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Minnesota  Historical  Society. 
Vol.  XV.     Plate  XV. 


BIOGRAPHIC  MEMORIAL  OF  DR.  CHARLES  N.  HEWITT.* 


BY  WILLIAM  WATTS  FOLWELL. 


On  the  seventh  day  of  July,  1910,  it  pleased  the  Lord  of 
Life  and  Death  to  call  from  this  world  the  soul  of  Dr.  Charles 
Nathanael  Hewitt. 

The  assertion  is  ventured  that  no  one  citizen  of  Minnesota 
has  devoted  himself  more  zealously  to  her  welfare  or  conferred 
greater  benefits  on  her  people  than  he.  If  Minnesota  shall  pro- 
pose to  perpetuate  the  memory  of  men  who  have  rendered  great 
public  service  and  furnished  models  on  which  her  young  men 
may  pattern  their  lives,  let  her  place  among  the  statues  she 
rears  in  the  Capitol  that  of  this  citizen. 

Such  distinction  may  rightly  be  claimed  for  the  man  who 
organized  the  Public  Health  Service  of  Minnesota,  and  in  the 
course  of  a  quarter  century's  administration  of  that  service 
brought  it  to  a  high  state  of  efficiency,  saved  thousands  of 
lives,  and  prevented  an  amount  of  sickness  and  suffering  be- 
yond estimation. 

To  record  the  services  of  such  citizens  and  preserve  the 
memory  of  them  for  a  posterity  which  may  be  more  appre- 
ciative of  their  value  than  the  passing  generation,  is  a  worthy 
and  proper  function  of  this  Society.  The  following  contribu- 
tion is  accordingly  submitted. 

Charles  Nathanael  Hewitt  was  born  in  Vergennes,  Vermont, 
June  3,  1836.  Among  his  ancestors  are  many  notable  names. 
His  parents  moved  to  Potsdam,  St.  Lawrence  county.  New 
York,  in  his  early  childhood.  For  his  college  preparation  he 
was  sent  to  the  old  and  still  famous  Academy  of  Cheshire,  Con- 
necticut. From  there  he  passed  to  Hobart  College,  Geneva, 
New  York,  by  which  he  was  graduated  Bachelor  of  Arts  at  the 


♦Read  at  the  monthly  meeting-  of  the  Executive  Council,  November 
9,  1914. 


670  MINNESOTA   HISTORICAL   SOCIETY   COLLECTIONS. 

age  of  twenty.  Because  his  heart  was  in  the  subject  of  medi- 
cine he  did  not  aspire  to  academic  honors,  preferring  to  hold 
the  position  of  demonstrator  of  anatomy  in  the  Medical  De- 
partment of  the  College.  He  was  accorded  the  same  position 
in  the  Medical  College  at  Albany,  New  York,  from  which  he 
received  his  degree  of  Doctor  of  Medicine  in  1857.  His  father 
was  a  physician,  and  the  devotion  of  the  son  to  that  profes- 
sion was  evident  from  boyhood. 

Engaging  in  practice  with  his  preceptor  in  Geneva,  New 
York,  he  had  barely  become  established  before  a  call  came  to  a 
new  and  unexpected  sphere  of  medical  practice.  After  the 
pitiful  disaster  of  Bull  Run  in  1861  came  President  Lincoln's 
call  for  a  great  volunteer  army  to  be  enlisted  for  a  term  of 
three  years. 

General  Charles  B.  Stuart,  a  distinguished  civil  engineer, 
and  then  Chief  Engineer  of  the  United  States  Navy,  conceived 
the  idea  of  raising  a  regiment  of  engineer  troops,  foreseeing  the 
need  there  would  be  for  such  a  corps  in  case  of  a  great  and 
protracted  war.  The  War  Department  readily  issued  the  nec- 
essary orders.  In  the  course  of  a  single  month  the  companies 
were  filled  from  central  and  western  New  York  and  northern 
Pennsylvania.  The  commissioned  and  non-commissioned  offi- 
cers were  largely  civil  engineers,  some  of  them  of  long  expe- 
rience and  wide  reputation.  The  rendezvous  was  at  Elmira, 
New  York,  in  August,  1861. 

Dr.  Hewitt's  preceptor,  a  physician  of  more  than  local  emi- 
nence, was  appointed  surgeon  of  the  new  regiment;  but  ad- 
vanced age  and  developing  infirmity  soon  disqualified  him  for 
active  service,  and  he  was  obliged  to  resign  before  his  first 
campaign  was  well  begun.  From  the  beginning  the  adminis- 
trative duties  had  fallen  on  the  assistant  surgeon,  Dr.  Hewitt, 
who  at  once  succeeded  him  as  regimental  surgeon. 

It  is  necessary  here  to  make  some  account  of  the  peculiar 
organization  of  this  regiment.  When  the  time  came  for  the 
muster-in  of  the  engineer  volunteers,  it  was  discovered  that 
there  was  no  provision  of  law  for  the  enlistment  of  such  troops. 
In  expectation  that  Congress  would  as  soon  as  possible  ratify 
the  action  of  the  War  Department  in  prematurely  authorizing 


DR.  CHARLES  N.  HEWITT.  671 

such  enlistment,  the  whole  body,  officers  and  men,  cheerfully- 
acquiesced  in  being  mustered  in  as  infantry.  The  regiment 
accordingly  took  the  number  50  of  New  York  infantry  volun- 
teers. It  was  not  till  after  the  close  of  the  Peninsular  Cam- 
paign that  the  expected  Act  of  Congress  was  passed.  As  en- 
acted it  provided  for  the  organization  of  volunteer  engineer 
troops  in  regiments  of  twelve  companies,  each  composed  of  150 
officers  and  enlisted  men,  having  the  pay  and  standing  in  all 
respects  of  engineers  of  the  regular  army. 

