Artifact #4: Plague–Yesterday and Today

The Bubonic Plague, or Black Death, was the quintessential disease epidemic. It ravaged Europe from the 14th century until the 18th century. It was extremely virulent and killed without discretion. Many social and cultural factors allowed it to do the damage it did, and it altered the course of history. But it is not only an epidemic of the past. There have been numerous plague outbreaks in modern times. The plague transcends time as a deadly disease.
During the plague outbreak known as the Black death during the 14th century, there were several societal factors that may have contributed to its spread and deadliness. One factor is war. At this time, the Mongol Empire was spreading from the Far East into Western Europe. Some historians and scientists believe that the plague was first spread to Europe during the Siege of Caffa. Legend goes that the retreating Mongol army launched corpses infected with plague over the city walls. More than likely, however, rats carrying infected fleas entered the city.
In addition to war, trade was another factor in the Black Death. Numerous trade routes were opened from the Mongol Empire from Asia into Europe. This facilitated the spread of the plague from Asia. Also, seafaring trade may have contributed to the spread of the plague through the rats aboard the ships.
Another factor in the deadliness of the Black Death was a lack of sanitation in European cities. There was a rise in major cities around this time, and many people came to live in these cities. They soon became crowded and filthy places, the perfect conditions for rats to live. And with the rats came fleas infected with Y. pestis.
When the outbreak of plague became evident, there were many assumptions about its nature. Many of the ‘educated elite’ believed it was the result of a miasma or the malalignment of the planets. Religious-minded people believed the plague was God’s curse on them for their great sin. Some even blamed the Jews, believing it would make God happy to get rid of them.

With the plague came several prevention strategies. This time period saw the rise of religious fanatics, most notably the flagellants, who believed suffering like Christ would appease God and end the plague. There were also several early medical remedies for the plague. These remedies included bloodletting, treatment with different herbs and spices, and even fire.
Some resorted to killing the Jews, who they believed were the cause of the plague. If they were not killed, many were forced to leave. Even non-Jews would leave their homes, especially the nobles, who would flee to their country estates to seclude themselves. Some would just abandon their families in an act of self-preservation.
The concept of quarantine was developed during this time. The word quarantine originally comes from Italian for 40. Ships were forced to stay at anchor for 40 days before coming to port. Lazarettos were created for people with the plague to all stay in one place to be treated. Some cities enacted ordinances to create a ‘Cordon Sanitaire,’ in which sick people were forcibly kept separate from the healthy.
When it was all said and done, the plague had many lasting impacts on society and culture. One effect was that many Jews were killed or scattered from their homes. Many went to Poland, where they were accepted.
In terms of religion, some say there was a “privatization of religion,” where the wealthy would hire private chaplains. For some, their faith in God increased after enduring this great trial. Others resorted to science.
In medicine, the physician Guy de Chauliac made major contributions, including his famous Chirurgia Magna. In this several volume collection, Guy de Chauliac records many of his medical observations, including his experience treating the plague. His work influenced medicine for hundreds of years afterward.
After the Black Death, the economy of Western Europe flourished. Many people had died, so there were less people to feed and compete with for business. This led to prosperity for those left alive.
The plague also impacted the established social order. Serfs could now make enough money to support themselves due to a bolstered economy. This, combined with the lack of a labor force due to the plague’s death toll forced many nobles to have to work for themselves. This also contributed to the violence which followed in an attempt by the nobles to forcibly obtain a work force and gain new land.
One final impact the plague had on society and culture was on education. The new economic prosperity after the plague brought more time for education. Both the arts and the sciences prospered. New inventions were created, many of which helped supplement the lacking work force. This time of learning and creativity ultimately resulted in the Renaissance, which brought about many advances in the arts and sciences.
Though the Black Death is long past us, the plague is still relevant today. We have been able to learn much about the plague and have witnessed several new outbreaks.
Today, we know a lot more about the plague. The plague bacteria Y. pestis was originally isolated by Yersin while in Beijing. We have learned that plague is spread by respiratory droplets and direct contact. There are three types of plague, including bubonic, pneumonic, and septicemic.
The plague is not just a foreign disease but is found here in the United States. It was first brought over from China, which led to much anti-Chinese discrimination. It has spread mostly throughout the southwest and regularly infects rodents such as prairie dogs and ground squirrels.
Several control measures have curbed the spread of the plague during modern outbreaks. One control measure is killing rats. During an outbreak in Philadelphia, the health department “went to war” with the rats in the city, employing people to collect rats and kill them. They were able to use the dead rats for dissection, where they were able to find if they were infected with Y. pestis. In addition to catching rats, quarantine was still practiced. Better sanitation also helped contribute to keeping the plague at bay. Finally, the modern use of antibiotics helped effectively treat plague victims.
In very recent memory, Madagascar was hit with an outbreak in 2009 after it resurfaced in the 1990s. There are several factors that affected this recent outbreak. One of those factors was a bad healthcare system. This was supplemented, however, with international help, including the World Health Organization. Widespread poverty also contributed to the outbreak of plague. Crowded cities helped facilitate the spread of plague, just as they did during the 14th century. Finally, traditional burial practices were putting family and friends at risk of infection.
The Black Death during the Middle Ages was the result of many cultural and societal factors coming to a head. In the end, it greatly impacted the course of history. Though this occurred so long ago, the plague is still present with us today. Continued research is needed in order to say ahead of the next plague outbreak.

