What Soldiers Read

Posted on November 11, 2014 by nyamhistorymed

By Johanna Goldberg, Information Services Librarian

During World War I, the American Library Association (ALA) undertook a million-dollar campaign to bring libraries to soldiers in United States training camps and cantonments. The ALA detailed these efforts in its regularly published War Library Bulletin and War Libraries, distributed by its Library War Service.

“Action in the New York City campaign.” From War Library Bulletin, volume 1, number 6, April 1918. Click to enlarge

The ALA asked each United States city to contribute monetarily in “an amount equivalent to 5% of its population” and collected books and magazines at local libraries. These materials went to ALA-established collection centers throughout the country before being forwarded to camps. (The Red Cross and Y.M.C.A. took on the work of distributing reading materials to troops abroad.) By January 1918, the ALA had raised more than $1.5 million dollars to build and staff libraries, buy additional titles, and transport materials.

What kind of reading material did soldiers want?

“What books do the men read?” From War Library Bulletin, volume 1, number 4, January 1918.

Soldiers also read for pleasure. As Burton E. Stevenson wrote in the January 1918 War Library Bulletin article “What Soldiers Read”:

“Men now have time to read.” From War Library Bulletin, volume 1, number 4, January 1918.

There is an impression in some quarters that our soldiers have no time to read. Nothing could be further from the truth. Most of them have more real leisure than they ever had before. They are free practically every evening, and not only free, but without the distractions most of them had in civil life. There are no parties, no dances, no social engagements, and many of them find that the most pleasant way to spend an evening in camp is with a book. So, in one camp, one man has started to read Boswell’s “Life of Johnson.” Another is wrestling with Bergson’s “Creative Evolution.” Another has started Gibbon, and is working hard to finish it before he is sent to France. Still others are beginning courses of reading in various branches of English literature, under the direction and guidance of the librarian.

The cover of the June 1918 War Library Bulletin trumpets the campaign’s successes:

The front cover of War Library Bulletin, volume 1, number 7, June 1918.

“Delivery counter at Camp Lewis A. L. A. library.” From War Library Bulletin, volume 1, number 4, January 1918. Click to enlarge.

But there was still more to be done: the August 22, 1918 War Libraries issued a new challenge: “We are going to ask the American people, in the week beginning November 11, 1918, for $3,500,000 with which to carry on the Library War Service for another year.”

On the very date selected by the ALA, of course, World War I ended. The next year, President Wilson proclaimed the date Armistice Day; in 1954, November 11 became Veterans Day to honor all American veterans, not just those from World War I.¹

By the end of the war, ALA’s Library War Service had raised more than $5 million and distributed more than 10 million books and magazines. There were also long-term results: the Library War Service’s work led to the founding of the American Library in Paris and American Merchant Marine Library Association.²

The back cover of War Library Bulletin, volume 1, number 7, June 1918. Click to enlarge.

References

1. United States Department of Veterans Affairs Office of Public and Intergovernmental Affairs. History of Veterans Day. Available at: http://www.va.gov/opa/vetsday/vetdayhistory.asp. Accessed November 6, 2014.

2. Online Archive of California. Preliminary Inventory to the American Library Association War Service Records, 1917-1923. Available at: http://www.oac.cdlib.org/findaid/ark:/13030/tf8n39n9nm/admin/#did-1.7.1. Accessed November 6, 2014.

See-Through Science: The Rise of the X-Ray

Posted on November 7, 2014 by nyamhistorymed

By Paul Theerman, Associate Director, Center for the History of Medicine and Public Health

One X-ray-related movie scene stands indelibly in my mind: Henri Charrière (Steve McQueen) getting X-rayed in the escape-thriller Papillon. While purchasing his escape from a French penal colony in the 1930s, Charrière dutifully submits to being X-rayed. He lies down, a photographic plate is put under his head, and a big glowing tube is brought near, which then glows even more brightly and loudly crackles for many, long seconds. The scene is repeated with Charrière on his stomach, a new plate next to his chest, and the tube right over his back. When I first saw this film, this X-ray scene brought out loud gasps in the audience. To me, the scene still captures some of the wildness, improvisation, and, viewed through today’s eyes, danger of early X-rays.

Wilhelm Röntgen. From the frontispiece to Charles E. Phillips, Bibliography of X-ray literature and research, 1896–1897.

X-rays were discovered on November 8, 1895, by Wilhelm Röntgen (1845–1923) of the University of Würzburg. Quite serendipitously, he found that an active vacuum tube, shielded with a cardboard sleeve so that no visible or ultraviolet light could come out, caused fluorescence on a light- and UV-sensitive screen some distance away. When he inadvertently passed between the tube and the fluorescing screen, he saw a projection of his own skeleton. As X-rays (as Röntgen named the effect; others later called them Röntgen-rays) also affected photographic plates, these ghostly images could be fixed. The first published X-ray was of the human hand, that of his wife Anna Bertha Röntgen. Röntgen presented it in a formal paper at the end of December 1895. A Viennese newspaper picked up the story on January 5, with international papers following—The New York Sun covered it on its front page on January 7—and Röntgen and his rays became a world-wide phenomenon. For his work, he received the first Nobel prize in physics in 1901.¹

X-ray of the hand of Anna Bertha Röntgen, submitted by Wilhelm Röntgen, to the Physico-Medical Society of Würzburg, December 28, 1895. Image from Bettyann Holtzmann Kevles, Naked to the Bone: Medical Imaging in the Twentieth Century (New Brunswick, N.J.: Rutgers University Press, 1997), pp. 21.

X-ray of the hand of Anna Bertha Röntgen. Image from Bettyann Holtzmann Kevles, Naked to the Bone: Medical Imaging in the Twentieth Century.

