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Joshua Goldman Disease Paper History of Science 509 Hookworm and its impact on public health reform in the twentieth century Until well into the twentieth century a particular group of regional ailments plagued the southern United States, unable to make an entrance into the North. Hookworm was such one disease indigenous to the South at the turn of the twentieth century. The hookworm parasite avoided detection for centuries by remaining comfortably hidden in millions of rural lower class Southerners who had no idea what hookworm was, or how to combat it. If a southerner was even lucky enough to escape the devastating preceding epidemics of smallpox, typhoid fever, and cholera, he or she was almost guaranteed to contract hookworm at least once. Unlike other epidemics of the nineteenth and twentieth centuries, hookworm victims rarely died but were left feeling weak, lethargic, and generally incapable of doing any manual labor. Hookworm thus became...

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