The Case of the Disappearing Cook (August 1970 | Volume: 21, Issue: 5)

The Case of the Disappearing Cook

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Authors: Mark Sufrin

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August 1970 | Volume 21, Issue 5

On August 27, 1906, the daughter of Charles Henry Warren, a New York banker, fell sick at the family’s rented summer house in Oyster Bay, Long Island. For the first few days the illness was deceptively mild; then the doctor began to note alarming symptoms—a high fever and low pulse rate, nosebleeds, nausea, and diarrhea. A rose-colored rash appeared on the girl’s stomach, which was slightly distended and sensitive to any pressure.
 
The syndrome was classic: the girl had typhoid fever, one of the most contagious of communicable diseases. At the turn of the century thousands of people were stricken in typhoid epidemics, and nearly twenty-three thousand died in the United States in the year 1906 alone.
 
Within the same week that the girl became ill, five more persons in the household, including Warren’s wife, were stricken with typhoid. Experts were brought in to investigate the outbreak and concluded it was due to contagion from the daughter. They could not pinpoint the source of the original infection but said that she had probably contracted the disease from contaminated water or milk, or perhaps spoiled food. There had been no other instance of typhoid in Oyster Bay either before or after the outbreak.
 
The outbreak might have been forgotten had not George Thompson, the owner of the house, been afraid that it would be impossible to rent it the following summer unless the cause was definitely established. He asked George A. Soper, a sanitary engineer in the New York City Department of Health, to investigate the matter. A well-known epidemic fighter, Soper had been instrumental in setting up emergency health procedures when typhoid epidemics struck Watertown and Ithaca, New York, a few years before.

Retracing the initial investigation, Soper quickly eliminated the usual sources of contamination: the water supply and drainage, the single inside toilet, the cesspools, manure pit, and outside privy. No detail had been overlooked. Frustrated, Soper suddenly sensed that some extraordinary factor had shattered the placid household shortly before the outbreak. He began to concentrate on the possibility of a human carrier, a new theory developed by the noted German bacteriologist Robert Koch. Humans, it was already known, were carriers as long as they were ill themselves and sometimes for several weeks after recovery, when their urine was still highly infectious. Koch, however, believed that outwardly healthy persons also spread the disease, continually breeding the typhoid bacilli within their bodies and discharging the germs in their feces, although they may never have suffered even a high fever. Soper was the first man in America to put the theory to a test.

Because the normal period of typhoid incubation is ten to fourteen days, Soper figured that all the victims in the Warren household were stricken by food or drink taken on or shortly before August 20. He studied the movements of each person without success; no one had left Oyster Bay during the crucial period. However, the Warrens