Pandemics Progress and Prejudice a Historians Perspective

[Music]

we are in a pandemic

and pandemics are something i know about

a public historian and

author i’ve researched and written about

pandemics

but this isn’t history this is now and

when

covet hit i was as unprepared as most

people

and yet uh people began to ask me

questions

how did st louis get through this in the

past how were things

different when it was all over

obviously we know such so much more now

than we did back then and that’s because

uh our ancestors had a will to survive

and a hope for a better life they

pivoted

they were motivated to change the world

and find answers and solutions

in january of 1849 the second

cholera pandemic reached st louis

and when it arrived st louis was

filthy and overcrowded it was

a jumble of pioneers preparing to head

west

it was irish immigrants escaping the

potato famine

and germans fleeing political turmoil in

europe

every day dozens of steamboats arrived

and from them people packed the unpaved

streets

which were a revolting mess of

mud and animal waste it was not a

pleasant place

colorado was the great scourge of the

19th century

and people were terrified of it

and that’s because they knew that if

they contracted it they had about a 50

50

chance of survival

imagine being the grigg family

they were irish immigrants who lived on

green street

near the light they endured

crippling poverty and open contempt

from many saint louises who viewed them

and most immigrants as

unwelcome strangers when

the pandemic hit their

already difficult life turned tragic

on june 19 1849

their eldest son thomas fell ill

and quickly died then

over the course of the next four days

cholera took each of their remaining

children

william nine richard seven benjamin

five and mary h4

finally on june 24th

margaret herself succumbed leaving only

her husband john

out of a family of seven cholera ravaged

the city

just like it did the great family and

in the end it took the lives of nearly

10

percent of st louis’s population of 80

000

but the griggs and thousands like them

were victims

of not just the disease but of the

conditions and

attitudes that fostered it

we cannot deny that the cholera pandemic

in st

louis was a horrifying event

but we cannot deny that the pandemic was

also a force of change

an impetus to improve life and

an engine of progress

today when people ask me questions they

are looking to the past for

reassurance and silver linings

i certainly don’t have all the answers

but i know this

we can look at history and see

that with the passing of each pandemic

the world has emerged in a much better

place

in 1849 a committee for public health

had

unprecedented powers to clean up the

city

they immediately enacted new public

health measures such as trash

removal services sanitation ordinances

and providing everyone

access to cleaner water

the committee then took another

important step when it

established a quarantine station on an

island

in the mississippi river on quarantine

island

a hospital complex was built and

steamboats were stopped and inspected

for cholera

when cases were discovered patients were

quarantined

thus of course reduced the number of

cases entering the city

and it lowered the mortality rate after

the pandemic

the committee continued to influence the

development of saint louis

chateau’s pond a dangerous reservoir of

polluted water that sat near the present

location of

union station was drained

new sewer systems were built and the

water supply system was upgraded

st louis changed for the better

however it wasn’t just st louis the

change

the cholera pandemic also changed the

world

over in london dr jon snow developed a

theory that cholera was linked to

contaminated water

he collected data and plotted colorist

cases

on a map to show their proximity to

wells

snow noted that the areas in the city

where the cholera deaths were highest

correlated to areas with polluted water

he convinced city officials to allow him

to

close a public water source by removing

a pump handle

and almost immediately cases began to

drop

it was later determined that that

particular pump was only three feet

from an old privy today snow is

considered the father of modern

epidemiology

his conclusions led scientists like

robert cope

towards research that verified that

bacteria caused disease

later others continued this line of

research and prove the existence of

viruses

and the discovery of penicillin

following the 1918

spanish flu candidate

everything i’ve described required

change

and people had to embrace that

and there are always those who oppose

change it was a problem in 1849

just as it is today and sadly for many

of the same reasons despite the passage

of 170 years

during the cholera pandemic defying

change for some was simply a refusal to

depart from old ways and practices

no matter how arcane they might have

been

fear and mistrust stemming from racism

and bigotry

also stood in the way of change many saw

the pandemic as a result

of personal behavior immigrants and free

persons of color were

seen as intemperate promiscuous dirty

and unintelligent

these attitudes influenced the way in

which some doctors advocated for new

preventive measures

when cholera first arrived in saint

louis some physicians

even pointed to the consumption of

sauerkraut

and beer as its cause

this eventually resulted in the pandemic

banning these foods

which furthered the belief that

immigrant communities were at the heart

of the epidemic

unfortunately today there are still

people trying to put a face on an

invisible enemy

racist attacks have risen as much as 40

percent

against members of the asian community

but some have accused

china of starting the pandering

furthermore

poverty and inequality still plague our

health care system

data shows that while african americans

comprise

just 13 of the american population

they’ve accounted for 30 of covet

victims

so 170 years may separate us from 1849

but

intolerance denial and ignorance based

on fear and misinformation

is still sadly alive and well so like

the virus itself these roadblocks must

be overcome

this is what i know

on history i have no doubt that science

and even greater medical advancements

will prevail

the question is will humanity follow

the answer is up to all of us but i

leave you with some hope that this

pandemic could lead towards an even

brighter future

a poll conducted in 13 countries across

the world

by the social progress imperative found

that

seven in ten people believe that after

this pandemic

government should focus on social

progress

over economic growth as a means of

improving the world

that’s a sign that people across the

planet are hoping for real change

so this time when this pandemic two

has passed perhaps both science

and meaningful social change will

prevail

thank you

[音乐]

