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“A <strong>Tale</strong> <strong>of</strong> <strong>Three</strong> <strong>Laboratories</strong>:<br />
<strong>Rabies</strong> <strong>Vaccination</strong> <strong>and</strong> <strong>the</strong> Pasteurization <strong>of</strong> New York City, 1885-1920”<br />
Jessica Wang<br />
UBC History Department Colloquium<br />
18 September 2012<br />
Notes: This essay was originally written as a conference paper, but it is also a first draft <strong>of</strong><br />
Chapter 5 <strong>of</strong> my current book project, “Mad Dogs <strong>and</strong> O<strong>the</strong>r New Yorkers: A History <strong>of</strong> <strong>Rabies</strong><br />
in an American Metropolis, 1840-1920.” I am currently faced with <strong>the</strong> challenges <strong>of</strong> rethinking<br />
<strong>and</strong> reframing this material within <strong>the</strong> overall narrative <strong>of</strong> <strong>the</strong> book, <strong>and</strong> I welcome readers’<br />
suggestions. At <strong>the</strong> colloquium I will provide some additional context, discuss potential ways <strong>of</strong><br />
reworking <strong>the</strong> analysis for <strong>the</strong> book chapter, <strong>and</strong> try to explore how <strong>the</strong> available primary source<br />
base has shaped my options.<br />
WORK IN PROGRESS: PLEASE DO NOT CITE, QUOTE,<br />
OR DISTRIBUTE WITHOUT PERMISSION OF THE AUTHOR
1<br />
This essay serves as a companion piece to a recent article in <strong>the</strong> Journal <strong>of</strong> American<br />
History, in which I examined <strong>the</strong> authority <strong>of</strong> <strong>the</strong> American Society for <strong>the</strong> Prevention <strong>of</strong> Cruelty<br />
to Animals (ASPCA) over canine animal control in turn-<strong>of</strong>-<strong>the</strong>-century New York City in order<br />
to explore how ostensibly private organizations have carried out public functions throughout <strong>the</strong><br />
history <strong>of</strong> <strong>the</strong> United States. Urban governments around <strong>the</strong> world have long sought to curb<br />
stray dog populations in order to prevent rabies (or hydrophobia, <strong>the</strong> predominant nineteenthcentury<br />
term), a disease whose association with trusted companion animals, horrific symptoms,<br />
<strong>and</strong> invariably fatal course has gripped <strong>the</strong> imagination throughout human history. In 1894, <strong>the</strong><br />
ASPCA gained <strong>the</strong> power to enforce New York’s dog laws, <strong>and</strong> it kept that authority despite<br />
pressure from an increasingly ambitious municipal public health bureaucracy <strong>and</strong> a changing<br />
legal environment in <strong>the</strong> early decades <strong>of</strong> <strong>the</strong> twentieth century. The history <strong>of</strong> urban dogcatching,<br />
I suggested, points to <strong>the</strong> blended nature <strong>of</strong> public-private relations that have permeated<br />
governance in <strong>the</strong> United States throughout its history, <strong>and</strong> that needs to be incorporated into<br />
more conventional narratives about <strong>the</strong> rise <strong>of</strong> bureaucracy, expertise, <strong>and</strong> exp<strong>and</strong>ed<br />
administrative capacity as <strong>the</strong> essence <strong>of</strong> American state-building. 1<br />
Canine animal control constituted just one side <strong>of</strong> urban rabies prevention <strong>and</strong><br />
management. In October 1885, <strong>the</strong> renowned French scientist Louis Pasteur announced his<br />
laboratory’s development <strong>of</strong> preventive rabies vaccination, in which a series <strong>of</strong> inoculations with<br />
attenuated virus <strong>of</strong>fered an effective means <strong>of</strong> building immunity in humans bitten by rabid<br />
animals during <strong>the</strong> interim—usually several weeks—between initial exposure <strong>and</strong> <strong>the</strong> onset <strong>of</strong><br />
disease. Pasteur treatment promised a powerful new means <strong>of</strong> protecting <strong>the</strong> public health from<br />
a dreaded scourge. <strong>Rabies</strong> vaccination arrived in <strong>the</strong> United States not through <strong>the</strong> initiative <strong>of</strong><br />
public health <strong>of</strong>ficials, however, but via <strong>the</strong> efforts <strong>of</strong> newly founded private institutions.
2<br />
Alex<strong>and</strong>er <strong>and</strong> Valentine Mott’s American Pasteur Institute (API) faltered in its early attempt to<br />
introduce Pasteur’s prophylactic against rabies to New York City in 1886, but where it failed,<br />
Paul Gibier’s New York Pasteur Institute (NYPI) succeeded in 1890. Toge<strong>the</strong>r with <strong>the</strong><br />
ASPCA’s animal control apparatus, <strong>the</strong> NYPI’s rabies vaccination efforts defined a system for<br />
rabies prevention in which private, voluntary associations carried out public health functions, as<br />
part <strong>of</strong> <strong>the</strong> complex mixture <strong>of</strong> public <strong>and</strong> private authority that has defined American political<br />
development in ways historians are just beginning to underst<strong>and</strong>.<br />
Here I examine <strong>the</strong> history <strong>of</strong> rabies vaccination in New York City as a way to continue<br />
my investigation <strong>of</strong> <strong>the</strong> public-private relationship in American governance. In particular, <strong>the</strong><br />
New York Pasteur Institute (NYPI) <strong>and</strong> its combination <strong>of</strong> commercial, philanthropic, <strong>and</strong> public<br />
endeavor crossed public <strong>and</strong> private in multiple fashions during its heyday in <strong>the</strong> 1890s.<br />
Competition from <strong>the</strong> New York City Department <strong>of</strong> Health, along with long-term consequences<br />
flowing from <strong>the</strong> untimely death <strong>of</strong> Paul Gibier, <strong>the</strong> NYPI’s founder, ultimately forced <strong>the</strong><br />
institute’s closure in 1918. None<strong>the</strong>less, its key role in introducing preventive hydrophobia<br />
vaccination to New York City, <strong>and</strong> its dominance in <strong>the</strong> field for at least a decade, <strong>of</strong>fer<br />
opportunities for considering <strong>the</strong> fluid nature <strong>of</strong> <strong>the</strong> public-private boundary <strong>and</strong> <strong>the</strong> convoluted<br />
status <strong>of</strong> health <strong>and</strong> infectious disease as both private <strong>and</strong> public matters at <strong>the</strong> turn <strong>of</strong> <strong>the</strong> century.<br />
The history <strong>of</strong> public health encompassed more than <strong>the</strong> work <strong>of</strong> formally constituted health<br />
departments: as <strong>the</strong> history <strong>of</strong> rabies vaccination attests, private organizations also played<br />
integral <strong>and</strong> leading roles in <strong>the</strong> institutional networks <strong>of</strong> urban public health provision at <strong>the</strong> turn<br />
<strong>of</strong> <strong>the</strong> century.<br />
The history <strong>of</strong> medicine <strong>of</strong>fers a particularly illuminating opportunity for examining <strong>the</strong><br />
distinction between public <strong>and</strong> private because health militates in basic ways against any neat
3<br />
division between <strong>the</strong> two. In <strong>the</strong> United States, <strong>the</strong> notion <strong>of</strong> <strong>the</strong> liberal subject as an embodied,<br />
autonomous individual underscores <strong>the</strong> private side <strong>of</strong> health: ultimately, private individuals hold<br />
responsibility for <strong>the</strong> intimate duty <strong>of</strong> caring for <strong>and</strong> maintaining <strong>the</strong>ir own bodies. The rise <strong>of</strong><br />
<strong>the</strong> American medical pr<strong>of</strong>ession as one <strong>of</strong> individual practitioners in business for <strong>the</strong>mselves<br />
has also reinforced <strong>the</strong> idea <strong>of</strong> health as part <strong>of</strong> <strong>the</strong> private realm <strong>of</strong> <strong>the</strong> marketplace. Yet, health<br />
has always been public as well. On a daily level, <strong>the</strong> disposal <strong>of</strong> one’s bodily wastes <strong>and</strong> o<strong>the</strong>r<br />
practices related to personal cleanliness had <strong>the</strong> potential to create nuisances or spread disease.<br />
In cases <strong>of</strong> infectious disease, an individual’s illness was not his or hers alone, <strong>and</strong> <strong>the</strong> threat <strong>of</strong><br />
contagion made certain medical conditions public virtually by definition. Hence nuisance<br />
abatement <strong>and</strong> public health, including <strong>the</strong> power <strong>of</strong> quarantine, have been among <strong>the</strong> most<br />
elemental <strong>of</strong> state functions in <strong>the</strong> history <strong>of</strong> <strong>the</strong> United States. By <strong>the</strong> late nineteenth century,<br />
reformers’ growing consciousness about <strong>the</strong> larger social costs <strong>of</strong> non-infectious medical<br />
conditions—for example, <strong>the</strong> price society paid for bodies maimed in <strong>the</strong> factory or ruined by<br />
overwork or alcohol abuse—also made those maladies not just matters <strong>of</strong> suffering for <strong>the</strong><br />
individual to manage, but also issues <strong>of</strong> public concern. Today, when economists <strong>and</strong><br />
statisticians calculate <strong>the</strong> economic costs <strong>of</strong> cancer or o<strong>the</strong>r medical conditions, <strong>the</strong>y transform<br />
individual, privatized suffering into aggregate social phenomena worthy <strong>of</strong> public scrutiny. One<br />
could say that death is private, while mortality is public. In that sense, one can hardly imagine<br />
any medical problem that cannot be made both private <strong>and</strong> public. 2<br />
In <strong>the</strong> late nineteenth <strong>and</strong> early twentieth century, rabies <strong>and</strong> its management exhibited<br />
this dual character. Hydrophobia usually killed no more than a h<strong>and</strong>ful <strong>of</strong> individuals in New<br />
York City during a given year, <strong>and</strong> to that extent, it was more a disease <strong>of</strong> individual misfortune<br />
<strong>and</strong> sorrow than a major threat to <strong>the</strong> public at large. But <strong>the</strong> intense fears surrounding <strong>the</strong> horror
4<br />
<strong>of</strong> rabies <strong>and</strong> <strong>the</strong> specter <strong>of</strong> mad dogs spreading <strong>the</strong> worst kind <strong>of</strong> death also made <strong>the</strong> disease a<br />
public health issue, <strong>and</strong> cities developed various systems for controlling <strong>the</strong> stray dog population.<br />
As I have written elsewhere, those systems <strong>the</strong>mselves blended toge<strong>the</strong>r private <strong>and</strong> public<br />
sources <strong>of</strong> authority. 3<br />
<strong>Rabies</strong> vaccination proceeded similarly. In New York City, ostensibly<br />
private organizations introduced <strong>the</strong> procedure, but <strong>the</strong>y did so with public purposes, <strong>and</strong> <strong>the</strong><br />
New York Pasteur Institute’s responsibilities for providing vaccination to state residents in need<br />
were soon written into law. Although <strong>the</strong> city health department ultimately took <strong>the</strong> upper h<strong>and</strong><br />
in <strong>the</strong> vaccination franchise, a distribution system that encompassed private physicians, hospitals,<br />
<strong>and</strong> public health <strong>of</strong>fices also highlighted <strong>the</strong> entanglement <strong>of</strong> public <strong>and</strong> private.<br />
Before I detail this history through <strong>the</strong> examination <strong>of</strong> <strong>the</strong> three successive institutional<br />
structures <strong>and</strong> patronage systems that defined rabies vaccination in New York City between 1886<br />
<strong>and</strong> 1918, some caveats about terminology are in order. The rabies vaccination procedure that<br />
Pasteur developed was prophylactic <strong>and</strong> not curative in nature, but because it required a long<br />
series <strong>of</strong> injections over a two- to three-week period, contemporary observers <strong>of</strong>ten referred to it<br />
colloquially as a treatment. Common terms for rabies vaccination included “Pasteur treatment”<br />
or <strong>the</strong> Department <strong>of</strong> Health’s “preventive hydrophobia treatment,” <strong>and</strong> I employ those<br />
expressions interchangeably with “rabies vaccination” <strong>and</strong> o<strong>the</strong>r present-day usages. Also, <strong>the</strong><br />
“rabies virus” that appears in this essay is not, at a conceptual level, <strong>the</strong> bullet-shaped<br />
rhabdovirus that we think <strong>of</strong> today, with its RNA-based genome covered by a glycoprotein<br />
membrane. Ra<strong>the</strong>r, turn-<strong>of</strong>-<strong>the</strong>-century advocates <strong>of</strong> bacteriological knowledge <strong>and</strong> its<br />
application described a vaguer “microbe” or “germ” <strong>of</strong> rabies that <strong>the</strong>y hoped to describe more<br />
fully, but that defied visualization by <strong>the</strong> means <strong>the</strong>y had on h<strong>and</strong>.