Like  the  artillery  regiments  as  then  organized,  this  regi- 
ment was  chiefly  an  administrative  unit.  Each  company,  like 
each  battery  of  artillery,  was  equipped  for  independent  move- 
ment and  service.  Soon  after  the  passage  of  the  Act  referred 
to,  the  regiment  was  recruited  to  its  full  strength  of  1,800  offi- 
cers and  men.  The  habitual  distribution  of  the  command  was 
as  follows :  regimental  headquarters  and  one  company  at  Wash- 
ington, D.  C,  in  charge  of  the  engineer  depot  and  construction 
shops;  two  companies  at  the  headquarters  of  the  Army  of  the 
Potomac ;  and  battalions  of  two  or  three  companies  at  the  head- 
quarters of  different  army  corps.    ' 

The  division  and  scattering  of  the  command  imposed  on  the 
medical  staff  duties  far  greater  than  those  falling  on  those  of 
infantry  regiments.  It  outnumbered  those  brigades  which  had 
seen  two  or  more  campaigns.  Major  Hewitt  proved  himself 
equal  to  every  duty  and  emergency.  Riding  from  camp  to 
camp,  he  saw  that  his  assistant  surgeons  and  stewards  were 
provided  with  needed  appliances  and  supplies,  and  that  they 
were  attending  to  their  duties.  Dr.  Letterman,  Hooker's  med- 
ical director,  paid  him  the  high  compliment  of  saying,  ''He  is 
the  best  regimental  surgeon  in  the  Army  of  the  Potomac."  In 
the  last  years  of  the  war  he  was  chief  surgeon  of  the  Engineer 
Brigade  of  the  Army  of  the  Potomac,  consisting  of  the  50th 
and  15th  New  York  engineer  regiments  and  the  Regular  En- 
gineer Battalion.  This  position  made  a  large  addition  to  ad- 
ministrative duties.  Details  of  his  activities  in  the  successive 
campaigns  must  be  left  to  a  biographer,  but  some  leading  char- 
acteristics may  properly  be  noted. 


672  MINNESOTA   fitSTORtCAL   SOCIeTY   COLLECTIONS. 

Major  Hewitt  had  the  qualifications  essential  to  an  expert 
surgeon,  profound  knowledge  of  anatomy,  keen  perception  of 
the  immediate  problem,  and  extraordinary  deftness  of  hand. 
But  he  was  as  conservative  as  he  was  expert,  saving  to  the  pa- 
tient every  member  and  organ  which  could  be  of  use.  He  em- 
ployed every  means  of  antisepsis  known  at  the  time.  He  used 
to  say  that  he  would  rather  keep  patients  who  had  undergone 
severe  operations  under  a  tree  in  the  field  than  expose  them 
to  the  gangrene  of  the  best  general  hospital  in  Washington  or 
any  other  city.  For  his  sick  he  trusted  more  to  rest,  fresh  air, 
and  good  food,  than  to  his  medicine  chests.  The  only  com- 
plaint his  men  made  was  that  he  would  not  ''doctor"  enough. 
Many  a  man  who  came  to  sick  call  in  fear  of  a  ''spell"  of  sick- 
ness went  back  to  his  company  a  new  man  after  a  couple  of  days 
of  rest  and  good  feeding.  Intoxicants  he  prescribed  very  rare- 
ly, finding  other  stimulants  effective  enough  and  more  benign. 
It  ought  to  be  added  that  the  irrepressible  joviality  of  the  Chief 
Surgeon  was  perhaps  the  best  of  his  remedies.  Yet  nobody 
could,  when  necessary,  trim  down  a  shirk  or  malingerer  more 
effectually  than  this  genial  doctor. 

Sanitation  was  his  enthusiasm.  To  prevent  disease  among 
his  men  was  ever  more  in  his  mind  than  the  cure  of  the  sick. 
His  eye  was  ever  on  the  general  location  and  police  of  the 
camps,  but  particularly  on  the  commissary  departments  and  the 
company  cooks. 

The  writer  well  remembers  a  certain  occasion  when  his  effi- 
ciency in  sanitation  was  displayed  in  a  notable  way.  A  de- 
tachment of  the  regiment  under  command  of  the  lieutenant 
colonel  was  in  camp  in  the  late  summer  of  1864  near  the  mid- 
dle of  the  long  line  fronting  Petersburg.  Typhoid  suddenly 
broke  out  and  was  decimating  the  companies.  The  command- 
ing officer  sent  for  Major  Hewitt,  who  next  day  rode  into  camp. 
After  a  half  hour's  inspection  he  made  his  report  and  recom- 
mendation. In  another  half  hour  that  camp  ground  was  cleared 
of  everything  moveable  upon  it.  The  ground  was  thoroughly 
swept  or  scraped,  the  drainage  was  made  perfect,  new  sinks 
were  dug,  and  new  sources  of  water  were  opened.  The  cooks 
and  commissary  men  got  their  orders  toward  more   cleanly 


DR.  CHARLES  N.  HEWITT.  673 

handling  and  preparation  of  food.  Then  the  camp  was  re- 
established. Typhoid  disappeared  as  suddenly  as  it  had  come. 
Major  Hewitt  deserved  the  commission  of  Brevet  Lieutenant 
Colonel  which  came  to  him  near  the  time  of  his  muster-out  with 
his  regiment  early  in  July,  1865. 

His  old  clients  at  Geneva,  N.  Y.,  welcomed  Dr.  Hewitt  on 
his  return,  and  a  promising  career  re-opened  there ;  but  corre- 
spondence with  a  college  friend  and  brother  physician  roused 
an  interest  in  Minnesota,  and  the  opportunity  to  succeed  to  an 
established  practice  brought  him  to  Red  Wing  soon  after  the 
close  of  the  war. 

