Unsolved Mysteries
Total Page:16
File Type:pdf, Size:1020Kb
Load more
Recommended publications
-
The Epidemic of Justinian (Ad 542): a Prelude to the Middle Ages 1. Introduction
Acta Theologica Supplementum 7 2005 THE EPIDEMIC OF JUSTINIAN (AD 542): A PRELUDE TO THE MIDDLE AGES ABSTRACT The epidemic that struck Constantinople and the surrounding countries during the reign of Justinian in the middle of the 6th century, was the first documented pan- demic in history. It marked the beginning of plague as a nosological problem that would afflict the world until the 21st century. The symptoms of the disease, as de- scribed by various contemporary writers (especially the historian and confidant of the emperor, Procopius, and the two church historians, John of Ephesus and Euagrius), are discussed. There is little doubt that the disease was the plague. The most com- mon form in which it manifested was bubonic plague, which is spread by infected fleas and is not directly contagious from patient to patient. There is also evidence of septicaemic plague and possibly even pneumonic plague. The disastrous effects of the plague were described vividly by contemporary writers. A major problem was to find ways to dispose of infected corpses. It is estimated that about one third of the popu- lation died — a figure comparable to the death rate during the Black Death in the Middle Ages. Famine and inflation, the depopulation of the countryside, and a cri- tical manpower shortage in the army were further effects which all contributed to bringing to a premature end Justinian’s attempt to restore the grandeur of the Roman empire, and precipitating the advent of the Middle Ages. 1. INTRODUCTION The epidemic which devastated Constantinople in the 6th century during the reign of Justinian formed part of the first genuine pandemic in history to be documented. -
Plague (Yersinia Pestis)
Division of Disease Control What Do I Need To Know? Plague (Yersinia pestis) What is plague? Plague is an infectious disease of animals and humans caused by the bacterium Yersinia pestis. Y. pestis is found in rodents and their fleas in many areas around the world. There are three types of plague: bubonic plague, septicemic plague and pneumonic plague. Who is at risk for plague? All ages may be at risk for plague. People usually get plague from being bitten by infected rodent fleas or by handling the tissue of infected animals. What are the symptoms of plague? Bubonic plague: Sudden onset of fever, headache, chills, and weakness and one or more swollen and painful lymph nodes (called buboes) typically at the site where the bacteria entered the body. This form usually results from the bite of an infected flea. Septicemic plague: Fever, chills, extreme weakness, abdominal pain, shock, and possibly bleeding into the skin and other organs. Skin and other tissues, especially on fingers, toes, and the nose, may turn black and die. This form usually results from the bites of infected fleas or from handling an infected animal. Pneumonic plague: Fever, headache, weakness, and a rapidly developing pneumonia with shortness of breath, chest pain, cough, and sometimes bloody or watery mucous. Pneumonic plague may develop from inhaling infectious droplets or may develop from untreated bubonic or septicemic plague after the bacteria spread to the lungs. How soon do symptoms appear? Symptoms of bubonic plague usually occur two to eight days after exposure, while symptoms for pneumonic plague can occur one to six days following exposure. -
CASE REPORT the PATIENT 33-Year-Old Woman
CASE REPORT THE PATIENT 33-year-old woman SIGNS & SYMPTOMS – 6-day history of fever Katherine Lazet, DO; – Groin pain and swelling Stephanie Rutterbush, MD – Recent hiking trip in St. Vincent Ascension Colorado Health, Evansville, Ind (Dr. Lazet); Munson Healthcare Ostego Memorial Hospital, Lewiston, Mich (Dr. Rutterbush) [email protected] The authors reported no potential conflict of interest THE CASE relevant to this article. A 33-year-old Caucasian woman presented to the emergency department with a 6-day his- tory of fever (103°-104°F) and right groin pain and swelling. Associated symptoms included headache, diarrhea, malaise, weakness, nausea, cough, and anorexia. Upon presentation, she admitted to a recent hike on a bubonic plague–endemic