The Atlantic

The Epidemics America Got Wrong

Government inaction or delay have shaped the course of many infectious disease outbreaks in our country.
Source: Rick Maiman / AP Images

By late March 1863, hundreds had died in Alexandria, Virginia. The mortality rate had almost doubled in just one night, and even quadrupled in other parts of the country. Three thousand people were dead in less than a month in North and South Carolina. The numbers in Louisiana, Georgia, and parts of Mississippi were equally as high. As a smallpox epidemic tore through the country, more than 49,000 people died from June 1865 to December 1867, the years an official count was kept.

Smallpox exploded at this time not because of a lack of protocols or knowledge—a vaccine even existed—but because political leaders simply didn’t care about the group that was getting sick. Government

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