A  few  years  now  passed  devoted  to  extending  his  medical 
practice  and  the  establishment  of  a  home,  modest,  but  so  charm- 
ing that  no  calls  to  larger  spheres  for  the  employment  of  his 
professional  gifts  ever  tempted  him  to  exchange  it.  It  is  safe 
to  assert  that  had  he  moved  to  either  of  the  * '  Twin  Cities, ' '  he 
would  have  won  great  distinction  in  surgery  and  enjoyed  an 
ample  income.  He  married  in  1869  Miss  Helen  Hawley,  a  wife 
who  more  than  fulfilled  all  the  dreams  of  a  young  man's  fancy. 

Dr.  Hewitt  was  not  the  man  to  be  content  with  the  ca- 
reer of  a  village  doctor,  however  worthy  that  might  be.  As 
already  suggested,  he  was  inspired  with  the  noble  aspirations 
of  preventive  medicine,  A  diligent  reader  of  the  current  liter- 
ature of  medicine,  he  had  observed  the  operation  of  a  law  of 
Massachusetts  passed  in  1869  to  establish  a  State  Board  of 
Health,  and  the  similar  action  of  California  two  years  later.  A 
bill  drafted  by  him  on  the  model  of  the  Massachusetts  Act, 
passed  by  the  legislature  on  March  4,  1872,  put  Minnesota  third 
on  a  distinguished  roll. 

This  was  not  the  first  legislation  in  the  State  related  to  pub- 
lic health,  but  it  was  the  first  effective  action.  The  *'Code  of 
1857"  had  provided  for  municipal  boards  of  health  consisting 
of  justices  of  the  peace  "in  every  precinct,"  trustees  of  vil- 
lages, and  aldermen  of  cities.  Such  boards  were  authorized  to 
appoint  health  officers,  to  abate  nuisances,  and  to  quarantine 
smallpox. 

In  the  general  statutes  of  1866  we  find  substantially  the 
same  provisions,  with  the  exception  that  towu  supervisors  are 
boards  of  health. 

43  -  -  -  " 


g74  MINNESOTA  HISTORICAL  SOCIETY  COLLECTIONS. 

It  was  natural  that  these  isolated  boards  of  laymen  should 
act,  if  at  all,  in  a  purely  perfunctory  manner.  There  could  be 
little  voluntary  co-operation,  and  there  was  no  central  author- 
ity which  could  require  united  action. 

The  Act  of  1872  provided  for  a  central  State  Board  of  seven 
physicians,  with  the  following  duties: 

1.  To  put  themselves  in  communication  with  the  local 
boards  of  health  and  with  public  institutions. 

2.  To  take  cognizance  of  the  interests  of  health  and  life 
among  the  citizens  generally. 

3.  To  make  sanitary  investigations,  especially  of  epidemics. 

4.  To  study  the  sources  of  disease  and  the  effects  of  locali- 
ties, employments  and  circumstances  on  public  health. 

5.  To  devise  a  scheme  for  vital  statistics. 

6.  To  act  as  an  advisory  board  to  the  State  in  all  hygienic 
and  medical  matters. 

7.  To  have  charge  of  quarantine. 

8.  To  enact  and  enforce  measures  necessary  to  the  public 
health. 

The  Act  further  provided  for  a  Secretary  to  perform  and 
superintend  the  work  prescribed,  and  to  discharge  such  other 
duties  as  the  Board  might  require;  and  it  fixed  his  salary  at 
$250  a  year,  payable  quarterly. 

The  able  and  highly  reputable  physicians  appointed  to  the 
board  elected  Dr.  Hewitt  their  secretary.  It  was  understood 
of  course  that  he  would  give  only  spare  time  from  his  profes- 
sional work. 

It  is  obviously  impossible  within  the  limits  of  the  present 
article  even  to  catalogue  the  numerous  activities  of  so  enthu- 
siastic and  versatile  an  official.  Certain  groups  of  them  may  be 
noted  and  remarked  upon. 

The  attention  of  the  Board  was  naturally  at  once  directed 
to  putting  itself  into  communication  with  local  boards  of  health 
as  required  by  the  law.  This  was  not  difficult  in  cities  and 
villages,  but  from  rural  towns  there  was  almost  no  response. 
Upon  representations  to  the  legislature  of  1873,  that  body  en- 
acted a  law  requiring  town  boards  to  elect  annually  a  town 
board  of  health,  one  member  to  be  a  ph^si(?ian  and  town  health 


DR.  CHARLES  N.  HEWITT.  675 

officer.  These  elected  boards  of  health  may  have  been  an  im- 
provement, but  there  were  no  penalties  to  oblige  them  to  con- 
form to  regulations  of  the  State  Board.  It  was  not  till  1881 
that  a  heavy  fine  was  laid  on  any  local  board  or  member  there- 
of for  refusing  to  obey  the  reasonable  directions  of  the  State 
Board  of  Health. 

These  efforts  toward  providing  a  machinery  for  promoting 
public  health  culminated  in  an  act  of  the  legislature  of  1883, 
entitled  *' Health  Code. ''  It  enlarged  the  powers  of  local  boards 
and  gave  the  State  Board  still  larger  powers  of  regulation. 
Heavy  penalties  were  attached  to  neglect  of  duty  by  local 
boards  or  members.  This  act  was  so  drastic  that  some  of  its 
provisions  were,  in  a  later  year,  mitigated.  It  was  found  im- 
practicable to  compel  local  health  officers  to  make  thorough 
sanitary  inspections  of  their  towns,  villages,  or  cities,  as  the 
case  might  be,  and  to  report  in  writing  both  to  the  local  and 
state  boards.  Prompt  repeated  and  effectual  vaccination  of  all 
children  had  to  be  given  up,  in  the  face  of  a  violent  if  absurd 
opposition. 

