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Pox Americana [Hardcover]

E A Fenn
4.4 out of 5 stars  See all reviews (17 customer reviews)

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Book Description

Oct 1 2001
The astonishing, hitherto unknown truths about a disease that transformed the United States at its birth

A horrifying epidemic of smallpox was sweeping across the Americas when the War of Independence began, and yet we know almost nothing about it. Elizabeth A. Fenn is the first historian to reveal how deeply variola affected the outcome of the war in every colony and the lives of everyone in North America.

By 1776, when military action and political ferment increased the movement of people and microbes, the epidemic worsened. Fenn's remarkable research shows us how smallpox devastated the American troops at Québec and kept them at bay during the British occupation of Boston. Soon the disease affected the war in Virginia, where it ravaged slaves who had escaped to join the British forces. During the terrible winter at Valley Forge, General Washington had to decide if and when to attempt the risky inoculation of his troops. In 1779, while Creeks and Cherokees were dying in Georgia, smallpox broke out in Mexico City, whence it followed travelers going north, striking Santa Fe and outlying pueblos in January 1781. Simultaneously it moved up the Pacific coast and east across the plains as far as Hudson's Bay.

The destructive, desolating power of smallpox made for a cascade of public-helath crises and heartbreaking human drama. Fenn's innovative work shows how this mega-tragedy was met and what its consequences were for America.


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From Publishers Weekly

In this engaging, creative history, Fenn (Natives and Newcomers) addresses an understudied aspect of the American Revolution: the intimate connection between smallpox and the war. Closed-in soldiers' quarters and jails, as well as the travel demands of fighting, led to the outbreak of smallpox in 1775. George Washington ended an outbreak in the north by inoculating American soldiers (the colonists had a weaker immune system against smallpox than the British). Indeed, Fenn makes a plausible case that without Washington's efforts, the colonists might have lost the war. Despite the future president's success at "outflanking the enemy" of smallpox, however, the disease spread on the Southern front, where there was "chaos, connections, and a steady stream of victims." Even as the war ended, the increased contact between populations spread the disease as far as Mexico and the Pacific Northwest. The outbreak eventually killed an estimated 125,000 North Americans more than five times the number of colonial soldiers who died (to her credit, Fenn admits that these numbers are inexact). Along the way, Fenn, who teaches history at George Washington University, recounts the fate of many blacks freed under a British "emancipation proclamation" of sorts; promised their freedom if they fought for the British, several thousand ex-slaves perished from smallpox. She also traces the disease's effect on the North American balance of power by devastating some Native American tribes in the 1780s. Long after the war, whites kept Native Americans passive with explicit threats of infection. Fenn has placed smallpox on the historical map and shown how intercultural contact can have dire bacterial consequences.38 b&w illus. not seen by PW.

Copyright 2001 Cahners Business Information, Inc.

From Library Journal

Many books have been written about smallpox, but few have this volume's scholarly focus. Fenn (history, George Washington Univ.) relies heavily on primary documents to illustrate the disease's devastating impact on the political and military history of North America during the Revolutionary War. Excerpts from diaries, letters, presidential papers, and church and burial records provide first-hand accounts of the spread of this disease. The result is an extensive discussion of the role of smallpox in the Colonial era, but the book's main strength is in the detailed analysis of smallpox among Native Americans, from Mexico to Canada. Fenn's study of the historical horrors of this devastating disease nicely complements Jonathan Tucker's Scourge (LJ 8/15/01), which considers what the future may be like if smallpox returns. Highly recommended for academic and medical libraries. Tina Neville, Univ. of South Florida at St. Petersburg Lib.
Copyright 2001 Reed Business Information, Inc.

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Customer Reviews

4.4 out of 5 stars
4.4 out of 5 stars
Most helpful customer reviews
4.0 out of 5 stars An excellent study. . . July 19 2004
Format:Paperback
What a fantastic single-vision narrative. This text adds an interesting new dimension to an entire time period. Exceptional research on individual experiences.
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4.0 out of 5 stars Remarkably Good. Nov 4 2003
Format:Paperback
This is an excellent work. It bogs down a bit in the second half but only for 30 or so pages as the author gets into the detail of some purported statistical analysis, information that could have been handled as an appendix. But overall it is a wow!