 

Help Received: https://www.cdc.gov/quarantine/historyquarantine.html, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3559034/, https://www.britannica.com/biography/Guy-de-Chauliac, https://en.wikipedia.org/wiki/Guy_de_Chauliac, Bubonic Plague History Channel documentary from class, Plague PPT from class, Echoes of Ebola as plague hits Madagascar article, Spellcheck, https://fathertheo.files.wordpress.com/2013/05/black-death-in-tourinai-1349.jpg for image 1, https://www.urofrance.org/sites/default/files/fileadmin/medias/histoire/urologie-france/DE-CHAULIAC-Guy_500x600.jpg for image 2

Artifact #2: Outbreak Significance and Factors

Disease outbreaks have been in the news quite often over the past several years. There are many factors that have brought about this influx in disease outbreaks, including social and cultural influences. Human response to outbreak has not changed over the years, as evidenced by historical and modern-day examples. With these outbreaks, preparation steps are being taken to stay ‘ahead of the curve’ for the next one.
Emerging, re-emerging, and zoonotic diseases have great significance and relevance, especially today. We are seeing the emergence of several new diseases. With emerging diseases, many do not have treatments or cures. One example of this is the Nipah virus, which currently has no documented vaccine or treatment. These diseases are particularly dangerous due to their newness, which catches many healthcare workers off guard. There is no real way to prepare for emerging diseases until they strike.
In the same way, re-emerging diseases surprise many in healthcare and the general populace. These diseases include many that people though were endemic to limited areas or almost eradicated. An example of this is the recent outbreak of Measles in Washington state. This disease was on the downward trend, but relatively recent pushback against vaccines has made us susceptible to measles, once again.
Emerging and re-emerging diseases are not mutually exclusive, though. They are both influenced by a few, overarching factors. One is globalization. The increasing connectedness around the world today, from global travel, trade, and business is unprecedented. But, it comes with a price. Disease thrives on human interaction, which is what makes our global connectedness so dangerous. In addition, the huge global population lends itself to disease outbreaks. Diseases spread more easily with more people to infect and high population densities. These are just two factors that link the significance of emerging and re-emerging diseases today.

These diseases may include zoonotic diseases, which has been increasingly significant in the recent past. Interaction with animals is a daily occurrence in today’s society, especially in developing countries. Zoonotic diseases have come to the forefront of society more recently with outbreaks of influenza, Nipah, and Ebola. The Ebola outbreak, beginning in 2014, infected almost 29,000 people and killed over 11,000. These are confirmed cases and deaths by the CDC, but there are more than likely thousands more undocumented. With some of these zoonotic diseases, we do not have a cure. As an example, the CDC reported treatment for the Nipah virus is “supportive care.” Zoonotic diseases have become an important topic in healthcare.

In many cases, outbreaks in emerging, re-emerging, and zoonotic diseases stem from social and cultural issues. One such issue is eating bush meat. This practice exposes people to zoonotic diseases that are not normally found in humans. Even earing fruits and vegetables that we believe to be safe may have come into contact with animal carriers in the journey from field to supermarket. Another large social factor associated with major outbreaks is land development. Humans are increasingly encroaching on the wilderness. This brings us in closer proximity to potential zoonotic disease vectors or hosts that would have, otherwise, been left undisturbed. Land development has been linked to the recent emergence of some diseases. Social and cultural factors play into the significance of disease outbreaks.
When an outbreak does occur, people react in similar ways as they have done in the past. At first, people are not worried about getting the disease. It could not happen to them, right? That was the sentiment at the outset of the Spanish Influenza epidemic of 1918 and 1919. When an outbreak does start to affect us, we try to do anything we can to prevent it in ourselves, even if our ‘solutions’ do not work. During the Spanish Influenza epidemic, people began to wear masks and create home remedy medicine, which were ineffective. However, it helped people feel like they were contributing to ending the outbreak. Today, more information is available to the layperson to help diagnose and treat diseases. With that said, there is a lot of false information out there. This scares people. In an age of ‘fake news,’ people do not know who to believe. This leads to many misconceptions about outbreaks. For example, in class we discussed the possibility of a professor coming in contact with an Ebola patient and then coming to class. As long as the professor is not actively showing symptoms and contaminating the class with body fluids, there is no threat. Yet, probably every student in the class would be concerned about contracting Ebola. All of these human reactions to outbreaks are not new and will continue to occur.
The question to address now is, are we ready for the next outbreak? There are several measures that have been taken before and that are being taken now to help the world prepare for the next outbreak. In the Spillover video, contact tracers during the Ebola outbreak were able to stop the spread of Ebola. This method has been proven to be effective and could be implemented if there was another outbreak. In addition, there are research teams going around the world looking for incidence of known deadly disease before an outbreak can occur. Researchers are also actively trying to prevent outbreaks through genetic modification. For example, GMO mosquitoes are being released in Brazil to compete for mating with wild-type mosquitos to prevent them from living long enough to reproduce, thus curbing Zika. Finally, research needs to be continued to look for treatments and vaccines, especially for the diseases that currently do not have them. The problem is, that research requires money, and there is no money to be made preparing for a disease that is not currently a major problem.
Disease outbreaks are a very real threat, especially with the emergence of new disease, the re-emergence of old ones, and the increasing incidence of zoonotic diseases. We as people continue to influence the occurrence of outbreaks, but we are preparing for the future. Hopefully, we will be ready.

