Skip to main content

Advertisement

Log in

Chasing the Cure at Cragmor Sanatorium: The Archaeology of a Tuberculosis Sanatorium

  • Original Article
  • Published:
Historical Archaeology Aims and scope Submit manuscript

Abstract

Tuberculosis (TB), a leading cause of death from the 18th century through the early 20th, was often treated in specialized facilities called “sanatoriums.” Despite their prevalence, archaeology examining TB sanatoriums is sparse. The fact that many sanatoriums fell out of use by the 1950s and were repurposed for other functions helps explain this lack of archaeological research. Cragmor Sanatorium in Colorado Springs, Colorado, was a premier facility in the West for treating wealthy tuberculosis patients. In 1964, Cragmor Sanatorium was sold to the University of Colorado system, after which much of the original history was subsumed under a growing campus. This article combines archaeological and archival data to better understand standard and alternative health practices employed at the sanatorium in context and to illuminate institutional practices and healing strategies employed by physicians and patients during the first half of the 20th century.

Resumen

La tuberculosis (TB), una de las principales causas de muerte desde el siglo XVIII hasta principios del XX, a menudo se trataba en instalaciones especializadas llamadas "sanatorios". A pesar de su prevalencia, es escasa la examinación de los sanatorios para TB en la arquelogía. El hecho de que muchos sanatorios cayeron en desuso en la década de 1950 y fueron reutilizados para otras funciones ayuda a explicar esta falta de investigación arqueológica. Cragmor Sanatorium en Colorado Springs, Colorado, era una instalación de primer nivel en el oeste para el tratamiento de pacientes ricos con tuberculosis. En 1964, Cragmor Sanatorium fue vendido al sistema de la Universidad de Colorado, después de lo cual gran parte de la historia original quedó incluida en un campus en crecimiento. Este artículo combina datos arqueológicos y de archivo para comprender mejor en su contexto las prácticas de salud estándar y alternativas empleadas en el sanatorio y para iluminar las prácticas institucionales y las estrategias de curación empleadas por médicos y pacientes durante la primera mitad del siglo XX.

Résumé

La tuberculose (TB), une cause majeure de décès entre le 18ème siècle jusqu'au début du 20ème siècle, était souvent traitée dans des établissements spécialisés appelés « sanatoriums ». En dépit de leur prévalence, l'étude des sanatoriums de tuberculose par l'archéologie est rare. Le fait que nombre de sanatoriums n'aient plus été utilisés vers les années 1950 pour être réaffectés à d'autres fonctions permet d'expliquer cette absence de recherche archéologique. Le Sanatorium de Cragmor à Colorado Springs, dans le Colorado, était un établissement de premier plan dans l'Ouest pour le traitement de patients tuberculeux fortunés. En 1964, le Sanatorium de Cragmor a été vendu au système de l'Université du Colorado, après quoi la plus grande partie de son histoire d'origine a été engloutie sous un campus en expansion. Cet article associe des données archéologiques et d'archives pour mieux comprendre les pratiques de soins standards et alternatives utilisées au sanatorium en contexte et pour éclairer les pratiques institutionnelles et les stratégies de guérison utilisées par les médecins et les patients au cours de la première moitié du 20ème siècle.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10
Fig. 11
Fig. 12
Fig. 13
Fig. 14
Fig. 15
Fig. 16
Fig. 17
Fig. 18
Fig. 19
Fig. 20
Fig. 21
Fig. 22
Fig. 23

Similar content being viewed by others

References

  • Arbogast, William, Kim Carsell, Heather Gerhart, and Kim Kersey 1998 Intensive Cultural Resource Survey, Cragmor Campus, University of Colorado at Colorado Springs, El Paso County, Colorado. Manuscript, History Colorado Office of Archaeology and Historic Preservation, Denver.

  • Arsenty, Neil 2013 Forgotten Merchants: Devoe and Raynolds Company. Chicago Now <https://www.chicagonow.com/look-back-chicago/2013/02/forgotten-merchants-devoe-and-raynolds-company/#image/1>. Accessed 22 October 2021.

