One hundred years later, the mayor of Iowa City honored him with an official proclamation for his work in public health. Was he murdered? Was it a suicide? The Paul Shekwana story has mesmerized my family for years. At the time, his friends and colleagues described him as cheerful and excited about returning to England. Perhaps he had a love interest they never knew about. Perhaps his heart was broken. Or maybe he had caused too much trouble with all his bad news about germs, the spread of infectious disease, and water quality. As with all things, there is so much more to know.