generalhospital

GOODBYE, GENERAL

Another landmark of old Santa Rosa is slated for demolition, so anyone wanting to say farewell shouldn’t dawdle. Newcomers to town during, say, the last forty years, probably don’t know about it; native Santa Rosans who are Baby Boomers (or older) were probably born in it. That place is the old General Hospital at the corner of A and 7th streets, and it still looks almost exactly as it did about a century ago, when it was built in 1922.

It was just the sort of hospital you’d expect to find here during the town’s Shadow of a Doubt years, before and after WWII. The general practitioner doctors patched up farmers gored by bulls and reckless drivers who wrecked their autos on the Redwood Highway. They removed oodles of appendixes and tons of tonsils. So many casts were made for broken arms and legs they probably used enough plaster of paris to plaster every ceiling in Paris.

The tale of Santa Rosa General Hospital neatly breaks down into three acts but before raising that curtain, a few words about why it’s being demolished: That entire block – Morgan to A street, 6th to 7th street – is to be torn down in stages in order to build the Caritas Village Project. The hospital is scheduled to be razed in early 2022 and replaced by one of two large affordable housing apartment buildings and a third large building on the block will be a family and homeless support center. The three buildings have a unified design and are quite attractive; they will surely be an asset to Santa Rosa for decades to come. But there are two really important reasons why the city should not allow them to be built at that location.

Thirty years ago in 1990, Santa Rosa (finally) recognized that much of its unique character had been heedlessly demolished. To save what little was left of its heritage, a few of the old neighborhoods were designated as Preservation Districts, with “St. Rose” being one of the first. New construction has to conform to stylistic guidelines in order to fit in with the overall look. To now exempt an entire block from both letter and spirit of the law is a dangerous precedent which could be used by developers to build anything, anywhere. And since the Caritas Village plans were developed long after this Preservation District was formed, the project backers began with the assumption that they could get away with violating city law.

The other worrisome aspect is the three-story, 42k square-foot building intended to provide one-stop services to the county’s homeless. It’s a noble idea except the location is three blocks from Courthouse Square, which only ensures that our grown grandchildren will still be avoiding downtown because of its vagrant problems. Look, Santa Rosa has a history of making foolish and short-sighted planning decisions – I’m in the middle of writing a ten-part series just about the 1960s screwups leading up to the mega-mistake of approving the shopping mall – but surely city planners recognize it’s not wise to build a magnet for the homeless so close to the city core. Final approval decisions on Caritas Village will be made in coming months (planning reviews start February 27, 2020) so let the City Council know what you think about the project.

In the spotlight for General Hospital’s Act I was Henry S. Gutermute (1865-1958), a man who had his fingers in many pies. We first met him in 1905 when he had the Maze Department Store in Petaluma, on the corner where the Bank of America now stands. Fast forward to 1915 and he’s now president of the Burke Corporation, the new owner of the Burke Sanitarium, which five years earlier had been the scene of Sonoma County’s crime of the century. To scrape away the scandal and relaunch the sanitarium they threw a luxe dinner and dance for 400 movers and shakers. What the store and the sanitarium have in common is that Gutermute liked to heavily advertise – a practice he would continue with General Hospital, although it was unusual to find newspaper ads for actual hospitals.

generaldevoto(RIGHT: The Devoto home at 804 Fourth st. Photo courtesy Sonoma County Library)

Meanwhile, in 1914 a large family home at 804 Fourth street, then two doors east of the county library, had been converted into a new hospital. (Compare that lost majestic home to the squat little bank bunker there now and reflect upon why it was necessary to establish the Preservation Districts.) Called the Lindsay-Thompson Hospital/Sanitarium it was similar to the Mary Jesse/Eliza Tanner Hospital, another residence turned small hospital that was a block away. Both included an operating room.

That incarnation lasted just a year before it was taken over by the Burke Corporation, meaning Gutermute and his partners. They incorporated the General Hospital Association and renamed the place “General Hospital.” Presumably their business plan was to offer a package deal with surgery in Santa Rosa and recuperation at their health resort, as many newspaper items reported patients shuffling back and forth.

For the next four years little General Hospital hummed along, with nearly daily ads in the newspapers offering “MEDICAL SURGICAL OBSTETRICAL” services. (Fun fact: In 1916, the McDonald’s and other local nabobs marched their kids over there to have their tonsils removed en masse as a preventative measure before the start of the school year.) Then came the eviction notice – the Devoto family wanted their home back in thirty days. Santa Rosa had a 1919 housing crunch because of all the soldiers returning from WWI.

Instead of renting another large house, Gutermute scrambled to construct a temporary hospital from scratch. A special session of the City Council was called to grant him permissions to build something on the corner of Seventh and A streets – and just six weeks later (!!) the new General Hospital was open for business in January, 1920.

The new hospital was composed of six “bungalow cottages.” Cecil Etheredge, the Press Democrat’s City Editor was an early patient and described the setting. (Etheredge was being hospitalized for serious injuries in the county’s first passenger airplane crash.) “The General Hospital, seen outwardly, is built of bungalows and courts, in units, connected by runways. Every part of the hospital can be connected with any other, or be entirely segregated,” he wrote. Elsewhere the “runways” were described as “covered hallways.”

Because of this design, he noted that a ward for influenza patients could be isolated from the rest of the hospital – the Spanish Flu was still on everyone’s mind, having run its course only a year earlier after killing 67 in Santa Rosa alone. “H. S. Gutermute, when he planned his new hospital, figured the only way was to build it big or capable of being made big enough for emergencies,” Etheredge wrote.

The buildings were designed by William Herbert, a Santa Rosa architect mentioned here several times earlier. (There’s no truth in the story that these were “WWI barracks” moved from somewhere else.) Four of the six cottages were patient wards; there was a separate cottage for surgery and another for the administrators and the kitchen.

Gutermute pulled out all stops for advertising his new hospital in early 1920, with a series of numbered ads in both Santa Rosa papers. The large display ads promised to give invalids better care than could be offered at home and invited the public to come down for an inspection of their new 40 bed hospital with “Automobile Ambulance at your Service.” Each ad ended with the new motto: “The hospital of the open court and spreading oaks.”

1937 ad for Santa Rosa General Hospital
1937 ad for Santa Rosa General Hospital

Work on the buildings continued for the next two years. The covered walkways between buildings were enclosed to become real hallways and make the separate cottages into a unified structure; a new wing was added which included a maternity ward and the exterior was given the stucco walls that are still seen today. It’s unknown if Bill Herbert was involved in these modifications and additions, but I doubt it – when Gutermute hired him in 1919 he was just starting his career and probably worked on the cheap. By 1922 he was a well-established architect in Santa Rosa; I suspect the design was done by C. A. McClure, who was (literally) the new kid on the block. More about him below.

While Gutermute continued to own the hospital until 1945, he was rarely mentioned in association with it anymore. In 1923 he opened Central Garage on Fifth street, which was a used car dealership as well as the main general auto repair shop downtown. He apparently retired after he sold the garage in 1931, listing himself in the 1940 census as “owner General Hospital.”

Also in 1923 the first baby was born in the new maternity ward; a new era began.

Act II showcases the days of Gladys Kay, the long-time manager of General Hospital. What set her apart was being one of the nicest people you could hope to meet – and that the General Hospital staff shared that spirit. Gaye LeBaron once quoted Dr. Frank Norman, who was sort of Santa Rosa’s medical historian: “Tender, loving care. That was General’s secret.”

All together now: So how nice was Gladys Kay? Before she left on a month-long vacation, the nurses threw a we’ll-miss-you party. Whenever the PD ran a letter from someone thanking General Hospital for caregiving of a loved one, Gladys Kay was singled out for kindness – today who can even imagine knowing an administrator, much less expressing personal gratitude to same?

She was promoted to the job in late 1945. Earlier that year Gutermute had sold the hospital for about $50k to MacMillan Properties, a Los Angeles corporation held by five brothers – four of them physicians and surgeons. Shortly after taking ownership they installed a new manager; the nurse who had steered the hospital since 1920, Bertha Levy, said she was tired and wanted to retire (she did, and died just a year later). They replaced her with Maxine Smith, an experienced hospital administrator who had managed two Los Angeles hospitals. She quit six months later and sued the owners, claiming they had broken their promise to give her 2½ of the gross receipts in addition to her salary, room and board.

Gladys was an unlikely pick to follow a woman with such a professional résumé. She had no management training but once was apparently a nurse, although it seems she never worked as one in Santa Rosa. Her experience here seemed limited to running a downtown children’s clothing store and teaching kids to ice skate (after her death, husband Harry said she was a “Pacific Coast figure skating champ in the old days”).

generalswitchboard(RIGHT: Telephone switchboard at General Hospital in 1962. Photo courtesy Sonoma County Library)

When the MacMillans took over she was already working at the hospital, but we don’t know when she began; the first mention in the paper comes from 1944, when she was the night telephone operator. That job was quite a big responsibility – their switchboard was the county Doctor’s Exchange answering service, which was the equivalent of 911 medical emergency today.

Her watchful eyes behind those wingtip glasses saw General Hospital expand to 75 rooms, with two operating and two delivery rooms. The latter was particularly important because the Baby Boomer era was booming; in August, 1948, General set a monthly record of 67 deliveries, the most to date in Santa Rosa history.

Gladys had a knack for promotion. Movie theaters sometimes ran contests or giveaways tied to what was playing, and in 1949 Santa Rosa’s Tower Theater had an unusual stunt for “Welcome Stranger” (according to reviews, a particularly hackneyed Bing Crosby RomCom). Although the plot had nothing to do with childbirth or babies, the theater got local merchants to donate a free set of baby clothes, shoes, portrait, etc. to the first child born on the day the movie began playing here. General Hospital not only made the biggest splash, but it tied in Gladys herself: “IF the first baby born Sunday arrives at the GENERAL Hospital, Mother and Baby will receive FREE “ROOM and BOARD” during their stay at the GENERAL through the courtesy of Mrs Gladys Kay manager of the hospital.” (Alas, baby Gail Elaine Franks was born at the County Hospital instead.)

Her greatest challenge was also PR related: How could General coexist with Memorial Hospital once the 800 lb. gorilla entered the playing field? Memorial was to open on New Year’s Day 1950, and a year before that she began running large newspaper ads (with her name and phone number at the bottom, natch) promoting General as additionally being a long-term care facility for the chronically ill and elderly. Then she announced their eight bed maternity ward would soon be closing because they expected most women would give birth at Memorial once it opened, and sent a letter to all 78 local practicing physicians asking if they had “further need” of General. Intended or not, this was a master stroke. From the Press Democrat:


Earlier reports to the contrary, the surgical and maternity services will be continued “if business continues on like this,” Mrs. Gladys Kay, hospital manager, said. She said the public “phoned and phoned” in answer to a disclosure by her earlier this month that insufficient hospital business in these two services might lead to their discontinuance. She said local doctors also have responded to the dilemma and that things are “picking up.”

Gladys had won the battle; not only did the MacMillans keep it open but added a new surgery and an additional 25 bed, $150k wing designed by Santa Rosa’s leading architect, Cal Caulkins.

Alas, the momentum only lasted so long; the trend in modern medicine was swinging away from General’s casual, homey approach to Memorial’s network of efficient clinicians and specialists (County Hospital, too, had become a major competitor). General Hospital really did close its maternity ward in 1957 when they were down to 20 births a month. Although Gladys didn’t retire until 1963, the hospital’s best days were in the rearview mirror.

General Hospital’s final act began about forty years ago and is still not quite over.