  • Baker, Oussama, Oona Y.-C. Lee, Houdini H. T. Wu, Gurdyal S. Besra, David E. Minnikin, Gareth Llewellyn, Christopher M. Williams, F. Maixner, N. O’Sullivan, A. Zink, and B. Chamel 2015 Human Tuberculosis Predates Domestication in Ancient Syria. Tuberculosis 95:S4–12.

    Article  Google Scholar 

  • Barberis, Ilaria, N. L. Bragazzi, L. Galluzzo, and M. Martini 2017 The History of Tuberculosis: From the First Historical Records to the Isolation of Koch's Bacillus. Journal of Preventive Medicine and Hygiene 58(1):E9–12.

    Google Scholar 

  • Bates, Barbara 1992 Bargaining for Life: A Social History of Tuberculosis. University of Pennsylvania Press, Philadelphia.

    Book  Google Scholar 

  • Blondiaux, Joël, Amélie de Broucker, Thomas Colard, Azizul Haque, and Stephan Naji 2015 Tuberculosis and Survival in Past Populations: A Paleo-Epidemiological Appraisal. Tuberculosis 95:S93–100.

    Article  Google Scholar 

  • Braun, Mark Della Collins Cook, and Susan Pfeiffer 1998 DNA from Mycobacterium Tuberculosis Complex Identified in North American, Pre-Columbian Human Skeletal Remains. Journal of Archaeological Science 25(3):271–277.

    Article  Google Scholar 

  • Centers for Disease Control (CDC) 1947 Leading Causes of Death, 1900–1998. Centers for Disease Control, Washington, DC.

    Google Scholar 

  • Condrau, Flurin, and Michael Worboys 2009 Tuberculosis Then and Now: Perspectives on the History of an Infectious Disease. McGill-Queen’s University Press, Montreal, QC.

    Google Scholar 

  • Daniel, Thomas M. 2006 A History of Tuberculosis. Respiratory Medicine 100(11):1862–1870.

    Article  Google Scholar 

  • Davis-Witherow, Leah 2020 City of Sunshine Exhibit Text. Manuscript, Colorado Springs Pioneers Museum, Colorado Springs.

    Google Scholar 

  • Donoghue, Helen D. 2009 Human Tuberculosis—an Ancient Disease, as Elucidated by Ancient Microbial Biomolecules. Microbes and Infection 1(14):1156–1162.

    Article  Google Scholar 

  • Donoghue, Helen D., Israel Hershkovitz, David E. Minnikin, Gurdyal S. Besra, Oona Y.-C Lee, Ehud Galili, Charles L. Greenblatt, Eshetu Lemma, Mark Spigelman, and Gila Kahila Bar-Gal 2009 Biomolecular Archaeology of Ancient Tuberculosis: Response to “Deficiencies and Challenges in the Study of Ancient Tuberculosis DNA” by Wilbur et al. (2009). Journal of Archaeological Science 36(12):2797–2804.

    Article  Google Scholar 

  • Dormandy, Thomas 2000 The White Death: A History of Tuberculosis. New York University Press, New York, NY.

    Google Scholar 

  • Forst, Jannine 2015 Detecting and Sequencing Mycobacterium Tuberculosis aDNA from Archaeological Remains. British Library: EThOS <https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.664577>. Accessed 22 October 2021.

  • Forster, Alexius 1924 Ask Dr. Forster. 98.6ers, 23 July. Cragmor Sanatorium, Colorado Springs, CO.

  • Forster, Alexius 1928 Ask Dr. Forster. 98.6ers, 13 September. Cragmor Sanatorium, Colorado Springs, CO.

  • Gardiner, Charles Fox 1902 The Sanatory Tent and Its Use in the Treatment of Pulmonary Tuberculosis. Transactions of the American Climatological Association 18:216–217.

    Google Scholar 

  • Gardiner, Charles Fox 1903 The Colorado Springs Region as a Health and Pleasure Resort: High Altitudes for Invalids, El Paso County Medical Society, editor, revised by Committee of the El Paso County Medical Society and the Secretary of the Colorado Springs Chamber of Commerce. Colorado Springs Chamber of Commerce, Colorado Springs, CO.