trail in Colorado. Her vital signs were unremarkable, and the physical examination demonstrated normal findings except for tender, erythematous, nonfluctuant right inguinal lymphadenopathy. The patient was admitted for intractable pain and fever and started on intravenous cefoxitin 2 g IV every 8 hours and oral doxycycline 100 mg every 12 hours for pelvic inflammatory disease vs tick- or flea-borne illness. Due to the patient’s recent trip to a plague-infested area, our suspicion for Yersinia pestis infection was high. The patient’s work-up included a nega- tive pregnancy test and urinalysis. A com- FIGURE 1 plete blood count demonstrated a white CT scan from admission blood cell count of 8.6 (4.3-10.5) × 103/UL was revealing with a 3+ left shift and a platelet count of 112 (180-500) × 103/UL. A complete metabolic panel showed hypokalemia and hyponatremia (potassium 2.8 [3.5-5.1] mmol/L and sodium 134 [137-145] mmol/L). -
Plague Information for Veterinarians
PLAGUE in NEW MEXICO: INFORMATION FOR VETERINARIANS General Information Plague is caused by Yersinia pestis, a gram-negative bacterium that is endemic to most of the western United States. Epizootics of plague occur in wild rodents (rock squirrels, prairie dogs, ground squirrels, chipmunks, woodrats, and others) and most people acquire plague by the bite of an infectious rodent flea. However, about one-fifth of all human cases result from direct contact with infected animals. Cats are particularly susceptible to plague and can play a role in transmission to humans by a variety of mechanisms including transporting infected fleas or rodent/rabbit carcasses into the residential environment, direct contact contamination with exudates or respiratory droplets, and by bites or scratches. Cat-associated human cases were first reported in 1977. In a study by Gage (2000), 23 human plague cases were associated with exposure to infected cats, including 5 cases among veterinarians and veterinary assistants. Dogs are frequently infected with Y. pestis, develop antibodies to the organism, and occasionally exhibit clinical signs. However, dogs have not been shown to be direct sources of human infection. Dogs can transport infected fleas or rodent/rabbit carcasses into the residential environment, leading to plague transmission to people. Plague-infected ungulates have rarely been identified. Plague in Cats and Dogs Clinical features In enzootic areas, plague should be considered in the differential diagnosis of fever of unknown origin in cats and dogs. In a study of plague in cats by Eidson (1991), 53% of cats had bubonic plague, 8% were septicemic, and 10% had plague pneumonia. -
The Plague of Thebes, a Historical Epidemic in Sophocles' Oedipus
Oedipus Rex) is placed in the fi rst half of the decade 430– The Plague 420 BC. The play has been labeled an analytical tragedy, meaning that the crucial events which dominate the play of Thebes, a have happened in the past (2,3). Oedipus Rex, apart from the undeniable literary and Historical Epidemic historic value, also presents signifi cant medical interest because the play mentions a plague, an epidemic, which in Sophocles’ was devastating Thebes, the town of Oedipus’ hegemony. Oedipus Rex Several sections, primarily in the fi rst third of the play, refer to the aforementioned plague; the epidemic, however, Antonis A. Kousoulis, is not the primary topic of the tragedy. The epidemic, in Konstantinos P. Economopoulos, fact, is mostly a matter that serves the theatrical economy Effi e Poulakou-Rebelakou, George Androutsos, by forming a background for the evolution of the plot. and Sotirios Tsiodras Given the potential medical interest of Oedipus Rex, we decided to adopt a critical perspective by analyzing the Sophocles, one of the most noted playwrights of the literary descriptions of the plague, unraveling its clinical ancient world, wrote the tragedy Oedipus Rex in the fi rst features, defi ning the underlying cause, and discussing half of the decade 430–420 BC. A lethal plague is described in this drama. We adopted a critical approach to Oedipus possible therapeutic options. The ultimate goals of our Rex in analyzing the literary description of the disease, study were to clarify whether the plague described in unraveling its clinical features, and defi ning a possible Oedipus Rex could refl ect an actual historical event, underlying cause. -
