Pestilence may have an old-world ring, but epidemics were, until quite recently, a recurring feature of urban life in America, as well as a force in such emblematic events as the Civil War and the great westward trek. Congress could not be convened in 1793 until George Washington rode through the streets of Philadelphia to assure himself that an outbreak of yellow fever, which had decimated the city, was under control. As J.H. Powell’s riveting account of that outbreak, Bring Out Your Dead, reveals, the barbaric responses we associate with AIDS were commonplace in 1793: Refugees were stoned, shot, or left to starve as they wandered the countryside; newspapers from the capital were boiled in vinegar before anyone would read them; and the task of caring for the afflicted and burying the dead fell largely to impoverished blacks. This is an America you will not read about in fiction. There are no epics about the epidemics that struck New Orleans with such regularity that the death rate in that city remained higher than the birthrate for the entire 19th century; no chronicles of the devastation that disease wrought upon the ’49ers as they headed west. You can read all about cannibalism on the Donner Pass, but not about diarrhea.
AIDSspeak: A Plague of Words
Visitation Rites — The Elusive Tradition of Plague Lit
VLS, October 13, 1987