5<br />
Finally, <strong>the</strong> reader should keep in mind <strong>the</strong> limitations <strong>of</strong> sources. Available primary<br />
materials for <strong>the</strong> New York City Department <strong>of</strong> Health include minutes <strong>and</strong> annual reports, but<br />
<strong>the</strong> agency’s more detailed administrative records <strong>and</strong> <strong>the</strong> papers <strong>of</strong> key figures such as Hermann<br />
M. Biggs <strong>and</strong> William H. Park have not survived. Moreover, no archival collections whatsoever<br />
exist for <strong>the</strong> American Pasteur Institute, <strong>the</strong> New York Pasteur Institute, or <strong>the</strong> physicians<br />
involved in <strong>the</strong>m, <strong>and</strong> o<strong>the</strong>r than <strong>the</strong> in-house journal that <strong>the</strong> NYPI published between 1893 <strong>and</strong><br />
1900, newspapers <strong>of</strong>fer <strong>the</strong> primary means for reconstructing <strong>the</strong>ir histories. Until recently, it<br />
was almost hopeless to try <strong>and</strong> underst<strong>and</strong> <strong>the</strong> history <strong>of</strong> ei<strong>the</strong>r <strong>of</strong> <strong>the</strong>se two organizations in any<br />
detail, but thanks to databases with keyword searches, historical newspapers <strong>of</strong>fer incredible<br />
sources for studying everyday subjects over long periods <strong>of</strong> time. Although replete with vagaries,<br />
inaccuracies, <strong>and</strong> contradictions that dem<strong>and</strong> analytical caution <strong>and</strong> a certain amount <strong>of</strong><br />
speculation, newspapers <strong>of</strong>fer vital means for uncovering <strong>the</strong> archive-poor history <strong>of</strong> public<br />
health in late nineteenth <strong>and</strong> early twentieth century New York City.<br />
Thwarted expectations: The rise <strong>and</strong> fall <strong>of</strong> <strong>the</strong> American Pasteur Institute<br />
Within a matter <strong>of</strong> months following Pasteur’s historic 1885 announcement, patients <strong>and</strong><br />
visitors from around <strong>the</strong> world streamed to his Paris laboratory, as victims <strong>of</strong> dangerous animal<br />
bites undertook inoculation against rabies, <strong>and</strong> as physicians sought to learn <strong>and</strong> evaluate<br />
Pasteur’s techniques. Bert Hansen has provided a lavish historical account <strong>of</strong> how <strong>the</strong> saga <strong>of</strong><br />
<strong>the</strong> Newark boys—<strong>the</strong> December 1885 journey <strong>of</strong> four working class New Jersey children to<br />
Paris to undergo Pasteur treatment following bites from an alleged mad dog—transformed <strong>the</strong><br />
news <strong>of</strong> Pasteurian rabies vaccination from ordinary scientific advance to breakthrough<br />
discovery <strong>and</strong> public sensation in <strong>the</strong> United States during <strong>the</strong> winter <strong>of</strong> 1885-86. 4<br />
Reports about
6<br />
<strong>the</strong> circulation <strong>of</strong> biological materials <strong>and</strong> knowledge <strong>of</strong> techniques that accompanied <strong>the</strong> flow <strong>of</strong><br />
patients <strong>and</strong> medical pr<strong>of</strong>essionals in <strong>and</strong> out <strong>of</strong> Paris quickly raised expectations for <strong>the</strong><br />
availability <strong>of</strong> rabies vaccination in <strong>the</strong> United States. As <strong>the</strong> New York Times breathlessly<br />
related, Dr. Frank S. Billings, <strong>the</strong> veterinary expert who escorted <strong>the</strong> Newark boys, departed<br />
from Paris “one <strong>of</strong> <strong>the</strong> happiest men that ever sailed,” because “he carries home several boxes <strong>of</strong><br />
scientific instruments, [<strong>and</strong>] numerous vials <strong>of</strong> virus <strong>of</strong> several kinds.” Although Billings “could<br />
not take rabies virus because it will only keep four or five days,” <strong>the</strong> paper assured readers that<br />
“he knows how to prepare it.” The Brooklyn Daily Eagle similarly predicted with complete<br />
confidence that Billings “will doubtless be able to proceed according to <strong>the</strong> Pasteur method,” <strong>and</strong><br />
only <strong>the</strong> need to raise funds stood in <strong>the</strong> way <strong>of</strong> creating an American facility to provide rabies<br />
vaccination. 5<br />
Both stories were inaccurate—although Pasteur treated foreign patients, he did not<br />
receive visitors for purposes <strong>of</strong> detailed observation <strong>and</strong> dissemination <strong>of</strong> his techniques for<br />
prophylactic rabies inoculation until several months later, <strong>and</strong> Billings never attempted rabies<br />
vaccination in <strong>the</strong> United States. Such newspaper coverage, however, exemplified <strong>the</strong> sense <strong>of</strong><br />
anticipation <strong>and</strong> excitement surrounding <strong>the</strong> Newark boys’ story.<br />
Indeed, although <strong>the</strong> newspapers erred in <strong>the</strong>ir reports about Billings, a group led by two<br />
prominent New York physicians, Alex<strong>and</strong>er B. Mott <strong>and</strong> his son, Valentine Mott, quickly<br />
mobilized to bring Pasteur treatment to <strong>the</strong> United States. The Motts represented an exalted<br />
medical lineage that granted <strong>the</strong>m stature <strong>and</strong> visibility in New York City’s medical <strong>and</strong> social<br />
circles. Valentine Mott was named after his gr<strong>and</strong>fa<strong>the</strong>r, <strong>the</strong> pioneering vascular surgeon <strong>and</strong> a<br />
leading figure in American medicine both locally <strong>and</strong> nationally. Although nei<strong>the</strong>r son nor<br />
gr<strong>and</strong>son achieved <strong>the</strong> eminence <strong>of</strong> <strong>the</strong>ir illustrious progenitor, Alex<strong>and</strong>er Mott earned a<br />
respected reputation as a surgeon. He helped to found Bellevue Medical College, <strong>and</strong> he joined
7<br />
Bellevue’s founding faculty. His son Valentine embarked upon a career as a surgeon in 1879,<br />
when he joined Bellevue as an attending physician; at <strong>the</strong> time <strong>of</strong> his death in 1918, he was best<br />
known for his attempt to bring Pasteur treatment to New York City. 6<br />
The Motts launched <strong>the</strong>ir effort in January 1886, when <strong>the</strong>y led eight New Yorkers from<br />
<strong>the</strong> city’s overlapping medical, <strong>the</strong>atrical, <strong>and</strong> francophone social circles in filing a certificate <strong>of</strong><br />
incorporation for an American Pasteur Institute. 7<br />
Newspapers as far away as Idaho <strong>and</strong><br />
California took note <strong>of</strong> <strong>the</strong> new institute’s creation. 8<br />
The Motts’ associates included <strong>the</strong> Frenchborn<br />
<strong>and</strong> -trained paragon <strong>of</strong> American veterinary medicine, Alex<strong>and</strong>re Liautard; Michael J. B.<br />
Messemer, a Tammany insider <strong>and</strong> chief coroner for <strong>the</strong> city; <strong>and</strong> Louis de Plasse, a physician<br />
<strong>and</strong> Belgian noble. Their o<strong>the</strong>r partners, if I have identified <strong>the</strong>m correctly, were Charles Villa, a<br />
French transplant associated with <strong>the</strong> newspaper États Unis <strong>and</strong> with <strong>the</strong> city’s French-speaking<br />
elites; “Pr<strong>of</strong>essor” Adolph Corbett, a concert hall proprietor seemingly in search <strong>of</strong><br />
respectability; <strong>and</strong> Charles F. Nirdlinger, aspiring playwright <strong>and</strong> author. These diverse<br />
identities indicate <strong>the</strong> connections <strong>and</strong> networks that defined <strong>the</strong> male social world <strong>of</strong> New<br />
York’s medical elites, as well as <strong>the</strong> francophone émigré community’s role in trying to bring<br />
Pasteur’s rabies vaccination techniques to <strong>the</strong> United States. 9<br />
The newly founded institute promised “gratuitous care <strong>and</strong> treatment by <strong>the</strong> Pasteur<br />
system <strong>of</strong> inoculation” <strong>and</strong> “<strong>the</strong> study <strong>and</strong> scientific examination <strong>of</strong> <strong>the</strong> causes, development <strong>and</strong><br />
improved means <strong>of</strong> treating hydrophobia.” 10<br />
As a first step toward this objective, <strong>the</strong> API<br />
immediately announced plans to have a physician visit Paris <strong>and</strong> learn Pasteur’s methods, <strong>and</strong><br />
Alex<strong>and</strong>er B. Mott highlighted <strong>the</strong> API’s intent to operate as a purely philanthropic enterprise,<br />
dependent on donors. In addition to learning <strong>the</strong> proper techniques, he observed, “Suitable<br />
buildings must by procured, animals inoculated <strong>and</strong> a series <strong>of</strong> experiments made to satisfy <strong>the</strong>
8<br />
operator <strong>and</strong> those interested in <strong>the</strong> institution. For all this it requires money, <strong>and</strong> that can only<br />
be raised slowly <strong>and</strong> through <strong>the</strong> well known liberality <strong>of</strong> <strong>the</strong> public.” 11<br />
Pasteur initially rebuffed<br />
<strong>the</strong> elder Mott’s request to send someone to study in his laboratory with <strong>the</strong> dismissal, “You go<br />
too fast.” Mott responded by emphasizing <strong>the</strong> API’s seriousness <strong>of</strong> purpose <strong>and</strong> <strong>the</strong> need for a<br />
Pasteur Institute in <strong>the</strong> United States, in order to avoid <strong>the</strong> delays <strong>and</strong> high travel costs for animal<br />
bite victims who required vaccination as soon as possible. Pasteur did not respond immediately,<br />
but by early spring 1886, as he started to pursue institutional expansion, including fund-raising<br />
for a permanent rabies vaccination facility in Paris as well as <strong>the</strong> establishment <strong>of</strong> similar<br />
operations elsewhere around <strong>the</strong> world, he began to welcome foreign visitors who wanted to<br />
study his methods. At <strong>the</strong> end <strong>of</strong> March he invited Alex<strong>and</strong>er Mott to send “a young physician”<br />
to Paris, <strong>and</strong> Valentine Mott immediately set sail. 12<br />
The younger Mott arrived in Paris on April 6, headed straight for Pasteur’s laboratory,<br />
<strong>and</strong> quickly gained a strong sense <strong>of</strong> confidence about how to reproduce <strong>the</strong> French master’s<br />
techniques. Pasteur’s procedure relied upon <strong>the</strong> changes in microbial virulence that he <strong>and</strong> his<br />
collaborators learned to produce under controlled laboratory conditions, <strong>and</strong> that were central to<br />
his earlier work on vaccines for chicken cholera <strong>and</strong> anthrax, as well as Robert Koch’s research<br />
on anthrax <strong>and</strong> o<strong>the</strong>r infectious diseases. The virulence <strong>of</strong> an infectious agent, as measured by<br />
<strong>the</strong> incubation period between exposure <strong>and</strong> onset <strong>of</strong> symptoms, shifts under a variety <strong>of</strong><br />
conditions, such as passage from one species to ano<strong>the</strong>r, serial passage among individuals <strong>of</strong> <strong>the</strong><br />
same species, or as a result <strong>of</strong> laboratory manipulation. In <strong>the</strong> case <strong>of</strong> rabies, Pasteur <strong>and</strong> Émile<br />
Roux inoculated rabbits with rabies by applying material derived from a dead rabid dog’s spinal<br />
marrow directly onto <strong>the</strong> rabbits’ brains. They found that <strong>the</strong> rabbits developed disease more<br />
readily than dogs, <strong>and</strong> that after forty to fifty passages through rabbits, <strong>the</strong> incubation period
9<br />
declined from fifteen to seven days before stabilizing. The highly virulent strain <strong>of</strong> rabies in<br />
rabbits, however, could be attenuated by excising <strong>the</strong> dead rabbits’ spinal cords, <strong>and</strong> drying strips<br />
<strong>of</strong> <strong>the</strong> cords under controlled conditions. Dessicated cords gradually declined in virulence, such<br />
that after fourteen days <strong>the</strong>y became weak enough to use for commencing immunization.<br />
Through inoculation with a series <strong>of</strong> cord-based preparations in sequence from weak to strong<br />
virulence, Pasteur <strong>and</strong> Roux’s method allowed patients to build immunity to rabies. 13<br />
In a letter to his fa<strong>the</strong>r, Mott detailed his first day in <strong>the</strong> laboratory. He observed <strong>and</strong><br />
carefully described <strong>the</strong> inoculation <strong>of</strong> cord-based solution into dozens <strong>of</strong> human patients, <strong>and</strong> he<br />
witnessed <strong>the</strong> preparation <strong>of</strong> spinal cord from a dead rabbit, <strong>the</strong> trephination <strong>and</strong> inoculation <strong>of</strong> a<br />
live rabbit with rabies virus, <strong>and</strong> <strong>the</strong> storage jars where dried cords were kept in sequence. One<br />
assumes Mott had read Pasteur’s dramatic paper <strong>of</strong> October 26, 1885, which announced <strong>the</strong> first<br />
successful application <strong>of</strong> prophylactic rabies treatment in humans <strong>and</strong> detailed Pasteur’s methods<br />
for producing attenuated rabies virus, <strong>and</strong> after just a day in Paris, he already thought he<br />
thoroughly understood <strong>the</strong> necessary procedures. As Mott noted towards <strong>the</strong> end <strong>of</strong> his letter to<br />
his fa<strong>the</strong>r, “I saw <strong>the</strong> method <strong>of</strong> keeping <strong>the</strong> virus in jars. At present Pasteur begins with virus<br />
fourteen days old <strong>and</strong> ends with virus five days old, <strong>the</strong> strength diminishing as it grows older.<br />
So much for <strong>the</strong> process. I feel confident that I could do <strong>the</strong> whole without any trouble, care <strong>and</strong><br />
cleanliness being all that is needed, once knowing what is to be done.” 14 Although <strong>the</strong> API<br />
originally expected its emissary would require several months <strong>of</strong> study, Mott spent just a month<br />
overseas before boarding a ship with a rabies-inoculated rabbit gifted from Pasteur <strong>and</strong> heading<br />
home. 15 The introduction <strong>of</strong> rabies vaccination to New York City did not proceed nearly as<br />
smoothly as Mott expected, however. Although some parts <strong>of</strong> <strong>the</strong> chronology are not entirely
10<br />
clear, <strong>the</strong> American Pasteur Institute provided Pasteur treatment to just a dozen patients by <strong>the</strong><br />
end <strong>of</strong> 1886, <strong>and</strong> although it may have survived on paper for ano<strong>the</strong>r year, it probably took no<br />
new patients in 1887. The vagaries <strong>of</strong> transferring knowledge <strong>and</strong> laboratory practices conspired<br />
with <strong>the</strong> dynamics <strong>of</strong> expectation, disappointment, <strong>and</strong> media attention, <strong>and</strong> <strong>the</strong> expected<br />
philanthropic support never materialized.<br />
Valentine Mott encountered more difficulty than he had originally anticipated in<br />
reproducing <strong>the</strong> Pasteur laboratory’s methods. The textbook outline <strong>of</strong> Pasteur <strong>and</strong> Roux’s<br />
procedure sounds simple enough, although one senses, as did observers in <strong>the</strong> late nineteenth<br />
century, <strong>the</strong> dangers <strong>of</strong> using live virus, especially from <strong>the</strong> increasingly fresh cords towards <strong>the</strong><br />
end <strong>of</strong> <strong>the</strong> inoculation sequence. Real-world experience, however, proved ano<strong>the</strong>r matter<br />
entirely for <strong>the</strong> American Pasteur Institute. Scholarship in science studies has long established<br />
<strong>the</strong> difficulty <strong>of</strong> translating laboratory practices from one locale to ano<strong>the</strong>r, <strong>the</strong> tacit forms <strong>of</strong><br />
knowledge required to replicate experiments, <strong>and</strong> <strong>the</strong> sociological dimensions <strong>of</strong> deciding<br />
whe<strong>the</strong>r failure to reproduce results reflects faulty techniques or dispro<strong>of</strong> <strong>of</strong> <strong>the</strong> original<br />
findings. 16<br />
Any university student who has ever taken a lab course also knows through direct<br />
experience <strong>the</strong> difficulty <strong>of</strong> reproducing even <strong>the</strong> simplest experiments <strong>and</strong> most established<br />
scientific results. In <strong>the</strong> case <strong>of</strong> Pasteur treatment, by <strong>the</strong> summer <strong>of</strong> 1886 a series <strong>of</strong> foreign<br />
visitors, including Mott, had studied preventive rabies treatment in Paris. Upon <strong>the</strong>ir respective<br />
departures, Pasteur provided each <strong>of</strong> <strong>the</strong>m with “<strong>the</strong> raw material”—such as <strong>the</strong> culture medium<br />
<strong>of</strong> a rabies-inoculated rabbit that Mott received—with which to establish facilities for Pasteur<br />
treatment in <strong>the</strong>ir home countries. 17<br />
That training, however, did not guarantee <strong>the</strong> establishment<br />
<strong>of</strong> new institutions. For example, as Gerald L. Geison has explained, two <strong>of</strong> <strong>the</strong> early visitors, G.<br />
Amoroso from <strong>the</strong> medical faculty <strong>of</strong> <strong>the</strong> University <strong>of</strong> Naples <strong>and</strong> Anton von Frisch <strong>of</strong> <strong>the</strong>
11<br />
Vienna Polyclinic, became powerful critics <strong>of</strong> Pasteur because <strong>the</strong>y were unable to reproduce <strong>the</strong><br />
French scientist’s findings, but Pasteur <strong>and</strong> his backers argued that Amoroso had misrepresented<br />
his qualifications, <strong>and</strong> that von Frisch had faulty laboratory technique. The determination in<br />
favor <strong>of</strong> Pasteur’s original results over Amoroso’s <strong>and</strong> von Frisch’s failed confirmation depended<br />
less on decisive evidence <strong>and</strong> pure reason than on Pasteur’s superior ability to mobilize support<br />