The  Act  of  1885  receded  from  the  plan  of  having  town 
boards  elect  the  town  board  of  health,  and  revived  the  old  plan 
of  making  the  town  board  itself  the  board  of  health.  It  was 
not  required  that  there  should  be  a  physician  on  the  board,  but 
that  the  board  should  employ  a  physician  when  they  should 
deem  it  necessary,  or  when  required  to  do  so  by  the  state  board 
of  health.  .       '  iT^ 

Otherwise  the  act  of  1883  has  not  been  materially  changed, 
unless  in  the  provision  that  there  must  be  at  least  one  physician 
on  the  board  of  health.  If  no  town  supervisor  is  a  physician, 
the  board  of  health  must  elect  one. 

The  local  boards  of  health,  thus  co-ordinated  with  and  reg- 
ulated by  the  state  board,  furnished  a  state-wide  agency  for 
checking  the  spread  of  epidemics,  for  preventing  the  pollution 
of  waters,  for  the  collection  of  vital  statistics,  and  diffusing 
among  the  people  information  relating  to  health. 

Without  waiting  for  the  perfection  or  indeed  any  consid- 
erable improvement  in  the  mechanism  for  preserving  public 
health,  the  state  board,  led  by  the  executive  secretary,  began  a 


676  MINNESOTA   HISTORICAL.    SOCIETY    COLLECTIONS. 

warfare  against  epidemic  and  infectious  diseases.  Before  its 
creation  the  law  for  quarantine  of  smallpox  had  but  occasionally- 
been  put  into  effect.  Measures  were  at  once  taken  for  more 
effective  isolation  of  outbreaks.  Scarlatina  was  soon  added  to 
the  list  of  infectious  diseases  to  be  isolated;  then  typhoid  fever, 
and  later  diphtheria.  The  last  named  furnished  a  most  strik- 
ing illustration  of  the  effect  of  isolation  accompanied  with  im- 
proved medication  and  nursing.  The  number  of  reported 
deaths  from  diphtheria  in  1882  was  1,607 ;  in  1887,  788,  a  reduc- 
tion of  nearly  one-half ;  and  in  1895  the  figure  was  466,  a  little 
more  than  one-fourth  the  deaths  thirteen  years  before.  In 
those  years  the  population  of  Minnesota  had  doubled.  It  took 
Dr.  Hewitt  some  years  to  convince  his  medical  brethren  gen- 
erally that  diphtheria  was  infectious. 

As  might  be  presumed,  Dr.  Hewitt  was  alert  to  welcome 
every  new  development  in  his  profession.  He  accepted  at  once 
the  statement  of  Kirchhoff,  that  whether  the  bacillus  of  Koch 
was  truly  the  cause  of  Asiatic  cholera  or  not,  it  was  the  part  of 
enlightened  physicians  to  act  as  if  it  were.  He  was  fully  pre- 
pared for  the  invasion  of  that  disease  which  appeared  in  some 
of  our  seaports  in  1890,  but  happily  there  was  no  invasion  into 
Minnesota  and  the  appropriation  made  by  the  legislature  for 
repelling  it  was  not  used. 

He  was  not  content  with  the  new  learning  in  regard  to  the 
employment  of  serums  in  infectious  cases  as  represented  in  the 
journals.  To  get  the  essentials  of  that  he  went  to  Paris  in  the 
spring  of  1890  and  put  himself  under  the  instruction  of  Pasteur. 
His  studies  were  in  diphtheria,  tuberculosis,  and  rabies,  but  his 
main  object  was  to  acquire  the  method  of  Pasteur. 

The  cure  of  diseases  was  a  solemn  duty,  which  Dr.  Hewitt 
shared  with  the  members  of  his  profession;  the  prevention  of 
diseases  was  for  him  a  holy  crusade,  in  which  the  physicians  of 
the  day  were  not  over  eager  to  follow  him.  The  great  public, 
inheriting  the  belief  that  disease  is  inevitable  and  the  day  of 
each  one's  death  appointed,  had  little  faith  in  the  proposals  of 
preventive  medicine.  His  first  essay  was  towards  the  introduc- 
tion of  efficient  ventilation  in  public  institutions  and  in  school- 
houses.    It  cannot  be  doubted  that  his  inspection  and  recom- 


DR.  CHARLES  N.  HEWITT.  677 

mendations  had  much  to  do  with  experiments  which  were  more 
or  less  satisfactory.  For  dwelling  houses  he  insisted  that  no 
ventilating  apparatus  could  equal  the  open  fireplace.  He  la- 
bored vigorously  to  introduce  earth  closets  for  disposing  of 
human  excreta  where  sewers  did  not  exist. 

The  continued  though  abated  prevalence  of  typhoid  led  Dr. 
Hewitt  to  examine  the  water  supply  of  various  localities.  The 
results  were  such  as  to  convince  him  that  an  immediate  and 
extensive  examination  of  water  supplies  generally  was  de- 
manded. In  1877  he  began  a  sanitary  water  survey  of  the 
state.  In  the  next  years  he  made,  and  had  made,  chemical 
analyses  of  thousands  of  samples  from  lakes,  rivers,  and  wells, 
in  all  the  settled  parts  of  the  state.  Later  bacteriological  exam- 
inations were  added.  How  many  cities  and  villages  were  moved 
to  install  water  supply  systems  is  not  known,  but  the  number 
was  large.  Thousands  of  people  were  constrained  to  disuse 
wells,  which  had  been  erroneously  believed  to  yield  health- 
ful waters  but  in  fact  were  unfit  for  human  use. 

It  was  not  till  1885  that  the  legislature  could  be  moved  to 
enact  a  law  to  prevent  the  pollution  of  rivers  and  sources  of 
water  supply.  This  act  gave  the  state  board  of  health  general 
supervision  of  sources  of  water  supply  for  towns,  villages  and 
cities,  and  required  reports  from  local  authorities,  water  boards 
in  particular,  to  the  state  board. 

