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1. Plagues, Pestilence and Human Populations The History and Impact of Infectious Disease
2. Disease as a biocultural entity? Impact of history on infectious disease
Disease biology
Cultural adaptations
3. Impact of disease? Huge topic!
Introduces speculation
Ways of examining:
Population
Military outcomes
Settlement
Social
Political
Psychological
4. Lost and forgotten? Public health efforts
Increased sanitation
5. Disappearance of many infectious, filth diseases
6. Plagues and population 430 BC Plague of Athens killed one third of population, ended Golden Age of Athens
166 AD Antonine Plague killed 4-7 million people, upheaval part of collapse of Rome
C. 160 AD plague led to collapse of Han dynasty
430 AD Plague of Justinian- Byzantine emperor Justinian struck, unable to recover empire
700-800s AD Smallpox outbreaks in Japan lead to spread of Buddhism
7. Epidemics and History- examples The Black Death and the Reformation?
Conquest of the Americas: horse and gun or microbes?
Politics and disease: Phila., 1790s,
Memphis 1878
8. The Black Death, 1347, 1361
9. The Black Death and the Reformation Short term Impact:
Social chaos
Empty land
No crops
Labor demand
Loss of faith in authority
10. Long term impacts- population Plague revisited Europe until 18th century
Population recovery slow
12. Social Impact Jacquerie ex. rebellion against social and ecclesiastical authority
Renaissance
Protestant Reformation
Dance of Death- imaginative and artistic focus on death?
13. Triumph of Death
14. The Conquest of the Americas Horse and gun or microbes?
Pre-Columbian population of the Americas- est. 75- 145 million
Pre-Columbian population of Europe- est. ~60- 100 million (world pop. est. 500m)
15. Tenochtitlan
16. Population change in Mexico 25,000,000 at time of Columbus
Tenochtitlan- worlds largest city? Population 200,000
London in 1500. Population 50,000 1532 16,800,000
1548 6,300,000
1568 2,650,000
1580 1,900,000
1595 1,375,000
1605 1,000,000
17. Cortes, Mexico and Smallpox Hernan Cortes
Tenochtitlan
1518
Defeat, retreat
Smallpox
1521- return
Victory
18. Pizarro, Peru, and Smallpox November 16, 1532
Spanish conquer huge force of Incans led by Atahuallpa- superior technology?
But-
1528- smallpox
Death of Wayna Capac
Civil War
19. Virgin or Widowed Land? Massachusetts
1616-18- outbreak- plague, smallpox?
Patuxet decimated
area emptied
1620- Pilgrims
20. Disease and belief Iroquois curing ceremonies- smallpox mask
Kiowa
21. George Catlin, 1830s Painted Native American peoples
22. Social Impact June of 1837, St. Peter brought smallpox at Fort Clark, 60 miles north of present day Bismarck, North Dakota.
31 Mandan survived out of 1600
Catlin described social response
23. Yellow Fever and the New Republic Philadelphia 1793
10% of remaining population perished
Politics: alignment of political ideas, definition of parties
Disease origins:
Jefferson and Democrats= local
Hamilton and Federalists= imported
Conflict- imported led to local support
Influential Democratic Republicans died
Pro and anti-FrenchConflict- imported led to local support
Influential Democratic Republicans died
Pro and anti-French
24. Cure also a party issue Democrats- dangerous cure
Rushs bleeding and purging vs Federalist bark and wine
Local origins- blame Americans?
Lost faith in political leaders
25. Yellow fever and public health- 19th century Disease became endemic in Caribbean
Brought to New Orleans
Mississippi spread
1878 Memphis public health- sewage system
26. Why Were These Diseases So Significant? Epidemic
New
Naďve population
Virgin Soil Epidemic
27. How do new diseases arise?Old diseases Disease pools
Africa
Southeast Asia/China
Indian subcontinent
Middle East and
Mediterranean
Northern Europe
Americas
28. How do new diseases arise?Old diseases- mix disease pools Movement:
Exploration
Trade
War
Migration
Mass transportation
29. How do new diseases arise? Agriculture
Soil/water
Domestic animals
poultry 26
rats & mice 32
horse 35
pig 42
sheep & goats 46
cattle 50
dog 65
30. How do new diseases arise? Change habits, environment:
Growth of cities
Ultra absorbent tampons
Hospitals
Forest clearance
Transportation
Technology
31. Examples: Emerging Disease Ebola
Lassa
HIV-AIDS
West Nile virus
Toxic shock syndrome
Legionaires disease
Lymes disease
Hanta virus
Dengue fever
32. How do new diseases arise? Spontaneous Mutations
viral, bacterial
Gene sharing
Plasmid sharing
Bacteria host virus
33. Examples
Antibiotic-resistant TB
Antibiotic-resistant Gonorrhea
Shigella, E. coli
Cholera
34. Epidemic versus endemic? Epidemic
Spanish influenza? 1919 Influenza strains: pig-duck agriculture
Endemic
Childhood diseases
Genetic adaptations- Sickle cell anemia, Tay-Sachs, Cystic fibrosis
35. Coming Plague? Rapid transportation, growth of cities, poverty, public health, deforestation, technology
Claims justified?
How can society prepare for new disease?