Plague

Plague (pronounced pleyg)

(1) An infectious, epidemic disease caused by a bacterium, Yersinia pestis (trans transmitted to man by the bite of the rat flea (Xenopsylla cheopis)) characterized by fever, chills, and prostration.

(2) In casual use, any epidemic disease that causes high mortality; pestilence.

(3) Any widespread affliction, calamity, or evil, especially one regarded as divine retribution.

(4) Any cause of trouble, annoyance, or vexation; torment; to pester.

(5) As in “… a plague upon…”, to curse another, wishing any evil upon them.  The variation “a plague upon both your houses” suggests an unwillingness to take sides, an implication one thinks both parties are in the wrong.

1350-1400: From the Middle English plage, a borrowing from the Old French plage, from the Latin plāga (blow, wound, (and pestilence in Late Latin), from plangō or plangere (to strike), the ultimate root being the Ancient Greek plēgē (a stroke).  It was cognate with the Middle Dutch plāghe (from the Dutch plaag) & plāghen (from the Dutch plagen), the Middle Low German plāge, the Middle High German plāge & pflāge (from the German plage) & plāgen (from the German plagen), the Swedish plåga, the French plaie and the Occitan plaga.  Plague exists as verb and noun, plaguer being the other noun, plaguing & plagued the verbs.  Other derived forms exist but are rarely seen except in historic or technical writing: plagioclase, plagioclimax, plagiohedral, plagiotropic and plagiotropism, plaguesome & plaguy.  For the actual disease there’s no actual synonym but many words tend to be used interchangeably in any context: invasion, scourge, contagion, pandemic, epidemic, curse, infection, outbreak, influenza, infestation, blight, calamity, pest, cancer, bedevil, afflict, beleaguer, bother, haunt, torment.  Plague & plaguing are nouns & verbs, plaguer & plaguiness are nouns, plagued is a verb & adjective, plagueful, plaguelike, plaguesome, plagueish, plaguesque, plaguey & plagueless are adjectives and plaguily is an adverb; the noun plural is plagues. 

Plagues and the Plague

Masked-up: Lindsay Lohan avoiding plague.

Plague is an infectious disease caused by the bacterium Yersinia pestis and exists in three strains: Bubonic plague, Septicemic plague & Pneumonic plague, the former two usually contracted by the handling of an infected animal or the bite of a flea, the last by contact between people via infectious droplets in the air.  Typically, several hundred cases are reported annually, mostly in India, the Congo, Madagascar & Peru and cases have been reported in the US but historically, outbreaks were large-scale events lasting months or years, the best known of which include the fourteenth century Black Death, estimated to have killed some fifty-million and the Great Plague of London which, in 1665-1666, caused the death of one in five of the city's population.  COVID-19 was thus a plague but not the plague.  A common noun, plague is written with an initial capital only at the beginning of a sentence, or (as in the Great Plague of London) when it has become a thing.  Notable epidemics have included:

The Black Death (1346-1353)

Death Toll: 75 – 200 million; Cause: Bubonic Plague

The Plague ravaged Europe, Africa, and Asia, with a death toll of 75-200 million, killing up to half the population of some European countries.  Thought to have originated in Asia, Plague was most likely spread by fleas living on the rats of merchant ships and in some countries, populations didn’t recover until the nineteenth century.  Now unknown in most parts of the world, outbreaks still happen in various places.

Plague of Justianian (541-542)

Death Toll: 25 million; Cause: Bubonic Plague

Thought to have killed perhaps half the population of Europe, the Plague of Justinian afflicted the Byzantine Empire and Mediterranean port cities.  The first verified and well-documented incident of the Bubonic Plague, it reduced the population of the Eastern Mediterranean by a quarter and devastated Constantinople, where, at the height of the pandemic, 5,000 a day were dying.

Antonine Plague (165 AD)

Death Toll: 5 million; Cause: Unknown

Also known as the Plague of Galen, the Antonine Plague affected Asia Minor (the modern Republic of Türkiye), Egypt, Greece, and Italy and is thought to have been either Smallpox or Measles, though the true cause is unknown. The disease was brought to Rome by soldiers returning from Mesopotamia.  The pandemic significantly weakened the Roman army.

Lindsay Lohan and her lawyer in court, Los Angeles, December 2011.

In idiomatic use, the phrases “a pox on both their houses” & “a pox on both your houses”, are variants of the line (Act 3, Scene 1) in William Shakespeare’s (1564–1616) tragedy Romeo and Juliet (1597), spoken by Mercuito as, mortally wounded by Tybalt’s blade, he lies awaiting the visitation of the angel of death:

A plague o' both your houses!

