Tag: COVID-19

Reflections and Remedies: The 1918 Influenza Outbreak in Indiana

United States Public Health Service leaflet, n.d., in Randi Richardson, “A Month in the Year of a Flu Epidemic in Monroe County,” October 7, 2019, accessed Monroe County History Center.

As many Hoosiers begin scheduling their vaccines, one cannot help but consider the similarities between the COVID-19 pandemic and the 1918 influenza outbreak, which spread through the state barely more than 100 years ago. The 1918 pandemic was initially confined to soldiers in Indiana bunking together in close quarters as they received training and prepared for deployment during World War I. The flu quickly spread beyond those confines and, in a turn of events eerily similar to the COVID-19 pandemic, touched almost every aspect of Hoosier lives. At the beginning of both pandemics, what was once thought to be only a minor respiratory infection quickly spiraled out of the control of even the most dedicated public health officials.

U.S. Surgeon General, Rupert Blue, n.d., in Sarah Richardson, “How Surgeon General Rupert Blue Became America’s Heroic Microbe Hunter,” accessed history.net.

On September 19, 1918, Surgeon General Rupert Blue from the United States Public Health Service requested a report on the prevalence of influenza in Indiana.[1] Two weeks later, on October 8, known civilian and military cases within Indianapolis had already exceeded 2,000. The rapid spread of influenza prompted closures of public spaces while factories stayed open to support the war effort. Local pharmaceutical business Eli Lilly & Company also remained open, with approximately 100 employees working tirelessly, if ultimately unsuccessfully, to produce an influenza vaccine to help combat the infection and prevent its spread.[2] To meet the staffing demands needed to continue production, the U.S. Employment Service published various advertisements to recruit women who could assist with the preparation and packaging of the influenza vaccine, as well as other medicinal products produced by the company.[3]

In late 1919, Eli Lilly & Company began production of a saline vaccine that was purported to treat both influenza and pneumonia. This combination vaccine was initially created by Dr. Edward C. Rosenow from the Mayo Foundation in 1918, and he put it to use extensively that year. The formula created by Dr. Rosenow was considered a “mixed, polyvalent” vaccine because it combined various types of pneumococci, streptococci, staphylococci, and influenza bacilli, all of which had been isolated from individuals with cases of influenza as well as associated complications.[4] Drawing from Rosenow’s success in combining various bacterial strains, Eli Lilly produced their vaccine using his same methods and formula. The company hoped to create an unlimited supply for distribution to the public as prophylaxis prior to each successive year’s flu epidemic.[5]

Advertisement from the Women’s Division, U.S. Employment Service calling for women to apply for positions at Eli Lilly & Co. to assist with preparing and packaging of medical supplies, October 20, 1918, accessed Proquest.com.

Unfortunately, the World Health Organization concluded that Dr. Rosenow, researchers at Eli Lilly, and countless others across the United States and Europe were targeting the wrong pathogens. At the time of the pandemic, influenza was believed to result from a bacterial pathogen. It was not until 1933, when researchers at London’s National Institute for Medical Research isolated the influenza virus, that scientists realized why earlier attempts to develop an influenza vaccine had failed.[6] With the identification of the causative virus and U.S. Army soldiers participating in the clinical testing, the first influenza vaccine was developed at the University of Michigan by Thomas Francis and Jonas Salk and was licensed for public use in 1945.[7]

Despite the lack of a vaccine, city-wide closures kept cases within Indianapolis low. Red Cross volunteer nurses were able to be sent elsewhere in the state to assist other communities. When minor surges of influenza recurred, Indianapolis Board of Health Secretary Dr. Herman G. Morgan advocated for masking mandates and for individuals with symptoms of colds or influenza to be barred from public transportation and public spaces. He argued that mask requirements would “permit the business and social activities to continue with as little hindrance as possible.”[8]

Temporary hospital in Terre Haute during the flu outbreak, 1918, in Dawn Mitchell, “Here’s how Indianapolis escaped the 1918 flu with one of the lowest death rates,” last updated January 9, 2019, accessed IndyStar.com.

As with the COVID-19 pandemic, Dr. Morgan was forced to issue a statement explaining that while he understood the masks were restrictive and bothersome, which led to much of the public outcry against them, they allowed the city to maintain as close to normal operations as possible without requiring significant closures as had been ordered months earlier. As cases decreased dramatically following these orders, the mask mandate was rescinded after only a month, and businesses were able to reopen to the public. However, the Board of Health recommended “that every care and precaution should be taken by individuals to protect their health, as the danger of infection is by no means passed.”[9]

Fort Wayne Sentinel, December 7, 1918, 7, in April Ludwig, Jessica Brabble, and E. Thomas Ewing, “Flu Masks in Indiana During the 1918 Epidemic,” accessed Social Science Research Council.

