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Armies of Pestilence (The Impact of Disease on History) Paperback – January 1, 2000
- Print length258 pages
- LanguageEnglish
- PublisherBarnes and Nobel
- Publication dateJanuary 1, 2000
- ISBN-100760719152
- ISBN-13978-0760719152
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Product details
- Publisher : Barnes and Nobel (January 1, 2000)
- Language : English
- Paperback : 258 pages
- ISBN-10 : 0760719152
- ISBN-13 : 978-0760719152
- Item Weight : 14.4 ounces
- Customer Reviews:
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I suspect the book is too technical for the medical layman, yet not specific enough for the medical professional, and is certainly not geared towards the history student. The purpose seems to be to reference every respectable work completed on epidemics and pandemics. Bray’s basic approach is to research hundreds of other authors’ works, and compare and contrast them, and to show when and how disease has impacted history. He shows well the controversy of determining the actual disease of some ancient epidemic, and how different researchers come to different conclusions. Here’s a profound observation. “Health care in the affluent West has now shifted from the infectious diseases of the nineteenth and preceding centuries and the children’s diseases of the early twentieth century to the problems of old age, cancer, heart disease, congenital abnormalities, and physical defects.”
For each disease he measures the impact on history.
Only malaria is as old as man and thus dates from before the agricultural revolution. All the rest of our diseases are post agricultural revolution. As hunter gatherers we only had to contend with malaria. All of the diseases discussed in the book started as zoonotic – we got them from another animal.
Here is the list of chapters:
Chapter 1 Early Civilizations
Chapter 2 Rome
In this chapter Bray also introduces a concept he continues for the remainder of the book, dispelling the belief that famine causes pestilence. Modern germ and contagion theory dismisses this out of hand, and Bray takes the nutritionists to task, showing there is no causality between malnutrition and contagion. Rather, he thinks that pestilence could cause famine because as populations dwindle there are less people to work the fields and bring in the crops. Furthermore, he writes, “hunger drives people together into masses ideal for the spread of infectious disease.”
Chapter 3-5 Plague -- Justinian’s’ Plague
Plague is a bacterial disease caused by Yersinia Pestis, usually transmitted by flea. It has three main forms:
1. Bubonic
2. Pneumonic
3. Septicaemic
They are not mutually exclusive.
[We know Ebola, Marburg, AIDS (HIV), likely Yellow Fever, all came from the African rainforest. Y. pestis may have also originated there, worked its way north, through Ethiopia, through Egypt, to infect the Mediterranean in the 6th century, then lingered in a backwater in central Asia for seven centuries to reemerge in a more deadly strain in the 14th century. We are out of Africa. Are the diseases which still haunt us also out of Africa?]
Chapter 6-8 Plague -- The Black Death
Chapter 9 Plague -- The Bombay Plague
Chapter 10-12 Malaria Four types of malaria.
Chapter 13 Yellow Fever
Chapter 14-16 Smallpox
Chapter 17-18 Typhus
Chapter 19-22 Cholera Includes typhoid and dysentery
Chapter 23-24 Influenza
Conclusion
His primary conclusion is that epidemic does not effect a culture on the rise for other reasons, but does effect one on the decline.
Famine does not cause disease, other than indirectly by crowding people together. Disease can cause famine by destroying the economy. Moral weakness or sin do not bring about disease, but poor hygiene can spread disease.
Another conclusion is historians must include prevalent diseases and epidemics in their analysis of any culture.
The Agrarian Revolution brought about all these diseases except malaria. It wasn’t until the Industrial Revolution that mankind had any real chance of combating them.
Plague, cholera, AIDS, malaria, influenza, yellow fever, typhus, typhoid, and dysentery are all still with us.
Bray doesn’t discuss AIDS/ HIV except in passing, tuberculosis, Legionnaire’s Disease only in passing, Ebola, Marburg, or Hanta.
This last should be emphasized. A pathogenic organism can only remain infectious to the extent that it maintains a continuous string of infections. If an organism is too lethal, it kills off its last victim and kills itself off in the process. If rabies, for example, were maintained ONLY in the human species, it would have long ceased to exist. It is not only uniformly fatal but kills quickly. There are virtually no descriptions of human-to-human transmission. It is entirely possible that some past infectious diseases blew up and produced sudden, extremely efficient and lethal diseases breaking the infectious string.
No matter. Most of the diseases described--Bubonic Plague, Malaria, Yellow Fever, Small Pox, Typhus etc--have established a balance of survival/lethality with the human species and therefore [with the exception of Small Pox] continue to be a problem. Yes, some have changed. Yersenia pests doesn't seem to have quite the same potential for major epidemic spread that it once had. Yes, occasional lethal cases but, even considering modern therapies, epidemic pockets--even in North America--should still occur. They don't seem to do so, however. Is this due to 'herd immunity' developed via natural selection during the Middle Ages or are there many strains of the bacterium most of which don't have a major epidemic potential?
Armies of Pestilence is part of a family of books on epidemic disease. It is similar to Plagues and Peoples by McNeil, and especially to Cartwright's book on disease and history. Anyone intersted in how the world has been impacted by these outbreaks should find this work informative and enjoyable.