WWI Centennial: The Spanish Flu Emerges

National Photo Company, Library of Congress, Wikimedia Commons // No known copyright restrictions
National Photo Company, Library of Congress, Wikimedia Commons // No known copyright restrictions

Erik Sass is covering the events of the war exactly 100 years after they happened. This is the 308th installment in the series. Read an overview of the war to date here.

May 22, 1918: THE FIRST PHASE OF THE SPANISH FLU EPIDEMIC

Although doctors, epidemiologists, and medical historians still debate where the infamous 1918 flu pandemic originated, the most recent evidence seems to support the theory that it started in the United States—first emerging in rural Haskell County, Kansas before spreading to Camp Funston, now Fort Riley, a U.S. Army training camp in the northeastern part of the state that was home to more than 50,000 enlisted men.

Like other flu epidemics, the 1918 H1N1 virus, also known as swine flu, was a zoonosis—a disease that spreads from animals to humans. Researchers studying the natural history of the 1918 flu believe it may have first spread from wildfowl, domestic poultry, or livestock to farmers in Haskell County, many of whom lived in sod houses in proximity to their animals. After a local epidemic there in January and February 1918, the flu appears to have traveled with conscripted men to Camp Funston, about 300 miles to the east.

On March 4, 1918, Private Albert Gitchell, a cook at one of the Camp Funston kitchens, reported sick with a high fever, becoming the first documented case of this flu. The virus spread quickly over the next few weeks, surely facilitated by conditions including cold, drafty barracks, communal showers, latrines and canteens, and physically taxing training regimens. Additionally, in an age before widespread car and air travel, many new recruits had never traveled far from their homes in Kansas or elsewhere in the rural Midwest, meaning their immune systems were vulnerable to new diseases.

By the end of the month, the hospital at Camp Funston was overwhelmed with more than 1100 cases of the flu (below, the emergency ward at the camp). But the virus mutated over time and became stronger. Thus, this first phase of the pandemic, which spread around the world in spring and summer of 1918, was much milder than the second phase, which began in the fall of that year and killed far more people.

U.S. Army recruits at Camp Funston, 1918
Otis Historical Archives, National Museum of Health and Medicine, Wikimedia Commons // CC BY 2.0

Wartime conditions provided ideal vectors for contagion, as hundreds of thousands of soldiers moved between army bases and then to port cities on America’s eastern and gulf coasts, where they awaited transport to Europe. In mid-March outbreaks were under way in Camp Forrest and Camp Greenleaf, both in Georgia; a month later the epidemic had spread to two dozen army bases and training camps, and also surfaced in the civilian populations of 30 of the country’s biggest cities.

U.S. Army training camps, 1918
Erik Sass

The virus made its first appearance on European soil in April 1918 at Brest and Bordeaux, two of the main ports of disembarkation for American troops arriving in France. Once again conditions on the continent helped speed the spread of the virus, including shortages of food and fuel, which left millions of soldiers and civilians cold and malnourished. Men in the trenches were jammed together in squalid conditions, and soldiers on leave as well as those working in supply and transport units could spread the disease to civilians or carry it with them back to the trenches. Meanwhile, many doctors had been conscripted into military service, leaving civilians with few options for medical care.

Also commonly known as the three-day fever or the grippe, the virus got the misleading nickname Spanish flu because it was first reported in the Spanish press on May 22, 1918 (as a neutral country, Spain hadn’t imposed wartime censorship like the combatant nations). Madrid’s ABC newspaper announced the arrival of the epidemic in Spain, probably carried by migrant laborers returning from France, with a headline noting the virulence but otherwise not expressing much alarm. Shortly afterwards King Alfonso XIII briefly fell ill, and the Spanish newswire service Agencia Fabra reported to its partner Reuters, “A strange form of disease of epidemic character has appeared in Madrid. The epidemic is of a mild nature; no deaths having been reported.”

The mild form of the flu would continue spreading around the world through the later summer of 1918, when the far deadlier second phase took over beginning in September. It swept over both sides of the war with hardly a delay, skipping over No Man’s Land with captured prisoners as well as through people traveling to neutral countries. Dominik Richert, a German soldier from Alsace, recalled that in July 1918 the relatively mild version of the flu was largely dismissed by German military authorities, who had much bigger problems on their hands:

"Some soldiers had started to feel unwell for several days without anyone knowing what was wrong with them. Then we read in the newspapers about a new illness called the Spanish flu, because it had started in Spain. Now we knew. More and more soldiers were infected and shuffled around looking half-dead. Although they reported sick, hardly any of them went to hospital, as it had been declared that no more people should be classified as having minor illnesses or being lightly wounded—there were only the seriously wounded and the dead."

