As the influenza season wanes I decided
to examine how this disease impacted my ancestors in Michigan. Prior
to the late 1880s not many deaths were ascribed to influenza, usually
in the single digits each year, but after that numbers of influenza
deaths reported to the state were generally larger, culminating in
the Spanish Influenza epidemic at the end of WWI.
References for Graph [1-8]
The low numbers of influenza deaths
could be an actual trend or they could be an artifact of the abysmal
state of data collection at the time (see Why Early Michigan Birth Records Are Unreliable)
or the fact that we don't know who provided the cause of death (see
Is That Really The Cause Of Death?).
Unfortunately, it's almost impossible to draw conclusions without
additional data. It also bears remembering that influenza may have
contributed to far more deaths than the numbers indicate because
people weakened by influenza are more susceptible to other diseases
such as bronchitis or pneumonia. The pneumonia may have been the
cause of death, but if not for the influenza that laid someone low in
the first place they may never have succumbed.
While the usual pattern of seasonal flu
is to prey on the very young or old, the Spanish Influenza virus that
spread around the world at the end of WWI fatally attacked the very
demographic expected to be most resilient, people in their 20s and
30s. In the years for which the data was provided, most of the
influenza deaths in Michigan were in those 70+ or under five, but in
1918, the peak of the Spanish flu in Michigan, young adults were
hardest hit: 1,996 deaths in those 20-29 years and 1,521 deaths for
those 30-39. [8]
At Fort Custer, they can pinpoint to
the hour when Spanish flu struck the base. At 10 a.m. Sunday morning
on Sept. 29, 1918 the first soldiers were rushed to the camp
hospital. [9] Then “the disease seemed to break out all over camp
simultaneously.” [9] With more men continually entering the
hospital, a quarantine was put in place by late afternoon Monday.
Almost no one was allowed to enter or leave the camp, training
exercises were curtailed and intermingling of men from different
barracks was prohibited. [9, 10] The importance of taking
precautionary measures was exemplified by the 78th
Infantry regiment. As of Monday (Sept 30), the average number of
cases “per regiment has been 38. In the 78th infantry
three companies failed to observe the rule which requires that mess
kits be boiled for ten minutes and then dried without using cloths.
In this regiment the number of men afflicted with respiratory
diseases was 669.” [9]
By Monday morning 557 had been admitted
to the base hospital and by the end of Tuesday that number was
believed to be about 2,000. [9] 5,650 men were in the hospital on
October 9, but Camp Custer considered itself lucky because only about
25% of the men in camp had been afflicted while in many places that
number was 50% or more. [10] By October 24, the number in hospital
was reduced to 1,650 and the admission rate had returned to normal
levels. [11] All in all, Fort Custer weathered the storm better than
other camps of similar size. In comparison with three other camps,
Custer had fewer sick and fewer fatalities. Statistics for
deaths/total number of sick patients were also much better: Camp
Sherman: 13.14% of those sick with influenza died, Camp Devens
9.78%, Camp Grant 8.66%, Camp Custer 5.95%. [12]
Although the situation stabilized
quickly at Fort Custer, the epidemic was in full swing in Kalamazoo
and elsewhere. By early December about 1000 children were absent from
school in Kalamazoo, most sick with influenza. [13] The City
Commission, meeting as a Board of Health, ordered that all public
gatherings were prohibited. “This includes churches, schools,
theaters, moving pictures shows, pool rooms, bowling alleys, dance
halls, lodge rooms, reading rooms in the Public Library. . . we
further order that all street cars, interurban cars, and public
conveyances shall have ventilators open regardless of outside
temperature and . . . shall be thoroughly cleaned each day.” They
also mandated that all new and existing cases of influenza be
reported and quarantined until the City Commission rescinded the
order. During the meeting it was reported that flu cases “were
rapidly increasing, and to such an extent that it was becoming
impossible for the force of doctors and nurses available to
adequately handle the epidemic.” [13]
The city commission, however, couldn't
rigorously enforce regulations and prevent people from coming in
contact with potentially sick people like the commanding officers
could at a military encampment such as Fort Custer. Kalamazooans
could still encounter sick or exposed residents at the five-and-ten
stores, though there was debate about allowing them to stay open, as
well as other stores. [14] As a result, the epidemic continued.
While 1918 was the peak year for influenza deaths in Michigan, at
6,742, 1919 and 1920 each tallied about 3,000 deaths from influenza
(see graph).
The Spanish flu came as a shock to our
ancestors. Now, we should know better. Wherever pigs, ducks and
humans live in close contact this mutable virus will mix and match
genes to stir up a potentially lethal new strain. The kind of
epidemic experienced at the close of WWI could easily happen again
and should come as no surprise when it does.
