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Encyclopedia > Plague of Athens

The city-state of Athens in ancient Greece was hit by a devastating epidemic, known as the Plague of Athens, during the second year of the Peloponnesian War (430 BC) when an Athenian victory still seemed within reach. It is believed to have entered Athens through Piraeus, the city's port and sole source of food and supplies. The city-state of Sparta, and much of the eastern Mediterranean, was also struck by the disease. The plague returned twice more, in 429 BC and in the winter of 427/6 BC. A city-state is a region controlled exclusively by a city. ... A view of the Acropolis of Athens during the Ottoman period, showing the buildings which were removed at the time of independence The History of Athens is the longest of any city in Europe: Athens has been continuously inhabited for at least 3,000 years. ... In epidemiology, an epidemic (from Greek epi- upon + demos people) is a disease that appears as new cases in a given human population, during a given period, at a rate that substantially exceeds what is expected, based on recent experience (the number of new cases in the population during a... Combatants Delian League led by Athens Peloponnesian League led by Sparta Commanders Pericles Cleon Nicias Alcibiades Archidamus II Brasidas Lysander The Peloponnesian War (431 BC–404 BC) was an Ancient Greek military conflict fought by Athens and its empire and the Peloponnesian League, led by Sparta. ... Centuries: 6th century BC - 5th century BC - 4th century BC Decades: 480s BC 470s BC 460s BC 450s BC 440s BC - 430s BC - 420s BC 410s BC 400s BC 390s BC 380s BC Years: 435 BC 434 BC 433 BC 432 BC 431 BC - 430 BC - 429 BC 428 BC... View of Piraeus A night ferry about to leave the port of Piraeus for the Dodecanese Piraeus, or Peiraeus (Modern Greek: Πειραιάς Peiraiás or Pireás, Ancient Greek / Katharevousa: Πειραιεύς Pireéfs) is a city in the periphery of Attica, Greece, located south of Athens. ... Sparta (Doric: , Attic: ) is a city in southern Greece. ...


Sparta and its allies, with the exception of Corinth, were almost exclusively land based powers, able to summon large land armies which were very nearly unbeatable. Under the direction of Pericles, the Athenians retreated behind the city walls of Athens. They hoped to keep the Spartans at bay while the superior Athenian navy harassed Spartan troop transports and cut off supply lines. Unfortunately the strategy also resulted in adding many people from the countryside to an already well populated city. In addition, people from parts of Athens lying outside the city wall moved into the more protected central area. As a result, Athens became a breeding ground for disease. Corinth, or Korinth (Greek: Κόρινθος, Kórinthos; see also List of traditional Greek place names) is a Greek city-state, on the Isthmus of Corinth, the narrow stretch of land that joins the Peloponnesus to the mainland of Greece. ... Pericles or Perikles (c. ...


In his History of the Peloponnesian War, the contemporary historian Thucydides described the coming of an epidemic disease which began in Ethiopia, passed through Egypt and Libya, and then to the Greek world. The epidemic broke out in the overcrowded city. Athens lost perhaps one third of the people sheltered within its walls. The sight of the burning funeral pyres of Athens caused the Spartan army to withdraw for fear of the disease. It killed many of Athens's infantry, some expert seamen and their leader Pericles, who died during one of the secondary outbreaks in 429 BC. After the death of Pericles, Athens was led by a succession of incompetent or weak leaders. According to Thucydides, it was not until 415 BC that the Athenian population had recovered sufficiently to mount the disastrous Sicilian Expedition. Page from tenth-century minuscule manuscript of Thucydides History Wikisource has original works written by or about: Thucydides (in Greek) The History of the Peloponnesian War is an account of the Peloponnesian War in Ancient Greece, fought between the Peloponnesian League (led by Sparta) and the Delian League (led by... Bust of Thucydides residing in the Royal Ontario Museum, Toronto. ... The Sicilian Expedition was an Athenian expedition to Sicily from 415 BC to 413 BC, during the Peloponnesian War. ...


Modern historians disagree on whether the plague was a critical factor in the loss of the war. However, it is generally agreed that the loss of this war may have paved the way for the success of the Macedonians and, ultimately, the Romans. This article or section may contain original research or unverified claims. ...