for his views, particularly within <strong>the</strong> nationalist environment <strong>of</strong> <strong>the</strong> French Académie de<br />
médicine. 18<br />
In <strong>the</strong> United States, Mott achieved decidedly mixed laboratory results. He expected a<br />
rapid start-up, <strong>and</strong> newspapers reported a lively scene <strong>of</strong> rabbits at various stages <strong>of</strong> inoculation<br />
in <strong>the</strong> Mott family home days after <strong>the</strong> younger Mott’s return from Paris. 19<br />
Valentine Mott also<br />
used <strong>the</strong> spurt <strong>of</strong> press attention surrounding his return to remind <strong>the</strong> public <strong>of</strong> <strong>the</strong> funds<br />
necessary to support New York’s new medical enterprise. The API, he stated, needed just $5000<br />
to establish itself on a firm basis. “Here,” he exhorted, “is an opportunity for some <strong>of</strong> our rich<br />
men. So far a few medical men have defrayed all <strong>the</strong> expenses incurred, but that cannot go on<br />
forever….even rabbits cost money.” 20<br />
Towards <strong>the</strong> end <strong>of</strong> May, <strong>the</strong> Motts announced <strong>the</strong>ir<br />
acquisition <strong>of</strong> space at Bellevue Medical College’s Carnegie Laboratory <strong>and</strong> <strong>the</strong>ir expectation <strong>of</strong><br />
opening for patients in ten days. 21<br />
Shortly <strong>the</strong>reafter, however, delays <strong>and</strong> setbacks mounted. In early June, a boy from<br />
Cincinnati who had suffered a bite from a suspected rabid cat, <strong>and</strong> a Westchester County boy<br />
bitten by a possible mad dog arrived in New York City with <strong>the</strong>ir parents in hope <strong>of</strong> undergoing<br />
Pasteur treatment. Both boys came from poor families <strong>and</strong> lacked <strong>the</strong> financial means to travel<br />
to Paris, but Mott still had not managed to produce a regular enough sequence <strong>of</strong> dessicated<br />
spinal cords. Although Pasteur’s method seemed clear <strong>and</strong> simple in <strong>the</strong>ory, nei<strong>the</strong>r <strong>of</strong> <strong>the</strong> Motts
12<br />
specialized in infectious diseases, <strong>and</strong> as surgeons <strong>of</strong> <strong>the</strong>ir respective generations, <strong>the</strong>y probably<br />
possessed little experience with microbial laboratory techniques. The translation <strong>of</strong> principles<br />
<strong>and</strong> observations into direct practice <strong>the</strong>refore did not proceed smoothly. Ultimately, nei<strong>the</strong>r<br />
child undertook treatment in New York; <strong>the</strong>ir subsequent fate remains unknown. 22<br />
The Motts tried again a month later, but <strong>the</strong> American Pasteur Institute’s first recorded<br />
attempt at treating a patient ended prematurely with <strong>the</strong> boy’s inability to tolerate <strong>the</strong> injections.<br />
Seven-year-old Harold Newell <strong>of</strong> Jersey City was bitten by <strong>the</strong> family’s pet dog on June 24, <strong>and</strong><br />
<strong>the</strong> dog’s subsequent aggressiveness <strong>and</strong> sudden death two days letter led <strong>the</strong> boy’s fa<strong>the</strong>r, a<br />
physician, to suspect rabies. William T. Newell, <strong>the</strong> fa<strong>the</strong>r, took his son to New York City to<br />
consult with Valentine Mott, <strong>and</strong> Mott’s post-mortem analysis <strong>of</strong> <strong>the</strong> dog, which revealed<br />
material from a door mat in its stomach, also seemed highly suggestive <strong>of</strong> rabies. Mott still did<br />
not have <strong>the</strong> necessary sequence <strong>of</strong> rabbit cords, but he hoped to be ready within a few days.<br />
Finally, on July 5, Mott administered <strong>the</strong> first <strong>of</strong> a planned series <strong>of</strong> fourteen injections.<br />
Expectations still ran high. The Daily Picayune <strong>of</strong> New Orleans, for example, described Mott’s<br />
intense <strong>and</strong> heroic dedication: “Since his return from Paris with a rabbit inoculated by Pasteur,<br />
Dr. Mott has devoted every minute to <strong>the</strong> propagation <strong>of</strong> virus in successive stages <strong>of</strong> virility <strong>and</strong><br />
is now ready to proceed in strict accordance with <strong>the</strong> Pasteur system.” 23 Harold developed<br />
episodes <strong>of</strong> weakness <strong>and</strong> nervousness following <strong>the</strong> inoculations, however, <strong>and</strong> after <strong>the</strong> fourth<br />
shot, Drs. Mott <strong>and</strong> Newell agreed to ab<strong>and</strong>on <strong>the</strong> treatment. Newell pronounced his son’s<br />
adverse reactions a consequence <strong>of</strong> blood loss following a series <strong>of</strong> unfortunate accidents that<br />
had befallen him in addition to <strong>the</strong> dog bite—a head wound from a rock thrown by ano<strong>the</strong>r boy,<br />
a fall <strong>and</strong> cut to <strong>the</strong> nose on <strong>the</strong> stairs to a train platform, a severe cut to <strong>the</strong> wrist from a broken
13<br />
pitcher—<strong>and</strong> he expressed his full confidence in <strong>the</strong> Pasteur method. 24 None<strong>the</strong>less, <strong>the</strong> damage<br />
had been done as far as <strong>the</strong> American Pasteur Institute was concerned.<br />
The Motts’ enterprise attracted a relatively high level <strong>of</strong> public interest during <strong>the</strong> period<br />
from Valentine Mott’s return from Paris to <strong>the</strong> saga <strong>of</strong> Harold Newell. Although not a lead story,<br />
New York newspapers generally followed happenings at <strong>the</strong> American Pasteur Institute, <strong>and</strong> <strong>the</strong><br />
New York Herald paid particularly close <strong>and</strong> regular attention to its efforts. When little Harold<br />
became a patient, papers from around <strong>the</strong> country, including nearby New Jersey, as well as Ohio,<br />
Michigan, Missouri, Georgia, Louisiana, <strong>and</strong> California, picked up <strong>the</strong> story about <strong>the</strong> first-ever<br />
application <strong>of</strong> <strong>the</strong> Pasteur treatment in America. 25<br />
The newspapers did not report on whe<strong>the</strong>r or<br />
not young Harold survived his multiple ordeals. From late May until late July, however, <strong>the</strong><br />
overall narrative arc <strong>of</strong> <strong>the</strong> New York effort to bring Pasteur treatment to <strong>the</strong> United States was<br />
one <strong>of</strong> promise, delay, <strong>and</strong> finally, failure.<br />
Funding woes accompanied <strong>the</strong> API’s unmet expectations during this critical period <strong>of</strong><br />
public attention. A commentator at <strong>the</strong> Weekly Detroit Free Press suggested <strong>the</strong> lack <strong>of</strong> donors<br />
reflected <strong>the</strong> ebbing <strong>of</strong> interest following Pasteur’s dramatic announcement <strong>the</strong> previous fall.<br />
The writer observed, “Popular interest here in Pasteur’s discovery has diminished very much<br />
since <strong>the</strong> sensation caused by its first announcement….The tremendous hub-bub made about<br />
those Newark children had its natural effect. After high excitement <strong>the</strong>re came reaction <strong>and</strong> a<br />
sort <strong>of</strong> indifference.” 26<br />
Pasteur himself, however, certainly experienced no such difficulties<br />
following his initial triumph. A steady flow <strong>of</strong> patients quickly developed, <strong>and</strong> funds poured into<br />
Paris. According to <strong>the</strong> Brooklyn Daily Eagle, by early June 1886, Pasteur’s laboratory had<br />
already examined some 1100 patients <strong>and</strong> raised $200,000. By contrast, <strong>the</strong> Boston Daily<br />
Advertiser reported that as <strong>of</strong> July 7, as Harold Newell commenced treatment, <strong>the</strong> Motts had
14<br />
received just “two $10 subscriptions,” <strong>and</strong> Alex<strong>and</strong>er Mott warned that <strong>the</strong> American Pasteur<br />
Institute would have to close its doors by <strong>the</strong> end <strong>of</strong> August if higher levels <strong>of</strong> support did not<br />
appear. 27 The American Pasteur Institute’s long-delayed opening <strong>and</strong> its failure to administer a full<br />
course <strong>of</strong> treatment to its very first patient likely doomed its prospects. The Motts’ promises fell<br />
flat compared to <strong>the</strong> drama surrounding Pasteur’s triumphant announcement <strong>of</strong> October 1885 <strong>and</strong><br />
his subsequent record <strong>of</strong> regular success in immunizing patients. The American media<br />
environment proved unforgiving, <strong>and</strong> <strong>the</strong> API never recovered from <strong>the</strong> early blows to its<br />
reputation. In <strong>the</strong> middle <strong>of</strong> August, when <strong>the</strong> institute administered full courses <strong>of</strong> Pasteur<br />
treatment to two new patients, <strong>the</strong> papers paid little attention, <strong>and</strong> fur<strong>the</strong>rmore, a bitter Valentine<br />
Mott ducked <strong>the</strong> few reporters’ inquiries that materialized. “I don’t think <strong>the</strong> public have a right<br />
to know,” he testily informed <strong>the</strong> New York Tribune. He complained, “The public have shown<br />
no disposition to subscribe to <strong>the</strong> support <strong>of</strong> our institution <strong>and</strong> I do not care for any fur<strong>the</strong>r<br />
notoriety in connection with it.” 28<br />
Two weeks later, Mott presented a paper at <strong>the</strong> American<br />
Social Science Association’s annual meeting in which he expounded upon Pasteur’s methods <strong>and</strong><br />
treatment record at length. At <strong>the</strong> end <strong>of</strong> his presentation, he briefly recounted his successful<br />
treatment <strong>of</strong> three cases, two involving bites from dogs that “were undoubtedly mad,” as well as<br />
his own self-inoculation against rabies. 29 A couple <strong>of</strong> newspapers issued desultory reports <strong>of</strong><br />
Mott’s general comments about rabies <strong>and</strong> <strong>the</strong> treatment <strong>of</strong> dog bites, but stayed silent about <strong>the</strong><br />
American Pasteur Institute’s latest developments. 30<br />
The Motts, it seems, had missed <strong>the</strong>ir<br />
window <strong>of</strong> opportunity.<br />
Continued problems with preparing <strong>the</strong> required range <strong>of</strong> attenuated virus may have also<br />
impeded <strong>the</strong> Motts. By <strong>the</strong> end <strong>of</strong> 1886, <strong>the</strong> American Pasteur Institute had treated about twelve
15<br />
people, including three Mississippi children who traveled with <strong>the</strong>ir parents to New York City in<br />
November. The fact that <strong>the</strong> API did not have sufficiently attenuated virus on h<strong>and</strong> to treat <strong>the</strong><br />
children, who had to wait three days before commencing injections, suggests that <strong>the</strong> institute<br />
still had not managed to routinize <strong>the</strong> preparation <strong>of</strong> rabbit cords. Then in January 1887, when a<br />
New York society woman sought Pasteur treatment following a suspicious bite from a pet dog,<br />
Alex<strong>and</strong>er Liautard <strong>and</strong> Valentine Mott provided her with a letter <strong>of</strong> introduction to Pasteur, <strong>and</strong><br />
she set sail for Paris ra<strong>the</strong>r than undergoing inoculation in New York City. That circumstance,<br />
combined with a lack <strong>of</strong> subsequent references to Mott’s outfit, suggests that <strong>the</strong> American<br />
Pasteur Institute had closed its doors, although possibly it limped along as an institutional entity<br />
on paper for ano<strong>the</strong>r year. 31 Thus <strong>the</strong> first American effort at importing Pasteur’s regime for<br />
preventive hydrophobia treatment ran its course, <strong>and</strong> <strong>the</strong> Motts’ attempt to tie private<br />
philanthropy to public health ended in failure.<br />
Private auspices <strong>and</strong> public purposes: The New York Pasteur Institute <strong>and</strong> rabies vaccination in<br />
New York City<br />
For <strong>the</strong> next three years, Americans who wanted to undergo Pasteur treatment had no<br />
choice but to head for Europe. Then in February 1890, <strong>the</strong> New York Pasteur Institute<br />
pronounced itself open <strong>and</strong> ready to receive patients. Unlike <strong>the</strong> American Pasteur Institute, <strong>the</strong><br />
new body soon built a firm place for itself in New York City’s medical establishment, thanks to<br />
its technical mastery <strong>of</strong> Pasteur’s treatment regimen, as well as a range <strong>of</strong> funding mechanisms<br />
that encompassed private donations, patients’ voluntary payments for rabies vaccination, <strong>the</strong><br />
commercial production <strong>and</strong> sale <strong>of</strong> biological agents for pharmaceutical purposes, <strong>and</strong> public<br />
funding from local <strong>and</strong> state governments. This diverse set <strong>of</strong> financial arrangements crossed <strong>the</strong>
16<br />
line between public <strong>and</strong> private in multiple directions. Was <strong>the</strong> NYPI a philanthropic enterprise?<br />
A specialized hospital? A commercial venture? An arm <strong>of</strong> New York City’s public health<br />
apparatus? Ultimately, it was all <strong>of</strong> <strong>the</strong>se things, which reflected <strong>the</strong> blended world <strong>of</strong> public <strong>and</strong><br />
private that defined American political economy <strong>and</strong> governance.<br />
On February 18, 1890, <strong>the</strong> New York Pasteur Institute opened with a modest reception<br />
for twenty or so local French dignitaries, medical pr<strong>of</strong>essionals, <strong>and</strong> journalists. Paul Gibier, <strong>the</strong><br />
new institute’s founder, briefly described Pasteur’s vaccination procedure, promised treatment<br />
free <strong>of</strong> charge to those in need, provided a tour <strong>of</strong> <strong>the</strong> facility, <strong>and</strong> showed his visitors displays <strong>of</strong><br />
<strong>the</strong> brain <strong>and</strong> spinal cord <strong>of</strong> a dissected rabbit <strong>and</strong> a live rabbit in <strong>the</strong> final stages <strong>of</strong> rabies. 32<br />
The<br />
active launching <strong>of</strong> <strong>the</strong> NYPI also proceeded smoothly, <strong>and</strong> in contrast to <strong>the</strong> American Pasteur<br />
Institute, a steady stream <strong>of</strong> patients quickly developed. During one week alone in July 1890,<br />
Gibier’s outfit admitted ten new patients, for a total <strong>of</strong> twenty-five actively undergoing treatment,<br />
with 310 inoculations delivered in that seven-day period. By October, <strong>the</strong> New York Pasteur<br />
Institute had examined 610 worried animal bite victims <strong>and</strong> successfully administered Pasteur<br />
treatment to 130, a salutary outcome at a time when Pasteur institutes generally lost about one<br />
percent <strong>of</strong> patients vaccinated, usually as a result <strong>of</strong> delays in seeking treatment. Just under half<br />
<strong>of</strong> <strong>the</strong> vaccinated patients came from New York state, while <strong>the</strong> rest came from an additional<br />
eighteen states plus one person from Ontario, Canada. In line with Gibier’s stated commitment<br />
to philanthropy, eighty <strong>of</strong> <strong>the</strong> initial 130 recipients <strong>of</strong> preventive rabies vaccination received free<br />
treatment. 33<br />
Bert Hansen has suggested that Gibier succeeded where <strong>the</strong> Motts failed thanks to good<br />
timing, because by 1890 “<strong>the</strong> notion <strong>of</strong> medical progress had become more widely grounded” in<br />
American culture. 34 Cultural change might <strong>of</strong>fer part <strong>of</strong> <strong>the</strong> explanation, but Gibier possessed
17<br />
o<strong>the</strong>r significant advantages as well, including extensive experience with infectious disease, a<br />
deft ability to mobilize Pasteur’s reputation on his behalf, <strong>and</strong>, as <strong>the</strong> NYPI evolved over time,<br />
an institutional model that relied on diverse sources <strong>of</strong> funding, as well as diversification in its<br />
<strong>of</strong>ferings. Indeed, within a few years, Gibier had <strong>the</strong> makings <strong>of</strong> an impressive biomedical<br />
empire.<br />
In <strong>the</strong> years leading up to his move to New York, Gibier became increasingly occupied<br />
with infectious disease <strong>and</strong> its management within <strong>the</strong> evolving framework <strong>of</strong> <strong>the</strong> bacteriological<br />
revolution. Gibier was born in 1851, served in <strong>the</strong> military during <strong>the</strong> Franco-Prussian war <strong>of</strong><br />
1870-71, <strong>and</strong> at various points worked in a machine shop <strong>and</strong> as a railroad clerk before<br />
embarking on a medical career in Paris. He studied medicine at <strong>the</strong> University <strong>of</strong> Paris, worked<br />
as a resident in some <strong>of</strong> <strong>the</strong> major city hospitals in <strong>the</strong> early 1880s, <strong>and</strong> obtained a laboratory<br />
position at <strong>the</strong> Museum <strong>of</strong> Natural History (Muséum d’histoire naturelle), one <strong>of</strong> <strong>the</strong> leading<br />
institutions <strong>of</strong> nineteenth-century French science. There he worked as an assistant to Henri<br />
Bouley, <strong>the</strong> prominent French veterinary expert who held <strong>the</strong> pr<strong>of</strong>essorship in comparative<br />
pathology at <strong>the</strong> museum <strong>and</strong> who served as president <strong>of</strong> <strong>the</strong> French Academy <strong>of</strong> Sciences in<br />
1884-85. Under Bouley’s guidance, Gibier pursued a variety <strong>of</strong> research projects, including a<br />
series <strong>of</strong> experiments on rabies in animals that earned him a medical doctorate from <strong>the</strong> Faculty<br />
<strong>of</strong> Medicine at Paris in 1884. 35<br />
Gibier’s doctoral <strong>the</strong>sis provides considerable evidence <strong>of</strong> his laboratory skills <strong>and</strong><br />
familiarity with <strong>the</strong> methods <strong>of</strong> bacteriological research. His dissertation discussed experiments<br />
