Showing posts with label disease. Show all posts
Showing posts with label disease. Show all posts

Tuesday, 8 June 2010

So we know about the plague and how it affected millions of people across Europe, but today we will be looking at how the great historical figures dealt with the disease. When sickness kills people in their thousands, it can’t help but have some effect. So, we have already mentioned the Royalty and doctors, but how did some of history’s most famous people react to the plague?

As is evident but the mass exodus of anyone with money, not many people stuck around to witness the decay, but a few notables suffered terribly.

William Shakespeare was a particularly sad case, losing many family members to the plague, including his baby sisters Margaret and Joan, another younger sister, Anne, and his brother Edmund. He also lost his only son, Hamnet Shakespeare, when the boy was just eleven years old.

Scientist Sir Isaac Newton, who featured in The Dresskeeper, was in Cambridge lecturing at the university, but it wasn’t long before the effects of the disease reached him there. When the plague hit Cambridge, Newton promptly left for Lincolnshire. This wasn’t a bad thing, though, because he credited 1665-66 as the "prime age of [his] invention".

Sir Christopher Wren (famous architect, among many other things, who featured heavily in The Dresskeeper) was travelling around Europe at the time and escaped the worst of the disease. When the plague hit London in 1665, he was in Paris, absorbing the French architecture.

The Black Death of 1348 saw the death of a young royal. Joan (sometimes known as Joanna) of England was the favourite daughter of King Edward III. She was betrothed to marry King Pedro of Castille, the son of Alfonso XI and Maria of Portugal, and set off from England, no expense spared on her transportation. She travelled through France to get to her new home, and was apparently looking forward to her marriage when she was struck down by the plague. In the 1340s, the disease had yet to reach England, but was virulent in France. The poor teenage princess never made it to the alter and died alone in Bayonne.

That’s it for this time, but before I go, I just want to send a quick hello to all those people who have reviewed The Dresskeeper for Goodreads and Amazon, and for all your kind comments. I hope you like The Plaguemaker just as much.

All the best,

Mary.

Monday, 31 May 2010

The Great Plague, Science and Medicine

"Bring out your dead!"

The death cart was an unfortunate necessity for dealing with the sheer number of people who had fallen victim to this terrible disease. In the 1600s, the death cart was as common as the rubbish truck that drives past your house every week. Sadly (a bit like our own bin men in snow at Christmas time), it took a while for them to be collected. Before that, dead bodies were just thrown out into the street and left rotting in the middle of the road. Nowadays we can’t imagine doing this, can we? Then the doctors of the times said the bodies should be left in the houses, instead of in the street, where anyone walking past could catch the disease. Then the death cart was established. It would pass by with the call ‘Bring out your dead’ and the poor relatives would bring out the bodies of their loved ones and place them on the cart.

What else did we English do to cope with the plague? What medicine was used at the time, and how exactly did people think the plague was being passed from human to human?

As we mentioned before, the first action was to keep sick people locked inside their houses, but loads more initiatives were formed to fight the disease.

The Privy Council (close advisors of the King) recommended closing all of the public areas where people would be close contact with each other and could catch the plague, such as market places. The crowded streets of London needed to be cleared. Next, it was decided to kill all the dogs and cats of London, because it was suspected these were disease carriers. However, this slaughter actually did more harm than good, because it was actually the rats that mostly carried the plague, and with all the dogs and cats gone, the rats were now free to roam about and spread the disease even further.

Knowledge of science and medicine was not as developed as now, but there were many theories. The Miasma theory of disease was put forward by the brightest minds of the time, and it stated that disease was spread by bad smells. Given the fact that the streets were overflowing with sewage and rubbish, the theory wasn’t that ridiculous. It made sense. At the time, no one knew about the bacteria and viruses that were causing the infection. So one way to deal with the plague at the time was to wear sweet smelling flowers and carry handkerchiefs to prevent inhaling bad smells.

In 1665, a book was written by the Royal College of Physicians. It had a very long title: Royal College of Physicians of London. Certain necessary directions as well for the cure of the plague, as for preventing the infection :with many easie medicines of small charge, very profitable to His Majesties subjects. London: Printed by John Bill and Christopher Barker, 1665.

