Tag Archives: Phoenix Indian School

Asylum Activities

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Yankton Indian Homes, courtesy Smithsonian Institution

When the Canton Asylum for Insane Indians had a small patient population, physical care was very likely good. The asylum’s physician, Dr. Turner, had as thorough a knowledge of general medicine as any other regional practitioner, and was enthusiastic about working in Canton’s unique facility. He gave patients standard medications (see last post) for their physical ailments, and both he and the asylum’s superintendent set up a system of mental health treatment similar to those in other asylums. Able-bodied patients worked in the gardens and took walks outside, while women more typically helped in the dining room and kitchen, cleaned floors, and went to classes which Turner referred to as “numbers” and “object lessons.”

The asylum’s report for these activities was dated August 29, 1903. A report from another South Dakota agency (Indian Training School, Yankton) made by James Staley that same year, indicates a number of health problems for residents there. Dr. O. M. Chapman, the agency physician begins: “The health of these people has been just about that of the average of former years.” Though he noted that contagious diseases were not a problem–except for a few cases of measles–he also stated that the number of people were declining since there had been 68 deaths and only 60 births. Forty percent of the deaths had been due to tuberculosis, which Chapman called “alarming.”

“The death rate was about 40 per 1,000,” Chapman says. “This is a death rate at least four times what it would be among an equal number of whites.”

Tuberculosis Sanitorium Buildings, Phoenix Indian School, courtesy National Institutes of Health

Group Picture at the Phoenix Indian School Tuberculosis Sanitorium Phoenix, AZ, circa 1890-1910, courtesy National Institutes of Health

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Indian Health Programs

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President Taft Speaking at Manassas Court House, Virginia in 1911, courtesy Library of Congress

The Bureau of Indian Affairs tried to address the many health issues developing among tribes who had lost their traditional lands, lifestyles, and occupations. However, funds were always far too short to do much good, and healthcare was not provided with any kind of continuity. As time went on and the country began to use  surveys and statistics as a basis for action, the government surveyed reservations and schools to discover the extent of the sanitation and health issues which were being reported. When President Taft received the information, which showed a high incidence of tuberculosis and trachoma (an eye disease which often led to blindness), along with a scarcity of medical care, he was shocked.

“The death rate of the Indian country is 35 per thousand as compared with 15 per thousand–the average death rate of the United States as a whole . . .,” he told Congress in 1911. “Last year, of 42,000 Indians examined for disease, over 16 percent of them had trachoma . . . . Of the 40,000 Indians examined, 6,000 had tuberculosis.” Taft asked Congress for more money to go toward Indian health care. . . . “It is our immediate duty to give the race a fair chance for an unmaimed birth, healthy childhood, and a physically efficient maturity.”

Appropriations for Indian medical service rose from $40,000 in 1911 to $350,000 in 1918.

A Grandfather and Two of His Grandchildren Infected With Trachoma, Rincon Reservation, Californina in 1912, courtesy National Library of Medicine

Group Picture at the Phoenix Indian School Tuberculosis Sanitorium Phoenix, AZ, circa 1890-1910, courtesy National Institutes of Health

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Physical Ailments

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Death of Chopin by Consumption

Tuberculosis (TB) was often known as “consumption” during the Victorian era, and novelists conjured up romantic images of beautiful young women wasting away until they offered a last, gentle breath in the arms of their loved ones and suffered no more. The Bronte siblings (Anne, Emily, Branwell, and perhaps Charlotte) died of TB, as did Eugene O’Neill, Dylan Thomas, Henry David Thoreau, Alexander Graham Bell, and Doc Holliday. There was nothing romantic about dying of TB, though. Symptoms could be subtle at first, with coughing, weight loss, and fever very common. Eventually, TB patients developed pockets and cavities in their lungs that could become infected and filled with pus, or bleed. Breathing became extremely difficult and, without intervention, the disease would eventually prove fatal.

Dr. Hummer wanted a separate cottage for epileptics at the Canton Asylum for Insane Indians, but he really needed to separate TB patients from others. He was faulted as late as 1933 for his staff’s sloppy monitoring of TB and their failure to isolate patients with possible TB from healthy ones. Since a healthy person can catch TB by inhaling bacteria exhaled by an infected person, allowing patients with TB to mingle with healthy patients was a serious matter. Isolating TB patients was such an elementary precaution that Hummer’s failure to do so was inexcusable.

TB Anti Spitting Campaign

TB Sanitorium at Phoenix Indian School circa 1890 to 1910, courtesy National Archives

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