Later Richert fell ill himself, and experienced firsthand the brusque and unsympathetic medical treatment that tended to prevail on both sides during the war:

"I went to report sick immediately as the flu had now got worse and I had become quite hoarse. There were about a hundred men standing outside the house where the doctor examined people. NCOs were examined first. You could hardly call it an examination. You were asked what was wrong. When I had answered, the medical NCO gave me a peppermint tablet about the size of a penny and the doctor said: ‘Make some tea for yourself. Next please!’"

See the previous installment or all entries, or read an overview of the war.

The Disturbing Reason Schools Tattooed Their Students in the 1950s

Kurt Hutton, Hulton Archive/Getty Images
Kurt Hutton, Hulton Archive/Getty Images

When Paul Bailey was born at Beaver County Hospital in Milford, Utah on May 9, 1955, it took less than two hours for the staff to give him a tattoo. Located on his torso under his left arm, the tiny marking was rendered in indelible ink with a needle gun and indicated Bailey’s blood type: O-Positive.

“It is believed to be the youngest baby ever to have his blood type tattooed on his chest,” reported the Beaver County News, cooly referring to the infant as an “it.” A hospital employee was quick to note parental consent had been obtained first.

The permanent tattooing of a child who was only hours old was not met with any hysteria. Just the opposite: In parts of Utah and Indiana, local health officials had long been hard at work instituting a program that would facilitate potentially life-saving blood transfusions in the event of a nuclear attack. By branding children and adults alike with their blood type, donors could be immediately identified and used as “walking blood banks” for the critically injured.

Taken out of context, it seems unimaginable. But in the 1950s, when the Cold War was at its apex and atomic warfare appeared not only possible but likely, children willingly lined up at schools to perform their civic duty. They raised their arm, gritted their teeth, and held still while the tattoo needle began piercing their flesh.

 

The practice of subjecting children to tattoos for blood-typing has appropriately morbid roots. Testifying at the Nuremberg Tribunal on War Crimes in the 1940s, American Medical Association physician Andrew Ivy observed that members of the Nazi Waffen-SS carried body markings indicating their blood type [PDF]. When he returned to his hometown of Chicago, Ivy carried with him a solution for quickly identifying blood donors—a growing concern due to the outbreak of the Korean War in 1950. The conflict was depleting blood banks of inventory, and it was clear that reserves would be necessary.

School children sit next to one another circa the 1950s
Reg Speller, Fox Photos/Getty Images

If the Soviet Union targeted areas of the United States for destruction, it would be vital to have a protocol for blood transfusions to treat radiation poisoning. Matches would need to be found quickly. (Transfusions depend on matching blood to avoid the adverse reactions that come from mixing different types. When a person receives blood different from their own, the body will create antibodies to destroy the red blood cells.)

In 1950, the Department of Defense placed the American Red Cross in charge of blood donor banks for the armed forces. In 1952, the Red Cross was the coordinating agency [PDF] for obtaining blood from civilians for the National Blood Program, which was meant to replenish donor supply during wartime. Those were both measures for soldiers. Meanwhile, local medical societies were left to determine how best to prepare their civilian communities for a nuclear event and its aftermath.

As part of the Chicago Medical Civil Defense Committee, Ivy promoted the use of the tattoos, declaring them as painless as a vaccination. Residents would get blood-typed by having their finger pricked and a tiny droplet smeared on a card. From there, they would be tattooed with the ABO blood group and Rhesus factor (or Rh factor), which denotes whether or not a person has a certain type of blood protein present.

The Chicago Medical Society and the Board of Health endorsed the program and citizens voiced a measure of support for it. One letter to the editor of The Plainfield Courier-News in New Jersey speculated it might even be a good idea to tattoo Social Security numbers on people's bodies to make identification easier.

Despite such marked enthusiasm, the project never entered into a pilot testing stage in Chicago.

Officials with the Lake County Medical Society in nearby Lake County, Indiana were more receptive to the idea. In the spring of 1951, 5000 residents were blood-typed using the card method. But, officials cautioned, the cards could be lost in the chaos of war or even the relative quiet of everyday life. Tattoos and dog tags were encouraged instead. When 1000 people lined up for blood-typing at a county fair, two-thirds agreed to be tattooed as part of what the county had dubbed "Operation Tat-Type." By December 1951, 15,000 Lake County residents had been blood-typed. Roughly 60 percent opted for a permanent marking.

The program was so well-received that the Lake County Medical Society quickly moved toward making children into mobile blood bags. In January 1952, five elementary schools in Hobart, Indiana enrolled in the pilot testing stage. Children were sent home with permission slips explaining the effort. If parents consented, students would line up on appointed tattoo days to get their blood typed with a finger prick. From there, they’d file into a room—often the school library—set up with makeshift curtains behind which they could hear a curious buzzing noise.

