{"id":20808,"date":"2021-04-01T11:30:01","date_gmt":"2021-04-01T15:30:01","guid":{"rendered":"https:\/\/circulatingnow.nlm.nih.gov\/?p=20808"},"modified":"2024-09-05T09:21:54","modified_gmt":"2024-09-05T13:21:54","slug":"public-health-rhymes-1918","status":"publish","type":"post","link":"https:\/\/circulatingnow.nlm.nih.gov\/2021\/04\/01\/public-health-rhymes-1918\/","title":{"rendered":"Public Health Rhymes, 1918"},"content":{"rendered":"

By Elizabeth Mullen ~<\/em><\/p>\n

\"A<\/a><\/p>\n

Germs that float upon the air
\nAre sure to settle everywhere;
\nThey’ll be on pencil and on pen,
\nAnd even on our fingers ten.<\/p>\n

To write our lessons it is true
\nWe use our hands and pencils too;
\nLet’s keep them from our lips and tongues,
\nSo germs won’t get into our lungs.<\/p>\n<\/blockquote>\n

This April marks the 25th anniversary of National Poetry Month<\/a>, an event celebrating and exploring the role of poetry in American life and culture. The intersection of health and poetry is wide and varied; \u00a0Health First Reader for Happy, Healthy Children<\/a>, <\/em>a charming booklet of \u201cpublic health rhymes,\u201d is just one of the many poetic works<\/a> in the historical collections of the National Library of Medicine.<\/p>\n

\"Children<\/a>
Health First Reader for Happy, Healthy Children<\/em>, 1918
National Library of Medicine #101579401<\/a><\/em><\/figcaption><\/figure>\n

The Anti-Tuberculosis League of Kenton County, Kentucky produced Health First Reader<\/em> in 1918, at the end of the Progressive Era, and distributed copies of it free to K-3 school children.\u00a0 The secretary of the League, William S. Groom, wrote and illustrated the booklet and the 1918 Bulletin of the National Tuberculosis Association<\/a><\/em> featured it as a \u201c\u2026contribution to the cause of\u00a0 health promotion and disease prevention in childhood which has already made a distinct impression and which is bound to have a widely leavening influence.\u201d<\/p>\n

The Progressive Era<\/a> saw wide-ranging social policy changes, many focused on improving the lives of children including movements toward universal education and health measures in educational institutions. President Woodrow Wilson designated 1918 as Children\u2019s Year<\/a> to support these efforts. \u00a0Public institutions, particularly schools, played a key role in health education campaigns. Indeed, even when the 1918 flu closed schools, some urban schools stayed open<\/a>, being thought more healthy than the homes of the students. In the same vein, public health nurses visited schools and worked in poor and immigrant communities<\/a> around the country to improve child health particularly around tuberculosis<\/a> and mortality rates.<\/p>\n

\"A<\/a>The focus of the Reader<\/em> is public health and the importance of forming healthy hygiene habits in early childhood.<\/em> The Health and Sanitation Through the Public Schools of Kentucky<\/a><\/em>, ca. 1918, which includes the Reader<\/em>, at the end of the text, provided schools with information about why the booklet had been developed and how it could be used.\u00a0 The school is recognized as an important site for community health education as \u201c\u2026education of the child at school often reaches back into the home<\/a> and results in the improvement of sanitation and hygienic conditions in the home with less difficulty than direct efforts toward the education of parents.<\/em>\u201d The instructive (or cautionary) illustrations on each page show bright three-color scenes of happy children behaving in healthy ways (or unhappy children who were not so wise), while the serious message is couched in rhymes\u2014”<\/em>…have the children commit the verses to memory and encourage them to recite them to their parents at home<\/a>“\u2014an effective pedagogical tool.<\/p>\n

The 17-page booklet, about six inches high, features colorful drawings and two stanzas on each page. Lessons emphasize cleanliness, fresh air, proper clothing, and what not<\/em> to share (food, dishes, towels, and sneezes).<\/p>\n

The Reader<\/em> begins by introducing a nurse to the classroom and enjoining the children to heed her authoritative advice.\u00a0 Several cautionary tales are included: of Fred\u2019s cold after he \u201c\u2026got wet up to his knees,\u201d the toothache of the little boy who \u201c\u2026hated his toothbrush so,\u201d and the \u201cfoolish little chap\u201d who \u201cwould not wear his cap or coat\u2026 now he has a bad sore throat.\u201d<\/p>\n

\"A <\/a> <\/div> <\/div>
\"A <\/a> <\/div> <\/div> <\/div> <\/div>\n

The booklet instructs and advises students to listen to the advice of the nurse and their teachers but also asserts significant independence and agency by the student. \u201cA sleeping-porch can oft be made \/ By handy boy with parent\u2019s aid \/ But if there\u2019s none, then move your bed \/ With open window near your head.\u201d<\/p>\n

