"There is nothing new under the sun."
A good look at history will tell you that. The recent Ebola outbreak led to soaring sales of The Hot Zone, quarantines established - and fought - throughout America, and a widespread media-induced panic. Since I'd already read The Hot Zone I turned to another medical story, a novel called Fever which traced the path of Mary Mallon, the infamous "Typhoid Mary" of turn-of-the-century America.
Rewind about 110 years and a similar - though I'd argue far more frightening - disease was overtaking cities, creeping into the homes of the rich and poor, and often taking its victims among the youngest members of society. Typhoid was not so contagious that it required hazmat suits and disinfection chambers, but rather, good hand-washing and basic hygiene was all that was required to prevent the spread of this deadly illness.
It says a lot about America as the time that the disease spread so rapidly. We were not a clean society. At the turn of the century cities had grown at breakneck speed in the headlong rush of laissez-faire capitalism. Urban sanitation systems simply could not keep up with the exponential rise in population. Additionally, Americans, historically a rural agricultural people, lacked experience in effective city planning and management. Early 20th century America looked quite a bit like cities in the developing world today where typhoid and a host of other preventable diseases still threaten the world's poorest populations.
Into this context came Mary Mallon, an Irish immigrant who made her way to America on a 19th century famine ship. Through her own stubbornness, hard work and persistence she became a renowned cook in the homes of New York City's elite. Yet, she brought disease along with her delicacies. Mary was an asymptomatic carrier of Typhoid. She infected a confirmed total of 53 people over the course of her career, and was dubbed "Typhoid Mary" in the papers. She fought the NYC Health Department at every turn. After Mary was forcibly quarantined for three years, she was released after signing an agreement to never cook for hire again. However, she worked her way back into the profession, first in a bakery and then in a hospital kitchen, working under the pseudonym Mary Brown. When an outbreak of Typhoid wracked the hospital Mary was once again caught and sent to live out the rest of her life in quarantine.
Mary Beth Keane's book Fever humanized Mary Mallon's story. Perhaps Mary Mallon should be vilified for going back to work as a cook (in a hospital kitchen no less!) but throughout the story, the author gave us a glimpse through Mary's eyes. She simply could not understand how she could be a carrier of such a deadly disease. In this era, medical knowledge of bacteria was still very new. Most ordinary citizens did not understand how bacteria was carried from the bathroom to the kitchen. It's hard to imagine this today, in our society of obsessive attachment to antibacterial soaps, disinfecting cleaners, and hand-sanitizers marketed in every size, shape, and scent. All Mary knew was that she'd never been sick a day in her life. She had trouble believing the doctors' claims that she was carrying invisible microbes of death. Additionally, this was well before the era of worker's compensation, minimum wage, or effective unions. When Mary was told she could no longer cook she was relegated to one of the lowest-paying jobs in the city - working as a laundress seven days a week. Mary felt compelled, out of necessity and out of pride, to once again seek work in her chosen field. She could not accept the evidence that was presented to her, that she was a sick woman actively infecting others with her cooking.
Mary's delusions did not end there. The author introduced an ill-fated love story between Mary and a shiftless alcoholic named Albert. Ironically, I think I had less patience for Mary in her romantic life than in her lethal professional life. One can understand why she ached to return to cooking, but I could not fathom why such a strong and independent woman kept trying so hard to have a relationship with such an undeserving creature - especially when another, far better, prospect presented himself! I have not been able to confirm rather the relationship was real or made up for dramatic effect, but it served to further emphasize Mary's persistent personality. She would not give up on her career, just as she would not give up on Albert. She should have given up on both. In the end, Mary's stubbornness was endearing, but was also her greatest flaw - at fatal flaw that did not kill her, but ended the lives of many others.