HIV/AIDS and the Black Death Report by Melissa Lane of a Discussion Meeting Held on 24 May 2004 Centre for History and Economics, King’S College, Cambridge
1 HIV/AIDS and the Black Death Report by Melissa Lane of a discussion meeting held on 24 May 2004 Centre for History and Economics, King’s College, Cambridge The meeting grew out of collaborative work in the Centre, and as part of the Common Security Forum (CSF), on health, history, population and development over many years. CSF was pleased to be able to assemble such an interdisciplinary group of scholars – including medievalists, anthropologists, geographers, historians, political philosophers, economists -- to take part in the discussion and consider future initiatives in this area. A researcher on HIV/AIDS in Africa spoke first, outlining some of the questions and concerns of those working closely on and with societies afflicted by HIV/AIDS which might find historical resonance. These included the importance of the role and fate of individuals in the epidemic, rather than simply its gross quantitative impact; the surprising continuities, for example in aggregate economic indicators, which have so far been little affected by the epidemic; and most importantly, an ‘involution’ of many African institutions, which without the practical or intellectual tools to respond to the epidemic instead refine what they can do to the nth degree. We may unfortunately expect that the self-replicating capacity of HIV – its effects engendering the very social dislocation (hunger, migration, and so on) facilitating its spread – will make it ineradicable for a long time to come. Two presentations on the Black Death by medieval historians followed, both focusing on the episode from 1349-1350 in England. Historians present were skeptical about aspects of the comparison between the Black Death (‘ the plague’) and HIV/AIDS. -
Weekly Bulletin EW 13 2021
Week ending April 03, 2021 Epidemiological Week 13 WEEKLY EPIDEMIOLOGY BULLETIN NATIONAL EPIDEMIOLOGY UNIT, MINISTRY OF HEALTH & WELLNESS, JAMAICA EPI WEEK 13 Biological Weapons: Series 7 of 10: Plague SYNDROMES Overview: Plague is an infectious disease caused by Yersinia pestis bacteria, usually found in small PAGE 2 mammals and their fleas. The disease is transmitted between animals via their fleas and, as it is a zoonotic bacterium, it can also transmit from animals to humans. Humans can be contaminated by the bite of infected fleas, through direct contact with infected materials, or by inhalation. Plague can be a very severe disease in people, particularly in its septicaemic and pneumonic forms, with a case- CLASS 1 DISEASES fatality ratio of 30% - 100% if left untreated. Although plague has been responsible for widespread pandemics throughout history, including the so-called Black Death that caused over 50 million deaths in Europe during the fourteenth century, today it can be easily treated with antibiotics and the use of PAGE 4 standard preventative measures. Plague is found on all continents except Oceania but most human cases since the 1990s have occurred in Africa. Democratic Republic of Congo, Madagascar and Peru are the three most endemic countries. Symptoms: People infected with plague usually develop influenza-like symptoms after an incubation period of 3–7 days. Symptoms include fever, chills, aches, weakness, vomiting and nausea. There are 3 main forms of plague. 1. Bubonic plague is the most common and is caused by the bite of an infected INFLUENZA flea. The plague bacillus, Y. pestis, enters at the bite and travels to the nearest lymph node to replicate. -
Development of Diagnostic Assays for Melioidosis, Tularemia, Plague And