The X-ray’s medical potential was glaringly obvious. By early February the first medical uses of X-rays began to make their way into the published literature. It wasn’t hard to work with X-rays: vacuum tubes and photographic plates, the basic tools, were readily available. In the United States, three different institutions made claim to the first documented use of X-rays for medical purposes. Likely the very first was at Dartmouth (like many claims of priority, this has its competitors) where two faculty brothers, Gilman and Edwin Frost, a physician and a physicist, respectively, took an X-ray of a local boy with a broken arm. Edwin mentioned this case in his February 14 article in the premier journal Science—the first known published American reference to medical X-rays.²

An 1897 set-up for taking an X-ray of the hand. David Walsh, The Röntgen Rays in Medical Work (reprint ed.: New York: William Wood and Company, 1898), opposite page 36.

An 1897 set-up for taking an X-ray of the hand. David Walsh, The Röntgen Rays in Medical Work, opposite page 36.

Perhaps the first published X-ray in the United States of a clinical condition. In “Rare Anomalies of the Phalanges Shown by the Röntgen Process,” Boston Medical and Surgical Journal 134(8), February 20, 1896: 198–99.

Two other institutions also took early medical X-rays, in each case resulting from a doctor- physicist pairing. New York surgeon William Tillinghast Bull brought in a case of a person shot in the hand to Columbia scientist Michael Pupin.³ And in Boston, physician Francis Henry Williams, who was both an MIT grad in chemistry and a Harvard Medical School–trained physician, asked MIT physics professors Ralph R. Lawrence and Charles L. Norton to take X-rays of patients. Though unsigned, some attribute a February 20 article in the Boston Medical and Surgical Journal to him, which provides the first published X-ray in the United States of a pathological condition.⁴ Yale physicist Arthur Williams Wright also did early X-ray work, but not in a medical context.⁵

The speed with which this technology developed medically is breathtaking. In 1897, British physician Dr. David Walsh—who already identified himself as honorary secretary of the Röntgen Society of London—published The Röntgen Rays in Medical Work (reprint ed.: New York: William Wood and Company, 1898), almost 150 pages of instructional anatomy, physiology, and legal medicine. The American Roentgen Ray Society was founded in 1900, and became a forum for working out some of the safety concerns about X-rays. By 1901, Boston physician Francis Henry Williams (who had done that early work with MIT) oriented his practice completely to the topic, as shown by his magisterial 650-page book, The Roentgen Rays in Medicine and Surgery: As an Aid in Diagnosis and as a Therapeutic Agent, Designed for the Use of Practitioners and Students (New York: The Macmillan Company, 1901)—the first of three editions and, in five years, his eighth book on the subject.

From the sales pamphlet, Roentgen Ray Apparatus, published in June 1897 by the Edison Decorative and Miniature Lamp Department of the General Electric Company, Harrison, NJ.

X-rays are now routine, but scientists continue to develop new modes of imaging. In 2000, the National Institutes of Health founded the National Institute of Biomedical Imaging and Bioengineering. A lot of progress in just over 100 years!

References

1. Bettyann Holtzmann Kevles, Naked to the Bone: Medical Imaging in the Twentieth Century (New Brunswick, N.J.: Rutgers University Press, 1997), pp. 17–23.

2. Edwin B. Frost, “Experiments on the X-rays,” Science New Series 3 (February 14, 1896): 235–36. See also Peter K. Spiegel, “The First Clinical X-Ray Made in America—100 Years,” AJR 164 (1995): 241–43, from http://www.ajronline.org/doi/pdf/10.2214/ajr.164.1.7998549, accessed November 6, 2014, for photographs of what is believed the first clinical X-ray session, at Dartmouth, and for a copy of that X-ray.

3. Kevles, pp. 35–36.

4. “Rare Anomalies of the Phalanges Shown by the Röntgen Process,” Boston Medical and Surgical Journal 134 (8), February 20, 1896: 198–99. See also Abdul-Kareem Ahmed, “The Race to Give X-ray Vision to Medicine,” posted December 18, 2012, http://scopeweb.mit.edu/articles/the-race-to-give-x-ray-vision-to-medicine/, accessed November 6, 2014.

5. National Academy of Sciences, Biographical memoir of Arthur Williams Wright, 15 (1932):252.

The Talking Book Reads Itself to the Blind

Posted on November 4, 2014 by nyamhistorymed

By Johanna Goldberg, Information Services Librarian

The cover of “The Talking Book Reads Itself to the Blind.” Click to enlarge.

“Suppose some malevolent power suddenly turned all the books in your library against you. Suppose every book within your reach slammed itself shut and lock its covers. Suppose every printed page were blank. What would it do to your life?”¹

So begins “The Talking Book Reads Itself to the Blind,” a pamphlet in our collection likely printed in the early-to-mid 1940s.

In the late 1920s, the American Foundation for the Blind (AFB) began researching ways to provide audio books, or Talking Books, for people with vision loss. Through a partnership with RCA Victor and with government, Carnegie Corporation, and donor support, the Talking Book and Talking Book machine became viable in the 1930s.

In 1931, an act of Congress funded the establishment of the National Library Service for the Blind and Physically Handicapped, part of the Library of Congress. Two years later the government allocated $10,000 for the distribution of Talking Books. By 1934, 17 states had ordered 5,000 Talking Book machines from the AFB; assured that Talking Book machines were sufficiently available, the National Library Service began producing and distributing Talking Books.²

This service was life-changing for many people with vision loss. In the pamphlet, the AFB estimated that three-quarters of the more than 9,200 blind people in the greater New York area did not know Braille. But the Talking Book machines were expensive—the AFB sold them at cost for $42. The AFB’s goal was to amass enough donations to bring 2,500 Talking Book machines to those who lacked the funds to buy one themselves.¹

“Sensitive fingers quickly master the simple dials and controls which make the TALKING BOOK read more slowly or a little louder at their touch.” From “The Talking Book Reads Itself to the Blind.”

