key: cord-0033291-fs2wcntj authors: Breedlove, Byron title: A Simple Sketch Symbolizing Self-Reliance date: 2016-11-03 journal: Emerg Infect Dis DOI: 10.3201/eid2211.ac2211 sha: 0843b669142963c77ba252334d8bba1d78abbc12 doc_id: 33291 cord_uid: fs2wcntj nan ruminations on human existence, society, government, economics, nature, and other topics that were inspired by his daily observations on local events or his close-up encounters with nature. In an essay about Walden, "A Sage for All Seasons," American writer and critic John Updike opined, "A century and a half after its publication, Walden has become such a totem of the back-to-nature, preservationist, anti-business, civil-disobedience mindset, and Thoreau so vivid a protester, so perfect a crank and hermit saint, that the book risks being as revered and unread as the Bible." Thoreau died of tuberculosis in May 1862, a disease that first manifested itself in 1835 while he was a student at Harvard College. He had endured several years of declining health, starting with a bout of bronchitis. Many of his large projects were left behind in various stages of completion and would have been lost to history were it not for the industrious work of his younger sister, Sophia Thoreau. In Walden, Henry Thoreau wrote, "For more than five years I maintained myself thus solely by the labor of my hands, and I found that, by working about six weeks in a year, I could meet all the expenses of living." Sophia, in contrast, managed the family's business after their father's death, and according to the Concord Museum "helped manage her brother's literary legacy in the years immediately following his death, and she is largely responsible for the preservation of his material legacy as well." She, too, is remembered as having been a teacher, naturalist, and antislavery activist. Sophia also gardened and cultivated flowers, and she served as caretaker for her brother as he succumbed to tuberculosis. Sophia Thoreau's reputation as an artist, which is not without critics who considered her work simplistic, endures in large measure because it was her drawing of the cabin by the pond that Henry selected for the cover page of Walden; or, Life in the Woods. According to an article published by the Thoreau Society, this simple sketch "has become a symbol of individuality and self-reliance throughout the world." In her sketch, Sophia depicted the cabin nestled among the thrusting evergreens and lacy deciduous trees. A path from the door shows the starting-and ending-point for Henry's long rambles in the countryside or nearly daily walks to Concord. This path would also take visitors to the rustic cabin where Henry enjoyed his largely solitary life: "I had three chairs in my house; one for solitude, two for friendship, three for society." Perhaps Henry Thoreau's active lifestyle and love of the outdoors helped him live with tuberculosis-the leading cause of death during his lifetime-for decades. This illness also claimed his grandfather, his father, and his older sister. His brother John, who died from tetanus, was also living with tuberculosis. That so many members of the Thoreau family died of tuberculosis is not remarkable: in the 1800s, living conditions in the United States contributed to outbreaks of infectious diseases such as tuberculosis, dysentery, cholera, malaria, pneumonia, typhoid fever, and whooping cough. Since the initial publication of Walden; or, Life in the Woods, ensuing advances in sanitation, the advent of immunizations, the development of antibiotics, and improvements in care and diagnosis have greatly reduced deaths from diseases caused by many of the respiratory pathogens that were so devastating during the 1800s. However, during the 21st century, myriad outbreaks of novel respiratory tract infections that could potentially cause epidemics or pandemics, including Middle East respiratory syndrome, severe acute respiratory syndrome, H1N1 influenza, and invasive pneumococcal disease, underscore the value of continuously advancing and assessing public surveillance, diagnosis, prevention, and treatment strategies and responses. The perpetual challenge of infectious diseases Thoreau and tuberculosis A gentle death: tuberculosis in 19th century Concord The Library of America edition: A week on the life in the woods; the maine woods; Cape Cod Control of infectious diseases A sage for all seasons. The Guardian Encyclopedia of transcendentalism Emerging respiratory tract infections