The Anti-Spitting Campaigns Designed to Stop the Spread of Tuberculosis

A Dr. Dettweiler sputum flask, circa 1910
A Dr. Dettweiler sputum flask, circa 1910

In the 19th century, cities were grimy places, where thousands of people lived in overcrowded tenement buildings and walked streets polluted with trash, sewage, and the carcasses of dead animals. Unsurprisingly, these cities were also hotbeds of infectious disease.

One of the leading causes of death was tuberculosis, which spreads from person to person in the tiny droplets that spray through the air when an infected person coughs or sneezes. "In the 19th century, tuberculosis [was] the greatest single cause of death among New Yorkers," explains Anne Garner, the curator of rare books and manuscripts at the New York Academy of Medicine Library and the co-curator of the Museum of the City of New York’s new exhibition, "Germ City: Microbes and the Metropolis."

In the 19th century, tuberculosis killed one in every seven people in Europe and the U.S., and it was particularly deadly for city dwellers. Between 1810 and 1815, the disease—then commonly known as consumption, or the white plague—was to blame for more than a quarter of the recorded deaths in New York City. While New York wasn't alone among urban centers in having startlingly high rates of tuberculosis, its quest to eradicate the disease was pioneering: It became the first U.S. city to ban spitting.

"BEWARE THE CARELESS SPITTER"

Anti-tuberculosis pamphlets
Tuberculosis warnings from the Committee on Prevention of Tuberculosis that appeared on New York City streetcar transfers in 1908, reprinted by the Michigan Board of Health in 1909

In 1882, Robert Koch became the first to discover the cause of tuberculosis: a bacterium later named Mycobacterium tuberculosis, which he isolated from samples taken from infected animals. (Koch won the Nobel Prize in 1905 for his work.) He determined that the disease was spread through bacteria-infected sputum, the mix of phlegm and spit coughed up during a respiratory infection. That meant that rampant public spitting—often referred to as expectorating—was spreading the disease.

In 1896, in response to the growing understanding of the threat to public health, New York City became the first American metropolis to ban spitting on sidewalks, the floors in public buildings, and on public transit, giving officials the ability to slap wayward spitters with a fine or a jail sentence. Over the next 15 years, almost 150 other U.S. cities followed suit and banned public spitting [PDF].

The New York City health department and private groups like the National Tuberculosis Association, the Women’s Health Protective Association, and the Brooklyn Anti-Tuberculosis Committee generated anti-spitting slogans such as "Spitting Is Dangerous, Indecent, and Against the Law," "Beware the Careless Spitter," and "No Spit, No Consumption." They made posters decrying spitting (among other unhealthy habits) and reminding people of the ban. Members of the public were encouraged to confront defiant spitters, or, at the very least, give them the stink eye. While there were many other factors to blame for the spread of tuberculosis—like dangerously overcrowded, poorly ventilated tenement housing and widespread malnutrition—public spitters became the literal poster children of infection.

New York City officials followed through on the threat of punitive action for errant spitters. More than 2500 people were arrested under the statute between 1896 and 1910, though most only received a small fine—on average, less than $1 (in 1896, that was the equivalent of about $30 today). Few other cities were as committed to enforcing their sputum-related laws as New York was. In 1910, the National Tuberculosis Association reported that less than half of cities with anti-spitting regulations on the books had actually made any arrests.

Despite the law, the problem remained intractable in New York. Spitting in streetcars posed a particularly widespread, and disgusting, issue: Men would spit straight onto the floor of the enclosed car, where pools of phlegm would gather. Women wearing long dresses were at risk of picking up sputum on their hemlines wherever they went. And the law didn’t seem to stop most spitters. As one disgusted streetcar rider wrote in a letter to the editor of The New York Times in 1903, “That the law is ignored is evident to every passenger upon these public conveyances: that it is maliciously violated would not in some cases be too strong an assertion.”