By the time the AFB printed this booklet, a person with vision loss could apply to the Library of Congress or a local library for the blind to receive Talking Books by mail, free of charge. “Uncle Sam even pays the postage.”¹ The AFB offered more than 20 books, and planned to add two to three new ones every month.¹

The list of available books is a fun look at what titles were popular in the 1930s and 1940s. Some items remain classics, while others have lost their luster over the years. Maybe it’s time to revive interest in Booth Tarkington’s Presenting Lily Mars or John Masefield’s The Bird of Dawning.

A list of available Talking Books advertised in “The Talking Book Reads Itself to the Blind.” Click to enlarge.

For more on the history of Talking Books, visit the American Foundation for the Blind’s online exhibit.

References
1. The Talking book reads itself to the blind. New York: American Foundation for the Blind.

2. American Foundation for the Blind. AFB Talking Book Exhibit. 2009. Available at: http://www.afb.org/talkingbook/home.asp. Accessed April 18, 2014.

Brains, Brawn, & Beauty: Andreas Vesalius and the Art of Anatomy

Posted on October 30, 2014 by nyamhistorymed

By Rebecca Pou, Archivist, and Johanna Goldberg, Information Services Librarian

For our October 18 festival, Art, Anatomy, and the Body: Vesalius 500, we exhibited items from the library’s collections showing the history of anatomical illustration. You can still visit the New York Academy of Medicine to view the exhibit in person on the ground floor. If you can’t make it, we offer a digital version below.

The exhibit on display at the New York Academy of Medicine.

In 1543, Andreas Vesalius was a 28-year-old professor of surgery and anatomy at the University of Padua, one of Europe’s best known medical schools. That year, he published his most famous work, De humani corporis fabrica, translated as On the Fabric of the Human Body. Vesalius dedicated the work to Charles V; he subsequently received the appointment of physician to the imperial family.

Working from three images from the Fabrica—a skeleton, a figure of muscles, and an illustration of the brain—this exhibit shows the many ways Vesalius’ work built on past anatomists, and exerted its influence well into the future.

Images from great works in our collection, from Magnus Hundt’s 1501 Antropologium to Dominici Santorini’s 1775 Anatomici summi septemdecim tabulae, show the evolution of artistic style and scientific understanding. Some show examples of “borrowing” Vesalius’ images and placing them in new contexts.

Click an image to view the gallery.

Andreas Vesalius (1514-1564). De humani corporis fabrica libri septum. Basel: Johannes Oporinus, 1543. Vesalius’ De humani corporis fabrica is a monumental work, notable for its departure from medical tradition, as well as its impressive woodcuts. As a student and young anatomist, Vesalius conducted numerous dissections. In doing so, he discovered that the second-century Greek physician, Galen—the absolute medical authority in Vesalius’ time—had made mistakes. Vesalius sought to correct these errors in the Fabrica, as well as demonstrate the value of dissection and first-hand observation in medicine. The volume includes over 200 images, depicting the smallest bones up to full figure views of human skeletons and musculature. In this skeletal figure, two ossicles of the ear, the hyoid bone, and another skull rest on the sarcophagus next to the skeleton.

Andreas Vesalius (1514-1564). De humani corporis fabrica libri septum. Basel: Johannes Oporinus, 1543. The most famous illustrations are the series of fourteen muscle men, progressively dissected. Some figures, such as this one, are flayed. Hanging the muscles and tendons from the body afforded greater detail, not only showing the parts, but how they fit together.

Andreas Vesalius (1514-1564). De humani corporis fabrica libri septum. Basel: Johannes Oporinus, 1543. The last section of the Fabrica is devoted to the brain, with illustrations more detailed than those in earlier works, such as Hundt and Dryander. Here, the dura mater has been peeled away, exposing the brain with its thin membrane and vessels.

Magnus Hundt (1449-1519). Antropologium de hominis dignitate, natura, et proprietatibus: de elementis, partibus, et membris humani corporis… Leipzig: Wolfgang Stöckel, 1501. Magnus Hundt was a physician and theologian. His Antropologium, published in Leipzig in 1501, is a philosophical and religious work on the human body containing 17 anatomical woodcut illustrations. These are not the earliest anatomical illustrations, but they were the most detailed depiction of the organs created up to that point. The simple illustrations were intended as diagrams rather than realistic representations of the body and organs, and bones and muscles were not represented. The diagram of the head shows the three intellectual functions divided among three physical parts: common sense and imagination in the first, thought in the middle, and memory in the last.

Johann (Eichmann) Dryander (1500-1560). Anatomiae, hoc est, corporis humani dissectionis pars prior… Marburg: Eucharius Cervicornus, 1537. Dryander’s work contains a series of woodcuts depicting the dissection of the brain, starting with the removal of the upper skull and continuing through the hemispheres, cerebellum, and skull base. His book also contains a diagram of the brain’s ventricles. Illustrations like these had appeared since at least the 1300s, and Dryander’s artist took inspiration from Hundt’s Antropologium. Dryander’s illustrations—including his brain figures—in turn influenced anatomical texts to come, many of which (like the Fabrica) showed the anatomy in greater detail.

