One reason for historians to revisit topics already covered by others is that later generations have new questions and new perspectives about the subject matter. Robert P. Watson, writing about the yellow fever epidemic that struck Philadelphia in 1793, tells a story we can resonate with because of our own experiences with Covid-19.... This was the first time, but not the last, that Americans grew scared and angry about a medical emergency, vollied political points as they tried to figure out what to do, and learned how better to prepare for future problems. Read the book.

peacefare

In the spring and summer of 2020, when COVID-19 alarm was at its zenith, many reports emerged saying that we had done this before. Those reports told the story of the 1918 flu, which killed almost 700,000 people in the U.S. and a mind-blowing 50 million people worldwide. Now comes historian Watson to say that, actually, COVID was the nation’s third plague. The first? A 1793 outbreak of yellow fever in Philadelphia, then the capital of the fledgling United States. Five thousand of the city’s 50,000 residents died, making this, percentagewise, the worst epidemic in American history. Another 20,000 residents fled the city, including federal government officials, who were ordered to leave by President Washington. Watson illustrates how all the same controversies or conspiracies of COVID-19 were present then, too: immigrants were blamed for introducing the disease; some people practiced social distancing, others didn’t; and Dr. Benjamin Rush, who identified the disease, became both hero and pariah. Additionally, patients were treated with purging or bloodletting. Watson recreates this terrifying era with the skill of a novelist, and readers will be enthralled.

Booklist

Hardly anyone noticed the first to die in the sultry August of 1793—a few foreigners, a sailor, an oyster seller. Most Philadelphians brushed off the deaths as the result of air fouled by rotting coffee or fish near the docks. Then the healthy and affluent began to die: public officials, ministers. The plague that was sweeping the young nation’s temporary capital was yellow fever, a contagion little understood at the time. Writes Robert Watson in ‘America’s First Plague,’ the outbreak was ‘one of the worst epidemics in American history.’ ... Watson has succeeded in recovering a dramatic episode from near-oblivion.

The Wall Street Journal

Several books about yellow fever outbreaks in American history have appeared in recent years. The work reviewed here distinguishes itself in several ways. First, like the classic 1949 work of J. H. Powell, Bring Out Your Dead, it is focused on the 1793 outbreak in Philadelphia, then the interim US capital, and the contemporaneous pandemic in the Caribbean region. But it is also important that Watson wrote this book during the COVID-19 pandemic, giving him the opportunity to compare the two outbreaks and note the similarities in government and public responses. Both outbreaks changed the course of the nation's history in fundamental ways. ....Watson delves deeply into the intriguing story of the Hankey, the ship laden with bedraggled survivors of a failed British abolitionist experiment off the West coast of Africa—the origin of the yellow fever—and the voyage that wrought devastation across the Caribbean before reaching Philadelphia.”

Choice Reviews

In this thoroughly researched account of a long-forgotten tragedy, Robert Watson provides a compelling
look at our nation’s first public health crisis, one defined by bitter disagreements within the medical community, finger-pointing by politicians, and panic among the public, but also by as many acts of bravery and service during the outbreak.
Sadly, history often repeats itself, and although we are vastly better informed and prepared today, the lessons from 1793 apply then as they do now. This book is page-turner that will inform historians, health officials, and the public.

Dr. Leana Wen, public health professor at George Washington University, author of Lifelines: A Doctor's Journey in the Fight for Public Health

Dr. Robert Watson guides us through one of the first crises of the new fledgling republic in which the federal government almost ceased functioning as it vacated the seat of government. Dr. Watson brings us to Philadelphia and makes us feel that we are a part of these amazing events as they unfold. As a surgeon, I appreciated his incredibly detailed description of the origin of the virus in Philadelphia that year, the magnitude and description of the tragedy of the disease, the Physician Wars, and the resolution. We are there. And moreover, his exposition of the politicization of the epidemic pitting Hamilton against Jefferson is jarring in its similarity to our COVID-19 experience more than 200 years later.
This is an amazingly accessible treatment of a fascinating multifaceted event at the origins of our republic, whose multiple rippling ramifications echo through to the present day.

Stuart Farber, Surgeon and Adjunct Professor, Nova Southeastern University College of Medicine