They have made worms' meat of me: I have it,

And soundly too: your houses!

The phrase is used to express displeasure at or condemnation of both sides in an argument, either because both seem equally bad or the dispute appears pointless.  As things turn out, Mercuito was prophetic; because of the quarantine imposed on the city to reduce the risk of plague, circumstances unfold that lead to the deaths of the “two star-cross'd lovers”.  In modern use the phrase appears either with “a plague” or “a pox” and in the earliest printed editions of the play, Mercutio does wish the pox (syphilis or possibly smallpox) upon the “Two households, both alike in dignity”.  Shakespearian scholars suggest the bard’s later substitution of “plague” was because a condition more likely to be fatal exerted a greater dramatic effect.

London and the plagues of Plague

A London Bill of Mortality, 1665.

During the sixteenth & seventeenth centuries when "bubonic plague was abroad", the authorities compiled "Bills of Mortality" listing the causes of death recorded that week.  It's now believed the statistics are not wholly reliable (Plague numbers, like the global toll from Covid-19, believed greatly to have been understated) but the startling ratio of deaths attributed to Plague compared with other causes is indicative of the deadly nature of the epidemic.  In one week 3880 residents of London were reported as having succumbed to Plague, dwarfing the number recorded as dying by other causes including Old Age (54), Consumption (Tuberculous) (174), Small Pox (10), Fright (1), Grief (1), Spotted Fever and the Purples (190), Griping in the Guts (74), Lethargy (1), Rifing of the Lights (19) and Wind (1).  Like the Covid-19 statistics, there was likely some overlap in the numbers but the disparity remains striking.

After the Black Death, London's major plague epidemics occurred in 1563, 1593, 1625 and 1665 and although the last is best-known (associated as it was with the Great Fire of 1666), it's believed it was during the 1563 event the city suffered the greatest proportional mortality with between a quarter and a third of the populating dying; losses have been estimated to be as high as 18,000 and in some weeks the toll exceeded 1000.  From there, the disease spread around the nation the following year, the fleas which were the primary vector of transmission having hibernated through what was a comparatively mild winter.  Echoing the political and military effects of epidemics noted since Antiquity, it was at this time England was compelled to give up their last French possession, Le Havre, which was being held as a hostage for Calais.  Plague broke out in the occupying garrison and few troops escaped infection so the town had to be surrendered.

There were small, manageable outbreaks in 1603 & 1610-1611 but the epidemic of 1625 was severe and associated with a notable internal migration as those with the means to leave London did not, the reduction in the number of magistrates & doctors noted as inducing the predicable social consequences although as time passed, it was clear the disease was becoming less virulent and the mortality rate had fallen, something now attributed at least partially to the so-called "harvesting effect".  After 1666, the Plague didn't vanish and there were periodic outbreaks but the lessons had been well-learned and the efficiency of communications and the still embryonic public-health infrastructure operated well, even if little progress had been made in actual medical techniques.  The Hull (an East Yorkshire port city) Plague of 1699 was contained with little spread and when an outbreak of fever was reported in Marseilles in 1720, stricter quarantine measures  were imposed in English ports which successfully prevented any great spread.  Throughout the eighteenth & nineteenth centuries (as late as 1896-1897) there were occasional isolated cases and small outbreaks of plague in various parts of England but none ever remotely approached the scale of the 1665-1666 epidemic.

Werner Herzog's Nosferatu (1979) 

Werner Herzog's (b 1942) 1979 remake of Friedrich Wilhelm Murnau's (1888–1931) masterpiece of Weimar expressionism (Nosferatu (1922)) takes place mostly in a small German city afflicted suddenly by Plague, Herzog rendering something chilling and darkly austere, despite the stylistic flourishes.  The 1979 film delivered the definitive screen Dracula and was a piece to enjoy when living in the social isolation of the Covid era.

Scene from Werner Herzog's Nosferatu (1979)

Pandemic & Epidemic

Pandemic (pronounced pan-dem-ik)

(1) Of a disease, prevalent throughout an entire country, continent, or the whole world; epidemic over a large area (in modern use, now usually restricted to diseases spread over several continents, reaching epidemic level in at least two.

(2) In figurative use, general; universal.

1660-1670: From the Late Latin pandēmus (affecting all the people, public, general) from the Ancient Greek pandēmos (general) and the Ancient Greek πᾶν (pân) (all; equivalent to English pan-) + δῆμος (dêmos) (the people); the suffix –os was the adjectival form.  The suffix –ic is from the Middle English -ik, from the Old French -ique, from the Latin -icus, from the primitive Indo-European –kos.  The form existed in the Ancient Greek as -ικός (ikós), in the Sanskritas as श (śa) & क (ka) and in the Old Church Slavonic as -ъкъ (-ŭkŭ); a doublet of -y.  The suffix –ic is often added to words of Greek or Latin origin, but may be used regardless of source.  In modern English, there is sometimes the creation of redundant forms such as veganic (from vegan).  Related words include the nouns pandemia & pandemicity and the adjective interpandemic.

