Smallpox in Virginia

reports of smallpox in the time of the American Revolution
reports of smallpox in the time of the American Revolution
Source: University of Georgia, Pox Americana

George Washington was infected with smallpox in 1751 when he was 19 years old and visiting his brother Lawrence on Barbados. He recovered, and ever afterwards was immune.

When he took command of the Continental Army outside Boston in July, 1775, he prohibited the soldiers from getting inoculated against smallpox. During the five weeks of isolation and recovery from the inoculation, soldiers would be too weak to fight if the British attacked.

At the same time, smallpox raged within the civilian population in Boston. Washington prohibited refugees from the city from coming to his military encampments, fearing an epidemic would break out among the Continental Army. His strategy was to limit the contact of soldiers to those who might be infected, including both other soldiers and civilians.

In the winter of 1775-1776, troops sent by the Continental Congress to capture Quebec in Canada were devastated by a smallpox epidemic. Benedict Arnold had to abandon efforts to capture Quebec and marched south before British reinforcements arrived.

Throughout 1776, Washington struggled to recruit and retain troops for the army that tapped General Thomas Gage inside Boston. Enthusiasm for the revolt against King George III and Parliament was high and men were willing to fight as soldiers in Washington's army, but potential recruits were reluctant to join because enlistment could be followed by disease and death while in camp.1

Washington changed his approach to managing smallpox earlier in 1776, after realizing that isolating the sick in Massachusetts was not going to allow him to maintain an effective army. New recruits would continually bring the disease; eventually an outbreak would incapacitate his army.

On February 5, 1777, Washington notified the Continental Congress that all new recruits had to be inoculated before they could come to Massaschusetts. Washington issued a directive on February 6, 1776 saying:2

Finding the Small pox to be spreading much and fearing that no precaution can prevent it from running through the whole of our Army, I have determined that the troops shall be inoculated. This Expedient may be attended with some inconveniences and some disadvantages, but yet I trust in its consequences will have the most happy effects. Necessity not only authorizes but seems to require the measure, for should the disorder infect the Army in the natural way and rage with its usual virulence we should have more to dread from it than from the Sword of the Enemy.

Under these circumstances I have directed Doctr Bond to prepare immediately for inoculating in this Quarter,1 keeping the matter as secret as possible, and request that you will without delay inoculate All the Continental Troops that are in philadelphia and those that shall come in as fast as they arrive. You will spare no pains to carry them through the disorder with the utmost expedition, and to have them cleansed from the infection when recovered, that they may proceed to Camp with as little injury as possible to the Country through which they pass.

If the business is immediately begun and favoured with the common success, I would fain hope they will be soon fit for duty, and that in a short space of time we shall have an Army not subject to this the greatest of all calamities that can befall it when taken in the natural way.

After the British evacuated Boston in March 1776, Washington sent 1,000 soldiers who already had immunity to the occupy the city first. He also made arrangements to inoculate all his soldiers between April-August 1776.

The process required placing people temporarily in quarantine. Segregated hospitals were guarded to prevent friends/family from visiting while those who had received the live virus were still contagious.3

starting in 1777, George Washington required the Continental Army to be inoculated
starting in 1777, George Washington required the Continental Army to be inoculated
Source: Library of Congress, To all brave, healthy, able bodied, and well disposed young men in this neighbourhood...

Smallpox killed many of the recruits to Governor Dunmore's Ethiopian Regiment. Dunmore had established a base at Tucker's Point in early 1776, and sailors ill from typhus could be isolated there from the remaining healthy men on the ships. An enslaved worker escaping from a Virginia plantation may have been the source of the smallpox which spread through the camp. All the people at Tucker's Point were at risk; roughly two-thirds of the black refugees died.

Governor Dunmore decided to abandon his land base in Hampton Roads and the captain of the Roebuck arranged for inoculation of the remaining men in the Ethiopian Regiment. The British sailed from Tucker's Point to Gwynn's Island. Despite the inoculations, many white and black loyalists continued to die from smallpox on the trip and at the island. The Virginia militia was well aware of the impact of the disease; bodies washed ashore from Gwynn's Island regularly.

