Fever

A Novel

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About The Book

The “infectiously readable” (Vanity Fair) novel about the woman known as “Typhoid Mary,” who becomes, “in Keane’s assured hands…a sympathetic, complex, and even inspiring character” (O, The Oprah Magazine).

Mary Beth Keane, named one of the 5 Under 35 by the National Book Foundation, has written a spectacularly bold and intriguing novel about the woman known as “Typhoid Mary,” the first person in America identified as a healthy carrier of Typhoid Fever.

On the eve of the twentieth century, Mary Mallon emigrated from Ireland at age fifteen to make her way in New York City. Brave, headstrong, and dreaming of being a cook, she fought to climb up from the lowest rung of the domestic-service ladder. Canny and enterprising, she worked her way to the kitchen, and discovered in herself the true talent of a chef. Sought after by New York aristocracy, and with an independence rare for a woman of the time, she seemed to have achieved the life she’d aimed for when she arrived in Castle Garden. Then one determined “medical engineer” noticed that she left a trail of disease wherever she cooked, and identified her as an “asymptomatic carrier” of Typhoid Fever. With this seemingly preposterous theory, he made Mallon a hunted woman.

The Department of Health sent Mallon to North Brother Island, where she was kept in isolation from 1907 to 1910, then released under the condition that she never work as a cook again. Yet for Mary—proud of her former status and passionate about cooking—the alternatives were abhorrent. She defied the edict.

Bringing early-twentieth-century New York alive—the neighborhoods, the bars, the park carved out of upper Manhattan, the boat traffic, the mansions and sweatshops and emerging skyscrapers—Fever is an ambitious retelling of a forgotten life. In the imagination of Mary Beth Keane, Mary Mallon becomes a fiercely compelling, dramatic, vexing, sympathetic, uncompromising, and unforgettable heroine.

Reading Group Guide

This reading group guide for Fever includes an introduction, discussion questions, and ideas for enhancing your book clubThe suggested questions are intended to help your reading group find new and interesting angles and topics for your discussion. We hope that these ideas will enrich your conversation and increase your enjoyment of the book.


Introduction

Mary Mallon was a brave, headstrong Irish immigrant who journeyed alone to America. She began as a laundress, but with an innate talent for cooking, Mary ascended the domestic service ladder and worked as a cook for upper-class families. Unbeknownst to Mary, she left a trail of Typhoid fever and death in her wake. One “medical engineer,” proposing a new theory of “asymptomatic carriers,” traced the fever back to the woman we now know as “Typhoid Mary.” To prevent Mary from further spreading the disease, the New York Department of Health isolated her on North Brother Island for three years. A condition of her release was that she would never cook professionally again. But Mary’s passion for cooking, combined with the meager alternatives available to her, propelled her to defy the edict. In Fever, Mary Beth Keane brings early twentieth century New York City alive—the neighborhoods, the bars, the mansions, the factories, the rising skyscrapers and the perils of city life. Keane’s retelling of Typhoid Mary’s life transforms a tabloid interest into a complex and unforgettable character.  

Topics & Questions for Discussion 

1. The story of Mary Mallon exemplifies a conflict between personal liberty and public health. Examine both sides of this conflict, discuss whether you think Mary’s case was handled well, and consider how it would have been dealt with today.
 
2. In early twentieth century New York, class and background dictated a person’s prospects. Find moments in the text when people discriminated against Mary as a poor Irish woman. How does Mary handle these situations? Are there any instances when Mary uses her identity to an advantage?
 
3. Mary and Alfred live together as an unmarried couple. Many people felt these circumstances were inappropriate, and the issue arises repeatedly. Are there any consequences to their situation? Would things have turned out differently had Alfred proposed to Mary?
 
4. The vibrant image of Mary’s hat, “cobalt blue with silk flowers and berries cascading around the brim” (p. 63) stays with her during her exile on North Brother and into the future. What does the hat symbolize for Mary? Consider when Mary encounters Mrs. Bowen wearing the exact same hat; Mrs. Bowen maintains that her hat is “similar, Mary, not identical. But I see what you mean.” (p.67) Why does Mrs. Bowen deny that she has the same hat as her cook?
 
5. Alfred constantly moves between various odd jobs in the city and in Minnesota, while Mary seems to have few choices: cooking (or baking), laundry, and factory work. Discuss how gender affects the characters’ options during this time. Consider Alfred and Mary, as well as the others in their building (Mila Boriello, Fran Mosely, Joan Graves, Jimmy Tiernan), Liza Meaney, and John Cane.
 