The  passage  of  this  important  law  was  recommended  and 
urged  by  Governor  Hubbard,  who,  more  than  any  other  of  the 
state  executives  of  the  time,  appreciated  the  services  of  the 
State  Board  of  Health  and  its  working  secretary.  In  the  same 
year  was  passed  the  act  conferring  on  the  board  power  to  quar- 
antine domestic  animals  attacked  with  epidemic  diseases.  This 
duty  was  later  and  properly  devolved  on  a  special  *  *  State  Live 
Stock  Sanitary  Board,"  but  for  some  years  useful  service  was 
rendered  under  the  supervision  of  Dr.  Hewitt.  His  faithful 
execution  of  this  law  aroused  an  opposition  which  at  length 
contributed  to  his  disadvantage. 

Mention  may  here  be  made  of  another  statute  of  1885,  em- 
powering the  state  board  of  health  to  regulate  offensive  trades 
and  employments  upon  application  from  parties  aggrieved  after 


678  MINNESOTA   HISTORICAL   SOCIETY    COLLECTIONS. 

public  hearing.  An  item  well-deserving  mention  is  the  investi- 
gation made  in  his  laboratory  into  illuminating  oils,  particu- 
larly petroleum  distillates.  The  result  was  the  establishment  of 
state  inspection,  which  immediately  shut  unsafe  kerosene  out 
of  Minnesota. 

He  was  the  pioneer  in  exposing  the  adulteration  of  foods 
and  condiments. 

The  untiring  industry  of  Dr.  Hewitt  in  prevention  of  dis- 
ease has  no  better  illustration  than  that  of  smallpox.  He  shared 
the  belief  of  his  profession  that  effective  vaccination,  repeated 
at  proper  intervals,  was  a  perfect  prophylaxis  against  that  fear- 
ful scourge.  In  every  possible  way,  and  on  all  occasions,  he  ad- 
vocated vaccination.  The  best  obtainable  virus  was  distributed 
from  his  office.  Dissatisfied  at  length  with  that  furnished  by 
the  trade,  he  established  near  Red  Wing  a  vaccine  farm.  There 
he  produced  in  liberal  quantity  virus  which  he  knew  to  be,  and 
which  was  proved  to  be  efficacious. 

It  was  found  that  we  had  to  deal  in  Minnesota  not  only  with 
cases  originating  in  the  state,  but  in  very  many  instances  with 
imported  cases.  To  check  the  immigration  of  persons  having 
the  disease,  or  who  might  be  expected  to  have  it,  Dr.  Hewitt 
established  in  1879  a  system  of  interstate  notification  which 
made  it  possible  to  quarantine  such  persons  if  they  crossed  the 
state  lines.  Later  he  prevailed  on  the  U.  S.  Marine  Hospital 
Service  in  New  York  to  give  him  notice  of  immigrants  bound  to 
Minnesota  who  were  likely  to  bring  the  infection.  A  similar 
courtesy  was  obtained  from  Canadian  authorities.  In  the 
years  1894-95,  forty  notifications  were  received  from  New  York, 
seven  from  Canada,  and  two  from  other  sea  ports,  covering  464 
persons  who  had  been  exposed  to  infection.  A  large  number 
of  these  were  intercepted  and  examined. 

Dr.  Hewitt  had  a  cause  still  dearer  to  his  heart  than  either 
the  cure  or  the  immediate  prevention  of  disease.  He  was  an 
apostle  of  the  *  *  art  of  good  living, ' '  which  he  gave,  as  another 
name  for  hygiene.  Individuals  acting  alone  could  of  course 
practice  this  art,  but  they  would  do  more  and  better  for  them- 
selves when  stimulated  by  the  contagion  of  community  interest. 
Hygiene  was  to  him  above  all  a  social  concern.     Perhaps  the 


DR.  CHARLES  N.  HEWITT.  679 

best  of  all  his  efforts  went  to  arousing  general  public  interest 
in  health  conservation.  He  wrote,  he  lectured,  he  personally 
exhorted,  and  sought  the  co-operation  of  physicians,  clergy,  and 
teachers.  He  addressed  many  meetings  and  conventions  of 
teachers,  showing  them  how  to  teach  hygiene  in  schools.  He 
called  sanitary  conferences  at  St.  Paul,  Minneapolis,  Northfield, 
Rochester,  and  other  places,  which  were  largely  attended. 
Some  of  the  addresses  published  in  the  reports  of  the  board  are 
well  worth  republication. 

On  none  of  these  occasions  did  Dr.  Hewitt  fail  to  emphasize 
his  central  doctrine,  that  it  is  the  duty  of  every  community  to 
promote  health.  The  promotion  of  health,  he  would  say,  is 
''as  obligatory  upon  communities  of  civilized  men  as  upon  in- 
dividuals." He  cherished  a  dream  of  virtually  organizing  the 
whole  state  into  a  health  association.  He  was  fond  of  quoting 
Franklin's  sentiment,  ''Public  health  is  public  wealth."  In  one 
of  his  early  reports  he  asserted  that  one  fifth  of  the  deaths  and 
one-fourth  of  the  sickness  in  Minnesota  were  preventable. 

As  a  means  of  spreading  needed  information  primarily 
among  local  health  boards,  and  through  them  to  the  general 
public,  he  began  in  1885  the  publication  of  a  monthly  periodical 
entitled  "Public  Health  in  Minnesota."  This  he  not  only 
edited,  but  wrote  large  parts  of  it.  Soon  after  he  took  the  office 
of  secretary,  he  began  the  publication  of  "Circulars  of  Informa- 
tion," regarding  infectious  diseases.  The  circulars  on  small- 
pox, scarlatina,  diphtheria,  and  rabies,  were  widely  distributed 
and  must  have  done  much  to  quiet  fears  and  direct  proper 
action. 

In  his  whole  laborious  campaign  of  education  there  was 
nothing  into  which  he  threw  himself  with  greater  ardor  than 
into  his  instruction  as  non-resident  professor  of  public  health  in 
the  University  of  Minnesota.  Beginning  in  1873,  for  more  than 
twenty  years  he  gave  an  annual  course  of  lectures  to  entering 
classes  or  the  whole  student  body.  There  was  some  variation 
in  his  subjects ;  but  the  program  of  1877  may  serve  to  indicate 
their  scope. 