- Secretary of State of Michigan, Twenty-Ninth Annual Report
Relating To The Registry And Return Of Births, Marriages And Deaths
in Michigan For The Year 1895 (Lansing, Michigan: Robert Smith
Printing Co, 1897), pp. 154-155; digital images, Google Books
(http://books.google.com/books: accessed 1 Feb 2013)
- Secretary of State of Michigan. Thirty-Fifth Annual Report of the Secretary of State on the Registration of Births And Deaths Marriages And Divorces in Michigan For The Year 1901. (Lansing, Michigan: Robert Smith Printing Co., 1905), p. lxiv; digital images, Google Books (http://books.google.com/books: accessed 1 Feb 2013)
- Secretary of State of Michigan. Forty-First Annual Report of the Secretary of State on the Registration of Births And Deaths Marriages And Divorces in Michigan For The Year 1907. (Lansing, Michigan: Wynkoop Hallenbeck Crawford Co., 1909), 39; digital images, Google Books (http://books.google.com/books: accessed 1 Feb 2013)
- Secretary of State of Michigan. Forty-Second Annual Report of the Secretary of State on the Registration of Births And Deaths Marriages And Divorces in Michigan For The Year 1908. (Lansing, Michigan: Wynkoop Hallenbeck Crawford Co., 1910), p. 25; digital images, Google Books (http://books.google.com/books: accessed 1 Feb 2013)
- Secretary of State of Michigan. Forty-Third Annual Report of the Secretary of State on the Registration of Births And Deaths Marriages And Divorces in Michigan For The Year 1909. (Lansing, Michigan: Wynkoop Hallenbeck Crawford Co., 1911), p. 43; digital images, Google Books (http://books.google.com/books: accessed 1 Feb 2013)
- Secretary of State of Michigan. Forty-Sixth Annual Report of the Secretary of State on the Registration of Births And Deaths Marriages And Divorces in Michigan For The Year 1912. (Lansing, Michigan: Wynkoop Hallenbeck Crawford Co., 1914), p. 45; digital images, Google Books (http://books.google.com/books: accessed 5 Feb 2013)
- Secretary of State of Michigan. Fifty-First Annual Report of the Secretary of State on the Registration of Births And Deaths Marriages And Divorces in Michigan For The Year 1917. (Lansing, Michigan: Wynkoop Hallenbeck Crawford Co., 1920), p. 45; digital images, Google Books (http://books.google.com/books: accessed 5 Feb 2013)
- State Department of Health. Fifty-Second, Fifty-Third and Fifty-Fourth Annual Report of the Commissioner of Health On The Registration Of Births And Deaths Marriages And Divorces In Michigan For The Years 1918, 1919 And 1920. Lansing, Michigan: Wynkoop Hallenbeck Crawford Co., 1922), pp. 40, 194, 288; digital images, Google Books (http://books.google.com/books: accessed 9 Feb 2013)
- “Spanish Influenza Hits Camp Custer; Quarantine Is On,” Trench And Camp [Battle Creek, Mich.], 3 October 1918, page 1, column 1, digital images, Kalamazoo Public Library (http://www.kpl.gov: accessed 13 February 2014), Miscellaneous Kalamazoo Publications Collection.
- “Influenza Situation In Camp Improved Though Many Die Of Pneumonia,” Trench And Camp [Battle Creek, Mich.], 10 October 1918, page 1, column 1, digital images, Kalamazoo Public Library (http://www.kpl.gov: accessed 13 February 2014), Miscellaneous Kalamazoo Publications Collection.
- “Health Conditions Are Resuming Normal State Within Custer Limits,” Trench And Camp [Battle Creek, Mich.], 24 October 1918, page 1, column 1, digital images, Kalamazoo Public Library (http://www.kpl.gov: accessed 13 February 2014), Miscellaneous Kalamazoo Publications Collection.
- “In Spite Of Epidemic Local Cantonment Has High Health Standing,” Trench And Camp [Battle Creek, Mich.], 7 November 1918, page 1, column 5, digital images, Kalamazoo Public Library (http://www.kpl.gov: accessed 13 February 2014), Miscellaneous Kalamazoo Publications Collection.
- “The 'Ban' Again On,” The People [Kalamazoo, Mich.], 12 December 1918, page 1, column 3, digital images, Kalamazoo Public Library (http://www.kpl.gov: accessed 13 February 2014), Miscellaneous Kalamazoo Publications Collection.
- “About This Closing Order,” The People [Kalamazoo, Mich.], 12 December 1918, page 8, column 1, digital images, Kalamazoo Public Library (http://www.kpl.gov: accessed 13 February 2014), Miscellaneous Kalamazoo Publications Collection.