The situation wasn’t much better two decades later, either. “Expectorating on the sidewalks and in public places is probably the greatest menace to health with which we have to contend,” New York City Mayor John Francis Hylan said in a 1920 appeal for citizens to help clean up the city streets.

THE BLUE HENRY

A blue sputum flask
New York Academy of Medicine Library

Spitting laws weren't the only way that health authorities tried to rein in the spread of TB at the turn of the century. Anti-tuberculosis campaigns of the time also featured their own accessory: the sputum bottle.

Faced with the fact that sick people would cough up sputum no matter what a poster in a streetcar told them, in the late 19th century, doctors and health authorities all over the world began instructing people with tuberculosis to spit into pocket-sized containers, then carry it around with them. “A person with tuberculosis must never spit on the floor or sidewalk or in street cars, but always into a cuspidor or into a paper cup, which he should have with him at all time, and which can be burned,” advised the New York City Department of Health’s 1908 publication Do Not Spit: Tuberculosis (Consumption) Catechism and Primer for School Children. These containers were known as cuspidors, spittoons, or simply sputum cups or sputum bottles.

Among the most well-known of these sputum-carrying receptacles was the “Blue Henry,” a pocket flask made of cobalt-blue glass that was originally manufactured by the German sanatorium pioneer Peter Dettweiler, who himself had suffered from tuberculosis.

“The sputum bottle was like a portable flask that could be used to collect this sticky phlegm that was produced by the irritated lungs of a person suffering from tuberculosis,” Garner says. While they came in various shapes, sizes, and materials, the fancier versions would have a spring-loaded lid and could be opened from both sides, so that you could spit into a funnel-like opening on one side and then unscrew the bottle to clean out the sputum receptacle later.

Dettweiler's device and the similar devices that followed became popular all over the world as doctors and governments sought to contain the spread of tuberculosis. These receptacles became a fixture in hospitals and at sanatoriums where tuberculosis patients went to recuperate, and were a common hand-out from anti-tuberculosis charities that worked with TB-afflicted patients.

In the early 1900s, the New York Charity Organization Society was one of them. Its Committee for the Prevention of Tuberculosis raised money to buy its New York City-based clients better food, new beds, and of course, sputum cups. (Likely the paper kind, rather than the glass Dettweiler flasks.) The generosity wasn't unconditional, though. The society would potentially pull its aid if charity workers showed up for a surprise home inspection to find unsanitary conditions, like overflowing sputum cups that were not being properly disinfected [PDF].

Eventually, the city itself began handing out sputum cups. In an effort to reduce the contagion, by 1916 a large number of cities—such as Los Angeles, Seattle, and Boston—dedicated part of their municipal budgets to paying for tuberculosis supplies like paper sputum cups that would be handed out to the public for free.

A ad for anti-TB supplies from the Journal of Outdoor Life
An advertisement that ran in the Journal of Outdoor Life—which billed itself as “the anti-tuberculosis magazine"—in 1915

Though paper sputum cups could be burned, glass or metal flasks had to be cleaned regularly. Doctors recommended that the sputum bottles contain a strong disinfectant that could kill off the tuberculosis bacilli, and that the receptacles be cleaned and disinfected every morning and evening by rinsing them with a lye solution and boiling them in water. As for the sputum itself, burning was the preferred method of sanitizing anything contaminated with TB at the time, and sputum was no exception—although rural consumptives were encouraged to bury it in the garden if burning wasn’t practical.

In an era where infectious disease was often associated with poor, immigrant communities, sputum bottles made it possible to go out in public without drawing the same attention to your condition that hacking up phlegm into the street would. “You could discreetly carry them around and then take them out and people wouldn’t necessarily know that you were suffering from the disease,” Garner explains. Or at least, somewhat discretely, since they soon became widely associated with consumptives. A Dr. Greeley, for one, argued that ordinary sputum bottles were “so conspicuous as to be objectionable," and suggested people spit into toilet paper and put that in a pouch instead. That idea didn't quite take off.

