Quinine and QUARANTINE PROJECT SPONSORS Missouri Center for the Book Warren and Clara Cole Estate Western Historical Manuscript Collection, University of Missouri–Columbia CONSULTANT William Crowley,M.D. SPECIAL THANKS H.Denny Donnell,M.D. Fae Sotham,State Historical Society of Missouri,Columbia MISSOURI HERITAGE READERS GENERAL EDITOR, Rebecca B. Schroeder Each Missouri Heritage Reader explores a particular aspect of the state’s rich cultural heritage. Focusing on people, places, his- torical events, and the details of daily life, these books illustrate the ways in which people from all parts of the world contributed to the development of the state and the region. The books incor- porate documentary and oral history, folklore, and informal liter- ature in a way that makes these resources accessible to all Missourians. Intended primarily for adult new readers, these books will also be invaluable to readers of all ages interested in the cultural and social history of Missouri. BOOKS IN THE SERIES Blind Boone:Missouri’s Ragtime Pioneer by Jack A. Batterson Food in Missouri:A Cultural Stew by Madeline Matson German Settlement in Missouri:New Land,Old Ways by Robyn K. Burnett and Ken Luebbering Jesse James and the Civil War in Missouri by Robert L. Dyer On Shaky Ground:The New Madrid Earthquakes of 1811–1812 by Norma Hayes Bagnall Orphan Trains to Missouri by Michael D. Patrick and Evelyn Goodrich Trickel The Osage in Missouri by Kristie C. Wolferman Paris,Tightwad,and Peculiar:Missouri Place Names by Margot Ford McMillen The Trail of Tears across Missouri by Joan Gilbert Quinine and QUA R A N T I N E Missouri Medicine through the Years Loren Humphrey University of Missouri Press COLUMBIA AND LONDON Copyright © 2000 by The Curators of the University of Missouri University of Missouri Press, Columbia, Missouri 65201 Printed and bound in the United States of America All rights reserved 5 4 3 2 1 04 03 02 01 00 Library of Congress Cataloging-in-Publication Data Humphrey, Loren, 1931– Quinine and quarantine : Missouri medicine through the years / Loren Humphrey. p. cm. — (Missouri heritage readers) Includes bibliographical references and index. ISBN 0-8261-1269-7 (alk. paper) 1. Medicine—Missouri—History. 2. Medical care— Missouri—History. I. Title. II. Series. R263.H86 2000 610'.9778—dc21 99-054575 This paper meets the requirements of the American National Standard for Permanence of Paper for Printed Library Materials, Z39.48, 1984. Designer: Elizabeth K. Young Typesetter: Crane Composition, Inc. Printer and binder: Thomson-Shore, Inc. Typefaces: Times New Roman, Academy Engraved Dedicated to state and county health officials, past and present, nurse and physician pioneers, 1799–1998, the Missouri State Medical Association, the Missouri Nurses Association, and to Missourians of the future who continue the battle to obtain the best possible health for all citizens. Contents Acknowledgments xi Introduction 1 Part I:Potluck Medicine,1799-1848 1. Diseases and Injuries on the Trail 14 2. Growth of Education and Number of Physicians 23 3. Home Remedies, Smallpox Vaccine, and Quinine 32 Part II:Community Medicine,1849-1898 4. Evils of Cities and Medical School Problems 41 5. Buying a Medical License 50 6. Medical Lessons from War 56 Part III:Standards for Medicine,1899-1948 7. Growth of Travel, Cities, and Medical Schools 67 8. Improving Medical Education 75 9. Scientific Diagnosis 83 Part IV:Scientific Medicine,1949-1999 10. Viruses and Chemicals Everywhere 91 11. Specialization and Immunization 97 12. New Parts 104 For More Reading 117 Index 119 ix
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