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Thucydides and the Plague of Athens

Published online by Cambridge University Press:  11 February 2009

J. C. F. Poole
Affiliation:
Trinity College, Oxford
A. J. Holladay
Affiliation:
Sir William Dunn School of Pathology, Oxford

Extract

Two problems involving Thucydides and medicine have attracted intense treatment by classical scholars and medical men working separately or in combination. They are, first, the nature of the Athenian Plague which Thucydides describes and, second, the possibility of his having been influenced by the doctrines and outlook of Hippocrates and his followers. It is the purpose of the present paper to reconsider both these problems, to indicate some false assumptions made in the methodology of previous attempts to identify the Plague, and to suggest a somewhat radical revaluation of Thucydides' approach to medical matters compared with that of Hippocrates (if, indeed, the surviving evidence about Hippocrates' method has any validity).

Type
Research Article
Copyright
Copyright © The Classical Association 1979

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References

1 Darwin, C., The origin of species by means of natural selection or the preservation of favoured races in the struggle for life (London, 1859).Google Scholar

2 Mendel, G., ‘Versuche Ober Pflanzen-Hybriden’, Verhandlung des Naturforschendei Vereines in Brünn, iv (1865), 1 ff..Google Scholar An easily accessible English version can be found in Br. med. J. (1965) 1. 370 ff.Google Scholar

3 Luria, S. E. and Delbrück, M., ‘Mutations of bacteria from virus sensitivity to virus resistance’, Genetics, 28 (1943), p ff.Google ScholarPubMed

4 Newcombe, H. B., ‘Origin of bacterial variants’, Nature, 164 (1949), 150 ff.CrossRefGoogle ScholarPubMed

5 Lederberg, J. and Lederberg, E. M., ‘Replica plating and indirect selection of bacterial mutants’, J. Bacteriol. 63 (1952), 599 ff.Google ScholarPubMed

6 Fenner, F., The Biology of Animal Viruses (New York, 1968), ii. 762–9.Google Scholar

7 Boccaccio, G., Proem to Il Decamerone.Google Scholar

8 Procopius, , Bell. Pers. 2. 22.Google Scholar

9 Robert, R., ‘Zur Geschichte des Mutterkorns’, in: Historiscbe Studien aus dem Pbarmakologischen Institute der Kaiserlichen Universitdt Dorpat (Halle, 1889), i. 147;Google ScholarUeber die Pest des Thucydides’, Janus, 4 (1899), 240–51, 289–99;Google ScholarWidmann, S., Thucydides für den Schulenbrauch erklärt von Gottfried Boehme, 6th edn. (Leipzig, 1894), i. 197 f.Google Scholar; Panayotatou, A., ‘La peste de Thucydide—la peste d'Athenes’, Comptes rendus du Deuxième Congres International d'Histoire de la Médecine, ed. Laignel-Lavastine, and Fosseyeux, (Evreux, 1922), pp. 533–6.Google Scholar In the discussion following Dr. Panayotatou's paper, she was strongly supported by Professor Jeanselme (pp.536 f.); Zinsser, H., Rats, Lice and History (London, 1935), pp. 119–27;Google Scholarvon Hagen, B., ‘Die sogenannte Pest des Thukydides’, Gymnasium, 49 (1938), 120 ff.Google Scholar; Littman, R. J. and Littman, M. L., ‘The Athenian Plague: Smallpox’, TAPA 100 (1969), 261–75.Google Scholar

10 ‘Case mortality’ means the proportion of people contracting a disease who die from it. It must not be confused with the death-rate' from a disease, which is the proportion of individuals dying from that disease in a defined population considered as a whole. For example, in this country about 4 per cent of all women develop carcinoma of the breast, and about half of these die from the disease. Hence the case mortality is about 50 per cent, while the death-rate among all women in the U.K. is about 2 per cent.

11 Op. cit. (above, n. 9).Google Scholar

12 MacArthur, W. P., ‘The Plague of Athens’, Bull. Hist. Med. 32 (1958), 242–6.Google ScholarPubMed

13 Op. cit. (above, n. 9).

14 Ozanam, J. A. F., Histoire médicate générate et particulière des maladies épidemiques, contagieuses et épizoötiques, 2nd edn. (Paris, 1835), iv. 6 ff.Google Scholar

15 Williams, E. W., ‘The sickness at AthensG & R, 26 (1957), 98103.Google ScholarThe end of an epoch’, G & R, 2nd ser. 9 (1962), p-25.Google Scholar

16 Hooker, E. M., ‘Buboes in Thucydides?’ , JHS 78 (1958), 7883.CrossRefGoogle Scholar

17 Barger, G., Ergot and Ergotism (London, 1931), p. 42.Google Scholar

18 Major, R. H., War and Disease (London, 1942), p. 17.Google Scholar

19 Op. cit. (above, n. 8).

20 Op. cit. (above, n. 7).

21 Op. cit. (above, n. 16).

22 Page, D. L., ‘Thucydides' descri of the great plague at Athens’, CQ N.S. 3 (1953), 97119.CrossRefGoogle Scholar

23 MacArthur, W. P., ‘The Athenia Plague: a medical note’, CQ N. S. 4 (1954) 171–4.CrossRefGoogle Scholar

24 Op. cit. (above, n. 15).

25 Rolleston, J. D., The History of the Acute Exanthemata (London, 1937), p. 49.Google Scholar

26 Allbutt, T. C., Greek Medicine in Rome (London, 1921), p. 341. Allbutt thought that both scarlet fever and typhus wen possibilities.Google Scholar

27 Shrewsbury, J. F. D., ‘The Plague Athens’, Bull. Hist. Med. 24 (1950), 125.Google Scholar

28 Op. cit. (above, n. 22).

29 Corney, B. G.. ‘The behaviour of certain epidemic diseases in natives of Polynesia with especial reference to the Fiji islands’ Trans. Epidetn. Soc., London, N. S. 3 (1884), 7695.Google Scholar