Epidemic (pronounced ep-i-dem-ik)

(1) Of a disease and affecting many persons at the same time, and spreading from person to person in a locality where the disease is not permanently prevalent.

(2) Extremely prevalent; widespread; a rapid spread or increase in the occurrence of something.

1595-1605: From the French épidémique, from épidémie, from the Latin epidemia, from the Ancient Greek ἐπιδήμιος (epidḗmios), from ἐπί (epí) (upon) + δῆμος (dêmos) (people) the Ancient Greek epidēmía translates literally as “among the people” but is often cited as “staying in one place”.  The early alternative forms epidemy and epidemick are long obsolete and related forms include the noun epidemicity, the adjectives interepidemic & preepidemic and the adverb epidemically.

Noted Pandemics

HIV/AIDS Pandemic (2005-2012)

Death Toll: 36 million; Cause: HIV/AIDS

First identified in Democratic Republic of the Congo in 1976, HIV/AIDS is a global pandemic with some 35 million people living with HIV, the vast majority in Sub-Saharan Africa, where 5% of the population (circa 21 million) is infected.  The AIDS death toll is thought to be understated because (1) dubious validity of statistical record-keeping in some countries (there are places where many deaths are not accompanied by a death certificate) and (2) a cultural reluctance among families to have AIDS recorded as the cause because of the association with homosexuality and IV drug use, hence the 1980s spike in recorded deaths from pneumonia.     

Flu Pandemic (1968)

Death Toll: 1 million; Cause: Influenza

A category 2 Flu also known as “Hong Kong Flu,” it was caused by the H3N2 strain of the Influenza A virus, an offshoot of H2N2.  It took only days to reach Singapore and Vietnam, and, within three months, had spread to The Philippines, India, Australia, Europe, and the US.  Although wide-spread, it had a low mortality rate under 1%.  Worst affected was Hong Kong where 500,000 died, some 15% of the population.

Lindsay Lohan thanking the Dubai Police for their helpfulness during COVID-19 pandemic, Dubai, April 2020.  Note the proxemics.

Asian Flu (1956-1958)

Death Toll: 2 million; Cause: Influenza

A pandemic of Influenza A of the H2N2 subtype, it originated in China, spreading from the province of Guizhou to Singapore, Hong Kong, and the United States.  Estimates for the death toll vary but the World Health Organization (WHO) lists 2 million deaths, 69,800 of them in the US.

Flu pandemic (1918-1919)

Death Toll: 20-50 million; Cause: Influenza

The best known pandemic, it infected over a third of the world’s population, killing between 20–50 million.  The mortality rate was a high 10-20% and unusually, where influenza had previously killed mostly juveniles, the elderly or already weakened patients, the 1918 pandemic disproportionally killed robust and healthy young adults, leaving children and those with weaker immune systems still alive.  The movement of vast numbers of people around the world at the end of WWI assisted the spread.

Sixth Cholera pandemic (1910-1911)

Death Toll: 800,000+; Cause: Cholera

Like its previous five incarnations, the Sixth Cholera Pandemic originated in India where it killed over 800,000, before spreading to the Middle East, North Africa, Eastern Europe and Russia.  It was the source of the last American outbreak of Cholera although effective public health measures there restricted the death toll to eleven.  Cholera, a classic Medieval disease, remains endemic in India.

Flu pandemic (1889-1890)

Death Toll: 1 million; Cause: Influenza

Know at the time as Asiatic or Russian Flu and though once to be a strain of the Influenza A H2N2, it was an outbreak of H3N8.   The first cases were observed in May 1889 in three distant locations, Bukhara in Central Asia (Turkestan), Athabasca in north-western Canada, and Greenland. The rapid growth in urban populations provided vectors for the spread and although the first true pandemic in the era of bacteriology, while much was learned from it, it claimed over a million lives.

Lindsay Lohan thanking the Dubai Police for their helpfulness during COVID-19 pandemic, Dubai, April 2020.

Third Cholera pandemic (1852–1860)

Death Toll: 1 million; Cause: Cholera

Probably the most deadly of the seven cholera pandemics, it was the third major outbreak in the 19th century.  Like the first and second, the third originated in India, before spreading with extraordinary rapidity through Asia, Europe, North America and Africa.  A physician in England, where over 20,000 died, discovered contaminated water was the means of transmission.

