Based on author's thesis (Ph.D.)--Harvard, 1983, presented under title: Public health in the New South.

In the last half of the nineteenth century, yellow fever plagued the American South. It stalked the region's steaming cities, killing its victims with overwhelming hepatitis and hemorrhage. Margaret Humphreys explores the ways in which this tropical disease hampered commerce, frustrated the scientific community, and eventually galvanized local and federal authorities into forming public health boards. She pays particular attention to the various theories for containing the disease and the constant tension between state and federal officials over how public funds should be spent. Her research recovers the specific concerns of the late nineteenth- and early twentieth-century South, broadening our understanding of the evolution of preventive medicine in the United States.

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Through the innovative perspective of environment and culture, Urmi Engineer Willoughby examines yellow fever in New Orleans from 1796 to 1905. Linking local epidemics to the city’s place in the Atlantic world, Yellow Fever, Race, and Ecology in Nineteenth-Century New Orleans analyzes how incidences of and responses to the disease grew out of an environment shaped by sugar production, slavery, and urban development. Willoughby argues that transnational processes—including patterns of migration, industrialization, and imperialism—contributed to ecological changes that enabled yellow fever–carrying Aedes aëgypti mosquitoes to thrive and transmit the disease in New Orleans, challenging presumptions that yellow fever was primarily transported to the Americas on slave ships. She then traces the origin and spread of medical and popular beliefs about yellow fever immunity, from the early nineteenth-century contention that natives of New Orleans were protected, to the gradual emphasis on race as a determinant of immunity, reflecting social tensions over the abolition of slavery around the world. As the nineteenth century unfolded, ideas of biological differences between the races calcified, even as public health infrastructure expanded, and race continued to play a central role in the diagnosis and prevention of the disease. State and federal governments began to create boards and organizations responsible for preventing new outbreaks and providing care during epidemics, though medical authorities ignored evidence of black victims of yellow fever. Willoughby argues that American imperialist ambitions also contributed to yellow fever eradication and the growth of the field of tropical medicine: U.S. commercial interests in the tropical zones that grew crops like sugar cane, bananas, and coffee engendered cooperation between medical professionals and American military forces in Latin America, which in turn enabled public health campaigns to research and eliminate yellow fever in New Orleans. A signal contribution to the field of disease ecology, Yellow Fever, Race, and Ecology in Nineteenth-Century New Orleans delineates events that shaped the Crescent City’s epidemiological history, shedding light on the spread and eradication of yellow fever in the Atlantic World.

Recounts the public terror at the 1878 epidemic of yellow fever-- previously unknown--that spread from New Orleans to Memphis, and the public health movement that followed, mostly initiated locally by a new class of urban businessmen. Annotation copyright by Book News, Inc., Portland, OR

The public health movement in the South began in the wake of a yellow fever epidemic that devastated the lower Mississippi Valley in 1878—a disaster that caused 20,000 deaths and financial losses of nearly $200 million. The full scale of the epidemic and the tentative, troubled southern response to it are for the first time fully examined by John Ellis in this new book. At the national level, southern congressional leaders fought to establish a strong federal health agency, but they were defeated by the young American Public Health Association, which defended states' rights. Local responses and results were mixed. In New Orleans, business and professional men, reacting to the denunciation of the city as the nation's pesthole, organized in 1879 to improve drainage, garbage disposal, and water supplies through voluntary subscription. Their achievements were of necessity modest. In Memphis—the city hardest hit by the epidemic—a new municipal government in 1879 helped form the first regional health organization and during the 1880s led the nation in sanitary improvements. In Atlanta, though it largely escaped the epidemic, the Constitution and some citizens called for health reform. Ironically their voices were drowned out by ritual invocation of local health mythology and by unabashed exploitation of the stigma of pestilence attached to New Orleans and Memphis. By 1890 Atlanta rivaled Charleston and Richmond for primacy in black mortality rates. That the public health movement met with only limited success Ellis attributes to the prevailing atmosphere of opportunistic greed, overwhelming debt, economic instability, and inordinate political corruption. But the effort to combat a terrifying disease not fully understood did eventually produce changes and the vastly improved health systems of today.