30 Op. cit. (above, n. 23).

31 Crawfurd, R., Plague and Pestilence in Literature and Art (Oxford, 1914), pp. 2341, 212–22.Google Scholar

32 Keil, H., ‘The louse in Greek antiquity’, Butt. Hist. Med. 25 (1951), 305 ff.Google ScholarPubMed

33 Op. cit. (above, n. 12).

34 T. Ferguson, in a letter to Gomme, A. W.. This letter is quoted extensively in HCT ii. 151–3.Google Scholar

35 Gomme, A. W. in HCT ii. 153.Google Scholar

36 Op. cit. (above, n. 9).

37 Op. cit. (above, n. 23).

38 Page, D. L., ‘The Plague: a lay comment on a medical note’, CQ N. S. 4 (1954), 174.Google Scholar

39 Grote, G., A History of Greece, new edition in 10 volumes (1888), v. 78.Google Scholar Grote quoted Littré in support of his statement (Littré, E., Oeuvres complètes d'Hippocrate (Paris, 1839), i. 122). It seems that Grote misunderstood Littré (see below, n. 50).Google Scholar

40 Finley, J. H., Jr. Tbucydides (Cambridge, Massachusetts, 1942), pp. p f.CrossRefGoogle Scholar

41 Op. cit. (above, n. 22).

42 Gomme, A. W. in HCT ii. 150 f.Google Scholar

43 Op. cit. (above, n. 9).

44 The concluding sentence of the relevant section of Kobert's earlier paper is as follows: ‘Ich kehre damit zu meinem Ausgangspunkte zuriick, namlich zur Oeutung der im dritten Buche der Epidemieen des Hippokratischen Schriftencorpus beschriebenen Masser-krankung, und glaube durch die Analogie mit der Pest des Thucydides nachgewiesen zu haben, dass wohl beide als Blattern-epidemieen bei einer an latentem Ergotismus leidenden Bevölkerung aufgefasst werden können.’ Widmann, (op. cit., p. 000) wrote:Google Scholar ‘Es war eine Blatternepidemie einer an latenten Ergotismus leidenden d. h. infolge des Genusses von mutterkornhaltigem Brode vergifteten Bevolkerung … Kurz alle Symptome lassen sich nur durch die von Robert gegebene Erkliirung verstehen.’ In 1899 Kobert published another paper in which he forcefully reiterated his previous claim, and argued his case at formidable length. Poor Kobert! Among writers on the Plague he is one of the ones most often mentioned by others, but clearly the least often read.

45 Op. cit. (above, n. 15).

46 Salway, P. and Dell, W., ‘Plague at Athens’. G & R 24 (1955), 6270.Google Scholar

47 We are most grateful to Mr. J. Longrigg for kindly allowing us to read a draft of his as yet unpublished article on the Plague.

48 Op. cit. (above, n. 9).

49 Op. cit. (above, n. 32).

50 Op. cit., (above, n. 39). Littré wrote: ‘C'était une fièvre éruptive, différente de la variole, et éteinte aujourd'hui.’

51 McNeill, W. H., Plagues and Peoples (Oxford, 1977), p. p.Google Scholar

51 Thucydides' contributions to knowledge about each of these important general properties of infectious diseases have occasionally been noted by medical writers but do not seem to be at all well known. Thus Sir Raymond Crawfurd (op. cit. in n. 31 above) pointed out that Thucydides was the first of extant writers to enunciate clearly the doctrine of contagion', while of Hippocrates he rightly observed: ‘Of contagion from man to man he had not the vaguest conception.’ Bulloch, William, in his book The History of Bacteriology (London, 1938) p. 6,Google Scholar also gives Thucydides full credit for his observations about contagion. For a recent acknowledgement of Thucydides' understanding of acquired immunity, see Davis, B. D., Dulbecco, R., Eisen, H. N., Ginsburg, H. S., and Wood, W. B., Microbiology (New York, 1967), p. 358.Google Scholar

53 Fracastoro, G., De Contagione (1536).Google Scholar

54 A slight qualification is needed here. A, B, C, and D may all be undernourished and living in damp, cold, and overcrowded slums, and thus the spread of infection may be facilitated. But these are complicating factors of variable importance, not prime causes of the kind of disease we are discussing. Where there is no smallpox virus there can be no smallpox, and where there are no tubercle bacilli there can be no tuberculosis, however bad the environmental conditions may be.

55 Diller, H. in Antike Medizin, ed. Flashar, H. (Darmstadt, 1971), p. 49.Google Scholar

56 Sigerist, E.History of Medicine ii (New York, 1961), 330–1.Google Scholar

57 We have stressed above that bubonic plague is not a contagious disease sensu stricto being spread to man from the rat (usually) by the rat flea. But in some outbreaks the variant form of the infection called pneumonic plague is common. This is a rapidly fatal pneumonia which readily spreads from person to person. This probably happened extensively during the Black Death. Boccaccio is very explicit in saying that person-to-person transmission occurred.

58 W. Harvey. Letter to John Nardi of Florence, dated 30 Nov. 1653, in The Works of William Harvey, M. D., translated from the Latin with a life of the author by Robert Willis, M. D. (London: The Sydenham Society, 1847), p. 610. In this letter Harvey does not mention Fracastoro by name but it is clear that he was referring either to Fracastoro or to someone whose ideas were derivative from those of Fracastoro.Google Scholar

59 The authors would like to thank Dr. G. E. M. de Ste. Croix, Mr. N. C. Dexter, and Mr. D. E. Poole, all of whom read earlier versions of this article and made valuable suggestions, most of which we have adopted.