Lindsay Lohan mugshot facemasks available through Redbibble.

The Black Death (1346-1353)

Death Toll: 75 – 200 million; Cause: Bubonic Plague

The Plague ravaged Europe, Africa, and Asia, with a death toll of 75-200 million, killing up to half the population of some European countries.  Thought to have originated in Asia, Plague was most likely spread by fleas living on the rats of merchant ships and in some countries, populations didn’t recover until the nineteenth century.  Now unknown in most parts of the world, outbreaks still happen in various places.

Plague of Justianian (541-542)

Death Toll: 25 million; Cause: Bubonic Plague

Thought to have killed perhaps half the population of Europe, the Plague of Justinian afflicted the Byzantine Empire and Mediterranean port cities.  The first verified and well-documented incident of the Bubonic Plague, it reduced the population of the Eastern Mediterranean by a quarter and devastated Constantinople, where, at the height of the pandemic, 5,000 a day were dying.

Lindsay Lohan thanking the Dubai Police for their helpfulness during COVID-19 pandemic, Dubai, April 2020.

Antonine Plague (165 AD)

Death Toll: 5 million; Cause: Unknown

Also known as the Plague of Galen, the Antonine Plague affected Asia Minor (modern Turkey), Egypt, Greece, and Italy and is thought to have been either Smallpox or Measles, though the true cause is unknown. The disease was brought to Rome by soldiers returning from Mesopotamia.  The pandemic significantly weakened the Roman army.

Quarantine

Quarantine (pronounced kwawr-uhn-teen or kwor-uhn-teen)

(1) In historic English common law, the period of 40 days during which a widow was entitled to remain in her deceased husband's home while any dower is collected and returned.

(2) A strict isolation imposed to prevent the spread of disease and (by extension), any rigorous measure of isolation, regardless of the reason.

(3) A period, originally 40 days (the historic understanding of the maximum known incubation period of disease) of detention or isolation imposed upon ships, persons, animals, or plants on arrival at a port or place, when suspected of carrying some infectious or contagious disease; a record system kept by port health authorities in order to monitor and prevent the spread of contagious diseases.  The origin was in measures taken in 1448 in Venice's lazaret to avoid renewed outbreaks of the bubonic plague.

(4) In historic French law, a 40-day period imposed by the king upon warring nobles during which they were forbidden from exacting revenge or to continue warfare.

(5) A place where such isolation is enforced (a lazaret).

(6) In international relations, a blockade of trade, suspension of diplomatic relations, or other action whereby one country seeks to isolate another.

(7) In computing, a place where files suspected of harboring a computer virus or other harmful code are stored in a way preventing infection of other files or machines; the process of such an isolation.

(8) To withhold a portion of a welfare payment from a person or group of people (Australia).

(9) To quarantine someone or something.

1600–1610: From the Middle English quarentine (period a ship suspected of carrying contagious disease is kept in isolation), from the Norman quarenteine, from the French quarenteine, from the Italian quarantina, a variant of quarantena, originally from the upper Italian (Venetian) dialect as quaranta giorni (space of forty days, group of forty), from quaranta (forty) from the Medieval Latin quarentīna (period of forty days; Lent), from the Classical Latin quadrāgintā (four tens, forty) and related to quattuor (four), from the primitive Indo-European root kwetwer (four).  The difference between quarantine and isolation is one of context; while people might for many reasons be isolated, quarantine is a public health measure to deal with those exposed to or at risk of having been infected by a communicable disease, the duration of the quarantine being sufficient to ensure any risk of spreading the infection has passed.  The name is from the Venetian policy (first enforced as the 30 day edict trentino in 1377) of keeping ships from plague-stricken countries waiting off its port for forty days to ensure no latent cases remained aboard.  The extended sense of "any period of forced isolation" dates from the 1670s.  A doublet of carene and quadragene.

In the context the L'Ancien Régime (pre-revolutionary France), it was a calque of the French quarantaine, following the edicts of Louis IX (and formalized by the quarantaine du Roi (1704) of Louis XIV which was a mechanism of quieting squabbling nobles).  Quarantine was introduced to international relations as a euphemism for "blockade" in 1937 because the Roosevelt administration was (1) conscious of public reaction to the effects on civilians of the Royal Navy’s blockade of Imperial Germany during World War I (1914-1918) and (2) legal advice that a “blockade” of a non-belligerent was, under international law, probably an act of war.  The use was revived by the Kennedy administration during the Cuban Missile Crisis (October 1962).  The verb meaning "put under quarantine" came quickly to be used in any sense including figuratively (to isolate, as by authority) dates from 1804.  Predating the use in public health, in early sixteenth century English common law, the quarentine was the period of 40 days during which a widow was entitled to remain in her dead husband's home while any dower is collected and returned.  The alternative spellings quarentine, quarantin, quaranteen, quarantain, quarantaine, quarrentine, quarantene, quarentene, quarentyne, querentyne are all obsolete except in historic references).  While not of necessity entirely synonymous, detention, sequester, separation, seclusion, segregation, sequestration, lazaretto, segregate, confine, separate, seclude, insulate, restrict, detach & cordon, are at least vaguely similar.  Quarantine is a noun & verb, quarantiner is a noun, quarantinable is an adjective and quarantined & quarantining are verbs & adjectives.