It’s a really interesting read if you want to learn more about how the great minds of the time approached the plague. (Just remember that during the time, s and f were interchangable. (In case you don't understand words like Majefties, Lordfhips and moft requifite)).
The directions in the book included the following:
~ six or four doctors at least, who may apply themselves to cure the infected. Each would have their own team to help.
~ persons and goods that came from foreign lands would be in isolation for forty days to prevent further diseases.
~ slaughterhouses should also be closed because they are 'offensive' (smell-wise ... no vegetarianism here!)
~ A house known to be infected must be watched in order to make sure no one escapes and wanders the streets.
~ fires could be burned to purify the air
~ the nosegays or handkerchiefs that people carried must be held "a little in their mouths as they go in the streets" and anointed with oil for their noses.
Whether or not any of these measures were in any way successful is doubtful. Remember that all of the qualified doctors left London, which left the unqualified volunteers to do the job for them.

NEXT TIME: Important Victims of the Plague

Tuesday, 18 May 2010

The Great Plague of 1665

Yet another plague, but of course, that’s what The Plaguemaker is all about! The Great Plague was, surprisingly, not as bad as the Black Death of 1347, but it still managed to kill 100,000 people in London. It was also equally gruesome, and given the swift evacuation of the wealthy from the cities again, the poor were once again left to deal with the consequences of the illness and decay.

King Charles promptly left for his estate in the countryside, the higher classes followed suit. Even the doctors left London in fear of contracting the disease. Ironically, the medical profession felt they were qualified to write books and articles on the plague, even though they weren’t witnessing it first hand, and much of their anecdotal evidence was hearsay from servants or friends.

Unfortunately, the 17th century saw the plague hit the UK more than once. The number of plague deaths went up and down in waves. Over 30,000 people were killed in 1603, but the next year it went down to 896. In 1609, over 4,000 people died, but in 1610, it went down to 1,800. Over 41,000 people died in 1625, and over 10,000 in 1636.

And what happened to those who were unfortunate to contract the plague? If you thought compassion and assistance would come your way, you’d be wrong. Once the plague was known to have entered your home, the house and its inhabitants would immediately in lockdown. The incubation period for an entire family was around four to six days, so if one member of your family contracted the illness, and you were promptly banged up with them, it was extremely likely you would contract the plague within a short space of time. Worse still, the whole of London would also know that your house was infected because a large red cross would be painted across the door, with the words 'Lord have mercy on us' added for effect. There was no hiding from the vile disease.

The plague of 1665 was made worse because London was experiencing a very hot summer. And with no real sewage or disposal system, rubbish would be left all over the streets for the rats to get their teeth into. Rats brought the fleas and spread the disease, but the disease ridden fleas were also clinging on to other animals such as dogs and cats. This lack of hygiene is thought to be the major reason behind the surge of infected people during this time.

So was there anyone left to tend to the sick? As all the medical professionals had fled the city, volunteers came forward to aid the sick. Local women became nurses, but only in the sense that they checked up on people who were known to have had the plague and, if the patients could afford it, buy them food.

Obviously, people were desperate to leave London. But the only way to leave the city during the plague was to get a certificate of health. Naturally, with so many people after this vital document, a number of people began to sell forgeries. Even if you managed to get yourself out of London, life in the country was no picnic either, because of the threat of illness to country residents. So those people who were able to make it out of London were treated to a systematic regime of scraping, heating, soaking, airing, and pressing ‘flat’ to ‘eliminate "pestilential matter".'

The most reliable source of the time, Samuel Pepys, wrote many diary entries, including: "This day, much against my Will, I did in Drury-lane see two or three houses marked with a red cross upon the doors, and "Lord have mercy upon us" writ there - which was a sad sight to me, being the first of that kind that to my remembrance I ever saw." (June 17th 1665);
"To the office to finish my letters, and then home to bed - being troubled at the sickness, and my head filled also with other business enough, and perticularly how to put my things and estate in order, in case it should please God to call me away - which God dispose of to his own glory." (June 10th 1665);
"But now, how few people I see, and those walking like people that have taken leave of the world.... I to the Exchange, and I think there was not 50 people upon it and but few more like to be, as they told me, Sir G Smith and others. Thus I think to take Adieu today of London streets ...." (August 28th 1665).

