Robert Koch Hospital, St. Louis

Robert Koch Hospital, St. Louis

The last exit on I-255 in Missouri before the Illinois border is Koch Road. Turn right on Koch Road, in a community now known as Oakville, and you run into the curiously named Robert Koch Hospital Road, which runs through a residential area. But where’s the hospital? It turns out Robert Koch Hospital was demolished in 1989. But stories of this hospital, including rumors the site is haunted, spread through generations of St. Louisans, even those who don’t know the hospital’s name. Its presence explains why a 500-acre swath of land along the Mississippi River in a popular upper middle class suburb remains an isolated, lonely place. Even if you don’t believe in ghosts, the site seems cursed.

Robert Koch Hospital was established to help St. Louis deal with a cholera epidemic that killed 6 percent of its population. It survived for decades, mostly treating tuberculosis, until medical advancements alleviated the need for an isolated quarantine hospital in the area.

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Robert Rayford (Robert R): AIDS in St. Louis in the 1960s

Robert Rayford (Robert R): AIDS in St. Louis in the 1960s

The sad story of Robert Rayford (aka Robert R), the first documented case of HIV/AIDS in the United States, shows that if timing had been a little bit different, the AIDS epidemic could have happened a decade earlier than it did, and its epicenter could have been St. Louis instead of New York. His story raises some unsettling questions. How did HIV end up in St. Louis, of all places? And why did it stay local to St. Louis rather than becoming an epidemic?

His story made me uncomfortable, and sometimes that’s how I know it’s time to dig in a bit more. Trouble is, the more I dug in, the more uncomfortable I got.

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