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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 Constantinoples
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 Publics 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 Americas
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. Ehrlichs
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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