NEXT TIME: The Great Plague, Science and Medicine

Thursday, 13 May 2010

The Black Death

There were two major plague epidemics in this country – the Great Plague of the 1600s, and The Black Death of the 1300s. Today we will be looking at the latter.

The less than cheery title is more than apt for this dreadful happening. So what is the Black Death? A horrible illness, similar in symptoms to those I described in my last blog post, the Black Death is thought to have originated in Egypt. There
was also a major epidemic in China, which spread throughout Asia, Europe and then to Britain. The Black Plague in Europe began around 1347 and killed over a quarter of the population. One year later it had reached England.

One of the theories of how the plague spread points to the Mongol Empire. Rulers, who had been in battles across Asia and Europe, would settle in various places across the continents for trade. Italian merchants would come for silks and spices, which had a very high value in Europe. However, the traders brought with them Asian black rats, which were carrying the fleas which had been infected by the plague. The rats made their way into the traders’ supplies. By the time the supplies had arrived back in Italy, half the supply ships’ crews had already died or were dying of the plague. It did not take long for the disease to spread throughout Europe.

So victims of the plague were dropping dead everywhere. The disease was fast-moving and ruthless, and could spread around an entire town within weeks. Death became so commonplace that people of the Middle Ages thought that the world was going through an apocalypse. Of course, poor sanitation and a lack of scientific and medical knowledge certainly didn’t help matters.

From large towns to small villages, people prayed fervently to God but their prayers went unanswered. And for those struck down, even their religion held little comfort. Not all the sick could be given religious last rights because there simply were not enough clergymen to deal with the rapidly dying population. Worse still, some men of the church simply refused to provide these blessings for fear of catching the plague themselves.

When God wouldn’t answer their prayers, a group of people decided to go to extreme measures to make God listen. They were the Flagellants. They would gather around in towns and beat themselves to atone for their sins. This group had been in existence before this time, but their extreme nature, and the fact that the traditional church was not helping out as much as people would have liked during this terrible time, meant that more and more people joined them.

A famous Italian writer, Giovanni Boccaccio, wrote his book The Decameron during the time of the plague. This tells us a lot about how the plague spread and affected people. He said: “The years of the beatific incarnation of the Son of God had reached the tale of one thousand three hundred and forty eight when in the that deadly pestilence, which, whether disseminated by the influence of the celestial bodies, or sent upon us mortals by God in His just wrath by way of retribution for our iniquities [sins] had had its origin some years before in the East.” (page 26 of the link)

“The evil went yet further for not merely by speech or association with the sick was the malady communicated to the healthy with consequent peril of common death; but any that touched the cloth of the sick or aught else that had been touched or used by them seemed thereby to contract the disease.” (27)

“Many died daily or nightly in the public streets; of many others, who died at home, the departure was hardly observed by their neighbours until the stench of their putrefying bodies carried the tidings; and what with their corpses and the corpses of others who died on every hand the whole place was a sepulchre” (31-32)

All in all, a grim time, and what’s worst, it wasn’t the last the people of England, and in particular London, had seen of the plague.

NEXT TIME: THE GREAT PLAGUE OF THE 1600s

And finally
Here is an interview I did last week at The Sweet Bookshelf

Thursday, 29 April 2010

Moving on from the Dresskeeper...

Hello readers and welcome back to my blog.

Sorry it’s been so long since I last wrote, but I have been working hard on my new book The Plaguemaker. It is a ghost story based on The Great Plague of 1665. As I mentioned a few months ago, the book sees our protagonist Blessie haunted by a girl who died during the plague because her father is building over one of the many plague pits that were dug in London.

This blog will now be looking at the plague. I have finished writing all of the history that I can about The Dresskeeper and I need to keep this fresh to keep you readers happy. So now, without further ado, let’s talk about the Bubonic Plague. It’s not pretty.

The Bubonic Plague was a horrible disease that was caused, according to the Centre for Disease Control, by fleas that had been infected by bacteria called Yersinia Pestis. The fleas got the bacteria from the rats that were carrying the disease in their bloodstream. So, not surprisingly, rats also had a major part to play in the whole affair too.

Once a person was infected, it took between two to six days to become ill. The early symptoms included fever, chills, headache, exhaustion, vomiting, stomach pain, bloody diarrhoea, and of course the swollen glands, or ‘bubo’ that would appear in the armpit, neck or groin.