Although the Centers for Disease Control and Prevention reported that approximately 50 million people worldwide and 675,000 people in the United States died due to the 1918 influenza pandemic, Indianapolis reported one of the lowest death rates in the nation, with only 290 per 100,000 people.[10] Indiana reported 3,266 total deaths, primarily among people 20 to 40 years of age, which is unusual compared to modern influenza mortality, with the highest mortality rates among young children and the elderly.[11] It is argued that such success was due to the coordinated efforts of city officials, who presented a united front for controlling the disease and explaining their positions clearly and persuasively to the public, even in the face of challenges from local business owners.

Perhaps the most remarkable aspect of Indianapolis’s fight against the flu pandemic was the relative lack of knowledge regarding appropriate treatments for the condition. While in 2023, vaccines, antivirals against influenza, and antibiotics to treat opportunistic bacterial infections are standard practice, individuals during the 1918 influenza pandemic sought help wherever it could be found, whether from a physician, homeopath, naturopath, practitioners of traditional medicine, or others.[12]

In the early 1900s, there was far less distinction between traditional practices and medical science, and the most significant concern was to prevent or treat the illness by drawing on known characteristics of components used in formulations to treat other conditions. However, these treatments, such as mercury, arsenic, and strychnine, were not always safe or effective and often bordered on dangerous or even fatal. Medical professionals today advise a very different course of action, arguing that simple hydration, supportive care, and staying in quarantine are the best remedies against the infecting influenza virus and preventing its spread to others.

Newspaper article from 1918 reporting shortages of Vick’s VapoRub due to high demand for its reported efficacy in treating influenza, in Scott Woodsmall, “Lessons learned from the Spanish Flu,” accessed republictimes.net.

Although Surgeon General Blue mentioned some successes in other countries regarding the use of “salts of quinine and aspirin” to treat acute attacks, he and Dr. Morgan encouraged individuals to follow “ordinary rules of good health” and cover their noses and mouths when coughing or sneezing rather than making any recommendation in favor of a specific medication or pharmaceutical remedy.[13] He, along with Dr. John Hurty, Secretary of the Indiana State Board of Health, also warned against alleged manufactured or homemade “cures” for the disease, recommending that individuals be aware of potential scams and instead focus efforts on avoiding people exhibiting signs or symptoms of infection.[14]

One “treatment” that gained popularity in Indiana during the 1918 influenza pandemic was Wilson’s Solution or “Anti-Flu,” developed as a preventative treatment for the Spanish Influenza. This product was developed by Robert C. Wilson, a college professor and head of the department of pharmacy at a southern university in Georgia. Consumers were encouraged to use a couple of drops of Wilson’s Solution on a handkerchief, which could then be carried with them and inhaled “when entering crowds or public places.”[15] It was believed that the antiseptic properties of the Solution’s vapors would kill the influenza germs in the nose and throat. Wilson’s Solution was sold by local drug stores in Indiana and distributed by Kiefer-Stewart, a wholesale drug firm in Indiana. Local druggists reported that this drug was difficult to keep on shelves due to high demand. Although the exact components of the Wilson’s Solution are unknown, Wilson’s Solution still in use today as a sinus rinse to treat sinusitis and chronic rhinosinusitis.[16] Regardless of what the product contained, it was marketed only as a preventative therapy and not as a cure for influenza. Consumers who contracted the flu were advised to contact their doctor immediately.

Influenza circular from the Indiana State Board of Health, n.d., in Dawn Mitchell, “Here’s how Indianapolis escaped the 1918 Spanish flu with one of the lowest death rates,” last updated January 9, 2019, accessed IndyStar.com.

One such treatment that has gained attention for its potential role in increasing mortality during the 1918 influenza pandemic is one that many Americans today regularly take for its cardiovascular benefits – the seemingly benign aspirin. As a licensed pharmacist, I was trained in school about the concerns associated with administering aspirin to children for whom there is a suspicion of a viral illness, such as chicken pox or influenza, due to a risk of Reye syndrome. This can initially manifest as personality changes or recurrent vomiting before progressing to coma or death with associated brain swelling and fat accumulation in the liver. For adults, toxicity usually presents as abnormal consciousness and respiratory distress.