In 1966 the MacMillans sunk $50,000 expanding the hospital staff and adding new equipment; in 1969 the plan was to promote the place as cardiac specialists, with state-of-the-art gear such as an “external pace-maker” and a “mobile coronary rescue ambulance.” (Later they would boast of a “computerized E.C.G. machine, from which heart tracings are transferred by telephone and readings teletyped back within two minutes.”) Come 1971 and the big deal was their new 24-hour emergency room, complete with an emergency phone number (still no 911 services). Finally the MacMillans gave up and sold the whole works to Memorial Hospital in 1979.

generalor(RIGHT: General Hospital operating rooms in 1962. Photo courtesy Sonoma County Library)

Gone were the big ads with photos of smiling doctors, laughing nurses and even their orderlies and “Green Lady” volunteers; there were no more promises that the hospital was “purposely overstaffed” (“it is the hospital’s aim to make its patients feel at home during their stay”). All that the new administrator, who was brought in from Memorial, advertised was their new St. Rose Alcoholism Recovery Center with its 3-week program and AA meetings, foreshadowing what was to come.

The staff expected Memorial would eventually close the place; they watched as all their expensive medical equipment was wending its way across town, even if Memorial Hospital didn’t need it – Gaye LeBaron had an item about a resuscitator device for newborns being turned into a tropical fish tank. But it still came as a shock to the 134 employees to discover on May 31, 1984, that Santa Rosa General would be closing in 60 days – and they learned about it from reading the newspaper.

“Honk If You Will Miss Us,” read a heartbreaking banner outside the entrance as the last days ticked by and staff members struggled to find new jobs, a problem made worse because Memorial also canned 40 of its own employees at about the same time. Memorial claimed the closure and layoffs were due to anticipated lower Medicare reimbursements, but Memorial Hospital was also in negotiations with the nurse’s union over hours and an increase in pay, with the administrators being quite clear there would be major cutbacks before they made any bargaining concessions.

For about a year the St. Rose Recovery Center was the only occupant of the old hospital, but even that program was moved in April, 1985 to another building nearby which was also owned by Memorial: 600 Morgan street. For the first time in its 65 year history, General Hospital was now empty and quiet. Memorial considered putting it up for sale with an asking price of $2M; the city floated the idea of leveling the buildings for a 300-space parking lot. Can’t have enough parking meters!

The modern homeless-centric era began in 1987, when the Salvation Army wanted to use the hospital building as an emergency 250-bed winter shelter. When the charity, neighbors and members from the Sonoma County Task Force on the Homeless toured the facility, they found squatters living there. One of them, Jerry Rioux, a former carny, gave them an impromptu tour. “I am here to set your mind at ease. This is a great place.” Rioux even offered his services to repair the damage he had caused while breaking in to the building.

Although the Board of Supervisors called the county’s homeless problem “staggering,” they balked at the $20,000 startup cost at first, which caused the shelter to delay opening until February, 1988. Even with that money, the Salvation Army lost $30,000 running the shelter for four months and couldn’t afford to offer it again next winter.

And so we arrive at Santa Rosa General Hospital’s last occupant: Catholic Charities. On Christmas, 1989 they opened their year-round shelter, the Family Support Center, which is still there as of this writing.

In the thirty years since, both the city and Catholic Charities have become more invested in concentrating the homeless in that particular block. In 1992, Santa Rosa used $102k in redevelopment funds to remodel 600 Morgan street as Catholic Charities’ homeless service center. That former home and the hospital were still owned by Memorial and used by Catholic Charities rent-free until they were finally sold to CC in 2015. After the last family moved away last year, Catholic Charities now owns the whole block.

According to current plans the first notable building to be torn down will be “Casa del Sol,” the four-unit apartment building at 608 Morgan Street. Although it was built in 1922, the same year General Hospital was finished, it was never associated with the hospital, as the classified sections in the old newspapers frequently advertise the apartments for rent. The architect was C. A. McClure, who was selling blueprints of this same design to others around Santa Rosa. Also in 1922 a developer used the plans to build the two apartment buildings at 422-426 Humboldt street which are still there – in the center of that courtyard the owner had a canary aviary, since the entire nation was inexplicably going canary crazy at the time.

Should the schedule hold, General Hospital will be demolished on February 1, 2022 because as Catholic Charities’ consultant wrote in the DEIR, the place has absolutely no importance: “[It] is not associated with events that have made a significant contribution to the broad patterns of local, regional, or national history…[it] does not meet the criteria for individual significance and is therefore recommended not eligible for listing on national, state, or local historic registers nor as a contributor to the historic district.”

To that consultant all I can say is this: Do better research. Reading the old newspapers I am stunned at the affection our community expressed for that hospital over its 60+ years. If that engagement with the hospital doesn’t show “a significant contribution” to local history, I think you’ve got your criterion screwed on backwards.

But come 2022 and we find bulldozers awaiting, let’s form a caravan of vehicles down A street that morning and give that old dear a last resounding honk. Yes, General Hospital, we will miss you, deeply. Or should.

1941 view of Santa Rosa General Hospital. Photo courtesy Sonoma County Library
1941 view of Santa Rosa General Hospital. Photo courtesy Sonoma County Library

 

2020 view of former Santa Rosa General Hospital
2020 view of former Santa Rosa General Hospital

 

sources
DEVOTO HOME BEING MADE INTO HOSPITAL

The remodeling of the former David Devoto home on Fourth street, to be used as a sanitarium, is in progress. The work is to he completed about the first of October, when Mrs. Margaret Lindsey Thompson, formerly associated with a prominent San Francisco hospital, will conduct a modern sanitarium. The Devotos are at present residing on McDonald avenue.

– Press Democrat, September 15 1914

 

NEW HOSPITAL IS NOW OPEN
The Lindsay-Thompson Sanitarium, Located on Fourth Street, Admirably Arranged

The Lindsay-Thompson hospital, which occupied the former Devoto residence near the corner of E street on Fourth, has been opened, with Mrs. Margaret Lindsay-Thompson as manager. The big place has been ideally fitted up for a hospital and the large, dry and well ventilated rooms have been comfortably furnished according o the most approved methods for hospitals.

The hospital has all the latest appointments required by medical science and this is particularly noticeable in the operating room, which is equipped with automatic sterilizer and everything calculated to be of service and benefit to the sick and injured…

– Press Democrat, September 29 1914

 

ARTICLES OF GENERAL HOSPITAL ASSOCIATION FILED HERE ON MONDAY

In the office of County Clerk W. W. Felt on Monday articles of incorporation of the General Hospital Association were filed. The incorporators are H. S. Gutermute, A. G. Burns and J. C. Hardin. The two former, Messrs. Gutermute and Burns, are at the head of Burke’s Sanitarium here, Mr. Burns being the manager.

As the name of the concern indicates it is for the management of hospitals, etc. Recently it was mentioned that the Lindsay-Thompson Hospital, in this city, had been taken over by the Burke Sanitarium and in this connection the articles of incorporation were probably filed on Monday. The capital stock of the association is $25,000.

– Press Democrat, October 19 1915

 

BUNGALOWS FOR NEW HOSPITAL
Construction Work on Cottages for the General Hospital Will Be Commenced Today on Minnehan Property.

The General Hospital, conducted for several years past by H. S. Gutermute in the Devoto Home on Fourth street, will be quartered in cottages to be erected on the Minnehan tract within another month, if the plans now under way are successfully carried out.

Mr. Devoto, having decided to take possession of his property, has served Mr. Gutermute with notice to vacate within thirty days, hence the hurried decision to prepare a new home.

William Herbert, the architect, has prepared plans for a series of five bungalow cottages, and W. L. Proctor has been given the contract to erect them on the property at the southwest corner of Seventh and A streets.

The plans were approved Monday afternoon by the city council at a special session, and work on construction will be commenced at once. It is expected lumber will begin to arrive on the lots this morning and a large force of men will be put to work, so construction may be rushed to an early completion.

The plans provide for a series of six bungalow cottages of frame type. There will be an administration building in the center facing Seventh street, with a large court in front. This will give office quarters, matron’s room, reception hall and room with dining-room and kitchen.

Leading from this will be covered hallways connecting four other bungalows which will be used as hospital wards, and one which will be devoted to operation and anesthetic rooms, drug quarters and store-rooms. These will be on either side of the administration quarters and constructed in this manner all will get the sun all day and be extremely well lighted.

– Press Democrat, October 28 1919

 

General Hospital Moves To New Location in A St

The work of moving the General Hospital from its location in Fourth street to the new headquarters in A street started Thursday. It will be the middle of next week before the institution is installed in the new cottages, that have been built at A and Seventh streets.

The Devoto home, where the hospital has been established, will be remodeled and the family will occupy it after the first of the year.

– Santa Rosa Republican, December 12 1919

 

WHERE THE SICK ARE CARED FOR
By C. W. ETHEREDGE

Some weeks ago Ad-Man Banker strolled over to my desk, struggled simultaneously with his moustache and tongue, and finally asked me if ever I did any special stuff, which may mean anything in a newspaper office.

When he said he wanted me to go down and look at the General Hospital and tell Press Democrat readers what I found there. I assured him he was fishing in the wrong creek, but I’d lend him The Walrus to look things over.

In the course of some days she produced (The Walrus is a she) an article and story which was as good as anyone could do on that kind of an inspection – but now I have been here two weeks in person, and I’m glad to tell Santa Rosa people some of the nice healthy and handy things they have lying around loose, unknown or unappreciated except by those who have been in hospital.

H. S. Gutermute, when he planned his new hospital, figured the only way was to build it big or capable of being made big enough for emergencies. That day has nearly arrived, and a chain of sickness and accidents resulted in nearly every room and ward filled. One thing was certain, there were no spare nurses anywhere, and I felt pretty lucky with my chances in getting a private nurse for a couple of weeks.

The General Hospital, seen outwardly, is built of bungalows and courts, in units, connected by runways. Every part of the hospital can be connected with any other, or be entirely segregated. A “flu” ward can be (doesn’t happen to be, though) located across a court and yardway, and I wouldn’t have as much chance of getting the flu as if I were running around loose.

It is this convenience of operation. connection or segregation, which today makes life cast in happier lines, provided you have to be sick, than before Mr. Gutermute carried his plans to completion.

– Press Democrat, February 22 1920

 

MODERN APARTMENT HOUSE COMPLETED

Santa Rosa’s newest apartment house built by C. A. McClure at 608 Washington street, is completed. and waa thrown open to inspection for the first time Sunday.

The building follows the mission style of architecture, with stucco finish, and is one of the most pleasing in the city. Each apartment has four rooms, and is equipped with all modem conveniences. Hot water is furnished day and night from an electrically heated boiler, which serves all apartments.

– Press Democrat, July 25 1922

 

Building Moved Next To General Hospital

H. S. Gutermute, who recently purchased the one-story building opposite the Press Democrat office, has moved the building to his property next to the General Hospital on A street, and will transform it into a stuccoed – finish store building for rental purposes, he said Tuesday.

The fact that an attractive store building next to the hospital will hide from the view of hospital patients the sheet metal warehouses on A street caused him to place tiie building in its present location, Gutermute said. Land between the store and the hospital will lie planted with greenery.

Gutermute purchased the building from Thomas Sullivan, mover. He intends to place a new wall on the north side of the building and to renovate and plaster the interior.

– Press Democrat, November 22 1922

 

General Hospital Is Improved To Meet Increasing Demands

Santa Rosa now has a bungalow type hospital with more than 17,000 square feet of floor space, with 75 rooms and 50 beds for patients, which has been thoroughly equipped with all modern facilities and conveniences. With its medical, surgical and obstetrical wards it can care for all cases from the city and surrounding country for some time to come.

