Picturing Pandemic Prayer

Edward Reichman

(with invaluable assistance and inspiration from Menachem Butler and Sharon Liberman Mintz)

Among the precious items recently offered by Sotheby’s at its auction of important Judaica (December 17, 2020) was a richly illustrated miniature book of prayers written and illustrated by Nathan ben Samson of Meseritch, 1728 (here). Nestled among the spectacular illustrations and prayers reflecting all aspects of life we find the page below:[1]

This largely forgotten prayer recited upon seeing one recently recovered from illness derives from the Talmud. Rav Yehuda said in the name of Rav that four must offer thanks to God with a special blessing. One of them is a person who was ill and recovered. The passage then continues to record the proper blessing, which we today know as hagomel. The Talmud then recounts the following story which seems to deviate from the required practice:[2]

רַב יְהוּדָה חֲלַשׁ וְאִתְפַח. עָל לְגַבֵיהּ רַב חָנָא בַגְדָתָאָה וְרַבָנַן. אָמְרִי לֵיהּ: “בְרִיךְ רַחֲמָנָא דְיַהֲבָךְ נִיהֲלַן וְלָא יַהֲבָךְ לְעַפְרָא“. אֲמַר לְהוּ: פְטַרְתּוּן יָתִי מִלְאוֹדוֹיֵי.

The Gemara relates: Rav Yehuda fell sick and recovered, Rav Hana of Baghdad and the Sages entered to visit him. They said to him: Blessed is God Who gave you to us and did not give you to the dust. He said to them: You have exempted me from offering thanks, as your statement fulfilled my obligation to recite a blessing.

While there are seeming difficulties, the Talmud resolves them and considers this alternative expression of thanks, offered not by the patient himself, acceptable under certain halakhic guidelines. Today we routinely utilize the primary formula mentioned in the Talmud for giving thanks after the recovery from illness- birkat hagomel, recited by the patient, though this template could certainly suffice.

I do not think I am being presumptuous in saying that prayer, in some shape or form, in varying degrees, has been on all of our minds, hearts and lips these past few months. Here I do not discuss personalized improvisational prayer, but rather halakhically required or indicated tefillah. From a halakhic perspective, the types of prayers employed throughout this period have been varied and unique.

The Phases[3] of Pandemic prayer

There have been a number of phases of prayer during this pandemic period, each involving a different aspect or focus of prayer.

Phase 1- Techinah (supplication)

The first phase of prayer we encountered during this pandemic was the composition of special prayers to serve as protection and prevention from Covid 19.[4] We previously discussed one aspect of these prayers, the pitum haketoret.[5] There have been countless prayers of this kind written for plagues and pandemics throughout history. A search on the National Library website for the terms magefah and tefillah will sufficiently confirm this. During pre-modern times, when communities endured plague after plague, these prayers were regretfully all too familiar to the European Jew. The liturgy would have been kept under the Aron Kodesh as opposed to the back storage. Current rabbinic authorities thus had ample precedent upon which to draw to compose these prayers. Though we were previously “immune,” both literally and figuratively to this experience, and were unfamiliar with these prayers, we have now all been “exposed” to them.

Phase 2- Hoda’ah (thanksgiving) After Illness

The next prayer discussion to follow, as patients with God’s help began to recuperate from the disease, was an halakhic analysis of the requirements for reciting birkat hagomel. Issues included both when it should be recited, for example if one suffered only a mild case or conversely still had lingering symptoms,[6] to how it should be recited- whether a minyan is absolutely required and, if so, would a zoom minyan suffice.[7] Nathan ben Samson’s illustration might help with at least one of these questions. In order to recite the blessing, the disease should have been severe enough for one to have been bedridden, and one’s recovery advanced enough that he should begin getting out of bed.

Perhaps the rabbis could have considered resurrecting the alternate blessing from our illustration, d’yahavakh lan, during the pandemic. However, it would not have provided any halakhic advantage, as it too requires a minyan. If anything, it would potentially be even more challenging as this brachah is recited by others who observe the patient’s recovery. Perhaps zoom would not be sufficient for this assessment.

Phase 3- Hoda’ah for Preventing Illness

We now b’ezrat Hashem, find ourselves in phase 3 of pandemic prayer. With the development of a successful vaccine we are seeing a new phase of our prayerful preoccupations. Social media is currently abuzz with discussions about whether one should recite a blessing upon receiving the vaccine, and if so, which one.