我们正处于一场流行病中

,流行病是我对

一位公共历史学家和

作家的了解,我曾研究并撰写过有关

流行病的文章,

但这不是历史,这是现在,

我垂涎三尺时,我和大多数人一样毫无准备

,然而 呃人们开始问我

问题

圣路易斯

过去

是如何度过的

和对更美好生活的希望,他们

转向了

他们有动力改变世界

并找到答案和解决方案

1849 年 1 月第二

次霍乱大流行到达圣路易斯

,当它到达时,圣路易斯

肮脏且人满为患,

一群先驱者准备

往西走

,是爱尔兰移民逃离

马铃薯饥荒

,德国人逃离欧洲政治动荡,

每天都有数十艘汽船抵达

,人们挤满了未铺砌的

街道 是一团令人作呕的

泥土和动物粪便 这不是一个

令人愉快的地方

科罗拉多州是 19 世纪的大灾祸

,人们对此感到恐惧

,那是因为他们知道,如果

他们感染了它,他们就有大约 50

50

的生存机会

想象 作为格里格家族,

他们是爱尔兰移民,生活在

靠近灯光的绿色街道上,他们忍受着

严重的贫困和

许多圣路易斯公然蔑视,当流行病袭击他们本已艰难的生活时,他们将他们

和大多数移民视为

不受欢迎的陌生人,

1849 年 6 月 19 日变得悲惨

他们的长子托马斯病倒了

,很快就死

了,在接下来的四天里,

霍乱带走了他们剩下的

孩子

威廉九世理查德七本杰明

五世和玛丽 h4

最终在 6 月 24 日

玛格丽特自己去世了,只剩下

她的丈夫约翰

离开了一个家庭 七次霍乱肆虐

这座城市

,就像它对大家庭一样

,最后夺走了几乎

圣路易斯 80 000 人口中的 10%,但格里格斯和成千上万像他们一样的人

不仅是这种疾病的受害者,而且是促成这种疾病的

条件和

态度的受害者

我们不能否认圣路易斯的霍乱大

流行是一个可怕的事件,

但我们不能否认 当人们问我问题时,大流行

也是一种变革的力量,

是改善生活

的动力和进步的引擎,

他们

正在寻找过去以寻求

安慰和一线希望

可以回顾历史,并

看到随着每次大流行

的过去,世界在 1849 年变得更好

条例

并为每个人

提供更清洁的

水,委员会随后又迈出了

重要的一步,

在 n

隔离岛上的密西西比河上的

岛屿

建造了医院综合体,

当发现病例时停止汽船检查霍乱患者被

隔离,

因此当然减少了进入城市的病例数,

并降低

了大流行后

的死亡率 委员会继续影响

圣路易斯

城堡池塘的发展 位于联合车站

当前位置附近的一个危险的污染水库

被排干

新的下水道系统被建造

并升级了供水系统

圣路易斯变得更好,

但它不是' 不仅仅是圣路易斯

霍乱大流行也改变了整个

世界

在伦敦,乔恩·斯诺博士提出了一个

理论,即霍乱与

受污染的水有关,

他收集了数据并在地图上绘制了彩色

病例

,以显示它们与威尔斯雪的接近程度。

在霍乱死亡人数最高的城市

与民意调查的地区相关

他说服市政府官员允许他

通过拆除泵把手来关闭公共水源,

并且几乎立即案件开始

下降后来确定该

特定泵

距离旧厕所只有三英尺,今天雪被

认为是父亲 现代

流行病学

他的结论引导像罗伯特·柯普这样的科学家

进行研究,这些研究证实了

细菌会导致疾病,

后来其他人继续进行这一

研究,并证明了病毒的存在

以及

在 1918 年

西班牙流感候选者之后发现了青霉素,

我所描述的一切都需要

改变

和人们 不得不接受这一点

,总是有人反对

改变,这在 1849 年是一个问题,

就像今天一样,可悲的是出于

许多相同的原因,尽管

在霍乱大流行期间已经过去了 170 年,

对某些人来说,无视改变只是拒绝

摒弃旧的方式和做法,

无论他们可能是多么神秘的

恐惧和不信任 源于种族主义

和偏执

也阻碍了变革 许多人认为

这种流行病是

个人行为造成的

当霍乱第一次到达

圣路易斯时,一些医生

甚至指出食用

酸菜

和啤酒是其原因,

这最终导致大流行

禁止这些食品

,这进一步加深了人们认为

移民社区是流行病的核心

不幸的是,今天仍然

有人 试图正视

无形的敌人

针对亚洲社区成员的种族主义攻击上升了 40%,

但有些人指责

中国开始迎合

贫困和不平等问题,而且贫困和不平等仍然困扰着我们的

医疗保健系统

数据显示,虽然非洲裔美国人

包括

只有 13 名美国民众

他们已经占了 30 名令人垂涎的

受害者,

因此 170 年可能将我们与 1849 年分开,

但可悲的是,基于恐惧和错误信息的不容忍否认和无知仍然存在,所以

就像病毒本身一样,这些障碍

必须克服,

这就是我所知道

的 历史 我毫不怀疑科学

和更大的医学进步

占上风 问题是人类是否会

追随答案取决于我们所有人,但我

给你留下了一些希望,这种

流行病可能会导致

更光明的未来

13 年进行的一项民意调查

世界各国

通过社会进步势在必行发现

,十分之

七的人认为,在

这场大流行之后,

政府应该将重点放在社会

进步

而不是经济增长上,以此作为

改善

世界的一种手段,这表明全世界的

人们都希望真正的改变,

所以 这次大流行

两次过去了,也许科学

和有意义的社会变革都会

占上风,

谢谢