Bleriot traversant la Manche le 25 Juillet 1909 (Blériot crossing the English Channel on 25 July 1909), coloré à la main pochoir print (hand-coloured stencil print) by Ernest Montaut (1879–1909).  In 1909, this image was issued as a commemorative postcard.

It’s a modern conceit that technology now moves too fast for bureaucracy and laws to keep pace but twas ever thus.  Although as early as 1785, men had crossed the English Channel by hot-air balloon, for thousands of years since the retreat of the glaciers, most arriving in British Isles had travelled across the seas so by 1909 the British had never troubled to update the forms used by their customs officials. So, when French engineer and pioneer aviator Louis Blériot (1872–1936) on 25 July 1909 flew across the English Channel in his Type XI monoplane (a flight duration of some 37 minutes), the Collector of Customs at Dover noted in his daily log: “I issued to him a Quarantine Certificate, thereby treating it [the aircraft] as a yacht and the aviator as Master and owner.”

In scripture, the number 40 often occurs although Biblical scholars, always anxious to dismiss musings from numerologists, new age practitioners and crystal-wearing basket weavers, reject the notion it has any special meaning beyond the idea of a “period of trial or struggle”, memorably expressed in the phrase “forty days and forty nights”.  In the Old Testament, when God destroyed the earth in the Great Flood, he delivered rain for 40 days and 40 nights (Genesis 7:12).  After killing the Egyptian, Moses fled to Midian where he spent 40 years in the desert tending flocks (Acts 7:30) and subsequently he stood on Mount Sinai for 40 days and 40 nights (Exodus 24:18) and then interceded on Israel’s behalf for 40 days and 40 nights (Deuteronomy 9:18, 25).  In Deuteronomy 25:3, the maximum number of lashes a man could receive as punishment for a crime was set at 40.  The Israelite spies took 40 days to spy out Canaan (Numbers 13:25), the Israelites wandered for 40 years (Deuteronomy 8:2-5) and before Samson’s deliverance, Israel served the Philistines for 40 years (Judges 13:1).  Goliath taunted Saul’s army for 40 days before David arrived to slay him (1 Samuel 17:16) and when Elijah fled from Jezebel, he traveled 40 days and 40 nights to Mt. Horeb (1 Kings 19:8).  The number 40 also appears in the prophecies of Ezekiel (4:6; 29:11-13) and Jonah (3:4).  In the New Testament, the quarentyne was the desert in which Christ fasted and was tempted for for 40 days and 40 nights (Matthew 4:2) and there were 40 days between Jesus’ resurrection and ascension (Acts 1:3).  Presumably, this influenced Western medicine because it was long (and still by some) recommended that women should for 40 days rest after childbirth.

History’s longest recorded quarantine was the 48 years imposed by the UK’s government on the Gruinard Island, a remote island off the north-west coast of Scotland, “sealed off” in 1942 after the its use by the military as the site of top-secret biological weapons tests using highly lethal anthrax (Bacillus anthracis) spores. Because the anthrax bacteria were so resilient, even after the research concluded, the contaminated island remained highly dangerous and was declared off-limits to the public.  Not until 1986 was a large-scale decontamination effort (using a combination of topsoil removal and surface-spraying with a mixture of formaldehyde and seawater), successfully undertaken and, after four years of monitoring, on 24 April, 1990, the MoD (Ministry of Defence) declared Gruinard Island officially anthrax-free and lifted the quarantine.  Proving someone in the MoD appreciated dark humor, the World War II (1939-1945) project was named Operation Vegetarian and preparations for deployment (by means of millions of anthrax-laced linseed cakes to be spread over grazing land by aircraft) proceeded until 1944 but by the time all was arranged, the D-Day landings (6 June, 1944) were imminent so the flights were cancelled with the never-used linseed cakes incinerated shortly after the end of hostilities.  The research confirmed the viability of using anthrax as a biological agent against Germany’s herds of livestock so the Nazi's beasts of the field were luck never never to suffered the attack.  It wasn’t the only “agricultural warfare” contemplated by the British, a plan to “set the crops afire” and thus reduce the German harvest also studied.

