Throughline - There's Something About Mary

Episode Date: June 25, 2020

When a cook who carried typhoid fever refused to stop working, despite showing no symptoms, the authorities forcibly quarantined her for nearly three decades. Perfect villain or just a woman scapegoat...ed because of her background? What the story of Typhoid Mary tells us about journalism, the powers of the state, and the tension between personal responsibility and personal liberty.Learn more about sponsor message choices: podcastchoices.com/adchoicesNPR Privacy Policy

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Starting point is 00:00:00 Support for this podcast and the following message come from the NPR Wine Club, which has generated over $1.75 million to support NPR programming. Whether buying a few bottles or joining the club, you can learn more at nprwineclub.org slash podcast. Must be 21 or older to purchase. And it's probable that Mary Mellon is a prisoner for life, and yet she has committed no crime, has never been accused of an immoral or wicked act,
Starting point is 00:00:33 and has never been a prisoner in any court. It was in the middle of an outbreak, and though she had no symptoms, no fever, no chills, no rash, Mary Mallon had been classified as patient zero. When I first came here, I was so nervous and almost prostrated with grief and trouble. So now she sat in an isolated cottage on an island, surrounded by other infected people, confused about what was happening to her. There was never any effort by the board authority to do anything for me excepting to cast me on the island and keep me a prisoner without being sick nor needing medical treatment. She became a sort of experiment and
Starting point is 00:01:36 felt like one. Why should I be banished like a leper and compelled to live in solitary confinement? She didn't know if she'd ever make it off that island. While Mary sees these unfortunate victims of various diseases come on the hospital boat and in due time return to their homes and friends, Mary stays on forever. The virus is very difficult to contain. Many experts studying the pandemic have said one reason for that is because of silent spreaders.
Starting point is 00:02:11 Across the country, tense moments caught on camera as more businesses enforce new rules to stop the spread of the virus. This person who had COVID-19 did not know they had it. To wear or not to wear one of these has in many quarters become a matter not just of health and safety, but a matter of who do you believe? I think you need to back away from me. No, I got hydroxychloroquine. We live in a country of freedom.
Starting point is 00:02:33 We don't live in a country where the government tells us how to take care of our health. You're listening to ThruLine from NPR. Where we go back in time to understand the present. Hey, I'm Randa Adelfatah. I'm Ramtin Arablui.
Starting point is 00:02:54 And on this episode, the story of Typhoid Mary. The COVID-19 pandemic has brought to the surface the underlying tension we all experience between our personal choices and the public good. I mean, we've all seen the videos of people shouting at each other over wearing masks in supermarkets and parks. You are in violation of my constitutional right. You either wear the mask. And I'm not doing it because I woke up in a free country. And what I see in these videos are people struggling with whether a person's right to decide to wear a mask or not is more important than the health of the people they encounter. Basically, personal liberty versus personal responsibility to society.
Starting point is 00:03:38 A dilemma as old as civilization itself. The thing is, today, that dilemma might be a matter of life and death. And it's only going to get more complicated as a potential vaccine for COVID-19 gets developed and becomes vital in ending the pandemic. We're seeing this play out now with how states are handling mask requirements. In California, for example, masks are now required to be worn by most people in public. But what happens when someone says, hey, I'm not sick. Why do I have to adhere to these strict rules? Or this is a free country.
Starting point is 00:04:17 You can't make me do anything I don't want to do. So then how does the government react? How far can or should they go to enforce public health regulations? In this episode, we're going back more than 100 years to tell the story of Mary Mallon, an Irish immigrant who refused to cooperate with public health officials for years and became the notorious Typhoid Mary. Hi, this is Rick Michlewski calling from San Francisco, and you're listening to ThruLine from NPR. Part 1. Peaches and Cream Oyster Bay is a small town on the northern shore of Long Island, just a short train ride from New York City. In the early 1900s, Oyster Bay was a popular vacation spot for New York's wealthy elite, made famous by President Theodore Roosevelt, who had a home in the area.
