Salem County Shutdown During Flu Epidemic of 1918

One hundred two years ago, a mysterious killer came calling in Salem County about the time World War I was winding down.  It started in remote corners of the county, in places such as Fort Mott, as a global pandemic, the “so-called Spanish Influenza,” spread throughout New Jersey.

The epidemic hit Fort Mott hard.  Of the 210 men stationed there, 98 cases occurred, and six soldiers died. ((Report of the Surgeon-General of the Army to the Secretary of War, U.S. Government Printing Office, 1919 p.,   1280)) Their bodies were shipped home, and an escort from the fort — pallbearers, a firing squad, and a bugler – accompanied the casket to the Pennsylvania Railroad Station in Salem.  At the station, the military honor guard fired a volley over the casket, and the bugler sounded taps.

Meanwhile, countians braced for the battle with the deadly contagion as the Salem Standard and New Jerseyman warned the public not to get panicky. “These are days for calmness and courage.  While the disease is distressing and occasionally is followed by fatal complications, most cases quickly recover.  The public duty is to restrict the spread of the malady by observance of all the simple rules of health,” the editor noted. 

Salem County Shutdown

As national newspaper headlines announced the retreat of Kaiser Wilhelm’s Army, local officials acted promptly, closing all places of entertainment, public assembly, churches, and motion picture houses.  Normal life came to a sudden halt. ((“Many Influenza Cases in City . . . No Deaths Reported,” Salem Standard & Jerseyman, October 2, 1919, p.1. ))

The epidemic struck Pennsville “full blast” that October, with more than one hundred cases reported.   No family in the Delaware River community was not stricken, and in some instances, the entire family was down.  The local physician, Dr. James, was almost worn out as he attended the sick day and night.  As the medical situation worsened, Dr. MacDonald at Fort Mott received permission to admit civilians to the post-hospital, causing one newspaper to announce that “Salem County Now Has a Hospital.” 

The deadly outbreak tore through Carney’s Point.  There were three deaths in one day on one street, and the federal government sent five doctors and five nurses to help, while the DuPont company sent ten physicians from Wilmington.  Patients were treated at the du Pont hospital, but the number of sick workers who lived in barracks ran into the hundreds, so one of the girl’s dorms was converted into a temporary hospital.  The Penn’s Grove Record noted that there had been so many deaths in Carney’s Point and Penn’s Grove that it was impossible to obtain accurate numbers. 

The Du Pont Company was praised for being an “angel of mercy” during the flu of 1918 emergency.  “The Company . . .  established hospitals, furnished food, nurses, medical attention, organized an ambulance service, and delicacies for the sick without reference as to where they lived or were employed.  They cared for hundreds of people without homes, and all were skillfully treated. (( “Du Pont’s Emergency Work,” Salem Sunbeam, October 18, 1918.))

In  Elmer, the epidemic played havoc with farm work, with some having difficulty attending to livestock, let alone gathering crops.  One farmer, his wagon loaded with milk cases, was about to take it to market, although his temperature was 104 degrees. Only after a physician told him he might not live to get to the train station did he give up and let the milk soar.

A pall dropped on South Jersey as the disease tore a path across the region, people realizing the fatal power of this invisible enemy.   At the height of the public health crisis, so many people perished undertakers could not keep up.  Hearses rolled along township roads and country lanes while a pathetic site occurred at Ashcroft’s morgue with fathers, husbands, wives, and children weeping for their loved ones.  Within a half-hour, one Sunday, six corpses arrived at the morgue, and 30 bodies were waiting to be embalmed.  At Gross’s Undertaking Parlor, there were six bodies without caskets to bury them in. (( “Penn’s Grove & Carney’s Point.” Salem Sunbeam, Oct. 16, 1918, p.1 ))

prevent flu of 1918
Illustration from Illinois Health News, October 1918 provides ways to prevent the spread of the flu of 1918. Source: Chicago Public LIbrary

With entire households stricken, weakened families struggled to survive as there was no one care for the children and the sick.  When the “death angel” appeared at the Sheppard family, all eight members were down.  The Hallenger family, where the young daughter was taken, there was the added misfortune when one of the boys developed appendicitis.  He had to be taken to the Bridgeton Hospital for surgery.  In many families, there was no coal.