Plague, the Venetians and Quarantino

The Plague of Justinian arrived in Byzantine capital of Constantinople in 541, brought from recently conquered Egypt across the Mediterranean by plague-ridden fleas in the fur of rats on ships bringing loot from the war.  From the imperial capital it spread across Europe, Asia, North Africa and Arabia, killing an estimated thirty to fifty million, perhaps a quarter the inhabitants of the eastern Mediterranean.  Plague never really went away, localized outbreaks happening periodically unit it returned as a pandemic some eight-hundred years later; the Black Death, which hit Europe in 1347, claimed some two-hundred million in just four years and demographically, Europe would not for centuries recover from the Black Death.

There was at the time little scientific understanding of contagion but it became clear it was related to proximity so officials in Venetian-controlled port city of Ragusa (now Dubrovnik in Croatia) resolved to keep newly arrived sailors in isolation until it was apparent they were healthy.  Initially, the sailors were confined to their ships for thirty days, formalized in a 1377 Venetian law as a trentino (thirty days), which radically reduced the transmission rate and by 1448, the Venetians had increased the forced isolation to forty days (quarantine), which, given bubonic plague’s thirty-seven day cycle from infection to death, was an example of a practical scientific experiment.  The word soon entered Middle English as quarantine (already in use in common law as a measure of certain rights accruing to a widow), the origin of the modern word and practice of quarantine.  The English had many opportunities to practice quarentine.  In the three-hundred odd years between 1348 and 1665, London suffered some forty outbreaks, about once a generation (or every twenty years), the significance of this pattern something which modern epidemiologists would later understand.  Quarentine laws were introduced in the early sixteenth century and proved effective, reducing the historic medieval death-rates to about twenty percent.

Eggs à la Lohan

During the Covid-19 pandemic, some turned back to neglected hobbies.  One of Lindsay Lohan's recommendations for a time of quarantine was to take the time to cook, posting a photograph of Eggs à la Lohan, a tasty looking omelet, inspired apparently by a widely shared motivational poem by Kitty O’Meara (on the internet dubbed the "poet laureate of the pandemic") which included the lines:

And the people stayed home.  And read books, and listened, and rested, and exercised, and made art, and played games, and learned new ways of being, and were still.  And listened more deeply.  Some meditated, some prayed, some danced.  Some met their shadows.  And the people began to think differently.

And the people healed.  And, in the absence of people living in ignorant, dangerous, mindless, and heartless ways, the earth began to heal.  And when the danger passed, and the people joined together again, they grieved their losses, and made new choices, and dreamed new images, and created new ways to live and heal the earth fully, as they had been healed.

Unfortunately, viewed from early 2023, it would seem Ms O'Meara's hopes quarantine might have left us kinder, gentler and more thoughtful may not have been realized.  It may be Mr Putin didn’t read the poem and just ate his omelet.

Pox

Pox (pronounced poks)

(1) In human & animal pathology, a disease characterized by multiple skin pustules, as smallpox, associated with the pockmarks left by the purulent skin eruptions.

(2) Historically, a reference to syphilis and sometimes to other venereal diseases (now called sexually transmitted diseases (STDs)) (archaic).

(3) In plant pathology, a disease of sweet potatoes, characterized by numerous pitlike lesions on the roots, caused by a fungus, Streptomyces ipomoea (also called soil rot and distinct from the condition root rot).

(4) In idiomatic use (usually as "a pox on (someone or something)"), an interjection to express distaste, rejection, aversion etc and thus a synonym of curse; the adjective poxy is a variation of the idea.

(5) As the acronym POx, variously Pulse Oximetry, Pressure Oxidation, Partial Oxidation, Point of Exit, Plain Old XML & Purgeable Organic Halogens.

(6) As the acronym POX (or PoX), proof of X.

Circa 1480s: A spelling variant of pocks, the plural of pock, from the plural of the Middle English pocke.  Pox in the sense of “a disease characterized by eruptive sores" emerged in the late fifteenth century, a spelling alteration of pocks & pockes (used since the late thirteenth century in this context), the plural forms of the Middle English pocke (pustule).  From the sixteenth century, it became the common word with which to refer to syphilis.  Pock (pustule raised on the surface of the body in an eruptive disease) was from the Middle English pok, from the Old English poc & pocc (pock; pustule; ulcer), from the Proto-Germanic pukkaz & pukkǭ (pock; swelling) and puh & puhh (to swell up; blow us), from the primitive Indo-European beu & bew- (to grow; swell).  It was cognate with the Middle Dutch pocke, the Dutch pok, the East Frisian pok, the dialectal German Pfoche, the Low German & German Pocke, the French pocque was also from Germanic sources.  The present participle is poxing and the past participle poxed; the noun plural is poxes.