  • Gardiner, Charles Fox 1926 Climate of Colorado Springs, Its Therapeutic Value in Treating Tuberculosis. Swift, Detroit, MI.

    Google Scholar 

  • Gardiner, Charles Fox 2012 The Sanatory Tent and Its Use in the Treatment of Pulmonary Tuberculosis. In Doctors, Disease, and Dying in the Pikes Peak Region, Tim Blevins, Dennis Daily, Sydne Dean, Chris Nicholl, Michael L. Olsen, Katherine Scott Sturdevant, and Amy Ziegler, editors, pp. 179–189. Pikes Peak Library District, Colorado Springs, CO.

    Google Scholar 

  • Grahn, Anya 2015 Tuberculosis Sanatoriums: Reminders of the White Plague. National Trust for Historic Preservation <https://savingplaces.org/stories/tuberculosis-sanitariums-reminders-of-the-white-plaque#.Xz17N-hKjOg>. Accessed 30 December 2020.

  • Gutierrez, M. Cristina, Sylvain Brisse, Roland Brosch, Michel Fabre, Bahia Omaïs, Magali Marmiesse, Philip Supply, and Veronique Vincent 2005 Ancient Origin and Gene Mosaicism of the Progenitor of Mycobacterium tuberculosis. PLoS Pathogens 1(1). PLOS PATHOGENS < https://journals.plos.org/plospathogens/article?id=10.1371/journal.ppat.0010005>. Accessed 26 March 2023.

  • Harner, John 2021 Profiting from the Peak: Landscape and Liberty in Colorado Springs. University Press of Colorado, Louisville.

    Book  Google Scholar 

  • Harper, Nevin J., and Will W. Dobud 2021 Outdoor Therapies: Introduction to Practices, Possibilities, and Critical Perspectives. Routledge, New York, NY.

    Google Scholar 

  • Hendy, Jessica, Matthew Collins, Kai Yik Teoh, David A. Ashford, Jane Thomas-Oates, Helen D. Donoghue, Ildikó Pap, David E. Minnikin, Mark Spigelman, and Mike Buckley 2016 The Challenge of Identifying Tuberculosis Proteins in Archaeological Tissues. Journal of Archaeological Science 66:146–153.

    Article  Google Scholar 

  • Howell, W. C. 1925 A Thoracic Splint for Pulmonary Tuberculosis. American Review of Tuberculosis 12(3):217–221.

    Google Scholar 

  • Jackson, S. Brent, Kathryn T. Stevenson, Lincoln R. Larson, M. Nils Peterson, and Erin Seekamp 2021 Outdoor Activity Participation Improves Adolescents' Mental Health and Well-being during the COVID-19 Pandemic. International Journal of Environmental Research and Public Health 18(5):2506.

    Article  Google Scholar 

  • Larkin, Karin, and Michelle Slaughter 2018 Cultural Resource Survey, UCCS Campus, El Paso County, Colorado, Final Report. Manuscript, History Colorado Office of Archaeology and Historic Preservation, Denver.

    Google Scholar 

  • Larkin, Karin, Michelle Slaughter, Rebecca Wood, and Kathy Corbett 2020 Cultural Resource Survey, Phase 2: Architectural and Ethnographic Survey and Tribal Consultation, UCCS Campus, El Paso County. Manuscript, History Colorado Office of Archaeology and Historic Preservation, Denver.

    Google Scholar 

  • Lockhart, Bill 2020 W. T. Rawleigh Co. Society for Historical Archaeology Bottle & Glass Makers Markings, Society for Historical Archaeology <https://sha.org/bottle/pdffiles/RawleighCompany.pdf>. Accessed 30 September 2021.

  • Lockhart, Bill, Beau Schriever, Bill Lindsey, Bob Brown, and Carol Serr 2021 Mexican Marks. Society for Historical Archaeology Bottle & Glass Makers Markings, Society for Historical Archaeology <https://sha.org/bottle/makersmarks.htm>. Accessed 30 September 2021.

