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Publisher description: A horrifying epidemic of smallpox was sweeping across the Americas when the War of Independence began, and yet we know almost nothing about it. Elizabeth A. Fenn reveals how deeply variola affected the outcome of the war in every colony and the lives of everyone in North America. By 1776, when military action and political ferment increased the movement of people and microbes, the epidemic worsened. Fenn's research shows us how smallpox devastated the American troops at Quebec and kept them at bay during the British occupation of Boston. Soon the disease affected the war in Virginia, where it ravaged slaves who had escaped to join the British forces. During the terrible winter at Valley Forge, General Washington had to decide if and when to attempt the risky inoculation of his troops. In 1779, while Creeks and Cherokees were dying in Georgia, smallpox broke out in Mexico City, whence it followed travelers going north, striking Santa Fe and outlying pueblos in January 1781. Simultaneously it moved up the Pacific coast and east across the plains as far as Hudson's Bay. The destructive, desolating power of smallpox made for a cascade of public-health crises and heartbreaking human drama. Fenn's work shows how this tragedy was met and what its consequences were for America.… (more)
User reviews
Amazing info - some pictures and maps - large index. Apparently my professor attended her lecture when she was a PhD candidate and found her research to be very helpful in teaching American Revolution. I sure learned more about smallpox than I would ever need to know. We
24-2006
If Fenn had simply concentrated on the interaction between the Revolution and small pox this would be an important book on an under-examined topic. By following the epidemic across North America she managed to create a fascinating book on a topic, to the best of my knowledge, that had been completely unexamined.
The breadth of the research necessary to uncover the epidemic's footsteps seems overwhelming. She looked at Russian, Spanish, British, French, and US records as well as church, business and personal diaries. Fenn managed to find enough passing references to small pox in this wide variety of sources that her argument tracing the epidemic from European outposts across the vast expanse of the continent still controlled by indigenous Americans, while her evidence does not reach the level of certainty, she managed marshal enough evidence to achieve probability. Considering that there are no direct documentary sources this is an impressive accomplishment.
I confess to being predisposed to like this book after learning in the introduction that the author spent years working as an auto mechanic. It is an experience we share that allowed me to appreciate her ability to take a small clue, a tick on a vacuum gauge, a hissing noise, or a passing reference in a text, and see them as road signs pointing to the solution of a puzzle. I have to recommend "Pox Americana" to anyone interested in the Revolutionary War or in reading a concise account of the interaction of the First Nations with each other and with European colonizers. I found the differences in how Spanish missions and British fur traders dealt with the sick and dying Native Americans surprising.
Fenn's writing is very readable, she uses plain English and generally eschews the obfuscation caused by some academics’ enamourment with polysyllabic verbiage. I found this book included in the syllabi of several medical history classes*; I am not the only one impressed by Fenn's intriguing topic, clear writing and quality scholarship.
* National Library of Medicine; History of Medicine: Online Syllabus Archive
Given the number of diseases that plagued North America’s earliest European settlements – to include measles, influenza, mumps, typhus, cholera, plague, malaria, yellow fever, scarlet fever, whooping cough, and diphtheria – why does Fenn choose to focus on smallpox, aka Variola? For one thing, the disease is transmitted only through human contact, thus ensuring that tales of spreading infection are also, de facto, tales of human migration and communication. Also, Variola’s insidiously long incubation period (as long as 14 days might pass between initial infection and the first symptoms) immeasurably increased the odds that it would spread without detection.
Yes, the American Revolution still features large in Fenn’s account. In fact, the author offers a fairly convincing argument that smallpox played a heretofore entirely unappreciated role in determining the fate of many of the war’s most crucial battles. I admit these chapters left me somewhat unnerved, because before reading them I thought I was pretty familiar with the major events of the American Revolution. Not so much now! I gasped at the spectacle of Lord Dunmore’s 1000-strong “Ethiopian Regiment” marching to war in shirts boldly emblazoned “Liberty for Slaves!” only to perish in anguished heaps upon the shore of Gwynn Island; thrilled at the doomed attempt by valiant Daniel Morgan and his Virginia Riflemen to scale the walls of Quebec while there were still enough American troops alive to attempt the feat; and was shocked to learn that John Adams attributed his Congressional appointment to the fact that he was one of the few candidates willing to travel to smallpox-infested Boston to attend the meetings of the Continental Congress. Truly, I never imagined the extent of the devastation that Variola wrought within American cities and encampments during the war years, and I’m inclined to agree with Fenn’s conclusion that had George Washington not had the foresight to require all the men in his army to be innoculated against the disease, the outcome of the war might have been quite different.
But it was the chapters of the tale not specifically related to the American Revolution that I found most fascinating. Fenn chooses to relate the tale not so much chronologically as histiologically, tracking each smallpox outbreak from its probable origin and then tracing – via Native American oral traditions and settler diaries and church death records - the paths it travelled as it spread across the American continent, sometimes via the Canadian trappers and Native American middle-men who travelled to the Hudson Bay Company’s trading posts annually, only to carry back with them the fatal infection; sometimes via Franciscan monks who carried the infection with them into the Indian villages they attempted to convert; up and down the bustling trade road joining Mexico City to European settlements along the along the Rio Grande; in the saddlebags of Indian Raiding parties whose plunder included blankets and clothing teeming with disease; in the company Russian adventurers demanding “fur tributes” from the Inuit and other native tribes unlucky enough to inhabit the northeastern coasts, 10,000 of which were killed by smallpox in a single year. In the end, though, all these paths converge upon one truth: that one European-borne pestilence was probably, in and of itself, responsible for reducing the population of North American by 20-50% during the years of its terrifying reign.
One can quibble with Fenn’s conclusions – that smallpox very nearly altered the outcome of the American Revolution; that smallpox permanently shifted the balance of power among Native American tribes by selectively devastating traditionally peaceful agricultural tribes (such as the Shoshone) while sparing their more nomadic rivals (such as the Sioux); that Variola triggered the decline of Native American civilization by devastating whole tribes and undermining their confidence in traditional gods and healing rituals; that had it not been for Variola, African Americans might have gained their freedom 100 years earlier. But, as Fenn’s meticulously footnoted narrative makes clear, it’s hard to overstate the role that smallpox played in shaping the destiny of North America and the young republic that emerged from the chaos that Variola left in its wake.
Zabdiel Boylston is only a passing mention when compared to larger picture of smallpox ravaging the Revolutionary Army and devastating Native Americans, First Nation Peoples and the Indigenous of the
I really enjoyed this book! I only couldn't give it 5 stars because it didn't really cover the Caribbean and the section on the Spanish New World Empire was noticeably smaller than the other two.