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Carol R Byerly - Fever of War: The Influenza Epidemic in the U.S. Army During World War I

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The influenza epidemic of 1918 killed more people in one year than the Great War killed in four, sickening at least one quarter of the worlds population. In Fever of War, Carol R. Byerly uncovers the startling impact of the 1918 influenza epidemic on the American army, its medical officers, and their profession, a story which has long been silenced. Through medical officers memoirs and diaries, official reports, scientific articles, and other original sources, Byerly tells a grave tale about the limits of modern medicine and warfare.
The tragedy begins with overly confident medical officers who, armed with new knowledge and technologies of modern medicine, had an inflated sense of their ability to control disease. The conditions of trench warfare on the Western Front soon outflanked medical knowledge by creating an environment where the influenza virus could mutate to a lethal strain. This new flu virus soon left medical officers confidence in tatters as thousands of soldiers and trainees died under their care. They also were unable to convince the War Department to reduce the crowding of troops aboard ships and in barracks which were providing ideal environments for the epidemic to thrive. After the war, and given their helplessness to control influenza, many medical officers and military leaders began to downplay the epidemic as a significant event for the U. S. army, in effect erasing this dramatic story from the American historical memory.

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About NYU Press
A publisher of original scholarship since its founding in 1916, New York University Press Produces more than 100 new books each year, with a backlist of 3,000 titles in print. Working across the humanities and social sciences, NYU Press has award-winning lists in sociology, law, cultural and American studies, religion, American history, anthropology, politics, criminology, media and communication, literary studies, and psychology.
Fever of War
Fever of War
The Influenza Epidemic in the U.S. Army during World War I
Carol R. Byerly
NEW YORK UNIVERSITY PRESS New York and London wwwnyupressorg 2005 by New York - photo 1
NEW YORK UNIVERSITY PRESS
New York and London
www.nyupress.org
2005 by New York University
All rights reserved
Library of Congress Cataloging-in-Publication Data
Byerly, Carol R.
Fever of war : the influenza epidemic in the U.S. Army
during World War I / Carol R. Byerly.
p. cm.
Includes bibliographical references and index.
ISBN 081479923X (cloth : alk. paper)
ISBN 0814799248 (pbk. : alk. paper)
1. Influenza Epidemic, 19181919Europe.
2. World War, 19141918Health aspects.
3. United States. ArmyMedical careHistory. I. Title.
RC150.4.B946 2005
614.51809041dc22 2004022337
New York University Press books are printed on acid-free paper, and their binding materials are chosen for strength and durability.
Manufactured in the United States of America
c 10 9 8 7 6 5 4 3 2 1
p 10 9 8 7 6 5 4 3 2 1
Dedicated to Crystal Viguerias
Contents

Medical Officers Confidence as They Prepare for War

Government Control and Accountability

The Influenza Epidemic of 1918 in the Camps

Influenza in the American Expeditionary Forces

Writing the History of the Epidemic

Memory and the Politics of Disease and War
Figures
Abbreviations
AEFAmerican Expeditionary Forces
AHRAmerican Historical Review
AIMArchives of Internal Medicine
AJMSAmerican Journal of Medical Science
AJNAmerican Journal of Nursing
AJPHAmerican Journal of Public Health
AMAAmerican Medical Association
BHMBulletin of the History of Medicine
BMJBritish Medical Journal
CRCongressional Record
CSJMCalifornia State Journal of Medicine
JAHJournal of American History
JAMAJournal of the American Medical Association
JEMJournal of Experimental Medicine
JIDJournal of Infectious Disease
JHMASJournal of the History of Medicine and Allied Sciences
JLCMJournal of Laboratory and Clinical Medicine
JNMAJournal of the National Medical Association
MCNAMedical Clinics of North America
MDWWMedical Department in the World War, volumes 115 Washington, D.C., 19231929
MHIU.S. Army Military History Institute, Carlisle Barracks, PA
MSMilitary Surgeon
NARANational Archives and Records Administration
NLMDivision of History, National Library of Medicine, Bethesda, MD
NYTNew York Times
PHRPublic Health Reports
PHSPublic Health Service
RG 90Records of the Public Health Service
RG 107Records of the Secretary of War
RG 112Records of the Surgeon General of the Army
RG 120Records of the American Expeditionary Forces
RG 153Records of the Judge Advocate General (Army)
RG 163Records of the Selective Service
RG 200Records of the American Red Cross
RG 391Records of the U.S. Regular Army Mobile Units
RG 407Records of the Office of Adjutant General
SHMSocial History of Medicine
WDAR, 1917War Department Annual Report, 1917
WDAR, 1918War Department Annual Report, 1918
WDAR, 1919War Department Annual Report, 1919
Acknowledgments
I am fortunate to have been able to write this book in a community of warm, generous, and thoughtful friends and colleagues, and hope here to let them know how much I appreciate their support.
I have many people to thank at the University of Colorado. First, I am grateful to Julie Greene and Susan Kingsley Kent for suggesting the influenza epidemic of 1918 to me for my dissertation when I entered the graduate program in the Department of History. Given my interest in catastrophic disease and politics, they pointed out that the flu of 1918 needed investigation. They were right, of course, and this study has sustained my interest throughout the long years of research and writing. I was also lucky to have Julie Greene as my adviser, friend, and mentor throughout graduate school. She helped me think more deeply about history, and to write more clearly and bravely. Susan Kingsley Kent and Susan D. Jones have been both friends and teachers, and helped me in many ways. I also want to thank Philip Deloria, Mark Pittenger, and Richard D. Lamm for their careful readings of this project in dissertation form, and Martha Hanna, Ralph Mann, Scott Miller, and Thomas Zeiler in the History Department for their support over the years. My thinking about history and this project was also shaped and enriched by my graduate student colleagues, especially Constance Arneson Clark, John Enyeart, Thomas Krainz, Todd Laugen, and Gerald Ronning. I also received fine encouragement from the participants in the dissertation-writing workshop sponsored by the Townsend Center for Humanities at Berkeley.
As this dissertation became a book, I benefited from careful and thoughtful readings by Adele Logan Alexander, Fred Anderson, Radford Byerly, Stephen C. Craig, Mary DeCredico, Abigail Dyer, Elizabeth A. Fenn, Thomas Krainz, Hannah Nordhaus, Diana Shull, and my editor, Deborah Gershenowitz. Nancy Bristow, Elizabeth Dungan, John T. Greenwood, Robert J. T. Joy, and Dale C. Smith gave me timely advice and assistance that I needed and appreciated.
Historians depend on archivists, and I have been most fortunate. I especially want to thank Mitchell Yockelson, archivist at the National Archives, for teaching me how to negotiate the thousands of cubic feet of wonderful material there. He has been a good friend and colleague as well. I appreciate the help I have received from Jeff Karr at the American Society for Microbiology and Archives; Darcie Faust at the Adjutant General Corps Museum, Fort Jackson, South Carolina; as well as archivists at the Military History Institute at the Carlisle Barracks, Pennsylvania; the Division of History at the National Library of Medicine; the U.S. Quartermaster Museum, Fort Lee, Virginia; the Library of Congress; the Hoole Special Collections at the University of Alabama in Tuscaloosa; the Butler Library at Columbia University; the L. Tom Perry Special Collections Library at Brigham Young University; and the Carl A. Kroch Library at Cornell University.
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