Charles (Stephanus) Estienne (1504-1564). De dissectione partium corporis humani. Paris: Simon Colinaeus, 1545. While Estienne’s work was published two years after Vesalius’, it should still be considered a pre-Vesalian anatomy. Estienne completed the work in 1539; it did not get printed until 1545 due to a legal dispute. Estienne’s woodcuts come from several sources and vary greatly in quality, both artistically and anatomically. Some were clumsily altered prior to printing. In the brain dissection plate, for example, the square section showing the open cranium was added or replaced after the completion of the full woodcut. The full-scale figure makes the details in brain structure difficult to see.

Charles (Stephanus) Estienne (1504-1564). De dissectione partium corporis humani. Paris: Simon Colinaeus, 1545. While Estienne’s work was published two years after Vesalius’, it should still be considered a pre-Vesalian anatomy. Estienne completed the work in 1539; it did not get printed until 1545 due to a legal dispute. Estienne’s woodcuts come from several sources and vary greatly in quality, both artistically and anatomically.

Eucharius Rösslin (d. 1526). The byrth of mankynde, otherwyse named The womans booke. [London: Tho. Ray[nalde]], 1545. The byrth of mankind is an English translation of Eucharius Rösslin’s Rosegarten, an obstetrical text first published in German in 1513. Widely read and translated, the Rosegarten was written for midwives and contains the earliest obstetrical woodcuts. The first English edition, based on a Latin translation, appeared in 1540. The second English edition was revised by the physician Thomas Raynalde in 1545. Raynalde incorporated the work of other authors, including illustrations and descriptions from Vesalius’ Fabrica, such as these torsos.

Thomas Geminus (d. 1562). Compendiosa totius anatomie delineatio… London: Thomas Geminus, 1559. Geminus’ Compendiosa totius anatomie delineatio includes copies of many of Vesalius’ illustrations with simplified landscapes, including the one seen here. The Compendiosa was intended as a text for British physicians to use as guidance when dissecting corpses of criminals, a practice legalized by King Henry VIII in 1540. The first edition of the book, published in Latin in 1545, gives Vesalius an acknowledgement, but the two English versions that followed—including the 1559 edition, from which this image comes—do not.

Godefridus Govert Bidloo (1644-1713). Anatomia humani corporis… Amsterdam: J. à Someren, 1685. Bidloo’s Anatomia humani corporis includes 105 anatomical copperplate engravings, recognized as some of the finest illustrations of the Baroque period. Most anatomical books published in the late 16th and 17th centuries emulated the Vesalian style, with animated figures set in picturesque landscapes. Bidloo and Gerard de Lairesse, the artist, took this approach with their skeletal figures, such as this one contemplating an hourglass and the inevitability of time. The rest of the plates departed from this tradition, being realistic drawings of dissections. Table 5 shows the skull and scalp in the first figure and the dura mater and cerebrum in the second.

Giovanni Domenico Santorini (1681-1737). Anatomici summi septemdecim tabulae. Parma: Regia Typographia, 1775. Santorini, a physician and professor of anatomy in Venice, made extensive discoveries during his lifetime, most notably identifying the accessory pancreatic duct. Santorini’s student, Michael Girardi, compiled Anatomici summi septemdecim tabulae and published it 38 years after his mentor’s death, including Santorini’s previously unpublished anatomical drawings and observations. The discoveries shared in this work include what is now called Santorini’s plexus, an important contribution to pelvic anatomy. He also described and illustrated facial structures, as seen here, including novel findings still useful to medical professionals. The book is considered one of the best anatomical works of the 18th century due to the high quality of its images and descriptions.

The NYAM Lectures: Medical Talks by Eminent Speakers (Items of the Month)

Posted on October 28, 2014 by nyamhistorymed

By Latrina Keith, Head of Cataloging

The New York Academy of Medicine and New York Public Radio (NYPR) have digitized and cataloged some 40 radio broadcasts produced by NYAM and originally broadcast over WNYC radio in the 1950s. These lectures are drawn from the more than 1,500 original lacquer discs transferred from NYAM to the NYPR Archives in 2008. The digitization and cataloging resulted from a joint project between NYAM’s Center for the History of Medicine and Public Health and the New York Public Radio (NYPR) Archives, and with a grant from METRO, the New York Metropolitan Library Council.

The New York Academy of Medicine and WNYC-FM began their radio relationship in 1946 with the launch of The Laity Lectures—later to become Lectures to the Laity—a popular series of Academy lectures and talks on culture and medicine that had started in 1935. By mid-1950, this series was joined by For Doctors Only, which aimed to bring “the best of the meetings, conferences, and roundtable discussions held at the academy” to the medical profession and also addressed critical analysis of issues of society and medicine, as well as the application of the social sciences to medicine, and provided academic presentations in the history of medicine.

The current periodicals room of the New York Academy of Medicine Library, circa ____.

The current periodicals room of the New York Academy of Medicine Library, photographed by Irving Underhill, 1872-1960.

Lecture topics include gerontology, aging, nutrition, cancer, public health, heart disease, dermatology, psychiatry, and the role of the physician and the law, among others. Along with such informative topics, there were notable guest lecturers such as American anthropologists Margaret Mead and Ralph Linton; Dr. Sidney Farber, the father of modern chemotherapy and pediatric pathology; noted gerontologist Dr. John Steele Murray; and Dr. Leona Baumgartner, the first female commissioner of New York City’s Department of Health from 1954-1962. Baumgartner will be the focus of the upcoming Iago Galdston Lecture, “Making Public Health Contagious: The Life & Career of Leona Baumgartner, MD, PhD” to be presented by Dr. Hilary Aquino on December 4, 2014 at NYAM.

Making these historical hidden treasures available to all is a great achievement for both NYAM and NYPR. We hope that one day the entire radio broadcasts will be restored for the educational and cultural benefit of all.