Starting with the impact of smallpox on the American Revolution, 1775 - 1782, Elizabeth Fenn continues her study with concurrent analyses of Mexico, where Church burial records provide a very solid underpinning for the magnitude of the epidemic, the Canadian interior, the Pacific Northwest and Alaska. The devastation was appalling

Fenn's effort was no simple task. The unexpected bonus is that for the first time I began to understand the magnitude of trading patterns that had been established by Native Americans on the North American Continent, before the arrival of Europeans.

This is a wonderful book, very enlightening and very well worth your time.

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5.0 out of 5 stars A Timely Lesson from History Sep 4 2002
By A Customer
Format:Hardcover
This moment in American history is not the first time that Americans have debated protection from Smallpox. Ms. Fenn has painted a haunting picture of an earlier America with the same inability to decide what was the proper course of action given the valid arguments both for and against mass population protection. I was fascinated to learn that George Washington himself was initially against mass inoculation and later in favor of it. From Ms. Fenn's book, I understood the fear of the populace that led to laws prohibiting inoculation. She has managed to paint a picture of an epidemic that helped me to understand the sheer panic that led to people inoculating themselves by cutting and packing those cuts with the scabs taken from already sick victims. Yikes. Sometimes a bit wordy with this date and that, I skipped the transmission dates and routes for the most part, although I have to say that the transmission routes between Mexico and the young U.S. was surprising to me.
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Most recent customer reviews
4.0 out of 5 stars Good follow-on to "Guns, Germs, & Steel" &"Washington's War
More scholarly than "entertaining" in tone, this book traces smallpox epidemics and their influence upon the progress of war, settlement, and "who wins" in the race for political... Read more
Published on Jun 1 2002 by K. Nettles
5.0 out of 5 stars An Unknown Aspect of American History
Pox Americana tells the story of the great smallpox epidemic of the 1770s and 1780s in North America. Read more
Published on May 9 2002 by John D. Cofield
5.0 out of 5 stars Provides a riveting history as well as a health survey
The great smallpox epidemic of 1775-82 is covered in a survey which reveals not only the spread of the disease, but how it made an impact on the Revolutionary War's outcome and how... Read more
Published on April 11 2002 by Midwest Book Review
1.0 out of 5 stars Pox Americana
Lots of people got smallpox, and many of them died. OK, now you do not need to read this dull book.
Published on Feb 28 2002 by "tjcraw"
4.0 out of 5 stars Germ warfare and the conquest of new territory
Germ warfare isn't a new idea to us. This book, while clearly stating the impact of smallpox during American's war for independence, also gives us a deeper understanding of how... Read more
Published on Feb 2 2002
4.0 out of 5 stars Following the smallpox trail
I first read of the devastation that smallpox wrought on the Continental Army while reading David McCullough's terrific biography, "John Adams" and was lucky enough to have seen,... Read more
Published on Jan 27 2002 by Jon Hunt
5.0 out of 5 stars Thinking about the Unthinkable
Smallpox usually isn't near the top of anyone's favorite book subject list, but recent terrorist events have made all of us aware of the need to reacquaint ourselves with diseases... Read more
Published on Jan 8 2002 by Bill Shepherd
5.0 out of 5 stars Another side to history!
If we think that America has never known an infectious epidemic other than the Great Influenza after World War I, we'd be wise to consider the smallpox pandemic that swept the... Read more
Published on Dec 13 2001 by Rebecca Brown
4.0 out of 5 stars The Pox in North America
Elizabeth A. Fenn's Pox Americana (The Great Smallpox Epidemic of 1775-82) is an interesting book that traces the course of this horrendous pox as it veers bloodily throughout the... Read more
Published on Dec 2 2001 by Ricky Hunter
5.0 out of 5 stars Comprehensive and a joy to read!
Pox Americana by Elizabeth Fenn is a great piece of work! Smallpox was one of those virtually forgotten diseases. Read more
Published on Nov 2 2001 by M. Oneka
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