Reflective Essay

Brady Gannon

Epidemics and Society Reflective Essay

 

Over the last spring semester, in class we learned about the many epidemics and infectious diseases existing in the world we live in and how they affect not just our health, but also our environment and culture. Before taking this class, I never really thought about disease or how it altered the world around us besides the obvious health factors that the diseases caused. This class, the artifact assignments specifically, helped shed light to all of the moving parts that epidemics and infectious diseases can alter and change. The artifacts ranging from topics like the Black Death, to the Irish potato blight, to HIV and AIDS showed how disease shaped the course of history and also how society and human action changed the courses of infectious diseases as well.

When I think about how societies were changed by diseases the epidemic that first comes into mind is the plague. It is estimated that the Black Death claimed the lives of approximately one third of Europe’s population at the height of the outbreak. This was the cause of quite a few historical events, including in the Justinian plague outbreak, East and West Rome had plans to unite and come together, which would have potentially been a major diplomatic event for the time, but the plans were shattered when the plague came through and killed many of the leaders involved. (Artifact 3).

The plagues effects were not limited to political affairs, religion across Europe was taken to new heights with the increasingly high death toll caused by the Black Death. Religious fanatics (known as flagellants) claimed that this was mankind’s punishment from God for their sins and wrongdoings. They traveled the countryside whipping themselves and stoning people to death to accept the punishment for their vengeful God. Other religious fanatics looked for another scapegoat, many blamed the Jews for the plague and the Jewish people were treated very poorly, sometimes ostracized and even killed for their part in the deadly plagues. (Artifact 3)

Another disease that helped shape society was small pox and the epidemic that killed hundreds of thousands of people across centuries. Small pox was extremely deadly and contagious and is notable for killing off royal families, including Queen Mary, who died at age 32 due to small pox (Artifact 4). Although it was extremely deadly, there were survivors including Abraham Lincoln. Surviving, however, comes with a price. Small pox leaves the body scared in painful blisters.

Smallpox in North America was the origin of biological warfare. It was well known that the English settlers brought with them disease to North America when they discovered the new land. As a child, I always thought that the Native Americans accidentally got sick because they did not have the same immunities as the English invaders. The British soldiers knowingly gave blankets and other items out of a small pox infirmary as “gifts” to the Native Americans and one of the English soldiers is quoted saying “Out of our regard to them we gave them two Blankets and an Handkerchief out of the Small Pox Hospital. I hope it will have the desired effect.” (Artifact 4).

The smallpox outbreak was certainly horrible but it did not come at a total loss, the first immunization and vaccine came from the smallpox epidemic. Lady Mary Montague, a wealthy poet, introduced the method of variolation, which was the earliest form of immunizations and vaccinations. She and her son were immune to small pox because they were inoculated with pus from a blister to develop antibodies. This process was perfected by Edward Jenner who is now regarded as the father of immunization, he noticed the milkmaids were immune to cowpox so through a similar way of thinking he tried it and was eventually successful. (Artifact 4)

Epidemics have the ability to drive and influence society, but that relationship works the other way around as well. There are instances where the actions and ideas of a culture or group of people can influence how a disease or an epidemic behaves. Coming back to smallpox, the spread was exacerbated by wars, trade routes, and slavery (Artifact 4) and could have been contained if not for these factors.

Early humankind were primal hunter-gatherers who lived off of the land and ate what they could catch or find in a hunt. As people evolved and got smarter, they learned to domesticate animals. Early man did not know about sanitation and the spread of disease so the areas where they kept these animals were a breeding ground for bacteria and diseases to find a vector to spread. (Artifact 1) In this era humans also introduced the single crop monoculture, which lead to malnourishment and more susceptibility to disease outbreaks.

Even today human’s actions are impacting the maintenance and spread of epidemic diseases all around the world. For instance, wars in the Middle East and airstrikes and attacks on health centers and hospitals in Yemen are denying thousands of innocent people healthcare and making them susceptible to even more disease and making that disease more prone to spread. (Artifact 1). Similarly, people who are prone to HIV/AIDS and refuse to seek medical attention are not helping in the control of this disease and making the impact of it that much worse. Which is why it is important to always seek medical care regardless of stigma. (Artifact 9) This class has opened my eyes to a new way of thinking, not just when it comes to diseases and society and the different effects, but also how everything in this world is interconnected.

 

Artifact 9: HIV/AIDS The social stigma killer

Brady Gannon

Artifact 9

 

Human immunodeficiency virus, otherwise known as HIV, is an extremely deadly disease effecting countless people worldwide every year. HIV can be treated and controlled although not cured. The disease is not discriminative and can kill anyone regardless of race, gender, age, or sexual orientation contrary to public belief. Gay men, African Americans, sex workers, and drug users are all at a higher risk to contract. Because of this, in the US, during the HIV/AIDS epidemic, there was a strong stigma against these aforementioned groups.

In the gay community (specifically the subgroup of men who have sex with men [MSM]) the stigma was particularly strong. There are about 1.1 million people who have HIV and it is estimated that 1 in 7 of those 1.1 million are unaware that they have it. This is because of the homophobia that runs rampant in the United States, gay men or MSM have less health seeking behavior because of the stigma, which increases their likelihood to develop depression or anxiety. Because these men don’t get tested and are unaware of their condition, this makes HIV so much more transmissible and so much more deadly.