When a child stepped inside, they were greeted by a school administrator armed with indelible ink and wielding a Burgess Vibrotool, a medical tattoo gun featuring 30 to 50 needles. The child would raise their left arm to expose their torso (since arms and legs might be blown off in an attack) and were told the process would only take seconds.

A child raises his hand in class circa the 1950s
Vecchio/Three Lions/Getty Images

Some children were stoic. Some cried before, during, or after. One 11-year-old recounting her experience with the program said a classmate emerged from the session and promptly fainted. All were left with a tattoo less than an inch in diameter on their left side, intentionally pale so it would be as unobtrusive as possible.

At the same time that grade schoolers—and subsequently high school students—were being imprinted in Indiana, kids in Cache and Rich counties in Utah were also submitting to the program, despite potential religious obstacles for the region's substantial Mormon population. In fact, Bruce McConkie, a representative of the Church of Jesus Christ of Latter-Day Saints, declared that blood-type tattoos were exempt from the typical prohibitions on Mormons defacing their bodies, giving the program a boost among the devout. The experiment would not last much longer, though.

 

By 1955, 60,000 adults and children had gotten tattooed with their blood types in Lake County. In Milford, health officials persisted in promoting the program widely, offering the tattoos for free during routine vaccination appointments. But despite the cooperation exhibited by communities in Indiana and Utah, the programs never spread beyond their borders.

The Korean conflict had come to an end in 1953, reducing the strain put on blood supplies and along with it, the need for citizens to double as walking blood banks. More importantly, outside of the program's avid boosters, most physicians were extremely reticent to rely solely on a tattoo for blood-typing. They preferred to do their own testing to make certain a donor was a match with a patient.

There were other logistical challenges that made the program less than useful. The climate of a post-nuclear landscape meant that bodies might be charred, burning off tattoos and rendering the entire operation largely pointless. With the Soviet Union’s growing nuclear arsenal—1600 warheads were ready to take to the skies by 1960—the idea of civic defense became outmoded. Ducking and covering under desks, which might have shielded some from the immediate effects of a nuclear blast, would be meaningless in the face of such mass destruction.

Programs like tat-typing eventually fell out of favor, yet tens of thousands of adults consented to participate even after the flaws in the program were publicized, and a portion allowed their young children to be marked, too. Their motivation? According to Carol Fischler, who spoke with the podcast 99% Invisible about being tattooed as a young girl in Indiana, the paranoia over the Cold War in the 1950s drowned out any thought of the practice being outrageous or harmful. Kids wanted to do their part. Many nervously bit their lip but still lined up with the attitude that the tattoo was part of being a proud American.

Perhaps equally important, children who complained of the tattoo leaving them particularly sore received another benefit: They got the rest of the afternoon off.

Grace O'Malley, the Fearless 16th-Century Irish Pirate Queen Who Stood Up to the English

Rockfleet Castle, which Grace O’Malley used as a base
Rockfleet Castle, which Grace O’Malley used as a base

If asked to name a pirate from history, many people will mention Blackbeard or Captain William Kidd. If pressed to name a female pirate, they might mention Anne Bonny, who terrorized the Caribbean alongside Captain "Calico" Jack Rackham in the early 18th century. Anne Bonny, however, was far from the only female pirate to terrorize the seas. More than a century before Bonny's birth, another woman ruled the waves, debated with Queen Elizabeth I, and sat at the head of a prosperous pirate empire. She was Grace O'Malley, Pirate Queen.

Grace With the Cropped Hair

Known in Gaelic as Gráinne Ní Mháille, Grace was born in Ireland sometime around 1530. She was the daughter of Eoghan Dubhdara Ó Máille, ruler of the territory of Umhall and the lord of an ancient, powerful dynasty in the province of Connaught. The Ó Máille family's money came from the seas, raised in the form of taxes levied on anyone who fished off their stretch of the Irish coast. The family were also shrewd traders and merchants, trading (and sometimes plundering) as far away as Spain. Ó Máille castles also dominated the southwest coastline of County Mayo, providing protection from invasion for the wealthy lord's territory. At a time when the Tudors in England were ramping up their conquest of Ireland, such defensive measures were vital.

The folklore of Grace O'Malley begins in her childhood, when she supposedly begged her father to let her join him on a trade mission to Spain. When he refused his daughter's request on the grounds that her long hair would be hazardous on the rolling deck of a ship, she hacked off her mane, earning herself the nickname Gráinne Mhaol, or "Grace with cropped hair."

Though little is known of Grace's early life, when she was about 16 she made a political marriage to Dónal Ó Flaithbheartaigh, heir to the lands of Ó Flaithbheartaigh. It was an excellent dynastic match, but despite bearing her husband three children, Grace wasn't made for housewifery. She had more ambitious plans.

