Diet and Nutrition in the Early Age of Aviation

by Wood Institute travel grantee Bryce Evans

 

Many people dislike airline food, but that was what brought me to the College of Physicians as a Wood Institute scholar (‘Woodie’)! In the literal sense, the airline food on the American Airlines flight over from London wasn’t bad … I’ve certainly had worse. But the reason for my trip was to further research the scientific history of airline food – certainly a niche topic, but one which is pretty universal and always sure to elicit strong opinions.   

 

My time at the library was spent researching diet and nutrition in the early age of aviation. In ensuring the comfort and wellbeing of passengers and crew, much attention was paid to suitable foodstuffs to consume while airborne. I gained a fascinating glimpse of how theories developed around how the human body copes with altitude, air pressure, turbulence, lack of oxygen, and airsickness and specific thoughts on the gastro-intestinal processes attached to these.  

 

One has to remember that flying is a very recent human experience. Although most people these days have been in an airplane at least once, until recently flying was once the sole preserve of an elite (largely white male) few. Scientists longed for more detail on the short and long term effects on the body, how palatable food could be served in the air, and what the effect was of eating a meal at such altitude.   

 

Of course, much of the material in the library concerns an earlier period, and there were some interesting bits and pieces on those ‘mariners of the upper atmosphere’, the 18th and 19th century balloonists who pioneered understanding of what happened to the body when headed for the clouds. 

 

Picture of journal volumes on shelf.
Journal of Aviation Medicine on display in Norris Room for an event.

 

However, the most valuable resource was the complete set of The Journal of Aviation Medicine, spanning the 1920s to the 1960s. This was a treasure trove, with numerous articles relating to my topic. For example, authors explored themes such as the effect of altitude and oxygen upon primary taste perception, learning how the taste perception of sweet, salt, sour and bitter changes at 25,000 feet. These pioneering studies helped the major airlines to innovate around airline food, working with culinary professionals to develop suitable menus. Although many people deride airline food, the production of half-way appetizing food in the circumstances was, if not quite miraculous, underpinned by hard science. 

 

These were the early days of aviation and much of the material is ‘of its time’: writings on the topic were heavily gendered and racialized and often geared towards the strategic priorities of the US Air Force as the USA headed towards entry into the Second World War and post-war global dominance. Similarly, much of the early experiments into diet and digestion in the air would not meet ethical standards of research today. Nonetheless, it is interesting to chart the development of scientific insight around diet, nutrition and flying. These discoveries were of great use later on as the space race developed during the Cold War and astronauts’ diet assumed great importance. Space food owes a huge debt to airline food. 

 

What’s clear from the material is that, in many ways, aircraft in the early days were flying laboratories where the endurance of the human body was put to the test. Airlines were keen to maintain the physical and physiological efficiency of their crew. At the same time, early aviators were very much the ‘guinea pigs’ when it came to research into airborne diet.  

 

Gastrointestinal considerations were integral to the new science of aviation medicine, which examined phenomena such as pressure breathing, cardiovascular and respiratory dynamics, body temperature responses and – in terms of preventive medicine – longer term disease factors precipitated by the new phenomenon, and career choice, of global air transportation. 

 

To research in such august surroundings was a pleasure. I spent many contented hours in the Gross Library and the Norris Library and the behind-the-scenes glimpse at The Stacks was about as fun as it gets for a professional historian. I’d like to express my sincere thanks to Kristen, Shirley, Mary and Heidi: they were always helpful and always good company, and I’m proud to have worn the yellow lanyard and to have been a ‘Woodie’ for the week! 

 

Dr. Katharine Sturgis: A Pioneer in Medical Research


pf2_sturgis_001a_cropped
When Dr. Katharine Rosenbaum Guest Boucot Sturgis was elected the first female president of the College of Physicians in 1972, it was one of only a series of firsts she had accomplished in her career as a physician, teacher, administrator, researcher, editor and consumer advocate. But Dr. Sturgis did not see herself as having accomplished anything special just because she was a woman. She once reflected, “I never looked at people as men or women or black or white.” Dr. Sturgis had great respect for all people while never complaining about how she had to compete and, ultimately, thrive in the male-dominated medical profession which she chose as her vocation.

She was born Katharine Rosenbaum in Philadelphia, Pennsylvania in 1903, and, at a young age, decided to pursue a medical career. She had to convince her skeptical father that medicine was a feasible vocation for a young woman. This was no small feat in an era where women were expected to be homemakers and not much else in the male-centric society in which she grew up. Not to be deterred, she convinced her father by making a dress from scratch with him knowing full-well that she despised sewing. Her father then relented and allowed her to attend college to study pre-med.

