Lessons Ignored: Children and Pandemics.

Children became sick and died during pandemics roughly 100 years apart, but they are rarely the central focus of historical scholarship. Because children were not the largest group of victims in the 1918 pandemic or in the COVID-19 pandemic and because of their lack of political capital, their needs received little attention. Both pandemics exposed the many holes in the nation's health and welfare infrastructure. We examine responses to children's needs in Philadelphia, Pennsylvania, during the peak pandemic year of 1918 and then show how this legacy of the lack of any child policy infrastructure left the city underresourced during the COVID-19 pandemic. (Am J Public Health. 2023;113(9):985-990. https://doi.org/10.2105/AJPH.2023.307334).

Patients, Disability, Syphilis, and History.

This paper explores the experiences of working-class patients treated for tertiary syphilis at the Neurology Dispensary of the Hospital of the University of Pennsylvania and the Infirmary for Nervous Disease of the Philadelphia Orthopedic Hospital from 1878 to 1917. Using the twin lenses of medical history and disability history, it foregrounds the struggles of individuals whose physical condition cannot be reversed.

"Save 100,000 Babies": The 1918 Children's Year and Its Legacy.

In April 1918, President Woodrow Wilson, alarmed at the high draftee rejection rate, proclaimed the second year of American engagement in World War I as "Children's Year." The motto of the nationwide program was to "Save 100,000 Babies." Children's Year represented a multipronged child welfare campaign aimed at gathering data on best practices regarding maternal and child health promotion, documenting the effects of poverty on ill health, reducing the school drop-out rate, ensuring safe play spaces for children, and addressing the unique needs of targeted populations such as orphans and delinquents. Thousands of communities across the country participated in Children's Year, which was overseen by the Children's Bureau and the Woman's Committee of the Council of National Defense. The 1919 White House Conference on Children's Health synthesized all of the Children's Year findings into concrete recommendations. But in an effort to minimize conflict with organized medicine and those who feared governmental intrusion into family life, stakeholders accepted a series of compromises. By so doing, they inadvertently helped enshrine the means-tested, class-based, fragmented approach to child well-being in the United States that persists to this day.

"Modern medical science and the divine providence of god": rethinking the place of religion in postwar U.S. medical history.

Drawing on a large cache of letters to John and Frances Gunther after the death of their son as well as memoirs and fiction by bereaved parents, this essay challenges the assumptions of secularization that infuse histories of twentieth-century American medicine. Many parents who experienced the death of children during the postwar period relied heavily on religion to help make sense of the tragedies medicine could not prevent. Parental accounts included expression of belief in divine intervention and the power of prayer, gratitude for God's role in minimizing suffering, confidence in the existence of an afterlife, and acceptance of the will of God. Historians seeking to understand how parents and families understood both the delivery of medical care and the cultural authority of medical science must integrate an understanding of religious experiences and faith into their work.

"A startling new chemotherapeutic agent": pediatric infectious disease and the introduction of sulfonamides at Baltimore's Sydenham Hospital.

Using pediatric patient records from Baltimore's Sydenham Hospital, this article explores the adoption of sulfa drugs in pediatrics. It discusses how clinicians dealt with questions of dosing and side effects and the impact of the sulfonamides on two diagnoses in children: meningococcal meningitis and pneumonia. The care of infants and children with infectious diseases made demands on physicians and nurses that differed from those facing clinicians treating adult patients. The article demonstrates the need to distinguish between pediatric and adult medical history. It suggests that the new therapeutics demanded more intense bedside care and enhanced laboratory facilities, and as a result paved the way for the adoption of penicillin. Finally, it argues that patient records and the published medical literature must be examined together in order to gain a full understanding of how transformations in medical practice and therapeutics occur.

Reading baby books: medicine, marketing, money and the lives of American infants.

This article examines American baby books from the late nineteenth through the twentieth century. Baby books are ephemeral publications­formatted with one or more printed pages for recording developmental, health, and social information about infants and often including personal observations, artifacts such as photographs or palm prints, medical and other prescriptive advice, and advertisements. For historians they serve as records of the changing social and cultural worlds of infancy, offering insights into the interplay of childrearing practices and larger social movements.Baby books are a significant historical source both challenging and supporting current historiography, and they illustrate how medical, market and cultural forces shaped the ways babies were cared for and in turn how their won behavior shaped family lives. A typology of baby books includes the lavishly illustrated keepsake books of the late nineteenth century, commercial and public health books of the twentieth century, and on-line records of the present day. Themes that emerge over time include those of scientific medicine and infant psychology, religion and consumerism. The article relies on secondary literature and on archival sources including the collections of the UCLA Louise M. Darling Biomedical Library as well as privately held baby books.

Nurse Irene Shea studies the "Kenny method" of treatment of infantile paralysis, 1942-1943.

In the 1940s nurses in the United States set out to learn the Kenny method of treating polio patients, which relied on hot packs and muscle strengthening exercises instead of the standard system of prolonged immobilization. Named for Sister Elizabeth Kenny, an Australian nurse who based herself in Minnesota during the 1940s and early 1950s, and viewed with suspicion by many physicians, nurses, and physical therapists, the treatment nonetheless proved effective. It changed the practice of polio nursing and the experiences of patients in the years before vaccine prevention largely eliminated paralytic polio.