  • Lockhart, Bill, Pete Schulz, Beau Schriever, Nate Briggs, Bill Lindsey, and Carol Serr 2017 Knox Glass Bottle Co. Society for Historical Archaeology <https://sha.org/bottle/pdffiles/KnoxGlass.pdf>. Accessed 21 February 2023.

  • Martini, Mariano, Valentina Gazzaniga, M. Behzadifar, N. L. Bragazzi, and I. Barberis 2018 The History of Tuberculosis: The Social Role of Sanatoria for the Treatment of Tuberculosis in Italy between the End of the 19th Century and the Middle of the 20th. Journal of Preventive Medicine and Hygiene 59(4):E323–327.

    Google Scholar 

  • Mayberry, Matt 2012 On a Cough and a Prayer: The Modern Woodmen Sanatorium and the Tuberculosis Industry in the Pikes Peak Region. In Doctors, Disease and Dying in the Pikes Peak Region, Tim Blevins, Dennis Daily, Sydne Dean, Chris Nicholl, Michael L. Olsen, Katherine Scott Sturdevant, and Amy Ziegler, editors, pp. 245–266. Pikes Peak Library District, Colorado Springs, CO.

    Google Scholar 

  • McKay, Douglas R. 1983 Asylum of the Gilded Pill: The Story of Cragmor Sanatorium. State Historical Society of Colorado, Denver.

    Google Scholar 

  • McKay, Douglas R. 1991 UCCS—the First 25 Years: A Selective History: The Beginnings, Adversities and New Directions of a Young Campus. University of Colorado at Colorado Springs, Colorado Springs.

    Google Scholar 

  • Molnár, Erika, Helen D. Donoghue, Oona Y.-C. Lee, Houdini H. T. Wu, Gurdyal S. Besra, David E. Minnikin, Ian D. Bull, G. Llewellyn, C. M. Williams, O. Spekker, and G. Pálfi 2015 Morphological and Biomolecular Evidence for Tuberculosis in 8th Century A.D. Skeletons from Bélmegyer-Csömöki Domb, Hungary. Tuberculosis 95:S35–41.

    Article  Google Scholar 

  • Müller, Romy, Charlotte A. Roberts, and Terence A. Brown 2016 Complications in the Study of Ancient Tuberculosis: Presence of Environmental Bacteria in Human Archaeological Remains. Journal of Archaeological Science 68(4):5–11.

    Article  Google Scholar 

  • Murray, John F. 2004 A Century of Tuberculosis. American Journal of Respiratory and Critical Care Medicine 169(11):1181–1186.

    Article  Google Scholar 

  • Murray, John F., Dean E. Schraufnagel, and Philip C. Hopewell 2015 Treatment of Tuberculosis. A Historical Perspective. Annals of the American Thoracic Society 12(12):1749–1759.

    Article  Google Scholar 

  • Ortner, Donald J. 2003 Identification of Pathological Conditions in Human Skeletal Remains. Academic Press, San Diego, CA.

    Google Scholar 

  • Otis, Edward O.1921 Tuberculosis, Its Cause, Cure, and Prevention. American Journal of Nursing 21(8):590.

    Google Scholar 

  • Pálfi, György, Olivier Dutour, Pascale Perrin, Christophe Sola, and Albert Zink 2015 Tuberculosis in Evolution. Tuberculosis 95:S1–3.

    Article  Google Scholar 

  • Pappou, Ioannis P., Elias C. Papadopoulos, Andrew N. Swanson, Matthew J. Mermer, Gary A. Fantini, Michael K. Urban, Linda Russell, Frank P. Cammisa, Jr., and Federico P. Girardi 2006 Pott Disease in the Thoracolumbar Spine with Marked Kyphosis and Progressive Paraplegia Necessitating Posterior Vertebral Column Resection and Anterior Reconstruction with a Cage. Spine 31(4):123–127.

    Article  Google Scholar 

  • Pearson, David G., and Tony Craig 2014 The Great Outdoors? Exploring the Mental Health Benefits of Natural Environments. Frontiers in Psychology 5:1178.

