Category Archives: disease

The white plague

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In my Will Rees mysteries, he meets people who are ill with tuberculosis several times. The frequency of deaths from this disease in my fiction in not an accident. It was an epidemic and still has not been eradicated. In 2017, there were more than 10 million cases of active TB which resulted in 1.6 million deaths; it is therefore the number one cause of death from an infectious disease. Most of these deaths, and most of the new infections, occur in the developing world.

 

I was mostly familiar with TB as ‘consumption’, a disease that afflicted Victorian poets. Although TB was common in both the poets, the upper classes and the slum-dwellers, it was not a new disease during Victorian times. It has been around for millennia. Bison remains from 17,000 years ago display the effects of the disease.  (No one is sure if TB jumped to humans from the bovine like smallpox or whether it developed independently.) TB scars have been found on Neolithic skeletons and on the spines of Egyptian mummies.

 

So, it has been around a very long time. Despite that, it was not identified as a single disease until 1820 and the bacillus that caused it was not discovered until 1882 (by Robert Koch. He received the Nobel prize but failed to recognize that one of the transmissions of TB was via infected milk.)

 

Before the advent of antibiotics, and even with the best care in the sanatoriums set up for this purpose, 50% of the patients died within five years. In 1815, one in four died of the illness in England.

 

Antibiotics beat back the disease, but new drug resistant strains raise the possibility of a new epidemic. Even now, in modern times, about one quarter of the world’s population is infected with TB.

Shakers and Herbs – Part 3 – Marketing and Sales

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Although Waterlviet (just outside of Albany) was the Shakers’ first home, the herb business there began after the business in New Lebanon, New York – now known as Mount Lebanon.  The community began with a few farms and later expanded to become the largest, most prosperous and most influential. It was considered the most ordered and became the Central Ministry.

Until 1821 only wild herbs were gathered but they were gathered in such enormous quantities that many disappeared and quite a few are on the endangered list. In January of that year they began selling herbs to the World, i.e. to people outside the community. After that they began planting physic gardens.

Waterlviet began selling in 1827 and by 1830 had produced a printed catalog.

The Mount Lebanon catalog soon followed, along with Sabbathday Lake (established in 1794 and the last of the Eastern communities to be established), and the New Hampshire,  the Connecticut and finally the Western communities in Ohio and Kentucky. By 1840 the catalogs were four pages long.

But how did they market? We know they did so (and very successfully too). The market they were entering was sated with exotic elixers and medicines and wild promises to cure every malady.

First, their herbs were marketed as pure and, as their reputation for purity of medicinal herbs grew, the business expanded. (Competitors began advertising their herbs as ‘Shaker’ seeds and herbs.

The catalogs, as mentioned above, became larger and with more material and information in each new edition. Like marketers today, they began offering discounts. An account book from the late 1830s offers a discount of 25% for 25 dollars purchased.

They direct marketed to physicians and included samples.

Their ‘territory’, if you will, was world-wide. They imported coriander to sell and by the mid-1800’s were shipping to London, England and San Francisco. They had a busy river trade up and down the major rivers, the Red River, the Ohio River and the Mississippi peddling brooms, straw hats, socks and jeans as well as seeds and herbs.

After the Civil War, and especially toward the early 1900s, the Shaker membership declined. The herb business also began slipping and many of the business were closed. The Sabbathday Lake herb industry was closed in 1911. Some of the others hung on a little longer. The Sabbathday Lake community is unique in that the herb industry was reestablished in 1960 and I was able to purchase a packet of lavender, packed in Sabbathday Lake, in a gift shop attached to the ruins of the community in Albany.

And most people know the Shakers only for their furniture!

The Shakers and Herbs, Part One

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The Shakers arrived in the New World in 1774. Like most of the new colonists, they brought some herbal knowledge with them. Yarrow, boneset, dandelion (which is not native to North America) are some of the plants brought over from Britain. Although there were doctors, most of a family’s medical needs were served by a wife or mother, midwife – not the doctor. But I digress.

Again like many of the new colonists, the Shakers drew upon the knowledge of the local tribes to learn about the herbs in the woods. At first, the Shakers wanted the herbs to treat the illnesses in their own community. Later, they planted physic gardens to meet their needs. As farmers everywhere do, if they grew a surplus, they sold it. This was the beginning of a thriving  and very profitable business.

Although Watervliet was the first Shaker community, (just outside of Albany several of the old fields now lie under the Albany airport), the Central Ministry was located at New Lebanon in New York (west of Albany.) The herbal trade began here and soon spread to several other communities, Canterbury, NH and Union Village near Lebanon, Ohio among them. AS we all know, the health business is rife with quackery, The snake oil salesman is a caricature of reality for our early history. The Shakers, despite the fact they were considered religious oddities (almost cultists) brought herbal medicines to respectability.

It was also incredibly lucrative. At its height, the business grossed $150,000 annually. This in a time when an experienced carpenter might make four shillings a week. In today’s money, that $150,000 a year would be worth upwards of 2 million.

The Shakers, by the way, kept meticulous records. Besides commercial transactions , they carefully documented what herb was shipped where and what it cost, they kept records of every aspect of Shaker life. The health of every individual was of prime importance. In fact, the Millennial Laws decreed that “As the natural body is prone to sickness and disease, it is proper that there should be suitable persons appointed to attend to necessary duties in administering aid to those in need.” In health care, as in so many other practices, the Shakers were well in advance of the society that surrounded them.