Creepy Historical Drawings of Skeletons Contemplating Mortality

Posted on October 27, 2014 by nyamhistorymed

By Anne Garner, Curator, Rare Books and Manuscripts

Surgite mortui, et venite ad judicium (Arise, ye dead, and come to the judgment). Table 6. Click to enlarge.

Jacques Gamelin. Nouveau recueil d’osteologie. “Surgite mortui, et venite ad judicium (Arise, ye dead, and come to the judgment).” Table 6. Click to enlarge.

One of the greatest pleasures of the vast library collections of the New York Academy of Medicine lies in browsing our fascinating treasury of anatomical atlases and smaller format illustrations of the human body. From early attempts by anatomists like Dryander and Hundt, who depicted the body diagrammatically, to the Baroque and fantastic skeletons of the French anatomist Jacques Gamelin, almost two hundred fifty years later, these illustrations are not only visually transfixing, but offer tantalizing visual evidence of the progress made in understanding and depicting the way the body works. Chief among these milestone illustrations stands the monumental work of Vesalius, whose skeletons and muscle men changed the way the human body was drawn forever in 1543.

In this slide show hosted by Flavorwire, we’ve assembled some of our favorite images by pioneering anatomical illustrators. In honor of Halloween, we’re highlighting skeletons with a gleam in their eyes, a scowl on their faces, and a spring in their step, for optimal thrills and chills.

Reflections on “Art, Anatomy and the Body: Vesalius 500”

Posted on October 24, 2014 by nyamhistorymed

Our “Art, Anatomy, and the Body: Vesalius 500″ festival guest curator, artist and anatomist Riva Lehrer, reflects on the event.

Riva Lehrer, left, with Lisa O’Sullivan, director of the Center for the History of Medicine and Public Health. Photo by Charles Manley.

My approach as co-curator of “Art, Anatomy and the Body: Vesalius 500” was to ask how we use anatomy today to understand what it means to be human. Throughout history, we’ve used metaphor to organize our concepts of the body. We’ve imagined it as a vessel full of roiling humors, as an elaborate clock, as a regulated factory, as a robot and a computer, to name just a few. Even anatomical study is affected by metaphor and symbolism, and often guides what we see.

As science creates new perspectives on human (and non-human) anatomy, society responds by re-imagining new possibilities. When we internalize these visions we live differently in our bodies. “Art, Anatomy and the Body: Vesalius 500” brought together artists, writers, and scholars to discuss about how we see ourselves now and how we construct ourselves as public bodies.

As emcee, I had the pleasure of introducing Ann Fox, Sandie Yi, Dan Garrison, Sander Gilman, Nuha Nazy, Dima Elissa, Bill Hayes, Steven Assael and Alice Dreger, who were among the more than 25 festival participants.

Chun-Shan “Sandie” Yi. Photo by Charles Manley

Curator Ann Fox and artist Chun-Shan “Sandie” Yi started the day with an overview of contemporary artists who explore identity through medical and anatomical imagery, including artists who tackle our continuing discomfort with HIV/AIDS, a disease that from the very first raised issues of identity and ostracism. Sander Gilman furthered our thoughts about unacceptable bodies by discussing how teaching posture in schools has been used to control and regulate bodies, and make them socially predictable.

Dan Garrison brought us back to the core of the festival via the origin of Vesalius’ Fabrica. He posited some very intriguing ideas around who Vesalius may have been; he may have had a variant body (possibly dwarfism), and this may have contributed to how he created his great work.

Dan Garrison. Photo by Charles Manley.

Identity is always a struggle between the specifics of individuality and alliance with group affiliation. This echoes the direction of modern medicine; treatments are becoming increasingly targeted to individual bodies, whether through genetics, prosthetics, or adapted drug regimens. We glimpsed this future during the ProofX presentation, with Nuha Nazy and Dima Elissa. ProofX uses 3D printing to produce extremely precise implants, surgical models, and adaptive devices for a wide range of conditions. It’s anatomical interface at an unprecedented level.

ProofX’s 3D-printing demonstration. Photo by Charles Manley.

Bill Hayes engages medical history in order to understand his own biography. His research blends with memoir and hands-on experience, as witnessed by The Anatomist, the remarkable story of Henry Gray, author of Gray’s Anatomy. Hayes steps across the boundary between modern identity and historical precedent, here discussing the history of exercise, in order to show us how we arrived at our present state.

Anatomy and poetics also wove together in the work of Steven Assael. His paintings and drawings are highly (and gracefully) accurate, yet manage to be astute and nuanced examinations of his subjects’ personalities. He transfixed the audience by the lushness of his technique and the drama of his compositions.

Alice Dreger. Photo by Charles Manley.

Our excellent final event was a talk by bioethicist Alice Dreger. She traced the origins of contemporary medical photography as well as taking a fresh look at traditional anatomical illustration. Dreger has thought deeply about how we signal our identity through bodily choice. She raised questions about what caused doctors to lose touch with the vulnerability of people in medical settings, and to describe variant bodies in dehumanizing ways. She also pointed out that doctors often can’t admit the taboo pleasure of viewing physical anomalies, and how that covert pleasure affects their relationships with patients.

The human body has its secret, unspoken existence and its public presentation, meant to be decoded by other human beings. Anatomy would seem to be an objective bridge between the two, yet can be just as complicated and interpretive as any form of art. Our festival let us perceive the dialogue between poetics and science, and between inner and outer realities of the body.