University of Nevada, Reno Development of Diagnostic Assays for Melioidosis, Tularemia, Plague and COVID19 A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy in Cellular and Molecular Biology By Derrick Hau Dr. David P. AuCoin / Dissertation Advisor December 2020 THE GRADUATE• SCHOOL We recommend that the dissertation prepared under our supervision by entitled be accepted in partial fulfillment of the requirements for the degree of Advisor Committee Member Committee Member Committee Member Graduate School Representative David W. Zeh, Ph.D., Dean Graduate School December 2020 i Abstract Infectious diseases are caused by pathogenic organisms which can be spread throughout communities by direct and indirect contact. Burkholderia pseudomallei, Francisella tularenisis, and Yersinia pestis are the causative agents of melioidosis, tularemia and plague, respectively. These bacteria pertain to the United States of America Federal Select Agent Program as they are associated with high mortality rates, lack of medical interventions and are potential agents of bioterrorism. The novel coronavirus disease (COVID-19) has resulted in a global pandemic due to the highly infectious nature and elevated virulence of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Proper diagnosis of these infections is warranted to administer appropriate medical care and minimize further spreading. Current practices of diagnosing melioidosis, tularemia, plague and COVID-19 are inadequate due to limited resources and the untimely nature of the techniques. Commonly, diagnosing an infectious disease is by the direct detection of the causative agent. Isolation by bacterial culture is the gold standard for melioidosis, tularemia and plague infections; detection of SAR-CoV-2 nucleic acid by real-time polymerase chain reaction (RT-PCR) is the gold standard for diagnosing COVID-19. -
From the Athens's Plague to the Pink Plague: the History of Pandemics Before COVID-19
ISSN online 1688-4221 Ciencias Psicológicas January-June 2021; 15(1): e-2555 doi: https://doi.org/10.22235/cp.v15i1.2555 __________________________________________________________________________________________________________ From the Athens's plague to the pink plague: the history of pandemics before COVID-19 Las pandemias precedentes a la COVID-19: de la peste de Atenas a la peste rosa As pandemias anteriores à COVID-19: da peste de Atenas à peste rosa Marcelo Rodríguez Ceberio, ORCID 0000-0002-4671-440X Universidad de Flores. Escuela Sistémica Argentina Abstract: In world history, great epidemics not only caused thousands of deaths, but also emotional, psychosocial and even economical crises. But in the end, resilience gained territory, causing great learning and increased capacity for adaptation and survival. This article is the first of two, which categorize the great epidemics that hit the world during various periods of history. Its symptoms and its etiology are described within the historical context. Epidemics and pandemics are the result of variables such as poverty, lack of hygiene and a serious tendency to individualism, among others; in addition to stress factors that are the result of an accelerated rhythm of life, all of which survive to this day. Keywords: COVID-19; pandemic; plagues; epidemics; context Resumen: Las grandes epidemias de la historia no solo ocasionaron muertes, sino crisis emocionales, psicosociales y económicas. Pero al final de cuentas la resiliencia ganó terreno, generando un gran aprendizaje y el incremento de la capacidad de adaptación y supervivencia. El presente artículo es el primero de dos, que categorizan a las grandes epidemias que azotaron al mundo en diversos períodos de la historia. -
Acceleration of Plague Outbreaks in the Second Pandemic
Acceleration of plague outbreaks in the second pandemic David J. D. Earna,b,c,1 , Junling Mad, Hendrik Poinarb,c,e,f , Jonathan Dushoffa,b,c , and Benjamin M. Bolkera,b,c aDepartment of Mathematics & Statistics, McMaster University, Hamilton, ON L8S 4K1, Canada; bDepartment of Biology, McMaster University, Hamilton, ON L8S 4K1, Canada; cMichael G. deGroote Institute for Infectious Disease Research, McMaster University, Hamilton, ON L8S 4K1, Canada; dDepartment of Mathematics & Statistics, University of Victoria, Victoria, BC V8W 3R4, Canada; eMcMaster Ancient DNA Centre, Department of Anthropology, McMaster University, Hamilton, ON L8S 4K1, Canada; and fDepartment of Biochemistry, McMaster University, Hamilton, ON L8S 4K1, Canada Edited by Burton H. Singer, University of Florida, Gainesville, FL, and approved August 19, 2020 (received for review March 25, 2020) Historical records reveal the temporal patterns of a sequence of human). We argue that strictly pneumonic transmission in the plague epidemics in London, United Kingdom, from the 14th to 14th century is implausible but that beyond this the best that 17th