One of the saddest situations was at the farm of Clement Lippincott in Mannington Township, where both Mr. and Mrs. Warren Nixon passed away, leaving a family of six small children.  The youngest was about six weeks old and the oldest was eight years.  Never in the city’s history had there been such a death rate. 

Salem City recorded up to 25 deaths as the weeks wore on.  At this point, hundreds of people were down, and the doctors worked almost beyond endurance.  Dr. N. S. Hires, a long-retired caregiver, volunteered his service when it became apparent that practicing physicians had more than they could do.  Several doctors fell victim to the malady. 

Hoping to control the influenza while also providing a place to care for the most severe cases, the Red Cross opened a temporary hospital in the Sunday School Room of the First Baptist Church.  Placed under the charge of Mrs. W. H. Hazelton, she drew on Fort Mott for cots and homes and businesses for supplies to establish the hospital.  At the curb stood the Red Cross supply truck, which had been commandeered to serve as an ambulance. (( “Influenza Cases Reach Height . . . Will Open Hospital Here,” Salem Standard & Jerseyman, October 9, 1918, p.1 ))

A Penn’s Grove policeman detailed to the post office door admitted only three people at a time.  The officer arrested one hurried man as he insisted on going in and when he was searched he did not have a registration card.  “He now gets his mail in care of Sheriff Mifflin.” (( “Penn’s Grove News,” Salem Standard & Jerseyman, October 16, 1918, p.1 ))

After a couple of weeks, the epidemic waned and the Board of Health lifted the quarantine while the Red Cross Hospital closed. (( “Quarantine Now Lifted,” Salem Standard & Jerseyman, November 13, 1918 )) Life was returning to normal, but the crisis highlighted a long-standing need for a community hospital.  In Salem City, the Emergency Hospital in the First Baptist Church had rendered invaluable service.  The highest number of patients in the hospital at any one time had been twenty-six, and these included desperately ill people who could not get property treatment at home.  There had been four deaths in the hospital:  Mrs. William T. Mifflin, Mrs. Isabel Davis, Benjamin Lawrence, and Norman Gallaher. (( “Influenza Is on the Wane . . . Hospital’s Fine Work.” Salem Standard & Jerseyman, October 16, 1918. ))

To relieve suffering, the women of the county had rendered a public health service that could not be measure as the Red Cross took charge of caring for those admitted to the institution.  Near the end of the crisis, Miss Irene Moore of New York, a registered nurse, and Mrs. Charles R. Lloyd of Princeton were sent by the State Department of Health to the local board of health for duty at the hospital. (( “Influenza Is on the Wane . . . Hospital’s Fine Work.” Salem Standard & Jerseyman, October 16, 1918. ))

For more on the Flu of 1918, also see

In Salem County see part II of this article — When Death Came Calling Salem County Needed a Hospital

100 years ago, Spanish flu pandemic brought dread to New Jersey

The 1918 Flu Pandemic: Why It Matters 100 Years Later, from the CDC Blog


Note: Originally published in the Newsletter of the Salem County Historical Society, Summer 2019

When Death Came Calling Salem County Needed a Hospital

Continued from Part I – The Flu of 1918 Shutdown Salem County

Now is the time for a hospital.  That is what the Salem Sunbeam pointed out as life returned to normal.  The suffering and the tragedies which visited the county had demonstrated the need for a well-equipped local hospital.  “We have been shown that when it is necessary we can provide a hospital and take care of those who would otherwise have suffered much more than they did.  The Emergency Hospital was a means of saving life, but how much easier would it have been if this work and how much more could have accomplished if there was a permanent hospital,” the editor asked. ((“Now for a Hospital,”  Salem Sunbeam, October 18, 1918 ))

It had been impossible to tell the actual number of deaths in the county, but at Carney’s Point and Penn’s Grove there were more than 30 deaths, the editor observed.  The emergency hospital at Carney’s Point was taxed to its utmost, and several months ago Judge Waddington made a suggestion along these lines to the Board of Chosen Freeholders, but no action was taken.  That we must have a hospital is becoming more apparent every day. And the people are ready for it.  No matter what plan is adopted what is needed is a start.  The rest will come in good time. (( Ibid ))

