I just finished reading an interesting book: The Great Influenza, by John M. Barry. The book is about the Spanish flu epidemic in 1918-1920 and the researchers that tried to understand what was happening (mostly from an American perspective).
One of the things that Barry underscores is that scientists and doctors weren’t sure that they were actually dealing with the flu much of the time, because the virulence and some of the symptoms were so different from the “common” flu. Some of the more unusual reports of illness included complications related to “serious mental disturbances and even psychoses” that weren’t just fever-induced delirium. A decade later, some researchers were apparently relating the flu to an increase in Parkinson’s and even “temporary” schizophrenia. The ability of the flu to occasionally impact the brain and cause neurological problems is supposedly a commonly accepted view these days.
Barry doesn’t do a lot of what-ifs, but he does do one with regard to the flu, Woodrow Wilson, and what happened at the negotiations for Treaty of Versailles in 1919.
The chain of events, in brief:
Barry notes that Wilson, Georges Clemenceau and Lloyd George had already been negotiating for nearly three months, since January 1919, over the terms of the treaty, with Wilson and Clemenceau in particular deeply at odds with each other. (Clemenceau called Wilson pro-German and “a cook who keeps her trunk ready in the hallway”; Wilson called Clemenceau damnable.) Wilson was bound and determined not to have a treaty that was overly punitive against Germany, while Clemenceau wanted harsh penalties.
In the beginning of April, Wilson had threatened to return to the U.S. rather than give up on his principles. Then, on April 3 around 6 p.m., Wilson came got sick so violently and rapidly that his staff first thought he’d been poisoned. It turned out to be a case of the flu. He was running a fever over 103F, had diarrhea and severe coughing fits and suffered total prostration. A 25-year-old aide of Wilson’s came down with the flu on the same day, and died four days later.
Wilson insisted on returning to negotiations on April 8 (actually, George and Clemenceau came to his bedroom since he was still sick). Barry offers quotes and stories from Wilson’s staff about the change in his behavior during this illness (pg 384-386):
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Gilbert Close, Wilson’s secretary - said, “I never knew the president to be in such a difficult frame of mind as now. Even while lying in bed he manifested peculiarities.”
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Herbert Hoover - believed Wilson’s mind had lost “resiliency”
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Col. Starling of the Secret Service - noticed Wilson’s loss of ability to grasp things quickly
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Chief White House Usher Irwin Hoover - said that Wilson had suddenly come to believe in a variety of strange ideas, including one that his home was “filled with French spies”, and that Wilson was personally responsible for all the furniture in the furnished place he was living in. Added Hoover, " One thing is certain: he was never the same after this little spell of sickness."
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Ray Stannard Baker, member of the American peace delegation - says Wilson “could not remember without an effort what the council had done in the afternoon”
Without warning, while still in sick in bed, Wilson abruptly gave in to all of Clemenceau’s major demands, without consulting any other Americans and in complete opposition to his position before he got sick. He also gave Italy pretty much whatever it wanted, and let the Japanese take over German concessions in China.
Lloyd George is quoted as remarking on Wilson’s “nervous and spiritual breakdown in the middle of the Conference.” A number of diplomatic aides and advisers resigned in protest. John Maynard Keynes called Wilson “the greatest fraud on earth” for not standing up for his principles.
Four months later, Wilson suffered a stroke from which he never really recovered.
Barry suggests that neurological complications of the flu essentially caused Wilson to lose it at the peace negotiations, and that his subsequent stroke may have been related to blood vessel damage caused by the flu itself (since some autopsied flu victims had shown such damage). He also notes that only one historian, Alfred Crosby, has ever ascribed Wilson’s behavior in Paris in April 1919 as the result of the flu; everyone else who has waded in with a diagnosis after the fact has suggested arteriosclerosis and/or a mild stroke.
Which brings me to a couple of things I think could be debated (though it might get a little unwieldy in here; I suppose a separate thread could be branched off if needed).
One debate is for the medical people: How likely is it that Wilson’s behavior was the result of complications from the flu, rather than simple flu crappiness? I can’t get a good feel for how widely the flu/neurological complications link is accepted from Barry’s narrative. I also don’t know if there are other candidate illnesses that maybe weren’t well understood at that time that would have similar symptoms to what is somewhat vaguely described for Wilson.
The other debate is for the history people: What do you think the outcome of the Paris negotiations would have been if Wilson hadn’t gotten sick, and stuck to his guns? Would Clemenceau ever have caved on his demands? Would the next couple of decades have been radically different for the Japanese in terms of preparations for aggressive action if they hadn’t gotten bits of China?