The hospital is owned and operated by H. S. Gutermute, who built up the Burke Sanitarium into a strong establishment in five years and then came into Santa Rosa, where he established the General Hospital in the old Devoto home in Fourth street. Two years later he was forced out when the war-time demand for houses made it necessary for Mr. Devoto to return to the house to reside.

At that time Mr. Gutermute erected the first unit of the bungalow type of hospital to house the General Hospital. This he has improved and added a second unit and completed the exterior with a stucco finish. The new unit in the form of a wing gives 25 additional rooms and has been set apart to include the maternity ward.

FORM OF CAPITAL LETTER

The hospital, which is in the form of a large letter “E” facing the East, is located on the old Menihan property at the southwest corner of A and Seventh streets. The lot is 300 by 125 feet, and the building is 220 feet long, with the three wings 104 feet each. The lot is large enough to allow a fourth wing to be added at any time in the future there is a demand for additional rooms. The building is nestled beneath the large live oak trees, giving it a very pleasant and inviting appearance.

The main entrance, lobby, reception room and office is between the north and middle wings. In addition there are four surgical, three X-ray, two delivery, three utility and seven staff rooms, besides the dining room, kitchen and store rooms. There are two large utility and numerous private bath rooms throughout the building.

The floors of the maternity wing are double and covered with brown battleship linoleum, while the corridor floors are carpeted with sound-proof rubber. The corridors are heated with gas radiators, and there ate electric heaters in each room. All rooms have running hot and cold water.

The furnishings are all of the best quality. The beds are of the latest adjustable type such as are used in some of the largest and most important eastern hospitals, including that provided by Henry Ford for his hospital at his factory.

The maternity wing has been added at the special solicitation of many physicians, who saw the needs of the city in that direction and the requirements of the future. It is expected the ward will be used more and more now that it is available at really less expense than cases ran be cared for at home.

Mr. Gutermute, in speaking of the hospital and its recent enlargement, said he hoped no one would misunderstand and think he was making a mint of money from the Institution, as, in fact, he said, he had been compelled frequently to take money from other enterprises he is engaged in, to meet hospital bills, as the expenses of upkeep and maintenance steadily grow regardless of the amount of business handled. With the enlarged capacity and facilities it is expected the income will increase accordingly as it becomes more widely used.

The Institution is open to all physicians, and already more than a dozen in this city, Sebastopol and other nearby points are using it in serious cases. The management assures all of the best possible care and treatment.

The new hospital will be thrown open for public inspection Thursday afternoon and evening, when all physicians and the public generally are cordially invited to call and inspect the place.

Mr. Gutermute has gathered a very efficient staff of trained workers about him for handling the work of the hospital. Several have been in his employ for five years or more, while all are loyal, experienced workers.

Miss Bertha Levy, the matron in charge, is a graduate of Lane hospital, San Francisco, and has had years of practical experience in such work. She was one of the first nurses Mr. Gutermute secured and she is considered the best in her work to be found. She is always pleasant and agreeable to all with whom she comes in contact and has proved herself an admirable executive.

Miss Elizabeth Tanner is in charge of the maternity ward. She too is a graduate of Lane’s and has proved her worth by faithful continued service in the institution.

Miss Myrna Ewing, who is head of the surgical yvard, is a graduate of the Mt. Zion hospital, San Francisco, and is faithful and efficient in her work.

Miss Mario Behrns, a graduate of the Alameda county hospital, and Miss Marie Darcy, graduate of the Idaho state hospital, have been with the hospital for several years. Mrs. Swisier is the night nurse while the Misses Naoma Pitkins and May Mendoca are two undergraduate nurses doing faithful work under instruction.

In addition the staff has a cook who has been there for several years, a maid, porter and yard man to keep the place up in proper condition.

It has been well said that a building does not make a hospital any more than a house makes a home. It is the care and treatment afforded by the staff, the kindly and courteous little attentions given patients which goes to make up the hospital as it does the home. All of these are afforded nf the General Hospital.

– Press Democrat, December 10 1922

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THE ANTI-VAXXERS OF 1920

The past is just a story we keep telling ourselves.

That’s a throwaway line from a recent film, “Her” (good movie) and not entirely original; “[something is] a story we tell ourselves” first appeared around 1960 and has become exponentially more popular since then, as shown by Google’s Ngram Viewer. What makes this version memorable, however, is that it’s uniquely wrong.

History (for the most part) is a story we DON’T keep telling ourselves. We only talk about an event when it’s big and momentous or directly related to our lives in the here and now. A more accurate version of the quote would be, “The past is just a story we keep forgetting to tell ourselves” and as a result, we don’t learn from the past and find ourselves repeating it. History is not a guide to understand our march toward the future; history is a treadmill.

This article is part of a series on the 1920s culture wars, an era with numerous parallels to America today – and no issue has found itself resonating again as much as the anti-vaccination movement. I’ve written twice before about the “antis” of a century ago (here’s part one and part two) but to recap and expand:

The only vaccine that existed in the early 20th century was against smallpox (MMR, HepB, DTaP, RV or any of the other modern vaccines were decades away). Since 1889 California had required all children to present a smallpox vaccination certificate when they registered for school. Opponents lobbied Sacramento to pass a couple of bills repealing the law but governors vetoed the legislation both times. The state Supreme Court upheld the requirement in 1904 and the U.S. Supreme Court ruled the same way the following year. Yet the anti-vaccinationists never gave up; they kept forming grassroots anti chapters, signing repeal petitions and writing letters. At the start of every school year some parents would keep their kids at home or protest to the school board – some apparently not over vaccine anxiety but because they couldn’t afford to consult a doctor. More on this in a moment.

At the same time a new anti-vaccine ally popped up in California: The chiropractors.

Over a century ago there were some three dozen types of physicians; some were licensed in some states, with many like Mrs. Preston of Cloverdale, operating in a gray area by claiming they were not really practicing medicine. Among the fields of quackery were eclecticism (adjusting the 12 “tissue salts” in the body), electropathy, homeopathy, hydropathy, vitaopathy, psychiropathy (apparently a combo of hypnotism with massage) and naturopathy.

Chiropracty stood out for several reasons, particularly because a treatment could result in immediate pain relief in some cases. They also had more training than other alternative physicians, spending a year at the Palmer School of Chiropractic in Iowa. But as noted in a 1921 exposé written by a member of the California state medical board, no applicants at the time were turned away and not even required to have a grammar school education. There was an emphasis on teaching salesmanship and how to use publicity, with the school running a large printing office to create newspaper advertising and pamphlets. The message they were selling was that chiropracty could cure any disease and conventional medicine was useless.1

The first chiropractor appeared in the Bay Area in 1904 and one set up office in Santa Rosa five years later. By 1922 there were seven in the City of Roses, most of them clustered in the new Rosenberg building at the corner of Fourth and Mendocino. They distinguished themselves from quack healers using gimmicks and sold themselves as pioneers of a new wave of medicine embracing up-to-date technology – note the ad below for the “X-ray chiropractor.” They were men of science whose livelihood depended upon peddling notions that germs didn’t cause disease and vaccines were a hoax.

George Von Ofen was not Santa Rosa's first chiropractor but he was the most prominent by 1922, running these large display ads in the Press Democrat
George Von Ofen was not Santa Rosa’s first chiropractor but he was the most prominent by 1922, running these large display ads in the Press Democrat

 

Their basic text, the 1906 “Science of Chiropractic,” denounced vaccinations as dangerous and often lethal. (Don’t miss the long section on sales and marketing where students were promised they would make lots of money.) Written by chiropractics founder Daniel David Palmer – who had earlier claimed he possessed magnetic hands – the book was filled with dangerous misinformation. Smallpox was not contagious (he said it’s spread by bedbugs) and spinal adjustments could cure polio, asthma and cancers (which were caused by “too much heat produced by calorific nerves”). It spread fear about vaccines with its heart-wrenching photos of deceased children along with anecdotes from their bereaved parents and by making outrageous statements which were not remotely true, such as “[vaccination] has now been made a crime in England”.

It’s surely no coincidence the antis’ literature soon began to mimic his style. There was more hyperbole (a 1907 letter in the Santa Rosa Republican claimed “vaccination is responsible for more or less of leprosy”) and conspiracy-think: Doctors were trying to bamboozle people by using “cooked-up statistics,” all in order to perform a large scale experiment on the public and/or make themselves rich on fees from giving injections. To support their case, the antis followed Palmer’s example by leaning hard on unverifiable anecdotes and outright lying about events – see sidebar.


MR. TAYLOR’S DECEITS

The antis loved quoting experts, as long as they knew nothing about public health medicine or were comfortably deceased. The PD printed a letter in 1913 from Samuel Taylor of the California Anti-Compulsory Vaccination League which claimed to quote “noted physicians” such as Dr. A. Vogt of Berne University, who supposedly examined the records of 400,000 vaccinations and lost all confidence that smallpox vaccination worked. “Vaccination is a curse,” another doc supposedly said. Taylor never revealed he apparently rustled his info from pamphlets of earlier anti-vaccinationists and the supposed quotes related back as far as the Franco-Prussian War of 1870. This little assortment of dismal tidbits can be found reprinted in American newspapers through the early 1950s.

The Press Democrat letter was also notable because it closed with an anecdote which had nothing to do vaccination, but revealed a sophisticated understanding of how propaganda works:

Just a hint to parents. In Winnetka, Illinois, girls in the new Trier High School were compelled to submit to complete physical examination. They were taken to the gymnasium and stripped of all their clothing. In the presence of other girls they were examined. A request from their parents to excuse them, and a physician’s certificate were ignored. The Inspector and the school authorities held themselves superior to both parents and family physician. The girls were led to the gymnasium and compelled to submit. When a protest was filed on the ground that the Schools were free and no physical examination could be required as a qualification of admission, the newspapers published the story. The board of education met, and decided that the physical examination was not required for admission to the high school, which was public and free.

In truth, there was a complaint from one 16 year-old girl who signed up for a physical education class; she and about ten other girls were brought to the female instructor’s office and told to change into robes, as they needed to be checked for skin diseases before being allowed to use the swimming pool. The facts were altered to evoke a reader’s feelings of disgust and anger – emotions which are well-known for their success at leading to people develop strong negative opinions about something.2 Taylor’s goal was to polarize the public’s views against schoolkids being “compelled to submit” to authorities for medical reasons.

While they always played the underdog, the antis rarely lost. In 1910 they won a surprise victory when a Superior Court judge ruled the vaccination law only applied to students in public schools; the decision caused excitement statewide with the Press Democrat printing the story at the top of the front page. (The judge also said there was no need for enforcement as there was no epidemic at the time, revealing his bias in favor of the anti-vaccinationists.)

Less than a year later they won a bigger prize. The state made vaccination optional, and any family with “conscientious scruples against vaccination” could opt-out as long as they submitted a no-consent form at the start of the school year. The new law declared any students not vaccinated would be blocked from attending only in the case of an epidemic.

Smallpox cases quickly began to increase. Over the next eighteen months there were 279 reported cases in the state with at least ten deaths (that was up to March, 1913; final statistics for that year alone show 800 cases and 15 dead). In Berkeley, five of the eight people who contracted smallpox died. Unbelievably, propagandist Samuel Taylor put a positive spin on this news: “The percentage was very small, about one case to every eight thousand inhabitants.” Not reassured, over a thousand UC/Berkeley students rushed to get revaccinated or receive their first vaccine.