It became worse when the bacteria multiplied in the bloodstream and caused a septicaemic plague, which would add delirium and a rapid heart rate to the symptoms. Once it spread to the lungs, the person become infected with a pneumonic plague. This would lead to breathing difficulties and the coughing up of blood. And eventually death.

The Great Plague of 1665 killed around 100,000 people in the capital alone. However, a really bad case of the plague happened not in London but in Derbyshire, in a town called Eyam, all because of a box of laundry. A traveller had brought a box of clothes to the small town, a box that just happened to be filled with infected fleas. About 80% of the population died. This could have spread all over Derbyshire, if it wasn’t for William Mompesson, who said it was important to wait for the plague to run its course in the town and that people needed to stay put and not venture into the countryside. His wife was one of the victims of the plague. This is in great contrast to King Charles II who promptly left London to escape the plague, along with many of London’s wealthy, and its doctors.

The Great Plague was not the worst case to hit this country. The Black Death of 1348-1350 killed over a quarter of the population; 1.5 million out of 4 million people of Medieval England died. Around 20 million people across Europe fell victim to this horrible disease. There was mass hysteria, a breakdown of social order, and people thought it was some kind of apocalypse. For those who were still able to walk the streets it was difficult not to walk past a dead body. Mass death had become normal and to those affected, it seemed as if the end of the world was near.

NEXT WEEK: More on the Black Death of the 1300s.

Wednesday, 3 March 2010

“Oh, my dear, my darling Elizabeth has the smallpox.”


The Dresskeeper tries to highlight some of the problems people faced during the 17th century, and disease was an issue than affected everyone – rich or poor.

So what is smallpox? Well, it’s a virus, which according to the World Health Organisation, starts off with symptoms a lot like the flu, but is then followed by a rash and blisters (or pustules). These start on the face and quickly spread everywhere else. Smallpox still is one of the most dangerous and feared diseases in the world, but a few hundred years ago, the disease killed around 30% of those infected. If you didn’t die you would probably end up with scars - almost 80% who survived sported them. And if the scars weren’t enough, you might also be blinded.

In 1967 the World Health Organisation began a programme to eradicate Smallpox completely around the globe and by 1980, they had managed it.

However, during Amelia’s time, and in the case of her poor friend Elizabeth, smallpox was impossible to treat, and there were no vaccinations or preventative medicines. The worst part of it was that a person could be infected for many days and not even realise it. It was easy to see how it spread. That fever could last for around 10 days and by the time the worst of the symptoms would become visible – the pox – that person could have infected so many others. And in a crowded city like London, the virus spread like wildfire.

Finally, in the 1700s, medical professionals began to consider immunization after noticing that a person who had survived smallpox could not be re-infected.

Interestingly, the idea of immunisation was controversial. An article written in 1750 for Gentlemen’s Magazine highlights the arguments against inoculation. For example, it was supposedly against God, as he is the “sovereign of life, and he can preserve us”. A trust in God was considered enough in the fight against the disease. Another argument against immunisation was that giving a child a jab took away their free will in some way, because they were those “who cannot judge for themselves.” And yet another argument was that it was unlawful because “it may bring danger without their knowledge”. In other words, if a person was infected with smallpox for medical purposes, they couldn’t be sure if they carried the disease, and therefore it they might infect others.

Luckily, this article was written by a man named David Some, who was in favour of the jabs. In his view, there were two options – stay out of everyone’s way all the time (obviously impractical) or immunise. He successfully argued immunisation was the safest way to save lives.

Then, in the latter half of the 18th century Edward Jenner noticed that people like milkmaids did not seem to get smallpox - instead they were only infected by the much milder cow pox. He carried out an experiment on an eight-year-old boy named James Phippes. In a gross but necessary act, he took pus out of the pustule from a cowpox sufferer and rubbed it into a cut on the boy’s arm. The boy did not get smallpox.

Unfortunately, not everyone believed in his experiment and the claim that the boy would never get smallpox, so more proof was needed. Jenner continued to try his experiments on other children, which didn’t go down too well with 18th century ‘do-gooders’. Nevertheless, Jenner eventually convinced the powers that be in the benefits of his work, and a vaccine against smallpox was introduced.