that he had conducted on a wide range <strong>of</strong> topics, including laboratory techniques for inoculating<br />
animals with rabies, <strong>the</strong> use <strong>of</strong> cold temperatures for attenuating rabies virus <strong>and</strong> o<strong>the</strong>r infectious<br />
agents, <strong>and</strong> some cases in which animals had possibly gained immunity from exposure to
18<br />
attenuated virus, although Gibier cautioned that he had not had time to confirm that result. He<br />
also reported some negative findings. All manner <strong>of</strong> histological methods proved inadequate to<br />
identify <strong>the</strong> source <strong>of</strong> rabies, although as a confirmed follower <strong>of</strong> germ <strong>the</strong>ory, he remained<br />
certain that “<strong>the</strong> microbe <strong>of</strong> rabies exists.” Gibier also tested <strong>the</strong>rapeutic agents on rats ranging<br />
from garlic to chemicals such as strychnine, as well as different mixtures <strong>of</strong> oxygen <strong>and</strong> air at<br />
various pressures, <strong>and</strong> confirmed that none showed any preventive or curative effects. 36 This<br />
research record indicates <strong>the</strong> broad array <strong>of</strong> skills that Gibier possessed, such as ease with <strong>the</strong><br />
h<strong>and</strong>ling <strong>and</strong> manipulation <strong>of</strong> microbial cultures <strong>and</strong> laboratory animals; an ability to maintain<br />
constant laboratory conditions, including constant temperature through <strong>the</strong> use <strong>of</strong> a specialized<br />
apparatus; <strong>and</strong> familiarity with a broad array <strong>of</strong> histological techniques for examining animal<br />
cells <strong>and</strong> tissues. All were necessary prerequisites for <strong>the</strong> successful transfer <strong>of</strong> Pasteurian rabies<br />
vaccination to <strong>the</strong> United States.<br />
After completing his doctoral <strong>the</strong>sis, Gibier moved beyond <strong>the</strong> laboratory to problems <strong>of</strong><br />
infectious disease in <strong>the</strong> field, <strong>and</strong> starting in <strong>the</strong> mid-1880s, he held several important <strong>of</strong>ficial<br />
appointments in <strong>the</strong> French scientific <strong>and</strong> public health establishment. In 1884, he took part in<br />
an <strong>of</strong>ficial medical mission, sponsored by <strong>the</strong> Ministry <strong>of</strong> <strong>the</strong> Interior, to organize medical aid in<br />
<strong>the</strong> department <strong>of</strong> Midi during that year’s cholera epidemic. The following year, Gibier served<br />
on <strong>the</strong> Ministry <strong>of</strong> Public Instruction’s scientific mission to Germany to study <strong>the</strong> organization <strong>of</strong><br />
medical laboratories, <strong>and</strong> he also traveled under <strong>of</strong>ficial auspices to Spain to study Spanish<br />
physician Jaime Ferrán’s cholera vaccination methods. For his work on cholera, Gibier was<br />
awarded <strong>the</strong> title <strong>of</strong> Chevalier in <strong>the</strong> French Legion <strong>of</strong> Honor in 1886. In its dossier on Gibier,<br />
<strong>the</strong> Légion d’Honneur also noted his scientific discoveries <strong>and</strong> written work in <strong>the</strong> field <strong>of</strong><br />
medicine, especially infectious diseases that included anthrax, typhoid, rabies <strong>and</strong> cholera. The
19<br />
French government subsequently dispatched Gibier to Havana in 1887 to investigate <strong>the</strong><br />
microbial source <strong>of</strong> yellow fever. There he joined <strong>the</strong> legion <strong>of</strong> researchers who claimed,<br />
incorrectly, to have isolated <strong>the</strong> microbial sources <strong>of</strong> yellow fever. A year later, Gibier headed<br />
from Cuba to Florida to continue his yellow fever research. 37 In contrast to <strong>the</strong> Motts’ limited<br />
experience, during <strong>the</strong> 1880s Gibier built an extensive record <strong>of</strong> engagement with problems <strong>of</strong><br />
infectious disease, full familiarity with bacteriological techniques, <strong>and</strong> ties to <strong>the</strong> powerful<br />
French institutional apparatus <strong>of</strong> laboratory-based medicine <strong>and</strong> public health prior to his<br />
introduction (or re-introduction) <strong>of</strong> Pasteurian rabies vaccination to <strong>the</strong> United States.<br />
Gibier also created a public impression <strong>of</strong> close personal ties to Pasteur, in contrast to <strong>the</strong><br />
scant few weeks Valentine Mott spent in Paris in order to establish a Pasteurian reputation. In<br />
<strong>the</strong> late nineteenth century, <strong>the</strong> ability to claim direct ties to Pasteur constituted a significant<br />
resource which providers <strong>of</strong> rabies vaccination <strong>and</strong> o<strong>the</strong>r laboratory-based services for<br />
combatting infectious diseases used to establish <strong>the</strong>ir reputations <strong>and</strong> authority. As John<br />
Strachan has observed in his historical work on <strong>the</strong> Pasteur Institute <strong>of</strong> Algeria, “The Pastorian<br />
mystique had <strong>the</strong> potential to confer considerable status on doctors <strong>and</strong> scientists who could trace<br />
<strong>the</strong>mselves back to Pasteur or to one <strong>of</strong> his close associates….Lineage became <strong>the</strong> hallmark <strong>of</strong><br />
pr<strong>of</strong>essionalism <strong>and</strong> <strong>the</strong> criteria by which <strong>the</strong> au<strong>the</strong>nticity <strong>of</strong> would-be Pastorians could be<br />
judged.” 38 That logic held not just for Pasteur Institutes at far reaches within <strong>the</strong> French empire,<br />
but also elsewhere around <strong>the</strong> world, including <strong>the</strong> United States. 39<br />
The historical reality behind Gibier’s Pasteurian linkages <strong>and</strong> his move to New York,<br />
however, is far more complex, <strong>and</strong> <strong>the</strong> extent <strong>of</strong> Pasteur’s support is difficult to determine. 40<br />
The<br />
Dictionnaire de Biographie Française, <strong>the</strong> only major reference source where Gibier appears,<br />
names him as a friend <strong>of</strong> Pasteur <strong>and</strong> also <strong>the</strong> prominent French chemist Michel Eugène
20<br />
Chevreul. One could easily imagine such a connection developing via Bouley, Gibier’s mentor,<br />
who carried on an extensive correspondence with Pasteur. 41 But Gibier’s scientific reputation in<br />
France also suffered because <strong>of</strong> his intense interest in psychic phenomena, particularly after he<br />
published his 1887 book, Le Spiritisme (Fakirisme Occidental), <strong>and</strong> o<strong>the</strong>r investigations <strong>of</strong> <strong>the</strong><br />
supernatural. Various forms <strong>of</strong> spiritualism or belief in psychic phenomena were not wildly<br />
unorthodox in <strong>the</strong> late nineteenth century, however, <strong>and</strong> Gibier’s commissions to study yellow<br />
fever suggest a significant degree <strong>of</strong> continued confidence in his scientific abilities. The<br />
dictionary entry on Gibier postulates that he lost his position at <strong>the</strong> Museum <strong>of</strong> Natural History<br />
because <strong>of</strong> his spiritualist explorations, but it also indicates that Pasteur himself tapped Gibier for<br />
<strong>the</strong> yellow fever studies. 42<br />
O<strong>the</strong>r accounts contemporaneous with Gibier’s lifetime reported that he came up with <strong>the</strong><br />
idea <strong>of</strong> opening a Pasteur Institute while visiting New York City after his sojourns in Cuba <strong>and</strong><br />
Florida, <strong>and</strong> <strong>the</strong> city’s medical community welcomed <strong>the</strong> prospect. According to this version <strong>of</strong><br />
events, Gibier <strong>the</strong>n returned to Paris, discussed <strong>the</strong> possibility with Pasteur <strong>and</strong> earned his<br />
support during <strong>the</strong> winter <strong>of</strong> 1889-90, <strong>and</strong> <strong>the</strong>n launched <strong>the</strong> New York Pasteur Institute with <strong>the</strong><br />
great French savant’s blessing. 43 In New York City, Gibier touted his own Pasteurian<br />
credentials, <strong>and</strong> newspapers depicted him as a disciple. When <strong>the</strong> New York Pasteur Institute<br />
first opened, for example, news coverage variously described him as “repeatedly engaged in<br />
work with Pasteur <strong>and</strong> o<strong>the</strong>r eminent scientists,” a past “assistant to Pasteur <strong>and</strong> Paul Bert,”<br />
“formerly Pasteur’s co-laborer,” “a pupil <strong>of</strong> Pasteur,” <strong>and</strong> “a long time pupil <strong>and</strong> associate <strong>of</strong> M.<br />
Pasteur.” 44 Reports in later years continued to describe him in similar terms: for example, as<br />
“one <strong>of</strong> <strong>the</strong> first physicians who became pupils <strong>of</strong> Pasteur” or “physician-pupil in <strong>the</strong> Pasteur<br />
laboratory.” 45 Newspapers presumably gained <strong>the</strong>se impressions from Gibier himself, <strong>and</strong> <strong>the</strong>y
21<br />
occasionally provided direct quotations. In a February 1890 interview with a reporter from <strong>the</strong><br />
Knoxville Journal, for example, Gibier emphasized that <strong>the</strong> virus he used for vaccinations was<br />
“identical” with Pasteur’s, <strong>and</strong> he stated confidently, “I was with [Pasteur] for several years <strong>and</strong><br />
am familiar with all his methods <strong>and</strong> especially with <strong>the</strong> preparation <strong>and</strong> application <strong>of</strong> <strong>the</strong><br />
virus.” 46 Independent confirmation <strong>of</strong> such claims is difficult to find, but Gibier probably was not<br />
as close to Pasteur as such quotations implied. His 1896 memorial essay to Pasteur, published in<br />
<strong>the</strong> NYPI’s in-house journal, suggested a more modest connection—Gibier cited his “good<br />
fortune to study under <strong>the</strong> direction <strong>of</strong> <strong>the</strong> illustrious <strong>and</strong> regretted creator <strong>of</strong> bacteriology” <strong>and</strong><br />
“at a certain moment to assist him in his experiments” related to anthrax, but did not identify<br />
himself as a full-blown student or assistant. 47<br />
He certainly did not belong to <strong>the</strong> elite pan<strong>the</strong>on <strong>of</strong><br />
close senior collaborators such as Emile Roux <strong>and</strong> Elie Metchnik<strong>of</strong>f, or <strong>the</strong> “great Pasteurians”<br />
among Pasteur’s students, in particular, Albert Calmette, Alex<strong>and</strong>re Yersin, Charles Nicolle, <strong>and</strong><br />
Jules Bordet, <strong>and</strong> <strong>the</strong> New York Pasteur Institute never established a direct institutional linkage<br />
to Paris. 48 Gibier did, however, have a keen interest in <strong>the</strong> kinds <strong>of</strong> practical scientific problems<br />
that motivated Pasteur’s followers, as evidenced by his publications on microbiology <strong>and</strong> its<br />
agricultural applications, <strong>and</strong> on <strong>the</strong> etiology, symptoms, treatment, <strong>and</strong> prevention <strong>of</strong> infectious<br />
diseases, including cholera, rabies, <strong>and</strong> yellow fever, <strong>and</strong> he likely learned how to attenuate<br />
rabies virus <strong>and</strong> vaccinate patients along with <strong>the</strong> coterie <strong>of</strong> French physicians who picked up <strong>the</strong><br />
technique at Pasteur’s laboratory in <strong>the</strong> 1880s. 49<br />
Whatever <strong>the</strong> specifics <strong>of</strong> Gibier’s relationship<br />
to Pasteur, his relative marginality within <strong>the</strong> institutional networks <strong>of</strong> <strong>the</strong> overseas Pasteur<br />
institutes should not exclude him from a share <strong>of</strong> <strong>the</strong> Pasteurian legacy. Even <strong>the</strong> <strong>of</strong>ficially<br />
recognized branches, mainly in French colonial outposts, had to establish <strong>the</strong>ir reputations on
22<br />
<strong>the</strong>ir own before gaining formal status from Paris. 50 Elsewhere, “several institutes created<br />
unilaterally in various countries around <strong>the</strong> world…took <strong>the</strong> name <strong>of</strong> Pasteur without<br />
authorization from <strong>the</strong> mo<strong>the</strong>r institution,” <strong>and</strong> <strong>the</strong> energetic <strong>and</strong> effective activities <strong>of</strong> selfdeclared<br />
Pasteurians with weaker ties to central authority contributed to <strong>the</strong> dissemination <strong>of</strong><br />
Pasteur’s image, ideas, <strong>and</strong> practices worldwide. 51 Gibier invoked Pasteur in order to promote<br />
his own prospects in <strong>the</strong> United States, but through his success, he also extended <strong>the</strong> reach <strong>of</strong><br />
Pasteurian science.<br />
Finally, diversification in patronage <strong>and</strong> products contributed strongly to <strong>the</strong> New York<br />
Pasteur Institute’s institutional ascendance in <strong>the</strong> 1890s. Gibier embarked on his rabies<br />
vaccination enterprise with his own funds, but he quickly developed o<strong>the</strong>r sources <strong>of</strong> support.<br />
The New York Pasteur Institute promised free treatment to anyone in need who could not afford<br />
to undergo vaccination, but it also emphasized that those with <strong>the</strong> means ought to pay. For a full<br />
course <strong>of</strong> Pasteur treatment, Gibier generally charged $100, not including room <strong>and</strong> board. 52<br />
On<br />
top <strong>of</strong> that, donations provided a key resource for maintenance <strong>and</strong> expansion. Just months after<br />
<strong>the</strong> institute opened, a donor in <strong>the</strong> form <strong>of</strong> an unnamed “wealthy Wall Street man” promised<br />
funds for a new building near Central Park, <strong>and</strong> <strong>the</strong> NYPI moved to a stately five-story building<br />
<strong>of</strong> brick <strong>and</strong> stone with generous laboratory facilities <strong>and</strong> comfortable accommodations for<br />
patients opened at Central Park West <strong>and</strong> 97 th Street in June 1893. 53 In o<strong>the</strong>r cases, donations<br />
became a private source <strong>of</strong> public health provision. For example, <strong>the</strong> nearly $800 left over from<br />
<strong>the</strong> public subscription for <strong>the</strong> Newark children was h<strong>and</strong>ed over to <strong>the</strong> NYPI in March 1891, in<br />
exchange for free treatment <strong>of</strong> patients from New Jersey for <strong>the</strong> next five years. 54<br />
Direct state<br />
funding played a similar role. In late May 1895, <strong>the</strong> New York state legislature passed “an Act<br />
to provide for a permanent establishment for <strong>the</strong> cure <strong>and</strong> prevention <strong>of</strong> hydrophobia.” The new
23<br />
law appropriated $6000 annually to <strong>the</strong> New York Pasteur Institute in order to fund rabies<br />
vaccination for indigents who were state residents, <strong>and</strong> it imposed state oversight, in <strong>the</strong> form <strong>of</strong><br />
inspection <strong>and</strong> annual reporting requirements. 55 Elsewhere, o<strong>the</strong>r local <strong>and</strong> state governments<br />
also raised or appropriated funds to have <strong>the</strong>ir residents vaccinated. 56 Such <strong>of</strong>ficial actions<br />
signified <strong>the</strong> blurred boundaries <strong>of</strong> public <strong>and</strong> private that defined nineteenth-century governance<br />
<strong>and</strong> <strong>the</strong> ways in which formalized governmental authority <strong>and</strong> <strong>the</strong> self-organized entities <strong>of</strong> civil<br />
society combined to carry out <strong>the</strong> dictates <strong>of</strong> public policy. 57<br />
The New York Pasteur Institute also advanced its fortunes by operating in part as a<br />
commercial enterprise <strong>and</strong> exp<strong>and</strong>ing its list <strong>of</strong> products <strong>and</strong> services. Like most <strong>of</strong> <strong>the</strong> Pasteur<br />
institutes around <strong>the</strong> world, both those formally affiliated with Paris <strong>and</strong> those established<br />
independently, <strong>the</strong> NYPI used rabies vaccination as a starting point, but aspired towards<br />
providing <strong>the</strong> full spectrum <strong>of</strong> <strong>the</strong>rapeutics <strong>and</strong> prophylactics that represented <strong>the</strong> riches <strong>and</strong><br />
possibilities <strong>of</strong> <strong>the</strong> modern bacteriological laboratory. 58<br />
Gibier conducted some original<br />
investigations as well, but unlike <strong>the</strong> more prominent overseas Pasteur institutes with formal ties<br />
to Paris, <strong>the</strong> NYPI never developed a distinguished research record.<br />
The institute’s exp<strong>and</strong>ed horizons became apparent within its first year <strong>of</strong> operation. In<br />
December 1890, when <strong>the</strong> NYPI organized formally as <strong>the</strong> New York Bacteriological Institute,<br />
its certificate <strong>of</strong> incorporation announced general purposes beyond rabies vaccination, as an<br />
establishment “for <strong>the</strong> study <strong>and</strong> gratuitous treatment <strong>of</strong> contagious diseases, comprising a<br />
‘Koch’ <strong>and</strong> a ‘Pasteur’ department for <strong>the</strong> treatment <strong>of</strong> tuberculosis <strong>and</strong> hydrophobia.” 59<br />
Historians <strong>of</strong> medicine <strong>and</strong> <strong>the</strong> bacteriological revolution have sometimes overestimated <strong>the</strong><br />
divide between French <strong>and</strong> German approaches—here, Gibier clearly planned to capitalize on all
24<br />
that both bacteriological schools could <strong>of</strong>fer, <strong>and</strong> to <strong>of</strong>fer clinical applications based on <strong>the</strong> latest<br />
scientific advances, whatever <strong>the</strong>ir source. 60<br />
Soon <strong>the</strong> NYPI <strong>of</strong>fered a variety <strong>of</strong> biological agents for physicians to purchase <strong>and</strong> use.<br />
In 1893, Gibier started an in-house journal, <strong>the</strong> New York Therapeutic Review (renamed <strong>the</strong><br />