And while hiding your infectious status is not good for public health, the sputum flasks did lower the risk that you were infecting the people around you as you coughed and sneezed. “As long as you were doing it into the bottle, you probably were not infecting other people,” Garner says.

Not many of these sputum bottles have survived, in part because it was standard practice to burn everything in a tuberculosis patient’s room after they died to prevent germs from spreading. Those that remain are now collector's items, held in the archives of institutes like Australia's Museums Victoria; the Museum of Health Care in Kingston, Canada; and the New York Academy of Medicine Library.

TUBERCULOSIS TODAY

Unfortunately, neither anti-spitting propaganda nor sputum flasks managed to stop the spread of tuberculosis. Real relief from the disease didn’t come until 1943, when biochemist Selman Waksman discovered that streptomycin, isolated from a microbe found in soil, could be an effective antibiotic for tuberculosis. (He won the Nobel Prize for it, 47 years after Koch won his.)

And while carrying a cute flask to spit your disease-ridden phlegm into sounds quaint now, tuberculosis isn’t a relic of the past. Even with medical advances, it has never been eradicated. It remains one of the most devastating infectious agents in the world, and kills more than a million people worldwide every year—the exact number is debated, but could be as high as 1.8 million. And, like many infectious diseases, it is evolving to become antibiotic resistant.

Sputum flasks could come back into fashion yet.

When Harriet Tubman Helped Lead a Civil War Raid That Freed 750 People

A portrait of Harriet Tubman, the legendary Underground Railroad conductor and Civil War nurse, scout, and spy
A portrait of Harriet Tubman, the legendary Underground Railroad conductor and Civil War nurse, scout, and spy
Photos.com/iStock via Getty Images

As clouds flitted across the moonlit sky on the night of June 2, 1863, three gunboats snaked up the Combahee River in South Carolina’s Lowcountry region. The Civil War was raging and the vessels were filled with Union troops, many of them from the 2nd South Carolina Colored Infantry, on a mission to strike Confederate plantations. There to guide them on this perilous expedition was a black woman already famed for her bold excursions into hostile territory: Harriet Tubman.

From Underground Railroad to Union Spy

Born into slavery, Tubman—the subject of the soon-to-be-released movie Harriet—had liberated herself in 1849, fleeing north from bondage in Maryland to freedom in Philadelphia. Though a fugitive with a price on her head (her former slaveholder promised $50 for her capture, $100 if she was found out of state) Tubman repeatedly returned to Maryland to usher other slaves to freedom along the Underground Railroad, a clandestine network of people, both black and white, who facilitated the escape of enslaved people northwards. It is believed that Tubman rescued around 70 slaves this way, and by the end of the Combahee River Raid on that June night in 1863, she had helped free some 750 more.

After the outbreak of the Civil War in 1861, John Andrew, the abolitionist governor of Massachusetts, had asked Tubman to head to the South and assist with the "contrabands"—a term used to refer to the thousands of enslaved people who fled to Union camps amid the chaos of the conflict. It was a fitting role for Tubman, since helping African Americans shed the bonds of slavery had become the driving purpose of her life.

She volunteered in Fort Monroe, Virginia, before heading to Port Royal, South Carolina, where she worked as a nurse for soldiers and liberated slaves. Disease ran rampant during the war, and Tubman was skilled in herbal medicine. She also oversaw the building of a laundry house, so she could train African American women to become laundresses—a vocation that would prove useful as they embarked on a new, free chapter of their lives. But according to H. Donald Winkler, who writes about Tubman’s wartime exploits in Stealing Secrets: How a Few Daring Women Deceived Generals, Impacted Battles, and Altered the Course of the Civil War, “many believe that the humanitarian aspects of her trip … were a cover for her real work as a spy operating within enemy lines.”

Biographer Catherine Clinton, author of Harriet Tubman: The Road to Freedom, agrees that it is possible Tubman was sent to the South at least in part to gather intelligence. “Certainly she was someone who was able to go behind the lines and make contact in a way that the soldiers were not, because she had done that on the Underground Railroad,” Clinton tells Mental Floss.

