Finding the Flu: Crisis and Documentation

On September 7, 1918, 300 sailors arrived in Philadelphia from Boston, where, two weeks earlier, soldiers and sailors began to be hospitalized with a disease characterized as pneumonia, meningitis, or influenza. The sailors were stationed at the Philadelphia Naval Yard.

On September 11, 19 sailors reported to sickbay with symptoms of “influenza.” By September 15, more than 600 servicemen required hospitalization.

Physicians and other public health workers in Philadelphia first met on September 18 with city officials to discuss what they perceived as a growing threat. Public health officials demanded that the city be quarantined – all public spaces, including schools, churches, parks, any place people could congregate, should be closed. City officials did not want to create panic. They were more concerned that local support for President Wilson’s efforts in World War I should not be disturbed. Anything that would damage morale – or the city’s ability to raise the millions in Liberty Loans required by federal quota – was unacceptable.

The Board of Health declared influenza a reportable disease on September 21, which required physicians to report any cases they treated to health officials. The Board advised residents to stay warm and keep their feet dry and their bowels open. The Board also suggested that people avoid crowds.
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Cripples, Prostitutes, and Quacks: Pamphlets and Reprints at the Historical Medical Library

Every librarian has come across a particular collection and has wondered what librarians in the past were thinking. The most recent such example at the Historical Medical Library of The College of Physicians of Philadelphia contains 700 boxes filled with uncatalogued reprints, medical trade ephemera and pamphlets. How and why did we end up with nearly 70,000 uncatalogued items?

Book Exchanges

Example of a book plate indicating exchange in the collection
Example of a book plate indicating exchange in the collection

Book and reprint exchanges were a very popular method for medical libraries to accumulate texts for their physicians without making purchases. At the head of the exchange was the Medical Library Association’s (MLA) founder and College of Physicians of Philadelphia Fellow, George M. Gould. Dr. Gould preached that resource sharing among libraries was the best way to advance knowledge for doctors. MLA’s original intent was for libraries to share their duplicate medical literature. This caused libraries to be proactive in asking for prints from publishers and for reprints from journals so they could trade them later for material they did not have. In 1890, libraries started to see increased cooperation with publishers and among each other – this is where our collection of reprints and pamphlets begins. In 1930, there is a shift from exchanging modern periodicals and pamphlets to exchanging medical treatises. This marks the end of the formation of this pamphlet and reprint collection. It can be concluded from looking at the Library’s history, and trends in medical publishing, that many of these pamphlets and reprints derive from these book exchanges.

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