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As San Francisco recovered from the devastating earthquake and fire of 1906, dust and ash filled the city’s stuffy factories, stores, and classrooms. Dr. Philip King Brown noticed rising tuberculosis rates among the women who worked there, and he knew there were few places where they could get affordable treatment. In 1911, with the help of wealthy society women and his wife, Helen, a protégé of philanthropist Phoebe Apperson Hearst, Brown opened the Arequipa Sanatorium in Marin County. Together, Brown and his all-female staff gave new life to hundreds of working-class women suffering from tuberculosis in early-twentieth-century California. Until streptomycin was discovered in the 1940s, tubercular patients had few treatment options other than to take a rest cure at a sanatorium and endure its painful medical interventions. For the working class and minorities, especially women, the options were even fewer. Unlike most other medical facilities of the time, Arequipa treated primarily working-class women and provided the same treatment to all, including Asian American and African American women, despite the virulent racism of the time. Author Lynn Downey’s own grandmother was given a terminal tuberculosis diagnosis in 1927, but after treatment at Arequipa, she lived to be 102 years old. Arequipa gave female doctors a place to practice, female nurses and social workers a place to train, and white society women a noble philanthropic mission. Although Arequipa was founded by a male doctor and later administered by his son, the sanatorium’s mission was truly about the women who worked and recovered there, and it was they who kept it going. Based on sanatorium records Downey herself helped to preserve and interviews she conducted with former patients and others associated with Arequipa, Downey tells a vivid story of the sanatorium and its cure that Brown and his talented team of Progressive women made available and possible for hundreds of working-class patients.
Tuberculosis mortality in the United States and in Britain was declining in the late nineteenth century but rising in Ireland. Why Ireland's pattern of tuberculosis mortality was different is the subject of this book.
Rare and vintage photographs depict the interesting and tragic history of the Essex Mountain Sanatorium. Founded in 1907 amidst protests and a burgeoning suffrage movement, Essex Mountain Sanatorium was the result of two Montclair, New Jersey, women who successfully lobbied local government to establish a tuberculosis sanatorium in a then vacant cottage for wayward girls. From these humble beginnings, the hospital grew to become one of the finest treatment centers in the nation, expanding into a complex of 20 buildings that encompassed nearly 300 acres. Ironically, medical advances pioneered at places such as the sanatorium and the advent of antitubercular drugs in the years following World War II led to decreasing patient enrollment, which made such large facilities unnecessary. When it was eventually abandoned in the early 1980s, the hospital began its second act as a haven for urban explorers, vandals, and arsonists, becoming shrouded in mystery and the source of local legends and myths. After suffering years of neglect and abuse, the main complex would finally fall to wreckers in 1993, ending an important era in county, state, and national history.