PHILADELPHIA REFLECTIONS
The musings of a Philadelphia Physician who has served the community for nearly six decades

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To Germantown, a Short Appreciation
Seven miles from the heart of Philadelphia, Germantown was once a separate town, the cultural center of Germans in America. Revolutionary battles were fought here, it was briefly the capital of the United States, and it still has an outstanding collection of schools and colleges.

Philadelphia Medicine
The first hospital, the first medical school, the first medical society, and abundant Civil War casualties, all combined to establish the most important medical center in the country. It's still the second largest industry in the city.

City of Rivers and Rivulets
Philadelphia has always been defined by the waters that surround it.

Germantown Nurses the Yellow Fever, 1793

{yellow fever Phila}
Yellow Fever, Phila

The French Revolution continued from 1789 to 1799 and created the opportunity for a second revolution in the colonies which a second overstretched European country would lose. The slaves of Haiti just about exterminated the white settlers, except for some who escaped, taking Yellow Fever and Dengue with them. Both diseases are Mosquito-borne, so they flare up in the summer and die down in the winter, although the Philadelphians who received the exiles didn't know that. Yellow Fever in Philadelphia was bad in 1793, came back annually for three more years, and flared up badly once again in 1798. It could easily be seen that it was worse in the lowlands, absent in the hills. Seasonal, it reached a peak in October, disappeared after the first frost. In the early fall, people died a horrible yellow death, jaundiced and bilious.

{Dr. Rush}
Dr. Rush

The Yellow Fever epidemic had a profound effect on many things. It was one of the major reasons the nation's capitol did not remain in Philadelphia. It made the reputation of Dr. Benjamin Rush who announced a highly unfortunate treatment -- bleeding the victims -- thus provoking numerous anti-scientific medical doctrines based on the considerable value of doing nothing at all. It took a full century for American scientific medicine to recover from this blow to its reputation. Whatever criticism Rush may deserve for his Yellow Fever blunder, it definitely is not true that he was a scientific lemon. Medical students are regularly surprised to learn that he is the physician who first identified and described the tropical disease of Dengue, or "break-bone fever", which was a somewhat less noticed feature among the Haiti exiles in Philadelphia. In still other scientific circles, Benjamin Rush is ofter referred to as the "Father of American Psychiatry". He was one of the founders of the College of Physicians of Philadelphia, the oldest medical society in North America. Medical colleagues who today scoff at the yellow fever episode seem to forget that Rush stayed behind to tend the sick during a devastating epidemic, while many of his more cautious colleagues fled for their lives. An unhesitating signer of the Declaration of Independence, whatever Rush did, he did courageously.

One very good non-medical thing the Yellow Fever epidemic accomplished was to put an abrupt end to the torch-light parades of window-breaking rioters agitating, with Jefferson's approval, for an American version of the guillotine and the terror. Federalists like Adams and Bingham never forgave Jefferson or his admirers for this, so the class warfare movement might likely have got much worse if suddenly everyone had not dropped tools, and headed for the hilly safety of Germantown.

The President of the new republic, George Washington, was in Mt. Vernon in the summer of 1793, wondering what to do about the Yellow Fever epidemic, and particularly uncertain what the Constitution empowered him to do. He finally decided to rent rooms in Germantown, and called a cabinet meeting there. His first rooms were rented from Frederick Herman, a pastor of the Reformed Church and teacher at the Union School, although he later moved to 5442 Germantown Ave, the home of Col. Franks. Jefferson chose to room at the King of Prussia Tavern.

During this time, Germantown was the seat of the nation's government. As was fervently hoped for, the cases of yellow fever stopped appearing in late October, and eventually it seemed safe to convene Congress in Philadelphia as originally scheduled, on December 2.

Although Germantown was badly shaken by the experience, it was a heady experience to be the nation's capitol. Meanwhile, a great many rich, powerful and important people had come to see what a nice place it was. Germantown then entered a second period of growth and flourishing. Walking around Germantown today is like wandering through the ruins of the Roman forum, silently tolerant of visitors who would have never dared approach it in its heyday.

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i need actual victim's names who died, but... LOVED THE ARTICLE!!!! :]
Posted by: jro    |    Jun 10, 2010 4:38 PM 7185
This article was great for me and my Yellow Fever article for English! Thanks
Posted by: Steph    |    May 7, 2010 9:49 AM 7149
i like it but it needs stuff about the free african society...thats wat my research paper is on. ITS DUE FRIDAY ugh!!!!
Posted by: some1    |    Apr 20, 2010 12:05 PM 7086
okay but what were some of the treatments? i have a school project due tommorrow!
Posted by: Jill    |    Apr 5, 2010 1:12 PM 6988
I NEED TO KNOW THE NAMES OF THE PEOPLE WHO DIED
Posted by: Amanda    |    Mar 21, 2010 11:13 PM 6974
thanks but i need to know how many actually died
Posted by: haihai    |    Mar 11, 2010 2:12 PM 6950
WOW THIS IS INTERESTING BUT INFORTUNETLY I NEED A NUMBER OF PEOPLE WHO DIED:[
Posted by: KR    |    Mar 10, 2010 2:27 PM 6948
i need help what tools were used in philadelphia in 1793!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
Posted by: tina    |    Feb 18, 2010 8:25 PM 6493
this article is so banging it really can give you so much information
Posted by: Diamond    |    May 21, 2009 2:13 PM 2540
It is a good summery. I am doing a school project this is the perfect thing to look at. And it helps a lot.

Thank you
so much
Posted by: Conner Cook    |    Mar 9, 2009 7:12 PM 2286
im doing a project on this i find it quite helpful
Posted by: tyler    |    Feb 13, 2009 11:49 AM 2192
i need names of fever victims for an obituary!!!!
Posted by: [none]    |    Feb 5, 2009 5:28 PM 2153
Wow, this information was so helpful. I will use some of it to help me on my research project on Yellow Fever & on my book report on the book 'Fever 1703'...
Posted by: Melina    |    Jan 4, 2009 3:09 PM 1987
thanks for the info. this could help out for my research project on yellow fever.=] =]
Posted by: liting    |    Nov 25, 2008 10:24 AM 1920
Well....why are comments allowed for these article? anyway, i used the town square picture. thanks.
Posted by: Ima Nonymous    |    Nov 24, 2008 4:31 PM 1917
wow im glad they figured out that yellow fever spread by mosquitoes
Posted by: lydia    |    Sep 16, 2008 6:23 PM 1647
this is very interesting material and it had a lot of information that i needed for my essay that i am writing about yellow fever
Posted by: katie holmes    |    Feb 22, 2008 12:08 PM 919
I learned so much from this article that I did not know.
Posted by: sadie bullock    |    Mar 13, 2007 11:54 PM 551
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