Bulletin <strong>of</strong> <strong>the</strong> Pasteur Institute in 1897), which highlighted <strong>the</strong> work <strong>of</strong> <strong>the</strong> institute <strong>and</strong> <strong>the</strong><br />
clinical efficacy <strong>of</strong> its products, <strong>and</strong> also carried advertisements for <strong>the</strong> NYPI’s <strong>of</strong>ferings. As <strong>of</strong><br />
January 1893, <strong>the</strong> New York Biological <strong>and</strong> Vaccinal Institute, created as a division <strong>of</strong> <strong>the</strong> NYPI,<br />
sold smallpox vaccine as well as gl<strong>and</strong>ular extracts prepared according to <strong>the</strong> Brown-Sequard<br />
method, <strong>the</strong> product <strong>of</strong> <strong>the</strong> French physician Charles-Édouard Brown-Séquard’s enthusiasm for<br />
rejuvenation <strong>the</strong>rapy. 61 Additional goods followed, with an array <strong>of</strong> thirteen products—vaccines,<br />
serums, animal extracts, <strong>and</strong> o<strong>the</strong>r biological preparations—on sale by 1897. Gibier could take<br />
particular satisfaction in diph<strong>the</strong>ria antitoxin, first developed by Emile Roux at <strong>the</strong> Pasteur<br />
Institute in Paris <strong>and</strong> introduced by <strong>the</strong> New York Pasteur Institute to <strong>the</strong> United States in 1894.<br />
As Bert Hansen has pointed out, most historical accounts have erroneously attributed <strong>the</strong><br />
introduction <strong>of</strong> diph<strong>the</strong>ria antitoxin to <strong>the</strong> New York Department <strong>of</strong> Health <strong>and</strong> failed to<br />
recognize <strong>the</strong> NYPI’s critical pioneering role as <strong>the</strong> sole provider <strong>of</strong> antitoxin in <strong>the</strong> United<br />
States <strong>and</strong> Canada from <strong>the</strong> fall <strong>of</strong> 1894 until early 1895. Gibier noted that between September<br />
1894 <strong>and</strong> November 1895, <strong>the</strong> NYPI provided over 11,500 doses <strong>of</strong> diph<strong>the</strong>ria anti-toxin, with<br />
ano<strong>the</strong>r 3500 by February 1896. As part <strong>of</strong> <strong>the</strong> confluence <strong>of</strong> public <strong>and</strong> private, purchasers <strong>of</strong><br />
“Gibier’s antitoxin” included public health authorities in <strong>the</strong> Canadian provinces <strong>of</strong> Quebec <strong>and</strong><br />
Ontario, a publicly appointed commission in New Orleans, <strong>and</strong> health <strong>of</strong>ficers in <strong>the</strong> cities <strong>of</strong><br />
New Haven, Ashtabula, Cumberl<strong>and</strong>, <strong>and</strong> Petersburg (Illinois). In Sheboygan, Wisconsin, <strong>the</strong>
25<br />
city health <strong>of</strong>fice monitored <strong>the</strong> results <strong>of</strong> NYPI-made diph<strong>the</strong>ria antitoxin use by private<br />
physicians <strong>and</strong> found a 50% drop in mortality rates, a highly gratifying finding for <strong>the</strong> NYPI. 62<br />
The NYPI developed o<strong>the</strong>r sources <strong>of</strong> revenue as well. In <strong>the</strong> early months <strong>of</strong> 1895,<br />
Gibier <strong>of</strong>fered a series <strong>of</strong> 15 weekly lecture-demonstrations “intended for those who need<br />
laboratory practice to underst<strong>and</strong> better <strong>the</strong> literature <strong>of</strong> <strong>the</strong> subject.” The course, he promised,<br />
“will be <strong>of</strong> great advantage to practitioners who are desirous <strong>of</strong> establishing personal laboratories<br />
<strong>of</strong> Bacteriology, as many methods which will be taught simplify <strong>the</strong> ordinary technique to a great<br />
extent.” 63 In 1893, with <strong>the</strong> new facility at Central Park West, Gibier moved well beyond rabies<br />
vaccination by opening a sanatorium for paying patients that provided treatment for a broad<br />
range <strong>of</strong> ills, including “nervous affections, alcoholism, drug habits, diabetes, kidney <strong>and</strong><br />
pulmonary diseases, rheumatism,” <strong>and</strong> o<strong>the</strong>r non-contagious conditions, as well as <strong>the</strong> use <strong>of</strong> <strong>the</strong><br />
Brown-Séquard method to treat “Locomotor Ataxia <strong>and</strong> nervous exhaustion.” 64 In addition to<br />
manufacturing <strong>and</strong> selling biological products, <strong>the</strong> NYPI’s Biological <strong>and</strong> Vaccinal Institute also<br />
added analytic laboratory services in 1896. 65<br />
This wide assortment <strong>of</strong> activities generated <strong>the</strong> income for <strong>the</strong> NYPI’s ambitious<br />
expansion. At <strong>the</strong> end <strong>of</strong> 1895, Gibier purchased 200 acres in Suffern, New York, a rural town<br />
just twenty-five miles from New York City, where he planned a massive operation. Gibier<br />
immediately built two barns in order to replace <strong>the</strong> more haphazard urban options for stabling <strong>the</strong><br />
large animals—particularly horses <strong>and</strong> cows—whose bodies provided <strong>the</strong> living factories that<br />
produced diph<strong>the</strong>ria antitoxin, smallpox vaccine, <strong>and</strong> o<strong>the</strong>r products. He also planned a vastly<br />
enlarged sanatorium with three buildings to serve patients in <strong>the</strong> serene countryside, as a<br />
<strong>the</strong>rapeutic alternative to <strong>the</strong> nerve-jangling environment <strong>of</strong> <strong>the</strong> city. Construction <strong>of</strong> <strong>the</strong> new<br />
patient facilities, estimated to cost from $18,000 to $20,000, commenced in February 1898 <strong>and</strong>
26<br />
finished four months later. The Central Park location closed, but <strong>the</strong> NYPI maintained an urban<br />
<strong>of</strong>fice on West 23 rd Street to receive <strong>and</strong> evaluate animal bite victims. 66<br />
Gibier’s institutional empire <strong>and</strong> its intersections with governmental authority indicates<br />
<strong>the</strong> fluidity between private <strong>and</strong> public in <strong>the</strong> management <strong>of</strong> public health. For individual<br />
patients, rabies constituted a private <strong>and</strong> most urgent matter <strong>of</strong> personal health, but <strong>the</strong> existence<br />
<strong>of</strong> canine animal control ordinances also indicated recognition <strong>of</strong> rabies as an issue <strong>of</strong> public<br />
health. In that context, when private persons such as <strong>the</strong> Motts or Gibier undertook to provide<br />
rabies vaccination, including free Pasteur treatment for poor patients, <strong>the</strong>y performed a public<br />
function well in line with myriad nineteenth-century traditions <strong>of</strong> private initiative for public<br />
purposes. When city <strong>and</strong> state governments paid for <strong>the</strong>ir residents’ vaccinations, <strong>the</strong>y implicitly<br />
recognized <strong>the</strong> public status <strong>of</strong> rabies as a health problem. In particular, <strong>the</strong> New York state<br />
legislature’s direct appropriations to <strong>the</strong> NYPI <strong>and</strong> assertion <strong>of</strong> oversight established, in essence,<br />
<strong>the</strong> integration <strong>of</strong> <strong>the</strong> institute into <strong>the</strong> state’s exercise <strong>of</strong> public policy, an arrangement that<br />
benefited both Gibier <strong>and</strong> <strong>the</strong> residents <strong>of</strong> New York. 67<br />
The public side <strong>of</strong> public health: The New York Department <strong>of</strong> Health <strong>and</strong> rabies vaccination<br />
For Gibier’s impressive organizational empire, <strong>the</strong> beginning <strong>of</strong> <strong>the</strong> end came in June<br />
1900, with his sudden death in a carriage accident. George Gibier Rambaud, Gibier’s nephew<br />
<strong>and</strong> <strong>the</strong> superintendent <strong>of</strong> <strong>the</strong> NYPI’s Biological <strong>and</strong> Vaccinal Institute, succeeded his uncle, but<br />
under vastly reduced circumstances. Gibier had a son in Paris who inherited most <strong>of</strong> his fa<strong>the</strong>r’s<br />
estate, including <strong>the</strong> Suffern facility. 68<br />
Louis Gibier apparently sold <strong>of</strong>f <strong>the</strong> l<strong>and</strong> <strong>and</strong> buildings in<br />
Suffern, which left <strong>the</strong> NYPI with its West 23 rd Street <strong>of</strong>fice <strong>and</strong> rabies vaccination as <strong>the</strong><br />
institute’s mainstay. Rambaud failed to manifest Gibier’s combination <strong>of</strong> ability, motivation,
27<br />
<strong>and</strong> means, <strong>and</strong> <strong>the</strong> NYPI never again attempted <strong>the</strong> enterprising diversification that had<br />
sustained its rapid growth in <strong>the</strong> 1890s.<br />
Meanwhile, <strong>the</strong> New York City Department <strong>of</strong> Health decided to enter into direct<br />
competition with <strong>the</strong> NYPI. Hermann M. Biggs, <strong>the</strong> driving force behind New York’s ambitious<br />
<strong>and</strong> expansive public health efforts in <strong>the</strong> 1890s <strong>and</strong> 1900s, led <strong>the</strong> way. Already in December<br />
1885, while still on <strong>the</strong> staff <strong>of</strong> Bellevue Hospital Medical College, Biggs visited Paris to study<br />
Pasteur’s rabies inoculation methods, as part <strong>of</strong> a cook’s tour <strong>of</strong> European laboratories he<br />
conducted that winter. He joined <strong>the</strong> city health department in 1892, as chief inspector <strong>of</strong> <strong>the</strong><br />
newly created Division <strong>of</strong> Pathology, Bacteriology <strong>and</strong> Disinfection. There he immediately<br />
established <strong>the</strong> health department’s Research Laboratory, <strong>and</strong> he soon became <strong>the</strong> department’s<br />
general medical <strong>of</strong>ficer. The new laboratory quickly established a superior reputation for its<br />
integration <strong>of</strong> bacteriological endeavor into public health work, especially after it began to<br />
produce <strong>and</strong> distribute diph<strong>the</strong>ria antitoxin in 1895. In 1896, Biggs developed designs upon<br />
rabies vaccination, <strong>and</strong> he dispatched Anna Wessels Williams to <strong>the</strong> Pasteur Institute in Paris,<br />
mainly to study techniques for producing streptococcus antitoxin, but also to learn methods for<br />
rabies vaccine production <strong>and</strong> diagnosis. Williams, a prominent <strong>and</strong> versatile bacteriologist <strong>and</strong><br />
one <strong>of</strong> <strong>the</strong> foremost women in American science, had worked with William H. Park at <strong>the</strong><br />
Research Laboratory to isolate a strain <strong>of</strong> diph<strong>the</strong>ria that led to <strong>the</strong> development <strong>of</strong> <strong>the</strong> New York<br />
City Department <strong>of</strong> Health’s diph<strong>the</strong>ria antitoxin. She had already begun to look into rabies in<br />
1895, <strong>and</strong> she readily took up Biggs’ assignment at Paris. Her research led to new means <strong>of</strong><br />
large-scale production <strong>of</strong> rabies vaccine in 1898, <strong>and</strong> in 1904, Williams developed techniques for<br />
<strong>the</strong> rapid diagnosis <strong>of</strong> rabies through pathological examination <strong>of</strong> Negri bodies in brain tissue,<br />
which became <strong>the</strong> definitive means <strong>of</strong> diagnosing rabies in dead animals for many years
28<br />
<strong>the</strong>reafter. 69<br />
In its annual reports for 1905 <strong>and</strong> 1906, <strong>the</strong> Board <strong>of</strong> Health vigorously touted <strong>the</strong><br />
accomplishments <strong>of</strong> Williams <strong>and</strong> o<strong>the</strong>r bacteriologists at <strong>the</strong> Research Laboratory in rabies<br />
diagnosis <strong>and</strong> treatment. 70<br />
A vastly increased patient load accompanied this expansion <strong>of</strong> <strong>the</strong> health department’s<br />
laboratory research <strong>and</strong> advances in diagnosis. By sending Williams to Paris, Biggs intended to<br />
take a first step toward challenging <strong>the</strong> New York Pasteur Institute’s monopoly over rabies<br />
vaccination. As he wrote to Park in July 1896, “I told Dr. Williams to go over <strong>the</strong> rabies work<br />
very carefully <strong>and</strong> take home some virus. I think we must take this up quietly <strong>and</strong> when<br />
everything is prepared to administer treatment, advise <strong>the</strong> Health Board. It will <strong>the</strong>n be done.<br />
Say nothing now.” 71 In essence, Biggs hoped to launch an institutional coup <strong>and</strong> <strong>of</strong>fer rabies<br />
vaccination as a fait accompli, which <strong>the</strong> Board would have to support before any complaints<br />
could arise from Gibier’s outfit.<br />
Two years later, in <strong>the</strong> fall <strong>of</strong> 1898, <strong>the</strong> Board <strong>of</strong> Health authorized <strong>the</strong> Division <strong>of</strong><br />
Bacteriology to provide rabies treatment, but <strong>the</strong> pace <strong>of</strong> work grew slowly. In 1900, <strong>the</strong> health<br />
department vaccinated or distributed vaccine to just 28 dog bite victims. Five years later,<br />
however, that figure surpassed a hundred, <strong>and</strong> by 1907, it reached 600. On average, between<br />
1908 <strong>and</strong> 1913, <strong>the</strong> department delivered vaccine to over nine hundred patients a year. City<br />
residents received free treatment, while animal bite victims from upstate New York or o<strong>the</strong>r parts<br />
<strong>of</strong> <strong>the</strong> country were usually charged $50, with reduced rates for those in need. Even <strong>the</strong> st<strong>and</strong>ard<br />
fee fell well below <strong>the</strong> NYPI’s bill for paying patients, which was set in 1899 at $200, including<br />
room <strong>and</strong> board. 72<br />
Meanwhile, <strong>the</strong> Board’s capacity to h<strong>and</strong>le <strong>and</strong> deal with animals increased significantly<br />
with <strong>the</strong> deployment <strong>of</strong> veterinarians to inspect cows <strong>and</strong> milk production, <strong>and</strong> to check horses
29<br />
for gl<strong>and</strong>ers, a deadly equine respiratory disease that could also infect humans. Cows <strong>and</strong> horses<br />
were essential to <strong>the</strong> urban economy as sources <strong>of</strong> food <strong>and</strong> transportation, <strong>and</strong> public health<br />
<strong>of</strong>ficials in New York paid close attention to dairy <strong>and</strong> stable inspection. By 1907, animal work<br />
had increased to <strong>the</strong> point that “animal inspection” now constituted a distinct category <strong>of</strong> <strong>the</strong><br />
Sanitary Bureau’s functions. Although dairies <strong>and</strong> stables remained its primary focus, <strong>the</strong> health<br />
department’s corps <strong>of</strong> veterinarians also examined dogs involved in dog bite complaints <strong>and</strong><br />
o<strong>the</strong>r dogs suspected <strong>of</strong> having rabies. 73 Canine examinations soon increased dramatically. In<br />
1907, <strong>the</strong> department’s veterinarians examined some 1100 dogs; that number jumped to over<br />
4600 in <strong>the</strong> following year, <strong>and</strong> <strong>the</strong> veterinary corps continued to examine thous<strong>and</strong>s <strong>of</strong> dogs<br />
annually in <strong>the</strong> period leading up to World War I. 74<br />
During <strong>the</strong> 1900s, <strong>the</strong> New York health department used its newly assertive mechanisms<br />
for rabies prevention <strong>and</strong> vaccination to build its prestige in <strong>the</strong> field <strong>and</strong> to make significant<br />
inroads into <strong>the</strong> Pasteur Institute’s previously exclusive territory. Although <strong>the</strong> NYPI continued<br />
for some time to maintain its lead in numbers <strong>of</strong> patients treated, in 1906, <strong>the</strong> Department <strong>of</strong><br />
Health could compare favorably its 340 patients vaccinated to some 450 or so at <strong>the</strong> NYPI, <strong>and</strong><br />
also boast similar success rates. 75 An early signal <strong>of</strong> <strong>the</strong> NYPI’s decline in status appeared in <strong>the</strong><br />
spring <strong>of</strong> 1901, when <strong>the</strong> state assembly passed a bill “making it permissive instead <strong>of</strong> m<strong>and</strong>atory<br />
for Overseers <strong>of</strong> <strong>the</strong> Poor in <strong>the</strong> various counties to send hydrophobia patients to <strong>the</strong> Pasteur<br />
Institute in New York City.” Although <strong>the</strong> proposal did not specifically name <strong>the</strong> Department <strong>of</strong><br />
Health as an alternative source <strong>of</strong> treatment, <strong>the</strong> new wording suggested <strong>of</strong>ficial recognition <strong>of</strong><br />
<strong>the</strong> possibility. The final version <strong>of</strong> <strong>the</strong> bill became law in July. 76 O<strong>the</strong>r developments also<br />
testified to growing competition between <strong>the</strong> health department <strong>and</strong> <strong>the</strong> NYPI. In addition to<br />
vying for patients, for example, both institutions also examined animal brain tissue in order to
30<br />
diagnose rabies, <strong>and</strong> access to animal bodies <strong>and</strong> body parts sometimes became a point <strong>of</strong><br />
contention. 77 On o<strong>the</strong>r occasions, an informal division <strong>of</strong> labor ensued, in which, for example,<br />
<strong>the</strong> Pasteur Institute took <strong>the</strong> patient while <strong>the</strong> health department ended up with <strong>the</strong> dog’s<br />
corpse. 78 Competition for live patients rarely erupted in <strong>the</strong> open, but one such case made<br />
headlines. In May 1907, William Cooper Procter, president <strong>of</strong> <strong>the</strong> Procter & Gamble Soap<br />
Company, suffered a bite while trying to separate two <strong>of</strong> his setters, <strong>and</strong> he subsequently<br />
discovered that rabies had infected nearly every dog in his kennel. Newspapers across <strong>the</strong><br />
country reported <strong>the</strong> soap magnate’s dire plight (“Millionaire in Race Against Hydrophobia”!<br />
“Millionaire in Death Race”! “Mad Dog Bites Millionaire”!) <strong>and</strong> his rushed departure for <strong>the</strong><br />
New York Pasteur Institute. 79<br />