I have not seen discussions in the halakhic literature on the recitation of a specific tefillah or brachah for previous vaccinations in medical history, neither for smallpox, nor polio, nor measles, nor any others. While admittedly my search has not been exhaustive, assuming there was indeed no previous vaccination prayer discussion, to what would we attribute the sudden change in halakhic perspective? I submit that the answer is rapidity and simultaneity. The rapidity with which Covid 19 spread across the world, leading to the prolonged closure or restriction of religious Jewish practice throughout the entire globe simultaneously is truly unprecedented. While we have experienced pandemics in the past, there has never been a simultaneous, global, real time, communal sense of tragedy on this scale before. Social media contributed exponentially to this experience. The production of multiple effective vaccinations in a mere few months to potentially rescue us from this abyss is likewise unprecedented.

The very aspects that have made this pandemic unprecedented have led to an unprecedented response to the vaccine. The elation at the vaccine’s dissemination is palpable, and the spiritual desire to find tangible verbal expression of gratitude is unrestrained. Rabbinic authorities are responding to this reality.

Furthermore, many rabbinic authorities are strongly supporting if not requiring vaccination.[8] Thus, as opposed to hagomel, or d’yahavakh lan, almost all of us could potentially have an opportunity to recite this brachah. The question then is which blessing.[9]

Talmudic Prayer Prior to Medical Treatment

There is one rabbinic formula mentioned in the Talmud that is to be recited upon undergoing the medical procedure of bloodletting:[10]

.”דְאָמַר רַב אַחָא: הַנִכְנָס לְהַקִיז דָם, אוֹמֵר: “יְהִי רָצוֹן מִלְפָנֶיךָ ה‘ אֱלֹהַי שֶיְהֵא עֵסֶק זֶה לִי לִרְפוּאָה, וּתְרַפְאֵנִי. כִי אֵל רוֹפֵא נֶאֱמָן אָתָה וּרְפוּאָתְךָ אֱמֶת, לְפִי שֶאֵין דַרְכָן שֶל בְנֵי אָדָם לְרַפּאוֹת אֶלָא שֶנָהֲגוּ

As Rav Aḥa said: One who enters to let blood says:
May it be Your will, O Lord my God, that this enterprise be for healing and that You should heal me. As You are a faithful God of healing and Your healing is truth. Because it is not the way of people to heal, but they have become accustomed.

This passage has been codified in Shulchan Arukh,[11] and though stated in the context of bloodletting, has been traditionally recited throughout history when undergoing any medical treatment or taking any medications.[12]

This blessing with accompanying illustration appears in another eighteenth century illustrated compendium similar to Nathan ben Samson’s:[13]

The modern reader may be forgiven for believing this scene to possibly depict a vaccination, especially given our current preoccupation with the procedure. You would be sorely mistaken. While it is true that the date of the manuscript, 1724, antedates Jenner by some seventy years, a form of smallpox inoculation was being administered long before. However, the Talmudic source of this blessing is associated with bloodletting, in addition to the fact that the clinician is making his incision in the basilic vein, the common location for bloodletting, not inoculation.[14]

This blessing, not unlike d’yahavakh lan pictured above, has, until now, fallen into disuse and atrophy. It has been resuscitated today by contemporary rabbinic authorities for recitation with vaccination for Covid 19. Rav Asher Weiss, Shlit”a recited this upon receiving his first dose of vaccine.[15]

Shehecheyanu

Another brachah considered for vaccination is shehecheyanu. It certainly seems like a logical choice based on its wording alone: “Blessed are You, our God, Sovereign of all, who has kept us alive, sustained us, and brought us to this occasion.” However, it is far more halakhically complex. Rabbi Dr. Daniel Sperber recited this formula and briefly wrote discussing the different options and the logic behind his decision.[16] Rav Asher Weiss devotes his weekly essay on the parashah of Vayigash, 5781 to this blessing, its parameters, and whether it should be recited upon receiving a vaccination for Covid 19.[17] Rav Weiss concludes that it should not be recited in this case.

