The Bubonic Plague in San Francisco: Science, Racism, and the Fight for Medical Legitimacy

Introduction

David K. Randall’s book Black Death at the Golden Gate: The Race to Save America from the Bubonic Plague delves into the history of the bubonic plague and its impact on America. He contends that the battle against the disease was not only a medical one but also one over the legitimacy of science.

The Bubonic Plague and Its Arrival in America

The bubonic plague is a bacterial infection spread by fleas that live on rodents. The disease has a long and tragic history, including the infamous Black Death, which killed millions in Europe during the 14th century. The bubonic plague arrived in America in the late nineteenth and early twentieth centuries, specifically in San Francisco.

The city, which was rapidly expanding and had a large port, was an ideal breeding ground for the disease (Randall, 2019). The use of quarantines was one of the most contentious methods. Some people believed that quarantining infected people and their families was the most effective way to prevent the disease from spreading. Others claimed that this method was inhumane and violated civil liberties.

Public Skepticism and the Role of Science

The role of science was the most contentious issue. At the time, there was much skepticism about the effectiveness of medical treatments and scientists’ ability to truly understand the disease. Many people believed traditional methods, such as burning infected buildings or using natural remedies, were the best way to combat the plague. Randall contends that the battle against the bubonic plague was fundamentally a battle over the legitimacy of science (2019).

Medical professionals and scientists struggled to persuade the public that their methods were effective and that their understanding of the disease was correct. They were met with skepticism and opposition from those who believed that traditional methods were superior. The battle against the bubonic plague in America was ultimately successful, but only with difficulties. It required the collaboration of medical professionals, scientists, and government officials, as well as extensive education and outreach to persuade the public of the efficacy of scientific procedures (Randall, 2019). It also demanded much faith in the scientific community, which was only sometimes easy to come by.

Innovative Medical Approaches by Kinyoun and Blue

In various ways, the efforts of Joseph Kinyoun and Rupert Blue in the fight against the bubonic plague challenged previous concepts of medical research. Secondly, they disputed the widely held belief that quarantine was the most effective method of controlling disease spread. Instead, they argued for a more scientific approach, concentrating on finding the disease’s source and producing a vaccine to prevent its spread. Kinyoun and Blue’s approach was also a break from previous American medical practice, which European traditions had significantly influenced (Engelmann, 2020). They aimed to create a uniquely American approach to medical science, emphasizing innovation and efficiency.

Confronting Prejudice and Racism in San Francisco

Kinyoun and Blue’s effort to safeguard San Francisco from a broader outbreak, on the other hand, collided with entrenched prejudice and the notion of American exceptionalism. San Francisco had a significant Chinese population at the time, and there was much prejudice against Chinese immigration. Many people believed that Chinese people were more likely to be disease carriers, and there were calls to confine the whole Chinese community. Kinyoun and Blue, on the other hand, observed that the disease made no distinctions based on race or ethnicity. They argued for a more targeted approach, identifying affected people and reducing disease spread through public education and outreach.

Systemic Racism and Government Response

Despite their best efforts, systemic racism and the notion of American exceptionalism shaped the response to the pandemic. For example, the federal government first provided very little aid to San Francisco in its fight against the disease, claiming it was a local issue. This lack of support reflected a broader cultural idea that America was immune to diseases that afflicted other regions of the world.

Kinyoun and Blue’s battle against the bubonic plague in San Francisco exemplifies the tangled web of medical knowledge, entrenched racism, and American exceptionalism. Their approach called into question beliefs about medical practice and emphasized the necessity of scientific inquiry and innovation. They were also up against well-rooted prejudices and cultural ideas that impacted the disease’s response (Engelmann, 2020). In many ways, their battle was about not just stopping the spread of the bubonic plague but also determining the future of American medicine and society.

Conclusion

To summarize, the fight against the bubonic plague in America was a battle over the legitimacy of science, not just a medical battle. It took a lot of education, outreach, and cooperation, but it ultimately demonstrated that scientific methods might help reduce disease spread. We must recall these lessons and promote scientific community trust while combating skepticism and misinformation.

Works Cited

Randall, David K. Black death at the Golden Gate: The race to save America from the bubonic plague. WW Norton & Company, 2019.

Engelmann, L. (2020). A plague of kinyounism: the caricatures of bacteriology in 1900 San Francisco. Social History of Medicine, 33(2), 489-514.

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StudyCorgi. "The Bubonic Plague in San Francisco: Science, Racism, and the Fight for Medical Legitimacy." July 17, 2025. https://studycorgi.com/the-bubonic-plague-in-san-francisco-science-racism-and-the-fight-for-medical-legitimacy/.

References

StudyCorgi. 2025. "The Bubonic Plague in San Francisco: Science, Racism, and the Fight for Medical Legitimacy." July 17, 2025. https://studycorgi.com/the-bubonic-plague-in-san-francisco-science-racism-and-the-fight-for-medical-legitimacy/.

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