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History, Sex, and Syphilis:

Disease and History, Part I

Modern World Civilization

                                                                  Spring 2003

The Wonders of Modern Medical Science

Man, Germs, and Steel

Environmental Situation in Europe on the Eve of the Plague

•      Europe was a rural Society with few large population centers.

•      Towns were located near rivers or other bodies of water.

•      The public virtually lived over each other.

•      Sanitation did not exist as we know it.

Expanding Population

•      Population was increasing and so was food production.

•      Europe was virtually disease free.

•      Population grew from 25 million in 950 to 75 million in 1250.

•      To support that population upsurge, more land was brought into cultivation.

•      New sources of food production were found.

Man, Beast, and Disease

•      Rule of thumb -- a successful search for food for one organism is a lethal infection for another.

•      All living things feast on each other.

•      If a parasite kills its host quickly then it must locate another in order to survive.

•      The optimal relationship is a symbiotic one.

•      We must remember that we are surrounded by “Germs.”

Types of Diseases

•      Respiratory

•      Enteric

•      Venereal

•      Animal to Human contact

Economics in the High Middle Ages
and Early Modern Period

•      Reduction on emphasis on Feudalism.

•      Manorialism was in trouble.

•      Lords wanted payments to be made “in kind” rather than “service.”

•      Emergence of an urban economy.

•      Banking was introduced.

•      Scutage was being paid rather than providing military service.

Medieval Manor

Climate Changes

•      At first the world was warming up.

•      The weather and rainfall improved for the better between 750-1250.

•      This is called The Early Medieval Warm or The Little Optimum.

•      Alpine glaciers were in retreat.

•      Trees long vanished made their return.

•      It was an age of “global warming.”

What Comes Around Goes Around

•      Then suddenly and slowly the weather became colder and wetter.

•      Food production was on the decline.

•      Places like Greenland and Iceland were now cut off from the West.

•      Still the population continued to increase.

 

Reasons for Population Growth

•      Early first marriages.

•      Women often married at 16.

•      Few diseases served as a “population check.”

•      Common diseases were of the enteric variety.

•      Those included Typhoid, Dysentery, and Diphtheria.

 

The Justinian Plague

•      First arrived in Europe in 541.

•      Killed 40% of Constantinople’s population.

•      In the rest of Europe it killed 20-25% of the population.

•      The Plague turned Europe into a temporary reservoir of “Temporary Focus”

•      There were still other diseases in Europe too -- Smallpox and Leprosy.

The Years of the Justinian Plague

Elements of the Plague

•      The plague comes in Pandemics

•      The disease is spread from animals to humans with fleas serving as intermediaries.

•      The fleas carry in their digestive tract a strain of bacteria called Yersinia Pestis (or Y-Pestis),

•      The bacteria blocks the digestive tract and hence is called a Blocked Flea.

•      Many rodents carry the flea required. The most common is the Black Rat or Ratus Ratus.

•      The flea regurgitates on the victim and through a break in the skin the bacteria is passed, probably from a flea bite.

What are Pandemics?

The Three Plague Types

•      Bubonic Plague

•      Pneumonic Plague

•      Septicaemic Plague

Bubonic Plague

Pneumonic Plague

Septicaemic Plague

What Does it Take to Have an Outbreak of the Plague?

•      Rats living near the public.

•      The rats have to carry the flea.

•      The fleas must be blocked.

•      And Carry Y-Pestis.

 

Permanent Plague Reservoirs

•      Central Asia

•      Siberia

•      Parts of China

•      Iran

•      The Middle East

•      North Africa

•      East Africa

•      The Arabian Peninsula

Theories that Explain the Plague

Some Considerations

•      With climate changes rodents migrated.

•      In 1320 the plague broke out in China and killed between 90 to 125 million people.

•      The plague followed the caravan routes out of Asia to Southern Russia.

•      Rats climbed aboard the trading vessels and infected the crews.

Spread of the Plague

The Chronology of the Plague

•      The plague first arrived in Constantinople in 1347 where it killed 1,000 per day.

•      From Alexandria it went to Southern Italy and spread to the rest of Europe from there.

•      It then spread northward killing as it went.

•      Anywhere from 30 to 40% of the population perished.

Treatment of Plague Victims

The Public’s Fear

•      The public blamed the Jews for poisoning the public wells.

•      Cats were the agents of the devil and were collectively killed.

•      People fled the towns and cities.

•      Some took to strange religious practices such as Flagellism.

The Spread of the Plague in Towns and Cities

 

How Did The Plague Change Europe?

•      Ended Serfdom and manorialism.

•      caused mass migration to urban centers.

•      Lords now lived off their rents.

•      Increased use of technology.

•      Led to innovation as a result of mass population decline.

•      Changed trade patterns away from Europe.

•      Increased Royal Power.

•      Led to either a renewal in religious beliefs or a new skepticism concerning religion.

 

 

Where Did It Come From? When Did Arrive?

•      Syphilis made its appearance in the late 15th Century in Italy with the Armies of Charles VIII.

•      VD is very old and has been around for a long time, especially Gonorrhea.

•      However the origins of the disease is open to historical debate.

Did It Come from the America’s

Was it a Gift from the Amer-Indians?

Three Theories on Syphilis

•      The Columbian Theory involves the view that it came from the New World with Columbus.

•      The Unitarian Theory centers around the view that it came out of Africa.

•      The Third Theory, for wont of a better name, is the Crosby Theory, that disease came from both places.

•      The link was Yaws.

The Cause of Syphilis

•      Treponema Pallidum causes both Syphilis and Yaws.

•      In order to survive it had to find a damp, hot climate in the human body.

•      This process took years to accomplish.

•      In order to survive, it buried itself deeper into the human body in order to survive.

•      Sexual contact was the principal method of transmission.

The Disease went by many different Names

The First Arrival

•      At first it killed quickly.

•      Over time it changed and now took years.

•      Consequently victims thought that they were cured when they were still infectious.

•      The early cures involved mercury, which is highly toxic in its own right.

•      The disease disfigured its victims too.

Medical Artists Depict Syphilis

The Most Sign of the Disease

Important Victims

•      Francis I of France

•      Henry VIII of England

•      Ivan IV of Russia

•      The father of Winston Churchill

•      Al Capone

Early Treatments

•      Mercury

•      Potassium Iodide

•      In the early 19th Century, the English claimed that Condoms could be used to prevent the spread of the disease.

There were no cures for Syphilis until the 20th Century

How Was Syphilis Defeated?

•      Link made to secondary infections caused by Syphilis.

•      Discovery of the Treponema Pallidium by Fritz Schaudinn in 1905.

•      Use of the Wassermann Test in 1906.

•      Discovery by Paul Ehrlich of Salvarsan and Neosalvarsan in 1909.

•      Release of Dr. Ehrlich’s Magic Bullet in 1940.

•      Massive Public Education campaigns.

 

Public Warnings in the US during World War I

With the Jazz Age and the First Sexual Revolution came Additional Warnings!

Madison Avenue Warnings in the 1930s

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