For more images of the festival, visit our Facebook page.
Read a summary of the festival by presenter Kriota Willberg: Part 1 and Part 2
Click here for a blog from Hyperallergic.
Read “Seeing is Believing: New York Academy of Medicine’s Vesalius 500th Year Celebrations,” an article by presenter Brandy Schillace, PhD.

Polio: A Fearful Disease Nears Its End

Posted on October 23, 2014 by nyamhistorymed

By Paul Theerman, Associate Director, Center for the History of Medicine and Public Health

Friday, October 24, is World Polio Day. Inaugurated a decade ago, the day is promoted by the World Health Organization, UNICEF, and Rotary International to mark the coordinated battle to eradicate polio worldwide. The date for World Polio Day honors Jonas Salk, whose 1950s polio vaccine effectively ended the epidemic in the United States. World Polio Day comes just before Salk’s birthday on October 28.

Jonas Salk. Courtesy of the Steeltown Entertainment Project. Click to enlarge.

Jonas Salk. Courtesy of the University of Pittsburgh, via the Steeltown Entertainment Project. Click to enlarge.

Jonas Salk was born in 1914, and on the centenary of his birth, many celebrations mark his achievement. Here at the New York Academy of Medicine, we are screening a documentary about Jonas Salk on November 18, The Shot Felt ’Round the World, with commentary from his son Dr. Peter Salk, Time magazine writer Jeffrey Kluger, and historian of medicine Dr. Bert Hansen. Elsewhere in New York both City College of New York and NYU Langone Medical School are hosting celebratory symposia, and the Jonas Salk Legacy Foundation maintains a list of events and exhibitions in many different venues.

Though every analogy is partial, the American polio epidemics of the 20^th century bear resemblance to the current outbreak of Ebola in West Africa. Both diseases were around and known before their largest epidemics. In 1916 polio broke out in the United States, with New York City having more than 9,000 cases, a quarter of which resulted in death. Another major New York City outbreak occurred in 1931. Even by then, little was known about the disease: it fell under a category now known as “emerging infectious diseases.”¹

Title page of Poliomyelitis: A handbook for physicians and medical students, based on a study of the 1931 epidemic in New York City, 1934.

Title page of Poliomyelitis: A handbook for physicians and medical students. 1934. Click to enlarge.

In their 1934 book, Poliomyelitis: A Handbook for Physicians and Medical Students, NYAM Fellow Dr. John F. Landon and his co-author, Lawrence W. Smith, called it a “still obscure disease” (p. vii) with a “particularly baffling” origin and means of transmission (p. 1). There were no effective treatments; the most one could do was to relieve symptoms, which included fever and strong pain, especially in the head and neck. Prevention was difficult if not impossible. Like Ebola, the disease’s spread, write Landon and Smith, could be curtailed chiefly by taking extreme care in physical contact and by quarantining active patients. The Handbook provided several practical appendices on nursing care and aseptic techniques, so caregivers could protect themselves and others from contagion. One appendix reproduced the New York City Health regulations on polio, which specified a three-week quarantine for all patients and a two-week quarantine for those in contact with them, with placarding of premises with quarantine signs.¹

Two polio quarantine cards, courtesy of the National Library of Medicine. Click to enlarge.

Chart from Poliomyelitis: A Handbook for Physicians and Medical Students. Click to enlarge.

Chart of the 1931 New York polio epidemic, compiled by the New York Department of Health. In Poliomyelitis: A handbook for physicians and medical students. Click to enlarge.

And like Ebola, the disease had terrible effects. The virus can enter the central nervous system, causing both temporary and at times permanent paralysis long after the disease runs its course. And even if the paralysis is temporary, post-polio syndrome can debilitate people years later. But in the early 20^th century polio was often fatal, at rates that in 1931 averaged about 10% to 15% overall, but rose to over 20% for those under six months of age, and over 30% for those 15 to 19 years old (p. 158).¹ By the time of the post–World War II epidemics, the death rate had dropped, but with increasing numbers of paralyzed survivors.

In 1952, polio struck the United States hard, with 58,000 affected, of which more than 3,000 died and more than 21,000 were left paralyzed to some degree or other.² This was a huge number, even given the size of the country. Polio was four times as prevalent in the United States then as Ebola is in Liberia today. And while death rates from Ebola are higher, overall death and disability rates are comparable.

With this as a backdrop, the possibility of an effective polio vaccine was electrifying. In 1954, Jonas Salk’s promising new vaccine started widespread field testing, with over a million children taking part. On April 12, 1955, Dr. Thomas Francis Jr., director of the Poliomyelitis Vaccine Evaluation Center at the University of Michigan School of Public Health, pronounced the vaccine safe and effective. Large-scale immunization campaigns quickly started up.^3–5 Polio was under control in the United States by the 1960s.

“The 1954 Poliomyelitis Vaccine Field Trial Areas.” In Evaluation of the 1954 field trial of poliomyelitis vaccine: Final report. Click to enlarge.

From Eli Lilly and Company’s Progress report to physicians on immunization against poliomyelitis, advance briefing. Click to enlarge.

The disease is one of the few for which eradication rather than control is considered feasible, a goal announced in 1988 by WHO, UNICEF, and Rotary. As of 2013, only three countries worldwide still had polio endemic in their populations—Pakistan, Nigeria, and Afghanistan—and the number of cases stood at fewer than 500, in less than a dozen countries in all.⁶ Yet polio is in the news again, as war has hindered vaccination programs, health workers have been put under attack, and cases have spread.⁷ At the eve of eradication, polio is proving difficult, even if it no longer inspires the wholesale fear that it did 60 years ago.

References

1. Landon JF, Smith LW. Poliomyelitis: A handbook for physicians and medical students, based on a study of the 1931 epidemic in New York City. New York: Macmillan; 1934. All in-text page numbers come from this handbook.

