Since everyone’s mind is on the coronavirus, it’s a good time to remember that Abraham Lincoln once caught a life-threatening virus. As wrote in Lincoln: The Man Who Saved America, this occurred during and after his trip to Gettysburg to give his famous address:
As he gave his address, Lincoln was already feeling the symptoms of variola, a mild form of smallpox, which kept him bedridden for weeks after his return to Washington. He eventually wrote out several copies of his address, including one sent to Everett to be joined with his own handwritten speech and sold at New York’s Sanitary Commission Fair as a fundraiser for wounded soldiers.
As the Centers for Disease Control and Prevention (CDC) explains, smallpox, like coronavirus, is an infectious disease. Caused by two virus variants, Variola major and Variola minor, initial symptoms of smallpox include fever and vomiting, followed in extreme cases by sores in the mouth and a skin rash. As it worsens, large fluid-filled bumps appear on the skin, which result in characteristic and deforming scars. Like coronavirus, the smallpox virus was spread as people coughed or sneezed and droplets from their infected nose or mouth spread to other people. The smallpox scabs forming on the skin remained contagious until the last scab fell off. Coronavirus doesn’t form the scabs – it attacks the lung tissue rather than the skin – but both smallpox and coronavirus can be spread by residues left on surfaces from bedding and clothes to handrails and elevator buttons. Which is why it is so important during this coronavirus pandemic to practice social distancing, wash your hands often, and avoid touching your face.
Most scholars treated Lincoln’s case of variola as a mild case of smallpox, but some recent researchers suggest it was much more serious and that he could have died. In 2007, for example, two researchers reported that:
When Abraham Lincoln delivered the Gettysburg Address, he was weak and dizzy; his face had a ghastly colour. That evening on the train to Washington, DC, he was febrile and weak, and suffered severe headaches. The symptoms continued; back pains developed. On the fourth day of the illness, a widespread scarlet rash appeared that soon became vesicular. By the tenth day, the lesions itched and peeled. The illness lasted three weeks. The final diagnosis, a touch of varioloid, was an old name for smallpox that was later used in the 20th century to denote mild smallpox in a partially immune individual. It was unclear whether Lincoln had been immunized against smallpox. In that regard, this review suggests that Lincoln had unmodified smallpox and that Lincoln’s physicians tried to reassure the public that Lincoln was not seriously ill. Indeed, the successful conclusion of the Civil War and reunification of the country were dependent upon Lincoln’s presidency.
Indeed, Lincoln’s free African American valet, William H. Johnson, contracted the disease while caring for Lincoln after they had returned from Gettysburg. Johnson ultimately died a few months later. He had traveled with Lincoln from Springfield and, having no other family, Lincoln arranged and paid for Johnson to be buried at Arlington National Cemetery.
Like most 19th-century personages, this wasn’t the first time Lincoln had been seriously sick. At nine years old he was kicked in the head by a horse and “apparently killed for a time.” He also had malaria at least twice. His melancholy (depression) was infamous, especially on a few occasions where friends worried for his life. Debate still roils about whether he had Marfan syndrome or Multiple Endocrine Neoplasia Type 2B (MEN2B). Neither of these last two seems likely, but that doesn’t stop people from debating the ideas. There is no question, however, over whether he had variola/smallpox, although the severity of it remains undecided.
Lincoln survived his smallpox infection; William Johnson and many others did not. As much of the world today battles the current coronavirus pandemic, it is critical that we follow the advice of health professionals. As I write this, most of the USA is under some form of lockdown, from “social distancing” to “shelter-in-place.” Follow medical advice, stay away from people, and wash your hands frequently. Lincoln would agree.
David J. Kent is an avid science traveler and the author of Lincoln: The Man Who Saved America, in Barnes and Noble stores now. His previous books include Tesla: The Wizard of Electricity and Edison: The Inventor of the Modern World and two specialty e-books: Nikola Tesla: Renewable Energy Ahead of Its Time and Abraham Lincoln and Nikola Tesla: Connected by Fate.
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