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Meet “Typhoid Mary”

Posted November 16, 2009 12:00 AM by Jaxy

Mary Mallon, known as Typhoid Mary, was considered to be a healthy carrier of typhoid fever, the first case in the United States. Known for consistently denying that she was spreading the disease, Mary worked as a cook in New York City for years and transferred the disease to many people before she was quarantined.

The Story

Mary Mallon was born in Ireland in 1869 and immigrated to the United States in 1884. She worked as a chef from 1900 to 1907, causing fifty-three people to become infected and three to die before she was quarantined the first time. She was quarantined for three years at a hospital on North Brother Island. In 1910, she was released after she promised that she would no longer work as a cook and work harder to prevent spreading the disease.

After her release, Mary was given a job as a laundress, which paid less than what she could get as a cook. She returned to her occupation as a cook under the pseudonym Mary Brown. In 1915, twenty-five people were infected and one person died as a result of her cooking at New York's Sloane Hospital for Women. After this outbreak, Mary was tracked down and arrested. She remained quarantined until she died on November 11, 1938.

It is often theorized that she was born with the disease, because her mother had typhoid fever while she was pregnant with Mary. Since Mary never went through an episode with typhoid fever, this is the most likely reason for her ability to spread the disease.

Defining Typhoid Fever & Healthy Carrier

Typhoid fever is usually contracted after ingesting contaminated food. Since this particular disease cannot be contracted by animals, a human had to be the culprit.

A healthy carrier is someone who can spread the disease while still being healthy. Human carriers of typhoid fever are generally people who have survived an experience of typhoid fever, but still have typhoid bacteria surviving without experiencing further symptoms. These people are otherwise healthy, but continue to excrete the bacteria. Vigorous scrubbing with soap and hot water is essential to remove the bacteria from the hands.

Other Notable Healthy Typhoid Carriers

Typhoid Mary has become a generic term to describe a healthy person carrying a dangerous disease. There have been other healthy typhoid carriers including Tony Labella, an Italian immigrant who contaminated one-hundred people and caused five deaths. And another, an Adirondack guide often referred to as Typhoid John, infected thirty-six people and caused 36 deaths.

Resources:

http://en.wikipedia.org/wiki/Mary_Mallon

http://en.wikipedia.org/wiki/Typhoid_fever

http://en.wikipedia.org/wiki/Asymptomatic_carrier

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#1

Re: Meet “Typhoid Mary”

11/16/2009 9:49 AM

Another very good reference about "Typhoid Mary" is a book written by of all people, Anthony Bourdain.

http://www.amazon.com/Typhoid-Mary-Historical-Anthony-Bourdain/dp/1582341338

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#2
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Re: Meet “Typhoid Mary”

11/16/2009 11:24 AM

I had no idea he had written about this topic! I enjoy his writing very much.

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#3

Re: Meet “Typhoid Mary”

11/17/2009 12:15 AM

I have a doubt.

If Typhoid is caused by contaminated food, how anybody can be carrier? The only cause can be unhygenic handling of food whether by a person earlier infected or by a perfect healthy person.

Please let me know if my undestanding is correct.

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Re: Meet “Typhoid Mary”

11/17/2009 12:24 AM

While it is transmitted "by the ingestion of food or water contaminated with feces from an infected person", Wikipedia also states:

"A person may become an asymptomatic carrier of typhoid fever, suffering no symptoms, but capable of infecting others. According to the Centers for Disease Control approximately 5% of people who contract typhoid continue to carry the disease after they recover. The most famous asymptomatic carrier was Mary Mallon (commonly known as "Typhoid Mary"), a young cook who was responsible for infecting at least 53 people with typhoid, three of whom died from the disease. Mallon was the first apparently perfectly healthy person known to be responsible for an "epidemic".

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Re: Meet “Typhoid Mary”

11/17/2009 12:35 AM

Thanks, this is new addition to my knowledge.

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#6

Re: Meet “Typhoid Mary”

11/17/2009 10:45 AM

Another book of great interest is "The Ghost Map" by Steven Johnson. This book chronicles the Cholera outbreak in London 1854 and how one Doctor/detective went about tracing the cause. His findings led to a new field in medicine called epidemiology. The book is an eyeopener for urban planners, microbiology history buffs, and people willing to see problems in a different light using the scientific methods. The book is a very enjoyable read and is enlightening for even modern times. We still commit the same mistakes even in advanced cultures. I can only envision what happens in third world countries.

The book does not chronicle typhoid fever but similarities with the 1854 cholera outbreak do exist. Cholera like typhoid fever is passed form human to human by ingestion but usually the cholera carrier is not asymptomatic for long. As an aside, I did investigate or rather helped to investigate a case of typhoid fever in Canada when a bible camp meeting became a victim of the disease. The carrier in this case was an asymptomatic missionary returning from a third world country and the method of spreading was drinking water from a very overused well with under-treated disinfection. These diseases and others(ie. polio, H1N1 ) are still out there in our natural environment so hygiene and proper use design are very important in modern urban and rural societies.

FYI

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