Recommendations for limiting dosing and frequency of aspirin were lacking in 1918, which likely contributed to otherwise healthy young adults succumbing to influenza.[17] Given the lack of sophisticated medical knowledge at the time to distinguish drug toxicities from general illness, it is therefore unsurprising that aspirin overdose was not linked to influenza as a contributing factor in the deaths of individuals in Western countries.

Daily Tribune (Terre Haute), October 11, 1918, 7, in April Ludwig, Jessica Brabble, and E. Thomas Ewing, “Flu Masks in Indiana during the 1918 epidemic,” accessed Social Science Research Council.

As medical science advances, new knowledge of diseases and safe and effective treatments emerge. The hope is that medical professionals and the public learn from the past and continue to seek answers to questions that once seemed to have no possible solution. In 2020, Eli Lilly was once again at the forefront of a pandemic, undertaking the “world’s first study of a potential COVID-19 antibody treatment in humans” by early June. The company was also integral in early Covid testing, piloting a drive-through program in Indiana.

While the 1918 flu pandemic will likely never be traced to a definitive cause for why it was one of the deadliest the world had seen until the COVID-19 pandemic, research into factors that contributed to the increased mortality is a promising avenue for building an understanding of how we might approach treatment options in the future.

For a bibliography of sources used in this post, click here.

Notes:

[1] “Indianapolis, Indiana,” The American Influenza Epidemic of 1918-1919: A Digital Encyclopedia, accessed https://www.influenzaarchive.org/cities/city-indianapolis.html#.

[2] “Indianapolis, Indiana,” The American Influenza Epidemic of 1918-1919: A Digital Encyclopedia.

[3] “Classified Ad 11 — no Title,” Indianapolis Star, October 20, 1918.

[4] “Influenza-Pneumonia Vaccine,” (1919), American Druggist and Pharmaceutical Record (1893-1922), 67 (12), 86, accessed https://www.proquest.com/docview/189108336?parentSessionId=5cr0scJFezskdS2R9pRBAIv8OzA959Vs3Dl%2FgtRdhd0%3D&accountid=7398#.

[5] “Influenza-Pneumonia Vaccine,” (1919).

[6] “History of the Influenza Vaccine: A Year-Round Disease Affecting Everyone,” World Health Organization, accessed https://www.who.int/news-room/spotlight/history-of-vaccination/history-of-influenza-vaccination.

[7] Ibid.

[8] “Flu Mask Order Stands; Option is Permissible,” Indianapolis Star, November 24, 1918, 1, accessed https://www.proquest.com/docview/374979130?accountid=7398.

[9] Ibid.

[10] “1918 Pandemic (H1N1) Virus,” Centers for Disease Control and Prevention, accessed https://www.cdc.gov/flu/pandemic-resources/1918-pandemic-h1n1.html; Terry Housholder, “Flu Pandemic a Century Ago Hit Northeast Indiana Hard,” KPCnews.com, March 29, 2020, accessed https://www.kpcnews.com/columnists/article_3eaae40e-bfca-5b02-b7bd-4e641e452daf.html; “Indianapolis, Indiana,” The American Influenza Epidemic of 1918-1919: A Digital Encyclopedia.

[11] Housholder, “Flu Pandemic;” Jill Weiss Simins, “War, Plague, and Courage: Spanish Influenza at Fort Benjamin Harrison & Indianapolis,” Untold Indiana, July 11, 2017, accessed https://blog.history.in.gov/tag/spanish-flu/.

[12] Laura Spinney, Pale Rider: The Spanish Flu of 1918 and How It Changed the World (New York: PublicAffairs, 2017).

[13] Celeste H. Jaffe, “The Spanish Influenza Epidemic in Indianapolis in 1918: A Study of Civic and Community Responses,” (Master’s Thesis, Indiana University, 1994), 44.

[14] Jaffe, 45.

[15] “Thousands Now Using Anti-Flu Treatment: New Solution Discovered By Georgia College Professor Designed To Kill Deadly ‘Flu’ Germ–First Used It To Protect Own Family–Just A Few Drops Inhaled From Pocked Handkerchief Disinfects Nose And Throat,” Indianapolis Star (1907-1922), Nov 20, 1918, accessed https://www.proquest.com/docview/751674358?parentSessionId=lfB6tV2GiV4OxiNGjM82VWZLbWGhtpwmeqKdm8Hb8bo%3D&accountid=7398.

[16] Ravneet R. Verma and Ravinder Verma, “Sinonasal Irrigation After Endoscopic Sinus Surgery – Past to Present and Future,” Indian Journal of Otolaryngology and Head & Neck Surgery 75, no. 3 (2023): 2694.