Starting point is 00:05:43 Each summer, families escape the stench and sweat of the city for the cooler shores of seaside living. In the summer of 1906, the Charles Elliott Warren family rented a house in Oyster Bay, and Mrs. Warren was looking for some help. She had four children, she had five servants, she had all kinds of social parties she was giving. So she needed a cook and she wanted a good one.
Starting point is 00:06:10 This is author Susan Campbell Bartoletti. She called up the employment agency in New York City and they sent her Mary Mallon. Mary Mallon immigrated from Ireland when she was a teenager. Alone, with no money, and built a name for herself as a solid, reliable cook. And that summer, she traveled up to Oyster Bay to work with the Warren family. But not long after she got there, something strange happened. The nine-year-old daughter, Margaret Warren, became sick. It was soon discovered she had that very, very high fever. She had bouts of diarrhea, and then the spots occur on her abdomen,
Starting point is 00:06:51 and they realized, oh dear, this is typhoid fever. Typhoid fever is a bacterial infection that can range from mild flu-like symptoms to stomach pain, skin rashes, and even internal bleeding. Though typhoid fever was fairly common in the early 1900s, few really understood what caused it, and there was no known cure. Consequently, doctors were left to treat symptoms with chemicals like turpentine, opium, and ammonium. Nearly 10% of people infected died. This was the reality the Warren family faced
Starting point is 00:07:29 when, mere weeks into their summer vacation, six of the 11 people in their household fell ill. Their newly hired cook, Mary, who didn't get sick, by the way, stayed to help for a little bit. But she soon left Oyster Bay to begin working for a different family back But she soon left Oyster Bay to begin working for a different family back in New York City. Luckily for the Warren family, no one died from the illness
Starting point is 00:07:50 and they eventually left their rented vacation house to return home. But the presence of typhoid fever posed a problem for the people who owned the house, the Thompson family. It had been a wedding present for Mrs. Thompson and they rented it out. So they were really worried that no one would want to rent their house again if it was infected in some way. People were beginning to gossip about her house. And Mrs. Thompson was worried because if she couldn't figure out the cause,
Starting point is 00:08:17 more than likely the house would have to be burned down. At that time, typhoid fever was typically spread through contaminated water, a potential deadly consequence of things like back alley outhouses, clogged sewers, or pipes that dumped waste into the same rivers and lakes meant to supply water. Typhoid was generally associated with overcrowded, unsanitary conditions. So for it to surface in an affluent community like Oyster Bay was alarming. And so the Thompson family hired a man named George Soper to help them figure out where exactly the typhoid fever had come from. He is not a medical doctor. He has a PhD in what would have been sanitary engineering. So tracking diseases wasn't exactly in the job description. But he had bigger ideas.
Starting point is 00:09:06 He referred to himself as an epidemic fighter. You know, and that's, I love that. He's like this superhero. He basically wanted to be the Dr. Fauci of his time and was eager to make a name for himself in the public health world. So he went to Oyster Bay, checked out the house, and came up empty. There's nothing wrong with the house. But then he finds out that there was a new cook.
Starting point is 00:09:36 And this new cook was no longer there. And he asks, well, what did she make? One of the meals that she had made that everyone had enjoyed, including the servants, was homemade ice cream with fresh peaches. George realized that the bacteria that causes typhoid fever could have been passed in Mary's signature dish. No better way could be found for a cook to cleanse her hands of microbes and infect a family. Now, he needed to find her.
Starting point is 00:10:06 And he begins to do something that today we call contact tracing. He started visiting other households where Mary had worked, interviewing people. And when he interviews the servants, he finds that they don't really want to talk about Mary. They're not going to be forthcoming with any information. But he does learn that there were 22 victims in all. Which led him to the theory that Mary was a healthy and asymptomatic carrier of typhoid fever. He believes he has found the first healthy carrier in the United States.
Starting point is 00:10:40 And he really wanted to stake his career on this. At the time, the idea of germs, invisible microorganisms that got you sick, was virtually unknown to most people. So the idea that someone could be infecting other people with a deadly illness without knowing it, without showing symptoms themselves, would have been unbelievable to an average citizen like Mary. But George Sober was a believer. He knew that germs could be passed. How could they be passed? They could be passed in the water system. They could be passed through the sewage system. They could be passed when people don't wash their hands after using the toilet. So he realized that this could be the situation with Mary, that perhaps she wasn't clean enough.
