Josephine Quinn, a scholar specializing in ancient diseases, explores the Antonine plague, thought to be Rome's first pandemic. She discusses Galen's unusual treatments and the mystery surrounding the disease's modern diagnosis. Ice cores and ancient amulets offer insights into the plague's impact, revealing economic downturns and societal shifts during the crisis. Quinn also reflects on how lessons from historical pandemics like the Antonine plague inform our understanding of current health challenges. It's a fascinating dive into the past's relevance today.
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Quick takeaways
The Antonine Plague, possibly the first pandemic, severely impacted urban areas of the Roman Empire, emphasizing its historical significance.
Despite extensive documentation of remedies by Galen, the true identity of the disease remains uncertain, complicating modern understanding of its effects.
Deep dives
The Antonine Plague: A Historical Overview
The Antonine Plague, first reported in 165 AD, marked the beginning of significant infectious outbreaks within the Roman Empire, characterized by severe symptoms such as fever, coughing, and a distinctive dry, pustular rash. This epidemic is notable as it is one of the first instances in history where the term 'plague' is used to describe a widespread disease affecting a large urban population. The Roman Empire at this time was at its territorial peak, spanning from the Atlantic to the Euphrates, which facilitated the rapid spread of the disease among its densely populated cities. Despite the vast geographic range of the Empire, records primarily note the disease's impact in urban areas, leaving the extent of its rural spread uncertain.
Identifying the Disease: Theories and Challenges
There is considerable debate among historians and archaeologists regarding the actual identity and nature of the disease behind the Antonine Plague, with smallpox, measles, and typhus being suggested as potential candidates. The description of symptoms from ancient sources does not align perfectly with modern plague definitions, leading to speculation that it may represent a disease that is now extinct. Recent studies of ancient DNA indicate that the modern strain of smallpox could not have existed during the Roman era, suggesting the disease might belong to a different family altogether. The lack of concrete evidence regarding both the disease's identity and its case fatality rate complicates assessments of the plague's severity and societal impact.
Societal Impact and Responses to the Plague
The Antonine Plague brought significant social and economic disruptions, but its impact on different societal classes remained ambiguous, as overcrowded urban conditions increased vulnerability to infection regardless of social status. Initial responses included isolation measures, but practical medical treatments were largely based on anecdotal evidence and traditional beliefs rather than scientific methods. Historical records indicate the presence of Galen's medical practices, which comprised various remedies, some of which involved bizarre practices like using the urine of young boys as a perceived treatment. In the long term, while the plague coincided with economic downturns and mine closures within the empire, the extent to which it directly caused these changes remains unclear due to the lack of precise historical records.
In the 160s CE, Rome was struck by a devastating disease which, a new book argues, may have been the world’s first pandemic. Galen began his career treating ’the protracted plague’ with viper flesh, opium and urine, but despite his extensive documentation, we still don’t know what a modern diagnosis would be. Josephine Quinn joins Malin to discuss contemporary theories about the Antonine Plague and what ice cores and amulets can tell us about the disease’s impact.