Dunmore could not get the reinforcements he needed to return to Williamsburg and re-establish royal control in Virginia. Smallpox prevented him from creating a large enough army locally from white and black loyalists who were willing to fight. Roughly 500 of the enslaved workers and 150 white loyalists died from smallpox after joining up with Governor Dunmore.

At the new base on Gwynn's Island, the Ethiopian Regiment and Queen’s Own Loyal Virginian were so shorthanded that Royal Navy marines had to come ashore from the ships to perform routine military duties in the camp. When the Virginia militia finally attacked, there were too few men to resist and the British fled their last Virginia base.

Dunmore wrote:4

Had it not been for this horrid disorder, I should have had two thousand blacks; with whom I should have had no doubt of penetrating into the heart of this Colony.

British forces marched through Virginia in 1781. On their way to establishing a base at Yorktown, the Marquis de Lafayette and General "Mad Anthony" Wayne threatened the rear of the British Army near Jamestown.

According to an American officer, the British sought to delay the Americans by forcing them to bypass people with smallpox infections:5

At dark took up our line of march in order to overtake Col. Simes's horse, who had the rear guard with a great number of cattle, plundering as he was making his way towards James Town; [the British] left one negro man with the small-pox lying on the road side in order to prevent the Virginia militia from pursuing them , which the enemy frequently did ; left numbers in that condition starving and helpless, begging of us as we passed them for God's sake to kill them, as they were in great pain and misery.

Links

References

1. "Washington's War Against Smallpox: The Revolutionary Inoculation Campaign," History of Vaccines, April 7, 2025, https://historyofvaccines.org/blog/washingtons-war-against-smallpox-revolutionary-inoculation-campaign/; "Smallpox," Mount Vernon, https://www.mountvernon.org/library/digitalhistory/digital-encyclopedia/article/smallpox (last checked April 2, 2026)
2. "George Washington to William Shippen, Jr., 6 February 1777," Founders Online, National Archives, https://founders.archives.gov/documents/Washington/03-08-02-0281; "The Great Smallpox Epidemic," History Today, Volume 53, Issue 8 (August 2003), https://www.historytoday.com/archive/great-smallpox-epidemic (last checked April 2, 2026)
3. Charles DePaolo, "One Man's Campaign against Smallpox: James Thacher, M.D., Continental Army Physician," Journal of the American Revolution, October 27, 2022, https://allthingsliberty.com/2022/10/one-mans-campaign-against-smallpox-james-thacher-m-d-continental-army-physician/ (last checked April 21, 2026)
4. "With Lord Dunmore on Tucker's Point - A Runaway Slave's Perspective," Being a History Head and other things, January 7, 2013, https://beingahistoryheadandotherthings.blogspot.com/2013/01/with-lord-dunmore-on-tuckers-point.html; Michael Cecere, "Battle of Gwynn's Island: Lord Dunmore's Last Stand in Virginia," Journal of the American Revolution, May 26, 2016, https://allthingsliberty.com/2016/05/battle-of-gwynns-island-lord-dunmores-last-stand-in-virginia/; "A Revolutionary Fever," Trend and Tradition Magazine, Colonial Williamsburg, https://www.colonialwilliamsburg.org/discover/resource-hub/trend-tradition-magazine/trend-tradition-autumn-2020/revolutionary-fever/; Ervin Jordan Jr., "The Great Willoughby Slave Escape of 1776," Encyclopedia Virginia, Virginia Humanities, March 23, 2026, https://encyclopediavirginia.org/entries/the-great-willoughby-slave-escape-of-1776/ (last checked April 22, 2026)
5. William Feltman, The Journal of Lieut. William Feltman, of the First Pennsylvania Regiment, 1781-82: Including the March Into Virginia and the Siege of Yorktown, Historical Society of Pennsylvania, 1853, p.6, https://www.google.com/books/edition/The_Journal_of_Lieut_William_Feltman_of/9YEsAAAAMAAJ (last checked October 21, 2021)


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