When Procter instead took treatment from Daniel W. Poor <strong>and</strong><br />
William H. Park at <strong>the</strong> Department <strong>of</strong> Health, <strong>the</strong> NYPI cried foul <strong>and</strong> accused <strong>the</strong> health<br />
department <strong>of</strong> poaching its patient. “All arrangements had been made” to treat Procter,<br />
complained an incensed Rambaud. Physicians at <strong>the</strong> NYPI, he continued, waited two days for<br />
Procter to arrive when “we received a tip that our patient had fallen into <strong>the</strong> h<strong>and</strong>s <strong>of</strong> <strong>the</strong><br />
physicians <strong>of</strong> <strong>the</strong> Health Department.”<br />
Rambaud <strong>the</strong>n asserted an exclusive right on <strong>the</strong> part <strong>of</strong> <strong>the</strong> NYPI to treat out-<strong>of</strong>-town<br />
patients <strong>and</strong> argued that <strong>the</strong> Department <strong>of</strong> Health should limit itself to taking care <strong>of</strong> <strong>the</strong> city.<br />
Park responded that his agency had supplied serum or vaccine to patients “wherever <strong>the</strong>y come<br />
from” for over a decade. Those who needed rabies vaccination could expect it free <strong>of</strong> charge if<br />
<strong>the</strong>y were New York City residents, “whe<strong>the</strong>r <strong>the</strong>y be millionaires or paupers,” <strong>and</strong> for $50 if<br />
<strong>the</strong>y arrived from elsewhere. Health commissioner Thomas Darlington added, “If anyone comes<br />
to us for treatment, no matter who he is, rich or poor, as a matter <strong>of</strong> human kindness, we treat
31<br />
<strong>the</strong>m all alike. Of course we charge for out-<strong>of</strong>-town patients; we are compelled to by law.”<br />
When told <strong>of</strong> <strong>the</strong> Pasteur Institute’s protest, he added, “I don’t know anything about it, <strong>and</strong> I care<br />
less.” 80 A major rabies outbreak in 1907-08 likely kept rabies vaccination at both <strong>the</strong> New York<br />
Pasteur Institute <strong>and</strong> <strong>the</strong> Department <strong>of</strong> Health’s Research Laboratory running at full capacity<br />
<strong>and</strong> lessened <strong>the</strong> economic pressures on <strong>the</strong> NYPI. As <strong>the</strong> New York Tribune reported in May<br />
1908, “Dr. Park’s department <strong>and</strong> <strong>the</strong> Pasteur Institute have been overrun with persons who have<br />
been bitten by dogs, horses <strong>and</strong> rats.” 81<br />
In o<strong>the</strong>r years, however, <strong>the</strong> health department’s<br />
growing patient load must have seriously affected <strong>the</strong> Pasteur Institute’s income. Moreover, <strong>the</strong><br />
development in <strong>the</strong> early twentieth century <strong>of</strong> prepared injections with a prolonged shelf life<br />
made it possible for <strong>the</strong> health department to distribute preventive hydrophobia treatment by mail<br />
to private physicians, hospitals, <strong>and</strong> public health boards. The minutes <strong>of</strong> <strong>the</strong> Board <strong>of</strong> Health<br />
indicate dozens <strong>of</strong> such cases in 1908 alone. 82<br />
With that technical advancement well in place, in<br />
1909, <strong>the</strong> New York state health commissioner recommended <strong>the</strong> establishment <strong>of</strong> a regularized,<br />
state-wide system for distributing <strong>the</strong> shots, <strong>and</strong> New York City’s health department made clear<br />
its readiness for <strong>the</strong> task. 83 A decade earlier, Americans who wanted to undergo Pasteur<br />
treatment had to travel to one <strong>of</strong> perhaps three or so facilities around <strong>the</strong> country, including <strong>the</strong><br />
NYPI. Now <strong>the</strong>y could receive rabies vaccination at <strong>the</strong>ir own doctors’ <strong>of</strong>fices, or at local<br />
institutions, <strong>and</strong> bypass <strong>the</strong> New York Pasteur Institute entirely. 84<br />
Occasionally, <strong>the</strong> NYPI fought prevailing trends by promising specialized products, such<br />
as a new, stronger rabies vaccine from Paris that required fewer inoculations <strong>and</strong> a shorter course<br />
<strong>of</strong> treatment. 85<br />
But with its monopoly broken, <strong>the</strong> single-purpose clinic that <strong>the</strong> NYPI had<br />
become had no way to remain viable in <strong>the</strong> long term. Lack <strong>of</strong> attentiveness on Rambaud’s part
32<br />
likely did not help matters. For an extended period in <strong>the</strong> mid-1900s, he was absent much <strong>of</strong> <strong>the</strong><br />
time, <strong>and</strong> physician William L. Wheeler took over <strong>the</strong> daily duties <strong>of</strong> administering treatment<br />
<strong>and</strong> fielding press inquiries. 86<br />
In 1911, Rambaud also suffered serious injuries in an auto<br />
accident <strong>and</strong> faced a difficult recovery. 87<br />
Two years later, he became embroiled in medical<br />
controversy when he agreed to become director <strong>of</strong> <strong>the</strong> Friedmann Institute, a clinic founded in<br />
New York City by a German researcher, Friedrich Franz Friedmann, who claimed to be able to<br />
cure tuberculosis with a serum derived from bacterial cultures in turtles. Medical observers had<br />
already denounced Friedmann as “unscientific” <strong>and</strong> even a “fakir,” but Rambaud agreed to take<br />
charge <strong>of</strong> <strong>the</strong> institute in <strong>the</strong> interests <strong>of</strong> a full scientific evaluation. The Board <strong>of</strong> Health,<br />
however, shut down Friedmann’s facility shortly <strong>the</strong>reafter, <strong>and</strong> <strong>the</strong> County Medical Society<br />
considered disciplinary action against Rambaud <strong>and</strong> three o<strong>the</strong>r physicians, although it seems to<br />
have tabled <strong>the</strong> matter. 88<br />
Then with <strong>the</strong> start <strong>of</strong> World War I, <strong>the</strong> French-born Rambaud, who led<br />
a trans-Atlantic life split between New York City <strong>and</strong> Paris, increasingly turned toward<br />
mobilizing physicians for <strong>the</strong> front. 89 Finally, in September 1918, <strong>the</strong> New York Pasteur<br />
Institute closed its doors for good, <strong>and</strong> Rambaud moved to France permanently after <strong>the</strong> end <strong>of</strong><br />
<strong>the</strong> war. 90<br />
Conclusion<br />
Rambaud’s peregrinations <strong>and</strong> gyrations should not obscure <strong>the</strong> more basic structural<br />
conditions behind <strong>the</strong> NYPI’s slow decline. As <strong>the</strong> New York Times noted in its epitaph for <strong>the</strong><br />
institute, <strong>the</strong> spread <strong>of</strong> Pasteur treatment to general hospital practice had “considerably limited”<br />
<strong>the</strong> NYPI’s patient base. With its exclusive franchise gone, <strong>and</strong> Rambaud ei<strong>the</strong>r unable or<br />
uninterested in adapting to <strong>the</strong> changed medical <strong>and</strong> institutional environment at <strong>the</strong> confluence
33<br />
<strong>of</strong> laboratory science <strong>and</strong> public health in <strong>the</strong> 1910s, <strong>the</strong> New York Pasteur Institute no longer<br />
had anything distinctive or vital to <strong>of</strong>fer to New York medicine.<br />
This historical account <strong>of</strong> rabies vaccination in New York City has paid close attention to<br />
reconstructing convoluted institutional <strong>and</strong> personal histories from limited sources, <strong>and</strong> to<br />
exploring <strong>the</strong> problems <strong>of</strong> laboratory technique, knowledge transfer, <strong>and</strong> <strong>the</strong> dissemination <strong>of</strong> <strong>the</strong><br />
Pasteurian program that concerns historians <strong>of</strong> science <strong>and</strong> medicine. The histories <strong>of</strong> <strong>the</strong><br />
American Pasteur Institute, <strong>the</strong> New York Pasteur Institute, <strong>and</strong> <strong>the</strong> New York City Department<br />
<strong>of</strong> Health also speak to <strong>the</strong> private <strong>and</strong> public dimensions <strong>of</strong> health care provision, <strong>and</strong> <strong>the</strong><br />
tangled conformations that simultaneously define <strong>and</strong> dissolve <strong>the</strong> border between public <strong>and</strong><br />
private. On <strong>the</strong> one h<strong>and</strong>, one could read this history in teleological terms, as a story about <strong>the</strong><br />
gradual rise <strong>and</strong> ultimate triumph <strong>of</strong> a bureaucratized, expert-led state over its less deserving<br />
predecessors in <strong>the</strong> private, voluntary sector. On <strong>the</strong> o<strong>the</strong>r h<strong>and</strong>, <strong>the</strong>se three institutional<br />
histories, taken in <strong>the</strong>ir own specific historical moments, also speak to <strong>the</strong> complexities <strong>and</strong><br />
inadequacies <strong>of</strong> <strong>the</strong> public-private distinction itself, when overlapping spheres <strong>of</strong> public <strong>and</strong><br />
private have so frequently defined American social life. When <strong>the</strong> American Pasteur Institute<br />
<strong>and</strong> New York Pasteur Institute <strong>of</strong>fered free rabies vaccination, <strong>the</strong>y addressed a recognized<br />
matter <strong>of</strong> public concern, as part <strong>of</strong> a long tradition <strong>of</strong> charitable social welfare provision. When<br />
local <strong>and</strong> state governments paid for <strong>the</strong> NYPI’s services, <strong>the</strong>y secured <strong>the</strong> public welfare by<br />
private means. When <strong>the</strong> New York City Department <strong>of</strong> Health supplied or sold preventive<br />
hydrophobia treatment to physicians or hospitals, it too blurred <strong>the</strong> border <strong>of</strong> public <strong>and</strong> private.<br />
Americans have frequently sought a firm distinction between public <strong>and</strong> private in order<br />
to dictate <strong>and</strong> validate courses <strong>of</strong> action that conform to particular ideological convictions. Their<br />
actual policy practices have been syncretic, however, precisely because people perceive
34<br />
<strong>the</strong>mselves simultaneously as autonomous individuals <strong>and</strong> as interdependent members <strong>of</strong> society,<br />
<strong>and</strong> human needs, desires, <strong>and</strong> experiences defy rigid categorization as ei<strong>the</strong>r wholly public or<br />
wholly private. In 1969, radical feminist Carol Hanisch made <strong>the</strong> point most succinctly when<br />
she declared <strong>the</strong> personal to be political. Our tools <strong>of</strong> social <strong>and</strong> political analysis, however,<br />
have yet to take full advantage <strong>of</strong> that insight. Historical accounts <strong>of</strong> everyday public policy,<br />
whe<strong>the</strong>r <strong>the</strong>y involve rabies vaccination, canine animal control, or <strong>the</strong> myriad o<strong>the</strong>r organized<br />
tasks that undergird daily life, have much to add to our underst<strong>and</strong>ing <strong>of</strong> <strong>the</strong> public-private<br />
distinction as a set <strong>of</strong> lived experiences <strong>and</strong> practices.
35<br />
1. Jessica Wang, “Dogs <strong>and</strong> <strong>the</strong> Making <strong>of</strong> <strong>the</strong> American State: Voluntary Association,<br />
State Power, <strong>and</strong> <strong>the</strong> Politics <strong>of</strong> Animal Control in New York City, 1850-1920,” Journal <strong>of</strong><br />
American History 98 (March 2012): 998-1024.<br />
2. [need some citations: Starr on <strong>the</strong> medical pr<strong>of</strong>ession; Novak on nuisance <strong>and</strong> public<br />
health; Dewey on <strong>the</strong> definition <strong>of</strong> <strong>the</strong> public; maybe McGerr on progressivism <strong>and</strong> <strong>the</strong> public<br />
stake in private conflicts]<br />
3. See Wang, “Dogs <strong>and</strong> <strong>the</strong> Making <strong>of</strong> <strong>the</strong> American State.”<br />
4. Bert Hansen, “America’s First Medical Breakthrough: How Popular Excitement about<br />
a French <strong>Rabies</strong> Cure in 1885 Raised New Expectations for Medical Progress,” American<br />
Historical Review 103 (April 1998): 373-418.<br />
5. “Returning from Pasteur,” NYT, 3 January 1886, p. 1; “A Pasteur Hospital for<br />
Hydrophobia Patients,” BDE, 2 January 1886, p. 2.<br />
6. “Obituary: Alex<strong>and</strong>er B. Mott, M.D.,” NYT, 13 August 1889, p. 2; “Dr. Valentine<br />
Mott Dies Suddenly at 65,” NYT, 20 June 1918, p. 13. For some <strong>of</strong> <strong>the</strong> highlights in <strong>the</strong> elder<br />
Valentine Mott’s career, see Courtney R. Hall, “The Rise <strong>of</strong> Pr<strong>of</strong>essional Surgery in <strong>the</strong> United<br />
States: 1800-1865,” Bulletin <strong>of</strong> <strong>the</strong> History <strong>of</strong> Medicine 26 (1952): 242, 245-48, <strong>and</strong> 251.<br />
7. “For <strong>the</strong> Cure <strong>of</strong> <strong>Rabies</strong>,” BDE, 3 January 1886, p. 1; “Following Pasteur’s Lead,<br />
NYH, 3 January 1886, p. 7; “Owners Seeking for Lost Pets,” NYTr, 3 January 1886, p. 3; “A<br />
Pasteur Institute for New York,” NYTr, 5 January 1886, p. 2; “A Pasteur Institute Incorporated,”<br />
NYT, 5 January 1886, p. 1.<br />
8. “Pasteur’s Great Discovery,” Daily News (San Diego, Calif.), 4 January 1886, p. 2;<br />
“General News,” Idaho Avalanche (Silver City), 16 January 1886, p. 2.
36<br />
9. “Dr. Alex F. Liautard Dead,” NYT, 23 April 1918, p. 13; “Death <strong>of</strong> Ex-Coroner M. J.<br />
B. Messemer,” NYT, 2 March 1894, p. 1; “Police Find Mrs. de Plasse,” NYT, 25 February 1898,<br />
p. 5 (on Louis de Plasse); “French Guests Welcomed,” NYT, 27 October 1886, p. 5 (on Charles<br />
Villa); “A Jolly Dinner Party,” NYT, 8 January 1887, p. 5 (on Charles Villa); “Charles<br />
Nirdlinger,” NYT, 14 May 1940, p. 30. Nirdlinger achieved his greatest success as a playwright<br />
<strong>and</strong> writer in <strong>the</strong> 1900s <strong>and</strong> 1910s, but some evidence <strong>of</strong> his earlier presence in New York City’s<br />
literary <strong>and</strong> <strong>the</strong>atrical life appears in “The ‘Rider <strong>and</strong> Driver,’” NYT, 17 December 1892, p. 8;<br />
<strong>and</strong> Charles Frederic Nirdlinger, Masques <strong>and</strong> Mummurs: Essays <strong>of</strong> <strong>the</strong> Theatre <strong>of</strong> Here <strong>and</strong><br />
Now (New York: The Dewitt Publishing House, 1899). The efforts <strong>of</strong> Adolph Corbett <strong>and</strong> o<strong>the</strong>r<br />
concert hall owners to exempt venues that only played orchestral music from city laws regulating<br />
amusement halls perhaps indicates efforts to change <strong>the</strong> social status <strong>of</strong> such establishments.<br />
“Concert Hall Licenses,” NYT, 11 July 1886, p. 5. In 1887, however, <strong>the</strong> New York Times<br />
described Corbett’s concert hall, <strong>the</strong> Bijou on W. 14 th Street, as “a notorious dive.” “Under<br />
<strong>Three</strong> Charges,” NYT, 6 February 1887, p. 3. I am not absolutely certain that <strong>the</strong> Charles Villa,<br />
Charles F. Nirdlinger, <strong>and</strong> Adolph Corbett that I have identified here are <strong>the</strong> same individuals as<br />
named in <strong>the</strong> incorporation <strong>of</strong> <strong>the</strong> American Pasteur Institute, but I have not been able to find any<br />
o<strong>the</strong>r possible c<strong>and</strong>idates. The association <strong>of</strong> elite medical pr<strong>of</strong>essionals with <strong>the</strong> owner <strong>of</strong> “a<br />
notorious dive” should not surprise readers, however, given historical findings about male<br />
sociability <strong>and</strong> American urban life during <strong>the</strong> late nineteenth century, including <strong>the</strong> frequency<br />
with which supposedly respectable men visited prostitutes, as well as <strong>the</strong> proliferation <strong>of</strong> roughedged<br />
male spaces <strong>of</strong> entertainment, such as animal-fighting dens <strong>and</strong> bare-fisted prize-fighting<br />
venues, whose audiences crossed class lines. [citations—Freedman <strong>and</strong> d’Emilio; Buffet mss.;<br />
Gorn on bare-knuckle fighting]
37<br />
10. American Pasteur Institute Articles <strong>of</strong> Incorporation quoted in “Current Events,”<br />
BDE, 5 January 1886, p. 2.<br />
11. “To Study Hydrophobia,” NYH, 5 January 1886, p. 7; <strong>and</strong>, for <strong>the</strong> quotation, “What<br />
<strong>the</strong> Doctors Say,” NYH, 13 January 1886, p. 3.<br />
12. “What <strong>the</strong> Doctors Say,” NYH, 13 January 1886, p. 3; “Foreign Fact <strong>and</strong> Comment,”<br />
BDE, 21 March 1886, p. 15; “Foreign Fact <strong>and</strong> Comment,” BDE, 28 March 1886, p. 10;<br />
“Against Hydrophobia,” NYH, 2 April 1886, p. 9.<br />
13. Gerald L. Geison, The Private Science <strong>of</strong> Louis Pasteur (Princeton, NJ: Princeton<br />
University Press, 1995), chs. 7-8, esp. pp. 185, 189-91, <strong>and</strong> 213-15; Louis Pasteur, “Méthode<br />
pour Prévenir la Rage après Morsure,” reprinted in Oeuvres de Pasteur, ed. Pasteur Vallery-<br />
Radot, vol. 6 (Paris: Masson et Cie., 1933), 603-10.<br />
14. Excerpts from Valentine Mott’s letter <strong>of</strong> 7 April 1886 published in “At Pasteur’s<br />
Laboratory,” NYH, 9 May 1886, p. 21.<br />
15. “To Study Hydrophobia,” NYH, 5 January 1886, p. 7; “Dr. Mott Returns from<br />
Pasteur,” NYH, 17 May 1886, p. 9. Mott later reported that <strong>the</strong> rabbit died nine days after<br />
inoculation, <strong>and</strong> he kept <strong>the</strong> corpse on ice until his ship docked in New York City <strong>the</strong> next day,<br />
on May 16. That timing suggests that <strong>the</strong> ship left Paris on May 6, a month after Mott’s arrival<br />
in Paris. Valentine Mott, <strong>Rabies</strong> <strong>and</strong> How to Prevent It: A Paper Read before <strong>the</strong> American<br />
Social Science Association, Saratoga, 8 September 1886 (Boston: Geo. E. Crosby & Co., 1887),<br />
14. Mott’s letter to his fa<strong>the</strong>r also indicated a planned side trip to Constantinople, which if it<br />
took place, meant he spent even less time at Pasteur’s laboratory. Excerpts from Valentine<br />
Mott’s letter <strong>of</strong> 7 April 1886 published in “At Pasteur’s Laboratory,” NYH, 9 May 1886, p. 21.<br />
16. [need a citation here—Latour? o<strong>the</strong>r?]