6. The media, particularly the newspapers, play a significant role in Mary’s story. Reread the article printed at the beginning of the novel. (p. 14) How do reporters influence the outcome of Mary’s trial?
 
7. Compare Mary’s situation to the case of the dairy farmer upstate. Why and how were they handled differently?
 
8. Mary has a justified distrust of doctors and others in the medical profession, especially after learning that the gall bladder surgery so emphatically pushed on her would have been completely futile. Later, when the doctors try to explain the way germs and disease spread, to Mary it “sounded like a fairy tale meant for children, a little world too small for the human eye to see, or like religion, in that they were asking her to believe such a thing existed without giving her a chance to look at it, hold it, understand it.” (p. 232) Consider the portrayal of the medical profession throughout the story. Compare Mary’s experiences with doctors to Alfred’s after his injuries. How do the doctors mislead Alfred?
 
9. Mary is an extremely headstrong and stubborn character. Yet, when Alfred refuses to taper off his medicine at the reduction clinic, Mary does not protest at all. Why does Mary let Alfred descend so far into addiction?
 
10. After her first release from North Brother, Mary abides by her promise not to cook. But as time passes she eventually is drawn back to the profession: first at the bakery, and then at the hospital. How does she justify her decisions, despite the risk to others? Do you think she believes she is responsible for passing Typhoid through her cooking? Why or why not? At what point does she give in to the reality of her predicament?
 
11. The story is split into three sections: ‘Habeas Corpus’, ‘Liberty’ and ‘His Banner Over Me Is Love. Discuss what each part-title illustrates about the events that happen within the section.
 
142 Why do you think the Epilogue comes from Mary’s own voice, in the first person? How does this shift affect your reading of the final pages of the story? Do you gain any further insight into Mary’s character from these pages?

Enhance Your Book Club

  1. Alfred uses the Oppenheimer cure to conquer his alcoholism. Research and discuss this method: What exactly does it entail? When did it become popular? What were the success rates? Were there other ‘cures’ prevalent during this time?   
 
2. Find an article about the real Mary Mallon. How does your reading fit into Mary Beth Keane’s fictional version of Typhoid Mary?   
 
3. Mary Mallon was one of the first healthy carriers to be discovered, but subsequently many more were identified. Research and share your findings on healthy carriers of disease. How did the government handle similar individuals in the future?

About The Author

Photograph by Nina Subin

Mary Beth Keane was born in the Bronx to Irish parents and grew up in Rockland County, New York. She attended Barnard College and the University of Virginia, where she received an MFA in Fiction. In 2011, she was named one of the National Book Foundation’s “5 under 35,” and in 2015 she was awarded a John S. Guggenheim fellowship for fiction writing. She currently lives in Pearl River, New York with her husband and their two sons. She is the author of The Walking People, Fever, and Ask Again, Yes.

Product Details

  • Publisher: Scribner (March 2014)
  • Length: 336 pages
  • ISBN13: 9781451693423

Raves and Reviews

“[A] gripping historical novel…Mary Beth Keane gives Mary her own voice, creating a richly sympathetic and provocative portrait of the very real person behind the pariah.”

– Caroline Leavitt, The San Francisco Chronicle

“In Mary Beth Keane’s wholly absorbing, deeply moving new novel, Mallon emerges as a woman of fierce intelligence and wrongheaded conviction…Transforming a lived past into riveting fiction, Keane gives us a novel that thrums with life, and a heroine whose regrets, though entirely specific, feel utterly familiar.”

– Kate Tuttle, The Boston Globe

“In Keane’s assured hands, [Mary Mallon] becomes a sympathetic, complex and even inspiring character…Not only is Fever a compelling read for anyone who gets drawn into medical mystery shows, it will also send shivers through anyone who’s ever felt the ill effects of gossip or hypocrisy.”

– O, the Oprah magazine

“Keane continues to impress with Fever, her historical novel about Mary Mallon, better known as Typhoid Mary…Keane resurrects New York City in all its teeming, sometimes seamy splendor.”

– Susan Grimm, Cleveland Plain-Dealer

“Keane builds a sympathetic character…the result is that, while we occasionally forget that Mary’s disease is inherently linked with her fate, we never lose sight of her as an afflicted individual.”