Starting point is 00:11:31 Perhaps she was unwittingly, unknowingly passing these germs along. George eventually tracked down Mary to her current employer, a family on Park Avenue whose only daughter was dying from typhoid fever. And so he shows up at her place of employment, and he tries to explain to her, he believes if he could just explain to her about how she could possibly be carrying this disease, that she doesn't wash her hands, that her fingers might
Starting point is 00:12:06 still be dirty after using the toilet. Well, she becomes outraged. Think about that for a second. Mary's a professional cook, and Soper shows up unannounced and tells her she might be contaminating her food, making people sick. Probably one of the most offensive things you can say to a cook. And so she's insulted. She has a clean kitchen. She is a clean cook. She's not sick. And when he presses her that he wants her to give him samples, he wants samples of blood, urine, and stool. This was a pretty personal request. And so she becomes outraged. She grabs a carving fork and she swears and she attacks him. And he fled. He fled. When we come back, our epidemic fighter calls in backup to capture and test Mary Mallon. Hi, this is Brett from Stanford, Connecticut, and you're listening to ThruLine from NPR.
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Starting point is 00:13:58 working to reduce political polarization through philanthropic support for education, democracy, and peace. More information at Carnegiegie.org. Part 2. The Most Dangerous Woman in America. George Soper's job was technically done. The Thompson family hired him to investigate the source of the typhoid fever outbreak in their Oyster Bay home. He traced it to Mary. And that should have settled it. Mission accomplished. Not exactly. This was just the beginning of a self-driven determination to stop Mary in her tracks, and in effect, to halt any further spread of typhoid. Maybe it was in the
Starting point is 00:14:40 name of public health. Maybe it was in the name of furthering his own career. Maybe it was both. Remember, George was a sanitary engineer. He had no authority over Mary or anyone for that matter. But if he could make a name for himself in the emerging infectious disease field, he'd be a pioneer. Beyond all that, Mary had dared to defy him. George wasn't used to women standing up to him. And he didn't like it. George Soper is looking at her from where he stood as this educated man who expected women to listen to him and others probably to listen to what he had to say. Because they certainly did when he was giving advice to the city about sanitation systems.
Starting point is 00:15:26 And he just can't understand why when he explains these things to Mary, she won't believe him. So he started building a case against her. He needed to convince others, especially the New York Health Department, that Mary was a serious public health threat. This is the beginning where George Soper begins to do what I call othering Mary, because now he describes her as being, well, I would have called her athletic, but she was a little too heavy. She used rough language, and nothing was so distinctive about her as her walk, unless it was her mind. The two had a peculiarity in common. Those who
Starting point is 00:16:06 knew her best said Mary walked more like a man than a woman, and that her mind had a distinctly masculine character. He is making assumptions about gender and sexuality because at this time, women were expected to be pious, pure, domestic, and submissive. And she just wasn't checking those boxes for him. So therefore, she was emotional, she was irrational, and she wouldn't listen to him. Well, and it seems like on top of all that, right, she's this Irish immigrant woman. She's kind of unconventional for her time, very unconventional in some ways. And I imagine that she's kind of the perfect villain for George, like that she just is very
Starting point is 00:16:55 easy to scapegoat if you needed a scapegoat. Well, he wants to make a name for himself. And so in order to make a name for himself, he needs Mary to cooperate with him. He also dehumanizes her at this point because he now starts to call her a living culture tube, a chronic typhoid germ producer, some sort of like half-human machine. And he uses this language in order to get the city, Department of Health, to allow him to go after her. She is a proved menace to the community. It was impossible to deal with her in a reasonable and peaceful way. And if the department meant to examine her, it must be prepared to use force and plenty of it. It worked. With the city behind him, George made another attempt to confront Mary and get her tested.