As surnames, Pox & Pocks both long pre-dated the use in pathology and were of Germanic origin, recorded in Bavaria & Austria as a variant Of the Bavaria Böck) and the North German Beck (Baker).  Pox may in some cases have been an alternative spelling of these but is documented as a nickname for a “short man”, from the Low German Pōk (young child; Dwarf).  In some regions it may have been a Germanized form of both the Hungarian Pók and the Slovenian & Croatian Pok common in the Balkans.  In the US, Pox appears to have been an Americanized version of Pocks, most prevalent in the north-eastern states during the nineteenth century.  Coincidently, the Proto-Turkic bok means “dirt, dung” and was cognate with the Turkish bok & Chuvash пӑх (păh); in vulgar slang used predictably in the same sense as “shit” (solid excretory product evacuated from the bowel); the word persists in modern Azerbaijani.  The now idiomatic deprecatory adjective poxy entered English in the late nineteenth century as terms of distaste and disapprobation, having been in the medical literature sin 1853 in the sense of “infected with pox; pocked-marked”.  The noun pock-mark (pockmark later prevailed) dates from the 1670s and was used to describe “the scar or pit left by a pustule" after an infection, particularly after smallpox where the effects were most severe and it was noted as a verb & adjective after 1756.  The earlier word in this sense was the mid-fifteenth century pokbrokyn.  Pock-marked was used by astronomers to refer to the craters visible on the surface of the moon.

Lindsay Lohan and her lawyer in court, Los Angeles, December 2011.

In idiomatic use, the phrases “a pox on both their houses” & “a pox on both your houses”, are variants of the line (Act 3, Scene 1) in William Shakespeare’s (1564–1616) tragedy Romeo and Juliet (1597), spoken by Mercuito as, mortally wounded by Tybalt’s blade, he lies awaiting the visitation of the angel of death:

A plague o' both your houses!

They have made worms' meat of me: I have it,

And soundly too: your houses!

The phrase is used to express displeasure at or condemnation of both sides in an argument, either because both seem equally bad or the dispute appears pointless.  As things turn out, Mercuito was prophetic; because of the quarantine imposed on the city to reduce the risk of plague, circumstances unfold that lead to the deaths of the “two star-cross'd lovers”.  In modern use the phrase appears either with “a plague” or “a pox” and in the earliest printed editions of the play, Mercutio does wish the pox (syphilis or possibly smallpox) upon the “Two households, both alike in dignity”.  Shakespearian scholars suggest the bard’s later substitution of “plague” was because a condition more likely to be fatal exerted a greater dramatic effect.

Cow-pox (also cowpox), was a disease of cattle, noted from the 1780s and the fluid of the vesicles made it transmissible to humans.  It played an important role in the history of inoculation because it was noted milkmaids (with much exposure to cowpox) enjoyed an almost complete immunity to smallpox.  Chicken-pox was first described circa 1730 and the name is thought either an allusion to the mildness of the condition (compared to syphilis (the pox) or smallpox) or it being most associated with children, or the resemblance of the lumps on the skin to chick-peas.  In medical Latin, the circa 1765 varicella (chicken-pox) was an irregular diminutive of variola, the adjectival form varicellous.  Smallpox, the acute, highly contagious disease and frequently (fatal in a quarter to a third of unvaccinated cases) deadly disease was first so named in the 1510s, as small pokkes, which distinguished the symptoms from the great pox (syphilis).

The famous exchange…

“You sir shall die either on the gallows or of the pox (ie from a STD)”.

“That sir, will depend on whether I embrace your principles or your mistress”.

.. has been attributed to many over the last two centuries odd so the ultimate source is uncertain but the first known record of what may anyway have been an apocryphal exchange appears to have been published in 1784 the London periodical The European Magazine.  Supposedly, protagonist and antagonist were the fourth Earl of Sandwich (1718-1792) and Samuel Foote (1720-1777) who met at a dinner held in his house by Sir Francis Blake Delaval. (1727–1771).

In the decades which followed, frequently the tale was re-told, sometimes with different participants (although Lord Sandwich was often named) and although occasionally embellished, what’s more interesting is that euphemisms and niceties were sometimes adopted; “the halter” replacing references to nooses and gallows and “p-x and “certain disease” substituting for pox.  Whether the changes reflected editorial taste or changes in what readers thought acceptable in print isn’t clear but by the early nineteenth century the anecdote was published with the punch-line but not the setup sentence.  That may however have been because, being well-known, by then a mere allusion was probably more funny still, a technique used to effect in the House of Commons as recently as 1968.  Whether or not the exchange ever happened or between who will never be known with certainty but the rejoinder is of such voltairesque quality it’s been attributed to more than half-a-dozen political notables.