Contents

Social implications

Accounts of the Athenian plague graphically describe the social consequences of an epidemic. Thucydides' account clearly details the complete disappearance of social mores during the time of the plague. The impact of disease on social and religious behavior was also documented during the worldwide pandemic best known as the Black Death. A pandemic (from Greek pan all + demos people) is an epidemic (an outbreak of an infectious disease) that spreads worldwide, or at least across a large region. ... Illustration of the Black Death from the Toggenburg Bible (1411). ...


Fear of the law

Thucydides stated that people ceased fearing the law since they felt they were already living under a death sentence. Likewise people started spending money indiscriminately. Many felt they would not live long enough to enjoy the fruits of wise investment, while some of the poor unexpectedly became wealthy by inheriting the property of their relatives. It is also recorded that people refused to behave honourably because most did not expect to live long enough to enjoy a good reputation for it.


Role of women

The plague changed the role of women in Athenian society. The women were temporarily liberated from the strict bounds of Athenian custom. The plague forced Athens to appoint a magistrate called gynaikonomos to control the behaviour of women.


Care for the sick and dead

Another reason for the lack of honourable behaviour was the sheer contagiousness of the illness. Those who tended to the ill were most vulnerable to catching the disease. This meant that many people died alone because no one was willing to risk caring for them. Especially poignant are descriptions of how people were not cared for due to the overwhelming numbers of sick and dying. People were simply left to die in buildings or on the streets, and the dead were heaped on top of each other, left to rot or shoved into mass graves. There were cases where those carrying the dead would come across an already burning funeral pyre. They would dump a new body on it and walk away. Others appropriated prepared pyres so as to have enough fuel to cremate their own dead. Those lucky enough to survive the plague developed an immunity, and so became the main caretakers of those who later fell ill.


A mass grave and nearly 1,000 tombs, dated to between 430 and 426 BC, have been found just outside Athens' ancient Kerameikos cemetery. The mass grave was bordered by a low wall that seems to have protected the cemetery from a wetland. Excavated during 1994-95, the shaft shaped grave may have contained a total of 240 individuals, at least ten of them children. Skeletons in the graves were randomly placed with no layers of soil between them.


Excavator Efi Baziotopoulou-Valavani, of the Third Ephoreia (Directorate) of Antiquities, reported that "(t)he mass grave did not have a monumental character. The offerings we found consisted of common, even cheap, burial vessels; black-finished ones, some small red-figured, as well as white lekythoi (oil flasks) of the second half of the fifth century B.C. The bodies were placed in the pit within a day or two. These [factors] point to a mass burial in a state of panic, quite possibly due to a plague."[1]


Religious strife

The plague also caused religious strife. Since the disease struck the virtuous and sinful alike, people felt abandoned by the gods and refused to worship them. The temples themselves were sites of great misery, as refugees from the Athenian countryside had been forced to find accommodation in the temples. Soon the sacred buildings were filled with the dead and dying. The Athenians pointed to the plague as evidence that the gods favoured Sparta and this was supported by an oracle that said that Apollo himself (the god of medicine) would fight for Sparta if they fought with all their might. An earlier oracle had stated that "War with the Dorians [Spartans] comes and at the same time death". Lycian Apollo, early Imperial Roman copy of a fourth century Greek original (Louvre Museum) In Greek and Roman mythology, Apollo (Ancient Greek , Apóllōn; or Ἀπέλλων, Apellōn), the ideal of the kouros, was the archer-god of medicine and healing and also a bringer of death-dealing plague; as...


Thucydides was skeptical of these conclusions and believed that people were simply being superstitious. He relied upon the prevailing medical theory of the day, Hippocratic theory, and strove to gather evidence through direct observation. He noted that birds and animals who ate plague-infested carcasses died as a result, leading him to conclude that the disease had a natural rather than supernatural cause. Hippocrates of Cos II. or Hippokrates of Kos (c. ...


Plague description

Thucydides himself suffered the illness, and survived. He was therefore able to accurately describe the symptoms of the disease within his history of the war.