Starting point is 00:17:47 And this time, he had help. Dr. S. Josephine Baker. Not to be confused with the famous performer and civil rights activist, this Josephine Baker was a physician. Who has worked with women and has worked in the immigrant community. Since George had failed to get through to Mary, the New York Department of Health decided it might help for a woman to try and talk to her. So they sent Dr. Baker to Mary's doorstep.
Starting point is 00:18:12 But they failed to mention that Mary had a tendency to get violent. So Baker just thinks she's going to show up and collect Mary and they're going to go down to the hospital, the Willard Parker Hospital. Wrong. Dr. Baker showed up at Mary's home and promptly got the door slammed in her face. So she tried again the next day, this time with the police. Well, when she gets there, Mary reacts so violently that Baker falls backward into the police officer behind her.
Starting point is 00:18:46 And Mary charges out the door. Mary had disappeared. Disappear is too matter-of-fact a word. She had completely vanished. They searched the property for clues and came across footprints in the snow-covered yard. The footprints led to a chair, which had been pushed up against the fence. Bingo.
Starting point is 00:19:10 Mary had scaled the fence and was most likely hiding out in the house next door. So Dr. Baker and the police scurried over to the neighbor's house and spent five hours looking up and down for Mary. Feeling utterly defeated, they interrogated every servant and maid in the home, who all denied having seen Mary. Feeling utterly defeated, they interrogated every servant and maid in the home, who all denied having seen Mary. And finally, when they're just about ready to give up, one of the police officers sees a little bit of dress sticking out of a closet door.
Starting point is 00:19:37 And in front of the door, all these ash cans have been piled. And they realize, oh, that looks familiar. Mary'd been wearing that. And they discover her inside the closet. A hiding spot. She'd been aided by the very maids and servants who claimed they hadn't seen her at all. Now you have the servants, this kind of class solidarity, you know, where they put the ash cans. They're helping her hide.
Starting point is 00:20:12 And so when George Soper tries to make it sound as if she was some kind of outlier, some kind of loner, we find that this isn't true at all. Dr. Baker was actually impressed by the show of allyship from the other domestic workers and said she, quote, liked that loyalty. But that didn't stop her and the officers from pushing away the ash cans and pulling Mary out of the closet. While Mary is outraged, she fought and struggled and cursed. I tried to explain to her that I only wanted the specimens and that she could go back home. She again refused, and I told the policeman to pick her up, put her in the ambulance. This we did, and the ride down to the hospital was quite a wild one. It takes four police officers to get her into the ambulance. And Dr. Baker sits on top of Mary all the way down to the hospital
Starting point is 00:20:54 as the horse-drawn ambulance clatters down the street. It was like being in a cage with an angry lion. She is now under arrest, really, because the New York City Department of Health had the power to do that. They could arrest her and they could quarantine her. She was locked up. It was not an attractive or particularly comfortable room. And there was no reason why a strong, active woman who felt herself to be in perfect health, should be contented with it. And Mary Mallon was not. Her clothes are taken from her. She's given hospital outfit to wear, a white robe. And now there's everybody just waits. They had Mary, but what they really needed
Starting point is 00:21:36 was her stool. And as a form of protest, one might say, she was holding it in. And at last, you know, Mary couldn't put it off any longer. She used the toilet, and now the hospital was able to get specimens from her. And they discover, yes, indeed, her body is harboring this bacteria that produces typhoid fever. She is now sent to the Riverside Hospital on North Brother Island, which is a 13-acre island in the middle of the East River between Bronx and Queens. And again, she doesn't understand. She feels that she's kidnapped. Which is pretty understandable. I mean, regardless of what the test results said, Mary didn't feel sick and therefore refused to believe she was sick.
Starting point is 00:22:29 At that time, hardly anyone knew anything about this idea of a healthy carrier. Even the medical community had very little understanding of it. In fact, up until that point, there was no record of any healthy typhoid carriers in all of North America. So if Soper was right about Mary, she would be the first. Patient zero. And Soper was right. The fact that there were bacteria in her body that caused this fever means that, yes, she did have it. She might have been too young to remember.