Time and again as an Underground Railroad rescuer, Tubman had proven her cunning, charisma, and steely resolve, slipping into slavery territory and back out again with multiple fugitives in tow. She secretly reached out to enslaved people to encourage their escape, scouted dangerous areas, and cultivated contacts who were ready to offer shelter and support. Tubman liked to stage her rescues on Saturday nights, because Sunday was a day of rest; by the time they were discovered missing on Monday, Tubman had been given a head start.

She also possessed an uncanny ability to avoid detection, often with the help of disguises. In her book, Clinton writes that on one trip through a town near her former Maryland home, Tubman caught sight of a man who had once been her master. Fortunately, she had a bonnet pulled low over her face and two live chickens in her hands. When the man came close, Tubman pulled on strings tied to the birds’ legs, causing them to fuss and flap—and giving her an excuse to avoid eye contact.

Such exploits earned Tubman a legendary reputation among abolitionist circles. She was nicknamed “Moses,” after the biblical figure who led the oppressed to freedom.

Whatever the initial purpose of her journey south, by 1863 Tubman was working as a covert Union operative. She recruited a small but trustworthy group of black scouts, several of whom were water pilots with a thorough knowledge of the coastal landscape. The spies would sail along waterways, take note of enemy positions and movements, and communicate the information back to Union brass. Colonel James Montgomery, a fervent abolitionist, relied on Tubman’s intelligence to stage several successful raids, according to Winkler. The most famous of these was the Combahee River Raid.

Tubman's Turn to Lead

Combahee River basin, near the Harriet Tubman Bridge, Beaufort County, South Carolina
The Combahee River basin in Beaufort County, South Carolina, near the Harriet Tubman Bridge and near where the raid is believed to have taken place.
Henry de Saussure Copeland, Flickr // CC BY-NC 2.0

The goal of the mission was to destroy Confederate supply lines, disable mines in the Combahee River, and cripple prosperous plantations along the shore. As Tubman had shown with her Underground Railroad rescues, “the great weapon was to go into enemy territory and use the subversive weapon of the enslaved people themselves,” Clinton says. So if all went according to plan, Tubman and Montgomery intended to free the plantations of their slaves, too.

But first, they would need to plot their attack. Before the fateful night, Tubman and her team of spies secretly sailed up the Combahee to map the locations of rice and cotton storehouses. Tubman also found the enslaved people who had laid Confederate “torpedoes”—stationary mines beneath the water—and promised them liberation in exchange for information. It was important to spread the word about the upcoming raid, so that when it happened, the slaves would be ready to run.

Montgomery, who had worked with Tubman to raise the 2nd South Carolina Colored Infantry, was in command of the several hundred black troops who ultimately set out up the Combahee to execute the raid on June 2. But Tubman was there to guide the ships through the mines, which were difficult to spot on a dark and cloudy night. She thus became, according to Smithsonian Magazine, the first woman in U.S. history to lead a military expedition.

One of the three Union gunboats stalled after it ran aground, but the other two were able to proceed as planned. John Adams, the lead boat, pushed up to Combahee Ferry, where there was an island, a causeway, and a pontoon bridge. Montgomery’s men burned the bridge. They also set fire to plantations, storehouses, and rice mills, pillaging whatever food and cotton supplies they could carry, according to an account by the U.S. Army. And when the gunboats approached, slaves came pouring onto the shore, where rowboats were waiting to bring them to the ships. Tubman was floored by the scene.

“I never saw such a sight,” she later recalled. “Sometimes the women would come with twins hanging around their necks; it appears I never saw so many twins in my life; bags on their shoulders, baskets on their heads, and young ones tagging along behind, all loaded; pigs squealing, chickens screaming, young ones squealing.”