[17] Starko, 1407.

Overcoming South Bend’s Influenza Outbreak to Enumerate the 1920 Census

This year, the federal government undertook the all-encompassing task of completing the U.S. Census, a project instituted every ten years. The census is a national count of everyone living in the United States, providing policymakers with essential demographic information that they use to map congressional districts and allocate federal funds. However, the COVID-19 pandemic created difficulties for its completion, specifically in counting those who did not complete the census form by mail or online. As the New York Times reported earlier this year:

 Already, a multi-day nationwide count of roughly a half-million homeless people has been put off. Processing of mailed-in census forms has slowed because the bureau shaved its staff at regional centers in Jeffersonville, Ind., and Tucson, Ariz. And social-distancing cuts in the bureau’s call center work force have slowed down responses to people who want to complete the census by phone or need other kinds of help.

2020 Census materials in Detroit. Brittany Greeson, New York Times.

These kinds of obstacles are not new to census-takers. In fact, a similar problem occurred in South Bend during the 1920 Census, where a small, but powerful Influenza epidemic stunted the city’s completion of the census.

In South Bend, the work of the 14th decennial census started on January 3, 1920, with seventy-one initial enumerators (census takers) tasked with counting the city’s population. Initially, weather proved a more formidable foe. “The enumerators were somewhat handicapped owing to the severe weather encountered on the first day,” the South Bend News-Times noted. Despite the weather slowing down progress, enumerators succeeded in getting citizens to cooperate and answer all their questions. Inspector for the local district, attorney Edwin H. Sommerer, anticipated a count of the city population in fifteen days and the rural population in thirty.

South Bend News-Times, January 3, 1920. Hoosier State Chronicles.

Within a few weeks, this task was complicated by an outbreak of Influenza, a lingering problem possibly stemming from the widespread Spanish Influenza epidemic a year prior. The city downplayed the outbreak’s potential to become another epidemic on January 16, when Dr. Emil G. Freyermuth, secretary of the city’s board of health, reported that no cases had been noted by physicians and that a chance of an epidemic was an “exaggeration,” as recounted in the News-Times. Freyermuth seemed to be contradicted by the South Bend News-Times itself, which published a notice in the January 17 edition that “the ranks of the [paper] carriers are sorely depleted at the present time on account of the mild form of influenza prevalent in the city.”

South Bend News-Times, January 17, 1920. Hoosier State Chronicles.

By January 20, the outbreak had worsened, leaving factories in South Bend short on labor as a result. Four were reported dead the next day, including a student at Notre Dame, and the illness reached epidemic proportions at local Army camps. Despite continued assurances about the mildness of this outbreak by Dr. Freyermuth, the situation worsened to such an extent that the Salvation Army volunteered to assist in combating it.

On January 26, the South Bend News-Times officially declared an epidemic, after 1,800 cases were reported around the city (250 at Notre Dame alone) and twenty-two deaths over the prior weekend. Dr. M. V. Ziegler of the State Board of Health confirmed these numbers, but Notre Dame physician, Dr. F. J. Powers, denied the high level of cases, “stating that the majority was afflicted with colds and la-grippe [another name for the flu].” Regardless of the disputes, the city reeled from the disease.

South Bend News-Times, January 26, 1920. Hoosier State Chronicles.

The epidemic devastated census-taking, incapacitating forty-five of the eighty-five-member staff and crippling those still healthy enough to continue. Census district chief Edwin H. Sommerer told the News-Times, “the enumerators working find it difficult to complete their task because of the sickness in the homes.” The News-Times doesn’t mention whether enumerators took any preventative precautions to avoid infection, other than just staying home. By contrast, mail carriers only experienced a loss of five workers during the outbreak, which was attributed to them being more acclimated to the intense winter weather.

By January 27, the epidemic began to subside, with only one death reported on the Monday after the weekend in which twenty-two people died. Employees in factories, stores, and offices also started returning to work. Even though this news was positive, the News-Times encouraged its readers to remain vigilant, noting “This marked decline does not mean, however, that all danger is past . . . the public is warned by the health department to exercise the greatest precaution in avoiding colds.”

South Bend News-Times, January 27, 1920. Hoosier State Chronicles.