Starting point is 00:23:03 She might have had such a mild case, but she absolutely had typhoid fever. What do you think made her so afraid of being apprehended? What, in your opinion, is the cause of her resistance? I think of Mary's background, what she may have fled from in Ireland. We don't know what kind of life she had there. We don't know. But given that she was born in County Tyrone, stories of murderers and grave robbers who steal bodies and sell them to medical hospitals, you know, they're found in both Irish history as well as Irish folklore. And one of the most famous serial killers who killed and sold bodies was William Burke, and he was from County Tyrone. William Burke and his accomplice
Starting point is 00:23:52 William Hare ran a deadly scheme in the late 1820s where they got victims drunk, then smothered them to death, and then sold their corpses to a doctor for dissection. Burke and Hare murdered at least 15 people before they were caught. And that happened within the lifetime of Mary's parents or grandparents, so she might have heard these stories. We don't know, but we do know that she obviously did not trust science, she did not trust medical science, and she wasn't going to trust any authorities who came after her. This begins to explain Mary's skepticism of the doctors.
Starting point is 00:24:32 She felt vulnerable and violated, especially when they sent her to live in isolation at Riverside Hospital on an island. She really believed that they were trying to kidnap her to use her for medical experiments. Living alone in a cottage on what was nicknamed Quarantine Island, Mary's worst fears were coming true. Doctors started to turn routine checkups into experiments, trying out new drug therapies on her, hoping to find a cure. They were trying to disinfect her GI tract, and the one drug was a combination of ammonia and formaldehyde. But the only real possibility for possibly curing her was to remove her gallbladder. And that's when Mary was very frightened also that she was being
Starting point is 00:25:21 used as a medical experiment. The supervising nurse asked me to have an operation performed. I also told her no. And she said the remark, would it not be better for you to have it done than remain here? I told her no. She continues to fight for her freedom. And she also continues to write threatening letter after threatening letter to George Soper and to Dr. Baker. Why should I be banished like a leper and compelled to live in solitary confinement? When we come back, Mary makes headlines and fights like hell for her freedom.
Starting point is 00:26:36 Hi, this is Chloe. And this is Fritz from Jersey City. And you're listening to Through Lines from NPR. Yay! Part 3. State-Controlled Fate. Two whole years of life pass by on Quarantine Island, where Mary was holed up against her will. Her story then makes the news. And, you know, they didn't have HIPAA laws back then. And so her identity is known. Known for being the first officially traced carrier of typhoid fever, which inspired the infamous nickname Typhoid Mary. And it becomes fodder for William Randolph Hearst and Joseph Pulitzer and for their newspapers.
Starting point is 00:27:27 And you can just imagine these two men, they wanted to sell newspapers. You know, they are known for their yellow journalistic style. And so their newsboys would be hawking out on the streets. All these various headlines that would get people to sell the newspapers. William Randolph Hearst, yes, he loved the sensationalist story, but he also championed the underdog. And it is believed that he hired the attorney by the name of George Francis O'Neill so that Mary could get her day in court. Just to reiterate here, the head of what would go on to become the largest media conglomerate of the
Starting point is 00:28:20 time, William Randolph Hearst, may have actually funded Mary's legal battle against the state, arguing that she had been denied due process. Maybe he did it to root for the underdog, or maybe he did it for the sake of a good story. Either way... She gets her day in court, and that's two years after she was first quarantined. it took that long for her to get her day in court. One Sunday, right before she goes to court, she opened up the New York American. It was the Sunday edition, and she sees a two-page spread all about herself. It was 1909, so newspaper articles were more often accompanied by illustrations and engravings rather than photographs. The engravings. Oh, they show Mary standing at a stove, cracking skulls into a frying pan.
