{"id":22521,"date":"2021-11-11T11:00:46","date_gmt":"2021-11-11T16:00:46","guid":{"rendered":"https:\/\/circulatingnow.nlm.nih.gov\/?p=22521"},"modified":"2024-12-11T16:23:27","modified_gmt":"2024-12-11T21:23:27","slug":"inez-holmes-nurse-and-veteran","status":"publish","type":"post","link":"https:\/\/circulatingnow.nlm.nih.gov\/2021\/11\/11\/inez-holmes-nurse-and-veteran\/","title":{"rendered":"Inez Holmes, Nurse and Veteran"},"content":{"rendered":"

Circulating Now welcomes guest bloggers Kiana Wilkerson, Katherine Randall, PhD, and E. Thomas Ewing, PhD to share their research on World War II veteran and nurse Inez Holmes, who trained at the Piedmont Tuberculosis Sanatorium for the treatment of African American patients in Virginia. Learn more about their History of Catawba and Piedmont Tuberculosis Sanatoria project and explore source materials on the project website<\/a>.
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A photograph of 2nd Lt. Inez E. Holmes, dated November 29, 1943, depicts a young woman in uniform, smiling, at her desk at the 286th Station Hospital in the South Pacific. This photograph<\/a>, available in the National Library of Medicine\u2019s Digital Collections, captures a moment in the life of one person as well as representing broader themes in the history of army medicine in the second world war, the role of African American nurses, and the impact of the Piedmont Tuberculosis Nurse Training Program.<\/p>\n

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2nd Lt. Inez E. Holmes, Army Nurse, 1943
National Library of Medicine #101443518<\/em><\/a><\/figcaption><\/figure>\n

Prior to entering military service, Holmes pursued the educational opportunities available to an African American woman living in segregated Virginia. Born in 1915 in Norfolk, Holmes was the daughter of William, a drayman, and Pattie, who raised five children. At age fifteen, Holmes worked as a seamstress in a factory, according to the 1930 Census. After completing high school, Holmes received advanced training at the Piedmont Tuberculosis Sanatorium in Burkeville, established by the Virginia Department of Health in 1918 for the treatment of African American patients.<\/p>\n

The Piedmont Tuberculosis Sanatorium program in advanced tuberculosis nursing began in 1920 and trained more than three hundred and fifty women in the next four decades. Holmes and her classmates spent two years at Piedmont Sanatorium, receiving advanced training while also caring for patients. In a ceremony during their first year of training, Holmes and four others were \u201ccapped\u201d by the senior nurses and \u201cwelcomed into the nursing field.\u201d Piedmont nurses engaged in various kinds of social activities, including bridge parties, plays at the chapel, and a procession of carol singers on Christmas morning, as reported in the Norfolk Journal and Guide<\/em>.<\/p>\n

The experiences of nurses enrolled in the Piedmont training program were shaped by both the severity of the disease and the conditions of a segregated health system. Although death rates from tuberculosis decreased from 1918 to 1935, the gap in death rates for the two races did not diminish. The Virginia Health Department Annual Report<\/a> issued in June 1935 reported more deaths in Virginia from pulmonary tuberculosis among African Americans (946) than whites (817), even though African Americans made up only one-third of the total population.<\/p>\n

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The impact of a racially segregated society was evident in the outcomes reported in the Virginia Health Department Annual Report for patients discharged from three tuberculosis sanatoria. The proportion of discharged patients reported to have positive outcomes, including arrested and improved, was 80% for the white sanatoria, Catawba and Blue Ridge, compared to 58% for Piedmont. By contrast, the proportion of patients reporting no improvement (20%) or dying (22%) was twice as high for Piedmont, compared to the two white sanatoria.<\/figcaption><\/figure>\n

During the year that ended in June 1935, Holmes\u2019 second year of training, Piedmont cared for 346 patients, with an average number of nearly 150 patients at a time. Piedmont reported 54 patient deaths from tuberculosis, an average of one death each week. By contrast, Catawba, a Virginia sanatorium founded in 1908 for white patients, recorded only 39 deaths while treating more than twice as many patients, a discrepancy that resulted in part from the higher proportion of admitted patients in moderately or far advanced condition (70% at Catawba and 80% at Piedmont).<\/p>\n