|Painting of Abraham Lincoln giving the Gettysburg Address.|
|A rare photo of the Gettysburg ceremonies. A group of boys stands at the fringe of a crowd. In the distance, several men wearing sashes can be seen standing on the speakers’ platform. Analysis of an enlargement of this photo reveals the image of Lincoln sitting to the left of these men.|
|Abraham Lincoln, photographed|
by Alexander Gardner on
November 8, 1863, 11 days
before the Gettysburg Address.
By day 10 of symptoms, the fever was decreasing and the rash was beginning to itch and peel. The weakness persists the longest, preventing him from returning to work for the official business for 25 days. Visitors report that he was beginning to walk briefly by December 7 (day 19 of symptoms) and that marks of the rash were visible but few if any remained as facial scars. On Dec 15th he was able to work for a few hours and went to a play at Ford’s theater. A month later on January 12th, he was reported as having regained most of his old vigor, though still underweight.
NOTE: Abraham Lincoln had malaria at least twice. The first time was in 1830 (21 years old), along with the rest of his family. They had just arrived in Illinois that year. The second episode was in the summer of 1835 (26 years old), while living in New Salem, Illinois. Lincoln was then so ill, he was sent to a neighbor's house to be medicated and cared for. Malaria, during that time period, would often rear its ugly head throughout ones lifetime.
RUMOR: Lincoln had Marfan syndrome. Today geneticists consider the diagnosis unlikely.
UNFOUNDED: Lincoln's son, Willie, died from typhoid fever. It is only speculation that Lincoln suffered from typhoid fever at the Gettysburg address. But it is more likely that Lincoln had a mild case of smallpox, as his valet William H. Johnson develop smallpox caring for Lincoln after the Gettysburg address and he died of it before January 12, 1864.Compiled by Neil Gale, Ph.D.
 Malaria was a common disease in Chicagoland and southern Illinois in pioneer days, wherever swamps, ponds, and wet bottomlands allowed mosquitoes to thrive; the illness was called ague, or bilious fever when liver function became impaired; medical historians believe that the disease came from Europe with early explorers around 1500; early travel accounts and letters from the Midwest reports of the ague (a fever or shivering fit), such as those of Jerry Church and Roland Tinkham, the details of which are extracted from their writings:
From the Journal of Jerry Church, when he had "A Touch of the Ague" in 1830: ...and the next place we came to of any importance, was the River Raisin, in the state of Michigan. There we met with a number of gentlemen from different parts of the world, speculators in land and town lots and cities, all made out on paper, and prices set at one and two hundred dollars per lot, right in the woods, and musquitoes and gallinippers thick enough to darken the sun. I recollect the first time I slept at the hotel, I told the landlord the next morning I could not stay in that room again, unless he could furnish a boy to fight the flies, for I was tired out myself; and not only that, but I had lost at least half a pint of blood. The landlord said that he would remove the musquitoes the next night with smoke. He did so, and after that, I was not troubled so much with them. We stayed there a few days, but they held the property so high that we did not purchase any. The River Raisin is a small stream of water, something similar to what the Yankees would call a brook. I was very much disappointed in the appearance of the country when I arrived there, for I anticipated finding something great, and did not know but that I might on the River Raisin find the article growing on trees! But it was all a mistake, for it was rather a poor section of the country. ...We then passed on to Chicago, and there I left my fair lady-traveler and her brother, and steered my course for Ottawa, in the county of Lasalle, Illinois. Arrived there, I put up at the widow Pembrook`s, near the town, and intended to make her house my home for some time. I kept trading round in the neighborhood for some time, and at last, was taken with a violent chill and fever, and had to lay down at the widow`s, send for a doctor, and commence taking medicine; but it all did not do me much good. I kept getting weaker every day, and after I had eaten up all the doctors-stuff the old doctor had, pretty much, he told me that it was a very stubborn case, and he did not know as he could remove it, and thought it best to have counsel. So I sent for another doctor, and they both attended me for some time. I still kept getting worse and became so delirious as not to know anything for fifteen hours. I, at last, came to and felt relieved. After that, I began to feel better and concluded that I would not take any more medicine of any kind, and I told my landlady what I had resolved. She said that I would surely die if I did not follow the directions of the doctor. I told her that I could not help it; that all they would have to do was to bury me, for my mind was made up. In a few days, I began to gain strength, and in a short time, I got so that I could walkabout. I then concluded that the quicker I could get out of those "Diggins" the better it would be for me. So I told my landlady that my intention was to take my horse and wagon and try to get to St. Louis; for I did not think that I could live long in that country, and concluded I must go further south. I accordingly had my trunk re-packed and made a move. I did not travel far in a day, but at last arrived at St. Louis, very feeble and weak, and did not care much how the world went at that time. However, I thought I had better try and live as long as there was any chance.
From a letter by Roland Tinkham, a relative of Gurdon. S. Hubbard, describing his observations of malaria during a trip to Chicago in the summer of 1831: ...the fact cannot be controverted that on the streams and wet places the water and air are unwholesome, and the people are sickly. In the villages and thickly settled places, it is not so bad, but it is a fact that in the country which we traveled the last 200 miles, more than one half the people are sick; this I know for I have seen it. We called at almost every house, as they are not very near together, but still, there is no doubt that this is an uncommonly sickly season. The sickness is not often fatal; ague and fever, chill and fever, as they term it, and in some cases bilious fever are the prevailing diseases.
 Did Lincoln have the full-blown case or a mild case due to a previous vaccination (or variolization) of smallpox. Modern vaccination protocol uses the related vaccinia virus (cowpox) to elicit immunity that will protect against smallpox.
Variolization takes material from an active smallpox lesion and inoculates a healthy person through a cut in the skin. Variolization is riskier than vaccination because it can produce a full-blown case of smallpox. Yet, smallpox was so devastating, with such a high mortality rate (about 30%), that people were willing to undergo variolization and the mild case of smallpox it usually created, to increase their chances of surviving smallpox.