Taylor, always a publicity hound, also pushed his way into the newspapers during a dramatic 1914 incident in Oakland. It was discovered that a conductor on the train coming from Oregon was infected and the cars were sidetracked before reaching the station. Oakland health officer Dr. Allen Gillihan, with assistants and police, boarded the train and forcibly vaccinated the 56 passengers. (Two mothers with small children refused and were not vaccinated.) Taylor made the papers by telling the press an assemblyman was going to introduce an emergency bill to have manslaughter brought against Dr. Gillihan should any of the passengers die because of the vaccine – although odds of which were nil.

For the rest of the 1910s all was (mostly) quiet on the anti front – nothing more can even be found from the very vocal Mr. Taylor. “The number of parents who are conscientiously opposed to vaccination has dwindled from an alarmingly large number to practically none at all,” remarked the Press Democrat in 1919. That year over 500 children received vaccinations paid for by the Santa Rosa school district, so the expense of a doctor’s visit must have played a significant part in earlier protests. Dr. Gillihan – who became Santa Rosa’s health officer not long after the train vaccination – was now an inspector for the State Board of Health, and similarly vaccinated 1,800 in Chico in one week. There he was charged with battery over not having a parent’s vaccination consent, which shows there were still diehards.

And that brings us to the watershed year of 1920. The California ballot that year must have puzzled voters. Amid the usual assortment of items regarding taxes and bonds were two propositions which we would today consider feel-good questions. One seemed to oppose the torture of animals; the other stopped schools and the state government from discriminating against sick kids. Who could oppose things like that?

Although the items seemed harmless enough, on closer look a more distressing agenda appeared. Prop. 6 would have made vaccination entirely voluntary, turning it into a “don’t ask, don’t tell” issue for schools. Prop. 7 would block all medical research using animals as well as prohibiting smallpox vaccines because it required extracting serum from living cows.

We can’t be sure who paid to organize the signature campaigns to get these on the ballot, but from newspaper ads before the election there was backing from the usual American Medical Association foes, including Los Angeles chiropractors, the Anti-Vivisection Society and proto-libertarian national groups such as the American Medical Liberty League, which wanted absolutely no government involvement with medicine. And because this was during the hyper-patriotic culture war, ads and endorsements were wrapped in the flag and touted the issues as about “medical freedom.”3

amendment6(RIGHT: A deceptive ad from the antis intended to confuse voters. If it had passed, the new law would have blocked all means to stop an epidemic except via aggressive quarantines. Petaluma Argus, Nov. 1, 1920)

There were two other related propositions: Number 5 would create a state board of chiropractors to license themselves (something sought for years via the legislature or voters) and number 8, which regulated opiates and cocaine – curiously, it allowed doctors to prescribe the drugs to addicts, but any medicinal use required filing a report to the state pharmacy board.

A speaker from a public health group came to Santa Rosa and spoke on these four proposals, which he dubbed the “Quack Quartette.” His comments (transcribed below) explain the awfulness in all but the drug item. To that I’ll add only the perspective that the chiropractors had been pushing hard for their own licensing board since 1914, and it’s easy to see why; a report from the State Board of Medical Examiners found 2 out of 3 couldn’t pass an examination on basic anatomy.

The good news was that the anti-vaccination proposition lost by 56 percent (the chiropractor and vivisection amendments also failed to pass). The bad news is that the legislators still gave the antis their victory.

Changes to the state vaccination law in 1921 no longer required teachers to collect vaccination certificates or non-consent slips. If a child in the school district caught smallpox only those who were unvaccinated and exposed to the sick kid would be sent home for quarantine. As it was now impossible for the school to know who was vaccinated and who was not, what did they do? “Students, little Tommy has smallpox and everyone who hasn’t been vaccinated gets to stay home for two weeks. Can I see a show of hands?” That worked out swell, I bet.

There were now regularly thousands of cases every year in the state.4 California was fortunate that only the milder form of smallpox was found spreading. Sonoma county was extraordinarily lucky; the only child who became ill here in the early 1920s was a boy in Penngrove. “This is the first case of smallpox in this vicinity for some years and it is causing a scare because smallpox is rapidly gaining in the state owing to carelessness in vaccination and it is serious in several parts of California,” the Petaluma Argus remarked. “There is more smallpox now than for many years and it is increasing at an alarming rate while the illness is more severe than it has been for years and there have been numerous deaths.” That year 56 people died in the state, the highest since before the turn of the century.

There were no more anti-vaccination protests, of course; they had been given everything they ever wanted.

For those who embrace science and believe it’s not a good idea for people to unnecessarily get sick and die, this has been a depressing story – and it gets worse. Remember Dr. A. Vogt and the other vaccine skeptics from the 1870s who were quoted by Taylor in his letter to the PD? Today you can find many of those exact same quotes rehashed in brand new anti-vaxx books and recent websites – although now scrubbed of dates and any other historical context. Apparently Dr. Vogt is still gnashing his teeth over vaccines some 150 years after his heyday.

Maybe there are lessons to glean from the anti-vaccination squabbles of that era, but caution is needed; as a starting point, all of us should have some empathy for the antis prior to 1914 (well, all except for Mr. Taylor). Had I lived back then I might have felt leery about smallpox vaccination, but not because I believed vaccines were phony. There was a certain amount of risk in any doctor visit because medicine was then still in a generally barbaric state – no antibiotics, poor understanding of infection prevention and primitive test equipment for diagnostics.

Then there was often a question of whether any particular vaccination worked; that article about the 279 smallpox cases revealed about eight percent had been vaccinated, but not successfully. The failures could have been because the culture was dead, was low potency or the patient’s immune response was too strong. But it took a day or three and an expert eye to tell if a proper pustule had developed, which might mean another visit by the doctor. Also, an additional eight percent of the cases had been vaccinated in childhood but immunity in those vaccines lasted less than a dozen years.

And let’s concede some people really did die because of being vaccinated, although even the diehard antis never claimed there were very many (in New York state the ratio was reportedly five in a million in the late 1910s). They didn’t know how to sterilize the live animal serum extracted from cow/calf lymph glands until 1914 and the other vaccine source was using a fresh scab from someone with the disease – certainly a chance of infection either way.

Despite all those little risks, the odds of dying from the more aggressive form of smallpox was about one in four, so vaccination was always the wisest course for anyone thinking straight. But none of that mattered because the antis had a simple and effective counterargument – it just didn’t make sense to expose healthy people to a disease in order to prevent them from later getting sick. That’s the most common message repeated in their letters and pamphlets, often with the vaccine being scorned as “filthy,” “disgusting,” “rotten” and see above re: disgust being a most effective way to shape a negative opinion.

The anti groups and the chiropractors effectively won the fight through manipulating fears, but the irony was that the champions of vaccines had a much more powerful weapon of this type which wasn’t used – horrific photos of children infected with smallpox. Had these been as well circulated as the antis’ pamphlets, the public would have begged for mass vaccinations. Here’s an example, and I’m linking to a Snopes.com fact-check page to assure Gentle Reader this is not a pre-Photoshop fake image. On that page click through their link to the “Atlas of Clinical Medicine, Surgery, and Pathology” to see more, if you have the stomach.

vaccinationcartoonSometimes efforts were made to get these images into view, only to find them thwarted by antis. In June 1913 the Berkeley Board of Health wanted to post photos of smallpox victims at city hall but an anti councilman blocked the effort, saying it was “evident intention of frightening people into an adoption of the unprovable theory that vaccination prevents smallpox.”

All of this resonates with the anti-vaxx dilemma today. Scientists are continually publishing studies showing modern vaccines cause no harm (PARTICULARLY NO INCREASE IN AUTISM) but that information is ignored by those endlessly tormented by the fear in the air. I visited scores of anti-vaxx websites this week (there are reportedly about 500). Want to know what I found? Not reasoned arguments refuting the science studies – but stock photos of babies crying and cringing from a doctor while receiving a shot. Hello, emotional triggers.

And just as the Press Democrat innocently became an accomplice by printing the antis’ propaganda in 1913, today Facebook and other social media are complicit in spreading misinformation. As of this writing (2019) anti-vaxxers have gamed Amazon to push anti-vaccine books by swarming the site with bad reviews for pro-vaccine books.

Thus far the year 2019 is looking a lot like 1912 in the last century’s culture wars, when parents were increasingly opting-out of smallpox vaccinations – which led to the 1,100 percent rise in smallpox cases over the following decade. And now there’s a skyrocketing resurgence of measles because there are regional pockets where parents are likewise choosing to opt-out by claiming religious or moral exemptions. Will the unease of a few again outweigh the needs of the many?

If history is indeed a treadmill, brace for a near future where old childhood diseases come roaring back and common ones increase by over a thousand percent. To pretend that can’t happen is folly.


1 The Chiropractic Problem; Dr. Charles B. Pinkham, Secretary-Treasurer, Board of medical examiners, state of California; American Medical Association Bulletin; January 1921

2 How Emotional Frames Moralize and Polarize Political Attitudes; Scott Clifford; Political Psychology; 2018

3 Medical Liberty: Drugless Healers Confront Allopathic Doctors, 1910–1931; Stephen Petrina; Journal of Medical Humanities; 2008 (Nothing specific to California, but good background on the American Medical Liberty League and National League for Medical Freedom)

4 Smallpox Deaths/Cases per year, 1918-1925: 3/1016, 5/2002, 7/4492, 21/5579, 20/2129, 1/2026, 56/9445, 58/4921. California. Dept. of Public Health Biennial Report, Volumes 26-30

(ABOVE: Rally of the Anti-Vaccination League of Canada in Toronto, November 13, 1919. The “German born” sign refers to Germany making smallpox vaccinations compulsory in 1874. As this rally was held just a year after the end of WWI, the message is clearly intended to associate the public’s lingering hatred of Germany with vaccinations)

Undated cartoon, source unknown
Undated cartoon, source unknown

FIGHTING VACCINATION.

It is passing strange that Berkeley, a community of more than average intelligence, lying as it does in the very shadow of the university, is the center and hotbed of the anti-vaccination movement. There are, it is true, some other advocates of the spread of smallpox in other parts of the state. Santa Cruz has a small colony, and Los Angeles, which is the home of isms and schisms, only second to San Diego, has also a few friends of the dread disease; but Berkeley has the doubtful honor of being the center of the movement to prevent the stamping out of smallpox; and already, the primaries being over, has started once more to carry out its ideas at the expense of the health of the people of the state. Once more the fight for safety must be begun also.

The sole argument the antis have to offer is that some children have died from the use of bad vaccine, and that others have contracted serious diseases from the use of impure scabs. No one will deny either contention, and if it were simply a question of insisting that the best of vaccine should always be used and that the physician should be held responsible for the condition of the matter and of the instruments he uses, there would be no dispute over the subject anywhere in the state. But with the logic of fanaticism, the Berkeleyites insist that no one shall be vaccinated because some have died and others have been made ill as a result of carelessness. They insist that smallpox shall not be stopped: that all the children !n the state shall be exposed to danger and disfigurement because some few persons do not want their children protected. The vast majority of the people of the country, of the civilized world, believe in vaccination, and yet the infinitesimal minority, against all experience, against the well established facts in the matter, against every teaching of modern medicine, insist that the vast majority must suffer because of their disapproval and absurd theories.

Any student of history knows what a dread disease smallpox was for centuries. Any reader knows that it is a minor disease since the utility of vaccination was discovered. Here in California we have only one case of smallpox in five thousand cases of disease, and only one death in one hundred eases of smallpox. In a word, thanks to the thorough vaccination of the children and adults of California, the disease has practically been stamped out here, and yet a few fanatics insist that such desirable and wonderful results shall be destroyed, because once or twice impure vaccine was used.