Despite delays, South Bend’s census enumeration continued, with some staff returning to duty starting on Wednesday, January 28 and over the subsequent days. By the end of January, the team completed half of the districts, most of which were cities, but still needed to complete the rural populations. On April 9, the News-Times reported that Sommerer and his team finished South Bend’s census, with only one-hundred names not accounted for. The city’s final count was sent to LaPorte for a larger district tabulation and then on to Washington, D.C. for inclusion in the federal count. In all, South Bend’s population increased by 32.2%, from 53,684 in the 1910 Census to 70,983 people in the 1920 Census. As the The city’s population increase “can be credited almost entirely to the industrial development of South Bend,” the News-Times wrote.  Additionally, residents’ land valuation almost doubled, from $26,000,000 in 1910 to $43,000,000 in 1920. Months of bad weather, a flu outbreak, and some uncooperative citizens never stopped Sommerer and his crew of enumerators from obtaining the final figures and providing a demographic portrait of South Bend.

South Bend News-Times, July 28, 1920. Hoosier State Chronicles.

South Bend’s 1920 Census, and the flu outbreak that nearly derailed it, can inform modern census analysis. The COVID-19 pandemic has already affected the completion of the 2020 Census, with the deadline to to be counted extended to October 31. However, if Indiana’s enumerators are as dedicated to their roles as Sommerer’s team was 100 years ago, there is no doubt that an accurate count of our state will be completed.

How Indiana’s Religious Institutions Kept the Faith During the 1918 Flu Pandemic

Indianapolis woman wearing a mask during the Spanish Flu epidemic, November 27, 1918, courtesy of the Indiana Historical Society.

For many Hoosiers across the state, this week marks the sixth week that they’ve been asked to stay at home to help flatten the curve and slow the spread of COVID-19. In addition to the many schools, businesses, libraries, and other enterprises that have been impacted, so too have Indiana’s religious institutions. During this stretch, Christians could not come together as parishioners to celebrate Holy Week as they have for centuries past. Jews had to find alternative ways to observe Passover. And last week, with the start of Ramadan, Muslims could not gather in mosques or with family to mark the month of spiritual rejuvenation as they traditionally would.

Beyond adjusting to holiday commemorations is the general desire among worshipers to practice their religion and attend daily or weekly services together as normal. Most religious leaders across the state have made the difficult, but necessary decision to help comply with social distancing orders in an effort to do their part and protect their followers and other Hoosiers.

Muncie Evening Press, October 7, 1918, p. 8, accessed Newspapers.com.

Historical records show us that this is not the first time Indiana’s religious institutions have faced such circumstances. When the Spanish Influenza pandemic hit Indiana in the fall of 1918, U.S. public health service officials mandated a statewide quarantine here and in most other states. The order, put in place by October 6th, called for the immediate closure of “all schools, churches, theaters, amusements of all kinds, and to put a ban on all public meetings and gatherings.”[1] In a previous post, IHB historian Nicole Poletika examined how Hoosiers coped with the quarantine in a number of ways. Here, we take a more in-depth look at how the order directly impacted Indiana’s religious institutions and believers in late 1918.

As we’ve seen today, Hoosiers have not let the stay-at-home order prevent them from finding creative ways to come together, celebrate, and in some cases mourn. While technological advancements might afford us more opportunities to “see” one another and connect virtually now, religious leaders in 1918 also found many ways to help keep the faith among their followers as the number of influenza cases grew.

South Bend Tribune, October 12, 1918, accessed Newspapers.com.

Many used the local press to stay connected with members, give each other hope, and encourage the continued practice of their religion. Through the newspapers, they shared scripture readings, offered Bible school lessons, and encouraged their followers and anyone else interested to worship as individuals or together as a family. In mid-October 1918, A.F. Mitchell, chairman of the press committee of the Ministerial Association, issued the following statement to city church members in Richmond, which was published by the Palladium Item on October 12, 1918: [2]

On account of the ban laid upon congregational assemblies there will be no public services of the churches until after October 20. During this period of time there should be no cessation in Bible study or worship. The home is still fundamental and the basis of all good government. . . Let the home then be true to its highest privilege and around the family altar keep the home fires burning adding even a brighter glow while the churches are closed.

Rev. G.P. Fisher published a similar statement in the Culver Citizen a few days later, urging all families to continue to pray at the stated hours of services.[3] When the statewide ban was extended to the end of October, First Presbyterian Church in Rushville implored members to “make [Sunday] a day of prayer and meditation in their homes” and the pastor offered an outline of readings to unite the congregation despite their physical isolation.[4]

Muncie Evening Press, October 19, 1918, accessed Newspapers.com.