Hatov Vihametiv [18]

Rav Yosef Rimon, Shlit”a addresses the propriety of reciting another blessing, related to shehechiyanu, hatov vihametiv, as this blessing requires tangible benefit.[19] Allowing that the vaccine’s benefit is indeed tangible in nature, a remaining question is whether it is entirely beneficial, or perhaps not, as there could be adverse reactions. Should one then preferably, he suggests, recite the blessing upon hearing of the vaccine’s effectiveness rather than upon personally receiving the injection. Rav Rimon concludes that one may recite the blessing depending on one’s subjective perception of the value of the vaccine. Rav Hershel Schachter, Shlit”a recited this brachah upon receiving his vaccine.[20]

Treatment Specific Prayer

A lesser known, event specific, prayer was composed by Rabbi Shmuel Eliyahu, Chief Rabbi of Tzfat:

מודִים אֲנַחְנוּ לָךְ ה‘ אֱלהֵינוּ וֵאלהֵי אֲבותֵינוּ אֱלהֵי כָל בָשָר. בּוֹרֵא רְפוּאוֹת. שאַתָה חונֵן לְאָדָם דַעַת וּמְלַמֵד לֶאֱנושׁ בִינָה לִמְצֹא וּלְהַמְצִיא חִסּוּן לַמַגֵפָה. יְהִי רָצוֹן מִלְפָנֶיךָ שֶהַחִסּוּן הַזֶה יִמְנַע אֶת הִתְפַשְטוּת הַמַגֵפָה וְיַצִיל חַיִים שֶל אַלְפֵי רְבָבוֹת בָעוֹלָם כֻלּוֹ. אָנָא ה‘ שְלַח רְפוּאָה שְלֵמָה לְכָל חולֵי עַמֶךָ. הִצִילָנוּ מִכָל תּוֹפְעוֹת הַלְוַאי, רְפָאֵנוּ ה‘ וְנֵרָפֵא הושִיעֵנוּ וְנִוָשֵעָה כִי תְהִלָתֵנוּ אָתָה. וְהַעֲלֶה אֲרוּכָה וּמַרְפֵא לְכָל תַחֲלוּאֵינוּ. וּלְכָל מַכְאובֵינוּ וּלְכָל מַכּותֵינוּ. כִי אֵל רופֵא רַחְמָן וְנֶאֱמָן אָתָה. יִהְיוּ לְרָצון אִמְרֵי פִי וְהֶגְיון לִבִי לְפָנֶיךָ. ה‘ צוּרִי וְגאֲלִי

This prayer thanks God specifically for granting man the wisdom to discover and create a vaccine for this pandemic and beseeches that it should be effective in saving countless lives across the entire world. When I received my vaccination,[21] as a so-called frontline worker, I personally recited the formula of the Shulchan Arukh above, in addition to this tefillah, which personally deeply resonated with me.

Whether one uses the classic formulation of Rav Asher Weiss, the hatov vihametiv of Rav Schachter, or the shehechiyanu of Rabbi Dr. Sperber is not so much the issue.[22] What is far more important is that the tefillah conversation has shifted from the tefillah of techinah (supplication) to the tefillah of hoda’ah (thanksgiving). While hagomel is also a form of hoda’ah, one must have contracted disease to recite it. This form of hoda’ah is a “healthier” form of thanksgiving and represents an appreciation of the introduction of a cure (or more accurately prevention) of the disease that will potentially end the pandemic for us all. It is an appreciation of the advances in medicine which through Hashem’s guidance have enabled scientists to create a novel and exceptionally effective treatment in a remarkably short time, as Rabbi Eliyahu so beautifully encapsulates in his prayer.

Phase 4- Communal Retrospective Hoda’ah

The fourth and final phase of prayer, which we have yet to experience, is communal gratitude for surviving the plague. This form of prayer can only be expressed once the pandemic has abated. Throughout the centuries, communities that survived bouts of plague offered services of communal prayer and thanksgiving for their survival. I offer one such example.