It is time that the people of the state aroused themselves and let their views on this subject be known to their representatives in the legislature, or it is possible that again, as has occurred severnl times before, the legislature will pass a law repealing the one on the statute books, and an epidemic of smallpox will result. Only the veto of the Governor saved this state the last time the experiment was tried, and as neither of the candidates for the governorship have announced their views on the subject, it is safest to kill the propaganda when it first appears in the introduction of repeal bills in either house. This is not a trifling matter. It is a very serious one. and one that should be watched carefully and fought energetically.

– Sacramento Union, September 24 1910

 

VACCINATION TO BE PARENTS’ OPTION
Senate Bill Passed in Assembly Which Removes Obligations Placed on School Children

Vaccination furnished the topic of the nearest approach to a fight in the Assembly Wednesday in the course of the passage of the few bills whose authors had energy enough to call them up for consideration when they were reached on the file. But even this near approach to a clash between the members of the lower House failed to furnish more that a slight diversion from the routine of the day. with but eight dissenting voices, Senator Hurd’s bill (Senate bill No. 655) was passed by the Assembly and sent to the Governor for his approval of its provisions removing the requirement of vaccination as a condition of admission to the public schools of the State. The bill makes vaccination of children optional with parents.

… Assemblymen Schmitt and Chandler were the only open opponents of the bill in the discussion prior to its passage. Chandler declared that “there are a few old women down in my district who are against vaccination, but I am in favor of it and will vote against this bill.” Schmitt declared that he would vote against the bill in question because of his fear that its passage would lead to the ultimate repeal of all legislation pertaining to vaccination.

But Joel lost his motion to continue consideration the bill, and it came the final vote of 58 to 8…

– Press Democrat, February 24 1911

 

VACCINATION MEETING IS RIOT
Aged Stepfather of Health Officer Benton Hissed for Defense of Physician
Police Chief Restores Order When Session of ‘Antis’ Grows Too Stormy

[California Anti-Compulsory Vaccination League meeting in Berkeley
story ends by noting five out of nine smallpox cases in Berkeley were fatal]

– Oakland Tribune, January 31, 1913

 

CALIFORNIA ANTI-COMPULSORY VACCINATION LEAGUE STATE HEADQUARTERS
Berkeley, California, Jan. 20, 1913

The citizens of Berkeley have been thrown into a deplorable condition by an over zealous Health Board, after the discovery of eight cases of smallpox. The percentage was very small, about one case to every eight thousand inhabitants. So insistent were these officials for WHOLESALE VACCINATION, they threw the people into a panic, thereby causing a withdrawal of several hundred pupils from certain schools. Thereupon the School Board deemed it wise to close ALL schools. However, that did not prevent them from insisting upon a wholesale vaccination of school children and teachers. Articles that they caused to be printed so excited the parents that even people who had an aversion to vaccination were terrified into having their children vaccinated.

They have boasted that they would destroy our League in Berkeley, the city of its birth. THE IRON HEEL OF THE MEDICAL PROFESSION in the part two weeks has ground harder and deeper than in the past nine years of the League’s existence. Our Treasury is depleted. Briefs carrying our case against the University of California to the Appellate Court amounts to $104.90. Three lawyers’ fees, $150. Besides paid advertisements in local papers, literature, stamps, etc. There is no officer connected with our League receiving any salary. The life of our League is at stake. Can you assist us financially? If so do so at once. Interest your friends in our League, your city may be the next to be visited by an epidemic.
Very earnestly yours,
SAMUEL TAYLOR

 

CASES OF SMALLPOX GROWING RAPIDLY
Twenty-Seven in Sacrarnento Since January – Other Cities Suffer Same.
TWENTY-SEVEN THIS YEAR
Secretary of the Health Board Charges Increase to Anti-Vaccination Idea,

During the year 1911, when the effect of the compulsory vaccination law could still be felt, the number of smallpox cases in Sacramento was limited to three.

In 1912, following the repeal of the compulsory feature of the law and the substitution of one requiring the exclusion of unvaccinated children from the public school only when smallpox existed in the particular school or district to which they belonged, the numbers of cases mounted to twenty-nine.

For the two and a half months of the year 1913 there have already been twenty-seven cases reported in this city. If this ratio is maintained the total for the year will reach 130, or more than forty-three times as much as in 1911.

Smallpox is not exactly epidemic, but there is an alarming increase in the number of cases, and according to the reports of the state board of health the experience of other cities in state is not unlike that of Sacramento.

HIGH DEATH RATE.

The recent outbreak in Berkeley had fatal consequences for five out of ten persons who contracted the disease within one circle of focus, originating from one person, and there were thirteen cases altogether. In Imperial Valley, four out of eighteen persons died, when the disease was introduced in one of the valley towns.

In almost all of the cases the patients had either not been vaccinated or not successfully vaccinated. Of 279 cases of smallpox reported in the last year and a half there were 228 where the patient had not been vaccinated, 22 not successfully, 22 successfully in childhood, from twelve to fifteen years previous, 2 where the victim had previously had smallpox and 5 where there had been successful vaccination.

These figures are presented by Dr. W. F. Snow, secretary of the state board of health, who was asked yesterday to back with data the statement that there is an increased and increasing prevalence of smallpox in California and to account for the phenomena.

“They are no doubt directly traceable,” said Dr. Snow, “to the modification of the compulsory vaccination law and the agitation that has been going on insistently against vaccination. During 1907 and 1909 a very active campaign was conducted against compulsory vaccination and it finally resulted, in 1911, in the repeal of the law and the substitution of the present one.

INCREASE OF EXPOSURES.

“Letting down the bars has of course produced an increasing population of unvaccinated, and the more unvacclnated there are the greater the opportunity for contamination and contagion. This danger is increased by the fact that the population of the state is increasing all the time, which, with the new ramifications of commerce, results in a larger proportion of exposures.

“When a disease has once been well under control it takes time for it to become re-established, and that is what is occurring with smallpox. There seems to be no apparent reason why, now that the gate is open, smallpox cases will not go on increasing in numbers. It is not putting it too strongly to say that if we had compulsory vaccination we wouldn’t have smallpox.” Dr. Snow says also that an alarming incident in connection with the disease is that the confluent type, the most violent and loathsome of all, is becoming more prevalent. In recent years this form of the disease was almost unknown.

– Sacramento Union, March 15 1913

 

MUST PRODUCE CERTIFICATES
Requirements of Students Attending School Here Next Monday Morning

Health Officer Jackson Temple stated yesterday that in order to prevent disappointment when the schools assemble after summer vacation next Monday, the pupils will be required to show vaccination certificates, or else certificates showing that their parents have conscientious scruples against vaccination, or else they will not be allowed to attend school.

The law requires that the Board of Education furnish the certificates setting forth conscientious scruples against vaccination which will be handed to their children to be taken home for signature, by their parents. In the case of any infectious disease breaking out in a community the children who have been vaccinated will be allowed to attend school and those who have not will have to remain home.

Dr. Temple further stated that Santa Rosa had been freer from cases of smallpox than possibly any other city of its size in the State and at the present time there is no case in the city limits.

– Press Democrat, August 20 1913

 

MEDICAL FREEDOM AND VACCINATION

Wednesday morning the Press Democrat published the announcement that Health Officer Jackson Temple, M. D., would demand either a vaccination certificate or one setting forth the fact that a child’s parents had conscientious scruples against vaccination when the schools reassemble again next week.

Wednesday morning the following communication from the Santa Rosa Branch of the American League of Medical Freedom was handed in at the Press Democrat office with a request for its publication:

“Compulsory vaccination has been abolished by the California Legislature, and those who do not wish to have their children vaccinated have only to fill out a blank similar to the following, and the child is then not required to submit to vaccination.

“In case of a smallpox epidemic the school board have the power to exclude from school all un-vaccinated children coming from the district only in which the cases are found.

“Sample of Exemption Certificate…

“…I hereby declare that I am conscientiously opposed to the practice of vaccination and will not consent to the vaccination of ___________
Signed Parent or Guardian _____________.

“The following citations are from noted physicians and from records taken from the past experience where vaccination has not proven a preventive. These are only just a few of conclusions cited from a large number of physicians…

“…Sorry, but space will not permit, we could keep you reading all day on just such data that is against vaccination. A similar theory to that of vaccination is medical inspection of school children. Compulsory treatment will be next wanted by a great many of the M. D.’s.

“Just a hint to parents. In Winnetka, Illinois, girls in the new Trier High School were compelled to submit to complete physical examination. They were taken to the gymnasium and stripped of all their clothing. In the presence of other girls they were examined. A request from their parents to excuse them, and a physician’s certificate were ignored. The Inspector and the school authorities held themselves superior to both parents and family physician. The girls were led to the gymnasium and compelled to submit. When a protest was filed on the ground that the Schools were free and no physical examination could be required as a qualification of admission, the newspapers published the story. The board of education met, and decided that the physical examination was not required for admission to the high school, which was public and free.”

– Press Democrat, August 21 1913

 

VACCINATION MADE SAFE BY SCIENCE The anti-vaccinationists are about to lose their strongest argument. Their most telling objection against vaccination has long been that it was impossible to get absolutely pure vaccine matter; notwithstanding the greatest precautions, like the use of calves kept under specially sanitary conditions, the lymph obtained would not infrequently contain deleterious germs. According to the German Medical Weekly, however, a way has at last been found for sterilizing lymph so thoroughly that its purity can always be relied upon. This has been accomplished by Prof. E. Friedberger and Dr. B. Mlronescu, who have availed themselves of the well-known principle that the ultra-violet rays of light are destructive of bacterial life. The virus is put into small tubes of quartz-glass, which are then exposed to the ultra-violet rays from an electric lamp. In 20 or 30 minutes there is not a live germ left in them.

– Sacramento Union, July 19 1914

 

VACCINATION ORDER IS BEING RIGIDLY ENFORCED

The desks of the principals were piled high with vaccination certificates at the high school Monday after a campaign among the students, in which a certificate dated not earlier than 1907 was compulsory with the alternative of a note from the parent or guardian to the effect that they were opposed to the treatment. Dr. Jackson Temple, the health officer, was a busy man and in spite of the bruised arm which he sustained in Sunday’s accident and wore in a sling moved among the mass of students with a pleasant smile.

– Press Democrat, September 15 1914

 

Dr. Gillihan Defendant in Battery Charges

Dr. Allen F. Gillihan. an inspector for the State Board of Health, who was formerly stationed in Santa Rosa, is facing battery charges in Chico as the result of his activity in enforcing vaccination among school children during a smallpox epidemic in that vicinity. He denies having forced vaccination where there was objections, however.

– Press Democrat, March 1 1919

 

PARENTS CONVERTED TO SCIENCE Over 500 children have been vaccinated by Dr. Juell, the school doctor, so far this year. It has been discovered since the vaccinating is done in the school and without charge that the number of parents who are conscientiously opposed to vaccination has dwindled from an alarmingly large number to practically none at all.

– Press Democrat, October 19 1919

 

THREE AMENDMENTS GIVEN OPPOSITION, ONE FAVORED
Sonoma County Public Health Association Talks of New Laws at Meeting Here Yesterday in the City Hall.

“Don’t close the door of hope for cancer victims, now or in the future. Don’t undo all that has been done for the restriction of tuberculosis. Don’t deprive the choking child of the diphtheria serum, without which his gasping must be futile, without which be must be snatched by death. Don’t, please don’t tie the hands of the physicians. Don’t make futile all of their efforts for the alleviation of human misery. Don’t throttle education in the State of California. And above ail else, don’t make suffering little children the victims of a misplaced sympathy for mice, rabbits, guinea pigs and the like.”