Salem County Needs a Permanent Hospital

As troops returned home from Europe, the movement to establish a hospital grew.  But the sponsors of the Salem County Memorial Hospital had a “hard road to Hoe,” according to the Elmer Times.  In addition to financing the undertaking, there was “the exceptionally bothering question of location and style of building,” as the organizers considered how to balance the needs of the western and eastern regions.  If placed in Salem, it would be of little service to the opposite side of the County as Bridgeton and Vineland Hospitals are much more convenient, and if a patient was to be taken by train, it was a quick ride to Camden Hospitals, the paper observed.  On account of these barriers of geography, it was hard to raise enough enthusiasm to start the project. (( Timely Topics:  Editorial Opinion on Matters of Moment.” Elmer Times, 7 Feb. 1919, p. 1. ))

Also, rather than being placed in a municipality, it was thought it should be out in the open.  The wide-awake Chamber of Commerce in Woodstown secured an offer of four acres on the old Woodstown Race Track free, and the Borough pledged $30,000.  This advantage of a central location and admirable surroundings appealed to many.   But the Salem newspaper editor noted that it was an advantage to have it in the city because of the ready access to physicians at all times, and also the ability to retain nurses and aides.  Besides, it would take two years to erect a new building. (( Ibid ))

An option had been procured on the old Ford Hotel in Salem, and William H. Chew, the chairman of the campaign, was forceful in his appeal for this location.  He was convinced that any other site would be beyond financial reach.  Another argument for Salem City was its manufacturing interests.  Also, it was the center of the population (if not of the territory), especially when considering the riverfront settlements between there and Penns Grove, as a vast majority of all the emergency patients would come from this developed area.

When a meeting was held in Penns Grove, an “animated discussion” about the site in Salem City took place.  Since the people of Salem had gone so far with the project, it was a pity that this matter of local pride and prejudice should interfere with the work, Mr. C. E. Wood replied.  “Salem is the logical location for such an institution.  The county seat and the hospital is a matter in which all the people of the county should be interested.” 

Salem County Hospital Difficulties Resolved

These difficulties were soon worked out and ten months after peace was declared, 2,000 people from all parts of the County turned out for the dedication of the fine memorial for heroes, The Salem County Memorial Hospital.  It was a glorious tribute dedicated to the “memory of those who remained in France and those who returned, the Salem Sunbeam reported.  The old Fort Hotel was a “stately mansion for the sick and suffering.”

The Memorial Hospital of Salem County around the 1930s
The Memorial Hospital of Salem County around the 1930s . (Salem County Historical Society Photo)

The hospital opened for the reception of patients Monday morning with Miss Jane D. Nicholson, superintendent, and Miss Josephine Elwell and Miss Alma Baker, assistants.  It was declared by the physicians who toured the building that few hospitals had ever been opened with such complete furnishings, down to the smallest detail.  Mrs. Gilbert Barr of du Pont City was the first patient to enter on Monday.  She gave birth to a fine boy at 9:15 on Tuesday morning. Dr. W. H. James of Pennsville was the physician in charge.  Also on Monday, Frank I. Morrison, came to be treated for an accidental gunshot wound in the hand and on Tuesday John Riley; while painting a roof in Salem was severely bruised in a 20-foot fall.  Chester H. Spicer and Rev. Hyman were also there for repairs on Tuesday. (( “Salem’s Fine Memorial, Salem County Was First in War; First in Dedicating a Memorial,”  Penn’s Grove Record, September 5, 1919, p.1 ))

The deadly pandemic brought a lasting improvement to Salem County.  Following the devastation that shattered so many lives, Salem County established a permanent hospital better to prepare the community for future public health emergencies and provide efficient inpatient care for the growing community while dedicating it to the community’s World War I heroes.   Salem had been the first to answer the call and the first to establish a memorial that continues to serve the residents of the area today.



A version of this article originally appeared in the Newsletter of the Salem County Historical Society in the summer of 2019