"As a rule, however, there was no ostensible cause; but people in good health were all of a sudden attacked by violent heats in the head, and redness and inflammation in the eyes, the inward parts, such as the throat or tongue, becoming bloody and emitting an unnatural and fetid breath."
"These symptoms were followed by sneezing and hoarseness, after which the pain soon reached the chest, and produced a hard cough. When it fixed in the stomach, it upset it; and discharges of bile of every kind named by physicians ensued, accompanied by very great distress."
"In most cases also an ineffectual retching followed, producing violent spasms, which in some cases ceased soon after, in others much later."
"Externally the body was not very hot to the touch, nor pale in its appearance, but reddish, livid, and breaking out into small pustules and ulcers. But internally it burned so that the patient could not bear to have on him clothing or linen even of the very lightest description; or indeed to be otherwise than stark naked. What they would have liked best would have been to throw themselves into cold water; as indeed was done by some of the neglected sick, who plunged into the rain-tanks in their agonies of unquenchable thirst; though it made no difference whether they drank little or much."
"Besides this, the miserable feeling of not being able to rest or sleep never ceased to torment them. The body meanwhile did not waste away so long as the distemper was at its height, but held out to a marvel against its ravages; so that when they succumbed, as in most cases, on the seventh or eighth day to the internal inflammation, they had still some strength in them. But if they passed this stage, and the disease descended further into the bowels, inducing a violent ulceration there accompanied by severe diarrhea, this brought on a weakness which was generally fatal."
"For the disorder first settled in the head, ran its course from thence through the whole of the body, and even where it did not prove mortal, it still left its mark on the extremities; for it settled in the privy parts, the fingers and the toes, and many escaped with the loss of these, some too with that of their eyes. Others again were seized with an entire loss of memory on their first recovery, and did not know either themselves or their friends."
Translation by M.I. Finley The Viking Portable Greek Historians, pp. 274-275:

Cause of the plague

Historians have long tried to identify the disease behind the Plague of Athens. The disease has traditionally been considered an outbreak of the bubonic plague in its many forms, but re-considerations of the reported symptoms and epidemiology have led scholars to advance alternative explanations. These include typhus, smallpox, measles, and toxic shock syndrome. Others have suggested anthrax, tramped up from the soil by the thousands of stressed refugees or concentrated livestock held within the walls. Based upon descriptive comparisons with recent outbreaks in Africa, Ebola has also been considered. Bubonic plague is the best-known variant of the deadly infectious disease plague, which is caused by the enterobacteria Yersinia pestis. ... It has been suggested that this article or section be merged with Typhus. ... Smallpox (also known by the Latin names Variola or Variola vera) was a highly contagious viral disease unique to humans. ... Toxic shock syndrome (TSS) is a rare but potentially fatal disease caused by a bacterial toxin. ... For other uses, see Ebola (disambiguation). ...


Given the possibility that symptoms of a known disease may have mutated over time, or that the plague was caused by a disease which no longer exists, the exact nature of the Athenian plague may never be known. Due to crowding caused by the influx of refugees into the city, inadequate food and water supplies, and the increase in insects, lice, rats and waste, conditions would have encouraged more than one disease in the outbreak. However, the use of more modern science is revealing clues.


Epidemic typhus

In January 1999, the University of Maryland devoted their fifth annual medical conference, dedicated to notorious case histories, to the Plague of Athens. They concluded that disease that killed the Greeks and their military and political leader, Pericles, was typhus. "Epidemic typhus fever is the best explanation," said Dr. David Durack, consulting professor of medicine at Duke University. "It hits hardest in times of war and privation, it has about 20 percent mortality, it kills the victim after about seven days, and it sometimes causes a striking complication: gangrene of the tips of the fingers and toes. The Plague of Athens had all these features."[2] In typhus cases, progressive dehydration, debilitation and cardiovascular collapse ultimately cause the patient's death. The University of Maryland, College Park (also known as UM, UMD, or UMCP) is a public university located in the city of College Park, in Prince Georges County, Maryland, just outside Washington, D.C., USA. Founded in 1856, the University of Maryland is considered to be a Public Ivy... Duke University is a private coeducational research university located in Durham, North Carolina, USA. The school, which officially became Duke University in 1924, traces its institutional roots to 1838. ...


This medical opinion is supported by the opinion of A. W. Gomme, an important researcher and interpretator of Thucydides' history, who also believed typhus was the cause of the epidemic. This opinion is expressed in his monumental work "Historic Comments on Thucydides", completed after Gomme's death by A. Andrewes and K. J. Dover. Angelos Vlachos (Άγγελος Βλάχος), a member of the Academy of Athens and a diplomat, in his "Remarks on Thoucydides" (in Greek: Παρατηρήσεις στο Θουκυδίδη, 1992, Volume I, pages 177-178) acknowledges and supports Gomme's opinion: "Today, according to Gomme, it is generally acceptable that it was typhus" ("Σήμερα, όπως γράφει ο Gomme, έχει γίνει από όλους παραδεκτό ότι ήταν τύφος").