This was the appeal of Celeste J. Sullivan, secretary of the California League for the Conservation of Public Health, to the audience assembled in the council chamber of the city hall Tuesday afternoon; an audience, by ths way, that entirely filled audience section of the room and overflowed into the section reserved for the council members. The meeting where Mr. Sullivan spoke was the annual assemblage of the Sonoma County Public Health Association, and it attracted representatives from various portions of the county…

“…That No. 5 promises the appointment of a special board of examiners for chiropractic physicians and thereby opens the way for the appointment of at least twenty-seven other special boards of examiners for the various other similar cults in the state, is the special argument advanced against it.

“No. 6 is a blow not at vaccination, which in this state is not compulsory, but it aims a death blow as well at inoculation and medication of every kind and would irrevocably tie the hands of the state board of health, making that board absolutely powerless. Further arguments advanced against it by Mr. Sullivan are that if passed it would jeopardize the lives and health of our children by permitting absolutely no disbarment from school or any other public place of persons afflicted with communicable disease, thereby giving no leverage in arresting any epidemic.

“No. 7 aims to make illegal all experiments on live animals. It would absolutely check ail advance in surgical and biological experimentation, stop laboratory work in our universities and colleges, our medical schools and even our high schools, do away with the possiblity of manufacturing not alone preventative serums of all character, but as well strike a death blow to anesthesia and through this to human surgery. Not alone that, but it would put an absolute stop to all experimentation made in the interest of our farm animals, hogs, chickens and cattle.”

“Does California want that?” asks Mr. Sullivan. If we overlook entirely the human element and put the lives of guinea pigs before those of little children, are we willing to go back to the loss of millions of hogs annually? And in reference to the charges of cruelty, the speaker made it plain that the laws of this state are in absolute accord with the requirements of the humane societies, which demand the administration of an anaesthetic in every instance before experimentation. Furthermore, all experimentation laboratories within the state are at all times open to the public.

In connection with this amendment. Mr. Sulivan drew attention to the fact that it will prohibit the killing of tubercular infected cattle, except in the course of a regulation meat supply. ”Do we want this in California?” he further asked of his audience.

No. 8 deals with the curbing of of the drug menace. The last legislature passed the measure and the governor placed his signature to it, showing how our lawmakers feel in the matter. On this measure a “yes” is urged….

– Press Democrat, October 13 1920

 

VACCINATION BILL VETOED BY SENATE

Despite opposition and the absence of ten members, the Senate late today passed. 23 to 7, Senator Crowley’s bill to repeal the compulsory vaccination act and to place control of small pox in the hands of the state board of health. Nelson and others objected to the section of the bill stating that “the control of small pox shall be under the direction of the state board of health, and no rule or regulation on the subject of vaccination shall be adopted by school or local health authorities.”

– Press Democrat, April 6 1921

 

Dr. H. F. True Tells of New State Vaccination Law

Dr. Herbert F. True. Director of the Los Angeles School Health Department, in explaining the new state vaccination law which went into effect in California on July 23. makes the following statement for the guidance of parents, teachers and school officers:

“In event that a case of smallpox develops in a school district, the only persons who will be excluded from school will be the patient and other residents in his home. Persons who have been exposed by these other residents who have not been vaccinated will not be excluded as heretofore. This will mean a great saving to the schools, in that the attendance will not be cut down every time a remote exposure occurs in a school.

“If, however, smallpox becomes very prevalent in the district, the Public Health Officer may order the entire closing of the school to all persons, no distinction being made between vaccinated and unvaccinated children.

“Teachers will not be under the necessity of filing vaccination cards with the schools, nor will they have to require vaccination or opposed-to-vaccination cards from the pupils.”

The law which Dr. True refers to, and which, as he says, removes the distinction formerly drawn between vaccinated and unvaccinated children, so that the unvaccinated now have the same freedom in attending school that the vaccinated enjoy, was enacted by the California legislature at its last session, and reads as follows:

“The control of smallpox shall be under the direction of the State Board of Health, and no rule or regulation on the subject of vaccination shall be adopted by school or local health authorities,”

– Press Democrat, August 18 1921

 

SMALLPOX CASE AT PENNGROVE

Norman Johnson, the seven year-old son of Mr. and Mrs. Gus Johnson, is ill at his home at that place with a pronounced case of smallpox. The home has been quarantined by the county health authorities and the school was closed Thursday and will reopen on Monday morning.

The county health authorities announced formally today that the school children who are not vaccinated between now and Monday morning will not be allowed to attend school on that day or until they are vaccinated…It is thought that there will be more cases as many children have been exposed to the disease…

This is the first case of smallpox in this vicinity for some years and it is causing a scare because smallpox is rapidly gaining in the state owing to carelessness in vaccination and it is serious in several parts of California. There is more smallpox now than for many years and it is increasing at an alarming rate while the illnes is more severe than it has been for years and there have been numerous deaths.

– Petaluma Argus, June 12, 1924

 

VACCINATION BANNED AT BURNSIDE SCHOOL

Parents of the Burnside district have refused to allow their children to be vaccinated in the drive being made by Sonoma county health authorities. Not one student in the school was vaccinated, the parents having declined to have the children undergo the treatment. – Press Democrat

– Petaluma Argus, November 22, 1924

Read More

Ed Heald

SOMEONE YOU KNOW DIED TODAY, AND LIKEWISE TOMORROW

Forget the 1906 earthquake: The “Spanish Flu” which swept through Sonoma county in 1918 was the worst disaster to hit Sonoma county – or at least, since the smallpox epidemic  wiped out nearly everyone in the Pomo communities in 1837.

Our ancestors here were caught off-guard even though there was a month’s notice that it was remarkably deadly and would inevitably reach Santa Rosa. From mid-September onwards the Press Democrat and Argus-Courier printed bad news every day. There were seventy deaths a day in New England. It was spreading rapidly through the Army camps in the East and Midwest; the number of soldiers and sailors infected doubled every few days – 23 thousand total, 42 thousand, then 14 thousand new cases in a single day. The military reported 112 dead, then 377, then 653. By the beginning of October the killing disease was now in almost all states.

They had no defense against this influenza, which usually resulted in a severe case of pneumonia. Although this was before the discovery of antibiotics, they could treat pneumonia with an antiserum (or “syrum,” as the Press Democrat spelled it), but only if treated early. The patient also had to be in a hospital with a well-equipped lab, as a saliva sample had to be injected into a mouse to ID the type of bacteria. An effective vaccine was developed at this time, but only in limited quantities and after the peak of the pandemic.

The Spanish Flu reached Sonoma county around October 12. A highway crew working near modern-day Rohnert Park was rushed to hospitals in San Francisco. “There are already considerably more than one hundred cases receiving attention,” reported the PD, but it’s unknown if they were counting the 75 sick children at the Lytton Orphanage. Strike that; by the time the newspaper went to press there were 102 children ill. One of them was teenager Helen Grouel, who became the first person here to die because of it.

On October 18 Walter Reiman, a sailor on furlough to help his dad harvest grapes at their Windsor vineyard, died after being back only five days. As the incubation period for influenza is 2 to 7 days, he must have brought it home with him. Later that same evening his fiancée, Edith Olin, died as well.

While the PD and the A-C were trying to quell panic by reassuring readers this was a “mild” form of the flu, there was no denying that the crisis was now upon us. That same day all schools, churches, lodges and “places of amusements” were closed until further notice. By then there were 59 known influenza cases in Santa Rosa, with two more reported during the Santa Rosa Board of Health meeting. The Board further required on November 4 the wearing of gauze masks by everyone when in public – although the newspaper wryly noted that as the Supervisors voted to pass the ordinance, not one of them was wearing a mask.

The County Health Board already required masks to be worn by anyone infected or nursing someone sick, and before the ordinance the PD did its civic duty with many little items mentioning clerks and shopkeepers wearing masks, noting that everyone on the train up from San Francisco was wearing them, and so on. Still, there was resistance; twenty people were fined $5 for not wearing them after Nov. 4 and the paper noted in San Rafael “a number of people were arrested and were compelled to decorate the mahogany with five-dollar pieces in the recorder’s court.” Some people wearing glasses were caught wearing the mask beneath their nose because their lenses fogged up (the PD printed tips on how to avoid this); others thought it was just unfashionable. District Attorney Hoyle said, “a mask may not add to your beauty, but a homely, living, useful citizen is better far than an unnecessarily sacrificed life, regardless of looks.”

Given the ferocity of that flu it seems incomprehensible the Health Board waited almost three weeks to require masks in public, but the general knowledge level of preventative hygiene at the time seems shockingly poor. Never once was the importance of frequent hand-washing mentioned, although it had been recognized as a critical method to stopping the spread of disease for over a half century. Instead, the Board offered a mishmash of advice, including:

*
  Avoid public gatherings of any kind and stay off the street

*
  Do not cough, spit or sneeze promiscuously

*
  Don’t attend funerals. Say it with flowers

*
  Don’t visit your sick friends unless you can be of some material advantage to them

*
  Don’t wait until in the night to call a physician. They are all being overworked and need all the regular rest they can get

*
  Avoid coal oil heaters, with their noxious fumes

Likewise the advice on what to eat while sick is mostly the reverse of what we believe today. Dr. Adelaide Brown (“eminent woman physician of San Francisco, and member of State Board of Health”) told the Press Democrat that the diet should be mostly milk, sugar and starch, no meat broth, no vegetables (unless pureed) and no fruit with fiber. “No other foods than those mentioned should be used. Do not experiment with the patient’s digestion during the critical period.” Notice there is no mention of the importance of keeping the patient well hydrated.

Lacking modern medicines, people turned to folk remedies and the Victorian-era pharmacopoeia. It appears they mostly nursed themselves as if it were just a really bad chest cold, but some treatments had antibacterial effects which might have saved lives – and others might have made their conditions worse, or even killed them.

Someone wrote to the PD to remark the late, esteemed Dr, William Finlaw said “there was no better remedy for those ailments” than camphor in a steam vaporizer. It was a sensible idea, but the correspondent added that “a smoker may crumble a piece of camphor gum the size of a pea, and mix it with the tobacco in a pipe, or cigarette,” which is really not a good idea if you’ve got pneumonia.

Newspaper ads promoted camphor-based Vick’s VapoRub to be used in a vaporizer, melted in a spoon and inhaled, or rubbed into the chest and back between the shoulder blades “until the skin is red…attracting the blood to the surface, and thus aids in relieving the congestion within.” Never mind that in years earlier, physicians used that same basic argument to promote leeches.

Some drug stores sold atomizers which were to be filled with abietene, a kind of turpentine made specifically from California’s native Gray Pine, and sprayed on the back of your throat and inhaled every ten minutes to prevent the flu (supposedly).

Dr. Bonar, the city health officer, specifically warned against quack cures and preventatives like that: “Don’t be taking drugs. If ill, consult a physician. Gargles and nasal douches are of doubtful value, if not a real danger…Avoid all advertised cures.” But that advice appeared only once in a Press Democrat article and not at all in the Petaluma newspapers – while local merchants bought large ads in every edition to peddle nostrums exactly like those.

In Petaluma, Schluckebier Hardware advertised Phenolene (caustic, poisonous carbolic acid) as a disinfectant to mop floors, pour down drains, spray under beds and then “put three drops in a tumbler of warm water, then gargle the throat and stuff it up the nose.” Towne’s Drug Store suggested “formaldehyde liberally yet judiciously used is most valuable,” but did not say how it should be used. Today formaldehyde’s recognized as causing bronchitis and pneumonia when inhaled with even small exposures, not to mention being a carcinogen.

