Nursing typhus victims in the Second World War, 1942-1944: a discussion paper. 2014

Jane Brooks
School of Nursing, Midwifery and Social Work, Manchester University, UK; Director, UK Centre for the History of Nursing and Midwifery, Manchester, UK.

OBJECTIVE This article explores the care British nurses provided to victims of typhus during the Second World War. BACKGROUND Typhus is associated with poverty and overcrowding. During wars in the pre-antibiotic era, civilians were particularly susceptible to epidemics, which military governments feared would spread to their troops. METHODS This discussion paper draws on archival data from three typhus epidemics in the Second World War to examine the expert work of British nurses in caring for victims during these potential public health disasters. METHODS The published sources for the paper include material from nursing and medical journals published between 1940-1947. Archival sources come from the National Archives in Kew, the Wellcome Library and the Army Medical Services Museum, between 1943-1945. Of particular interest is the correspondence with Dame Katharine Jones from nurses on active service overseas. CONCLUSIONS Whilst epidemics of typhus are now rare, nurses in the present day may be required to care for the public in environments of extreme poverty and overcrowding, where life-threatening infectious diseases are prevalent. This article has demonstrated that it is possible for expert and compassionate nursing to alleviate suffering and prevent death, even when medical technologies are unavailable. CONCLUSIONS Expert and compassionate care, adequate nutrition and hydration and attention to hygiene needs are crucial when there are limited pharmacological treatments and medical technologies available to treat infectious diseases. The appreciation of this could have implications for nurses working in current global conflicts.

UI MeSH Term Description Entries
D006113 United Kingdom Country in northwestern Europe including Great Britain and the northern one-sixth of the island of Ireland, located between the North Sea and north Atlantic Ocean. The capital is London. Great Britain,Isle of Man
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D014438 Typhus, Epidemic Louse-Borne The classic form of typhus, caused by RICKETTSIA PROWAZEKII, which is transmitted from man to man by the louse Pediculus humanus corporis. This disease is characterized by the sudden onset of intense headache, malaise, and generalized myalgia followed by the formation of a macular skin eruption and vascular and neurologic disturbances. Brill's Disease,Brill-Zinsser Disease,Typhus,Brill Disease,Epidemic Typhus,Jail Fever,Louse-Borne Typhus,Rickettsia prowazekii Infection,Brill Zinsser Disease,Brills Disease,Epidemic Louse-Borne Typhus,Fever, Jail,Infection, Rickettsia prowazekii,Louse Borne Typhus,Louse-Borne Typhus, Epidemic,Rickettsia prowazekii Infections,Typhus, Epidemic,Typhus, Epidemic Louse Borne,Typhus, Louse-Borne
D047789 World War II Global conflict involving countries of Europe, Africa, Asia, and North America that occurred between 1939 and 1945. World War, 1939-1945,2nd World War,Second World War,1939-1945 World War,Second World Wars,War, Second World,Wars, 2nd World,Wars, Second World,World War, 1939 1945,World War, 2nd,World War, Second,World Wars, Second
D049673 History, 20th Century Time period from 1901 through 2000 of the common era. 20th Century History,20th Cent. History (Medicine),20th Cent. History of Medicine,20th Cent. Medicine,Historical Events, 20th Century,History of Medicine, 20th Cent.,History, Twentieth Century,Medical History, 20th Cent.,Medicine, 20th Cent.,20th Cent. Histories (Medicine),20th Century Histories,Cent. Histories, 20th (Medicine),Cent. History, 20th (Medicine),Century Histories, 20th,Century Histories, Twentieth,Century History, 20th,Century History, Twentieth,Histories, 20th Cent. (Medicine),Histories, 20th Century,Histories, Twentieth Century,History, 20th Cent. (Medicine),Twentieth Century Histories,Twentieth Century History

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