As the Ebola virus ravages the west coast of Africa, scientists in Canada have reported promising new signs in the search for a cure. This could be a major step toward beating the dreaded disease. But the first such breakthrough was discovering that Ebola is spread through bats native to West Africa.
Throughout the history of pandemics, figuring out how a disease spreads has been key to controlling it. Without such knowledge, a population has scant means of defending itself.
In 1615, a French trading ship was wrecked off the coast of Massachusetts. One of the four survivors was carrying smallpox and passed it on to the Wampanoag Tribe. Time-honored Native American cures, such as sweating or bundling the sufferer, only helped spread the virus. Within 20 years, some nine-tenths of the New England tribes had disappeared.
In the 19th century, another deadly threat arrived from Europe: cholera. The U.S. had escaped the first eruption of the disease in 1817. But thanks to modern travel, the second eruption in 1829 became a trans-Atlantic pandemic. It started in India, then moved along the trade routes into Europe and China.
The German poet Heinrich Heine was in France on March 29, 1832, when cholera first appeared in Paris. He described the outbreak in a letter: "A masked ball was in progress…Suddenly, the gayest of the harlequins collapsed, cold in the limbs, and, underneath his mask, 'violet-blue' in the face. Laughter died out, dancing ceased, and in a short while carriage-loads of people were hurried from the redoute to the Hotel Dieu. Soon the public halls were filled with dead bodies, sewed in sacks for want of coffins."
Not realizing that cholera is spread by water infected with human sewage, the French tried any number of futile remedies. One magazine advised, "The best tea for protecting yourself against cholera is champagne." By the end of the outbreak, some 20,000 Parisians had died, of a population of 650,000.
Cholera reached New York three months later, on June 24. Many Americans had seen cholera as God's punishment on Europeans for their filthy habits and immoral behavior. Their surprise at the virulence of the disease was matched only by their terror. New Yorkers fled the city, making Cornelius Vanderbilt, the owner of the Hudson River steam line, rich in the process. The refugees took the cholera bacteria with them, gradually dispersing it all over the U.S. The disease continued unchecked until 1854, when John Snow, a London doctor, discovered that it was transmitted via water.
Ironically, ignorance of the way people catch yellow fever saved thousands of American lives during the Civil War. In 1864, a Confederate doctor named Luke P. Blackburn went to Bermuda, ostensibly to treat a yellow fever outbreak. In fact, he was there to collect the clothes and blankets of infected patients and use them as bioweapons against Northern civilians. He planned to put the materials into trunks and ship them to auction houses in the U.S. But Blackburn was unaware of one important fact: Yellow fever is spread by mosquitoes, not human contact or old clothes. The plot failed, and after the war, a chastened Blackburn went on to lead a far less dubious life, becoming governor of Kentucky in 1879.
Half a century later, Mary Mallon inadvertently revealed typhoid's deadliest secret after she infected more than 53 people without showing any signs of the illness herself. Typhoid Mary, as she became known, led a sad, lonely life in quarantine, but the discovery that carriers can be asymptomatic was a major medical advance. We can thank Mary for the food-sanitation laws on hand-washing. As Benjamin Franklin once said, "An ounce of prevention is worth a pound of cure."
Saturday 6 September 2014
http://online.wsj.com/articles/pandemics-over-the-centuries-1409955662
