workers who can only give part time will be given an opportunity of helping stamp out the epidemic if they will volunteer their assistance to the officers in charge.”4

 4“Organization is Effected to Fight Epidemic: Volunteer Health Auxiliary Branch Formed : Two Large Classes Already Assembled : Executive Composed of Representative Citizens”

Hamilton Spectator.    October 22, 1918.

Less than a week later, an investigative report on how the Sisters of Service effort was progressing, appeared in the Hamilton Herald:

 “During the course of the past few days, a Herald man visited some of the houses where volunteer were stationed. The conditions under which the brave women were fighting the influenza were appalling and well-nigh unbelievable. At one place, a dirty, little one storey frame house, the front parlor was occupied by a half ton of coke and various other articles. The other small front was occupied by four persons – a man sixty years of age, a woman of 22 years, and their two children. Besides the ‘flu’ another more dreadful disease was only too evident. The adults were not married and the place, one of two or three such houses, had long borne a disgusting reputation, according to statements made by neighbors. One nurse, without help, had to wash the diseased people, and scrub up the whole filthy place, a negro ordering her about, meanwhile. The mother has died, the father is dying and the two children, whose little bodies, in addition to being racked by ‘flu’ are suffering from another disease.

                   HAD HARD TIME

“In the house, one nurse stayed on duty, alone, for 38 hours and had to go 24 hours without food. After defending herself against several foreigners who did not know that the proprietor of the place was dying and who tried to enter the place late at night, the nurse was forced to call the police for protection.

“ ‘They’re short of nurses,’ she said, ‘and yet they leave a nurse and two little kiddies in a place like this instead of taking the children to the hospital and releasing the nurse for other duty.’

                   COULDN’T GET FOOD

“ ‘When,’ the nurse added, ‘I asked the board of health for food because I could not leave my patients, my request was referred to the relief department. Yesterday, through the efforts of Relief Officer McMenemy, the children were admitted to St. Joseph’s hospital. And when Dr. Roberts, four or five days ago, was asked to come and investigate the house the house in which he sent me a volunteer nurse, he came, with Inspector Shain, put his head inside and hastily withdrew to the alley, where he called me and told me ‘it wasn’t so bad.’ On being told that it was too much to ask a nurse to clean up such a place, Dr. Roberts told me that it was troo much to ask a nurse to clean up such a place, Dr. Roberts told me that if I couldn’t do the work, the department could quite easily get someone who could.’

                   ANOTHER BAD CASE

“At another house in the west end, to which a nurse was sent, the same filthy conditions prevailed. The nurse was left alone with a man, his wife and two children. The wife died of the ‘flu’ and the others were dying. Just about an hour before the man died, he became delirious, and, in a very angry mood, got out of bed. The nurse rushed to the door and asked the people who were clustered outside to hold the two children while she tackled the man. No one would raise a finger to help and, while the people looked on, the nurse had to shield the children and handle a 200-pound man alone.

                   COULDN’T GET RELIEF

“Several other cases on which nurses had been left without relief for 30 and 36 hours at a stretch were reported by the nurses to the board of health, with a request that they be relieved. One nurse said that the answer she got was : ‘You’ve got to stay there whether you want to or not. WE haven’t anybody else to send.’

“And yet one more nurse was ordered, shortly before midnight, to leave three or four dying people alone and go to another address. Dr. Carr begged her to stay at her post, but the board of health had ordained otherwise and the people were left to their fate.

                   MENACE TO PUBLIC

“And, regarding the board’s failure to investigate conditions properly, it was stated by nurse that two fruit stores were continuing to do business, the proprietor of each flitting from the room where his wife and children were dying of the ‘flu to the store where the fruit was offered for sale. Dozens of people suffering from the disease were sending their laundry to public laundries, too.

                    SAYS THERE ARE SLUMS

“ ‘And only three weeks ago I saw a long article in a Sunday school paper with this caption, ‘Hamilton Has No Slums. Thank God,’ ” remarked a nurse. ‘Why, if the board of health would only open its eyes and investigate, it would find that conditions here are far worse than in New York or London, England.

                   WITHOUT HELP

“The volunteers, too, claim that they are left alone in places where the dying people’s own relatives won’t come, and where no one will come near enough to help them. At one place a nurse, after cleaning up a filthy home, had to soak two girls of about 15 years of age in olive oil for three hours before it was possible to remove the dirt from them.

                             HEAVY EXPENSES

“And for all this, volunteer nurses received $15 per week. No matter whether they have done practical nurses for five or fifteen years, this is their salary. Trained nurses receive $20 to $25 a week. In addition, nurses’ uniforms must be changed every day. Their laundry costs more than five dollars a week and they have to supply their own meals generally their own masks and disinfectants, and pay $1for each injection of serum they receive, just like any other individual.

“ ‘If I die from want of serum and other things, it will be the board of health’s fault,’ one nurse told a member of that body.

“ ‘You’re paid for that,’ was the answer  she received.”5

5“Twelve More Deaths Here Due to Influenza : They Charge the Board of Health With Neglecting Them : Some Terrible Places : Houses in Which Some Have Worked Are Breeding Places of Disease”

Hamilton Spectator.    October 28, 1918.

There was no immediate solution for the nurses or the board of health in dealing with shortages of personnel to meet the demands. Many nurses toughed out the situation , while resignations were also very common.






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