Some newspapers went a step farther and dedicated larger portions of their publications to celebrating Sunday morning services. In a series the Indianapolis Star named “Worship with the Star,” the paper featured a full page that included opening and closing hymns, a scripture lesson, and sermons.[5] The Muncie Press responded similarly in their October 19, 1918 issue, presenting sermons from the pastors of First Baptist Church, First Presbyterian Church, and High Street M.E. Church.[6]

Indianapolis Star, October 13, 1918, p. 30, accessed Newspapers.com.

Religious leaders sought other ways to maintain contact with their members and keep services going during the influenza pandemic. Today, during the present COVID-19 crisis, we’ve seen a trend among a number of churches across the country to offer “drive-in” services. Some worshipers have also celebrated services on their front lawns in an effort to comply with social distancing regulations. In 1918, some church leaders actively proposed and, in some cases held, open air services, believing that “brief religious services in well ventilated churches” could be held “without in any serious sense compromising the health of the community.”[7]

Local health boards across the state discouraged this practice. On October 13, 1918, a policeman had to be dispatched to the Adelbert Polish Catholic Church in South Bend when the pastor of the church offered one such service.[8] Similarly, in Evansville, the local health officer denied granting permission to the Assumption Church to hold open air services at Bosse Field in mid-October, stating that “even a gathering in the open air might prove dangerous.”[9] As conditions seemed to improve in early November and the ban was lifted, many churches held open air services with the approval of their local boards of health.[10]

Fort Wayne Journal, November 13, 1918, p. 6, accessed Newspapers.com.

Rev. F.E. Smith of Jackson Street Christian Church in Muncie came up with one of the more creative ways of safely “getting around the flu order.” Working with the Central Union Telephone Company, Rev. Smith arranged to hold services by having members of the church call in and listen by phone, our modern equivalent to following services online or watching them broadcast on television.[11]

Muncie Evening Press, October 12, 1918, p. 8, accessed Newspapers.com.

As the flu pandemic went on, worshipers and religious leaders alike wondered what the lasting impact might be once buildings began to reopen and gatherings were again permitted. A cartoon in the Fort Wayne Sentinel offered one view, with different families seated apart from one another in church and everyone required to wear masks upon entry to help contain the spread of germs.[12]

Fort Wayne Sentinel, October 16, 1918, accessed Newspapers.com.

As new outbreaks of the flu occurred in late November and December, health authorities across the state strongly urged all people attending churches or theaters, or visiting stores to wear regulation masks.[13] Some churches curtailed services, while others closed again for a few weeks under new bans. In December, board of health officials in some areas ordered churches to keep their services to one hour in length and “instructed [pastors] to devote fifteen minutes of that hour to the subject of ventilation in the homes and business houses as a preventative of influenza.”[14]

Fort Wayne Journal-Gazette, December 6, 1918, p. 1, accessed Newspapers.com.

Like businesses across the state, religious institutions also had to deal with the financial strains imposed by the pandemic. Several weeks of missed weekly offerings left heavy burdens on some churches. Many religious leaders looked for ways to continue collections as their buildings remained closed, with some publicizing specific hours whereby members could safely drop off their offerings.[15]

Temple Beth-El, South Bend, Indiana. Photo courtesy of Temple Beth-El.

Pastors and rabbis also sought ways to help those more directly afflicted by influenza. In mid-October 1918, Rabbi Julius A. Leibert of Temple Beth-El in South Bend offered the city the “use of the temple as an improvised concentration hospital where cases of influenza could be taken.”[16] Local board of health members discussed the plan with other leading health experts and declined the offer, fearing that concentrating larger numbers of people at the temple at that time would increase the mortality rate. Other actions were taken elsewhere in the state as the pandemic continued. For example, as the number of influenza cases grew in Tipton County in December, leaders at Elwood’s First Christian Church converted the building into a temporary hospital to help offer aid to those afflicted.[17]

First Christian Church, Elwood, Indiana, ca. 1908. Photo courtesy of Indiana Memory.

Though pressure to end the state’s COVID-19 quarantine has increased in the last few weeks, it remains unclear when businesses, cultural institutions, and religious buildings will reopen and what guidelines will be enacted when they do. The 1918 influenza pandemic offers us examples of how religious leaders and worshipers handled closures and bans on gatherings in the past and how they continued to safely practice their faith and serve the community in the midst of a crisis.

Notes:

*All newspaper articles were accessed via Newspapers.com unless otherwise noted.

[1] “Closing of All Public Places is State Order,” Muncie Evening Press, October 7, 1918, 1, 8.; “No Public Assemblages,” Princeton Daily Clarion, October 7, 1918, 1, accessed Newspapers.com.

[2] “Keep Church Work Going, City Urged,” Palladium-Item (Richmond, IN), October 12, 1918, 5.