In the US, HIV awareness has increased over the years once people acknowledged how deadly the virus was. With this awareness came many different treatments and preventative methods to protect these at risk groups from contracting HIV. The most important and helpful methods of prevention was education. A large percentage of people in the US were not aware how HIV was spread, which didn’t help the stigma against those groups prone to HIV. Many thought they could get it from touching someone infected. This helped the social stigma and people began to realize it was only through blood and sexual contact you can contract HIV. Another measure taken to prevent the spread of HIV was clean needle sites, some groups provide clean needles for drug uses to have so they are not re-using dirty needles and potentially spreading HIV. This is a controversial method because there is the argument that we would be enabling the bad habits of the drug users but if they are going to inject anyway, they should at least use a clean needle so they don’t spread HIV any more than it is already being spread.

In American culture the stigma was strong againt HIV/AIDS until American actor Rock Hudson announced he had the disease and eventually passed away in 1985. Other notable celebrities to lose their battle to HIV/AIDS are singers Ricky Wilson and Freddie Mercury. Through these celebrities’ deaths, the awareness of HIV became more prominent and the general acceptance grew.

HIV is not even close to being eradicated today and still a very deadly disease, in my opinion if we want to overcome HIV we as a culture need to get rid of the stigma against seeking help and getting tested. If that one person in every 7 knows they have HIV the number of deaths can decrease significantly and we can switch from working to prevent to working to cure the horrible disease and the impact that it has.

Help Received: Class Notes

https://www.avert.org/professionals/hiv-social-issues/homophobia

https://www.cdc.gov/hiv/risk/index.html

https://aidsinfo.nih.gov/understanding-hiv-aids/fact-sheets/20/48/the-basics-of-hiv-prevention

https://en.wikipedia.org/wiki/Timeline_of_HIV/AIDS#Pre-1980s

Artifact 8: Cholera The water borne killer

Brady Gannon

Artifact 8

 

Cholera is a particularly dangerous disease caused by bacteria that can cause devastating effects to countries and civilizations not only because of its symptoms, but because of its speed, versatility, and mode of transmission. Cholera is responsible for seven pandemics and epidemics in the past two centuries. This disease is mostly prevalent in developing countries, notably areas with little sanitation and poor bathroom conditions.

India for example, is the site for many of these outbreaks. Cholera is a food borne and water borne disease so in areas with public wash sites and poor slaughter and sanitation methods, it becomes very easy for Cholera to spread. What makes India the best breeding ground for Cholera is the fact that there are more smart phones in the country than working toilets. The toilets in India are holes in the ground; human excrement gets drained directly into local waterways which is how people contract the bacteria. Education on sanitation is also not as abundant as it should be, by simply washing your hands or properly washing your food, which also may be infected with Cholera due to the water supply, you are significantly reducing your chances of becoming infected with the bacteria.
Not only is it extremely easy to catch in areas such as India, the disease moves fast, killing victims in as fast as one day. The infected persons suffer from extreme water loss due to diarrhea and their faces become sunken in. Dehydration is the usual killer of people who have Cholera.

The rise in urbanization and people living within close proximity to one another raised the Cholera outbreak risk, this was confirmed by John Snow who conducted a study by looking at people infected with Cholera and where their water supply came from. He determined Cholera was a water borne virus and helped pioneer a path to find a new way to combat the deadly disease.

Although these were great advancements, Cholera is still very much so around today. In 2011 there was an outbreak in Haiti which caused almost half a million confirmed cases. The devastating effects of this outbreak carried on for many years after the first confirmed cases. It was determined that the causes that made this so bad was flooding and poor sewage systems and of course poor sanitation.

 

Help Received:
Cholera Powerpoint

Eliminating Cholera transplant in Haiti

Cholera videos

Artifact 7: TB The Lover’s disease

Brady Gannon

Artifact 7

 

Tuberculosis is extremely deadly as we have seen from the film “The Silent Killer” and it has been known to take the lives of the loved ones of the infected. It has been referred to as the “lover’s disease” because family members who take care of their sick loved ones often contract the disease themselves. TB is extremely dangerous in how fast it sneaks up on its victims, and how painful the treatment is. The side effects to the treatment alone are enough for many victims to give up and lose their fight to TB. TB is also extremely difficult to diagnose, which is the cause for its high mortality and morbidity rate, the delayed diagnosis requires expert clinical experience that isn’t often on hand.

People are particularly susceptible to TB in crowded areas, as seen in Philadelphia and New York City in the early 20th century. Immigrants who travel together and live together in tight, close quarters are more likely to get TB as well as people who live in poorly ventilated buildings where the disease can manifest itself in the lungs much easier. To conquer this disease once and for all we must get a better understanding as to how it becomes drug resistant and combat its resistance. We also need to figure out how to more quickly diagnose TB in order to begin treating it sooner.

 

Help Received: Powerpoint

“silent killer” film

Class discussion

Artifact 6: Potato famine wipes out Ireland

Artifact 6

Brady Gannon

Ireland in the 1800s was a prosperous land and the people were generally happy, that is until the potato blight hit. There was a large population boom where the Irish population more than doubled going from 3.5 million people to approximately 8 million people. The farmers and agricultural workers of the land could not keep up with this increase in population. The increase in the yield of potatoes lead to less healthy crops making them vulnerable to disease.

Once disease ravaged the potato crops, it is estimated that around one million people perished. The Irish were known potato people, they would eat it for breakfast, lunch, and dinner and some would survive on milk and potatoes alone. Without their main source of nutrition, came starvation and disease. Many Irish men and women fled the country because of the conditions, which severely hurt the Irish economy and political scene.

If the Irish were able to genetically modify their crops, perhaps we would not have seen these incredibly detrimental effects. The practice of genetically modifying crops as a means of pest control is widely used today and we have not experienced famine like this since the use of GMOs were deployed

 

Help Received: Potato blight powerpoint

Twelve diseases that changed our world