38<br />
17. Louis Pasteur to Dr. Chautemps (Vice-President, Paris Municipal Council), 22 July<br />
1886, in Pasteur Vallery-Radot, ed., Correspondance de Pasteur 1840-1895, vol. 4 (Paris:<br />
Flammarion, 1951), 76, translations to English by <strong>the</strong> author.<br />
18. Geison, 219-20 <strong>and</strong> 223-26. [may also want to cite <strong>the</strong> relevant material from <strong>the</strong><br />
NYMJ]<br />
19. “Rabbits with <strong>the</strong> <strong>Rabies</strong>” Macon Telegraph (Georgia), 22 May 1886, p. 3, story<br />
reprinted from <strong>the</strong> New York Star.<br />
20. “Inoculation: Money Needed to Develop Pasteur’s Work in America,” St. Louis<br />
Globe-Democrat, 24 May 1886, p. 5, story reprinted from <strong>the</strong> New York Evening Post.<br />
21. “The Pasteur Hospital,” NYH, 29 May 1886, p. 9.<br />
22. “Protection from <strong>Rabies</strong>,” NYTr, 4 June 1886, p. 2. [need some documentation re.<br />
<strong>the</strong> Motts’ likely laboratory experience]<br />
23. “Pasteur’s Method in New York,” NYH, 29 June 1886; “From Pasteur’s Rabbit,”<br />
NYH, 6 July 1886; [Untitled], BDE, 6 July 1886, p. 2; “The Pasteur Method: It Is Practiced by<br />
Dr. Valentine Mott in New York City,” Galveston Daily News (Texas), 7 July 1886, p. 1;<br />
“America’s Pasteur,” Daily Picayune (New Orleans), 10 July 1886, p. 8, article reprinted from<br />
<strong>the</strong> New York Journal; “Gotham Gossip,” Daily Picayune (New Orleans), 12 July 1886, p. 9.<br />
The quotation is from <strong>the</strong> Picayune’s 12 July article.<br />
24. “Dr. Newell Is Not Dissatisfied,” NYTr, 14 July 1886, p. 5; “In <strong>the</strong> Shadow <strong>of</strong><br />
Death,” NYH, 17 July 1886 p. 3.<br />
25. “Pasteur’s Method,” Kansas City Star, 5 July 1886, p. 1; [untitled], “Trying Pasteur’s<br />
Method,” Daily News (San Jose), 6 July 1886, p. 1; “For <strong>the</strong> Prevention <strong>of</strong> <strong>Rabies</strong>,” Clevel<strong>and</strong><br />
Plain Dealer, 7 July 1886, p. 6; Trenton Times (New Jersey), 8 July 1886, p. 5, “America’s
39<br />
Pasteur,” Daily Picayune (New Orleans), 10 July 1886, p. 8, article reprinted from <strong>the</strong> New York<br />
Journal; “Pasteur in America,” Kalamazoo Gazette (Michigan), 11 July 1886, p. 8;<br />
“Hydrophobia: The Pasteur Treatment on <strong>the</strong> Jersey City Boy Bitten by a Mad Dog,” Macon<br />
Telegraph (Georgia), 20 July 1886, p. 4, <strong>and</strong> also an identical account in <strong>the</strong> Columbus Daily<br />
Enquirer (Georgia), 20 July 1886, p. 1; “New York Notes,” Weekly Detroit Free Press, 24 July<br />
1886, p. 4.<br />
26. “New York Notes,” Weekly Detroit Free Press, 5 June 1886, p. 7.<br />
27. “Foreign Fact <strong>and</strong> Comment,” BDE, 6 June 1886, p. 7; “Little Faith in Pasteur,”<br />
Boston Daily Advertiser, 7 July 1886, p. 1.<br />
28. “Dr. Mott’s Regard for <strong>the</strong> Public,” NYTr, 24 August 1886, p. 8. See also<br />
“According to Pasteur’s Method,” NYH, 23 August 1886, p. 6.<br />
29. Valentine Mott, <strong>Rabies</strong> <strong>and</strong> How to Prevent It, 14.<br />
30. “Social Scientists,” NYH, 9 September 1886, p. 3; [untitled], Springfield Republic<br />
(Mass.), 9 September 1886, p. 8. The Springfield Republic also reproduced <strong>the</strong> full text <strong>of</strong><br />
Mott’s address several weeks later, but drew no special attention to <strong>the</strong> American Pasteur<br />
Institute’s most recent patients. “<strong>Rabies</strong> <strong>and</strong> Its Prevention,” Springfield Republic (Mass.), 29<br />
October 1886, p. 7.<br />
31. “According to Pasteur’s Method,” NYH, 2 December 1886, p. 9; “Hydrophobia:<br />
Story <strong>of</strong> <strong>Three</strong> Mississippi Children Bitten by a Mad Dog,” St. Louis Daily Globe-Democrat, 6<br />
December 1886, p. 3; “Ano<strong>the</strong>r Case for Pasteur,” NYTrib, 5 January 1887, p. 1. In February<br />
1887, an article in <strong>the</strong> New York Herald on a recent human death from rabies identified<br />
Valentine Mott as president <strong>of</strong> <strong>the</strong> API, which suggests some kind <strong>of</strong> institutional persistence.<br />
“Hydrophobia Clearly Proven,” NYH, 12 February 1877, p. 3. In addition, an obituary for
40<br />
Alex<strong>and</strong>er B. Mott indicated that <strong>the</strong> API lasted for a total <strong>of</strong> two years. The author noted <strong>of</strong> <strong>the</strong><br />
American Pasteur Institute, “The experiment was not a success, <strong>and</strong> after two years <strong>of</strong> careful<br />
trial it was ab<strong>and</strong>oned.” “Alex<strong>and</strong>er B. Mott Dead,” NYH, 13 August 1889, p. 5. In 1890,<br />
Valentine Mott claimed he had successfully inoculated about twenty patients against rabies, but I<br />
have not found any o<strong>the</strong>r evidence to confirm any cases <strong>of</strong> Pasteur treatment at <strong>the</strong> American<br />
Pasteur Institute beyond <strong>the</strong> end <strong>of</strong> 1886. “Saved by <strong>the</strong> Virus,” Chicago Herald, 16 November<br />
1890, p. 27.<br />
32. “Following Pasteur’s Methods,” NYT, 19 February 1890, p. 2; “A Pasteur Institute,”<br />
NYTr, 19 Feb. 1890, p. 4.<br />
33. “Pasteur Institute,” BDE, 13 July 1890, p. 19; “Dr. Gibier’s Work,” NYT, 16 October<br />
1890, p. 8; “Work <strong>of</strong> <strong>the</strong> New York Pasteur Institute,” NYTr, 20 October 1890, p. 7.<br />
34. Bert Hansen, Picturing Medical Progress from Pasteur to Polio: A History <strong>of</strong> Mass<br />
Media Images <strong>and</strong> Popular Attitudes in America (New Brunswick, NJ <strong>and</strong> London: Rutgers<br />
University Press, 2009).<br />
35. Paul Gibier, Recherches Expérimentales sur la Rage et sur son Traitement (Paris: A.<br />
Parent, 1884).<br />
36. Ibid, quotation on 42.<br />
37. Biographical information on Gibier has been drawn from “Gibier, Paul,”<br />
Dictionnaire de Biographie Française, ed. M. Prevost, Roman D’Amat, <strong>and</strong> H. Tribout de<br />
Morembert, vol. 15 (Paris: Librairie Leouzey et Ané, 1982), 1458; Hansen, Picturing Medical<br />
Progress, 104-05; “Following Pasteur’s Methods,” NYH, 19 February 1890, p. 2; “Dr. Gibier<br />
Killed in Runaway Accident,” NYT, 11 June 1900, p. 1; “Dr. Paul Gibier,” British Medical<br />
Journal, 14 July 1900, pp. 130-31; Gibier’s file in <strong>the</strong> papers <strong>of</strong> <strong>the</strong> Legion <strong>of</strong> Honor at <strong>the</strong>
41<br />
French National Archives, available on-line via <strong>the</strong> Léonore database, Le Fonds de la Légion<br />
d’Honneur aux Archives Nationales, www.culture.gouv.fr/documentation/leonore/leonore.htm<br />
(Mary 2012); <strong>and</strong> “Yellow Fever Microbes,” NYT, 16 October 1888, p. 3. On Gibier’s erroneous<br />
claim to have identified <strong>the</strong> microbial cause <strong>of</strong> yellow fever, see “The Microbe <strong>of</strong> Yellow<br />
Fever,” British Medical Journal, 9 February 1889, 319; <strong>and</strong> “Destructive Research,” British<br />
Medical Journal, 11 January 1890, 93. Gibier was far from alone in his failure: as Ilana Löwy<br />
has noted, “There were a dozen or so triumphant announcements <strong>of</strong> <strong>the</strong> isolation <strong>of</strong> <strong>the</strong> ‘yellow<br />
fever germ’ in <strong>the</strong> 1880s <strong>and</strong> 1890s,” none <strong>of</strong> which withstood wi<strong>the</strong>ring scientific critiques.<br />
Löwy, “Yellow Fever in Rio de Janeiro <strong>and</strong> <strong>the</strong> Pasteur Institute Mission (1901-1905): The<br />
Transfer <strong>of</strong> Science to <strong>the</strong> Periphery,” Medical History 34 (1990): 144-163, on 144. [need to fix<br />
this footnote—some <strong>of</strong> it applies to earlier paragraphs]<br />
38. John Strachan, “The Pasteurization <strong>of</strong> Algeria?” French History 20:3 (2006): 260-75,<br />
on 263. See also Anne Marie Moulin, “Patriarchal Science: The Network <strong>of</strong> <strong>the</strong> Overseas<br />
Pasteur Institutes,” in Science <strong>and</strong> Empires: Historical Studies about Scientific Development <strong>and</strong><br />
European Expansion, ed. Patrick Petitjean, Ca<strong>the</strong>rine Jami, <strong>and</strong> Anne Marie Moulin (Dordrecht:<br />
Kluwer Academic Publishers, 1992), 307-22, on 310-11.<br />
39. [maybe cite <strong>the</strong> example <strong>of</strong> <strong>the</strong> Pasteur Institute in Palestine here? Or o<strong>the</strong>r<br />
examples?]<br />
40. [Difficult, at least, as far as sources readily available in <strong>the</strong> U.S. are concerned. At<br />
some point soon, I will have to contact <strong>the</strong> Archive de l’Institut Pasteur directly <strong>and</strong>, possibly,<br />
travel to Paris to use materials <strong>the</strong>re. If possible, I will try to learn more about Valentine Mott’s<br />
1886 trip, as well as Gibier’s connections to Pasteur.]
42<br />
41. See, for example, <strong>the</strong> large array <strong>of</strong> letters between Bouley <strong>and</strong> Pasteur in Pasteur<br />
Vallery-Radot, ed., Correspondance de Pasteur 1840-1895, vol. 3 (Paris: Flammarion, 1951).<br />
42. The entry on Gibier in <strong>the</strong> Dictionnaire de Biographie Française (Dictionary <strong>of</strong><br />
French Biography) suggests that “The publication <strong>of</strong> Le spiritisme…would have forced Gibier<br />
to leave <strong>the</strong> Museum <strong>and</strong> <strong>the</strong>n emigrate to America, where he could juggle <strong>the</strong>se two activities,”<br />
namely medicine <strong>and</strong> spiritualism, but <strong>the</strong>n notes that Pasteur “charged him with studying…<strong>the</strong><br />
‘microscopic agents’ <strong>of</strong> yellow fever.” [How best to translate “l’aurait obliger” in this context—<br />
could have or would have?] “Gibier, Paul,” Dictionnaire de Biographie Française, vol. 15,<br />
1458. In a later work, Gibier admitted “<strong>the</strong> general disfavor with which he met among his<br />
superiors <strong>and</strong> colleagues” upon <strong>the</strong> publication <strong>of</strong> Le spiritisme in 1887. Paul Gibier, Psychism:<br />
Analysis <strong>of</strong> Things Existing, 3 rd ed. (New York: Bulletin Publishing Company, 1899), 8. At <strong>the</strong><br />
time <strong>of</strong> his death, <strong>the</strong> British Medical Journal reported that Gibier “was a voluminous writer,”<br />
<strong>and</strong> that “<strong>the</strong> Banner <strong>of</strong> Light says that by <strong>the</strong> ‘transition’ <strong>of</strong> Dr. Gibier[,] spiritualism has lost<br />
one <strong>of</strong> its truest friends.” “Dr. Paul Gibier,” British Medical Journal, 14 July 1900, p. 131.<br />
43. “Pasteur Building Dedicated,” NYT, 11 October 1893, p. 9; “Dr. Gibier Killed in<br />
Runaway Accident,” NYT, 11 June 1900, p. 1. [need to incorporate o<strong>the</strong>r sources]<br />
44. See, respectively, “Following Pastuer’s Methods,” NYH, 19 February 1890, p. 2; “To<br />
Be New York’s Pasteur,” NYH, 19 February 1890, p. 8; “Pasteur Hospital Opened,” Worcester<br />
Daily Spy (Mass.), 19 February 1890, p. 3; “To Treat Hydrophobia,” Boston Daily Advertiser, 20<br />
February 1890, p. 4; “The Gossip <strong>of</strong> Gotham. Paul Gibier, <strong>the</strong> American Pasteur <strong>and</strong> His New<br />
Institute,” Knoxville Journal (Tenn.), 10 March 1890, p. 13.
43<br />
45. “Pasteur Building Dedicated,” NYT, 11 October 1893, p. 9; “An Hour with Paul<br />
Gibier,” NYT, 23 December 1893, p. 2. [somewhere need to find <strong>the</strong> later stories that said initial<br />
funding came in part from Pasteur]<br />
46. “The Gossip <strong>of</strong> Gotham. Paul Gibier, <strong>the</strong> American Pasteur <strong>and</strong> His New Institute,”<br />
Knoxville Journal (Tenn.), 10 March 1890, p. 13.<br />
47. Paul Gibier, “Pasteur,” New York Therapeutic Review 4 (January 1896): 1-4, on p. 1,<br />
in <strong>the</strong> footnote. [I still need to check Rambaud’s tribute to Gibier, once I gain access to <strong>the</strong><br />
Bulletin <strong>of</strong> <strong>the</strong> Pasteur Institute, 1897-1900.]<br />
48. Patrice Debré, Louis Pasteur, trans. Elborg Forster (Baltimore <strong>and</strong> London: Johns<br />
Hopkins University Press, 1998; orig. published Flammarion, 1994), 483-91, quotation on 490.<br />
49. Paul Gibier, Les Découvertes Récentes sur les Êtres Microscopiques et Leur<br />
Application à l'Agriculture (1883) [need to get <strong>the</strong> cover page]; Gibier, Étude sur le Choléra<br />
d’après un Rapport Présenté à M. le Ministre de l’Intérieur sur l’Épidémie de 1884 de<br />
l’Arrondissement de Brignoles (Var.) (Paris: Asselin et Houzeau, 1884); Gibier, Recherches<br />
Expérimentales sur la Rage et sur son Traitement (Paris, 1884); Gibier, Etiología y tratamiento<br />
de la Fiebre Amarilla (La Habana, 1888) [15 pp.—try to get a full copy via ILL].<br />
The importance <strong>of</strong> tacit knowledge to <strong>the</strong> process <strong>and</strong> <strong>the</strong> ease with which Gibier<br />
introduced rabies vaccination to New York City implies direct experience at Pasteur’s<br />
laboratory. It is not impossible, however, that he taught himself <strong>the</strong> technique, given his<br />
extensive experience with bacteriological methods <strong>and</strong> <strong>the</strong> successes <strong>of</strong> at least some selftrained,<br />
self-declared “Pasteurians” around <strong>the</strong> world. [cite Löwy, o<strong>the</strong>rs on self-trained<br />
bacteriologists in Latin America <strong>and</strong> elsewhere] [to substantiate fur<strong>the</strong>r <strong>the</strong> Gibier-Pasteur link<br />
or lack <strong>the</strong>re<strong>of</strong>: need to check Pasteur, Correspondance, vol. 3; Pasteur, Oeuvres, vol. 6; <strong>and</strong> <strong>the</strong>
44<br />
éloge in Bulletin <strong>of</strong> <strong>the</strong> Pasteur Institute before contacting <strong>the</strong> archives <strong>of</strong> l’Institut Pasteur <strong>and</strong><br />
attempting research in Paris; can also try Comptes rendus de l’Académie des sciences in 1880s,<br />
for anything by Gibier]<br />
50. Moulin, “Patriarchal Science,” 313.<br />
51. Jean-Pierre Dedet, Les Instituts Pasteur d’Outre-Mer: Cent vingt ans de<br />
microbiologie françaises dans le monde (Paris: L’Harmattan, 2000), 10. On o<strong>the</strong>r Pasteur<br />
Institutes that operated without sanction from Paris, see Moulin, “Patriarchal Science,” 316; <strong>and</strong><br />
Nadav Davidovitch <strong>and</strong> Rakefet Zalashik, “Pasteur in Palestine: The Politics <strong>of</strong> <strong>the</strong> Laboratory,”<br />
Science in Context 23 (2010): 401-25, esp. 404 <strong>and</strong> 421.<br />
52. [need to dig up <strong>the</strong> citation—e.g., NYTr, 7/4/1891, p. 7] By 1899, <strong>the</strong> cost had risen<br />
to $200, including room <strong>and</strong> board for fifteen days. “April Meeting <strong>of</strong> <strong>the</strong> Massachusetts<br />
Association <strong>of</strong> Boards <strong>of</strong> Health—Anti-Rabic Institutions,” Journal <strong>of</strong> <strong>the</strong> Massachusetts<br />
Association <strong>of</strong> Boards <strong>of</strong> Health 9 (July 1899): 46-47, on 46.<br />
53. “Badly Bitten By a Bloodhound,” NYTr, 15 June 1890, p. 13; “Moving Day for<br />
Inoculated Animals,” NYTr, 9 June 1893, p. 11. In its report on <strong>the</strong> move to <strong>the</strong> new building,<br />
<strong>the</strong> New York Tribune also noted that “M. Pasteur has been kept well informed <strong>of</strong> <strong>the</strong> progress <strong>of</strong><br />
<strong>the</strong> work in <strong>the</strong> United States, <strong>and</strong> is gratified with <strong>the</strong> establishment <strong>of</strong> a permanent home in<br />