Monkeypox

Little political energy could be summoned in the West to deal with climate change while it appeared to afflict only Africans, Arabs, Asians and animals (those inhabiting the places Mr Trump would have called “shithole countries”).  It took Europe & North America roasting, flooding and burning to focus minds.  Similarly, monkeypox (a zoonotic virus in the genus Orthopoxvirus) although for decades endemic in parts of Africa, attracted little interest in the West until outbreaks in 2022 and most people had probably never heard of it until a rapid spread of cases began to be reported in the UK, Europe and the US.  On 23 July 2022, the World Health Organization (WHO) declared the outbreak a Public Health Emergency of International Concern (PHEIC) with cases reported in 77 countries and territories, similar declaration in the past issued for Swine flu, polio, Ebola, Zika and Covid-19.

Monkeypox movement out of Africa 2022 tracked by the US Center for Disease Control (CDC).

Monkeypox gained its name in 1958 when scientists in Denmark isolated the virus in laboratory monkeys in 1958, when two outbreaks of the disease occurred in monkey colonies.  It’s since become clear that a number of rodents are much more efficient vectors of transmission and the virus is neither exclusive too nor most prevalent in monkey populations but, in the way of these things, the name stuck.  This is not a new phenomenon; the famous Spanish flu linked to the pandemic of 1918-1920 picked up the name only because cases there were reported in the press in 1918 whereas news of those already detected in the US, Europe and the UK were suppressed by wartime censorship which wasn’t applied in neutral Spain.  Another case is Rubella which came to be known as “German” measles, simply because it was scientists in that country which identified and first describe the cause and there are many more, most associated with countries not the source of the disease which bears the name.  It’s not known where and where a person first was infected but a human case of monkeypox was first documented in 1970 in the Democratic Republic of Congo (DRC) in 1970.  Since then, the DRC has always recorded the majority of infections although between then and 2022, it had spread to a number of African countries, cases beyond the continent rare until 2022.

Example of regional variations in reported transmission: Nigeria 2017-2022.

Other associations linked to the name monkeypox have also become controversial and the WHO announced it is to receive a new name, noting comments from scientists and public health officials that the current name is "discriminatory and stigmatizing" and it’s also inaccurate to name versions of the virus after parts of Africa.  Accordingly, the WHO has already renamed two clades (from the Ancient Greek κλάδος (kládos) (shoot, branch, family) of the virus to avoid the stigma associated with geographical names: The variant formerly known as “Congo Basin'' will now be referred to as “Clade I” and the “West Africa” variant will be known as “Clade II”.  The first suggestion of a new name is hMPXV, to denote the human version of the monkeypox virus and rather than anything geographic locations, letters and numbers should be used, based on order of discovery. In that system, the lineage behind the current international outbreak would be dubbed hMPXV-B1.  Some local authorities have acted preemptively, Chicago public health authorities for example using the bland “MPV”.  Whatever it ends up being called however, in the West, like COVID-19, monkeypox may be here to stay.

Take-off point of 2022 spread charted by the Lancet.

One aspect of the epidemiology of monkeypox in the West is that some 95% of those diagnosed are gay or bi-sexual men (“men who have sex with men” now the preferred and most accurate terminology).  Activists from the relative LGBTQQIAAOP faction are among those advocating a change of name although this is unlikely to remove the stigmatization based on the rate of transmission among men who have sex with men; presumably a stigmatization associated with hMPXV-B1 (or whatever) must be thought less offensive than one linked with monkeypox, probably because  an alpha-numeric string is a step removed from any link with animals and thus the slur of bestiality.  In the 1980s, that was one of the complaints once it was revealed HIV/AIDS was probably a mutated monkey virus from Africa and, even in the pre-internet era, unsubstantiated theories soon circulated that the entry of the virus into the human system was linked to men having sex with monkeys, a slur on both African men and the gay community who at the point constituted the bulk of infections, almost all as a result of sexual contact.  The consensus now is that HIV/AIDS entered human circulation (perhaps even as long ago as the nineteenth century) because of blood-blood mixing while monkeys were being butchered as part of the bush-meat trade.  The monkeypox vector may have been the same.

Naming virus species is the responsibility of the International Committee on the Taxonomy of Viruses (ICTV) (the expert group which brought us COVID-19) but the WHO has decided to ask for the public’s help, announcing an “…open consultation for a new disease name for monkeypox.  Anyone wishing to propose new names can do so”.  A portal will soon be provided.