In the nineteenth century there were multiple cholera pandemics. Jewish communities were profoundly affected by these events. The famous cases of Rabbi Yisroel Salanter (supposedly) making kiddush from the bimah on Yom Kippur and of Rabbi Akiva Eiger recommending social distancing in synagogue to minimize contagion were both associated with cholera pandemics.[23] In 1835, the city of Ferrara experienced a severe cholera outbreak.[24] In gratitude to Hashem for the community’s salvation from this particular event a special community prayer service was instituted.[25] The order of prayers was to be recited in every synagogue in the city of Ferrara in the month of Adar after the Shacharit (morning) service. It included selections from Tehillim as well as specific prayers written for the occasion:

Let us conclude by taking a closer look at our first illustration:

This picture I believe accurately reflects our present state of affairs in the midst of the Covid 19 pandemic. We are collectively as a people beginning to get out of bed on the road to recovery. To be sure, we are not there just yet, but we have transitioned gradually from the prone position to sitting off the side of the bed, with our feet dangling. We are still socially distancing, and as in the picture, there is no one in the room with us. Yet, it appears the door is open. The vaccine has been released and we as a people will soon be walking together unmasked outside and standing together shoulder to shoulder in shul, iy”H. We will then transition to the next and final phase of pandemic tefillah, when this pandemic is behind us- the collective community hoda’ah. I look forward to this final phase of reciting the prayer for the salvation of the world from the Covid 19 pandemic together with you, in person (sorry, no Zoom allowed).

Notes:

[1] Seder Birkat ha-Mazon u-Birkat ha-Nehenin (Grace After Meals and Occasional Blessings), written and illustrated by Nathan ben Samson of Meseritch, 1728 (private collection)

[2] Berachot 54b. translation from Sefaria.org.

[3] I use the term “phase” intentionally to be reminiscent of the phases of the vaccine trials, for which there are also four phases, though the connection is admittedly loose.

[4] See Rabbi Dr. Avraham Steinberg’s compendium on the laws relating to Coronavirus, available here.

[5] Edward Reichman, “Incensed by Coronavirus: Prayer and Ketoret in Times of Epidemic,” Lehrhaus (March 15, 2020), available here.

[6] Steinberg, op. cit.

[7] Rabbi Hershel Schachter, Piskei Corona, available here.

[8] Rabbi Dr. Aaron Glatt, “What Do Poskim Say About The Covid-19 Vaccine?” JewishPress.com (December 24, 2020) (here); HaGaon HaRav Yitzchak Zilberstein: “The Vaccine Has The Authority Of Beis Din” theyeshivaworld.com (December 24, 2020), available here. For a video of Rav Schachter and Rabbi Willig receiving the vaccine see here.

[9] An in-depth halakhic analysis is beyond the scope of this essay.

[10] Berachot 60a. text from Sefaria.org

[11] O. C. 230:4.

[12] Mishnah Berurah 230:6

[13] Seder Birkat ha-Mazon u-Birkat ha-Nehenin (Grace After Meals and Occasional Blessings), written and illustrated by Aaron Herlingen of Geitsch, 1724. The Library of the Jewish Theological Seminary, MS8232. I thank Sharon Liberman Mintz for this illustration.

[14] It is curious that there is no bowl to receive the blood, which one would typically find in illustrations of bloodletting. I also looked at the instruments on the table thinking they might be associated with bloodletting specifically, though could not find definitive evidence.

[15] For a more expansive treatment of vaccination in general by Rav Weiss, see here.

[16] For a video of his reciting the blessing while being vaccinated, see here. For his halakhic analysis, see here. I thank Menachem Butler for these references.

[17] Rav Asher Weiss weekly parashah series, year 23, issue 11.

[18] On the history of this blessing, see Adolf Büchler, “The History of the Blessing HaTov veHaMetiv and the Situation in Judaea after the War,” in Avigdor (Victor) Aptowitzer and A.Z. Schwarz, eds., Zvi Peretz Chajes Memorial Volume (Vienna: Alexander Kohut Foundation, 1933), 137-167 (Hebrew)

[19] I thank Rabbi Warren Cinamon for this reference.

[20] A video is available online here.

[21] Of the Pfizer variety.

[22] On the proviso of course that they are following the guidelines of their posek.

[23] Edward Reichman, “From Cholera to Coronavirus: Recurrent Pandemics with Recurrent Rabbinic Responses,” Tradition Online (April 2, 2020), available here.

[24] Myrna Gene Martin, “Outsiders on the Inside: Italian Jewish Ghettos and Cholera in the 1830s,” European History Quarterly 49:1 (2019), 28-49.

[25] Courtesy of the National Library of Israel, item number 990001066250205171