The attribution of this audiobook is rather misleading in more than one way. Jim Murphy was really the editor, not the writer. I had initially thought that this would be a dramatization, but it was the dry reading (very dry and pedantic delivery by reader Pat Bottino) of a bunch of diary and journal entries, medical reports and newspaper articles (such as they were back then) about the epidemic of Yellow Fever that laid Philadelphia low in 1793. These were strung together with some narrative from the author.
The book was listed in the local library among the children's books, but I cannot imagine for a minute that very many children, especially not younger children, would find this remotely entertaining, or even educational because they wouldn't sit through it, or they would tune it out.
For me it gave me two different ideas which I can use in future novels, and it was interesting. It's a very graphic story which pulls no punches in describing bodily emissions under duress from this nasty disease caused by a virus carried by the Aedes aegypti mosquito. Today we can vaccinate against this, and treat it for those who become infected, but with climate change already rampaging across the globe, this is one of many thoroughly noxious diseases that will doubtlessly spread.
Back in 1793, when Pennsylvania had an appreciable amount of skeeter-breeding swamp, and when the disease process wasn't remotely understood, this thing got out of control and eventually killed one in ten of the original population of the city. That's nowhere near the death toll exacted by the 'Great Plague' of medieval Europe, nor is it even a match for the same plague which struck the USA in 2015 killing one in four victims, although the death toll there was considerably smaller despite the higher rate.
Why Murphy chose to title this 'An American Plague', as though it affects no one else is a mystery smacking of self-importance and pretension. Not everything is about the USA! This book isn't even about the USA as such, it's about one city; although Philly was the seat of government, and relations between it and other cities are mentioned towards the end, including some shameful as well as generous conduct.
In 1793, Washington was president and the government was located in Philly, but heroic George wasted little time vacating the city. He fled so hastily that he left behind essential papers which would have enabled him to do his job. He wasn't so heroic either, when a foreign envoy arrived soliciting his help in siding with France, which had been instrumental in aiding the fledgling USA against Britain. He cold-shouldered the very people who had facilitated the very existence of the USA! He tried to blame this on not having his paperwork with him.
The contribution of African-Americans at least gets its fair due here, which is nice to see. Black nurses were of critical value in a disease-ridden city where everyone was panicking, those who could afford to were leaving in droves. Very few dared come near to others in this highly-religious society for fear of 'contracting' this disease. Germ theory wasn't even a remote twinkle in anyone's eye, and the so-called doctors of the period were obsessed with blood-letting and poisonous purges which did nothing to save lives despite dishonest claims to the contrary. More than likely such dire stratagems actually hastened many a shuffle off this mortal coil. (How is earth a coil? Anyone know? LOL!).
Given that they had some immunity to malaria, it was considered that slaves and free people of color would also be immune to Yellow Fever, but they were not. They died at the same rate as whites, but nonetheless they willingly acted as nurses. So popular were they that people tried to outbid each other for their assistance, and then these same assistants were maliciously accused of callous price-gouging by jackass racists.
It was interesting to read of the problems that people like Thomas Jefferson, James Madison, and John Adams encountered in trying to attend to their duties. Government was moved (illegally as it happened!) to Germantown ten miles away and Jefferson could not get a decent room. The other two were forced to sleep on benches in a common area. Of course this was before any of them had become president, although they were each men of high importance even then. Another interesting aside was that Dolley would never have become first lady had not the Yellow Fever taken away her first husband, freeing her to marry James Madison later. The plague made a difference to a lot of things and in ways you might not consider at first blush.
As I said, I have grave doubts about both the suitability and utility of this for children, but I consider it a worthy read.