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Emma DonoghueA modern alternative to SparkNotes and CliffsNotes, SuperSummary offers high-quality Study Guides with detailed chapter summaries and analysis of major themes, characters, and more.
Julia marks the patients who die under her care by scratching symbols on the back of her watch. She uses a loose nail in the wall to make the marks, privately, so that patients won’t notice. Julia explains, “I’d formed this habit the first time a patient died on me. Swollen-eyed, at twenty-one, I’d needed to record what had happened in some private way” (34). When an adult dies, Julia etches a circle to symbolize a moon; when a baby dies, she etches a crescent. Julia notes, “A newborn’s prospects were always uncertain, but in this hospital we prided ourselves in losing as few mothers as possible, so there really weren’t that many circles marked on my watch. Most of them were from this autumn” (34). Fall 1918 was the height of the pandemic, when the influenza virus spread most rapidly.
After Ida Noonan dies, Julia pulls out her watch to make a mark and realizes, “I’d reached the point of each woman’s round moon having to overlap with that of one who’d gone before her or with the crescent or broken line of an infant lost after or before birth” (121). Looking at her watch, she thinks, “The hieroglyphic tally of the dead floated past me, a stream of stardust” (121). The overlapping marks show just how bad the virus has become and how many people it has killed. Later, Julia shows her watch to Bridie and explains the marks, saying, “I have a sense that they want to be recorded somewhere. Need to be. Demand to be, even” (240). Even though Julia knows some of her patients for only a few days, they have an effect on her. Julia wants to honor and remember her deceased patients, even in this small way. After Honor White dies, Julia allows Bridie to take her watch and make the mark. Julia thinks, “I wondered how many more mothers I’d have to mark on my watch over the decades to come. The lines would overlap, lying together, tangles of hair” (266). The number of deaths Julia witnesses—and the number of people the deadly flu kills—overwhelm her. Although she begins etching marks on her watch to remember her patients, the many marks come to visually symbolize the deadliness of the virus.
Throughout the novel, Julia references the bone man, a figure from folklore who personifies death: “The bone man was making fools of us all. That was what we kids called death in my part of the country—the bone man, that skeletal rider who kept his grinning skull ticked under one arm as he rode from one victim’s house to the next” (19). As patients become sicker, Julia imagines the bone man nearby, ready to take another victim.
Worrying that Delia will bleed out after giving birth to her stillborn, Julia thinks, “I sensed the bone man just outside the door. He’d claimed one small life already before any of us had realised, and now he was hovering close by, doing his rattling dance, swinging his smirking skull like a turnip in his bony fingers” (89). Similarly, when she can tell that Bridie is near death, Julia thinks, “The bone man was in the room. I could hear him rattling, snickering” (281). For Julia, the bone man symbolizes how death feels constantly close due to the number of people dying of the flu. In addition, she knows that many people are dying in World War I. She thinks, “Like the poor, maybe, the war would always be with us. Across the world, one lasting state of noise and terror under the bone man’s reign” (169). Poverty, war, and sickness are major parts of life in 1918 Ireland, and people can scarcely imagine a time when these tragedies will subside. The bone man reminds Julia of the commonness of death during this time.
Toward the novel’s end, Julia and Bridie sit on the hospital’s rooftop and look at the stars. Julia explains the origin of the word influenza: “In Italy, they used to blame the influence of the constellations for making them sick—that’s where influenza comes from” (239). Bridie responds, “As if, when it’s your time, your star gives you a yank—” (239). Bridie goes on to say, “I have heard its’s all set down up there […] The day each of us is going to die” (239). Julia thinks that this idea is nonsensical and unscientific. In her opinion, “I’d never believed the future was inscribed for each of us the day we were born. If anything was written in the stars, it was we who joined those dots, and our lives were the writing” (244). Nevertheless, much uncertainty surrounds the pandemic, and throughout the novel the characters acknowledge that no one knows when or how quickly a person might die of it.
Recognizing the uncertainty of life, Julia thinks at one point, “[M]aybe we were indeed the sport of the stars. With their invisible silks, they tugged us this way and that” (160). Regardless, with so much uncertainty in the world, the stars raise questions about whether someone’s fate is pre-determined or whether they have control of their fate on earth. Finally, Julia thinks, “Blame the germs, the unburied corpses, the dust of war, the random circulation of wind and weather, the Lord God Almighty. Blame the stars. Just don’t blame the dead, because none of them wished this on themselves” (257). Even if people do have some control over their lives on earth, no one chooses to die as quickly or painfully as they do when they have the influenza. The stars symbolize how sometimes tragedies have no clear, easy, or scientific answer. They may also symbolize how the spirits of those who have passed might watch over the ones they leave behind.
Around the hospital and other public spaces throughout Dublin, the government has posted notices—large posters—with advice for fighting back against the influenza. One notice includes the slogan, “Ventilation and Sanitation will be our nation’s salvation” (108); another discourages people from kissing or visiting public spaces. The notices recommend that people stay calm, rest, and practice good hygiene to avoid getting sick and to help them recover quickly if they do.
Julia is critical of these notices because she feels that the authorities don’t really know much about the virus and that much of their advice is at odds with the experiences of people dealing with it. Reading one notice, which recommends that people not panic or act defeated, Julia thinks, “I supposed the authorities were trying to buck us up in their shrill way, but it seemed unfair to blame the sick for defeatism” (10). Dr. Lynn agrees, commenting, “Such hypocrisy, the way the authorities preach hygiene to people forced to subsist like rats in a sack” (208). To Dr. Lynn, it’s hypocritical for the authorities to tell people how to live when poverty and tight living conditions are so dire. She thinks that misgovernment is a major cause of the high rates of sickness and death. Toward the novel’s end, Julia becomes especially frustrated with a notice advising people to rest for two weeks if they become sick; it ends with the rhyme, “Would they be dead if they’d stayed in bed?” (235). Julia comments, “[A]re the dead to blame for dying?” (235) and then thinks, “The line I found most laughable was the one about lying down for a fortnight; who could or afford or manage that without a houseful of servants?” (235). Adhering to all the advice in the notices would be virtually impossible for anyone in Ireland besides the wealthy. The notices symbolize how little the authorities really know about the virus. In addition, the notices are at odds with the reality of daily life in Ireland, which frustrates the characters in the novel.
By Emma Donoghue
9th-12th Grade Historical Fiction
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