Press Democrat, October 26, 1918

 

Press Democrat readers were assured the disease had “run its course in most Army camps” – hopefully showing not everyone would croak – but there was considerable fear in the days following the closures. The PD quoted a “well-known physician” saying “there is a lot of hysteria about now as well as influenza.” While this doctor and others interviewed were not named, they agreed this was a mild form of the flu. This was all propaganda; there were still 300+ deaths daily in the camps and not everyone here was taking the situation seriously. A few days later Earle E. Jamison died; he was the ticket agent of the Northwestern Pacific Railroad in Santa Rosa and had constant contact with the public, yet once Earle caught the flu he had to remain on duty a “day or two” until replacement was found.

At the end of October – before the Board of Health made gauze masks mandatory – the District Attorney’s office announced the situation was so dire they were considering a quarantine of the entire county. It seems many of those urban dwellers who had summer cabins around the Russian River and elsewhere were fleeing up here to escape the epidemic raging in the cities:


…I have been informed that persons from the bay cities, fearful of the disease there, are rushing to the country resorts and are occupying cottages, built many of them in cool, damp places, and saturated with a two weeks’ rain, which must necessarily endanger them to cold, and frequently to resulting pneumonia, whether they in fact have Spanish influenza or not. This should he stopped at once.

The news did not get better as October faded into November. There were 310 reported sick in Santa Rosa with deaths almost every day. The married daughters of Serafino Piezzi died four days apart and a double funeral was planned as soon as the rest of the family recovered themselves. Rocco Poncetta of the Hotel Italia de Unita (5 West Sixth st.) died at age 31; the PD commented he was “a man of strong and robust constitution,” reinforcing the popular notion that the young and strong were most likely to die.

Then on November 5 came the most shocking news of all: There were 400 influenza cases at the Sonoma State Home – almost one-third of the institution’s patients. A few days later it shot up to 500.

Now the Sonoma Developmental Center (at least, as of this writing), the Press Democrat still called it by its old name: The Sonoma State Home for the Care of the Feeble-Minded at Eldridge. The 1,400 patients there ranged from people needing custodial care because of severe cognitive issues to those suffering epilepsy; criminals deemed “feeble-minded” by someone in authority were sent there for indeterminate sentences as were some accused of anti-social behavior – see “SONOMA COUNTY AND EUGENICS“ for more background on the place in those days.

“Medical Superintendent Fred O. Butler M. D., and his staff of assistant physicians and the nurses and attendants are doing everything in their power for the stricken inmates,” the PD reported, but they clearly were not following best medical practices for dealing with an epidemic. The next day 25 were reported dead. Four days later, another 24. Five days after that, the death toll was over 70. By the end of the month there were 85 dead.

It is maddening to read the day-to-day coverage of this crisis at Eldridge. Complete management of the situation was ceded to Dr. Butler; additional medical help was neither requested nor demanded. There was no talk of evacuation. There was no charitable outreach from the community. By contrast, a month earlier Santa Rosa and other towns had mobilized to help the Lytton Springs orphanage, with nurses rushing there to help, department stores donating blankets and bedding and businesses collecting donations to buy medicines. 

Petaluma Morning Courier, October 27, 1918

 

Aside from their appalling indifference to the Sonoma State Home situation, citizens of Santa Rosa rallied together to fight the epidemic as if it was just another part of their patriotic duty in those last months of WWI. The Red Cross Shop became like a command HQ, distributing food, medicine and many hundreds of masks sown by volunteers; nurses were dispatched; babies and small children with sick parents were placed in temporary homes. The elite Saturday Afternoon Club clubhouse on 10th st became a critical care hospital, handling 53 patients (“some of them the worst cases near Santa Rosa” – PD).

Finally, after three weeks of emergency measures, the tide began to turn shortly before Thanksgiving. The public library reopened and the mask order was lifted. All schools reopened.

But the good news was short lived. Influenza came roaring back after Christmas, with 243 new cases in San Francisco with 35 deaths. While there had been ongoing cases of flu in rural areas, in Santa Rosa masks were ordered on again because it had “returned to the towns.”

This second wave proved just as severe and heart-breaking. In one week a toddler, mother and grandmother all died; Adeline Gray on January 9, 1919, her mother Julia Marsh two days later, and then 3 year-old Alice Gray on Jan. 16. They are buried together at the Calvary Cemetery.

Some schools reopened in the middle of January, with students and teachers wearing masks. On the 26th the mask ordinance was dropped again, although “it is highly advisable that masks be worn whenever one person approaches within ten feet of another.” Theaters, pool rooms and lodges remained closed.

The epidemic was never declared over and lingered in Santa Rosa until the end of April. Obituaries as late as November of that year mentioned the person had contracted the Spanish flu and never recovered.

The official report of the Board of Health stated there were 67 deaths from influenza in Santa Rosa and 1,145 cases, although “many more cases were unreported or unrecognized.” There were 87 flu deaths at the Sonoma State Home.

It’s now understood that 9 out of 10 Spanish influenza victims died from pneumonia – that the flu stripped the inner lining from the bronchial tubes and lungs, which left the patient susceptible to infections. “In essence, the virus landed the first blow while bacteria delivered the knockout punch,” said Dr. Anthony Fauci, Director of the National Institute of Allergy and Infectious Diseases, when the definitive study was published in 2008.

Even factoring in pneumonia, a final tally proves elusive; remember Edith Olin, the young woman who died within hours of her fiance? She had tuberculosis and her cause of death was listed as such, even though there’s little doubt that her death was hastened by his return to the area carrying the flu.

About 85 people are known to have died in Santa Rosa during the 1906 earthquake with another handful killed elsewhere in the county, but those numbers are also squishy; some remains were probably totally consumed by the fire and some people who were mortally wounded probably died elsewhere. Throw in a fudge factor and guesstimate the earthquake killed 120 in Sonoma county. But even without counting the pneumonia cases, the total influenza deaths in Santa Rosa combined with the Sonoma State Home remains higher. Even with the joy of the war ending, those were very dark days.

Ed Heald wearing influenza mask. Photo: Sonoma County Library

INFLUENZA CONTINUES TO SPREAD
Malady Has Now Reached Practically All Parts of Country, and Is Epidemic in Western and Pacific Coast States — Movie Releases Stopped.

Washington, Oct. 9 – Spanish influenza now has spread to practically every part of the country. Reports today to the Federal Health Service shows the disease is epidemic in many western and Pacific Coast states as well as in almost all regions east of the Mississippi river. Its spread also continues in army camps. The number of new cases reported being greater than on the day before.

 The disease is reported from many parts of California, while in Texas the malady has been reported from 77 counties, with a number of cases varying from one to 4,000 in each county…

…The National Association of Motion Picture Industries decided at a meeting here tonight to discontinue all motion picture releases after October 16, because of the epidemic of Spanish Influenza. The embargro will remain in force until further notice, it was announced by Wm. A. Brady, president of the association.

– Press Democrat, October 10 1918

DOCTORS OF THREE STATES ARE MOBILIZED

Mobilization of all the doctors of California, Nevada and Arizona to combat the epidemic of Spanish influenza were ordered today by the U. S. Public Health Service, It was announced here by Dr. W. G. Billings, sanitary officer of the service for California and Nevada. The public was warned by Dr. Billings to avoid picture shows, churches and all other places of assemblage until the epidemic was passed.

– Press Democrat, October 10 1918

SPREADS IN CALIFORNIA

The total number of Spanish influenza cases in California has reached the four thousand mark, according to the State Board of Health.

– Argus-Courier, October 12 1918

INFLUENZA HAS APPEARED HERE

More Than a Dozen Cases Reported in Santa Rosa and the Immediate Vicinity Monday Night—State Highway Camp Near Wilfred Station Suffers: Spray Your Throat and Nostrils and Keep Away From Crowds.

Spanish Influenza secured a hold in Sonoma county over Sunday and according to reports made to the county health officer there are already considerably more than one hundred cases receiving attention.

The Golden Gate Industrial Farm and Orphanage at Lyttons reported 75 children in bed with the malady Monday morning. By night the number of cases there had increased to 102, as stated in another column.

Half a dozen or more men working in the State highway camp on the Cotati boulevard near Wilfred were also reported down with the disease. Some of these have been removed to Santa Rosa hospitals, while others were rushed to San Francisco for treatment. By prompt isolation of every case and early detection of the malady in schools throughout the county it is hoped to keep it within bounds; but every family should take unusual care to prevent exposure. Children should he kept off the streets as much as possible. Avoid crowds wherever you can.

Physicians state that best thing to do after possible exposure is to spray the throat and nostrils with a solution of 10 per cent argyrol, or some other good disinfectant.

According to reports by local physicians Monday evening more than a dozen cases of the malady exist in Santa Rosa and the immediate vicinity.

– Press Democrat, October 15 1918

132 CASES OF INFLUENZA AT LYTTONS; HELEN GROUL DIES
Public Responds With Needed Assistance When Informed
Orphanage Now Transformed Into a Hospital – Urgent Need Exists for More Nurses, Bed Clothing, and Money With Which to Buy Medicines — Local Branch of Red Cross Interests Itself in the Matter

Death invaded the Lytton Springs Orphanage yesterday, when Helen Groul, whose critical illness was reported in these columns Tuesday morning, closed her eyes in the long last sleep. She is the first victim to be claimed in this county by the dreaded Spanish influenza, which is now raging everywhere and has the Lytton Orphanage tightly within its grasp.

“Thirty-one new cases developed here today,” said Captain S. Charles Isaacs, now in charge of the orphanage at Lytton, when interviewed by a Press Democrat representative last night over the long-distance phone. “One hundred and thirty-two of our children are now down with the scourge. We have two hundred and twenty-three children here at the present time.” Yesterday there were two hundred and twenty-four; today there are only two hundred and twenty-three!

What will it be tomorrow?

Public Responds to Call

The sad news from Lyttons published in these columns Tuesday morning met with an instant response in the hearts of the thousands of Santa Rosans, and offers of assistance soon began to come in. The first report of money being collected came from the employees of the Santa Rosa Poultry Association and Egg Exchange, where a hurried collection was taken and the sum of $11 sent to this office. The Press Democrat added $5 to the above amount, and last night Manager J. J. Fitzgerald of the Poultry Association walked into the office with another bunch of coin and left it here to be forwarded to the orphanage today. The list of donors is as follows…

– Press Democrat, October 16 1918

PLEDGED PAIR NEAR IN DEATH
Well Known Young Auditor for Proctor Bros. Succumbs to White Plague Last Night, Following Death of Her Fiance a Few Hours Earlier.

Miss Edith Olin, for the past six years auditor for the Proctor Bros., died at the home of Mrs. Jane M. Emperor. 421 College avenue, last night about 9:30, after a few weeks’ illness. Death was due to consumption.

Miss Olin came here seven years ago from Orfino, Idaho, where she had been residing with an aunt since the death of her parents. The aunt is her only living relative…

…Walter Reiman, who enlisted in the U. S. Navy some time ago. died Friday at the home of his parents, Mr. and Mrs. H. G. Reiman, near Windsor, after a brief illness with influenza. The young man secured a furlough and came home last Sunday to assist his father gather the grape crop, and was taken ill a few days later.

Mr. Reiman was the fiance of Miss Edith Olin, who died later in the evening, and news of his death, coming a few hours before that of his fiance, is an occurrence as remarkable as it is sad.