A quick review of the records pertaining to the deaths of these community members and in an age when the life span was between 40 and fifty, it is not surprising to find Shakers passing away at 87, 88 and even 101.

I based my primary Shaker community Zion on Sabbathday Lake which is located in Alfred, Maine. It is still home to the last remaining Shakers. (Three at last count. When I first began my research several years ago there were ten.) A visit to any of the gift shops in what were once thriving Shaker communities reveals packets of herbs for purchase, all packed at Sabbathday Lake. The remaining Shakers continue to labor exactly as they always have done.

Next: a review of some of the less common herbs used and sold by the Shakers.

Norway 2

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One of my favorite parts of this trips was seeing an Iron Age farm. Man, times were hard. The people lived in longhouses with sod roofs.

Peopel lived in the south, animals in the north, so the heat from the animals came down, Also the smells and other less nice things. I’ve read about the custom of keeping the animals in the house. Diseases that began in animals then jumped to humans.

But I digress.

I was very interested in the loom. The weaving was done top to bottom. The warp threads at the bottom were hung with weights. Weaving, which for me is a fairly quiet operation, must have been noisy.

loom weights

One of the things I found interesting was the green tape and the interpreter’s green shirt. I knew from my research for “Death of a Dyer” that there was no green dye in Europe. In Peru they used some plant but that had not been discovered in Europe. But they did have yellow, blue (indigo) and red (madder).

yarns

So, where did they get green? Here is a better shot of the green tape.

green tape

I asked the interpreter and he referred me to the Archaelogy Department. Answer: they over dyed, beginning with yellow and then blue.

For pictures of the dress and shoes I refer you to the blog by ArchaeoFox.

Gardening – and insects

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I spent a lot of time this past weekend working in the garden: putting in string beans as well as taking out a lot of the winter-killed plants.  (Yes, out of 12 roses, I have only 4 left.) The vegetable garden in enclosed by a fence, and most of the larger yard is fenced to keep out the deer. I coated my gardening pants with off (Deet variety) but I still got bitten by mosquitoes and black flies. Welts all over my ears and neck. But my husband, who was mowing in the front, and unfenced yard, got a tick. And the dog and my grandson (who spends hours running around the yard ‘with the doggy’) both got ticks.

It is the season. Be careful out there.

Midwifery – and Witchcraft?

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As Lydia, one of the principle characters (married to my detective Will Rees) prepares to deliver their first baby, my thoughts turned to births. In that time both maternal and infant mortality was high. It was not uncommon for a man to be buried in a church yard with several wives.

Most women, especially those in the country, had their babies delivered by a midwife. For one thing, it was considered indecent for a man to witness the birth. Male physicians were just beginning to make inroads in delivering babies in the cities. Thousands of women who were burned in Europe as witches were midwives and healers . Why? Well. everyone knew women, who were ill-educated to begin with,  were too stupid to learn something like this so the knowledge had to have a supernatural origin, i.e. the Devil. This in spite of the fact that midwives have been part of human history for millennia and there were less deaths when midwives delivered the babies. They washed their hands. Male doctors, according to the history I’ve read, did not and they passed bacteria from one woman to another, with maternal death following.

What did midwives do? Think about this: there were no pain killers other than alcohol and opium and anyway it was thought women should suffer. After all, they were guilty of listening to the serpent in the Garden of Eden and persuading Adam to eat the forbidden apple. Queen Victoria popularized pain killers during birth. (Smart woman).

There were no stethoscopes. They were not invented until 1816 and then looked like a long tube. Forceps were invented centuries earlier but were risky. Obstetric tools discovered in 1813 included forceps used by a male physician so they were known and used by then.

But midwives helped with the breathing, cut the cord, and some experienced midwives could turn a baby who was in a breech position. After the birth, they cleaned the baby, removing the mucous from nose and mouth, and made sure the cry was robust. Usually the midwife had an apprentice or two.

Now, with an interest in ‘natural birth’, we have come full circle back to midwives.

 

More superstitions about health

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Folk beliefs (superstitions has a pejorative connotation) cover  all kinds of things, from seeing the face of one’s future husband to scaring away witches. However, not all of these beliefs are silly. Some, especially the ones relating to health, have arisen from trial and error or simple observation.

For example, the Navahos have a prohibition about sweeping their hogans at a certain time of the year. Come to find out the hanta virus is spread in mouse excrement which, at that time of the year, dries up and goes into the air. So what seemed like a superstition actually had a scientific basis. Another such example is willow bark tea for aches and pains. Since willow bark contains the active ingredient found in aspirin, another true belief. And drinking rose hip tea is good for what ails you. Rose hips are a great source of Vitamin C.

Other beliefs, not so much. You can remove warts by rubbing it with a live toad until they are drawn into a toad’s skin. (really!)  You will never have arthritis if you wear a ring of dried raw potato on the middle finger of your right hand. You can cure a simple headache by wearing a necklace of corn kernels. You can cure respiratory illnesses by placing the skin of a black cat on the afflicted person’s chest for three days.  If you place an ear of corn between a mother and her baby, he will have a long and prosperous life.

Other beliefs I think need some investigation. Wounds will heal much faster if you place cabbage or plantain leaves on the affected area. This one sounds to me like it might actually work. Another is curing sunburn by placing a mash of wet tea leaves on the area. Since tea leaves are full of antioxidants this one may work as well. You can cure diarrhea or colic by drinking a tea made of blackberry leaves. This treatment at least would do no harm. Diarrhea was a killer of babies back then and one of the other treatments of choice was giving them opium.