[3] “Preacher to People,” Culver Citizen, October 16, 1918, 4.

[4] “With the Churches,” Daily Republican, October 26, 1918, 3.

[5] “Worship with the Star,” Indianapolis Star, October 12, 1918, 1.; “The Star’s Sunday Morning Services,” Indianapolis Star, October 13, 1918, 30.

[6] “Go to Church Sunday with the Muncie Press,” Muncie Evening Press, October 19, 1918, 2.

[7] “Urges Open Air Church Service,” South Bend News-Times, October 13, 1918, 3.

[8] “Polish Priest Holds Open Air Service in Defiance of Health Order,” South Bend News-Times, October 14, 1918, 3.

[9] “The Influenza is Decreasing Reports Show,” Evansville Press, October 17, 1918, 6.

[10] “Hold Services in Open Air,” Fort Wayne Sentinel, November 9, 1918, 1.; [Untitled], Fort Wayne Journal-Gazette, November 10, 1918, 2.; “Celebrated Masses in Open-Air Sunday,” Fort Wayne Journal-Gazette, November 13, 1918, 6.

[11] “Church Services by Phone to Get Around ‘Flu’ Order,” Muncie Star Press, October 12, 1918.; “And Don’t Forget to Put Baby to Sleep,” Muncie Evening Press, October 12, 1918, 8.

[12] “Church Services Might be Resumed Under Conditions Represented Below,” Fort Wayne Sentinel, October 16, 1918.

[13] “The Need of Precaution,” Fort Wayne Sentinel, November 20, 1918, 7.; “Flu Mask Order Stands; Option is Permissible,” Indianapolis Star, November 24, 1918, 1.; “Must Wear Flu Masks,” Fort Wayne Sentinel, December 3, 1918, 1.; “Epidemic Fought by Wearing Masks,” Fort Wayne Journal-Gazette, December 6, 1918, 1.

[14] “Ban is Lifted as to Churches,” Columbus Republic, December 17, 1918, 4.; “Health Board Rapped for Closing Churches During the Epidemic of Flu,” Columbus Republic, December 25, 1918, 3.

[15] “Pastors Need Support While Flu Ban is On,” Indianapolis Star, October 25, 1918, 9.; “Church Needs,” Indianapolis News, October 26, 1918, 6.

[16] “Board of Health Rejects Temple Beth-El Offer,” South Bend News-Times, October 20, 1918, 2.

[17] “Condition Serious at Elwood,” Tipton Daily Tribune, December 13, 1918, 1.; First Christian Church, Elwood, Indiana, photograph, ca. 1908, accessed Indiana Memory.

HoosierKind: Drawing and Piecing Together Community

Photo by Andreanna Moya Photography on Foter.com / CC BY

As you’re likely in your second or third week of social isolation, you’ve probably done everything you can think of to occupy yourself. You’ve exercised at home, binged all your favorite shows, cleaned and dusted, and reread your favorite books. What else is there to do?

Puzzles!—a longtime mainstay of home-bodied folks. Whether it’s crosswords or word searches, tabletop jigsaw puzzles or drawing games, puzzles can be a welcome pastime. These three stories from Hoosier State Chronicles, our freely-accessible digital repository of nearly a million pages of historic newspapers, will challenge your mind and warm your heart. The first item comes to us from nearly 100 years ago, in the August 28, 1920 issue of the Richmond Palladium and Sun-Telegram. This puzzle, known as “Pencil Twister,” was printed in the Junior Palladium section of the paper, a four-page insert published on Saturdays.

Richmond Palladium and Sun-Telegram, August 28, 1920, Hoosier State Chronicles.

Do you think you can complete the picture? (You can view the answer here.) You would copy the object shown onto a blank piece of paper and then turn it 90-degrees counterclockwise.From there, you would attempt to complete the drawing based on a clue, which for this puzzle is “Can you change Santa into an Apricot Sundae?” I hope that you got it! This drawing puzzle is a bit different than most of your average brain games.

Next up is an inspiring story from the October 29, 1983 issue of the Indianapolis Recorder. It centers on the life of Bertie Miller, a retired nurse’s aide and secretary who devoted her golden years to jigsaw puzzles—using only one hand to complete them. Years before, Miller lost her right hand to an amputation following a stroke, but that didn’t stop her. Her passion for puzzles started around that time, when her friend asked her to help finish one. “By having use of only one hand,” Miller shared, “I didn’t think I would be much help—I looked past my handicap and helped her.” After that, she was hooked. Over the next seven years, she completed roughly 200 jigsaw puzzles, many of which she had framed for display in her room at the Central Healthcare Center where she lived. She even won a blue-ribbon award at the Indianapolis Black Expo for one of her puzzles.