Katharine Sturgis, despite a debilitating two-year bout with tuberculosis which landed her in a sanitarium, eventually earned her medical degree from Woman’s Medical College of Pennsylvania in 1942. Of her time at Woman’s Medical, despite her raising her two children alone, she once reminisced, “I never was given one iota of extra consideration, and I think that’s why I broke down with TB. I had to do everything everyone else did. There was no quarter shown.” This dogged determination to accomplish her goals despite obvious hardships would serve Dr. Sturgis well throughout the rest of her career.

While doing her residency at Herman Kiefer Hospital in Detroit, Dr. Sturgis came to the realization that research was her calling. She once reflected upon the neglect of research in the medical field, “Unfortunately, neither our profession nor the public has yet recognized the fact that we will never have enough clinicians for the sick unless we turn off the parade of illness.” Dr. Sturgis was to leave an indelible mark on the field of medical research before her career was over.

Dr. Katharine Sturgis’ years of research into lung cancer resulted in advances that came as a result of her participation in such projects as the Philadelphia Pulmonary Research Project. She was later to become a resolute advocate for cleaning up air pollution as well as an active naysayer on the dangers of smoking and its direct correlation to lung cancer. Dr. Katharine effectively lobbied for cleaner air standards from state and federal authorities while she served as the first woman president of the Philadelphia County Medical Society.

After serving as a board member of the College of Physicians since 1951, Dr. Sturgis’ tenure as president was short-lived due to health considerations. However, she left an ineffaceable mark on the College for her determined fundraising efforts and serving as chairperson of the Bicentennial Committee.

 

Dr. Sturgis’ awards and honors are too innumerable to mention, but two most precious to her were the prestigious Trudeau Award and her recognition as an Honorary Life Member of the American Lung Association in 1973. While reflecting upon her long and distinguished career in 1977, Dr. Sturgis humbly spoke, “I don’t kid myself that my career has made any major contributions to medicine, but as far as I am personally concerned, I’ve loved every minute of what I’ve done. I only wish I had more years in the field I love so much.” Dr. Katharine Sturgis was an exceptional doctor, advocate, teacher and researcher.

The Library of the College of Physicians contains a treasure trove of information on the life of Dr. Katharine R. Sturgis, a life that spanned such historically significant events as World War II, The Civil Rights Movement, the Vietnam War, and the United States Bicentennial. By researching her personal letters, correspondence, and newspaper articles, a student will get a real sense of how history unfolded through the words of such an outstanding person as Katharine R. Sturgis.

 

The links below will direct you to the catalog record or finding aid of the resource listed. Remember to check our library catalog and finding aids – these are only some of the great sources we have about Dr. Katharine Sturgis!

 

Primary sources

Katharine R. Sturgis Papers, 1948-1979
Call number: MSS 2/0355-01

 

General Correspondence of Katharine R. Sturgis, 1972-1974
Call number: CPP 2/002-02

 

Presidential Papers of Katharine Sturgis, 1970-1974
Call number: CPP 2/002-01

 

In Her Own Words: Oral Histories of Women Physicians
By Regina Markell Morantz-Sanchez, 1982
Call number: WZ 150 I35 1982

Secondary sources

Tuberculosis Medical Research: National Tuberculosis Association, 1904-1955
By Virginia Cameron, 1959
Call number: WF 1 NC277

 

Antibiotics and Antibiotic Therapy: A Clinical Manual
By Allen Elemer Hussar, 1954
Call number: QB 511

 

*Content written by Mike Mooney, Temple University Cultural Fieldwork Initiative intern

The influenza pandemic of 1918 in Philadelphia

The influenza pandemic of 1918 in Philadelphia
Pennsylvania Council of National Defense Department of Medicine, Sanitation and Hospitals. Emergency Service of the Pennsylvania Council of National Defense in the Influenza Crisis. Harrisburg, PA. 1918. Call number: Pam 173

The 1918 influenza pandemic did not hit the world all at once, but rather in three waves throughout 1918 and into 1919. Though it is unclear how the influenza pandemic influenced the outcome of World War I, what is undeniable is the pandemic’s connection to the war itself.

The first wave was in early 1918, and may have originated in Haskell County, Kansas, where “18 cases of influenza of a severe type” were reported in January and February. From Camp Funston in Fort Riley, Kansas, influenza travelled to Europe with soldiers going to the battlefront of World War I. The general population picked the disease up from the military, and by June, it was epidemic among the German troops and appearing among civilians in mainland Britain. While this first wave did substantial damage, it was milder than and not nearly as lethal as the second wave, which appeared as the first wave was fading in late August.