1.  Health  and  hygiene,  public  and  private. 

2.  Disease ;  causes  and  prevention. 


680  MINNESOTA   HISTORICAL   SOCIETY   COLLECTIONS. 

3.  Poverty  and  pauperism. 

4.  To  young  men. 

5.  Crime  and  criminals. 

6.  Hygiene  and  education. 

7.  Hygiene  of  the  home. 

8.  Success  in  life. 

It  was  in  that  year  that  he  began  the  physical  examination 
of  the  students.  The  University  authorities,  indifferent  to  this 
innovation,  gave  no  support,  and  after  two  or  three  years  it 
was  abandoned. 

Two  years  before  the  creation  of  the  State  Board  of  Health, 
a  bureau  of  statistics  had  been  established  in  the  office  of  the 
Secretary  of  State,  the  Assistant  Secretary  of  State  being  ex 
officio  commissioner  of  statistics.  Provision  was  made  for  the 
collection  of  vital  statistics.  Some  tables  of  these  had  been 
published,  but  no  one  had  put  them  to  any  use.  Dr.  Hewitt 
immediately  made  a  study  of  the  tables,  and  interpreted  their 
lessons.  In  1876  he  published  a  ''Study  of  Vital  Statistics  of 
10,000  Persons, ' '  which  set  some  persons  to  thinking  and  ought 
to  have  set  a  great  many  more. 

He  found  the  system  of  collecting  vital  statistics  so  imper- 
fect and  inefficient  that  he  soon  proposed  that  the  matter  of 
vital  statistics  be  ,  transferred  to  the  State  Board  of  Health. 
After  more  than  a  decade  of  patient  waiting  and  importunity, 
that  transfer  was  made.  From  that  time,  1891,  the  vital  statis- 
tics of  Minnesota  have  been  increasing  in  value,  and  under  the 
present  administration  they  rank  high  among  those  of  sister 
states.  It  was  Dr.  Hewitt's  merit  to  have  organized  them  in 
right  lines. 

The  labors  thus  mentioned  were  verily  labors  of  love.  For 
the  first  five  years  of  service.  Dr.  Hewitt  received  the  sum  of 
$250  salary  each  year.  Next  for  a  like  term  he  was  paid  $500 
a  year.  The  salary  was  then  raised  to  $1,000  for  the  next  four 
years.  Not  till  1886  was  he  paid  enough  for  the  support  of  his 
family,  and  then  only  enough,  $2,500.  In  1894  an  increase  to 
$3,500  made  it  possible  for  him  to  move  the  office  of  the  State 
Board  to  St.  Paul  and  virtually  to  retire  from  private  practice. 
He  was  not  long  to  enjoy  that  relief. 


DR.  CHARLES  N.  HEWITT.  681 

We  have  considered  things  which  were  done.  It  may  be 
that  the  future  will  admire  this  noble  public  man  the  more  for 
the  things  he  would  have  liked  to  do;  things  which  could  not 
then  be  done,  partly  because  the  time  was  not  ripe  for  them,  and 
partly  because  strength  failed.  Among  these  unfilled  aspira- 
tions were : 

1.  To  have  local  health  boards  and  health  officers  paid 
enough  to  secure  efficiency.  In  1896  he  reported  that  more 
than  half  the  physicians  serving  as  health  officers  of  the  state 
had  no  pay  at  all,  and  of  those  who  did  receive  salaries  the 
larger  number  did  not  receive  over  $20  each.  The  highest  city 
salary  was  but  $2,000,  and  that  in  only  two  cities. 

2.  To  have  town  supervisors  elected  one  at  a  time  for  three 
years,  instead  of  three  at  a  time  for  one  year.  When  the  whole 
town  board,  as  frequently  happened,  went  out  of  office,  all  their 
successors  had  to  be  apprised  of  their  duties  as  a  board  of 
health.  Mention  has  been  made  of  an  attempt  to  remedy  this 
evil  by  having  the  town  board  elect  the  board  of  health.  This 
duty  was  so  ill  performed,  when  performed  at  all,  that  a  return 
was  made  to  the  old  form  of  having  the  town  board  itself  act  as ' 
the  town  board  of  health.  Year  after  year  Dr.  Hewitt  pleaded 
with  legislatures  to  arrange  town  elections  so  that  there  would 
always  be  a  majority  of  the  board  holding  over.  It  did  not 
please  the  legislature  to  take  this  perfectly  reasonable  step 
till  1905. 

3.  To  have  the  State  establish  a  hospital  for  inebriates. 
This  proposition  was  made  in  his  first  report,  and  was  repeated 
from  year  to  year  until, the  legislature  of  1875  took  action  for 
the  erection  of  buildings  for  that  purpose  at  Rochester.  As  is 
known,  the  extraordinary  pressure  for  larger  accommodations 
for  increasing  numbers  of  insane,  induced  the  legislature  later 
to  divert  the  institution  to  that  purpose.  The  inebriate  asylum, 
which  Dr.  Hewitt  so  much  desired,  was  opened  in  the  year  1912. 
It  is  therefore  mentioned  here  as  one  of  the  projects  which  this 
many-sided  man  had  at  heart,  but  did  not  live  to  see.  The  sub- 
ject of  intemperance  was  one  on  which  he  thought  intensely. 
He  regarded  it  as  an  inheritance  of  centuries,  which  could  not 
be  abolished  by  any  sudden  act  of  legislation.     It  might  take 


682  MINNESOTA   HISTORICAL    SOCIETY    COLLECTIONS. 

generations  to  raise  up  a  body  of  people  so  truly  temperate  and 
abstinent  that  the  liquor  seller's  occupation  would  be  gone. 
For  the  meantime  he  preached  the  reasonable  gospel  of  temper- 
ance and  practiced  it.  His  lecture  on  temperance  to  the  Uni- 
versity students  explained  the  evil  effects  of  intoxicants  on 
body  and  mind  in  forceful  but  not  extravagant  terms.  He 
believed  that  habitual  drunkenness  was  a  disease  akin  to  insan- 
ity, and  therefore  held  to  the  conviction  that  it  ought  to  be 
treated  in  institutions  where  proper  restrictive  and  curative 
means  and  surroundings  could  be  provided. 