Alongside her jigsaw joys, Miller kept herself busy with distributing mail to her fellow residents at the Central Healthcare Center, playing bingo, chatting with other residents who were room bound, and attending church. She was also a grandmother to seven and great grandmother to another seven, all of whom she would regularly visit with. The Recorder called her a “truly remarkable and independent lady.”

Indianapolis Recorder, October 19, 1983, Hoosier State Chronicles.

Mary Jane Allen, activity director for the center, remarked on Miller’s love for puzzle craft. “Among Mrs. Miller’s favorite puzzles to work have been The Lord’s Supper, the Changing of the Guards, animals, flowers, antique cars and a large puzzle of kinds of jellybean candies.” Allen also reflected on how this hobby improved Miller’s life for the better. “She has rehabilitated herself with this hobby and is learning to use her good hand,” Allen said. Miller loved sharing her hobby with others; her completed puzzles adorned the walls of the center and were given to fellow residents as gifts. Bertie Miller “hasn’t let her handicap prevent her from living and [bringing] happiness to others,” the Recorder noted. During your time at home, dust off your puzzles and finish one in Bertie’s honor.

Our final story comes from a May 4, 2001 article in the Indianapolis Recorder that also reports on jigsaw puzzles but focuses this time on their educational value. W. Bruce Adams, an entrepreneur who worked as a salesman for iconic game company Parker Brothers, started his own venture creating African American history themed jigsaw puzzles. “I couldn’t believe that 10 years after I left Parker Brothers there were still no puzzles with African-American themed images on them,” he said. This inspired Adams to develop his own line of African American themed puzzles. “I looked all over and couldn’t find any,” he remembered. “I said ‘this is a perfect opportunity for me to start a business, doing something no one else is doing.’”

Indianapolis Recorder, May 4, 2001, Hoosier State Chronicles.

Adams’s passion for culturally-relevant products may have started when he worked as an intern for the trailblazing congresswoman and presidential candidate, Shirley Chisholm. Realizing law wasn’t for him during his work with Chisholm, Adams found his calling in sales and worked for Parker Brothers, as well as Gabriel Toys and Bristol-Myers. It was at Parker Brothers that he first discovered there were no African American themed games, so he started developing prototypes in his spare time that he sold at flea markets, yard sales, and trade fairs.

Portraits of African American Inventors, W. B. Adams Puzzles & Games, Amazon.com.

Adams began his own game company around 1998, with his first two puzzles centered around African American history. The first, “Portrait of African American History,” highlighted important figures such as Harriet Tubman, Frederick Douglass, and Dr. Martin Luther King, Jr. The puzzle “The Dream, Martin Luther King, Jr.” focused exclusively on the civil rights leader and orator. Later, he created puzzles focusing on Kwanzaa and Kenyan culture. Adams developed these puzzles and others with African American artists, such as Brenda Joysmith, Synthia St. James, Charles Bibbs, and Paul Goodnight. His roster grew to 20 puzzles by 2001.

“Developing a Winner,” W. B. Adams Puzzles & Games, Art by Brenda Joysmith, Amazon.com.

Customers at flea markets and trade shows were thrilled with Adams’s puzzles, citing their educational value. Adams recalled:

When I was doing flea markets, African American parents would always come up to me and ask, ‘Do you have any African-American educational puzzles?’ Puzzles are very educational because they teach eye hand coordination skills, they help your memory, and I noticed that a lot of African Americans bought puzzles.

His success with the company led to retailers like Walmart and Toys “R” Us carrying his products, which sometimes sold out too quickly for his small sales staff to keep up with. In an effort to meet demand, the company used telemarketing and the internet to get the word out about his puzzles.

Kwanzaa Family Celebration 300 Piece Jigsaw Puzzle, W. B. Adams Puzzles & Games, Amazon.com.

Alongside puzzles, Adams developed educational CD-ROM games with Lady Sala Shabazz, a nationally-syndicated radio host and independent children’s book author. He also developed puzzles with food entrepreneur and television personality Wally “Famous” Amos. Adams’s dedication to fun games with a message should encourage you to take advantage of the time you have at home, to perhaps finish a puzzle with a historical or educational theme. If you have kids, bring them in on the fun!

We hope these stories of puzzles, games, and community have helped uplift you. It’s through all of our actions that we can extend our sense of Hoosier kindness to ourselves and others. Now, get to puzzling!