Soon Grace was the driving force in the marriage, masterminding a trading network to Spain and Portugal and leading raids on the vessels that dared to sail close to her shores. When her husband was killed in an ambush by a rival clan around 1565, Grace retreated to Clare Island, and established a base of operations with a band of followers. According to legend, she also fell in love with a shipwrecked sailor—and for a time life was happy. But when her lover was murdered by a member of the neighboring MacMahon family, Grace led a brutal assault on the MacMahon castle at Doona and slaughtered his killers. Her actions earned her infamy as the Pirate Queen of Connaught.

Though Grace remarried for the sake of expanding her political clout, she wasn't about to become a dutiful wife. Within a year she was divorced, though pregnant, and living at Rockfleet Castle, which she'd gained in the marriage and which became her center of operations. According to legend, the day after giving birth to to her ex-husband’s son aboard a ship, she leapt from her bed and vanquished attacking corsairs

Grace continued to lead raiding parties from the coast and seized English vessels and their cargo, all of which did little to endear her to the Tudors. She was known for her aggression in battle, and it's said that when her sons appeared to be shirking, she shamed them into action with a cry of "An ag iarraidh dul i bhfolach ar mo thóin atá tú, an áit a dtáinig tú as?"—which roughly translates as "Are you trying to hide in my arse, where you came out of?"

In 1574 an English expedition sailed for Ireland with the aim of putting an end to her exploits once and for all. Though they besieged Rockfleet Castle, no one knew the coastline better than Grace, and she repulsed them with the might of her own ships.

But Grace made history in 1593 after her son was captured by Sir Richard Bingham, the English governor of Connaught. Appointed in 1584, Bingham had taken office as part of English efforts to tighten their hold on Ireland, and in 1586 his men had been responsible for the death of one of Grace's sons. Bingham also took cattle and land from Grace, which only served to increase her thirst for revenge. Yet she was a politician as much as a warrior, and knew that she couldn't hope to beat Bingham and the forces of the English government single-handedly.

Instead, she took the diplomatic route and traveled to England, where she requested an audience with Queen Elizabeth I to discuss the release of her son and the seizure of her lands. In addition, she challenged Gaelic law that denied her income from her husband's land and demanded that she receive appropriate recompense. She argued that the tumult reigning in Connacht had compelled her to "take arms and by force to maintain [my]self and [my] people by sea and land the space of forty years past." Bingham urged the queen to refuse the audience, claiming that Grace was "nurse to all rebellions in the province for 40 years," but Elizabeth ignored his entreaties. Perhaps the monarch was intrigued by this remarkable woman, because Grace's request was granted, and the two women met in September 1593.

A Meeting With the Queen

An 18th-century depiction of the meeting between Grace O'Malley and Elizabeth I
An 18th-century depiction of the meeting between Grace O'Malley and Elizabeth I
Anthologia Hibernica volume II, Wikimedia // Public Domain

Grace's Greenwich Palace summit with the queen has become legendary. She supposedly wouldn't bow to Elizabeth, whom she didn't recognize as the Queen of Ireland. Though dressed in a magnificent gown that befit her status, she also carried a dagger, which she refused to relinquish. The queen, however, was happy to receive her visitor—dagger and all. The summit was conducted in Latin, supposedly the only tongue the two women shared. Ignoring the fact that they were virtually the same age, Elizabeth decided that there was only "pity to be had of this aged woman" whom she believed "will fight in our quarrel with all the world."

By the end of the long meeting, an agreement had been reached. Bingham would be instructed to return Grace's lands, pay her the funds she had demanded, and free her son. In return, Grace would withdraw her support of the Irish rebellion and attack only England's enemies.

Yet the victory was short-lived. Though her son was freed, Bingham's censure was brief, and Grace received back none of the territory she had lost. Grace was furious, and she soon withdrew from public life.

The last years of Grace O’Malley are shrouded in mystery. It’s believed that she died at Rockfleet Castle around 1603—the same year as Queen Elizabeth I. Her memory lives on, not least in the Irish ballads, which remember her with these verses:

In the wild grandeur of her mien erect and high
Before the English Queen she dauntless stood
And none her bearing there could scorn as rude
She seemed well used to power, as one that hath
Dominion over men of savage mood
And dared the tempest in its midnight wrath
And thro' opposing billows cleft her fearless path.

Additional Sources: Granuaile: The Life and Times of Grace O'Malley; Pirate Queen; Anecdotes of the Aristocracy; "The day the Virgin Queen bowed to the pirate queen," Times of London; A Forgotten Part of Ireland; "Gráinne Mhaol, Pirate Queen of Connacht: Behind the Legend," History Ireland.

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