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Tuberculosis in Western Alaska, 1900–1950

Published online by Cambridge University Press:  27 October 2009

Nicholas E. Flanders
Nicholas E. Flanders
Affiliation:
Department of Rural Development, University of Alaska-Fairbanks, PO Box 831, Kotzebue, AK 99752, USA
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Abstract

Tuberculosis was the major cause of death among Alaska Native peoples during the first half of the twentieth century, with a crude death rate estimated at 810 per 100,000. Apart from a few medical articles, not much is known of the impact of the disease on the people. This paper reviews published articles, unpublished reports by government teachers, hospital records and other materials for several Native villages in western Alaska from the period 1900–50. These archival sources suggest that tuberculosis was prevalent at the start of the century, that tuberculosis morbidity and mortality increased until the public health efforts of the 1950s and '60s, and that highest mortality rates were found among women between the ages of 15 and 35. Traditional cultural practices that brought people together for fatiguing activities in confined areas may have contributed to the spread of the disease. Public health efforts of federal teachers aimed to improve personal hygiene, household cleanliness and ventilation. Their efforts were thwarted by environmental and economic factors, primarily the limited amount of wood. Ultimately, the comments of these public officials may have reflected more their own moral beliefs than the actual etiology of the disease.

Type
Articles
Information
Polar Record , Volume 23 , Issue 145 , January 1987 , pp. 383 - 396
Copyright
Copyright © Cambridge University Press 1987