\"A<\/a>Near the end, a lovely backyard scene depicts a boy reclining on a lounge on a wide lawn with a table of refreshments by his side. \u201cOf all the doctors in this town \/ Not one can reach such high renown \/ As Doctors Sunlight, Rest, Good Food \/ And Doctor Fresh Air, too is good.\u201d\u00a0 How achievable this daydream might have been for the students (or how frustrating to look at while being kept to their reading primer) we can only speculate.<\/p>\n

The Reader<\/em> closes with an illustration of a band of soldiers marching under an American flag and followed by an ambulance bearing a red cross.\u00a0 With the ongoing U.S. involvement in World War I, a major concern of the military medical corps was screening recruits to ensure they were \u201cfit<\/a>.\u201d \u00a0This large scale screening<\/a> discovered a worrying array of health issues and fostered concern about the health of the general population. The patriotic image linked community health to the war effort and reinforces the discipline of the \u201crules of health they must obey\u201d and the civic duties of maintaining personal and public health.<\/p>\n

\"World<\/a><\/p>\n

The National Library of Medicine\u2019s copy of the pamphlet is annotated in ink throughout with critical commentary by an unknown hand.\u00a0 The text is carefully considered and evaluated, with remarks like \u201cpretty good,\u201d \u201cbad rhyme,\u201d \u201chow could a child judge,\u201d and \u201cwill not prevent a boy to do likewise.\u201d<\/p>\n

\"Handwritten<\/a>Comments such as \u201cwhat is pure food\u201d \u201cno [tooth] powder mentioned,\u201d \u201cusually no nurse visiting school,\u201d and \u201cthrowing out chest out of date\u201d provide additional critique.\u00a0 And a final list on the back states that the pamphlet makes no mention of \u201cPure Water, Safe Milk, House Dust, or Tobacco,\u201d common elements of public health guidance in the 1920s<\/a>. Whatever purpose the evaluator had in mind for this booklet, they seem to have felt it needed significant improvement. Nevertheless, the power of poetry<\/a> to teach healthy habits is timeless.<\/p>\n

\"Photo<\/a>Elizabeth A. Mullen is Manager of Web Development and Social Media in the History of Medicine Division at the National Library of Medicine.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

By Elizabeth Mullen ~ Germs that float upon the air Are sure to settle everywhere; They’ll be on pencil and<\/p>\n","protected":false},"author":19605840,"featured_media":20805,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","advanced_seo_description":"","jetpack_seo_html_title":"","jetpack_seo_noindex":false,"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"Public Health Rhymes, 1918\r\n#NationalPoetryMonth #NLMPHW","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false},"version":2}},"categories":[12763,347145303],"tags":[24765,1343,4225,59349,422,28006,489105],"class_list":["post-20808","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-collections","category-rare-books-journals","tag-1910s","tag-children","tag-illustration","tag-kentucky","tag-poetry","tag-public-health","tag-woodrow-wilson"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/circulatingnow.nlm.nih.gov\/wp-content\/uploads\/2021\/03\/101579401_school_feature.jpg?fit=900%2C400&ssl=1","jetpack_likes_enabled":true,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p3xcDk-5pC","jetpack-related-posts":[],"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/circulatingnow.nlm.nih.gov\/wp-json\/wp\/v2\/posts\/20808","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/circulatingnow.nlm.nih.gov\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/circulatingnow.nlm.nih.gov\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/circulatingnow.nlm.nih.gov\/wp-json\/wp\/v2\/users\/19605840"}],"replies":[{"embeddable":true,"href":"https:\/\/circulatingnow.nlm.nih.gov\/wp-json\/wp\/v2\/comments?post=20808"}],"version-history":[{"count":21,"href":"https:\/\/circulatingnow.nlm.nih.gov\/wp-json\/wp\/v2\/posts\/20808\/revisions"}],"predecessor-version":[{"id":20831,"href":"https:\/\/circulatingnow.nlm.nih.gov\/wp-json\/wp\/v2\/posts\/20808\/revisions\/20831"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/circulatingnow.nlm.nih.gov\/wp-json\/wp\/v2\/media\/20805"}],"wp:attachment":[{"href":"https:\/\/circulatingnow.nlm.nih.gov\/wp-json\/wp\/v2\/media?parent=20808"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/circulatingnow.nlm.nih.gov\/wp-json\/wp\/v2\/categories?post=20808"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/circulatingnow.nlm.nih.gov\/wp-json\/wp\/v2\/tags?post=20808"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}