4.  To  have  a  Pasteur  hospital  for  the  treatment  of  rabies 
established  under  the  management  of  the  State  Board  of  Health. 
On  his  return  from  his  studies  in  Paris  in  1891  he  represented 
that  a  beginning  might  be  made  at  a  cost  of  $1,000  a  year.  It 
was  many  years  after  Dr.  Hewitt 's  retirement  from  public  serv- 
ice that  this  highly  necessary  work  was  taken  up. 

5.  To  have  township  nurses  employed  to  care  for  epidemic 
cases.  This  recommendation  was  repeated  in  successive  reports 
to  no  purpose.  The  time  was  not  ripe,  and  probably  it  is  not 
yet  ripe. 

6.  To  compel  the  vaccination  of  the  whole  population,  and 
to  exclude  children  not  vaccinated  from  public  schools.  At  the 
present  time  vaccination  is  not  yet  generally  compulsory,  and 
only  in  times  of  epidemic  smallpox  can  children  not  vaccinated 
be  excluded  from  public  schools. 

7.  To  have  physical  examination  of  all  children  and  youth 
attending  public  schools  begun  and  ultimately  everywhere  con- 
ducted. In  the  years  1877  to  1880  he  personally  examined  465 
students  of  the  University,  the  records  of  which  may  be  found 
in  the  eighth  report  of  the  State  Board  of  Health,  for  the  years 
1879-1880. 

8.  During  the  twenty  years  in  which  he  held  the  position 
of  non-resident  professor  of  Public  Health  in  the  University  of 
Minnesota,  it  was  his  hope  that  a  Department  or  College  of 
Public  Health  might  be  organized  and  developed,  in  which 
health  officers  might  be  trained  for  the  prevention  of  disease. 
He  was  comparatively  indifferent  to  the  development  of  a  med- 
ical department  of  the  traditional  kind,  in  which  men   are 


DR.  CHARLES  N.  HEWITT.  683 

trained  to  cure  disease.  Still  he  was  loyal  to  his  profession,  and 
in  the  days  when  the  academic  work  of  the  University  was  be- 
ing patiently  built  up,  before  the  University  resources  were 
adequate  to  the  establishment  of  a  medical  college  equipped 
for  complete  instruction,  he  suggested  the  organization  of  a 
faculty  which  should  simply  hold  examinations  and  grant  med- 
ical degrees  to  such  as  should  pass  them.  This  faculty  acted  as 
a  State  Medical  Examining  Board,  and  it  passed  upon  the 
diplomas  of  all  physicians  in  practice  at  that  time  in  the  state. 
This  organization  was  made  and  remained  in  existence  until  the 
University,  by  absorbing  a  local  medical  college,  was  ready  in 
1888  to  offer  instruction.  Dr.  Hewitt  declined  a  professorship 
in  the  enlarged  medical  college,  because  of  the  hope  that  he 
might  see  a  department  of  Public  Health  opened,  in  which  his 
talent  could  be  best  used  and  his  highest  ambition .  gratified. 
His  dream  has  not  been  fulfilled,  and  long  years  may  pass  be- 
fore an  enlightened  public,  appreciating  his  splendid  idea,  will 
demand  this  establishment  of  a  college  of  public  health.  His 
lectures  on  public  health  were  probably  the  first  delivered  in  an 
American  college. 

9.  To  have  a  complete  sanitary  inspection  of  the  State, 
followed  by  annual  sanitary  inspection,  with  reports  to  the 
State  Board.  Of  this  it  may  be  said  that  it  was  a  mere  project 
thrown  out  to  call  attention  and  awaken  an  interest  which  in 
the  course  of  time  might  ripen  into  actual  undertakings.  The 
idea  of  a  general  sanitary  survey  is  probably  not  yet  deemed 
feasible  or  desirable  by  any  large  number  of  persons. 

During  these  long  years  of  service,  contending  against  pub- 
lic ignorance,  professional  indifference,  and  legislative  par- 
simony, the  doctor's  enthusiasm  was  constantly  warmed  by  in- 
dications of  appreciation.  His  efficiency  in  the  handling  of 
epidemics  compelled  the  admiration  of  his  profession  and  the 
approval  of  the  general  public.  Teachers  were  grateful  to  him 
for  his  labors  toward  the  sanitation  of  school  buildings.  He 
was  cheered  by  the  co-operation  of  the  clergy  and  of  many  hon- 
orable women,  whose  aid  he  publicly  acknowledged. 

His  work  and  writings  became  known  in  the  neighboring 
states,  and  later  throughout  the  country.     In  1887  he  was  Pres- 


684  MINNESOTA    HISTORICAL    SOCIETY    COLLECTIONS. 

ident  of  the  American  Public  Health  Association,  an  organiza- 
tion he  had  helped  to  form  and  build  up.  His  reputation  se- 
cured to  him  an  associate  membership  in  the  Society  of  Health 
Officers  of  England  and  the  Societe  d 'Hygiene  of  France.  In 
1891  he  attended  the  International  Congress  of  Medicine  and 
Demography,  held  in  London,  and  contributed  to  the  discus- 
sions. Canadian  health  authorities  respected  his  acquirements 
and  efficiency,  and  were  ready  to  co-operate  with  him.  His  Col- 
lege gave  him  the  honorary  degree  of  Doctor  of  Laws. 