centuries. Analysis of these records shows that later epi- can be done at present is to highlight the biological com- demics spread significantly faster (“accelerated”). Between the plexities and uncertainties that limit the potential for further Black Death of 1348 and the later epidemics that culminated inferences. with the Great Plague of 1665, we estimate that the epidemic growth rate increased fourfold. Currently available data do not Data provide enough information to infer the mode of plague trans- The city of London, United Kingdom, is unusual in the extent mission in any given epidemic; nevertheless, order-of-magnitude to which patterns of death and disease can be reconstructed estimates of epidemic parameters suggest that the observed from extant documents. -
The Cambridge Historical Dictionary of Disease
P1: FCH/SPH P2: FCH/SPH QC: FCH/SPH T1: FCH CB518-FM CB518-Kiple-V1.cls March 4, 2003 15:23 THE CAMBRIDGE HISTORICAL DICTIONARY OF DISEASE Edited by KENNETHKENNETH F.F. KIPLEKIPLE Bowling Green State University iii P1: FCH/SPH P2: FCH/SPH QC: FCH/SPH T1: FCH CB518-FM CB518-Kiple-V1.cls March 4, 2003 15:23 PUBLISHED BY THE PRESS SYNDICATE OF THE UNIVERSITY OF CAMBRIDGE The Pitt Building, Trumpington Street, Cambridge, United Kingdom CAMBRIDGE UNIVERSITY PRESS The Edinburgh Building, Cambridge CB2 2RU, UK 40 West 20th Street, New York, NY 10011-4211, USA 477 Williamstown Road, Port Melbourne, VIC 3207, Australia Ruiz de Alarcon´ 13, 28014 Madrid, Spain Dock House, The Waterfront, Cape Town 8001, South Africa http://www.cambridge.org C Cambridge University Press 2003 This book is in copyright. Subject to statutory exception and to the provisions of relevant collective licensing agreements, no reproduction of any part may take place without the written permission of Cambridge University Press. First published 2003 Printed in the United States of America Typefaces Poppl-Pontifex 8.75/12 pt. and Poppl-Laudatio System LATEX2ε [TB] A catalog record for this book is available from the British Library. Library of Congress Cataloging in Publication Data The Cambridge historical dictionary of disease / edited by Kenneth F. Kiple. p. cm. Includes bibliographical references and index. ISBN 0-521-80834-0 – ISBN 0-521-53026-1 (pbk.) 1. Diseases – History – Dictionaries. I. Kiple, Kenneth F., 1939– RC41 .C365 2003 616 .009 – dc21 2002031368 ISBN 0 521 80834 0 hardback ISBN 0 521 53026 1 paperback iv P1: FCH/SPH P2: FCH/SPH QC: FCH/SPH T1: FCH CB518-FM CB518-Kiple-V1.cls March 4, 2003 15:23 Contents Preface I xiii 15 Beriberi I 44 Melinda S. -
Were the English Sweating Sickness and the Picardy Sweat Caused by Hantaviruses?
Viruses 2014, 6, 151-171; doi:10.3390/v6010151 OPEN ACCESS viruses ISSN 1999-4915 www.mdpi.com/journal/viruses Review Were the English Sweating Sickness and the Picardy Sweat Caused by Hantaviruses? Paul Heyman 1,2,*, Leopold Simons 1,2 and Christel Cochez 1,2 1 Research Laboratory for Vector-Borne Diseases, Queen Astrid Military Hospital, Brussels B-1120, Belgium; E-Mails: [email protected] (L.S.); [email protected] (C.C.) 2 Reference Laboratory for Hantavirus infections, Queen Astrid Military Hospital, Brussels B-1120, Belgium * Author to whom correspondence should be addressed; E-Mail: [email protected]; Tel.: +32-2-264-4044. Received: 12 October 2013; in revised form: 4 December 2013 / Accepted: 9 December 2013 / Published: 7 January 2014 Abstract: The English sweating sickness caused five devastating epidemics between 1485 and 1551, England was hit hardest, but on one occasion also mainland Europe, with mortality rates between 30% and 50%. The Picardy sweat emerged about 150 years after the English sweat disappeared, in 1718, in France. It caused 196 localized outbreaks and apparently in its turn disappeared in 1861. Both diseases have been the subject of numerous attempts to define their origin, but so far all efforts were in vain. Although both diseases occurred in different time frames and were geographically not overlapping, a common denominator could be what we know today as hantavirus infections. This review aims to shed light on the characteristics of both diseases from contemporary as well as current knowledge and suggests hantavirus infection as the most likely cause for the English sweating sickness as well as for the Picardy sweat.