Typhoid fever

A different answer was found in a recent DNA study on teeth from an ancient Greek burial pit, led by Manolis Papagrigorakis of the University of Athens, found DNA sequences similar to those of the organism that causes typhoid fever. [3] Symptoms generally associated with typhoid resemble Thucydides' description. They include: The general structure of a section of DNA Deoxyribonucleic acid (DNA) is a nucleic acid that contains the genetic instructions for the biological development of a cellular form of life or a virus. ... This is about the disease typhoid fever. ...

Other scientists have disputed the findings, citing serious methodologic flaws in the dental pulp-derived DNA study. In addition, as the disease is most commonly transmitted through poor hygiene habits and public sanitation conditions, it is an unlikely cause of a widespread plague, emerging in Africa and moving into the Greek city states, as reported by Thucydides. An analogue medical thermometer showing the temperature of 38. ... This article does not cite its references or sources. ... Bradycardia, as applied in adult medicine, is defined as a heart rate of under 60 beats per minute, though it is seldom symptomatic until the rate drops below 50 beat/min [1]. It is also less commonly known as brachycardia. ... Weakness is the inability to exert force with ones muscles to the degree that would be expected given the individuals general physical condition. ... Diarrhea or diarrhoea (see American and British English spelling differences) is a condition in which the sufferer has frequent watery, loose bowel movements (from the ancient Greek word διαρροή = leakage; literally meaning to run through). Acute infectious diarrhea is a common cause of death in developing countries (particularly among infants), accounting... A headache is a condition of mild to severe pain in the head; sometimes upper back or neck pain may also be interpreted as a headache. ... Myalgia means muscle pain and is a symptom of many diseases and disorders. ... Anorexia (deriving from the Greek όρεξη (orexe) = appetite) is the decreased sensation of appetite. ... Constipation or irregularity, is a condition of the digestive system where a person (or animal) experiences hard feces that are difficult to eliminate; it may be extremely painful, and in severe cases (fecal impaction) lead to symptoms of bowel obstruction. ... Stomach ache is a non-medical term used to describe various forms of nausea or abdominal pain. ... A typical rash A rash is a change in the skin which affects its appearance or texture. ... Rose spots are red macular lesions 2-4 millimeters in diameter occurring in patients suffering from Salmonella infection, also known as typhoid fever and paratyphoid. ... To meet Wikipedias quality standards, this article or section may require cleanup. ... A delusion is commonly defined as a fixed false belief and is used in everyday language to describe a belief that is either false, fanciful or derived from deception. ... Look up Confusion in Wiktionary, the free dictionary Confusion can have the following meanings: Unclarity or puzzlement, e. ...


See also

Page from tenth-century minuscule manuscript of Thucydides History Wikisource has original works written by or about: Thucydides (in Greek) The History of the Peloponnesian War is an account of the Peloponnesian War in Ancient Greece, fought between the Peloponnesian League (led by Sparta) and the Delian League (led by... Bust of Thucydides residing in the Royal Ontario Museum, Toronto. ... Pericles or Perikles (c. ...

External links

References

  • Gomme, A. W., edited by A. Andrewes and K. J. Dover. An Historical Commentary on Thucydides, Volume 5. Book VIII Oxford University Press, 1981. ISBN 0-19-814198-X.
  • McNeill, William H. Plagues and People. New York: Anchor Books, 1976. ISBN 0-385-12122-9.
  • Pomeroy, Sarah B., Spartan Women Oxford: Oxford University Press, 2002. ISBN 0-19-513067-7.
  • Zinsser, Hans. "Rats, Lice and History: A Chronicle of Pestilence and Plagues." Originally published in Boston in 1935, later edition in 1963. Most recent edition 1996, Black Dog & Leventhal Publishers, New York. ISBN 1-884822-47-9.

  Results from FactBites:
 
Plague of Athens (1334 words)
Another medical mystery -- the Plague of Athens, which contributed to the end of the Golden Age of Greece -- may have been solved at the fifth annual medical conference dedicated to notorious case histories of the past.
Both scholars doubt previous theories that the Plague of Athens was caused by ebola, bubonic plague, dengue fever, influenza or measles because the symptoms described in ancient historical records do not match those diseases.
This plague was of tremendous importance because it signaled the downfall of the Golden Age of Athens, caused the death of Pericles and 25 percent of the population, weakened Athens at the beginning of its 27-year war with Sparta and became the first medical outbreak so thoroughly recorded by historians."
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