After  a  quarter  century  of  devoted  service  to  his  State,  that 
service  came  to  an  abrupt  termination.  Dr.  Hewitt  had  never 
needed  to  ask  for  reappointment  to  membership  of  the  State 
Board  of  Health,  nor  to  re-elections  as  its  executive  secretary. 
He  had  kept  the  office  absolutely  clear  of  political  complica- 
tions. At  work  in  his  office  on  a  certain  afternoon  in  January 
in  1897,  word  came  to  him  that  the  Governor  had  omitted  his 
name  from  the  list  of  appointments  to  membership  of  the  State 
Board.  It  was  the  work  of  a  few  minutes  for  him  to  gather  up 
the  few  articles  belonging  to  him  personally  and  say  a  word  of 
parting  to  his  faithful  assistants.  In  his  last  report,  for  the 
preceding  year  (1896),  in  a  concluding  paragraph  he  expressed, 
as  follows,  the  feelings  of  the  hour. 

The  best  of  my  life  and  effort  have  gone  into  this  work.  I  have 
spared  neither  time,  labor,  nor  thought,  to  make  it  what  it  ought  to  be. 
Such  as  it  is,  the  record  is  made  and  closed.  I  resume  tomorrow  the 
active  practice  of  my  profession  with  the  sincere  wish  that  the  public 
health  service  of  Minnesota  may  maintain  and  advance  the  position 
which  it  has  won  among  the  similar  organizations  in  other  states.  I 
am  still  more  anxious  that  it  continue  to  serve  the  whole  people  of 
Minnesota  in  the  future  as  in  the  past. 

This  removal  from  the  Board  came  as  an  absolute  surprise. 
If  there  had  been  machinations  for  it,  no  one  had  revealed  them 
to  him.  Never  had  he  been  so  full  of  enthusiasm  for  his  great 
work,  nor  more  hopeful  of  increasing  usefulness.  To  find  his 
career  as  a  sanitarian  and  guardian  of  the  public  health  of  a 
state  thus  instantly  cut  short  without  warning,  was  a  stunning 
blow.  He  left  the  office  and  never  entered  it  again,  nor  held 
any  communication  with  the  State  Board  of  Health  or  its  offi- 
cers.    His  was  not  the  philosophy  to  look  upon  this  decapitation 


DR.  CHARLES  N.  HEWITT.  685 

as  one  of  the  things  likely  to  happen  to  any  man  in  the  service 
of  the  public,  holding  office  at  the  pleasure  of  a  state  executive 
elected  by  a  political  party.  At  some  time  even  such  an  office 
as  his  would  be  needed  in  a  political  propaganda.  It  will  prob- 
ably be  consented  to  by  all,  that  one  who  had  labored  so  faith- 
fully and  deserved  so  well  the  approval  of  the  public  had  a  cer- 
tain right  to  suggest  the  time  and  manner  of  retirement,  even 
when  informed  that  retirement  would  be  inevitable.  The  writer 
does  not  hesitate  to  say  that  the  action  of  Governor  Clough  was 
simply  brutal. 

The  doctor  of  course  in  time  recovered  from  the  effects  of 
this  relegation  to  private  life.  He  resumed  his  private  practice 
at  Red  Wing,  welcomed  by  a  body  of  old  clients.  His  profes- 
sional brothers  came  to  him  for  information  and  counsel.  His 
home,  with  its  great  elms,  its  vines,  and  his  garden,  occupied 
much  of  his  time.  He  had  long  been  a  busy  writer  of  reports, 
opinions,  essays,  editorials,  and  addresses.  He  now  planned  to 
use  this  talent  in  writing  out  a  history  of  medicine.  He  had 
long  held  the  opinion  that  the  great  physicians  of  antiquity 
whose  names  have  come  down  to  us,  while  ignorant  of  anatomy, 
still  possessed  arts  of  diagnosis  and  healing  which  moderns  have 
to  rediscover.  For  this  purpose  he  spent  some  winters  at  the  na- 
tional capital,  where  the  resources  of  the  Library  of  Congress 
were  avaUable  and  freely  granted.  One  winter  he  spent  in 
Paris.     This  work  he  did  not  live  to  complete. 

Dr.  Hewitt  had  a  great  capacity  for  friendship.  He  cher- 
ished to  the  end  the  attachments  which  his  college  fraternity, 
the  Alpha  Delta  Phi,  had  established.  Educated  in  school  and 
college  under  Episcopalian  influences,  he  maintained  his  mem- 
bership in  that  church  throughout  life.  It  is  well  worth  while 
to  note  a  characteristic  contribution  to  the  work  of  his  parish. 
He  had  a  notable  musical  gift,  Avhich  was  shared  by  his  own 
children.  He  organized  and  for  many  years  taught  a  choir  of 
boys;  and  he  taught  them  much  more  than  music, — courtesy, 
and  honor,  and  reverence.  The  memory  of  those  lessons  is  still 
dear  to  many  of  ' '  the  old  choir  boys. ' ' 

Along  with  all  his  engagements  he  carried  on  the  primary 
education  of  his  children,  and  taught  as  no  schoolmaster  can  be 


686  MINNESOTA  HISTORICAL  SOCIETY  COLLECTIONS. 

expected  to  do.  He  discovered  that  an  immense  amount  of  time 
was  wasted  in  schools,  that  the  real  learning  by  children  was 
got  in  a  little  time  and  in  separate  moments  of  attention. 
Thirty  years  ago  or  more  he  declared  that  half  of  the  time  of 
public  school  children  might  be  given  to  what  was  later  known 
as  manual  training,  while  still  as  good  progress  would  be  made 
in  the  usual  school  studies. 

The  life  of  this  noble  man,  devoted  citizen,  and  sincere  Chris- 
tian, ended  after  a  short  illness  on  July  7,  1910,  at  the  age  of 
seventy-four  years.  His  body  was  cremated,  and  the  ashes  were 
deposited  at  his  boyhood  home  in  Potsdam,  New  York.  It  will 
be  long  before  Minnesota  shall  look  upon  his  like  again. 


14 


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