The scene grew all the more chaotic when it became clear that there were too many fugitive slaves for the rowboats to accommodate at once. According to The New York Times, those left behind held onto the vessels to stop them from leaving. Hoping to restore some calm, a white officer reportedly asked Tubman to speak to “your people.” She didn’t care for the turn of phrase—“[T]hey wasn’t my people any more than they was his,” she once said—but she nevertheless began to sing:

“Come along; come along; don’t be alarmed
For Uncle Sam is rich enough
To give you all a farm.”

Her voice had the desired effect. “They throwed up their hands and began to rejoice and shout ‘Glory!’ and the rowboats would push off,” Tubman remembered. “I kept on singing until all were brought on board.”

All of this commotion did not go unnoticed by Confederate troops. But their response was sluggish. “With malaria, typhoid fever and smallpox rampant in the [Lowcountry] from spring through early fall, most Confederate troops had been pulled back from the rivers and swamps,” Winkler explains. A contingent did approach Combahee Ferry, with orders to push the Yankees back, but reportedly only succeeded in shooting one fugitive slave. Major Emmanuel, the Confederate ranking officer in the area, came after the retreating ships with a single piece of field artillery, but his men got trapped between the river and Union snipers. They were only able to fire a few shots that landed in the water.

The raid was, in other words, a tremendous success, and Tubman’s contribution was “invaluable,” Clinton says. For the next year, Tubman stayed in the South, assisting in guerrilla activities and working to support liberated slaves.

Recognition Deferred

During her three years of military service, Tubman had been paid just $200 (about $3000 in today's money). Finding herself in difficult financial straits after the war—she was the sole supporter of her elderly parents, whom she had extricated from the South during her Underground Railroad days—Tubman appealed to the federal government for additional compensation. Her cause was backed by a number of influential supporters who believed that Tubman deserved a veteran’s pension, but her campaign for payment would nevertheless span more than 30 years.

It was only in the early 1890s that Tubman began receiving a pension—not for her own wartime work, but because her late husband, Nelson Davis, had served with the Eighth United States Colored Infantry, which entitled her to $8 per month as a veteran widow. In 1899, Congress approved an Act raising that sum to $20, but as the National Archives points out, “the Act did not acknowledge that the increase was for Tubman’s own service.” The government’s resistance may have stemmed, at least in part, from the fact that documentation of Tubman’s activities on the frontlines was lacking. But Clinton believes other factors were at play.

“I found evidence that one of the members of the [pensions] committee was a South Carolina politician who blocked her pension,” Clinton says. “And it was really in many ways a point of honor ... that a black woman not be given recognition as a soldier.” Upon receiving the increased funds, Clinton adds, Tubman used the money to “bankroll a charity. That’s who she was.”

When Tubman died in 1913, she was buried with military honors in Auburn, New York. The Combahee River Raid was just one remarkable chapter in her remarkable life, but it left a powerful impression on her. Looking back on that night, when hundreds of slaves rose up and made a dash for freedom, the woman known as Moses would remember them like "the children of Israel, coming out of Egypt.”

30 Words and Phrases From Victorian Theatrical Slang

An 1884 illustration of spectators in the theater
An 1884 illustration of spectators in the theater
suteishi/iStock via Getty Images

In 1909, the English writer James Redding Ware published a dictionary of 19th-century slang and colloquial language called Passing English of the Victorian Era. Relatively little is known about Ware’s life—not helped by the fact that much of his work was published under the pseudonym Andrew Forrester—but among the other works attributed to him are around a dozen stage plays, many of which were first performed in the theaters of London in the late 1800s and early 1900s.

It was this firsthand experience that undoubtedly helped Ware to flesh out his dictionary with a host of slang words and expressions used by Victorian actors, actresses, theatrical producers, and backstage workers. From nicknames for incoherent actors to mooching companions and noisy babies, although many of the entries in Ware’s Passing English have sadly long since dropped out of use, they’re no less useful or applicable today.

1. Agony Piler

An actor who always seems to perform in weighty or sensationalist parts.

2. Back-Row Hopper

An audience member who visits bars frequented by actors and flatters them into buying him a drink.