 

 

 

 

Help Received:
https://www.cdc.gov/vhf/ebola/history/2014-2016-outbreak/index.html
https://www.cdc.gov/vhf/nipah/treatment/index.html
Killer Viruses ppt
https://imgs.mongabay.com/wp-content/uploads/sites/20/2016/11/10220822/sabah_aerial_3034.jpg for image 1
https://static01.nyt.com/newsgraphics/2014/12/30/ebola-outbreaks/4ddf2d539da9e29a43144ed2f3a485a62bff7f30/animals.jpg
Spellcheck

 

Artifact #1 Disease and Plagues–from Past to Present

Diseases and plagues have been a part of humanity since the beginning of time. They are known for mass suffering, pain, and death. There are many historical examples of how and when diseases and plagues began. In addition, there are several modern issues that perpetuate diseases and plagues.

There were many cultural and societal factors that lead to the rise and spread of diseases and plagues. Originally, most societies were based on hunting and gathering food. These societies were usually small and moved regularly. Disease was generally spread only among the small group, and most diseases were probably the result of parasites.
Around 8000 BCE, societies began to change. Many began to settle down in one spot and create communities. Instead of hunting and gathering, people began to engage in agriculture and the domestication of animals. Consequently, the human population grew rapidly.

But with this time of great prosperity came unforeseen consequences. The closer proximity to animals brought about diseases that were spread from animal to human, known as zoonotic diseases. Larger populations meant disease was spread more quickly. More human hosts also allowed disease to change more quickly. This led to the “crowd diseases,” such as measles, tuberculosis, smallpox, and influenza. Some people did not show symptoms of these diseases and were asymptomatic carriers (such as Typhoid Mary much later in history). Larger populations also created more waste and trash, leading to squalor. This acted as a petri dish for disease and harbored disease vectors like rats, mice, lice, and flies. Clearing land for agriculture often displaced other disease vectors, like mosquitoes or the tsetse fly. Irrigation systems for crops could lead to parasite breeding, as was the case in Egypt with Schistosomiasis.


As humans began to create more advanced societies and trade with one another, plagues followed them. The Roman Empire fell victim to the Plague of Antonine (165-180 CE), which was an outbreak of smallpox. In addition, the Romans underwent the Plague of Justinian (541-757 CE), caused by the plague bacillus Y. pestis. This plague never truly left Europe and popped back up in 1346 as the Black Death. This plague followed trade routes all throughout the Europe and Asia. These are only a few examples of documented plagues throughout history, but there are countless others not mentioned here.

Plagues and disease are not gone from us today. There are many modern factors today that foster the spread and development of diseases and plague. One factor is global climate change. The warming of coastal areas has been related to an increase in cholera outbreaks. Also, hotter temperatures have been correlated with more hospital visits, as well as more extreme weather phenomena, which may impact health.

Another factor is the relatively recent boom in population size. As seen in ancient times of population growth, disease becomes spread more easily, and diseases are more likely to develop new strains. In addition, with more people, there are less resources for all. This can lead to poverty, which has been shown to be related to instances of disease.

With increased technology and efficiency in day to day life, humans have more leisure time than ever before in history. This can be detrimental, though, because it has led many to be less active. Less activity results in less calories burned, leading to a calorie excess. This can often lead to obesity, which we see more and more of today, especially in America.

Warfare has been with us from the beginning and is still strong today. The existence of disease and potential plagues can be directly related to warfare. Take Yemen, for example. Yemen has never had the best healthcare system, but after years of war and repeated targeting to healthcare and water treatment facilities, it is destroyed. This has led to cholera outbreaks and diphtheria. Warfare greatly impacts human health, especially in regards to disease.

Even advances in healthcare have caused potential health risks. The increased use of antibiotics has led to antibiotic resistance in different diseases. Recombinant DNA technology can lead to a lot of good but can potentially facilitate the development of super-strains of diseases. One advance that will help prevent disease and plagues is that health information is now more readily available to the public. This can allow people to better manage their own health.

Diseases and plagues have been with humanity from the beginning, but different factors have influenced their impact over time. Factors today are mostly different from ancient times, but some remain the same. Ultimately, we must do our best to mitigate these factors and halt the spread of disease and plague where we can.

 

References: Disease and Famine as Weapons of War in Yemen, The Price of Being Sedentary PPT, https://www.ancient-origins.net/news-mysterious-phenomena/justinian-plague-probably-caused-bacteria-unknown-how-it-appeared-00438 for image 1, https://emtv.com.pg/yemen-cholera-outbreak-kills-25-people-in-a-week-who/ for image 2