– Press Democrat, October 19 1918

DON’T GET SCARED IS THE ADVICE OF LOCAL PHYSICIAN
Statement Last Night That the Cases of Influenza Here So Far Are of a Mild Form—People Advised to Be Careful, But Not to Become Hysterical.

‘Tell the people not to get hysterical,” said a well-known physician last night to a Press Democrat representative. “It’s good advice to give people, believe me, for there is a lot of hysteria about now as well as influenza.”

Another physician stated that out of all the cases he has under his care, all of them are light, with the exception of a single pneumonia case.

Other physicians were seen and they agreed that the influenza here is of a mild form to date. They agreed that people should take care of themselves, but there is no occasion for alarm if care is taken.

– Press Democrat, October 23 1918

INFLUENZA WORSE OUTSIDE OF CITY
More New Cases Reported From the Rural Section Than Within City Limits — Epidemic at Standstill Within City at the Present, According to Reports

While the number of cases of Spanish influenza reported to the city health office shows no increase for the previous 24 hours, the number of cases reported to local physicians increased and from all accounts the country surrounding town is suffering worse now than the city.

Only 12 new cases were reported to the city health office up to 5 o’clock last night, although it is known other cases have developed in town which will he reported this morning. The total to date at the same hour was 396 for the city with only two deaths known to be directly caused from pneumonia caused by influenza.

The most of the deaths resulting from the disease are from out-of-town and it is believed this is due to the fact that those residing in town are being more prompt in calling in a physician and take no chances, while the country people try to wear it off, a very serious matter in the case of influenza, and almost sure to result seriously, if not fatally.

– Press Democrat, October 30 1918

MAY QUARANTINE COUNTY AGAINST THE INFLUENZA
District Attorney Issues Appeal to Residents to Take Necessary Precautions to Protect Themselves and Others From Dreaded Epidemic.

The District Attorney’s office has been aroused by the large number of fatal cases of Spanish influenza and pneumonia throughout the rural section of Sonoma county and will take steps to protect the residents unless they take the necessary precautions for themselves voluntarily. In a statement Wednesday, Mr. Hoyle suggested the possibility of a general quarantine of the county against outside districts pending an improvement of conditions in other parts of the state. He said:

For more than three weeks last past so-called Spanish influenza has been prevalent in Sonoma county. During that time many of our valuable citizens have suffered from the malady, and several have passed to the Great Beyond, as a direct result of the dread disease, from resulting pneumonia or otherwise. It is the nature of the disease to leave one in a weakened condition, thereby making the patient susceptible to any disease for which the weakened condition makes an opening. A cold creates just such an opening and pneumonia results. Other diseases follow instead of pneumonia as the condition of the patient may make one susceptible…

…I have been informed that persons from the bay cities, fearful of the disease there, are rushing to the country resorts and are occupying cottages, built many of them in cool, damp places, and saturated with a two weeks’ rain, which must necessarily endanger them to cold, and frequently to resulting pneumonia, whether they in fact have Spanish influenza or not. This should he stopped at once.

Unless the public takes the necessary and proper steps immediately for stamping out the disease, I shall call upon the state health officers for a strict general quarantine of the county.

If you are afflicted, stay inside until you have fully recovered, exercising every precaution to prevent the spread of the disease. If you have thus far escaped, use every precaution to avoid it. A mask may not add to your beauty, but a homely, living, useful citizen is better far than an unnecessarily sacrificed life, regardless of looks.

Yours for the public welfare, G. W. Hoyle, District Attorney.

– Press Democrat, October 31 1918

25 INFLUENZA DEATHS AT SONOMA STATE HOME

Inquiry over the long distance telephone to the Sonoma State Home at Eldridge last night as to the influenza cases in the institution elicited the information that since the epidemic broke out there had been twenty-four deaths among inmates and Mrs. Markee, one of the attendants, died yesterday. A number of the cases had developed into pneumonia.

 Among those who are suffering from influenza are the woman physician, Dr. Thorne, and Supervisor Johnson. Both their cases are slight. Secretary R. Q. Wickham stated last night.

 “There are over four hundred cases of influenza here and we have had twenty-four deaths to date among the inmates, and, this afternoon one of the attendants, Mrs. Markee, died. Otherwise the other sick ones seem to be getting better,” stated Mr. Wickham over the phone.

 Medical Superintendent Fred O. Butler, M. D., and his first assistant, Dr Whittington, have been working night and day with the patients, and prior to her sickness Dr. Thorne was constantly in attendance day and night. The physicians and the nurses and attendants have been doing loyal and efficient work for main hours day and night since influenza became epidemic. Everything possible is being done for the sick and to safeguard the inmates and protect those as yet not stricken with the illness. There are nearly fourteen hundred inmates in the Sonoma State Home.

– Press Democrat, November 6 1918

EMPHATIC DONTS FOR INFLUENZA
City Health Officer Makes Suggestions to General Public for Prevention of Infection and to Aid in Restricting Epidemic.

“There ia no doubt but that we are in the midst of a very interesting epidemic which will have extended and far reaching results. The climatic conditions here are ideal for its spread,” declared R. M. Bonar, the new city health officer, yesterday, after having heard from most of the physicians of the city and getting reports of 25 new cases of influenza for the day. This brings the total cases to date to over 355.

With the view of giving as much assistance as possible in preventing the further spread of the malady. Dr. Bonar makes suggestions and urges upon the general public adaption of the following rules:

Don’t attend funerals. Say it with flowers.

Don’t travel. If you must, use your own conveyance. The closed railway coach is the best place In the world to become infected as many sick are traveling, spreading the disease.

 Don’t visit your sick friends unless you can be of some material advantage to them, and then wear a gauze mask.

  Don’t be taking drugs. If ill, consult a physician. Gargles and nasal douches are of doubtful value, if not a real danger. The wash is on the throat or nose only a few moments being quickly carried away by the natural secretions. If used too strong or frequently they may impair the delicate membranes, making the person more susceptible to infection. Avoid all advertised cures.

Do not allow children to associate with those having the malady in the house. Under no clrcumstances allow a well person to sleop with one ill with influenza.

Keep in the open air. Avoid unusual fatigue and over eating and wear a mask of six layers. Bacteria cannot penetrate gauze. Don’t use antiseptic of any kind on mask, and wash dally, boiling it.

Don’t wait until in the night to call a physician. They are all being overworked and need all the regular rest they can get.

– Press Democrat, November 6 1918

MALADY TAKES ON NEW LEASE

Despite the precautions being taken, there has been an increase of Spanish Influenza cases this week in Santa Rosa, with eight new cases reported Monday and ten yesterday. The new eases in many instances are in families where it had prevailed previously.

 One mother was reported down with her four children yesterday, but they are all doing as well as could be expected and are being given the best of care.

 The city health officer urges all to comply with the mask ordinance and take all necessary precaution against spreading the malady and hold it in check. There can be no release from masks while there is so many new cases being reported.

– Press Democrat, November 13 1918

INFLUENZA NOW IS DECREASING
Santa Rosa Has Had 462 Cases Since October 18, When First Case Was Reported, While Total Deaths in Entire Suburban District Totals 37 for Period.

With six new cases of Spanish influenza reported Saturday, the total in Santa Rosa since the first outbreak, October 18, has reached 462. In the same period there has been 37 deaths in the district which includes Russian River township and the country to the east as far as Glen Ellen, but not the Sonoma Home at Eldrldge.

 While all indications point to a gradual falling-off in the epidemic in Santa Rosa, there has been a flare-up owing, it is believed, to carelessness resulting from the patriotic demonstration Monday. It is hoped the improvement will continue during the coming week, and if so some of the more stringent regulations can be released.

 The San Francisco theaters were all opened Saturday and each played to standing room. The churches will be open today, but the mask is still retained and insisted upon for all attending gatherings. The San Jose State Normal will resume November 25, when the San Francisco schools will reopen, by which time masks will be discarded.

– Press Democrat, November 13 1918

STRONG TAKEN – THE WEAK LEFT
Epidemic Is Still in Force at the Sonoma State Home, Where Over Fifty Deaths Have Occurred to Date — Most Fatalities Among High Grade Inmates.

They are battling with the epidemic of influenza at the Sonoma State Home for the Feeble-Minded. So far over fifty deaths have occurred to date and there are scores of inmates still down with the disease. The physicians and nurses and other attendants have had a hard task to perform for several weeks in ministering to so many of the sick.

A singular feature of conditions at the State Home is that the deaths have occurred among the strongest and highest grade inmates, both as regard boys and girls and the low grades have suffered little. Among those who have died were many boys and girls who were able to help about the institution and in the grounds.

– Press Democrat, November 14 1918

THE QUARANTINE IS ENFORCED

The quarantine for influenza has been put in force in this city by the Health Board and the yellow signs with the word “influenza” prominently displayed, are already noticed on a number of homes here.

– Argus-Courier, November 25 1918

85 DEATHS TOLL AT STATE HOME
Epidemic Is Subsiding and New Cases Are Among Girls — Eighty of the Dead Were Males – Secretary Wickham Visitor Here.

Secretary R. Q. Wickham was in town from the Sonoma State Home on Monday.

From Secretary Wickham it was learned that the epidemic had carried off by death eighty-five inmates.

He says there have been over five hundred cases of influenza at the institution and of the eighty-five deaths about five were girls, all the others being boys, youths and men.

At the present time, Mr. Wickham states, there are a number of cases, the illness having crossed to the quarters occupied by the girls, but no serious conditions are expected now.

Mr. Wickham paid a high compliment to the untiring labors of Medical Superintendent Fred O. Butler, Physician Whittington and Dr. Thoren, the woman physician, and the nurses and attendants who worked night and day in nursing and administering to the sick. “I tell you they ail stood up nobly “under the strain,” said Mr. Wickham.

– Press Democrat, November 26 1918

BAN PLACED ON DANCIN6 HERE UNTIL FURTHER ORDER

In an effort to check any further outbreaks of influenza the City Health Officer Thursday evening issued an order forbidding all public and private dances until further notice in Santa Rosa.

The Health Officer said it is generally recognized that dancing is one of the most successful ways of spreading influenza owing to the dancers being in such close contact that they cannot help inhaling each other’s breath and passing the germs.

Already eight cases, it is said, have been traced to two young men who visited a dance here recently from an outside town while ill and spread the malady.

– Press Democrat, December 20 1918

Clubhouse Opened as Emergency Hospital

The good women of the Red Cross made another noble response on Saturday to the demands of care for sick women and children and by night Saturday the Saturday Afternoon Club’s clubhouse on Tenth street was opened as an emergency hospital. Mention has been made of the shortage of nurses and it was with the idea of caring for many of those who are sick that the clubhouse was opened as a hospital. The clubhouse during the day was fitted up with cots and all other arrangements were made for the reception of the patients. It is a nice, cosy place, and it is mighty fortunate for some of the sick women and children of the town and neighborhood that such a place and such excellent care was available. Several patients were taken to the emergency hospital Saturday night.

– Press Democrat, December 29 1918

STRANGER ARRIVES IN TOWN WITH INFLUENZA

The county health officer was called to a local hotel yesterday to see a man who was ill. An examination showed that he was suffering from influenza, having arrived Thursday night, circulated about the hotel during the even[ing] and had been out during the morning for breakfast and about the street before giving up and going to bed.

The man was removed to a hospital and last night he had developed pneumonia and his fever was 104 degrees and his condition was considered critical. How many were exposed to the influenza through contact with this man is unknown, but it is such cases which has caused the necessity for holding the masks as a protective measure.

– Press Democrat, January 25 1919

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