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26                      The Yellow Fever Outbreak of 1793







                 The Yellow Fever
           Outbreak of 1793: Nine


         Observations and Lessons


                 Continued from Page 25




        Benjamin Rush’s account of yellow fever
        suggests the gruesomeness and heartbreak of
        Jones and Allen’s work on burial detail. Rush
        relied on  Allen and Jones for details about
        postmortem effects of yellow fever.  The
        discharge of blood from the nose, mouth and
        bowels of several corpses necessitated sealing
        the joints of coffins, to prevent leakage of
        draining fluids. Allen and Jones witnessed the
        posthumous tears shed by the corpse of a young
        woman. Rush gave these descriptions in clinical
        detail, but they were images of anguish etched in
        the memories of Jones and Allen.


        The reverends described occasions they were
        summoned to inter a corpse and “found a parent
        dead, and none but little innocent babes to be
        seen, whose ignorance led them to think their
        parent was asleep.” The plight of the children
        and their innocent prattle left the reverends “so
        wounded and our feelings so hurt, that we        enslaved population did not experience natural black patient.” Likewise, Carey wrote, “They
        almost concluded to withdraw from our            increase until the 1750s, or perhaps even the did not escape the disorder; however, the
        undertaking; but, seeing others so backward [in  1760s. The people Lining listed as susceptible to number of them that were seized with it, was not
        their duty], we still went on.”                  yellow fever—whites, mulattoes, Native great; and, as I am informed by an eminent
                                                         Americans, and people of mixed European and doctor, ‘it yielded to the power of medicine in
        Jones and  Allen mentioned a little girl who     Native  American heritage—were born in them more easily than in the whites.’”
        chided them, “Mamma is asleep—don’t wake         America or recently arrived from Europe.
        her!” The child’s reaction to the coffin “almost  Lining witnessed blacks who probably survived Jones and Allen took issue with the claim that
        overcame us.”  The reverends recalled, “When     yellow fever as children in  Africa, where the yellow fever was gentler on African Americans
        she demanded why we put her mamma in the         disease was endemic.  Yellow fever was than on Philadelphia’s whites.  The reverends
        box, we did not know how to answer her, but      devastating among adults.  Where the disease noted, “In 1792 there were 67 of our color
        committed her to the care of a neighbor, and left  was endemic, however, yellow fever was a buried, and in 1793 it amounted to 305; thus the
        . . . with heavy hearts.”                        relatively mild childhood illness that provided burials among us have increased more than
                                                         lifelong immunity.                               fourfold.” Jones and Allen asked, “Was not this
        As for allegations that black nurses were                                                         in a great degree the effects of the services of the
        neglectful, Jones and  Allen implored their      Philadelphia’s Free Africa Society offered their unjustly vilified colored people?”
        readers to consider the difference between       services to the city.  While  Allen and Jones
        “nursing in common cases” and nursing during     agreed to arrange burials,  William Gray 9. No Good Deed Goes Unpunished.
        an epidemic. Many nurses were “up night and      organized efforts to recruit black nurses. Carey
        day,” “worn down with fatigue and want of        admitted, “The services of Jones,  Allen, and    In his account of the fever outbreak, Carey
        sleep,” “without any one to relieve them.” Some  Gray, and others of their colour, have been very  alleged “some of the vilest blacks” extorted high
        patients were delirious, “raging and frightful to  great, and demand public gratitude.” Benjamin  wages for their attendance as nurses. Carey
        behold;” other patients “lay vomiting blood and  Rush marveled, “Absalom Jones, and Richard       wrote, “They extorted two, three, four, and even
        screaming enough to chill them with horror.”     Allen, two black men, spent all the intervals of  five dollars a night for attendance, which would
                                                         time, in which they were not employed in         have been well paid by a single dollar.” A few,
        Benjamin Rush encouraged African Americans       burying the dead, in visiting the poor who were  Carey noted, had been “detected in plundering”
        to offer their help on the mistaken but          sick, and in bleeding them and purging them,     the goods of the ill. Carey strained to control the
        widespread belief that blacks were immune to     agreeably to the directions which had been       racist implications of his charges, praising
        yellow fever. Observing a yellow fever outbreak  printed in all the news papers. Their success was  Jones, Allen, Gray, “and others of their colour.”
        in Charles Town (Charleston), South Carolina in  unparalleled by what is called regular practice.”
        1748, Dr. John Lining wrote, “There is                                                            Jones and Allen responded that far more blacks
        something very singular in the constitution of   Despite assurances of their immunity, African    than whites served as nurses, but an equal
        the Negroes, which renders them not liable to    Americans suffered from the disease. Rush        number of whites were guilty of pilfering. Theft
        this fever.” In a Philadelphia paper, Rush       lamented, “It was not long after these worthy    by nurses in general was rare, the reverends
        published an excerpt of Lining’s remarks with a  Africans undertook the execution of their        noted, but in proportion to their numbers, white
        declaration of Rush’s intent “to hint to the black  humane offer of services to the sick, before I  nurses were more likely to steal than black
        people” that they had “a noble opportunity” of   was convinced I had been mistaken. They took     nurses. Furthermore, high prices did not result
        showing their gratitude to a city that was a     the disease, in common with the white people,    from African Americans charging unreasonable
        center of anti-slavery sentiment, where whites   and many of them died with it.”                  fees. Instead, families outbid each other for the
        placed blacks “upon a footing with themselves.”                                                   available caregivers.
                                                         Despite deaths from the disease, white observers
        Lining, however, did not witness immunity        believed yellow fever was more survivable for
        among  American-born blacks. In the 1740s,       African Americans than for whites. Rush noted,                          (Continued on Page 27)
        South Carolina’s enslaved population was         “The disease was lighter in them, than in white
        overwhelmingly African born. South Carolina’s    people. I met with no case of hemorrhage in a
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