which hydrophobia patients in America will be treated.” The new facility had an <strong>of</strong>ficial<br />
inauguration <strong>and</strong> opening in October: “Pasteur Building Dedicated,” NYT, 11 October 1893, p. 9.<br />
[note: not clear if <strong>the</strong> wealthy donor came through in <strong>the</strong> end; later reports attributed <strong>the</strong> new<br />
building to Gibier’s personal funds plus <strong>the</strong> leftover subscription from <strong>the</strong> Newark boys]<br />
54. “To Treat New Jersey Patients Free,” NYTr, 4 March 1891, p. 3.<br />
55. [BDE, 7/18/1895, p. 10]
45<br />
56. See, for example, “Jersey City to Pay <strong>the</strong> Bill,” NYT, 24 September 1901, p. 7, which<br />
relates how Jersey City’s mayor decided that two children in need <strong>of</strong> rabies vaccination should<br />
be covered at public expense, “as <strong>the</strong> children were injured in <strong>the</strong> public streets.”<br />
57. I have provided a more extensive discussion <strong>of</strong> nineteenth-century governance <strong>and</strong><br />
<strong>the</strong> public-private relationship in Wang, “Dogs <strong>and</strong> <strong>the</strong> Making <strong>of</strong> <strong>the</strong> American State.”<br />
58. For example, in Russia in 1886, <strong>the</strong> Kharkov Medical Society sent physicians to<br />
Paris to learn Pasteur’s rabies vaccination techniques <strong>and</strong> <strong>the</strong>n established a Pasteur Institute in<br />
Kharkov <strong>the</strong> following year. In 1895, <strong>the</strong> Kharkov Pasteur Institute began to produce diph<strong>the</strong>ria<br />
anti-toxin, <strong>and</strong> it manufactured a wide range <strong>of</strong> o<strong>the</strong>r vaccines <strong>and</strong> serums by <strong>the</strong> 1900s. S. S.<br />
Diachenko, “K 100-letiyu so dnya organizatsii Pasterovskogo Privivnogo Instituta i<br />
Bakteriologicheskoy Stantsii v g. Kharkova” (“The hundredth anniversary <strong>of</strong> <strong>the</strong> founding <strong>of</strong> <strong>the</strong><br />
Pasteur <strong>Vaccination</strong> Institute <strong>and</strong> Bacteriological Station in <strong>the</strong> city <strong>of</strong> Kharkov”), Vrachebnoe<br />
delo [no volume number] (1989): 118-20. Similarly, in Palestine, Karl Böhm’s Pasteur Institute<br />
for Health, Medicine, <strong>and</strong> Biology carried out an array <strong>of</strong> bacteriological <strong>and</strong> educational<br />
activities related to public health. Davidovitch <strong>and</strong> Zalashik, 401-25, on 411-12.<br />
59. “For a Lymph Hospital. A Bacteriological Institute Here,” NYTr, 21 December<br />
1890, p. 4. Despite <strong>the</strong> name change, observers <strong>and</strong> contemporaries, including Gibier, continued<br />
to refer to <strong>the</strong> organization as <strong>the</strong> New York Pasteur Institute.<br />
60. On <strong>the</strong> synergies between Pasteur’s <strong>and</strong> Koch’s approaches to bacteriology <strong>and</strong><br />
immunization, see Ulrike Klöppel, “Enacting Cultural Boundaries in French <strong>and</strong> German<br />
Diph<strong>the</strong>ria Serum Research,” Science in Context 21 (2008): 161-80.<br />
61. See <strong>the</strong> advertisements in New York Therapeutic Review 1 (January 1893), on <strong>the</strong><br />
reverse side <strong>of</strong> <strong>the</strong> cover page <strong>and</strong> on p. viii. On <strong>the</strong> history <strong>of</strong> <strong>the</strong> NYPI <strong>and</strong> Brown-Séquard’s
46<br />
<strong>the</strong>rapies, see Merriley Borell, “Brown-Séquard’s Organo<strong>the</strong>rapy <strong>and</strong> its Appearance in America<br />
at <strong>the</strong> End <strong>of</strong> <strong>the</strong> Nineteenth Century,” Bulletin <strong>of</strong> <strong>the</strong> History <strong>of</strong> Medicine 50 (Fall 1976): 309-<br />
20. As dubious as most present-day observers find turn-<strong>of</strong>-<strong>the</strong>-century gl<strong>and</strong>ular <strong>the</strong>rapies, <strong>the</strong>y<br />
were widespread in <strong>the</strong>ir day <strong>and</strong> played an important role in <strong>the</strong> development <strong>of</strong> hormone<br />
research. [citation? maybe on Metchnik<strong>of</strong>f?]<br />
62. Hansen, Picturing Medical Progress, 106-07; [Paul Gibier], “The Treatment <strong>of</strong><br />
Diph<strong>the</strong>ria with <strong>the</strong> Anti-Toxine [sic] Made at <strong>the</strong> New York Pasteur Institute, with Reports <strong>of</strong><br />
Cases,” New York Therapeutic Review 3 (March 1895): 1-10; [Paul Gibier], “Fur<strong>the</strong>r Notes<br />
Upon <strong>the</strong> Treatment <strong>of</strong> Diph<strong>the</strong>ria with <strong>the</strong> Antitoxin Made at <strong>the</strong> New York Pasteur Institute,<br />
with Reports <strong>of</strong> Cases,” New York Therapeutic Review 3 (June 1895): 29-38; “A Local Report on<br />
Antitoxin,” New York Therapeutic Review 4 (December 1896): 93.<br />
63. Course advertisement in <strong>the</strong> New York Therapeutic Review 2 (December 1894): 76.<br />
64. Advertisement for <strong>the</strong> “Central Park Sanatorium” in New York Therapeutic Review 2<br />
(January 1894), on <strong>the</strong> back <strong>of</strong> <strong>the</strong> cover page <strong>and</strong> p. i.<br />
65. Advertisement for <strong>the</strong> “Biological & Analytical Laboratory,” New York Therapeutic<br />
Review 4 (January 1896): iii. Locomotor Ataxia was a complication from syphilis.<br />
66. Hansen, Picturing Medical Progress, 107-08; “<strong>Three</strong> More Sanitariums,” NYTr, 27<br />
December 1895, p. 12; “To Remove <strong>the</strong> Pasteur Institute,” NYTr, 18 February 1898, p. 16;<br />
“Pasteur Institute’s Removal,” NYT, 7 June 1898, p. 12; “Pasteur Institute’s New Home,” NYTr,<br />
7 June 1898, p. 5. [somewhere I have article on <strong>the</strong> animal stabling issue, including <strong>the</strong> donor<br />
who granted Gibier free stabling—need to find]
47<br />
67. [need to cite Hartog, Novak; maybe also Foucault on biopower <strong>and</strong> oversight over<br />
life as <strong>the</strong> most elemental characteristic <strong>of</strong> state power <strong>and</strong> its origins; perhaps cite some <strong>of</strong> <strong>the</strong><br />
public health literature on American colonial power as well]<br />
68. For a copy <strong>of</strong> Gibier’s will, see Folder, “Pasteur—US Institute: New York—Paul<br />
Gibier,” Pasteur Foundation (U.S.), New York, NY. The Pasteur Foundation in New York City<br />
is a fund-raising arm <strong>of</strong> <strong>the</strong> Institut Pasteur in Paris <strong>and</strong> shares no direct institutional lineage with<br />
Gibier’s New York Pasteur Institute.<br />
69. “Dr. Biggs to Visit Pasteur,” NYT, 10 December 1885, p. 3; C.-E. A. Winslow, The<br />
Life <strong>of</strong> Hermann M. Biggs, Physician <strong>and</strong> Statesman <strong>of</strong> <strong>the</strong> Public Health (Philadelphia: Lee &<br />
Febiger, 1929), 69-70; <strong>and</strong> Wade W. Oliver, The Man Who Lived for Tomorrow: A Biography<br />
<strong>of</strong> William Hallock Park, M.D. (New York: E. P. Dutton & Co., Inc., 1941), 150. For additional<br />
biographical information on Williams, consult <strong>the</strong> website <strong>of</strong> <strong>the</strong> National Library <strong>of</strong> Medicine:<br />
http://www.nlm.nih.gov/changing<strong>the</strong>face<strong>of</strong>medicine/physicians/biography_331.html (May<br />
2010); <strong>and</strong> “Experts in Research: Women Doing Important Work in Study <strong>of</strong> Medicine,”<br />
Washington Post, 15 November 1908, p. E11. [need also to cite Evelynn Hammonds on <strong>the</strong><br />
Dept. <strong>of</strong> Health <strong>and</strong> diph<strong>the</strong>ria antitoxin] [need to note how DoH cited 90% accuracy or better in<br />
diagnosis <strong>of</strong> rabies via Negri bodies, even though CDC now finds an accuracy rate closer to<br />
50%]<br />
70. Annual Report <strong>of</strong> <strong>the</strong> Board <strong>of</strong> Health…1905, vol. II (New York: Martin B. Brown<br />
Company, Printers <strong>and</strong> Stationers, 1906); <strong>and</strong> Annual Report <strong>of</strong> <strong>the</strong> Board <strong>of</strong> Health…1906, vol.<br />
II (New York: Martin B. Brown Company, Printers <strong>and</strong> Stationers, 1907).<br />
71. Hermann M. Biggs to William H. Park, 19 July 1896, full text <strong>of</strong> <strong>the</strong> letter<br />
reproduced in Oliver, 149-50.
48<br />
72. Oliver, 173; “To Treat Hydrophobia Cases,” NYT, 10 March 1898, p. 12; <strong>and</strong> Annual<br />
Report <strong>of</strong> <strong>the</strong> Board <strong>of</strong> Health…1913 (New York City, 1914), 102. [best citation for <strong>the</strong> DoH<br />
fee structure beyond endless citations from Board <strong>of</strong> Health minutes for 1908? treatment costs<br />
variously reported as ei<strong>the</strong>r $50 or $25: “Storm Over Procter. Pasteur Men Indignant,” NYTr, 5<br />
May 1907, p. 1; “<strong>Rabies</strong> Killed Marsh,” NYTr, 22 May 1908, p. 1. “Again that Wave <strong>of</strong> Revolt<br />
Against City Dogs,” NYTr, 31 May 1908, p. B2 reports definitively that Pasteur institutes<br />
generally charged $100-150, whereas <strong>the</strong> DoH charged just $25 for vaccine by mail.].<br />
73. Annual Report <strong>of</strong> <strong>the</strong> Board <strong>of</strong> Health…1907 (New York: Martin B. Brown<br />
Company, Printers <strong>and</strong> Stationers, 1908), 50-52; <strong>and</strong> Annual Report <strong>of</strong> <strong>the</strong> Board <strong>of</strong><br />
Health…1909 (New York: M. B. Brown Printing & Binding Co., 1911), 62.<br />
74. Annual Report <strong>of</strong> <strong>the</strong> Board <strong>of</strong> Health…1907, 51, for statistics on dogs examined in<br />
1907; <strong>and</strong> Report <strong>of</strong> <strong>the</strong> Board <strong>of</strong> Health…1910 <strong>and</strong> 1911 (New York City, 1912), 63, for<br />
statistics on dogs examined for <strong>the</strong> years from 1908 to 1911. For data on subsequent years, see<br />
<strong>the</strong> board’s annual reports for <strong>the</strong> years from 1912 to 1917.<br />
75. “Has Rabic Antitoxin,” NYTr, 14 July 1907, 1. The NYPI reported no patient deaths,<br />
while <strong>the</strong> Department <strong>of</strong> Health reported a single death <strong>and</strong> a mortality rate <strong>of</strong> 0.3%.<br />
76. “Bills Passed at Albany,” NYT, 2 April 1901, p. 5; “Laws <strong>of</strong> New York. By<br />
Authority,” BDE 20 July 1901, p. 7.<br />
77. “Two Claimants for Dog’s Body,” NYTr, 28 August 1907, p. 3.<br />
78. “Fights Dog on Stairway,” NYTr, 21 August 1911, p. 1; “Chokes Dog to Death after<br />
a Long Battle,” NYTr, 26 March 1912, p. 1.<br />
79. “Millionaire in Race Against Hydrophobia,” Baltimore American, 4 May 1907, p. 1;<br />
“Millionaire in Death Race,” Columbus Enquirer-Sun (Georgia), 7 May 1907, p. 7; “Mad Dog
49<br />
Bites Millionaire,” Clevel<strong>and</strong> Plain Dealer, 4 May 1907, p. 1. See also “Treat Procter Here,”<br />
NYTr, 4 May 1907, p. 1; “Soap Magnate Fears <strong>Rabies</strong>,” Kansas City Star, 3 May 1907, p. 3;<br />
“Proctor Bitten by Mad Dog,” Times-Picayune (New Orleans), 4 May 1907, p. 4; <strong>and</strong><br />
“Treatment for Dog Bite,” Morning Oregonian (Portl<strong>and</strong>), 4 May 1907, p. 1. O<strong>the</strong>r papers told a<br />
counter-story, in which Proctor was in town for business <strong>and</strong> laughed <strong>of</strong>f reports <strong>of</strong> his rabiesinspired<br />
flight from Cincinnati. “Mr. Procter Hasn’t <strong>Rabies</strong>,” NYT, 4 May 1907, p. 9; “Says Dog<br />
Is Innocent,” Fort Worth Telegram, 5 May 1907, p. 15. [check DoH annual reports—I think<br />
<strong>the</strong>y may make explicit mention <strong>of</strong> Procter, which would confirm <strong>the</strong> story; o<strong>the</strong>rwise, <strong>the</strong>re’s<br />
also NYTr’s allegation that Procter arrived three days earlier <strong>and</strong> was undertaking treatment in<br />
secret <strong>and</strong> protecting his privacy]<br />
80. “Storm Over Procter. Pasteur Men Indignant,” NYTr, 5 May 1907, p. 1. The health<br />
department pronounced Procter out <strong>of</strong> danger three days later. “Mr. Procter Out <strong>of</strong> Danger,”<br />
NYTr, 8 May 1907, p. 6. Although he was in New York City no more than a week (<strong>the</strong> Tribune<br />
reported in its May 4 story that he had arrived in secret three days earlier), by 1907, wellestablished<br />
methods for <strong>the</strong> preservation <strong>of</strong> <strong>the</strong> injections’ strength meant that <strong>the</strong> Department <strong>of</strong><br />
Health could have easily sent him home with <strong>the</strong> remaining series <strong>of</strong> inoculations.<br />
81. “City Fighting <strong>Rabies</strong>,” NYTr, 23 May 1908, p. 3.<br />
82. See Minutes, Board <strong>of</strong> Health, 1908 FF, 1-8-08 to 7-8-08, <strong>and</strong> Minutes <strong>of</strong> <strong>the</strong> Board<br />
<strong>of</strong> Health 1908 GG, 7-16-1908 to 12-30-1908, Municipal Archives, New York, NY.<br />
83. “Public Health School,” NYTr, 20 February 1909, p. 2. [need to check when DoH<br />
first starting mailing <strong>the</strong> injections; NYTr notes such a case in May 1905 (5/22/1905, p. 8)]<br />
84. In <strong>the</strong> spring <strong>of</strong> 1899, a committee <strong>of</strong> <strong>the</strong> Massachusetts Association <strong>of</strong> Boards <strong>of</strong><br />
Health looked into <strong>the</strong> availability <strong>of</strong> rabies vaccination in <strong>the</strong> United States <strong>and</strong> found just three
50<br />
providers: <strong>the</strong> NYPI, Antonio Lagorio’s Pasteur Institute in Chicago, <strong>and</strong> a Pasteur Institute at<br />
Baltimore’s City Hospital. Although <strong>the</strong> New York Department <strong>of</strong> Health had authorized<br />
departmental provision <strong>of</strong> rabies vaccination, apparently <strong>the</strong> program was not yet operational,<br />
<strong>and</strong> Hermann Biggs passed <strong>the</strong> Massachusetts inquiry along to <strong>the</strong> NYPI. “Anti-Rabic<br />
Institutions,” Journal <strong>of</strong> <strong>the</strong> Massachusetts Association <strong>of</strong> Boards <strong>of</strong> Health 9 (July 1899): 46-47.<br />
85. “New Serum to Prevent <strong>Rabies</strong>,” NYTr, 20 June 1908, p. 4; “First Use <strong>of</strong> New <strong>Rabies</strong><br />
Serum,” NYTr, 24 June 1908, p. 5.<br />
86. For much <strong>of</strong> <strong>the</strong> period from 1905 to 1907, Wheeler seemed to conduct most <strong>of</strong> <strong>the</strong><br />
daily work <strong>of</strong> <strong>the</strong> NYPI <strong>and</strong> to act as <strong>the</strong> institute’s main public face. “Race for Boy’s Life,”<br />
NYTr, 14 July 1907, p. 1 identified Wheeler as “acting director <strong>of</strong> [<strong>the</strong>] Pasteur Institute.”<br />
87. “Dr. Rambaud in Bad Shape,” NYTr, 5 August 1911, p. 7; “Dr. Rambaud May<br />
Recover,” NYTr, 7 August 1911, p. 5.<br />
88. “Friedmann Makes Test <strong>of</strong> His Serum,” NYT, 7 March 1913, p. 1 (for <strong>the</strong><br />
quotations); “Dr. Rambaud Joins Turtle Germ Group,” NYTr, 27 May 1913; “Health Board Bars<br />
Use <strong>of</strong> Turtle Germ,” NYTr, 30 May 1913; “Dr. Rambaud Explains,” NYTr, 1 June 1913, p. 4;<br />
“Friedmann Work Before <strong>the</strong> Censors,” NYT, 3 June 1913, p. 4.<br />
89. “Woman Doctor for War,” NYTr, 14 October 1914, p. 7; “New War Relief Body<br />
Organized….Dr. G. G. Rambaud Going to <strong>the</strong> Front,” NYTr, 5 November 1914, p. 3.<br />
90. “Pasteur Institute Ends,” NYT, 21 September 1918, p. 7; Hansen, Picturing Medical<br />
Progress, 294n26.