– G. Clay Whittaker, The Daily Beast

“[Keane] is a talented storyteller, her style plain and steady, not unlike Mary’s demeanor. What’s most remarkable about this novel is its brilliantly visceral vision of everyday life in early-1900s New York City, a rich and detailed working-class backdrop filled with the sights, sounds and smells of tenement squalor, overcrowded apartments, unsanitary conditions, sweatshops, and streets teaming with people trying to survive…If you have an appetite for historical fiction, this novel could be infectious.”

– Don Oldenburg, USA Today

“Mary Beth Keane inhabits Typhoid Mary in the infectiously readable Fever.”

– Elissa Schappell, Vanity Fair

“[A] tender, detailed portrayal of willed ignorance collapsing in the face of truth…A fine novel.”

– Patrick McGrath, The New York Times Book Review

“[Fever] is fluent and confident…Even if you aren’t interested in the medical detective story, you’ll enjoy the rich portrayal of work and class divisions at the turn of the 20th century.”

– Brigitte Frase, Minneapolis Star-Tribune

“[Keane] paints a more sympathetic portrait than ever before…[A] fascinating story.”

– David Martindale, Fort Worth Star-Telegram

“[Keane] constructs a vivid and compelling backstory for her heroine, and a wonderfully complete picture of life of New York City in the early 20th century.”

– Karen Croke, Westchester Journal-News

“An absorbing and beautifully written novel…”

– Rose Solari, The Washington Independent Review of Books

“A novel as rich in drama and the turn-of-the-20th-century atmosphere of New York as Erik Larson’s The Devil in the White City is of Chicago…[Fever] is part science mystery, part love story, part legal thriller—but, finally, just a damn good novel.”

– Shelf Awareness

“[An] excellent novel…Keane takes the facts and spins a probable life in such a way that one cannot help but cheer Mary on despite the knowledge that she carried potential death with her at all times. Looking back on Typhoid Mary a century later, Keane has given her the justice that eluded her during her lifetime.”

– Tamela McCann, Historical Novels Review (Editors’ Choice)

“Fans of The Immortal Life of Henrietta Lacks will find stirring parallels in Fever. Ultimately, this is a story that provokes a deeper understanding of the tenuous relationship between love, personal liberty and the common good.”

– W.S. Lyon, Bookpage

“In this compelling historical novel, the infamous Typhoid Mary is given great depth and humanity by the gifted Keane…A fascinating, often heartbreaking novel.”

– Joanne Wilkinson, Booklist (starred review)

“Keane has replaced the ‘Typhoid Mary’ cliché with a memorable and emotional human story.”

– Andrea Brooks, Library Journal

“Keane’s Mallon is a fiercely independent woman grappling with work, love, pride and guilt…A memorable biofiction that turns a malign figure of legend into a perplexing, compelling survivor.”

– Kirkus Reviews (starred review)

“Keane rescues Typhoid Mary from her ‘cautionary tale’ status by telling her true story…Fever seldom disappoints in capturing the squalid new world where love exists in a battlefield both biological and epochal.”

– Publishers Weekly

"Like the silent carrier who is its heroine, this novel is so quietly assured that you won’t suspect it capable of transmitting such violence. It will seize you with its breathtaking intensity, its authority, and its beating heart."

– Eleanor Henderson, author of Ten Thousand Saints

Fever manages to rescue a demonized woman from history and humanize her brilliantly. Mary Beth Keane brings to light a moving love story behind the headlines, and she carries the reader forward with such efficiency, you will hardly notice how graceful are her sentences and how entwined you have become with this fascinating, heart-breaking story.”

– Billy Collins

Fever is a gripping, morally provocative story of love and survival that will take you by surprise at every turn. It is also a radiant portrait of a uniquely indomitable woman and of a uniquely tumultuous time in the history of our country. Bravely and brilliantly, Keane has brought to life the intimate human tragedy obscured by the scornful cliché ‘Typhoid Mary’; you will never utter those words again without remembering, and mourning, the real Mary Mallon.”

– Julia Glass, author of Three Junes and The Widower’s Tale

“I read [Fever] in a fever—the fever of emotional suspense that makes all the best books so essential…Mary Mallon is a show-stopping, strong-willed, heartbreaking heroine, and the New York in which she lived a hundred years ago comes stunningly alive as the backdrop for the story of her long and rich but star-crossed life.”

– Julia Glass, Omnivoracious.com

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