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History of medical practice in Illinois - Bushnell Historical Society

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148 <strong>History</strong> <strong>of</strong> Medical Practice <strong>in</strong> Ill<strong>in</strong>oistheir ceaseless efforts and their will<strong>in</strong>gness to accept well-founded scientificknowledge f<strong>in</strong>ally bore fruit so that the scourges <strong>of</strong> their times—typhoidfever, malaria, cholera, smallpox, diphtheria—no longer wipe out vastnumbers <strong>in</strong> our communities.Surely the period <strong>of</strong> 1850 to1900 was one <strong>of</strong> great achievement <strong>in</strong> the<strong>practice</strong> <strong>of</strong> medic<strong>in</strong>e, and the practitioner <strong>of</strong> today must feel humbled bythe stature and accomplishments <strong>of</strong> many <strong>of</strong> his earlier colleagues.AddendaFollow<strong>in</strong>g are some pert<strong>in</strong>ent <strong>medical</strong> excerpts from the period 1850-1900:Smallpox was the last <strong>of</strong> the quadrivium <strong>of</strong> diseasesmalaria and smallpox) to be eradicated.(cholera, typhoid,There was a tremendous tuberculous <strong>in</strong>festation <strong>in</strong> Ill<strong>in</strong>ois <strong>in</strong> the latterhalf <strong>of</strong> the n<strong>in</strong>eteenth century, particularly pulmonary phthisis and scr<strong>of</strong>ula.An <strong>in</strong>terest<strong>in</strong>g article appeared <strong>in</strong> the Ill<strong>in</strong>ois Medical Journal <strong>of</strong> May1940, by Dr. Frederick Tice, Chicago, entitled "A Century <strong>of</strong> Tuberculosis<strong>in</strong> Ill<strong>in</strong>ois" <strong>in</strong> which he said: "For the seventies and eighties, the reportsare rather startl<strong>in</strong>g.<strong>of</strong> 275.6 per 100,000;In 1875, Spr<strong>in</strong>gfield showed a tuberculosis mortality190.8 per 100,000 for 1876, and 239.2 per 100,000 forper 100,000.1877. In 1881, Rock Island had a tuberculosis mortality <strong>of</strong> 325In 1887, the rate for Rockford was 141.8 per 100,000. Qu<strong>in</strong>cy, <strong>in</strong> 1875, hada tuberculosis mortality rate <strong>of</strong> 330 per 100,000 and a mortality <strong>in</strong> 1876<strong>of</strong> 469 per 100,000. Even with Slab Hollow and the general picture <strong>of</strong>communicable disease as background, these figures for Qu<strong>in</strong>cy seem extremelyhigh. Over the seventies and eighties many <strong>of</strong> the downstate townsshowed a higher tuberculosis mortality than Chicago."It seems strange that the extremely high rates over this period, i860 to1880, did not arouse a greater public <strong>in</strong>terest and stimulate some attemptat preventive measures. On July 1,1877, two state laws, one known as theState Board <strong>of</strong> Health Act, the other as Medical Practice Act, both implementedby the board <strong>of</strong> health, organized July 12 <strong>of</strong> the same year,became effective. But the tuberculosis program was still largely untouched."Dr. John H. Rauch, secretary <strong>of</strong> the State Board <strong>of</strong> Health, who servedalmost cont<strong>in</strong>uously from 1877 to 1891, never locked horns with the disease.With an <strong>in</strong>sight that transcended state and national boundaries and sawthe whole world as a health unit, Rauch spent all his wealth <strong>of</strong> organiz<strong>in</strong>ggenius <strong>in</strong> the epidemic field. For him and for workers <strong>of</strong> similarly f<strong>in</strong>ecaliber throughout the country, 1882 and Koch's epochal discovery shouldhave lit the torch and brought it to a flame."

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