Man’s conquest of disease, however, cannot be perfect. Clarendon, assuring the dubious trusty-nurses that the fever was not contagious, had had the patient bathed, sponged in alcohol, and put to bed; but was told the next morning that the case was lost. The man had died after midnight in the most intense agony, and with such cries and distortions of face that the nurses were driven almost to panic. The doctor took this news with his usual calm, whatever his scientific feelings may have been, and ordered the burial of the patient in quicklime. Then, with a philosophic shrug of the shoulders, he made the usual rounds of the penitentiary.
Two days later the prison was hit again. Three men came down at once this time, and there was no concealing the fact that a black fever epidemic was under way. Clarendon, having adhered so firmly to his theory of non-contagiousness, suffered a distinct loss of prestige, and was handicapped by the refusal of the trusty-nurses to attend the patients. Theirs was not the soul-free devotion of those who sacrifice themselves to science and humanity. They were convicts, serving only because of the privileges they could not otherwise buy, and when the price became too great they preferred to resign the privileges.
But the doctor was still master of the situation. Consulting with the warden and sending urgent messages to his friend the governor, he saw to it that special rewards in cash and in reduced terms were offered to the convicts for the dangerous nursing service; and by this method succeeded in getting a very fair quota of volunteers. He was steeled for action now, and nothing could shake his poise and determination. Additional cases brought only a curt nod, and he seemed a stranger to fatigue as he hastened from bedside to bedside all over the vast stone home of sadness and evil. More than forty cases developed within another week, and nurses had to be brought from the city. Clarendon went home very seldom at this stage, often sleeping on a cot in the warden’s quarters, and always giving himself up with typical abandon to the service of medicine and of mankind.
Then came the first mutterings of that storm which was soon to convulse San Francisco. News will out, and the menace of black fever spread over the town like a fog from the bay. Reporters trained in the doctrine of “sensation first” used their imagination without restraint, and gloried when at last they were able to produce a case in the Mexican quarter which a local physician — fonder perhaps of money than of truth or civic welfare — pronounced black fever.
That was the last straw. Frantic at the thought of the crawling death so close upon them, the people of San Francisco went mad en masse, and embarked upon that historic exodus of which all the country was soon to hear over busy wires. Ferries and rowboats, excursion steamers and launches, railways and cable cars, bicycles and carriages, moving-vans and work carts, all were pressed into instant and frenzied service. Sausalito and Tamalpais, as lying in the direction of San Quentin, shared in the flight; while housing space in Oakland, Berkeley, and Alameda rose to fabulous prices. Tent colonies sprang up, and improvised villages lined the crowded southward highways from Millbrae to San Jose. Many sought refuge with friends in Sacramento, while the fright-shaken residue forced by various causes to stay behind could do little more than maintain the basic necessities of a nearly dead city.
Business, save for quack doctors with “sure cures” and “preventives” for use against the fever, fell rapidly to the vanishing-point. At first the saloons offered “medicated drinks”, but soon found that the populace preferred to be duped by charlatans of more professional aspect. In strangely noiseless streets persons peered into one another’s faces to glimpse possible plague symptoms, and shopkeepers began more and more to refuse admission to their clientele, each customer seeming to them a fresh fever menace. Legal and judicial machinery began to disintegrate as attorneys and county clerks succumbed one by one to the urge for flight. Even the doctors deserted in large numbers, many of them pleading the need of vacations among the mountains and the lakes in the northern part of the state. Schools and colleges, theatres and cafés, restaurants and saloons, all gradually closed their doors; and in a single week San Francisco lay prostrate and inert with only its light, power, and water service even half normal, with newspapers in skeletonic form, and with a crippled parody on transportation maintained by the horse and cable cars.
This was the lowest ebb. It could not last long, for courage and observation are not altogether dead in mankind; and sooner or later the non-existence of any widespread black fever epidemic outside San Quentin became too obvious a fact to deny, notwithstanding several actual cases and the undeniable spread of typhoid in the unsanitary suburban tent colonies. The leaders and editors of the community conferred and took action, enlisting in their service the very reporters whose energies had done so much to bring on the trouble, but now turning their “sensation first” avidity into more constructive channels. Editorials and fictitious interviews appeared, telling of Dr. Clarendon’s complete control of the disease, and of the absolute impossibility of its diffusion beyond the prison walls. Reiteration and circulation slowly did their work, and gradually a slim backward trickle of urbanites swelled into a vigorous refluent stream. One of the first healthy symptoms was the start of a newspaper controversy of the approved acrimonious kind, attempting to fix blame for the panic wherever the various participants thought it belonged. The returning doctors, jealously strengthened by their timely vacations, began striking at Clarendon, assuring the public that they as well as he would keep the fever in leash, and censuring him for not doing even more to check its spread within San Quentin.