3. Blue Fire

“Blue fire” was originally the name of a special effect used in Victorian theaters in which a mixture containing sulfur would be ignited to create an eerie blue glow on stage. The effect astonished audiences at the time, who had never seen anything like it before, hence "blue fire" came to be used to describe anything equally amazing or sensational, or that astounded an audience.

4. Bum-Boozer

A heavy drinker.

5. Burst

The sudden swell of people out onto a street when a play ended.

6. Button-Buster

A terrible comedian.

7. Celestials

Also known as “roof-scrapers,” the celestials were the audience members in the “gods” or the gallery, the highest tier of seats in the theater.

8. Charles His Friend

A nickname for any uninspiring part in a play whose only purpose is to give the main protagonist someone to talk to. The term apparently derives from a genuine list of the characters in a now long-forgotten drama, in which the lead’s companion was listed simply as “Charles: his friend.”

9. Deadheads

Audience members who haven’t paid to get in (as opposed to those who have, who were the livestock). Consequently, a nickname for journalists and first-night critics.

10. Decencies

A term referring to an actor’s strategically padded costume, defined by Ware as “pads used by actors, as distinct from actresses, to ameliorate outline.”

11. FLABBERDEGAZ

A fluffed line, a stumbled word, or a mistimed joke. Also called a Major Macfluffer.

12. The Ghost Walks

A reference to the famous opening scene of Hamlet, saying that “the ghost walks” (or, more often than not, that “the ghost doesn’t walk”) meant that there was (or that there wasn’t) enough money to be paid that week.

13. Gin And Fog

Hoarseness caused by heavy drinking the night before.

14. Greedy Scene

A scene in a play in which the lead actor has the stage all to him or herself.

15. Joey

To mug to the audience, or to lark about to attract someone’s attention.

16. Logie

A fake gemstone, or fake jewelry in general. Supposedly named after David Logie, an inventor who manufactured fake jewels out of zinc.

17. Matinée Dog

A nickname for the audience of a matinee performance. To "try it on the matinee dog" meant to test a new act or a new reading of a scene during a daytime performance, as the afternoon audiences were considered less discerning than the more seasoned and more demanding evening audiences.

18. Mumble-Mumper

An old, inarticulate performer whose lines cannot be easily heard or interpreted by the audience.

19. On The Pross

If you’re on the pross then you’re looking for someone to buy you a drink or a meal—pross is a shortening of “prosperous,” in the sense of searching for someone wealthy enough to buy you dinner.

20. Palatic

Very, very drunk. Probably derived from a deliberate mispronunciation of “paralytic."

21. To Play to The Gas

To make just enough money to get by—literally just enough to pay your gas bill.

22. Scorpions

An actor’s nickname for babies, whose constant noise could ruin a performance.

23. Star-Queller

An inferior actor whose terrible performance ruins the excellent performances given by everyone else.

24. Swan-Slinger

The playwright Ben Jonson famously called Shakespeare “The sweet swan of Avon” in a memorial poem published in 1623. A swan-slinger, consequently, is a Shakespearean actor.

25. To Take a Dagger And Drown Yourself

To say one thing but then do another. To stab yourself and pass the bottle, meanwhile, meant to take a swig of a drink and then pass the bottle onto the next person.

26. Thinking Part

A role in which an actor is required to say little or nothing at all. Likewise, a feeder was any role in which an actor was only required to “feed” lines to the more important character.

27. Toga-Play

Also called BC-plays, toga-plays were either classical period dramas, like Shakespeare’s Julius Caesar, or plays by classical-era playwrights.

28. Twelve-Pound Actor

A child born into an acting family.

29. Village Blacksmith

“The Village Blacksmith” is the title of a poem by Henry Wadsworth Longfellow, the third verse of which begins, “Week in, week out, from morn till night, / You can hear his bellows blow.” It was the “week in, week out” line that inspired this expression referring to a performer or worker who isn’t a complete failure, but whose contracts rarely last longer than a single week.

30. Whooperup

A terrible singer.

[This list first ran in 2015 and was republished in 2019]

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