The second wave began when three cities on three separate continents experienced outbreaks of influenza almost simultaneously. Boston, Massachusetts in North America; Brest, France in Europe; and Freetown, Sierra Leone in Africa all had influenza appear in their naval yards between August 22 and August 27, 1918. The first cases of influenza in Philadelphia appeared on September 7, when sailors from Boston arrived in the naval yard. By early October, hospital beds in Philadelphia were full, public meetings and church services were banned, schools were closed, and there was a severe shortage of coffins. Beginning in September 1918 and until spring of 1919, the weekly number of influenza-related deaths in Philadelphia dropped below three figures only once. In October alone, over 11,000 Philadelphians died from influenza.

By the end of October, public services and meetings, including school and church, were re-opened. In early November, influenza in Philadelphia had reached its peak and the number of deaths slowly declined. A reported 12,162 people had died by November 2, 1918. The end of the second wave for most American cities, including Philadelphia, came in mid-November. Philadelphia had a small resurgence during the third and final wave during February 1919. By the end of the pandemic, a huge number of people had died. A general estimate for the total number of deaths is 50 million, though estimates range from as low as 25 million to as high as 100 million deaths worldwide. Over 1.5 million of these deaths were in the United States. Whichever way the true numbers run, the loss of life is truly astounding.

The links below will direct you to the catalog record or finding aid of the resource listed.  Remember to check our library catalog and finding aids – these are only some of the great sources we have about the influenza pandemic!

Primary sources

Note: Some of these materials are uncatalogued and are not linked to a catalogue record.  When requesting the uncatalogued materials, please be sure to include all of the information shown here.

scrapbookScrapbook of newspaper clippings concerning the influenza epidemic in Philadelphia, 1918-1919
Call number: Z10d 7

“Management of infectious and contagious diseases,” from the William Bradley papersdocbox-cropped
by William Bradley, ca. 1918
Call number: MSS 2/0008-01

reportsSpecial Tables of Mortality from Influenza and Pneumonia in Indiana, Kansas, & Philadelphia, PA
by Department of Commerce Bureau of the Census, 1920
Call number: 6V 106

scrapbookScrapbooks, chiefly on Philadelphia General Hospital
compiled by Joseph Chapman Doane, circa 1919-1929
Call number: Z10c 36

reportsMortality Rates 1910-1920 With Population of the Federal Censuses of 1910 and 1920 and Intercensal Estimates of Population
by the Government Printing Office, 1923
Call number: 6V 102

reports“Influenza Studies: I,” from Public Health Reports 34, no. 32 
by Raymond Pearl, 8 August 1919
Call number: Reprint No. 548

reports“Influenza Studies: II, III, and IV” from Public Health Reports 36, no. 7
by Raymond Pearl, 18 February 1921
Call number: Reprint No. 642

reportsEmergency Service of the Pennsylvania Council of National Defense in the Influenza Crisis
by Pennsylvania Council of National Defense Department of Medicine, Sanitation and Hospitals, 1918
Call number: Pam 173

reportsReport of the Pneumonia Commission of the City of Philadelphia
by Philadelphia Department of Public Health, 1922
Call number: 6A 113

reports“Report on Influenza,” from United States Naval Medical Bulletin 13, no. 4
by the staff at the U.S. Naval Hospital, undated

Secondary sources

magazine “Influenza and Epidemic Pneumonitis” from Medical Council
by Hyman I. Goldstein, December 1918

book-croppedHistory of United States Army Base Hospital No. 20
gathered by The University of Pennsylvania, 1920
Call number: ZEf 33

book-cropped Studies in Influenza and its Pulmonary Complications
by D. Barty King, 1922
Call number: Mm 51

book-croppedEpidemic Respiratory Disease: The Pneumonias and Other Infections of the Respiratory Tract Accompanying Influenza and Measles
by Eugene L. Opie, Francis G. Blake, James C. Small, and Thomas M. Rivers, 1921
Call number: Mc 99

magazinePennsylvania Medical Journal
Vol. 22 (1918-1919) and 23 (1919-1920)

book-croppedA Treatise on Influenza, with Special Reference to the Pandemic of 1918
by Rajendra Kumar Sen, 1923
Call number: Mm 56

book-croppedWork of the Sisters During the Epidemic of Influenza October 1918: Gathered and Arranged from Reports of Personal Experiences of the Sisters, from Records of the American Catholic Historical Society, Vol. XXX, no. 1-3
compiled by Francis E. Tourscher, 1919
Call number: Mm 97

book-croppedThe Pathology of Influenza
by M.C. Winternitz, Isabel M. Wason, and Frank P. McNamara, 1920
Call number: ZMm 4

*Content written by Carolyn Woodruff, Haverford College intern