2. Salk Institute for Biological Studies. History: Polio today. Available at: http://poliotoday.org/?page_id=13. Accessed October 22, 2014.

3. Francis T. Evaluation of the 1954 field trial of poliomyelitis vaccine: Final report. Ann Arbor: University of Michigan; 1957.

4. March of Dimes. April 12 1955: Polio Announcement. 1955. Available at: https://www.youtube.com/watch?v=2LlDn_MQDkc. Accessed October 22, 2014. The March of Dimes was known earlier as the National Foundation for Infantile Paralysis, the group that underwrote much of the research and testing on polio.

5. Progress report to physicians on immunization against poliomyelitis, advance briefing. Indianapolis: Eli Lilly and Company; 1955. This report was part of the campaign and excitement around the Salk vaccine.

6. World Health Organization. Polio Case Counts. Accessed October 22, 2014.

7. For example: Gladstone R. Amid Iraq’s Political Chaos, a New Polio Vaccination Campaign Faces Challenges – NYTimes.com. New York Times. http://www.nytimes.com/2014/08/12/world/middleeast/amid-iraqs-chaos-a-new-polio-vaccination-campaign.html?_r=3. Published August 11, 2014. Accessed October 22, 2014.

Women, Equality, and Justice

Posted on October 20, 2014 by nyamhistorymed

By Danielle Aloia, Special Projects Librarian

October is Domestic Violence Awareness Month, observed a month after the 20^th anniversary of the Violence Against Women Act (VAWA). VAWA was drafted in 1990 by then-Senator Joe Biden, who understood the devastating effects of domestic violence on women and children and the need for legislation. Congress took four years to approve the act, which was subsequently reauthorized in 2000, 2005, and 2013.

In honor of VAWA’s 20th Anniversary, the White House published the report 1 is 2 Many: Twenty Years of Fighting Violence Against Women, reminding us that: “In the name of every survivor who has suffered, of every child who has watched that suffering, the battle goes on; much remains to be done.” This statement seems even more relevant after the high-profile domestic abuse cases in the media recently.

Until the 1990s, laws weren’t enforced or guaranteed to protect women from their male abusers. In the past, domestic violence was thought to be a personal matter between the concerned parties. The legal system was reluctant to impinge on such a personal affair and if it did the punishment was less severe than for the assault of a stranger. Even though child abuse reporting laws were established in the late 60s, laws against the abuse of women weren’t in effect until the mid-70s.¹

Several historical sources in our collection deal with domestic violence from long before the time of VAWA.

John Stuart Mill. Library of Congress Prints and Photographs Division.

In 1861, John Stuart Mill wrote The Subjection of Women, but didn’t publish it until 1869 because he didn’t believe it would be well received.² He was a British philosopher and wrote very candidly about women’s equality. Today, he is seen as an inspiration for women’s liberation. Even though he touted equality for women, as in the quote below, he was still constrained by the times in which he lived. He wasn’t keen on women finding work outside of the home or having the same choices as men. But he did believe that women’s knowledge was just as important as a man’s.

“The principle which regulates the existing social relations between the two sexes—the legal subordination of one sex to the other—is wrong in itself, and now one of the chief hindrances to human improvement; and that it ought to be replaced by a principle of perfect equality, admitting no power or privilege on the one side, nor disability on the other.”³

During this same time in the United States, Dr. Mary Walker was making news across the country for her activity in equal rights, especially in the Dress Reform Movement. She was the first woman to win the Congressional Medal of Honor for her medical work during the Civil War. She was later stripped of the title because of technicalities, but refused to give back the medal. The Honor was justly restored to her posthumously in 1977.⁴ She was seen as a rabble-rouser and was arrested on numerous occasions for wearing men’s clothing in public. She even designed a suit that would hinder the incidence of rape.

From: Lockwood, Allison. Pantsuited pioneer of women’s lib, Dr. Mary Walker. Smithsonian 1977;7(22):113-119.

In 1871 Dr. Walker wrote a book on women’s equality titled Hit. The title is a bit of an enigma and possibly has to do with her own unhappy marriage. This treatise asserts that women should be treated as equals under Constitutional law: “God has given to women just as defined and important rights of individuality, as HE has to man; and any man-made laws that deprive her of any rights or privileges, that are enjoyed by himself, are usurpations of power.”⁵

From: Lockwood, Allison. Pantsuited pioneer of women’s lib, Dr. Mary Walker. Smithsonian 1977;7(22):113-119

Hit discusses topics including love and marriage practices of various cultures, like Sicily, Syria, and Java; dress reform; divorce; and labor. Her chapter on tobacco is quite enlightening. She writes of the over-spending on tobacco products in New York City and the harm that smoke causes. “If all this $10,500,000 was expended in providing homes and food for the worthy poor, and unfortunately degraded women of New York, thousands of agonies would be relieved, and millions more prevented.” On alcohol consumption she boldly stated: “Every few weeks we read an account of a man killing his wife, or butchering his children while under the effects of the poison that our great Government derives such a large internal revenue.”⁶

From: Comstock, Elizabeth. Maude Glasgow, M.D. Journal of the American Medical Women’s Association 1953;8(1):26.