Starting point is 00:29:12 I mean, they really are making her seem now as if she's a witch or a sorceress of some sort. I have been, in fact, a peep show for everybody. Even the interns had to come see me and ask about the facts already known to the whole wide world. The tuberculosis men would say, there she is, the kidnapped woman. And so, of course, there's a lot of hype around her trial. Every effort has been made by the health authorities to cure the unfortunate woman, but so far without success. There is nothing known to medical science which seems to reach a case like this. It is extremely unfortunate for the woman, but it is the plain
Starting point is 00:29:57 duty of the health authorities to safeguard the public from such a menace. Mary lost her case and was sent back to North Brother Island. Then, in 1910, nearly three years after her initial arrest, New York City hired a new health commissioner. He took a more sympathetic approach to Mary's case and decided that she should be released. But there was a catch.
Starting point is 00:30:22 She has to promise that she will not cook. The commissioner decided she should be free as long as she didn't put other people at risk. And so in writing, she promises she will not cook. And then she says, because of the disease for which it is possible I may cause. She has to add that in her own writing because she still doesn't believe it. Even though Mary was still fully convinced she was never sick, she signed the affidavit. And with that, she was free.
Starting point is 00:30:55 With some strings attached, Mary had to report to the health department each month. So she agreed to that too. And then went back to New York City where she found work doing laundry. A year went by, then another, and another. And then suddenly Mary does not report and nobody notices. And in November of 1914, there's a very tiny article in like the third section of the newspaper that mentions that Mary Mallon has disappeared. Nobody knows where she's gone. Sometime after that, at the Sloan Hospital for Women, typhoid fever has broken out and there are 25 cases. But nowhere in Sloan's records did it list the name Mary Mallon.
Starting point is 00:31:49 Now the story depends who's telling it. George Soper says he got a call and he went to the hospital and he looked at Mary's handwriting and he said, yes, this is definitely Mary. But it didn't add up. The cook at the hospital was named Mary Brown. Then Dr. Josephine Baker, if you listen to her, she takes credit for having gone to the hospital and figuring out it was Mary Mallon. I went up there and went into the kitchen.
Starting point is 00:32:18 Sure enough, there was Mary earning her living in the hospital kitchen, spreading typhoid germs among mothers and babies and doctors and nurses, like a destroying angel. And then, if you read the New York Sun, the New York Sun says it was the medical staff that figured it out. But in any case, Mary was working at that hospital under a pseudonym. Mary had broken all terms of her agreement. Not only had she stopped seeing her probation officer, she was working as a cook in a hospital
Starting point is 00:32:49 and trying to fly under the radar using the name Mary Brown. In just three months working at Sloan, she spread typhoid to 25 people, killing two of them. The reality is, people had died from being exposed to her food, right? And so there were consequences to her sort of continuing to evade testing and to basically deny that she could possibly have the disease. And so putting myself in her shoes, like I understand why she felt so defensive. But on the flip side, that's a really dangerous thing for her to have done. Yeah, it was dangerous. She's refusing to go along with what the authorities are telling her,
Starting point is 00:33:37 which is to the benefit of society to keep people safe. You know, so for her not to understand and choose not to understand, this is something that was very dangerous. So Mary realized they were after her again. And so she ran again. And now the hunt begins for Mary. And she is found in a home. The police officers show up
Starting point is 00:34:04 and she locks herself into a room and there are two dogs. And fortunately, the one police officer has brought with him a steak. And he tosses it to the dogs and they go after the steak. And then he's able to capture Mary. She was then arrested again after being found out that she was working in the hospital, sentenced again to Riverside Hospital, and now she's resigned. She's going to stay there. She knows she's going to live her life out there.
Starting point is 00:34:36 Mary returned to her private cottage on North Brother Island, where she stayed for a total of 26 years. She died of pneumonia in 1938 at the age of 69. Mary was pretty stubborn in her resistance to getting testing. And of course, she had her reasons, right, as you laid out. But I'm wondering wondering was there a failure of communicating with her on the part of like the authorities um that contributed to her heightened fear you know oh i believe so um i think when george soper appeared in that kitchen and accused her he he literally told her she wasn't washing her hands after using the toilet, she was insulted. And she was frightened because she didn't want to lose her work, her only means of employment. And I think that a lot of it
Starting point is 00:35:34 is meeting a person where that person is. Maybe he needed to explain it to her differently. Maybe he shouldn't have gone in expecting her to understand, you know, right away what he was talking about. Maybe it frightened her. Maybe, you know, for someone to show up in your kitchen and say, I need some urine and stool samples. In the year 1906, that was a pretty personal request. Still, George Stoper got credit, shared with Dr. Baker, which he wasn't very happy about, for tracking Mary down and stopping the spread. And this paved the road to a successful career, which ultimately led him to serve as the director of the American Cancer Society.