    Article  Google Scholar 

  • Perrin, Pascale 2015 Human and Tuberculosis Co-Evolution: An Integrative View. Tuberculosis 95:S112–116.

    Article  Google Scholar 

  • Roberts, Charlotte A. 2015 Old World Tuberculosis: Evidence from Human Remains with a Review of Current Research and Future Prospects. Tuberculosis 95:S117–121.

    Article  Google Scholar 

  • Rock, Jim 2010 Jim Rock Historic Can Collection. Southern Oregon Digital Archives, Southern Oregon University <https://soda.sou.edu/cans/index.html> and <https://cdm16085.contentdm.oclc.org/digital/search/collection/p16085coll5/searchterm/tobacco/field/catego/mode/all/conn/and/order/title>. Accessed 21 February 2023.

  • Rothman, Sheila M. 1994 Living in the Shadow of Death: Tuberculosis and the Social Experience of Illness in American History. Basic, New York, NY.

    Google Scholar 

  • Solly, Samuel Edwin 1879 Influence of the Climate of Colorado, upon the Nervous System. Gazette Publishing Company, Colorado Springs, CO.

    Google Scholar 

  • Solly, Samuel Edwin 1897 A Handbook of Medical Climatology. Embodying Its Principles and Therapeutic Application with Scientific Data of the Chief Health Resorts of the World. Lea Brothers, Philadelphia, PA.

  • Sprague, Marshall 1961 Newport in the Rockies: The Life and Good Times of Colorado Springs. Sage, Denver, CO.

    Google Scholar 

  • Stewart, Samuel Henry 1923 "Lung Splinting” in the Treatment of Pulmonary Tuberculosis. British Medical Journal 1(3245):414–416.

    Article  Google Scholar 

  • Thompson, Brandon S. 2017 A Comparison of Ethnicity and Tuberculosis in the Historic Southeast. Historical Archaeology 51(4):531–541.

    Article  Google Scholar 

  • Triguero-Mas, Margarita, Payam Dadvand, Marta Cirach, David Martínez, Antonia Medina, Anna Mompart, Xavier Basagaña, Regina Gražulevičienė, and Mark J. Nieuwenhuijsen 2015 Natural Outdoor Environments and Mental and Physical Health: Relationships and Mechanisms. Environment International 77:35–41.

    Article  Google Scholar 

  • Whitten, David 2020 Glass Bottle Marks <https://glassbottlemarks.com/>. Accessed 28 February 2021.

  • Wilbur, Alicia K., Abigail S. Bouwman, Anne C. Stone, Charlotte A. Roberts, Luz-Andrea Pfister, Jane E. Buikstra, and Terence A. Brown 2009 Deficiencies and Challenges in the Study of Ancient Tuberculosis. Journal of Archaeological Science 36(9):1990–1997.

    Article  Google Scholar 

  • Wright, Donny, Jaby Topper, and Steve Stedman 1998 The American Lung Association and the Fight Against Tuberculosis. University of Virginia <http://exhibits.hsl.virginia.edu/alav/tuberculosis/>. Accessed 30 December 2020.

Download references

Acknowledgments:

This research was funded through History Colorado’s State Historical Fund Grant and UCCS Facilities. Archaeological work included students in the UCCS field schools in 1998 and 2016. The field work was a collaboration among UCCS, Avalon Archaeology, and Alpine Archaeological Consultants.

Funding

This project was funded by History Colorado’s State Historical Fund (grant # 2016–M2–002).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Karin Larkin.

Ethics declarations

Conflict of Interest

Author Slaughter had multiple affiliations during the project funding, including owner of Avalon Archaeology and employee at Metcalf Archaeological Consultants. Author Larkin states that there is no conflict of interest.

Additional information

Publisher's note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Larkin, K., Slaughter, M. Chasing the Cure at Cragmor Sanatorium: The Archaeology of a Tuberculosis Sanatorium. Hist Arch 57, 743–763 (2023). https://doi.org/10.1007/s41636-023-00406-2

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s41636-023-00406-2

Keywords

Navigation