Another pioneer in women’s rights was Maude Glasgow, MD. She was also a pioneer in preventive medicine and public health in New York City in the early 20^th century.⁷

Dr. Glasgow wrote the book Subjection of Women and Traditions of Men, which provides an historical perspective on the status of women throughout ages. Prehistoric times, she described, were considered the “Matriarchal Age” because women founded almost everything from tools to agriculture. The “Patriarchal State” that followed was “founded on property and physical force.” As women lost their sense of autonomy men gained and refused to relinquish control.⁸

“The literature of all ages is full of insults, diatribes and accusations against women, yet in spite of the prolific abuse he lavished on her, man apparently cannot stand even the most gentle censure no matter how well-founded, and tries to suppress everything drawing attention to any of his own shortcomings or blunders. His self-love and ideas of grandeur must be protected at all cost.”⁹

Domestic violence-related issues continue to loom large today. In a recent publication, the CDC reported that domestic violence is a serious public health problem with long-term consequences.¹⁰ Their prevention “strategy is focused on principles such as identifying ways to interrupt the development of Intimate Partner Violence (IPV) perpetration; better understanding the factors that contribute to respectful relationships and protect against IPV; creating and evaluating new approaches to prevention; and building community capacity to implement strategies that are based on the best available evidence.

From: Breiding, M.J., Chen J., Black, M.C. Intimate Partner Violence in the United States -- 2010. 2014. Available at: http://www.cdc.gov/violenceprevention/pdf/cdc_nisvs_ipv_report_2013_v17_single_a.pdf

From: Breiding, M.J., Chen J., Black, M.C. Intimate Partner Violence in the United States — 2010. 2014. Click to enlarge.

We have to do better in fostering a society of zero tolerance, holding offenders accountable, and not blaming the victim.

References

1. California Department of Health Services. History of Battered Women’s Movement. Indiana Coalition Against Domestic Violence; 1999. Available at: http://www.icadvinc.org/what-is-domestic-violence/history-of-battered-womens-movement/#dobash. Accessed September 26, 2014.

2. California Department of Health Services.

3. Mill, John Stuart. The Subjection of Women. London: Longmans, Green, Reader, and Dyer; 1869. Available at: http://www.gutenberg.org/files/27083/27083-h/27083-h.htm.

4. Lockwood, Allison. Pantsuited pioneer of women’s lib, Dr. Mary Walker. Smithsonian 1977;7(22):113-119.

5. Walker, Mary E. Hit. New York: The American News Company; 1871.

6. Walker, Mary E.

7. Maude Glasgow, MD. American Medical Women’s Association; 2014. Available at: https://www.amwa-doc.org/faces/maude-glasgow-md/. Accessed October 9, 2014.

8. Glasgow, Maude. The Subjection of Women and Traditions of Men. New York: M. I. Glasgow; 1940.

9. Glasgow, Maude.

10. Breiding, M.J., Chen J., Black, M.C. Intimate Partner Violence in the United States — 2010. 2014. Available at: http://www.cdc.gov/violenceprevention/pdf/cdc_nisvs_ipv_report_2013_v17_single_a.pdf

Vesalius 500: Art, Anatomy, and the Body

Posted on October 17, 2014 by nyamhistorymed

By Paul Theerman, Associate Director, The Center for the History of Medicine and Public Health

Join us this Saturday, October 18, for our second annual Festival of Medical History and the Arts, Art, Anatomy, and the Body: Vesalius 500. Register here.

This year, we celebrate the 500th birthday of Andreas Vesalius, the path-breaking anatomist whose 1543 book, De humani corporis fabrica (The Fabric of the Human Body), opened up new worlds in the understanding and representation of the human body. The festival’s presentations will focus on the cultural understanding of the body throughout history. We will have rare books on display, including one of our copies of Vesalius’ Fabrica; the Drs. Barry and Bobbi Coller Rare Book Reading Room will be open for visitors; and we will offer four hands-on workshops, still open for registration (festival entrance is included in the price of the workshops).

For more information, including the full schedule and participant biographies, see Vesalius 500.

To whet your appetite, look at our earlier blog posts by those joining us at the festival:

Guest curator Riva Lehrer on Vesalius 500
Brandy Schillace on Naissance Macabre: Birth, Death, and Female Anatomy
Kriota Willberg on Virtual Dissection
Sander Gillman and Riva Lehrer on Postures of Childhood
Ian Williams and MK Czerwiec Introduce Graphic Medicine
Jeff Levine and Michael Nevins Revisit the Fabrica Frontispiece
Chase Joynt On Presenting Resisterectomy
Lisa Rosner on The Talented Dr. Knox and the Burke and Hare murders
Bill Hayes on The Origins of “Sweat”

And don’t forget The Fabrica of Andreas Vesalius or our Vesalius 500 Workshops, presented by Sam Dunlap, Marie Dauenheimer, and the staff of our Gladys Brooks Book & Paper Conservation Laboratory.

Many others will present, as well:

Eva Åhrén on specimens in medical museums
Steven Assael on observing bodies
Alice Dreger on medical photography
Dima Elissa and Nuha Nazy on 3-D printing and anatomy
Ann Fox and Chun-Shan “Sandie” Yi on bodies in contemporary art
Daniel Garrison on translating Vesalius’ masterpiece
Heidi Latsky with Tiffany Geigel and Robert Simpson on The GIMP Project
Michael Sappol on making bodies transparent

See you on Saturday!

Books, Health and History

The New York Academy of Medicine

Author Archives: nyamhistorymed

What Soldiers Read

See-Through Science: The Rise of the X-Ray

The Talking Book Reads Itself to the Blind

Brains, Brawn, & Beauty: Andreas Vesalius and the Art of Anatomy

The NYAM Lectures: Medical Talks by Eminent Speakers (Items of the Month)

Creepy Historical Drawings of Skeletons Contemplating Mortality

Reflections on “Art, Anatomy and the Body: Vesalius 500”

Polio: A Fearful Disease Nears Its End

Women, Equality, and Justice

Vesalius 500: Art, Anatomy, and the Body