Starting point is 00:36:18 Yeah, he absolutely got credit. He's the one who, you know, through the contact tracing, found Mary Mallon. And so, yeah, he should get credit. This credit paved the way to published articles in highly respected medical journals that detailed Mary's story, of course, from Soper's perspective. Those articles then cemented him as the authority on the subject, making Soper the primary voice in the historical record, not Mary. You know, for Mary, all we have is a six-page letter that she wrote. Those are the only words we have from Mary Mallon. We also have quotes from interviews that she had given to various newspapers. Other than that, what we have are accounts from Josephine Baker
Starting point is 00:37:05 and accounts from George Soper. He brought his own prejudices and his own worldview and perhaps his own lack of trust. We talk about Mary's lack of trust, but his own lack of trust, you know, to how he treated Mary. Ultimately, Mary was traced to a total of around 50 typhoid cases and three deaths. This is tragic, no doubt. But George Soper himself later admitted that this was not as large a toll as other carriers who were discovered after Mary received a life sentence in quarantine. Even the court system were treating men differently. Mary, at the time, a woman living alone, she didn't have much recourse. You know, there was no
Starting point is 00:37:52 unemployment. There was no welfare. There was no sort of assistance to help someone like her out. When the courts discovered men who are also healthy carriers, the court tended to be more lenient because, oh, you know, he has a family, he has four children. And I think that goes back to the expectation, what people expect of women, women being held to a different standard. You know, there were men at that time who infected people, including children. They were treated differently. The story of Mary Mallon shows just how much public health efforts in the real world get linked to racial, gender, and economic inequality. Often the people who face the biggest risks from disease, then and now,
Starting point is 00:38:52 are at the bottom of the social hierarchy. And this is one of the reasons that who sets and who follows public health directives remains such a complicated issue. People may not be able to heed warnings to stay home during lockdown because they have to go to work. Or maybe years of systemic inequities mean that they just don't trust the authorities giving them information. And in some cases, people just don't want to be told what to do. So it becomes more difficult to just blanketly call people wrong or selfish
Starting point is 00:39:22 for resisting public health regulations. And as the months of this pandemic go on and on, blanketly call people wrong or selfish for resisting public health regulations. And as the months of this pandemic go on and on, we're likely to see this tension between individual decisions and the greater good play out in different ways over and over again. Thank you. This episode was produced by me. And me and... Jamie York. Lawrence Wu. Lane Kaplan-Levinson. Julie Kane. Kia Miyaka-Nutis. Nigery Eaton. Fact-checking for this episode was done by Kevin Vocal. Thanks also to Alex Curley, Steve Tyson, Austin Horn, Colette Murphy, and Camille Smiley for their voiceover work.
Starting point is 00:40:21 Also thanks to Anya Grunman. And to our guest, Susan Campbell Bartoletti, author of Terrible Typhoid Mary, a true story of the deadliest cook in America. And a big shout out to our friends at NPR's Morning Edition for suggesting this episode. Our music was composed by Ramtin and his band,
Starting point is 00:40:42 Drop Electric, which includes... Naveed Marvi. Sho Fujiwara. Anya Mizani. And one last thing. We wanted to ask something of teachers who are thinking about next school year and would maybe like to sneak in a summer assignment. Are there episodes of ThruLine that you'd like your students to hear?
Starting point is 00:41:01 Are there particular episodes that you found useful in teaching history that isn't in textbooks or doesn't get the treatment it deserves? If so, we'd love to hear from you. Please leave us a message at 872-588-8805. Again, the number is 872-588-8805. If you have an idea or like something on this show, please write us at ThruLine at NPR.org or find us on Twitter at ThruLine NPR.
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