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References

Alland, A. Jr 1970. Adaptation in cultural evolution: an approach to medical anthropology. New York, Columbia University Press.Google Scholar
Allison, M. J. and Others. 1973. Documentation of a case of tuberculosis in pre-Columbian America. American Review of Respiratory Diseases 107: 985–91.Google ScholarPubMed
Anderson, H. D. and Eels, W. C. 1935. Alaska Natives: a survey of their sociological and educational status. Stanford, Stanford University Press.Google Scholar
Annual Report, Akulurak School. 1910–1919. In General Correspondence, 1908– 1935, Alaska Division, Bureau of Education, US Department of the Interior. Washington, National Archives, Record Group 75.Google Scholar
Annual Report, Bethel School. 1918. In General Correspondence,1908–1935, Alaska Division, Bureau of Education, US Department of the Interior. Washington, National Archives, Record Group 75.Google Scholar
Annual Report, Buckland School. 1913. In General Correspondence, 1908–1935, Alaska Division, Bureau of Education, US Department of the Interior. Washington, National Archives, Record Group 75.Google Scholar
Annual Report, Council School. 1910. In General Correspondence,1908–1935, Alaska Division, Bureau of Education, US Department of the Interior. Washington, National Archives, Record Group 75.Google Scholar
Annual Report, Deering Doctor. 1910. In General Correspondence, 1908–1935, Alaska Division, Bureau of Education, US Department of the Interior. Washington, National Archives, Record Group 75.Google Scholar
Annual Report, Gambell School. 1912–1917. In General Correspondence, 1908–1935, Alaska Division, Bureau of Education, US Department of the Interior. Washington, National Archives, Record Group 75.Google Scholar
Annual Report, Hooper Bay School. 1917. In General Correspondence, 1908–1935, Alaska Division, Bureau of Education, US Department of the Interior. Washington, National Archives, Record Group 75.Google Scholar
Annual Report, Icy Cape School. 1911–1913. In General Correspondence, 1908– 1935, Alaska Division, Bureau of Education, US Department of the Interior. Washington, National Archives, Record Group 75.Google Scholar
Annual Report, Igloo School. 1917. In General Correspondence, 1908–1935, Alaska Division, Bureau of Education, US Department of the Interior. Washington, National Archves, REcord Group 75.Google Scholar
Annual Report, Kinak School. 1915. In General Correspondence, 1908–1935, Alaska Division, Bureau of Education, US Department of the Interior. Washington, National Archives, Record Group 75.Google Scholar
Black, F. C. 1975. Infectious diseases in primitive societies. Science 187: 515–18.Google Scholar
Blair, H. I. 1951. Letter to Paul O'Connor, SJ, 11 August 1951. Spokane, Hooper Bay Collection, Alaska Jesuit Mission Record, Oregon Province Archives, Gonzaga University.Google Scholar
Buikstra, J. E. 1981. Introduction. In Buikstra, J. E. (editor). Prehistoric tuberculosis in the Americas. Evanston, Northwestern University Archeology Program: 1–23.Google Scholar
Carswell, J. A. 1938. Poverty and tuberculosis with particular reference to the economic and social significance of high death rates among Alaskans. Transactions, National Tuberculosis Association 34: 233–46.Google Scholar
Chagnon, N. and Melacon, T. F. 1983. Epidemics in tribal populations. Cambridge, Mass., Cultural Survival, Inc., Report No 11.Google Scholar
Comroe, J. H. Jr 1978. Retrospectroscope, T.B. or not T.B.: Part II. The treatment of tuberculosis. American Review of Respiratory Disease 117: 379–89.Google ScholarPubMed
Corthell, M. E. 1932. Report of conditions Hooper Bay District, Flood Disaster, Winter, 1932. Spokane, Hooper Bay Collection, Alaska Jesuit Mission Record, Oregon Province Archives, Gonzaga University.Google Scholar
Des Prez, R. 1979. Tuberculosis. In Beeson, P. B. and Others (editors). Cecil textbook of medicine, 15th ed. Philadelphia, W. D. Saunders Co: 479–84.Google Scholar
Dubos, R. and Dubos, J. 1952. The white plague: tuberculosis, man and society. Boston, Little, Brown and Company.Google Scholar
Fellows, F. S. 1934. Mortality in the Native races of the Territory of Alaska, with special reference to tuberculosis. Public Health Reports 49: 289–98.CrossRefGoogle Scholar
Fitzhugh, W. W. and Kaplan, S. A. 1982. Inua: spirit world of the Bering Sea Eskimo. Washington, Smithsonian Institution Press.Google Scholar
Fortuine, R. 1975. Health care and the Alaska native: some historical perspectives. Hanover, Polar Notes, Occasional Publication of the Stefansson Collection, Dartmouth College 14: 1–42.Google Scholar
Grigg, E. R. N. 1958. Arcana of tuberculosis. American Review of Respiratory Disease 78: 151–72.Google Scholar
Grzybowski, S. 1983. Tuberculosis and its prevention. St Louis, Warren H. Green.Google Scholar
Holy Cross Hospital Records. 1914–1956. Holy Cross Hospital records. Spokane, Holy Cross Collection, Alaska Jesuit Mission Record, Oregon Province Archives, Gonzaga University.Google Scholar
Hrdlicka, A. 1908. Tuberculosis among certain Indian tribes of the United States. Washington, Smithsonian Institution, Bureau of American Ethnology, Bulletin 42.Google Scholar
Hutton, P. C. 1908. Diseases and sanitary conditions among Alaskan Indians. The Military Surgeon 22: 449–54.Google Scholar
Jama. 1912. Editorial: Health conditions in Alaska. Journal of the American Medical Association 58: 704.Google Scholar
Johnson, M. W. 1973. Results of 20 years of tuberculosis control in Alaska. Health Service Reports 88: 247–54.Google Scholar
Kaplan, G. J. and Others. 1972. Tuberculosis in Alaska, 1970: the continued decline of the tuberculosis epidemic. American Review of Respiratory Disease 105: 920–26.Google ScholarPubMed
Kilbuck, J. 1911. Georgetown Report, 25 July 1911. In General Correspondence, 1908&1935, Alaska Division, Bureau of Education, US Department of the Interior. Washington, National Archives, Record Group 75.Google Scholar
Kilbuck, J. 1915. Letter to the Commissioner of Education, 31 July 1915. In General Correspondence, 1908–1935, Alaska Division, Bureau of Education, US Department of the Interior. Washington, National Archvies, Record Group 75.Google Scholar
Krulish, E. 1913. Sanitary conditions in Alaska. Public Health Reports 28: 544–51.CrossRefGoogle Scholar
Laduriej, E. L. 1976. A concept: the unification of the globe through disease (fourteenth to seventeenth centuries). In The mind and method of the historian. Chicago, University of Chicago Press: 28–83.Google Scholar
McNeil, W. H.Plagues and people. Garden City, Anchor Books.Google Scholar
Mason, L. D. 1974. Epidemiology and acculturation: ecological and economic adjustments to disease among the Kuskokwagmiut Eskimos of Alaska. Western Canada Journal of Anthropology 4: 35–62.Google Scholar
Maycock, R. L. and Rossman, M. 1983. Pulmonary tuberculosis. In Schlossberg, D. (editor). Tuberculosis. New York, Praeger Publishers, Praeger Monographs in Infectious Disease, Vol 2: 99–116.Google Scholar
Moulding, T. 1983. Pathogenesis, pathophysiology, and immunology. In Schlossberg, D. (editor). Tuberculosis. New York, Praeger Publishers, Praeger Monographs in Infectious Disease, Vol 2: 21–36.Google Scholar
Nelson, E. W. 1899. The Eskimo about Bering Strait. Washington, Bureau of American Ethnography, Smithsonian Institution, 18th Annual Report.Google Scholar
Perron, J. n.d. Origin and progress of Holy Cross Mission, Alaska (Manuscript). Spokane, Holy Cross Collection, Alaska Jesuit Mission Record, Oregon Province Archives, Gonzaga University.Google Scholar
Record Book of Mission Births and Deaths. 1938–1944. Record book of mission births and deaths. Spokane, Hooper Bay Collection, Alaska Jesuit Mission Record, Oregon Province Archives, Gonzaga University.Google Scholar
Renner, L. L. 1979. Pioneer missionary to the Bering Strait Eskimos: Bellarmine Lafortune, SJ. Portland, Binford and Mort.Google Scholar
Schaefer, O. 1983. Letter to Stefan Grzybowski, 10 March 1983. Edmonton, Northern Medical Research Unit, Health and Welfare Canada, Charles Camsell Hospital.Google Scholar
Schoenberg, W. P. 1982. Paths to the Northwest: a Jesuit history of the Oregon Province. Chicago, Loyola University Press.Google Scholar
Stead, W. W. and Dutt, A. K. 1983. Epidemiology and host factors. In Schlossberg, D. (editor). Tuberculosis. New York, Praeger Publishers, Praeger Monographs in Infectious Disease, Vol 2: 3–20.Google Scholar
Us Bureauofthe Census. 1910–1952. Census of the United States. Washington, US Government Printing Office.Google Scholar
Watkins, J. A. 1914. The Alaskan Eskimo: the prevalence of disease and the sanitary condition of the villages along the Arctic coast. Journal of the American Public Health Association 4: 643–48.Google Scholar
Weiss, E. S. 1952. Tuberculin sensitivity in Alaska. Public Health Reports 68: 23–27.CrossRefGoogle Scholar
Zimmerman, M. R. and Aufderheide, A. C. 1984. The frozen family of Utqiagvik: the autopsy findings. Arctic Anthropology 211: 53–64.Google Scholar